Suburban Cowboy

Smoking makes Marlboro cowboy 'unfit'.

Adverse effects of smoking on male sexual health include erectile dysfunction, reduced volume of ejaculate, lowered sperm count, abnormal sperm shape, and impaired sperm motility. Smoking has been shown to increase the risk of erectile dysfunction by about 50% for young men in their thirties and forties. The Action on Smoking and Health, an anti-tobacco lobby group, and the British Medical Asso...

Gray Rebuts Bach: No Cowboy Programmers!

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Are we beyond cowboy tactics for arterial catheterization?

Ultrasound guidance for vascular cannulation has been proposed to increase success rates for vascular access and decrease complications.1,2 Ultrasound is also a tool for choosing the optimal target vessel: identifying size, position, and patency is especially important under certain conditions (peripheral vascular disease, obesity, hypotension). However, studies vary by methodology, patient pop...

Response to Critique of the Claim of Cannibalismat Cowboy Wash

Cowboy medicine or good clinical judgment? Testing minimalism.

MEDICINE & HEALTH/RHODE ISLAND know if I learned anything other than when I make a clinical decision to NOT test, I should be pretty sure of what I’m doing. But I think I knew that before. My next case was a true teaching case. An 80-year old man who had suffered with Parkinson’s disease for over 30 years, now almost completely mute and wheelchair bound, but with only mild cognitive impairment,...