Fires in the OR

Guidelines are being proposed to address this:

The proposed guidelines include lowering the concentration of oxygen given to patients during surgery by diluting it with room air when surgical tools that could ignite a fire are in use. Other suggestions are to reconfigure drapes to minimize oxygen buildup and use suction devices to remove excess oxygen from surgery sites.

Well deserved. See you back in the fall.

Why physicians are closing the door on Medicare patients:

What you soon-to-be Medicare patients don't realize is that when you turn 65, your doctor automatically gets paid about 30% on average less money for the exact same office visit with you, compared to when you didn't have Medicare. And it's illegal for you or your doctor to negotiate any fee higher than "Medicare allowable." How many doctors with full ...


The kicker - she's 108-years old:

'After a hearing test they said, "Yes, she does need a digital hearing aid, but there is an 18-month waiting list".

'I would have thought they would take her age into account as she probably has not got 18 months to wait.

To no one's surprise, a pilot P4P program didn't lead to increased revenues in most participating practices.

After a blackout, surgeons complete an appendectomy via cell phone lights. (via Sid Schwab)

Edwin Leap gets called out on his dictations, and this is his response.

Clinical Cases and Dr. RW comment on UpToDate dependence.

How doctors are paid

Some are just waking up to find that fee-for-service doesn't work.

. . . when you can do the same thing in 30 minutes?

An obstetrician is sued for being late to a delivery:

Suppose an obstetrician's patient goes into labor, and for whatever reason the obstetrician is unable to make it to the hospital in time. So he calls in and has others cover for him to perform the delivery. Can the late obstetrician still be liable if injuries occur during delivery?

A Washington Times op-ed:

Do we want the government employees who run the troubled Walter Reed Army Medical Center to be in charge of our entire health-care system? Or, would you like the people who deliver our mail to also deliver health-care services? How would you like the people who run the motor vehicles department, the government education system, foreign intelligence and other government agencies to also run our health-care ...


Big belly people

Courtesy of the Portuguese Cardiology Foundation.

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(via Clinical Cases)

How a financial incentive to take on new patients is backfiring in New Brunswick. A common misperception is that the government doesn't think that money motivates doctors. Think again:

But Ms Lingley's laissez-faire approach to managing the impact of the $150 incentive points to a common misunderstanding of medical economics, says Atlantic Institute for Market Studies analyst Brian S Ferguson, PhD. Doctors' decision-making is affected by financial incentives ...


The AMA responds

A letter responding to Regina Herzlinger's scathing op-ed yesterday.

A physician loses a malpractice case after "rapid detox" - a controversial practice:

An Oakland County jury awarded the family of a Kansas man $35.3 million Thursday after he died following a controversial detoxification treatment at a now-closed Troy clinic.

The verdict was against Dr. Aeneas Guiney, 70, of Grosse Pointe, an anesthesiologist who operated the Project Straight clinic in Troy. Guiney placed patients under anesthesia to allow them ...


So says David Gratzer, a physician who once practiced in Canada.

These guys should be ashamed of themselves.

Gardasil thong

(via Doctor Disgruntled)

After losing his malpractice case, he fires a few parting shots:

He added: "In my case, obesity nearly led to death. Corrective major surgery always has risks, but a patient should never be viewed as the bad guy when problems occur that could be prevented. Never let doctors blame you for having elective surgery as they get paid handsomely and have the right to refuse."

Weis also accused ...


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