So, Congress comes through with a 6-month reprieve:

Lawmakers have crafted a six-month reprieve for physicians facing a 10 percent rate cut when treating Medicare patients, two senators announced Tuesday.

The pay cut for doctors had been scheduled to take effect Jan. 1. Doctors had warned that a cut in reimbursement rates would lead to physicians taking on fewer new Medicare patients.
Yay, we get to do this ...


I guess there's enough of these cases to go around in Thailand:

Thai Surgeons are gaining a reputation as specialist in the delicate art of reattaching severed penises.

They've become experts in this field due to the increasing number of penises chopped off each year by angry Thai women. Seems that the women see this as an acceptable way of taking revenge on their cheating lovers and husbands.

And how third-party payers and drug companies have corrupted the concept.

Despite what some patients and lawyers say, the only guarantee in medicine is that nothing is guaranteed. Nothing is ever 100%, and this is not communicated clearly enough by many physicians.

The Independent Urologist concludes that dropping Medicare would be tantamount to suicide.

Snowblower vs hand

Guess what won.

What happened at this recent code in an ER. (via WhiteCoat Rants)

Just what we need, the 19th approved beta-blocker. Why would any physician in his/her right mind prescribe Bystolic when several generics are available for pennies a day?

Doctors will figure out the best way to financially optimize any reimbursement system. So when you're talking about "over" coding, blame the system, not the players:

The CPT coding system was devised to distribute resources according to the effort required. Somebody underestimated the effort required by primary care and most especially the degree of risk assumed in primary care. But fraud is not worth it at our compensation ...


The WSJ on Scott Morrison of Polite Dissent. His reviews of House, M.D. has opened up opportunities as a medical drama consultant:

Morrison says happy with his career in medicine, but he doesn't mind a little impromptu consulting for medical dramas. "I've had some screenwriters ask for my opinion on various medical things when they're submitting review copies for other shows," he says. "I don't know if they ...


Bravo. Physicians are using big-screen TVs in their waiting rooms to warn and educate patients on the impending physician shortage:

One 60-second spot describes a scarcity of radiologists in the Bronx who are willing to perform mammograms because liability costs are too high. The message aims to change the way patients think about malpractice, doctors said, adding that by airing the advertisements they aim to shore up legislative ...


Doctors "don't want to miss anything", and the fear of litigation is one reason for the exploding health care costs:

The third, often lamented, reason we "don't want to miss anything" is because of an intense fear of litigation. The medical student is frequently reminded by mentors of the likelihood for lawsuits brought about by a missed diagnosis. As a consequence, the practicing physician has a tendency to practice defensive ...


Medicare madness

Creating a new profession, the health insurance counselor.

Diabetes Mine sums up an eventful year. Exubera, Avandia, and Januvia are just a sample of diabetes drugs in the news.

Dancing P waves

Dr. Wes gets called to a Code Blue while attending his son's holiday concert. Read what happens next.

The credentialing process

Obscenely arduous. Filling out forms is a job requirement for all physicians.


Looks pretty painful.

(via GruntDoc)

Congrats to Panda

On the quarter-million unique visitor mark.

There is no easy answer.

A seizing infant

What a tragic case, described in detail by this ER physician:

Watching the triage nurse run to your resuscitation room with a lifeless baby in her arms has got to top the list of stomach-dropping, check-your-own-pulse moments at work.

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