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The Problem Of Drug Extinction

Doctors are all-familiar with marketing efforts to promote new drugs, but once the new drugs displace older drugs in the medical marketplace, who serves as advocates for the continued manufacturing of older FDA-approved drugs?

In a short answer: No one.

For those of us dealing in cardiac arrhythmia management, this presents difficult challenges for patient care if people are unable to take the newer drugs due to side effects. These patients no longer have a fall-back option to turn to for medical therapy when the older drugs have become extinct on the marketplace. Read more »

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

Medical Moonlighting: How About Doctor Derby?

Medical moonlighting. That’s what you’d better be thinking about as the healthcare finance reform trap continues its destined pursuit of bankrupting America.

The only possible outcome to all of this mess is the biggest man-made healthcare recession of all time that will make the current economic implosion look like a walk in the park.

What are some possible second jobs for doctors? Every week I get offers to respond to surveys and telephone conferences by private industry asking for my opinions on up-and-coming pharmaceuticals. Just the other day I was offered $500 for a 90-minute interview. (That reminds me, I had better call them back!)

Other second jobs for doctors? Read more »

*This blog post was originally published at The Happy Hospitalist*

Overachievers May Turn To Prescription Drugs To Gain A Competitive Advantage

There’s no doubt that prescription drug abuse is a major problem in America, and it’s escalating in epic proportions.  Prescription drug abuse affects men, women and teens.  Concerning trends include older adults, adolescents and women.

On MSNBC’s website, Karen Asp writes, Superwoman syndrome fuels pill-pop culture, and it’s about how “Overwhelmed overachievers turn to prescription drugs for an edge.”

This article is a little misleading since there are many women who are hardworking “superwomen” who do not indulge in illicit drug use. Read more »

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

Are Claims-Based Alerts A Waste Of Time?

I got a letter from an insurer the other day, warning me that my patient, who had just refilled a prescription for a bisphosphonate I had prescribed almost a year ago for severe osteoporosis (yes, I do still prescribe dugs, despite how I feel about Big Pharma marketing), also had a claims diagnosis in their system for a bleeding peptic ulcer, and was I really sure she should be taking this medication, which could worsen her ulcer?

So do what any conscientious physician would do – I call her. (Of course, no one is ever home when I call these days, so it’s another few days of phone tag before I get her.) No, she has not been diagnosed with anything of the kind. Feels great, in fact. Read more »

*This blog post was originally published at The Blog that Ate Manhattan*

Will Hospitals Who Ban Physicians From Paid Pharma Speaking Engagements Lose Employees?

Doctors have been coming under increasing scrutiny for their relationships with pharmaceutical companies.

Many hospitals and medical schools have outright banned any involvement of their physician staff with drug companies. This isn’t a contentious issue most of the time.

But a recent case at Boston’s Brigham and Women’s Hospital raised some eyebrows. Apparently, an asthma specialist was so dependent on drug company money, that he chose to quit the hospital instead. According to the Boston Globe, “Out of thousands of US doctors hired by drug-maker GlaxoSmithKline to talk about its products, [this physician] was the highest paid during a three-month period last year, the company recently disclosed: He made $99,375 for giving 40 talks to other physicians last April, May, and June, almost one every other day.” Read more »

*This blog post was originally published at KevinMD.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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