The NY Times on his calculated efforts to help his public image.

There may be some gender and cultural factors that affect proper sputum-inducing technique.

Green blood

A patient bled green, surprising surgeons. Something from Star Trek? No, simply high doses of Imitrex. Who knew?

The patient had been taking large doses of sumatriptan - 200 milligrams a day.

This had caused a rare condition called sulfhaemoglobinaemia, where sulphur is incorporated into the oxygen-carrying compound haemoglobin in red blood cells.

Describing the case in The Lancet, the doctors led by Dr Alana ...

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This physician is better at talking to patients over the phone than in person:

Spear, board-certified in family practice medicine, conducts most of his patient interviews over the phone and runs a "Dial-a-doc" service that almost exclusively deals with patients telephonically. He also has a radio show, "Dial-a-doc," heard across the state on Thursday mornings on radio stations KUMU and KQNG.

"I'm better at (patient interviews) on the phone," ...

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Doctors seem to lead the way with this Google keyphrase search. Maurice Bernstein with more:

So I went back to Google today and entered the words "I hate..." and finished the expression with "doctors" and found there were 18,300 sites using those words. Then I replaced "doctors" with "nurses" and then a whole bunch of other jobs and below is the results I obtained. I am not sure ...

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Merrill Goozner looks at who is really politicizing the issue. (via Schwitzer)

Roy Poses also comments.

Finance Physician

Physicians are traditionally bad with money. A new physician website gives some personal finance tips geared towards medical students and residents.

One well-built wheelchair:

A man was taken on a wild ride when his wheelchair became lodged in the grille of a semitrailer and was accidentally pushed down a highway for four miles at about 50 mph, authorities said.
(via a reader tip)

Pharmalot on GSK's upcoming OTC version of orlistat.

The recipient of the kidney is upset and says the hospital is doing this to avoid negative press:

The Canadian woman who was to receive a kidney donated by an Australian man disputes characterizations of the young man as a religious "cult" member who was coerced into making the offer.

"There's no way in the world this guy was being coerced," said Sandi Sabloff, who lives in north Toronto ...

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Scary stuff from Korea:

From their nondescript sixth-floor office, Kim Hee Joo and five other social workers troll the Internet to combat a disturbing trend in South Korea: people using the Web to trade tips about suicide, and in some cases to form suicide pacts.

For the considerate smoker:

Take a look at this jacket that lets people wear their lungs on their chest. The idea is to show consideration for others by blowing smoke into the collar of the coat - instead of in their faces.

The smoke blown into the jacket collar runs into two "lung compartments" on the breast of the coat that each have a transparent covering. Over time, the ...

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Initially awarded $50 million, he now must choose between a reduced award of $1.6 million, or a new trial.

Toebesity

The lasted cosmetic surgery fad:

. . . "there are cosmetic surgeons with scalpels poised to slenderise generously-proportioned digits" in NYC.

Acute Wiiitis

NEJM with a case report:

The final diagnosis for the isolated right shoulder pain was Nintendinitis. However, the variant in this patient can be labeled more specifically as "Wiiitis." The treatment consisted of ibuprofen for 1 week, as well as complete abstinence from playing Wii video games. The patient recovered fully.
(via Clinical Cases)

Scribes

GruntDoc writes on his positive experience with them in the ED.

The committee tries to attack Steven Nissen with some laughable questions:

Congressman Chris Cannon, Utah (R-Utah) tried to make Nissen cry about all the money pharma companies lose when the public hears bad news about drugs or the industry -- in other words, he thought the messenger, not the message should be blamed.

The congressman, in fact, went all the way back to the Clinton era to make ...

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Is Januvia next?

If it were up to Public Citizen, we should not be taking any new drugs until they were on the market for at least seven years:

Nearly lost in the controversy over Glaxo's Avandia is a strongly worded statement issued the other day by Public Citizen, the advocacy group, about Merck's relatively new diabetes pill, which was approved last fall by the FDA. On its web site, the group cautions ...

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"Money talks."

Apparently, soldiers are going to the ER after taking Hydroxycut. The Angry Doctor comments: "I can't imagine losing weight would be my first priority if I were in Iraq."

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