MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'informed consent'. Sat, 03 Sep 2011 01:59:26 +0100 http://www.medworm.com/index.php?rid=5062500&cid=t_100155_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FdI34cgVq2EI%2F After two decades during which complaints have mounted over various aspects of clinical trials, the US Department of Health & Human Services has issued a proposal that would, presumably, better protect clinical trial subjects. There are various suggestions, but include improving consent forms for participants and mandating the use of a single institutional review board for multi-study sites. “The current regulations governing human subjects research were developed years ago when research was predominantly conducted at universities, colleges, and medical institutions, and each study generally took place at only a single site,” the HHS states in its proposal, which indicates comments can be submitted for 60 days as of July 25 - which is today - according to an HHS spokeswoma... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=5062500 Mon, 25 Jul 2011 14:16:58 +0100 5062500 http://www.medworm.com/index.php?rid=4984452&cid=t_100155_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fbending-the-cost-curve-in-cancer-care-reduce-excessive-testing-for-reassurance-purposes%2F2011.06.29 This is the second in a series of posts on Bending the Cost Curve in Cancer Care. We should consider the proposal, published in the NEJM, gradually over the course of this summer, starting with “suggested changes in oncologists’ behavior,” #1: 1. Target surveillance testing or imaging to situations in which a benefit has been shown. This point concerns the costs of doctors routinely ordering CTs, MRIs and other imaging exams, besides blood tests, for patients who’ve completed a course of cancer treatment and are thought to be in remission. The NEJM authors consider that after a cancer diagnosis many patients, understandably, seek reassurance that any recurrence will be detected early, if it happens. Doctors, for their part, may not fully appreciate the lack of benefit of detecting ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4984452 Wed, 29 Jun 2011 15:00:37 +0100 4984452 http://www.medworm.com/index.php?rid=4847962&cid=t_100155_88_f&fid=38129&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2Flifeinthefastlane%2FWZHV%2F%7E3%2F7LbGamUygeg%2F Which emergency physician podcaster does Mel Herbert of EMRAP admire for his '20 inches'?... That's just the tip of the iceberg of funtabulous frivolity that can be found in this week's edition! (Source: Life in the Fast Lane) Life in the Fast Lane blogs http://www.medworm.com/rss/comments.php?id=4847962 Fri, 20 May 2011 09:05:18 +0100 4847962 http://www.medworm.com/index.php?rid=4758708&cid=t_100155_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2011%2F04%2F27%2Fjournal-of-the-american-medical-association-2011-vol-305-no-6%2F This article evaluates and examines the eligibility of live kidney donors and their short- and long-term risks are discussed. An NHS Athens password is required to access this article online, alternatively contact the Library for a copy. Filed under: Athens Password, E-Journals, Journals Tagged: Donor Selection, Ethics, Informed Consent, Kidney Failure, Organ Donation, Organ Transplantation, Patient Safety, Surgical Procedures (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=4758708 Wed, 27 Apr 2011 10:43:11 +0100 4758708 http://www.medworm.com/index.php?rid=4460184&cid=t_100155_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FqDbHsZjf4IQ%2F Some scandals will just not go away. Consider the Trovan affair. In recent months, a cable disclosed by WikiLeaks indicated Pfizer hired investigators to use ‘dirty tricks’ to force the Nigerian government into a settlement (see this). A group of Nigerians and their families filed a lawsuit against the drugmaker for $384 million over their unhappiness with settlement requirements (read here). And now, a former Pfizer employee has written a federal court judge with his own account of alleged misdeeds surrounding the episode, which began back in 1996. Ironically, these latest developments occurred after Pfizer agreed to a $75 million settlement to resolve civil and criminal charges brought by the Kano State government in Nigeria, and hoped the matter would end. For those unfamili... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=4460184 Thu, 10 Feb 2011 13:24:27 +0100 4460184 http://www.medworm.com/index.php?rid=4411528&cid=t_100155_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ffda-reports-on-association-of-breast-implants-and-a%25c2%25a0rare-form-of-cancer%2F2011.01.28 The FDA [has] issued an alert about a pos­sible link between breast implants — saline or sil­icone — and a rare form of lym­phoma called anaplastic large cell lym­phoma (ALCL). These lym­phoma cases are exceed­ingly rare, but the asso­ci­ation appears to be significant. The FDA iden­tified a total of approx­i­mately 60 ALCL cases in asso­ci­ation with implants, worldwide. Of these, 34 were iden­tified by review of pub­lished medical lit­er­ature from 1997 to May, 2010; the others were reported by implant man­u­fac­turers and other sources. The agency esti­mates the number of women worldwide with breast implants is between five and 10 million. These numbers translate to between six and 12 ALCL cases in the breast, per million women with breast