Better Health: Smart Health Commentary Better Health (TM): smart health commentary



Latest Posts

Even Doctors Get Sick: What Happens When They’re On Call?

No Comments »

Even doctors get sick, but there is often a difference.

I was rotating through orthopaedics and was on call that night. They tended to relegate us mere general surgeons to casualties during the calls so I was quite excited to get some theater time that afternoon, even if it was for a simple wound inspection and secondary closure and even if it meant there would be a backlog of patients in casualties for me to see afterwards. Once I had finished operating I rushed through the change rooms to get back to casualties. While I was changing I heard the unmistakable sounds of someone throwing up in the toilet cubicle. Quite soon the door opened and out came the orthopaedic registrar who was on call that night with me. He did not look good. He glanced at me but didn’t seem to see me. His face was pale, verging on grey and there were fine droplets of sweat on his brow. He was staggering slightly as he made his way to the basin to throw water over his face. I greeted him but the only reply he gave was a sort of grunt.

Much later that night Read more »

*This blog post was originally published at other things amanzi*

Celebrating The Anniversary Of A Diabetes Diagnosis With A Pump-Shaped Cake

No Comments »

A few weeks ago, I posted a photo and part of an email from a reader who had made an insulin pump-shaped cake for their daughter’s birthday.  In that magical way of the Internet (where cats haz a cheeseburger and lovely little bean people talk about diabetes), another family with a kid pumping insulin caught the post, and baked up a little bolus of their own.

So, to kick off Diabetes Month here, I connected with Gwyneth’s mom, and Gwyneth emailed me her perspective on what it’s like to mark her first diaversary, which is TODAY.  At the start of Diabetes Month.  How’s that for timing?   Read more »

*This blog post was originally published at Six Until Me.*

Patient Remains On ECMO Machine For 13 Days And Survives

No Comments »

On September 21, 2008, 26-year old ML started feeling short of breath. It quickly got worse; she began to feel dizzy and started sweating profusely. Her family called an ambulance and she was rushed to NewYork Presbyterian’s The Allen Hospital, where her condition worsened. Her lungs were failing. Corey Ventetuolo, MD, her first pulmonologist, knew that ML needed to be transferred to NewYork-Presbyterian/Columbia University Medical Center, but feared that she would die during the brief journey. Her family decided to take the risk.

ML did indeed flatline during the ambulance ride, but she did not die. Her survival despite severe lung failure is due Read more »

*This blog post was originally published at Columbia University Department of Surgery Blog*

Even With Health Care Reform, Many Will Still Encounter Problems

1 Comment »

Trudy LiebermanA couple weeks ago I walked the streets of Lincoln, Nebraska, talking to men and women about whether they thought Washington was listening to their economic concerns.  Jeff Melichar manages his family’s Phillips 66 gas station on the city’s main street, and one of his big financial problems happens to be health insurance.  The more we talked, the more I realized what a jam he could be in down the road because of a loophole in the health reform law, which has received almost no press coverage or public discussion: If you have health insurance from your employer, you may have to keep it whether or not it’s adequate or affordable.  Buying less expensive or better coverage from one of the state “exchanges” or shopping services will be off limits.  So despite all that talk about consumer choice, for many like the Melichars, there may be no choice.

Melichar’s wife is eligible for health insurance from the optical company where she works.   But the family waited until this fall to enroll when the firm offered coverage they finally could afford.  Their premium is Read more »

*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*

Trust Your Instincts: Being Discharged Isn’t Always The Best Choice

No Comments »

The story of Tanya* is compelling. She was 24 weeks pregnant with her third child and the hospital was threatening to send her home. Two years ago, she faced similar circumstances and delivered a baby at 23 weeks. Luckily, the baby is now two years old but the one before that was not so lucky. Tanya presented to a local hospital during her first pregnancy because of complaints of abdominal pain. She was sent home because her contractions “weren’t regular.” Ten hours later, Tanya returned to the hospital because of a “nagging feeling that something was wrong” although her contractions were still not regular. Unfortunately, her cervix was dilated and the contractions could not be stopped. Her son was born alive but died one hour later because the hospital was not equipped to deal with premature newborns. Tanya’s second pregnancy was similar to her first because she developed premature contractions again, at 23 weeks.  As with the first pregnancy, her contractions were not strong and regular so she was discharged home from the hospital with a monitor that was supposed to help. It didn’t. Read more »

*This blog post was originally published at Dr. Linda Burke-Galloway*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

Read more »

Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

Read more »

“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

Read more »

Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

Read more »

See all book reviews »