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Latest Posts

Population Growth Is Dependent Upon Nutrition

Population increases when the birthrate exceeds the death rate, and decreases when the reverse occurs. So what does the world look like when there are too many people?

One way to approach this question is to consider what the limiting factors in population are. When, exactly, does the death rate exceed the birthrate? A key consideration is mortality. If people live shorter lives, the death rate goes up, and population goes down (or at least grows more slowly). What causes mortality to increase? Obviously things like wars, pandemics, and famines have an impact, but economist Robert Fogel argues that these are actually a relatively small part of the global mortality picture. Read more »

*This blog post was originally published at The Daily Monthly*

Killer Dogs And US Dog Bite Statistics

Dog attacks are a major public health concern worldwide. In the United States, dogs bite more than 4 million people each year, occasionally resulting in fatalities. In an issue of Wilderness and Environmental Medicine (2009;20:19-25), Ricky Langley from the Division of Public Health in Raleigh, North Carolina published an article entitled, “Human Fatalities Resulting From Dog Attacks in the United States, 1979-2005.”

The statistics are instructive. In the years studied, there was an average of 19 deaths each year from dog attacks. Not surprisingly, males and children less than 10 years of age had the highest rate of death from dog attacks, with Alaska reporting the highest death rate. The number of deaths and death rate from dog attacks appear to be on the rise, perhaps for no other reason than there are more people and more dogs, in both absolute numbers and in proximity.

I am a dog lover (of friendly dogs), but am aware both as an owner and as an emergency physician that dogs will sometimes bite people, sometimes with serious consequences. Read more »

This post, Killer Dogs And US Dog Bite Statistics, was originally published on Healthine.com by Paul Auerbach, M.D..

The Man Who Died Well


One of my favorite patients died last week.

My reaction to this was not quite what you would think: I smiled.  No, I didn’t smile because of his death; I smiled because of his life.  I smiled because I got to be a part of that life.  His death wasn’t his tragic end, it was the exclamation point to his life.

I am around a lot of death – it’s one of the things that makes being a doctor different from other jobs.  My goal with all of my patients is to keep them healthy, to relieve their pain, and to do my best to keep them alive.  Ultimately, though, it’s a losing battle; 100% of them will eventually die.  That’s why I don’t like statistics about how many people who die due to inadequate doctoring.  Our job is to resist an irresistible force.  We are standing up to the hurricane, the avalanche, the flood. Read more »

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

Why Is It Taboo For Doctors To Discuss Death With Patients?

Back in the day when I was a newspaper reporter I completed a biomedical ethics fellowship at the University of Virginia Medical Center in Charlottesville, VA. In addition to sitting in on the hospital’s bioethics committee discussions, I spent much of the week shadowing a nurse in the ICU.

They called her the Death Nurse because her job was to intervene with doctors, nurses, patients and families when the time came for a patient to move from the ICU to hospice. While her title was Supportive Care, she flat out told her me her job was to help people die; not actively, but from behind the scenes by helping patients and those caring for them understand when the time had come to move from curative care to supportive care (email me if you’d like a copy of the article I wrote about her). Read more »

*This blog post was originally published at Debra Gordon on Medical Writing (and other medical topics of interest)*

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…

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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…

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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…

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“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…

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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…

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