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41. Patient Dignity (Formerly: Patient Modesty): Volume 92

. This is problematic, one a plaintiffs lawyer would easily seize on. “How do you know what an appropriate exam is, what is your training for conducting this exam?” “Do you stay in the room the entire time or are you asked to leave for various reasons?” “Who do you report suspicions too, what is the policy for reporting and to whom do you report?” “Do you document your observation or does the provider do that?” etc. Certainly small practices will not be able to or bother with providing chaperone training and having (...) approach would be successful by itself. This was the first time that this garment was being used; and, I wasn't sure how well a novel approach would be accepted by hospital personnel. Possibly, I was the topic of discussions, protocol meetings or jokes. I don't know. Throughout the entire process I was not hostile nor belligerent. I tried to politely "nail everything down" before the operation day. Nevertheless, my son and I were ready to pull the iv and walk (hobble) in the event of a last minute

2018 Bioethics Discussion Blog

42. False balance in reporting the case of a local mother jailed for contempt of court for reneging on an agreement to vaccinate her child

time has passed for him to bring your son's vaccinations up to date as rapidly as medically necessary, which is the language in the order." . Judge then instructs Dad to pick up child at school and to set up the vaccinations per the order. She sets a status update hearing in a week. Mom starts to whine and discuss and judge shuts her down. "No. I'm done here." Mom's lawyer tries to raise an objection and judge shuts him down... "MR. VITALE, WE ARE DONE HERE." . It seems the judge doesn't like (...) comments By on 08 Oct 2017 In reply to by gary bredow (not verified) to post comments By Epsilon (not verified) on 08 Oct 2017 She's also terrible at math. Date range 01/01/2006 - 12/31/2015 (379/2,845,946,816)(100) = ? (2,824/2,845,946,816)(100) = ? Any particular reason she's sitting in the Oakland County jail under her maiden name, rather than Bredow? I did get my flu shot last week, thanks. I get one every year. I'm also planning on getting vaccinated against shingles as it's no joke. A family

2017 Respectful Insolence

43. The Pathological Optimist: When “not taking sides” over Andrew Wakefield means taking a side

to do what he did. A video of him joking about it is then shown. This is a video that can be , but it was also widely broadcast in the UK at the time it surfaced. (The film implies that Deer was the only source publicizing the video.) In it Wakefield jokes that two children passed out and one threw up all over his mother. Worse, the audience laughed. He also then contended that this is a market economy and that the kids would be asking for £10 next year. James and Carmel both claim that Wakefield (...) to this vaccine. Now, it is true that later Wakefield is briefly shown in an interview from what looks like the 20 minute video the Royal Free Hospital released around the time the Lancet paper was published, but it is not until much later in the film. What is shown right after Wakefield’s lawyer honing in on that one sentence is Wakefield giving talks to antivaccine groups about how the MMR vaccine causes autism. In any case, the context was not provided immediately, and it should have been. Anyone who’s

2017 Respectful Insolence

44. Christopher Exley: Using bad science to demonize aluminum adjuvants in vaccines Full Text available with Trip Pro

weighed myself three times, and got readings of 180, 180, 182, I’d say “My scale isn’t as accurate as it might be, but I probably weigh around 181.” If I weighed my cat three times, and got readings of 10, 12, and 150, I’d say “My scale must be broken.” I wouldn’t say “My cat weighs around 50 pounds.” Taking the median of three measurements, supposedly of the same value, that aren’t even within an oder of magnitude of each other, sounds more like a joke than like credible research. Accuracy

2017 Respectful Insolence

45. Torturing more mice in the name of antivaccine pseudoscience, 2017 aluminum edition

, I ended up abandoning that line of research because I hit some dead ends. True, I’m not as familiar with NF-κB as I used to be. But I do know enough to know that NF-κB is easy to activate and very nonspecific. I used to joke that just looking at my cells funny would activate NF-κB signaling. Also, NF-κB activation is indeed associated with inflammation, but so what? What we have is an artificial model in which the mice are dosed much more frequently with aluminum than human infants. Does (...) by the vaccine or occurred after vaccination by chance." I'm amazed that teh NWAD managed to squeeze out a comment without a fυcking brain-dead emoticon, though. Perhaps a case of wake 'n' bake. to post comments By Narad (not verified) on 23 Sep 2017 to post comments By NWO Reporter (not verified) on 23 Sep 2017 ? Do you remember how to read this sort of material, or has your lawyer brain-rot reached an advanced stage thanks to the expanding Earth? to post comments By Narad (not verified) on 23 Sep 2017

