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Why Medical Care Costs So Much: A Real-Life Example

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The cost of medical care is high because the human body is complicated and doctors and patients hate ambiguity. The cost is high because a missed diagnosis can lead to death and a large lawsuit. The cost is high because we have many specialists who view the human body in their own tiny pieces and they want to feel 100 percent correct about their piece. Let me give you a real-life example. Read more »

*This blog post was originally published at EverythingHealth*

When Patients Attack Doctors And Nurses

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With the attention rightly focused on patient safety, what about healthcare workers? It’s somewhat of a hidden phenomenon, but attacks on doctors and nurses are on the rise.

Rahul Parikh writes about this in a recent Slate piece. He cites data from the Bureau of Labor Statistics, which found “healthcare workers are twice as likely as those in other fields to experience an injury from a violent act at work, with nurses being the most common victims.”

In the article, Parikh goes on to detail an attack on a physician who initially refused to give his patient opioid pain medications. Read more »

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

The Healthcare Bill: A “Sinking Ship”

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disbelief comes first by notsogoodphotography via FlickrI have been asked by patients, readers, family members, and by fellow bloggers what I think about the healthcare bill passed by the House of Regurgitants Representatives. I resent this. I have tried hard to remain as neutral as possible, finding equal cause to point and sneer at both conservatives and liberals. It’s much more fun to watch the kids fight than it is to figure out which one is to blame.

But given the enormous pressure put on me by these people, as well as threatening phone calls from Oprah and Dr. Oz, I will give my “radical moderate” view of the healthcare bill.

My perspective is, of course, that of a primary care physician who will deal with the aftermath of this in a way very few talking heads on TV can understand. The business of healthcare is my business — literally. So, reluctantly, I take leave of the critic’s chair and take on the position where I will be a target for any rotten fruit thrown. Read more »

*This blog post was originally published at ACP Internist*

New Sandwich To “Start Killing People” Next Week

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4344334.jpgPrimary care doctors and nutritionists will soon have a new threat in the fight against obesity. KFC is going national with its new “Double Down” sandwich on April 12.

This 540 calorie, 32g of fat, 1380mg of sodium “sandwich” replaces the bread or bun with two pieces of fried chicken.

In a somewhat hyperbolic article at Consumerist.com, its predicted that the new fast-food sandwich will “start killing people” nationwide next week.

Product page: Double Down…

More: Introducing The Vegan Double Down!

*This blog post was originally published at Medgadget*

Box-Top Board Certification For Doctors

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Remember when you were a child and an offer to be a member of a special spy club appeared on your morning cereal box? You knew — yes, KNEW — that the offer was the real deal. All you had to do is send in 3 cereal box tops and you’d be sent all the prerequisite items. Of course, when the plastic trinkets arrived weeks later, there always seemed to be the air of buzzkill when the reality of what you received for your efforts was revealed.

This could never happen with board certification for doctors, could it?

Yesterday we learned that this year every specialist has to recertify to maintain their status as a board-certified specialist. In the past, this was a voluntary process that doctors participated in to show a jury of their peers that they had the right stuff to practice medicine at the highest level possible. It was a respected term. Doctors generally knew that a board-certified specialist meant something.

Even though doctors pay thousands of dollars to the American Board of Internal Medicine for the opportunity to study for and take the certification exam, once passed doctors were proud to hang that certificate on their wall. In effect, it is the crowning achievement of one’s career.

But what if that certificate on the wall had the value of certificate purchased from a cereal box top spy club? Doctors might be pretty upset, right? Well guess what. Although the majority of those certificates hanging on the wall are the real deal, many are not. Read more »

*This blog post was originally published at Dr. Wes*

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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