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High Five from Dr. P. Vol. 1 #1. – DrPullen.com – Medical and Health Blog

High Five from Dr. P. Vol. 1 #1.

As I search the world over for inspiration and ideas I come across some pretty good stuff, and a whole lot of pretty bad stuff too.  I’m going to spare you the ugly, and bring you the best I see with the first of my “High-Five” posts.  Let me know what you think:

1.       At Common Sense Family Doctor Kenny Lin MD gives a much more personal and insightful take on the recent Annals of Internal Medicine article on the costs of an appendectomy in California.  Be sure to check out:

How much does it cost to have an appendectomy?

A few years ago, a good friend of mine who holds bachelor’s and law degrees from Ivy League schools lost his job and became one of the estimated 50 million medically uninsured persons in the U.S. Over the course of several days, he developed increasingly severe abdominal pain, fever, and vomiting. Though reluctant to seek medical attention, he finally was persuaded to visit his local hospital’s emergency department, where he was diagnosed with acute appendicitis. Read more

2.       Dr. Rob Lambert is back now with More Musings (of a Distractible Kind) blog and is a funny and poignant as prior to his mysterious time away from his blog.  You’ll like the Llama photos, and I found this post so right on that the humor is just an added bonus:
The Origin of Feces: 

When I first read it, I thought it said, “Your mother always reminded you to wash your behind…”, which makes sense, given the advertising subject material.  I haven’t read the remainder of the deal, so we can only guess what the last sentence reads:  read more


 3.   There is no free lunch in life, and healthcare is no different.  Dr. Wes at his eponymous blog sets us straight about claims of “free healthcare services” being advertised by our U.S. government of all sources.

When Health Care is Promoted as Free:
Health expenditures in the United States neared $2.6 trillion in 2010, over ten times the $256 billion spent in 1980. The rate of growth in recent years has slowed relative to the late 1990s and early 2000s, but is still expected to grow faster than national income over the foreseeable future.
So imagine my surprise when I saw this Medicare commercial last night that stated preventative health care services provided by Medicare were “free:”  read more

4.   In a post I just came across on the blog Whatever by John Scalzi is an anonymous post by a physician outraged by the coercive laws demanding women have a transvaginal ultrasound prior to an abortion.  Whatever views you have on abortion this post is worth reading to see an impassioned physician’s take on this issue:

Where is the Physician Outrage?

Right. Here.

I’m speaking, of course, about the required-transvaginal-ultrasound thing that seems to be the flavor-of-the-month in politics.

I do not care what your personal politics are. I think we can all agree that my right to swing my fist ends where your face begins.

I do not feel that it is reactionary or even inaccurate to describe an unwanted, non-indicated transvaginal ultrasound as “rape”. If I insert ANY object into ANY orifice without informed consent, it is rape. And coercion of any kind negates consent, informed or otherwise. Read more

5.  In a guest editorial on KevinMD Dr. Steven Reznick MD writes a compelling plea to medical journals to present information statistics in a form non-statisticians can comprehend.  I’m all for this and the KISS (keep it simple stupid) rule of thumb should apply to getting info to physicians too.  I’d have changed the by omitting primary care.  I don’t think subspecialists are more knowledgeable statisticians than me as a general rule.

Keep statistics simple for primary care doctors

“As a primary care physician, out of medical school for 36 years, let me make a suggestion.  Keep It Simple Stupid.   Medical school was a four year program.  The statistics course was a brief three week interlude in the midst of a tsunami of new educational material presented in a new language (the language of “medicalese”) presented en masse in between students being used as cheap labor at all hours of the day to fill in drawing bloods, starting intravenous lines and running errands for the equally overworked interns and residents who were actually being paid to perform these tasks.” Read more

I hope to post annotated links to great stuff I come across as I come across it.  Let these bloggers know that you appreciate their work by leaving them a comment on their sites.  Enjoy.

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