The 5-hour CT scan

A woman was forgotten in a CT scanner. Scary thing is, this wasn't the first time this happened:

A physician who works at the practice and knew of the incident said it's not the first time such a thing has happened. "People have been left in the office after hours, when something like that happens "” it's the same sort of thing," said Dr. Steven Ketchel. "My guess ...

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Leaving your mark

Sid Schwab on naming anatomy:

When it takes some effort -- maybe a microscope or some really careful dissection -- to discover something, it seems reasonable that your name gets attached. Islets of Langerhans. Ampulla of Vater. Sphincter of Oddi. Valves of Heister. Crypts of Morgani (he got "columns," too.) But where's the cutoff? I don't get why Gabriele Falloppio got to name something as obvious and macroscopic as ...

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Chris Rangel on how defensive medicine has changed the practice of medicine:

The practice of emergency medicine (among other high risk specialties) has become so regimented and infused with defensive medicine tactics that many ER docs are not even aware of how this has changed the way they think. It seemed as if this ER physician could not fathom the concept that we would send home a patient who could ...

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With the miserable failures of Exubera and torcetrapib, Pfizer is throwing some marketing muscle behind Chantix - an anti-smoking medication that actually works and is quite useful. A look at the recent DTC ad for the product.

An ER doc confesses:

I shouldn't let this kind of thing bother me. Why should I care what the techs and nurses think? Let them walk a mile in my shoes. They're not held accountable if they miss a head bleed or PE or small bowel obstruction or neck fracture. I am.

Bizarre and could be start of a disturbing trend. What kind of corners will be cut in the name of profit?

Critics say a for-profit school will be beholden to investors and will scrimp on educational mission. Supporters assert that Rocky Vista must meet the same accreditation standards of other osteopathic schools. They also say the school's educational outcomes will be the same as nonprofit schools.

Mmm . . . purple urine



What a fascinating cause of this phenomenon:

Purple discoloration can occur in alkaline urine as a result of the degradation of indoxyl sulfate (indican), a metabolite of dietary tryptophan, into indigo (which is blue) and indirubin (which is red) by bacteria such as Providencia stuartii, Klebsiella pneumoniae, P. aeruginosa, Escherichia coli, and enterococcus species.

He has resigned from the hospital, but gives his side of the story:

He said the patient was "a drug addict coming off of opiates, completely in withdrawal (and was) restrained as he should have been by protocol by five technicians. I was only the sixth person, never hitting anybody."

Megan McArdle wonders:

You can't blame it all on lawsuits; my doctor didn't test me for hyperthyroidism because she was afraid of the malpractice suit that would result from my losing too much weight and getting heart palpitations. Nor can you blame it on money; my doctor doesn't profit from giving me blood tests that all come back normal. And I don't think the lack of rational rationing can ...

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This physician was pressured to settle, to his regret:

I spoke to some of my senior colleagues and they all advised me to settle. I relented, and what followed was a nightmare of the worst kind.

My insurance carrier increased my premium from $4,000 to $30,000, terminated my liability coverage, and then cornered me to buy a tail for $30,000 or retire. With retirement as no option, I found ...

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One of the best medical blog writers is ED physician Edwin Leap. With all the talk about emergency room specialist shortages, he implores his specialist-colleagues to step up to the plate:

And here's one last reality. This is America. It isn't the Communist block with bizarre borders and border guards. If a patient needs your care, but isn't from you community, why does it matter? ...

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Talking Health 2.0

Joshua Schwimmer gives a talk on the subject. Thanks for the mention!

Can it be because of the money?

Harvard Pilgrim CEO Charlie Baker with a positive take on one of Hillary's ideas.

How to piss off your EMT

A list of surefire ways. (via Scalpel)

Emergency care of the obese is stressing out the system:

"The major burden on the emergency system is on prehospital care," said Dr. Jay Goldman, national medical director of Ambulance Services/EMS for Kaiser Permanente in California. "Extricating these patients from crashes takes longer, is more difficult, and moving them from their homes to the ambulance, down three flights of stairs, is dangerous to providers."

Surprising. The breast-feeding mother who sued the NBME for extra time during her board exams finally gets a decision in her favor. The squeaky wheel really does get the oil:

A Superior Court judge last week rejected Currier's request to order the board to give her an additional 60 minutes of break time. Appeals Court Judge Gary Katzmann overturned that ruling, finding that Currier needs the extra ...

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Serving curry one minute, a baby born in another seven.

Europe banning MRIs?

It could happen as early as 2008:

Implementation of the Physical Agents (Electromagnetic Fields) Directive 2004/40/EC in all Member States could effectively halt the use of magnetic resonance imaging (MRI), an important tool in cancer diagnosis, treatment, and research, a scientist told a press conference at the European Cancer Conference (ECCO 14).

The Directive is due to be implemented across Europe by April 2008.

With an open letter to their CEO regarding recent security concerns. A situation all emerging health 2.0 sites should monitor.

Update:
Sermo with a response.

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