THE DANGERS OF MULTIDIMENSIONAL THINKING. JAMA Neurology reports on the case of a 25-year-old man who suffered 15 minutes of hypoxia after being buried by an avalanche during a ski trip. The man developed “involuntary myoclonic jerks of the mouth” when talking, and seizures in both legs when walking. More bizarrely, weeks later, he suffered seizures in the left arm while trying to solve Sudoku puzzles. The seizures quit immediately after he stopped working the Sudoku puzzle. The study points out that as he worked on the number-organizing puzzle, he imagined it in a three-dimensional manner.
HOW MARYLAND’S EXPERIMENT WITH GLOBAL BUDGETING is positively impacting public health. National Public Radio takes a look at how changes in the way Medicare pays hospitals in Maryland is boosting public health efforts. As you know, keeping the population healthier and out of the hospital saves money. Be sure to listen to the story by clicking on the audio portion, which expands upon the text and tells the story in layperson’s language.
JUSTICE DELAYED MAY NOT BE JUSTICE DENIED, but it’s a problem nonetheless. The BMJ has retracted a 1989 study and called the case, in which a 1995 university finding of misconduct by a researcher was only recently brought to light, “a major failure of scientific governance.” The study, by Canadian scientist R.K. Chandra, dealt with the immune benefits of baby formula. An inquiry by Memorial University of Newfoundland in 1995 concluded scientific misconduct; however, it did not release those findings. An editorial in The BMJ stated that its editors were recently told the university’s conclusions were not released because the investigation into the accuracy of Chandra’s work was “flawed.” However, the British Medical Association journal points out that Canadian TV programs broadcast in 2006 include university representatives saying, “the university had dropped the case because Chandra threatened to sue.”The retraction after 26 years and The BMJ’s dissection of what went on since then are a fascinating tale of “a collective failure to defend the integrity of science.”
ED DOCS NO FANS OF NARROW NETWORKS. Emergency physicians say they’re seeing privately insured and Medicaid patients who are delaying needed care because of their health plans. The American College of Emergency Physicians surveyed 1,433 emergency physicians in September 2015. For the insured, some 70 percent of ED doctors surveyed said a visit to the ED comes at too high a price in the form of high deductibles or co-pays. And 73 percent of those surveyed said Medicaid-based health plans use “narrow networks” to provide an inadequate number of primary care physicians.