Choices

A wealth of health care choices, but the most important one is not easy.

DB relates a story where HIPAA confusion led to the release of a wanted criminal. Should he have called the police regardless?

Serious questions continue in the Andrew Speaker TB case.

Comment policy

I read every comment posted to this blog. I reserve the right to delete comments or close topics for any reason at any time. I welcome and encourage dissenting views, but profanity and personal attacks will not be tolerated.

I recognize this represents a change from the past, more free-wheeling days of the blog where comments were rarely deleted.

Kevin, M.D. receives a significant ...

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More on the physician-terrorist link in the UK:

But have you ever considered the reality that in order to do good; or to help people in physical pain, that you must sometimes (actually often) cause them even greater pain for a time? That, if you are a surgeon, you must find some enjoyment (or at least be able not to get sick) slicig people open or debriding wounds and ...

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Andrew Speaker apparently has a more treatable form of TB, placing National Jewish Medical at odds with the CDC.

Reading some Sicko comments over at Matthew Holt's:

One other point that should be noted, all of those nations that have universal health care sacrifice other areas that receive little or no attention. For example, Canadian [sic] could not fight off the invasion of a blind army because it has woefully underfunded its national defense, relying instead upon the good old United States for its national defense. Its medical care ...

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Dr. Crippen gets angry at people who blame the NHS for their elderly parents' decline:

What gets me angry is the attitude of the author, Liz Penny. For, you see, it is people like Liz Penny who are bringing the NHS to it's knees. Liz would say she is well-meaning, and maybe she is. But she lacks insight. In reality, Liz is a Welfare State scrounger. She is presumptuous, hypocritical ...

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Grace-Marie Turner asks:

If Michael Moore's waistline ever puts him in the hospital for heart surgery, it will be interesting to see where he goes for medical care - the Mayo Clinic, or Cuba?
(via David Hogberg)

Medgadget points to a company that has positioned itself for the medical application of the iPhone.

This is unbelievable:

My most recent involved a patient who came in for a drug related problem. My resident recognized that the patient was a known most wanted criminal. So I called security, who told me that because of HIPAA we could not notify the police. She eventually left the hospital with IV in place to avoid arrest.

#1 Dinosaur brings up a good point. Monthly prescriptions for generic medications like HCTZ and atenolol are often times cheaper than the tier 1 co-pay ($10 in my area). Sometimes it's cheaper to pay for them out of pocket.

People are now looking to target older studies for possible drug risks. The problem is that these analyses are retrospective, and thus should be taken with a grain of salt. Since when did the double-blind, randomized-controlled prospective study stop being the gold standard?

As he examined data on a computer one day last fall, drug-safety reviewer Ralph Edwards saw something that concerned him: Of 172 people in ...

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Can there be a link?

Children from families with an annual household income of $90,000 or more had a 50% lower occurrence rate of migraine compared with children from households with an annual income less than $22,500, researchers in a multicenter study reported in the July 3 issue of Neurology

Hospital staff are wondering how their colleagues may also be terrorists. (via a reader tip)

Potential for a bizarre family scenario:

A Canadian mother has frozen her eggs for use by her seven-year-old daughter, who is likely to become infertile.

Should the girl opt to use the eggs and gain regulatory approval, she would effectively have a baby that was her half-brother or sister.

Maria comments on the recent debate about the pros and cons of limiting residents' work hours. The key is limiting the perils of the hand-off/sign-out to covering physician. Some don't seem to realize the potential dangers of this.

The incentives are all wrong. More on why physicians don't email patients:

Patients want access outside of the office and want their physicians to spend time with them when they do come in. How are doctors rewarded for meeting these desires of our patients? Less pay. There will never be widespread adoption of technology when adoption of that technology harms those involved. Not even by ...

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Andrew Sullivan thinks so: "America is the last refuge for pharmaceutical innovation. And the left wants to kill that off." (via Impactiviti and Peter Rost)

This list can pretty much apply to most surgeries. (via Scalpel)

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