Crazy scheme found in Poland:

A court Friday convicted two doctors and two ambulance workers of participating in a scheme in which 14 patients were allowed to die - or in some cases killed with muscle relaxants - in return for kickbacks from funeral homes.

A likely winner, as the hospital admitted negligence. However, the suit was filed a day after the statue of limitations ran out.

A paramedic has a heart attack during ACLS class.

An oncologist in Canada goes off:

Calling it an "absolute disgrace," the head of a cancer group says Ontario's restricted access to PET scans is not only forcing some medical residents to relocate for training but it is also hampering patient care.

"That's an absolute disgrace coming from Ontario," said James Gowing, a hematologist-oncologist based in Cambridge, Ont., and board chairman of the Cancer Advocacy Coalition of Canada.


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It happens more often than you think:

Why do patients lie? The examination room itself is an environment that discourages honesty, said Los Angeles psychiatrist Dr. Charles Sophy.

"You're naked in a gown and you have a guy standing there clothed, with a coat on and there's all sorts of things in his pocket. And you're sitting there, basically naked "¦ that makes it hard to come clean," Sophy ...

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Reaction from a medical student after Schwarzenegger's proposal of a doctor tax:

Even doctors in training are figuring out how the plan might affect them. Some physicians believe Schwarzenegger's plan might drive doctors out of state, but University of Southern California medical student Julia Cormano says she would stay in California"”but reconsider her choice of specialties. Cormano, co-president of the med school's students' association, says the talk on campus is ...

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Looks great on paper, but good luck implementing it:

The zoster vaccine is terribly expensive and fragile, and it requires strict temperature control. Heaven help the practice that suffers a power outage. Patients will argue that Medicare or their prescription plan will cover the vaccine. When patients call their benefit plans, they will hear, "Sure, it's covered! Just have your doctor call us for prior authorization!" Anyone who has traveled ...

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A malpractice case of missed endocarditis. The physician charted appropriately, but the jury overlooked that and made their decision based on emotional testimony from the grieving widow. Lessons to learn from the case:

Jurors are charged with finding evidence of negligence before they proceed to assessing damages. The powerful emotional testimony of the young widow in this case was enough to tempt them to omit or minimize ...

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Especially in developing countries:

Conde's dilemma embodies a seldom-discussed global phenomenon. In Mexico and dozens of other countries, especially developing nations, health workers smoke at far higher rates than the general adult population. Mexican doctors and nurses smoke at twice the rate of other adults, according to international data compiled by the American Cancer Society. Similar disparities exist in Paraguay and Pakistan, countries where 32 percent of health professionals smoke, ...

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The real scoop on EMRs

Here is the truth about the so-called "holy grail of medicine":

Admittedly, other industries have seen large cost savings from computerization, but health care is different. First, the health-care system is hardly a system. It is hundreds of thousands of doctors and thousands of hospitals all practicing medicine their own unique way -- and the EMR will not change that. Ideally, the EMR should allow a doctor standing in the ...

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A family member wonders after a tragic outcome.

NHS Blog Doctor dominates. Congratulations to the other winners as well.

As long as the adversarial system persists, patients will continue to lose:

"The problem with the adversarial system today is that a patient might deserve compensation but he can't get it unless he proves that his doctor screwed up. His gain is the doctor's loss, which is part of the theory of corrective justice. Well, that theory might work okay for certain business torts, but we think it doesn't ...

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Although physicians win the majority of verdicts, countless more are settled before trial. A physician suggests no-fault, worker's comp-style malpractice:

More than any other issue, malpractice is responsible for physician dissatisfaction. We need to eliminate the corrupt practices that are allowed in many state malpractice systems. Practices such as medical expert testimonies that come at a high price and reinforce the "hired gun" theory, and attorneys' ability to increase ...

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Entitled, "The Politics of Tits: A Psycho History of Breast Medicine", the talk is putting off some GYNs. He's been told to suck it up:

"Poor fellow," she said of the complainer. "I'm just so sorry there are people who take issue with things like this."

"We don't censor our speakers. We have something called free speech and the First Amendment in this country. Vulgar is in ...

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Medical ethicist Maurice Bernstein answers.

Not all vitamins met quality standards. One brand was even contaminated with lead.

Derek Lowe speculates on Pfizer's upcoming announcement next week.

Canada already has caps. Now the NHS is thinking about it. No comments about government-payer systems from me.

Ironically, the excess this year may lead to a shortage next year:

Public health officials say that a delay in production, problems in the distribution system and good old fashioned psychology are to blame for the excess vaccines. And if the problems persist, it could mean a shortage of vaccines next winter.

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