More on ER waits . . .

The story where the woman had to dial 911 from the ER to receive care seems to be getting a lot of play here. The ensuing forum is bringing out more "complaints" against this hospital - it seems that people do not understand that the reason why ERs are so overcrowded is beyond the physicians' control. There are many reasons for this (too many uninsured, poor access to ...

Read more...

Hospitals and gourmet food

They sure don't have this kind of food at the hospitals where I work at.

Harvard Medical School is planning a medical campus in the United Arab Emirates. Some interesting points:

. . . there are enormous hurdles to fostering US-style health care in a region where medicine is so spotty that the 100 million Persian Gulf residents spend $25 billion a year getting treatment elsewhere, according to Dubai Healthcare City officials. Many medical school students enroll straight out of high school and ...

Read more...

IBS is one of the more frustrating diseases to treat. Increased fiber intake, antispasmodic agents, and Zelnorm (for constipation predominant disease) are among the treament choices. However, in many cases, these treatments aren't enough and many patients unfortunately remain symptommatic. In the GI forum that I moderate, there are many who report refractory IBS symptoms.

Today comes a study from the American ...

Read more...

Medpundit and DB has chimed in on the mainstream coverage of the deficiencies of PSA screening for prostate cancer that was discussed here on Tuesday and Wednesday.

Medpundit writes:
Beware of organizations made up of hospitals and urologists who call for lower thresholds for treatment. They have much to gain from the increased number of biopsies such lower thresholds would produce. Unfortunately, it's far from clear ...

Read more...

Toxic neckties?

This story caught my eye - guess I'll think about dry-cleaning my ties from now on:

A small study of neckties worn by doctors at a Queens hospital found almost half the 42 ties tested harbored microorganisms that can cause illness.

Of the 42 physician neckties sampled, 20 contained one or more microorganisms known to cause disease, including 12 that carried Staphylococcus aureus, five a gram negative ...

Read more...

The VA hospital has always been special to me. My very first clinical rotation as a medical student was inpatient wards at the Jamaica Plain VA Hospital in Boston. Today, I still do occasional shifts in the VA emergency room, and see first hand the work and effort that is put in every day caring for our veterans, despite serious shortages in money and personnel. Today's Boston ...

Read more...

Just noticed this headline as I was drinking my diet soda. I'll have to see the actual study myself to come to any conclusion, but here are the salient points from Reuters:

A team at Tata Memorial Hospital in India found a strong correlation between the rise in per capita consumption of carbonated soft drinks in the past 50 years and a documented increase in rates of esophageal ...

Read more...

The ACP released a paper today focusing on uncompensated care for the uninsured. This paper coincides with Cover the Uninsured Week taking place from May 10-16:
In 2001, for instance, the American health care system provided close to $99 billion in care to uninsured patients, $35 billion of which was uncompensated.

Hospitals provided $24 billion of that care while physicians volunteered about $5.1 billion in uncompensated care, including ...

Read more...

I recently saw a case of a young lady for shortness of breath. No other medical issues, only medication was oral contraceptives. No family history of blood clots. Chest X-ray clear, no desaturations on room air. My pre-test probability for pulmonary embolus was quite low, however she was concerned and asked to be "checked for a blood clot". With such a low index of suspicion, ...

Read more...

Most Popular

Get KevinMD's 5 most popular stories.