Medicaid + Clomid

The always entertaining Angry Pharmacist with his take:

I personally would of called up the doctors office and asked them why they were writing a fertility drug to a patient that obviously could not take care of her self, but for some reason thought that bringing a child into the world would magically make her problems go away. What kind of dip**** retarded doctor would write for this? Oh, one ...

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He was to take a flight to see specialists at UCSF. His ascites led him over the weight limit for a single seat. The airline wouldn't let him board without buying another seat.

One great condom ad

She used misoprostol, typically used for ulcers, but also used for illegal abortions in the Dominican Republic. (via OnthePharm)

Wondering whether malpractice caps work?

Neurosurgery malpractice premiums LA/Orange County: $83,000.

Contrast that to Miami: $349,000.

Just ask residents in Hawaii where physician access is at a premium.

A recent study from the Journal of Urology regrading this previously unpublicized side effect:

Men who have hormone and radiation therapy for prostate cancer can experience penile shortening, a study has suggested.

Turkish researchers studied 47 men who were receiving the treatments, the Journal of Urology reported.

Eighteen months later the researchers assessed the men again, and found a decrease in average stretched penile length from 14.2 ...

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Pretty sneaky:

No doubt you saw this article in the Washington Post describing the efforts of PharmedOut to make no-cost, continuing medical education sessions available to physicians. As pharmaceutical companies sponsor a large proportion of CME sessions for physicians, the ostensible purpose of PharmedOut's campaign lies in removing Pharma's undue influence on prescribing behavior.

It seems PharmedOut.org was created through a $21 million grant from Warner-Lambert (now Pfizer). ...

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A touching entry about not wanting to die:

Nowadays, no matter how much I try to put off decisions until later, I must admit that everything seems to bother me. For example, my writing bothers me, because I have to be careful to be legible, even to myself. I am quite sure I have had a stroke (the final medical diagnosis is still pending), a small one I suppose, ...

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You're out of luck, if you live in Washington state. (via GruntDoc)

Originally titled "Monster Love", it's causing an uproar in the Netherlands:

"Do you have a visible serious handicap and are you looking for a partner?" says an appeal on its Web site.

"The program is a platform for people with such problems to share experiences and feelings in a positive way with the rest of the Netherlands and to show that they are absolutely not pitiful," the broadcaster said.

A committed cardiologist focuses on prevention, and successfully reduces the incidence of heart attacks. The problem - his practice is losing money:

See, preventive medicine just doesn't pay in the current American medical system. "The time we spend with patients -- we get rewarded almost zilch," Dr. Agatston says. Or as Dr. Valentin Fuster, a former president of the American Heart Association, puts it: "There is no incentive at ...

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The doctor took the fall for the nurse's mistake. The nurse apparently ignored several red flags:

Rohart, an ER specialist for eight years and a doctor since 1989, said he ran tests and prescribed 800 milligrams of the anti-seizure drug Dilantin. "She and I were laughing when I left for the day," Rohart said.

But Cooper instead administered 8000 mg (eight grams), quickly stopping Plass' heart, hospital officials ...

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SoloDoc brings to light the persecution of a PCP in North Dakota:

Does a medical board alone have the power to decide what is appropriate care/conduct and what the sanction should be? If the medical board decides that a sloppy appearance is unprofessional and worthy of license forfeiture, is that their unquestionable right? What if they decide that pregnancy termination or withdrawal of life support is malpractice? Dating a ...

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. . . or for Super Bowl tickets. (via Dr. Wes)

Almost a quarter of ER visits in this LA emergency room are for non-emergent issues:

Hernandez, 45, is among a relatively small "” but extremely costly "” group of patients known in the field as "frequent fliers." They are chronic users of the emergency room whose care would be far less expensive, and who would probably be less sick, if they were seen regularly in a primary-care clinic.

He ...

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Here's what he had to say about the Celebrex pen:

This pen is awesome. A real work of art, with faux jade grip. And it is heavy. I like that a lot. But the clicker piece is pretty cheap and I think I'm going to break it if I carry it around. I'm sticking with Vytorin, at least in writing implements.
(via PharmaGossip)

The New Yorker writes about the pitfalls of clinical suspicion:

Doctors typically begin to diagnose patients the moment they meet them. Even before they conduct an examination, they are interpreting a patient's appearance: his complexion, the tilt of his head, the movements of his eyes and mouth, the way he sits or stands up, the sound of his breathing. Doctors' theories about what is wrong continue to evolve as they ...

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Amy Ridenour continues the attack on single-payer medicine.

They come out firing both barrels:

Recently, Gov. Schwarzenegger announced his plan to provide universal coverage for health care and declared a war on physicians. We were shocked and appalled to learn that the Governator actually wants to penalize us, clinical providers, with a 2% gross revenue tax that will hit MDs with high operating costs especially hard. His action comes at a time when we are already experiencing ...

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