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Google’s Approach To Serious Health Searches

Now that Google has become a near-universal information provider for many people, it’s finding itself answering questions that need a little more of a nuanced approach.

Apparently prodded by a mother who was looking for poison control contacts in an emergency, Google is now providing relevant phone numbers at the top of search results for a few specific queries. Read more »

*This blog post was originally published at Medgadget*

Physician-Owned Hospitals: Preventive Medicine Instead?

With the new healthcare reform bill signed into law, the fate of physician-owned hospitals was sealed:

The bill Congress passed in March includes a ban on new physician-owned hospitals and freezes those already in business at their present size. Doctors hold a one-third interest in Avera Heart, which opened in 2001, so the bill President Obama signed would prevent that facility from ever growing.

The law change, in effect, leaves expansion of treatment of cardiovascular disease open for Sanford to dominate locally in coming years — if in fact that field of medicine grows. Avera Heart says such growth is not a given, because people are living healthier and have less need for emergency care. (Argus Leader)

While it’s easy to point to the potential conflict of interest inherent to physician-owned medical facilities, it’s not so easy to demonstrate that non-physician-owned hospitals don’t have similar conflicts with generating profits. After all, continuing to build large $78 million expansions requires hospitals of any kind to achieve a return on their investment in order to continue operations. Read more »

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

Hands-Only CPR: No More Mouth-To-Mouth

Man collapsedBy Barbara Ficarra, RN, BSN, MPA

You witness an adult collapse to the ground. What do you do? Would you just stand by and watch? Would you call 911?  Would you initiate CPR?

Research reveals that bystanders have been reluctant to perform CPR on a person who drops to the ground because they’re hesitant about putting their mouth on a stranger’s mouth. Read more »

*This blog post was originally published at Health in 30*

The Lesbian And The Lipstick

red-lipstick.jpgThe woman in bed six informed me immediately on my arrival and introduction that she was a lesbian. I don’t know why it mattered because she was there for a scald injury on her arm, and I hadn’t inquired about it. In fact, I hadn’t even begun my history before she made her announcement in a somewhat belligerent tone.

So…ooookaaay. I tried not to let this non sequitur throw me too much off my stride, and I went through the brief history necessary for a minor injury such as she had.

As an aside, this self-proclaimed lesbian was quite feminine. She was well-dressed for the hour of the evening and quite pretty in her own sort of way. She even had a choker of pearls on, along with earrings, lipstick, and well-coiffed hair.

I asked a few questions, though, and was surprised at the frankly-aggressive tone of her responses. Nothing too blatant, nothing that I could call her on, but quite definite. And her story seemed to not quite add up. Read more »

*This blog post was originally published at Movin' Meat*

The “Expensive, Overused” ER

I’m always fascinated by the complaints that the emergency department is so overused and expensive. I admit that it is used a lot, and that care can seem expensive. But I want to make it clear that the reasons are myriad.

Whenever we in the specialty say that we feel that patients abuse our services, someone in academia reminds us that only a small number of those patients do not actually have serious illnesses. Whether or not that’s true, one of the reasons we are overused is due to none other than other physicians.

I’ve been paying attention lately to the way physician referral patterns happen. I suspect it’s the same in other facilities. Read more »

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

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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