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 ...


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)

Medicare makes their annual announcement of Medicare cuts in reimbursement. This year it's almost 10 percent.

Typically, these cuts get stopped at the last minute. However, I predict this year they'll only go half-way - perhaps reducing the cuts instead of eliminating them completely.

Completely agree. It is irresponsible not to teach the business of medicine. Ideally, it should be a required course, right next to physiology and anatomy.

A mother can't take her board exams because of breast feeding concerns:

When she called the board last week to ask for extra break time, she said she was told that the test provides special accommodations only for disabilities covered by the federal Americans with Disabilities Act, and breast-feeding was not one of them.

Currier agreed that breast-feeding is not a disability. But it is physically demanding : ...


Sometimes there's a fine line.

HIPAA madness

The NY Times writes on the over-zealous misinterpretation if HIPAA:

Experts say many providers do not understand the law, have not trained their staff members to apply it judiciously, or are fearful of the threat of fines and jail terms "” although no penalty has been levied in four years.

Some reports blame the language of the law itself, which says health care providers may share information with others ...


Peter Chowka with today's Sicko-inspired op-ed.

Single-payer supporter Graham is a waiting list sympathizer.

Something in this foie-gras poutine is guaranteed to offend. Statin not included.

It's July and some third-year students are just starting their surgery rotation. Michelle Au with good advice in the OR: "if it's blue, don't touch."

An ER nurse tells this story of a tech, which led to her fear of female genitals, or kolpophobia.

This can be applied to most specialists.

Physician emails to patients cut down costs at the expense of physician incomes. Matthew Holt calls this part of the bizarro world of fee-for-service care:

This is of course great news. Productivity goes up, patients are happier and their care is probably better. Of course in the bizzaro world of health care that we live in, this would translate into a 7"“10% decline in primary care physicians' incomes.

Something that the single-payer supporters forget - many Americans don't support it and single-payer initiatives have been regularly defeated on the ballots.

Many Americans are used to top-flight, "all-you-can-eat" health care. Whether they will support anything less is in question:

Many Americans do get the Mercedes-Benz of health care. But given the scarcity of resources, they may be doing so at the expense of many others. Ultimately, ...


Sicko debuted in 9th place, grossing $4.5 million in 441 screens over the weekend. Can you correlate these numbers to America's appetite for health care reform? David Hogberg tries to.

It is unlikely that will ever happen:

Even more important, in no other country in the world are interest groups so powerful as in the U.S. If a bill for universal health care were to be introduced in Congress in 2009, we can expect the same kind of fatal onslaught on it by insurance companies, pharmaceutical companies, small and large businesses, doctors and hospitals as happened in 1993 when Bill ...


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