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The antibiotics arms race must end
“Cha-ching!” goes urgent care. For your rhinovirus, adenovirus, or seasonal allergies you get a strep screen, flu swab, CBC, and chest X-ray. You get a steroid shot, Rocephin, and Z-Pak. A week later, you present for medical care again, because your virus is no better, and you want a stronger an tibiotic. In the meantime, your […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 18, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/charles-w-olson-jr" rel="tag" > Charles W. Olson, Jr., MD < /a > < /span > Tags: Conditions Infectious Disease Source Type: blogs

RIP A. Ernest Fitzgerald
A. Ernest Fitzgerald, Pentagon whistleblower, Nixon victim, and early libertarian ally, died January 31 at 92.  In a remembrance to Fitzgerald delivered Wednesday on the Senate floor, Sen. Charles Grassley, R-Iowa,called him“a tenacious watchdog … a hero for taxpayers and a warrior against waste.” As the Washington Postreported:A. Ernest Fitzgerald, a Pentagon official tasked with analyzing project expenses, was summoned to Capitol Hill in 1968 to discuss a new fleet of Lockheed C-5A transport planes before the Joint Economic Committee.He had been instructed to play dumb about the cost.He did not.Under oath, he said...
Source: Cato-at-liberty - February 8, 2019 Category: American Health Authors: David Boaz Source Type: blogs

Do physicians have a right to be forgotten?
When we all lived in villages, knowing individual merchants allowed you to identify and avoid the cheats. As we urbanized, brand names became the reputational marker. But when you are dealing on the internet, where no one “knows you’re a dog,” what guarantee do you have? A case involving a Dutch physician who argued that […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - March 2, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/charles-dinerstein" rel="tag" > Charles Dinerstein, MD, MBA < /a > < /span > Tags: Tech Practice Management Surgery Source Type: blogs

Physicians are now lab rats
Pay for performance (P4P) is all the rage in health care. Big Pharma led the way, and the popular press would have you believe that one can “incentivize” physicians and their clinical colleagues with as little as a sandwich and a bag of chips. Corporations have used bonuses, stock options, and commissions for years as […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - March 9, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/charles-dinerstein" rel="tag" > Charles Dinerstein, MD, MBA < /a > < /span > Tags: Policy Practice Management Public Health & Source Type: blogs

The rent is too high in health care
Jimmy McMillan might have been right. Mr. McMillan ran for mayor of New York City as the founder and candidate of the “Rent Is Too Damn High” Party. And while he was talking about real estate rent, he might have made a similar complaint about health care’s rent — payments made for costs over what […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - March 14, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/charles-dinerstein" rel="tag" > Charles Dinerstein, MD, MBA < /a > < /span > Tags: Policy Practice Management Public Health & Source Type: blogs

Why Section 230 Is Unstable
Everyone interested in social media should read Jeff Kosseff ’sThe Twenty-Six Words that Created the Internet. It provides an excellent history of Section 230, the legal foundation of social media. That might sound boring, but Kosseff makes it work by mixing stories and analysis without vitiating either. I agree with Kosseff that, problems notwithstanding, the benefits of Section 230 have outweighed its costs.Given that, I don ’t look forward to future editions of his book since they may document the “fall” of Section 230. In other words, the law is likely to be amended to limit the protections offered internet pla...
Source: Cato-at-liberty - May 20, 2019 Category: American Health Authors: John Samples Source Type: blogs

Appendicitis eponymous signs
Dr Mike Cadogan Appendicitis eponymous signs Authors eponymously associated with abdominal signs, symptoms, investigation and management of appendicitis
Source: Life in the Fast Lane - May 26, 2019 Category: Emergency Medicine Authors: Dr Mike Cadogan Tags: Eponymythology General Surgery Aaron sign Appendicitis Arapov contracture Blumberg sign Charles Dettie Aaron Charles Heber McBurney Cope obturator test cope psoas test Dmitry Alekseyevich Arapov Farouk Massouh Jacob Moritz Blumberg Source Type: blogs

How pharmacy-based primary care takes the low-hanging fruit
With the announcement of CVS Health HUBs, the synergy of data and business is rapidly coming to the health sector; health systems will become havens only for the severely acutely ill, the more complex, the expensive. In the same way that urgent care centers catered to low acuity, high financial margin problems that both financially […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - June 13, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/charles-dinerstein" rel="tag" > Charles Dinerstein, MD, MBA < /a > < /span > Tags: Policy Primary Care Public Health & Source Type: blogs

