#doctor — Public Fediverse posts
Live and recent posts from across the Fediverse tagged #doctor, aggregated by home.social.
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DATE: August 13, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: What patients actually think about ‘minimally invasive’ brain implants
Scroll through the flashy websites of neurotechnology startups and a phrase repeats again and again: “minimally invasive.”
“The term is fuzzy, problematic,” said Anna Wexler, a medical ethics and health policy professor at the University of Pennsylvania Perelman School of Medicine. “Is it physical invasiveness? We’re not sure, it’s a fraught term.”
The fuzziness hasn’t stopped most brain-computer interface startups from deploying it in a bid to differentiate their devices from others in development. Synchron, Motif Neurotech, Precision Neuroscience, and Merge Labs all use it liberally. Journalists sometimes repeat the spin.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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CVE Alert: CVE-2026-85402 - code-projects - Doctor Appointment System - https://www.redpacketsecurity.com/cve-alert-cve-2026-85402-code-projects-doctor-appointment-system/
#OSINT #ThreatIntel #CyberSecurity #cve-2026-85402 #code-projects #doctor-appointment-system
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Doctor Strange and Doctor Doom: Triumph and Torment Review: Doom Walks Into Hell and Marvel Magic Hits Different
Roger Stern, Mike Mignola, Mark Badger, and Jim Novak turn Doctor Strange and Doctor Doom: Triumph and Torment into a sinister Marvel classic...
https://comiccrusaders.com/reviews/comic-reviews/doctor-strange-doctor-doom-triumph-torment-review/
#classic Marvel comics #doctor doom #doctor strange #Mark Badger #marvel comics #Mephisto #Mike Mignola #Roger Stern #Triumph and Torment -
Doctor Strange and Doctor Doom: Triumph and Torment Review: Doom Walks Into Hell and Marvel Magic Hits Different
Roger Stern, Mike Mignola, Mark Badger, and Jim Novak turn Doctor Strange and Doctor Doom: Triumph and Torment into a sinister Marvel classic...
https://comiccrusaders.com/reviews/comic-reviews/doctor-strange-doctor-doom-triumph-torment-review/
#classic Marvel comics #doctor doom #doctor strange #Mark Badger #marvel comics #Mephisto #Mike Mignola #Roger Stern #Triumph and Torment -
DATE: September 3, 2026 at 09:18AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: OpenEvidence launches new family of AI models
You’re reading the web edition of STAT’s Health Tech newsletter, our guide to how technology is transforming the life sciences. Sign up to get it delivered in your inbox every Tuesday and Thursday.
Good morning health tech readers!
Today, a look at how some generative AI medical devices are getting on the market quickly. Plus: OpenEvidence’s new AI models and some hubbub about OpenAI and Epic.
Continue to STAT+ to read the full story…
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STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
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Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
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-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: September 3, 2026 at 09:18AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: OpenEvidence launches new family of AI models
You’re reading the web edition of STAT’s Health Tech newsletter, our guide to how technology is transforming the life sciences. Sign up to get it delivered in your inbox every Tuesday and Thursday.
Good morning health tech readers!
Today, a look at how some generative AI medical devices are getting on the market quickly. Plus: OpenEvidence’s new AI models and some hubbub about OpenAI and Epic.
Continue to STAT+ to read the full story…
-------------------------------------------------
STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
-------------------------------------------------
Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
.
-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: September 3, 2026 at 09:18AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: OpenEvidence launches new family of AI models
You’re reading the web edition of STAT’s Health Tech newsletter, our guide to how technology is transforming the life sciences. Sign up to get it delivered in your inbox every Tuesday and Thursday.
Good morning health tech readers!
Today, a look at how some generative AI medical devices are getting on the market quickly. Plus: OpenEvidence’s new AI models and some hubbub about OpenAI and Epic.
Continue to STAT+ to read the full story…
-------------------------------------------------
STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
-------------------------------------------------
Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
.
Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
.
-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: September 3, 2026 at 09:18AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: OpenEvidence launches new family of AI models
You’re reading the web edition of STAT’s Health Tech newsletter, our guide to how technology is transforming the life sciences. Sign up to get it delivered in your inbox every Tuesday and Thursday.
Good morning health tech readers!
Today, a look at how some generative AI medical devices are getting on the market quickly. Plus: OpenEvidence’s new AI models and some hubbub about OpenAI and Epic.
Continue to STAT+ to read the full story…
-------------------------------------------------
STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
-------------------------------------------------
Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
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Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
.
-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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https://www.europesays.com/ie/670166/ US medical groups issue vaccine guidance, urge jabs for flu, COVID and RSV | Coronavirus pandemic News #CoronavirusPandemic #Courts #Doctor'sNote #Éire #Government #Health #IE #Ireland #News #UnitedStates #US&Canada
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DATE: September 3, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: FDA pilot offers generative AI medical devices a path to patients before they are authorized
As the Food and Drug Administration wrestles with how to regulate medical devices that rely on generative artificial intelligence to make decisions about care, it’s provisionally allowing some developers to launch their products on the market.
AI products from Cadence and Limbic are among four devices recently accepted into the agency’s TEMPO pilot program that will allow digital health companies to release their products without marketing authorization.
The pilot is intended to beef up the number of technologies available for the Medicare ACCESS model, an experiment in paying for technology to help beneficiaries manage chronic conditions. But it also offers the agency and companies the opportunity to experiment with AI regulation in the real world.
Continue to STAT+ to read the full story…
-------------------------------------------------
STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
-------------------------------------------------
Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
.
Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
.
-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: September 3, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: FDA pilot offers generative AI medical devices a path to patients before they are authorized
As the Food and Drug Administration wrestles with how to regulate medical devices that rely on generative artificial intelligence to make decisions about care, it’s provisionally allowing some developers to launch their products on the market.
AI products from Cadence and Limbic are among four devices recently accepted into the agency’s TEMPO pilot program that will allow digital health companies to release their products without marketing authorization.
The pilot is intended to beef up the number of technologies available for the Medicare ACCESS model, an experiment in paying for technology to help beneficiaries manage chronic conditions. But it also offers the agency and companies the opportunity to experiment with AI regulation in the real world.
Continue to STAT+ to read the full story…
-------------------------------------------------
STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
-------------------------------------------------
Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
.
Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
.
-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: September 3, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: FDA pilot offers generative AI medical devices a path to patients before they are authorized
As the Food and Drug Administration wrestles with how to regulate medical devices that rely on generative artificial intelligence to make decisions about care, it’s provisionally allowing some developers to launch their products on the market.
AI products from Cadence and Limbic are among four devices recently accepted into the agency’s TEMPO pilot program that will allow digital health companies to release their products without marketing authorization.
The pilot is intended to beef up the number of technologies available for the Medicare ACCESS model, an experiment in paying for technology to help beneficiaries manage chronic conditions. But it also offers the agency and companies the opportunity to experiment with AI regulation in the real world.
