An 5-week old infant presents with a fever. The mother refuses the standard lumbar puncture to rule out meningitis. The ER doc called Child Protective Services, who took custody of the child, and the LP was performed. The physician was subsequently sued:

A recent Idaho federal court ruling shows doctors should tread carefully when considering whether to get the state involved to ensure that a child ...

Read more...

Physician-owned hospitals sometimes are not equipped to handle codes overnight, necessitating a 911 call. (via symtym)

Dr. Nancy Snyderman is NBC's chief medical editor. She went on The Today Show and irresponsibly spouted off cancer screening suggestions that did not follow any accepted guidelines (emphasis mine):

In discussing colon cancer screening, Snyderman explained that because she has a family history, she started having colonoscopies at age 40 in two to three year intervals. She says now that she's over 50 she gets ...

Read more...

Amidst the recent cancer stories in the media and the news on breast MRIs, comes this timely article from Orac. Required reading:

The bottom line is that the ever-earlier detection of many diseases, particularly cancer, is not necessarily an unalloyed good. As the detection threshold moves ever earlier in the course of a disease or abnormality, the apparent prevalence of the disease increases, and abnormalities that may never turn ...

Read more...

They're coming back with an epic 2 1/2 minute TV ad. (via PharmaGossip)

Update:
The WSJ Health Blog with more.

Pharm Aid and Dr. RW comment:

The web listing of No Free Lunch pledge adherents has yet to appear on line despite having been promised on the site for several years. One wonders if more than a small handful of doctors has taken the pledge. Indeed on close examination very few practicing physicians, at least in the United States, could honestly sign the pledge because of this requirement: "to ...

Read more...

A group of Scottish doctors brings forth this controversial suggestion:

Any woman with a body mass index (BMI) higher than 30 should be placed on a waiting list until she has dieted to an agreed weight, according to the Scottish Committee of the Royal College of Obstetricians and Gynaecologists.

Women with a BMI of 36 or higher should be banned from even joining the waiting list, it says. ...

Read more...

CRNAs vs PCPs

California Medicine Man returns with commentary on how the public values these two professions, previously mentioned a few days ago here.

Edwin Leap tries to make sense of it:

No one bats an eye at television shows about rappers or athletes and their elaborate homes, or extensive car collections.

But doctors! Oh my! One reader commented on my column on free care with a very annoyed letter to the editor, ranting about doctors and their six figure salaries. But what about seven figure salaries of ...

Read more...

Eric Novack in an op-ed:

Just as it is morally repugnant for employers or the government to require workers to work extra hours without pay, it is unethical for a society that cherishes freedom to create a system where a right to health care obligates doctors to provide care at any time, and for a price that is dictated by government.
(via The Health Care Blog)

An ode to the colorectal surgeon.

height="350" width="425">

Ecstasy commercial

A parody of the Zoloft TV ad. More weekend hilarity, via Mad TV.

height="350" width="425">

"In my white coat"

Courtesy of the Howard University College of Medicine.

width="425" height="350">

Roy Poses outlines two instances where suggested P4P measures can lead to more harm than good.

retired doc feels that the ACP's "medical home" solution only would work within a single payer construct.

Broken rib: $12,000

The tab started before he got to the hospital:

On the other hand, what Palmer didn't know is that as soon as the paramedics radioed ahead to say they were bringing in an accident victim, San Francisco General, as per the hospital's procedures, issued a trauma alert to its staff.

Basically, that means a page was sent to doctors and anesthesiologists on call at the time. That page ...

Read more...

Old-school doctors

Maurice Bernstein laments the loss of the physical exam:

The old doctors had less tests and more time and more attention to the patient. Whether they could do a better job in diagnosis and treatment of the disease than more modern medicine is doubtful. But one thing is clear, they had the time to do a better history and physical and their treatment of the whole patient might ...

Read more...

Zelnorm, RIP



Zelnorm has been pulled, as there is a small association with heart attacks when taking this IBS drug:

Swiss pharmaceutical maker Novartis AG will stop selling a drug to relieve constipation after it was linked to a higher chance of heart attack, stroke and worsening chest pain that can become a heart attack, federal health officials said Friday . . .

. . . Earlier this year, ...

Read more...

Abortion in Mexico

Apparently access to this procedure is pretty good:

Practically, those who can scrape together $700 can get an abortion from a doctor. Some of them will even bill health insurance for the procedure, by coding it as a complication of pregnancy, according to the article.

John Mack goes to his doctor's office yesterday and reports on his findings.

Most Popular