Doctors and midwives need to cooperate more


There has always been an underlying tension between obstetricians and midwives.

From the doctor’s side, the only times they interact with midwives is when trouble arises. Or, as this article in Time puts it, “When hospital-based obstetricians see midwives and their clients it’s usually because something has gone wrong . . . OBs don’t see [...]

Should primary care doctors embrace retail clinics?


Yes, they should.

Whether retail clinics will be a viable venue for the majority of minor medical conditions is in question, but in many cases, doctors seem to be taking an antagonistic front.

As this piece in the NY Times writes, “Many primary-care doctors still denigrate the retail clinics as cheap, unworthy competitors.” That’s precisely the [...]

Migrating to WordPress, down for maintenance


There will be no posts over the next few days, as the blog will migrate to WordPress.

Furthermore, comments will be temporarily turned off to ensure all of them make the transfer.

With over 19,000+ posts, at least twice as many comments, and close to 500 MB of data, it’s a major undertaking.

When it re-emerges, expect an [...]

Does telemedicine reduce malpractice risk?


The conventional wisdom is that practicing medicine over the telephone exposes doctors to potentially more malpractice lawsuits.

But, is that really the case?

Blogging over at Better Health, physician Alan Dappen, who created an innovative primary care model, suggests not.

His practice, which is based on 24/7 physician availability by phone, solves most patients’ concerns half of the [...]

6 top medical comments, May 3rd, 2009


Here are some of the more interesting comments readers have left recently.

1. Carla Kakutani on the lack of primary care access in Massachusetts:So we have a chicken and egg problem. Do we wait health care reform until we have revived US primary care, or is that even possible without health care reform to create the [...]

Ten top medical blog posts, April 2009


Here are the top posts from this past month, based on the number of times they were viewed.

1. How do I prevent and treat swine flu, and, is a pandemic imminent?

2. The Craigslist Killer is a Boston University medical student

3. Is the nursing shortage overblown?

4. Most hospitalists are good, but some, like these ones, aren’t

5. [...]

Why Does the Flu Seem More Severe In Mexico? Here’s a Clue.


Why does the H1N1 flu appear more severe in Mexico than elsewhere? Maybe because there were many, many mild cases that went undetected there, skewing our sense of the severity of the disease. That possibility has been suggested for a while now, but a paper published late yesterday in the CDC’s Morbidity and Mortality Weekly [...]

Rob Lamberts on the KevinMD Live Q&A: Wednesday, April 29th at 10:30pm Eastern


The theme of my next Live Q&A will be health IT and electronic medical records.

Primary care physician Rob Lamberts will be taking your questions. Blogging at the acclaimed Musings of a Distractible Mind, Dr. Lamberts is one of the minority of doctors who has successfully implemented and integrated electronic health records into his daily [...]

Retired physicians are going back to work, but are there jobs waiting for them?


The recession and stock market downturn are forcing previously retired doctors to go back to work.

But, after being away from medicine for so long, some are finding that hospitals and clinics aren’t willing to take them back with open arms.

Malpractice coverage will be higher for these physicians, and indeed, a cited gastroenterologist commented that “he [...]

Should hospitalists or intensivists manage ICU patients?


Many hospitals prefer so-called “closed” intensive care units solely managed by intensive care specialists.

The reason being that specialists can supposedly better adhere to quality measures, and hence lower costs, which are goals that hospital administrators pine for.

The problem is, there aren’t enough intensivists to staff closed-ICUs for many medical centers across the country.

So, [...]