White Coat Underground

Archives for September, 2009

Donors Choose!

Here in Michigan, schools are hurting—a lot. Classrooms are crowded, schools are closing, supplies are non-existent. Even in “wealthy” districts, the system is failing. Parents, when they can, supply the bulk of classroom supplies. This is a good time to think about DonorsChoose, a unique charity that allows teachers to create proposals, and donors to…

BMI TMI weekly update

I’ve been putting this off. Today I’m 203.5#. I feel into some bad habits this week. I’ve found that routine is my friend. I have a few choices for breakfast at home, a few lunch and dinner choices at the hospital, and a few evening snack choices at home, all of which support my diet.…

The state of Michigan is facing massive budget cuts which will further eviscerate the Medicaid program. If the legislature passes it’s budget as planned, massive cuts to Medicaid will reduce federal matching funds further limiting access to health care for the state’s many uninsured. It’s not clear if there is a way out of this,…

Morning Report

Here’s how this is going to work. Thanks to a reader, I have a case for you, which I’ll present in parts. I will try to make the information accessible to both professionals and lay-people. I’ll start with the barest of information and rather than guess what’s going on right away, I’d like to see…

Dr. Jerome Groopman, whose writing I generally enjoy, put out a book a couple of years ago called How Doctors Think. It examined, well, how doctors think, how they think they think, and what the future holds for diagnosing disease. It’s a good book, but with some faulty assumptions. I’m not the guy to write…

Prevention: you keep using that word…

Warning: this post has a long, boring prologue. Proceed at your own risk. I am an expert in the prevention and treatment of adult diseases. That’s what I do from well before the sun rises until well after it sets every day of every week. To become an expert and retain this status is not…

A new low at HuffPo

The stupid truly burns brightly in this one. Dana Ullman, known to readers of Respectful Insolence, Science-based Medicine, and this blog as Hahnemann’s cognitively impaired bulldog, has started blogging at the Huffington Post. It’s certainly an appropriate venue for his brand of cult medicine belief, but that doesn’t make it any less painful. His inaugural…

Doug Bremner: Odd ideas, odder behavior

I’m not a psychiatrist, and I won’t guess what motivates someone like Doug Bremner. On his blog, he posted a picture showing the head of a cancer surgeon/researcher/blogger pasted onto a large beast. A little man is doing something to the beast. An armchair psychiatrist might make silly suppositions based on the image of a…

It’s like this: science requires a tolerance of failure. If your shiny, happy hypothesis fails to stand up to rigorous scrutiny, you drop it and move on. If instead of a true, disposable hypothesis, you have a fixed belief that will not change based on the data, you are delusional. Boosters of alternative medicine prefer…

BMI TMI update

So the weight loss continues at a slow but steady pace. The exercise has been not so good; I was doing fine until I re-injured my back. Now it’s just an excuse. I’ve started getting up early to get PalKid to kindergarten. I suppose I could get up just a bit earlier and ride the…