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Autograph Quilt: Door Prize For Medbloggers At Blog World Expo 2009

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As promised last week, here’s the autograph quilt for BWE.  The quilt is going to be used as a door prize.  It has 64 white spaces for attendee’s autograph (name and blog title).  I used batiks in blue, green, and brown shades.  The quilt is machine pieced and quilted.  It is 43 in square.

Here you can see some of the fabrics used. Read more »

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

When Should A Physician Help A Patient Die?

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Here’s an interesting case.  A young woman drinks antifreeze to commit suicide, writes a note saying she does not want any medical treatment and calls an ambulance so she can die peacefully with the help of medical support.

I read a lot on  Happy Hospitalist about a patient’s right to demand what ever care they feel is necessary to keep them alive and the duty of the physician to provide whatever care the patient feels they require, no matter how costly or how miniscule the benefit.  Readers like to say it’s not a physician’s obligation to make quality of life decisions for the patient.

So let’s analyze this situation.  Does a  patient have the right to demand medical care and the services of physicians to let them die without pain?  Does a patient have the right to demand a physician order morphine and ativan to keep a depressed but physically intact patient comfortable as they slip away in a horrible antifreeze death under the care of medical personel? Read more »

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

The H1N1 Flu Vaccine: Who Should Get It?

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mazeIn April I co-authored, Swine Flu Vs. Soap:  Our bet’s on the soap! with pediatrician, Dr. Gwenn O’Keefe, founder of Pediatricsnow.  We gave a brief overview about the swine flu H1N1 and discussed preventative measures.

While the information remains the same in our post, I’d like to now add a little info about the the H1N1 flu vaccine.

Health information about H1N1 is circulating the web faster than tweets zip through cyberspace and it can be very confusing.

It’s like you’re stuck in a maze and you don’t know which way to go to get out.  Information about the swine flu is circulating so quickly that it can even be frightening.  It’s really important that you don’t panic.

Gather your information and talk with you doctors and nurses.

Information about the H1N1 flu vaccine Read more »

*This blog post was originally published at Health in 30*

The Often-Unexamined Costs Of Healthcare

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by Marie Cooper

I have been in senior executive management in both managed care and a major hospital system. I find the hysteria over “reform” bitterly amusing because it is so misdirected.

The real problem with health care in America? Greed, indifference and incompetence, pure and simple. But not in the places everyone is pointing.

Insurer side

Insurance companies have to maximize their revenue because they answer to their boards. They are in no rush to fix claims systems that make copious errors and delay payments to providers. There are hundreds of claims processing software programs out there. Some are acceptable, some are useless. None are really good or efficient. And there is the human error factor. A careless mistake by an apathetic claims processor can create payment problems that could literally last for years. Read more »

*This blog post was originally published at KevinMD.com*

Four Body Parts You Don’t Want To Miss

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Watch CBS News Videos Online

Several years ago I was urgently paged by a patient who had discovered a lump at the bottom of his chest. He came straight over to my office, fairly certain he had cancer. The lump turned out to be a normal part of his sternum (breastbone), a small piece of cartilage called the xiphoid. Now that’s the kind of diagnosis I like to make. Read more »

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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