Today, respected medical medical journal Annals of Internal Medicine published a short, anonymous account called "Our Family Secrets" of two different sexual assaults (or, in the journal's words, situations with "overtones" of sexual assault) by surgeons on their unconscious patients. (trigger warning for sexual assault and misogyny) [more inside]
"House calls, which accounted for 40% of all doctor visits in 1930, dwindled to less than 1% by 1980 as physicians found it far more efficient to see 20 or 30 patients a day in an office than just a handful in their homes. But in-home care is starting to be seen as cost-efficient again—particularly for the most expensive patients." [SLWSJ]
On Breaking One's Neck. Dr. Arnold Relman, former Editor in Chief of the New England Journal of Medicine, gives a first-hand account of a catastrophic accident, intensive care, and rehabilitation--as a patient. I am a senior physician with over six decades of experience who has observed his share of critical illness--but only from the doctor's perspective. That changed suddenly and disastrously on the morning of June 27, 2013, ten days after my ninetieth birthday, when I fell down the stairs in my home, broke my neck, and very nearly died. Since then, I have made an astonishing recovery, in the course of which I learned how it feels to be a helpless patient close to death. I also learned some things about the US medical care system that I had never fully appreciated, even though this is a subject that I have studied and written about for many years.
"Guardian 24/7 combines best-in-breed technology with protocols designed to serve the President of the United States, offering unprecedented medical attention to a demanding audience. Thanks to Guardian, your medical care can finally look like the rest of your life[...]. Our innovative ReadyRoom™ strategy places essential equipment, medications and supplies where you live, move and work. Yet everything is hidden away until needed. [...]Before Guardian, this kind of medical protection was only available to one person. But now, presidential-level care can be yours — on your schedule and your terms." Don't miss the embedded video. This appears to be in earnest.
It’s not a frequent topic of discussion, but doctors die, too. And they don’t die like the rest of us. What’s unusual about them is not how much treatment they get compared to most Americans, but how little.How Doctors Die.
Shadofax at MovingMeat has an interesting writeup about two WSJ articles on the AMA's RUC and warring specialities. [more inside]
The healthcare debate explained on the back of 4 napkins. Napkin 1: The health care equation. Napkin 2: It's not about health care. Napkin 3: The plans on the table. Napkin 4: What's it mean to me?
A simple question shows how complex the issue is. Chris at "Cynical C" asks his fellow citizens where they get thier health care (insurance) from and the incredible diversity of the current options and situations is immediately apparent. Quite spontaneously (but surely not unexpectedly), the question of "How much does it cost you?" becomes an essential part of the answers. Outsiders opine and tell stories and commiserate. [more inside]
"AngryJournalist.com, an increasingly popular site that consists of nothing but rants from pissed-off reporters, is now the most accurate summation extant of journalism as an industry," (via Gawker). It's spawned a marvelously less popular HappyJournalist.com, and what appears to be an unrelated copycat called AngryResident.com, for "for every doctor-in-training tired of suffering in silence."
Self-Diagnosis: Five anonymous doctors frankly discuss their patients, other doctors, American healthcare, and the inevitable mistakes doctors make, including mistakes they've personally made that jeopardized their patients' lives.
Coverage with Evidence Development. Never heard of it? Me neither, until today. It's what they call this idea: if you want to be covered by Medicare, you're forced to participate in medical research. The AMA approves (article abstract only). So much for informed consent.
Conscience Clauses and Health Care --"Yes, we need to respect individual freedom of religion. But at what point does it cross the line of not providing essential medical care? At what point is it malpractice?" she asked. "If someone's beliefs interfere with practicing their profession, perhaps they should do something else." The Protection of Conscience Project feels differently: Protection of Conscience Laws are needed because powerful interests are inclined to force health care workers and others to participate, directly or indirectly, in morally controversial procedures, while NARAL says: ... Many of these clauses go far beyond respecting individuals' beliefs to the point of harming women by not providing them with full information or access to medical treatment. Medicine, not ideology, should determine medical decisions.