Why I don't treat chronic pain: ". . . doctors have been sued for undertreating pain and jailed for overtreating it."

A walk-in clinic doctor is taking heat for not notifying patients of his retirement. His justification:

Fegley, who decided to retire the first week of November, said he didn'’t think he should be expected to notify all his patients because he does not consider himself a primary care doctor. His patients "all have primary care doctors," he said. "I’m just there when their doctors are unavailable."
Just a reflection of how ...


Update on the crusade against Dr. Bennett. "Bennett, reached by phone, said it's more of a 'cat and mouse' game the board is putting him through."

(via This Makes Me Sick)

This doctor is on call every day.

Culture, not money, is what influences those who choose home remedies. "When older minorities turn to home remedies to cure what ails them, it's more likely to be a reflection of their cultural beliefs rather than an inability to afford or access mainstream medicine, new research suggests.

The study found that many older people of all races tended to use home remedies for chronic ills, but black seniors were ...


Reprinted from the Annals - on patients and customer (dis)service:

Humming a little tune as I rounded the corner and headed down the homestretch of my afternoon in the office, I plucked a chart from the wall outside of room 14. Carol Todd, a woman of 48, had come to see me about "cellulitis of the scalp." My nurse had scrawled a question mark after her history, and then ...


The former Mad House Madman has moved to a new blog.

Doctors are being terrorized in Iraq. "Abu Mohammed can't go near a hospital now. The Iraqi bone specialist, 37, has lived in fear since August, when his younger brother, also a doctor, was shot dead one night while walking home from his clinic in Baghdad. Abu Mohammed bought a pistol after that, but he still doesn't feel safe. Recently he was offered a managerial job at one of the city's ...


Sometimes treating patients means not doing everything they say. "For medical consumers, there is a message here: good medicine sometimes means that the customer - I mean patient - isn't always right.

Or even happy."

Is the medical malpractice crisis over? "Pennsylvania Medical Society spokesman Chuck Moran said yesterday that it's premature to declare the crisis over. He said the overall payouts in medical malpractice cases in Pennsylvania rose in 2004, and medical malpractice insurance premiums haven't gone down."

Doctor shortage: In Ghana, there are 1,700 doctors responsible for 20 million people.

Unsued drugs that are being flushed are being found in the reservoir:

When prescription drugs expire or are no longer needed, many people simply flush and forget them.

That's the best way to keep them away from people who shouldn't have them, including children, poison prevention groups and pharmaceutical associations say.

But growing evidence suggests that flushing pharmaceuticals poses environmental risks.

The Orange Water and Sewer Authority ...


Washington Post: Are many clinical trials unnecessary?

Hurricane Katrina will cost 200,000 their health insurance.

Want to avoid the emergency room? Read Harry Potter.

Voting begins for the 2005 Medical Weblog Awards. Kevin, M.D. is nominated in the Best Medical Weblog category.

This editorial questions why physicians who work charity clinic should be exempt from malpractice. Can't have it both ways.

This is smart: A vending machine to dispense free generic samples.

How the new Medicare drug plan is affecting smaller pharmacies.