implan... Better Health blogs http://www.medworm.com/rss/comments.php?id=4411528 Fri, 28 Jan 2011 14:00:26 +0100 4411528 http://www.medworm.com/index.php?rid=4258871&cid=t_100155_87_f&fid=39261&url=http%3A%2F%2Fvactruth.com%2F2010%2F12%2F14%2Fchristmas-time-2010%2F It’s that time of year when we like to send Christmas cards, buy presents, and attend parties and family get-togethers. As a researcher and journalist whose work is published on VacTruth, I feel as if I have an extended family of readers devoted to issues that affect them and their children personally: vaccine safety and informed consent. So, to my fellow journalists at VacTruth; editor, Jeffry John Aufderheide; and you, my readers, I say “Thank you” for the opportunity to contribute. I truly believe we have to keep on “keeping on” in order to bring to light the ‘pseudo science’ that surrounds vaccines, vaccinations, and loss of sovereignty and self-determination in the care of our health, bodies, and children. Too much of the ‘herd instinct’ is being disseminated that en... vactruth.com blogs http://www.medworm.com/rss/comments.php?id=4258871 Tue, 14 Dec 2010 15:07:23 +0100 4258871 http://www.medworm.com/index.php?rid=4225257&cid=t_100155_87_f&fid=39261&url=http%3A%2F%2Fvactruth.com%2F2010%2F12%2F03%2Fpolice-arrested-twelve-year-old-boy-for-refusing-vaccine-at-school%2F In conclusion, it is clear that the 12 year should have been tested to establish whether he was Gillick competent. If this did not happen, then according to the Canadian Law it was the school officials that the police should have arrested because the school officials violated this young man’s freedom of choice. (Source: vactruth.com) vactruth.com blogs http://www.medworm.com/rss/comments.php?id=4225257 Fri, 03 Dec 2010 14:35:11 +0100 4225257 http://www.medworm.com/index.php?rid=3903128&cid=t_100155_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2FqnjGj73YNLM%2F A new study in Pediatrics finds more pediatric trials are going overseas - 65 percent conducted under the pediatric exclusivity provision, which offers drugmakers six months of patent extension for running safety and efficacy studies - used overseas sites. More than one-third, or 38 percent, enrolled patients in a developing country, including one-third of trials testing infectious disease, cardiovascular and allergy and immunology meds. And 11 per cent only used sites outside the US (here is the abstract). “There are potential benefits to the globalization of pediatric research, such as reducing the cost and time line for drug development, fostering global clinical innovation, and improving access to therapies and the health of children worldwide,” says Sara Pasquali, the study’s l... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3903128 Wed, 25 Aug 2010 15:27:29 +0100 3903128 http://www.medworm.com/index.php?rid=3724490&cid=t_100155_112_f&fid=34971&url=http%3A%2F%2Fdoctorandpatient.blogspot.com%2F2010%2F07%2Finformed-consent-how-technology-can.html Image by thinkpanama via FlickrThis is a guest post from Mr Parag Vora, CEO, Infoseek, in which I am an angel investor. Infoseek makes patient educational videos in India.Getting Informed consent from the patient remains a very tricky area in medical practice today . Failure to obtain valid consent is one the commonest reasons patients go to court when they are unhappy with their doctor.Unfortunately, no standardised guidelines have ever been published by the Medical Council of India, Indian Medical Association, or any other ‘reputed’ medical body. This is a huge lacuna, and the importance of taking consent has never been taught to most doctors properly, even though there has been a huge rise in medico-legal and malpractice claims in the past decade or so. All over India there is a lot... The Patient's Doctor blogs http://www.medworm.com/rss/comments.php?id=3724490 Sun, 04 Jul 2010 15:10:00 +0100 3724490 http://www.medworm.com/index.php?rid=3542553&cid=t_100155_87_f&fid=35052&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FWomensBioethicsBlog%2F%7E3%2FgyvOUPaQPBI%2Fbioethical-perspective-on-oklahomas-new.html The percentage of college educated Americans who support legal abortion seems to have reached a new low among women under thirty and among the population as a whole,  so it should be no surprise that states are passing laws to restrict safe abortions. Before performing any abortion Oklahoma’s new 2010 law requires that the doctor do an ultrasound and describe to the woman the dimensions and gestational age of the embryo, cardiac activity if any, and appearance of external and internal structures.  A vaginal transducer must be used when doing so will display the embryo more clearly than an abdominal transducer.  