Just To Be Safe, Get A Laceration by Neal Little, M.D.

How crazy are our immunization practices in the emergency department? And I'm not talking about the current recommendations and guidelines concerning seasonal influenza and H1N1 and one. At least there rational thought has prevailed, we've identified high-risk groups, we've mobilized not only the emergency department, but the rest of the medical community and possibly schools etc. and come up with what sound like rational plans...by Neal Little, M.D.

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Only Big Powerful Organizations Can Make Big Powerful Mistakes by Neal Little, M.D.

There’s something that we need to consider in the upcoming healthcare debate about control over the practice of medicine. Recently CMS cancelled a quality measure on beta blockers for MI. Many of us had known for years that this previous benchmark for quality management could not be applied across the board, in the emergency department setting. There was a constant litany of reports against doctors who were just too stupid to know to give this medication, and that compliance was poor. Hospitals were downgraded for their physicians not giving it.

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When will we get to debate healthcare? by Neal Little, M.D.

When do we get to really debate health care? Did I miss some planned forum? All I seem to be hearing about is health insurance reform. And it’s labeled “sweeping” healthcare reform. Funding is certainly a big issue that needs to be taken up, but it certainly should not come under the label of health care reform, and it should not substitute for health care reform...By Neal Little, M.D.

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