March 31st, 2010 by DrWes in Better Health Network, Opinion, Primary Care Wednesdays, True Stories
No Comments »
It’s very generous of Sanolfi-Aventis’s marketing department to make this offer for me to serve as an “advisor” for dronedarone (Multaq), but seriously–I was a bit skeptical that they wanted my “feedback on the reasons for and against utlilization of Multaq® in the appropriate patient as well as to understand communication and educational needs with regard to Multaq® and the atrial fibrillation state in general.”
Where were they when the drug launched? Might it be because this drug hasn’t quite been the blockbuster they’d hoped for?
But, of course, I’d never be swayed to use more of this drug by such important consulting work. No, really.
P.S. Sanolfi-Aventis marketers: Please update your prescriber database with my correct workplace.
–Musings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
March 29th, 2010 by DrWes in Better Health Network, Health Policy, Opinion, Quackery Exposed, True Stories
No Comments »
When hospitals mandate where patients are treated, it can lead to conspiracy and racketeering charges. Here’s an excerpt from a letter from the Chairman of the Board of Citizens Medical Center to one of the cardiologists filing suit:
“While it is certainly your right to exercise your medical judgement as you see fit, likewise, it is the responsibility of the Board of Directors at Citizens Medical Center to exercise their judgement as to what is in the interest of the business of Citizens Medical Center and its patients and Medical Staff. It is the Board’s firm belief that it is in the best interest of Citizens Medical Center for patients who are capable of being treated at Citizens Medical Center to be treated at Citizens Medical Center and not be transferred elsewhere.”
Business interests before doctor-patient interests? Ouch.
-WesMusings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
March 28th, 2010 by DrWes in Better Health Network, Health Policy, Opinion, Research
No Comments »
BACKGROUND
For those who are landing on this page for the first time, be sure to read the background FIRST to these case presentations. The intent here is to compare and contrast two patients, one insured and the other uninsured, from the United States and England as care is delivered today. The U.S. cases are described in detail in this blog and the corresponding cases, British-style, are described on Sarah Clarke, MD’s blog from England.
CASE #1: The U.S. Case of Mr. Thurgood Powell
The ER radio sounds: (*bleeeeee, deeeeeeeeeppppp*) “Rampart, we have a 57 year old white male en route with a 45 minute history of substernal chest pain and diaphoresis. Initial single-lead EKG discloses ST segment elevation. One ASA given, nitro given, BP 96/47, pulse 110, respirations 22, pt diaphoretic…”
ER doctor: “Code cor activated. Cath lab ready. Proceed as soon as possible.” Read more »
*This blog post was originally published at Dr. Wes*
March 26th, 2010 by DrWes in Better Health Network, Humor
No Comments »
He was 60-year-old man who underwent surgery for an implantable cardiac defibrillator (ICD) approximately 3 years prior who was returning to the clinic for routine followup. He felt well and had no other complaints.
He was connected to the EKG and the programmer’s wand was placed over the device. I interrogated his device and when the initial screen appeared, there it was — a single shock from his device, received two weeks ago.
“Mr. Smith, are you aware that you had an ICD shock about two weeks ago?”
“Yeah.”
“Why didn’t you call us?”
“I don’t know.”
“Did it bother you?”
“Not really.”
“Why not?”
There was a pause. I looked up from the programmer and took a quick look at him. He was looking away. Instantly, I realized the answer. Read more »
*This blog post was originally published at Dr. Wes*
March 25th, 2010 by DrWes in Better Health Network, News
No Comments »
If it’s free, it’s for me. Especially if it’s an iPhone application to track medical procedures:
That’s why Dr. Shanti Bansal developed a free iPhone application — “app” in Apple-talk — that lets doctors keep a record of each case and which procedure, from a cardiac MRI to a biopsy, they perform. “The goal is to help physicians in training be the best physicians they can,” said Bansal, who practices at Yale-New Haven Hospital. “One of the reasons I came up with this is that I’m a cardiologist and in cardiology we do a lot of procedures. I lost track of hundreds of procedures during my first and second year” of residency. Now, in about 30 seconds, each procedure can be entered into the iPhone.
Here’s the link to ProcedureTracker.com.
-WesMusings of a cardiologist and cardiac electrophysiologist.
*This blog post was originally published at Dr. Wes*
