Category Archives: Featured

Cosmosapiens – Book Review

Tweet Cosmosapiens by John Hands Subtitled Human Evolution from the Origin of the Universe, John Hands’ book attempts to explain the origin of the universe and our place in it; and he does so in less than 600 pages (about a quarter of a million words) including many tables and figures. Amazingly, except for a stumble…


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Verdi Chords

Tweet One of the most distinctive characteristics of Giuseppe Verdi’s operas is his use of chords to resolve or punctuate the moments of greatest emotional and dramatic tension as his story reaches a crisis point. This simple device would seem within the grasp of almost any composer, but Verdi’s use of it is unique. Below are…


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A Clinical Vignette About Medical Journals

Tweet A medical journal is supposed to be an unbiased and objective source of the latest and best medical information. Of course, since all journals (for now) are run by human beings the reality and the ideal are widely separated. Even so, you shouldn’t be able to tell the politics of the journal’s editor from its…


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The Doctors’ Loophole – Another Reason why this is Such a Wonderful Country

Tweet Forty million Americans have a combined $1.2 trillion in student debt. Since the last recession this is only type of consumer debt that hasn’t decreased. As these loans are mostly guaranteed by the government they keep accumulating. Whether going into debt to get a college education is a good idea is not my subject….


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Suicide in Doctors

Tweet One of the medical newsletters I receive describes the suicide of a 33 year old surgeon near the completion of his training. The sad story of this death was taken from an article that appeared in Time Magazine – Why The Toxic Treatment of Doctors Needs to Change. The authors of the piece are…


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Tutto Verdi: I Vespri Siciliani

Tweet I Vespri Siciliani is the least performed of Verdi’s mature works. It was written for the Paris Opéra to a French text by Eugène Scribe and Charles Duveyrier (Les vêpres siciliennes). While the opera is occasionally performed in its original French version, it is typically presented in its Italian translation. Verdi just sounds better…


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Vitamin D Treatment in Postmenopausal Women

Tweet A study just published in JAMA Internal Medicine examined the effects of placebo, low-dose cholecalciferol (Vitamin D3), and high-dose cholecalciferol on 1-year changes in total fractional calcium absorption, bone mineral density, Timed Up and Go and five sit-to-stand tests, and muscle mass in postmenopausal women with vitamin D insufficiency. This study was undertaken because “expert”…


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The Medical Record – Plus ça change, plus c’est la même chose

Tweet The medical record has been a problem ever since Hippocrates, in a moment of spite, invented it. Until the advent of the electronic record it had existed on paper and was stored in a variety of inaccessible locations by the Department of Medical Records, or by a similarly named entity. Once entombed in the…


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What Can You Do to Maintain Good Health?

Tweet The FDA just banned trans fat. The American Heart Association issued a statement that the move would prevent 20,000 heart attacks a year mirroring that made by the CDC. Where this number came from is a mystery. I suspect they made it up after a series of extrapolations from metabolic data to epidemiological conclusions…


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If You Are a Homicidal Maniac Press 1

Tweet Earlier today I called USAA. They’re my insurance company. I’ve been with them since before the big bang. Back then you could pick up the phone and a familiar voice would answer, “This is Phyllis at USAA.” And I would reply, “Hi, Phyllis, this is Neil. I got a new car; please change my coverage.”…


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