Can this ever fly here?

The British Fertility Society is recommending women with a body mass index of 36 and over should not be allowed access to fertility treatment.

Underweight women and those classed just as obese (BMI over 29) should be forced to address their weight before starting treatment, the society said.

Many offices are starting to charge for administrative requests in this time of declining reimbursement. Hey, that's what you get in a fee-for-service system:

Doctors - particularly primary care doctors - are increasingly billing for services that patients have long expected to get gratis: prescription refills, photocopies of medical records, phone consultations, family medical leave forms, medical disability forms, waivers of insurance premiums, waivers for handicapped plates.

Automotive ...

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The physician/author, Robin Cook, explores this idea in the NY Times:

As it is now, insurance companies "” following Medicare's lead "” pay primary care doctors according to the number of patients they see. Each patient visit is generally reimbursed at a flat rate of slightly more than $50. The payment is the same whether the patient is a healthy, young person with a runny nose or an elderly ...

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Fox News explores this question during this interview regarding a physician accused of treating Al Qaeda members.

Reasserting that there are no certainties in medicine:

Montgomery tells us it is important to realize medicine is not a science. We imagine if it's a science, its conclusions and recommendations are certain. They're not, as any honest doctor would tell you.

And curing ourselves of this false quest for an impossible certainty is step one toward having a medicine we can live with and manage.

According to the informed opinions of physicians interviewed in Boston.

Many physicians fudge their CME requirements. However, they're not running for president:

Senate Majority Leader Bill Frist did not meet all the requirements needed to keep his medical license active - even though he gave paperwork to Tennessee officials indicating that he had, his office acknowledged Tuesday.

Tennessee requires its licensed physicians to complete 40 hours of continuing medical education every two years. Frist, a heart-lung surgeon ...

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Addicted to technology

An academic thinks the proliferation of portable devices will lead to lawsuits:

Keeping employees on electronic leashes such as laptops, BlackBerries and other devices that allow them to be constantly connected to the office could soon lead to lawsuits by those who grow addicted to the technology, a U.S. academic warns.
(via digg)

Their EMR is a major reason. Although I don't think it works this well:

Most private hospitals can only dream of the futuristic medicine Dr. Divya Shroff practices today. Outside an elderly patient's room, the attending physician gathers her residents around a wireless laptop propped on a mobile cart. Shroff accesses the patient's entire medical history--a stack of paper in most private hospitals. And instead of trekking to the ...

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Apparently some doctors "have to be prompted" to test:

Lisa, who declined to give her last name for privacy reasons, said her physician thought her symptoms were typical of the virus that causes mononucleosis, and only tested for West Nile when she prompted him to do so.

Dr. Henry Lim, who operates a family practice on the Mountain, said he did not initially recognize the symptoms despite having seen ...

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It can lead to significant scarring and hair loss.

Check out these stark differences.

Make sure you understand what your doctor is saying is probably the most important.

Read about its 70-year journey to fruition.

Lawsuits and misconceptions on futile care are reasons:

"The renal-care team has the right to refuse to offer dialysis when the expected benefits do not justify the risks," Dr. Moss said. At his home institution, Dr. Moss is taking a more hard-line approach, saying no to families who request what he believes is inappropriate dialysis. At other times, he offers the dialysis, but if the patient doesn'Â’t improve, it ...

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Adverse events are not necessarily caused by medical error:

One problem physicians face, Dr. Gallagher said, is that patients may fail to distinguish errors from unavoidable medical problems.

"I think that often patients assume that any adverse event is due to error," he said. "That's not so. A vast majority of such events are not errors and not preventable."

And more speculation on what some medbloggers may look like.

I wonder if the treatment would have been as aggressive if he wasn't President Ford.

Tongue-in-cheek indeed. (via FARK.com)

retired doc points to a recent Annals article showing these unintended consequences.

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