Archive for February, 2011

Telling Gout from Gonorrhoea

Monday, February 28th, 2011


Differential diagnosis paradigm. From:

Differential diagnosis paradigm. From:

The past year’s happenings – in my professional and personal lives – have me thinking about the idea of a “differential diagnosis”. In medicine, this refers to a list of the most common possible diseases likely responsible for a particular symptom or complaint. Ultimately, to help the patient, the list must be reduced to one disease process and that must then be treated.

Thus, the title of this post: Both Gout and Gonorrhoea can present to the physician with a single swollen, painful joint. It is up to the clinician to tease out (using history, physical examination and tests) what is ailing the patient and then treat that appropriately.


It’s pronounced “tsurl-YEN-ak”

Thursday, February 17th, 2011


It’s pronounced “tsurl-YEN-ak”. (Screen capture from You Tube)

It’s pronounced “tsurl-YEN-ak”. (Screen capture from You Tube)

Last week, the Paso Robles Wine Country Alliance released a video promoting the upcoming Paso Robles Zinfandel Festival (taking place March 18 to 20). This video spoofs the wildly popular Old Spice Guy ads.

The one and half minute, high-production-value video is well-done, entertaining, fun and gets viewers excited about the upcoming event. As it should.

BUT…… (more…)

The more things change…

Tuesday, February 8th, 2011


The latest buzz spreading through the on-line wine microcosm is the recent musical chairs over at The Wine Advocate: Robert M Parker Jr. will no longer review and rate current California wine releases (to the joy or consternation of some). Instead, Antonio Galloni will now review… Italy, Champagne, Chablis, Côte d’Or and…….. (deep breath)… California (to the joy, puzzlement or consternation of some)

How can one taster be proficient in all those regions? (more…)