November 8th, 2009 by David Kroll, Ph.D. in Better Health Network, News, Quackery Exposed
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I should probably create a new blogpost category just for erectile dysfunction dietary supplements adulterated with authentic or synthetic analogs of prescription phosphodiesterase-5 (PDE5) inhibitors (e.g., Viagra, Cialis).
However, FDA has already created a page for this earlier this year after dozens of companies have been identified as putting real drugs into their erectile dysfunction products.
Do the brains behind these companies not realize that FDA is now monitoring every erectile dysfunction supplement for all manner of PDE5 inhibitors?
Apparently not: Read more »
*This blog post was originally published at Terra Sigillata - PostRank (PostRank: All)*
November 8th, 2009 by Bryan Vartabedian, M.D. in Better Health Network, Health Tips
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I can spend 20 minutes interviewing a parent about their child and still not really understand them. During a consult, my interview centers on the objective elements in a child’s history. When evaluating a child for abdominal pain, for example, I have a panel of questions that cover what I need to know to generate a starting hypothesis.
But none of it helps me understand Mom.
Understanding where the parents are at is critical to both understanding a child’s problem as well as pitching a plan of care. Whether it’s revealed to me or not, parents often come to me with an agenda. If my plan doesn’t meet with their view of the situation, it’s going to be much harder for me to help that child get what she needs.
So at the end of my interview (usually when washing my hands) I launch one or all of the following questions:
Read more »
*This blog post was originally published at 33 Charts*
November 8th, 2009 by Edwin Leap, M.D. in Better Health Network, True Stories
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The call schedule is hidden somewhere inside!
Dictation:
‘The patient was seen in the emergency department by Dr. Niemans, who is the acting hospitalist on call for Dr. Whitman’s group, who usually admit for the patient’s actual primary care provider, Emily Knight, PA, who works for Dr. Robelo, who no longer takes call, but admits his patients to the hospitalist.
Because the patient has COPD and an acute left-lower-lobe pneumonia, pulmonology was consulted. However, no pulmonologist is available this weekend. Pulmonary is being covered by Dr. Albertson, pulmonologist in the neighboring city. I spoke with Dr. Albertson about this and he told me he wasn’t taking call for our patients, and why did people keep bothering him.
The patient’s cardiologist, Dr. Rease, is being covered by Dr. James. I spoke to Edgar, PA for Dr. James who said that as of 7am, Dr. James was trading call with Dr. Housefield while Dr. James went to his son’s soccer game, but if I had any questions I should call Dr. Housefield’s Nurse Practitioner Michael, who would be rounding for Dr. Housefield, Dr. James and Dr. Josefson, at least until soccer was over or something bad happened. Read more »
*This blog post was originally published at edwinleap.com*
November 7th, 2009 by Toni Brayer, M.D. in Better Health Network, True Stories
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I took my son to the ER for a broken thumb. It was a minor injury but the thumb is the most important digit on the hand. The ER care was just fine…a quick look, an Xray and a small splint. We didn’t have to wait long and everyone was courteous.
Imagine my surprise to receive the bill from the hospital. Yes, I have insurance. My out of pocket expense was minimal but here is what the insurance company was charged:
- Hospital Misc.- $56.00 (could this be the splint?)
- Diagnostic Xray – $342.00
- Emergency Care- $952.00
- Surgery – $570.00
- Total $1920.00
Take a look…surgery? There was so surgery, no procedure. There was no break in the skin. The doctor component of the visit was about 7 minutes (mainly because I knew the doc and we chatted about politics)
This bill is unreal and is comprised of unreal health care costs. Read more »
*This blog post was originally published at EverythingHealth*
November 7th, 2009 by Dr. Val Jones in True Stories
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I was hesitant to post this photo because it is an image of my girlfriend’s bathtub in New York City. I’m sure she wouldn’t want me to post this, but I figure it’s ok because I didn’t reveal her identity and also, she doesn’t read my blog.
My girlfriend is a physician. She is friendly and smart and well-groomed. Her bathroom, on the other hand, is pretty scary. It’s not unlike other bathrooms I’ve seen in New York – which means this could be partially a cultural phenomenon. She knows it needs cleaning – I guess.
She invited me to stay at her place during a recent visit – instead of a hotel – and I gladly accepted. We planned to have a nice dinner and drinks out on the town. She showed me to my room and casually mentioned that she needed to get some Draino for the bathroom. I wondered what exactly that might mean, and was surprised by her use of understatement in this case. Read more »