How Ambien is being used by people who want not to be blamed for their own bad behavior. (via Overlawyered)

keagirl, the blogging female urologist, writes about a few.

Limb attached to crotch

Is this for real?


If you had met Israel Sarrio in March 2004, you may not have wanted to shake hands with him mostly because his hand was sticking out of his crotch. The then-25-year-old truck driver had his arm reattached after it was torn off in a tragic accident, but when it became infected, doctors had to re-amputate it to treat the ailing limb and stump. ...

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Medpundit takes issue with an ignorant insurance company.

Kim with great advice. I've hosted three times - the best tip is not waiting until the last minute. You will receive 50+ posts, and putting it all together can easily take upwards of 4-6 hours. Putting the GR post together as the entries come in worked for me.

Behold, the Pee&Poo Shop

Pee and poo never looked so cuddly.



(via UroStream)

It's a buyer's market for physician jobs. Hospitals not having a hospitalist program are at a disadvantage:

Doctors are satisfied with Coweta's patient base and current hospital facilities, but some are reluctant to make a commitment to Coweta because of Newnan Hospital's lack of a "hospitalist" program, according to Bass . . .

. . . A lack of financial resources has so far prevented Newnan from establishing ...

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New terminology in Oregon.

Doctor vs doctor

A cardiologist sues a hospital for damaging his rep. The hospital loses. Big time:

A Dallas hospital and one of its top officials were ordered to pay $22.5 million to a cardiologist who claimed they damaged his reputation.

A jury had awarded the doctor $360 million after a 2004 trial, but the judge cut that amount last month.

Dr. Lawrence Poliner said many of his patients ...

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There are TVs all over the hospital despite the recommendation that children under 2 should not be watching TV. The hospital says it distracts from sometimes painful treatment:

Before installing the televisions in the new cardiac unit last year, she said, the hospital sought input from patients' families and found overwhelming interest in having television. The parents wanted them not just as a distraction for the children but ...

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Caffeine is a drug and can be harmful:

"Young people taking caffeine either to stay awake or for a feeling of euphoria, may actually end up in the emergency department more often than we think," she said, because young adults taken to a hospital for chest pains and heart palpitations are rarely asked if they've taken caffeine supplements.

Newer guidelines suggest starting medications earlier because patients aren't compliant with lifestyle changes:

"We recommend starting patients on metformin immediately," said Dr. David M. Nathan, who directs the diabetes center at Massachusetts General Hospital and is a member of the group that formulated the new guidelines. "Don't start with lifestyle alone, even for newly diagnosed people. Most end up failing the lifestyle recommendations."

He added: "What classically happened ...

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A few days ago, I mentioned the death of the solo physician. SoloDoc has been bucking the trend, and perhaps there may be a very, very, very slight glimmer of hope for idealistic medicine - if you're willing to make sacrifices:

After working with Dr. S, I truly believe that his practice embodies patient-centered care. Patients typically don't have to wait longer than five minutes after ...

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Tragic event, but as usual, news reports raises more questions than answers:

The drugs used in labor epidurals are usually a dilute local anesthetic and a small amount of narcotic. Using both types of drugs in combination allows lower concentrations of each individual drug to be used, hence improving the margin of safety for each. In labor epidurals, our goal is relieve pain without causing significant weakness. That is why ...

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Like China, some health-care systems abroad makes the US look good.

Some in Canada are considering New Zealand's system - before their tort system becomes out of control like it is here:

The Kiwi no-fault system has many appeals. Many more patients will receive some assistance after injury including income supports and coverage for rehabilitation services right when they need them most.

Claims are processed within an average of 15 days as opposed to five years or more in the ...

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(via NY Times)

Update -
The Health Care Blog: "Whether or not it was illegal, his actions suggest staggering greed."

A patient rants:

"I am a 62-year-old man with a few medical problems. Mostly I've decided to 'watch and wait' in the hope they will get better with time.

"This might seem like a faulty plan, but in my 62 years, I've seen a dozen doctors and found only one willing to actually TALK to me. I've had a couple of physicians enter the exam room reading the medical ...

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More fuel added to the fire in South Dakota.

C difficile in the food

It's more common than you think, and may be contributing to outbreaks in Canada.

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