2010

April 1, 2010Apr 1, 201012

The health reform legislation was decidedly unpopular, with a variety of polls showing the majority disapproved of the bill. What did the people want? The ACP's Bob Doherty linked to a post by Princeton's Uwe Reinhardt, who observed 10 things…

The health reform legislation was decidedly unpopular, with a variety of polls showing the majority disapproved of the bill.

What did the people want?

The ACP’s Bob Doherty linked to a post by Princeton’s Uwe Reinhardt, who observed 10 things that the public wants in health care reform:

1. Lets only patients and their own physicians determine how to respond clinically to a given medical condition, never an insurance clerk or, even

…

Physician voices

Teaching patient safety starts in medical school

David Harlow

March 31, 2010Mar 31, 20104

Ten years after the release of the IOM report To Err is Human, which documented the toll taken by medical errors in this country, the question remains: What can be done to reverse the trend of ever-increasing morbidity and mortality…

Ten years after the release of the IOM report To Err is Human, which documented the toll taken by medical errors in this country, the question remains: What can be done to reverse the trend of ever-increasing morbidity and mortality due to medical errors?

Last December, a look back over the decade since the release of To Err is Human — and a steady medical error death rate of about 100,000 …

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Patient voices

Sex habits of older women and men

MedPage Today

March 31, 2010Mar 31, 2010

Originally published in MedPage Today by Kristina Fiore, MedPage Today Staff Writer Thirty-somethings can expect to enjoy at least another 30 years of sex, researchers have found. At age 30, men will be sexually active for another 35 years, while…

Originally published in MedPage Today

by Kristina Fiore, MedPage Today Staff Writer

Thirty-somethings can expect to enjoy at least another 30 years of sex, researchers have found.

At age 30, men will be sexually active for another 35 years, while women will be active for another 30, Stacy Tessler Lindau, MD, and Natalia Gavrilova, PhD, of the University of Chicago, reported online …

Read more…

Sex habits of older women and men

Conditions and diseases

Radiology tests, and how to find their price

Leslie Ramirez, MD

March 30, 2010Mar 30, 201017

I am often asked how we get the prices for the radiology imaging tests, such as MRI's and mammograms, or ultrasounds. Most people assume that my day job as a doc gives me some sort of special access to this…

I am often asked how we get the prices for the radiology imaging tests, such as MRI’s and mammograms, or ultrasounds. Most people assume that my day job as a doc gives me some sort of special access to this info. But that’s just not the case. Anyone can find out testing prices.

However, over the last year, those of us working at LesliesList.org have gotten more experienced and better at …

Drugs and prescribing

Drug companies are using community doctors for dinner talks

MedPage Today

March 30, 2010Mar 30, 20103

Originally published in MedPage Today by John Fauber, Milwaukee Journal Sentinel/MedPage Today Reporter When looking for a doctor to travel the country to promote its prescription fish oil product, a leading pharmaceutical company looked to a small-town community doctor rather…

Originally published in MedPage Today

by John Fauber, Milwaukee Journal Sentinel/MedPage Today Reporter

When looking for a doctor to travel the country to promote its prescription fish oil product, a leading pharmaceutical company looked to a small-town community doctor rather than an academic heavyweight.

Its choice was a Delafield, Wis., primary care physician and clinical lipidologist who entered private practice in 2001.

For speaking …

Physician voices

Primary care is the loss leader of medicine

Kevin

March 30, 2010Mar 30, 20108

Medicare's sustainable growth rate, or SGR, has been the bane of doctors for years now. To encapsulate, this is the reason for Medicare's annual threat to cut doctors' fees by 20% or more, only to be staved off at the…

Medicare’s sustainable growth rate, or SGR, has been the bane of doctors for years now.

To encapsulate, this is the reason for Medicare’s annual threat to cut doctors’ fees by 20% or more, only to be staved off at the last minute.

