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Book Review Of Coppola: A Pediatric Surgeon In Iraq

War can paradoxically bring out the best in people. Despite the violence, tragedy, and pain, there are moments of kindness, compassion, and brave camaraderie. Soldiers band together as brothers and sisters under terrible

circumstances to offer their lives in support of a nation they deem just and vulnerable. Often they are terribly wounded. Families on both sides of the conflict suffer and grieve sickening losses. The reasons for war seldom justify the human misery it causes, but perhaps one type of soldier has the luxury of always being on the right side. Consider the medic, nurse, or military doctor. Read more »

*This blog post was originally published at The Examining Room of Dr. Charles*

The Health Plan Lobby’s War For Survival

This past weekend, AHIP – the American Health Insurance Plan trade group – seemed to turn at last against healthcare reform. For nearly a year the AHIP stood silently by, and indeed often made noises in support of the administration’s reform efforts, despite being cast by reformers as the chief villains of American healthcare. Then suddenly, a few days ago AHIP released a study produced for them by Price Waterhouse Cooper which concluded that healthcare reform (at least as advanced by the Baucus Senate Finance Committee) would result in massive increases in insurance premiums for Americans.

Becoming an apostate has always been far worse than being a mere infidel, and the AHIP action (seen as a act of betrayal and not merely an expression of opposition) has invoked the wrath of the powers that be. Democrats and progressives everywhere have quickly responded. Read more »

*This blog post was originally published at The Covert Rationing Blog*

The Benefits of Scanning War Corpses

The military is learning from the dead.

In the past five years, every soldier who was killed in Iraq and Afghanistan has been given a CT scan. Why? In the hopes of creating a database of war injuries, which can be used to better equip and treat future soldiers.

The effort has already paid dividends. While examining the data, it was noticed that chest tubes used to treat pneumothoraces in the field were too short. The standard tubing would have been appropriate for 50 percent of soldiers, versus longer tubing that would fit 99 percent.

Also, it was because of these “autopsy scans” where it was noticed that many of the troops died from wounds in the upper torso, which could have been prevented with the appropriate body armor. On the basis of these findings, the military rushed more armor plates to Iraq.

It’s an interesting piece, and goes on to discuss the sensitive implications of the findings to family members:

The possibility that a relative burned to death is a particular source of anguish for families, and one area in which CT can outperform an autopsy. In a body damaged by flames, CT can help pathologists figure out whether the burns occurred before or after death. The scans can also tell whether a person found in water died from drowning.

It’s truly remarkable to see how much that can be learned after death.

*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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