Was the past perfect ? I don ’ t know, but the future looks tense … welcome on-board, to automated ACS management.
Charles river esplanade ,Boston* : A healthy middle-aged man who was jogging quietly, while his heart was under intense scrutiny by the bionic eyes of Apple i-watch’s smart patch electrode. Suddenly, it detected some bizarre ST segment fragmentation (Seems it can predict in advance , Ischemic signals 10 minutes prior to onset of ACS ) The built-in cosmos direct GPS instantly alerted & summoned a titanium powered Space X drone that pulled the patient from the riverside to the nearest human wellness port . It dropped him through a remotely accessed split glass roof right inside the hybrid heart lab, to find , men ...
Source: Dr.S.Venkatesan MD - June 23, 2019 Category: Cardiology Authors: dr s venkatesan Tags: acute coroanry syndrome Clinical cardiology Ethics in Medicine Hippocratic oath history of cardiology Histroy of medicine Left main disease Medical ethics Primary PCI Source Type: blogs

Reining In Government by Dear Colleague Letter: An Update
For many decades, critics have noted that agencies were using Dear Colleague and guidance letters, memos and so forth — also known variously as subregulatory guidance, stealth regulation and regulatory dark matter — to grab new powers and ban new things in the guise of interpreting existing law, all while bypassing notice-and-comment and other constraints on actual rulemaking.That ’s a problem we at Cato have been concerned about for at least twenty years — the quote itself is from my 2017 post in this space. In  financial regulation, for example, as Charles Calomiris argued in a  Cato working paper around the...
Source: Cato-at-liberty - July 16, 2019 Category: American Health Authors: Walter Olson Source Type: blogs

Guillain –Barré syndrome
Dr Jeremy Rogers Guillain–Barré syndrome Guillain-Barré syndrome is the most common and severe acute inflammatory paralytic neuropathy. The classical description of GBS involves rapidly progressive bilateral weakness, usually starting in the distal lower extremities and ascending proximally.
Source: Life in the Fast Lane - July 5, 2019 Category: Emergency Medicine Authors: Dr Jeremy Rogers Tags: Eponymictionary Neurology André Strohl Charles Miller Fisher Georges Charles Guillain Guillain-Barré syndrome Guillain-Barré-Strohl syndrome Guillian-Barré Syndrome Jean-Alexandre Barré Jean-Baptiste Octave Landry Miller Fisher sy Source Type: blogs

How ZDoggMD inspires this physician
Though I owe a debt of gratitude to all of my internal medicine attendings, none of them can claim credit for getting me through the gulag of residency. That distinction, instead, belongs to Zubin Damania, alias ZdoggMD, an internist and purveyor of viral YouTube music videos. I first became aware of Damania ’s videos when a […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - November 1, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/charles-feng" rel="tag" > Charles Feng, MD < /a > < /span > Tags: Physician Hospital-Based Medicine Source Type: blogs

The Top 125 Inspirational Sayings and Quotes of All Time
Today I’d like to simply share what I think are some of the most inspirational sayings and quotes of all time. A distilled and concise collection packed with maximum motivational power from the people who walked this earth before us (and some from people who are still here). I hope these quotes and sayings will help you when you’re having a rough day or week. When you need to renew that motivation to keep moving towards your goals and dreams. Or when you just need a new perspective on a situation in your own life no matter if that’s at work, in a relationship or perhaps with your health or personal finances. This is...
Source: Practical Happiness and Awesomeness Advice That Works | The Positivity Blog - November 5, 2019 Category: Consumer Health News Authors: Henrik Edberg Tags: Personal Development Source Type: blogs

4 strategies for success as an aspiring physician
Becoming a physician in 2019 presents its share of challenges. Providers must deal with reimbursement rates that remain a fraction of their previous levels, adapt to a fee-for-value model, adopt ever-advancing technology as an integral part of care delivery and accommodate a patient-provider dynamic that favors patients — who now demand choice, autonomy, affordability, and […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - December 6, 2019 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/charles-wesley-and-eric-george" rel="tag" > Charles Wesley and Eric George, MD < /a > < /span > Tags: Physician Practice Management Source Type: blogs

Finding meaning in the intersection between marriage and medicine
When I first saw Jea-Hyoun, in a medical meet-cute straight out of a romantic comedy, she was being evaluated for thyroid cancer. I was an allergy/immunology fellow harried by a pile of paperwork. She was a patient, in the same building where she saw patients of her own as a psychiatry and family practice resident, […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - January 19, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/charles-feng" rel="tag" > Charles Feng, MD < /a > < /span > Tags: Physician Practice Management Psychiatry Source Type: blogs