Apparently not, as physicians see themselves as being taken advantage of:

"It used to be that doctors felt they were fairly well rewarded for their work and they owed something back to society in free care," Stoner said. He cites the decreasing payments that doctors get from Medicare, Medicaid and insurance companies. "Increasingly, doctors are feeling that society is making so many demands on them . . . they are ...

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The patient thought he had only 6 months left, and subsequently lived it up:

When doctors diagnosed cancer and told John Brandrick that he had less than a year to live, he resolved to make the most of the time he had left.

The 62-year-old council worker quit his job, sold his car, stopped paying his mortgage and dug into his life savings so he could treat himself ...

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I'm sure this will pique a lot of interest:

Scientists have found a way to turn on deep sleep at will using a machine that magnetically stimulates the brain.

A device worn on the head could in squeeze the benefit of eight hours' sleep into just two or three hours.

Scientists in the US used a technique called transcranial magnetic stimulation (TMS) to induce slow waves - indicative ...

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Not all hired guns are this responsible:

When New York dermatopathologist A. Bernard Ackerman, MD, is called to testify as a medical expert witness, he refuses to know which side the lawyer represents.

It is his way of remaining objective when he evaluates a case. In addition, the academic clinician typically previews his presentation of the facts and his opinion for a student audience, as a way of ...

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New York City is offering discounts on eClinicalWorks if 30% of their patients are enrolled in state-funded insurance programs, such as Medicaid. That's a pretty big catch.

Major media eagerly lapped up hype for a medical device. Now that Medicare has rejected it, will they be so enthusiastic in reporting it?

A psychiatrist has an epiphany:

A drug salesman chided him one day for showing "less enthusiasm for our product" than usual and "I had a kind of epiphany," said Carlat, also on the faculty of the Tufts University School of Medicine. "I realized the obvious -- that I was being paid to say good things about drugs, regardless of what my actual opinions were."

Artist Koen Hauser comes up with some slightly freaky images of digital manipulation.



(via Unbounded Medicine)

Boy with earache

A most surprising cause:

Dr. David Irvine said it looked like the boy had something in his ear when he examined him.

When he irrigated the ear, the first spider came out, dead. The other spider took a second dousing before it emerged, still alive. Both were about the size of a pencil eraser.

Futile care

How some are abusing EMTALA in futile cases:

Zee Klein wasn't about to just let her mother die, no matter what some hospital committee decided. But instead of waging a high-profile fight against the hospital, she decided to get her mother out on her own.

It wasn't going to be easy. For one, Medicare wouldn't cover Pereira's care if she were transferred to Christus St. Joseph, the downtown hospital ...

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Pretty impressive image from Radiology Picture of the Day.

Panda Bear tells it like it is on complementary medicine:

It wants to be legitimate but manages to avoid the responsibilities and liability of real medical practice. As most CAM treats nebulous symptoms with equally nebulous modalities, there is no measurable standard for efficacy of any of the treatments . . . There are no bad outcomes just as there are no good outcomes. It's all highly subjective. ...

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"Hand in a Box"

Another med student short. The trials of male medical students during an OB/GYN rotation.

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HIV and Eminem

Learn about HIV/AIDS via rap.

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Do not call back is the take-home message:

Of the many reasons a plaintiffs' attorney might call you, none are to your benefit. If the attorney thinks you have some malpractice liability, he may want to pump you for information in the hope that you'll say something that will make his case for him. Or if the primary defendant is a doctor who treated the patient before you did, the ...

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More frustration boils over in this letter:

I can not think of a single colleague who enjoys practicing medicine due to the fear of litigation.

Lawyers are only too aware that they don't need to be correct but to have just enough information to convince a jury of laypeople. Why is there rarely a case brought against a lawyer for a frivolous lawsuit? Why isn't it automatic for the ...

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As pay-for-performance takes hold, get ready for more of this:

Should I start statins on the drooling demented to lower their LDL? Should I preach to paranoid schizophrenics that they must quit smoking? Doing so might help ease my burdens"”will it ease theirs? Without a financial incentive, I treated practice guidelines as guidelines, and I treated patients as patients. With financial incentives, will the guidelines become my goal? Will I ...

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Talk about a career change. (via GruntDoc)

It can get pretty bloody.

The assault continues on his credibility. David Catron, Michael Cannon and David Hogberg take their turns.

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