Michelle Au, from her upcoming book: "However, as with anything in the hospital, the timing was not as precise as planned, and so after we went on bypass, after the old heart was out, there was some stalling. During the wait, which seemed interminable after all the rush, we exchanged stories of transplants past, one in particular where one member of the harvest team grabbed the Playmate cooler with ...



A baby is delivered, but the mother is not out of the woods yet.

Frank Drackman: "Internists know the 24 possible causes of low urine output in polymyalgia rheumatica. Surgeons figure out it's because the foley is clamped."

(via Happy)

Their traditionally physician-unfriendly mouthpiece, the NY Times, is wooing physicians with rhetoric that is sure to get their attention:

The next Congress should build on this modest success and tackle more deep-seated reforms. It must find a permanent solution to the outdated formulas for reimbursing doctors; the current ones yield cuts so draconian that Congress must routinely scramble to find stopgap patches.

Breast self-exams

There aren't many studies supporting this practice, and here's more evidence: "Self exams, and those by healthcare providers, actually produce an increase in benign biopsies, but don't get the patient into treatment earlier or save her life."

Odd codes

WSJ Health Blog looks at other strange ICD-9 codes, like E905.4 - "Centipede and venomous millipede (tropical) bite causing poisoning and toxic reactions."

Congress wants physicians to figure out the payment system. DrRich points out that's exactly what led to the specialist-laden RUC, and foresees blood ahead:

Congress is faced with a kennel full of starving dogs, of many various breeds, and has decided it will feed them with a single lamb shank. Rather than figuring out how to distribute the lamb shank so that smaller (yet valuable) dogs will not be ...


Rural Doctoring has been chronicling the politics and contractual situations facing her. Here's why she does it, and some of the problems she runs into:

There's a lot of talk out there about the need for greater transparency in the way healthcare is delivered, from CMS policy statements to disclosure of medical errors. And yet the more transparency everybody demands, the more baroque and inaccessible the language to ...



Destined to die?

Dr. Wes laments the alarmist warning and the lack of guidance: "The lack of guidance for heart rhythm specialists by the FDA and the Heart Rhythm Society in this regard is stunning and warrants review . . . In short, this seems like a 'cover your ass' move by the FDA that threatens to potentially scaremonger our patients."


Relating the unexpected in surgery to a car ride with the kids.

Congress overrides the Bush veto of the Medicare bill. We get an 18-month reprieve from physician payment cuts, then a 20+ percent cut is due in 2010.

At that time, the AARP will grow stronger and continue to ally with physicians in blocking any Medicare cuts.

A powerful force indeed.

Here are some surefire ways.

The story of MacRumor's Arnold Kim: "How successful does a blog have to be to get a physician to quit? Let's do some math. Silicon Alley Insider quotes Quantcast numbers reporting a "staggering 37 million page views a month". This makes MacRumors, #571th biggest site on the whole Internet. If we assume quite modest monetization at $1 CPM (cost per thousand pageviews), he would be making about $37K a month. ...


In the Clinic - Dr. Cherry Wongtrakool, MD, Discusses the Interpretation of Post Bronchodilator Trials
classid='clsid:D27CDB6E-AE6D-11cf-96B8-444553540000' codebase='http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=7,0,0,0' WIDTH='380' HEIGHT='240' id='play_continuous_flvs'>

It's called the art of medicine: "An art that we learn to practice through intense medical school and residency trained education. It is an art that is nearly impossible to be emulated by extenders, nurses and other health care personal. That's not meant to be insulting, demeaning condescending or arrogant. It's just a fact. That's what medical school and residency does to you. It is very difficult to explain ...


Wool organs

(via Street Anatomy)

Their recent triangulation of positions as a way to appeal to younger, AMSA-influenced left-leaning doctors.

How does she do it?

Impossible as long as the RUC is around?

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