Cuban health care

A telling truth that Michael Moore conveniently left out:

"Actually there are three systems," Dr. Cordova said, because Cuba has two: one is for party officials and foreigners like those Mr. Moore brought to Havana. "It is as good as this one here, with all the resources, the best doctors, the best medicines, and nobody pays a cent," he said.

But for the 11 million ordinary Cubans, hospitals ...

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The ER crisis up close:

We asked the doctor how to avoid spending a day in the ER just to get antibiotics. She explained that had I arrived in an ambulance, I would have received immediate treatment; ambulances were handled immediately. After 10 hours at the hospital, I left with a prescription and a first-class education in the ER crisis. Trust me, it is real.

Is it worth $33 million?

A Connecticut secretary who suffers from the "winter blues" is suing her ex-employers for $33 million, claiming they wouldn't give her a well-lit desk with a window view.

Caryl Dontfraid says she has seasonal affective disorder, which causes depression during the fall and winter and can be alleviated by exposure to bright light.

These prospective students in this forum sure are aiming high.

This statistician has doubts:

My question: was the cardiovascular risk real in all studies combined (p=0.03), but not in DREAM (p=0.22), ADOPT (p=0.27), or all small trials combined (p=0.15)? That seems to be a pretty bizarre statement to make, and is probably why the European agencies, the FDA, and Prof. John Buse of UNC-Chapel Hill (who warned the FDA of cardiovascular risks in 2000) have urged patients not to ...

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A bio of the crusader cardiologist at the heart of the Avandia controversy.

There must be some kind of line that is crossed here:

Dutch broadcaster BNN plans to air a television show next week in which a terminally ill woman will decide who out of three young patients will get her kidney.

Viewers will be able to advise the 37-year-old woman, known as Lisa, via text messages which of the candidates to pick, the Algemeen Dagblad newspaper said.

John Mack suggests that instead of attacking GSK and the FDA, the blame should be spread around:

Maybe even patients are partly to blame. When was the last time YOU read a package insert. Yes, it's often incomprehensible, but patients often don't even read the patient section of a drug's label, which is easy to read as opposed to the technical part of the label designed for physicians.

A more definitive study on Avandia's risks is in jeopardy as patients are starting to drop out:

Dr. Krall said he did not yet know how many patients have withdrawn, but said Glaxo was now worried about whether it could complete the drug trial, which has been scheduled to run through next year. The company has been counting on a successful outcome from the study to dispel widespread concerns ...

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A recent survey suggests that many psychiatry residents skip this step:

Rutherford and colleagues investigated the informed consent practices of 108 psychiatry residents by assessing their responses to clinical vignettes describing three hypothetical patients with major depression, borderline personality, or neurotic character traits.

Only 8 of 324 completed vignette responses (3 percent) met the criteria for adequate informed consent, the authors report, and only 3 of 324 met ...

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This CEO suggests through health care reform.

Post-op infection leads to an amputation in this unfortunate woman. The on-call surgeon was protected by Florida's Good Samaritan law.

Missed sepsis

Dr. Crippen analyzes what went wrong and how the UK media may be biased against GPs.

Mites in the ear

A bizarre cause of this man's hearing complaints.

Should the public pay their medical bills?

Graham with the critique. Great season finale by the way (join the endless theory debate on the episode if you want to make your head spin).

Who's responsible for the overuse of CT scans in the ER? GruntDoc says the blame should be spread around:

Want to admit a patient with pancreatitis to the Internal Medicine service? "What's the CT show?" is the admitting teams' question. Us: Didn't get one; had it before, has it again, patient states it feels just like their last pancreatitis flare-up. "Get a CT and call me back" is ...

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Enormous school debt is shifting the political views of this medical student towards the right.

And it wasn't a routine birth either:

Vincent worked with Dr. Dieter K. Gunkel, an adult cardiologist from Savannah, Ga., to deliver the baby. When he was born, he was blue and wasn't breathing or moving. Vincent started chest compressions and Gunkel did mouth-to-mouth breathing until the boy "pinked up," Vincent said.

Hannah Krening writes in The Denver Post. Bravo:

As a Colorado taxpayer, breast cancer survivor and one whose first husband lost a long battle with cancer, I want to say that the state 208 Commission's recent choices of proposals to evaluate all add up to one thing for me: I hope I never have a life-threatening condition again in Colorado if any of these proposals become reality. And ...

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