The NHS is considering a program to entice drug addicts to stay clean.

There are some strange recertification shenanigans going on. Dr. RW and retired doc speculate.

Those with eating disorders:

"Because it's been approved by the FDA, people think it's safe. But if patients are already at a healthy weight and are using Alli as part of their eating disorder, then it is not safe. It can make an eating disorder even worse because it magnifies symptoms these patients already have."

A bariatric surgeon takes on malpractice on his own terms:

"To be perfectly blunt, I don't believe that it's my responsibility to make my patients rich if there should be an adverse occurrence," Fallang said. "My responsibility is to take the best medical care of them that I know how."

"No one can do surgery with zero complications, it's just not physically possible," he said. "Medical malpractice lawsuits, 95 ...

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Cutbacks in Medicaid and Medicare reimbursement fees are amongst the reasons why two much-needed hospitals in DC may close.

Hospital overcrowding leads this man to spend 4 days in the shower room:

A B.C. man suffering from a serious back injury says he spent four days in a damp, dirty shower stall because of overcrowding at Kelowna General Hospital.

On Tuesday, 39-year-old Travis Lowe was rushed by ambulance to hospital with "brutal" back pain. After waiting in the emergency ward for several hours, he was given a bed, but ...

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Foreign doctors coming to the US are leaving their own countries in a difficult situation.

Rural areas are being hit hard and staffed by in large part staffed by foreign-trained doctors:

"The consensus seems to be that if you have a first name like Mohammed, you can forget it," Dr. Sanjay Chaube, a much-needed internist in Hurricane Katrina-ravaged Bay St. Louis, Miss., and one of more than 40,000 Indian doctors in the U.S.
David Catron has other thoughts.

Gilette Stadium. TD Banknorth Garden. Lincoln Financial Field. The Wellmark Blue Cross and Blue Shield College of Public Health.

Is corporate sponsorship of hospitals and medical schools next?

#1 Dinosaur with what he thinks about the Google's health initiatives:

When searching for an all-night pharmacy for a patient brings up a sidebar full of ads to buy Vicodin, Viagra and all sorts of other substances WITHOUT A PRESCRIPTION [emphasis theirs, of course] who the hell does Google think they're fooling? You can also locate an acupuncturist, a chiropractor and a Reiki practitioner near you 24/7. You could ...

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Using an EMR

Dr. Rob with a typical day. Although difficult to implement, once an EMR is running smoothly, it becomes indispensable.

Yikes.

Bathroom breaks during surgery? Operating with a cold? Thirsty mid-procedure? Sid Schwab tells us what it's like.

Update:
Fellow surgeon-blogger Orac comments.

The Independent Urologist on a similarity: customer service is key. Congratulations on the new addition to the family by the way.

Medical Economics examines the benefits and risks:

"Studies show that patients forget half of what we tell them during office visits," Volpe continues. "Or they might have more questions than we can deal with in a short visit. The printout of the chart notes that I give them not only has my diagnosis, follow-up recommendations, and referral information, it facilitates Internet research about particular illnesses because it contains terms related ...

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Allergies?

keagirl with a few "allergies" that sometimes are listed by patients. I could also add, "antibiotics: GI side effects."

Diagnosing XDR TB

Andrew Speaker's diagnosis was downgraded. Now Robert Daniels, who was being held under armed guard, also doesn't have XDR TB. Seems there is tremendous difficulty in pinning down this dangerous diagnosis:

Nevertheless, labs testing for drug resistance often come to different results, said Charles Daley, who oversees TB care at the Denver hospital that re-diagnosed both patients. He discussed Speaker's case earlier this month. "It happens all ...

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The Boston Globe reports the chief of anesthesiology at BI-Deaconess being dismissed:

Dr. Carol Warfield, chief of anesthesia, sent an e-mail to colleagues on Wednesday, saying that hospital chief executive Paul Levy had dismissed her as chair effective immediately.

"To say the least, I was shocked," Warfield wrote. She said that she was planning to return from sabbatical in two weeks and that Levy, whom she said notified ...

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Robert Centor with his 2007 Presidental Address to the SGIM. (via Medrants)

Notre Dame head coach Charlie Weis is back on the stand, after a mistrial ended his first malpractice suit.

The defense alleges that Weis wanted to rush through the complicated operation:

Ferguson said he also couldn't believe Weis, 51, now head coach of the University of Notre Dame Fighting Irish, was sitting before him in 2002 arranging to have a major operation in a matter of days - a ...

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