Michael Jackson dead from propofol, is Dr. Conrad Murray solely to blame?

Recent reports have said that Michael Jackson died from a propofol overdose. Is that really the case?

Here’s what happened, according to the published timeline.

— At about 1:30 a.m., [Dr. Conrad] Murray gave Jackson 10 mg of Valium.
— At about 2 a.m., he injected Jackson with 2 mg of the anti-anxiety drug Ativan.
— At about 3 a.m., Murray then administered 2 mg of the sedative Versed.
— At about 5 …

Read more…

Do patients really need their complete lab and radiology reports?

Most prefer the bottom line, sparing them the raw data.

Primary care physician Rob Lamberts asks that exact question, and reprints sample reports of lab tests and an echocardiogram, demonstrating the wealth of information they contain.

So, borrowing this image from Dr. Rob, I’m not sure how useful something like this would be to patients (sorry for the small type, but you get the idea):

lab-valuesRead more…

Do lacrosse players have a higher rate of sudden cardiac death?

Surprisingly, lacrosse is the fasting growing youth sport in the country.

MedPage Today reports a recent study from Pediatrics that showed that lacrosse players have a disproportionally higher rate of commotio cordis, which is ventricular fibrillation caused by blunt chest trauma.

43 percent of lacrosse deaths can be attributed to the condition, compared to 27 percent in hockey, and 24 percent in baseball.

What to do? Researchers are looking at …

Read more…

How soon should patients receive their test results?

And should you assume that no news is good news?

The answer is no. According to a study in the Archives of Internal Medicine, 7 percent of abnormal test results from primary care offices were never reported to the patient. And in a large, unnamed, academic medical center, that number ballooned to 23 percent.

That’s almost a quarter of abnormal test results from that center that patients were never …

Read more…

Did Demerol cause Michael Jackson’s cardiac arrest and death?

Michael Jackson’s death continues to consume the news cycle.

There is currently no clear explanation. Some have speculated that it may be related to the narcotic pain drug, Demerol. According to this report from the UK’s The Sun, “An Emergency Room source at UCLA hospital said Jackson aides told medics he had collapsed after an injection of potent Demerol …

Read more…

Steve Jobs received a new liver, and the ethics surrounding his transplant

Orac, a general surgeon who blogs at Respectful Insolence, writes the most comprehensive entry I’ve seen thus far on Apple’s Steve Jobs’ liver transplant.

For those interested in the medicine behind the transplant, go and read his post in its entirety. I’d like to highlight some of the potentially questionable ethics surrounding the case.

For one, there is the question why Mr. …

Read more…

Why do I need a rectal exam, and what can doctors find with the gloved finger?

Have you ever wondered why doctors have to perform a digital rectal exam?

Well, look no further, as primary care doctor Rob Lamberts gives us the answers discerning readers demand.

Simply by looking at the rectum, which by the way, indeed “takes some getting used to,” can lead to significant diagnostic findings. Furthermore, does tight sphincter tone matter? And should you be worried about the large hands …

Read more…

Does masturbation really cause prostate cancer?

A small study garnered significant media attention last week, with headlines blaring an association between masturbation and prostate cancer.

Before anyone gets really worried, obstetrician-gynecologist Amy Tuteur takes a closer look at the data, and is not impressed.

The retrospective, case-control study actually didn’t reveal any significant initial findings, so the authors kept manipulating the variables until they saw a possible association.

Dr. Tuteur believes that …

Read more…

Colonoscopy by primary care doctors, is it time to start joining the proceduralists?

As mid-level providers are starting to take over primary care, can generalist doctors start doing specialist procedures?

If they’re smart, they’ll try. Better to take advantage of a specialist-favoring physician payment system, rather than wait for things to change.

Colonoscopies are among the more lucrative of procedures, and signs are pointing to a shortage of gastroenterologists in the coming years to perform them.

MedPage Today

Read more…


✓ Join 150,000+ subscribers
✓ Get KevinMD's most popular stories