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Difficulties In Donor Organ Allocation Given The Limited Supply

Robert S. Brown, Jr., MD, MPH

Robert S. Brown, Jr., MD, MPH

The November 10, 2011 issue of the New England Journal of Medicine features an editorial by Robert S. Brown, Jr., MD, MPH, Director of the Center for Liver Disease and Transplantation, titled Transplantation for Alcoholic Hepatitis — Time to Rethink the 6-Month “Rule.”

In this editorial, Dr. Brown addresses the difficult questions surrounding how to fairly allocate donor organs, which are in far shorter supply than their demand. In the case of patients with alcoholic hepatitis, current guidelines exclude such patients from the liver transplant waiting list unless they have successfully abstained from alcohol for at least six months. Yet as Dr. Brown points out, many die before this required, albeit arbitrary, window elapses. And a new study indicates that Read more »

*This blog post was originally published at Columbia University Department of Surgery Blog*

Is Healthcare Too Big to Fix?

Now that the health care bill has been soundly defeated by the election of a single individual to the Senate, the Democratic party is fleeing the House and Senate health care overhaul bills like rats from a burning ship. Sadly Republicans, too, are staying silent with (so far) few rushing forth with their alternative solution to counteract the impasse:

Senator Dianne Feinstein, Democrat of California, said Democrats were assessing their options on health care. “It’s a timeout,” she said. “The leadership is re-evaluating. They asked us to keep our powder dry.”

Mrs. Feinstein said Congressional leaders should simplify the gigantic health care bill and try to pass parts of it that would be understandable to the public. But she also acknowledged that the odds were long for a far-reaching measure. “I think big, comprehensive bills are very difficult to do in this environment,” she said. Read more »

*This blog post was originally published at Dr. Wes*

Is Healthcare Reform Dead?

One of my favorite movie scenes is from “Monty Python and the Holy Grail,” when an unfortunate soul pleads with the designated collector of corpses (this being after the plague, mind you) that “I’m not dead … yet.” The collector responds by whacking him on the head … until he is, in fact, quite dead.

This scene comes to mind as I blog about yesterday’s stunning GOP upset of the seat-that-used-to-be-held-by Ted Kennedy. If the election of Republican Scott Brown didn’t quite kill off health care reform, some Democrats are quite willing to complete the task. Read more »

*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*

Brown And Healthcare: Massachusetts Isn’t An Emerging Conservative State

I’ve lived in Massachusetts almost my entire life.  So, like everyone else, I was surprised by last night’s stunning election results.  To think, in Massachusetts we elected a Republican to serve out the rest of Ted Kennedy’s term.  It’s one of the few times where I would say it’s possible that a dead man is actually rolling in his grave.

The explanations – coming mostly from out-of-staters – are already coming in.  Coakley was a bad candidate.  Brown worked hard and showed he wanted it more.  It’s the economy.  These are all reasonable, and probably true, but I think they miss what the election was really all about. Read more »

*This blog post was originally published at See First Blog*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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