January 3rd, 2011 by Davis Liu, M.D. in Book Reviews, Health Policy
Tags: Clayton Christensen, Dr. Davis Liu, Dr. Jason Hwang, Dr. Jerome Grossman, Fixing American Healthcare, General Medicine, Healthcare reform, New U.S. Healthcare System, Saving Money and Surviving the Healthcare Crisis, Solution For Health Care, The Innovator's Prescription
1 Comment »
The best book on health care reform — or surviving it — is the “The Innovator’s Prescription: A Disruptive Solution for Health Care.” The decade worth of research spent understanding, studying, and ultimately offering solutions to make the health care system more accessible, higher quality, and affordable is clear.
Unlike other books, the authors, respected Harvard Business School (HBS) professor Clayton Christensen, Jerome Grossman, a doctor who also was the Director of Health Care Delivery Policy Program at Harvard Kennedy School, and Jason Hwang, another doctor and graduate of the MBA program at HBS, avoid the traps the plague most other solutions by taking a completely different perspective by looking at other industries where products and services offered were “so complicated and expensive that only people with a lot of money can afford them, and only people with a lot of expertise can provide or use them.” Yet convincingly through plenty of examples, it shows how telephones, computers, and airline travel moved from only accessible to those with the resources to become available and affordable to all.
The book tackles every aspect of health care and asks how will those in health care be disrupted and subsequently surpassed by other providers which deliver care that is more convenient, higher quality, and lower cost. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
December 30th, 2010 by Harriet Hall, M.D. in Better Health Network, Book Reviews, Opinion, Research
Tags: Biography Of Cancer, Chemotherapy, Dr. Harriett Hall, Dr. Siddhartha Mukherjee, Gleevec, Oncogenes, Oncology, Science Based Medicine, War Against Cancer
No Comments »
Myths and misconceptions about cancer abound. Oncologists are frequently criticized for torturing patients by burning, cutting and poisoning without making any real progress in the war against cancer. Siddhartha Mukherjee, an oncologist and cancer researcher, tries to set the record straight with his new book The Emperor of All Maladies: A Biography of Cancer.
It is a unique combination of insightful history, cutting edge science reporting, and vivid stories about the individuals involved: The scientists, the activists, the doctors, and the patients. It is also the story of science itself: How the scientific method works and how it developed, how we learned to randomize, do controlled trials, get informed consent, use statistics appropriately, and how science can go wrong. It is so beautifully written and so informative that when I finished it I went back to page one and read the whole thing again to make sure I hadn’t missed anything. I enjoyed it just as much the second time. Read more »
*This blog post was originally published at Science-Based Medicine*
November 16th, 2010 by Dinah Miller, M.D. in Better Health Network, Book Reviews
Tags: Bipolar Disorder, Doctor's Personal Life, Dr. Dinah Miller, Dr. Mark Vonnegut, Life Stories, Like Someone Without Mental Illness Only More So, Mental Health, My Three Shrinks, Pediatrician, Psychiatry and Psychology, Psychotic Illness, Schizophrenia, Shrink Rap
No Comments »
I’ll cut to the chase: I loved this book. Five stars. Two thumbs up.
When I read books, especially psychiatry books that I write about on Shrink Rap, I often read more carefully and sometimes more critically. I was so immersed in reading “Just Like Someone Without Mental Illness Only More So” that I didn’t stop to think, I just went on the journey.
Mark Vonnegut is a pediatrician and the son of my favorite author when I was in junior high school. His memoir is a poignant and candid account of his struggles with, well, life in general, and life with a psychotic illness in particular. Schizophrenia, bipolar disorder — who knows? (I’ll vote for bipolar disorder.) Some illness where he had three episodes in his twenties, then another episode 14 years later.
Thorazine and lithium and megavitamins and psych wards. Xanax and alcohol and how humiliating it is to be psychotic on a stretcher in the ER hallway of the hospital where he works. Divorce and remarriage. First and second families. Childhood as the son of a financially struggling, not-yet-famous eccentric writer, and adulthood as the son of an icon. Vonnegut is a hippy, a mainstream doctor, a middle-aged softball player, then finally a guy who accidentally poisons himself with wild mushrooms. Read more »
*This blog post was originally published at Shrink Rap*
October 17th, 2010 by Dinah Miller, M.D. in Better Health Network, Book Reviews, Opinion, True Stories
Tags: Dr. Dinah Miller, Dr. Gary Small, Friends Treating Friends, General Medicine, Medical Professionalism, Medical Treatment Of Friends, My Three Shrinks, Professional Boundaries, Professional Judgment, Professionalism In Healthcare, Psychiatry and Psychology, Shrink Rap, The Naked Lady Who Stood On Her Head
No Comments »
I just finished reading Dr. Gary Small’s book, The Naked Lady Who Stood On Her Head.
In the final chapter of the book, Dr. Small talks about his mentor, friend, and father figure who’s mentioned throughout the book. The mentor approaches him on the golf course, where they meet to talk, and says he needs psychotherapy and Small is the man to do it. The author is surprised, hesitant, and a bit uncomfortable with the demand (it comes as more than a request.) His wife likens it to the need for a plumber or a dentist, and Dr. Small takes on the task. The mentor calls all the shots: Where the meetings will be, what pastry they will eat, the form of his payment. The author initially misses the diagnosis and uses this as an example of how one can be blinded.
So is it okay for a friend to treat a friend? Read more »
*This blog post was originally published at Shrink Rap*
October 7th, 2010 by Harriet Hall, M.D. in Better Health Network, Book Reviews, Health Tips, Opinion
Tags: Acupuncture, CAM, Chiropractic, Common Health Problems, Complementary And Alternative Medicine, Dietary Supplement, Dr. Harriet Hall, Energy Medicine, Evidence-Based, Herbal Remedies, Home Reference Book, Homeopathy, Mayo Clinic Book of Home Remedies, Quackademic Medicine, Science Based Medicine, Woo-Free
No Comments »
I write a lot of critical articles. It’s nice to be able to write a positive one for a change. I received a prepublication proof of The Mayo Clinic Book of Home Remedies: What to Do for the Most Common Health Problems. It is due to be released on October 26 and can be pre-ordered from Amazon.com. Since “quackademic” medicine is infiltrating our best institutions and organizations, I wasn’t sure I could trust even the prestigious Mayo Clinic. I was expecting some questionable recommendations for complementary and alternative medicine (CAM) treatments, but I found nothing in the book that I could seriously object to.
It is organized alphabetically, starting with acne and airplane ear and progressing through bedbugs, boils and bronchitis, dandruff, depression and diabetes to warts, wrinkles and wrist pain. Each entry consists of (1) a description of the problem and its symptoms, (2) treatments you can try at home, and (3) when to seek professional medical help. It concludes with a short section on emergency medicine that covers anaphylaxis, bleeding, burns, CPR, choking, fracture, heart attack, poisoning, seizure, shock and stroke.
Nowhere does it mention acupuncture, chiropractic, energy medicine, or homeopathy. It gives good, clear guidance about when a health problem should not be treated with home remedies. Its recommendations about diet and exercise are solid. It doesn’t recommend anything that can’t be supported by published studies and common sense. When it recommends herbal remedies and dietary supplements, it is cautious about what it claims. For instance, glucosamine and chondroitin are listed for osteoarthritis, but they point out that further study is required and they say “because the supplements may help and appear to be safe, it may not hurt to give them a try.” Not exactly a strong recommendation. Read more »
*This blog post was originally published at Science-Based Medicine*
