Well, not quite, Bert... even I am than troubled with OCD. But, if it had been a few weeks, I would.

Let's take sinusitis. I had often been treating it with azithromycin. But, last week a study raised concerns about long QT interval and arrhythmias. . So, I need to refresh my memory of what better treatment might be appropriate, or require everyone presenting with sinusitis to get an EKG. Things like sinusitis I only see every few weeks. I don't look up hypertension every day; but I do check "what's new" in UTD regularly. The trouble is that despite things like daily mailings from the ACP about new studies, I miss stuff, and I don't know what I don't know. My initial collision with UTD was so humiliating as to my ignorance that I had only two options; decide it was all a lot if ivory tower BS, I was pretty well trained, and I'd keep UTD for weirdomas; or face the fact that stuff changes so fast that it is impossible for me to be sure that I am doing it right without looking it up.


David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands