Michael Cannon on the power of the government in health care today:

Government already finances about half of Americans' medical care, so you might say our system is already half-socialized. Yet we are much farther along the road to socialized medicine than even that would suggest.

Consider two distinguishing features of socialist economies. The first is that the government decides what individuals may produce, what they consume, and the ...


This and 9 other things to be aware of:

EHRs don't improve quality of care and often make you less efficient. And since you won't figure this out until you are actually using the product, EHR vendors won't let you try-before-you-buy, and there is no return policy!

Radiology tech blogging

Stories from inside the radiology suite. On "fat skeletons", and an unarousable patient during angiography.

Apparently the VA is rumored to take a hard line approach, severely restricting physician/patient emails. Any wonder why emails are so slow to take off?

New VA regulations do restrict any e-mail communications with patients to non-medical content such as when your next appointment is, or a request that they call you and giving your number. We also will be getting software starting this next week that will filter ...


The best job in the world?

Dr. Wes is an electrophysiologist, and he's pretty happy doing what he's doing.

Medblogger on 20/20

Congrats to Steven Palter from Docinthemachine. (via Emergiblog)

Abortion by massage


The petite 44-year old, who declined to give her last name, paid 150 pesos ($3) for a hilot, or traditional midwife like Minda, to crush her three-month old fetus using rough strokes and pincer-like grips on her belly.

The procedure, which can also involve pounding the lower abdomen to trigger a miscarriage, is called a massage.
(via Healthbolt)

Hundreds of Pfizer computers have been hijacked. (via Health Care Renewal)

With an ER practical joke, of course.

(via Street Anatomy)

Gross anatomy

Surgeon Sid Schwab with his take:

The sequence seems wrong: if such dissection is to be done, it ought to be by those more knowledgable and honed. Absent context, it can become clutter. Cardiologists need to have the experience of holding a heart in their hands (and to see one beating in the operating room); how much more meaningful to do it later in the process. As students, it's ...


Physicians do the groundwork for P4P, but the insurers take the glory. Typical.

The high price of office rent in LA:

"Almost every major medical building that I know of is full -- with waiting lists," said Robert Held, who develops medical properties. "The market is as hot as it can be."

Doctors who don't accept insurance have the option of raising their fees to make up the difference when rents go up, Aizuss said. But the majority of doctors who rely ...


Brain images via EEG

Images of brainwave activity, expressed as fractal images.

He was done in by poor spelling and grammar:

A bogus doctor who escaped a speeding fine by claiming he was on an emergency call was rumbled only after writing a badly spelt letter in an attempt to claim expenses for attending court.

Omid Chiang equipped his car with a flashing green light, a defibrillator and a "doctor-on-call" sign so he could break the speed limit at will ...


The family hired a "Super Lawyer". Does he come with a cape?

Two patients went to the US for treatment of their brain tumors:

Lindsay McCreith, 66, of Newmarket and Shona Holmes, 43, of Waterdown filed a joint statement of claim yesterday against the province of Ontario. Both say their health suffered because they are denied the right to access care outside of Ontario's "government-run monopolistic" health-care system. They want to be able to buy private health insurance.

Ontario's ...


Sometimes, you can only do so much.

It's putting patients' lives at risk: "We're sounding like we're in a developing country and not in a province that has the resources that we have." (via Hogberg)

More AMSA hypocrisy

Dr. RW continues the attack, calling American Medical Student Association seriously misguided and hypocritical with their so-called support of evidence-based medicine:

They'll shun drug company support because they "don't want to be bought", demonstrate in front of a drug company's headquarters by dumping thousands of advertising pens there, yet accept support from the American Holistic Medicine Association which promotes stuff like this.
From their blind love of single-payer ...


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