Journal
Insights on modern medicine, health technology, and the philosophy of care.
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Beyond the Calcium Score: What a Modern Heart Scan Can Actually See
A calcium score is cheap, useful, and genuinely decision-changing, and also blunter than it looks. What modern coronary imaging adds, and where the evidence still runs out.

The Heart-Brain Connection: What the Longevity Science Actually Says
Sorting solid evidence from oversold science in the fast-moving field where cardiology meets neurology.
Benzodiazepine Tapering: From the Ashton Manual to Modern, Personalized Care
A San Francisco physician on careful benzodiazepine tapering. What the Ashton Manual got right, what the new ASAM guideline adds, and how a taper built around the person differs from a printed schedule.
Buprenorphine Treatment from Your Own Doctor: Private, Office-Based, and Individualized
A San Francisco addiction medicine physician on how office-based buprenorphine treatment works today, what changed when the x-waiver ended, and why individualized care matters more than any protocol.
All Posts

What Is Concierge Medicine? A Physician's Perspective

The Problem with One-Day Executive Physicals

Advanced Cardiac Markers Most Doctors Don’t Order

What to Expect During an Executive Health Exam in San Francisco

Plague in Madagascar

KQED Science: Dr. Abramson Interviewed on NPR About Health Technology

Giardia: Not a Traveler's Best Friend

Paul Abramson MD Interviewed On Doctors Who Accept Bitcoin

SF Chronicle Interview: Paul Abramson MD on Medically-Supervised Self Tracking

Can eating processed carbs thwart attempts to treat other addictions?

Key Questions to Ask Before Getting a Dog For Yourself or a Loved One

Owning a Dog May Reduce the Risk of Heart Disease

New Avian Influenza A H7N9 Virus in China: The Next Pandemic?

A Medically-Supervised Self-Tracking Program Might Work Better for Migraines

Intermittent Fasting Shows Promise for Treating Diabetes and Heart Disease

How much will a sprained ankle cost me in the ER?

Novel respiratory coronavirus identified in travelers to Middle Eastern countries

Bitter Pill: Why Medical Bills are Crushing Us

Sodium Butyrate: An Overlooked Supplement for Crohn's Disease

Do you or a loved one have the Female Athlete Triad?

Oh no, I've gotten into poison oak, poison ivy, or poison sumac. What do I do?

A natural remedy for varicose veins

Did you get a pustule at your blood draw site? Consider Behcet's Syndrome.

Bone Broth: Paleo Goodness or Lead Toxicity Risk?

Review: 'Be Fruitful' book on fertility by Victoria Maizes MD

How can I find out if I have celiac disease?

Are you taking vitamin D supplements? Some suggestions.

Irritable Bowel Syndrome (IBS), When the Mind-Body Connection Short Circuits

Why the Quantified Self Movement Will Continue to Make Inroads in Medicine

Dr. Abramson's Talk at Medicine X 2012 on Self Tracking in Medical Care

Study Shows Shocking Disparities in Hospital Bills for Appendicitis Treatment

Study: Statin use leads to fatigue

How Psychedelic Drugs Can Help Patients Face Death

Integrative approaches to sclerosing cholangitis and ulcerative colitis

Why You Should Still Be Thinking About Bisphenol A (BPA)

The Quant Doctor's Nightstand

Remote Medical Care for International Travel? Can I have a physician on call?

Why I book flights with Dr. in front of my name – NYT interview

How to stay healthy when traveling abroad

Reconnecting healthcare through health information exchange

The case of the $517 chest x-ray
