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Musings on the intersection of science, medicine, and culture
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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June 30, 2010
Category: Medicine
Many of us who are involved in social media have bemoaned the sluggishness of our own professions in adopting new media. There are two notable developments in my own field that seem to be holding up. The first is the...
Posted by PalMD at 6:42 PM • 2 Comments • 0 TrackBacks
June 29, 2010
Category: Medical education
Over a quarter century ago, a young woman was admitted to a New York hospital with fever and agitation. She never walked out. Libby Zion died while under the care of he primary care doctor and two medical residents. The...
Posted by PalMD at 3:00 AM • 11 Comments • 0 TrackBacks
June 28, 2010
Category: Medicine
I frequently read about the latest medical and scientific "breakthroughs" in the mainstream media, and in modern media such as sciencedaily.com. One commonality is lack of citations. If I'm lucky, they may cite the source journal or meeting. If I'm...
Posted by PalMD at 6:01 PM • 36 Comments • 0 TrackBacks
June 27, 2010
Category: Medicine
Author Chris Mooney has a provocative piece up at the Washington Post today. He argues that scientists are misunderstanding the dynamics of science-policy debates. Because, he argues, ideology often trumps scientific fact in the minds of the public, we (scientists)...
Posted by PalMD at 9:45 AM • 44 Comments • 0 TrackBacks
June 24, 2010
Category: Medicine
When you walk into a good coffee shop, you can smell it. It's a smell nothing like the smell of the old, sour coffee sitting in a carafe at the office. It's the smell of dark, dark beans, cracked open,...
Posted by PalMD at 7:42 PM • 13 Comments • 0 TrackBacks
Category: Medicine
Medicare is the government health care program for the elderly. For internists such as me, Medicare patients make up around half our practice. Because of historical budget tools, every year Congress goes through the motion of watching our reimbursement cut,...
Posted by PalMD at 1:44 PM • 15 Comments • 0 TrackBacks
June 23, 2010
Category: Medicine
Resident duty hours to be limited even further.
Posted by PalMD at 5:33 PM • 24 Comments • 0 TrackBacks
June 21, 2010
Category: Narcissistic self-involvement
I'm looking forward to having some time to read this summer. I've planned a total of two weeks away from work, and if all goes well, I'll get some time to plow through a few good reads. My first trip...
Posted by PalMD at 4:02 PM • 11 Comments • 0 TrackBacks
June 20, 2010
Category: Narcissistic self-involvement
I visited a physician this week as a patient. The details of the meeting are in the TMI category, but the long a short of it was he gave me advice that the altmed folks wouldn't believe. Surrounded by the...
Posted by PalMD at 7:00 PM • 37 Comments • 0 TrackBacks
June 16, 2010
Category: Medicine
I've been teaching internal medicine for a number of years now. The practice of internal medicine falls into two broad categories; inpatient medicine, and outpatient medicine. Because of certain historical imperatives, internal medicine training is heavily biased toward inpatient education,...
Posted by PalMD at 2:58 PM • 38 Comments • 0 TrackBacks
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