A journalist chronicles what may be his last days in a hospital isolation room.

Some reactions to yesterday's dark day.

Stranger than you can imagine:
"I have been thinking about medical blogs since Flea deleted his. Fat Doctor has deleted hers too, and unfortunately I don't think we will see their blogs reappear. I think the risks are too high. I think that all of the medical bloggers are going to disappear or go private in a month or less. I ...

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Panda Bear offers some sage advice:

The first thing you need to do is to cool your jets. Medicine is a good career but it's just a job. I'm sure you will meet some zealots who seemingly breathe, eat, and live medicine but for the most part, by the time you get into residency you will find that most of your colleagues want pretty much what other working people want, ...

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MDNG with another article highlighting the importance of your Google reputation. Also discussed here last month.

Part 2 of a fascinating series by surgeon Sid Schawb. Probably the closest many will come to actually performing an operation.

Some are opening up their own clinics in retail stores. Good, forward-thinking.

The NEJM is encouraging some reader response with this innovative new feature:

For the first time, physicians will be asked to weigh in on what they would do for a patient, based on research papers published in the current issue and what they read about a fictitious case. Their choices will be tallied online for four weeks and their comments posted in an experiment to better connect with readers, ...

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This is what a hospital system in Pennsylvania is trying out:

The group, Geisinger Health System, has overhauled its approach to surgery. And taking a cue from the makers of TVs, washing machines and other products, Geisinger essentially guarantees its workmanship, charging a flat fee that includes 90 days of follow-up treatment.

Even if a patient suffers complications or has to come back to the hospital, Geisinger promises ...

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What a freakishly bizarre picture of this small but growing trend in bodybuilding.

Online pharmacies

"The Internet has become a pharmaceutical candy store."

Grim news pervades the medical blogosphere today.

Fat Doctor has announced she is shutting down her blog:

Someone in my department printed out my blog and showed it to my boss. He tells me he didn't read it and won't interfere in what I do with my own time as long as I do a good job at work.
Flea's blog mysteriously vanished. Perhaps not coincidentally, ...

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They're just as harmful as regular cigarettes:

"Smoking low-tar, low-nicotine cigarettes impairs the coronary flow velocity reserve as severely as smoking regular cigarettes," they reported online in Heart, a BMJ specialty journal. "Coronary flow velocity reserve values are similar in light cigarette and regular cigarette smokers and significantly lower than in controls."

Staggering ignorance by a bunch of vandals:

A paediatrician at a south Wales hospital has been forced out of her home by vandals who thought her job title meant the same as "paedophile".

South African-born Yvette Cloete woke up at her home in Newport to find the term "paedo" spray painted all over her walls.

The specialist registrar at the Royal Gwent Hospital is now in hiding at ...

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OnThePharm with round 2 of the popular contest.

This article was from six years ago:

Lots of patients fork over nothing but a co-pay, the mandatory cash outlay that can be as low as $10, or even $2. "What do you value a physician at if you pay $2?" asks Stracher, who says that sometimes, for that amount, patients blithely skip even bringing along money. For two bucks, patients sometimes don't show up. Or they get the idea ...

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Can Dr. Groopman's theories apply to the real world? Ron Sen suggests not:

Call this self-serving if you like, but most introspective physicians wallow in a sea of uncertainty as a weighty part of our professional lives, just as much as you traders do, but with different consequences. I would tell Dr. Groopman that he might know something about how physicians think, but he might also just be ...

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Dr. Wes speculates that he would have benefited from an automatic defibrillator.

Some have asked me if I've ever trained in the VA. I did my 3rd year medicine rotation, 4th year medicine sub-internship, 3 years of medicine residency including numerous VA rotations, and moonlighted for 3 years in the ER, all at the VA. So the answer is yes.

More fallout from last week's story about how the VA exaggerates its quality claims:

Deceptions about appointment wait ...

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Is Flea gone?

His blog has been wiped out, as I found out while doing my daily link browsing. He has been going through some litigation, and Dr. A speculates on his possible demise. Let's hope this is only temporary.

In detailing a simple car crash story, this newspaper felt the need to explain what a D.O. does, incompletely:

Baez is a doctor of osteopathy, a hospital spokesman said yesterday. Osteopathy is a drug-free, non-invasive medical practice that focuses on total body health by treating the musculo-skeletal system, including joints, muscles and the spine.
Reminds me of this story, where Time felt the public didn't know what a D.O. ...

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