Originally published in MedPage Today by Bjoern Kils The 7.0 magnitude earthquake struck Haiti's Porte-au-Prince at 4:53pm on January 12, 2010. Just 20 hours later, CNN's Anderson Cooper was updating the AC360 blog from the Dominican Republic, while making his way to an airfield to board a United Nations helicopter to take him and his crew into Haiti. While the media plays a central ...

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Ms. FR didn’t look so great even when I first met her. She had been admitted to the hospital three times in past 6 weeks for nausea/vomiting and generalized malaise. While the cause of her acute illness was not entirely clear, we suspected that her widely metastatic breast cancer had something to do with it. By the time I met her she had already been in the hospital for 1 week. ...

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It’s impossible to watch coverage of the immense suffering in Haiti and not want to help. But many charitable groups seem to have sprung up since the disaster, and it’s tough to know which ones will be most effective at getting your donation to those most in need. To try to sort out the difference between the major aid groups, I asked Haitian-American community organizers, as well as physicians I know ...

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Originally posted in MedPage Today by Michael Smith, MedPage Today North American Correspondent Two days after a powerful earthquake shattered Haiti's capital city, relief workers are finding it tough to provide needed medical care, coordination for the efforts is lacking, and time is running out for those trapped in the rubble. "The window they talk about is 48 to 72 hours," said Irwin ...

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Originally published in MedPage Today by Michael Smith, MedPage Today North American Correspondent The powerful earthquake that hammered Haiti Tuesday afternoon has created a medical nightmare, those familiar with the country say. "I can't even imagine the kind of horror we're going to see in the next two to three weeks," said Steven Williams, MD, an internist at Allegheny General Hospital in Pittsburgh ...

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Originally published in MedPage Today by Michael Smith, MedPage Today North American Correspondent The powerful earthquake that hammered Haiti Tuesday afternoon has left healthcare in the impoverished Caribbean nation in even worse shape than before. Several hospitals have been seriously damaged and others are swamped by casualties from the magnitude 7.0 quake. "We are seeing wave after wave of vehicles coming from the Port-au-Prince ...

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I like my PCP. She is knowledgeable, kind, efficient, and trusts that I know my body best. All great qualities in a doctor. But I need to fire her and find someone new. Why? Her support staff and their administrative systems don't work for me. They make it difficult for me to access timely care and I dislike that very much. Some background: I rarely visit the doctor. Overall, I'm healthy and ...

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Many companies turn to "mystery shoppers" to improve customer service, but should they be used in health care? An increasing number of hospitals are hiring people to fake symptoms and go to doctors' offices or the emergency department to assess the friendliness of the administrative staff or the interpersonal skills of the physician. In Maryland, for instance, federal money is even being used to pay mystery shoppers to secretly check ...

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The Miami Herald is reporting an investigation of a psychiatrist who wrote almost 100,000 prescriptions a year. Sen. Grassley and the feds have halted payment to this Miami psychiatrist who stated that "he prescribes only what is medically necessary" and "works long hours, seeing patients for 10 minutes at a time and many of his patients need four or five medications." I have no personal knowledge, interaction, acquaintance with psychiatrist Dr. ...

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Originally published in HCPLive.com by Jeff Brown, MD Fiduciary responsibility is the obligation for people entrusted with financial affairs to act in their client's best interest, theoretically being both transparent in their dealings and accountable for them. Typically, this applies to CPAs, lawyers, financial advisers and the like. Would that it were also true for our legislators, but that's a story for another day. To the point, physicians do not usually think ...

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