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	<title>Comments on: An internist without an ego!</title>
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	<link>http://www.medrants.com/archives/2151</link>
	<description>Internal medicine, American health care, and especially medical education</description>
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		<title>By: Scrappyboy</title>
		<link>http://www.medrants.com/archives/2151/comment-page-1#comment-5063</link>
		<dc:creator>Scrappyboy</dc:creator>
		<pubDate>Sun, 28 Nov 2004 01:49:19 +0000</pubDate>
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		<description>Not only are the comments by RJL tacky and unprofessional, they are also wrong. As an initial matter, I thought the &quot;content and feel&quot; of the other AMA website( http://www.americansmadandangry.org/ ) was honest and informative; anything but &quot;sleazy.&quot; Whether RJL accepts it or not, the fact is that iatrogenic illness and nosocomial infection are serious public safety problems. It&#039;s my guess that if more physicians thought like Bernie Simon and less like RJL, these would not be as big of issues as they are today. Hey, doctors and other healthcare professionals are human, ok? Mistakes are made. Buck up; if your not part of the solution your part of the problem. End of story.</description>
		<content:encoded><![CDATA[<p>Not only are the comments by RJL tacky and unprofessional, they are also wrong. As an initial matter, I thought the &#8220;content and feel&#8221; of the other AMA website( <a href="http://www.americansmadandangry.org/" rel="nofollow">http://www.americansmadandangry.org/</a> ) was honest and informative; anything but &#8220;sleazy.&#8221; Whether RJL accepts it or not, the fact is that iatrogenic illness and nosocomial infection are serious public safety problems. It&#8217;s my guess that if more physicians thought like Bernie Simon and less like RJL, these would not be as big of issues as they are today. Hey, doctors and other healthcare professionals are human, ok? Mistakes are made. Buck up; if your not part of the solution your part of the problem. End of story.</p>
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		<title>By: Modulator</title>
		<link>http://www.medrants.com/archives/2151/comment-page-1#comment-4941</link>
		<dc:creator>Modulator</dc:creator>
		<pubDate>Thu, 11 Nov 2004 19:17:20 +0000</pubDate>
		<guid isPermaLink="false">http://medrants.com/archives/2004/11/08/an-internist-without-an-ego/#comment-4941</guid>
		<description>&lt;strong&gt;Finding the Cure&lt;/strong&gt;
Health care emulates lifeI called Dr. Hammami with the news of the final diagnosis and asked why it had been missed by all the doctors the patient saw before arriving at his hospital. He thought for a moment before he answered. &#039;&#039;It&#039;s difficult for ...</description>
		<content:encoded><![CDATA[<p><strong>Finding the Cure</strong><br />
Health care emulates lifeI called Dr. Hammami with the news of the final diagnosis and asked why it had been missed by all the doctors the patient saw before arriving at his hospital. He thought for a moment before he answered. &#8221;It&#8217;s difficult for &#8230;</p>
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		<title>By: Bernie Simon</title>
		<link>http://www.medrants.com/archives/2151/comment-page-1#comment-4934</link>
		<dc:creator>Bernie Simon</dc:creator>
		<pubDate>Wed, 10 Nov 2004 01:44:04 +0000</pubDate>
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		<description>Could we have a discussion of iatrogenic illness without getting bogged down in name calling? In-hospital infections and bedsores are real sources of morbidity and not figments of a malpractice lawyer&#039;s imagination. And they are problems that could be simply addressed. Doctors, for one thing, could wash their hands more consistently.

From my limited experience, the people who are banging the drum on iatrogenic illness are the injured and families of the injured, just as the vaccine safety movement is run by the families of those harmed by vaccinations.</description>
		<content:encoded><![CDATA[<p>Could we have a discussion of iatrogenic illness without getting bogged down in name calling? In-hospital infections and bedsores are real sources of morbidity and not figments of a malpractice lawyer&#8217;s imagination. And they are problems that could be simply addressed. Doctors, for one thing, could wash their hands more consistently.</p>
<p>From my limited experience, the people who are banging the drum on iatrogenic illness are the injured and families of the injured, just as the vaccine safety movement is run by the families of those harmed by vaccinations.</p>
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		<title>By: Steve Lucas</title>
		<link>http://www.medrants.com/archives/2151/comment-page-1#comment-4930</link>
		<dc:creator>Steve Lucas</dc:creator>
		<pubDate>Tue, 09 Nov 2004 11:00:13 +0000</pubDate>
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		<description>Silly me, I thought the doctor acted in a professional manner by seeking solutions to a problem he could not answer. I don&#039;t think too many American doctors see this type of case and being open to input was the object in seeking a solution. Yes it would have been nice to have caught the reason for the illness on the first visit, but guys, you can not know everything about everything.</description>
		<content:encoded><![CDATA[<p>Silly me, I thought the doctor acted in a professional manner by seeking solutions to a problem he could not answer. I don&#8217;t think too many American doctors see this type of case and being open to input was the object in seeking a solution. Yes it would have been nice to have caught the reason for the illness on the first visit, but guys, you can not know everything about everything.</p>
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		<title>By: RGL</title>
		<link>http://www.medrants.com/archives/2151/comment-page-1#comment-4928</link>
		<dc:creator>RGL</dc:creator>
		<pubDate>Tue, 09 Nov 2004 03:42:23 +0000</pubDate>
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		<description>The other AMA Bernie is referring to reminds me of the old KKK designed to instill fear among Americans. It is another of those fringe groups with nothing good to say about medicine.

