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Putting The “Cool” Back Into Buckling Up

I was having fun watching my niece play with dozens of pool inner tubes when another relative shows up. Never one to surprise me, he shows me a fashion statement I’d never seen before. How do you get your kids to wear their seatbelts? 

The key here is repetition. Just like a medical school education, repetition is what makes us experts. Doing the same thing over and over again makes us great at what we do. To get your kids to wear their seatbelt every time, you must make it a part of their daily existence. How do you do that? You buy them a “seatbelt” belts from Honda. Read more »

*This blog post was originally published at The Happy Hospitalist*

Pet Safety: Dog Bite Awareness And Prevention

It seems that each year, I just miss National Dog Bite Prevention Week, which is the third full week of May. As you know, it’s June already. But can it ever hurt to review such important information?

More than 4.7 million people a year receive bites from man/woman’s best friend. If you have read this blog for very long, you know I dearly love my dogs — deceased ones (Columbo, Ladybug, and Girlfriend) and the living one, Rusty. I have no illusions that dogs bite, and given the right provocation I think mine would (although most of the time they are totally harmless and would just invite you in to rob me).

Most dog bite-related injuries occur in children 5 to 9 years of age. Almost two thirds of injuries among children 4 years or younger are to the head or neck region. Dog bites are a largely preventable public health problem, and adults and children can learn to reduce their chances of being bitten. Read more »

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

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*

Why A Good Childhood Isn’t About Good Grades

Spring and standardized school testing become synonymous in many areas of the country for many public school students, including for my own children attending schools in Massachusetts.

As this annual rite of passage rolls around, I’m reminded of how important it is to help our kids remember that they’re so much more than the sum of their grades, test scores, and project results. Think back on your childhood: What do you remember? Is it the grades, the teachers, the homework amount? Did you have standardized tests and, if so, do you remember the results?

I recall blips of taking tests and filling out scantron sheets for all sorts of tests throughout my educational life. I recall being in class when graded papers, projects and tests were handed back to us. But the moments I recall the most were the times I overcame a challenge or a hurdle that seemed insurmountable at the time — and grew from it in unimaginable ways. Read more »

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

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*

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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