Gary Schwitzer: "Bad things can happen when screening recommendations are made for populations for whom there is not clear-cut evidence of benefit. False positive results lead to more testing, more expense, and more anxiety. The additional testing may carry its own potential harms. The more you look, the more you may find some forms of 'pseudo-disease' -- early hints of possible problems without clear evidence about whether they will go ...


You’re fired, again

When doctors fire patients. Most commonly happens during sustained non-compliance or appointment no-shows.

Dealing with the prejudiced patient.


The AMA analyzes tort reform:

Recent research -- consistent with earlier studies -- revealed that noneconomic damage caps continue to reduce insurers' claims payouts, which translates to lower rates for doctors.

The AMA analysis also concluded that reforms can help alleviate physician shortages. And some research showed that medical liability risk contributed to higher health care spending, the report said.


I missed this last weekend, but it's pretty damn funny.

(via John Mack)

See what Graham thinks about it.

Code blue in the air

Scalpel: "I'm sure a lawsuit will be brought against American Airlines in this case, but the sad truth is that if you have a cardiac arrest when you're 30,000 feet over the ocean, then you are likely going to die whether the oxygen tanks are working or not."

Panda: "No doubt the family of the lady are going to sue the airline. And they'll probably win because ...


How medical device companies are bribing doctors:

Wine-tasting outings to California's Napa Valley. Ski trips to Colorado. Tickets to sporting events. Gourmet meals at swanky restaurants. Forays to "adult entertainment" clubs.
Paying doctors to go to strip clubs? Bizarre. (via Schwitzer)

What happened here?

(via Street Anatomy)

He talks about Google Book Search.

Neurosurgeon shortage

Expect more of this to happen:

As a group, specialists are getting older and less willing to work on call. Many specialists say they fear they are more likely to get sued by emergency patients than by their regular patients, who know and trust them. Even when hospitals pay doctors for working on call, specialists often make less money working emergencies than they do caring for regular patients.


Beautiful inside?

Sid Schwab: "Operating, as is our aim, on sick people, more often than not things aren't so pretty inside. Diabetic, or old, or overweight, or with concomitant diseases affecting various organs, typical surgical patients rarely retain the born-in beauty and peach-fuzz perfection with which they came into the world."


The Happy Hospitalist: "It does not surprise me that health care costs are out of control in this country. It does not surprise me that health care costs are out of control in any country that does not run its business practices based on capitalistic principles of supply and demand. Resources are not infinite. Without demand control, you will eventually ration."

Stylish scrubs

Who cares what you look like when you're in the hospital? Apparently, plenty of people do.

Dr. Bruce Campbell writes about his experience in JAMA.

10 out of 10 pain

Read how differently people describe "the worst pain you can imagine".

Kids and obscenities

Dr. WhiteCoat: "Some kids think it's business as usual spewing toxic waste out of their mouths and don't bat an eye about it. People around them seem to accept it as an 'exacerbation' of their ADHD. This type of stuff didn't happen 20 years ago. It isn't potty mouth any more, it's 'potty brain.'"

Goran Klintmalm: "If you think a malpractice lawsuit is scaring surgeons off, wait to see what happens when people see a surgeon being charged criminally and going to jail."

Jon Arbuckle . . .

. . . minus Garfield: "Who would have guessed that when you remove Garfield from the Garfield comic strips, the result is an even better comic about schizophrenia, bipolor disorder, and the empty desperation of modern life?"

(via Movin' Meat)


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