Archive for May 2012

Why We Lie

I particularly enjoyed this article from the WSJ last weekend.  It is a piece you finish and satisfactorily conclude your time was not wasted.  You have gained a new perspective in reexamining a deed, in this case lying, that we all engage in periodically—that we rationalize, trivialize, or justify—for unwelcome reasons we sidestep to achieve our selfish ends.  This opening paragraph got me hooked: (more…)

ASA reduced VTE risk

In this large multi center study, patients with an unprovoked VTE who had already completed 6-18 months of anticoagulation were randomized to ASA 100mg/day or placebo for 2 years. The risk of recurrent VTE was 11% in the placebo group and 7% in the ASA group (hazard ratio 0.58, CI 0.36 to 0.93), with no difference between groups in bleeding or adverse events. This should change current practice, and promote long term use low dose ASA after initial anticoagulation in patients with unprovoked VTE (abstract)

Risk of AMA discharges

In this large single center analysis, the risk of mortality in those discharged AMA was twice as high as those non-AMA, as was the risk of 30 day readmission. When considering the risk of AMA discharges, all efforts should be used to dissuade patients from prematurely leaving (abstract)

Medical malpractice litigation against physicians

This large analysis of claims against US physicians found about half resulted in litigation, most of which for internal medicine were dismissed by the court, and only 3% of which underwent a trial verdict. Of those with a trial verdict, 80% were judged in favor of the physician. Internal medicine physicians fair well in litigation compared to other specialities (abstract)
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