Continue to STAT+ to read the full story…
-------------------------------------------------
STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
-------------------------------------------------
Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
.
Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
.
-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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DATE: September 3, 2026 at 04:30AM
SOURCE: STAT HEALTH TECHTITLE: STAT+: FDA pilot offers generative AI medical devices a path to patients before they are authorized
As the Food and Drug Administration wrestles with how to regulate medical devices that rely on generative artificial intelligence to make decisions about care, it’s provisionally allowing some developers to launch their products on the market.
AI products from Cadence and Limbic are among four devices recently accepted into the agency’s TEMPO pilot program that will allow digital health companies to release their products without marketing authorization.
The pilot is intended to beef up the number of technologies available for the Medicare ACCESS model, an experiment in paying for technology to help beneficiaries manage chronic conditions. But it also offers the agency and companies the opportunity to experiment with AI regulation in the real world.
Continue to STAT+ to read the full story…
-------------------------------------------------
STAT News reports "from the frontiers of health and medicine".
Learn more at https://www.statnews.com/category/health-tech/ .
See also their complete Mastodon account at @STAT .
This robot is NOT affiliated with STAT news and merely rebroadcasts from their site. Responses posted here are not monitored.
-------------------------------------------------
Private, vetted email list for mental health professionals: https://www.clinicians-exchange.org
.
Healthcare security & privacy posts not related to IT or infosec are at @HIPAABot . Even so, they mix in some infosec with the legal & regulatory information..
.
-------------------------------------------------#healthcare #healthtech #healthcaretech #healthtechnology #medgadget #medicine #doctor
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https://www.europesays.com/ie/653722/ Nanoparticle vaccine offers long-lasting protection against multiple flu strains #doctor #Éire #flu #Health #IE #immunity #Influenza #Ireland #Manufacturing #Nanoparticle #Pandemic #Protein #SwineFlu #Vaccine #virus #Yeast
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#Death #NDE #SamParnia #Study #Studies #Medicine #NearDeath #Medical #NearDeathStudies #Research #Medicine #Health #Doctor #Life #Consciousness #Brain #Living #Resuscitation #Aware #Aware2 AWARE and AWARE II brought NDE’s from the fringe into mainstream science, and whenever Sam Parnia speaks we definitely need to listen…
https://www.youtube.com/watch?v=_18UdG4STHA&pp=ygUQUmV0aGlua2luZyBEZWF0aA%3D%3D&ra=m -
Cold Sweats
A tri-fecta of great challenges today.
https://weeklyprompts.com/2026/08/08/weekly-prompts-weekend-challenge-anxiety/ Three Things Challenge https://worddaily.com/WPWC ✅
This week, the weekend challenge is the word “Anxiety”
TTC ✅
Your three words today are:
DIET
DRIBBLE
DALLY
WD ✅
Disquisition - ˌdiskwəˈzishən
Noun
A formal inquiry into or discussion of a subject; discourse.I didn’t dally when I met with my doctor yesterday. My first disquisition was the rules of the new diet she had me on, it was giving me anxiety so bad that I would find myself constantly wiping the dribble off of my face. She reassured me that it was all in my head as she handed me another napkin to wipe my chin off.
https://youtu.be/n95eekfFZZg?si=f7pjI7MzKR_vsM-h
A826 ©https://www.peaceful-threads.com
#anxiety #Challenges #dailyprompt #dailyprompt2847 #doctor #writing -
She the second one
Knew she could do anything
And did she ever#Haiku #OneHaikuADay #WritersCollective #writingcommunity #BackToHaiku #Summer #July #Birthday #Daughter #Doctor #Veterinarian #Norway #Scotland #Ireland #Smart #Accomplished #Intelligent #Amazing #Akron #Ohio #USA #Photography #2026
July 20, 2026 -
A Doctor For Lady Denby (The Hope Clinic)
"He thinks she's a bossy shrew. She thinks he's rude beyond measure. It's hate at first sight"
Sale: $4.99 to $0.99
Trisha Messmer
Rating: 4.5/5 (1317 Reviews)
#regency #romance #historicalfiction #historicalromance #books #booksky #widow #doctor #secret
A Doctor For Lady Denby (The H... -
In #Gaza, ‘slaughter continues unabated’ while the world turns away
#Israel has escalated its airstrikes across the enclave in recent weeks, burning Palestinians alive as it makes a mockery of the ‘ceasefire.’
https://www.972mag.com/wp-content/themes/rgb/newsletter.php?page_id=8§ion_id=192842&utm_source=972+Magazine+Newsletter&utm_campaign=b5899d4624-EMAIL_CAMPAIGN_9_12_2022_11_20_COPY_01&utm_medium=email&utm_term=0_f1fe821d25-b5899d4624-1401528606from +972’s Sunday Recap
#972Magazine [published in #Israel]
June 22, 2026Also:
- The #Israeli right is marching under a new flag
- ‘His only crime is that he is a #Palestinian #doctor’
- 15 articles a day: The extent of the Israeli army’s #media interference
- The plot against #PalestineAction
- The #Palestine movement must seek power over purity
#DontForgetGaza
#GazaWillNotCrack
#StopStarvingGaza
#FreePalestine
#SanctionIsrael
#BlockTheBombs
#EndBlockadeOfGaza
#AllEyesOnWestBank
#SettlersOut
#AntiZionismIsNotAntisemitism
#BDS #DivestFromIsrael
#SolidarityWithPalestineIsNotAntisemitism
#EqualRightsForAllFromTheRiverToTheSeaIsNotAntisemitic
#JewHatredHurtsPalestine
#MiddleEast #WestAsia
#news #politics -
Tips on how to stay safe while gardening in summer heat https://www.allforgardening.com/1778946/tips-on-how-to-stay-safe-while-gardening-in-summer-heat/ #Break #day #doctor #expert #garden #gardener #gardening #Hour #hydration #JedZeigler #KathyYost #lot #PennStateMasterGardener #ProtectiveGear #Sort #SummerHeat #SummerWeatherWeek #sun #sunscreen #tip #UseSunscreen #WeatherGardening #weather! #YorkCounty
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Unlikely Hantavirus came from Tierra del Fuego, official says
Patients on a luxury cruise ship hit by a deadly hantavirus outbreak could not have been infected in Argentina's southernmost Tierra del Fuego province, said Juan Petrina, director of epidemiology and environmental health for the province. #hantavirus #who #cruiseship #health #spain #doctor #medic #News #Reuters #Newsfeed Read the story here: 👉 Subscribe: Keep up with the latest news from around the world:…
https://fllics.com/en/video/unlikely-hantavirus-came-from-tierra-del-fuego-official-says/
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Hantavirus-hit ship captain announces first death: April 12 video
Video shared on social media shows the captain of a cruise ship affected by a hantavirus outbreak informing passengers on April 12 that one person had died on board, saying the death was believed to be due to natural causes and was not infectious. #hantavirus #cruiseship #health #spain #doctor #medic #News #Reuters #Newsfeed Read the story here: 👉 Subscribe:
https://fllics.com/en/video/hantavirus-hit-ship-captain-announces-first-death-april-12-video/
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People from hantavirus-hit ship arrive in the Netherlands
A plane carrying three people evacuated from the luxury cruise ship hit by a deadly hantavirus outbreak landed at Schiphol airport in the Netherlands. #hantavirus #cruiseship #health #spain #doctor #medic #News #Reuters #Newsfeed Read the story here: 👉 Subscribe: Keep up with the latest news from around the world: Follow Reuters on Facebook: Follow Reuters on X: Follow Reuters on Instagram:
https://fllics.com/en/video/people-from-hantavirus-hit-ship-arrive-in-the-netherlands/
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Preventative Medicine, or the Manufacture of Patients?
