The age-old question, how can you tell if it's cardiac or not? Scalpel writes from the ER perspective.

They are reaching out to the Lancet and WSJ.

Stunning news. The Boston Globe on Flea, his trial and how his blogging ultimately led from a possible victory to settlement:

As Ivy League-educated pediatrician Robert P. Lindeman sat on the stand in Suffolk Superior Court this month, defending himself in a malpractice suit involving the death of a 12-year-old patient, the opposing counsel startled him with a question.

Was Lindeman Flea?

Flea, jurors in the case ...

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A Greek blogger writes about physician corruption during her last few years with terminal cancer.

An anonymous blog posting has got him riled up:

Arbesfeld included in his e-mail a comment on a blog posting, originally published in the Wall Street Journal, that accuses Nissen of primarily criticizing manufacturers that do not support drug trials at the Cleveland Clinic: "Wake up, pharmaceutical companies "¦ if you don't hire the Cleveland Clinic for your big trials then you face the firing squad from Nissen and ...

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There is no precedent for a case like this:

Johnson, then a senior at Hercules High School, volunteered with several other students to be hypnotized by Cady. But he and his mother allege in a negligence suit filed earlier this month that toward the end of the performance, "while still in a hypnotic trance, [he] proceeded to run out of the building, jump two flights of stairs and continued ...

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The recent NY Times' piece on stroke has generated some controversy. A journalist for a national magazine is interested in talking to the authors of some of the anonymous comments that the post generated:

I am a freelance medical investigative journalist and I will be examining how medical studies are misinterpreted for a feature article in a national magazine. Would those of you who posted on ...

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What is motive behind this test that almost everyone passes anyways? There are 17 million reasons.

The brouhaha about pink cupcakes has come to an end as AstraZeneca has banned them. Peter Rost and John Mack with more.

Big Pharma is employing nurses to review charts, a precursor to pushing brand name medications:

One recent 18-month program sponsored by Pfizer and the National Health Service added nurses to hospitals to discuss management of chronic health conditions with patients. Sanofi-Aventis is paying nurses to train doctors' office staffs how to identify patients at risk for cardiovascular disease and diabetes. Last fall, the British drug trade group temporarily suspended ...

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Just confirming what has always been suspected:

Parents are giving their children internet-bought "smart drugs" to boost their performance in the exam room, a psychologist has claimed.

Anti-hyperactivity medicines like Ritalin are being used as a "study aid", says Leicester University's director of education Paul Cooper.

He has drug-resistant TB and willfully disobeyed advice not to travel:

Federal and international officials are tracking down passengers and crew members on two trans-Atlantic flights earlier this month who may have been exposed to a man infected with an exceptionally dangerous form of tuberculosis.

The male passenger flew to Paris from his home in Atlanta on May 12 on Air France 385 and arrived in Paris on ...

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VistA

An op-ed in the NY Times extolling the virtues of the VA's EHR. I agree, it is the most redeeming entity of the Veterans' health system. Matthew Holt says it's not ready for prime time yet.

Rich Tucker and Benjamin Pugh take their shots.

Raising HDL

Now that Pfizer's torcetrapib was DOA, how can you raise HDL? Well, there's plain old exercise for starters:

A regular aerobic exercise program of at least two hours a week produced a small but significant increase in HDLs, according to a meta-analysis.

GruntDoc on the recent NY Times' piece on stroke and use of tPA:

It's a tour-de-force in obfuscation of fact, presentation of tragedy as preventable, and the presentation of TPA as an ignored wonder-drug, MRI should be the standard of care for new strokes, and frankly there's no redeeming value within.

Expansion of Massachusetts General Hospital is causing some worry:

Slavin is right that the people of Massachusetts expect much from the hospital: the best of care no matter how difficult the case, the training of physicians, and advances in medical research. But government, business, and consumers in the state can only afford so much. The long-term cost trends at MGH will be evident in a year or two, when ...

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The AMA and Sermo

The AMA decides to join to 21st century and partners with Web 2.0 upstart Sermo. Pharmalot shares some concerns about the deal.

Heart attacks, anxiety, depression and suicide often contribute to the high mortality rate in whistle-blowers. (via Health Care Renewal)

An ignorant DA is continuing with charges against diabetic Doug Burns, who was arrested during a hypoglycemic episode:

. . . the authorities pressing charges are publicly chastising Doug for negligence in his diabetes care, on the basis that he was temporarily on injections rather than his usual Animas pump at the time of the incident. This was because he had run out of infusion sets during recent ...

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