The blue pill

What a sad story.

How an unethical physician can make the diagnosis of asbestosis and/or silicosis so easily. (via

Certificates of merit

Will they reduce frivolous lawsuits? Well, the effectiveness can vary.

An anonymous medical blogger is sued for defamation, with HIPAA issues at play:

The blogger identifies himself under pseudonyms of fac_p and Frank Pasquale. Most blog commenters "” some of whom appear to be hospital employees "” are anonymous.

In June, Essent filed a defamation lawsuit in state district court against "John Does 1-10" for postings and comments made on the Paris blog, which the suit says has had ...


Probably less than you think. Read about some myths that are perpetuated by the media.


ED vs nursing home

A daily war. The ED wins this battle, but at a cost.

Another example of how patients don't really know what goes on behind the scenes:

"At some point, the doctor can't justify accepting an insurance that's not meeting his cost of business," Rietsema said. "The typical primary-care provider has an overhead of 60 to 70 percent. In the end, sometimes the doctor has no other choice" than to not accept a particular coverage.

"Patients will think that they have good ...


Home midwife services

A growing trend? Malpractice is an obvious issue, and they are finding out what physicians already know - malpractice insurance is cutting into the business model:

Building the practice has presented challenges. The biggest, said Bryson, was mastering the billing process and getting insurance companies to reimburse her for her services. She's gotten much more adept at dealing with insurers and now gets much better reimbursement than she ...


Ezra Klein in an LA Times' op-ed, outlining the Republican and Democrat approaches to the health care. Here is the Republican's take on the situation, which makes more sense to me:

The Republicans are taking a very different approach. Their plans all proceed from the assumption that the problem in healthcare is that costs are skyrocketing because Americans overuse their doctors. This theory postulates that because Americans don't feel the ...


A story of a belly stud that was driven into the stomach in a car crash: "Jessica Collins' seatbelt forced the stud through her stomach almost to her spine in the crash in Munich."

An ER doc strikes back.

Who’s the patient?

Getting hooked at WhiteCoat Rants. Worth a chuckle.

Especially if you have Parkinson's.

Medgadget vs Sermo

Turning up the heat?

More on critical physician shortages due in part to rising malpractice rates.

Pelvic exams in the ER

How useful are they really?

For such a useless procedure, there is an unreasonable amount of emphasis placed on its performance by our consultants, probably a vestigial remnant from the olden days when CT scans, ultrasounds, and antibiotics were not as powerful or widely available.

A typical ER shift

You'd be surprised at how little time is spent on actual medical emergencies.

The 5-hour CT scan

A woman was forgotten in a CT scanner. Scary thing is, this wasn't the first time this happened:

A physician who works at the practice and knew of the incident said it's not the first time such a thing has happened. "People have been left in the office after hours, when something like that happens "” it's the same sort of thing," said Dr. Steven Ketchel. "My guess ...


Leaving your mark

Sid Schwab on naming anatomy:

When it takes some effort -- maybe a microscope or some really careful dissection -- to discover something, it seems reasonable that your name gets attached. Islets of Langerhans. Ampulla of Vater. Sphincter of Oddi. Valves of Heister. Crypts of Morgani (he got "columns," too.) But where's the cutoff? I don't get why Gabriele Falloppio got to name something as obvious and macroscopic as ...


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