Dr Taqi

Archive for November 2008

Is sertraline safe in breast feeding?

Posted by: drtaqi on: November 19, 2008

One of my colleagues and I had a PUN/DEN moment today. A PUN is a Patient Unmet Need while a DEN is a Doctor’s Educational Need. This are rather fancy abbreviations for questions that come to us in daily clinical practice. A quick discussion with colleagues or a search on websites will bring a resolution to the [...]

Dyspepsia and meals – linked?

Posted by: drtaqi on: November 14, 2008

Came across what sounded like an interesting article from the title Functional Dyspepsia Usually Worsened by Meal Intake it is reviewed by Medscape as part of their CME series for doctors (link). The study tried to work out the time course of symptoms post-meal and came up with the conclusion that there is a temporal [...]

Breast self-examination – help or harm?

Posted by: drtaqi on: November 14, 2008

An updated Cochrane plain language summary (Nov 4, 2008) on self examination in breast cancer notes the following:

Self-examination did not result in lower mortality.
Self-examining were more than twice as likely to have a biopsy than those who did not.
Comparing patient self-exam v clinical exam – the best study was abandoned due to poor compliance.
A [...]

Should I take Vitamin C or E?

Posted by: drtaqi on: November 14, 2008

The Physicians Health Study II has reported in the Journal of the American Medical Association the effect of taking Vitamin C and E as supplements to prevent CVD after an eight year follow up using a RCT trial design. It won’t be a surprise to many physicians to find out that it had absolutely no [...]