That is one busy ER doc. "Besides being a mom to eight children and serving as president of the Harris County Medical Society, Fite works 76 hours per week in two full-time jobs as an emergency physician at Christus St. Catherine Hospital in Katy and Methodist Willowbrook Hospital.

She also works part-time as an attending physician with the emergency residency program at Memorial Hermann Hospital and serves as the ...

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TennCare has dropped coverage for benzodiazepines and barbituates. "TennCare officials say the move is for safety: the drugs are highly addictive, frequently abused, over-prescribed and safer substitutes are available, said David Beshara, TennCare's chief pharmacy officer."

Tips for patients going to the ER. Immeasurably helpful for the ER staff.

Multiple failed vasectomies causes depression in the mother, leading to a lawsuit:

The wife had a third child in 2003 after the first of her husband's sterilisation operations. They decided to abort the pregnancy that occurred following the second vasectomy. The woman became depressed after this and had to take medication.

They are seeking $400,000 from the Auckland doctor for psychological damage to the woman, the costs and ...

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A reader writes:

I'm a family doc in Toronto. A patient of mine recently had a housecall service come to his hotel room in Ft. Lauderdale.

The patient has had a hx of back pain and multiple surgeries to his ls spine with little benefit. He had an acute back spasm while in Florida and called a service, that will remain nameless for now. The owner of the company ...

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The tragic pain of Alzheimer's dementia. "It's almost like losing a baby at that point."

You sometimes need lie detectors in the ER:

The same emergency rooms that treat the overdoses have also seen an increase in the number of healthy patients trying to scam doctors out of the very same drugs.

"There are people who make a living going into the ER with fake injuries to get drugs," said Dr. David Heller, an emergency room physician at Portsmouth Regional Hospital. "It's a ...

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Dr. Crippen looks at the happy Concerta kids and the ADHD epidemic. Fantastic blog, by the way.

Good question:

Recently, I, along with several other folks, waited in the offices of two different doctors. While we waited, pharmaceutical salespeople stopped in to see the staff and doctors. Sometimes they leave free samples doctors can give to those who can't afford to pay for the drugs. That is good. But why can't these salespeople make appointments as the patients must do to see a doctor?

An optometrist puts his practice up on eBay. Is $450,000 a good deal?

Derek Lowe on Pfizer's irrational Exubera:

Pfizer may be counting on its (justly) famous marketing powers to put Exubera over. If the landscape, though, really is changing to more rigorous cost/benefit calculations, that might not do the trick. I realize that the BW authors have an interest in promoting this viewpoint, but I hope that they're on to something. I'd rather see more of the competition between drug companies taking ...

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Merck wins the latest Vioxx case. "This was the second court victory for Merck, and the first in a federal court. The company had argued in this case that plaintiff lawyers never proved any link between Vioxx and the heart attack Richard "Dickey" Irvin suffered in 2001. Merck's lawyers contended Irvin's age, gender and diet all put him at risk for heart attacks."

Meet the new standard of defensive medicine - diffusion tensor imaging:

The new imaging technology is only present in a few dozen research hospitals and not yet available to the average patient. But it already has far-reaching implications for those with head injuries because it can detect abnormalities that an MRI can't. Doctors will also be able to see more precisely how different drugs act on the brain and ...

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Should one always screen for cancer, no matter what the age?

In a video recorded deposition played for the jury, Melser said he probably would have ordered a biopsy if Lindall had been 70 instead of 80.

"The defense was that it is OK not to tell an 80-year-old man that he might have prostate cancer and offer him the chance to be biopsied because the treatment would not ...

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Disturbing: Bodies of fetuses and newborns are clogging sewers in Zimbabwe.

Every doctor should work as a waiter. "I hear many complaints from my fellow residents at the retirement home where I now live about the poor service they get from their doctors. What I hear sounds inexcusable to me: Doctors don't listen, doctors don't spend time, doctors are always hurried, doctors don't return phone calls, and on and on.

I believe I know how to solve the problem. ...

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Dr. Charles, with another fascinating story: The Curious Case of Mr. Black.

A defensive echocardiogram would have spared this doctor a lawsuit:

Attorneys on both sides seemed to agree that the case largely hinges on whether Razzak should have ordered an echocardiogram, a test that uses sound waves to create a moving picture of the heart.

"When you don't order the echocardiogram, that falls below the standard of care," said Brad Rhor, one of two attorneys representing Orr.

Defense ...

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Is defensive medicine reaching the NBA?

Cardiologist Dr. Barry Maron of the Minneapolis Heart Institute Foundation told ESPN.com that he will recommend to team doctors that every team replace the standard electrocardiograms (EKGs), which can detect an irregular heartbeat, with echocardiograms, an ultrasound that allows a doctor to study the size of the heart and the strength of the heart muscle.

Echocardiograms, which are not invasive and are ...

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It costs more to see a car mechanic than a doctor.

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