This week’s PSA (courtesy of drdeborahserani
):National Depression Screening Day was October 6
World Mental Health Day was yesterday, October 10
______________________________________________“A feller wiser than myself once said, 'Sometimes you eat the bar, and sometimes the bar, he eats you.’”
–The Big Lebowski
This week’s Grand Rounds is meditation on symbiotic relationship between law and medicine. I mean, without medicine, what would lawyers do? And without lawyers? Well, probably some aspect of medicine would be worse off than it is now.Editor’s Picks
Sound Practice.net sets the tone for this week’s Grand Rounds with Under Promise and Over Deliver: Why Patients Sue Doctors
. He writes, “I think part of the cause of malpractice is the public's need to believe in their doctors, and their disappointment when bad things happen. The lack of transparency and communication between physicians and patients only adds to the size of the gap that devastates the family when outcomes are poor.”
Insureblog submitted a post about which questions insureds should ask about their premiums; I prefer to link to this slightly older post, which gets us thinking about an ethical (and legal) question
: “When one donates money on behalf of a specific person (or cause) is it wrong if that money is diverted to something (or someone) else?”
Interested Participant gets double points for submitting a post that is both on topic AND has a Canadian theme (Happy Thanksgiving. I am listening to k.d. lang’s Hymns of the 49th Parallel in honor of the occasion!): Unsatisfied Canadians heading to the U.S. for surgery
because they can get appointments 18-24 months sooner than in their native country. Could they bring some of those low-cost meds with them?Docket Review
In a lesson many Justices and judges could learn from, DB’s Medical Rants shows how to separate one’s personal philosophies from application of constitutional law
. He argues that Oregon’s right to legislate approval of physician assisted suicide should remain a state- and not a federal-level decision, no matter how ethically deplorable he finds the practice to be. The end does not always justify the means.
Newcomer PharmaGossip keeps us posted on the Vioxx trial
, with only a wee bit of snarky commentary
: “was there some sort of LOTTO draw and good ole Briggs was the winner/loser/hero/patsy (delete as appropriate)?.”
Two writers, Kevin, M.D.
and The Mommy Blawger
, react to the JAMA’s article on “Implications of Cerebral Palsy Litigation.”Advisory Memos
RedStateMoron highlights the SorryWorks! coalition and their efforts to mediate the malpractice crisis
we’re mired in, but questions whether legislation is the right tool for the problem.
Without calling it “patient rights,” Joan at Oasis of Sanity, has a lot of suggestions for improving patients’ understanding of their situation in “the problem with labs
:” “I’m referring to the labs, or laboratory reports, that list a bunch of incomprehensible words and acronyms, along with a bunch of equally incomprehensible numbers, that delineate exactly what was found in a blood sample.”
Barbados Butterfly doesn’t say it can help dodge a lawsuit, but nonetheless points out the difference experience makes in a surgical team’s ability to transact urgent business without alarming the patient
“Surgical Registrar to Anaesthetic team: How are you going up there?
Junior's interpretation: The surgical reg values my contribution to this operation and wants to exchange greetings.
Senior's interpretation: Something's wrong. Probably some blood loss.”
Tired of illegible, incomplete or absent patient drug records, Over!My!Med!Body! has taken matters into his own hands and created a website where patients can list, track and print out a list of their medications
. Med!Body!, please be careful the Good Samaritan in you doesn’t hang you out to dry in the liability department.
What happens when you can get a gallon of milk, one hour photo developing and a rapid strep culture all in one place? Aggravated DocSurg considers the possibilities
, big box malpractice suits among them.Approaching Ripeness
Trent McBride, writing at Catallarchy, takes on individuals who deny AIDS is caused by HIV
Clinical Cases and Images directs our attention to a video post from Medscape General Medicine that calls medical blogging “anarchy
Kim at Emergiblog shares her story of nursing burnout
and offers a few tips to others for avoiding it. Further examples are available from ImpactEDNurse, who discusses “deep nursing
” and on-the-job techniques for mindfulness, meditation and meaningful caregiving.
The Health Business Blog reconsiders the wisdom of consumer directed care
after reading that multiple gestations persist in the IVF business despite the medical, ethical and financial “wisdom” of restricting the number of implanted embryos.
And what about consumer directed prevention? Parallel Universes hopes the plain monetary cost of smoking
will serve as a deterrent.
A Difficult Patient writes from experience on Domestic Abuse
Political Calculations tells us how U.S. blood donations are faring
in the wake of hurricane Katrina.
Docaroundtheclock directs us to an article on health care, childbirth specifically, during the Brezhnev era
in communist Russia.Dicta
Orac at Respectful Insolence shows his stripes on the issue of “alternative medicine” in “How to Succeed at Quackery
Relatedly, GruntDoc shares tips on how NOT to act in the ER
if you’re there to scam some drugs.
Healthy Concerns reflects on gender and reactions to a promised phone call that never comes
The Cheerful Oncologist delivers a death allegory
that is beautiful, and more than a little unsettling.Res Gestae
doulicia asks that you visit this post
at SageFemme to see what legislation and malpractice threaten to take away – at least from women who prefer to birth in the hospital.
To all the excellent bloggers whose posts I omitted this week, please continue writing and submitting. When I volunteered to host, I had no idea I would receive so many submissions, all of them excellent. I tried to present a collection of pieces that resonated with the theme or with each other. That meant not including some stellar posts. If yours was one, I appreciate your sharing it with me. I promise to be similarly empathetic when I’m left off Grand Rounds.Next Week
Grand Rounds will be hosted by Diabetes Mine