Oklahoma’s law thus requires doctors to perform an ultrasound that is not medically indicated and likely to be invasive. In this era of skyrocketing medical costs... Women's Bioethics Blog blogs http://www.medworm.com/rss/comments.php?id=3542553 Thu, 06 May 2010 16:26:43 +0100 3542553 http://www.medworm.com/index.php?rid=3460207&cid=t_100155_109_f&fid=34730&url=http%3A%2F%2Fpsychiatrist-blog.blogspot.com%2F2010%2F04%2Fmy-three-shrinks-podcast-51-vegan.html For this podcast I brought some homemade vegan gingerbread cookies that I baked using a recipe from the Steph Davis blog. I'm also looking for a good sugar cookie recipe that doesn't use refined sugar or all-purpose flour. If you've got one, send it along.We discuss my post Is it malpractice to lie? which involves a surgeon sued for malpractice for allegedly lying to a patient regarding his professional background. We wonder how much, if any, information physicians may some day be obliged to disclose to their patients prior to treatment. There is a new type of research being done, called "in silica" research, in which people write computer programs to model behavior. We talked about computer models of suicide and how this can replicate suicide epidemics in real life. Roy is inspired to tal... Shrink Rap blogs http://www.medworm.com/rss/comments.php?id=3460207 Mon, 12 Apr 2010 09:00:00 +0100 3460207 http://www.medworm.com/index.php?rid=3415986&cid=t_100155_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2010%2F03%2F29%2Fjournal-of-medical-ethics-2009-vol-36-no-1%2F content page Fade Fave: Rights, respect for dignity and end-of-life care: time for a change in the concept of informed consent Fade Skinny: The current concepts of autonomy, surrogate autonomy and informed consent often lead to futile and expensive care at the ends of life. They may impinge on the dignity of the patient as well as subject society to unwarranted expense. In order to provide affordable healthcare for all, these concepts are in need of modification (NHS Athens is required to access this article online) Filed under: Athens Password, Current Awareness, E-Journals, Journals Tagged: Athens Password, Current Awareness, E-Journals, End of Life Care, Informed Consent (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=3415986 Mon, 29 Mar 2010 11:20:25 +0100 3415986 http://www.medworm.com/index.php?rid=3374174&cid=t_100155_109_f&fid=34730&url=http%3A%2F%2Fpsychiatrist-blog.blogspot.com%2F2010%2F03%2Fis-it-malpractice-to-lie.html I came across this interesting malpractice case via the HealthLaw Twitter feed which I've been following for a while now. The case is Willis v Bender, a 10th Circuit Court of Appeals case out of Wisconsin.In this case a surgeon was sued by his patient following complications from a laparoscopic cholecystectomy (gall bladder removal). Before the procedure he explained the risks of the surgery to her, and she also asked him questions about his experience and success rate with the procedure. She asked additional questions about whether he had ever been sued for malpractice or had any action taken against his medical license. He answered no to both questions and added that he had an almost perfect success rate with the surgery. Well, bad things happened. The patient suffered a perforated intes... Shrink Rap blogs http://www.medworm.com/rss/comments.php?id=3374174 Wed, 17 Mar 2010 13:00:00 +0100 3374174 http://www.medworm.com/index.php?rid=3216842&cid=t_100155_150_f&fid=35777&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FPharmalot%2F%7E3%2F3RHWBeMHIwE%2F Will the third time be the charm? Once again, the New Jersey legislature is being urged to pass a bill requiring a doctor or nurse to obtain informed consent from a minor’s parent before writing a prescription for any psychotropic that already carries a Black Box warning. The issue first emerged in the wake of the controversy over links between antidepressants and suicidal behavior in teens. As with two previous efforts, the initiative is being pushed by several parents who believe that FDA-mandated Med Guides for antidepressants are insufficient. Their earlier attempts were thwarted by a state senator who repeatedly blocked introduction (see here and here), but the Senate health committee now has a new chair. The bill was recently introduced in the assembly and Senate support is bei... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=3216842 Thu, 28 Jan 2010 12:57:20 +0100 3216842 http://www.medworm.com/index.php?rid=2916162&cid=t_100155_109_f&fid=34730&url=http%3A%2F%2Fpsychiatrist-blog.blogspot.com%2F2009%2F10%2Fgoogling-and-oogling.html We've been talking about Psychiatrists and Facebook here on Shrink Rap and it got me thinking about psychiatry and technology. I always think of the internet as kind of public turf. Can it be "wrong" to Google someone? It's not illegal, it's not hard, and the stuff is all in the public domain. People will sometimes mention they've Googled me to find my phone number. I don't often Google patients, but once in a while. Someone once told me about their brother's murder in an international scandal and it sounded a bit weird, so I Googled (--the brother had been murdered and there was some mention of the international issue). But is "wrong?" I'm perplexed.In a Psychiatric News story from July, Jun Yan writes in Psychiatrist Must Beware the Perils of Cyberspace: Recently, APA's Ethics Committee ... Shrink Rap blogs http://www.medworm.com/rss/comments.php?id=2916162 Wed, 21 Oct 2009 21:01:00 +0100 2916162 http://www.medworm.com/index.php?rid=2883054&cid=t_100155_109_f&fid=34730&url=http%3A%2F%2Fpsychiatrist-blog.blogspot.com%2F2009%2F10%2Fyou-may-go-now.html I've learned something important from....reading the comments posted to our blog, listening to people talk, being a person who talks....No one likes to feel their concerns are being dismissed (myself included).It's a recurrent theme in the comments that are sent to us, especially with regard to medications: a reader has a concern about a medication, feels it isn't working or that the side effects are too severe, and either their doctor does not address