Behind one of the largest malpractice awards in Canadian history. At issue is how the patient understood the discussion of the risks of Clomid:

According to Ms. Bovington, now 44, Dr. Hergott warned her that having twins was "out of the question" given her history of premature births, but that he could safely prescribe her a low dose of Clomid without running any risk of twinning.

Ms. Bovington ...

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This is a system that some here want to emulate?

Most depressing of all is that our work is dictated by irrelevant and conflicting targets that render us impotent to deliver the care our patients need. This week, managers decided that 26 surgical beds must be closed to save money for the trust. This was implemented overnight and the beds physically removed from the ward.

These same people oversee ...

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More crazy x-rays. This time a CT of a man after a car accident. The tooth of his son was embedded in the frontal sinus.


Some impressive-looking x-rays:

When 12-year-old Chris Stewart crashed his racing car, the force of the smash was so great that his head was wrenched from the top of his neck.

With the ligaments which attach the skull to the spine torn, and his head held in place by just skin and muscle, he was more likely to die than live.

A new study looking at marathon runners, suggesting their hearts may be "stunned" while running the 26.2 miles:

The runners (41 men, 19 women) had normal cardiac function before the marathon, with no signs of troponin in their blood. Twenty minutes after finishing, 60 percent of the group had elevated troponin levels, and 40 percent had levels high enough to indicate the destruction of heart muscle cells. Most also ...

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Shoddy telephone advice such as this leads to a lawsuit for Scalpel.

Not exactly the flatulence, but the subsequent match that was lit to dispel the odor. What is the differential for this? I would say various types of malabsorption syndromes, lactose intolerance, celiac disease, bacterial overgrowth or irritable bowel syndrome to name a few.

Nice WSJ article. The p value that the deaths were caused by torcetrapib was 0.007 - which is very statistically significant.

However, if there were only two fewer deaths, 80 instead of 82, the p value would have rose to 0.011. That would still be statistically significant under normal circumstances (signified by a p value < 0.05), but above Pfizer's target threshold of 0.01 for ...

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Great writing all around. Congrats to all who were involved.

And removes two of the most offending negative MD comments:

"Clearly we do see some comments that are overly aggressive like the ones we did delete," he said, referring to two comments one which said a doctor was "the worst of the worst. He butchered me" and another which said, "Are you planning to commit suicide? Go to this doctor and he will kill you."

A disturbing and growing trend. Telephone medicine like this is just asking for trouble:

Already, though, says Dartmouth pediatrics professor James Sargent, there are many situations where doctors call in antibiotic prescriptions and refills "without cause for alarm."

For example, Sargent said via e-mail, his practice often calls in prescriptions for antibiotic drops for pinkeye and pills for sore throats in people who have a family member ...

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Words doctors use to describe patients who Google their own diagnoses.

Physicians are reluctant to adopt EHRs, now comes a study suggesting that patients don't believe that they will improve healthcare:

"Our research shows that American consumers are not banging down any doors for an EHR or a PHR," said James Fisher, national director for Health IT at PricewaterhouseCoopers. "The primary reason for the lack of public support is that the average American does not see a clear value proposition in ...

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$10 million: Not enough

An injured doctor who won $10 million sues his lawyer for legal malpractice.

"Lose weight or die"

Sometimes patients needs to hear it like it is:

Mr Ord, who weighed 33 stone (209.6kg) when he was 16, said he was devastated when told the news by his GP that he had a "very serious problem".

He said he has now ditched his diet of pizzas, chips, pasties and chocolate and goes to the gym three times a week.

He said he was told that ...

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The jig was up over a contested parking ticket:

Barbosa said he planned to file with the court two videos of Pete Costello taken this year: In one, he allegedly feigns retardation during an interview with Social Security workers; the other is of him contesting the traffic ticket in a courtroom earlier this year.

The indictment accuses Costello of faking -- or at least exaggerating -- retardation since August ...

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Medpundit points out one of the endless ways for lawyers continually try to victimize physicians.

A home dialysis diary

Complete with YouTube video.

Demanding X-rays

Many patients believe the "more testing = better medicine" myth. No where is this better seen than in the ER.

A pioneer of the artificial heart, he barely made it as a physician:

Jarvik is a medical doctor, but not with the strongest credentials. When he finished Syracuse University his grades did not permit entry into a U.S. medical school. So, he enrolled at the University of Bologna, Italy, but left after two years. Eventually Jarvik decided the mechanical aspects of the body fascinated him and he earned a ...

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