Ahh, but it's only mostly dead.

Sent from my iPhone

> On Oct 31, 2014, at 1:55 AM, "Julian Orenstein" <[log in to unmask]> wrote:
>
> Inconceivable
> Jb0renstein
>
> Sent from my iPad
>
>> On Oct 30, 2014, at 8:07 PM, Todd Zimmerman <[log in to unmask]> wrote:
>>
>> I am pretty sure it is Inigo Montoya.
>>
>>
>>
>> Best movie ever.
>>
>> How about this:
>> Trial of Duoneb
>> If you see a positive clinical response, great, if not...well...don't give
>> it anymore.
>> If a very strong positive clinical response, consider steroids in addition.
>> Can you believe I said that?
>> I understand the studies for "traditional" bronchiolitis, I also understand
>> there is a subset of these patients that I see that have a very favorable
>> response to this treatment. I also see some variation to the response year
>> by year.
>> Have also heard and (think I have, as we have no rapid test for this) seen
>> very good response with EV D68 to Albuterol + steroids.
>> Just Sayin...
>>
>> Todd Zimmerman DO
>> Medical Director, Peds EM, Alexian Brothers Women and Childrens Hospital
>> and glutton for Punishment as Med Dir of Clinical Informatics, St. Alexius
>> Medical Center
>>
>>
>> In a message dated 10/30/2014 6:39:38 P.M. Central Daylight Time,
>> [log in to unmask] writes:
>>
>> ... prepare to die.
>>
>> In face of the recent AAP Guideline on the management of bronchiolitis, I
>> am recruiting other Peds ED centers who will be endorsing this set of
>> practices to serve as the treatment group in my non-randomized
>> observational study. Our center will serve as the 'out-of-control' group
>> and we will be initiating a new clinical pathway entitled... 'Empiric
>> therapy for the treatment of undifferentiated respiratory distress in
>> infants.'
>>
>> It is my hypothesis that our group's admission and bounce-back rates will
>> be the same as last year.
>>
>> I anxiously await the data from the centers who adopt the AAP approach!
>>
>>
>> Jay Fisher MD
>> Medical Director, Peds EM, Children's Hospital of NV
>> Physician Consultant, Dread Pirate Roberts
>>
>> For more information, send mail to [log in to unmask] with the
>> message: info PED-EM-L
>> The URL for the PED-EM-L Web Page is:
>> http://listserv.brown.edu/ped-em-l.html
>>
>>
>> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
>> The URL for the PED-EM-L Web Page is:
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>
> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
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