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Mortality Predictions in COPD patients: LIVE Score vs. COPD Exacerbation frequency

Summary of our two recently published articles on COPD and risk stratification: LIVE Score prediction of mortality and COPD exacerbation frequency in three cohorts.  COPD exacerbation frequency and mortality and COPD exacerbation frequency prediction in three cohorts. LIVE score, which incorporates data on multimorbidity in COPD patients, is better predictor likely because mortality and healthcare … Continue reading

Hospital at Home

Mr. Smith was a sixty-eight year old man who came to the Veterans Affairs hospital where I was a medical student complaining of chest pain. “With chest pain, it’s all about the story,” my resident, the physician in charge of our team, said.  We talked to him to find out what he was doing when … Continue reading

Ebola

“If I get a call about smallpox from the ER I’m not coming in,” an Infectious Disease doctor said to a colleague in the hospital where I was working.  It was the early days of 9/11 and anything seemed possible. “Are you all OK with providing care for Ebola patients?” our section chief asked.  Our ICU is the … Continue reading

Code

“They need you in room 13” she said when I answered the phone and I ran back to the ICU.  The patient was coding and for each minute that felt like an hour, we tried, and failed, to save her.  She wasn’t breathing, her heart wasn’t working, and despite the 30 people gathered in the room, … Continue reading

Morbidity & Mortality Conference, a post mortem

When things go wrong in medicine, as they invariably do, we try to figure out what went wrong, and why.  We try to learn if there’s anything we could have done better and what we should do next time. It used to be, in the days of the Giants, that the physician responsible for the patient … Continue reading

My post on Bronchial Thermoplasty is up on KevinMD today

My post on Bronchial Thermoplasty, a new treatment for asthma, and evidence in medicine is up at KevinMD.com today. http://www.kevinmd.com/blog/2014/04/bronchial-thermoplasty-asthma-widely.html

One Practice A Week

“There’s only one soccer practice a week,” he said, “Seven to eight pm on Mondays, and then the game is on Saturday…  It’s not bad.” I had trouble fathoming it. But what time do you eat dinner? 8pm. Do you come home and cook afterwards? Cook before or during – parents don’t have to stay for … Continue reading

Girl Mayor

Matthew (age 3): “It has to be the mayor.” Me: “The mayor?” Sam (age 5): “Yeah, you know, the guy in charge of everyone in the city.” Me: “You know, women can be mayors too.” Sam: “Yeah, but they’re usually guys.” I keep having some iteration of this conversation with my young sons – women … Continue reading