Invoking the IOM report issued in 1999 has become a bible among trial lawyers - a flawed study where a second look by another group from Harvard did not identify the so-called errors with thousands of deaths. That study has been discredited.

For this fringe group to say little has been done to minimize medical errors is arrant dishonesty. I can almost guess who are behind this sleazy website.</description>
		<content:encoded><![CDATA[<p>The other AMA Bernie is referring to reminds me of the old KKK designed to instill fear among Americans. It is another of those fringe groups with nothing good to say about medicine.</p>
<p>Invoking the IOM report issued in 1999 has become a bible among trial lawyers &#8211; a flawed study where a second look by another group from Harvard did not identify the so-called errors with thousands of deaths. That study has been discredited.</p>
<p>For this fringe group to say little has been done to minimize medical errors is arrant dishonesty. I can almost guess who are behind this sleazy website.</p>
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		<title>By: Bernie Simon</title>
		<link>http://www.medrants.com/archives/2151/comment-page-1#comment-4927</link>
		<dc:creator>Bernie Simon</dc:creator>
		<pubDate>Tue, 09 Nov 2004 02:50:53 +0000</pubDate>
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		<description>OT link: &lt;a href=&quot;http://americansmadandangry.org/&quot;&gt;Americans Mad and Angry&lt;/a&gt; a new web site devoted to documenting iatrogenic illness.</description>
		<content:encoded><![CDATA[<p>OT link: <a href="http://americansmadandangry.org/">Americans Mad and Angry</a> a new web site devoted to documenting iatrogenic illness.</p>
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		<title>By: Steve Lucas</title>
		<link>http://www.medrants.com/archives/2151/comment-page-1#comment-4924</link>
		<dc:creator>Steve Lucas</dc:creator>
		<pubDate>Mon, 08 Nov 2004 23:46:44 +0000</pubDate>
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		<description>Another important factor was the collaboration of the family. We as patients can bring important contacts to help resolve a problem, plus the involvement helps the family to own the solution. This can be an asset in long term care and rehab.</description>
		<content:encoded><![CDATA[<p>Another important factor was the collaboration of the family. We as patients can bring important contacts to help resolve a problem, plus the involvement helps the family to own the solution. This can be an asset in long term care and rehab.</p>
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		<title>By: RGL</title>
		<link>http://www.medrants.com/archives/2151/comment-page-1#comment-4923</link>
		<dc:creator>RGL</dc:creator>
		<pubDate>Mon, 08 Nov 2004 17:19:07 +0000</pubDate>
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		<description>A fascinating case.

I have been taught, whether in medicine or any other area, that the beginning of wisdom is when we say: I DON&#039;T KNOW.

One reason I think most internists, perhaps even some ID specialists, would miss diagnosing this case is the minimal exposure we had in tropical medicine. Plus, we may never have seen a case in training or in practice.

Indeed, Dr. Hammani deserves a lot of credit for pursuing this case until its resolution. It&#039;s never beneath us to seek help when we need it.</description>
		<content:encoded><![CDATA[<p>A fascinating case.</p>
<p>I have been taught, whether in medicine or any other area, that the beginning of wisdom is when we say: I DON&#8217;T KNOW.</p>
<p>One reason I think most internists, perhaps even some ID specialists, would miss diagnosing this case is the minimal exposure we had in tropical medicine. Plus, we may never have seen a case in training or in practice.</p>
<p>Indeed, Dr. Hammani deserves a lot of credit for pursuing this case until its resolution. It&#8217;s never beneath us to seek help when we need it.</p>
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