their concerns in a way that feels validating or the reader perceives that the doctor does not understand....since I'm not there, I can't say which is happening, but the feeling on the part of our readers is clear.And just so you know, I've been on both ends of the discussion. I once lowered the dose of a medication, found it to be just as e... Shrink Rap blogs http://www.medworm.com/rss/comments.php?id=2883054 Mon, 12 Oct 2009 02:05:00 +0100 2883054 http://www.medworm.com/index.php?rid=2752047&cid=t_100155_125_f&fid=34820&url=http%3A%2F%2Fwww.dentalblogs.com%2Farchives%2Fadministrator%2Finformed-consent-greater-risk-for-practitioners%2F In two recent cases, in Maryland and Wisconsin, proof of medical negligence was not required for the plaintiffs to bring an informed-consent claim. So what does that mean to the average dental practitioner? A lot! We are responsible for providing the appropriate technical information by which our patients make choices, i.e. a root canal or extraction, medicate first or extract the hopeless infected tooth or even an implant or a three unit bridge? These two decisions basically stated that our informing the patient of “appropriate” technical information is not enough and that all alternate, viable medical modes of treatment, including diagnosis, as well as the benefits and risks of such treatments, must be explained. A simple example of this is: do we use lidocaine, mepivacaine or artica... dental blog for dentists about dentistry blogs http://www.medworm.com/rss/comments.php?id=2752047 Mon, 31 Aug 2009 14:27:02 +0100 2752047 http://www.medworm.com/index.php?rid=2510434&cid=t_100155_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2009%2F06%2Fsynthes-indicted.html Last month, we posted about a legal settlement in which device manufacturer Synthes agreed to stop creating conflicts of interests by paying physicians who performed its trials with company stock. Synthes is back in the news, and not in favorable terms. As reported by the Philadelphia Inquirer,A Swiss company with major operations in West Chester illegally tested its bone cement on about 200 people, three of whom died, according to a 52-count indictment issued yesterday by the U.S. attorney in Philadelphia.Synthes Inc., a producer of orthopedic products that employs about 1,400 in Chester County, did not tell any of the patients that they were participating in experimental surgeries, the indictment said.Federal prosecutors also accused Synthes executives of lying to the U.S. Food and Drug ... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=2510434 Fri, 19 Jun 2009 19:45:00 +0100 2510434 http://www.medworm.com/index.php?rid=2182522&cid=t_100155_109_f&fid=34730&url=http%3A%2F%2Fpsychiatrist-blog.blogspot.com%2F2009%2F02%2Fsilent-psychiatrist.html This morning, I woke up and got ready for work. Time to go and I called to the kid to come. Only nothing came out. Nothing. I felt fine, but I'd lost my voice. Completely, barely a whisper emerged.It was just before 8. Kid announced she felt sick and went back to bed. I fetched the carpool kids (--the issues of what to do about carpoolers when one's own child is sick could be its own entire blog). My first patient was for 9:00 and it seemed like too short notice to cancel. I did croak out cancellation calls to the next couple of patients with the thought that they might have a hard time conducting the session without my input; some people don't come in and just talk spontaneously, they look to me for direction, a little more than I sometime wish and a lot more than my voice could tolerate ... Shrink Rap blogs http://www.medworm.com/rss/comments.php?id=2182522 Fri, 13 Feb 2009 02:05:00 +0100 2182522 http://www.medworm.com/index.php?rid=2107718&cid=t_100155_109_f&fid=34730&url=http%3A%2F%2Fpsychiatrist-blog.blogspot.com%2F2009%2F01%2Fhuman-experiment.html There are things to do about symptomatic distress in addition to medications and therapy. I often encourage people to make themselves their own human experiments. There are a few things we can change easily: we alter our diets, sleep, exercise, and the assorted "substances" we ingest. I sometimes suggest to people that they do 2 week trials and see if something helps. Is your life better if you stop drinking for a couple of weeks, exercise mor or less, give up food additives, decrease the carbs in your diet, cut out or add caffeine? Pick a variable, change it for a time, and see if you feel better.That being said, I've been having some trouble sleeping. I decided I'd take my own advice and change some things. Oh, but you know, I'm an inpatient sort of soul, and I decided to change a few th... Shrink Rap blogs http://www.medworm.com/rss/comments.php?id=2107718 Fri, 16 Jan 2009 01:13:00 +0100 2107718 http://www.medworm.com/index.php?rid=2074422&cid=t_100155_99_f&fid=35344&url=http%3A%2F%2Fzackarysholemberger.blogspot.com%2F2008%2F12%2Foddity-of-physicians-insistence-that.html By the fourth sentence of the preface to The Silent World of Doctor and Patient, Jay Katz has quietly issued a startling challenge to a fundamental principle of the doctor-patient relationship. He writes: It took time before I appreciated fully the oddity of physicians’ insistence that patients follow doctors’ orders. During my socialization as a physician I had been taught to accept the idea of doctors’ Aesculapian authority over patients. When I began to doubt this authority, that was the