There is a sentence every American patient has heard at the dentist’s chair, the cardiologist’s office, the primary-care visit, and the pharmacy counter. It arrives in a tone of grave responsibility: We caught this early. What follows is a crown, an echocardiogram, a statin, a stress test, a referral, a follow-up appointment, and a copay. The word “preventative” has come to function as a moral shield around a billing code. To question whether the recommended intervention is necessary is treated as ingratitude toward a profession that, the implication goes, only wants to keep you alive.
The trouble is that the evidence for many of these interventions is weaker than the assured tone of the recommending clinician suggests, and the financial structure of American medicine rewards the recommendation regardless of whether the evidence supports it. A 2019 JAMA review by Shrank and colleagues estimated annual waste in U.S. health spending at $760 billion to $935 billion, roughly a quarter of total expenditures, with overtreatment and low-value care alone accounting for $76 billion to $101 billion of that figure. Administrative complexity contributes another $266 billion. Pricing failures contribute $230 to $241 billion. These are the numbers in the system’s own peer-reviewed literature, produced by health-services researchers reading their own data.
Consider the dental crown. A 2020 study by Holden and colleagues, published in Community Dentistry and Oral Epidemiology, surveyed dentists who reported widespread peer-observed overtreatment driven by what the authors called the “selling culture” of practice-management courses that teach acceptance-rate optimization. KFF Health News documented Medicaid reimbursement structures that pay three to six times more for nickel-chromium steel crowns than for fillings, an obvious incentive to crown rather than restore. Two of the largest American dental chains, operating under the Kool Smiles and Small Smiles brands, settled federal whistleblower lawsuits alleging unnecessary root canals on Medicaid-enrolled children for roughly $24 million each. The pattern is documented in the Department of Justice settlement record. A three-year-old boy named Gregory, examined by a North American Dental Group office in Ohio, was diagnosed with seven needed root canals; four of the teeth treated were later extracted. The Medicaid bill came to $1,273 against the $61 a check-up and cleaning would have cost. Gregory paid in tooth count. The chain paid a settlement years later, after the journalism caught up with the billing.
Echocardiograms tell the same story in higher-resolution format. The American College of Cardiology, through the Choosing Wisely campaign launched in 2012, listed five cardiac procedures routinely overused, three of which concerned imaging and stress-testing patients without symptoms. The American Society of Echocardiography itself recommends against repeat echocardiograms in stable, asymptomatic patients with a previously normal exam, against echocardiography for preoperative assessment in patients with no cardiac history, and against stress echocardiograms in low-risk asymptomatic adults. A multicenter trial cited by the Journal of Nuclear Cardiology found that 15% of cardiac SPECT studies were inappropriate by the ACC’s own appropriate-use criteria, with the largest single category being detection of coronary artery disease in asymptomatic low-risk patients. A Choosing Wisely Canada review found that asymptomatic low-risk patients account for up to 45% of unnecessary cardiac screening. The professional society of the field that performs the test acknowledges that close to half of its screening volume should not occur. The volume occurs because the equipment is amortized, the slot is scheduled, and the reimbursement code clears.
Salt deserves a more careful answer because the original advice was honest, the science evolved, and the medical establishment has not communicated the evolution well to patients trained to fear the salt shaker. A 2026 systematic review and meta-analysis in Cureus by Alqurain and colleagues, drawing on twenty studies and 306,019 participants, found that sodium restriction reduces mortality risk in patients with essential hypertension, which confirms the original logic for that population. In observational cohorts, however, low sodium intake associates with increased mortality, supporting a J-shaped relationship at the lower extreme. In heart-failure populations specifically, aggressive restriction shows a non-significant trend toward harm. The 2024 European Society of Cardiology guidelines responded to this evidence by setting the sodium target at less than 2 grams per day, framed as realistic and sustainable, and acknowledged that the J-curve effect appears at intakes below that threshold. The honest answer to the question is that the old blanket prohibition was overdrawn, the current evidence supports moderation rather than minimization, and the simplistic counter-claim that “more salt is better” is also wrong. Hypertensives still benefit from reduction. Severely sodium-depleted patients on aggressive diuretics may be harmed by it. Medicine has walked back a categorical claim quietly, without retracting the decades of advice that produced an entire processed-food category labeled “low sodium” and a generation of patients trained to feel guilty about a pinch.
Threshold creep is the marketing arm of preventative medicine, and the documentation of it is now its own academic literature. In May 2003, the Joint National Committee’s seventh report introduced “prehypertension” as a diagnostic category covering blood pressure between 120 and 139 systolic or 80 and 89 diastolic, redrawing the line of disease in a single committee meeting and producing millions of new patients overnight without anyone’s actual blood pressure changing. The American Diabetes Association lowered the hemoglobin A1c threshold for prediabetes to 5.7% in 2010, expanding the population eligible for diabetic surveillance and pharmaceutical preprescription by tens of millions. AbbVie spent more than $75 million on AndroGel marketing in 2012, running an unbranded “Is It Low T?” awareness campaign that, according to a 2017 JAMA Internal Medicine analysis, drove measurable rises in testosterone testing in regions with heavier advertising exposure. The company’s claimed hypogonadism prevalence climbed from roughly one million American men at AndroGel’s FDA approval in 2000 to twenty million at the peak of the campaign, a twentyfold inflation in twelve years that left the actual incidence of medical hypogonadism unchanged and reached well past it into the population of aging men whose declining testosterone is part of normal physiology. JAMA itself published the takedown under the title “Low T as a Template: How to Sell a Disease.” GlaxoSmithKline ran the parallel campaign for restless legs syndrome beginning in 2003, two years before Requip’s FDA approval; sales doubled within a year, climbing from $165 million in 2005 to $330 million in 2006, and the Restless Legs Syndrome Foundation received roughly 45% of its 2005 revenue from the drug companies whose products it was positioned to validate. Ray Moynihan and Alan Cassels named the framework in 2005 in Selling Sickness, which the April 2006 special issue of PLoS Medicine on disease mongering then developed across eleven peer-reviewed articles. The phenomenon is not exotic. The eye doctor who tells the patient with stable elevated intraocular pressure that the chart now reads “pre-glaucoma” is following the same logic, and the rest of the chain follows automatically: category extends, patient enrolls, visit recurs. Nothing about the patient has changed except the box checked on the form.
