A doctor is being accused of sexual abuse after he refused to support a worker's compensation claim
"She told him she was laid off from one job, suspended from another after a 'tiff with her supervisor,' and running out of money when she asked him to support her claim for worker's compensation, DeLuco said.

DeLuco - who was growing frustrated with the woman and skeptical of her symptoms - ...

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A Massachusetts congressman thinks the painkiller OxyContin is just as dangerous as heroin and should be pulled from the market altogether
"Think of what would happen if we sold heroin out of drugstores. There would be a lot of robberies of drugstores. Well, this is the same effect we're having by selling OxyContin because the addictive qualities of this drug are driving these robberies."

As seen on Oprah: Some are using vaginal estrogen cream and Preparation H on their face
"Personally, if something is meant for my 'hu-ha', I don't think I'm going to put it on my eyes."

Probably not a good idea to use estrogen or steroid cream (in Preparation H) long term on the face.

A man who refused treatment for tuberculosis went on to infect at least 12 others
"The man, in his 40s and currently living in Leicestershire, was diagnosed with TB in 2002.

He has accepted short bursts of treatment, but not the six-month course of antibiotics needed to eradicate the infection.

The case highlights the fact that doctors cannot compel people with infectious disease to take treatment."

Only 27 percent of IM residents are picking primary care careers
"Other studies have focused on why students are turning away from primary care disciplines and have found that declining reimbursement for nonprocedural care, the opportunity for a controllable lifestyle and a medical culture in which subspecialists are seen as more prestigious have played a big part . . .

. . . He didn't think that would be ...

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Kevin, M.D. has been selected as a "Master Blog"
"This web site does NOT contain a list of the 'best' blogs or weblogs, as many other individuals and groups have created. Master Blogs finds it difficult to examine over ten million blogs and then, decide which are the best blogs.

Instead, MASTER BLOGS checks out blogs (found through various sources) and rates them with letter grades of A+, ...

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MICRA, not Prop 103, accounts for the relatively low growth of medical malpractice costs in California
"The litigation lobby frequently asserts that the relatively affordable status of malpractice insurance in California should be credited not to MICRA, the state's pioneering liability-limiting law, but instead to the insurance-company-bashing Proposition 103. The AMA has already addressed this question . . . and now Californians Allied for Patient Protection, a pro-MICRA group, ...

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The BMJ gives House, M.D. three out of four stars
"But, like so many top-class US series, this is fantasy with a knowing edge. It is a rebellion against blandness"”ratings were tepid until House was scheduled immediately after American Idol, a talent show in which Britain's Simon Cowell lacerates wannabe pop stars. Verbal brutality sells these days.

Doctors may well enjoy watching a stubbly, tieless consultant who fights with ...

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Change of heart: Illinois' House Speaker, once opposed, is now considering malpractice caps
Don't get too giddy: "Time-worn cynics like us figure Madigan’s surprise move is part of some contrived strategy to relieve public pressure on his legislators by feigning concern for doctors."

A local surgeon is pissed that New Hampshire insurance companies are denying coverage for bariatric surgery
"While we are not there yet, we have taken the first step toward tolerating discrimination with regard to medically necessary procedures."

60 to 80 percent of all medical malpractice claims are unrelated to the quality of care on the part of the physician
"According to Kelly, the vast majority of malpractice lawsuits are driven by administrative errors. He explains that a perfect example came from a doctor who failed to document his recommendations for an elective colon screening. The patient chose not to receive the screening, thereby not detecting the nascent ...

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Doctors' handwriting is as bad as ever
"*A doctor prescribed the Alzheimer's disease drug Reminyl. The pharmacist misread it as Amaryl, a diabetes drug. Consequently, the patient wound up in the hospital with dangerously low blood sugar.

*A patient was supposed to get the angina drug Isordil, but the pharmacist misread the prescription as Plendil, a drug for high blood pressure. The patient suffered a heart attack and died.

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There is 1 drug rep for every 7 doctors, triple the number a decade ago
The pharmaceuticals are starting to scale back: "New York-based Pfizer Inc., which has the nation's largest drug sales force at 11,000, said in April it will curtail the number of reps calling on doctors to two or three per product, down from what has been as high as five. Pfizer reps sell the cholesterol-lowering drug ...

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"My patient lived - so she sued me."
A frivolous lawsuit is filed after a physician suggested hospice care, but the patient lived. Although the majority of lawsuits that do go to trial are won by the physician, the mere act of being involved in a frivolous lawsuit is quite disruptive. Lawyers are paid to be in the courtroom - physicians are not. Every minute spent ...

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The fear of malpractice is one reason why fewer doctors are taking nursing home patients
"Doctors who treat nursing home patients also face the risk of a suit alleging 'elder abuse.' If the patient's in pain, for example, a doctor who's overly cautious or overly generous about prescribing pain medication could be charged with elder abuse. 'Every day,' says Reznick, 'we see newspaper or TV ads by plaintiffs' attorneys ...

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A doctor's compassion for pain gets him in trouble
"Dr. J. Howard Shegog is a 'simple man who got confused between compassion and value (of care), and it went haywire,' said a nurse who testified Thursday in the Newport News internist's hearing before the state Board of Medicine . . .

. . . Welsh said she worked with Shegog for six years and saw his clientele of 'drug-seeking' ...

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The rebel billionaire is now offering health care insurance
"Virgin Group announced it will team up with top American health benefits firm Humana, to purvey a Virgin-branded health insurance product. The insurance, targeted at some 45 million of Americans who may be physically unfit - and too poor to afford coverage. Richard Branson, the iconoclastic founder of the vast empire of music, airlines and wireless telecommunications, went on TV ...

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Less than 1 in 5 docs in Canada are accepting new patients
Medpundit thinks this will happen in the US soon. As medicine becomes more of a business and fee-for-service becomes the norm, I'd say this is a good problem to have. Better having too much business than too little.

Ideally, as demand for doctors grow, reimbursement and compensation should rise to recruit ...

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The importance of followup: A physician was successfully sued for not following a pancreatic mass that turned out to be cancer
"On June 9, 2003, Herman Darrell Storms and his wife, Shirley Storms, filed suit against Dr. Thomas J. Moore, Dr. Karl Heinss, and Baptist Regional Medical Center (BRMC) alleging that on April 4, 2000, Storms was admitted to the hospital under the care of Moore and Heinss, and that ...

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Tough talk: Washington DC outlines their tort reform plan
"Williams's proposal seeks to cut liability premiums by limiting lawsuits. It would require injured patients who wish to sue to obtain a "certificate of merit" from a practicing D.C. doctor who agreed that there was "a reasonable basis" for the suit. Patients who cleared that hurdle could sue, but their attorneys would be barred from collecting fees in excess of ...

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