What Doctors Hate About Hospitals is the TIME cover story (click on the brief ad to read it for free).

The articles claims that, for example, doctors are uneasy about becoming patients in July:

"The average major teaching hospital typically sees a 4 percent jump in its risk-adjusted mortality rate in the summer, according to the National Bureau of Economic Research."

NYTimes describes the health problems of aging baby boomers who continue to exercise: osteoarthritis which needs "knee and hip replacements, surgery for cartilage and ligament damage, and treatment for tendinitis, arthritis, bursitis and stress fractures."

Some doctors call this phenomenon "boomeritis" or "Generation Ouch."

FDA Updates Contact Lens Advice (via WebMD):

"Regardless of which cleaning/disinfecting solution used, wearers may want to consider performing a "rub and rinse" lens cleaning method, rather than a no rub method, in order to minimize the number of germs and reduce the chances of infection."

176 cases of fungal infection of the cornea reported this year according to a CDC report.

Confronting a Colleague Who Covers Up a Medical Error -- a curbside consultation in the American Family Physician.

Oregon man survives 12 nails to the head from an unsuccessful suicide attempt with a nail gun. According to Associated Press, he was "high on methamphetamine."

Watch the CNN video showing the position of a dozen two-inch nails.

Russell Beattie writes that blogging has become too much of a burden and he decided to give himself a break and probably to start later at a new URL:

"For the rest of my readers, thanks for subscribing it's been great having you there to write for! Now please *unsubscribe* and give my poor server a break. :-)"

"Blog fatigue" seems to be a ...


This article was published in the Annals of Internal Medicine: The Relationship between Green Tea and Total Caffeine Intake and Risk for Self-Reported Type 2 Diabetes among Japanese Adults.

The conclusion looks good but a retrospective cohort study is not the best study design.

KraftyLibrarian writes about a survey of physicians' use of new technology:

"142,000 physicians report they use the Internet during patient consultations

610,000 physicians report using search engines to find medical information online.

333,000 physicians use some type of mobile device (PDA, smartphone, tablet PC)

40% of those surveyed reported using an iPod or another MP3 player

487,000 physicians are users of "new media" (streaming ...


Dr. Charles describes a patient with a Holiday Heart Syndrome.

Non-medical readers can see what this "high-speed and disorganized rhythm of the heart" looks like here.

How Doctors Think

BMJ reviews the book How Doctors Think: Clinical Judgment and the Practice of Medicine.

The reviewer rightfully points out that "doctors do not really think that medicine functions as a science with "invariable replicability and rule like precision."

NEJM published a study about the Feasibility of Treating Prehypertension with an Angiotensin-Receptor Blocker:

"Treatment of prehypertension with candesartan .... reduced the risk of incident hypertension during the study period. Thus, treatment of prehypertension appears to be feasible."

California Medicine Man is not so sure if this is a good idea.

Dr. Taraneh Razavi writes occasional posts on the official Google blog and recently decided to start one on her own: Dr. Razavi's Good to Know Info.

Funny enough, the team members of her blog are:

A Googler
Eric (Schmidt, Google CEO?)
GooglePR (the Public Relations Department?)

Are the team member there just to help or to keep a close eye on the blogging doctor?


Visiting bloggers

I happy to say that two distinguished guest-bloggers will be filling in for the next little while. Please welcome Ves Dimov, M.D. from Clinical Cases and Images, as well as the always provocative and controversial editor of This Makes Me Sick.

I appreciate your continued readership, I especially thank the guest bloggers for keeping Kevin, M.D. fresh in my absence.

A pediatrician laments, no one ever talks about defensive medicine. I'll have to invite Dr. Orr to read this blog:

Orr says physicians have to practice "defensive medicine" to protect themselves against being sued. Having that as a premise means doctors will order more expensive testing even if they don't think it is necessary.

"Malpractice also put the healer at odds with the person coming to be healed," ...


Medical malpractice in China. A man spends seven years teaching himself medicine so he can prove a hospital caused his son's disability.

Some drug reps go over the line:

A weekly offer of coffee and bagels in exchange for two prescriptions a week was the last straw for Physician Assistant Carolyn Finocchiaco.

That was the recent pitch of one pharmaceutical drug seller to Finocchiaco, the associate clinical director of cholesterol management at Catholic Medical Center.

"She was back a week later and said, 'Hey, you didn't add those two ...


Hooray single-payer: "The family of a 57-year-old Meath Park woman says it will take at least three months before their mother gets to see a Saskatchewan oncologist who can tell her if her cancer is treatable or fatal."

Want a provider to spend lots of time with you? You'll find it with medical students.

WSJ - turning to other industries to cut physician waiting times:

Portland, Ore., physician Chuck Kilo, whose GreenField Health Systems helps restructure medical practices, and is assisting with the program, says that too many doctors' appointments take up valuable office time with follow-up that could be accomplished with phone calls and email.
Sounds good in theory - one barrier is that phone calls and emails are not reimbursed. Another ...