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New AMA Report: More Than 40% Of U.S. Physicians Are Victims Of Lawsuits

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badappleI received this press release and was depressed by the prevalence of lawsuits filed against doctors in this country. More than 40% of physicians are sued at some point in their careers, and the vast majority of these suits are found to be meritless. If that doesn’t make you want to quit practicing medicine, I don’t know what does.

This kind of litigious climate definitely adds to my stress levels — and makes me fearful of caring for very sick and fragile patients who are likely to have poor outcomes, regardless of what I do. Many of my colleagues practice medicine with one eye always looking over their shoulder, wondering when that one bad apple will take them to court in an attempt at a financial windfall.

In Canada, those who bring frivolous lawsuits to court are responsible for all legal costs. Read more »

Twitter As A Lifesaver?

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Lots of people know about Twitter and what its many functions are. But Twitter as a lifesaver is probably something that you don’t hear about a lot. Leigh Fazzina was in a triathalon race last week in Connecticut when her bike crashed. Her cell phone could not make any voice calls. However, she did figure out that she could send out text:

3 Twitter accounts, SMS and MMS messages, BlackBerry Instant Message (BBM) and voice. I knew Twitter would get me an immediate response as my messages would be sent to the 1,000 or so people in my network. I also knew that my Twitter network being comprised of mostly healthcare communications/public relations colleagues would take me seriously…Remember, it was getting dark and I needed help immediately…

One of her many followers was @DrJonathan on Twitter and he describes in the video interview above from Doctor Anonymous Show 175, what he and a lot of her other followers did — they called the local authorities to let them know their friend was hurt and could not make a voice call. Read more »

*This blog post was originally published at Doctor Anonymous*

Glucose Monitor: From On The Belt To In The Belly?

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Researchers led by bioengineering professor David Gough at the University of California-San Diego have reported, in a paper in Science Translational Medicine, that they implanted a wireless telemetry continuous glucose monitor (CGM) in two pigs (222 and 520 days, respectively) and the device was successfully reporting glucose levels to an external receiver.

Following human testing and FDA approval, devices such as these could replace similar systems that are external to the body with a needle attachment that pierces the skin to take measures. Combined with potential transdermal or intranasal insulin administration, this technology could lead to less sticking and poking of people with diabetes. Read more »

*This blog post was originally published at Medgadget*

Advances In Telemedicine Ease Patient Care

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Ralph Terenzio, a patient with the Center for Connected Health, checks his blood pressure using remote monitoring equipment.Monitoring vital signs remotely saves time and money for everyone: patients, physicians, facilities and insurers. Heart failure is a particular target because its increasingly common, its easily triggered (by as little as too much salt on food, for example), it costs so much to manage in the hospital, and it’s so easily avoided.

Remote monitoring equipment made even easier with wireless connections can take vital signs, and even ask standard questions every morning. The equipment puts patients in contact with nurses once they detect warning signs. That human touch is key. Case managers can screen out false alarms (avoiding alert fatigue) and can direct patients to the physician when needed. ACP Internist covered remote monitoring technology in its March issue. (Wall Street Journal, ACP Internist) Read more »

*This blog post was originally published at ACP Internist*

Americans Are Cutting Back On Healthcare

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The Wall Street Journal reported that overall medical use fell as patients had fewer doctor office visits, lab testing, and maintenance medications possibly due to the recession or as a result of consumer-driven healthcare in the way of higher deductibles and copays. This is very worrisome.

Certainly patients should have some financial responsibility for their care, but skimping on care will only result in Americans not becoming healthier, but sicker. Though the article cited some examples of patients saving money by not seeing their allergist for a refill of medication and simply calling for one and getting an athletic physical at a local urgent care clinic for $40 rather than $90 at the doctor’s office, these tiny behavior changes aren’t going to bend the cost curve in medical care. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

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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