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Doctors Should Not Treat Every Patient Like Their Mother

October 4, 2011 8:33 am | by James Logan, MD | Comments

Physicians recommend different treatments for patients than they would choose for themselves.  The preceding statement is true according to a similarly titled article recently published in the  Archives of Internal Medicine , and has, I will argue, important implications for how we view the doctor-patient relationship.

Lawsuits Are More Of An Emotional Issue Than A Financial One

October 3, 2011 6:52 am | by Richard Young, MD | Comments

Doctors love to talk about tort reform – states passing laws to put limits on awards such as non-economic damages for harms such as pain and suffering, and on the legal process of  suing a doctor for malpractice . They speak of defensive medicine – the practice of ordering extra tests, treatments, and days in a hospital to cover their medical-legal butts.

High Def, High Returns

October 3, 2011 6:41 am | by Jeff Reinke | Comments

Ensuring greater return on investment, from financial and quality of care perspectives, when investing in high-definition OR equipment. As is the case with most purchases, the inherent benefits of investing in high-definition OR imaging and monitoring equipment are simple, obvious and difficult to argue.


ADHD Drug May Help Wake People Up After Surgery

September 30, 2011 6:35 am | by Rachael Rettner | Comments

The drug Ritalin, prescribed to treat attention deficit hyperactivity disorder (ADHD), may help patients wake up after they've been placed under general anesthesia, a new study in animals suggests. Rats given the drug regained consciousness in about one-third of the time it took those given a placebo.

Is Medical Tourism A Dire Threat To American Surgeons?

September 30, 2011 6:30 am | by Richard N. Fogoros, MD | Comments

In an  earlier post , DrRich offered several potential strategies for doctors and patients to consider should healthcare reformers ultimately succeed in their efforts to make it illegal for Americans to seek medical care outside the auspices of Obamacare. To those readers who persist in thinking that DrRich is particularly paranoid in worrying about such a thing, he refers you to  his prior work carefully documenting the efforts  the Central Authority has already made in limiting the prerogatives of individual Americans within the healthcare system, and reminds you that in any society where social justice is the overriding concern, individual prerogatives such as these  must  be criminalized.

Fighting Cervical Cancer With Vinegar And Ingenuity

September 28, 2011 5:44 am | Comments

Maikaew Panomyai did a little dance coming out of the examination room, switching her hips, waving her fists in the air and crowing, in her limited English: “Everything’s O.K.! Everything’s O.K.!” Translation: The nurse just told me I do not have cervical cancer, and even the little white spot I had treated three years ago is still gone.

Why Doctors Shouldn't Leave Their Emotions Behind

September 28, 2011 5:38 am | by Michael A. Zadeh, MD | Comments

Part of the reason I became a physician was because I got tired of watching those close to me as they suffered through illness and eventually died, while I stood helplessly by, unable to do a thing. Throughout my training I watched as my mentors interacted with their patients, displaying a political correctness matched with just enough outward emotion so that there was no telling the difference between the good news and the bad.

For Older Women, Year Following Hip Fracture Can Be Especially Deadly

September 27, 2011 6:19 am | by Amanda MacMillan | Comments

Women age 65 and older who fracture a hip are much more likely to die from any cause during the following year than they would be if they had avoided injury, a new study suggests. The increased risk of death associated with hip fractures was especially dramatic among younger women. In the 65- to 69-year-old age group, the odds of death were five times higher for women in a post-fracture year than they were for non-injured women of the same age, the study found.


Do You Tell People You Are A Doctor?

September 27, 2011 6:13 am | Comments

An interesting post appeared on the physician website Sermo the other day. A woman said that she hides the fact that she is a doctor for fear of being overcharged for goods and services and that she hates being asked medical questions in social situations. Read the entire post plus comments here .

Medical Identity Theft A Growing Problem

September 26, 2011 11:30 am | by Emily P. Walker | Comments

WASHINGTON -- Nearly four out of ten doctors and hospitals surveyed have caught a patient trying to use someone else's identity in order to obtain healthcare services, according to a new survey from accounting firm PricewaterhouseCoopers (PwC). Patients seeking medical services under someone else's name was the second most common privacy or security issue reported by healthcare providers, according to PwC's nationwide survey of 600 executives from U.

Unintended Consequences Of Standardizing Physician Practice

September 26, 2011 9:32 am | by Steve Wilkins, MPH | Comments

Turns out there is an unintended consequence of many of the current efforts to standardize the way doctor’s practice medicine.  It is called de-skilling.  De-skilling can occur when physicians and other providers try to adapt to standardized, new ways of doing things.  Examples of such standardization include clinical based care guidelines, electronic medical records (EMRs), pay for performance (P4P), patient centered medical home  (PCMH) requirements and so on.

Experts Caution Against Stem Cell Treatments Abroad

September 23, 2011 6:06 am | by Elizabeth Landau, CNN | Comments

There's great potential in the field of regenerative medicine, but doctors caution against seeking experimental treatments in an unregulated environment. Having had three surgeries for a neck injury already, Indianapolis Colts quarterback Peyton Manning reportedly took a private jet to Europe to get a stem cell treatment that is not approved in the United States.

ICD-10 Codes: "Drowning And Submersion Due To Falling Or Jumping From Burning Water-Skis"

September 23, 2011 5:00 am | Comments

The Centers for Medicare and Medicaid Services [CMS] have just released the updated version of the medical coders’ bible, the International Classification of Disease, 10th Revison [ICD-10]. The long-awaited revision is much more detailed than previous versions, going from 18,000 codes in ICD-9 to 140,000 codes in the new release.

Study: For Varicose Veins, Quicker Treatment Just As Good

September 21, 2011 6:43 am | Comments

To many mothers, it's just not fair. Nine months of pregnancy, giving birth to a child, and then there's a lasting, unwelcome reminder of the experience:  Varicose veins . The bulging, often painful swelling of blood in the legs can be treated, and a new study confirms that a less invasive method - widely available for about five years – also is slightly better at preventing varicose veins from returning.


Predicting Sex Life After Prostate Cancer

September 21, 2011 6:31 am | by Tara Parker-Pope | Comments

Treatments for prostate cancer take a significant toll on male potency, leaving a surprisingly high percentage of men unable to have a normal sex life, new research shows. The findings, based on a study of more than 1,000 men treated for prostate cancer at multiple medical centers, show that whether a man is able to achieve adequate erections after treatment for prostate cancer varies greatly depending on a number of individual variables, including his age, the extent of his cancer and the quality of his sex life before treatment.


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