There is often a disconnect between what an EHR programmer anticipates and real life.

His most recent op-ed talks about the health reform possibilities:

This is what that road looks like. It is not single-payer. It instead follows the lead of European countries ranging from the Netherlands to Switzerland to Germany that provide universal coverage (and more doctors, hospitals and access to primary care) through multiple private insurers while spending less money than we do. The proposals all define basic benefits that insurers ...

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Due to "capacity" issues in Canada:

In March 2006, Mary Lou Frye had a seizure and drove off the Fraser Highway into a ditch.

A CAT scan revealed a golf ball-sized tumour behind her left eye. She had surgery in May 2006, but bleeding cut the operation short, leaving part of the tumour.

She now has two tumours in her brain, but since January Frye has had her ...

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So far, Glaxo comes out ahead this year.

The NHS of all people, with some clever marketing:


(via PharmaGossip)

The age-old question, how can you tell if it's cardiac or not? Scalpel writes from the ER perspective.

They are reaching out to the Lancet and WSJ.

Stunning news. The Boston Globe on Flea, his trial and how his blogging ultimately led from a possible victory to settlement:

As Ivy League-educated pediatrician Robert P. Lindeman sat on the stand in Suffolk Superior Court this month, defending himself in a malpractice suit involving the death of a 12-year-old patient, the opposing counsel startled him with a question.

Was Lindeman Flea?

Flea, jurors in the case ...

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A Greek blogger writes about physician corruption during her last few years with terminal cancer.

An anonymous blog posting has got him riled up:

Arbesfeld included in his e-mail a comment on a blog posting, originally published in the Wall Street Journal, that accuses Nissen of primarily criticizing manufacturers that do not support drug trials at the Cleveland Clinic: "Wake up, pharmaceutical companies "¦ if you don't hire the Cleveland Clinic for your big trials then you face the firing squad from Nissen and ...

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There is no precedent for a case like this:

Johnson, then a senior at Hercules High School, volunteered with several other students to be hypnotized by Cady. But he and his mother allege in a negligence suit filed earlier this month that toward the end of the performance, "while still in a hypnotic trance, [he] proceeded to run out of the building, jump two flights of stairs and continued ...

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The recent NY Times' piece on stroke has generated some controversy. A journalist for a national magazine is interested in talking to the authors of some of the anonymous comments that the post generated:

I am a freelance medical investigative journalist and I will be examining how medical studies are misinterpreted for a feature article in a national magazine. Would those of you who posted on ...

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What is motive behind this test that almost everyone passes anyways? There are 17 million reasons.

The brouhaha about pink cupcakes has come to an end as AstraZeneca has banned them. Peter Rost and John Mack with more.

Big Pharma is employing nurses to review charts, a precursor to pushing brand name medications:

One recent 18-month program sponsored by Pfizer and the National Health Service added nurses to hospitals to discuss management of chronic health conditions with patients. Sanofi-Aventis is paying nurses to train doctors' office staffs how to identify patients at risk for cardiovascular disease and diabetes. Last fall, the British drug trade group temporarily suspended ...

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Just confirming what has always been suspected:

Parents are giving their children internet-bought "smart drugs" to boost their performance in the exam room, a psychologist has claimed.

Anti-hyperactivity medicines like Ritalin are being used as a "study aid", says Leicester University's director of education Paul Cooper.

He has drug-resistant TB and willfully disobeyed advice not to travel:

Federal and international officials are tracking down passengers and crew members on two trans-Atlantic flights earlier this month who may have been exposed to a man infected with an exceptionally dangerous form of tuberculosis.

The male passenger flew to Paris from his home in Atlanta on May 12 on Air France 385 and arrived in Paris on ...

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VistA

An op-ed in the NY Times extolling the virtues of the VA's EHR. I agree, it is the most redeeming entity of the Veterans' health system. Matthew Holt says it's not ready for prime time yet.

Rich Tucker and Benjamin Pugh take their shots.

Raising HDL

Now that Pfizer's torcetrapib was DOA, how can you raise HDL? Well, there's plain old exercise for starters:

A regular aerobic exercise program of at least two hours a week produced a small but significant increase in HDLs, according to a meta-analysis.

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