Nurse K calls them "sonogram seekers". I call it another form of defensive medicine. Do you want to be the one to miss an ectopic?

What do you think?

It's one step closer to being pulled from the market:

Barbara Ryan, an analyst for Deutsche Bank Securities, said that the agency's report ensures that "there are going to be a lot of lawsuits." She noted that some firms were already advertising for clients.

It may make a comeback in a limited population:

Tegaserod (Zelnorm), the irritable bowel syndrome and constipation drug pulled from the market last spring, will make a limited return under an FDA plan that permits its use in certain symptomatic women younger than 55.

The FDA said today it will permit use of the drug under an investigational new drug (IND) protocol to treat IBS with predominant constipation and ...

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A slippery slope says Scott Haig:

The incursion of business practices into our profession has made uncomfortable bedfellows of those with an avocation and those without. The union leaves our professions, especially the nurses, in a fragile state right now. If you derail the dignity and mission of what we do, we'll simply stop and do something easier. Indeed, it's happening. Nearly 150,000 nursing jobs languish unfilled today in the ...

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Britney Spears and Lindsey Lohan are doing serious drug and alcohol rehab centers no favors:

"It is making a mockery of rehabs," said Harris Stratyner, a psychologist with Caron, a nonprofit addiction treatment organization.

"In some ways it's starting to make rehabs look like a joke and that's very sad because hundreds of thousands of people a year are saved."

The financial incentives must be changed, or else the PCP shortage will kill any universal health care initiative.

Massachusetts is finding that out first hand:
Even more disturbing is the fact that primary care physicians who already earn far less than some of their peers are falling even further behind. Doctors can earn far more in the U.S. if they specialize in areas that lean heavily on costly ...

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The NEJM with the infamous "Oscar the Cat" sign:

Oscar the Cat has had an uncanny ability to predict when residents are about to die. Thus far, he has presided over the deaths of more than 25 residents on the third floor of Steere House Nursing and Rehabilitation Center in Providence, Rhode Island. His mere presence at the bedside is viewed by physicians and nursing home staff as an ...

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His credibility is coming under fire.

How drug reps have to plot strategy to meet with physicians:

"It's dirty," he said. "This would never have taken place 30 years ago."

He was referring not to the table, but to the trade as a whole; this need to form a strategy, almost a battle plan, to break into the fortress commonly known as a doctor's office.

As a salesman, it's one of the reasons Pappas ...

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It was successfully removed: "Huang's facial tumour became noticeable when he was 4 years old, the hospital said. It grew bigger ever more rapidly as he grew older, blocking his left eye, pushing his left ear to shoulder level, knocking out his teeth and deforming his backbone."

Richard Schoor, aka The Independent Urologist, explains why.

You use more of it, naturally.

Chris Rangel says there will always be two tiers, no matter how much the left denies it:

Patients pay more out of pocket for the convenience of shorter wait times, less paperwork, less bureaucratic limitations, and more personalized care. Whether these new models lead to better care or not remain to be proven but they definitely lead to better service and Americans are increasingly more willing to pay for this.

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Wonder no more about what plastic surgery product-makers give out to physicians.



(via plasticized.com)

Sometimes, physicians' words have lasting impact on patients.

It's already been done, with the Bristol-Myers Squibb Children's Hospital in New Jersey. With the increased scrutiny of pharma's relationship with physicians, could this happen today? Roy Poses comments further:

The decision to name the hospital also took place in 2001, before the pervasive nature of conflicts of interest in health care started receiving some attention. I wonder how many other glaring examples of such conflicts ...

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Debunking some Sicko myths. (via Catron)

Physician reporting

"Garbage in, garbage out," says Dr. Wes.

A vicious op-ed in the Washington Post slams the AMA. No doubt, many physicians may feel the same way:

You might expect that the AMA would fight the insurers, hospitals, government bureaucrats and ivory tower academics who have diminished physicians' incomes, besmirched their ethical reputations and compromised their professionalism -- but you would be wrong. No, instead, at its annual meeting last month, the AMA declared war on retail ...

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