Originally published in MedPage Today by Crystal Phend, MedPage Today Senior Staff Writer Telling people about the benefits of quitting is more likely to help smokers break the habit than scaring them with the dangers of continuing, researchers found. Callers to a tobacco quitline were nearly twice as likely to stop in the short term when they got positive messages rather than ...

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There are no winners in medical malpractice cases. Patients, of course, suffer the most. But doctors aren't spared either. It's been written previously that doctors suffer significant emotional turmoil after being sued, and in fact, a good percentage even contemplate suicide. In a recent New York Times essay, physician Joan Savitsky talks about her own ordeal. She discusses how being sued affected not only her, but other ...

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by Jonathan Crocker, MD From Cange, Central Plateau Haiti 01-18-10 We arrived at Cange, in the Central Plateau, the heart of operations for Partners In Health/Zamni Lasante, yesterday. As we expected, things are incredibly busy. People are still arriving from Port au Prince. Those who have been fortunate enough to survive their injuries this long are now running into complications of wound infections, some of which have turned septic, and venous blood clots (from ...

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Originally published in HCPLive.com by Ed Rabinowitz When it comes to negotiating fees with health plans, practices and physicians have more leverage than they realize. The problem, says John Schmitt, a managed care expert with EthosPartners Healthcare Management Group, is that practices often don’t even try. “Groups negotiate an agreement with a payor and then, for whatever reason, just fi le it away. Most medical groups do not have a good, proactive ...

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Hospitals face so many urgent tasks in safety – computerize, promote teamwork, implement evidence-based safety practices, discover unsafe conditions – that it’s hard to know where to start. If you’re struggling, I recommend that you put your Root Cause Analysis enterprise on steroids. This is what we did at UCSF Medical Center, and it was the most important change we’ve made in our safety journey. Here’s the story, ...

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Originally published in MedPage Today by Michael Smith I remember walking through the squalid downtown of Port-au-Prince and coming across a woman sitting by the roadside selling carefully washed tin cans. That was how she made her meager living. There were scenes that were more appalling -- a man on a street corner with his head split open by a machete, a corpse ...

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Most of us went into medicine because, in addition to being good students, we wanted to help people. How many oceans of ink and forests of paper have been used explaining that point to admissions committees we’ll never know. Suffice it to say, it felt very good when our professors wrote us glowing letters of recommendation. Of course, we were also saying, “I want to feel good about helping people. ...

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How many physicians do you know who have chosen to leave their clinical practice? There's no doubt that physicians are getting burned out. Many are tired of fighting insurance companies and even more physicians are getting discouraged about reductions in reimbursement. This has caused some physicians to drop Medicare and Medicaid. Others have switched to cash-only or concierge/boutique practice models. Then you have your group of physicians who have simply decided ...

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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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