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Health And Wellness Programs: When Faith Overtakes Reason

There’s a new term that has entered the medical lexicon. The word is wellness. Hospitals and medical offices are incorporating this term into their mission statements, corporate names, business cards, medical conferences and other marketing materials. The Cleveland Clinic Foundation has appointed a Chief Wellness Officer, an intriguing fluffy title that does not clearly denote this individual’s role and function. This is deliberate, as the word wellness is designed to communicate a ‘feel good’ emotion, not a specific medical service.

Just a click or two on Google will lead you into the wellness universe. Here’s a sampling:

  • Institute of Sleep and Wellness
  • Wellness Institute of America
  • Naturopathic Wellness
  • National Wellness Institute
  • Physicians Health and Wellness Center
  • Physicians Wellness Group

There’s even a sponsored ad on Google where one can Read more »

*This blog post was originally published at MD Whistleblower*

Growing Your Practice With Ancillary Services: Why It’s A Bad Idea

I’m just about through with the magazine Medical Economics. I’ve been a devoted follower ever since residency, when I used to find the occasional dollar bill stuck somewhere in one of the back pages. But now it seems that each issue is just more of the same old stuff.

Take the cover story of the current issue: “Grow Your Practice with Ancillaries,” such as labs, x-rays, behavioral health interventions, cosmetic services, and selling stuff. All the things they suggest fit neatly into one of three categories:

  1. Things you should already be doing (whether or not you’re getting paid appropriately for them)
  2. Things you shouldn’t be doing, and
  3. Things no one should be doing.

The behavioral intervention discussed most often in this context is obesity counseling something all doctors should already be doing. Unsurprisingly, Read more »

*This blog post was originally published at Musings of a Dinosaur*

Warning: Dr. Mehmet Oz Is Not A Trustworthy Source Of Health Information

When I was in medical school at Columbia University College of Physicians and Surgeons, Dr. Mehmet Oz had the reputation of being a competent and caring cardiothoracic surgeon whose research interest was reducing preoperative stress. I remember hearing about a music study of his in which soothing melodies reduced blood pressure and heart rates in patients preparing for heart surgery. I felt pleased that a surgeon was leading the charge in improving patients’ O.R. experiences, and had no inkling that 15 years later Dr. Oz would be America’s chief snake oil salesman.

I have been slow to criticize Dr. Oz on my blog because of a sense of loyalty to my medical school, however yesterday he crossed the line when things got personal – a friend of mine was negatively impacted by his misinformation to the point where her life was endangered. From watching his TV show, she was led to believe that she would put herself at risk for thyroid cancer if she got a mammogram. Several of her relatives have had breast cancer, and she should be particularly vigilant in her screening efforts. However, because Dr. Oz said that mammograms may themselves cause cancer, she opted out of appropriate screening.

My colleague Dr. David Gorski at Science Based Medicine has done an excellent job of documenting Dr. Oz’s almost Charlie Sheen-like career descent. Although he began his work as (presumably) a science-respecting surgeon, he now spends a lot of his time hosting a TV show that features faith healers, anti-vaccinationists, and psychics.

But how does the average lay person know how to evaluate Dr. Oz’s health claims? When Oprah’s network promotes him as “America’s physician” the platform itself offers him credibility, and a reach that can damage and misinform millions like my friend. I have a feeling that many of my peers at Columbia are concerned about Dr. Oz’s promotion of quackery, but once they’ve invested in his brand for so long, it’s easier to turn a blind eye to his nuttiness than to oust him from his academic positions. At what point is a celebrity doctor doing more harm than good to an institution’s reputation? Is he now “too big to fail?”

But back to my main point – dear readers if you watch Dr. Oz and think that he’s a credible source of health information, please be aware that much of what he says is inaccurate, exaggerated, and based on mystical belief systems. Please don’t act on his advice without checking with your own physician first.

Sadly, good science doesn’t always make good television. But the truth can make you well. Be warned that you are unlikely to find the truth consistently on the Dr. Oz show.

Where Is The Worst Health Information On The Internet? The Huffington Post

Going to the Huffington Post for medical information is perhaps comparable to going to Vito Corleone for advice on income tax compliance.  Another prominent blogger refers to is as “that hive of scum and quackery,” a lovely and accurate epithet for a media outlet which provides refuge and cover for anti-vaccationists, homeopaths and practictioners of reiki and other such pseudoscientific twaddle. I avoid the HuffPo like the plague.  But, like a moth to the flame, sometimes I can’t help myself, and when a facebook friend (and former blogger) pointed to this contrarian article, my interest was piqued and I had to check it out.

Is High Blood Pressure Overtreated? Dr. Dennis Gottfried, Associate professor, University of Connecticut Medical School

First of all, I don’t know Dr Gottfried, and I don’t want to cast aspersions on him professionally. He might be a faith healer and snake-handler, or he might be a prominent researcher and expert in the field. I have no idea, and other than his questionable judgement in being affiliated with the HuffPo, I don’t want to make any judgement on him as a physician or a scientist. Read more »

*This blog post was originally published at Movin' Meat*

“Naturopathic Oncology”: A New Specialty Of Pseudoscience

On “wholistic” medicine

If there’s one aspect of so-called “alternative medicine” and “complementary and alternative medicine” (CAM) is that its practitioners tout as being a huge advantage over what they often refer to sneeringly as “conventional” or “scientific” medicine is that–or so its practitioners claim–alt-med treats the “whole patient,” that it’s “wholistic” in a way that the evil reductionist “Western” science-based medicine can’t be.

Supposedly, we reductionistic, unimaginative physicians only focus on disease and ignore the “whole patient.” Of course, to me this claim is belied by the hectoring to which my own primary care physician has subjected me about my horrible diet and lack of exercise on pretty much every visit I’ve had with her, but then maybe she’s an anomaly, along with Dr. Lipson on this very blog and pretty much every other primary care doctor I’ve ever dealt with. Anecdotal experience, I know, but since alt-med mavens appear to value anecdotal evidence above pretty much all else I thought it appropriate to mention here. Read more »

*This blog post was originally published at Science-Based Medicine*

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…

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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…

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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…

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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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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…

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