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Nurses Who Get Paid More Than Doctors

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NEW YORK (CNNMoney.com) — Despite the growing shortage of family doctors in the United States, medical centers last year offered higher salaries and incentives to specialist nurses than to primary care doctors, according to an annual survey of physicians’ salaries.

Primary care doctors were offered an average base salary of $173,000 in 2009 compared to an average base salary of $189,000 offered to certified nurse anesthetists (CRNAs) according to the latest numbers from Merritt Hawkins & Associates, a physician recruiting and consulting firm.

To be fair, they found the highest paid advanced practice nurses, or CRNAs, and compared them to the average family practitioner (FP) salary. I wonder how many FP’s retrain into a specialty field?

*This blog post was originally published at GruntDoc*

How Does Healthcare Reform Affect People with Diabetes?

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I can haz a question?The healthcare reform bill “doesn’t fix everything that’s wrong with our health care system, but it moves us decisively forward,” said the President.  Insurance companies will be under government regulations, coverage can’t be denied based on pre-existing conditions, and the bill is signed.

Wait…coverage can’t be denied based on pre-existing conditions?  

According to this New York Times editorial, “The biggest difference for Americans who have employer-based insurance is the security of knowing that, starting in 2014, if they lose their job and have to buy their own policy, they cannot be denied coverage or charged high rates because of pre-existing conditions. Before then, the chronically ill could gain temporary coverage from enhanced high-risk pools and chronically ill children are guaranteed coverage.”  

I’ve always wanted to take that leap and run my own business. I enjoy working in new media and healthcare, I like working hard, but what kept me from making a bold move was pure and unadulterated fear. Read more »

*This blog post was originally published at Six Until Me.*

Botox For Stroke, Brain Injury And MS

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Until recently, the therapeutic use of non-cosmetic Botox (botulinum toxin) for adult upper extremity spasticity was considered off-label use. The U.S. Food and Drug Administration (FDA) has now approved Botox to treat spasticity in the upper extremity flexor muscles in adults.

Spasticity is common after stroke, traumatic brain injury, or the progression of multiple sclerosis. Spasticity is defined as:

“a motor disorder characterized by a velocity-dependent increase in tonic stretch reflexes (muscle tone) with exaggerated tendon jerks, resulting from hyper-excitability of the stretch reflex as one component of the upper motor neuron syndrome.”

Spasticity often creates problems with mobility, self-care, and function. The spastic muscles can become stiff. Associated joints can be affected by lack decreased range-of-motion with contractures forming. Read more »

*This blog post was originally published at Suture for a Living*

Controlling Infectious Disease: A Handwashing Dilemma

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So I’m at work the other day and I see this Glade bathroom air freshener sitting in a bathroom and it hits me: What’s the appropriate bathroom air freshener protocol? I know everyone should always wash their hands when they use the restroom to help control infectious disease, but having a touchable canister of bathroom air freshener instead of an automatic air freshener made me think:

Should I wash my hands before I spray the bathroom air freshener or should I spray the air freshener before I wash my hands?

You just never know what’s on the spray nozzle of these manual  bathroom air fresheners. So do you wash your hands and then spray the air freshener out of common courtesy for others and not trust that others have done the same and then wash your hands again? What’s the protocol for this? Take the Bathroom Air Freshener Poll and put the controversy to rest once and for all. The world wants to know.

*This blog post was originally published at The Happy Hospitalist*

Sports Injuries In Kids On The Rise

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Several studies presented this week at the Annual Meeting of the American Academy of Orthopaedic Surgeons reported that in spite of a dramatic rise in pediatric sports injuries, there is still a lack of education, awareness and early treatment.

More adolescents are participating in year-round sports without seasonal breaks and are playing on multiple teams simultaneously, leading to a growing number of musculoskeletal injuries – both traumatic and from chronic overuse.

Kids’ bodies are still growing and they are just as susceptible to overuse and traumatic joint and extremity injuries as adults. The rate of injury suggests that we might be pushing kids too hard and the damage could last a lifetime. Read more »

This post, Sports Injuries In Kids On The Rise, was originally published on Healthine.com by Nancy Brown, Ph.D..

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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