The story of Gene Rogers:

As the medical director for Sacramento County's Indigent Services program for the better part of the past decade, Dr. Rogers has waged a long fight against the central California county's practice of providing non-emergency medical care to illegal immigrants "” a policy he says violates federal law and results in the poorest American citizens being denied the care they deserve.

That fight cost Dr. ...


Physicians will respond to financial incentives. So clearly, this makes sense:

Patients seeking an appointment with a dermatologist to ask about a potentially cancerous mole have to wait substantially longer than those seeking Botox for wrinkles, says a study published online today by The Journal of the American Academy of Dermatology.

Researchers reported that dermatologists in 12 cities offered a typical wait of eight days for a ...


Cardiologist Dr. Wes with his thoughts.

Patient poaching

Lose a patient to a hospital-owned practice? It's not an uncommon occurrence.

Dr. Rob with a list of the best medical terms to say aloud. With audio goodness.

Black market isoniazid?

This medication is relatively cheap, and I'm not sure people would go out of their way to take this. But that doesn't stop the spammers.

EMT complaints

Tom Reynolds writes about some complaints he sees against EMTs:

As you can see some people are quick to complain, or just don't understand the job that we do. Remember that I was complained against for saying that a patient hits like a girl after he assaulted me - and the complaint was fully investigated. I wonder if that is in a Trust report somewhere...

Drug-seekers, again

Scalpel and ER Nursey with more ways to detect drug-seeking behavior.

What killed Beethoven?

Lead poisoning is the common answer. However, new analysis (found in the Beethoven Journal - which I never knew existed) sheds new light:

Christian Reiter has conducted months of painstaking work applying CSI-like methods to strands of Beethoven's hair.

He says his analysis, published last week in the Beethoven Journal, found that in the final months of the composer's life, lead concentrations in his body spiked ...


"Free" EMR

What's the catch?

It has come to my attention that I was quoted in this article regarding Restless Legs Syndrome:

Medical blogger Kevin Pho calls Restless Legs Syndrome "bogus" on his popular Web site (, saying the label was created to sell drugs to people who don't need them.
The source seems to come from this post, where you can clearly see I quoted another blog that made the claim.


Bribes for health care are alive and well in Hungary:

Hungarians grew up giving communist-era doctors what they call ``gratitude money'' to secure comforts not provided by the state. Hungarians now pay doctors as much as 100 billion forint under the table a year, Health Minister Agnes Horvath says. The practice inflates Hungary's health budget as doctors prescribe unnecessary procedures in hopes of maximizing illicit income, she says.

What's your best chest pain story?

#1 Dinosaur looks at potential implications for Medicare's recent P4P decisions:

How long before Medicare refuses to pay for an appendectomy if the pathology is negative? If the appendix was normal, then it didn't need to come out, right? What about a negative breast biopsy, or any kind of exploratory surgery that doesn't yield positive pathological findings? Couldn't a cardiac catheterization that showed clean coronaries be considered "unnecessary"?


With their reliance on ads and marketing, will they be credible?

Google will have to do a huge amount of work to establish credibility with the medical profession. If they are to put themselves forward as a legitimate website for healthcare related needs, they will either have to exercise a large amount of editorial control, or they will have to come up with a totally new financial model for ...


America's single-payer health system, The Indian Health Service, is in dire need of reform:

Inadequacies in coverage, care and facilities are so great that the Census Bureau's current population survey does not consider American Indian and Alaska Natives "covered" under IHS - more than a third of American Indian and Alaska Natives went without suitable coverage in 2004.

retired doc on how critical thinking has evaporated as more suits run hospitals and clinics:

. . . medicine has become more and more corporate and the business school belief that one does not need know a business to run it is increasingly applied to medical practice . The business-speak jargon now echoes through the hospitals and clinics and we talk about vision statements and leveraging this and that ...


A rare complication of a dental procedure seen in the ER.

Laurence J. Kotlikoff with a voucher-based system designed to satisfy the left and right:

Nothing would be nationalized. Virtually all of the cost would be covered by redirecting existing government healthcare expenditures as well as tax breaks. Doctors, hospitals, and insurers would continue to market their services on a competitive basis.

This is not a French, British, or Canadian solution. It's an American, market-based solution that Republicans should ...


Sid Schwab on his DVT. Do physicians follow their own advice?

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