Practice Changer
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Clinicals
Bands on CBC are ominous even if WBC normal !
Lawsuits have happened because warning from "bands" on CBC was missed
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Clinicals
Initiating Coumadin Rx with 10 mg instead of 5mg !
Even if just a day earlier to reach the target INR , I will take it !
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Tips
Lactic acid & Ammonia: underused seizure biomarkers !
When evidences for unwitnessed seizure are only circumstantial & indirect - the more the merrier !
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Clinicals
Blood Pressure meds more effective when taken at bedtime
Does it matter when you take your blood pressure medications in a day ?
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Tips
Lidocaine Patch for Back pain: 4% beats 5% !
Are 5% prescription-only Lidocaine patches worth it when 4% Lidocaine patches are available for cheaper & OTC ?
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Tips
IV Ketorolac (Toradol): 15mg same as 30mg for pain control !?!
When it comes to dosing any pharmaceutical drugs, I like to follow a Buddhist principle : Walk the middle way…
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Tips
A second useful effect of Proton Pump Inhibitors
This effect isn't as well known & hence not always exploited clinically
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Tips
Which Skin Tags predict Diabetes, High BP & High Cholesterol ?
Besides being a cosmetic nuisance, they have a clinical significance....
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Tips
Iron Pills : Taking Every other day better than Daily, BID or TID dosing !
The interesting paradox of Iron pills & Iron absorption...
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Tips
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Basics
How eating meat skews serum creatinine in patients…
Something to be aware of to avoid misinterpreting labs !
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Tips
Preventing patients from passing out in showers
The prospect of passing out & waking up butt naked in a shower is terrifying, remember the risk in recent…
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Tips
An often forgotten side-effect of Zofran
With it's benign halo it often slips under the radar.
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