If I Had - Scaly Plaques on Elbows and Knees - Dr. Richard Langley MD, FCPC, Dalhousie University
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If I Had - A Child With Chronic Headaches - Dr. Elliot Krane, MD, Lucile Packard Children's Hospital and Stanford University School of Medicine
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If I Knew Then - Dr. Tobey MacDonald, MD, Children's National Medical Center, Discusses Keeping an Open Mind When Choosing a Specialty
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Foliage

Some pictures off the Kancamagus Highway in New Hampshire. It's not quite peak season yet for the foliage, so some of the trees are still a bit green.






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Tachycardia was the tipoff in this 18-year old without apparent trauma.

The Medical Quack takes it for a test drive.

Aetna unveils a PHR months before Microsoft and wonders why they didn't get any press? Probably because it's only available to 800,000 Aetna members.

Breakfast or CT scan?

Sometimes hunger takes precedence over a possible skull fracture.

The next episode in the most-publicized board exam ever:

Sophie Currier, the Harvard medical student who sued because she wanted time to pump breast milk during a licensing exam, will postpone taking the exam, her lawyer said Wednesday.

Currier had planned to take the exam this week after Massachusetts Appeals Court Judge Gary Katzmann ordered that she should get the extra time. But a three-judge panel of the ...

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Sid Schwab takes a look at it from the other side:

. . . along with the cringe of embarrassment for being associated with the evident scum of the earth, there was a twinge of an opposite thought: if I were to show up to an operation unprepared, someone might die, or be maimed forever. I'd hope that people who choose to become surgeons are the sort that don't ...

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Of Filipino background, Dr. Anonymous says he's not that offended by the controversy. So he is being accused of being not Filipino enough.

Can it be any clearer? The NY Times with the story:

Four years after Texas voters approved a constitutional amendment limiting awards in medical malpractice lawsuits, doctors are responding as supporters predicted, arriving from all parts of the country to swell the ranks of specialists at Texas hospitals and bring professional health care to some long-underserved rural areas.

The influx, raising the state's abysmally low ranking ...

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Health Magazine advocates lying and making up symptoms to obtain the desired tests:

To get tested, talk up your symptoms.
Your insurer doesn't want to pay for a colonoscopy if it's not necessary. But if your best friend is diagnosed with colon cancer and you want the $675 test to put your mind at ease, here's how to get one covered: Mention to your doctor that you've had ...

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Microsoft unveils HealthVault, the opening salvo in the upcoming personal health record war.

There needs to be better balance in health care coverage amidst the continual doom and gloom. (via Catron)

A comprehensive list of the next generation of medical blogs. (via Clinical Cases)

Rural ERs

A woeful lack of specialty and trauma care outside of the city. The reasons are obvious:

The reality also is, as we have stated here, that specialty surgeons (and trauma surgeons in particular) are in short supply. Besides that, due to the litigation climate and the demands on their time they would face being the one or two guys in town that do trauma, they absolutely do not ...

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A student is unhappy with his C-grade, and takes his case to federal court:

Marquis, a 51-year-old paralegal seeking bachelor's degrees in legal studies and sociology, filed a 15-count lawsuit in US District Court in Springfield in January after a teaching assistant graded a political philosophy class on a curve and turned Marquis's A-minus into a C. Marquis contends that the university violated his civil rights and contractual rights ...

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Most are happy with the results. I'd hope so, since there's really no going back.

Not a place where I'd like to work:

"Many individuals reported they are using antidepressant medication to cope with coming to work," she said. "Individuals expressed a loss of interest in their marriages, children, and lives outside of work. Several individuals had a fighting attitude, however, there were very few. The vast majority are fearful and demoralized... This degree of stress is not sustainable for staff even in the ...

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