Delay in Vioxx payouts

Is the plaintiff's attorney Mark Lanier partly responsible?

Real or simply more aggressive diagnosis?

The spread of the diagnosis is a boon to drug makers, some psychiatrists point out, because treatments typically include medications that can be three to five times more expensive than those for other disorders like depression or anxiety . . .

. . . "From a developmental point of view," Dr. March said, "we simply don't know how accurately we can diagnose ...

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A woman with incurable cancer is looking for that right Canadian man:

Jeanne Sather, 52, posted a personal ad last week in her blog, The Assertive Cancer Patient, looking for a marriage-minded Canadian gent.

"If I moved [240 kilometres] north I wouldn't have to worry about medical care," said Sather, who has been battling breast cancer for nine years.

She pays $20,000 annually in medical costs, including insurance ...

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An argument that physicians should be taken out of the quality management decisions:

The principle here is that if you want the checklist done, take the doctors out of it. They can concentrate on diagnostics, management and advising. Their fundamental asset is the relationship with the patient. Get the quality check done by someone specifically trained for the process.

Anyone ever wonder why hospital operating rooms are always ...

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Should drama be a requirement to teach empathy?

Doctors taught empathy techniques by theater professors show improved bedside manner, according to a pilot study by a Virginia Commonwealth University research team.

The findings may help in the development of medical curriculum for clinical empathy training. Clinical empathy skills allow doctors to recognize a patient's emotional status and to respond to the patient's needs. Patients often identify empathy skills, ...

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Health care in China:

The most common prescription is for antibiotics, with devastating effect. The health ministry announced the results of a survey this week showing about 70 per cent of child pneumonia patients were resistant to drugs used to treat the disease, because of overuse of antibiotics. In three children's hospitals in Beijing, Shanghai and Guangzhou, the country's wealthiest cities, the figure climbed to 90 per cent.


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John Edwards is now mandating physician visits. The right-wing blogosphere is having a field day with this.

The Liberty Papers, Les Jones, Texas Hold'Em Blogger, The American Pundit, and Right Angle Blog all comment.

Some say he's just pandering to the doctors:

"Doctors will appreciate the guarantee of life-long employment.

If that's enacted (shortly after hell freezes over), a whole new occupational group will be created: ...

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It is a verdict like this that drives defensive medicine:

I see 30-year-olds with chest pain every single day. Like the ER doc in this case, most go home with a reassuring diagnosis and some supportive medication. And I have been lucky -- none of them unexpectly dropped dead. And I know, as all ER docs working in the pits know, that if and when one does drop dead, ...

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The eye exam

"Eyes: PERRLA, EOMI, Anicteric". Dr. Rob expounds on what this means.

Does the health care system encourage non-compliance? A post from new ER blog WhiteCoat Rants comments:

"In this country if someone doesn't take their medication and has a seizure on the side of the road, we send a big taxicab with lights spinning and sirens blaring to go pick them up and bring them to the hospital. We put them in a nice warm bed. We give them a ...

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The hospital has a $100 million debt. Maybe that will get some attention about the financial crisis many hospitals are facing. (via The Medical Quack)

6 doctors, 800,000 kids

Now that's a physician shortage.

Patients making their own diagnosis to relieve pressure on Norway's health care system:

Norwegians are ready to make their own diagnosis on the internet rather than sit in endless queues at the doctor's surgery, claim BI researchers Tor W. Andreassen and Even J. Lanseng in a recent study.

Demand for health services is growing and leading to a sharp rise in health expenditure in Norway, as in the ...

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Foreseeing the morass of litigation that will ensue:

Medicare's announcement it will refuse payment to hospitals for treatment caused by hospital mistakes redounds most severely on the patient entangled in a labyrinth of complex legal issues between the hospital and Medicare. At a minimum, this will result in credit damage and financial distress to the patient. Added to this is the foreseeable paranoia of hospitals with Medicare patients and the ...

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Pier Francesco Parra is an Italian physician getting some publicity from tennis players lining up outside his hotel room to receive treatment:

Nor do they have one for a magician, which is one of Parra's nicknames. No matter. Open players already recognize him because of his three-laser healing machine. The mysterious device makes him the tennis version of Dr. James Andrews, the much-sought-after surgeon who treats baseball's broken pitchers ...

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Uwe Reinhardt wonders what took so long:

"I'm surprised it took this long for a model like concierge medicine to emerge," Reinhardt said. "In contrast to education, where the offspring of the rich go to prep schools and then Ivy League universities, and the income-based justice system, U.S. health care seems almost egalitarian. Concierge medicine seems more natural."

Reinhardt accuses the middle-class of hypocrisy in being bothered by a ...

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I wonder how he can enforce this?

Democratic presidential hopeful John Edwards says his universal health care proposal would require Americans to go to the doctor for preventive care . . .

. . . He says if Americans are going to choose to be in the healthcare system, they can't choose not to go to a doctor for 20 years. He says they need regular checkups.

Combo drugs

First Zetia and Zocor becomes Vytorin. Now Claritin and Singulair is set to become a new combo.

I predict a Pepsid/Zantac and PPI combo to be on deck.

A somewhat predictable pattern of donations.

Two are in the works.

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