Medicaid and child abuse

Medicaid refuses to pay for gynecomastia surgery in a 13-year old boy. Is that akin the child abuse?

Is there an international pain crisis?

Controlled chaos in the ER

What can happen at any given time in the ER.

Sid Schwab on Ken Griffey Jr.'s bout with diverticulitis:

I should add this: surgery for diverticular disease is gratifying. It's rare to have further problems after having the diseased area removed, and the comparatively small section that's typical taken out leads to no side effects at all. So it's a pretty happy group of patients. It is that for which we surgeons shoot.

A stumbling block to universal coverage.

The Physician Executive, Orac, #1 Dinosaur, and Dr. Val with their thoughts.

The best way to combat retail clinics is to open one of your own.

Executives and surgery

Sometimes, you have to pry that BlackBerry out of their hands. (via The Medical Quack)

A medical student finds out what happens to breast implants during gross anatomy lab:

The most interesting part of the implant was the reverse side, which had circular spots of scored silicon. These textured spots act as anchoring points for the body's natural connective tissue. In other words, the body grows into the implants. Women have to routinely massage their implants (at least the older implant I saw) to ...

Read more...

Some find the association between medicine and money distasteful. In this day and age, there may be no choice. Doctors also need to be good businesspeople:

When physicians see a patient, they do not usually know their account status. A good doctor DOESN'T WANT to know and that may be one reason many primary care physicians are struggling financially.

That makes it 5 years in a row since tort reform.

And she is going to the state Supreme Court:

Ms. Currier says she runs a high risk of failing the test unless the National Board of Medical Examiners gives her additional break time to pump breast milk for her 4-month-old daughter.

The board has refused the request, and on Thursday, Ms. Currier asked a Massachusetts Superior Court judge to order it to give her extra time on each of ...

Read more...

A lucky catch

A doctor tests out the hospital's new CT scanner that evaluates the coronaries. What a surprise he found.

Fascinating insight from a Kaiser ER physician.

Abdominal compressions

A new CPR technique?

The new technique focuses on applying pressure to the abdomen rather than the chest, and according to the research, the study "provided 25 percent more blood flow through the heart muscle without retrograde flow in the coronary arteries," all while reducing the chances of damage to the rib cage.

The million dollar question. Panda suggests it's the profound lack of common sense:

The effects of this lack of common sense, trying to practice zero-defect medicine among a terrifically unhealthy, mostly non-compliant, and litigation-happy patient population are legion and spread their costs and inefficiencies throughout the system.

ERnursey on what's wrong with these surveys:

By forcing the doctors to give them want [sic] to keep them happy you are completely negating all the years of medical school and specialized training that doctors have to learn how to diagnose and appropriately treat people who are ill and injured. If all we want is for them to be happy we don't need doctors or nurses, we can just sit ...

Read more...

Some estimates are as high as 50 percent of journalists being pampered by Big Pharma.

Something physicians' handwriting is good for:

ePrescribing has taken one huge factor that makes forgery difficult. The human handwriting factor. All of us 'know' a doctors handwriting or writing habits. The out of town or new doctors that we don't recognize we call on. ePrescribing takes care of that. There is no human element to Rx's now days. Everything is generated by a computer, the same type of computer ...

Read more...

The non-compliant patient

What is your threshold for whipping out the AMA form? Fat Doctor with a couple of non-compliant patient cases. The Physician Executive comments on her piece.

Most Popular