Some are advising against malaria prophylaxis:

Some homeopathic practices tell people they need not take conventional anti-malaria drugs in high-risk parts of the world, an investigation by BBC2's Newsnight has revealed.

Instead, the clinics say that their remedies are sufficient to protect against malaria.

Here are results from a recent survey:

. . . only 37.6 percent said they would choose to enter primary care again if they could start their careers over. Over one-third said they would go into a surgical or diagnostic specialty instead. Meanwhile, 28.6 percent said they would not choose to go into medicine.
(via a reader tip)

Medpundit’s back

Welcome back! The medical blogosphere has been somewhat empty in your absence.

December 2004 - Analysis of Reggie White's death, and the connection between sleep apnea and heart disease:

There has been some connection between coronary artery disease and sleep apnea, although the data is far from robust. A study done in the 1980's suggested an odds ratio of 2.0 for angina in those with sleep apnea.

Another found a significantly increased risk of myocardial infarction for those in the ...

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November 2004 - The all-time most commented post on this blog. A virtual support board for ice-eaters:

Pica is defined as an appetite for substances not fit for food, such as clay or paper products. Pagophagia is specifically pica for ice, and studies show this to be a specific indicator for iron deficiency anemia. The latter study studied 55 patients with iron-deficiency anemia. Thirty two (58%) had pica, and ...

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How the plaintiff's lawyer spins a loss into a "victory":

"This was actually a major victory for plaintiffs across the country as this was the first time that the jury was asked if Merck failed to warn the patients about the dangers of Vioxx and the answer was yes by a unanimous verdict," said Galpern. "Unfortunately they found that Vioxx did not cause Mrs. Doherty's heart attacks, and we ...

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The battle about the pharmacists' right to prescribe continues:

We believe any changes to the powers of pharmacists should be very limited, perhaps to allowing them to adjust dosages or renew a prescription without consulting a physician. We oppose giving pharmacists permission to assess what is wrong with a patient and then to prescribe medication. Pharmacists don't have the diagnostic training of doctors.

A fee-for-service system will inevitably lead some physicians to "create" more visits. After all, more visits = more revenue. Advising a yearly routine colonoscopy however, such as in this case, is crossing the line.

That being said, routine visits do have a place. For instance, I routinely see all my hypertensives and diabetics every 3-6 months (depending on their severity). That's not churning, it's just ...

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They're talking about it in Texas:

Doctors who perform illegal abortions in Texas could be subject to the death penalty because of the way the Legislature has strung together recent statutes, according to the state's top prosecutor association.

By defining a fetus as "an individual" in 2003, and then making it a criminal act in 2005 to perform certain abortions, legislators might have unintentionally created a scenario in which ...

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Concord Monitor:

Bennett is an outspoken, self-made man and a scrapper who's unafraid of big fights. He made news by donating his $4 million collection of antique cars to benefit his alma mater, Harvard, and then for leading the fight to reduce the millions of dollars in bonuses paid to the managers of Harvard's $19 billion endowment. He also won a half-million-dollar award from a man who claimed that Bennett ...

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Talk about a tirade. Certainly one unhappy man.

They actually contain traces of Viagra:

The FDA warned consumers not to buy or use seven of the so-called dietary supplements, sold online to treat impotence and enhance sexual performance. The list includes a product called Zimaxx, which FDA testing showed contains sildenafil, the same active ingredient in Viagra.

Rare case studies suggests that it may make brain injured patients more alert.

Wonderful news.

How malpractice litigation affects physicians - keeping in mind that there is 37% chance this case will be found to be baseless. Flea is guiding us through his experience.

Las Vegas vs Pharma

City officials are offended that Samaritan Pharmaceuticals is sullying its slogan:

A local drug company's push to promote AIDS medication using the phrase "What happens in Vegas does not always stay in Vegas" encountered serious resistance Tuesday from local leaders.
(via PharmaGossip)

Continuing the good fight for health courts:

On Thursday, July 13th, the Health Subcommittee of the House Committee on Energy and Commerce will hold a hearing entitled "Innovative Solutions to Medical Liability." At the hearing, Common Good General Counsel Paul Barringer will testify in support of health courts as a viable alternative to the current medical justice system. He will speak to the failings of the current ...

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The rumors about Google's health portal continues to swirl. (via The Patient's Doctor)

This was an actual courtroom exchange:

* Lawyer: "Doctor, before you performed the autopsy, did you check for a pulse?"
* Witness: "No."
* Lawyer: "Did you check for blood pressure?"
* Witness: "No."
* Lawyer: "Did you check for breathing?"
* Witness: "No."
* Lawyer: "So, then it is possible that ...

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The parents support his decision and risk losing custody:

Three months of chemotherapy last year made him extremely weak. So when he learned in February that his cancer was active again, he turned _ against doctors' advice _ to a sugar-free organic diet, herbs and visits to a clinic in Mexico.

A social worker asked a judge to require the teen to continue conventional treatment.

In May, the ...

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