Yale doctors: ‘Bystander effect’ in medicine hinders patient care
In a perspective piece in the New England Journal of Medicine this week, two Yale doctors recount a case in which they observed “the bystander effect” in a hospital intensive care unit. Just as strangers observing a crime may do nothing, willing to dismiss the incident as someone else’s problem, doctors without ownership in patient care may not act, write Drs. Robert Stavert and Jason Lott, residents in dermatology at Yale School of Medicine.
FULL ENTRYPatrick announces legislation overhauling pharmacy board
Governor Deval Patrick announced planned legislation Friday to reorganize the board of pharmacy to add professionals from other fields and to give the board the authority to regulate out-of-state compounding pharmacies that distribute products in Massachusetts. The state board has been scrutinized following a national outbreak of fungal meningitis that has killed at least 40 people and has been blamed on tainted steroids produced at New England Compounding Center in Framingham.
FULL ENTRYClosure of Ameridose, Westborough drug company, extended 6 weeks in meningitis probe
A Westborough drug company with the same owners as the Framingham specialty pharmacy at the center of the national fungal meningitis outbreak will remain closed until at least February 22, public health regulators said Thursday. Ameridose LLC, which voluntarily ceased operations Oct. 10, will remain shuttered while a joint investigation by state and federal authorities continues into “unsanitary conditions and questionable sterility practices at the facility,” according to a statement by the Massachusetts Department of Public Health.
FULL ENTRYFederal government releases patient safety plan for electronic health records
The federal office in charge of a massive rollout of electronic health records has issued a plan aimed at making those systems safer by encouraging providers to report problems to patients safety organizations. Though some in the field say it doesn’t go far enough, others said the plan is an important step for an office whose primary role has been cheerleader for a technology that has the potential to dramatically improve health care in the United States but that may come with significant risks.
FULL ENTRYThe importance of listening to a patient’s history
After reviewing Mr. T’s vital signs, I put down my notes, pulled a chair up, and began taking his history. Though it should seem routine, my interaction with Mr. T felt like a rarity. Contrary to what I had learned in medical school, as a resident I quickly realized that in the hospital setting, a patient’s history is almost never taken in logical or linear fashion, with the patient relaying a sequential series of events to a doctor seated next to him.
FULL ENTRYFederal regulators give final OK to Boston University’s controversial South End bio lab
A decade-long push to open a controversial infectious-disease research lab in Boston’s South End neighborhood is one giant step closer to fruition, with federal regulators signing off on the project. In a notice published Wednesday in the Federal Register, the National Institutes of Health said that after “careful consideration” it has concluded that Boston University’s National Emerging Infectious Diseases Laboratories, which will work with some of the world’s deadliest germs, “poses minimal risk to the community surrounding the facility.”
FULL ENTRYFormer Harvard dental school researcher found guilty of research misconduct
A former research fellow at Harvard School of Dental Medicine falsified numbers in slides presented at a laboratory meeting and in research summaries submitted to conferences, according to a finding by the federal Office of Research Integrity. The scientist, Martin Biosse-Duplan, switched numbers to show differences in bone density between genetically-modified mice and a comparison group of mice, according to the notice, published on Friday.
FULL ENTRYClipboard: ‘Doc fix’ will mean cuts for hospitals
Doctors will not see a 27 percent cut to Medicare payments this year. The fiscal cliff deal passed by Congress Tuesday includes a one-year delay on automatic reductions in Medicare spending that have been put off for a decade. But the fix is not free. Other areas of health care, primarily hospitals, will pay for it.
FULL ENTRYMass. General welcomes Boston’s first baby of 2013
Sophanie Sejour delivered Boston’s first baby of 2013 at 12:09 a.m. at Massachusetts General Hospital, according to a hospital spokeswoman. The baby’s name or other details have not been released, but mother and daughter are doing well.
FULL ENTRYClipboard: Affordable Care Act limits collection of gun information from patients
The National Rifle Association successfully lobbied for the national health care law signed by President Obama in 2010 to include provisions restricting the ability of doctors and health plans to collect patient information about gun ownership, Peter Wallsten and Tom Hamburger of the Washington Post reported Sunday.
FULL ENTRYFlu hits Massachusetts unusually early and hard
The dreaded annual tide of fever, sore throat, sniffles and body aches is washing over Massachusetts unusually early this year, and with uncharacteristic force. State health officials said Friday that the number of people sick with the flu, or flu-like symptoms, has dramatically increased over the past several weeks, and the level of illness has already surpassed the peaks of the last two flu seasons. Many other states around the country are also reporting early and heavy flu counts.
FULL ENTRYPediatricians renew call for counseling on gun safety, following Sandy Hook shooting
Two Boston pediatricians, in a New England Journal perspective piece published Friday, call on their colleagues to focus on gun safety, following the tragedy two weeks ago at Sandy Hook Elementary School in Connecticut, where a gunman killed 20 children and six adults. “It is time to act for these families and for those who continue to lose children to gun violence,” write Drs. Judith and Sean Palfrey, wife and husband who are pediatricians at Boston Children’s Hospital and Boston Medical Center.
FULL ENTRYWhat can we expect from the next 100 years of medicine?
Plenty has been written this year about the history of medicine through the lens of the New England Journal of Medicine, which celebrated its 200th anniversary. In an article published today on the journal’s website, two top editors join Dr. Isaac Kohane of Boston Children’s Hospital in looking forward, at what medicine may look like in the next 100 years.
FULL ENTRYClipboard: Researchers document more cancer relapse following drug shortage
A national group of researchers, including some from Boston, were tracking the toxicity and long-term effects of a specific chemotherapy regimen in children and adolescents treated for Hodgkin’s lymphoma when one of the drugs became unavailable. The researchers replaced it with what they thought was a comparable drug. When they looked at their data later, they discovered that those who were treated with the substitute had a significantly higher chance of relapsing.