moment when the book began to take shape in my mind. “The oddity of physicians’ insistence that patients follow doctors’ orders” – the phrase brings you to an abrupt halt. Jay Katz, who wrote those words in his landmark book published nearly a quarter of a century ago, died in late Novem... Zackary Sholem Berger blogs http://www.medworm.com/rss/comments.php?id=2074422 Mon, 29 Dec 2008 04:43:00 +0100 2074422 http://www.medworm.com/index.php?rid=1974998&cid=t_100155_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2008%2F11%2Flook-whos-in-operating-room.html At an article today entitled "Medtronic Says Device for Spine Faces Probe" (Wall St. Journal, Nov. 19, 2008, subscription required) the WSJ reports another major medical device manufacturer, Medtronic, faces a probe for promoting unapproved uses of its technologies, which is improper:Doctors can deploy FDA-approved drugs and products any way they see fit, but companies aren't permitted to promote off-label applications or to pay doctors inducements to do so."While the law establishes that doctors can prescribe any approved treatment, but off-label promotion by manufacturers is not allowed, there's growing concern that the line is being crossed, and a Justice Department review is the right kind of response to those questions," said Sen. Charles Grassley (R., Iowa) who has been looking into ... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=1974998 Thu, 20 Nov 2008 00:19:00 +0100 1974998 http://www.medworm.com/index.php?rid=1943401&cid=t_100155_131_f&fid=34989&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FGeneticsHealth%2F%7E3%2FQo5i_lhxjCc%2F   Now that accessing your genetic information is cheaper than buying a Google Smartphone, now what? What can you get from it? How can you use it? Just as important, but less asked - how do you protect it? The journal "Nature" joins the debate with a full online issue devoted to the personal genome revolution and its implications. For a fee or for free, you can squeeze more information out of the SNP data or full sequence you got from the commercial genome services you paid for initially. For example, you can get an idea of your risk for a certain disease. With so much information at your fingertips, is everything believable? Should you change your lifestyle because you have one variant for some disease risk? How many "risky" variants does one need anyway? Should y... Genetics and Health blogs http://www.medworm.com/rss/comments.php?id=1943401 Fri, 07 Nov 2008 13:44:23 +0100 1943401 http://www.medworm.com/index.php?rid=1883570&cid=t_100155_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F421456941%2F Three years ago, the FDA required makers of antidepressants to supply Med Guides along with their pills. That wasn’t good enough for a couple of New Jersey moms, who have been pushing their state legislature to go further - a bill requiring a doctor or nurse to obtain informed consent from a minor’s parent before writing a prescription for any psychotropic that already carries a Black Box warning. In fact, thanks to their urgings, a bill has been kicking around the state legislature for nearly two years and passed the assembly. However, the state senator who heads the Senate health committee, Joe Vitale, has repeatedly failed to schedule the bill for a vote (here’s the bill and the assembly version). Last fall, he told us the bill would move forward, but it never did. And Vitale ... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1883570 Wed, 15 Oct 2008 10:49:50 +0100 1883570 http://www.medworm.com/index.php?rid=1668386&cid=t_100155_109_f&fid=34730&url=http%3A%2F%2Fpsychiatrist-blog.blogspot.com%2F2008%2F07%2Flove-me-love-my-tats.html Recently one of our readers wondered what I thought of a study that was recently reported in Scientific American Mind. It was a study that was done in a forensic psychiatric hospital, looking at the correlation between tattoos and a diagnosis of antisocial personality disorder. Briefly, they examined 36 inpatients for the presence or abscence of tattos and then did semi-structured interviews to assess them for antisocial personality disorder. Unsurprisingly, they found that people with tattos were more likely to be diagnosed with antisocial personality disorder and to have histories of substance abuse and suicide attempts.My first thought when I read this report was: "This was a forensic fellows' research project."Psychiatrists in training to be forensic psychiatrists are encouraged to do ... Shrink Rap blogs http://www.medworm.com/rss/comments.php?id=1668386 Wed, 30 Jul 2008 18:30:00 +0100 1668386 http://www.medworm.com/index.php?rid=2513554&cid=t_100155_177_f&fid=38133&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2FxI6LJK6EAuM%2Fchapel-hill-tubal-reversal-center-mission-statement.html Chapel Hill Tubal Reversal Center is the only medical facility specifically for tubal ligation reversal surgery. We provide the most detailed and accurate information about tubal reversal available from any doctor, hospital, or medical institution. Providing facts rather than offering misleading or speculative statements about tubal reversal success is one mission of our practice. (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=2513554 Sun, 29 Jun 2008 15:10:43 +0100 2513554 http://www.medworm.com/index.php?rid=1426504&cid=t_100155_131_f&fid=34989&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FGeneticsHealth%2F%7E3%2F285259938%2F