When should a doctor fire a patient?

Half of internal medicine residents missed bioterror diagnoses
There is not nearly enough emphasis on this during training: "The doctors took a pretest, completed an online course and then took another test.

On the pretest, half the doctors misdiagnosed botulism; 84 percent misdiagnosed plague. A case of routine chickenpox was misdiagnosed by 42 percent of the doctors as smallpox."

A liver transplant program in LA has been halted after improperly arranging a liver transplant for a man not among the highest-priority patients
"The case involves a Saudi national who was 52nd on a transplant list that covers much of Southern California and is based on who is sickest and who has been waiting longest. St. Vincent officials said the liver should have gone to a higher priority patient.


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A NICU in the UK has banned cooing at the babies
"The unit has some of the most vulnerable and sickest babies, often very premature, who are nursed for a considerable length of time.

"It was in response to their [parents] concerns about privacy and infection control that these guidelines were issued."

Some men are seeking breast reduction surgery



"Gynaecomastia is not a new phenomenon, but it would appear anecdotally that the rates are rising.

It is different from the flabby breast tissue that goes hand in hand with obesity in men.

In gynaecomastia there is glandular breast tissue as well as fatty tissue.

Some experts believe it may be down to female hormones leaking ...

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Nearly 6,000 physicians are displaced by hurricane Katrina
"Nearly 6,000 doctors along the Gulf Coast were uprooted by Hurricane Katrina in the largest displacement of physicians in U.S. history, university researchers reported Monday.

How many of those doctors will set up shop permanently in other cities, or decide to retire instead of reopening their practices, remains as unclear as New Orleans' future.

'We don't know what this is ...

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How erectile dysfunction drugs may be helping in the transmission of HIV in homosexuals
"According to the results of a recent one-year study, 18 percent of Boston men seeking treatment for a new sexually transmitted disease said they used Viagra during the preceding month. Nearly 8 percent had used crystal meth, and 10 percent had used Ecstasy, a drug that makes users feel euphoric.

But Mayer said he is ...

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Dr. RW takes a nuanced approach to No Free Lunch and drug reps
"What about the practical consequences of the NFL objections? Are we ready to give up industry supported CME? I enjoy attending CME meetings. Although I can do without the pharmaceutical company exhibits, were it not for partial industry support the registration fees would be prohibitively expensive for many meetings. Not all physicians are wealthy. Those who ...

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Apparently, there is a fee for doctors for summoning an ambulance to their office in emergency situations
"When Dr. John Doherty received a bill last fall from the city of Torrance, related to a 911 ambulance ride one of his patients had taken to the hospital, he was shocked.

The internal medicine physician had summoned city fire paramedics to his Torrance office when a patient repeatedly fainted due to ...

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Distrust: Apparently in Australia, only 1 in 8 accepts a doctor's advice
"Only one in eight accepts the doctor's advice on how to stay
healthy and what drugs to take. Two-thirds prefer to jump on the
internet to find out for themselves. And a third regard alternative
health practitioners such as naturopaths and homeopaths as a
'trusted source of information generally', a study of health-care
marketing has found."

Actress Michele Rodriguez has keratosis pilaris. Or so says a dermatologist who has been studying pictures of her: "And Dr. Reese feels she should seek skincare advice before the pimples that appear on her arms in publicity shots and on camera become a subject of national gossip. Dr. Reese states, 'I've studied shots of Michelle Rodriguez and she has a unique case of KP on her well-toned arms: small, pimple-like bumps ...

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Two thirds of British women do not know that a cervical smear test is designed to prevent cancer

Did doctors at Sloan-Kettering hesitate to cite a naturopathic original source in their paper?
"Some of the nation's top cancer researchers have rediscovered what a Seattle naturopathic physician, Dr. Dan Labriola, reported more than half a decade ago -- that it can be dangerous to combine some cancer therapies and certain natural supplements.

Scientists at the prestigious Memorial Sloan-Kettering Cancer Center in New York City reported this week ...

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Doctors are worried about the loss of caps in Wisconsin
"Christopher Magiera, M.D., paid $30,000 a year for malpractice insurance when he worked as a gastroenterologist in Cleveland. Since his 2003 move to Wisconsin"”a state known for its desirable practice climate, its tort reforms, and its cap on noneconomic damages"”he has watched that premium shrink to about $5,000 a year, which included a contribution to the state's compensation fund for ...

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First aid tips can be downloaded on an iPod



"iFIRSTAID offers advice on the steps someone should take if they come across an accident scene.

The charity said it was prompted by the 25% increase in inquiries about first aid courses it received immediately after the July bombings in London.

People can access and download the files online at www.sja.org.uk/ifirstaid."



Picture of a mobile needle exchange program in Estonia
"Around one in 100 Estonians is believed to be infected with HIV, giving the small Baltic state the highest incidence of the virus which causes AIDS outside of Africa, officials said." (image via Yahoo! News)

The case for an EMR post-Katrina
"Melinda Amedee was scheduled to have a tumor removed from her kidney at a New Orleans hospital on August 30. She lives far enough away from the city to have missed serious damage from Hurricane Katrina. But when the 17th Street Canal levee broke the day before, she knew she wouldn't be having an operation at the Ochsner Cancer Institute anytime soon. With a ...

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A doctor questions the health claims of probiotics
There is no data supporting the use of probiotics in any capacity: "The fact that they will do no harm is the main reason I'm fairly relaxed about my patients taking them on a regular basis, although I still believe any possible health benefits they may feel are far outweighed by the damage to their wallets."

Hospitals in Houston are ready for hurricane Rita

The sometimes murky world of medical weight-loss specialists
"The problem is that some of them are in the entrepreneurial, cash-up-front storefront obesity clinic, as opposed to practicing real evidence-based medicine."

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