Street Anatomy with the top 10.

Efficiency is satisfying

It feels good when things go according to plan. This ER physician concurs.

TBTAM looks at the data and dispels this myth.

Economics 101 doesn't apply to health care today:

Primary care supply is down. In a market economy, when demand outstrips supply, cost of goods goes up AND you increase supply to meet that demand. Supply ain't goin' up. The supply is all going into specialties which generate incomes of 2-10 times higher than primary care. It is the fault of false economies. Socialist policies. Government policies. A fixed and ...

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The PHR wars

Will it be more work for physicians?

But this raises an interesting question. Are doctors going to want to sign up for Microsoft, Google, ZocDoc, and other online services just to communicate with their patients? It seems more likely that an individual doctor or medical practice will pick one service and then stick with it.

For example, if you take your kid to Fluffy Bunny pediatrics, you'll find that ...

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Homegrown EMR

Why shell out thousands for an EMR when you can use Microsoft Word? Here's the equipment that this urologist uses for a DIY EMR.

WhiteCoat proposes another solution.

Roadblocks to health care

There are plenty of sad stories about people who have difficult access to appropriate care.

Those proposing a government solution - like Medicare-for-all or single-payer system - don't realize the same roadblocks will be present in these systems as well. It's just a matter of a different entity pulling the puppet strings.

People who think that single-payer will be a MRI / PET scan, ...

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Easier said than done, as Illinois is finding out. If states can't get it done, the chances for any federal reform are grim.

Health care rankings

Don't believe the rankings, says Arnold Kling: "As far as I know, the systems for financing health care are unraveling everywhere."

Relating the "right" to health care to forced labor and slavery:

If the medical service was replaced with physical labor, the scenario is still familiar. "Will you build that deck for me?" "Will I hire you to build my deck?" "OK?" "OK." Everything looks fine... except for number 4. "I don't care what you say, you are building my deck whether you agree to my proposal or not." That ...

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"Stroke Code"

A man has a massive stroke. Read about how things should be done in the ensuing events at the Stanford ER.

Boston University physician Michael Siegel goes against the grain on the effects of second-hand smoke:

Siegel has just published a heretical paper in the journal Epidemiologic Perspectives & Innovations analyzing the purported effects of secondhand smoke. Siegel - the kind of doctor who can cure you, not the Dr. Kissinger type - writes that "there appears to be no scientific basis for claims that brief, acute, transient exposure to ...

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Orac compiles a list of culprit medical institutions. (via Dr. RW)

Maggie Mahar on the AAP's recommendation to be more vigilant in autism screening:

"The pediatricians are, as far as I'm concerned, going about this a bit impulsively"”as very, very few have a clue about what would be appropriate treatment for a child who truly screened positive at, say, 14 months. And the risk of really stressing the child further by exposing him to treatments appropriate for a 2-1/2 to 3-year ...

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Crazy warts

Or, the man who turned into a tree.



(via a reader tip)

The efficient ED

If physicians are expected to be productive and efficient, you have to give them the proper support.

Even it it works, I can't see many patients opting for this treatment:

Clostridium difficile is a particular problem among patients who have been prescribed strong antibiotics as they also wipe out the so-called 'friendly' disease-fighting bacteria in the intestine. Faecal 'transplants', as they are known, are believed to restore the bacteria to levels at which they help the recovery process.

Doctors involved in the trials admit there are ...

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A somewhat more concerning injury, considering he needs his hands as a practicing neurosurgeon.

Now the misguided privacy law is putting US researchers at a disadvantage. Way to go HIPAA!

Nearly 70 percent of clinical scientists in a national survey said U.S. Health Insurance Portability and Accountability Act or HIPAA, enacted in 2003, has made research more difficult, according to the study published in the Journal of the American Medical Association.

Almost 40 percent of those surveyed said HIPAA has added to the ...

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