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Myths & Maladies provides your much needed fortnightly medical fix about things you thought you knew, things you really oughta know and things we pretend we know.

Topics range across various fields in adult internal medicine, and may give the impression that surgery does not really exist. We hope to divulge clinically relevant pearls but ask you indulge the occasional tangents in return.


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  • 2025 M&M Year in Review
    As 2025 concludes, we take a quick look back through our blog’s first year: the hits, the misses and what we have in store for 2026.
  • Furosemide: Flushing out the Misconceptions
    Is it furosemide or frusemide? More importantly, what are its caveats and quirks? The evidence based is shockingly sparse for this ubiquitous medication…
  • Confessions of a “Penicillin Allergic” Patient
    Penicillin allergies are exceptionally common – and exceptionally untrue. The oft quoted 10% cross-reactivity between penicillins and cefazolin is a relic of Penicillium past.
  • Learning Statistics – Against All Odds… or is it Risk?
    Odds ratios and relative risk differ in their derivation and applicability, depending on study types. Hazard ratios are a different world of pain, and a time-dependent measure of rate. Even amongst published literature, these are incorrectly used interchangeably.
  • Sepsis: A Spoonful of Fluid Helps the Lactate Go Down
    There are many more reasons than just hypoperfusion and anaerobic metabolism to explain the lactatemia in sepsis. It follows that there are many more considerations other than buckets of fluid when looking to lower the lactate.