Shadowfax does an LP on someone with a BMI over 50. This can certainly lead to a loss of anatomical landmarks - and essentially the procedure is done blind.

EMR non-acceptance

Richard Reece asks whether force or persuasion should be used to increase the EMR adoption rate.

NY's Attorney General sends a sharply-worded letter:

It asked the company to cancel its plan to release the rankings in September, citing a furor over a similar program's introduction in Missouri in 2005. There, physician groups, including the American Medical Association, said the cost rankings primarily reflected the cost of care to the insurer "” not to patients.
(via Dr. Wes)

Is Robert Center refusing to accept the realities facing today's medical students? This comment summarizes the views of the medical student circa 2007:

I want my first year post-training salary to match my debt load (principle only). This means that I'm going to be looking for a salary of at least 180,000.

Then, I'd like to have a life. I'd like to be free to enjoy a vacation ...


Peter Chowka with the analysis, and links to Chris Reed's commentary:

Many e-mailers touted a studio press release quoting Weinstein as pronouncing himself satisfied with early returns. But even the most gullible people out there have to know Hollywood types constantly spin box office results for self-serving purposes. This explains why "Sicko" was initially reported by its studio to have had $4.3 million in business its second weekend; which was ...


If the government takes over, it'll be worse:

Medical care won't be so much provided as it will be dictated to you by your government.

If you think that you have it bad now with your private insurance company, just wait until the Federal government takes over and must severely limit health care consumption in order to be able to pay for the care of over 300 million Americans.


Good stuff.

CNN counters Moore's points: "Moore seems to be creating controversy where none exists."

By refusing to cave in to these unreasonable requests.

I generally don't blog about patient encounters. Ad libitum goes into some reasons why blogging about patients could be dangerous.

GruntDoc responds.

Partly due to rising malpractice costs.

Some common-sense tips for patients.

Mike Huckabee takes his shots, targeting Moore's obesity.

This eye-opening post pretty much sums it up:

"The more you talk to people in medicine, the less income you'll make. The more you cut people in medicine, the more income you'll make."

Some say that the medical world isn't ready for a national EMR initiative yet.

More open letters

This time from a surgeon to his referring physicians.

Panda Bear with an answer:

. . . the disdain for money is fairly unhealthy even in the medical profession. There has to be an incentive for people to work hard and long. You will always have people willing to be physicians of course, but their enthusiasm for seeing that extra patient or coming in from home to operate on a patient on the weekend will diminish as the rewards ...


Maria organizes this summer's literary medblogger project.

A personal health record system for corporate employees is falling into disarray.

Edwin Leap with a must-read on the likelihood of physicians committing suicide after being sued:

Let's reach out to everyone who gets sued. Give them a handshake or embrace, a friendly smile and an understanding ear. Remind them of all the good they have done, and of all the good they have yet to do. And we should tell them the stories of our own lawsuits so they won't ...


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