So, for the most part standing on the sidelines, I have watched for some time the frequent verbal jabs between Nurse K and Happy Hospitalist. She has stated that Happy has done some medically questionable things, (which I agree that he has some perplexing ideas about how to treat patients and how our health care […]

There are doctors out there that just give the rest of us a bad name. It looks especially bad if the doctor is a plastic surgeon - who already have to deal with media stereotypes (like that douche-bag Dr Rey who does push-ups in his muscle scrubs before a case - and […]

Who among you thinks that it is a bit unethical, medically risky, and otherwise irresponsible for a doctor to get a 53 year old woman pregnant with her second IVF, donor-egg pregnancy in two years?
Recently we had just such a patient present in acute decompensated cardiogenic shock and rapid atrial fibrillation, requiring intubation, pressors, and […]

What a surprise. A large study has found that the prices for brand name drugs have risen to uproarious levels. In 2008. prices rose 100% for 71 different drug products vs 28 of them in 2000. One drug’s prices rose by 4200 % !!!!!!! Read about it in the NY Times today.
The price gouging did […]

Funny how a consultant (in this case a neurosurgeon) who is consistently known for refusing to come in to see patients (usually just looking at the CT scan over the internet radiology system and deeming them “not a surgical candidate” or some other nonsense), SUDDENLY has started coming in and speaking with families, and, GASP!, […]

So, recently something that initially sounded kind of funny to me occurred to one of my friends who is a physician. He was to consult on a patient in the ER whose family member happened to have a Blackberry with Internet access. The family member proceeded to google search for the name of the doc […]

Tell me Dr Hippocrates, what are the indications for performing surgery in this case?
Well Dr Lowly ERP, the indications are hotly debated.
Interesting. How so?
Unfortunately, no good data has shown much improvement of cognition or survival in patients who are operated on vs those who are not.
Wow, so, even this case where a previously functional and […]