An Pennsylvania ER physician drives 2 hours each way to work in Ohio for cheaper malpractice insurance.

Studies conflict as to whether patient satisfaction is associated with physician attire. The most recent study says no.

Two brain scans of women. Which is the one with the real orgasm? Good to know for those men with brain scanners in their bedroom.



Tragic:

Six members of the U-M Survival Flight Team were on board the Cessna Citation 550 when it went into Lake Michigan at 5:05 p.m. Detroit time en route to Willow Run Airport from Milwaukee's General Mitchell International Airport . . .

. . . Dr. David Ashburn, a physician-in-training in pediatric cardiothoracic surgery, was onboard, along with Dr. Martinus Spoor, a cardiac surgeon, transplant donation specialists Richard Chenault ...

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Free marketers vs single-payer wars continue. Matthew Holt compares this to the free-spending NY Yankees and the Oakland A's (and their Moneyball system):

When it comes to price, essentially the U.S. healthcare system is the New York Yankees or Boston Red Sox with their $200 million dollar payrolls up against the Oakland As. You'd think the guys with the expensive hitters and pitchers would win every time. But as ...

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Their settlement money is going towards funding alternative and natural therapies. Talk about rubbing salt into the wound.

The doctors are being accused of losing concentration while they interacted, and argued with, the audience:

The investigation panel said it cannot be denied that the operation was planned and managed with "show-like elements," noting that the hospital picked an operation with a high mortality rate.

The panel also said the chief surgeon might have been distracted because viewers were free to ask questions and argue during the surgery.

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Congratulations to Drew Mays who won the Van Cliburn Foundation's Piano Competition for Outstanding Amateurs.

And if the answer is yes, how will it be enforced?

A rash of incidents in hospitals across the country involving camera phones has led to firings -- and the realization that monitoring the devices in clinical facilities is no easy task.

After sorting through red tape, a California hospital has fired nine employees who in April either took or looked at camera-phone photos of a patient's X-ray. Meanwhile, ...

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No amount of reform will change things as long as the Medicare reimbursement formula stays put:

Many prices will be too high or too low, and political forces tend to keep inappropriate prices in place -- specialists in fields with excessive payments will resist cuts, and there will not be enough specialists in low-paid fields to become an effective counterlobby. New physicians will react to existing prices, and so ...

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Finding that balance is difficult:

It was Sunday morning on my weekend off and I was stalked by a narcotic seeker. She conned the hospital operator twice into paging me to get around my partner who was on-call. Then she made eight phone calls to my home throughout the day. Thanks to caller ID, I was able to avoid them.

Multiple calls to my house outside of office ...

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Male breast cancer

A somewhat lonely journey:

"It's like being the only man in a sorority house," says oncologist Mitchell Berger of Grady Health System in Atlanta, Georgia. "The resources and posters that you see out in public have women on them.
(via a reader tip)

Patients are starting to post interesting physical exam findings. Graham asks, "Will strangers posting their diseases online be the physical findings revolution?"

BrandweekNRX gives a scenario to slow the burgeoning force that is Peter Rost:

If Pfizer is ever able to swallow its pride and offer Rost a decent settlement, it is highly likely that they would require that he never say a public word again about the company. And given the scale of pharma settlements, it is highly likely, IMHO, that Rost would feel duty bound to accept those terms. He ...

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More conservative recommendations in Europe: "The European approach seems to place a theoretical concern above individual patient concerns."

Paul Levy is wary about this association:

A few years ago, a very good friend of mine suffered a stroke from a dissected carotid artery. Once they had an image of her neck and saw the damaged blood vessel, one of the first questions the attending neurologist asked was, "Has she been to a chiropractor recently?" In fact, every single neurologist who saw her in subsequent weeks asked the ...

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ER perspective

Next time you're in the ER, think about what goes on behind the scenes. (via Scalpel and GruntDoc)

Another case of too much time on their hands?

Pac-man's skull was carefully crafted by artist Le Gentil Garcon after studying the skulls of human and predatory animals. He even collaborated with paleontologist Francois Escuille to make the most accurate representation right down to the tiny sacrum on his back-end.
(via Street Anatomy)



Is there anything that can be treated solely over the phone? TBTAM offers up some exceptions.

The Cheerful Oncologist gives it a thumbs up.

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