The Medicare audits

An investment opportunity?

Impressive zebra behind these presenting symptoms.

Charting follies

The Happy Hospitalist: "The documentation game has killed efficiency in medicine."

Derek Lowe: "I can't see how the current review process won't get broken if Pfizer's motion is granted. The whole issue is whether the journal's editors can claim privilege - if so, they don't have to release, and if not, they most certainly do. This can't help but set a precedent, one way or another. If there's no privilege involved in the editorial process, a lot of qualified and competent ...


Goes south in a hurry.

Giving bad news

Dr. WhiteCoat: "Even when I know it's cancer and I know the prognosis isn't very good, I still tell the patient that we have to do more tests to make sure we know what's going on. Part of me doesn't want to make the patient give up hope. Part of me wants to 'ease' the patient into the diagnosis - give them time to accept it instead of just ...


Dr. Doug Farrago, editor of the Placebo Journal, is back with the latest episode.

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Richard Rys: "Your insurance card isn't just something you dust off for doctor's appointments "” in the hands of a thief, it becomes a credit card, a PIN and a license to spend. FTC numbers suggest that medical identity crimes may cost the U.S. economy $468 million per year."

NPR on doctor blogs

Various medical bloggers were quoted in today's NPR piece talking about physician blogs.

Dr. Debra Peel, founder of the group Patient Privacy Rights, thinks that doctors should not be blogging at all:

"If you are unhappy with the people that you're supposed to be serving and taking care of, you probably need therapy," she says. "You don't need to be venting your frustrations in a public manner like that. ...


PixelRN is discouraged about the lack of computerized order entry at her hospital.

Eric Turkewitz: "Spitzer, who's brother is also a neurosurgeon, was an important ally of the physicians in trying to limit patient rights. Victimized patients will not be sorry to see him go if this was the issue that they held most dear to their hearts."

Changing physicians with an article on "firing" your physician. There is a wide spectrum of communication and practice styles, so finding the right "match" is imperative.

If the comfort level isn't there, by all means, find someone else.

AP: "As doctors struggle to eradicate polio worldwide, one of their biggest problems is persuading parents to vaccinate their children. In Belgium, authorities are resorting to an extreme measure: prison sentences."

I wonder how much it will cost.

No fault malpractice

What do you know, here's one health care solution that Graham and I agree on.

Another example where the stick is being used to change physician behavior:

Here's another thing for doctors to worry about: An anti-smoking group is suggesting that smokers who develop smoking-related illnesses -- and their families -- might be able to sue docs who didn't give smokers the right advice about quitting.

In a letter to state health commissioners, the group Action on Smoking and Health (ASH) suggested that bringing ...


That's the best ER complaint I've seen in awhile.


A profile of a mother and her 11-year old son with this form of autism.

AP: "Abercrombie, known for its racy marketing campaigns aimed at teenagers, has pledged $10 million toward the construction of the emergency department at Nationwide Children's Hospital in Columbus.

The Boston-based Campaign for a Commercial-Free Childhood on Tuesday urged the hospital to drop any plans to put Abercrombie's name on the project, pointing to research that has shown a link between sexualized images of teens in the media and mental ...


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