A man surgically trims his fingers to better use the iPhone.

First time I heard of the video capsule being lodged within the digestive tract.

Arnold Kling solves the health care problem:

In politics, the victim status of the uninsured is overstated. Meanwhile, the health policy debate is ignoring some important victims:

--The future victims of the financial unsoundness of Medicare

--the victims of the licensing cartel, which lowers productivity and raises costs

--the victims of the wasteful medical expenditures promoted by consumer insulation from cost, which in turn is promoted by ...

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Odds on health reform

Are you backing the right horse?

A 50-year-old woman presented with abdominal tenderness, fever, and vaginal bleeding. A crazy case from the NEJM.



(via Graham)

Rattlesnake bite

Story and graphic pictures:

On July 21, 2002, just after my 13th birthday, I was bitten by a Northern Pacific rattlesnake (the snake was originally identified as a Western Diamondback rattlesnake, but that species is not found near Yosemite). I was located on a trail in a hiking area near Yosemite National Park, California. The bite occurred when I was sitting on a small boulder at a distance of ...

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"Free" antibiotics

There's always a catch.

Some doubts:

No one really knows whether preventive medicine will save money in the long run, let alone free up the billions of dollars a year needed to help pay for universal health insurance. In fact, studies have shown that preventive care "” be it cancer screening, smoking cessation or plain old checkups "” usually ends up costing money. It makes people healthier, but it's not free.
(via
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Why Sicko bombed

Analyzing the tepid box office returns:

Boosters argue that Fahrenheit 9/11, which had much sexier subject matter, isn't a fair comparison and instead point to Moore's 2002 Bowling for Columbine. Certainly Sicko looks healthier next to Columbine's total domestic take (adjusted for inflation and ticket price hikes) of $24.1 million. But consider that Sicko benefited from much greater pre-release media attention, and was showing in over 1,000 theaters at its widest ...

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Or is it a myth?

The bottom line is this: the true administrative costs of government-run health care aren't lower than those of the private insurance industry. This is just another myth promulgated by the evangelists of socialized medicine.

Limit specialists?

That is Matthew Holt's solution to cutting physician pay:

What's the rational answer? Do what most other countries do and restrict the amount of specialty positions available. Instead insist that most physicians focus on primary care which is both cheaper to the system and more cost-effective. Of course, doing that would be better for the system overall, but it would be worse for individual physicians--or at least for their ...

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Fork in nose

That looks painful. (via GruntDoc)

Cardiac bypass 101



(via Dr. Wes)

The dangers of quality

How P4P can be dangerous if implemented poorly:

The hubris,arrogance and naivete that I believe characterize those who make rules for how to treat individuals based solely on group data ignoring the input of the physicians on the scene is even worse that the folks who simplistically sprout out coarse grain outcome data quality indicators such as percentages of patients with HbA1c less than 7 %. In the later ...

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Sid Schwab talks anal fissures.

Anatomy tattoos

Street Anatomy collects what she can find.

keagirl takes exception to this ridiculous attitude:

The bottom line is that whether we are in clinic, the ward or in the OR, we are a team. We need to work together and do whatever needs to be done for efficiency sake and for the good of the patient. There is not a job in clinic that I consider "beneath me". I'll answer the phones (albeit pretending not to ...

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Guidelines are all the rage these days. For good reason.

The AMA and ACP is supporting the CHAMP bill because it contains a reprieve from the upcoming Medicare cuts.

Don't get your hopes up.

More about the folly of cutting physician Medicare payments.

Bring Vioxx back?

Some patients can't live without the withdrawn drug. (via The WSJ Health Blog)

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