A ob/gyn-blogger summarizes the current options.

Sounds like quite a stressful flight. Good job.

Maria takes on the tough issues.

Graham with a case in point. Stories like these pervade medical practice daily.

Thanks to Overlawyered and PointofLaw.com who linked here today. Don't forget to discover the other wonderful medical blogs on the blogroll, situated on the right-hand column.

A difficult decision for the mother:

In the 2002 collision, Williams was a passenger in her sister's car heading eastbound on Montrose. Manchester, 52, was heading westbound when he turned left in front of them, causing a near head-on collision.

Williams, 32, and in the first trimester of her pregnancy, was taken to Advocate Illinois Masonic Hospital. The fetus was not injured in the collision.

Dr. James ...


The LA Times takes a closer look. Cost certainly plays a role:

Right now, the practice is not so much about saving money as sparing staff radiologists calls around the clock, Bradley said. However, the estimated $65 per case that the hospital pays NightHawk is "much, much less" than it would cost to pay U.S.-based radiologists at those hours, he added.
(via The Health Care Blog)

This nurse didn't seem very busy during her shift:

On a recent Friday night, Nurse Practitioner Linda Tylka was sitting at her desk inside her Wal-Mart clinic waiting for someone to come along with a problem. She said she typically treats about 10 to 15 patients a day during her long shifts. The clinic has the same hours as the Wal-Mart pharmacy, but so far, the idea of a Wal-Mart ...


Looks like they're desperate for help down under:

“"Doctors are alarmed at reports that final-year students have been employed to fill medical workforce shortages and have at times been left without supervision and asked to undertake tasks that should only be performed by fully qualified doctors," Dr Yong said.

Fat doctors

This Medscape video editorial chastises obese physicians:

Physicians rally against obesity, and yet, we are not doing all we can. Sadly, those of us who fail to embrace lifestyle recommendations in our personal and professional lives promote a public perception that lifestyle change is ineffective or unrealistic.
(via Notes from Dr. RW)

Dr. Waldmann does:

Ten years ago I authored a resolution at the AMA House of Delegates recommending that the association eliminate all dues and automatically make every licensed US physician a member. This was to be accomplished by downsizing most of the AMA's noncore programs and learning to operate solely on nondues income"”which represented over 50 percent of its total income at the time. The resolution went down in flames. ...


How a malpractice story almost destroyed the life of an Illinois neurosurgeon.

Commenting on a successful countersuit of a frivolous malpractice lawsuit:

The real issue can be seen in the observation by Steve Downey, president of the Kentucky Academy of Trial Attorneys, that "Doctors now have a remedy for frivolous lawsuits . . . The system is working."

Thank goodness we in the medical community do not adopt this philosophy [of] treating only the symptoms instead of curing the disease.


Interesting case with an unfortunate outcome:

Daniel Bettencourt was 49 when he suffered a fatal heart attack while working as a manual laborer at E.&J. Gallo Winery on Jan. 15, 2003.

An autopsy determined that the Modesto man had more than 90 percent blockage in an artery that supplies blood to the left side of the heart.

Last week, a jury found that Gould Medical Group doctors had ...


Intelligent design

What an appropriate analogy:

Requiring public-school science teachers to teach specific religion-based alternatives to Darwin'Â’s theory of evolution is just as bad, in the words of political comedian Bill Maher, as requiring obstetricians to teach medical students the alternative theory that storks deliver babies.

Apparently, they look the same on x-rays:

A 67-year-old man who was warned he might have lung cancer had actually had a cashew nut stuck in his lung for a year and a half.

Doctors at the Queen Elizabeth Hospital, King's Lynn, Norfolk, were baffled by Derek Kirchen's collapses and bouts of pneumonia.

They warned him he might have lung cancer after taking x-rays.

A consultant ...


Merck vs the grandmother:

Merck & Co. will be back in court in Atlantic City, New Jersey, next week as the next Vioxx liability trial gets under way with the drug maker facing a 68-year-old grandmother who blames the withdrawn pain drug for her 2004 heart attack.

Elaine Doherty says she used Vioxx daily for three years to treat pain from arthritis of the hands and knees, and even ...


Some don't know when to give up:

"Patients don't like to give up," and neither do physicians, said Dr. Roy Herbst, a cancer specialist at the University of Texas' M.D. Anderson Cancer Center in Houston who had no role in the study.

Overly aggressive treatment gives false hope and puts people through grueling and costly ordeals when there is no chance of a cure, cancer specialists said.


Sometimes Dear Abby has some fascinating stories:

While I was waiting for my wife to awaken, I overheard a nurse talking to the wife of the patient next to us. She said, "You know, you can find out anything from them when they're coming out of anesthesia. They are completely incapable of lying." She said it in a lighthearted way - sort of giggling.

A few minutes later, I ...


Now, this physician is pretty much finished after being accused of sexual assault:

"I know several of the women have already attorneyed-up to file suit," said Clare attorney Dwight R. Carpenter. "I pre-warned the doctor that people from every nook and cranny will jump on the bandwagon, and as far as we're concerned, that's exactly what's happening."
As an aside, I didn't know that "attorneyed-up" was a buzzword.

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