provides an easy way for donations to the tsunami victims

2004's Eight Significant Issues in the Health Care Industry

Rebel Doctor doesn't like the idea of OTC statins
It's already OTC in the UK. At first, I thought it was a good idea, but after the latest series of FDA debacles, now I'm not so sure.

The effects of the deceased on the living
". . . decomposing corpses are 'only a danger to public health if the victim dies of an infectious disease' and that the threat posed by the bodies of victims of trauma - typically the major cause of death in natural disasters - is 'negligible.'"

Flooding leading to the spread of disease (see prior entry) is a much more serious ...


A nice overview of the communicable diseases transmitted by flooding

Children's Motrin is being sued for its association with Stevens-Johnson Syndrome
The problem is that many common medications can be associated with SJS - at an overall rate of 2 cases per million per year (via UptoDate):

(click to enlarge)

Eric Topol says "I told you so"
Dr. Topol is generally considered to be the face of the anti-COX2 movement. I do agree with his views on DTC marketing:

These drugs were mass-marketed from the moment they were commercially available in the new world of direct-to-consumer advertising, with unrealistic expectations about pain relief, marked gastrointestinal protection, and safety. Rather than a sufficient waiting period after approval to firmly establish safety ...


shrinkette gives us the latest on donations for the tsunami victims

A resident tells us what he really thinks
As someone who went through a city hospital residency, I can understand that sometimes things look pretty bleak. Complaining about insurance companies, lawyers, or the government is fine - however, blaming the patients isn't really the answer.

Dr. Centor writes about a physician's "code of silence"
"I guess we live in a 'secret society'. We must hold these stories confidential - except as stories to share with colleagues (omitting names and identifiers of course).

But, it really is not a lonely life. It is a life full of the privilege of caring for others. But we often cannot talk about it or explain it. And ...


code blog with the twenty days of Grand Rounds

Some experts are suggesting using the Framingham 10-year CVD risk calculator to help determine whether patients should stay on COX-2s
That's not a bad idea. The calculator can be found here.

Beware of what you buy over the internet
Salves bought over the internet for non-melanoma skin cancers can cause deep tissue necrosis.

40 percent of the low-income, rural women over age 40 did not know mammograms check for breast cancer
That is not acceptable in this day and age. Clearly we have more work to do with patient education.

An update on the people who injected themselves with real botulism toxin
Botulism was pretty low on the differential - dehydration was the initial diagnosis.

An interesting study correlating left-handedness with a society's homicide rate
"While there is no suggestion that left-handed people are more violent than the right-handed, it looks as though they are more successfully violent. Perhaps that helps to explain the double meaning of the word 'sinister'." (via

Lung Ailment May Have Killed White
The diseases in question are sleep apnea (discussed yesterday) and sarcoidosis (a disease that causes inflammation of the body's tissues - especially affecting the lung). Medrants has more on this.

The Painkiller Panic
"One of the most frustrating things about the latest news on painkillers is that almost none of the people reporting it understand the concept of relative risk--i.e., that a doubling of adverse events like heart attacks still doesn't mean that event is very likely. A doubled risk might well be a chance worth taking, especially if the baseline risk is low to begin with and the drug's ...


shrinkette has a good list of charitable organizations for victims of the tsunami disaster
This was the world's most powerful earthquake in 40 years, measuring 9.0 in magnitude.

Both films accurately portray amnesia. Regarding Memento:

Writing in the BMJ, Dr Sallie Baxendale of the National Society for Epilepsy, said: "Unlike most films in this genre, this amnesiac character retains his identity, has little retrograde amnesia [where memories of the period just prior to the injury are lost] and shows several of the severe everyday memory difficulties associated with the disorder."
The same ...


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