Macabre Monty Python plot? Organ donor network allegedly pressures hospitals to declare severely ill patients as being brain dead – even when the patients showed signs of life. If these allegations are true, should criminal charges be filed? Against whom?
Lindsay Lohan goes to the emergency department for an asthma attack … or a “bad lung infection.” Gets discharged with antibiotics and goes back to her hotel room. Asthma … bad lung infection … one of those ZeePacks and she’ll be back to normal. They cure everything, right? Surprised they haven’t tried Z-Packs for her alcohol problems. It will do about as much for alcohol problems as it will in treating asthma or bronchitis.
Speaking about criminalizing medicine … Conrad Murray was convicted of involuntary manslaughter for providing inappropriate medications that resulted in Michael Jackson’s death. The working theorem was apparently that inappropriately prescribing medications that result in a patient’s death should result in jail time. Let’s say that Lindsay Lohan develops clostridium difficile colitis, becomes septic, and dies after receiving antibiotics for asthma and/or bronchitis – a use of antibiotics which is medically inappropriate. If we follow the logic under which Conrad Murray was convicted, should Lindsay Lohan’s doctors then be charged with involuntary manslaughter? If not, where do we draw the line? I’d like to see what you all think.
“Car surfing” isn’t cool. It kills people.
In Qatar emergency departments, it’s no ID, no treatment… unless there is a true emergency. Wonder what happens if they try to vote.
Texas physician population increasing and costs decreasing since tort reform. Or are they?
“Silent Exodus” of physicians from the practice of medicine according to a survey of 13,575 physicians by the Physicians Foundation (.pdf file). Pessimism about the medical profession abounds. Doctors are working fewer hours and are seeing fewer patients. Almost a quarter of their time is spent on non-clinical paperwork, further decreasing their ability to treat patients. Half have limited the amount of Medicare patients they will treat and 26% completely closed their practices to Medicaid – that “insurance” more than 30 million patients will soon receive.
Hat tip to one of the best internal medicine blogs around – ACP Internist
What would Sam Shem say? Admitting services increasingly using electronic medical records to perform “chart biopsies” before accepting admissions. And in some cases, the biopsies are being used to try to block admissions.
Hat tip to Emergency Medicine Literature of Note