More COX-2/NSAID madness

JAMA stirred up more controversy yesterday. Now, Naprosyn is the safest NSAID. Diclofenac (Voltaren) is now on notice. It seems the studies continue to show differing results.

What does this mean? For Merck, it's more bad news. Their new COX-2, Arcoxia, was touted to have a similar cardiovascular event rate with diclofenac. Now it looks like they chose the wrong NSAID ...

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This time with a twist. An optometrist crashes his truck into a house, with tragic results.

Yes, he is being tried for molestation.

And he thrilled that's all it was, after undergoing four unsuccessful surgeries.

9/11 and the flu

Apparently the traveling freeze post-9/11 delayed the flu season:

During the first five flu seasons, flu deaths peaked on or around February 17. But in 2002 the peak was delayed by two weeks, until March 2. In the years that followed, the peak moved back to February, they wrote in the online journal Public Library of Science-Medicine.

And during the 2001-2002 flu season, it took 53 days for flu ...

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Yes, there is a correlation. Surprising.

No pens for you

Stanford takes a hard line against pharmaceutical gifts.

It added up to big out-of-pocket expenses for this patient.

Tips for a smooth EMR transition

And a soothing recipe at the end to boot. (via The Health Care Blog)

Graham talks board prep

Funny, I used the same books when I took step one almost 10 years ago.



Dr. Charles: September 11th - Where Were You?

Flea: 9/11/01

Dr. Hebert: 9/11

KidneyNotes: New York Times Front Page for 9/11

Medpundit: 9/11 Remembered

Respectful Insolence: September 11: Five years later

GruntDoc: 9-11 Fifth Anniversary


Update:
A Chance to Cut is a Chance to Cure: Five Years Ago......

Musings of a Dinosaur: Two Little Numbers

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Machines kept the patient's blood circulating, as he awaited a transplant.

A hospital sues a patient

A mosquito bite costs a patient $2.5 million in medical care. Despite health insurance, he still cannot pay his hospital bills.

Chris Rangel wonders whether medical school contains too much harassment and belittlement.

The good life

Can concierge medicine be this good?

A nurse kills a home intruder with her bare hands.

Quite a lot, explains Slate:

Doctors find retained foreign bodies in both smugglers and recreational body-packers. One experienced pleasure-seeker told an online body modification magazine that it took two years of training before he could accommodate a wine bottle"”which is about three inches wide. (Now he can handle 4-inch balls.)

Watch for debris

A patient is killed in her hospital bed when a rock that crashed through the roof hits her head.

A physician loses a malpractice case due to a known complication:

At trial, Wagner, OHSU's lawyer, told the jury that Ackerman's injury was a known risk of the surgery, and Ackerman had signed the consent form acknowledging that his doctor had educated him on complications.
But of course, "money was never the issue."

A physician responds to an editorial in PA:

But defending cases costs an average of $50,000 - even if it never gets to court. These costs, initially paid by the insurance companies, are passed on in premium increases to doctors and hospitals. And the cost of staggering jury awards, also paid by insurance companies, is passed on in premium increases to ALL doctors, even if negligence is found in only ...

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