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Haiti: Life And Death Decisions

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A premature baby and a woman giving birth must share the only oxygen tank in a hospital in the poorest part of Haiti, Port de Paix. Dr. Jon LaPook recounts the harrowing experience.


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Plastic Surgeon Is The King Of Donkey Kong

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Donkey Kong record being a marker of surgical skill

Donkey Kong has a new recordholder — and he’s a plastic surgeon.

Hank Chien, M.D., scored 1,061,700 points in 2 hours and 35 minutes, breaking the world-record score for the classic arcade game.

Read the piece to learn how he did it, and more interestingly, the painstaking steps he had to take to verify his score.

The feat does lend some anecdotal support linking video games and the hand-eye coordination required for surgery. There are small studies linking the laparoscopic skill of surgeons with how well they do on video games. Read more »

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

An Earful And A Mouthful: Insulted Woman Bites Off Man’s Ear

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So I’m listening to the radio [yesterday] when I hear a story about a woman who was called “fat” by a 24-year-old man at a party. What does she do?

The Omaha World Herald is reporting that she bit off more than she could chew by literally biting off his ear.

Police at a Lincoln, Nebraska hospital responded to a call in the emergency room at 3:25AM on April 28th when the unnamed, one-eared man claimed 21-year-old Anna Godfrey bit off his ear for calling her “fat” at a party. The ear chunk is missing in action. Read more »

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

Most Primary Care Doctors Using Wrong Colon Cancer Screening Test

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A recent article found that primary care doctors the United States are providing sub-standard care when it comes to colon cancer screening.

In the Journal of General Internal Medicine, researchers found that 25% of primary care doctors used in-office stool testing to screen for colon cancer. Specifically, doctors do a rectal exam and then swipe the rectal contents off their gloves onto a stool-testing card. A positive test result indicates the presence of blood, which can be invisible to the naked eye. Read more »

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

Working In Primary Care: Two New Surveys

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Two new surveys take the temperature of the primary care working environment.

In the first, a collaboration between the Medical Group Management Association and the Association of Staff Physician Recruiters, recruiters took a median of six months to fill positions for internal medicine or family practice physicians, according to the In-House Recruitment Benchmarking Survey: 2010 Report Based on 2008 Data.

Among the findings:

— It cost less to recruit specialists, due to the economic downturn and a 30% rise in the use of Internet job boards as a primary recruitment method.

— It takes longer to fill a position in non-metropolitan areas, where the impact of the primary care shortage is greatest. Read more »

*This blog post was originally published at ACP Internist*

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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