The Independent Urologist with some common sense tips.

Billions of dollars are being spent to make sure California's hospitals are earthquake-proof. Is this really the best way to spend money?

Tara Parker-Pope takes a look at the presidential candidate's nicotine habit.

Annoying for the doctor, especially when a family member is doing a play-by-play:

Some family members have pulled a John Madden on me. When I examine the patient, they give the person on the other end of the line a play-by-play of everything I am doing. "He is listening to her lungs now. He is making a face. Wonder what that means. Oops, probably nothing. He just itched his ...

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See what this chronobiologist says.

Breast milk for sale

$200 for 100 ounces.

Everyone is talking about controlling health care costs. One way to do this is to invest in primary care. Too bad that isn't happening:

Areas of the United States where the most care is delivered by primary care physicians have lower overall costs, higher patient satisfaction, and, as a rule, better outcomes. A primary care doctor can be a trusted, friendly advisor who sees a patient over many ...

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With the holidays approaching, why not give the gift of health?

But Highmark Inc., the Pittsburgh-based health insurer, hopes its new Healthcare Gift Card will encourage people who might be reluctant to visit the doctor or spend their money on prescriptions -- namely, seniors and college students -- to do so.

The card itself costs $4.95, and can be loaded with as little as $25, which might cover a ...

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Well, that's illegal for Medicare and Medicaid patients:

She was surprised that it is illegal to pay the difference between what we charge and what insurance collects. Here is a potential Medicaid patient willing to pay her fair share, and the system won't allow it. Why? I have no idea why. Both patient and doctor win. Patient gets access, Doctor gets their fair fee.

Nearly unheard of in the Western world, but not in China, where's fee-for-service gone wild:

Mi Zhantao, a poor 25-year-old living with his parents outside this provincial capital in eastern China, was battling depression and had trouble socializing. Doctors said he had schizophrenia. They recommended brain surgery.

Mr. Mi's family spent about $4,800 -- the equivalent of four years' income, and more than their life savings -- on ...

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A Harvard medical student frets about choosing where her 3rd year clerkship is going to be. The one wrinkle is a new "longitudinal approach" that Harvard is taking, where all the rotations are at one hospital.

Get some perspective.

Harvard medical students are choosing between Massachusetts General Hospital, BI/Deaconness, and Brigham and Women's. That's like being forced to choose between a Porsche, Mercedes or a ...

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The CEO from AthenaHealth comments:

"There's a lot of art in medicine, but there's also a lot of science and a lot of mechanics," Bush said. "And the mechanics are being treated like art."

Jaw dislocation, redux

You gotta push hard.

Good job using black belt martial arts skills to fix a dislocated shoulder.

Panda Bear gives it his best shot:

Gnomes, like Reiki, Homeopathy, faith healing, and ayurvedic medicine are ridiculous at face value. The extent that they are investigated highlights one of the biggest problems with Complementary and Alternative Medicine, not that it is mostly ridiculous (which it is), takes money from the gullible including those who really can't afford it (which it does), or even that it sometimes delays the effective ...

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No, literally, with quite good results. (via Healthbolt)

The first proposed step in saying "no" to patients - and it will be the hardest, as American patients are used to getting everything.

However, it's necessary as health care costs continue to spiral out of control:

Anyone who wants to understand 21st century health care faces a steep learning curve. Balancing public input with the expertise and nuance needed to provide meaningful guidance is a tricky business, ...

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A shameful situation going on in Texas. GruntDoc comments:

"The only solution, Evans said, is to stabilize people in emergency rooms until a psychiatric hospital bed can be found.

'No one hates this more than we do,' Evans said."

Oh, I'd bet you're wrong there, Mr. Evans. The patients will hate it, their families will hate it, the entire staff in the ED now ...

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The backbone of the AMA

Or the lack thereof, says Dr. Wes:

I feel so reassured when our physician political leadership is in bed with the insurance industry in the interest of "enhancing quality of care and ensuring patients are provided with reliable information that is meaningful to them."

So says a Washington Post op-ed attacking Giuliani's prostate cancer assertion. GoozNews wisely states that this falsely perpetuates the myth that more screening is better.

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