A physician missed a pregnancy, in a comatose women at a nursing home.

Some insurers are seeing the light. Cigna and Aetna are going to start reimbursing selected online visits.

Mumps and measles are in the news. The moral to the story? Get immunized.

Innovation in Massachusetts. Universal health care without a single-payer system.

Updates from around the blogosphere -

Mathew Holt:
"Either the insurers will not be regulated, and the market will implode with under-insured replacing the uninsured, and consumers and providers will be equally grumpy as it'll all have been a head-fake. Or the insurers will be properly regulated in time, and the approach I suggest will be ...

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Only rotating out-of-state doctors perform abortions in South Dakota:

Not a single doctor in South Dakota will perform an abortion, which is why Dr. Miriam McCreary has come out of retirement.

Once or twice a month, the 70-year-old grandmother takes a 45-minute flight from Minneapolis, Minnesota, to Sioux Falls, South Dakota, to perform abortions at the last clinic in the state willing to offer the procedure.

An HIV-positive patient lives longer than expected, causing her insurance company to lose money.

Meet the world's heaviest ecstasy user:

The 37-year-old patient, known as Mr A, took an estimated 40,000 tablets over the course of nine years, 20 times the previous reported record lifetime usage of 2,000 tablets, according to researchers at the University of London. For the last four years he was taking 25 tablets a day.

Tragic: One of the victims in the Boston scaffolding accident was a physician at Brigham and Women's Hospital.

Some are using medical blogs as disease support groups:

There are also some scientific and medical blogs that she frequents to find out more about the latest therapies. Many are run by doctors and scientists. "I have spoken to some scientists abroad on the success rates of the new therapies," she says.

Like Ms. Sumithra, there are several others who are now turning to blogs for information ...

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Matthew Holt tells doctors to quit their whining and deal with it.

Congratulations to Graham Walker on the US News' article on academic blogging.

The third wheel: EHR's in the examining room.

Drug users are teaching medical students:

For instance, in a recent seminar, Dr. Kunins mentioned that crack smokers face an increased risk of hepatitis C from sharing pipes.

Ms. Westcott explained: "Say if you're in a hurry to get that hit. The glass might pop and you cut the skin, or you burn your mouth because the stem is too short."

A crack binge, she added, often ...

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Midwives are being prosecuted for supervising home births.

Infants are now being treated by psychiatrists:

Eating and sleep issues are primarily why mental-health professionals see infants, says Dr. Thomas Anders, an infant psychiatrist at the University of California, Davis M.I.N.D. Institute and president of the American Academy of Child and Adolescent Psychiatry.

A different world - malpractice in Canada. Government subsidized malpractice premiums, loser pays . . . at a cost of capping doctor's fees:

Bisson accepted the loss graciously. She had begun to mentally prepare herself for a trial, comforted by the thought she would one day find justice, when her lawyer called recently and said Wai-Ping was asking her for $32,000 in legal costs.

"I couldn't believe they ...

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A word to the wise: Don't post a $65,000 bail for a patient you're treating.

Next Grand Rounds to be sponsored by GlaxoSmithKline. Happy April Fools, Nick.

How do you see 50 patients a day? Let your administrative assistant see some of them:

Waterbury physician Juan Fica hired a man 10 years ago to help around his office by seeing patients, diagnosing illnesses and writing prescriptions.

The problem was the man Fica hired, Elie Nakouzi, was not a licensed physician. Fica also billed insurance companies, Medicare and Medicaid for work Nakouzi did, but fraudulently indicated that ...

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Suing because of oversized breast implants:

Three New York women who underwent breast augmentation surgery say they never wanted to look like Pamela Anderson and are suing because of oversized implants.

The three are suing Dr. Brad Jacobs, saying he left them deformed by stuffing oversized implants into their breasts.

"I wanted to leave with a 34B -- but the day after my surgery, I was huge," ...

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