FULL ENTRYThank you, but I can’t accept it: Navigating patient gift-giving
As people wrap presents for friends and family in this season of gift-giving, many also will dole out tokens of appreciation to co-workers, babysitters, those who deliver their morning newspaper, and, perhaps, to their doctors. But gifts given in generosity sometimes can put some providers in a dilemma, says a local bioethicist. Extravagant gifts -- and sometimes even small ones -- could be seen by doctors, patients, or third parties as attempts at securing special treatment or gaining favor.
FULL ENTRYState regulators say controversial 21-day waiting period for closed pharmacies will remain
State regulators said Thursday they will keep the most controversial aspect of emergency regulations tightening oversight of Massachusetts compounding pharmacies, despite protests from pharmacy groups. At issue is a new rule, adopted by the pharmacy board Nov. 1, that allows the state to shut down a pharmacy for 21 days without a hearing to “protect the public health, safety or welfare.” The board also met in closed session to address complaints by the Globe about alleged violations of the open meeting law.
FULL ENTRYDavid Seltz named executive director of the Health Policy Commission
David Seltz was named executive director of the new state Health Policy Commission Tuesday, charged with implementing much of the massive health care cost control bill signed by Governor Deval Patrick in August. Seltz, 31, has been a special advisor to Patrick on health cost containment since August and previously worked nine years in the Legislature. A former aide to Senate President Therese Murray, Seltz helped draft the bill. He lives in Boston.
FULL ENTRYUnion battling nursing homes places Globe ad highlighting HealthBridge’s antipsychotic track record
In bold, bright red lettering, a full-page advertisement in Tuesday’s Boston Globe warns readers that elderly nursing homes residents in three HealthBridge Management-owned Massachusetts facilities are given antipsychotic drugs at rates much higher than the national average -- despite federal warnings about lethal side effects from the powerful sedatives. The ad was paid for by 1199SEIU United Healthcare Workers East, a union that represents workers in five states, including Massachusetts.
FULL ENTRYLobbying for compounding pharmacies challenged by Senate panel chief
Showing frustration during a state legislative hearing Monday, Senator Mark Montigny challenged the leader of a trade group for compounding pharmacies that has lobbied to preserve state oversight of the industry, rather than accept some regulation by the US Food and Drug Administration.
FULL ENTRYDana-Farber named part of Stand Up to Cancer ‘dream team’
Dana-Farber Cancer Institute has been named part of a Stand Up to Cancer “dream team” focused on treatments aimed at prompting a person’s own immune system to attack cancer cells. Dana-Farber researchers will receive $1.5 million of a $10 million grant over three years and will partner with leading cancer centers in the United States and abroad.
FULL ENTRYClipboard: Secretary JudyAnn Bigby to depart, replaced by Steward executive John Polanowicz
Secretary of Health and Human Services JudyAnn Bigby will leave the Patrick administration, along with three other cabinet members, as the governor prepares for his last two years in office, Glen Johnson of the Globe staff reported. Bigby will be replaced by John Polanowicz, who has been president of St. Elizabeth’s Medical Center, part of Steward Health Care, since last year. He previously led Marlborough Hospital.
FULL ENTRYOne Medical opens lower-cost members-only primary care office on State Street
We are a society of people who like to feel part of something. We fill our wallets with membership cards for stores or hotel chains and sign up to be part of an ever-proliferating number of online communities, to connect with friends and join circles. So, when a flier dropped in my mailbox offering me “membership” to a new primary care practice in Boston, I thought they might be on to something.
FULL ENTRYSteward Health Care says it ‘unilaterally withdrew’ from talks to buy Maine hospital group
An executive at Steward Health Care System told presidents of Steward’s hospitals Monday that the Boston-based chain “unilaterally withdrew” from talks to acquire Mercy Health System in Maine after concluding Mercy had misrepresented its finances. The account given in a confidential memo from Steward director of media relations Chris Murphy, obtained by the Globe, differed from a statement Steward and Mercy released jointly late Friday afternoon saying the letter of intent to merge had been terminated because the parties “were unable to come to a definitive agreement” during negotiations.
FULL ENTRYLetter to lawmakers: In light of recent scandals, invest more in public health
As the Legislature begins planning for next year’s budget, public health leaders are calling on the state to “reverse the trend of disinvestment” in programs essential to protecting the public from infectious diseases, environmental contaminants, medical errors, and other potential harms.
FULL ENTRYClipboard: State has known of troubles at New England Compounding for years, but did not act
The growth of New England Compounding into pharmacy of national scope, operating beyond what its state license allowed, did not happen out of view of state and federal regulators. In meticulous detail, Liz Kowalczyk and Todd Wallack of the Globe staff outline how a Walgreens pharmacist became a major player in a competitive market and how health officials repeatedly failed to act on signs that the pharmacy posed a threat to patients.
FULL ENTRYAbout white coat notes
|
White Coat Notes covers the latest from the health care industry, hospitals, doctors offices, labs, insurers, and the corridors of government. Chelsea Conaboy previously covered health care for The Philadelphia Inquirer. Write her at cconaboy@boston.com. Follow her on Twitter: @cconaboy. |

- Diseases About.com disease information
- Symptom checker What your symptoms could mean
- Drugs A-Z Side effects, drug interactions, and more
- Lab Test Interpreter What your lab results mean
- Natural Medicine A-Z Safety of herbs, supplements
- Flu.gov Government flu information
- CDC.gov Centers for Disease Control and Prevention
Be Well Boston on Twitter
Gideon Gil, Health and Science Editor
Elizabeth Comeau, Senior Health Producer
Liz Kowalczyk
Kay Lazar





