3.7 hours, according the a recent survey.

This may be start of a trend as medical students, heavily in debt, realize that family medicine is a dead end.

The next in a continuing series:

A herniated disc kept Thomas Dobson flat on his back all winter and now he can't find a doctor to sign his application for disability benefits.

"The problem is I need a doctor," said Dobson. "I've called every number in the book."

Dobson had no success because there are no physicians taking new patients and no walk-in clinics in the city.

I wonder if this will catch on:

Tempus uses the satellite technology that operates Virgin Atlantic's onboard telephone system to transmit medical information such as pulse rate and blood pressure readings as well as video images to medical experts at the MedAire Centre in Phoenix, Arizona. The ground-based doctors can then diagnose the problem and advise the crew on the next course of action, enabling crew to use their medical ...

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US poultry experts are using Google Earth:

Since the beginning of the year, experts have also been using Google Earth , which combines satellite imagery, maps and the company's search engine to span the globe. It gives extra details including the location of buildings, schools and roads near large chicken and turkey farms and production facilities.

"Twenty years ago we had to drive around the countryside and find the ...

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The NY Times profiles an unusual case.

Here's one tidbit:

Nearly 60 percent of uninsured hospital stays originated in the emergency department, compared with 31.8 percent for the privately insured and 39.3 percent for Medicaid patients.

The Washington Post looks at disease-mongering:

Shy people have "social phobia," requiring psychotropic drugs. High-strung boys have attention deficit disorder and need amphetamines. Baby boomers with slightly elevated blood pressure have "pre-hypertension" and line up for beta blockers. A few nights of restlessness calls for sleeping pills.

"The ordinary experiences of life become a diagnosis, which makes healthy people feel like they're sick," Schwartz said.

Expect drug companies to adjust pricing as this practice becomes widespread.

ABC News takes a look.

GruntDoc and others can't get their feed published at Medlogs. As it gets fixed, one option to stay up to date would be to use the feeds page here.

I'd like to keep it as updated as possible (i.e. including only regularly updated blogs), since I use it to steal find the links I blog about throughout the day. Contact me if you want your blog ...

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EMRs: Where more is less

Doctor comments on JAMA's recent EMR commentary:

Moreover, EMR encourages everyone to copy-and-paste the notes of everyone else so that notes become the same from author to author as well as from day to day. Even consultants are assimilated into the oneness of the EMR Borg. A cardiology consultant recently copied-and-pasted the intern's note into his own, even including "consult cardiology in AM" in his recommendations. Perhaps he meant ...

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This NY Times article thinks so:

I fear there's something else at work -— a fear borne out by a flier my fifth grader brought home saying that at the monthly pizza hot lunch, no child would be allowed to buy a second slice of pizza. The district says the new ruling is to avoid bad feelings caused by "inequities": if everyone can't have extra helpings, no one can.

From the Singapore Cancer Society.

Welcome to primary care in the USA:

To use the same fast food analogy, imagine a situation where price was no longer an issue (because of insurance) and the hungry masses started demanding the best burgers in the world . . . . but they wanted to wait no longer than they did for the regular "McDonaldized" burger. The problem is that the amount of money that the restaurant gets ...

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On-call, 24-style

Orac takes us through a call night of an academic surgeon.

It shirks its payments and now picks on hospitals serving the poor:

The trouble began in 2004 when Oxford agreed to a new contract that increased the rates it paid the hospital, then continued to pay the old rates for more than a year, according to both Jamaica and the New York State Department Center.

That cost the hospital tens of millions of dollars, but the loss is ...

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This must put him in an awkward position:

According to the lawsuit, Patty Phillips went to the hospital's emergency room March 19 with extreme abdominal pain. Her husband said he was certain it indicated a serious intestinal problem that required immediate surgery.

Instead, he asserted in the lawsuit, she spent hours in a bed without standard monitoring machines in a storage area outside the hospital's radiology unit before she ...

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Having such as fully-developed third arm is rare:

Neither of the boy's two left arms is fully functional and tests have so far been unable to determine which was more developed, said Dr. Chen Bochang, head of the orthopedics department at Shanghai Children's Medical Center.

It is because of the jury's unpredictability that leads to payouts and settlements:

The trial bar desperately wants the unpredictable nature of a jury to remain in the equation. Even though most cases that make it to court are won by the physician, the unpredictability of the outcome encourages physicians and their insurers to agree to a payment for an alleged error, even though in some cases the ...

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