Following in the footsteps of the candy Fentanyl, comes Fentora: transmucosal fentanyl.

Hey, there must go some good to waiting months for a dermatology referral:

It's just as well that there's a long wait. Someone who comes in with a rash is likely to be biopsied and end up with a scar. If they wait until an appointment is available the rash will probably have cleared up.

Will the public really care about fragmentation of care, or will they think that convenience takes priority?

Not that many are convinced this trend is good for patients. Within the past six months, the American Medical Association and the American Academy of Pediatrics have both decried it.

"Convenience is not enough," the AMA lamented in a recent editorial. Comparing the mini-clinic phenomenon to kudzu -- the tree-strangling vine ...

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Caution that recent events, like California's health proposal and government negotiation with pharmaceuticals, points us towards the Japanese health system:

Through its universal health insurance program, Japanese bureaucrats are charged with the responsibility and power to ensure a "minimum standard of care for all." Rules of the game, and in particular what is covered and how doctors get paid, are mainly set by the central government in Tokyo.

Sound ...

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Ted Frank with more:

Doctors want safety for their patients, and most doctors make considerable personal sacrifices to achieve those results; if Public Citizen really cares about patient safety, rather than the amount of money attorneys extract from society, one wonders why they preface patient-safety reforms with offensive insults of doctors for having legitimate concerns about a broken malpractice system. The sensible fixes of patient safety and the sensible fixes ...

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More and more shock tactics are being used against smokers, as you can see from this UK billboard.

These agents can get up to 4% to 10% of the first year salary:

In 2001, Duke University basketball player Shane Battier moved on to the NBA and hired an agent to handle his contract negotiations. Around the same time, Duke University psychiatry resident Omar Manejwala, MD, moved on to the pro ranks and, like Battier, hired an agent to handle his contract negotiations.

It might seem strange ...

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Drawings while on LSD

Part of the US Government's experiments in the 1950's. Look how they deteriorate. (via Digg)



A rare case of mushroom poisoning. Physicians rely on Google Scholar to find the cure:

When a family of six showed up at Dominican Hospital complaining of nausea, vomiting and diarrhea, it was more than a routine case for doctors Todd Mitchell and Wendy Knapp.

Once they heard all six had eaten tacos made with wild mushrooms, they knew what to suspect. Most likely the family had eaten ...

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A brand-new $3.8 million ER with 14 beds treats only 20 patients per day.

Dr. Wes examines the implications:

But in reality, these devices are surgically implanted and are a big deal for the recipient to receive. Certainly they can mean peace of mind in some folks, but the variable psychologic impact of these devices should not be underestimated. I would say the majority of patients I have implanted with these devices are genuinely happy they have one. But there are also patients ...

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Life-threatening hyponatremia from water intoxication is no joke.



I've never seen anything like this before. Courtesy of the NEJM:

A 24-year-old woman, para 2, who was 36 weeks pregnant, presented with massive diffuse enlargement of both breasts, which had progressed since conception (Panel A). There had been no such enlargement during her earlier pregnancies. Multiple cutaneous ulcerations occurred as a result of the rapid enlargement of the breasts over a period of 4 to ...

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Needless to say, he has been disciplined:

A dentist who pulled out an elderly woman's teeth without anaesthetic "to teach her a lesson" has been struck off.

David Quelch left the retired nurse, who was 87, with blood pouring from her mouth from two extractions after she had complained to her doctor about the quality of previous treatment by the dentist.

With our current fee-for-service reimbursement system, the hospital ironically loses more money when it cuts out unnecessary tests.

An infamous 1971 study looking at the psychology of imprisonment. Fascinating documentary in 5 parts on YouTube. Here's part 1:

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With this slick presentation and dramatic music. (via Peter Rost)

A Lunesta spoof.


"Nexoriatin"

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"Prozatene"

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Michael Ostrovsky lets loose and chastises the AMA's response:

California governator Arnold Schwarzenegger comes out swinging with a proposal to tax MDs 2% off their income to finance insurance scheme for all. From few, to all: just like in the Soviet Union. In addition, clinicians are assailed from all the other sides: managed care companies and insurance firms, trial lawyers, litigating patients, and populist politicians of both parties. As ...

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A list of drug reps on NFL cheerleading squads. I thought there would be more.

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