While used less frequently now than previously, knee arthroscopy (putting a scope into the knee joint for the purpose of “shaving” roughened or worn menisci) is still considered in certain circumstances. There has been a body of evidence accumulating that suggests this invasive procedure does not afford additional benefit over standard treatment and physical therapies….
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,…
e-communication is found to be helpful in encouraging healthy lifestyle changes
This is a nice meta analysis showing e-communication platforms to be helpful in encouraging healthy lifestyle changes. This is the premise behind what we are trying to do on our website, wordpress blog, google + sdcim health news channel, facebook page and you tube channel. On e-communication
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…
SDCIM’s patient portal recognized nationally…check it out
TMF you tube video featuring SDCIM on the patient portal
Snow Shoeing, Elk Mountains Colorado
Activities like these are what make living in Colorado so much fun. Great weather, Great views. More Colorado Outdoors
Colorado outdoors
Just a brief snapshot of fun in the Rocky Mountains.
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…
