A reporter lectures to Vanderbilt medical students about medical blogs. Thanks for the mention. (via Notes from Dr. RW)

This frustrated doctor wants to get back at the system:

As a primary care physician, I've found that the most therapeutic way to combat the horrendous medical climate we practice under is to do your best to bankrupt it. Over the past few years, I've probably quadrupled my ordering of diagnostic testing (up to the point of patient safety) not only to CYA, but also to help financially melt the ...

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I have written before that the physical exam is useless in American medicine:

This is why the physical exam is useless in American medicine - it cannot hold up in court. Clinical evaluation and judgment skills now needs to be supported with objective, and often expensive, tests. Here we have a case of three separate physicians who, in their clinical opinion, did not feel a CT scan was warranted. ...

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Medical malpractice reform in Georgia: Going too far, or working too well?

Should academic physicians be protected by malpractice caps?

Some northeastern Wisconsin physicians are angered over a discrepancy their Madison colleagues have known for years.

University of Wisconsin doctors have a $250,000 cap on pain and suffering awards for victims of medical malpractice while private physicians do not.

A group of more than 100 specialty physicians at Aurora BayCare Medical Center say UW doctors have an unfair advantage over ...

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More malpractice at the VA. The VA primarily serves adult males. This article illustrates an OB and pediatric case - cases that may not be as common in a VA setting.



(via the USA Today)

The VA has a string of malpractice losses in Jacksonville.

A 15-year old girl was given 17 potentially deadly radiation overdoses.

When a code black isn't a code black.

JAMA reports that low-fat diets disappoint for cancer and heart disease:

Despite the long-held hope that a diet low in fat and high in fruits and grains could reduce the risk of these ailments, no benefit was found, according to results from the Women's Health Initiative Randomized Controlled Dietary Modification Trial.
However, Medpundit and retired doc have their doubts about the findings.

The Chinese-equivalent of the FDA approved 10,009 new drugs in 2004, while just 148 medicines were approved in the United States.

Proud to be a Blogging Kevin. Yes, we're taking over the blogosphere.

Want to be in Michael Moore's new movie?

Back to my invitation to be in my movie. Have you ever found yourself getting ready to file for bankruptcy because you can't pay your kid's hospital bill, and then you say to yourself, "Boy, I sure would like to be in Michael Moore's health care movie!"?

Or, after being turned down for the third time by your HMO for ...

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Talk about paying for performance. Drug clinics are paying people to stay clean:

There are worse things you can do for money than stay off drugs.

"And I've done them, too," chuckled Allen Price, a 43-year-old methamphetamine addict from Oakland, Calif.

So when a friend told him about a 12-week program in San Francisco that would pay him up to $40 per week just to stay ...

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Informed consent be damned. A surgeon is still sued for malpractice after a patient died from a complicated esophagectomy:

Foster said the surgery Sadighi performed requires the esophagus to be removed from below the voice box to the level of the stomach.

The stomach is then tied to the remainder of the esophagus.

He said this type of surgery has been determined to be the ...

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Sleeping pills are being sold in record numbers.

Damned if you do or don't . . . the controversy about SSRIs and pregnancy continues:

The results of two new studies underscore the quandary that faces women taking antidepressants who are pregnant or plan to be.

In one, researchers report that pregnancy, contrary to widespread belief, provides no protection against emotional or psychiatric problems, suggesting that stopping antidepressants may be dangerous for both mother and child.


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No surprise, but insurance companies have a double standard when it comes to physician payments:

Health insurance companies in Massachusetts and across the country aggressively promote "transparency" in physician costs and performance. But when it comes to their own payment policies, opacity is the rule, says Jonathan Bush.

Physicians are frequently shortchanged, often without their knowledge, because of less-than-transparent insurance company practices, says Bush, chief executive of Athenahealth ...

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Patients pick what they look for when choosing a doctor. "In addition to the aforementioned points, summarized from your e-mails, I feel compelled to add one more consideration: examination gowns. It is appalling to be handed a 12-inch-square piece of folded paper and told 'get undressed and put this on.'

The doctor who gives me a soft cotton robe that covers all of me is my favorite doctor. Don't ...

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