Arcoxia: Denied

It's official.



Another one is taking precautions against . . . well pretty much most modern communication devices. She's not the first:

Sarah, 51, is one of a growing band of people who claim to be experiencing extreme - and incapacitating - sensitivity to electrical appliances, as well as to certain frequencies of electromagnetic waves.

"Wi-Fi, or wireless broadband networks, seem to be the worst thing," ...

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A nurse midwife failed to call for physician backup after a non-reassuring fetal tracing.

The question should be rephrased to "How close to 100% certain do you want to be?" As I stated before, if a patient understands the risks of an unnecessary test to get closer to the impossible goal of 100% accuracy and chooses to proceed, I normally would then order the test.

Scalpel
with an example regarding chest pain in the ER.

Med School in a Box



4-years of medical training condensed in 96 pages. Considerably cheaper than tuition too. (via White Coat Notes)

ScienceRoll points to the use of medicine in "virtual worlds" like Second Life, which is kind of like the world found The Matrix. Here's a Second Life scenario teaching cardiac murmurs:

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Just a game you say? Well the American Cancer Society and CDC are early adopters by setting up presences in ...

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Shrek fired

Apparently he wasn't promoting a healthy-enough lifestyle in his movies. (via Medpundit)

A recent article highlights the prominent emergency medicine bloggers. (via Graham)

Dr. Rob thinks so:

I think that this is a fundamental problem in our system. For policy makers to understand what is wrong with the system, they must be able to hear it from those most affected by the deficiencies in the system. The problem is that those people who are in the most distress are exactly those who cannot afford to take the time to put forth ...

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More evidence from Canada:

If you believe such shortages can't happen in the United States, think again. Medicare already presides over a Byzantine system of price controls that it is planning to expand. This system has already created primary care shortages in many rural areas in this country, and its planned expansion will create more.

If the voters are foolish enough to bestow the presidency on a proponent ...

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As the world becomes indexed via search engines like Google, online reputation becomes important - especially for health care providers. Patients are likely going to Google you as a quick screen, whether you like it or not:

With so much information accessible just by entering your name, the name of someone you know, the name of a business associate or even the name of a patient into a search ...

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Malpractice juries

Flea continues prepping for his trial and reveals that the facts of the case barely matters:

A jury's decision-making process depends more on the doctor's character, or what they perceive the doctor's character to be, than on the medical facts of the case. The break-down was astonishing: Doctor's character accounts for 97% of a jury's decision, the medical facts of the case, 3%.

Did y'all get that? The facts of ...

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Dr. Wes on the rise of patient blogs and what it means for HIPAA:

Patient blogs are now the rage at local hospitals here in Chicago, detailing play-by-play accounts of health care delivery and histories on patients themselves. You see, patients aren't covered by HIPAA. They can say what ever they want about themselves. But sometimes the patient isn't the one posting on the patient's blog, family members were, ...

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JCAHO takes the easy way out, and expands the antibiotic-pneumonia window to six hours. retired doc is not impressed:

Reacting to an outpouring of criticism and valid complaints about the simplistic four hour pneumonia rule the Joint Commission (aka JCAHO) emphatically demonstrated that they did not get the point and moved to correct the problem by increasing the time to six hours. They also amended the original rule by ...

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Many hospitals and doctor's offices are still pushing paper from room to room.

A slippery slope?

Until recently, the screening - called pre-implantation genetic diagnosis (PGD) - was approved only for genes that always cause diseases when inherited, such as in cystic fibrosis . . .

. . . Last May, the watchdog ruled it acceptable for doctors to screen embryos for genes such as BRCA1, which raise the risk of cancer in adulthood by 60-80%.

However, it still has ...

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Abortion ship

A ship will take women out to international waters to perform abortions.

Another member of mainstream media takes an evidence-bereft, pro-screening bias. This time, electron beam CTs for coronary artery disease, a AAA screening test for adults age 40 and above (contrast with the USPSTF recommendations), hi-res chest CT for lung cancer, and a PillCam screen for esophageal cancer are the "routine" tests recommended by Dr. Corso.

I'm ashamed to say this is an internist recommending these tests, ignoring the ...

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He publishes secret training tapes, and mainstream media is throwing oil on the fire.

Schwitzer with another instance of the media's non-critical pro-screening bias. This time, the Chicago Sun-Times with another irresponsible article on prostate cancer screening. I guess the evidence doesn't sell papers.

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