Emergency physician Shadowfax has a nice take on it, explaining why it has devastated primary care:

Primary care has many fixed expenses in addition to those we bear: they pay

…

Drugs and prescribing

Oxycontin should be prescribed less often by doctors

Edward Pullen, MD

March 29, 2010Mar 29, 201018

Oxycontin is an oral pain medication that contains the single active ingredient oxycodone. Oxycodone is one of the most potent of the oral opiates, and has more euphoric effect than many other opiate analgesics. Oxycontin is the most notorious prescription…

Oxycontin is the most notorious prescription drug of abuse in the US, and for good reason. Though marketed as a sustained release medication, as much as 30% of the medication is absorbed immediately and the rest absorbed …

Health technology

Why healthcare may not embrace the iPad

Satish Misra, MD

March 29, 2010Mar 29, 20103

The excitement and hype surrounding the announcement of Apple’s iPad have subsided for the time being, perhaps just a lull prior to the actual release in a few months. It's expected that the iPad could make significant contributions to healthcare,…

The excitement and hype surrounding the announcement of Apple’s iPad have subsided for the time being, perhaps just a lull prior to the actual release in a few months. It’s expected that the iPad could make significant contributions to healthcare, such as potentially replacing the physician’s clipboard or medical textbooks.

However, we did disagree at times on the extent to which the iPad could penetrate the healthcare market, for a variety …

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Why healthcare may not embrace the iPad

Medical education

Diet Coke and the AHA red dress endorsement

MedPage Today

March 29, 2010Mar 29, 2010

Originally published in MedPage Today by Peggy Peck, MedPage Today Executive Editor A red dress jauntily displayed on cans of Diet Coke has become the latest symbol in the ongoing debate about pharmaceutical company support of research or CME. But…

Originally published in MedPage Today

by Peggy Peck, MedPage Today Executive Editor

A red dress jauntily displayed on cans of Diet Coke has become the latest symbol in the ongoing debate about pharmaceutical company support of research or CME.

But whose dress is it? The American Heart Association says it’s “not our red dress,” even as leading pharma critic Steven Nissen, MD, …

Physician voices

Jargon dominates medicine and how doctors verbalize nouns

Robert Wachter, MD

March 28, 2010Mar 28, 20108

One of my interns was “running the list” with me last week (giving me a thumbnail update on the plans for each of our inpatients). It was standard stuff until he got to Ms. X, a 80ish-year-old woman admitted with urosepsis who was now ready for discharge. “I stopped her antibiotics, advanced her diet, called her daughter, and YoJo’ed her.”

Say whaa?

I’m pretty sure that the most valuable thing I’ve done …

Physician voices

Death in a hospital is not always comfortable

John Schumann, MD

March 28, 2010Mar 28, 20109

In America, too many people die in the hospital. I don’t mean that they die due to medical error or incompetence, though that’s always a hot topic of discussion amongst doctors, researchers, administrators, and regulators. What I mean is that…

In America, too many people die in the hospital.

I don’t mean that they die due to medical error or incompetence, though that’s always a hot topic of discussion amongst doctors, researchers, administrators, and regulators.

What I mean is that if you ask most people, they say they’d rather die at home, surrounded by their loved ones, drifting off to sleep painlessly after having had last rites administered (feel free to plug …

Patient voices

Patient questions during doctor visits are uncommon

Steve Wilkins, MPH

March 27, 2010Mar 27, 20106

Ask your doctor. I think most of us would agree that is good advice, at least up to the point that we find ourselves sitting half naked on an exam table in our doctor’s office. Then the doctor walks in…

Patient question-asking during the primary care office visit was and continues to be an “index” of patient health information …

Patient voices

Guilt used in a positive manner can help with parenting

Claudia M. Gold, MD

March 27, 2010Mar 27, 2010

In my pediatric practice, it is not uncommon for a mother, given the time, to move quickly away from telling me about her child’s behavior problem, to talk about herself, sharing vivid stories of emotional distress from her own life. I may suggest that this distress could make it difficult for her to deal with the challenging behavior of her child.

