Cracking down on lavish outings and dinners for doctors are hurting the luxury hospitality business:

Simon Heartfield, specialist key account manager at De Vere Hotels & Leisure, said: "The code has not done us any good. Some pharmaceutical companies have overdone it." He said drugs companies were among the most important corporate clients for the hotel and leisure sector, and "a lot have taken [the new code] to heart".
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#1 Dinosaur feels that the hepatitis B and HSV vaccine should be optional, and the meningitis vaccine be expanded to cover infants.

Shrink Rap fears P4P measures will rob physicians of their thinking ability:

I remain skeptical that this is the wrong approach. Insurance company bureaucrats will have us "teaching to the test" in the same way that primary education has gone... and with the same disastrous outcomes, I fear. Kids can answer the questions, but can they think? Do we want doctors who just focus on keeping hemoglobin A1C's down, ...

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Dr. Charles with his take:

But then I pictured these poor kids dreading their trips to the hospital. While his friends are out playing soccer, John with leukemia has to go see the bearded man who will be administering toxins which simultaneously save and disfigure him. While her friends are crowded around a Nintendo Wii, Emma has to drive with her mom to see the smiling folks that will be ...

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If something goes wrong, who gets sued? The OB/GYN of course - the one with "deep pockets".

$75,000. And that's before malpractice insurance premiums of $15,000.

How radiologists describe finding breast cancer in mammograms. Malpractice fears are killing this field. Patients lose again:

In short, radiologists are afraid of being sued, and there's evidence that they have more reason to worry than providers in other areas of medicine.

Missed breast cancer is the most common basis for medical malpractice lawsuits in the United States, according to the Physician Insurers Association of America, a ...

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Unpasteurized milk.

Good for her - finally, patients are starting to speak out against drug advertising:

No, I am not a doctor, and neither are most people, and I believe it is unconscionable for drug manufactures to advertise; to push their products to non-medically-trained persons. This policy "“ this gimmick "“ sets patients up to undermine treatment plans that their doctors have chosen after careful study and thorough knowledge of the patient. ...

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Richard Reece comments. Big players are starting to come into this emerging field.

Early research suggests that it may shrink tumors in rats. Now, patients are willing to go to significant lengths to find the compound:

Now, hundreds of people are trying desperately to buy the water-soluble powder from chemical suppliers, giving each other advice over the Internet on how to mix the ingredients, discussing how strong doses should be or how to convince their doctors to come on board.
Update:

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How Doctors Think



An intriguing new book from Jerome Groopman, a hematologist and staff writer for the New Yorker. TIME.com on the book:

Groopman began to intensively examine how doctors think and how they get sidetracked from the truth. He learned that about 80% of medical mistakes are the result of predictable mental traps, or cognitive errors, that bedevil all ...

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Continuing attacks on its narcotic crusade seems to have hurt the DEA's feelings:

The men and women of DEA take offense at Dr. Gottlieb's assertion that the DEA has no capacity to understand the need for effective pain treatment. We are parents of young children, children of aging parents, and sometimes patients ourselves who appreciate the need for effective, accessible pain relief to prevent needless suffering.

It's about time. I enjoy their health reporting - only natural that a blog would follow.

"You made $11 million last year, you just fired 10,000 employees, and you got a 36% raise this year."

Drug ad bingo

PharmedOut with more. (via PharmaGossip)

Google vs PubMed

Dr. RW compares the two.

Medpundit thinks so:

What does this mean? It means we'll be giving boosters. Good for Merck. That doubles the demand for their vaccine. And if it turns out the booster's immunity fades with time, too, there will be another booster. It also means that we will probably see an increase in the incidence of chickenpox again after a steady decline over the past ten years. Which will be all ...

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Freakonomics: "If Crack Dealers Took Lessons From Walgreens, They Really Would Be Rich"

A bizarre case. After a hospital loses the remains of a stillborn fetus, the mother sues the OB and hospital for emotional distress:

During depositions, the mother explained how her grief had been intensified because of the unknown fate of her baby's remains. She was followed by Dr. R, who explained that he had no official responsibility for the disposition of remains and that such matters were the responsibility ...

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