Devaluing what a breakthrough really is, TIME posts it's easily promotable list without any regard to the cost or evidence.

ADHD medications

The Angry Pharmacist touches this controversial topic with his 10-foot pole.

Find out why. Another on-the-money post from this great blog.

"A system hell bent on creating obstructionist care at every step of the way."

Internists

A better appreciation of what we do. (via The Happy Hospitalist)

The patient handoff

And why doctors stink at it.

Reflecting on the last-minute, temporary reprieve on Medicare's pay cuts:

The constant threat of decreases and the absence of increases in recent years are leading doctors to re-think their commitment to caring for Medicare patients. The question is becoming acute for primary care doctors, who are faring worse than those in other specialties.
Yup.

And people still wonder why primary care is being decimated?

State health reform

Is federal law going to make health reform at a state level impossible? (via the WSJ Health Blog)

Hospitalists

The WSJ's Ben Brewer is having second thoughts.

Medical myths

Are you spreading these common myths to your patients?

An unwillingness to pay just a little bit is just one reason why health care costs are soaring:

There is a significant subset of the people who do not pay for their medical care who believe it is more cost effective to sit in an emergency department for several hours and to run up a bill of several hundred dollars than it is to drive to the Dollar Store ...

Read more...

College and leukemia

How a student tries to fit college life around a tragic diagnosis.

First, a racial disparity in heart attack care. Now in pain management?

Emergency room doctors are prescribing strong narcotics more often to patients who complain of pain, but minorities are less likely to get them than whites, a new study finds.

Even for the severe pain of kidney stones, minorities were prescribed narcotics such as oxycodone and morphine less frequently than whites.
WhiteCoat Rants rips the ...

Read more...

The ethics consult

When there are difficult decisions to be made, sometimes an ethics consult can help. This is especially true in end-of-life situations:

Many patients don't know that ethics consults even exist, much less that they are free (the hospital picks up the tab). But ethics consultation services are available in 81 percent of all US hospitals - and all US hospitals with more than 400 beds, according to a ...

Read more...

Happy New Year!

I hope everyone had a fantastic holiday season.

Thanks to Josh for keeping the blog warm during my absence. I'll be flying back to New Hampshire later today, and will be spending the next day or two catching up on what's been happening in the medical blogosphere.

Regular blogging will resume shortly, probably by the end of the week. Hang tight.

Keep your eye on this guy...

If you live in NYC, keep your eye on property in or around Union Square, Soho, the West Village, or the Flatiron District. Something revolutionary will begin to take shape. Think the Apple Store, FedEx, Toyota Lean, Eugene Debs, 1984, The Fountainhead, Experience Design, continuous quality improvement, iPhones, video chats on your mobile phone or computer,
Read more...

A group of intellectuals concluded that the most effective way to provide medical care to the worlds poor is to...
"If we train village health workers, and make sure they're compensated," he said, "then the resources intended for the world's poorest--from vaccines, to bed nets, to prenatal care, and to care for chronic diseases like AIDS and tuberculosis--would reach the intended beneficiaries."
Thats right,
Read more...

Near & Dear To My Heart

At Graham's request, I'll change subjects for a moment to something near and dear to my heart, Down Syndrome. If you're looking for a good cause to support, try buying a book for the young ones in your life.

When Stephen wrote this book he was 11 years old. William was 6 years old and the very best bro anyone could ever have. Stephen and ...

Read more...

No one spends your money quite as well as you do...

(hat tip: HCBS)

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