Are employers expected to accommodate this new diagnosis?

Which brings us to another management conundrum: you have a policy prohibiting workplace violence. You do not tolerate any employee who threatens other employees. But do you have an obligation to "reasonably accommodate" an employee who is diagnosed with intermittent explosive disorder? Are they protected by the ADA?
(via Overlawyered)

I wonder if this would fly here:

"The 'open door' arrangement is not working. New gate-keeping mechanisms are needed. Strategies about who needs to be seen and those who can have medical assessment deferred must be developed order to protect the safety and health of existing in-patients," Dr Murphy writes in an editorial in the latest edition the journal.

I'm sure this is a common scenario across the country:

"Often, when I have to transfer patients with life-and-limb threatening injuries, it has taken hours to locate a physician willing to accept the transfer and obtain either helicopter or ambulance transfer," Plantz said.

"This is a source of serious liability for the emergency physicians as we are always blamed."

My Beating Blog

Fascinating concept:

My Beating Blog is an attempt to take the journaling aspect of blogging into a surrealistic future, in which the blog author literally and metaphorically bares his heart. The artist-blogger wears a GPS-enabled Heart-rate monitor throughout parts of the day, then blogs the data along with matching personal experiences, events, and musings.
(via kottke.org)

Orac exposes its increasing wayward ways. (via Grand Rounds)

Drs. Centor and Rangel specifically.

Apparently watchful waiting is not acceptable:

"Women would go to their doctor with a lump, and the doctor would say, well, let's just watch it," Hamer said. "Women can't accept that. They have to say, 'No, I'm not going to just watch it.' And if their physician refuses to do anything like a biopsy, then they need to go somewhere else."

Who cares when you're making big profits:

Doctors aren't alone in thinking that something's wrong when UnitedHealth's customers can't afford what the company charges in premiums and doctors can't stay in business on what it pays in reimbursements. Yet its stockholders are happy and the company's CEO got paid $1.6 billion in stock options . . .

. . . This is what reduced access to care looks like: ...

Read more...

Dr. Crippen thinks Big Pharma is to blame:

Dr Crippen'’s old fashioned” treatment for blood pressure costs a few pence a month, and the drugs he uses (such as beta-blockers and diuretics) have been around for years. They have a proven safety record. They are not going to produce any surprises. The only problem is that they do not offer any profit to the big drug companies.

Does the movie hold up to his critiquing eye?

More tidbits from the ATLA president. The ignorance is worse than I thought:

And you talk about defensive medicine; one of the things that astonishes me is the extent to which people -- and, unfortunately, the press -- are willing to buy into these wild statement that are made. Have you ever gone to your doctor and had your doctor say, 'You know, there's a test that I probably ought ...

Read more...

So says 40 percent of doctors in the UK.

The 43-year-old woman arrived Wednesday at Hospital No. 121 in the southern city of Can Tho City, complaining of a severe stomach ache.
I'd bet.

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? ...

Read more...

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 ...

Read more...

They'd better.

Most Popular