Good to see the elderly finding a way to exercise.

The Independent Urologist, in a solo practice, puts the work into the proper perspective. Due to doctors' often poor business skills, they often don't think this way:

5 UA's per day = 1.5 hours of your receptionist = 3 months of website hosting
1 new patient = 15 hours for you employee = 2 ½ months of internet access
1 follow-up patient = monthly cell phone bill = ...


ScienceRoll looks at two potential candidates this year.

A urologist gives us the real answer.

Google Apps and medicine

Clinical Cases and Images looks at the potential impact on medical practices.

The hospital is caught in an unfortunate vicious cycle where it cannot attract insured patients.

Why Xanax sucks

This is my least favorite benzodiazepine to use. Shrink Rap explains the reasons why.

She had a BMI of over 137. (via a reader tip)


A lawyer comments: "Our experience is that an Erbs palsy case is kind of hard to lose. Most are settled, and the few that are not, generally have a good defense."

Decisions like these could bankrupt the home, furthering the shortage of nursing home beds. Patients lose.

WSJ on micropractices

Gordon Moore, the father of the micropractice, is chronicled here. SoloDoc is mentioned as well:

Dr. Moore estimates that his overhead costs make up 35% of his revenue. That compares with a figure of about 60% for other small primary-care group practices, according to Medical Group Management Association, an Englewood, Colo.-based professional association for doctors' practices.

A few weeks ago, Dr. Moore asked patients to rate the ...


The Boston Globe on Levy's Running a hospital blog. When asked, a competing hospital group replied this way:

Partners executives declined to comment. "What's a blog?" said chief operating officer Thomas Glynn when asked about Levy's blog.

Spokeswoman Petra Langer said that overall, people at Partners are not a blogging group. "They're too busy," she wrote in an e-mail.

Still, Glynn said, printouts of certain ...


Dr. RW is frustrated with the primary-care focus of the ACP.

Life of a drug rep

More from Dr. Rost. Funny stuff.

As he so eloquently observes:

But look at the Exubra inhaler! It is BIG. A foot long, when unfolded, which makes it feel like a baseball bat. Think your girlfriend would like to haul that out of her handbag while seated in a restaurant? Common sense, folks. Common sense. NO ONE would be caught dead with this foot long pocket rocket in their pocket. Or handbag.

Eric Novack observes state proposal to ensure a continuing right to private health care:

The right of citizens to enter into private contracts with health care providers for health care services shall not be infringed. No law shall be enacted requiring any citizen, or any class of citizens, to participate in any state sponsored health care system or plan.

Lodging for breastmilk

An ad in Craiglist offers a swap of lodging for breastmilk - for all members of the house:

We are offering a free room for a woman who is willing to provide breast milk for consumption to the household. We are an otherwise vegan house but have recently read A.O. Wilson's study of the benefits of human breast milk to all human beings of any age. This is not ...


Get ready for the DTC onslaught for this dog of a drug:

The device has been faring very poorly. Sales last year were just a few million dollars and Pfizer sales reps have carped about being unable to meet quotas. Recent market share data shows Exubera losing still more ground.

Of course, Pfizer will likely annoy some doctors and politicians, who don't fancy ads that encourage patients to demand ...


Family physicians are sub-specializing to fight declining reimbursements:

Many family physicians embark on careers in sports medicine, academic medicine or geriatrics in which they take no overnight call and have no responsibility for caring for hospitalized patients. As "subspecialists," they typically command higher rates of reimbursement for clinical work - particularly those with certificates of added qualification. In a time when family physicians feel increasing pressure to work longer ...


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