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The Beneficial Effect Of Laughter On Your Health

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I stumbled upon the article ‘Laughter: gender-specific variations’ in Revista Clínica Española (‘Spanish Clinical Journal’) and I can’t help thinking about the need for taking this into account to improve doctor-patient relationships. The text can actually be read as a guide to understand how every person laughs and how to use it in clinical practice.

Table 1. Laughter effect on health Read more »

*This blog post was originally published at Diario Medico*

Patient History Found To Be Key Element In Making A Diagnosis

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Four out of five doctors agree that they don’t need scans to make the right diagnosis.

It’s an old-fashioned concept frequently discussed among ACP members, but the history and physical combined with basic tests is way more important to diagnosis than ordering scans and advanced tests. A recent research letter in the Archives of Internal Medicine makes the case.

In the letter, Israeli researchers described a prospective study of 442 consecutive patients admitted from the emergency department in 53 days.

A senior resident examined all patients within 24 hours of admission (mean=14), including a history, physical, and review of ancillary test findings done at the emergency department, such as blood and urine tests, electrocardiography, and chest radiography. The resident also reviewed additional tests such as Read more »

*This blog post was originally published at ACP Hospitalist*

Surgeons Must Overcome A Bad Reputation

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It seems to me this topic of surgeons and their lack of civility gets pulled out on a fairly regular basis.  This latest discussion in the news media is due to a short article in the current Archives of Surgery (full reference below).

Surgeons as a group have a reputation (which even nice ones have trouble overcoming) of arrogance and incivility.

The authors, Klein and Forni, of this article state (bold emphasis is mine):

Uncivil behavior is so present in society at large that we should not be surprised to find it among health care workers. This article is meant to raise the awareness of the costs—both in dollars and in human misery—of incivility in the practice of medicine by looking in particular at the case of surgeons.

Uncivil behavior brings misery wherever it occurs.  If the individual tends to behave in an uncivil fashion prior to medical school and prior to residency, Read more »

*This blog post was originally published at Suture for a Living*

Patients And Physicians Must Control Healthcare Costs

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The primary stakeholders in the healthcare system are patients and physicians. The incentives for patients and physicians to save money are non existent. The secondary stakeholders have taken advantage of non existent incentives to create a healthcare system that generates ever increasing costs.

Patients and physicians are the only stakeholders that can control costs. They initiate the use of the healthcare system’s resources.

Healthcare costs for medical procedures such as an MRI or CT scan have been found to vary by as much as 683% in the same town, depending on which physicians patients choose, according to a study by Change: Healthcare.

The implication is that individual physicians are responsible for the differences. Most physicians do not own MRIs, CAT scanners or PET scanners. Secondary stakeholders own the equipment. They price the procedures and profit from the equipment, not the physicians. Read more »

*This blog post was originally published at Repairing the Healthcare System*

Guidance For Parents: How To Raise Kids In The Internet Age

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Social-media

As many who were children before the era of cell phones will remember, contacting a friend by phone often involved mastering at least the following script: “Hi, Mrs. Doe. Is Johnny home?” Not so today, in the world of cell phones, texting, email, Facebook, and Twitter.

If you are a parent and don’t use or understand the new technologies, the American Academy of Pediatrics (AAP) has just issued a guideline saying that you probably should. More than half of teens connect to a social media site at least daily. Three-quarters have cell phones that they can use for social networking as well as texting. In a guideline published in March, the AAP makes the important (if obvious) point that today’s children are growing up on the Internet. Since children and adolescents now spend a great deal of time there, parents have good reasons to know what the place is like. Read more »

*This blog post was originally published at Harvard Health Blog*

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IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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