Bill Frist writes about a utopian future of medicine in ten years
"I would like you to meet a patient from the year 2015. He lives in a world in which years ago America's leaders made tough but wise decisions. They built on the best aspects of American health care and unleashed the creative power of the competitively driven marketplace. These changes resulted in dramatic improvements to the U.S. ...



I'll be away from blogging for a few days. Have a nice weekend everyone!

The New Yorker writes about Merck and Vioxx
"While that kind of weighing of risk and benefit may be medically rational, in the legal arena itÂ’s poison." (via

Day 4 of the Susanna Martens trial brings out an expert witness for the plaintiff
This case was initially discussed here. Some highlights from today's proceedings:

An expert witness testified today that Susanna Martens and her baby would have survived if Martens were given antibiotics at her initial doctor visit on March 14, 2000.

Martens and her unborn baby died the next day.

Dr. Sebastian Farro ...


AstraZeneca sued over Nexium
"The lawsuit, filed in Massachusetts Superior Court, alleges that AstraZeneca's deceptive marketing persuaded patients to switch from Prilosec, whose patent was about to expire, to Nexium, a new, nearly identical drug."

I'm happy to see people rising up against pharmaceutical advertising. Nexium is one of the worst offenders of deceptive advertising.

Man Declared Dead Found Alive In Morgue
"A medical examiner was studying injuries to Larry D. Green's body in a morgue when he noticed Mr. Green was breathing."

Scary stuff.

More on athletes putting pressure on the medical staff
"Sports doctors are often asked to compromise their care so athletes can return to their sport, say researchers."

"Chest pains at 3 a.m.? Call a lawyer."
The tort reform battle in South Carolina is starting to get ugly.

A 54-year-old man who routinely complained of fake chest pains to avoid paying the tab for restaurant meals has been sentenced

"Already, it costs more than $800 million, by some estimates, to develop a new drug. That's as much as it cost to send robot probes to Mars."

Terrell Owens would be defined as a non-compliant patient

The following was said by the Philadelphia Eagles' trainer:

“We understand Dr. Myerson’s point of view. It’s just that our risk-reward is different than his risk-reward,” Burkholder said. “He has great risk in clearing Terrell to play and no reward. We think there’s some risk and we think there’s great reward, so right now we’re going to progress ...


Medpundit is switching to an EMR
Our practice also recently switched over to an EMR, using the A4 Healthmatics EMR. We are a 5-physician group and the transition was not without its growing pains. It is certainly true that some will be more comfortable using a computer than others. At first, the workflow was slowed - appointment times were doubled, with 15 minute appointments going to ...


The BBC writes an article detailing the effects of sustained solitary confinement

Is it ethical for physicians to see pharmaceutical sales representatives?

A doctor warns against overordering lab tests
"Make no mistake; patients should take charge of their own health. But a little knowledge without context or clinical judgment can cause a lot of trouble to patients and doctors alike. Unnecessary anxiety and wasted time and money-chasing wild goose lab results may not be a good thing. Be careful, doctor. Don't order lab tests that you don't really need. You're asking for ...


The (lack of) evidence continues to mount against whole-body CT screening
"The findings indicate that whole-body CT screening exams provide only minimal gains in life expectancy (approximately six days) at an average cost of $2,513 per patient, or an incremental cost-effectiveness ratio of $151,000 per life-year gained (relative to survival with no screening), making the procedure more expensive in cost per life-year gained than the majority of other healthcare interventions ...


A family physician is being sued for negligence in this tragic case. A 39-year old female who was 36 weeks pregnant presented with fever, diarrhea, and vomiting. She was treated conservatively of the flu, given anti-nausea medications and sent home. Not feeling better that night, she went to the hospital for further evaluation. Her fever persisted at 103 degrees despite Tylenol. A few hours later, the mother went into cardiac ...


The Lancet suggests that Vioxx may have caused up to 140,000 cardiac events
The study can be found here.

Grand Rounds takes on a surgical flavor this week
Come get your weekly best of the medical blogosphere.

A health care company fires employees for smoking - even if the smoking occurs at home or after hours - to shield the firm from high health care costs

Most Popular

Join 150,000+ subscribers

Get the best of KevinMD in your inbox

Sign me up! It's free. 
✓ Join 150,000+ subscribers 
✓ Get KevinMD's 5 most popular stories
Subscribe. It's free.