Holy cow. A case report not for the faint of heart. (via Scalpel)

TBTAM says the media ignores what's good about it.

I've said from the beginning that BiDil is essentially two generics combined into an expensive brand name drug. Well the sales are showing that this approach isn't working:

As the WSJ reported earlier this year, groups including the American Heart Association and the American College of Cardiology say there's no evidence that prescribing BiDil works any better than prescribing both of its constituent generics, isosorbide dinitrate and ...

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The pharma maverick's media empire is growing.

Someone posts a suicide note on the controversial website. Watch what happens next.

Cyberchondrics

A fast-growing segment of the web population:

The number of so-called cyberchondriacs seeking health information on the Web has soared to about 160 million in 2006 -- a 37 percent rise over two years, according a new poll.

"Cyberchondriacs now represent 84 percent of all online adults, up from last year's 80 percent, and 72 percent in 2005," Harris Interactive, the market research firm that conducted the survey, ...

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Jacob Reider thinks many doctors don't have the time.

Dr. RW summarizes some discussion on UpToDate and their Microsoft-like approach to medical information dominance.

He offers a free-market based solution:

Mr. Giuliani said that a "socialist" model would bankrupt the government.

"That is where Hillary Clinton, Barack Obama and John Edwards are taking you," he said. "You have got to see the trap. Otherwise we are in for a disaster. We are in for Canadian health care, French health care, British health care." . . .

. . . In proposing ...

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Generally people who think doctor's are paid too much aren't really grounded in reality:

How do academic and think tank critics, generally far removed from the clinical frontlines, know what's a fair income for American doctors? They seldom provide details or a thoughtful analysis based on life in America. Do they factor in the cost of living and housing is much greater in the U.S, the relentless 3% annual ...

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Why Panda Bear won't go into surgery:

It's part of their culture to treat each other disrespectfully during training. Whether this is necessary to train a surgeon cannot be known. It's just the way the system has evolved and it seems to be structured to keep residents perpetually tired and irritated at everyone and everything.

A study looks at whether religious physicians provide more charity care:

Physicians who described themselves as religious were only slightly more likely to have done charity care compared to all those surveyed (31 vs. 25%). What is even more surprising is that physicians who described themselves as atheist or agnostic were slightly more likely to have done charity care than those who described themselves as religious (35 vs. 31%).

A lot of the reasons seem to deal with narcotics.

A Q&A with a seizure specialist.

Well, the best and the brightest will no longer be inclined to enter medicine. Is that really what society wants?

Physicians are demanding access to private care options in Canada:

Canada's doctors want to be able to work simultaneously in both the public and private systems, a flexibility that critics say could lead to queue-jumping and further depletion of public health care.

It's also a proposal that puts the medical community on a collision course with Prime Minister Stephen Harper, who argues that physicians would have an incentive to ...

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The concept of paired donation. (via Freakonomics)

The recently freed doctor gives a harrowing account of the ordeal:

The Palestinian doctor who was held in Libyan custody along with five Bulgarian nurses on charges they infected hundreds of children with HIV, has described in detail how they were tortured during their eight-year ordeal. Ashraf Alhajouj, 38, said he was beaten, held in cages with police dogs and given electric shocks, including to his private parts. He said ...

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"Pay by the hour is the most difficult method to game," says Half Sigma. Makes sense, but without any productivity incentive, appointment shortages may become more dire as the longer visits will fill more physician schedules.

Apparently children of single dads make less well-child visits.

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