Here are a few questions to chew. * A 66-year-old female presents with bouts of nausea, weight loss, and vague abdominal pain.  What is the most likely diagnosis? * Currant jelly stool should make you think of what diagnosis?  * Describe Barlow’s test. *  Why is the most common cause of … [Read more...]

Everyone knows about the learning curve.  It refers to the difficulty of learning something new.  There is a steep learning curve for astrophysics — a relatively flat learning curve for bouncing a ball. Not nearly as popular, but far more critical is the forgetting curve.  The forgetting curve is … [Read more...]

I don’t know if it’s the record, but  Dr. Bimal C. Shah at Bhaktivedanta Hospital laparoscopically removed 2,350 gallstones from one person. Holy smokes.  That is amazing.  Insane.   I do gallbladders from time to time, and you can get few in there, like maybe 10 or so.  Maybe I don’t do enough of … [Read more...]

Sharon wrote to me with a question I'm sure a lot of people have. *** Hi Brian, Which type would you prefer a hard copy book or an online version? I hate having to carry stuff around.  If I purchase the digital copy what would it look like? Could I read it on my phone? Thank you for your help. … [Read more...]

 It was pouring rain.  I mean like buckets of rain, and I loved it. My mind was so clouded that the feeling of the cold rain reminded me that I was still there.  I was a person.  I was so done that I had trouble putting two sentences together in my mind. I was a little worried about driving … [Read more...]