Colonoscopy is the case where every thread in the argument crosses. The U.S. Preventive Services Task Force recommended initiating screening at age 50 from its 1996 guideline through 2020, then lowered the threshold to 45 in May 2021 in response to documented rises in younger-onset colorectal cancer; the American Cancer Society had already moved earlier, in 2018. The threshold change added roughly 21 million newly eligible Americans to the screening pool. Modeling cited in the USPSTF’s own evidence review estimated that lowering the screening age from 50 to 45 requires 810 additional colonoscopies per 1,000 persons screened in a colonoscopy-based strategy. The procedural revenue for the gastroenterology specialty is substantial, and the financial alignment with maintaining colonoscopy as the preferred modality is direct, even though the USPSTF itself lists fecal immunochemical testing, stool DNA testing (Cologuard from Exact Sciences), and, since the FDA approval of Guardant Health’s Shield in July 2024, plasma-based screening as recommended alternatives. Patients dislike colonoscopy for documented reasons that the marketing apparatus does not address: the day-long bowel preparation is psychologically and physically demanding, the procedure itself requires sedation and a driver, and the complication rate, while small in absolute terms at roughly four perforations and eight major bleeding events per ten thousand procedures, is non-zero on a population that now includes twenty million additional people. Most consequentially, the randomized trial evidence underwriting the marketing is more modest than the marketing suggests. The Nordic-European Initiative on Colorectal Cancer trial, called NordICC, published in the New England Journal of Medicine in October 2022 by Bretthauer and colleagues, randomized 84,585 adults aged 55 to 64 in Poland, Norway, and Sweden either to receive a one-time invitation to colonoscopy or to receive no invitation. At ten years, the intention-to-screen analysis found an 18% relative reduction in colorectal cancer incidence, considerably less than the 50% the trialists had originally hypothesized, and the reduction in colorectal cancer-specific mortality was not statistically significant, with a relative risk of 0.90 and a confidence interval that crossed one. Per-protocol analyses of those who actually attended their colonoscopy were more favorable, but the trial’s headline finding sent a different signal than the volume of screening recommendation would suggest. None of this argues against any individual person choosing colonoscopy. The mass-screening case for choosing colonoscopy at age 45 over the non-invasive alternatives, on a procedure patients dislike with a complication profile that scales with volume, is weaker than the gastroenterology revenue stream depending on it would suggest.
Statins offer a sharper case because the harm signal is undisputed within the literature, including the manufacturers’ own pooled trial data. The 2024 individual-participant-data meta-analysis published in The Lancet Diabetes & Endocrinology by the Cholesterol Treatment Trialists’ Collaboration confirmed what previous summary-level analyses had shown: statin therapy produces a moderate, dose-dependent increase in new diagnoses of type 2 diabetes. The earlier Sattar meta-analysis, with 91,140 participants across thirteen trials, put the relative risk increase at 9%. Preiss and colleagues, comparing high-intensity to moderate-intensity statins across five trials with 32,752 participants, found a 12% increase. Cai and colleagues stratified by LDL-c target and found that when the target was set below 1.8 millimoles per liter, the risk of new-onset diabetes rose by 33%. The Diabetes Prevention Program Outcomes Study, with 3,234 high-risk participants followed for ten years, recorded a 36% cumulative incidence of diabetes among statin users compared with 20% in placebo. Observational meta-analyses, which capture longer follow-up and broader populations than the trials, place the increase as high as 44 to 55%. Statins lower cardiovascular events in patients with established disease. They also produce diabetes in a measurable fraction of users, with the risk concentrated in patients who already carry metabolic risk factors. Both statements are true. Weighing them honestly per patient is the clinical task. The marketing posture, which presented the drugs as harmless tools to be deployed broadly on the basis of a single number called LDL-c, was always incomplete. As the LDL-c target was driven downward more aggressively, the regimen produced more diabetes. This is on record. It has not produced a corresponding pullback in prescribing volume because the prescribing volume is shaped by guideline thresholds, quality metrics tied to insurer reimbursement, and patient anxiety, none of which respond directly to the diabetes incidence data.
The structural question follows from the four clinical cases. Is the American medical system broken, or did it never work? The honest answer is the second. The system was assembled from incompatible parts during the postwar period: a tax-deductible employer-insurance model designed during wartime wage controls, a Medicare program designed to extend Blue Cross logic to the elderly, a Medicaid program designed as charity for the poor, a private fee-for-service architecture designed for solo practitioners, and a hospital-based academic medicine designed for rare disease and surgery. None of these components were designed together. None share an objective function. The result is an apparatus that bills with great competence, codes with great competence, and produces health outcomes that are mediocre by every international comparison the United States has been willing to publish. Life expectancy at birth in the United States is below that of Costa Rica. Maternal mortality runs more than 50% higher than in the next closest wealthy nation. The system is performing as designed; the design has always rewarded volume of billable encounters, and the financial structure pays out for that volume regardless of whether the volume corresponds to improved health.
This is where the moral question becomes unavoidable. Should there be profit in having a healthy body? Some forms of profit are morally legible. A surgeon who removes a tumor has earned compensation. A pharmaceutical firm that develops a drug from molecule to market has earned a return on capital. An infectious-disease specialist who diagnoses a rare presentation has earned the consultation fee. These are professional earnings against a discrete service rendered. The trouble is that American medicine has migrated, over four decades, from the model of compensated service toward the model of recurring revenue extraction. A patient enters a clinical panel. The panel is screened on a schedule. Screening reveals an incidental finding, which generates a workup, which generates a procedure, which generates a follow-up, which generates a maintenance medication, which generates a side effect, which generates a referral. At no point in this chain does anyone need to act in bad faith for the patient to be subjected to a sequence of interventions whose net benefit, as measured by years of life or quality of life, is negligible or negative. The clinician is paid by relative-value-unit production, the hospital by case-mix index, the insurer by per-member-per-month premiums, the drug company by prescription volume. The patient pays a copay at every node and a premium at the front of the chain.
