A hospital has to protect its turf, and hires someone to do so:

Garcia, 61, took on one of the most unusual jobs in the hospital industry.

Since he started at White, he has broken up fights, counseled gang members, separated them, and also comforted those who have been touched by the gangsters' violence.

Like a doctor, Garcia is available 24/7, standing by for pages. But unlike anyone ...

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Generic Ambien

Check out the wholesale vs CVS/Walgreen's prices.

Blogiversary



Today marks the start of the fourth year here at Kevin, M.D. - Medical Weblog.

Over the years, many hot health topics have been covered and endlessly debated, making good on my goal of pulling the curtain back and allowing the medical profession to tell it like it is.

With health care reform in the wings, things are bound to get even more heated, ...

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Crisis in Alaska. It's ready to spread to the rest of the country if Medicare reimbursement continues to be cut. (via Medpundit)

Are interventional cardiologists getting nervous?

John Tierney looks further at the decisions by the jury in the Hurwitz trial:

But these jurors bought the prosecution's argument that medical negligence was a crime. They decided that a doctor's role as a drug cop was so important that even if he had no criminal motive, he should be sent to prison if a group of laymen looked over his records and decided that they would have ...

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Accomplia Zimulti

The US trade name for rimonabant, which the WSJ says "seems to promise a mysterious Italian delicacy "” 'We'd like the Zimulti with clams, please.'"

A pharmaceutical company is having doctors try an "MS simulator", to help physicians empathize with the symptoms of multiple sclerosis. John Mack sees right through this and exposes a marketing ploy.

Specifically Gardasil, where physicians are passing on the costs to patients:

"This is a national issue that is affecting lots of people," said Benjamin Gitterman, president of the D.C. chapter of the American Academy of Pediatrics. "It's a matter of cash flow," Gitterman added. Some insurance companies are paying doctors $122 per shot -- just $2 more than the price doctors pay for a dose of Gardasil -- an ...

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UnitedHealth is not alone. The psuedo single-payer VA system also gives undeserved bonuses to executives as well:

The Department of Veterans Affairs paid bonuses of more than $335,000 to some top North Carolina VA hospital managers during years they received reports of poor patient care and suspicious deaths, according to a newspaper report. Executives at the VA hospital in Salisbury, along with regional managers in Durham, received bonuses in ...

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You may have heard Michael Moore's stunt bringing 9/11 workers to Cuba for "better" health care. Fred Thompson rips that myth apart:

What is it that leads people to value theoretically "free" health care, even when it's lousy or nonexistent, over a free society that actually delivers health care? You might have to deal with creditors after you go to the emergency ward in America, but no one ...

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A poignant letter in the WSJ:

I worry about the unintended consequences of the actions to increase the potential compensation to the owners. One only has to look at the increased costs of medical care for humans that are a direct result of malpractice lawsuits to see that a similar situation could occur with vets. My dog has epilepsy and we spend a lot of time and money at the ...

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I wrote a few days ago about the under-publicized radiation risk with CT scanning. With cardiac CT scans on the horizon, Dr. Wes expands on this. So, think about this the next time you want that CT scan "just to be safe".

The new concept of "buckling force" in erectile dysfunction:

So Udelson developed a model that would predict the buckling force, based on penis length, circumference and the ease of expandability over a range of ICPs - it is a direct adaptation of 200-year-old column buckling research by Swiss mathematician Leonard Euler.

Udelson tested the model against 57 men with erectile dysfunction. Each was measured by slowly injecting their penises ...

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Contrary to popular belief, the answer is no.

EPO controversy

The recent controversy on EPO is leaving doctors in a no-win situation:

John Glaspy, an oncologist and professor of medicine at UCLA, says that for patients with falling hemoglobin - a critical protein carried by red blood cells -- doctors must face a quandary. "When we see a patient whose hemoglobin is falling, there is a theoretical risk if we do something - blood clots and possible effect on survival ...

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If medical practice was like Wal-Mart, primary care is like the $3 generics that bring people into the store.

Philip Alper on primary care contributing the large multispecialty practices:

The self-satisfied primary physician in the multispecialty group has always worked in his group environment. If his group is typical, primary care may function as a loss-leader into the provision of more lucrative procedural services, both diagnostic and therapeutic. ...

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Interesting take:

Think for a moment about the amount of money that is spent a year on cancer medication. How many drug companies would go out of business if a cure for cancer were found? How many politicians would loose elections because they did not have the backing of these drug companies? . . .

. . . It was once estimated that one out of every thousand people ...

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In a physician survey measuring payment delays amongst the largest insurance companies.

The Hurwitz verdict is going to scare even more doctors off of chronic pain management. Patients lose yet again:

By prosecuting Hurwitz for drug trafficking because some of his patients abused or sold painkillers he prescribed, the Justice Department reminded physicians throughout the country that they are expected to be cops as well as doctors. If they fail to reconcile these irreconcilable roles, if they do not treat their ...

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