Congratulations. They have a nice collection of bloggers over there.

So very true. ER docs assume the worst, and then move on the less severe diagnoses:

The correlate of this emergency paranoia is that you, the patient, will get poked and prodded much more than you would if you just went to your outpatient doctor. Your stomach ache isn't just a stomach ache in the ED; it could be a heart attack, an aortic dissection, pancreatitis, a kidney stone, ...

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No surprise, since the barriers to obtain an EHR are so great:

U.S. doctors increasingly have access to computers to look up information on their patients, but more than half still don't have digital health records or the ability to write electronic prescriptions, a study released Wednesday found.

Twenty-two percent of doctors surveyed by the Center for Studying Health System Change last year had access to electronic prescription tools ...

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VBAC (vaginal birth after Caesarean) was banned due to rising malpractice costs. This continues to be a liability risk because of the small chance of uterine rupture (0 to 7 per 1000 births).

He talks about the latest issue, guest-blogging at GruntDoc.

More insurances are reimbursing for e-consults:

When Tamara McCartney's chronic sinusitis flared up this year, she knew she needed a prescription antibiotic.

But instead of embarking on a long drive to the doctor's office in St. Cloud, Fla., and missing as much as a half-day of work, she spent less than 15 minutes at home completing an online questionnaire from her doctor. The next day, her Avelox prescription ...

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A deterrent for felons who abuse the system for medical care:

Inmates at the Northumberland County Prison will now have to pay to see a doctor or a nurse.

The prison board Wednesday approved a policy requiring inmates to pay a $3 fee to see a nurse and $7 to see a doctor.

It would look something like this.

Coupled with no-fault malpractice, this is what some want nationwide. Let's see how it does in PA. I think that any reform like this will get shot down by the special interests, as there's just too much opposition to a single-payer system.

The latest evidence can be found in patient-centered oncology magazines:

Direct-to-consumer advertising of oncology medications typically focuses on the drugs' benefits, as would be expected, but it does so in a manner that might lead some cancer patients to not appreciate equally the drugs' potential side effects and risks.

China healthcare

When considering our deeply-flawed system, think about what they have to deal with in China:

In some Chinese hospitals, patients must wear stickers indicating how much they can pay to get well. With the quality of treatment linked to the patient's financial means, unexpected illness is among the biggest reasons Chinese families are some of the world's most committed savers.

You can get sued for writing false statements:

A Washington hospital and a malpractice insurer have successfully sued a Louisiana hospital and two doctors who wrote glowing letters of recommendation for a colleague without disclosing his drug problem.

The jury award of more than $4 million for fraud and negligent misrepresentation marks the first time one hospital has successfully sued another for failing to disclose adverse information about ...

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For being mentioned in the Washington Post.

Consider the ridiculous scenarios of this ruling. I advise Washington's Board of Pharmacy to develop some backbone:

What about being refused AZT because a druggist assumes the HIV-positive patient is gay and disapproves of his or her "lifestyle?" (To me that always sounded like disliking someone's taste in patio furniture rather than one's inherent sexual orientation.)

What if it's a pharmacist who may or may not be ...

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Robert Scoble writes about how his mother's blind belief in alternative medicine may have hastened her death:

But, she had some wacky beliefs. It's why I wasn't very close with her. She was VERY into alternative medicine and didn't believe in doctors at all.

That belief might have cost her some time here. We'll never know for sure.

One reason I wanted to share this is if ...

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A simple question asks what does a "routine physical" entail leads to an explosion of referrals and unnecessary test suggestions:

Q: What further referrals might be suggested?

A: Depending on your risk factors, a referral to a gastrointestinal specialist may be ordered for colon-rectal cancer screening, a referral to a cardiologist for heart disease screening, an eye doctor to evaluate for glaucoma, a diabetes doctor for evaluation of high ...

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Ridiculous use of resources over there:

In March, Mr Penman claimed that urgent operations were being delayed for months because his hospital did not have the cash.

He said then: "At a day care clinic I'd normally see six or even patients. But my boss ould only let me see one.

Then we all sat around drinking coffee. I've even got into sudoku and crosswords which is good ...

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This will happen soon here as well:

Although under the terms of the new GP contract they have to meet a series of performance indicators and the government is planning to publish the results of patients surveys.

The RCGP said the ratings will be displayed outside the surgery and run alongside the government's plan to publish details of patient surveys.

Their innovative idea of including personal responsibility in their Medicaid reforms is being shot down. Too bad.

Some are wondering after the recent incidence of a rare genetic disease in Michigan.

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