Consider how the mechanism operates without anyone choosing it. The dentist who recommends a crown the tooth does not require is rarely acting in bad faith. The practice-management system quantifies daily production targets and benchmarks the doctor’s work against peer averages, and a clinician below the benchmark has uncomfortable conversations with the practice owner. A cardiologist who orders surveillance echocardiograms in stable asymptomatic patients follows a referral pattern that the practice’s billing coordinator built into the appointment template. A primary-care physician who titrates a statin to a more aggressive LDL-c target works from a quality measure that determines a portion of the practice’s reimbursement. None of these clinicians wakes up wanting to harm the patient. The structure does the harming for them, by making the path of least resistance the path of maximum billing. Preventative medicine, in the modern American sense, has become a euphemism for a procedure pipeline disguised as moral concern.
The technologies themselves have legitimate uses. Statins prevent secondary cardiovascular events in patients who have already had a heart attack, and the evidence for that use case is strong. Echocardiograms in symptomatic patients are diagnostic instruments without which cardiology could not function. Crowns on actually fractured teeth save the tooth and the bite. The correct critique is of population-level deployment without symptom-based indication, of marketing the diagnostic machinery as a moral good when it operates as a revenue mechanism, and of presenting the patient with a recommendation that the system has produced before the clinician walked into the room.
Real prevention exists, and it is recognizable by the absence of profit attached to it. Hand-washing prevents postsurgical infection. Vaccines reduce measles, pertussis, and cervical cancer to historical curiosities. Smoking cessation lowers lung-cancer, stroke, and heart-disease risk. Exercise interrupts nearly every chronic-disease cascade. Sleep allows metabolic recovery. Adequate nutrition starves the inflammatory base state on which most chronic disease feeds. None of these interventions generates significant revenue for the medical system, which is why none of them receives the marketing attention that statins and stress tests and crowns receive. The cheapest preventive measures, which are also the most effective, sit unmarketed because no one profits from them. The most expensive interventions, which range from genuinely beneficial to actively harmful depending on the patient, are heavily marketed because the entire revenue chain depends on their continued use.
A patient who walks into an American clinical encounter today operates in an information environment in which the recommending professional has financial reasons to recommend, the institution has financial reasons to perform, the insurer has financial reasons to negotiate, and no one in the room has direct financial reasons to leave the patient alone. The patient is the only party in the room without a billing code, the substrate on which the codes are inscribed. Until the financial structure changes, the recommendation to question every preventative procedure deserves to be called sober self-interest, supported by the system’s own published evidence about its own published failures. The question to ask the dentist, the cardiologist, the primary-care physician, and the pharmacy counter is the one the system makes hardest to ask: What happens to me if I do nothing? The answer is sometimes serious, sometimes neutral, and sometimes far better than the answer that follows the recommended intervention. Knowing the difference is the work of an adult patient in a system that prefers the patient remain a child.
#bloodPressure #cardiac #dentist #doctor #echocardiogram #glaucoma #health #healthcare #healthyBody #preventativeMedicine #screening #statins -
"Had #Bhattacharya truly been silenced, nobody would know him."
"Though he never showed sympathy for #COVID’s victims, he produced an overwhelming amount of self-pitying material, bemoaning the fate of his #SocialMedia content. He even took [his] case to the #SupremeCourt [but] lost."
...GUESS WHO SILENCED the study proving (again) that COVID #vaccines work? Same guy.
#quack #doctor #NIH #censor #study #silence #scientists #GOP #science #DEI #cancel #funding #studies
https://sciencebasedmedicine.org/censorjay/ -
Californians sue over #AI tool that records #doctor visits
Several Californians sued #SutterHealth & #MemorialCare this week over allegations that an AI #transcription tool was used to record them without their consent, in violation of state & federal law.
The proposed class-action #lawsuit filed on Wed in federal court in #SanFrancisco , states that, within the past 6 months, the plaintiffs received #medical care at various Sutter & MemorialCare facilities.
#privacy -
Anton & Glenn
What a pair of characters! Glenn was just a pretty weird guy in general, clever . He lived on the second floor of my building. Anton, in the wheelchair is a book all by himself. His leg. That is just one story and here is how it happened. Anton is an alcoholic, what he did before he lost the leg for a living I don’t know, but when first saw him, he was on the corner by the robots begging. He would make enough money and then off to the Bottle Store. He did have a room to sleep in. I got […] -
Rand Clinic 1986/7
The Rand Clinic 1986/7 Rolled a car, upside down and flipped over type of jol. Car totalled, boss unhappy, but it was not my fault that time! Anyway. My face had a few cuts as did my arms, and my left hand had a broken knuckle. I did not like doctors then already, as they were still trying to kill my mom with their drugs. They got it right about a years later…. Anyway, patched myself up, no problem. Or so I thought. My Pinkie knuckle healed wrong and the finger could not bend. Ok. […]https://waynebisset.wordpress.com/2026/04/04/rand-clinic-1986-7/
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Our Drugged up Society
How the hell did we get here? Working on two philosophies to see how we got here. First is not looking where you fell, but where you slipped. Funny enough this led straight to the second philosophy, find the source. For this particular slip we need look no further than: Psychiatry . These “doctors” are on the forefront of our legal drug dealer trade, i.e. The Medical Profession. While at the moment everyone seems to be on about Big Pharma, let’s take a look at this branch of the […]https://waynebisset.wordpress.com/2026/03/23/our-drugged-up-society/
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HOW TO TELL…..
HOW TO TELL IF YOU’RE SOUTH AFRICAN …. You call a bathing suit a “swimming costume” or a “cozzie”. You call a traffic light a “robot”. You call a sandwich a ‘sarmie’ You call an elevator a “lift” – but asking for a ‘lift’ doesn’t mean you want an elevator – you actually want a “ride” You call a car hood a “bonnet” You call a car trunk a “boot” You call a pickup truck a “bakkie” “Van” isn’t a vehicle – he’s the butt of some […]https://waynebisset.wordpress.com/2026/03/23/how-to-tell-if-youre-a-south-african/
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My Rhino Wars – The Flat Tire and the Lion
The Flat Tyre and Lion Because the APUs are the last people to get funds we had been patrolling with really wrecked tyres for weeks. Our spare was absolutely useless at this stage. In the early hours Johannes and I were glad to see a lion in the thick bush, for exactly 2 minutes. A few meters down the road we got another flat. The procedure we had by now perfected was to get the small battery charged air pump out and just keep on stopping every now and then to inflate the almost useless […]https://waynebisset.wordpress.com/2026/03/07/my-rhino-wars-the-flat-tire-and-the-lion/
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DATE: January 30, 2026 at 03:00PM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
Automata secures $45M in series C raise
#medtech #investment #funding #fundraise #seriesc
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My Reflection Of 2025
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2025, was indeed a year.
The year started out great, I worked on New Year’s Day as usual in the Department of Medical and in April, I entered into my final posting, the Emergency and Trauma Department. In May, I attended my best friend’s wedding.
