They are taking a more active role in reducing hospital errors.

House, M.D. expert Scott Morrison blogs weekly about the show. He writes about three rare cases in AMA's Virtual Mentor. (via GruntDoc)

Gone are the days of paternalism. Has the pendulum swung too far the other way. Marcia Angell writes:

Doctors have become vendors and patients consumers operating in a medical marketplace. Patients are now expected to take responsibility for their healthcare decisions, choosing and designing their own treatments, sometimes with little or no direction from their doctors. To be sure, doctors are supposed to present the options, along ...


He's pissed that the attendings are forcing him to repeatedly call specialists in:

Here, all of the attendings keep saying that patients will sue if they don't like the job we do, so since we're at a university hospital we call the specialist. That's Bull****. I went into emergency medicine because I like to do these things....not stay on the phone and watch someone else do my procedure.

Good for WakeMed Health for standing up to the bully.

More testing does not equal better medicine. A heart catheterization for chest pain gone awry - I wonder what "chronic mental illness" was caused by the cath?

You get useless EHRs that don't function well in the real world. Scalpel with the latest incident, occurring daily in hospitals and offices across the country.

Bold move, but makes sense in a state with caps:

Dr. R.E. Hamrick often wondered why, if he'd never paid out a medical malpractice claim, his medical malpractice insurance premium was so high.

So his next move was only natural after the state's Legislature passed a few tort reform measures in 2003.

"When this all came out, he was paying hundreds of thousands of dollars in malpractice ...


Kissing an infant with eczema after peanut consumption can increase their chance of having a peanut allergy.

An obese woman didn't know she carried a baby to term:

"Usually you can tell if you're pregnant, but with me, I couldn't tell," the 39-year-old Garden Grove resident said Thursday, pointing to her belly and explaining that, at about 420 pounds, she was so large that no one "“ including herself "“ could tell she had carried a baby to term.

Branum says she never had morning sickness ...


How medics in Iraq are treating citizens in exchange for intelligence:

Medics treated an electrical burn on an Iraqi man injured doing home wiring. In return, he passed along a tip: Powerful local clan leaders have ordered a fresh crop of roadside bombs against U.S.-led forces.

When using commonplace things as analogies to physical findings, a handy chart to make sure you get it right.

A very real problem with the pay-for-performance movement:

The AAFP's Kellerman agrees, noting that "cherry picking and lemon dropping" is a real possibility under a badly designed quality incentive program. And even someone as generally optimistic as David Luehr acknowledges that a system of pay-for-performance that goes too far"”that imposes unreasonable goals upon doctors so they're tempted to avoid the very patients who need them most"”"could be very detrimental."

Even though strictly voluntary, trial lawyers are predictably outraged.

Dr. Rob with more insight on the billing and coding mess. I like the cooked frog analogy:

A discussion of the current situation leads to the question: how did we get to this point? The system did not appear out of the air; no one was forced to accept it at gunpoint. The change was slow.

I have heard that if you drop a frog into a pot ...


Job hazard

A patient had to be tasered three times in the ER, with little effect.

. . . comes the non-stop sneezing girl.

Basic embryology, set to Billy Joel.

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Interesting thread from the Sermo boards (needs registration to view).

A physician suggests using Google to find out more background about difficult patients. What are the ethical and HIPAA implications here?

What's happening at Walter Reed is small sample of how government-run health care would turn out. Does the public understand the implications of a nationally-run health care system?

I've read more reports than I care to count of people whose doctors don't care one bit for them, and just move them through "routine" visits, and of people who die while on months-long waiting lists for necessary life-saving procedures such ...


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