Sanitizing locker rooms

Apparently a couple of professional sports teams, the Boston Celtics and Cleveland Browns are having an infection outbreak. This has happened before.

And people wonder if this negative publicity is a bad thing:

Its authors, from the Centers for Disease Control and Prevention, did a sort of back-of-the-envelope calculation of how much extra fuel airlines spend hauling around fatter Americans. The answer, they wrote, based on the extra 10 pounds the average American gained in the 1990's, is 350 million gallons, which means an extra 3.8 million tons of carbon dioxide.

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Chris Rangel talks about Rush Limbaugh, Michael J. Fox, and the de-intellectualization of the Republican Party:

Rush knows that these people are out there, that they avoid anything more complicated than their daily lotto numbers, that they have a massive need to feel morally superior rather than intellectually superior, and that by God they want to listen to and be entertained by someone on the same level as they are! ...

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On why there is a screen separating the surgeon and anesthesiologist:

. . . the screen (still referred to as the "ether screen" is a barrier between the sterile field of the operating table and the unsterile area the anesthesiologist works in. Occasionally it's used like a net on a tennis court: some surgeons like to toss things up there, knowing the anesthesiologist can't return serve.

A blog with photos. (via Unbounded Medicine)

Light blogging

I'm taking the next few days off blogging, I'll be in Boston at Pri-Med East. Feel free to visit some other great medblogs in the meantime.

An Egyptian doctor calls out his Islamic fundamentalist colleagues:

A growing number of Islamic fundamentalist doctors are putting their patients' health at risk by telling them to fast during the holy month of Ramadan, a prominent Egyptian doctor said.

"We have noticed that brain and heart accidents are on the rise towards the end of Ramadan," Mohammed Ahmed Nasr, a professor of cardiac surgery from the Egyptian National Heart ...

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The insurance company won't fully cover a hiker's med-flight and he's wondering why. The money quote:

But when Jane and I have spent upward of $25,000 on premiums over the last decade to protect us during such emergencies and we're only reimbursed at 40 cents on the dollar, something is wrong.
Physician reimbursement also is becoming a fraction of the dollar - join the club.

It's happening overseas, can such drastic measures be coming soon Stateside?

The Department of Health (DOH) on Tuesday urged residents in Region 12, or Southwestern Mindanao, to immediately report doctors who continue to insist on the use of branded medicines instead of generic products to their patients.

Dr. Abdullah Dumama Jr., DOH Region 12 director, said the health department earlier launched a crackdown against such malpractice, which has reportedly ...

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Sounds like the procedure was a trigger point injection or some other type of pain-alleviating injection. Caution to who you allow to give the injection, as this suit shows:

The suit alleged Barngrover was negligent in training and supervision, and that Peggy Holder, an advanced practice registered nurse, performed below standards when administering the injection. Hins' argued the injection caused one of her lungs to collapse. The other collapsed ...

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A recent NEJM study suggests that it may save lives, but there are downsides to routine chest CTs:

"Everyone knows we can pick up things better with screening," said Dr. Elliott Fishman, a professor of radiology and oncology at Johns Hopkins Hospital in Baltimore. "But is picking up the same thing as curing? If I pick up a tumor that is one centimeter today and you live five ...

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ER observations

A story that is shared in ERs across the country:

If you present to the ER with chief complaints of headache AND chest pain, then you are most likely suffering from an anxiety disorder . . .

. . . Don't worry, I'm still going to do the CT scans, ECG, cardiac monitoring, and blood tests anyway. I'll probably even admit you. Maybe you've got Lyme Disease. Probably ...

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Another sign that quackery trumps intellectualism? Aetiology comments:

It's hard to argue with anecdotes like that, and people taking these types of supplements in spite of the research, rather than because of it. Ironically, of course (as Orac can tell you), many who take these alternative meds do so because of a distaste for "big pharma" or "corporate medicine," despite the fact that alternative medicine is just as much (if ...

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Sword swallowing X-rays



A bizarre collection of sword swallowing chest x-rays.

I wonder when the medications to treat these infant diseases will start to come:

Therapists are increasingly moving their treatments from the couch to the crib. While the field of infant mental health, which encompasses the study of children from birth through age three, has been around for decades, new research on everything from brain development to maternal depression is giving it a boost. A widely used mental health and ...

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10 first-aid myths

Examples: don't slather butter on a burn; don't suck venom from a snakebite; don't pee on a jellyfish sting.

Bad outcomes sometimes do happen. To prevent his, the patient has to bear some responsibility:

This news just in: I am not a perfect physician. I thought I was, but I am not. When I take care of patients I sometimes make mistakes, do the wrong thing, forget to do the right thing, or don't do everything I should.

You can tell me I'm a bad physician, make ...

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An OB wrongful death suit where a C-section wasn't done soon enough. Was it because they had to wait for the anesthesiologist?

The prosecution argues Evans waited too long to perform a c-section.

Tuesday's testimony centered around 30 critical minutes where protocol says a c-section should begin within a half hour of a patient's deteriorating condition.

"She was bleeding the way she was bleeding, we have to ...

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TBTAM is one of many who takes Suzanne Somers' anti-aging book to task:

More than a few patients have arrived to their appointment toting Suzie's book. It can take a lot to get them to be specific about what it is they feel they need hormones to treat, and to understand that natural estrogen is indeed estrogen, with all its risks and benefits. And that we are all ...

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Was it really worth it Dr. Mukherjee?

During the investigation, undercover officers saw long lines of people, some from other states, waiting to get into Mukherjee's office on Professional Drive in Flint Township to get prescriptions for powerful pain killers.

The prospective patients paid doctor's office employees to move up on the waiting list to see the doctor. Two undercover officers and the confidential informant were given ...

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