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The Case Of The Lost Pager: A New Kind Of Medical Error?

It happens to every doctor at some time in their busy career: the missing pager. Usually, discovering the locale of the digital disrupter is quite simple: you simply page yourself provided, of course, that the contraption is not on “vibrate” mode.

And so it was with me some time ago.

The scene was a familiar one: rushing off to work, heading out the door while contemplating the upcoming caseload of the day with my mind wandering off to great medical thoughts when, suddenly, I reached to my hip to find that I had forgotten my pager.

Dang.

So back to the house I go and scramble for the telephone. My wife, hearing the door opening calls back from upstairs: “Something wrong, dear?”

“No, just forgot my *@#$&#*& pager. No biggie.”

So I called the paging number and waited. (Why it takes so long for electrons to travel to space and back is beyond me.) Some time later I heard in the distance: Read more »

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

Telemarketing Unnecessary Heart Scans Is Big Business

Those who market heart scan services should be more careful about what they promote and to whom.

When ProPublica’s Marshall Allen got a telemarketing offer for heart scans for him and his wife, he followed up with a story, “Body Imaging Business Pushes Scans Many Don’t Need – Including Me.”

Reminding Allen about the deaths of figure skater Sergei Grinkov, baseball player Darryl Kile, newsman Tim Russert and actor Patrick Swayze, the salesman said:

“You never know when it could happen. … Boom, you’re dead!” he exclaimed, slapping a desk for emphasis.

But Allen tells another story – of complaints by patients and regulators about the business. Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Superfocus Glasses May Improve Vision In The E.R.

A man wearing superfocus glasses.

As I write this post, I’m wearing my new Superfocus glasses. I was given the glasses by the company to demonstrate, and they are nothing less than remarkable. I’ve used them mostly in two very common settings for me—indoors and outdoors. In both situations, they performed very well.

Superfocus lenses work by mimicking a young, healthy human eye. Each lens is actually a set of two lenses (flexible and firm). The flexible, inner lens has a transparent membrane attached to a rigid surface, sandwiching a small amount of clear fluid. The bridge (across the nose) connecting the lenses allows you to adjust the shape of the flexible lens. Slide the tab along the bridge to find the exact correction for the particular user. The intent is to achieve clear, undistorted vision within any lighting or distance.

You can learn a great deal from the Superfocus website about the benefits of adjustable lenses, how to obtain the glasses, and so forth. I won’t reiterate information from the website, but rather discuss how I have used these glasses and discuss their performance based on my own experience.

First, I used them during my work in the E.R. as a physician. Read more »

This post, Superfocus Glasses May Improve Vision In The E.R., was originally published on Healthine.com by Paul Auerbach, M.D..

New Jersey Attempts To Outlaw Cosmetic Botox For Minors: Will The Legislation Work?

TRENTON — Minors in New Jersey wouldn’t be able to get Botox injections unless a doctor says it’s medically necessary and documents the reason, under a bill moving through the Assembly. The Assembly Health and Senior Services Committee approved legislation Thursday to clamp down on doctors injecting people under 18 with botulinum toxin for cosmetic purposes. The Federal Drug Administration already bars anyone under 18 from getting Botox for cosmetic reasons. The new state legislation would go further by requiring doctors to document in a patient’s chart the noncosmetic medical reason for performing the procedure on a minor. Botox is used widely to smooth out facial wrinkles, but also can be used to treat headaches and spasms.
Source: app.com/article/20110520/NJNEWS10/305200023/Botox-regulations-minors-pass-NJ-committee
?odyssey=mod_sectionstories

This prospective law in New Jersey would make Botox injections illegal in minors without a doctor’s statement that it is medically necessary. Unfortunately this is not to say such a law would have the desired effect. There are docs who will write those “permit slips.” Watch how many of these Botox-using minors get headaches.

I am not really a fan of laws restricting the flow of medicines. I do not believe they work well. Then again Read more »

*This blog post was originally published at Truth in Cosmetic Surgery*

Where Does The Patient’s Responsibility For Their Health Begin?

When you or I visit an accountant, a lawyer or car mechanic, we know what our role is and have a pretty clear understanding of what the ” expert” is supposed to do. But when it comes to a trip to the doctor these days the roles and responsibilities of patients and physicians have become blurred and unpredictable…and the patient seems to generally be on the losing end.

Take my Mom’s case. My Mom who was 89 years old and evidently had severe osteoarthritis. She never knew that even though she was been seen every couple of months by her Internist for years and years. It’s too bad…because my Mom died last week from complications due to a compression fracture of her spine. Turns out her spine was very fragile according to her consulting Neurosurgeon but no one ever told her.

The first question that entered my mind when I heard of her condition was why didn’t her primary care physician “pick up” on the severity of her condition before she fell and fractured her spine? Read more »

*This blog post was originally published at Mind The Gap*

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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