Nurses strike back

They aren't too happy about a physician rant against them. Here is their response.

Increasing fines is one way to recoup lost revenue:

For health-care professionals, the charges are a way to recoup the administrative costs of running a business. After all, they point out, assistants and receptionists need to be paid whether or not a patient shows up. And doctors typically aren't salaried, they're paid only for patients they treat. Some patients understand that. But for them, the fees still are one more ...

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These cardiologists want routine cardiac CT screening as well as carotid ultrasounds. The USPSTF doesn't recommend this. So they took Pfizer's money and paid the American Journal of Cardiology to publish their "recommendations":

The recommendation carried the seal of approval of an established medical journal: virtually every middle-aged man and woman should be screened routinely for heart disease, using sophisticated and pricey technology to take snapshots of ...

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NY Times on President Garfield's gunshot wound and how it confounded doctors at the time:

At least a dozen medical experts probed the president'Â’s wound, often with unsterilized metal instruments or bare hands, as was common at the time.

Sterile technique, developed by the British surgeon Joseph Lister in the mid-1860's, was not yet widely appreciated in the United States, although it was accepted in France, Germany and ...

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More junk science

A study finds that alternative therapies for menopause are useless:

Researchers reviewed 70 randomized controlled trials of alternative treatments and found insufficient scientific evidence to support the effectiveness of any of the commonly used remedies: herbs, mind-body techniques, energy therapies using magnets or electrical nerve stimulation, homeopathy, naturopathy or culturally based non-Western medical treatments.

Smokers and non-exercisers are getting no sympathy:

According to the poll, 53% of respondents also believe that individuals with unhealthy lifestyles should pay higher deductibles or copayments than those with healthy lifestyles, compared with 30% who oppose the practice. Researchers defined individuals with healthy lifestyles as those who do not smoke and who exercise on a regular basis and control their weight.

Face blindness

A case of a mother who can't recognize her family:

The 45-year-old mother of four suffers from prosopagnosia, sometimes known as face blindness. She cannot recognise the faces of her children, her husband or even herself, after a virus struck little more than two years ago, causing inflammation in her brain and permanently harming the temporal lobe.

The loss of key parts of Claire's memory has proved traumatic ...

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How this medical student deconstructs the fantasy life of Gregory House and the world of Grey's Anatomy. (via Grand Rounds)

This doctor has it incorporated in his EHR:

The doctor still makes a diagnosis, but the computer brings back information on tests that work, tests that don't work, remedies that work, remedies that are used but don't work, and even remedies that many doctors didn't know would work.

For example, Willey showed the computer's reply to a diagnosis of an ear infection that was caused by antibiotic-resistant bacteria. Conventional ...

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One of the biggest resource drains on the ER. There is no continuity of care, and studies often get repeated and overlapped:

Across town, at Detroit Receiving Hospital, dozens of patients like Weiss-Frezzell show up every day, consuming doctors' and nurses' time, requiring costly medical tests and creating persistent frustration for medical staffs who struggle to treat pain-riddled patients but try to avoid giving them unnecessary medication.

In ...

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The physician who blew up his NYC apartment. Fascinating read.

A secretary is fired after breast cancer chemotherapy.

They increasingly turn to alternative therapies:

"Teenagers don't really have the full capacity to understand the broader picture, " said Kara Kelly, a pediatric oncologist at Columbia University.

She worries that teens don't realize the consequences of their decision and if alternative therapy doesn't work, they could be putting their lives at risk.

A number of studies show "adolescents have some difficulty understanding the finality of death," ...

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He crashes his minivan into a medical clinic. What else is new:

A man who crashed his minivan into a medical clinic, and then went on a rampage inside, was trying to find a doctor he blames for endangering his life by refusing to run an HIV test on him in 1988, a criminal complaint said.

Geoffrey Fitzgerald, diagnosed with AIDS eight years later, was charged in La ...

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He's finished a year of clinical training:

Medicine has made me into a shitty person. Or, maybe more appropriately, the shitty-person side of me was always there, but the stress of medicine brought him out. Many of the problems, I believe, stem from behaviors in medicine that I can't shake from my person when I'm not in my medical role.

Congrats to Dr. RW

His blog is a year old. Here's to many more years of great blogging.

MedGadget looks at the voodoo medicine people auction off on eBay.

A whole lot of penises:

I wasn'Â’t appalled when I (quickly) learned about the field of urology. I was surprised that the penis could have so many problems. And I also quickly realized that there were some men who didn't want any female looking at their penises... and then there were the men who weren'Â’t shy at all about sharing their penile troubles (or not) with me.

My previous post will be continually updated as the Anna Pou story develops. She is receiving significant attention from both her colleagues and other health professionals.

December 2004 - In the midst of the Vioxx fallout, some suggestions for patients who needed a COX-2:

If Celebrex and the other COX-2's are pulled in the near future, here are the options you want to discuss with your physician:

1) Switch to Tylenol.
2) Switch to Lodine, Mobic, or Relafen which are COX-2 preferential; or,
3) Switch to a non-selective NSAID, i) in combination with a PPI ...

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