A woman in Australia is suing her doctor for missing her breast cancer
"It says that in January 2002 she went to him for a 'well woman' check-up before trying to conceive her second child.
As part of the check-up her breasts were examined and while a 'gritty' area on her right breast was detected, she was given the all-clear to have a second child, the claim says."
"We travelled 7,000 miles to see our baby."
Well, not quite. It was a 50 mile trip back and forth for 104 days, but the lack of NICU access in the UK is taking its toll.
A mother undergoes chemotherapy while pregnant
"According to doctors, a baby in utero experiences the same side effects of chemotherapy, such as extreme fatigue, because it crosses the placenta."
ABC News speculates on the possible causes of Chief Justice Rehnquist's fever
I pretty much agree with the differential, with some kind of pneumonia being the most likely.
A medical librarian comments on how doctors use Google
I previously wrote about it here.
I have partnered with Creative Weblogging to produce a new medical blog: Straightfromthedoc. With a slant towards patient information and education, Straightfromthedoc will continue to have my take on current medical information, news and studies. There will be an occasional cross-post, but for the most part, each of my blogs will have original content. Enjoy the blogging - Straight from the ...
A study suggests malpractice litigation and defensive medicine play "small roles" in the cost of health care
"While medical malpractice is a problem, its costs account for less than
1% of spending. And defensive medicine, where doctors run tests or do
procedures to lower their chances of being sued, makes up no more than 9% of total spending, the study of spending in 30 nations found."
It is ...
The doctor suing Imus for slander is generating wide support
"He is the former chairman of the Pediatric Department at Yale-New Haven Hospital and is professor emeritus at the Yale Medical School, where he was awarded the Gillman Award for teaching excellence . . .
Pearson has an incredible amount of compassion, and he has really dedicated his life to helping people . . .
Pearson is an ...
Over half of respondents in an Irish survey waited more than two hours to see a physician in an outpatient clinic
Outpatient CHF clinics using Natrecor is causing controversy
UptoDate has this to say about the use of Natrecor:
We believe that nesiritide can be used safely and effectively in selected patients, particularly those who also require inotropic support. However, a randomized controlled trial specifically designed to compare the effects of noninotropic vasodilators and nesiritide will be required to clarify the precise indications for nesiritide therapy.
The use ...
A 4-year old was mistakenly given Flecainide by a pharmacy
Dangerous stuff - Flecainide is potent anti-arrhythmic.
Europe wants vitamin controls
Makes sense to me, especially in light of vitamin C and E's lack of data. Some patients won't take statins, but adhere to supplements without sufficient evidence backing its use.
Linking Mirapex with gambling?
"A Mayo Clinic study published Monday in July's Archives of Neurology
describes 11 other Parkinson's patients who developed the unusual
problem while taking Mirapex or similar drugs between 2002 and 2004.
Doctors have since identified 14 additional Mayo patients with the
problem, said lead author Dr. M. Leann Dodd, a Mayo psychiatrist."
That doesn't sound like robust data to me. However, that doesn't stop ...
Grand rounds 42 is up
Our blogging psychiatrist, shrinkette, hosts this week. Come get the weekly best of the medical blogosphere.
The NY Times details an elaborate insurance fraud scheme where medical clinics pay people for unnecessary procedures
"Uncovering a well-constructed fraud can be very difficult, because nobody has an incentive to blow the whistle - not the doctors, not the clinic owners, not the patients receiving kickbacks and, some critics say, not even insurers, who can simply raise premiums to cover their costs."
The Boston Globe says no to a drug-ad ban
"But here is my biggest objection to banning drug ads: The call for a ban assumes that Americans are weak-minded and gullible -- practically impotent in the face of slick and seductive advertising (The use of the word impotent was not a subliminal attempt to sell erectile dysfunction drugs.)"
A pretty good story talking about the winners and losers of tort reform
"The talismanic numbers of choice in the medical malpractice arena of tort reform vary depending on who is using them. There are virtual forests of in-depth research by scrupulous academics. For every study proving that damage caps reduce malpractice premiums there's another proving the opposite."
Goodfella: A Tokyo doctor is arrested for cutting off a patient's finger for a gangster
"It is common for Japanese Yakuza gangsters to cut off the tip of a finger to show his apology to his boss. It is usually done by the gangsters themselves in front of their boss."
A fascinating story of defensive medicine: How doctors feared treating a DA, and let the threat of a lawsuit cloud their medical judgement
"Looking back, I realize that practicing defensive medicine has become an unfortunate reality for every physician. But I'm convinced that ordering additional workups for Helen would have been expensive, unnecessary, and not helpful. She had already been bounced from doctor to doctor without much benefit."