One of the biggest resource drains on the ER. There is no continuity of care, and studies often get repeated and overlapped:

Across town, at Detroit Receiving Hospital, dozens of patients like Weiss-Frezzell show up every day, consuming doctors' and nurses' time, requiring costly medical tests and creating persistent frustration for medical staffs who struggle to treat pain-riddled patients but try to avoid giving them unnecessary medication.

In ...

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The physician who blew up his NYC apartment. Fascinating read.

A secretary is fired after breast cancer chemotherapy.

They increasingly turn to alternative therapies:

"Teenagers don't really have the full capacity to understand the broader picture, " said Kara Kelly, a pediatric oncologist at Columbia University.

She worries that teens don't realize the consequences of their decision and if alternative therapy doesn't work, they could be putting their lives at risk.

A number of studies show "adolescents have some difficulty understanding the finality of death," ...

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He crashes his minivan into a medical clinic. What else is new:

A man who crashed his minivan into a medical clinic, and then went on a rampage inside, was trying to find a doctor he blames for endangering his life by refusing to run an HIV test on him in 1988, a criminal complaint said.

Geoffrey Fitzgerald, diagnosed with AIDS eight years later, was charged in La ...

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He's finished a year of clinical training:

Medicine has made me into a shitty person. Or, maybe more appropriately, the shitty-person side of me was always there, but the stress of medicine brought him out. Many of the problems, I believe, stem from behaviors in medicine that I can't shake from my person when I'm not in my medical role.

Congrats to Dr. RW

His blog is a year old. Here's to many more years of great blogging.

MedGadget looks at the voodoo medicine people auction off on eBay.

A whole lot of penises:

I wasn'Â’t appalled when I (quickly) learned about the field of urology. I was surprised that the penis could have so many problems. And I also quickly realized that there were some men who didn't want any female looking at their penises... and then there were the men who weren'Â’t shy at all about sharing their penile troubles (or not) with me.

My previous post will be continually updated as the Anna Pou story develops. She is receiving significant attention from both her colleagues and other health professionals.

December 2004 - In the midst of the Vioxx fallout, some suggestions for patients who needed a COX-2:

If Celebrex and the other COX-2's are pulled in the near future, here are the options you want to discuss with your physician:

1) Switch to Tylenol.
2) Switch to Lodine, Mobic, or Relafen which are COX-2 preferential; or,
3) Switch to a non-selective NSAID, i) in combination with a PPI ...

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November 2004 - Commentary on BiDil, the CHF medication for blacks:

Now, let's look at BiDil a little closer. This is merely a combination of two cheap generic medications - hydralazine and isosorbide dinitrate. In fact, you can simply prescribe these medications separately at BiDil's dosages for only pennies. This combination has been tested before in the pre ace-inhibitor era and was the standard of care for CHF before ...

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Thanks

Kevin, M.D. is recommended reading, as suggested by Walter Olson at Overlawyered.

More primary care woes:

"The nationwide average income for family physicians is around $120,000, and none of the doctors in my practice were making $100,000. We make less, probably $20,000 to $25,000 a year less than the doctors in other states."

According to a recent national study by the Center for Studying Health System Change, physicians' net income from practicing medicine dropped about 7 percent between 1995 and 2003.
(via ...

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An IOM report came out with some grim findings. Technology may be part of the solution, but there may not be enough incentive to adopt:

Technology alone could prevent some errors today, but there'Â’s too little incentive for hospitals and other care providers to invest, added University of Arizona pharmacy dean J. Lyle Bootman, who chaired the IOM probe.

"We'Â’re paid whether these errors occur or not," ...

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He did something about the heat that the hospital wasn't willing to:

A cancer patient was forced to order portable fans from Currys after being told nothing could be done about soaring temperatures at the Western General Hospital.

No week is complete without one.

I'm sure that some of the recent news isn't helping:

While cancer drug development is booming, the proportion of patients willing or able to take part in research has remained stuck for years at 5 percent to 10 percent.

That's putting medical progress into jeopardy, researchers say. Some clinical trials of new drugs take much too long to complete or are simply cut short before enough data can ...

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But dies two hours after the decision.

Surgery, with the added stress of war:

Surgeons are conducting operations with sirens sounding every few minutes, sometimes followed by a dull or heavy thud, depending on how close a missile lands.

Patients recovering from surgery or those on ventilators cannot be moved to the hospital's bomb shelters quickly enough, and medics invariably have to stay with them.

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