Update on Medical Genomics

It has been fun to watch advancements in the basic science of molecular biology reach into the world of clinical medicine.  As an Internist involved in practical clinical practice, at times the articles and information on the basic science of  molecular medicine seemed removed from practice.  But now, new (to me) principles are starting to…

More on the issue of low back pain…

The ACP has put out some additional information on the approach to low back pain.  Because it is so common, this sort of step by step evaluation process is very helpful, see link below… ACP on Low Back Pain

The poor thyroid gland,  he gets blamed for everything.

In a world of fast pacing and quick fixing, wouldn’t It be nice if simply tweaking a slow functioning thyroid fixed all our fatigue and over weight? While confirming a normal functioning thyroid gland is very important, when to treat subtle abnormalities of slow functioning thyroid has become a matter of some debate.  Slow thyroid,…

Non Pharmacologic approaches to Low Back Pain…

Annals of IM has given a nice review on non pharmacological interventions in back pain. Of note physical therapy, accupuncture, graduated exercise and spinal manipulation seem to be the most evidenced based approaches. It is a good reminder that most back pain can and should be treated conservatively, with MRI and surgery reserved for “red…

Rethinking ICD (implantable cardiac defibrillator) therapy

Rethinking ICD therapy.  This article extends important understanding of the role of ICD (implantable cardic defibrillator) therapy.  It has long been conventional wisdom that any form of chf related to reduced left ventricular function (severe enough by criteria) would experience a survival benefit with the implantation of an ICD.  This paper states that ICD’s help…

The Authority of the word

Hebrews 4:12-13 is a beautiful paradigm of what the word of God is, God’s revelation of Himself to us through the written words of the Bible and through the living word Jesus.  As the written word is able to pierce and the living word is able to open and lay bear, God confronts, informs, calls…

Inerrant, Infallible or both?

When used of the Bible, the terms inerrant and infallible are often not clearly understood.  As God’s word, the bible is accurate and able to accomplish its purpose.  That we know (Hebrews 4).  When we speak of the Bible as inerrant, we mean that the words as presented in the canonical books are the exact…

Hebrews 4:12-13; What is the word?

Hebrews 4:12-13 tells us that the word of God is able to both pierce and lay bare our lives to the truth it delivers.  But what is the word.  In these verses “logos” is used to define what “word” is.  In verse 12 we see logos as the objective decree able to pierce and judge….