In July, I completed my internship and received my full registration under the Malaysian Medical Council (MMC) as well as my Annual Practicing Certificate (APC) and started locumming during my holidays back home and I also started floating as a Medical Officer in the Department of Plastic and Reconstructive Surgery. It was a steep learning curve for me, transitioning from a House Officer into a Medical Officer. The anxiety increased and I was constantly tired. I remembered my love for medicine and service fading to the point I took a long break in October to recharge and reflect.
2025 was also the year, I handed in my 30-days-notice to resign but revoke it the following day. Perhaps it was too much for me, although the working environment and superiors were more than sweet and kind. Physically, I was catching up but mentally, I was fading away.
Looking back, thankfully, I did not. I celebrated my birthday before travelling back to Kuching the following day. 2025 was also the year when my relationship ended. It was a good and lovely 19 months. Perhaps, it was just time.
November was the month I received my letter stating that I will receive my placement and I needed to report for duty on the 24th of November 2025. One thing for sure, I was sure to continue serving in Sarawak. The place? Unknown yet.
On the 18th of November, I found out that I would need to report to the Health Division of Bintulu on the 24th of November 2025.
Bintulu, that’s around 7 hours drive from Kuching. I didn’t have a place to stay nor a car and my things were all unpacked and I was just extremely busy. I packed whatever I could, shipped some boxes back home, those that I managed to do and on the 23rd of November, I flew to Bintulu.
Thankfully, the doctor-in-charge of the Health Division was kind enough to let me know which place or clinic that I would be placed at.
Yes, clinic setting. I did not apply for a clinic setting which so happened to be what many others in my batch longed for. Surprisingly, I got it!
Considering the state of my mental health, I was more than ecstatic to accept it.
2025 was also the year I moved and started working in a new place and also one that speaks a different dialect. I started doing oncalls as well and surprisingly, adapted very quickly into a General Practitioner’s setting as well as the new place. I also met another colleague who was previously my medical officer in the Department of Obstetrics & Gynaecology when I was a House Officer and made new friends and acquaintances.
Overall, 2025 was a mixed of both good and bad experiences. I felt both the highs and also went through a period of low mood. New people entered my life, some stayed and some also left. Nevertheless, I am thankful for all the experiences I went through as well as the lessons learnt.
Hopefully, I can learn from the errors that I have made and grow, making me into a better person.
Thank you 2025. Now, it’s time to move on, to 2026.
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My New Year’s Eve – 2025
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31st December 2025. I was NOT oncall.
It was a Wednesday and it was a normal working day. Hence, at 7:45am, I left to work as usual and was there by 8am. It was the New Year’s Eve. I thought that maybe, just maybe, there would be less patients in the clinic.
The day started off smoothly. Surprisingly, there were many patients who came for their follow up followed by additional patients (the defaulters and walk-ins) but it was manageable. We went about our day, seeing each patient and when lunch time came, we went for our lunch break.
At 2pm, we went about our work, seeing patients as usual and I was taking my time with each patient. The patient load in the afternoon shift was lower compared to the morning shift and both my colleagues were done with their patient load.
Suddenly, a staff nurse barged into my room saying that there is a massive accident that just occurred nearby, 2 patients were already brought in and 2 more were on their way. They called in all available doctors (which were only the three of us) to help out.
I told my colleagues to head out and help out first while I rushed through the consultation of my final patient. After that, I rushed to the tiny Emergency Room of the clinic. My colleague who was oncall on that day was already attending to a child. I went over to the other patient, an old lady and did my primary survey and fast scan.
She was desaturating badly under room air and needed oxygen support. She had an open skull fracture, multiple abrasion and laceration wounds over her face, upper and lower limbs as well as rib fractures and on top of that, her left leg appears shortened and she has a closed fracture over her right lower limb.
I didn’t think that we should proceed with an x-ray at our clinic even if we had the facility at that time, the best would be to send them straight away to the hospital because she could deteriorate further any time. Thankfully, her GCS (Glasgow Coma Scale) was full.
I was focused on my patient, stabilising while referring her to the specialists of various specialities as well as the emergency physician that when I finally got ready to transfer her out that I noticed the child that my other colleague was attending to. The child’s right arm was crushed and the distal limb of his right arm was pale and his right lung was obvious till mid-chest.
Just how in the world is he still awake? The poor child was crying out in pain…
Judging by the state of his and my patient’s injuries, it was definitely high impact.
The story was, the whole family were travelling back from Miri to Kuching. Both the parents were sitting in front and the father was driving whilst the two children and their grandmother were sitting at the back.
The father claimed that he was not speeding but as he was about to make a u-turn at a junction, he claimed to have hit the curb and the car turned many times into the other lane before finally stopping and the grandmother and one of the child were thrown out of the car.
It sounded like a very high impact collision. Thankfully, the parents and the other child were well and unscathed.
We had to transfer both patients in two separate ambulances to the Red Zone of the Emergency Department at Hospital Bintulu as one ambulance could only transport one patient at a time.
Upon arriving, I met my colleague and friend at the Red Zone of the hospital. After we have handed over to the medical officers and specialist in the Emergency Department, we headed back together. However, upon reaching back, there was another patient who came in who was extremely tachypnoiec.
Oh, here we go again… Another Red Zone referral…
We stabilised the patient and referred her to hospital again. The clock was already showing 10pm when we left. The journey to the hospital takes about 45 minutes to an hour for each journey and the both of us have yet to have our dinner. This time, I choose to accompany her for the referral, mainly for emotional support and also in hopes of stopping by McDonald’s to get a takeout.
Yes, we did stop by McDonalds after sending the patient safely to the hospital and yes, we used the ambulance and went through drive-through.
By the time we left, it was already 11pm. The journey takes around 45 minutes to an hour and it was raining heavily. At this point, I was wondering if we would end up celebrating New Year’s in the ambulance.
Me and my friend ate in the ambulance on the way back while we joked and exchange oncall stories. Thankfully, we reached a little before midnight. The day was completely unexpected, not to mention tiring but it was nice to have spent it with a friend.
It’s still the beginning of 2026, so if I’m not too late, Happy New Year!
If you are travelling anytime soon or in the future, do drive safely, stay within speed limits especially if it is raining. Remember to get your car and tyres checked before any long distance journey and NEVER drive under the influence.
Stay safe always!
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12 Hours Shift – Counting Down My Hours Each Time At Work
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How do you waste the most time every day?
At the time of writing this article, which was back in June 2025, I was going through my 6th Rotation of my Housemanship which is in the Department of Emergency and Trauma. As a House Officer in the Emergency Department, we go by the 12-hours shift.
This meant, our shift is from:
- AM Shift: 7am till 7pm
- PM Shift: 10am till 10pm
- Night Shift: 10pm till 10am
In this department, they are strict in regards to adhering to a minimum of 60 hours per week in total. Thus, in a week, our schedule is as follows;
- A total of at least 4 daytime shifts (AM or PM Shifts)
- One night shift
- One off day
That is provided one has off-tagged of course.
