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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Stephen Dubner looks closer at a BMJ opinion on the subject:

Now for the dialysis patient. Let's say she's on a waiting list for a new kidney. But there is a good chance she'll die before receiving a kidney, since far too few organs are being donated through traditional means to satisfy the demand. What happens, however, if instead of assuming that people do not wish to donate their ...

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By expanding into the suburbs and taking business away from lower-cost community hospitals.

It's Holt vs Hogberg:

. . . while I agree that there are serious problems with the U.S. health care system, I disagree on the solution. I think we need less government involvement and more freedom in the health care system, thereby letting free markets function properly. Holt would rather have us establish a government single-payer system.

Yet all of the studies I pointed to above compare the U.S. ...

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He tried to hang himself and had a change of heart. Unfortunately he slipped, fell, and became quadriplegic.

Vegas lazy

Healthy tourists are using disability scooters to get around the Strip: "It was all the walking . . . and now I can drink and drive, be responsible and save my feet."

Some have their doubts:

Stuart Altman, dean of the Heller Graduate School for Social Policy and Management at Brandeis University, said accounts such as those that appear in the film of insurance companies denying people coverage for medical care "make people furious." However, he questioned whether the film would have a significant effect on policy. He said U.S. residents "hate the system -- it's too expensive -- but we have ...

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She was going to sue over hurt feelings:

An intoxicated patient filed a complaint with the city after a Denver Health Medical Center doctor issued discharge instructions telling her to not "get drunk and fall, causing harm to your head or body."

Patient Karin Howe, of Littleton, a certified nurse aide, accused Dr. Yadavinder Sooch of issuing "outrageous discharge instructions" and said the hospital provided "substandard treatment," according to ...

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The NEJM comes under fire for publicizing the Avandia meta-analysis:

Dr Steven Haffner (University of Texas Health Science Center, San Antonio), who was involved in the ADOPT study of rosiglitazone, said the paper needed to be published, but it should have undergone a more extensive review, and there should have been a different editorial with more emphasis on the flaws of the study. "The NEJM was irresponsible to go to ...

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Designer vaginas

The BMJ with a negative editorial, saying there is very little data about long-term risks.

Who wins the salary competition and why:

. . . society perceived that the pricing mechanism for doctors' services was broken. That is, if the free market set the price, many citizens would not be able to afford to pay. And society believes implicitly that health care should be widely available to citizens. (That doesn't mean everybody. 40 million Americans are not covered by health insurance but many of ...

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Doctors with any business sense know that giving injections at a loss is not sustainable:

Like many Americans who rely on medications that are injected or infused, Leonida Mattioli, an 81-year-old New York-area anemia patient on Medicare, used to get his injections from his doctor. But this year, he has had to get them at a hospital because his doctor can no longer afford to supply the drugs. Mr. ...

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Clinical Cases analyzes the traffic after the Avandia meta-analysis annoucement.

Doctor Hebert with a terse hiatus message. (via Dr. RW)

Can it be a myth?

Drug song

Warning: Explicit lyrics at the end.

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