Toni Brayer says justice was served again:

No one should point fingers at anyone who was a victim and caught in this storm. Evacuation was not possible for thousands of people. They did not have the transportation or the ability, during a rapid flood, to evacuate bed ridden people. The Manganos did not abandon their charges and I can only imagine how difficult and frightening that awful night must ...

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Most health care reform plans don't address the physician shortage, leading them to be useless:

Sampson was enrolled in a plan run by a subsidiary of Boston Medical Center called BMC Health Net. But before her benefits would take effect, she had to find a primary care doctor. That's when her frustration with the new system reached a boiling point.

Sampson started calling primary care doctors within a half-hour ...

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Canadians have had enough of their single-payer system and want some changes:

If the health-care system cannot access the resources necessary to speed along two such serious diagnoses, how hopeful can that make the rest of us about ever receiving proper medical care when it matters most? I fully support the claim of both these patients "“ if Ontario doctors are so impeded by lack of resources within the ...

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Trouble in paradise?

Problems with the French health care system? Someone tell Michael Moore!

"It's true we really have good access, but what if the system is not sustainable anymore?" says Teil. "It's going to break. It's going to blow. And then no more accessibility for anybody."

Tiel says the cost of France's socialized health care is growing faster than its economy. Workers pay about fifty percent of their paycheck each ...

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Let go of the guilt

Edwin Leap with another must-read column:

And worst of all, we feel guilty about suffering and death. Because, especially in emergency rooms around America, what we see is a lot of both. We learned, as medical students, that death was the thing we were supposed to stop. And our constant inability to stem the tide of the death epidemic (now in it's gazillionth year) fills us with untold milligrams ...

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Stossel is set to present an eye-opening piece on health care next Friday on 20/20. He sits down with Michael Moore to discuss some Sicko claims:

Moore says in the film, "I asked [the Havana hospital] to give us the same exact care they give their fellow Cuban citizens. No more, no less. And that's what they did."

Moore sat down with "20/20's" John Stossel and talked ...

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ER pictureboards

Pictureboards are used in the ER to help with communication. Here is an example:



Mexico Medical Student suggests some additions that may have special relevance in the ER:

Thought to be inserted when she was a baby by grandparents upset she was not a boy.



(via Neurophilosophy)

Michael Cannon on the power of the government in health care today:

Government already finances about half of Americans' medical care, so you might say our system is already half-socialized. Yet we are much farther along the road to socialized medicine than even that would suggest.

Consider two distinguishing features of socialist economies. The first is that the government decides what individuals may produce, what they consume, and the ...

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This and 9 other things to be aware of:

EHRs don't improve quality of care and often make you less efficient. And since you won't figure this out until you are actually using the product, EHR vendors won't let you try-before-you-buy, and there is no return policy!

Radiology tech blogging

Stories from inside the radiology suite. On "fat skeletons", and an unarousable patient during angiography.

Apparently the VA is rumored to take a hard line approach, severely restricting physician/patient emails. Any wonder why emails are so slow to take off?

New VA regulations do restrict any e-mail communications with patients to non-medical content such as when your next appointment is, or a request that they call you and giving your number. We also will be getting software starting this next week that will filter ...

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The best job in the world?

Dr. Wes is an electrophysiologist, and he's pretty happy doing what he's doing.

Medblogger on 20/20

Congrats to Steven Palter from Docinthemachine. (via Emergiblog)

Abortion by massage

Disturbing:

The petite 44-year old, who declined to give her last name, paid 150 pesos ($3) for a hilot, or traditional midwife like Minda, to crush her three-month old fetus using rough strokes and pincer-like grips on her belly.

The procedure, which can also involve pounding the lower abdomen to trigger a miscarriage, is called a massage.
(via Healthbolt)

Hundreds of Pfizer computers have been hijacked. (via Health Care Renewal)

With an ER practical joke, of course.



(via Street Anatomy)

Gross anatomy

Surgeon Sid Schwab with his take:

The sequence seems wrong: if such dissection is to be done, it ought to be by those more knowledgable and honed. Absent context, it can become clutter. Cardiologists need to have the experience of holding a heart in their hands (and to see one beating in the operating room); how much more meaningful to do it later in the process. As students, it's ...

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Physicians do the groundwork for P4P, but the insurers take the glory. Typical.

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