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Should Halloween Contact Lenses Be Prescription-Only?

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That depends on if you can afford to get them.  Costume lenses are all the rage for Halloween by adding an exciting dimension to the costume wearer.   But did you know it’s illegal to market them as over the counter?

Many consumers do not realize that they are FDA- regulated medical devices, and that recent legislation has made it illegal to market them as over-the-counter products. Still, they are commonly available in costume shops, beauty shops, convenience stores, novelty shops, and other places that people shop for Halloween items, as well as over the Internet.

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

If I Could Fix One Thing About U.S. Healthcare…

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In my post yesterday about lessons we can learn from Israel’s health care system I wrote:

So, yes, the focus on health insurance reform will lead to many changes, and more complexity.  And some day, years from now, someone will be explaining the American system to an audience, and people will wonder, how did anyone ever create a system such as this?

In response, a friend of mine challenged me:  if the system is too complicated, how should we simplify it?

I wish more policy-makers were asking this question.

For me, the answer is clear: Primary care.  Time was, your primary care doctor was able to serve as the hub of your medical activity.  He or she could spend all the time needed to figure out what was wrong and to coordinate with your specialists.  It’s not true anymore.  Patients are left on their own trying to navigate the system.  In many ways they end up acting  almost as their own primary care doctors.  Patients try to pick their specialists, find out what to do about their condition, decide on good treatment choices. Read more »

*This blog post was originally published at See First Blog*

Dr. Rob: Why I Blog

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It was a legitimate challenge.

When I mentioned to a fellow blogger that I was appearing on NPR, and he raised a very important question:  ”Is that really a good thing?  I thought that the point of blogging was to pose a challenge to the mainstream media, but it seems like bloggers feel like they have made it when that same media pays attention to them.”

This hits at the core of what I do as a blogger (and a podcaster).  Why do I spend so much of my time doing something on that takes a bunch of time and energy, when I already have a very busy life?  Why blog?  Why podcast?  Why do interviews?  Why llamas?  Why spend a weekend in Las Vegas?  OK, the last question has any of a number of answers, and I have no idea about the llamas.  But you get my drift: given the busyness of my life, why should I do all of this? Read more »

*This blog post was originally published at Musings of a Distractible Mind*

ER Medicine: Fantasy, Meet Reality

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EM at its finest:

Ending a shift with a bang.
I write a nice note trying to capture the essence of what I did and why I did it. Can’t write “decided to go big or go home” so I wrap it up in that nice, sterile and intentionally understated medicalese which makes it seem like the decisions were clear cut, and based on solid information, when the truth is that they were largerly judgement calls based upon spotty and/or inaccurate information.

I sign out and then I punch out.

In EM we often don’t get to wait for the test result, or for a period of observation. Curse, and beauty, of the job.

*This blog post was originally published at GruntDoc*

Medical Societies Hoard Research Results For Their Financial Gain

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By Robert Stern, M.A.

Almost a decade ago, I had a simple idea — deliver fast, accurate medical news to clinicians in a format that was easily accessible, and turn that news into a “teachable moment.” Almost five years ago, that idea became reality with the launch of MedPage Today.

Monday through Friday (and if news is happening, Saturday and Sunday, too), MedPage Today delivers on our promise of “Putting Breaking Medical News into Practice.”

Our reporters and editors not only scan prepublication copies of top medical journals seeking medical news that is likely to influence daily clinical practice, but also travel worldwide to report medical news delivered at scientific meetings.

These gatherings are important as a primary source of medical information. New medical information, or as we call it: News. 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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