This scenario happens all the time. Again, patients lose:

What would you do if you're a neurosurgeon and you understand neurosurgery better than anybody sitting a jury or a trial lawyer and you know this patient desperately needs you? But you know that the outcome (from a particular procedure) is terrible. So are you going to put your practice, your livelihood, your family and everything at risk by ...

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No, just kidding. But physicians are finally wising up to an even greater threat: declining reimbursement.

Problems can arise if they are not challenged:

"The most common problem is that they don't learn to work," says Maureen Neihart, a clinical child psychologist and coauthor of the book "The Social and Emotional Development of Gifted Children." Children who earn good grades and high praise with relative ease may not learn how to try hard and to persevere when things are difficult. They can come to equate their ...

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A reason why physician dissatisfaction will continue?

The problems in medicine are even more pronounced for female physicians, so it is not surprising that female physicians report more job stress, lower perceived wellness and more burnout than men. Women now make up almost 50 percent of medical school students, and so the problem with physician dissatisfaction is likely to get worse for this reason alone.

The white coat still is important:

Seventy-six percent of the respondents favored their doctors wearing a white coat. The next most common attire -- 10 percent -- was surgical scrubs.

The patients who participated in this study stated that their trust and confidence in the doctor was significantly associated with the physicians' attire. They were also more willing to share their social, sexual and psychological problems with doctors who ...

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And it's only going to get worse.

And so starts an addiction that would cost him his job.

According to this Gallup survey:

Some jobs are highly regarded. The Gallup Poll asked 1,003 adults in April 2005: "Suppose a young man came to you for advice on choosing a line of work or career. What would you recommend?" The top answer was doctor (17 percent); the second was computers (11 percent). For "a young woman," the answers were doctor, 20 percent; nursing, 13 percent.

This is one thankless job. I'm surprised he stayed on as long as he did.

Something to think about for those scheduling for convenience:

Part of the reason for the increased mortality may be that labor, unpleasant as it sometimes is for the mother, is beneficial to the baby in releasing hormones that promote healthy lung function. The physical compression of the baby during labor is also useful in removing fluid from the lungs and helping the baby prepare to breathe air.

Death by stingray

Chris Rangel looks closer at Steve Irwin's tragic death.

Even though insurers are paying for them. The reason? It takes away from office visits, which in turn reduces revenue.

A new trend is occurring, taking "failure to diagnose" to extreme measures. A warning to primary-care physicians everywhere:

The growing acceptance of the lost chance doctrine represents a real threat to primary care physicians, who are often the first line of defense in diagnosing potentially serious conditions. But it also provides an alternative means of compensation for malpractice plaintiffs whose cancer or other conditions should have been diagnosed ...

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The Katrina Blog Project

Fascinating memoirs from Michael Hebert, a physician who lived through Hurricaine Katrina.

Apparently the doctors in India refused to treat her due to her HIV status.

A fact that would have gone uncovered if cigarette companies had their choice:

The three most popular brands chosen by young smokers "” Marlboro, Newport and Camel "” all delivered significantly more nicotine as the years passed. Virtually all brands were found to deliver a high enough nicotine dose to cause heavy dependence. This trend has escaped notice because the standard government test uses a machine that fails to mimic ...

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Surely a disturbing finding.

He's running an interesting series of posts on the topic:

When it comes to cancer treatment, we are indeed Neanderthal, compared to the ideal, and to how it'll surely be in a few decades. It's because of two most major failings: first, we have no way of knowing, for a given individual, how much is enough to cure a cancer (and the converse: we can't tell which tumors aren't ...

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NEJM on primary care

A must-read article on the challenges facing primary care today:

No serious proposals to narrow the income gap between primary care physicians and specialists are on the national agenda. Fee-for-service payment rewards quantity rather than quality, fostering the rushed visits that underlie primary care's shortcomings. Pay-for-performance programs appear to be insufficient to make a substantial difference; physicians could increase their income more -— with less additional work -— by ...

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Most of the major non-profit Boston hospital CEOs are making in excess of $1 million.

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