Imaging the obese

Not being able to obtain appropriate scans due to obesity really throws a wrench into the diagnostic workup:

When Dr. Susannah Cornes' patient came in with paralysis and numbness, she wanted an MRI to look at the spinal cord. But the machine couldn't handle someone of her patient's size -- more than 350 pounds.

Absent that option, Cornes, a UCSF resident in neurology, recommended exploratory surgery. The patient declined, ...


Some pundits want all physicians on a strict salary. If that happens, productivity will likely go into the tank, affecting access and increasing waiting times. Shadowfax opines further in this great piece:

. . . what does compensation methodology have to do with efficient operation of the ER? I include this here because I strongly believe that in order to optimize the processes in your ED, it ...


One of the best lines I've read on this endless debate:

"History tells us that a lot of ground-breaking discoveries are made by mavericks who don't follow the mainstream," says Laidler. "What is often left out is that most of the mavericks are just plain wrong. They laughed at Galileo and Edison, but they also laughed at Bozo the Clown and Don Knotts."

How does the rest of world feel about that?

The Angry Doctor correctly states that under no circumstance should physicians diagnose over the phone.

A no-win situation.

Another job hazard of nursing.

Google and Sicko

Is Google supporting the health insurers? (via The Health Care Blog)

How generalists are making the rules work for them, by inventing new fields.

In the movie, there is an anecdote where a man was denied this exotic treatment for his kidney cancer.

Arnold Kling writes that Britain, France and Canada would have denied this experimental treatment as well.

Ironically, the US would have been his only shot at receiving this treatment, via a clinical trial.

Michael Moore points fingers, and doesn't allow the accused to defend themselves.

The Washington Post agrees:

He never interviews actual veterans of the system: doctors, nurses, administrators -- only the victims.

Thus we get a bottom-up, not a top-down or a full-frontal view of the creaking system. The film progresses from anecdote to anecdote along predictable lines: American health coverage = BAD, European health coverage = ...


Congrats Dr. Schwab. One of the best on the web.

iPhone hysteria

A psychiatrist examines the craziness.

Predominantly female?

Are women really more likely to have allergic reactions to medications than men, or are they simply more likely to receive a greater variety of medications over time and thus discover that they are allergic to them? Or are women just more likely to complain about subtle adverse reactions than men?

Take the celebrity quiz. When you're finished that, you can take a look at facelifts for dogs.

Panda should know. He compares the health care with the military:

Consider the American military in comparison to the typical European military. The American military is an expensive, technologically sophisticated organization that is twenty or thirty years ahead of anything the Europeans can field . . .

. . . A primary care military with conscripted soldiers who don't expect to do much is fairly inexpensive and looks ...


So says Edwin Leap. Just please don't tell me that health care will be free:

Even health-care in the purest idealized socialist system, in the most European, Marxist based, Castro-modeled, academic leftist dream-scape, won't be free. Get this: health care can't be free.

It can be free to the people who receive it, provided they are low enough on the economic scale. But to ...


Breast augmentation

The #1 cosmetic procedure. A plastic surgeon explains why:

It's likely that the increasing number of women having breast augmentation is partially due to the strong economy (in everywhere but here in Michigan) and the fact that silicone gel implants were approved by the FDA in November. These implants are so superior to the saline implants in appearance and feel that I am now finding more women opting ...


A sicker population, and a fee for service reimbursement system are driving factors. Want to solve the problem? Go back to capitati . . . oops, already tried that.

Scott MacStravic clearly identifies the reasons.

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