Following my recent article on ethical guidelines for informed consent in genomic studies, a group of scientists met at the Translating ESLI conference in Cleveland to debate this whole ethical argument. This issue is particularly critical for genome-wide association studies and in establishing and using large biobanks. It was universally acknowledged that consent forms are difficult to read for participants who do not have reading skills beyond middle school or high school, for example. As a result, these paticipants may be unaware of what exactly the research could mean to them. Laura Beskow, a researcher at Duke University’s Institute for Genome Sciences and Policy worked with the Association of American Medical Colleges to start a working group on informed consent issues and what ... Genetics and Health blogs http://www.medworm.com/rss/comments.php?id=1426504 Wed, 07 May 2008 09:57:34 +0100 1426504 http://www.medworm.com/index.php?rid=1353084&cid=t_100155_99_f&fid=35344&url=http%3A%2F%2Fzackarysholemberger.blogspot.com%2F2008%2F04%2Fthirty-six-million-dollar-rectal-exam.html In 2004, while working at a construction site, Brian Persaud was hit in the head by a large wooden plank, lost consciousness, and was taken to the emergency room at New York Presbyterian Hospital. There he received what he says was an unjustified digital rectal exam. Persaud brought suit against the hospital, and soon, four years later, the case will come to trial in the New York State Supreme Court. The arguments in the case are legal, but the underlying issues are also medical and ethical.More at Clinical Correlations, the NYU Internal Medicine blog. (Thanks to D.M. Esq. for a quick legal education.) (Source: Zackary Sholem Berger) Zackary Sholem Berger blogs http://www.medworm.com/rss/comments.php?id=1353084 Sun, 06 Apr 2008 02:30:00 +0100 1353084 http://www.medworm.com/index.php?rid=1303453&cid=t_100155_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F251477919%2F A controversial New Jersey bill to require informed consent from a minor’s parent before a doc can write a prescription for any psychotropic that already carries a Black Box warning was approved overwhelmingly by the state assembly yesterday in a 72-to-3 vote. You can read the bill here. Now, an identical Senate version heads for what may be a fractious debate in the Senate health committee. This a big leap from just three months ago, when the bill appeared to be dead after a year-long fight by a pair of New Jersey moms and their allies, who argue that informed consent is the only way to make sure info is passed from docs to patients. In particular, they’re concerned that side effects, such as suicidal behavior and thoughts, that are linked to antidepressants can be misconstrued as par... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1303453 Fri, 14 Mar 2008 16:11:49 +0100 1303453 http://www.medworm.com/index.php?rid=1278312&cid=t_100155_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F245595792%2F A controversial New Jersey bill to require informed consent from a minor’s parent before a doc can write a prescription for any psychotropic that already carries a Black Box warning is picking up steam. An assembly committee yesterday passed the bill - which you can read here - unanimously and now a state senator is poised to introduce a companion version. A spokeswoman for Shirley Turner says the senator plans to ‘drop the bill’ this week. This a turnabout from just three months ago, when the bill appeared to be dead after a year-long fight by a pair of New Jersey moms and their allies, who argue that informed consent is the only way to make sure info is passed from docs to patients. In particular, they’re concerned that side effects, such as suicidal behavior and thou... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1278312 Tue, 04 Mar 2008 17:17:13 +0100 1278312 http://www.medworm.com/index.php?rid=1268595&cid=t_100155_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F243395476%2F Three years ago, the FDA required makers of antidepressants to supply Med Guides along with their pills. That wasn’t good enough for a couple of New Jersey moms, who have been pushing their state legislature to go even further - a bill requiring a doctor or nurse to obtain informed consent from a minor’s parent before writing a prescription for any psychotropic that already carries a Black Box warning. Last November, however, it looked like the bill, which had been kicking around a year, was dead after making it to the New Jersey assembly and senate. The state senator who heads the health committee, Joe Vitale, failed to schedule the bill for a vote, citing procedural issues and the need for further study. At the time, he told us the bill would still move forward, but it never did. He ... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1268595 Fri, 29 Feb 2008 16:22:22 +0100 1268595 http://www.medworm.com/index.php?rid=1250109&cid=t_100155_86_f&fid=36669&url=http%3A%2F%2Ffadelibrary.wordpress.com%2F2008%2F02%2F22%2Fguidance-on-nominating-a-consultee-for-research-involving-adults-who-lack-capacity-to-consent%2F   establishes how to identify an appropriate consultee for the purposes of section 32 of the Mental Capacity Act 2005.  