2017 Respectful Insolence

46. Dumb and dumber: Kent Heckenlively and Mike Adams team up to support an antivaccine WhiteHouse.gov petition

think that this wasn’t my idea, or the idea of some truly brilliant lawyers, but was instead Trump’s idea, and the trolls will work themselves into a frenzy and only hasten the day of their own destruction. Sigh. So much pathetic fantasizing in such a short passage of prose. It can only be followed by what I like to refer to as the fantasy of ultimate vindication: Now, some people have made comments along the lines of, “You failed because your White House petition only got a little more than 7,000 (...) deceptively named anti-vaccine organization this side of the National Vaccine… I wish this post were an April Fools Day joke, but it is not. Three weeks ago, Skeptical Raptor and I wrote posts describing how a particularly vicious, nasty antivaccine troll named Heather Murray had successfully gamed Facebook reporting algorithms intended to report abuse in order to silence pro… to post comments By Eric Lund (not verified) on 08 Aug 2017 to post comments By Dorit Reiss (not verified) on 08 Aug 2017 to post

2017 Respectful Insolence

47. Quack stem cell clinics: Following the trail blazed by Stanislaw Burzynski charging patients to be on dubious clinical trials

significant anticancer activity and they did have considerable toxicity. Now's not the time to rehash the entire 40 year history of Burzynski, particularly after just this year he having his medical license taken away by the Texas Medical Board and is Galileo’s Lawyer. First, patients already being treated were enrolled in a wastebasket trial known as “CAN-1” a retrospective trial looking at all patients then being treated at the Burzynski Clinic. Of this trial, Jaffe wrote: ...As far as clinical trials (...) go, it [CAN-1] was a joke. Clinical trials are supposed to be designed to test the safety or efficacy of a drug for a disease. It is almost always the case that clinical trials treat one disease. The CAN-1 protocol had almost two hundred patients in it and there were at least a dozen different types of cancers being treated. And since all the patients were already on treatment, there could not be any possibility of meaningful data coming out of the so-called clinical trial. It was all an artifice

2017 Respectful Insolence

48. Structured settlements are ruining patients’ lives

damage. Almost as a joke, I said: “And you will make sure my daughter gets sent to the best psychiatrists ?” “Oh yes,” the girl said. “We can make sure your daughter gets help even if it takes years !” I was stunned. Even if my daughter got the “help” and she got her “large cash settlement” what about the rest of her life? Would she able to get a job or even go to college with a record of being under psychiatric care for years? I politely said, ” No thanks.” And instead encouraged my daughter to get (...) as to whether or not the claim was legitimate. I was hired by an independent company and asked to be blinded as to whether or not the IME was requested by the plaintiff or defendant side. By this time, it was months or even years after the event, both sides were heavily lawyered up, and the patient was out of work for a long time. Ninety-five percent of what I did was auto accident related, and the patient was either the driver, passenger, pedestrian or people in other vehicles involved in the accident. So

2018 KevinMD blog

49. The Mayor of Algonac responds to a hepatitis A outbreak by promoting antivaccine pseudoscience

it. My doctor didn’t have it, couldn’t get it in time, and trying to get it from the public health department was a joke; the person I needed to talk to was only in the office two days a week for two hours, and never answered the phone. It was very frustrating. Granted, that happened in North Carolina. I hope you have better luck in Michigan. If you’re still performing surgeries, I’d say do it. JustaTech I work with a lot of human blood so I thought it would be a good idea to get the Hep A series (...) “Steve Newell showed up one evening with a friend, a lawyer named Frank Green, whom Steve had convinced to try acid as a possible cure for his psychopathological disorders. Throughout his trip Frank blubbered about his ex-wife. She had recently divorced him, getting custody of their only child and denying Frank any visiting rights. He rolled around on the floor in front of the couch on which Sally was sitting, moaning and groaning and occasionally addressing Sally by his first wife’s name. “Sally, he

