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Cancer Pathology: Are Lab Tests Always Right?

The Wall Street Journal’s Health Blog says that cancer lab tests “aren’t always right.” They report on reports issued by two professional societies that point out that as many as 20% of a certain kind of test are inaccurate. According to the Health Blog the problem is the tests “aren’t black and white, and rely on a pathologist’s judgment.”

Now, judgment is a critical factor in most everything in medicine, but perhaps nowhere else are the consequences of incorrect judgment so serious as in pathology. As Dr. William Osler famously observed: “As is your pathology, so goes your clinical practice.” But how widespread is this problem? Read more »

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

When Healers Need To Be Healed

In my office mail this morning I found my medical school classmate, Janet Cathey, looking back at me from the front of the lastest issue of the Journal of the Arkansas Medical Society. Her photo was linked to an article entitled “When Healers Need Healing: Physicians’ Experiences on the Receiving End of Medicine.”

I knew that Janet had been injured in a car accident last summer. I have tried reaching out to her with notes, etc. She had “closed” herself off from me and many others trying to reach out, so it was nice to see the report on her.

Janet had a busy gynecology practice prior to the accident. I heard that she had since retired due to the back injury sustained in the accident. Read more »

*This blog post was originally published at Suture for a Living*

Doctors Postpone Care Until Medicare Issue Resolved

Threats of lowered Medicare payments have been postponed again until June 1.

ACP’s Neil Kirschner, Ph.D., had reported that some physicians were postponing non-emergency appointments until the issue resolved.

Medicare had announced Thursday that it would start paying doctors’ claims at the lower rate. Now, restored payment levels are retroactive to April 1, so internists will be paid at the 2009 rate for all services provided in April.

Included in the legislation are extensions of unemployment benefits to restore aid to thousands of Americans who had exhausted their benefits or whose eligibility was expiring.

(MedScape, Washington Post, New York Times)

*This blog post was originally published at ACP Internist*

Doctors “Running On Empty”

We’re stretched so thin, right now. No new hires in sight. Look at this list of patients — 22 of ’em, all over 70, 8 “news” among them, every one with tons of medical issues. Didn’t get out of here until 10:30 last night. Then back at it at 8 (am) this morning. I’m telling you, I hate it. Hate it. There just doesn’t ever seem to be an end in sight. We’re just a bunch of f**in’ employees, and no one gives a damn.

I sat stunned. I knew him from before. His job had taken its toll. This wasn’t the guy I knew earlier. I really didn’t know how to respond, but I did suggest that maybe hospitalist medicine wasn’t for him. Read more »

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

When Hospitals And Patients Are Smoke-Free

By Barbara Ficarra, RN, BSN, MPA

“This is a smoke-free institution. Thank you for your compliance.”

Nurses and doctors and other members of the healthcare team strive every day to provide quality patient care. We focus on patients by understanding their needs. We listen, assess and evaluate. We work together as a team focusing not only on the patient, but family members as well. We formulate individual care plans addressing each and every need.

Providing quality patient care is the single most important goal for any hospital, and it’s important to note that patients need to understand that there are policies within the hospital. Read more »

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

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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