There are TVs all over the hospital despite the recommendation that children under 2 should not be watching TV. The hospital says it distracts from sometimes painful treatment:

Before installing the televisions in the new cardiac unit last year, she said, the hospital sought input from patients' families and found overwhelming interest in having television. The parents wanted them not just as a distraction for the children but ...

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Caffeine is a drug and can be harmful:

"Young people taking caffeine either to stay awake or for a feeling of euphoria, may actually end up in the emergency department more often than we think," she said, because young adults taken to a hospital for chest pains and heart palpitations are rarely asked if they've taken caffeine supplements.

Newer guidelines suggest starting medications earlier because patients aren't compliant with lifestyle changes:

"We recommend starting patients on metformin immediately," said Dr. David M. Nathan, who directs the diabetes center at Massachusetts General Hospital and is a member of the group that formulated the new guidelines. "Don't start with lifestyle alone, even for newly diagnosed people. Most end up failing the lifestyle recommendations."

He added: "What classically happened ...

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A few days ago, I mentioned the death of the solo physician. SoloDoc has been bucking the trend, and perhaps there may be a very, very, very slight glimmer of hope for idealistic medicine - if you're willing to make sacrifices:

After working with Dr. S, I truly believe that his practice embodies patient-centered care. Patients typically don't have to wait longer than five minutes after ...

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Tragic event, but as usual, news reports raises more questions than answers:

The drugs used in labor epidurals are usually a dilute local anesthetic and a small amount of narcotic. Using both types of drugs in combination allows lower concentrations of each individual drug to be used, hence improving the margin of safety for each. In labor epidurals, our goal is relieve pain without causing significant weakness. That is why ...

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Like China, some health-care systems abroad makes the US look good.

Some in Canada are considering New Zealand's system - before their tort system becomes out of control like it is here:

The Kiwi no-fault system has many appeals. Many more patients will receive some assistance after injury including income supports and coverage for rehabilitation services right when they need them most.

Claims are processed within an average of 15 days as opposed to five years or more in the ...

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(via NY Times)

Update -
The Health Care Blog: "Whether or not it was illegal, his actions suggest staggering greed."

A patient rants:

"I am a 62-year-old man with a few medical problems. Mostly I've decided to 'watch and wait' in the hope they will get better with time.

"This might seem like a faulty plan, but in my 62 years, I've seen a dozen doctors and found only one willing to actually TALK to me. I've had a couple of physicians enter the exam room reading the medical ...

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More fuel added to the fire in South Dakota.

C difficile in the food

It's more common than you think, and may be contributing to outbreaks in Canada.

It was contaminated with diethylene glycol, which is used in antifreeze.

Medbloggers on ABC News

Matthew Holt explains why it's so difficult to fix health care. David Williams suggests that more, better information is an answer. Nice articles.

Blaming the patient

A doctor blames a patient for his infection. The subsequent hesitation to seek care almost costs him his life.

Update:
Sorry, the story was free yesterday. You can use BugMeNot for the password, but here is an excerpt:

Robert is a 44-year-old carpenter with a large infection on his left shoulder. The infection needs a small surgical procedure so it can begin to heal properly. Robert ...

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Idiots. This recent study shows that ER borders makes everyone else wait:

Each patient "boarding" in the emergency department until a bed opens in the appropriate ward adds about 30 minutes to the average time spent in the ER by other patients, according to a report presented Sunday to the American College of Emergency Physicians.

That means an extra 2 1/2 hours if five patients are boarding; ...

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In one case, he did a five-vessel bypass instead of three. Another cardiologist blew the whistle.

Can obesity lead to cognitive decline?

Another hit for the most physician-unfriendly insurer in the country. They're busy giving themselves billions while they continue to find ways to ratchet down physician reimbursement.

The Well-Timed Period discusses lies and mistruths about the abortion debate in South Dakota.

One of the better articles I've read outlining why primary care is doomed.

On fast-food style McDoctor NP/PA clinics:

What we should all be concerned about, however, is what these "walk-in care centers" represent: a McDoctor franchise at a convenient intersection that will (for cash payment) provide a mediocre but quick and fragmented fix for a perceived urgent need. Such encounters will ultimately detract from continuous doctor-patient relationships and ...

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