Unbelievable.

I wonder what the other guests thought.

How ignorant:

"I'm not a fat cat doctor living in a palatial mansion in Maple Ridge," he said. "That picture of doctors is an American picture that doesn't belong in Canada, quite frankly."
Really. Tell me how many Canadian doctors are in debt after medical school.

From the letter to his patients:

"After almost 18 years of practicing medicine in Davis Square, I am looking forward to many more years as your family physician. There will be only one major change that will occur in July - I will begin practicing medicine as a woman."

That's one tough ophthalmologist:

The Tucson eye surgeon convicted last month of conspiring to kill his former partner broke another inmate's arm in a jail fight, a Pima County sheriff's spokesman said.

Bradley Alan Schwartz was reading in his eight-man cell early Monday when a fellow inmate flipped liquid from a lemonade cup at him, Deputy Dawn Barkman said.

Schwartz walked up to the other man, who threw ...

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It's happening in some parts of the country. However, capitation tends to be more expensive short-term than fee-for-service. Will insurers have the long-term vision to pay more now, for cost-savings later?

It was thought that he was drunk, and this information was relayed down the chain of care.

It's all about the cost, forget the physician relationship:

FP Michael J. Morris of Willmar, MN, thinks the insurer's approach to this issue works against its efforts (and those of other plans) to encourage primary care doctors to manage patients' overall health. A nurse at a walk-in clinic, he says, isn't likely to check patients' cholesterol, make sure they're up on their immunizations, and talk to them about their weight ...

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Flea points out that non-urgent cases pays the bills:

And finally, there is the bottom line. I congratulate the authors for recognizing the financial pressures on ED's to see non-emergently ill patients. I hasten to point out, however, that this is an explanation, not an excuse.

The IOM report confirms what I have long suspected. The ED's themselves are not motivated to fix the fundamental problem of over-use of ...

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And how the VA's EHR can solve it. I've used VisTa and it's good. Too bad the government can't see that the solution for healthcare's IT troubles is right under their nose.

Orac on how he bilked gullible, alternative-medicine believing patients.

Too cool. (via PharmaGossip)

A newspaper reader calls out the idiocy of the Ohio Academy of Trial Lawyers:

I read with interest Philip J. Fulton''s May 25 letter. I also read the article he refers to in the May 11 edition of The New England Journal of Medicine. Fulton, president of the Ohio Academy of Trial Lawyers, claims this article "establishes that almost every medical-malpractice suit filed in the United States has a ...

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Sometimes what the AMA does makes some sense:

"A temporary moratorium on DTC advertising of prescribed drugs and medical devices will benefit both the patient and physician," AMA President-elect Dr. Ronald M. Davis said in a prepared statement. "Physicians will have the opportunity to become better educated on the pros and cons of prescription drug uses before prescribing them, and will be better able to determine when they are best ...

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Doing this can instantly release 3 days worth of narcotic more powerful than morphine.

The WashPost looks at the implications:

For the price of a mail order test kit containing swabs to scrape cells inside the cheek, nearly a dozen companies now offer curious consumers the chance, without ever seeing a doctor, to learn whether they carry genes for cancer, blood disorders or other diseases. Some companies are marketing personalized diet or skin care recommendations based on DNA analysis using tests that are ...

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An interesting discussion on the topic, suggesting that egos play a role:

Another challenge is the "rock star" syndrome. Also as with law, doctors - and to a lesser extent, nurses - go through a very long and arduous training program before they're allowed to practice, and it has a significant rate of failure. Along the way, many doctors (and lawyers, along with celebrities of all stripes) end up ...

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This happens in many hospitals, not just in Australia:

When asked what she thought the standard dose of dextrose was at the time of the error, she answered a standard solution of 4 to 5 per cent. She said she did not know a 50 per cent dosage could have a dangerous effect.

"It was a strange order," she said. "It was unusual. I recall thinking I have ...

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He single-handedly caused the UK's current measles outbreak:

Numbers of measles cases in the UK have risen to their highest level in nearly 20 years, experts said.

Surrey and Sussex could have up to 156 cases and South Yorkshire may have 180. Last year there were just 77 cases across England and Wales.

The south east's health agency blames low uptake of the MMR vaccine. It comes ...

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It costs about $20,000:

The Chinese want boys, and the Canadians want girls. If they have enough money, they come to the United States to choose the sex of their babies.

Well-off foreign couples are getting around laws banning sex selection in their home countries by coming to American soil "” where it's legal "” for medical procedures that can give them the boy, or girl, they want.