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Social Health And Patient Empowerment: Are We In A Bubble?

I regularly talk to my patients’ parents about social health. What parents do, what they think, and how they socially experience their child’s health problems has become an interest of mine.

I can hear it now: “Of course patients won’t discuss their social health activities with you, you’re a doctor.” Perhaps, but I don’t think so. Actually, I’ve had some very interesting open dialog with a few of my long-term patient-parents. Many have children suffering with chronic diseases such as Crohn’s disease, eosinophilic enteropathy, and the like. The relationships I cultivate are open, and the nature of my dialog has been just as consistently open as other aspects of our relationship.

Interestingly, while nearly all have used online search to understand their disease, most have never connected with other disease sufferers in the online space. The concept of crowdsourcing is met with puzzled looks. Sure they’re e-patients, but I would characterize most of my patients as e-patients. The question is: What does that really mean? Read more »

*This blog post was originally published at 33 Charts*

Despite Uncertainty, Why Doctors Should Hang In There

There is discontent in the house of medicine. So many physicians struggle. They seem to wade through uncertainty every day — uncertain about diagnoses, about pain, about disposition. We find ourselves uncertain about our jobs, our futures, our finances.

The consultants we call are uncertain about their practices and whether they can remain viable in the coming years as medicine evolves into something we may find unrecognizable.

Some days, as I enter my 17th year of practice, I don’t know if I can bear to walk around our little department for 10 or 20 more years, like some gerbil on an exercise wheel. I am uncertain if I can bear the weight of more entitlements, more confabulated stories, more regulations, and manufactured drama. I wonder if I can endure decades more of circadian assaults on my brain. Read more »

*This blog post was originally published at edwinleap.com*

Killing Lice At $500 A Head

What’s one of the fastest growing healthcare fields? A professional nitpicker — as in the profession of picking lice out of hair.

In a recent New York Times story, it’s becoming apparent that parents will do anything to get rid of lice. Part of it is the stigma associated with it, part of it is the “ickiness” factor. As a parent myself, I certainly understand the sentiment. Read more »

*This blog post was originally published at KevinMD.com*

Stress Is Like A Tsunami

StressedSo I’ve been thinking a lot about stress lately.

Obviously, it’s because I’m in one of those work/personal periods where the word comes in all capital letters and my dreams seem to be caught on a continual loop of taking-an-exam-in-a-class-I-forgot-to-attend-all-semester (and yes, I’ve been out of school for 26 years now)/realizing-I-just-bought-a-new-house-and-have-to-move/or, finding-that-I-have-10-stories-due-tomorrow (for the newspaper at which I haven’t worked in years).

This latter dream comes closest to my own situation at the moment given that I find myself with just a wee bit too much work for the time allotted (ok, maybe a lot too much work). I’m coping — going to bed later, getting up earlier, reaching out to a couple of writer friends for help) but it nonetheless has my cortisol and norepinephrine hormone production on overtime.

Which brings me to the point of this blog. Your health on stress. Read more »

*This blog post was originally published at A Medical Writer's Musings on Medicine, Health Care, and the Writing Life*

Smiley Faces Foundation: Promoting Awareness And Amazing Kids

We live in a society obsessed with outside beauty, so it’s no wonder that parents whose children are born with any imperfection worry endlessly about how their child will be accepted in society.

As parents, though, our job is to make sure our kids see themselves as much more than whatever obstacles are tossed their way, as tough as that may be.

Adam and Donna Bell felt that anguish first hand in 2005 when their son Ethan was born with cleft lip and palate. Ethan now has an adorable smile and hardly a scar at all thanks to the amazingly talented doctors at the NYU Institute of Reconstructive Plastic Surgery.

Wanting to do more to raise awareness about the nearly 1 in 600 infants born with cleft (opening) lip or palate each year, the Bell’s founded Smiley Faces Foundation, a nonprofit who strives to not only assist the Institute of Reconstructive Plastic Surgery at NYU Langone Medical Center, but also help provide treatment for all children who need cleft lip and palate repair in the United States. Read more »

*This blog post was originally published at Dr. Gwenn Is In*

Latest Interviews

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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How To Be A Successful Patient: Young Doctors Offer Some Advice

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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