Sid Schwab has a wonderful blog over at Surgeonsblog. This entry talks about his novel prevention for STDs:

So I did a little experiment with my staff of medics, who were not inclined toward abstinence. I gave them little tubes of neomycin ointment. "You didn't hear it from me," I said as I passed the little saviors out. "But you might want to see what happens if ...


A nice introductory list of medical podcasts.

A grim and compelling article of this hellish time.

He makes no qualms about a two-tiered system in Canada:

In the past, he has compared Canada's medicare system to that of North Korea. He's also said that the universal nature of Canada's medicare system is fundamentally unfair and that those Canadians who are better off should have to pay privately.

At his Cambie Surgery Centre in Vancouver, he services medicare patients. But he also openly lets those who ...


This statement rings so true:

The lesson is clear: when government and other third parties get involved, health care costs spiral. The answer is not a system of outright socialized medicine, but rather a system that encourages everyone- doctors, hospitals, patients, and drug companies- to keep costs down. As long as "somebody else" is paying the bill, the bill will be too high.

It's part of movement to bring more medical care into the suburbs.

Another way patients lose with high malpractice premiums:

A retired medical doctor in Coeur D'Alene, Idaho,who wants to donate his time to the Dirne Health Care Center in northern Idaho says he is unable to do so because medical malpractice insurance would cost him at least $10,000.

Norman Leffler, 77, said he wants to work at the center, which has a waiting list of as many as 500 ...


More bold words from the President: "A lot of OB/GYNs are leaving the practice because they're getting sued out of existence." (via This Makes Me Sick)

They are already in a defensive mode.

And he takes it personally.

I sincerely hope so.

They are up in arms about this leaked memo:

Richard Thomason, the policy director for SEIU United Healthcare Workers West, which is based in Oakland, said a leaked memo indicates that the physicians group, which is based in Walnut Creek, may be in violation of state and federal laws and regulations and of its own stated policies.

Thomason said the memo, which is dated March 6, 2006, says "primary ...


Some are saying that Lyme disease is overdiagnosed and overtreated. Also becoming more popular are the so-called Lyme gurus, who give extended courses of antibiotics - which may not be evidence-based:

But what's even more devastating, says the chief of infectious disease at Northeast Health Systems, is the tendency for people to seek out "Lyme gurus" -"” cash-only, out-of-state doctors who make their living prescribing unneeded antibiotics.

And some economists feel that is just fine.

And the mother's moral of the story: "At least we got some Keflex out of the deal."

Imagine the outrage if her child didn't need antibiotics.

Sad that it's now almost part of the job description. (via This Makes Me Sick)

Check out the anger on the NY Times blog. Is it defensive medicine or money? The answer is yes. (via The Health Care Blog)

The war may be over

And the drug companies have won. A piece well worth reading by Medpundit:

I've grown used to patients requesting drugs their friends have recommended. I've grown used to patients insisting that certain drugs are the best in their class, based on nothing more than television commercials. I've grown used to the cozy relationship between drug companies and medical celebrities. But, when my favorite cardiologist, a man I've known ...


Seems like the doctor did everything within standard of care:

The Blair County civil court jury found Dr. Debra S. Pike of Roaring Spring negligent in treating 39-year-old Cynthia Storm of Hollidaysburg, who went to Pike in January 2002 after discovering a lump in her breast.

The doctor conducted mammogram and ultrasound tests, which did not detect a tumor. Storm continued to say she felt the lump during doctor ...


A third of married individuals said they would choose someone other than their spouse as their proxy.

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