Rather than finding this statement helpful, she might collapse back …

Physician voices

Primary care access isn’t guaranteed by health insurance

Matthew Mintz, MD

March 26, 2010Mar 26, 201039

An excellent article appeared recently in the Washington Post, entitled, "Having health insurance doesn't ensure it will be easy to find a doctor," where a young, otherwise healthy and insured woman discusses her extreme difficulty in finding a doctor in…

An excellent article appeared recently in the Washington Post, entitled, “Having health insurance doesn’t ensure it will be easy to find a doctor,” where a young, otherwise healthy and insured woman discusses her extreme difficulty in finding a doctor in Washington, DC who will see her.

“I was just 23, basically healthy and, most important, insured. So I pulled out my computer, looked up the UnitedHealthcare list of pre-approved doctors …

Patient voices

10 salt reducing tips that can lower your blood pressure

Erin Marcus, MD

March 26, 2010Mar 26, 2010

It’s hard for Cassandra Mathieu to describe her mother’s cooking without mentioning the salt shaker. “I remember my mother used to cook with seasoning salt, garlic salt, every kind of salt you can imagine,” she said recently. “We grew up…

It’s hard for Cassandra Mathieu to describe her mother’s cooking without mentioning the salt shaker.

“I remember my mother used to cook with seasoning salt, garlic salt, every kind of salt you can imagine,” she said recently. “We grew up on salt.”

Cassandra grew up fixing food the same way, adding generous amounts of salt to dishes she prepared and to her food at the table. At age 42, she discovered her …

Conditions and diseases

Cancer deaths are improving, but a cure remains distant

MedPage Today

March 26, 2010Mar 26, 20103

Originally published in MedPage Today by Joyce Frieden, MedPage Today News Editor Almost 40 years and 100 billion federal dollars have been invested in the "War On Cancer" since President Richard M. Nixon declared it, but the campaign is far…

Originally published in MedPage Today

by Joyce Frieden, MedPage Today News Editor

Almost 40 years and 100 billion federal dollars have been invested in the “War On Cancer” since President Richard M. Nixon declared it, but the campaign is far from over, two researchers concluded this week in the Journal of the American Medical Association.

“These funds have been more than matched by …

Conditions and diseases

VBAC rates are low, but are obstetricians to blame?

Kenneth Lin, MD

March 25, 2010Mar 25, 201045

My daughter, who turns two years old in June, is becoming something of a medical rarity. This isn't because she is showing signs of a late-developing handicap or extraordinary ability for her age - it's because she came into the…

My daughter, who turns two years old in June, is becoming something of a medical rarity. This isn’t because she is showing signs of a late-developing handicap or extraordinary ability for her age – it’s because she came into the world as a vaginal birth after Cesarean section (VBAC), delivered by a certified nurse midwife.

Although more than three-quarters of women who choose a trial of labor over a repeat Cesarean …

Conditions and diseases

VBAC should not be a woman’s right

Amy Tuteur, MD

March 25, 2010Mar 25, 201051

VBAC activists are clinging to their resentment and aggressively ignoring reality. Amy Romano at Science & Sensibility asks the bizarre question: Do women need to know the uterine rupture rate to make informed choices about VBAC? It's bizarre because she…

VBAC activists are clinging to their resentment and aggressively ignoring reality.

Amy Romano at Science & Sensibility asks the bizarre question: Do women need to know the uterine rupture rate to make informed choices about VBAC? It’s bizarre because she implies that this is a medical question and that the answer is unknown. However, this is a legal question and the answer has been clearly established by the courts. Not …

Read more…

VBAC should not be a woman’s right

Conditions and diseases

Cancer side effects are being ignored by the media

MedPage Today

March 25, 2010Mar 25, 20102

Originally published in MedPage Today by John Gever, MedPage Today Senior Editor When the mainstream media report on cancer treatments, they seldom note that aggressive therapies may fail or cause severe side effects, researchers said. Analyzing more than 400 articles…

Originally published in MedPage Today

by John Gever, MedPage Today Senior Editor

When the mainstream media report on cancer treatments, they seldom note that aggressive therapies may fail or cause severe side effects, researchers said.

Analyzing more than 400 articles about cancer in major newspapers and magazines, investigators at the University of Pennsylvania found that adverse outcomes or palliative care were hardly …

2010

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