He publishes secret training tapes, and mainstream media is throwing oil on the fire.

Schwitzer with another instance of the media's non-critical pro-screening bias. This time, the Chicago Sun-Times with another irresponsible article on prostate cancer screening. I guess the evidence doesn't sell papers.

Flea tells us about how he is training to be prepped by a hostile attorney:

Flea will probably be the plaintiff's first witness. He was instructed to angle his chair slightly toward the jury, and to keep his claws folded in his lap. He was instructed to turn his head toward the plaintiff's attorney while answering questions, then to turn to face the jury and answer slowly, separating words, and ...

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And this is supposed to be news?

Chair leg in eye



A 19-year old survives the vicious attack.



Where has he been? Apparently, treatment for his salivary gland cancer didn't go as well as hoped:

What happened was, cancer of the salivary gland spread to my right lower jaw. A segment of the mandible was removed. Two operations to replace the missing segment were unsuccessful, both leading to unanticipated bleeding.

A tracheostomy was necessary so, for the time being, I cannot speak. I make ...

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More fallout from the COURAGE trial controversy. MedPage Today finds that some of the leaks may have been intentional:

MedPage Today found that once Dr. Leon reviewed the unpublished COURAGE study manuscript and realized it was unfavorable, he pursued a pattern of dropping hints of the results that he accompanied with criticism of the study design.

William Boden, M.D., lead author of the COURAGE trial said the leaks ...

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EHR myths

#1 Dinosaur writes why an EHR is not right for him. Legitimate reasons why it's taking so long for electronic records to gain a foothold in the US.

Benjamin Brewer thinks so:

Most of the time, when a man shows up in my office it's because a woman sent him. I think that's why married guys live longer (see article).

Women get their health information from doctors, the Internet, magazines and television, according to the government. Men get most of their health information from their wife, girlfriend or mother.

Dichloroacetate

A definitive compendium of articles by Orac about how this promising approach to cancer is being hijacked and taken advantage of:

In any case, I remain of the mind that hypesters like Jim Tassano, although he seems to think that he's doing good, are in fact not only putting patients at risk, but putting the very clinical trials necessary to demonstrate the utility of DCA against cancer at risk. Thanks ...

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Real-world application of evidence-based medicine. Colonoscopy withdrawal times are stringently monitored at BI-Deaconness.

A front page story in the WSJ on blowing the whistle on Kaiser's EHR debacle. The WSJ Health Blog asks what the moral of the story is.

Virtual colonoscopy

Is a turf war brewing? It seems so. Radiologists want to get a piece of the colonoscopy pie by slanting recent study, making virtual colonoscopy look good:

The paper, published Monday in the journal Cancer, used data from earlier studies to compare costs and benefits of CT scans with two more common screening techniques "” optical colonoscopy and flexible sigmoidoscopy. CT scans came out on top. The first ...

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Again, there is no link between breast cancer and abortion:

Once again, a well-done study, this time a prospective cohort study from the Nurse's Health Study, has failed to reveal a link between abortion and breast cancer. The findings were published in the Archives of Internal Medicine this week.

This study joins the ranks of a myriad of other well-done studies showing the same thing. To top it ...

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Not necessarily, unless you know what to do with that information. (via Joe Paduda)

Obesity and your job

A recent study suggests that obese workers negatively impacts profits:

Duke University researchers also found that the fattest workers had 13 times more lost workdays due to work-related injuries and that their medical claims for those injuries were seven times higher .

Overweight workers were more likely to have claims involving injuries to the back, wrist, arm, neck, shoulder, hip, knee, and foot than other employees.
The conclusion states ...

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A group of medical students discuss their favorites.

A handy quick-reference guide for aspiring drug reps.

Walter Olson with his take:

Under HIPAA, it would have been unlawful for the psychiatric hospital that treated student Cho Seung-Hui, who shot 32 people at Virginia Tech university this week, to compare notes on his therapeutic progress, or lack thereof, with his counselors or dean. So effectively did the various privacy laws bottle up information that even a Virginia Tech official tasked with the monitoring of problem students ...

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Dr. Rob on the recent ACP cries for help:

This begs the question: so what? What is the big deal? We can just use subspecialists and physician extenders to fill the slots. Patients can become more empowered to provide their own care using e-visits and web-guided care. This sounds sacrilegious coming from a primary care physician, but it is what is being said on the ...

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