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

Latest Posts

Pregnant Female Prisoners Must Remain In Shackles During C-Section Procedures?

“But for the grace of God go I.” My late aunt drilled that value into my six-year old head and it has never left. An article regarding a New York politician recently caught my attention. When New York State enacted a bill to ban the shackling of pregnant prisoners, a New York State Assemblywoman objected. The article goes on to discuss the case of Jeanna M. Graves, who, in 2002 was arrested on a drug charge and began a three year sentence. Graves was pregnant with twins and while in labor, was handcuffed during her entire C. Section. How utterly ridiculous.

Before a C. Section begins, a patient is usually given either an epidural or spinal anesthesia. On rare occasions, she is put to sleep with general anesthesia if the baby must be delivered emergently. On all accounts, the patient’s legs will either be numb from anesthesia or she will be sleeping. Why then does she need shackles? She’s certainly not in a position to run. Although I addressed this issue last August, it needs to be revisited again. Read more »

*This blog post was originally published at Dr. Linda Burke-Galloway*

What’s Fueling Technological Advances? A Free Market

So I have a Droid.  I purchased it in July, not long after taking my old flip-phone for an oceanic bath at Hilton Head, SC.  I waffled for a long time.  In fact, I almost purchased a Casio phone that was marketed as water and impact resistant.  ‘Mil-spec,’ was the phrase used…a phrase which appeals to me as a one-time Air-Guard flight surgeon.  What it meant to me was, ‘you can’t hurt it.’

Still, I was attracted by medical applications and the assorted other cool things a Droid can do.  I mean, my old phone didn’t have a Magic 8 Ball, for crying out loud!  More to the point, my old phone didn’t have Epocrates, or the Emergency Medicine Residents Association Guide to Antibiotic Therapy.  It lacked a flashlight, an mp-3 player, a protractor and a scientific calculator.  (It also weighed a fraction of my Droid, but that’s what belts are for). On my old phone, I couldn’t have taken a photo of an ECG, turned it into a pdf file, and e-mailed it to our fax-impaired cardiologist. Read more »

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

Do Democrats And Republicans Have Different Work Out Regimens?

In Washington, even exercise gets political.

This morning, the WSJ reported that a small group of Congressmen, primarily Republicans, have embraced the adrenaline-infused exercise regimen that is P90X. They jump, stretch and flex to the tune of Tony Horton, a man who clearly checked the right box on career day. The 90-day results-intensive program celebrates its “I couldn’t move the next day” sensations.

On the other side of the ideological spectrum resides the pragmatic approach of the White House. Last month, the NY Times described the regimented, non-boot-campish routine espoused by Mr and Mrs Obama. Our current executive branch favors a personal trainer who likes working people hard, but…”as politely as possible.”  The president adheres to a common sense program of regular morning exercises that balances cardio and strength training. Calm, measured and balanced.

Both approaches to exercise appeal to me. Read more »

*This blog post was originally published at Dr John M*

Why Does The US Spend So Much On Healthcare?

Today the Commonwealth Fund came out with a chart that it says is a “grim reminder” of what happens when health care doesn’t get reformed.

If only we had listened to Richard Nixon or Jimmy Carter.  We would have saved tens of trillions of dollars in health care spending.

Click to enlarge Read more »

*This blog post was originally published at See First Blog*

Politicians Should Learn From Health Benefits Managers

Barely a week after Massachusetts Governor Deval Patrick said he wants state controls on the price of health insurance, President Obama apparently wants to do the same at the federal level.  Both men must believe it’s good politics, because there are about 4,000 years of evidence that it’s not good policy.

But the trouble for reformers has never really been about policy.  It’s been about a fundamental misunderstanding of how people view health care and the very bad things that happen when you give people the impression you’re going to mess with what they have.

In this sense, the reform bills are like perpetual anxiety machines.  Contraptions that continually produce more public anxiety than they consume.

But why is this?

Well one of the surest ways to create anxiety in someone is to make them feel uncertain about something important to them.  It’s one reason why companies suffer from problems with morale in tough economic times.  If a company doesn’t level with its employees about what’s happening, smart employees start to assume it must be because the news is bad.  Otherwise, why wouldn’t the management come out and explain that everything is ok? Read more »

*This blog post was originally published at See First Blog*

Latest Interviews

Caring For Winter Olympians In Sochi: An Interview With Team USA’s Chief Medical Officer Dr. Gloria Beim

I am a huge fan of the winter Olympics partly because I grew up in Canada where most kids can ski and skate before they can run and partly because I used to participate in Downhill ski racing. Now that I m a rehab physician with a reconstructed knee I…

Read more »

How Do Hospital Executives Feel About Locum Tenens Agencies And Traveling Physicians?

I recently wrote about my experiences as a traveling physician and how to navigate locum tenens work. Today I want to talk about the client in this case hospital side of the equation. I ve had the chance to speak with several executives some were physicians themselves about the overall…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

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 »

Unaccountable: A Book About The Underbelly Of Hospital Care

I met Dr. Marty Makary over lunch at Founding Farmers restaurant in DC about three years ago. We had an animated conversation about hospital safety the potential contribution of checklists to reducing medical errors and his upcoming book about the need for more transparency in the healthcare system. Marty was…

Read more »

See all book reviews »