A simple question asks what does a "routine physical" entail leads to an explosion of referrals and unnecessary test suggestions:

Q: What further referrals might be suggested?

A: Depending on your risk factors, a referral to a gastrointestinal specialist may be ordered for colon-rectal cancer screening, a referral to a cardiologist for heart disease screening, an eye doctor to evaluate for glaucoma, a diabetes doctor for evaluation of high ...

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Ridiculous use of resources over there:

In March, Mr Penman claimed that urgent operations were being delayed for months because his hospital did not have the cash.

He said then: "At a day care clinic I'd normally see six or even patients. But my boss ould only let me see one.

Then we all sat around drinking coffee. I've even got into sudoku and crosswords which is good ...

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This will happen soon here as well:

Although under the terms of the new GP contract they have to meet a series of performance indicators and the government is planning to publish the results of patients surveys.

The RCGP said the ratings will be displayed outside the surgery and run alongside the government's plan to publish details of patient surveys.

Their innovative idea of including personal responsibility in their Medicaid reforms is being shot down. Too bad.

Some are wondering after the recent incidence of a rare genetic disease in Michigan.

Psych headlines dominates the news today. The NY Times explores the increased use of antipsychotics in kids:

The explosion in the use of drugs, some experts said, can be traced in part to the growing number of children and adolescents whose problems are given psychiatric labels once reserved for adults and to doctors' increasing comfort with a newer generation of drugs for psychosis.

A study is attributing road rage to this psychiatric disorder:

The average number of lifetime attacks per person was 43, resulting in $1,359 in property damage per person. About 4 percent had suffered recent attacks.

Sound, unanimous advice from dermatologists.

The Cheerful Oncologist gives his take.

Apparently, there are differing policies on this depending on the hospital:

Sampson said she went to the hospital for treatment of a severe migraine headache, but was moved to a psychiatric unit when she admitted struggling with self-destructive impulses. She said she pleaded to be allowed to keep at least her pants on before the strip search, but the nurse refused . . .

. . .In a ...

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It's a high one:

There are reports of lost limbs due to lack of informed consent ensured by professional interpreting. Young children commonly experience psychological trauma from being expected to play interpreter and inform mom or dad of their terminal disease; children who speak English as a second language often misinform adults about how to take their drugs. Patients withhold vital information from physicians for fear that relatives or neighbors ...

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A ob/gyn-blogger summarizes the current options.

Sounds like quite a stressful flight. Good job.

Maria takes on the tough issues.

Graham with a case in point. Stories like these pervade medical practice daily.

Thanks to Overlawyered and PointofLaw.com who linked here today. Don't forget to discover the other wonderful medical blogs on the blogroll, situated on the right-hand column.

A difficult decision for the mother:

In the 2002 collision, Williams was a passenger in her sister's car heading eastbound on Montrose. Manchester, 52, was heading westbound when he turned left in front of them, causing a near head-on collision.

Williams, 32, and in the first trimester of her pregnancy, was taken to Advocate Illinois Masonic Hospital. The fetus was not injured in the collision.

Dr. James ...

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The LA Times takes a closer look. Cost certainly plays a role:

Right now, the practice is not so much about saving money as sparing staff radiologists calls around the clock, Bradley said. However, the estimated $65 per case that the hospital pays NightHawk is "much, much less" than it would cost to pay U.S.-based radiologists at those hours, he added.
(via The Health Care Blog)

This nurse didn't seem very busy during her shift:

On a recent Friday night, Nurse Practitioner Linda Tylka was sitting at her desk inside her Wal-Mart clinic waiting for someone to come along with a problem. She said she typically treats about 10 to 15 patients a day during her long shifts. The clinic has the same hours as the Wal-Mart pharmacy, but so far, the idea of a Wal-Mart ...

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Looks like they're desperate for help down under:

“"Doctors are alarmed at reports that final-year students have been employed to fill medical workforce shortages and have at times been left without supervision and asked to undertake tasks that should only be performed by fully qualified doctors," Dr Yong said.

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