Take a look at Cameroon:

The West African country officially has about 3 000 practising clinicians for its 17 million people but because they are clustered in towns and cities, rural areas are often left with one doctor for 40 000 inhabitants, Okie said.

A follow-up of this story from Florida.

Orac explains:

When faced with the prospect of taking anywhere from 4 to 12 years to finish training in a specialty so that they can actually practice, during which time they make a pittance in salary and work ridiculously long hours, even with the 80-hour work-week restrictions, more and more of the best and brightest are deciding it's just not worth it.

Same old single-payer story. Why have screening guidelines at all if it takes so long to get the test?

Quebecers hoping to be screened for colon cancer are facing up to a year-long wait for diagnostic tests that could save their lives.

That's unacceptable, Barry Stein, head of the Colorectal Cancer Association of Canada, said yesterday.

"You can't just walk in the door and get a colonoscopy. Why? ...


Case in point.

An Indian BBC correspondent writes:

If our baby is a girl - her arrival is likely to be greeted, by some, with condolences. A friend - delighted with his new daughter soon became infuriated at comments that his home had been cursed with a girl.

"Relatives arrived laden with gifts of sweet meats," he said. "They cuddled her and shook their heads at our misfortune."

These are ...


They'd better.

Here's a real-life example:

If you pay the front-line doctors they will take on the patients who will then have a place to go when they are sick, which will dis-impact the ERs of the country, encourage doctors to practice in rural areas, help stop disease processes before they get to the stage of needing intervention and decrease the number of hospitalizations.

The entrance into the health care ...


A cure for cancer

At least for cervical cancer. A panel unanimously recommended the HPV vaccine for girls aged 11 and 12.

Right on the money.

The ATLA president talks about malpractice:

The only places where people have trouble finding an OBGYN to do any procedure are in rural, poverty-stricken areas, where the OBGYNs don't want to live and practice. I do a lot of obstetrical negligence cases, and the cases seem to come out of poor areas. You see people getting better healthcare in big, urban centers, for the most part -- although mistakes ...


Not enough ER docs?

Just throw money at the problem.

I always like to criticize articles on "must-have" medical tests, since they often get it wrong. This one isn't bad. There is a mistake on the bone-density test recommendation:

All women under the age of 65 should have one, but any post-menopausal women with risk factors should have one.
It should be all women over the age of 65 should have one.

Obese . . .

. . . or giant cyst?

A doctor is facing a charge of professional misconduct after allegedly failing to recognise a patient had a giant abdominal cyst.

A tribunal heard he told her she was overweight and prescribed diet pills.

The 44-year-old mother was eventually taken to hospital in severe pain, where a 14.7kg cyst was discovered and surgically removed.
Link fixed. Sorry.

The child is in need of a kidney surgery, but the mother wanted to find "other options":

The case of a mother who took her 9-month-old child on the lam, frantically searching for alternative therapies as state and medical authorities demanded kidney surgery for the boy, unfolded before the public last week like a high-drama television show. But at bottom, it pitted the rights of a mother and father against ...


Sad to see. shrinkette has guest-blogged here several times, and will always be welcome to. She'll be missed.

Resident comic book expert/MD Scott takes an annotated look. For instance:

3. You Cannot Shock A Flatline When the heart goes into asystole (a term for when it stops beating and has no electrical activity), the treatment is NOT defibrillation. To restart a non-beating heart, the recommended treatments are CPR, epinephrine, atropine, and transcutaneous pacing. Defibrillation does more harm than good.

The strategy appears to be making their own generics, and trying to put little generic pharma out of business.


BBC News on Friday examined the practice of "breast ironing" -- which some mothers do to their daughters in Cameroon in an attempt to prevent sexual advances of boys and men -- and a recently launched campaign to curb the practice. According to BBC News, breast ironing involves "pounding and massaging the developing breasts of young girls," most often with a wooden pestle and sometimes with heated bananas or coconut ...


Find out here.