A tale of two patients

“On Being a Doctor” is one of my favorite journal reads from the Annals. This particular one is particularly poignant.

A suit on ignored medical advice

一名阿拉斯加外科医生被起诉是因为一名患者忽略了他去急诊室的建议。再次 - 个人责任失败导致了另一项渎职诉讼。188bet金宝搏亚洲幸运的是,陪审团是明智的,并统治了医生。我仍然有希望。

No-fault malpractice

Medical Economics this month discusses the feasibility of no-fault malpractice, similar to automobile accidents and workplace injuries. A fascinating read.

他汀类药物和癌症

因此,今天的重大故事是他汀类药物如何抵御癌症。这是一个经典的案例媒体炒作可疑数据上周讨论了。在这种情况下,数据是观察性的,几乎不能用于任何建议。甚至文章本身也认识到这一点(当然,标题中不在):

However, researchers seem unanimous in saying the evidence is still …

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Afghan students are going to great lengths for their gross anatomy education.

C Difficile claiming lives in Canada

There seems to be an emerging problem with C Difficile in Canada, claiming “more lives than SARS”. Typically, this is an antibiotic-associated infection treated with flagyl or oral vancomycin. Oral bacitracin and lactobacillus for refractory cases are being studied.

现在患者反对长期等待

Here’s a link to the story that was discussed earlier today. It’s gaining some steam around here. I’m sure this happens at every ER – this particular hospital was unjustly singled out.

More on ER waits . . .

女人不得不从急诊室拨打911的故事似乎在这里得到很多玩耍。随后的论坛正在向这家医院发出更多的“投诉” - 似乎人们不明白ERS如此拥挤的原因超出了医生的控制之外。造成这种情况的原因很多(没有保险的太多,无法获得……

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在波士顿的最长等待专家

我在波士顿接受了训练,所以我定期将其放在那里的医疗现场。从我今天写的上一篇文章的同样,这个故事来自Boston Globe

。。。new patients in Boston wait an average 37 days to see a cardiologist, 45 days to see an obstetrician-gynecologist, and 50 days to see a dermatologist “” the longest waits …

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Poor triage or impatient patients?

Apparently, some patients are taking action against the long ER waits. From The Bostonchannel.com comes this story of 2 patients. One was a young girl who waited six hours before being seen. It turned out she had appendicities and when she was operated on, the “doctor said she was a mess when he opened her up”.

The other case was a 39-yo female who …

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That lovely ear . . .

。。。从yesterday- 对我来说,当然看起来像胆汁脱瘤。该患者被送往ENT医生。这是一些更多信息Medline Plus:

Cholesteatoma can be a congenital defect, but it more commonly occurs as a complication of chronic ear infection. Long-term inflammation and malfunction of the eustachian tube leads to chronic negative pressure in the middle ear. …

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Canadian vs US health care

Following-up on Galen’s entry on Canadian vs US health care, comes an article from the Globe and Mail that discusses a study comparing satisfaction with both systems:

Americans are more enthusiastic about their free-market health-care system than Canadians are about their publicly funded medicare system, but Canadians’ care needs are actually better met than those of their U.S. counterparts.

美国系统的主要牛肉…

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看到今天的诊所。

35-yo female came in today with right-sided ear pain. Here is what I found on otoscopic exam. Any ideas?

(Disclaimer: Any pictures shown are not of the patient. All identifying features, including race, age, gender and ethnicity have been modified significantly or fictionalized.)

临床研究和媒体

Here’s something interesting I came across from Internal Medicine News Online. It discusses whether the media overplays and overpublicizes clinical studies. Some excerpts:

。。。大多数研究不能孤单。“很少是一项足以或足够广泛的研究,足以建立公共政策或直接个人行动。”。。

。。。Although they might be suitable for journal publication, very few …

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分析医生和患者之间的沟通

Interesting article from the NY Times investigating communication between physicians and patients. Here are some excerpts:

。。。二十年前,1984年,研究人员表明,平均而言,患者被打断了18秒以解释问题。只有不到2%的人完成解释。

。。。研究表明,只有15%的患者完全了解医生的告诉他们,这是…

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