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Latest Posts

From The CDC: Top Ten Greatest Public Health Achievements

The Center for Disease Control published the top ten public health achievements from 2001-2010, the first decade of the 21st century.  In no order they are:

  • Vaccine-preventable Diseases – new vaccines for herpes zoster, pneumonia, HPV and rotavirus have saved thousands of lives  When you add in the older vaccines for diptheria, pertussus, tetanus and measles/mumps millions of lives have been saved around the world.  (I saw diptheria in Haiti and it is horrible)

  • Tobacco Control- We have been battling tobacco since 1964 but there is finally progress with more states enacting smoke-free laws and raising cigarette taxes.  By 2010, the FDA banned flavored cigarettes and established restrictions on youth access.  We have a long way to go.  Smoking costs us all about $193 billion a year on medical costs and loss of productivity.


  • Motor Vehicle Safety -Enforcing seat belt and child safety legislation has reduced deaths from crashes.  Teen drivers have new policies too.
  • Cardiovascular Disease Prevention-During the past decade, age-adjusted heart disease and stroke deaths declined.  What worked? Treating hypertension, elevated cholesterol and smoking…along with improved treatment and medication. Read more »

*This blog post was originally published at EverythingHealth*

Driving Safe Cars Can Save Lives

New England Patriots NFL quarterback Tom Brady was on his way to practice when he crashed into a minivan which allegedly ran a red light. His Audi S8 car T-boned the other vehicle a few blocks from his home. A relieved New England Patriots owner Bob Kraft noted after the accident:

“[Tom] arched and prepared himself and we’re just lucky with the glass and angles. We have a lot to be thankful for. It was really a miracle…We’re very, very lucky. Patriot Nation is lucky he had his seatbelt on.”

Was it simply luck or good car design and mechanical engineering? Crumple zones and the passenger cage of a car when built for maximum safety decrease injury. Yet, unfortunately, there is significant variability among safety in cars. Brady walked  away from the accident for a variety of reasons.

As a future hall of fame quarterback, Brady has lightning fast reflexes when analyzing defensive blitzes and options when throwing the football. Quickly bracing himself for impact may have helped. Wearing a seatbelt definitely helped. What may have helped the most was the type of car he drove. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

Dr. Frank Ryan’s Death: What We Can Learn From It

I’ll be honest — I’d never heard of Dr. Frank Ryan, a Hollywood plastic surgeon, until his tragic motor vehicle accident recently. Clients included actress Heidi Montag and boxer Oscar De La Hoya.

Although the California Highway Patrol investigation isn’t complete, rumors have suggested that Dr. Ryan may have been text messaging when driving. If this is true and an intelligent, well-trained doctor can fall prey to the allure of technology, then what does it mean for the rest of us?

First, realize that we can’t multitask. You have one brain. You can focus at one task at a time. Though laws allow hands-free cellphone calls, the issue isn’t trying to dial the phone but rather that the mind is engaged in the conversation and not on the road. Yes, we are all increasingly busy, but we can’t multitask. In fact, researchers have found that it takes more time and effort to refocus when we are distracted from one task to the other. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

“Baby On Board” A Motorcycle?

Sidecar babyseatI’m at work the other day when I saw this great-looking motorcycle with a sidecar parked on the street. It looked like something out of one of those old James Bond movies. I thought it was pretty cool.

Upon closer inspection, Mrs. Happy noticed the sidecar was equipped with a babyseat inside. I don’t know about that. What do you think? Should a baby be carted around the city streets and countryside in the sidecar of a motorcycle while Mom and Pop bond with Mother Nature?

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

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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