March 2005

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A hospital is urging patients who had recent colonoscopies to get tested for hepatitis and HIV because the instruments may not have been disinfected adequately
One instrument you want to be sure is disinfected properly would be a colonoscope.

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A doctor was sued after penis lengthening surgery ruined the patient's libido
"Eric Neuberger, 31, contends his pre-operation libido let him 'engage in intercourse approximately 30 to 50 times a month.'

But his sexual appetite was destroyed by Dr. Rodney Barron's work, Neuberger said."

Not sure that phalloplasty commonly causes a decreased libido. Any urologists care to comment?

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An alternative medicine physician is in trouble for prescribing steroids to football players on the Carolina Panthers
"A South Carolina doctor accused of writing steroid prescriptions for three players on the Carolina Panthers says he prescribes the drugs only when medically necessary.

Dr. James Shortt, an alternative practitioner under investigation by federal and state officials, said in Wednesday's editions of The Charlotte Observer that he prescribes steroids only ...

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A student is saying many of his colleagues graduating from Pennsylvania medical schools may move to neighboring states because of the rising cost of malpractice insurance
The malpractice situation is affecting new graduates as they become more attuned to the current crisis.

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Today is National Doctors Day!
"* The first Doctors Day observance was March 30, 1933, in Winder, Ga. The idea came from Eudora Brown Almond, wife of Dr. Cha Almond, and the date was the anniversary of the first use of general anesthetic in surgery. (On March 30, 1842, Dr. Crawford Long of Barrow County, Ga., used ether to remove a tumor from a patient's neck.)

* The Barrow ...

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"I will not treat you and I don't need this shit."
The response of a physician in South Africa who refused to treat a patient with HIV.

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No surprise, the neurologist who testified that Terri Schiavo is in a persistent vegetative state is under constant fire
"He's called some doctors who disagree with him 'pro-life fanatics,' and others quacks and charlatans.

No legitimate neurologist in the world, he says, would look at the evidence in this case and dispute that Terri Schiavo is in a permanent vegetative state."

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People who rely on their primary-care doctor to coordinate their health-care needs fare better than those who don't
"In addition, having a long-term relationship with a doctor resulted in fewer hospitalizations and other reductions in health-care costs, the researchers found."

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"Doctors need to understand that we are businessmen"”nothing less, nothing more"”and the sooner we accept this the better."
The New Yorker writes about the intersection between money and medicine. (via kottke.org)

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Hospital advertising to consumers is now coming under scrutiny
"Direct-to-consumer advertising of prescription drugs had come under intense scrutiny in the wake of the recent Vioxx debacle. Experts across many fields felt that the huge advertising effort behind Vioxx and other cox-2 inhibitors contributed to an over-prescribing of the drugs, and the subsequent heart-related problems experienced by some users.

Ads by medical centers are a more recent phenomenon, another ...

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A police officer faces charges for delaying an OB speeding on the way to a delivery
"Rather than release Chidiac [the OB] at that point, Lilliston [the officer] drove him to the hospital and marched the doctor to the maternity ward with his motorcycle helmet still on and his hands cuffed behind his back.

A nurse urged the doctor to hurry, because the baby's head was showing."

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Missouri signs malpractice litigation reforms
"The law limits an award for noneconomic damages in medical liability cases to $350,000, down from $500,000; regardless of the number of defendants in a case, and there is no inflation adjustment on the cap."

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9 out of 10 medical doctors worldwide have penmanship that is quite easy to read
"Among other findings about physicians from the Pilot Pen/Graphology Consulting Group handwriting report are the characteristics of medical specialists:
* Cardiologists -- fast thinkers, open-minded, positive high energy.
* Neurologists -- forward thinkers, quick, interested, intuitive and "elegant."
* Orthopedic surgeons -- Surprisingly, only 15% display handwriting signs that indicate manual dexterity.
* Male ...

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The UK's busiest GP has a patient panel of over 6,000 and works 17-hour days
Did I mention she was also pregnant?

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"I think it's imperative that the patient has to be everybody's primary concern, and I'm afraid they're getting lost in the woodwork."
As doctors, lawyers, and insurance companies battle for reform, it's the patient that often loses.

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"We need our federal government to create a system that removes profit motives from the practice of medicine."
A doctor yearns for medicine as it was practiced 30 years ago. Best of luck to him - a doctor who doesn't accept business being a part of medicine cannot survive in today's world.

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Kevin Pho, MD

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