retired doc on the effects of limiting residents' work hours:

Do we not learn in part by making errors in an environment where we are buffered and protected by our mentors and more senior colleagues? How will this cohort of residents fare when they are truly out on their own and there will be no team to hand off to when they have been up most of the night ...

Read more...

Doctors as deities

Paul Levy explores this further, and compares physicians to celebrities and sports figures:

All of this suggests a tremendous ambivalence about the profession and those in it. It's really not that surprising. It is inherent in any position of power and influence and prominence and perceived wealth. We admire our political, commercial, and sports heroes but also are quick to call them bums and crooks when they don't meet ...

Read more...

ER docs sometimes lament hospitalists asking for a complete workup. Well, The Angry Doctor fires back:

So it's just as easy for me to make disparaging remarks about the ER's complete lack of motivation to diagnose (DISPO DISPO DISPO... the mantra goes, right?) as it is for these ER heads to lament how lazy primary care docs have become. Why all the intellectual; dishonesty? We all know the ...

Read more...

The Joslin Clinic, Walgreens, and Eli Lilly are all sponsoring a rookie NASCAR driver.

Over 10 percent of families say their loved ones entered hospice care too late:

There was a strong association between people who said their loved ones were referred to hospice too late and also reported dissatisfaction with the quality of care.

Controversy continues to engulf Google's announcement of their Health Advisory Council. I wrote that it consisted of old-school, ivory tower-academic types chosen for their titles alone. Safe choices. Boring choices. Hardly befitting the more youthful demographic of the internet.

Frankly, this is a list that I'd expect Microsoft to have thought up, not Google.

Rachel Walden:
"I want to know how ...

Read more...

That's what this drug company is trying to do. It probably would be better to spend their resources trying to find something new, rather than repackaging old drugs (case in point: BiDil).

He was kicked off a train in the middle of a forest:

A 65-year-old St. Louis man is missing after Amtrak personnel, mistaking his diabetic shock for drunk and disorderly behavior, kicked him off a train in the middle of a national forest, according to police in Williams, Ariz.
As an aside, I initially thought someone hijacked my name on the link (www.kpho.com), before I realized it was a TV station ...

Read more...

Ezra Klein naively wonders why all doctors don't have electronic health records:

To this day, I've never read a compelling explanation of why the nation's doctors and hospitals haven't broadly adopted electronic medical records.
Please educate him. (via Arnold Kling)

A friendly PSA from your local ER nurse.

It doesn't get more blatant than this. And you wonder why health care costs are so high:

18-year old comes in with malaise, mildly elevated fever and body aches. Her head hurt a bit, her belly was a little sore, and her legs were achy along with her back and other muscles. Nothing beyond a couple of days off of work and a little extra sleep.

Work up/treatments:
Head ...

Read more...

Google has convened their Advisory Council, presumably to advise them on their health-related initiatives.

Looking at the list, it sounds like a lot of old-school, ivory tower types drafted for their titles. Not a lot of youth nor medical bloggers here, which would have been better choices, considering the demographic of the web.

Update:
Listen to the outrage.

Some argue it's a medical necessity. Really?

The question at the center of the case: Should a murderer serving life in prison get a sex-change operation at taxpayer expense?

The case of Michelle -- formerly Robert -- Kosilek is being closely watched across the country by advocates for other inmates who want to undergo a sex change. Transgender inmates in other states have sued prison officials, and not ...

Read more...

The Well-Timed Period comments:

As long as it's acceptable in this country to debate and set policy based on the premise that, if a patient is female, she may only receive care if, and only if, her life is in danger, you don't have a leg to stand on [chances are, quite literally if you're female and your condition isn't deemed life threating enough to operate and save said ...

Read more...

I've always wondered when he'd break down. Well, it's finally happened:

This past Monday on his blog the 160-pound Kobayashi wrote, "My jaw refused to fight anymore."

The defending champion currently is being treated for arthritis in his temporomandibular joint, which has left him in such diminished condition that his jaw opening is currently no wider than one fingertip.

He added, "I was continuing my training ...

Read more...

Is government-run health care a step backwards?

It's not simply that Mr. Moore is wrong. His grand tour of public health care systems misses the big story: While he prescribes socialism, market-oriented reforms are percolating in cities from Stockholm to Saskatoon . . .

. . . It's compelling material -- I know because, born and raised in Canada, I used to believe in government-run health care. Then ...

Read more...

Makes the most sense, says a WSJ op-ed:

"It's your health," Mr. Giuliani said in a June Republican debate. "You should own your insurance."

This is a strikingly different message than the standard political fare of telling people they have a right to health care and someone else has an obligation to pay for it. It will be politically effective, as it addresses the core anxiety most ...

Read more...

Dinah at Shrink Rap prescribes Seroquel without taking a dime.

A college student is looking for "more meaningful" volunteer work. Paul Levy sets him straight.

Chest pain through the eyes of an EMT.

Most Popular