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

Latest Posts

Okay To Be A Doctor AND Bipolar?

“I have bipolar disorder. Can I be a doctor?” One of our readers asked this. It’s one of those questions to which there is no real answer.

Being a doctor takes a long time, it requires reliability, diligence, and a willingness to learn things you may not want to learn (organic chem anyone?) and do things you may not want to do. It requires endurance and passion. You need to be tolerant of many things: Arrogant supervisors, irritable colleagues, sick people who may not be charming and who may, in their distress, be downright nasty. You have to tolerate a militaristic order and be willing to work with a system that may be very difficult, wrong, and demand your obedience in ways that may be uncomfortable. (Oh, I am so happy to no longer be a medical student or a resident in training.)

So can you do it with bipolar disorder? Can you do it with diabetes? Can you do it with attention deficit problems? Can you do it if you’re disorganized or ugly? Read more »

*This blog post was originally published at Shrink Rap*

Social Media As Personal Therapy

Last week Robert Scoble announced on Cinchcast the news that his son, Milan, had just been diagnosed with autism. I often listen to his Cinchcasts, and the disappointment in his voice was heartbreaking.

Then I began to wonder: If one of my children were to receive a devastating diagnosis, would my first impulse be to share the news on a public platform? Probably not. And that, among a number of obvious things, is what differentiates me from Robert Scoble.

Everyone’s got their transparency threshold. You can see it with attitudes surrounding location applications. The importance of community to each of us varies tremendously. Read more »

*This blog post was originally published at 33 Charts*

Is There A Rule Book On Grief?

She looked down toward her feet at the end of her visit. “I’ve got one more question, doctor,” she said, hesitating. I turned toward her and waited for her, letting her ask on her own time. Clearly this was something difficult for her to ask.

“When will I get over the death of my husband? It’s been ten years, and I still wake up each morning thinking he’s there. I still come home wanting him to be there. Am I crazy?”

Her face showed the shame that was so clear in her words. I had been along with her during the death of her husband, and she handled that period with much grace and strength. Now the silence at home is deafening. People around her, on the other hand, are far too quick to tell her how to grieve. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

The Right To Mourn

Grief and lossI seem to have had a run on bereavement recently, in that I’ve had several patients who have lost loved ones. Some have wound up in my office for unrelated complaints, only to have the grief spill out. I’ve become aware of the struggles of others via Facebook.

I’ve found this handout (from Family Practice Management several years ago) to be very useful. I keep copies in my office and hand them out when needed, but it occurs to me that having another way to disseminate this helpful information would be a good idea. Read more »

*This blog post was originally published at Musings of a Dinosaur*

The Dream Disconnect: A Tribute To Lillie Love

On my Friday commute to work I sometimes hear a tale of someone’s life as recorded through Story Corps. NPR plays these short, oral narratives in which an “average” person recounts some significant moments in his life, or reflects on what really mattered in her every day routine. They are short, pithy, genuine, and often inspiring.

Among the laudable characteristics that make humans unique is our ability to tell stories. On this particular Friday I listened to a singularly moving piece, only about 2 minutes long. It was recorded by a woman named Lillie Love who unfortunately passed away two weeks ago at 53 years of age. Read more »

*This blog post was originally published at The Examining Room of Dr. Charles*

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…

Read more »

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…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

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…

Read more »

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…

Read more »

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…

Read more »

See all book reviews »

Commented - Most Popular Articles