State takes first-ever path to approve assisted suicide

Vermont in May became the first state to enact a law authorizing physician-assisted suicide through the legislative process.

After the bill narrowly passed the state Senate, the House passed the measure 75-65 on May 13, concluding Vermont’s decade-long political tussle over doctor-assisted suicide, which advocates call aid in dying. Democratic Gov. Peter Shumlin signed the bill into law on May 20.

“This historic legislative victory proves that the aid-in-dying issue is no longer the third rail of politics,” said Barbara Coombs Lee, president of Compassion & Choices, a Denver organization that advocates for legal access to doctor-hastened death.

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Cancer prevention: Jolie’s choice creates patient demand for tests

On the day that Angelina Jolie’s op-ed discussing her hereditary risk for breast cancer and decision to opt for a prophylactic bilateral mastectomy ran in The New York Times, genetic counselor Lisa Madlensky, PhD, checked in with her scheduler to see if the news had prompted patient inquiries.

“She actually didn’t have time to speak to me because she had all these calls backed up on the line,” said Madlensky, director of the Family Cancer Genetics Program at the University of California, San Diego Moores Cancer Center. “Finally, she put someone on hold. She hadn’t seen the news yet and she said, ‘What’s going on?’ ”

In the wake of the actress’s announcement, genetic counselors and breast and cancer centers are reporting similar increases in calls and visits from patients who want to learn more about being tested for the BRCA1 and BRCA2 gene mutations. The Jolie case shows the power that celebrities wield in driving medical care patterns by raising public awareness and tapping into the emotional connection that patients often form with the women and men who grace the covers of supermarket tabloids.

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Photo play

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Thanks to Elizabeth, I’m now the happy owner of a pretty powerful, yet compact, digital camera (read David Pogue’s review for more info). My sister-in-law Emily’s participation in the Soldier Field 10 Mile race on Saturday provided a good opportunity to give it a workout. Though I did not have a good enough view of the action to get any decent race photos, click here to see a few of the other shots I did get.

One neat feature is the in-camera effects. Below is the example of an effect where you take a photo and all the colors except blue are removed from the scene.

This camera setting spotlights the blue colors in a black-and-white photo.

Federal action sought to curtail drug noncompliance

A new coalition of patient groups, physician organizations, drugmakers, pharmacists and pharmacies is aiming to make headway in battling the persistent problem of medication noncompliance. The coalition, dubbed Prescriptions for a Healthy America and led by the employer- and insurer-backed Council for Affordable Health Coverage, said it hopes to educate lawmakers about the importance of the issue and pursue public-policy solutions to improve drug adherence.

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Pediatricians offer newborn care standards for home births

Babies born through planned home deliveries should receive the same level of newborn care as those born in hospitals or freestanding birthing centers, according to American Academy of Pediatrics policy published in May.

The academy’s statement, formulated by its Committee on Fetus and Newborn, is meant to supplement the American College of Obstetricians and Gynecologists’ policy adopted in February 2011 and reaffirmed in 2013. The ob-gyns and pediatricians agree that hospitals and birthing centers are the safest settings for birth. Although the ACOG statement acknowledges that women have the right to make a medically informed choice about delivery, the AAP strikes a somewhat softer tone, saying its policy is “intended to help pediatricians provide supportive, informed counsel to women considering home birth.”

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Diagnostic errors are lead cause of medical liability payouts

Errors in diagnosis are responsible for more deaths, disabilities and medical liability payments than any other kind of medical error, according to a review of more than 350,000 paid claims from 1986 to 2010 included in the National Practitioner Data Bank.

The findings echo earlier research and draw on the largest set of cases yet to be analyzed. More than 100,000 medical liability cases involved errors in diagnosis, nearly 30% of the total. That compares with 27% for treatment mistakes and 24% for surgical errors, said the study, published online April 22 in BMJ Quality & Safety.

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