Halloween and medicine

Maria does a literature search. Happy Halloween everyone.

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(via Catron)

Restless legs syndrome

Disease mongering at its finest?

Many would like to see a flood of foreign doctors bring down physician salaries:

In a 2003 study Baker, who is co-director of the Center for Economic and Policy Research, estimates that by adding roughly 100,000 physicians to our current pool of about 760,000, we could pull doctors' salaries down from an average of $203,000 to somewhere between $74,000 and $126,000. For the average middle-class American family of ...

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A radical suggestion from ERnursey:

. . . these people take up a huge amount of medical resources being paid for by your tax dollars. Since they can not appropriately take care of themselves they should be institutionalized which would be much cheaper for the taxpayers.

The night shift, in 1000 words.

The Health FICO score

A novel way to measure quality.

Like Dr. Centor, I enjoyed the last two (clinical) years markedly more than the first two. Why is that?

Some of the numbers he's quoting are being disputed:

"I had prostate cancer five, six years ago," Mr. Giuliani, a Republican presidential candidate, said in a speech that has been turned into the radio commercial. "My chance of surviving prostate cancer "” and, thank God, I was cured of it "” in the United States? Eighty-two percent. My chance of surviving prostate cancer in England? Only 44 percent under ...

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Brain MRIs and crime

Can they play a larger role in criminal trials?

. . . today, scientists have developed noninvasive brain scans that may reveal whether a person has a brain abnormality that could affect decision-making or trigger violence, with huge implications for the law.

You'll have to travel to South America:

Like thousands of others, mostly from the United States, Europe, and Canada, Condon was drawn to South America's attractive exchange rates and reputable doctors who are highly skilled due to a local rage for cosmetic surgery.

Although this drug has its share of problems, it is still useful in selected populations, and for those who are hesitant to start an injectable diabetes medication.

Cost is the only reason why this medication was pulled, leaving vets with one less therapeutic option for their diabetes.

Still want single-payer after reading this story from California?

As a former rural breast cancer surgeon whose practice consisted largely of uninsured and underinsured women, I am uncertain why the same group that brought taxpayers $20,000 toilet seats should be in charge of the medical treatment choices patients and their families make.

As a provider of government medicine, I've seen the low quality of decision-making offered when it is ...

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A 75-year old woman suffers an MI, which was only the start of her problems. Subsequently she had:

i) broken ribs from CPR
ii) a broken nose and skin tears due to a fall from her hospital bed
iii) facial burns, from a fire trigger by electrocautery of her wounds.

That's one tough hospital course.

"As drug testing becomes more common, so will incidents of niacin poisoning."

Consumer Reports on media-hyped tests and treatments. Several newer modalities, like virtual colonoscopy and CT-angiograms, make the controversial list.

Edwin Leap on the Southern language nuances in his ED.

Maggie Mahar on the deteriorating work environment for nurses:

Asked if they are on anti-depressants: 52.8 % of those who answered the poll responded, "Couldn't make it without them;" over 18% checked, "No, but I think I need some;" and over 22% replied, "No, but I know a lot of nurses who are."

In light of recent news on bacterial resistance, Derek Lowe wonders if we have to re-think the antibacterial medication paradigm:

. . . researchers will have to rethink their attitudes towards antiinfective drugs. For serious infections, we're going to have to think about these projects the way we've traditionally thought of oncology agents - last-ditch therapies for deadly conditions. Anticancer therapies have long had more latitude in their side effects, ...

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Younger adults are increasingly using cholesterol and blood pressure medication. Is this really good news?

. . . experts point to higher rates of obesity, high blood pressure and high cholesterol problems among young people, the Associated Press reports. Also, docs are getting more aggressive with preventive treatments. "This is good news, that more people in this age range are taking these medicines," said Dan Jones, president of the ...

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