10 myths about EHRs

The first myth: "EHRs will fix everything." (via Dr. RW and Medpundit)

Orac and The Cheerful Oncologist with insightful analysis.

Orac comments on the survival rate: "Probably a reasonable expectation for a single isolated small skeletal metastasis is for a five-year survival rate of around 30-40%, maybe even slightly better than that."

Sid Schwab chimes in.

Targeting the busy traveler:

Conveniently located in Terminal C at Newark Liberty International Airport, Harmony Pharmacy will redefine America's retail drugstore shopping experience. From dispensing prescriptions to offering access to an on-site nurse practitioner to providing an exceptional shopping experience, Harmony Pharmacy is bringing together the best aspects of a traditional European pharmacy coupled with a service focused staff to reach today's busy traveler.
(via The Health Care Blog)

Gray’s Anatomy

No, not the show, but the man behind the iconic text.

Being the intern on night float is a harrowing, and sometimes dangerous, experience. Inexperience, combined with cross-covering entire services, leads to mistakes.

Paul Levy writes about the system some hospitals are implementing to help deal with this issue.

Sam Blackman's blog entry (no longer posted) has stirred some controversy, with a prominent pickup in the Boston Herald:

A nurse's discovery of a Webcam hooked up by parents in their child's Boston hospital room has stunned the patient's doctor, raised a mound of privacy issues and potentially left medical staff looking over their shoulders.

Dr. Samuel Blackman, a pediatric oncologist at Dana-Farber Cancer Institute, would not speak ...


Her invasive ductal breast cancer, which I wrote about when she was first diagnosed, has returned.

Although I give John Edwards plenty of heat on this blog, I do wish him and his family all the best during this difficult time.

Apparently, Texas is one of the few states where hospital officials can override an advanced directive or living will. An infant case is causing some controversy.

The parents are suing:

The couple says that they have been forced to raise a child who is "not even the same race, nationality, color "¦ as they are," the judge said in the ruling . . .

. . . They say that "while we love Baby Jessica as our own, we are reminded of this terrible mistake each and every time we look at her; it is ...


She is hypersensitive to any electromagnetic field, created by computers, cell phones, microwaves, and some cars.

Scalpel eloquently continues:

I want my patient to have a liter of normal saline intravenously. If the patient is stable, I really don't care if it goes in over 10 minutes, 30 minutes, or an hour. Just give them the dang liter and re-assess them for me please.

Dick Cheney’s leg

Dr. Wes speculates on why the Vice-President's leg is still causing problems.

Do Americans really want universal health care? Matthew Holt analyzes the recent NY Times survey:

But if you ask people as Harris finally does at the end of its survey - which pre-dates the Times' - if they're wiling to see a "substantial" increase in taxes to help the less fortunate, then support for the whole idea falls off. It's worth noting that the Times poll only asked about ...


Or is it?

The Veterans Affairs' vast network of 1,400 health clinics and hospitals is beset by maintenance problems such as mold, leaking roofs and even a colony of bats, an internal review says.

ADA on Exubera

Doesn't look good for the insulin-bong:

"I think Pfizer will wish they had never gotten into this. I doubt they'll regain their investment," says Dr. John Buse, president-elect of the American Diabetes Association, who participated in Exubera's trials. "There is no advantage to Exubera and there may be a safety risk. I see it as my job to talk people out of (using) it."

OnThePharm with 3 prescription mysteries. I got the first two, the third one eludes me. Finally got the third one after viewing it from a distance. Kind of like those magic 3-D pictures.

Interesting study from New Scientist. Human surrogates only get it right 68% of the time; could a computer do better?

The data suggested that most people want life-saving treatment if there is at least a 1% chance that following the intervention they would have the ability to reason, remember and communicate. If there is less than a 1% chance, people generally say they would choose not to have ...


John Edwards

Why he is so despised within the medical community:

John Edwards, being neither a woman nor a racial minority, isn't doing especially well in his campaign to become the Democratic Party's candidate for the U.S. presidency. Alas for him, if he were half as successful in campaigning for America's top job as he was as a trial lawyer, he might be sworn in tomorrow. Edwards won, according to Lawyers ...


The newest trend in the hospital construction boom. Dr. Wes with his take:

For it is the woo, not "evidence-based" design, with its attractive architecture, pleasant lighting, etc., that patients demand "“ and hospitals, after all, are entering a period of unprecedented competition between centers to attract well-to-do patients with money (and insurance). In this era of declining revenue, and increasingly savvy patients who can check out "hospital ...


Honoraria for doctors

An internist defends the practice:

"Drug companies are like lions," Grimm says in the story. "For lions, it's their nature to kill zebras and eat them. For drug companies, it's their nature to make money. They're not really trying to improve anybody's health except if it makes them money "¦ On your side, you're making a bit of money, but you're also trying to educate the doctors. And in ...


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