2017 Respectful Insolence

50. Why a case report being circulated by advocates doesn’t show that the ketogenic diet combats cancer

, Alain, but I’m not sure what you’re talking about. As far as I’m aware Anheuser-Busch have only brought anything approaching billions to the table when it came to paying lawyers to try to shut down a Czech brewery who had been brewing beer for several centuries prior to the USA being founded. And they failed. Alain I tried to make a joke; it failed. That said, I was thinking your comment (make a million disregarding common sense) as an analogy to burzinsky and other medical fraudsters while (...) require a separate corporation for brewing beer but the brewery will ask the holding firm for financing…) Alain JP @Alain: I got the joke. Buy I am aware of how Anheiser-Busch has been taking over many local (okay, crappy) breweries in the US. I’m not dealing with anywhere near as much money as you (no debts, thanks to grants and scholarships and work), but I recently app appealed my disability decision. (I have yet to choose a lawyer. I don’t know how to choose a good one.) Carlos Monteiro In article

2017 Respectful Insolence

51. The consequences of taking patients at their word

we thought was best. But in the age of “patient satisfaction” and “the patient being the captain of their health care ship,” we as physicians have been forced just to take patients at their word, and that has had consequences. The opioid crisis is just one example. Just accepting that a patient’s pain is “10/10” has not worked out well. There is also the issue of secondary gain, such as dealing with workers compensation, auto accidents or pretty much any time a lawyer is involved. Should (...) physicians take patients at their word or ask questions to verify? I am reminded of an old joke: What’s the difference between an orthopedist and a carpenter? The carpenter knows more than two antibiotics. As an orthopedist, I freely admit that 98 percent of the time when we pick an antibiotic we use a cephalosporin both for treatment and for surgical prophylaxis. Early on in my career, I noticed that there was an inordinate number of patients who claimed they were allergic to penicillin

2018 KevinMD blog

52. Patient Modesty: Volume 89

communities people don’t run to the emergency room when they have a runny nose. I’ve worked in those small rural hospitals and once knew an old timer physician that was so old that the state took his drivers license away due to his poor vision. It didn’t stop him from working, he walked to the hospital and did house calls, on foot. Come to large cities like Phoenix or Houston and you will find 4 urgent care centers in one square mile. I call urgent care centers Quack in a Shack. What a joke! With my

2018 Bioethics Discussion Blog

54. Medical Emergencies On Airplanes: Should Doctors “Heed The Call”?

needed a joke for a speech he was giving, Larry refused to heed the comedian call. How do you feel? Should physicians heed the call in the air? Airobatically Yours, -ACP Share this: Like this: Like Loading... Related Post navigation 10 thoughts on “Medical Emergencies On Airplanes: Should Doctors “Heed The Call”?” Some of the airlines have instituted an in-house physician phone consult for in-flight medical emergencies; usually though they hand the phone to whomever has offered to help; works ok (...) … It’s not like we’re asking for first class … Or monetary compensation. I think only medical people and lawyers truly get this issue. I assume Joe (or Joanna) public thinks we as medical professionals need to pony up in a heartbeat. And yep, flight attendants should have provider CPR and first aid at the very least! As a nurse I would probably step up if I needed to and there wasn’t another medical professional already handling the situation. I guess I’d bite the bullet, take it for a ride and do

2018 The Skeptical Cardiologist

55. False balance in reporting the case of a local mother jailed for contempt of court for reneging on an agreement to vaccinate her child

time has passed for him to bring your son's vaccinations up to date as rapidly as medically necessary, which is the language in the order." . Judge then instructs Dad to pick up child at school and to set up the vaccinations per the order. She sets a status update hearing in a week. Mom starts to whine and discuss and judge shuts her down. "No. I'm done here." Mom's lawyer tries to raise an objection and judge shuts him down... "MR. VITALE, WE ARE DONE HERE." . It seems the judge doesn't like (...) comments By on 08 Oct 2017 In reply to by gary bredow (not verified) to post comments By Epsilon (not verified) on 08 Oct 2017 She's also terrible at math. Date range 01/01/2006 - 12/31/2015 (379/2,845,946,816)(100) = ? (2,824/2,845,946,816)(100) = ? Any particular reason she's sitting in the Oakland County jail under her maiden name, rather than Bredow? I did get my flu shot last week, thanks. I get one every year. I'm also planning on getting vaccinated against shingles as it's no joke. A family

