A brand-new $3.8 million ER with 14 beds treats only 20 patients per day.

Dr. Wes examines the implications:

But in reality, these devices are surgically implanted and are a big deal for the recipient to receive. Certainly they can mean peace of mind in some folks, but the variable psychologic impact of these devices should not be underestimated. I would say the majority of patients I have implanted with these devices are genuinely happy they have one. But there are also patients ...

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Life-threatening hyponatremia from water intoxication is no joke.



I've never seen anything like this before. Courtesy of the NEJM:

A 24-year-old woman, para 2, who was 36 weeks pregnant, presented with massive diffuse enlargement of both breasts, which had progressed since conception (Panel A). There had been no such enlargement during her earlier pregnancies. Multiple cutaneous ulcerations occurred as a result of the rapid enlargement of the breasts over a period of 4 to ...

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Needless to say, he has been disciplined:

A dentist who pulled out an elderly woman's teeth without anaesthetic "to teach her a lesson" has been struck off.

David Quelch left the retired nurse, who was 87, with blood pouring from her mouth from two extractions after she had complained to her doctor about the quality of previous treatment by the dentist.

With our current fee-for-service reimbursement system, the hospital ironically loses more money when it cuts out unnecessary tests.

An infamous 1971 study looking at the psychology of imprisonment. Fascinating documentary in 5 parts on YouTube. Here's part 1:

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With this slick presentation and dramatic music. (via Peter Rost)

A Lunesta spoof.


"Nexoriatin"

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"Prozatene"

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Michael Ostrovsky lets loose and chastises the AMA's response:

California governator Arnold Schwarzenegger comes out swinging with a proposal to tax MDs 2% off their income to finance insurance scheme for all. From few, to all: just like in the Soviet Union. In addition, clinicians are assailed from all the other sides: managed care companies and insurance firms, trial lawyers, litigating patients, and populist politicians of both parties. As ...

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A list of drug reps on NFL cheerleading squads. I thought there would be more.

Paul Ostin:

The answer lies in eliminating all of the fraudulent law suits filed every day by money-hungry lawyers who are completely destroying the medical system. As lawyers sue doctors, malpractice insurance premiums increase. The number of personal injury litigations has steadily increased at a rate of 12% since 1975 . . .

. . . Seeing the direct correlation between health care cost and the cost of ...

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This better get dismissed:

Hernandez, a 26-year-old illegal immigrant, was arrested "” along with his girlfriend, 22-year-old Yuribel Najera "” last year in connection with the death of their daughter, two-month-old Judith Hernandez. They are both charged with homicide by child abuse.

Hernandez is accused of slamming the newborn against a wall in a fit of rage. Najera allegedly failed to get her daughter the medical attention she needed ...

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Here we go again

MedPAC recommends a 1.7% increase in physician reimbursement in 2008. Without it? A double-digit decrease of 10%.

A man visiting from Ecuador flies home, but not after his non-reimbursed care leads one hospital to dump him to another:

While Segovia was taken to an apartment, Hackensack's discharge papers state he was sent to a "sub-acute rehabilitation facility in stable satisfactory condition." The records also state that Segovia -- who is paralyzed below the waist -- was "ambulating."

He was heavily sedated after a dental extraction:

The panel heard how Ryan Willoughby, 4, was left on a trolley to come round after having two teeth removed under heavy sedation without his parents' permission.

The worried mother and father were then told by a female staff member to take their unconscious son home before being ushered out the back door.

In an unauthorized presentation for medical device salespeople.

A study looks at Levaquin to treat otitis media. Flea is disgusted at the study:

Of course Levofloxicin kills bacteria that cause ear infections! It's a friggin' sledgehammer! What will happen now is that a pleasant-tasting quinolone treat will be formulated shortly. Then we fleas will start dispensing it like Pez candies. Shortly thereafter we will face an epidemic of quinolone-resistant organisms.

Folks, 80% of acute ear infections ...

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Sid Schwab with more eloquence from the OR:

Nothing, it seems to me, represents what the general surgeon does more than that. It makes me feel connected to and a part of the chain of daring and innovative people who braved the terrain and blazed the path for us all, a century and a half ago; done right, it can be beautiful. Yes, guts: beautiful. Done wrong, it can ...

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The plot of a Scalpel, a novel where a serial-killer surgeon hunts down lawyers:

Berman's main character "“ who, Berman insists, is not his alter ego -- is a mysterious surgeon who is tired of attorneys who relentlessly pursue medical malpractice lawsuits against doctors who have done nothing wrong. The attorneys stop at nothing to ruin the careers and lives of their victims.

One surgeon, whose ...

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