Physicians haven't seen the savings yet from the Maryland malpractice reform bill
"The first insurance bills sent to doctors in 2005 haven't been offset by money set aside to help doctors pay the bills, because of technical errors in how the bill was written."

Pharmaceutical companies may have done their own harm by promoting drugs so heavily
One reasonable compromise that is discussed are the "unbranded educational ads".

Hey, what do you know - I got it right.

From the March 10th issue of the NEJM:

The medical mystery in the January 20 issue involved a seven-month-old boy who had congenital Cushing's syndrome and a severe acneiform rash, with growth of pubic hair. The child's motor development was grossly delayed. Computed tomography of the abdomen showed a solid mass in the region of ...


At least 27 elementary school children died after eating a snack of cassava, a root that's poisonous if not prepared correctly
When not properly cooked, the human digestive system converts part of the root to cyanide.

Electronic health records can "introduce a stunning number of faults"
"The likelihood of errors was increased, the paper stated, because information on patients' medications was scattered in different places in the computer system. To find a single patient's medications, the researchers found, a doctor might have to browse through up to 20 screens of information.

Among the potential causes of errors they listed were patient names' being grouped ...


A few days ago, I wrote about how the our leaders in primary care were out of touch with what drives medical students' career choices:

That's all well and good, but perhaps primary care needs to appeal more to the bottom-line. It has been shown that a better lifestyle is a priority in today's medical students, which is evident by more and more taking the R.O.A.D. to happiness. In ...


Brigham and Women's Hospital in Boston gave two infants 10 times the normal dose of Tylenol after circumcisions
Sounds like N-acetylcysteine had to be given after the errors.

Shaquille O'Neal is the NBA's most overweight player with a BMI of 31.6

Former President Clinton is undergoing decortication following his bypass surgery last year:

Former President Clinton will undergo a medical procedure this week to remove fluid and scar tissue from his left chest, six months after he underwent quadruple bypass surgery, his office said Tuesday.

The procedure, known as a decortication, will remove scar tissue that has developed as a result of fluid buildup and inflammation, causing compression and collapse ...


Hospice Blog gives us this week's Grand Rounds

At-home genetic test kits are the latest in evidence-bereft screenings
"The company currently offers genetic testing, a la carte, with prices from $199 to $380, for predisposition to cystic fibrosis, blood clotting, iron overload and a heightened risk for lung and liver diseases. Testing positive can help customers make lifestyle changes to prevent the onset of disease, the company says."

A majority believes that public reporting of physicians' mortality rates inhibits physicians from treating high-risk patients, thus reducing patient access to care

A hospital refuses to treat 50 patients who filed a malpractice suit against it
(via Common Good)

Pfizer's new HDL-raising drug will only be available in combination with Lipitor
"Dr. Crawford said that he thought Pfizer was combining the drugs mainly to protect Lipitor from competition. Lipitor, which loses its patent protection in 2010, is the world's top-selling medicine, with sales of almost $11 billion last year."

"Officials at a California hospital are suing an 82-year-old woman who was given her discharge papers more than a year ago."
Discharging medically stable patients who lack insurance or family support is becoming a growing problem.

How one doctor learned to accept parents in the ER
"Over the past decade, hospitals have begun allowing a patient's
relatives to watch resuscitations and other invasive procedures. In
surveys, most families want to be given the choice to watch - and once permitted, many accept."

A town is fighting to restore the license of the town doctor
"The authorities say that George Hsu wasn't a good doctor that a patient died because he delayed care, that he would not refer others for new treatments he considered a waste of time and money. They took away his license. But folks in this small town accept none of that. A committee of 30 people is seeking ways ...


A good summary of recent medical malpractice news around the country

Not a good write-up for someone who claims to be "New York's premier plastic surgeon"
"On average, plastic surgeons face a legal action once every 2 1/2 years."

I didn't know this, but I guess it makes sense. Still, I'm not sure how you can sleep at night with 12 active lawsuits open against you.

Consumer Reports evaluates the best-buy drugs for depression
Bottom line:

Taking effectiveness, safety, side effects, and cost into account, we have chosen three Consumer Reports Best Buy Drugs as options to consider for depression:

* Generic fluoxetine at a dose of 10 mg or 20 mg taken once a day, at a cost of $32 to $46 a month.
* Generic citalopram at a dose of 20 mg once ...


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