If You’re Going to Criticize, Get Your Facts Straight
I just found out about an article that appeared in Forbes online 7 months ago. It said that a...
Read MoreDec 16, 2013
I just found out about an article that appeared in Forbes online 7 months ago. It said that a...
Read MoreDec 9, 2013
A big problem with changing the focus of healthcare in the United States is that hospital chief executive officers (CEOs) are incented to produce profits for their institutions. This chart from Kaiser Health News shows that the...
Read MoreDec 2, 2013
Media outlets (Wall Street Journal, Gizmodo) are again reporting that automation is degrading...
Read MoreNov 25, 2013
In case you missed it, there was a brief romance between thyroid surgeons and robots. Thyroid...
Read MoreNov 18, 2013
I’m a pretty staunch defender of surgeons. I tend to take their (our) side on most issues, but a recent case from England raised some conflicting thoughts for me. David Sellu, a consultant (attending) colorectal surgeon at...
Read MoreNov 11, 2013
As I exist on the brink of extreme crankiness every day, it doesn’t take much to push me over the edge. Here are some things that do. Why do history and physical write-ups sound like transcriptions of interrogations?...
Read MoreNov 3, 2013
I say, “No.” Here’s why. There is way too much to learn in 3 years. Unless medical education is radically changed, it will be impossible for students to memorize all the unnecessary stuff they still have to...
Read MoreOct 28, 2013
This has been bothering me for many years. No, pain is not the 5th vital sign. It’s not a...
Read MoreOct 21, 2013
Now that the government shutdown is over, it’s time to focus on the Affordable Care Act. Many have written about website sign-up difficulties including the apparent mother of all the bad ones, healthcare.gov. Here are some...
Read MoreOct 7, 2013
The decline of medicine as a profession began when it became legal for doctors and hospitals to advertise. Apparently it all started when an Arizona lawyer sued for his first amendment right to advertise his services. In 1977,...
Read MoreSep 30, 2013
A concept that has been percolating in the medical literature boiled over into the mainstream as the New York Times published this story, “Chicago’s Intern ‘Boot Camp’ ” is a rehearsal for life or...
Read MoreSep 23, 2013
Some doctors, tired of often capricious, inaccurate, and statistically flawed ratings of their performance, have decided to fight back. “Pa-Rate,” is a new service that enables physicians and their office staffs as...
Read MoreSep 16, 2013
Give me a minute, and I’ll get to the cows and sharks. You would be surprised at how few doctors are familiar with even the most basic statistics. Medical journal articles often have statistical errors that are missed by...
Read MoreSep 9, 2013
My post entitled “Who is at fault if a patient doesn’t follow up?” from August was well received. There were many comments on Twitter. Here is some follow-up on following up. A surgeon saw a new patient with...
Read MoreSep 3, 2013
Is it OK for a doctor to give a prisoner medications to induce paralysis, intubate his airway, place him on a ventilator, and perform a rectal examination to look for drugs? Is it OK to threaten a prisoner with the above actions...
Read MoreAug 26, 2013
In keeping with the mindset of most Americans today, the answer to the question posed in the title of this post is, “the doctor.” American Medical News reports that “Medical liability experts say missed...
Read MoreAug 19, 2013
I was about to write one of my infrequent but famous spoof articles, and the subject was going to be losing weight by dreaming about exercising. For fun, I decided to search the Internet to see if anyone else might have had the...
Read MoreAug 12, 2013
The New York Times reported that NYU Law School is planning to change its third-year curriculum to better prepare its graduates for the realities of legal practice today. In case you don’t know, law school graduates are having a...
Read MoreAug 5, 2013
My vote goes to “translation.” The rule is that you must use a qualified medical interpreter for any interview or discussion with a patient who does not understand English. How is lack of understanding defined? It is...
Read MoreJul 29, 2013
I normally wouldn’t do this but you need to see excerpts from an article in the Wisconsin...
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