2002 immunization schedule – AAP & AAFP

Seems like this is updated every year.  Notable changes for 2002:  Catchup sequences are clearly depicted, emphasis for Hep B in hospital is added, and consideration of influenza is added for all childern — not only high risk patients. 

But schedules are subject to availability, and there is a website provided by the CDC that provides information on which vaccines are in short supply, and what the timeframe is.

Onychomycosis: Terbinafine vs Itraconazole

Looks like terbinafine is much better at treating onychomycosis than itraconazole.  I'm surprised that nearly 1/2 of patients retain cure at 5 years.  I may alter my prescribing habits based on this one … as I usually refuse to treat onycomycosis based on other studies that suggest much lower long term "cure." rates.

Lab Tests Online

Written for the layperson, this website provides a great overview of what most lab tests are, and how results can be interpreted.  For those of us who use electronic means to communicate lab results, this may be a great adjunct:

Dear Bob:

Your Total Cholesterol result was 250.  Take a look at the FAQ for high cholesterol and I'll call you tomorrow so that we can discuss what our next steps will be.

From BMJ: “Tribal people do

From BMJ: "Tribal people do not like lying on the ground in the recovery position while wearing no clothes as the penis dangles in the dust and can get bitten by insects."  This is actually a very interesting article about how we humans are actually quite well engineered, yet the habits of Western Culture have changed our posture, sleeping position, etc … so that we are much more prone to physical injury, back pain, etc. 

Going Solo: Making the Leap:

Going Solo: Making the Leap: "Why one family physician left the security of salaried practice to pursue ideal patient care completely on his own"  Thsi two-part series appeared lat month and this month in Family Practice Management It's a compelling story of what's wrong with medicine these days, and what could be right.

Not unlike Gordon Moore, I left what was a safe job, and wne out on my own in the last year.  Our motives were in fact quite similar to his, yet our method was quite different.

The explanation is too long for today's weblog.