WhiteCoat

Healthcare Update — 06-04-2012

Lawmakers want to Nix the Kwell. Am I witty or what?

I’ll post a leader board if it ever makes it onto AddictingGames.com. Northwestern University finalizing video game to show doctors how to address drug seekers. And until uninformed administrators stop relying on Press Ganey scores where unhappy drug seekers can knock down a physician’s percentile rank with a few swipes of a pen, the $50/hour that hospitals or doctors spend on the video game will be wasted.

Drug shortages now affecting capital punishment. Hospira stops making sodium thiopental due to FDA restrictions. Now Missouri using propofol for executions, instead.
Am I the only one who is confused about why states aren’t using expired medications for executions?

The CDC and FDA are evaluating toxic exposures and infections caused by resistant bacteria which are due to doctors’ overuse of antiviral medications when patients are not sick. Pork. Mexico.
Hey. Wait. Get your hands off me. I didn’t do anything! Somebody call Alex Jones! Quick!

Excited delirium syndrome is allegedly characterized by delirium, agitation, acidosis, “superhuman” strength, diaphoresis, and lack of willingness to yield to overwhelming force. In other words, about 25% of emergency department patients on weekend evenings after last call at the bars. Some people are now advocating that there be more research into the constellation of symptoms.
I’m not sure that we should be giving these actions their own “syndrome.” Doing so will just give some patients another excuse to verbally and physically abuse police and ED staff without having to own up to their actions. “Your honor, I didn’t spit in the doctor’s face and break the doctor’s ribs because I was drunk, it was that I was in the throes of ‘excited delirium syndrome’ and had no control over my actions.”

Anesthesiologist … in Florida … goes bonkers in police car after accusing police of stealing his money. Bashes his head into back of seat multiple times, cuts his head in process, then spits blood at police. My kids saw the video and replayed it half a dozen times because they thought it was so funny.
Initially the doctor had more than $50,000 cash with him while cruising down the highway. Now will probably use much of that to defend himself from charges of “resisting arrest with violence” for the blood spitting incident.

Why are emergency departments so crowded? May have something to do with the fact that one in five patients not requiring admission were told to go to the emergency department by their primary care physicians. Two in three thought their care was too serious for their medical provider. And four in five didn’t have access to other health care. PDF download of recently-released CDC survey here.

Insurers jacking up the price that patients must pay for some specialty medications. One patient’s medication cost went from $80/month to $450/month. States attempting to limit the price increases by banning insurance companies from passing medication costs onto insurers. If I were a consumer faced with the decision whether to pay for such a drug, the first question I would be asking is how effective the medication is in controlling my condition when compared to sugar pills and when compared to other less expensive medications. Paying hundreds of dollars per month for an alleged 10% improvement in symptoms wouldn’t be worth it to me.

5 Responses to “Healthcare Update — 06-04-2012”

  1. defendUSA says:

    I used Kwell lotion as a kid for a case of scabies. I fail to see some of the comparisons for discontinuing the use for the “potential” of toxicity. In a population of 300 million, 1 million people get them per year…an estimate only.
    Please tell me how anyone is going to become toxic unless infected over and over and the cure is the same? It just doesn’t wash.

    It was the same with DDT. For years we heard how toxic it was. So it was banned in many countries where it saved lives. The risks for some of these things beats dying and people have been led to believe otherwise. It’s effing ridiculous!

  2. doc99 says:

    Why not sue Sidney Wolfe for tortuous interference? As for DDT, I blame Rachel Carlson.

  3. Vladimir von Winkelstien says:

    Are you really confused about why states aren’t using expired medications for executions? It seems perfectly obvious to me.

  4. DensityDuck says:

    To be honest, the guy in the police car had reason to be ticked. If the cops find more than a couple hundred dollars’ cash on you these days, they call it drug money and confiscate it.

  5. Debora says:

    In some FL counties, it is illegal to carry more than $1000 cash on your person. The police have the “right” to confiscate more & charge you with drug-trafficking (the money is all the evidence required for the charge, not other evidence need exist).

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