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PalMD is a practicing internist in the Great Lakes region of the U.S.. Aside from the great joy he finds in his family and his work, he likes communicating some of that joy to others. He has a special interest in the ways patients---and we are all patients at one time or another---are deceived by charlatans. He aims to change the world, one reader at a time. Previous writings can still be found here, and here. I also write twice a month for Science-Based Medicine
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October 30, 2009
Category: Donors Choose
This is the penultimate day of our Donors Choose challenge to fund needy Michigan classrooms. We have fully funded 13 separate projects and scooped up matching funds from the Gates Foundation and Hewlett-Packard. You have all been terribly generous, but...
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Posted by PalMD at 2:35 PM • 4 Comments • 0 TrackBacks
Category: Medicine
Getting my swine flu shot...
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Posted by PalMD at 1:57 PM • 28 Comments • 0 TrackBacks
October 28, 2009
Category: Absurd medical claims
A hat-tip to my buddy Abel over at TerraSig for keeping this story alive and inspiring me to chime in. --PalMDIt's no secret that I find the anti-vaccination crowd to be abhorrent. The public's health is the first victim, followed...
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Posted by PalMD at 4:02 PM • 61 Comments • 0 TrackBacks
October 27, 2009
Category: Medicine
The young resident presented the patient in the usual dry terms we use for such things. "The patient is a 42 year old woman recently hospitalized for cirrhosis due to alcohol use. Her cirrhosis has been complicated by esophageal varices,...
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Posted by PalMD at 9:28 PM • 10 Comments • 0 TrackBacks
Category: Donors Choose
You guys are great. Large donations continue to trickle in, but really, we can live quite well off of small donations. It would be really cool if we finished off the drive with a bunch of micro-donations, in the 1-10...
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Posted by PalMD at 1:28 PM • 1 Comments • 0 TrackBacks
October 26, 2009
Category: Health care reform
When I see a patient at the office, I spend time developing trust, forming a therapeutic alliance, thinking through their physical complaints, examining them, and applying the best evidence to formulating a plan for maintaining their health. It's a lot...
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Posted by PalMD at 10:28 PM • 25 Comments • 0 TrackBacks
Category: Donors Choose
We have some very generous readers. We've managed to fully fund 12 out of 14 proposals from needy Michigan classrooms. We can probably pull off funding the final two projects this week, and although our readers have been quite generous...
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Posted by PalMD at 1:20 PM • 0 Comments • 0 TrackBacks
October 25, 2009
Category: Fatherhood
My daughter handed my wife a hand-written Channukah wish-list which I will reproduce for you in its entirety:Barbie remote corvette Barbie camper Ken doll For real elephant I'm not sure which one we will get her, but I have my...
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Posted by PalMD at 9:24 PM • 23 Comments • 0 TrackBacks
Category: Medicine
I try not to overbook at my office. I have about 16 slots every morning for returning patients (fewer if I have new patients booked, which I usually do). I usually schedule, counting new and old patients, 12 patients every...
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Posted by PalMD at 3:47 PM • 13 Comments • 0 TrackBacks
Category: Medicine
My county health department released 10K doses of H1N1 vaccine yesterday and opened up two distribution centers for them. With all the anti-vaccination craziness out there, I was worried no one would show. Turns out, no need to worry. My...
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Posted by PalMD at 12:54 PM • 5 Comments • 0 TrackBacks