Op-Ed Contributor: The Health of Nations
"Preventing a flu epidemic that could kill thousands is not nearly as profitable as making pills for something like erectile dysfunction, a decidedly non-fatal condition. Viagra, for example, brings in more than $1 billion a year for its maker, Pfizer. The profits to be made from selling flu vaccine are measly in comparison."
A nice point in a missive detailing our health ...
Five hospitals ignore C. Difficile guidelines
"At least five Montreal hospitals are flouting infection-control
guidelines by sticking patients sick with deadly C. difficile diarrhea
in rooms with uninfected patients."
C. Difficile diarrhea should be able to be controlled with appropriate isolation techniques. The reason that this is not happening is due to staffing cuts, which is simply unacceptable in this day and age.
Does surfing for health information do you more harm than good?
". . . people who use their computer to find out more about their condition end up in worse health than those who do not."
I certainly support increased information flow and patient empowerment. However, there is a reason why physicians endure 7 or more years of medical school and residency. It is how the information ...
As a consumer, you have to see through the hype that the drug companies put out. Medrants points to an excellent article explaining why drug prices are so high - and the role of pharmaceutical hype. One section deals with the Nexium story:
Nexium has become a symbol of everything that is wrong with the pharmaceutical industry. The big drug companies justify the high prices they ...
Should we help patients hire prostitutes?
What an interesting story describing a complicated ethical and bureaucratic ordeal.
Consumer organisations criticise influence of drug companies
The BMJ with some tough words for the pharmaceutical industry. Some statements I agree with:
These can often be for quite trivial conditions, such as toenail infections, and they encourage patients to go and see their general practitioner, often in quite strong terms," said Mr Vidler. "At the same time the industry will be advertising drugs to these GPs, and our ...
The Confusion of The Press
"The press is often in over it's head when reporting on medicine." Completely true. This is where the power of medical blogs can shine - by correcting and interpreting the studies often misreported by the lay press.
Special flu shot clinic set up in Vancouver this weekend for Americans
Vioxx, We Hardly Knew Ye
A rheumatologist reminisces about Vioxx.
Dr. Feelscared: Drug warriors put the fear of prosecution in physicians who dare to treat pain (via Overlawyered)
"The AAPS, along with the Pain Relief Network, has been vocal in denouncing the federal and state doctor prosecutions. The groupÂ’s Web site warns: 'If youÂ’re thinking about getting into pain management using opioids as appropriate: DONÂ’T. Forget what you learned in medical school -- drug agents now set medical standards.''"
No Flu Vaccine Shortage at U.S. Capitol
"While many elderly Americans are standing in long lines for flu shots, the vaccine is readily available for free to members of Congress and staff at the U.S. Capitol."
Upcoming Grand Rounds
codeblog is hosting next week's Grand Rounds: "To submit an entry for Grand Rounds on October 26th here on codeblog, email me at geena -at- codeblog dot com. Please put 'grand rounds' in the subject line!"
Defensive medicine as the cost of an aggressive tort industry
Chris Rangel with thorough, thoughtful analysis on defensive medicine.
Poor, uninsured don't fill emergency rooms
"More than 80 percent of patients seen in emergency rooms have health insurance and a usual source of health care such as a primary care physician." As has been previously mentioned, improving primary care access is key to alleviating ER overcrowding.
Today's story in the NY Times on chronic pain writes about the practice of some to encourage chronic pain patients to go to multiple pharmacies:
The red flags that rightly alert regulators to potential misconduct by doctors are, paradoxically, the very features that can also mark responsible care for intractable pain. These include prescribing high volumes of narcotic painkillers for extended periods, prescribing potentially lethal doses or prescribing several ...
The Drug War
An economist defends the drug companies.
Vaccine Policies Need a Booster
More on the need for vaccine reform by Dr. Henry Miller.