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Community Acquired MRSA Part Deux.

Is community acquired MRSA actually more dangerous?
In response to my post on the media hype over community acquired methicillin resistant staphylococcus aureus (CA-MRSA) Dr. RW challenges my assertion that CA-MRSA is generally no more serious than Staph that is sensitive to antibiotics (MSSA).
In particular he sites a very good review of CA-MRSA in the Mayo […]

Community Acquired MRSA (a primer).

MRSA costly but not worse than usual bacteria.
Methicillin-resistant staphylococcus aureus (MRSA) is simply a slightly altered form of the extremely common skin bacteria Staphylococcus aureus. Throughout the ages “Staph” has been responsible for huge numbers of serious skin infections (i.e. battle wound infections). It truly is a horrible killer, potentially causing skin abscesses and less […]

The RangelMD Diet.

Losing weight and other manageable tasks.
I hate diets. I hate the fact that so many charlatans have made $$Billion$$ selling “special” diets that are nothing more than books full of complicated recipes and pop psychology crap designed to make you feel better about yourself (and about the fact that you were suckered out of $20 […]

Health Care Costs are Too Much for Wal-Mart.

Wal-Mart is stuck in Medicaid hell!
If you have a chronic health condition or you have risk factors for developing serious illness (obesity) or you have unhealthy habits (smoking) then you might not want to bother applying for a job at the nation’s largest private employer.
An internal memo sent to the Wal-Mart board of directors (and […]

Old School Grading in Post Graduate Education.

The ABC grading system stands for ArBitrary Crap!
I was saddened to see that my ‘ol alma mater the University of Texas Southwestern Medical School at Dallas is still using the crusty “ABCDF” grading system. Someone who identified themselves as a first year Southwestern medical student posted a message online (via Enrico) that makes it clear […]

The Problem with Peer Review.

The problem with peer review; The dirty little secret of medicine - Yes, the medical profession does “self-police”. In every hospital there are so called peer review committees that have oversight power to review the actions of physicians on staff at the hospital. These committee’s were mandated by the 1986 Federal Health Care Quality Improvement […]

Evolution; Back to the Future.

Intelligent Design: “Revenge of the Sith” - Oh to be 1925 again, a time when men were men (righteous and God-fearing), women were subjugated, and scientific theory was required by the state to be in line with Christian religious dogma. But who says we can’t return to those wonderful days? That’s what the Kansas State […]

Stop Direct to Consumer Drug Ads!

Cat gets AMA’s tongue on drug ads - The AMA deferred a proposal to support a ban on direct to consumer advertising (DTC) of prescription drugs out of concern that such a ban would violate the first amendment. Never mind that there has been a ban on tobacco advertising on public TV for the last […]

Lessions Learned from Mrs. Schiavo’s Autopsy.

Terri Schiavo’s autopsy.
Mrs. Schiavo died (or at least her body died) on March 31st and the autopsy was performed by Pinellas County medical examiner Dr. Jon R. Thogmartin on April 1st 2005 (an ironic date). The official report was released yesterday and is available (in pdf format). To summarize the significant findings;
The cause of Mrs. […]

A failing socialized health insurance system.

TennCare; A model for how American socialized medicine will fail.
With most of the media’s attention focused these days on missing telegenic white women, few outside the State of Tennessee have bothered to follow the spectacular collapse of this nation’s most ambitious experiment in socialized medicine.
Tennessee’s expanded version of Medicaid started in 1994 amid the Clintonian […]