Article
When we need to remember that it is more than a job
- Author:
- Brian F. Mandell, MD, PhD
It is the nature of our engagement with our patients and our colleagues that makes what we do more than a job.
Article
Hope may not be the best component of an exercise regimen
- Author:
- Brian F. Mandell, MD, PhD
Exercising to lose weight more often results in frustration than a trip to the store to buy smaller-sized clothes.
Article
The simple lab test is sometimes more complex than we think, if we think about it at all
- Author:
- Brian F. Mandell, MD, PhD
Before ordering more tests because of an abnormal laboratory result (eg, elevated creatine kinase), think about its biology.
Article
It’s not the noise, it’s what you do with it
- Author:
- Brian F. Mandell, MD, PhD
Auscultation for a carotid bruit is an unreliable test, but the real action takes place between the stethoscope’s earpieces.
Article
To err is human, but…
- Author:
- Brian F. Mandell, MD, PhD
Being wrong is part of being human, but I don’t like it. Ways to avoid it are worth keeping on a personal checklist or app.
Article
Reflux redux
- Author:
- Brian F. Mandell, MD, PhD
Even the diseases we deal with every day sometimes warrant a second look.
Article
Perioperative MI: Data, practice, and questions
- Author:
- Brian F. Mandell, MD, PhD
What should be done when an elevated troponin is detected in a postoperative patient who is otherwise doing perfectly well?
Article
Remembering that old dogs can still do tricks
- Author:
- Brian F. Mandell, MD, PhD
Chlorthalidone has proven efficacy and, compared with hydrochlorothiazide, favorable pharmacokinetic properties.
Article
The cohabitation of art and genomic science
- Author:
- Brian F. Mandell, MD, PhD
Genomic-based dosing of azathioprine makes scientific sense, but is it truly a clinical game-changer?
Article
The vaccine safety belt
- Author:
- Brian F. Mandell, MD, PhD
Arguments against vaccination have acquired a libertarian tone, like the argument against compulsory wearing of seat belts.
Article
Pericarditis as a window into the mind of the internist
- Author:
- Brian F. Mandell, MD, PhD
In looking for an underlying cause, we need to be thorough but also contain costs and avoid harm from overtesting.
Article
The art and science of clinical medicine and editorial policy
- Author:
- Brian F. Mandell, MD, PhD
Most clinical decisions are made without any applicable data from clinical studies. This is the “art” of medicine.
Article
Outcome measures need context
- Author:
- Brian F. Mandell, MD, PhD
The patient in front of me may differ from those seen in a clinical trial and may care about other outcome measures.
Article
Diagnostic certainty and the eosinophil
- Author:
- Brian F. Mandell, MD, PhD
Eosinophilic esophagitis can mimic gastroesophageal reflux disease, especially early in its course.
Article
A new year and a new face for www.ccjm.org
- Author:
- Brian F. Mandell, MD, PhD
CCJM.org has a new look and new interactive features, but it remains open to all and free of charge. Log on and register.