Researchers are required by the Act to take reasonable steps to identify a person who, as a result of an existing relationship with the person who lacks capacity, can advise the researcher about that person’s participation in the project. Where no such person can be identified, the Act requires another person who can provide this advice to be appointed in accordance with guidance. (Source: Fade Library) Fade Library blogs http://www.medworm.com/rss/comments.php?id=1250109 Fri, 22 Feb 2008 13:05:34 +0100 1250109 http://www.medworm.com/index.php?rid=1221295&cid=t_100155_87_f&fid=35052&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FWomensBioethicsBlog%2F%7E3%2F232770073%2Falways-excellent-kaiser-foundations.html The always excellent Kaiser Foundation's Daily Health Report http://www.kaisernetwork.org/daily_reports/rep_index.cfm calls attention to a startling new research finding--apparently "most patients... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] (Source: Women's Bioethics Blog) Women's Bioethics Blog blogs http://www.medworm.com/rss/comments.php?id=1221295 Mon, 11 Feb 2008 04:11:43 +0100 1221295 http://www.medworm.com/index.php?rid=1213275&cid=t_100155_87_f&fid=35052&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FWomensBioethicsBlog%2F%7E3%2F230550370%2Fsues-post-for-wednesday-im-on-vacation.html According to BBC news, the UK may allow researchers to clone cells from human tissues donated for research purposes ... without the express consent of the donor. Supporters assert that being able to... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] (Source: Women's Bioethics Blog) Women's Bioethics Blog blogs http://www.medworm.com/rss/comments.php?id=1213275 Thu, 07 Feb 2008 03:31:25 +0100 1213275 http://www.medworm.com/index.php?rid=1204683&cid=t_100155_87_f&fid=35052&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FWomensBioethicsBlog%2F%7E3%2F229235581%2Fbiobanking-part-3-returning-research.html So: you've agreed to participate in a genetic study for health purposes, and (with or without your consent--see post #2 on biobanking) the data you've provided has been made available to the broader... [[ This is a content summary only. Visit my website for full links, other content, and more! ]] (Source: Women's Bioethics Blog) Women's Bioethics Blog blogs http://www.medworm.com/rss/comments.php?id=1204683 Tue, 05 Feb 2008 02:21:14 +0100 1204683 http://www.medworm.com/index.php?rid=1187179&cid=t_100155_87_f&fid=35052&url=http%3A%2F%2Fwomensbioethics.blogspot.com%2F2008%2F01%2Fwhen-is-painkiller-not-painkiller.html (Source: Women's Bioethics Blog) Women's Bioethics Blog blogs http://www.medworm.com/rss/comments.php?id=1187179 Wed, 30 Jan 2008 01:42:00 +0100 1187179 http://www.medworm.com/index.php?rid=1185819&cid=t_100155_87_f&fid=35052&url=http%3A%2F%2Fwomensbioethics.blogspot.com%2F2008%2F01%2Freligion-of-father.html (Source: Women's Bioethics Blog) Women's Bioethics Blog blogs http://www.medworm.com/rss/comments.php?id=1185819 Tue, 29 Jan 2008 16:14:00 +0100 1185819 http://www.medworm.com/index.php?rid=1158243&cid=t_100155_87_f&fid=35052&url=http%3A%2F%2Fwomensbioethics.blogspot.com%2F2008%2F01%2Fnys-supreme-court-case-stirs-ethical.html (Source: Women's Bioethics Blog) Women's Bioethics Blog blogs http://www.medworm.com/rss/comments.php?id=1158243 Thu, 17 Jan 2008 09:46:00 +0100 1158243 http://www.medworm.com/index.php?rid=1909219&cid=t_100155_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F286469510%2Ftubal-ligation-informed-consent.html I received an email message today from a patient that prompted me to write about informed consent for tubal ligation. (See my previous blog about informed consent for tubal reversal.) Here is the message that was sent to me. Hello, Dr. Berger, You performed tubal reversal surgery on me on 10/29/07, and I just found out [...] (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1909219 Tue, 15 Jan 2008 19:37:16 +0100 1909219 http://www.medworm.com/index.php?rid=1909238&cid=t_100155_177_f&fid=38133&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FTubalReversalBlog%2F%7E3%2F380926449%2Ftubal-reversal-informed-consent.html What Is Informed Consent? Informed consent means that a person has access to and understands all relevant information about a medical or surgical treatment necessary to make an informed decision about it. In the case of tubal ligation reversal, informed consent means that a person understands how it the surgery is performed, the alternative treatment of [...] (Source: Tubal Reversal Blog) Tubal Reversal Blog blogs http://www.medworm.com/rss/comments.php?id=1909238 Sun, 09 Dec 2007 23:36:57 +0100 1909238 http://www.medworm.com/index.php?rid=1054977&cid=t_100155_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F191383896%2F Nearly three years ago, the FDA required makers of antidepressants to supply Med Guides along with their pills. That wasn’t good enough for a couple of New Jersey moms, who have been pushing their state legislature to go even further - a bill requiring a doctor or nurse to obtain informed consent from a minor’s parent before writing a prescription for any psychotropic that already carries a Black Box warning. (Here it is) The bill, which has been kicking around for about a year, made it to the state assembly and senate - until last week, when it died a quiet death. The senate health committee failed to list the bill on its schedule this week and for procedural reasons, this means the legislation would have to be re-introduced in another session or it fades from view. The state sen... