More evidence from Canada:

If you believe such shortages can't happen in the United States, think again. Medicare already presides over a Byzantine system of price controls that it is planning to expand. This system has already created primary care shortages in many rural areas in this country, and its planned expansion will create more.

If the voters are foolish enough to bestow the presidency on a proponent of ...

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As the world becomes indexed via search engines like Google, online reputation becomes important - especially for health care providers. Patients are likely going to Google you as a quick screen, whether you like it or not:

With so much information accessible just by entering your name, the name of someone you know, the name of a business associate or even the name of a patient into a search ...

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Malpractice juries

Flea continues prepping for his trial and reveals that the facts of the case barely matters:

A jury's decision-making process depends more on the doctor's character, or what they perceive the doctor's character to be, than on the medical facts of the case. The break-down was astonishing: Doctor's character accounts for 97% of a jury's decision, the medical facts of the case, 3%.

Did y'all get that? The facts of ...

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Dr. Wes on the rise of patient blogs and what it means for HIPAA:

Patient blogs are now the rage at local hospitals here in Chicago, detailing play-by-play accounts of health care delivery and histories on patients themselves. You see, patients aren't covered by HIPAA. They can say what ever they want about themselves. But sometimes the patient isn't the one posting on the patient's blog, family members were, ...

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JCAHO takes the easy way out, and expands the antibiotic-pneumonia window to six hours. retired doc is not impressed:

Reacting to an outpouring of criticism and valid complaints about the simplistic four hour pneumonia rule the Joint Commission (aka JCAHO) emphatically demonstrated that they did not get the point and moved to correct the problem by increasing the time to six hours. They also amended the original rule by ...

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Many hospitals and doctor's offices are still pushing paper from room to room.

A slippery slope?

Until recently, the screening - called pre-implantation genetic diagnosis (PGD) - was approved only for genes that always cause diseases when inherited, such as in cystic fibrosis . . .

. . . Last May, the watchdog ruled it acceptable for doctors to screen embryos for genes such as BRCA1, which raise the risk of cancer in adulthood by 60-80%.

However, it still has ...

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Abortion ship

A ship will take women out to international waters to perform abortions.

Another member of mainstream media takes an evidence-bereft, pro-screening bias. This time, electron beam CTs for coronary artery disease, a AAA screening test for adults age 40 and above (contrast with the USPSTF recommendations), hi-res chest CT for lung cancer, and a PillCam screen for esophageal cancer are the "routine" tests recommended by Dr. Corso.

I'm ashamed to say this is an internist recommending these tests, ignoring the ...

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He publishes secret training tapes, and mainstream media is throwing oil on the fire.

Schwitzer with another instance of the media's non-critical pro-screening bias. This time, the Chicago Sun-Times with another irresponsible article on prostate cancer screening. I guess the evidence doesn't sell papers.

Flea tells us about how he is training to be prepped by a hostile attorney:

Flea will probably be the plaintiff's first witness. He was instructed to angle his chair slightly toward the jury, and to keep his claws folded in his lap. He was instructed to turn his head toward the plaintiff's attorney while answering questions, then to turn to face the jury and answer slowly, separating words, and ...

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And this is supposed to be news?

Chair leg in eye



A 19-year old survives the vicious attack.



Where has he been? Apparently, treatment for his salivary gland cancer didn't go as well as hoped:

What happened was, cancer of the salivary gland spread to my right lower jaw. A segment of the mandible was removed. Two operations to replace the missing segment were unsuccessful, both leading to unanticipated bleeding.

A tracheostomy was necessary so, for the time being, I cannot speak. I make ...

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More fallout from the COURAGE trial controversy. MedPage Today finds that some of the leaks may have been intentional:

MedPage Today found that once Dr. Leon reviewed the unpublished COURAGE study manuscript and realized it was unfavorable, he pursued a pattern of dropping hints of the results that he accompanied with criticism of the study design.

William Boden, M.D., lead author of the COURAGE trial said the leaks ...

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EHR myths

#1 Dinosaur writes why an EHR is not right for him. Legitimate reasons why it's taking so long for electronic records to gain a foothold in the US.

Benjamin Brewer thinks so:

Most of the time, when a man shows up in my office it's because a woman sent him. I think that's why married guys live longer (see article).

Women get their health information from doctors, the Internet, magazines and television, according to the government. Men get most of their health information from their wife, girlfriend or mother.

Dichloroacetate

A definitive compendium of articles by Orac about how this promising approach to cancer is being hijacked and taken advantage of:

In any case, I remain of the mind that hypesters like Jim Tassano, although he seems to think that he's doing good, are in fact not only putting patients at risk, but putting the very clinical trials necessary to demonstrate the utility of DCA against cancer at risk. Thanks ...

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Real-world application of evidence-based medicine. Colonoscopy withdrawal times are stringently monitored at BI-Deaconness.

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