An open letter to central line packaging engineers

Dear Sirs, First, thank you for putting all the tools I need into one sterile package, minimizing the amout of running around finding little pieces to start central lines on my patients. (A central line goes into the central venous circulation, … [Continue reading]

What to Say to a Friend Who’s Ill –

Well done. 'A closed mouth gathers no feet." It's a charming axiom, but silence isn't always an option when we're dealing with a friend who's sick or in despair. The natural human reaction is to feel awkward and upset in the face of illness, but … [Continue reading]

Health-Care Costs: A State-by-State Comparison –

Nice graphs of spending by state, then another breakdown of where the money goes per state. Click through and enjoy the graphics. Health-care spending in the U.S. averaged $6,815 per person in 2009. But that figure varies significantly across the … [Continue reading]

Physicians: Don’t take UAE jobs

Via @Skepticscalpel on Twitter: JOHANNESBURG — For Dr. Cyril Karabus, it was a routine job, albeit in an exotic location. For six weeks in 2002, he filled in for another doctor in Abu Dhabi, lured like many other foreign professionals by the big … [Continue reading]

An open letter to UnitedHealth Group CEO Stephen Hemsley about my family’s canceled COBRA insurance | Mike Holden’s blog

It's stuff like this that makes even trying to support the idea of private insurance untenable. Mr. Stephen Hemsley: I made an honest mistake, wasn’t given a fair opportunity to correct it and now my family’s COBRA coverage has been canceled by … [Continue reading]

Obamacare Incompetence |

I link to Ezra Klein approvingly about one a decade, so... Let me try to understand this: the key incentive for small businesses to support Obamacare was that they would be able to shop for the best deals in health care superstores — called … [Continue reading]

Bubba Watson’s Hovercraft Golf Cart Will Fill You with Intense Jealousy | Bleacher Report

They've made a hovercraft golf cart. Very cool. Bubba Watson, owner of brilliant pink golf clubs and provider of epic shots around trees, has a hovercraft golf cart. Yahoo! Sports spotted this video of Watson hanging out on the course in his very … [Continue reading]

2013 Top Docs |


Yours Truly shows up on this list, for the first time.     Fort Worth, Texas magazine sent more than 4,500 local physicians a survey, asking them to voluntarily rate their peers and name the best doctors in Tarrant County. Medical … [Continue reading]

Defense Department says giving Purple Heart to Fort Hood survivors would hurt Hasan trial | Fox News

Appalling decision. The document (from the DOD) reads in part: "Passage of this legislation could directly and indirectly influence potential court-martial panel members, witnesses, or the chain of command, all of whom exercise a critical role … [Continue reading]

How Doctors Die | The Saturday Evening Post

Well written, and I think correct. 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. For … [Continue reading]

Delusions of Benefit in the International Stroke Trial | Closer to the Truth

More TPa for stroke... Delusions of Benefit in the International Stroke TrialResults of the largest and arguably most important trial ever of thrombolytics clot-busting drugs for acute stroke were published last week in The Lancet, and the study’s … [Continue reading]

The Favor

As a medical student in the GYN clinic in El Paso, one occasionally needed both language and female standby assistance, at the same time. Occasionally like 80% of the time*. I asked one of the clinic technicians to assist me with an exam; after … [Continue reading]

NYC painkiller poster


From NPR: Doctors who follow the advice will consider alternatives to opioids and prescribe only a few days' worth of the drugs, if they decide that's the best course for short-term pain relief. They'll also avoid starting patients on long-acting … [Continue reading]

They found a dead link on the blog, alerted me to it, and asked for a little recognition if I changed it. So, there ya go. … [Continue reading]

Southwest Airlines mobile design fail


So, I was trying to sign up for the Rapid Rewards for Southwest on my iPhone. I got nearly to the end before the design fail happened. I wonder what I should answer when I'm not sure of the question. Heh … [Continue reading]