Dr. Crippen looks at the happy Concerta kids and the ADHD epidemic. Fantastic blog, by the way.

Good question:

Recently, I, along with several other folks, waited in the offices of two different doctors. While we waited, pharmaceutical salespeople stopped in to see the staff and doctors. Sometimes they leave free samples doctors can give to those who can't afford to pay for the drugs. That is good. But why can't these salespeople make appointments as the patients must do to see a doctor?

An optometrist puts his practice up on eBay. Is $450,000 a good deal?

Derek Lowe on Pfizer's irrational Exubera:

Pfizer may be counting on its (justly) famous marketing powers to put Exubera over. If the landscape, though, really is changing to more rigorous cost/benefit calculations, that might not do the trick. I realize that the BW authors have an interest in promoting this viewpoint, but I hope that they're on to something. I'd rather see more of the competition between drug companies taking ...

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Merck wins the latest Vioxx case. "This was the second court victory for Merck, and the first in a federal court. The company had argued in this case that plaintiff lawyers never proved any link between Vioxx and the heart attack Richard "Dickey" Irvin suffered in 2001. Merck's lawyers contended Irvin's age, gender and diet all put him at risk for heart attacks."

Meet the new standard of defensive medicine - diffusion tensor imaging:

The new imaging technology is only present in a few dozen research hospitals and not yet available to the average patient. But it already has far-reaching implications for those with head injuries because it can detect abnormalities that an MRI can't. Doctors will also be able to see more precisely how different drugs act on the brain and ...

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Should one always screen for cancer, no matter what the age?

In a video recorded deposition played for the jury, Melser said he probably would have ordered a biopsy if Lindall had been 70 instead of 80.

"The defense was that it is OK not to tell an 80-year-old man that he might have prostate cancer and offer him the chance to be biopsied because the treatment would not ...

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Disturbing: Bodies of fetuses and newborns are clogging sewers in Zimbabwe.

Every doctor should work as a waiter. "I hear many complaints from my fellow residents at the retirement home where I now live about the poor service they get from their doctors. What I hear sounds inexcusable to me: Doctors don't listen, doctors don't spend time, doctors are always hurried, doctors don't return phone calls, and on and on.

I believe I know how to solve the problem. ...

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Dr. Charles, with another fascinating story: The Curious Case of Mr. Black.

A defensive echocardiogram would have spared this doctor a lawsuit:

Attorneys on both sides seemed to agree that the case largely hinges on whether Razzak should have ordered an echocardiogram, a test that uses sound waves to create a moving picture of the heart.

"When you don't order the echocardiogram, that falls below the standard of care," said Brad Rhor, one of two attorneys representing Orr.

Defense ...

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Is defensive medicine reaching the NBA?

Cardiologist Dr. Barry Maron of the Minneapolis Heart Institute Foundation told ESPN.com that he will recommend to team doctors that every team replace the standard electrocardiograms (EKGs), which can detect an irregular heartbeat, with echocardiograms, an ultrasound that allows a doctor to study the size of the heart and the strength of the heart muscle.

Echocardiograms, which are not invasive and are ...

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It costs more to see a car mechanic than a doctor.

Non-medical, but cool: The best optical illusions on the internet. (via Eye on Vision)

Get your kids away from those home paper shredders.

"Spread those little butt cheeks." Dr. Moser has a rather crappy day at the office.

Would doctors sue if a loved one were injured by malpractice?

NEJM - There is no clear benefit from giving calcium pills to healthy post-menopausal women:

In the new study, the participants were randomly assigned to take 1,000 milligrams of calcium and 400 international units of vitamin D a day, or to take placebos, and were followed for seven years. Researchers looked for effects on bone density, fractures and colorectal cancer. The lack of an effect on colorectal cancer over ...

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PhRMA on drug samples:

According to Johnson, restricting the free samples given to doctors would be "unfortunate and could negatively affect patients who rely upon the $16 billion worth of medicines distributed each year," which "often serve as a safety net." He added, "We believe that pharmaceutical companies should not offer or provide anything to doctors that would interfere with the independence of their prescribing practices," but, "[c]learly, pharmaceutical marketing ...

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When a hospital puts profits before quality:

It seems that Dr Carmody's practice has not generated as much revenue for the hospital, as the Physician Services had hoped, by this time.

NorthCrest Medical Center has a reputation in surrounding communities, of not having quality physicians.

Perhaps they should look closely at what may be one of the reasons. Maybe they should consider trying to keep quality doctors ...

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