Perhaps, it is the “last paper syndrome” that I was experiencing being in the 6th and final rotation, I would be counting down my hours each day at work. Thus, upon arrival at work, I would start my “12-hours countdown“ on my phone.
On slow days, I made it a point to go to toilet every hour, technically my so-called “hourly break” whereas on busy days, the toilet break is the only time I could take a break. This is followed by ensuring I have at least one meal per day during my shift.
Otherwise, the schedule in the emergency department is relatively better as compared to my previous rotations. Nevertheless, the tiredness is still there.
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Lazy Days As A Medical Officer
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Do lazy days make you feel rested or unproductive?
While I’m at work, I’d be looking forward to returning home or towards my off day. In contrary, while I’m at home or on my off day, I’d be thinking about returning to work.
Do you feel the same way?
Previously, as a House Officer, I’m used to the “one off day per week”. Whereas, as a Medical Officer, weekends and public holidays are granted off days, except if you’re well… oncall and that depends on your current department as well as some departments require you to put in a half day shift during weekends or public holidays.
I’d say for me, considering I live alone and I don’t even own a car here in Sarawak, I’m pretty much lazy and unproductive to the point I get restless sometimes.
That’s counter productive as rest days are meant to make you feel… rested, right?
Thus, on my off days, since I’m an early riser, I try not to disturb my circadian rhythm by getting up at the same time as usual every morning, partly because I forgot to off the alarm or somehow, my body clock just wakes me up every time.
To feel so-called “productive”, I’d do some studying with my morning coffee till I well, lose my focus, then I start wondering about lunch and start cooking, handwash my clothes because I’m too lazy to walk downstairs with a bag of clothes and finally doze off for my afternoon nap.
I’d then wake up in the evening to have dinner and pack my essentials and bag for work the following day before finally, retiring to bed early.
I really need to be more productive during my off days.
Even me writing this just sounds too depressing.
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DATE: January 12, 2026 at 05:34PM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
#Neuromodulation for MDD heads home
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My FIRST SOLO Oncall Shift As A Floating Medical Officer
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My first solo oncall shift was on the 17th of August 2025 a few days after I have completed my tagging period.
I had a passive oncall on standby just in case things got out of hand, which is a good thing. However, I was adamant to try to survive on my own as if I only had myself and the specialist. Thankfully as well, it was on a weekday which meant I was able to reach out and ask for help if needed and the others would be able to assist if needed or advice me.
As usual, morning rounds, followed by peri rounds. The role as an oncall medical officer of the day is to update the progress of the patients in the specialist’s WhatsApp group as well as to upload any latest wound pictures, if any.
The day was rather busy with rounds and in between I would receive calls from Klinik Kesihatan (Community Clinics), usually requesting a clinic date. Thankfully, no referrals yet.
After rounds, I headed back to the ward to complete any pending joblists before heading into the operating theatre (OT) for a patient that was awaiting her call to OT.
During that operation, there was a referral from the Emergency and Trauma (ETD) Department, referring a case of laceration wound over the forehead for a 3 year old boy.
The medical officer at the ETD was kind enough to assist in taking the bloods as well as admitting the patient. My colleague on the other hand came to check in on me after her day in the clinic and attended to this kid.
After the first operation, the following case was called which was the 3-year-old kid. I have always enjoyed being in the operating theatre, or any hands on procedures.
Despite knowing that I should be conserving energy, instead, I proceeded to carry on and after the second op, I entered an ongoing flap operation next door to assist.
Another referral came for a laceration wound over the forehead for an Orthopaedic patient who was post-operative and transferred to ICU. Apparently, it was missed when the patient arrived at the Emergency Department as he suffered multiple opened fracture and was posted for operation immediately. Thankfully, he was intubated and sedated and I was able to perform a bedside toilet and suturing for him.
By the time I was done, it was midnight. I went back to the oncall room to shower and change for the night. I would usually change into scrubs again if I were to be oncall, just to be on standby in case I was needed immediately.
I did not sleep that night, it just felt wrong as the flap operation was still ongoing since 8am.
I went in again to check in on them, however, I was not needed at that time. Thus, I kept a fellow colleague company.
At 2am, I returned back to ward to complete the planned discharge of a patient and started my morning review. Thankfully, I did. In between, I was referred a new case of another kid who suffered another laceration wound at his right eyebrow. Thus, counselled the parents, obtained consent and admitted the patient.
After that, I was requested to collect bloods or bags packed cell for the patient who was still ongoing operation. When the commotion was done, I returned to continue my early morning reviews.
By 4am, I went back inside the operating theatre to check in on the ongoing operation. Technically, still far from done. Scrubbed in to assist with harvesting the skin for split thickness skin graft and refashioning of the affected limb.
At 8am, we were finally done. The operation officially lasted for 24 hours. All of us scrubbed out and I changed out of my attire to return to ward and follow rounds.
During peri rounds, a patient was called to OT and I entered organ as I dislike peri rounds. After the OT, all of us were just beyond tired and I went home for the day.
No doubt, it was my first “solo oncall”, it did not feel lonely at all as since there was an ongoing operation, physically, I felt comforted knowing that there were people nearby and felt more like a slumber party instead.
And the most important part… I survived it!
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My First Day Of Locum And As A Medical Officer
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A locum or locum tenens, is a person who temporarily fulfils the duties of another; the term is especially used for physicians or clergy.
– Wikipedia.
The first time I ever tasted or ventured into locum or a so-called “part-time doctor” was on the 3rd of August 2025.
At that time, I was back in my hometown and on a 3-weeks-break post housemanship / internship at a small private clinic, yet to officially begin as a Medical Officer.
While I was in medical school, I would occasionally hear this term “locum” from my fellow seniors or batch mates, lecturers, parents or even friends of my parents. However, in order to locum, one would need to be fully registered with the Malaysian Medical Council (MMC) and possess a valid Annual Practicing Certificate (APC). In short, I had to graduate medical school, finish my internship or housemanship first, then only am I able to dive into this.
Thus, upon acquiring my full MMC and APC licence, I was looking forward to locum. Looking forward to it as well as nervous to dive into this. Thankfully, I had just completed my final rotation in the Emergency and Trauma Department.
In the Emergency and Trauma Department, there are various zones in which the patients would be triaged into in terms of presenting complaints, severity and their vital signs. The least critical in severity would be triaged into Green zone. The Green zone is similar to a clinic setting, thus, it gave me some idea on the type of cases I would be expecting.
My first locum was just 3 hours long, from 7pm till 10pm. I figured that since I am just starting at that time, it would be better to start with minimal hours in order to get used to it and also.. if I would enjoy it.
