The curse of praise

Studies suggesting how praising your kids can be harmful:

When parents praise their children's intelligence, they believe they are providing the solution to this problem. According to a survey conducted by Columbia University, 85 percent of American parents think it's important to tell their kids that they're smart. In and around the New York area, according to my own (admittedly nonscientific) poll, the number is more like 100 percent. ...

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He had to ask the plaintiff for a loan to continue trying the case.

A gravely ill patient was moved to make room for King of Pop. He later died that day.

The focus continues on dwindling Medicare reimbursement. It's nice that some patients see things from a provider standpoint, but unfortunately they are the ones that lose in the end.

Big Pharma is encouraging employer drug programs:

Another motive for the business world could be to stave off a greater government involvement in health insurance, now that most presidential candidates and other politicians are promoting health care reform.

Big drug makers like Pfizer and Merck, which could benefit politically and financially from the employer drug programs, are also supporting the effort.

Richard T. Clark, the chief executive ...

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No give, no take

An organ donation proposal in Israel:

Under a new proposal someone who had previously signed their organ donor card would be given points helping them to move up the waiting list should they one day need a transplant organ.

ERs are a haven for defensive medicine, understandably so. Flea worries that some patients will think the overtesting and overtreatment performed in ERs is standard of care:

Here's the problem: Overuse of emergency services for non-emergent complaints educates parents and their children that non-emergent conditions require emergency level of care. Thus when a toddler in my practice goes to the E.D. with cold symptoms and gets an I.V. (true ...

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Pediatric-oncologist Sam Blackman supports the idea:

I think that now, being a little more experienced, and a lot more comfortable with the words that I use, I see the benefits to this technique to far exceed the risks. Moreover, I believe that offering parents the opportunity to tape one's important discussions with them telegraphs a message of confidence and trust, and would go a long way to establish rapport at ...

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Quick to smell the cash. Medpundit notes that many of the lawsuits will likely be without basis:

Winter is diarrhea season here in the United States, and most of those cases are caused by a virus. Chances are, most of those 3,000 people who called Marler had the routine run-of-the-mill viral gastroenteritis. It's amazing how many people reached for the phone to call an attorney. They smell money, ...

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Mounting criticism has caused Merck to suspend lobbying for mandatory Gardasil vaccination.

To da Vinci or not

Hospital CEO Paul Levy asks his readers whether BI-Deaconess should get a robotic urologic surgery system.

Chair leg through eye

Ouch. (via Street Anatomy)

Some honesty from the legal profession by acknowledging the presence of defensive medicine. Kudos to this attorney for telling us what he really wants - frequent and expensive tests, no matter what the cost:

I want my doctor to use defensive medicine. I want them to use anything available to make sure they are on the right track. When you are talking about a member of your family, your ...

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80 percent of the committee are specialists: "Their bias is adding to the income gap between specialists and primary care physicians."

How increasing specialization is another factor driving up health care costs:

Changing the way medical school works could also help alleviate the problem, Frey said. Currently, the number of slots available for different specializations is not based on society`s needs. The high number of specialists, in turn, creates more demand for expensive services.

An ER doc talks about the ridiculousness of the pain scale:

"Oh at least a 10. Can I put 11? Or 12? It's way off the scale." Vicki wrote 10 in the box. This meant she was supposed to give strong pain medicine, quickly. Another quick look from Vicki; she had only been in the room for two minutes with this patient yet she already had the same feeling, one ...

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Bizarre turn of events:

A Suffolk Superior Court judge declared a mistrial in former Patriot coach Charlie Weis's medical malpractice lawsuit today after two doctors involved in the case came to the aid of juror who passed out during testimony.

The juror began audibly gasping and collapsed at about 10:15 a.m. Several doctors -- including the two surgeons accused of botching Weis's gastric bypass -- rushed to help. People ...

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A NT Times essay paints a picture of pioneering open heart surgery in children 42 years ago.

The law in Italy states that minors must defer the decision to their parents.

ACEP is the latest. It would be nice if the AMA and ACP joined them with their own blogs.

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