October 8th, 2009 by RamonaBatesMD in Better Health Network
Tags: Cocaine, Ear Infections, Incision, Membrane, Morphine, Otitis Media, Pediatrics, Scalpel, Surgery, Treatment
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I want to share this section of the old textbook, A Text-Book of Minor Surgery by Edward Milton Foote, MD (1908) mainly because I want to share the photo of the “angular knife for incision of the tympanic membrane” with you.
Otitis Media
This is a common disease of childhood, usually following a cold in the head. The prominent symptom is earache. Every physician ought to be able to recognize the bulging outward of the membranum tympani and to relieve the pressure by incision of the membrane at the most favorable situation – viz., the inferior and posterior portion. The introduction of warm olive oil into the external meatus will sometimes relieve pain, and the application of external heat may also be tried; but the pain of a severe earache, unless relieved by puncture of the membrane, usually demands the internal administration of morphine. Read more »
*This blog post was originally published at Suture for a Living*
October 8th, 2009 by David H. Gorski, M.D., Ph.D. in Better Health Network, News, Quackery Exposed
Tags: Autism, Biomed, Biomedically Oriented, Child Abuse, Cure, Experiments, Groups, Jenny McCarthy, Medical Experiments, Neurology, Pediatrics, Psychiatry, Psychology
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One of the major themes of the Science-Based Medicine blog has been to combat one flavor of anti-SBM movement that believes, despite all the evidence otherwise, that vaccines cause autism and that autism can be reversed with all sorts of “biomedical” quackery. Many (but by no means all) of these so-called “biomedical” treatments are based on the false view that vaccines somehow caused autism. I and my fellow SBM bloggers have expended huge quantities of verbiage refuting the pseudoscience, misinformation, and outright lies regularly spread by various anti-vaccine groups and two celebrities in particular, namely Jenny McCarthy and her boyfriend Jim Carrey. Most of the time, we discuss these issues in terms of the harm to public health that is done by falling vaccination rates due to the fear engendered by the message of the anti-vaccine movement and the threat of the return of vaccine-preventable diseases that once wreaked havoc among children.
There is another price, however. There is a price that is paid by autistic children themselves and their parents. It is a price paid in money and lost time. It is a price paid in being subjected to treatments that are highly implausible from a scientific standpoint and for which there is no good scientific evidence. It is a price that can result in bankruptcy, suffering, and, yes, even death. Read more »
*This blog post was originally published at Science-Based Medicine*
October 7th, 2009 by Nancy Brown, Ph.D. in Better Health Network, News, Opinion
Tags: Child Psychology, Conditional Love, Love, Parenting, Pediatrics, Psychiatry, Psychology, Unconditional Love
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Conditional love is finally getting the press it deserves – and it is all bad! Sorry Dr. Phil and Supernanny, many of us do not believe that what children need or want (specifically approval or love) should be offered contingently or doled out as rewards or withheld until they behave according to our wishes. Praising children for doing something right or punishing if they do something wrong – are both conditional and counterproductive.
Research completed in 2004 (Assor & Roth) with adults and recently replicated with ninth graders (Deci) suggests that children who received conditional approval were in fact more likely to do what a parent wanted, but as adults, the children tend to not like their parents much, feel internal pressure to do things versus a sense of choice or control, and they often felt guilty or ashamed of their behavior. In addition, children who reported feeling more loved when they lived up to their parents’ expectations feel less worthy as adults. Read more »
This post, The Long-Term Consequences Of Conditional Love, was originally published on
Healthine.com by Nancy Brown, Ph.D..
October 7th, 2009 by DrRob in Better Health Network, Health Policy, Opinion
Tags: Bipartisan, CMS, Drug Discounts, Geriatrics, Health Insurance, Healthcare reform, Medicare, Obama, Patient Assistance Programs, Pharmaceuticals
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Dear Mr. Obama and all of you congress folks:
I know you have been arguing about how to fix our system (and it really does need fixing). I know there is not much you can all agree on. I know it wasn’t all that much fun to face those yelling people at the town hall meetings. The press hasn’t been nice, and the polls aren’t good either. You guys are having a rough go of it.
So I am going to do you a big favor.
What you need right now are some quick wins – some things you can do that will make people happy quickly, and things that can be done without much cost. This is low-hanging fruit that can be picked without a high ladder; it is fruit that will sweeten things and make swallowing the more bitter pills a little easier. Here is what you need to do first:
1. Allow Medicare Patients to Use Drug Discounts
Read more »
*This blog post was originally published at Musings of a Distractible Mind*
October 7th, 2009 by Happy Hospitalist in Better Health Network, Health Policy, Opinion
Tags: Costs, Defensive Medicine, Internal Medicine, Legal, Medical Malpractice, Missed Diagnosis, Possible, Primary Care, Probable, Wrong Diagnosis
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Some put the figure for defensive medicine at 10% of medical expenses a year. That’s $250 billion dollars. Others claim it to be 2-3% per year or about $60 billion dollars a year.
Now ask any physician what it is. I’d say it’s closer to 30% a year. That’s $750 billion dollars a year. Why? Because I know what is going through the minds of physicians when they put the pen to the paper. In America, we strive to exclude the long tail diagnosis. Why? Because getting sued for 67 million dollars because you treated a torn aorta when all the evidence pointed to an emergent MI has a way of making doctors evaluate the possible, instead of focusing on the probable.
Defensive medicine is not about losing a lawsuit. It’s about getting sued and the lack of boundaries that protect a physician from having bad outcomes with competent medicine, even if that competent medicine was the wrong medicine for the wrong patient at the wrong time, a fact known only after the fact when a bad outcome occurs. Read more »
*This blog post was originally published at A Happy Hospitalist*