The clinic was quaint and small but equipped with basic necessities and a scan machine. The only thing that it did not have, was an x-ray facility. The moment I sat down, the patients kept coming back-to-back. As soon as I was done with one, another came.
For a first-timer, I felt it was equivalent to the Green Zone in General Hospital whereby the cases were always there but the patient load was manageable.
However, I was extremely scared.
Mainly afraid that I might accidentally jeopardise the patient’s safety in terms of mismanagement. Thankfully, by 9:30 pm, the clinic assistant stopped accepting new patients and prepared to close the clinic.
For a first experience, it was a good one despite it being rather terrifying for me.
But, we all have to start somewhere and build our confidence, don’t we?
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2026 – The Beginning
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First of all, Happy New Year! I hope you have had a great start to this year and if you have any New Year’s Resolutions planned, I hope that you will be able to stick throughout the year.
I did not have any New Year’s Resolutions planned as I usually did the previous years. Mainly because I have just moved to a new place, settling in with things still pending in Kuching, trying to adapt to my working environment as well as picking up on new skills.
Thus, New Year’s Resolution? It’ll come as the year progresses.
My New Year’s Eve was spent at work and mainly in the ambulance with a dear friend as well as work colleague, however, that is a separate post for another time.
As usual, since I’ve started working as a doctor in 2023, I’ve always made it a point to work on New Year’s Day, a habit which I’ve adapted from my dad ever since he has started working at the age of 18.
However, New Year’s Day is a public holiday here in Sarawak. Thus, I was allocated as the oncall medical officer on the 1st of January as well as on the 2nd of January. Per oncall shift is from 8am on that day till 8am the following day (which means, mine ended at 8am on the 3rd of January).
My first case began with a case of wound breakdown over the right wrist, which the patient chose not to seek hospital treatment followed by another case of upper gastrointestinal bleed which was sent to hospital. This was then followed by another case of possible acute appendicitis which the patient and family decided to “discharge against medical advice” because they wanted to seek treatment in their hometown considering they were travelling and happened to be in the same area.
Upon returning home, I was called back for a case of breakthrough seizure likely secondary to under-dosage of medications. The patient had three episodes of seizure that day followed by a regular 1-2 monthly episodes. Hence, referred and sent to hospital.
Finally, I can return home. Time to get some rest since I would be working the next day. Shortly after, I was called back, a patient sustained laceration wound over the medial aspect of his antecubital fossa. Mechanism of injury? Unknown and he was in an extremely drunken state.
Otherwise, he was stable. Sadly, my medical assistant at that time could not be contacted to escort the patient to hospital and the family members did not have their own transportation.
If only, he was fully awake, I would have triaged him to green zone. However, transportation issues… Thankfully, the patient’s family has an uncle who was willing to send. The only thing was he needed some time to arrive due to the heavy rain and slippery roads.
I didn’t feel good leaving the patient behind although he was stable. Thus, I stayed till 4am until his uncle came and the patient himself had woken up.
After that, I went back home and straight away gotten ready for work since it’s a working day and I am still oncall.
The following day on the 2nd of January, went by smoothly during office hours with referrals here and there but it was manageable.
In the afternoon, another patient came in for symptomatic anaemia secondary to abnormal uterine bleeding with newly diagnosed cervical carcinoma. Her haemoglobin level was 5, who again, refused hospital referral claiming she visited the clinic for fever and not for her anaemic symptoms. After much convincing and discussion with my specialist, the patient still opted to “discharge against medical advice”.
Which makes me wonder… Why in the world?…
This was followed by dinner with my friend. I remembered thinking to myself that evening that maybe… just maybe… I would have a cold night. Enough of referrals.
However, at 11:30pm on the 2nd of January 2026, I received a call from my medical assistant that a patient presented to the clinic breathless with an SpO2 of 50% under room air, started on high flow mask and at best, it is only 90%.
Sounds like an impending intubation and CPR case.
I called up my friend immediately as I rushed to the car as she lives closer to the clinic. I needed all the help I could get for this patient. The roads were slippery and it was a rainy night. Yet, I sped. Thankfully, my friend had already arrived before me.
The patient?
I remembered seeing this patient on the 23rd of December 2025. At that time, his lungs already had crepitations with reduced air entry over the right side and yet he chose to “discharge against medical advice”. I remembered telling him that he would collapse if he didn’t go and true enough, here he was… sitting up, gasping for air.
His vitals? Blood pressure was sky high, lungs filled with crepitations but no pedal oedema, lines were set, no ECG done but we didn’t have time to waste…
I called up the Emergency Physician in the nearest hospital (which is an hour away), presented shortly and informed that we had to proceed with intubation because he was too tachypnoeic.
We prepared for intubation, informed the family members as well as explained the risk of CPR and death. The family understood and agreed.
Intubation… This was a difficult intubation for the guy was a very large guy with hardly any neck visible.
But before we could start, his GCS dropped and so did his heart rate, I started CPR while my friend attempted to crash intubate. We attempted to crash intubate and both times, it failed… I called up the Emergency Physician again and told her that we were 30 minutes into the CPR, she told me to call off after the current cycle.
My first death at a new workplace and on the third day of the year at 0027H, 3rd of January 2026.
Then, I proceeded to complete my notes for the family members to bring to the police station to lodge a police report and broke the news to the family. I was calm and so were the patients’ family. After that, I called up the Emergency Physician to thank her and then, I broke down.
I broke down because had he gone on the 23rd itself, he wouldn’t have to gone through this.. He lives alone and his so-called family members aren’t even his biological family members but neighbours and friends… I broke down because I also felt defeated… We tried our best with such limited resources and manpower…
Yet, I couldn’t save him…
If you have YET to come up with a New Year’s Resolution… At least consider this, adhere to your regular check-ups if you have any… Stay compliant to your medications, diet restrictions or any fluid restrictions if you do have…
And if something is off or not right, please RUSH to the nearest clinic or better, the hospital… Because there is only so much that we can do with such limited resources in a community clinic.
Otherwise, I wish that you have a Blessed 2026 filled with love, beautiful memories and wonderful opportunities.
Remember to have fun and do enjoy it but please do so, responsibly.
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- Part 1 – Life As A Peri Medical House Officer In Hospital Umum Sarawak | The Emergency Department
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- 1 Year Of Housemanship Update – Housemanship Diaries
- Another Good Advice I Will Remember For The Longest Time – Housemanship Diaries
- Enjoying The Journey – Housemanship Diaries
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DATE: December 15, 2025 at 05:00PM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
.@proverummedical , @zenflowinc secure @FDADeviceInfo nod for systems to treat #BPH
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DATE: November 07, 2025 at 04:30PM
SOURCE: BioWorld MedTechDirect article link at end of text block below.
.@AdvancellDiagno sets new #radiopharma standard in #ProstateCancer
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