Clinical Cases and Images gives a basic review - which will surely be another major option we can use to treat diabetes.

Some of these mistakes are not typically seen in a paper ordering system. So think twice before blindly endorsing all things electronic. (via Medpundit)

The case continues for health courts. An ER doc is forced to settle cases without merit simply because it's cheaper than going to an unpredictable trial:

I am also aware that the defense prevails in many or most malpractice actions. To me, this is not an indication that the system works. Quite the opposite. There have been cases of which I was personally aware in which the care ...

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The power of free drug samples:

Antonio Morgado is a pharmaceutical sales rep's dream come true.

Morgado, an endocrinologist, sees 600 patients a month at Palisades Medical Center in North Ber gen. He is among New Jersey's most prolific prescribers of top-selling drugs for diabetes, cholesterol and blood pressure, according to prescription data services.

Every weekday, a virtual army of sales reps -- mostly young women ...

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Talk about a career change. An ex-CEO now works the graveyard nursing shift:

After all, how many people give up, at age 56, a six-figure salary and the prestige that comes with being the CEO of a hospital to go to nursing school? And then, upon graduation, at age 59, find themselves as a rookie nurse taking orders and instruction from other nurses, after almost two decades of ...

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Dr. Charles takes on the tough questions.

How employers are cautiously testing the medical tourism waters:

Despite the five-star facades of some hospitals -- fountains, white marble floors, even a Starbucks and McDonald's inside Bumrungrad's lobby -- the comfort of having a major surgery near home with family at the bedside is a far cry from the experience in the developing world, where culture shock alone can be stressful.

Pollution, poverty and insane traffic are all part ...

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Extreme germiphobia

From the NY Times, a $60 device that sprays a hospital-grade disinfectant on doorknobs every 15 minutes.

Tough case, unfortunate outcome where zero malpractice was committed. Sending a patient suspicious for coronary artery disease for a stress test is routine. This one had a massive MI post-test, leading to a verdict - will this lead to more patients going straight to a heart cath? (via a reader tip)

An active euthanasia proposal in the UK that is crossing the line:

The college is arguing for "active euthanasia" to be considered for the overall good of parents, sparing them the emotional burden and financial hardship of bringing up the sickest babies.
(via a reader tip)

Want to start a blog?

#1 Dinosaur gives some basic tips. Keeping it regularly updated is key for me.

Scary stuff in Japan:

A total of 11 transplants took place using the kidneys from the sick, unknowing patients, the report alleged. Hospital officials said at a Friday news conference that 11 such transplants allegedly were carried out between 2004 and this September.

Apparently, the process started out innocently enough when one physician asked another if he had any kidneys he was going ...

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So, what's being done about it? Seems like a lot of the solution is hiring more staff and disassociating reimbursement from volume.

The Cheerful Oncologist suggests shock tactics, like in Singapore.

The doorway diagnosis

The impact of first impressions during a physician visit:

Whenever I enter a room with a patient in it, I try to stop in the doorway, and before anything else happens, I take in the scene. I want a look before my impression can be biased by information or personality or anything but the overall clinical picture. Most doctors do this, or try to. It's called the doorway survey, ...

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They're talking about Actiq, which is being widely used inappropriately - with the drug company turning the other cheek.

This is pretty accurate:

To cover their own butts, doctors sometimes take a needless trip up yours. A nationwide sample of "surveillance" colonoscopies--follow-up procedures done after polyps are removed--found that up to 50 percent of doctors recommended these tests unnecessarily. This better-safe-than-sorry mindset keeps docs safe against lawsuits, and isn't limited to colonoscopies.

Get the truth: Watch out for the most overused procedures: MRIs and CT scans, echocardiograms, and ...

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Learn to avoid being dazzled:

"We want to appeal to physicians' natural skepticism," said Dr. Ethan Halm, an associate professor of medicine and health policy at Mount Sinai School of Medicine.

The prestigious Manhattan school is including a new type of training at its Morchand Education Center, famous for its use of actors to play patients.

For these sessions, the actors will play pharmaceutical company sales representatives. The ...

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Continuing to see patients after you get "the letter".

And this year will be no different. As long as the formula stays, this will be a yearly exercise.

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