Dr. Rob with more insight on the billing and coding mess. I like the cooked frog analogy:

A discussion of the current situation leads to the question: how did we get to this point? The system did not appear out of the air; no one was forced to accept it at gunpoint. The change was slow.

I have heard that if you drop a frog into a pot ...


Job hazard

A patient had to be tasered three times in the ER, with little effect.

. . . comes the non-stop sneezing girl.

Basic embryology, set to Billy Joel.

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Interesting thread from the Sermo boards (needs registration to view).

A physician suggests using Google to find out more background about difficult patients. What are the ethical and HIPAA implications here?

What's happening at Walter Reed is small sample of how government-run health care would turn out. Does the public understand the implications of a nationally-run health care system?

I've read more reports than I care to count of people whose doctors don't care one bit for them, and just move them through "routine" visits, and of people who die while on months-long waiting lists for necessary life-saving procedures such ...


Not enough job openings for junior doctors. Hospitals are closing, limiting patient access. Something is grotesquely wrong over there.

Officials in China are expecting a 20 percent increase in births:

The reason is simple: The Year of the Pig, which began Feb. 18, is a good year to be born.

Since time immemorial, prospective parents have been told, children born under the pig's patronage will benefit from the animal's image as fat, happy and prosperous. Now, couples who schemed to have their babies in these blessed times ...


The sad story of a man with multi-drug resistant TB who refused to follow precautions. He now is quarantined, possibly for life:

A young man sits in a locked room, windows covered, in the detention ward at Maricopa Medical Center, under sheriff's guard.

He is not allowed a TV, a radio, a cellphone, a shower or visitors. A video camera catches his every move.

His floormates are ...


Denied by the FDA.

They are fighting against regulations requiring a certain amount of physician supervision:

The osteopathic group maintained at the hearing that patients do not get quality health care from a PA if the supervising physician does not initially see the patient and have on-site supervision.

The opposition groups say the two-year PA training, master's level degrees and prior medical work does not qualify them to see patients alone, without the ...


MedPAC has spoken

And recommends changes to the flawed Sustainable Growth Rate (SGR) formula to determine physician reimbursement. Will Congress listen?

Many readers of this blog do not want to limit patients' ability to sue for unfortunate outcomes. That's fine, but acknowledge the consequences of that viewpoint. You can't have it all:

I submit that the health-care malpractice situation has a similar three-component system: unlimited access to the tort system (i.e., no limits on malpractice suits); inexpensive to society (the cost of coverage is placed primarily on providers, hospitals and ...


A patient suffers nerve damage that allegedly was caused from a needle stick (IV placement?). The jury awards finds for the patient, despite the findings of the pre-screening panel that the hospital was not at fault.

Aggravated DocSurg sweats over this dangerous complication from a common surgical procedure.

A significant amount of patients can be converted to less potent, less addictive pain regimens. Prescribing the narcotic lollipop, Actiq, is one of the worst offenses.

John Mack thinks so:

It could be -- as I said before -- that all this attention brought on by the lobbying PR snafu is actually helping sales of Gardasil. Or, maybe we haven't yet seen the negative effects of bad publicity work its way through the sales cycle yet. But Merck seems optimistic.

The insurer will lose the public-relations debate every time.

Armchair psychiatrists debate whether his decisions are being influenced by this personality disorder.

A study suggests that time spent with the physician has a stronger impact:

The time spent with the physician is a stronger predictor of patient satisfaction than is the time spent in the waiting room. These results suggest that shortening patient waiting times at the expense of time spent with the patient to improve patient satisfaction scores would be counter-productive.

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