Word: doctorings
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...Scalding sun; fields of snow. Maurice Jarre created memorable anthems for these two extremes in his first films for David Lean: the 1962 Lawrence of Arabia and the 1965 Doctor Zhivago. The French composer, who died Sunday in Los Angeles at 84, after a losing bout with cancer, wrote the scores for more than 150 features, but he'll always be associated with Lean, as much as Bernard Herrmann is with Alfred Hitchcock or John Williams with Steven Spielberg. The director devises the images; the composer gives them emotional heft. Both the pictures and their accompanying sounds lodge indelibly...
...will probably cost more than $100 in a couple of months thanks to rising mass-transit fares). After I added up a handful of things I knew I'd have to spend money on in the coming days - a birthday card for my niece, a co-pay for a doctor's visit - I simply didn't have the money...
...being pushed hardest by those who would profit financially from it - not just technology companies but also large hospitals and medical practices hoping to improve billing and control internal costs. With a digital chart, every test, diagnosis and treatment a doctor orders is instantly passed along to the billing side: Why give away that Ace bandage for free? This could make the billing bureaucracy more efficient. But communication the other way, from billing to medical, would take place too. And this is more insidious. In a digital system, doctors can't simply write whatever they want: they generally must select...
When, for instance, does a urinary-tract infection become a pyelonephritis (an infection involving the kidneys and ureters)? There's no clear-cut answer. A computer might remind the doctor that the hospital stands to make many thousands more if he simply clicks on pyelonephritis, the more serious condition. Or consider that nearly every patient who has a big hip or knee operation will run a fever for a while afterward. No one really knows why. But if a computer picks up the temperature elevation, it could prompt doctors to record a "fever of unknown origin" - a diagnosis that often...
...outlook for a patient depends in part on acting fast: call 911 or drive the victim to the hospital; do not wait to reach your own doctor. The rest turns on the type of injury. Richardson died of an epidural hematoma, an accumulation of blood between the skull and dura, the tough tissue covering the brain. A subdural hematoma is blood between the dura and brain. Both injuries have a mortality rate of about 50%. Intracerebral bleeding, which occurs within the brain, is even more serious. "Patients get redlined to surgery in 15 to 30 minutes" if they have...