Grand Rounds: “When Things go Wrong”

December 26, 2007
Grand Rounds: “When Things go Wrong”

Commentary by Rosemary Adamson MD, PGY-2

Medical error, the most formidable of topics, was under discussion at ground rounds this past week. Dr. Tom Delbanco visited us from Boston to show his movie about patients’ and their families’ experiences of medical errors. Dr. Delbanco graduated from Columbia Medical School and did his residency at the Columbia Medical Division at Bellevue Hospital. He then moved to Harvard where he created one of the first primary care practice and teaching programs at an academic medical center; he…

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ShortCuts-This Week in the Journals

December 24, 2007
ShortCuts-This Week in the Journals

Commentary by Michael Poles MD, Associate Editor, Clinical Correlations 

Another week, another set of shortcuts, so let’s take a quick look around the world of medical happenings. A quick trip into the strange. The blogosphere presented the story of Mr. Paul Karason. Why did we hear about Mr. Karason? Well, he is blue. No, not sad, but really blue. His skin is tinged blue from chronic usage of colloidal silver as an alternative medicine remedy. While completely unproven, some people use colloidal silver as…

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Inpatient Diabetes Management: Case 7

December 20, 2007
Inpatient Diabetes Management: Case 7

Commentary by Mary Vouyiouklis MD, Fellow, and Ann Danoff MD, Director, Division of Endocrinology, Diabetes and Metabolism, NYU Medical Center

Welcome to our final case of our special diabetes series intended to highlight the essentials of diabetes care in the inpatient setting. Over the last few months, we have been presented individual cases followed by some management questions and answers.

Case 7: All our patients go home…
Mr. Smith, Mr. Jones, Mr. Mejia, Mr. Gary, Ms. Samson, and Ms. Longshore are…

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Grand Rounds: “Communicating the Benefits and Harms of Prescriptions Drugs”

December 19, 2007
Grand Rounds: “Communicating the Benefits and Harms of Prescriptions Drugs”

Commentary by Puja Korabathina PGY-3

This week’s medicine Grand Rounds was presented by Drs. Steven Woloshin and Lisa Schwartz , both alumni of NYU’s residency program who are currently performing research and practicing medicine at the Department of Medicine at Dartmouth Medical School. During their years of residency at Bellevue, they became interested in understanding the elements of and barriers to patient-doctor communication. Their current area of research — communicating the risks of prescription drug benefits in an accurate and thoughtful manner — is an extension…

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CPC 12/7/07-The Answer

December 18, 2007

Case Presentation by Alana Choy Shan, MD, Chief Resident

Please review the posting of our prior CPC here.

When you’re ready you can download the CPC Answer.

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Shotrcuts-This Week in the Journals

December 17, 2007
Shotrcuts-This Week in the Journals

Commentary By: Neil Shapiro, M.D., Editor-In-Chief, Clinical Correlations

It’s hard to believe there was other news this week besides the black cloud that has now been cast over all of baseball.  Barry Bonds must be smiling somewhere knowing that others have now climbed aboard his sinking ship…in fact I had a dream last night that the Yankees were even stripped of their 2000 World Series title just like all those cheating olympic athletes and the title of 2000 World Champions was awarded to the World…

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FDA Warns of Possible Link Between Chantix Therapy and Mood Disturbances

December 14, 2007
FDA Warns of Possible Link Between Chantix Therapy and Mood Disturbances

Commentary by Robert Leonard PharmD, Pharmacy Resident New York Harbor Healthcare System

On November 20, 2007 the FDA announced mounting evidence linking varenicline (Chantix®) therapy for smoking cessation with suicidal ideation and erratic and aggressive behavior. The announcement comes in response to post-marketing case reports submitted to the FDA by the makers of Chantix®, Pfizer Inc. Early review of the cases reveal new onset of depressed mood, suicidal thoughts, and changes in emotions or behaviors within days to weeks of starting Chantix® therapy. A direct…

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Meeting Perspectives: Annual Meeting of the Infectious Diseases Society of America (IDSA) October, 2007

December 13, 2007
Meeting Perspectives: Annual Meeting of the Infectious Diseases Society of America (IDSA)  October, 2007

Commentary by Neal Steigbigel MD, Professor of Medicine (Infectious Diseases/Immunology)

Methicillin resistant Staphylococcus aureus (MRSA) was a hot topic at this year’s IDSA meeting. The CA (community-acquired)-MRSA strains are spreading rapidly in the United States causing largely soft tissue infections, but also other infections such as serious necrotizing pneumonia. Clinicians can no longer rely on demographics in predicting which patient is at high risk for MRSA when an individual appears with a suspected staph infection. If the infection appears serious and is…

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