November 2004 - Some data behind chiropractic care:

So, before you send "a strong signal to the health and insurance industries that safer non-drug, non-surgical treatments should be considered whenever possible", be familiar with the evidence behind these treatments first. Chiropractic care certainly has its place, and I have many patients who swear by it. However, it should not replace conventional therapy just yet.

October 2004 - The importance of open communication in cases of medical error:

Mistakes happen in medicine. Lawsuits are bourne out of the public's expectation and demand for perfection. As advocation for non-economic caps continue, this reader's letter reminds us that we should continue to be vigilant in maintaining open communication with patients - especially after medical error.

On days that I am unable to blog, I will be linking to some classic posts - either something I find interesting, or heavily commented topics.

September 2004 - Discussion on John Ritter's aortic dissection:

I can only sympathize with the emergency room that night. With an acute aortic dissection, seconds count, and it was an unfortunate event for all concerned. Was it malpractice? Tough to say. ...

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Bang on: "The reason those ads are there is to sell the drug, not to educate the public."



He's pulling in huge crowds to his hospital room:

Hundreds of people have flocked to a hospital in the Indian city of Calcutta to see a man holding a sizeable chunk of his head in his hands.

Doctors say a section of electrician Sambhu Roy's skull fell off on Sunday, months after he suffered severe burns.

He has now become the centre of public attention ...

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From the "blog that reads like an action movie". Check out another thrilling ER case from the Charity Doc.

ABC News reports on his coronary artery disease:

In the mid '90s, Lay was put on a cholesterol-lowering statin drug. Around five years ago, his coronary disease had progressed to a point where his doctors decided to put in at least one stent - a wire mesh device - in one of his arteries to try to prevent a future heart attack. A source told ABC News at the ...

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There's a pretty high demand for these jobs:

It's a popular gig for local actors and comics.The villain at tonight's murder mystery theater may be the patient who wants too much medication at tomorrow's Kaiser workshop.

Role-playing patients at Kaiser and UC Davis' School of Medicine have voiced commercials and sung opera. They do community theater, stand-up comedy, and the occasional stint at law school mock trials or police ...

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Apparently more are using this practice to extend the shelf-life of meat:

But some meat packagers are putting carbon monoxide in the sealed packets, which prevents browning. The off color happens with exposure to oxygen and does not automatically mean the meat is bad. But, hermetically sealed in carbon monoxide, horribly spoiled meat can appear to be as fresh as the day it was cut.

For the love of God, please let this rest. Another study as disproven the so-called link:

Eric Fombonne, chief of pediatric psychiatry at the McGill University Health Centre, analyzed the link between between childhood immunizations and Pervasive Developmental Disorders (PDD) in 28,000 Quebec children, and was able to clear Measles Mumps and Rubella (MMR) vaccines containing immunizations as risk factors for conditions such as autism and Asperger Syndrome.

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So-called "foreign accent syndrome":

That's common after strokes and head injuries that people would have a speech disorder, but what's unusual about foreign accent syndrome is that the nature of the changes are heard by listeners as being suggestive of a foreign accent rather than a speech disorder.

I've been waiting for a while for varenicline (Chantix). This will be one medication that I'll be happy to shill for Pfizer.

Dr. RW comments on this worsening hysteria:

Concerning my reference to a linked study showing that the major incidence of ONJ is with parenteral biphosphonates in patients with myeloma or metastatic bone disease she states: "That simply isn't true. Oral surgeons and dentists have been seeing patient after patient with jaw necrosis from Fosamax and other bisphosphonate drugs."”

Wait a minute. Not so simply, please. According to ...

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Are employers expected to accommodate this new diagnosis?

Which brings us to another management conundrum: you have a policy prohibiting workplace violence. You do not tolerate any employee who threatens other employees. But do you have an obligation to "reasonably accommodate" an employee who is diagnosed with intermittent explosive disorder? Are they protected by the ADA?
(via Overlawyered)

I wonder if this would fly here:

"The 'open door' arrangement is not working. New gate-keeping mechanisms are needed. Strategies about who needs to be seen and those who can have medical assessment deferred must be developed order to protect the safety and health of existing in-patients," Dr Murphy writes in an editorial in the latest edition the journal.

I'm sure this is a common scenario across the country:

"Often, when I have to transfer patients with life-and-limb threatening injuries, it has taken hours to locate a physician willing to accept the transfer and obtain either helicopter or ambulance transfer," Plantz said.

"This is a source of serious liability for the emergency physicians as we are always blamed."

My Beating Blog

Fascinating concept:

My Beating Blog is an attempt to take the journaling aspect of blogging into a surrealistic future, in which the blog author literally and metaphorically bares his heart. The artist-blogger wears a GPS-enabled Heart-rate monitor throughout parts of the day, then blogs the data along with matching personal experiences, events, and musings.
(via kottke.org)

Orac exposes its increasing wayward ways. (via Grand Rounds)

Drs. Centor and Rangel specifically.

Apparently watchful waiting is not acceptable:

"Women would go to their doctor with a lump, and the doctor would say, well, let's just watch it," Hamer said. "Women can't accept that. They have to say, 'No, I'm not going to just watch it.' And if their physician refuses to do anything like a biopsy, then they need to go somewhere else."

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