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=1054977 Tue, 27 Nov 2007 17:18:32 +0100 1054977 http://www.medworm.com/index.php?rid=1014866&cid=t_100155_90_f&fid=34499&url=http%3A%2F%2Fcalifmedicineman.blogspot.com%2F2007%2F11%2Fherpes-test-in-doctors-office-near-you.html (Source: California Medicine Man) California Medicine Man blogs http://www.medworm.com/rss/comments.php?id=1014866 Thu, 08 Nov 2007 15:57:00 +0100 1014866 http://www.medworm.com/index.php?rid=994947&cid=t_100155_87_f&fid=34765&url=http%3A%2F%2Fhcrenewal.blogspot.com%2F2007%2F10%2Fmandatory-treatment-of-university-of.html This case is already all over the web [starting here], but it has an unusual health care slant which has heretofore not been covered, so....The University of Delaware, a large, state-supported US university, which includes a College of Health Sciences, recently instituted a new "treatment"program for university students, described in the draft of a detailed report. [Following page references are from that report.] (References to the program, also described as a curriculum, as a "treatment" are on page 8, 10, and 14) Subjects will be exposed to educational and behavioral interventions, the latter described in one document as that which will "leave a mental footprint on their consciousness." An example of one behavioral intervention requires subjects to line up, then step forward or backwa... Health Care Renewal blogs http://www.medworm.com/rss/comments.php?id=994947 Wed, 31 Oct 2007 19:24:00 +0100 994947 http://www.medworm.com/index.php?rid=845903&cid=t_100155_150_f&fid=35777&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FPharmalot%2F%7E3%2F152969671%2F A few weeks ago, a long-awaited study known as the Victor trial was published in The New England Journal of Medicine about Vioxx and colorectal cancer. The findings were contentious, however, because they suggested the painkiller may have caused heart attacks far sooner than Merck indicated. And buried in the methodology section was something else of interest. The authors, led by Oxford University’s David Kerr, wrote that paperwork given trial participants was “amended twice to reflect evolving data on the possible adverse cardiovascular effects” associated with Vioxx. The statement apparently refers to the ongoing debate over Vioxx and heart risks, which took place while the trial was conducted between 2002 and September 2004, when Vioxx was withdrawn. However, the patie... Pharmalot blogs http://www.medworm.com/rss/comments.php?id=845903 Thu, 06 Sep 2007 13:32:18 +0100 845903 http://www.medworm.com/index.php?rid=505071&cid=t_100155_99_f&fid=35344&url=http%3A%2F%2Fzackarysholemberger.blogspot.com%2F2007%2F03%2Finformed-consent-notes-for-talk-mr.html Informed consentNotes for a talkMr. C. is a 55-year-old Spanish speaking man with abdominal pain that has migrated from the epigastrium to the right lower quadrant of the abdomen. You are asked to “consent” him for a CT scan of the abdomen. Your Spanish is good enough to talk to him, but Mr. C. does not ask any questions, even when you repeatedly press him on the matter. He keeps saying, “Whatever you say, doctor.”More here. (Source: Zackary Sholem Berger) Zackary Sholem Berger blogs http://www.medworm.com/rss/comments.php?id=505071 Thu, 01 Mar 2007 05:00:00 +0100 505071 http://www.medworm.com/index.php?rid=464812&cid=t_100155_111_f&fid=34711&url=http%3A%2F%2Fmillinersdream.blogspot.com%2F2007%2F02%2Fdear-shamhat.html In response to Shamhat's comment, on this post:Dear Shamhat,Since in this context I am teaching in a hospital, where the women have already usually chosen hospital birth--and often, with an OB--I am referring to their choice between medicated and unmedicated labor.I insist on teaching all their options--and am fortunate at this hospital that I am "allowed." Many hospitals, including another local one, teach: "This is our facility, and this is how you give birth..." If the day came when I was told I could not teach all options in that hospital setting, I would resign. And, by teaching all options, I believe in some cases I am able to present some in my classes with the options and tools to go unmedicated. It's a seemingly forgone conlclusion that most want/will have/plan epidurals now. By s... Milliner's Dream blogs http://www.medworm.com/rss/comments.php?id=464812 Thu, 15 Feb 2007 21:30:00 +0100 464812 http://www.medworm.com/index.php?rid=470310&cid=t_100155_109_f&fid=34730&url=http%3A%2F%2Fpsychiatrist-blog.blogspot.com%2F2007%2F01%2Fmy-three-shrinks-podcast-4-gifts_01.html Today's podcast was recorded at the same time as #3 (Wii Three Bobo Dolls), and is much more rambling than usual (though we actually did have a list of topics, many of which were related to other bloggers' recent posts). I edited out Dinah's recording of the Red Sox' 2004 victory, but I'll put it in the next one if folks want to hear it (it's on her keychain). December 31, 2006: Gifts Topics include: Informed consent and emergencies: New Jersey Supreme Court may require consent before providing emergency procedures (American Medical News) Doctor Anonymous' 6-month anniversary: Dr A celebrated 6 months of blogging on Dec 18. (That's twice as long as the average blog lasts.) Congrats! Fat Doctor on gift-giving grief (or, Why she kinda hates Christmas) What to get your psychiatrist Bad gifts... Shrink Rap blogs http://www.medworm.com/rss/comments.php?id=470310 Mon, 01 Jan 2007 05:12:00 +0100 470310