Eric Turkewitz continues his interview with plaintiff's counsel as well as an analysis of the Boston Globe coverage:

No matter what some might think of the comments Flea made, the punishment that the Globe sought to inflict upon him seems vastly disproportional to any sins he committed with his blog.

The latest on the Avandia Congressional hearings from the WSJ Health Blog and Pharmalot.

Is GSK's marketing strategy going to backfire?

A JAMA study reveals that P4P doesn't improve outcomes:

Researchers looked at information from hospitals treating 105,383 patients over three years beginning in 2003. They evaluated such factors as whether the hospitals prescribed aspirin and widely accepted cardiac drugs called beta-blockers and ACE inhibitors, and whether patients were counseled to quit smoking.

Compliance rose to 94.2% from 87% at the pay-for-performance hospitals. At the others, compliance also rose, ...


For those who subscribe to the WSJ, an inspiring story about a man's mission to help his brain-injured brother.

Dr. Wes plays 20 questions with an online diagnosis site.

First thing I had to look up was what the hell a didgeridoo was.

BMJ with more ground-breaking scientific conclusions:

Regular didgeridoo playing is an effective treatment alternative well accepted by patients with moderate obstructive sleep apnoea syndrome.

#1 Dinosaur thinks not:

The problem is that specialist do not do primary care very well at all. They find high blood pressure and refer to the cardiologist. They see an elevated blood sugar and refer to the endocrinologist. They all say "Stop smoking" and think of it as tobacco counseling. Virtually none of them do immunizations, especially gynecologists, who like to think of themselves as providing Primary Care ...


Proceduralists dominate discussion on physician reimbursement. It's time to get tough:

Everyone knows that medicine is a guild with little response to the free market. But here we have a situation in which a critical commodity (primary care) is systemically and significantly undervalued in a command-and-control economic system.

If I am wrong, and primary care is unnecessary, family medicine (and perhaps internal medicine, as well) will no ...


Physicians grade the payers, and the scores are not pretty.

Bingo: "Judging medical quality from claims data is like judging a restaurant by looking at its grocery bill."

The magic bullet? This family physician takes no insurance nor Medicare and charges a flat fee of $45 per visit.

A death in Oregon sparks controversy about the safety and regulation of naturopathic providers:

The state Naturopathic Board of Examiners conducted a separate investigation, and Boylan's death is believed to be the first directly caused by a naturopath, says board director Anne Walsh.

The board licenses and polices naturopaths, but learned of the death only by chance 16 months after the fact. Boylan's sister, Cindy Bethell"”sustainability manager at ...


What is the risk of transmitting TB on a plane? Marc Siegel gives the answer, and has some comments on the media coverage:

The simple answer I give them is "extremely low." Big HEPA filters screen out more than 99 percent of viral and bacterial particles, including tuberculosis. The risk of Speaker infecting another passenger when he reportedly wasn't coughing, had no fever, and was receiving some treatment ...


The average annual income of a French physician is estimated at $55,000. Some are advocating we follow the French model of health care.

Cutting physician salaries as part of some radical government-dominated health reform would likely lead to this kind of thinking:

Boy, can you imagine the shortage of doctors (and nurses) in the US if we capped salaries at $55K? What would they start out, $35K?


That is, focusing on health care costs: "None of the candidates have offered a specific plan to seriously rein in the growth of health care costs."

GSK rushes out interim results hoping to calm the Avandia backlash, and the headlines and quotes are all over the place:

An interim analysis of a study involving GlaxoSmithKline PLC's Avandia showed the diabetes drug was associated with an increased heart-failure rate, but there appeared to be no increase in the death rate from heart attacks or strokes, researchers said.
"Overall, we feel these results are very reassuring."


An Pennsylvania ER physician drives 2 hours each way to work in Ohio for cheaper malpractice insurance.

Studies conflict as to whether patient satisfaction is associated with physician attire. The most recent study says no.

Two brain scans of women. Which is the one with the real orgasm? Good to know for those men with brain scanners in their bedroom.

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