The next two parts of this fascinating series.

Eternal Clerking

More funny stuff from the UK physicians/songwriters.

height="350" width="425">

Stroke and tPA

tPA is one of the few drugs shown to be effective in an acute stroke. However, it can have dangerous and life-threatening side effects, which is why physicians are hesitant to administer it. Neurologists don't really see the big picture - comparing tPA to antibiotics is ridiculous:

"I label this a national tragedy or a national embarrassment," said Dr. Mark J. Alberts, a neurology professor at the Feinberg ...

Read more...

And wins.

The triple-amputee is poised to become a pediatric specialist:

Kellie Lim, who became a triple amputee at age 8 because of bacterial meningitis, is to graduate from UCLA's medical school on Friday, and she plans to focus on childhood allergies and infections disease.

The Michigan native, 26, does not use a prosthetic arm and manages to perform most medical procedures "” including giving injections and taking blood "” with ...

Read more...

To no one's surprise, Public Citizen is outraged at the Polyheme trial controversy:

"This is completely unethical," said Dr. Sidney Wolfe, director of Public Citizen's Health Research Group. "They withheld blood -- the gold standard -- for a product that has proven in previous clinical circumstances to raise the death rate."

Indeed:

Why would any intelligent person choose a profession where income is guaranteed to fall 30% over the next five years, where your every action is second-guessed by government or health plans, where malpractice suits are a constant worry, and where you are blamed at every turn for the exorbitant cost of care?

Slate on the abolition of menstruation.

Cuban health care

A telling truth that Michael Moore conveniently left out:

"Actually there are three systems," Dr. Cordova said, because Cuba has two: one is for party officials and foreigners like those Mr. Moore brought to Havana. "It is as good as this one here, with all the resources, the best doctors, the best medicines, and nobody pays a cent," he said.

But for the 11 million ordinary Cubans, hospitals ...

Read more...

The ER crisis up close:

We asked the doctor how to avoid spending a day in the ER just to get antibiotics. She explained that had I arrived in an ambulance, I would have received immediate treatment; ambulances were handled immediately. After 10 hours at the hospital, I left with a prescription and a first-class education in the ER crisis. Trust me, it is real.

Is it worth $33 million?

A Connecticut secretary who suffers from the "winter blues" is suing her ex-employers for $33 million, claiming they wouldn't give her a well-lit desk with a window view.

Caryl Dontfraid says she has seasonal affective disorder, which causes depression during the fall and winter and can be alleviated by exposure to bright light.

These prospective students in this forum sure are aiming high.

This statistician has doubts:

My question: was the cardiovascular risk real in all studies combined (p=0.03), but not in DREAM (p=0.22), ADOPT (p=0.27), or all small trials combined (p=0.15)? That seems to be a pretty bizarre statement to make, and is probably why the European agencies, the FDA, and Prof. John Buse of UNC-Chapel Hill (who warned the FDA of cardiovascular risks in 2000) have urged patients not to ...

Read more...

A bio of the crusader cardiologist at the heart of the Avandia controversy.

There must be some kind of line that is crossed here:

Dutch broadcaster BNN plans to air a television show next week in which a terminally ill woman will decide who out of three young patients will get her kidney.

Viewers will be able to advise the 37-year-old woman, known as Lisa, via text messages which of the candidates to pick, the Algemeen Dagblad newspaper said.

John Mack suggests that instead of attacking GSK and the FDA, the blame should be spread around:

Maybe even patients are partly to blame. When was the last time YOU read a package insert. Yes, it's often incomprehensible, but patients often don't even read the patient section of a drug's label, which is easy to read as opposed to the technical part of the label designed for physicians.

A more definitive study on Avandia's risks is in jeopardy as patients are starting to drop out:

Dr. Krall said he did not yet know how many patients have withdrawn, but said Glaxo was now worried about whether it could complete the drug trial, which has been scheduled to run through next year. The company has been counting on a successful outcome from the study to dispel widespread concerns ...

Read more...

A recent survey suggests that many psychiatry residents skip this step:

Rutherford and colleagues investigated the informed consent practices of 108 psychiatry residents by assessing their responses to clinical vignettes describing three hypothetical patients with major depression, borderline personality, or neurotic character traits.

Only 8 of 324 completed vignette responses (3 percent) met the criteria for adequate informed consent, the authors report, and only 3 of 324 met ...

Read more...

This CEO suggests through health care reform.

Post-op infection leads to an amputation in this unfortunate woman. The on-call surgeon was protected by Florida's Good Samaritan law.

Most Popular