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About

Last updated 19 April 2010

White Coat Underground is a blog about a lot of things, but whose byline is “musings on the intersection of science, medicine, and culture.” If you want to get a better idea of what we’re about here, come on in and take a look around.

I am a board-certified internist. How do you know that? You don’t, really. Any personal medical issues the reader may have should be referred to the reader’s physician. If the reader freely chooses to use some random anonymous blog to make medical decisions, well, that would be just foolish.

I don’t give advice here. My posts represent my own opinions, thoughts, etc. and no one else’s. Neither my hospital, partners, university, nor anyone else has approved of anything I write. The information in my posts is intended for discussion purposes and not as recommendations on how to diagnose or treat illnesses. My writings do not claim to represent anyone’s opinions but my own.

My blog contains a great deal of medical information, most of which is sourced and can be easily looked up and verified. Anyone using this space to advance their own pet medical ideas or to advocate wildly non-standard medical ideas will be warned and possibly banned. If you make wildly bizarre health claims, be prepared to back them up. It is not my responsibility to disprove every wild claim that comes my way.

I write all of the posts on this blog unless otherwise noted. As commenting is an essential part of the dialog encouraged by blogging I will allow commenters great leeway in posting content. I stand by the accuracy of the medical information I present in my posts, but not what is contained in the comments. The appearance of a comment should in no way be confused for an endorsement. I rarely delete or censor comments (the exception being when I feel they have outright dangerous or hateful content). Commenting is an integral part of a weblog, and I will always allow it here, but none of the comments should be contrued as offering valid medical advice.

Confidentiality and Privacy

Confidentiality is more important than any other principle in medical writing.  I always change significant data about clinical cases, which can include gender, place, temporal relationships, and other potentially identifying data. Cases are often amalgams of different patients’ stories.

Please remember that any information you submit through comments or email are inherently un-secure. If you wouldn’t shout it from the rooftops, don’t send it to me or post it in a comment. That being said, I will never intentionally divulge personal information or contact information of our visitors, with the following exception: if you make threatening comments, or use the comment thread to try to sell something, I will, at my discretion, reveal whatever I wish.

The following is a good guide to commenting on blogs: type whatever you will, but your email or comment may become the subject of a new post, and that isn’t always a good thing for the commenter.

Advertising, funding, and compensation

I do not currently accept advertising or compensation for this blog.
Contact info

I can be reached by email here.
I do not answer medical questions by mail. Ever.

Banner created by Matt Yarbrough based on flikr image from Emily Dyson-Scott, an image licensed under Creative Commons, attribution, non-commercial.

12 Comments »

12 Responses

  1. on January 16, 2008 at 3:23 pm Jay Chamblin

    Just surfed to your site riding the Ron Paul wave, that is, the wave of truly alarmed news junkies watching and wondering how far Doc Paul gets before people and the MSM pause long enough from their play-by-play accounts of the campaign games to dig into some substance of what the Pauls, Huckaboos, et al truly stand for.

    Taking a shot at the pic above – could easily be many maritime places in the PNW, and would venture the San Juans.

    Aloha,

    Jay
    Beach Haven, NJ


  2. on January 16, 2008 at 4:11 pm PalMD

    Buzz! Thanks for playing! Good guess…no tide lines on the granite, though.
    And stop by anytime!


  3. on January 31, 2008 at 3:11 pm Kathy

    I found your blog today via the Healthcare Blogger website, and have enjoyed reading your posts. I wonder if you have heard of Dr. Richard K. Bernstein, best known for his series of diabetes publications (http://www.diabetes-normalsugars.com/). I’ve never read any of them and don’t follow medical advice other than my doctor’s, but there seems to be a camp in the diabetes community that fervently supports him.
    FYI, I’ve had type 1 diabetes for 25 years. I have no complications other than intermittent microaneurysms in one eye. I also have no blood pressure/cholesterol/other issues. My last A1C was 5.9 and I’ve been under 7% for years. All this has been the result of my own hard work, but also the dedicated efforts of my internal medicine doctor, ophthalmologist and other specialists.

    I’ve heard my own share of ‘woo’ over the years as it pertains to diabetes–but Dr. Bernstein is a puzzler. Self-testing is certainly key to controlling blood glucose levels, but I’m wary of any diet that tells me to avoid whole categories of food (fruit in particular). What do you think?

    Thanks in advance for your consideration. Oh, and I guess Capitol Lake (Olympia, WA)?


  4. on January 31, 2008 at 4:26 pm PalMD

    I’ll have to check him out. He happens to share a name with a local personal injury lawyer.
    Nah…couldn’t be…


  5. on February 16, 2008 at 4:38 am TawnyHare

    Hi Pal, I am still reading your blog! Nice. Well, we know there is a man/woman inside that cool exterior of yours – so I have tagged you to list seven random and weird things about yourself, see here:
    http://constantstateofflux.wordpress.com/2008/02/16/7/
    looking forward to reading the (revealing) results!
    x


  6. on February 16, 2008 at 8:57 am PalMD

    Damn. I’ll work on it.


  7. on February 21, 2008 at 6:51 pm PalMD

    OK, I haven’t figured out who to meme-tag yet but here’s my 7 odd facts:

    1) I am an expert canoeist, and carve my own paddles from cherry wood.

    2) I am a terrible klutz.

    3) My toddler thinks I ate the moon during the recent lunar eclipse.

    4) My favorite birdsong is the white-throated sparrow.

    5) I hate puns, but use them constantly.

    6) I take care of my own hospice patients—I don’t farm them out to other doctors.

    7) I grow vegetables to make my own salsa.


  8. on February 28, 2008 at 8:47 am psychscribe

    I’m guessing you’re a woman (actually I’d sensed it from your writing). Based upon egregious stereotype, numbers 3,6, and 7 are the clues. I like your site and I’ll be back!


  9. on February 28, 2008 at 9:23 am PalMD

    My wife will be very surprised!


  10. on February 28, 2008 at 10:11 am psychscribe

    Seriously? Well, here’s a prime example of where stereotypes can bite one in the butt :)


  11. on February 28, 2008 at 10:21 am PalMD

    If you want, I can double check, but I’m pretty sure.


  12. on February 28, 2008 at 10:52 pm psychscribe

    Ha! Apparently you doc folks really need training in gender identification…. My first husband was an internist. We had two children together. The first was a boy. Great. The second was a girl. Hmmm… When the docs pulled her out of my c-section in his full view, and she was pronounced a girl, he was apparently stunned despite all his training. He kept saying, “are you sure, are you SURE?”. He later admitted he didn’t think he could “make” a girl! (Ok, I confess there was also some ethnic macho stuff going on here for him)…anyway, nice to meet you.



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