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CDC Addresses Infection Transmission Through Organ Transplants

Over the past few years, my team at the CDC looked into more than 200 reports of unexpected disease transmission through organ transplantation. Of the cases that were confirmed, some had fatal outcomes. Clearly, transmission of infections through organ transplants remains a patient safety concern that calls for action.

To help address the problem, CDC recently led a team of experts to develop the Draft 2011 Public Health Service (PHS) Guideline for Reducing Transmission of HIV, HBV, and HCV through Solid Organ Transplantation. The guideline was posted to the Federal Register last week, and I encourage your review and comment.

While recognizing the critical need for organs, our team also wants Read more »

*This blog post was originally published at Safe Healthcare*

The Consequences Of The 2008 Change In PSA Screening Recommendations

Flashback to summer of 2008. I’m looking forward to August 5–the day that I’ll no longer be a faceless bureaucrat. The day that the US Preventive Services Task Force (USPSTF) will issue its new recommendations on screening for prostate cancer–recommendations I’ve labored on as a federal employee for the past year and a half.

For much of 2007 I combed the medical literature for every study I could find on the benefits and harms of prostate cancer screening. In November of that year I presented my findings to the USPSTF, a widely respected, independent panel of primary care experts. They discussed and debated what the evidence showed and then voted unanimously to draft new recommendations. I didn’t get to vote, but it has been my job in 2008 to shepherd the draft statement and literature review through an intensive vetting process and to finalize both.

As August 5 approaches, my colleagues in public relations warn me that the last time the USPSTF said anything about prostate cancer screening, the phones started ringing off the hook. I’m not so secretly hoping that the same will happen this time.

And I’m not disappointed! After we release the statement, Read more »

*This blog post was originally published at Common Sense Family Doctor*

Media Bias Favors Mammography Against The Evidence

A new analysis in the American Journal of Preventive Medicine, “The Public’s Response to the U.S. Preventive Services Task Force’s 2009 Recommendations on Mammography Screening,” included a content analysis of news stories and social media posts around the time of the USPSTF announcement. The authors report:

“Of the 233 newspaper articles, blog posts, and tweets coded, 51.9% were unsupportive, and only 17.6% were supportive. Most newspaper articles and blog posts expressed negative sentiment (55.0% and 66.2%, respectively)….The most common reasons mentioned for being unsupportive of the new recommendations were the belief that delaying screening would lead to later detection of more advanced breast cancer and subsequently more breast cancer-related deaths (22.5%) and the belief that the recommendations reflected government rationing of health care (21.9%).

These results are consistent with previous studies that suggest a media bias in favor of mammography screening.”

Also see an accompanying editorial by Task Force members Diana Petitti and Ned Calonge.

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

The H1N1 Flu Vaccine: Who Should Get It?

mazeIn April I co-authored, Swine Flu Vs. Soap:  Our bet’s on the soap! with pediatrician, Dr. Gwenn O’Keefe, founder of Pediatricsnow.  We gave a brief overview about the swine flu H1N1 and discussed preventative measures.

While the information remains the same in our post, I’d like to now add a little info about the the H1N1 flu vaccine.

Health information about H1N1 is circulating the web faster than tweets zip through cyberspace and it can be very confusing.

It’s like you’re stuck in a maze and you don’t know which way to go to get out.  Information about the swine flu is circulating so quickly that it can even be frightening.  It’s really important that you don’t panic.

Gather your information and talk with you doctors and nurses.

Information about the H1N1 flu vaccine Read more »

*This blog post was originally published at Health in 30*

How To Remove Water From Your Ears Safely

Swimmer’s ear (otitis externa) is an affliction that affects scuba divers, swimmers, windsurfers, surfers, kayakers and many others who spend considerable time in the water. The prevailing opinion is that the most effective measure to prevent swimmer’s ear is to dry out the ears after each entry into the water, to eliminate the moisture that promotes maceration of skin and proliferation of infection-causing bacteria. This can be done mechanically by blowing warm air into the external ear canal, or by instilling liquid drops (such as a combination of vinegar and rubbing alcohol) that change the pH within the ear canal and evaporate readily, leaving behind a relatively dry environment. It is generally advised to not stick any foreign object, such as a cotton-tipped swab, into the ear, avoid traumatizing the external ear canal or, worse yet, the eardrum.
Read more »

This post, How To Remove Water From Your Ears Safely, was originally published on Healthine.com by Paul Auerbach, M.D..

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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