Chronic calcium blocker use and reduced mortality in sepsis
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - April 28, 2017 Category: Internal Medicine Tags: critical care infectious disease pharmacology Source Type: blogs

Update on the clinical and pathologic aspects of ANCA diseases
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - April 28, 2017 Category: Internal Medicine Tags: allergy and immunology rheumatology Source Type: blogs

For Texas Legislators: MOC's Myriad Conflicts of Interest
The American Board of Medical Specialties' (ABMS) Maintenance of Certification (MOC) proprietary continuing education program has a myriad of conflicts of interest. I thought I would assemble a partial list of some of them below: 1) The American Board of Internal Medicine (ABIM), the largest ABMS member board responsible for credentialing one-quarter of all US physicians, is increasingly in debt (Source: Dr. Wes)
Source: Dr. Wes - April 17, 2017 Category: American Health Authors: DrWes Source Type: blogs

Dear Legislator
Physicians, consider providing the following letter (or a modified version) to every state legislator considering anti-MOC legislation. Dear Legislator - Across the country, bills are appearing in state House and Senate chambers regarding a trademarked  educational product owned by the American Board of Medical Specialties (ABMS) called Maintenance of Certification (MOC). No doubt a team of (Source: Dr. Wes)
Source: Dr. Wes - April 14, 2017 Category: American Health Authors: DrWes Source Type: blogs

An American Sickness and the ABIM
Thanks to Elisabeth Rosenthal, MD for the mention of the ABIM/ABIM Foundation controversy in her new book, An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. Sadly, the financial troubles and numerous financial conflicts of interest at the ABIM persist for rea sons Dr. Rosenthal articulates well: it's a "testing Ponzi scheme." -Wes (Source: Dr. Wes)
Source: Dr. Wes - April 12, 2017 Category: American Health Authors: DrWes Source Type: blogs

Attention Tennessee Physicians and Physicians Everywhere
Attention Tennessee physicians and beyond: As you may be aware, the (anti-)Maintenance of Certification legislation (see House Bill HB 413) and Senate Bill (SB 298) is on the calendar on Tuesday at 1:30 p.m. in Senate Commerce and at 3:00 p.m. in House Health Subcommittee. This legislation is highly contested and being opposed by both hos pitals and insurance companies. TMA is working hard to (Source: Dr. Wes)
Source: Dr. Wes - April 3, 2017 Category: American Health Authors: DrWes Source Type: blogs

ABIM Gets It Wrong Again
On Wednesday, the American Board of Internal Medicine (ABIM) quietly announced their much-anticipated "modifications" to their Maintenance of Certification program on their blog. As expected, rather than ending the MOC program, ABIM has decided to double down and justify their unproven process using an edited video of Skype sessions from their most fervent (paid) supporters. The ABIM reportedly  (Source: Dr. Wes)
Source: Dr. Wes - March 31, 2017 Category: American Health Authors: DrWes Source Type: blogs

Video laryngoscopy for for endotracheal intubation: better visualization but not better outcomes
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 25, 2017 Category: Internal Medicine Tags: critical care pulmonary Source Type: blogs

Vancomycin in combination with zosyn increased the risk of AKI
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 24, 2017 Category: Internal Medicine Tags: infectious disease nephrology Source Type: blogs

Type of atrial fibrillation and stroke risk
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 23, 2017 Category: Internal Medicine Tags: cardiovascular neurology Source Type: blogs

Hypotension due to IV acetaminophen
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 22, 2017 Category: Internal Medicine Tags: critical care pharmacology Source Type: blogs

Treatment decisions for patients with a first seizure
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 21, 2017 Category: Internal Medicine Tags: neurology Source Type: blogs

Fact Check on ABIM's Director of Investigations
On 9 February 2017, I received a note from the editor of Philadelphia Medicine magazine requesting that  I respond to a letter they received from Sidney Baumgarten, Esq, a friend and counsel for Ariel Benjamin Mannes, the American Board of Internal Medicine (ABIM)'s Director of Investigations, whom I had mentioned in their publication dedicated to the ABIM that was released in December, 2016. (Source: Dr. Wes)
Source: Dr. Wes - March 21, 2017 Category: American Health Authors: DrWes Source Type: blogs

Therapeutic hypothermia after in hospital cardiac arrest
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 20, 2017 Category: Internal Medicine Tags: cardiovascular critical care hospital medicine neurology Source Type: blogs

The EMPIRICUS trial
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - March 18, 2017 Category: Internal Medicine Tags: critical care infectious disease Source Type: blogs