More articles from From the Editor
- The simple lab test is sometimes more complex than we think, if we think about it at all
Before ordering more tests because of an abnormal laboratory result (eg, elevated creatine kinase), think about its biology.
- It’s not the noise, it’s what you do with it
Auscultation for a carotid bruit is an unreliable test, but the real action takes place between the stethoscope’s earpieces.
- To err is human, but…
Being wrong is part of being human, but I don’t like it. To avoid being wrong, we might try keeping a checklist.
- Perioperative MI: Data, practice, and questions
What should be done when an elevated troponin is detected in a postoperative patient who is otherwise doing perfectly well?
- Remembering that old dogs can still do tricks
Chlorthalidone has proven efficacy and, compared with hydrochlorothiazide, favorable pharmacokinetic properties.
- The vaccine safety belt
Arguments against vaccination have acquired a libertarian tone, like the argument against compulsory wearing of seat belts.
- Pericarditis as a window into the mind of the internist
In looking for an underlying cause, we need to be thorough but also contain costs and avoid harm from overtesting.
- The art and science of clinical medicine and editorial policy
Most clinical decisions are made without any applicable data from clinical studies. This is the “art” of medicine.