Category Archives: Medicine

Section 9007 of the Patient Protection and Affordable Care Act

Tweet Community Health Needs Assessment In order to continue as a 501(c)(3) organization, each hospital must conduct a community health needs assessment every three years and adopt an implementation strategy to meet the community health needs identified through the assessment. The assessment must take into account input from persons who represent the broad interests of…


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Kidney 5K Walk’n Roll – 2013

Tweet Below are a few picture taken last Saturday (June 1) at the South Plains Kidney Foundation’s annual exercise event. Also present were some of the Therapy Dogs Inc of Lubbock.


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More on Salt – Medicine is Hopeless

Tweet A study by the the Institute of Medicine at the behest of the Centers for Disease Control has shown no benefit from sharply decreasing salt intake in preventing strokes and heart attacks even in high risk patients. You may recall that I wrote about the American Society of Nephrology’s recommendation to sharply restrict salt intake in…


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The Pathophysiology of Edematous Diseases

Tweet Below is a PowerPoint presentation that I will give to the South Plains Kidney Foundation Medical Symposium this coming Friday, May 3. PowerPoint Edema


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Head Start as an Heuristic For Medical Students, Treatment of Strokes, and the Law of Unintended Consequences

Tweet For more than 25 years I have used the Head Start program to teach medical students data analysis, how to evaluate the therapeutic efficacy of treatment regimens, and how belief commonly trumps evidence. This process usually followed the recommendation of a course of treatment by a consultant to a patient who was on a general medicine…


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Life Expectancy in the US and Social Awareness

Tweet Medical care in the United States is often compared unfavorably to that of other developed countries. It’s commonly stated that life expectancy in the US is much lower than in other countries and that this is due, at least in part, to poor medical care in the US. Life expectancy, of course, is affected by many things other…


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Dr Ben Carson’s Speech at the National Prayer Breakast

http://www.youtube.com/watch?v=vxCBUNTg2B8

Tweet Benjamin Carson is the Director of Pediatric Neurosurgery at Johns Hopkins Hospital. On February 7 he spoke to the National Prayer Breakfast with the President and the First Lady in attendance. The affair displays the usual insensitivity to non-Christian faiths typical of such events which stems from inadvertence not malice.  Carson’s speech is in his own words not politically correct;…


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The Electronic Record and the Doctor

Tweet Everyone seemed surprised when investigators from the RAND Corp  reported in the January 2013 issue of Health Affairs that the widespread use of the electronic medical record had not resulted in reducing medical care costs  - see the NY Times incredulous reaction. The RAND team of course said if we just tried a little bit harder,…


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Is Pleasantly Plump Best?

Tweet A paper in the current issue of the Journal of the American medical Association presents some interesting data on the association of obesity with overall mortality. The authors of the study reviewed mortality data from almost 3 million subjects. They classified mortality against body mass index (BMI). Their reference group were people with BMIs of…


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Hepatorenal Syndrome – Slide Presentation

Tweet Below is the PowerPoint presentation of a talk on the Hepatorenal Syndrome that I gave today to the Fall Medical/Surgical  Conference sponsored jointly by the Lubbock-Crosby-Garza Medical Society and the Covenant Health System.   Click to download the PowerPoint presentation Hepatorenal Syndrome


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