Interpreting data

The Happy Hospitalist: "It's situations like this where it never ceases to amaze me how two people can look at the same data and one be so right and one be so wrong. This isn't a matter of walking the fine line of too wet or too dry. This is life and death."

In the Clinic - Dr. Jonathan Myers, MD, Discusses Risk Factors for Glaucoma
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The following is a reader take by an anonymous physician.

In November of 2004, the state of Florida adopted an amendment to its state constitution making peer review records available to patients and their attorneys in legal proceedings. On March 6th of this year, the Florida Supreme Court ruled that this privilege applied retroactively to records of conversations that were made before that law existed, when physicians ...

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TV health news

Are a good number of stories plagiarized?

Murphy's Law in the ED. I'm sure some can relate.

Drug ads

TIME.com: "That's a feature common to most drug ads: they leave you confused about the information."

Learning

Bruce Campbell: "I learned that the terms 'patient' and 'friend' are sometimes inseparable."

WSJ Health Blog: "Certainly, any doc (or anyone else, for that matter) who is not getting paid by the hour is likely to do some uncompensated work. But the issue does seem pretty compelling in the case of primary care docs, who work in a payment system that tends to favor procedure-oriented specialties."

Eric Larson: "The candidates' proposals to expand health coverage are not enough. Americans also need better access to high-quality care that the nation can afford. Unless patients can get in to see the family physicians, internal medicine doctors and pediatricians who provide that first level of contact to the system, we can't achieve the reforms needed in quality, safety and cost."

Dr. Larson pretty much touches on all ...

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Resourceful:

An Omaha man struggling to breathe used a steak knife to perform an at-home tracheotomy. Steve Wilder said he thought he was going to die when he awoke one night last week and couldn't breath.

Wilder said he didn't call 911 because he didn't think help would arrive in time. So, the 55-year-old says, he got a steak knife from the kitchen and made a small hole in ...

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In a way, physician rating sites are a much needed wake-up call for doctors. It will force them to pay attention to their internet reputation. Negative information that comes up during a Google search can sink a practice. Take a look at this case:

Fischel, who says he can't reveal further details of the case because of a legal agreement he has since reached with the patient, ...

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Gone to Texas

WSJ: "Over the past three years, some 7,000 M.D.s have flooded into Texas, many from Tennessee.

Why? Two words: Tort reform . . .

. . . Now many of the newly arriving doctors are heading to rural or underserved parts of the state. Four new anesthesiologists have headed to Beaumont, for example. Meanwhile, San Antonio has experienced a 52% growth in the number of new doctors."

Panda leaves us

An eloquent writer who was in your face and told it like it was. One of my favorite blogs will be missed.

Predictable:

New techniques for detecting breast cancer may be leading more women to have their entire breast removed . . .

. . . one possible explanation is that magnetic resonance imaging, which is relatively new, detects more possibly cancerous growths than does mammography. That could be causing patients and doctors to conclude that a lumpectomy, which removes just the part of the breast containing the primary tumor, ...

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Buckeye Surgeon encounters a complication from a Roux-en-Y.

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Tips from a professional videographer.

Quashing PTSD

The government VA is trying to cut costs by influencing diagnosis:

A psychologist who helps lead the post-traumatic stress disorder program at a medical facility for veterans in Texas told staff members to refrain from diagnosing PTSD because so many veterans were seeking government disability payments for the condition.

"Given that we are having more and more compensation seeking veterans, I'd like to suggest that you refrain ...

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Really?

The theory is that if a doctor is skilled enough, he or she can fill up their practice with private-pay patients without having to rely on an insurance panel.

Physician ratings

Like 'em or not, they're here to stay. Reviews of these sites are being index by Google, so physicians should pay attention to them:

The "electronic medical grapevine," to coin a term, is growing in importance. In 2001, the American Medical Association issued a press release suggesting that patients make a New Year's resolution to "trust your physician, not a chat room." As with much other New Year's advice, ...

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