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

Latest Posts

Single-Session Psychotherapy: The Cab Driver Story

Here’s a story that came out of the American Psychological Association (APA) conference:

I was in a cab going to dinner. The cab driver found out I was a psychiatrist so he told me about his life-changing experience with therapy.

At one time he was having an incredible problem with his life. He was using cocaine, couldn’t keep a job, and his relationships were going down the tubes. Therapy helped him quit cocaine and change all that. (Which was good, since he was the driver of my cab. I really wanted him not to be high or in distress.) This kind of turn-around story isn’t unusual for me — parolees will often come back and tell me about things they’ve done in free society that they’re proud of. The unusual part of this story is the fact that he made all of these changes after a single one-hour session. Read more »

*This blog post was originally published at Shrink Rap*

Physician Burnout: When Being A Doctor Makes You Sick

Do doctors take care of themselves? Sometimes patients may better follow the advice of physicians who aren’t obese and don’t smoke. That was a question asked in a post last year, entitled “When fat doctors talk to obese patients.”

According to studies, as reported in the Wall Street Journal, it’s a mixed bag:

Physicians as a group are leaner, fitter and live longer than average Americans. Male physicians keep their cholesterol and blood pressure lower. Women doctors are more likely to use hormone-replacement therapy than their patients. Doctors are also less likely to have their own primary care physician—and more apt to abuse prescription drugs.

Clearly there’s room for improvement. Read more »

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

On Leave From The “Life-Inflicted” Battle

Here on this balcony, in Hilton Head, South Carolina, the wind is cool, the air typically thick with humidity, my wife reading a novel by my side. Inside the rental, our children are winding down after days of sun, sand and sea. Their bodies scrubbed pink by salt water and ocean breezes, their faces glowing with sun. My daughter’s lovely blonde hair is more blonde than usual.

I am on leave, in a sense. I am not, however, in the armed forces. Furthermore, I am not at a conference or working at all (except for a little writing, which is as much breath as work.) I am, in fact, celebrating my 20th wedding anniversary on a trip suggested and planned by my love. 

I have accomplished little that the world would view as substantial this week. I have viewed it as a kind of sabbath. I have enjoyed my family, played on the beach, eaten far too much and delighted in every single, solitary minute…and Oreos.

“Sabbath,” “on leave,” “R&R” — however one describes it, we must remember to do it — we need it — because life is a kind of battle. Many well-educated, peaceful post-moderns think that’s far to bellicose a description, but the truth remains: Life is a struggle that rises to the description of battle with stark regularity. Read more »

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

Successful Care: Grandmother Knows Best

ATS "Year of the Lung" logoWant to know the secret to successful care of ICU patients? Think back to the advice your grandmother always gave, joked American Thoracic Society conference speaker Renee Stapleton, M.D., recently:

– Wash your hands.
– You can’t sleep your life away.
– Get some exercise.
– Sit up straight.
– Take your medicine.
– If you can’t remember it, write it down.

*This blog post was originally published at ACP Hospitalist*

How To Lower Your Cholesterol

Your doctor has just informed you that you have “hyperlipidemia” — or high cholesterol. She’s mentioning lipid-lowering drugs (statins), but you said you want to try some things on your own first. She agrees and will recheck your blood levels in three months. What are you going to do?

The advice is all over the map and your Google searches come up with various supplements and diets that are confusing and overwhelming. Here are some specific recommendations, based on evidence, that can help you lower your cholesterol. Read more »

*This blog post was originally published at EverythingHealth*

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…

Read more »

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…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

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…

Read more »

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 »

See all book reviews »