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Psychiatrist Reviews “Crazy” Book: Finds Some Genuineness Behind Author’s Bravado

Rob Dobrenski, PhD. is a psychologist who blogs over on ShrinkTalk.net.  He’s written a book about what it’s like to be a psychology graduate student, a psychotherapy patient, and a psychologist.  Oh, we like the folks who go from Shrink blog to Shrink book — it somehow feels familiar — and so I agreed to read his book: Crazy: Tales on and Off the Couch.

So bear with me while I tell you that the book rubbed me wrong at the outset.  Dr. Dobrenski begins by saying something to the effect that he describes things that all shrinks feel, and if they say they don’t, they aren’t being honest.  I really hate it when people tell me what I feel.  It’s like saying that Prozac made your depression better and if it didn’t, then you just didn’t recognize it.  And then the book gets off on a provocative start — Rob discovers that many people in his life, from a patient, to a colleague, to himself — are “f***ing crazy.” The asterisks are mine. Dr. Dobrenski had no trouble using the word — I counted 19 times in the 39 pages, including in direct quotes of discussions he has with both a patient and one of his supervisors.  Not in a million years.  I wasn’t sure what the point was.  To let people know he knows obscene words?  To be Read more »

*This blog post was originally published at Shrink Rap*

New Study Links HPV To Head And Neck Cancers In Men

A new study finds that half of men in America are infected with the HPV virus. Dr. Jon LaPook reports on the growing concern that the virus in men could be responsible for an increase in head and neck cancers.

HPV Affects Half Of U.S. Men

A study out [yesterday] in The Lancet by Moffitt Cancer Center researcher Anna Giuliano, Ph.D., and her colleagues finds that 50 percent of men ages 18 to 70 in Brazil, Mexico, and the U.S. have genital infection with human papillomavirus (HPV).  HPV is the virus that causes cervical cancer in women. It also causes warts and cancer of the genitals and anus in both men and women. Over the past several years, researchers have realized that the virus can also cause cancer of the head and neck.

Aimee R. Kreimer, Ph.D., of the National Cancer Institute, estimates that about 65 percent of the approximately 8,000 cancers of the tonsils and base of the tongue (oropharynx) seen in the U.S. in 2010 were from HPV infection; eighty percent of these are in men. The rates for HPV-associated cancers like these are increasing; for sites like the mouth and larynx that are associated with tobacco and alcohol use, the rates are decreasing (though still too high since too many people still smoke and abuse alcohol).

An infection rate of 50 percent for a virus that can cause cancer sounds scary. But knowing a few more facts about HPV helps put the risk in perspective. About 90 percent of men and women infected with HPV virus get rid of it on their own within about two years. There are many different strains of HPV — some that cause cancer and some that don’t. Only about 6 percent of men have genital infection with HPV 16 — the strain linked to more than 90 percent of cancers of the head and neck. And only about 0.6 percent of men have HPV 16 in specimens taken from their mouths; what percentage of those men go on to develop head and neck cancer is unknown. Read more »

Sexual Health And Teens: “Privates” Video Game

Here’s a new video game from Zombie Cow Studios that could help educate teenagers about sexual and reproductive health in a colorful way.

Elizabeth Boskey, Ph.D., About.com’s Sexually Transmitted Diseases (STDs) guide, writes in her blog post entitled ”It’s Only A Game“:

When I first saw the announcement for Privates, I found the concept vaguely appalling — condom-hatted soldiers (privates) swarming into people’s body parts (privates) to shoot at all the nasty invaders one can find there. However, the second I watched the trailer I was instantly converted to a fan. Privates was clearly designed by people who were paying attention in sex-ed class. The epithelium looks like epithelium! There are bacteria that I can recognize from what I’ve seen under my microscope and sperm that look like sperm. The whole thing is brilliantly designed and, although it’s only a game, the amount of thought and effort put into it fills me with awe. By funding the development of games like Privates, Channel 4 is showing some amazing innovation in their commitment to educational entertainment.

*This blog post was originally published at ScienceRoll*

10 Things You Didn’t Know About The Healthcare Reform Bill

The healthcare reform bill is 1,017 pages long and contains a lot that will impact Americans. I’m one who believes we had to come into the 21st century and join the rest of the civilized nations in beginning to provide healthcare to all citizens. You be the judge.

Here are 10 things I bet you didn’t know are in the new healthcare reform bill:

  1. Menu labeling. Restaurants with over 20 employees must include calorie counts and other nutrition information on their menus.
  2. SWAG reporting. Doctors must report valuable goodies they receive from health vendors.
  3. Right to pump. New moms must be given space and time to pump breast milk (for employers with over 50 employees).
  4. Research. The bill includes research for postpartum depression.
  5. Tan tax. There’s a 10 percent tax on tanning booths.
  6. Adoption credit. Adoptive parents receive tax credits to encourage adoption.
  7. More research. The bill includes research for Indian health studies.
  8. Safety. The bill includes required background checks for long-term care workers.
  9. Right wing. The bill includes required abstinence education.
  10.  Transparency. Employers must show employer and employee contributions for healthcare on W-2 forms.

Fox News (“fair and balanced”) has said that it’s “what you don’t know that can hurt you.” Fox also said that “42 percent of doctors said they would quit or retire if healthcare reform became law.” It’s time to stop the fear mongering, lies and deception and understand just what this reform will and won’t do for the American public.

*This blog post was originally published at EverythingHealth*

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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