Word: doctorings
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...research by doctors at Children's Hospital Boston may help spur the development of a test for appendicitis that may someday prevent unnecessary surgeries, speed up the diagnostic process and even minimize undue medical costs. "It's very exciting," says Dr. Alex Kentsis, a pediatrician and co-author of the study published online June 23 by the Annals of Emergency Medicine. He estimates that a simple diagnostic test may be as close as three years away, and may be easy enough to administer outside of a hospital's emergency department, in individual doctor's offices or even local clinics...
...visit to Rochester last month, I watched a hospice team of nurses, social workers, a chaplain and just one doctor talk about dying patients in ways that might have baffled the white coats on Emanuel's cancer ward: platelets were discussed, but so were spiritual needs, family tensions, hobbies and anything else relevant to quality of life. It sounds squishy, but Mayo patients who request palliative care have 84% lower hospital costs, 53% lower overall costs and higher satisfaction. Mayo has computerized medical records that provide instant access to patient histories, improving information-sharing, reducing pharmacy errors and eliminating...
...Mayo doctors are also shielded from the incentives that discourage evidence-based medicine, because they all receive fixed salaries. They don't make more if they do more to patients, and they don't make less if they take more time to talk to them - even if they use the time to explain why a CT scan or a wonder drug advertised on TV might not be advisable. They don't have to worry about reimbursements that overvalue radiological tests and invasive prostate treatments, undervalue preventive care and watchful waiting and put zero value on returning a phone call...
...pick the cybersecurity czar, who would report to the National Security Council and the National Economic Council. The cybersecurity community has for weeks been speculating about who will get the job. Many experts agree the President should not limit his search to tech gurus. "You don't need a doctor running health care, and you don't need a technologist running cybersecurity," says retired Major General Dale Meyerrose, of the consulting firm Harris Corp., who until recently was chief information officer for the Director of National Intelligence...
...members of Congress don't need to look further than their local emergency department (ED). The overcrowding in EDs is so bad these days that patients who walk in with "immediate" needs, meaning the most severe on a clinical scale, wait an average of 28 minutes to see a doctor, according to a Government Accountability Office report released in May. That's 27 minutes more than the recommended wait time for such conditions. Between 1996 and 2006, even as some 200 EDs shut down completely, visits nationwide increased from 90 million to 119 million, according to the Centers for Disease...