Physicians today operate as small businesses. The story of how rising malpractice premiums are forcing OBs out of business, and hampering recruitment in Maryland:

According to Ma, the longer doctors practice in this litigious country, the more likely it is that they will be named as a defendant in at least one medical malpractice lawsuit.

And win, lose or case dismissed, merely being sued is enough to send ...

Read more...

She had to pull him off an electric fence, while getting shocked herself. Bravo.

A patient writes about his experience with the subsequent leg amputation.

Response to the NEJM study suggesting that thorough colonoscopies uncover more polyps and masses. These are some things to keep in mind as you choose a gastroenterologist:

Because colonoscopy typically involves sedation, there is usually no way for a patient to tell how thorough or careful a doctor is being or how long the examination is taking. But there are ways to judge beforehand whether, in general, a ...

Read more...

One by one, evidence is shooting down herbal remedies. This time, it's black cohosh for hot flashes:

In a study comparing black cohosh alone or with other botanical therapies with hormone therapy or placebo, there were no significant differences in vasomotor symptom frequency or intensity between women who received black cohosh or placebo, revealed the Herbal Alternatives for Menopause (HALT) trial.

Mammograms before age 50

Will the NHS use a recently Lancet study as a tool to deny screening? Hopefully not, as TBTAM points out that this study proves nothing.

Tell me something I didn't know. retired doc on the Zyprexa scandal.

By trying to decipher what he was saying:

"The brain reacts to reading a phrase such as'he godded me' from the tragedy of Coriolanus, in a similar way to putting a jigsaw puzzle together. If it is easy to see which pieces slot together you become bored of the game, but if the pieces don't appear to fit, when we know they should, the brain becomes excited. By throwing ...

Read more...

. . . and wins.

Good move for them. An individual mandate is the approach that makes the most sense.

Politicians will have their work cut out for them to convince some of the public about adopting single-payer system:

Also, a major problem being overlooked or ignored by universal health-care proponents is patients aren't likely to curb their drug costs and doctor visits if health care is free; thus, total costs will be several times what they are now.

Finally, like Social Security, any government benefit eventually ...

Read more...

Apparently, it takes four physicians to make this decision:

There are no compulsory gender tests during events sanctioned by the International Association of Athletics Federation, but athletes can be asked to take a gender test. The medical evaluation panel usually includes a gynecologist, endocrinologist, psychologist, and an internal medicine specialist.

ADD into adulthood

What happens to the medicated generation as they enter their 20s and 30s?

Controversy, as they interfere with peaceful deaths:

When Carol Lewis's father-in-law died, family members circled his hospital bed to pray, expecting to offer their final goodbyes peacefully. Then his body suddenly started to lurch.

"He jumped," said Lewis, a nurse from Hadley, Mass. "Then he jumped again, and again. It kept happening."

Finally, two hospital staffers rushed in and placed a large magnet on the 86-year-old's ...

Read more...

Not according to this opinion. Arguments are presented supporting the fast food industry:

It's not simply fast food companies' fault that obesity is rising in the US. To try to place the blame for obesity on them, or a large percentage of it, is to do no more than creating a scapegoat. Fast food is different than tobacco. Smoking can do little but cause harm. Fast food actually has ...

Read more...

Insulin pumps can be life-safers in cases of refractory diabetes. The safety feature preventing this hypoglycemic complication is defaulted to "off" - it's a good thing to know.

Here's one:

Turns out size does matter: The longer your penis, the better "semen displacement" you'll achieve when having sex with a woman flush with competing sperm. That's according to researchers at the State University of New York, who used artificial phalluses (ahem) to test the "scooping" mechanism of the penis's coronal ridge.

Dr. RW with a FAQ on woo

Well said. A sample question:

Many of mainstream medicine's conventional treatments are not evidence based. Aren't they a form of woo?

No. Although some conventional methods fail to measure up to best evidence they are at least based on known anatomy and physiology. They have some plausibility in the observable biophysical model in contrast to the "vital forces", nebulous "energy fields" and "non-local powers of the mind" ...

Read more...

More candid talk from the CEO of BI Deaconess in Boston.

Behind the scenes explaining why ERs are so overcrowded. (via GruntDoc)

Most Popular