2017 Respectful Insolence

56. Care but don’t touch: Being wise in the modern era

: patient benefit. In contrast to non-medical relationships, physicians owe a legally cognizable fiduciary duty towards patients: trust. And physicians exert power and control with patients. Patients are vulnerable. To show affection that does not advance patient care may create a serious problem. Idle, “smart-aleck,” facetious, poor taste puns and jokes, innocent as uttered — look out. Do not tell patients off-color stories or jokes or personal intimate stories. Edward Berk, MD, at the University (...) pictures with a depiction of social conduct: avoid. If you would be hesitant to explain the episode to colleagues or to lawyers, or you are hesitant to write the exact details in your chart, don’t do it. Always consider how conduct will spin on the front page of the New York Times or on CNN or Fox, and hope that you never land there. Elliott Oppenheim is a heath care attorney and author of . Image credit: … … 88 Shares Tagged as: , Subscribe to KevinMD and never miss a story! Get free updates delivered

2018 KevinMD blog

58. Professionalism, or Prying?

that I was joking. I wasn’t joking. I did look a little at the professional codes, but only as a jumping-off point. My schtick was more like, “Here’s what the SRA says about client confidentiality; now let’s spend the remaining 98% of this lecture looking at why it might say that, and whether it ought to say something different”. Yet, as I wrote the lectures, professionalism – not professional codes, but professionalism – did keep cropping up. After all, if you’re going to talk about lawyers’ ethics (...) Professionalism, or Prying? Professionalism, or Prying? | Journal of Medical Ethics blog by “Professionalism” is a funny thing. About this time last year, I was struggling to get a new course written for the coming semester; it was on professional ethics for lawyers. A colleague made a comment along the lines that I must be spending a lot of time looking at the professional codes; I replied that I’d be spending almost none doing that; she looked baffled and wandered off, presumably convinced

2017 Journal of Medical Ethics blog

59. Conflicts of interest in health care journalism. Who’s watching the watchdogs? We are. Part 1 of 3

month published . JAMA included a Viewpoint article entitled, “ ” The first line: “Preservation of trust is the essential purpose of policies about conflict of interest.” But who talks about conflicts of interest in health care journalism? In a Gallup poll, “ ,” respondents rated journalists’ honesty and ethical standards below psychiatrists, chiropractors and bankers….and just above lawyers. There is great potential harm in a further erosion of trust in journalism and in health care (...) it is for @PhRMA to pay their bills and salaries” and “Is this a joke? Do you not see how this kills any credibility you might have with health journalism? @PhRMA is a powerful lobby.” NPR lists PhRMA as a supporter. This October the World Conference of Science Journalists will meet in San Francisco, . Johnson & Johnson is currently the top donor, at $400,000 . Bayer gave at least $50,000. Nearly a half million just from two drug companies. It would require a much longer piece to outline ethical issues

2017 HealthNewsReview

60. When regulation is opaque, trust is all you have

an old story, after all, and the flow goes both ways. One of the pharmaceutical industry’s favourite lawyers has of the US Patent Office. FDA employees routinely flow in and out of pharmaceutical companies. The is built on the same phenomenon. These things aren’t a guarantee of a bad outcome: they’re a risk factor, like driving after 3 pints, and so we police them. Perhaps civil servants will be too friendly to industry, hoping for a lucrative commercial post one day. At the very least they bring (...) but think how it was 40 years ago. Regarding anti-science, the biggest problem is that while they think as themselves as whistleblowers, which could be true, the lack of scientific fundment makes their calls jokes easily debunked and when real science based critics over drugs are made they are not heard or disregarded. joshua said, March 22, 2011 at The EU Clinical Trial Register is now live Although the EMA are only slowly releasing the data onto the public site. Currently 2002 trials in the database

2011 Bad Science

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