September 17th, 2011 by John Di Saia, M.D. in Opinion, True Stories
1 Comment »

Looking to obtain a break on my practice’s botulinum toxin of choice (Myobloc) I yielded to curiosity and ordered from a Canadian Pharmacy…Northwest Pharmacy.com. I figured we would try to break the price point of this popular product. Thankfully I used my credit card.
Botulinum toxin must be kept cold to retain its potency. We traditionally receive this product on dry ice and have never had much of a problem with effectiveness. I was promised by the pharmacy rep that this product would arrive cold within 2-5 days of shipping. Only after I gave her my credit card information did she share with me that the product would be coming from Great Britain. This was not welcome news. I was reassured that the product would be cold and usable.
The product arrived Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
September 17th, 2011 by Berci in Health Policy, Interviews
No Comments »

Pascal Lardier, International Director of Health 2.0 asked me for an interview about the future of health 2.0. Here is the interview and an excerpt:
Basically, the medical acts remain the same: doctors will continue to receive their patients. But both stakeholders need to adapt and be able to deal with the rapidly growing amount of information available online. As the patient’s motivation is clearly more important (their health is at stake), they are more open to these innovations/developments while medical professionals use the internet and social media for other purposes: education, collaboration, diagnostic technologies, etc… Patients and doctors basically use the same type of technologies for different purposes. I’m sure social media, used with strategy and caution, will help fill the gap between patients and their physicians.

*This blog post was originally published at ScienceRoll*
September 16th, 2011 by BobDoherty in Health Policy, Opinion
No Comments »

Graduate Medical Education has for the most part escaped big budget cuts in the past, mainly because powerful lawmakers have aligned to protect funding for teaching hospitals in their own states and districts. Plus, the Association of American Medical Colleges, the American College of Physicians, hospital organizations, and many others long have made funding for GME a top legislative priority.
GME, though, could be on the chopping block as Congress’s new “Super Committee” comes up with recommendations to reduce the deficit by at least $1.2 trillion over the next decade. A report from the Congressional Budget Office of options to reduce the deficit to suggests that $69.4 billion could be saved over the next decade by consolidating and reducing GME payments. Earlier this year, the bipartisan Fiscal Commission on Fiscal Responsibility and Reform also proposed trimming GME payments.
How then should those who believe that GME is a public good respond? One way is to circle the wagons and just fight like heck to stop the cuts. But that raises a basic question: is GME so sacrosanct that there shouldn’t be any discussion of its value and whether the current financing structure is effective and sustainable?
Another approach, the one taken by the ACP in a position paper released last week, is to Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
September 16th, 2011 by John Mandrola, M.D. in Health Tips, Opinion
1 Comment »

Before I even start, let me say this to my triathlete friends…
I really like you all. And…I am sorry for how I feel about your sport’s pinnacle, the Ironman triathlon. But I was poked into writing this post. When asked the question of whether the Ironman is safe for the middle-aged heart, what was I to do? Lie?
Each August, my hometown, Louisville, KY, gets overrun, over-swum and over-ridden with “Iron people.” No, these humans aren’t rust colored, or all that hardened, but they are indeed a determined lot. Triathletes, or iron people if you will, wake up before sunrise to swim, bike or run. Then they eat; some go to work (barely), and then they do the training thing again in the evening. Calling these athletes focused would surely be an understatement.
So it is each summer that I endure the same question: “Dr. Mandrola, did you do the Ironman?”
“No…I just ride bikes.”
But this year was different. Before I could launch into my usual dissertation on how training for Ironman-length triathlons causes excess inflammation, coronary calcium, atrial fibrillation, divorce, etc., etc., another question quickly popped up.
“What did you think of that guy who died during this year’s race?” Read more »
*This blog post was originally published at Dr John M*
September 16th, 2011 by Medgadget in News
No Comments »

Cook Medical has announced the launch of its new Otrieva Tapered Ovum Aspiration Needle for ovum collection in women pursuing in vitro fertilization. The company claims its new needle’s reduced diameter will result in reduced pain and bleeding during the procedure compared to existing solutions, while still providing precise collection.
The Otrieva also makes use of Cook’s EchoTip technology to further enhance safety by improving the needle’s ultrasound visibility.
From the press release:
The Otrieva needle, developed exclusively by Cook, has Read more »
*This blog post was originally published at Medgadget*