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Kathleen Sebelius Vetoes OTC Access To Morning After Pill For Young Teens

There’s plenty of of analysis, criticism and praise of HHS Secretary Kathleen Sebelius’ controversial decision to prevent the “morning after” contraceptive pill Plan B from being sold over the counter at drugstores and to girls under 17 without a prescription. The top question: how much did election-year politics affect the decision?

President Barack Obama, father of two daughters, defended Sebelius today and said he was not involved in her decision. The New York Times quotes him:

The reason Kathleen made this decision is that she could not be confident that a 10-year-old or an 11-year-old going to a drug store should be able — alongside bubble gum or batteries — be able to buy a medication that potentially, if not used properly, could have an adverse effect.

Here’s a roundup of the national conversation so far:

NPR’s Julie Rovner reports today on the angry reactions from women’s health advocates, who note that Sebelius’ reasoning – that young girls might not use the OTC birth control correctly – sets a double standard for birth control. She quotes former assistant FDA commissioner Susan Wood: Read more »

*This blog post was originally published at Reporting on Health - Barbara Feder Ostrov's Health Journalism Blog*

Daylight Savings Means More Driving In The Dark: Tips To Avoid Motor Vehicle Accidents

Did you know that your 20/20 vision may drop to 20/40 when you’re driving in the dark? That’s because your pupils dilate to try to let in more light, and in so doing, they sacrifice their ability to focus clearly. Night-time driving can be dangerous for many additional reasons, and I had the opportunity to interview two experts about these risks, and how we can reduce our chances of being in harm’s way when we turn our clocks back on November 6th.

Optometrist, Dr. Christina Schneider, Senior Director, Medical Affairs for VISTAKON® Division of Johnson & Johnson Vision Care, spoke with me about common nighttime driving problems such as dry eyes, headaches, and eye fatigue – and what to do about them. We also discussed the risks of driving with an under corrected or uncorrected vision problem, and some of the available options and treatments available to improve our night vision

I also spoke with John Ulczycki, Group Vice President – Strategic Initiatives, for the National Safety Council, about safe driving tips. Please listen to the conversation here:

Traffic safety experts report that fatal motor vehicle accidents are three times more common at night. So how can we improve our nighttime driving safety? John’s tips include: Read more »

Actress Meaghan Martin: Teenagers, Self-Esteem, And Contact Lenses

When I asked Meaghan Martin (star of Mean Girls 2, 10 Things I Hate About You and Camp Rock among others) what was the most difficult thing about being a teen these days, she didn’t hesitate: “Being a teen has always been difficult, but today there are so many ways to be rejected. Between Facebook, Twitter, and other online sites, it seems as if every day there’s a new way to be un-friended, excluded, or picked on.”

I interviewed Meaghan about her perspectives on teen self-esteem issues and the impact that physical appearance can have on young men and women. You can listen to the edited interview here (starts at minute 12:02):

The most striking thing about Meaghan is that she is a genuinely nice person. Down-to-earth, confident, empathic – she exudes an inner peace that is downright wholesome. How did she escape her teen years relatively unscathed by hormonal angst, I wondered? The secret, she said, was loving parents.

“I was a typical nerd as a kid. I had glasses, braces, and an asthma inhaler. But I didn’t care what others thought of me, because my parents told me that I was a good person who could do anything I wanted in life. They taught me self-confidence, and supported me 100% in anything I wanted to do. I was so blessed to have parents like that.”

I chuckled as I remembered my pre-teen and teen years, sharing with Meaghan that I was a lot like her – except that I had traded the asthma inhaler for acne. For me, Read more »

Should Pharmacies Limit Teen Access To Protein Supplements?

A strange thing happened to me at a CVS pharmacy two days ago. I was attempting to purchase a protein drink when the girl at the counter asked me to show her my I.D. card. I assumed she meant my CVS savings card and was sincerely confused when she rejected it, saying, “No, your picture I.D.”

I dug through my purse to find my driver’s license while the girl explained,

“You have to be 18 years old to buy this product. I need to type in your date of birth into the computer.”

I wondered if the girl was partially visually impaired – at age 39 I didn’t think anyone would confuse me for a teen (though of course, I would enjoy it if they did), but beyond the amusement of being carded for the first time in over a decade, I was taken aback by the age restriction placed on protein. “I must be really out of the loop,” I thought to myself. “How on earth are teens abusing whey protein? And how did this become so common that CVS instituted a policy against it?”

As it turns out, Read more »

Kids Gone Wild: Intimidation Of Parents In The ER

Ah, the benefits of sand therapy!

Time for little Bettina’s daily afternoon face plant!

Not only does it appear my colleague is about to lose her grip on her patient, I’m concerned about her choice of body mechanics.

I predict a lumbar strain in 3…2…1……

(This photo is from the Library of Congress collection.)


I love my pediatric patients. While it is hard to see children feeling sick, they can be bright spots in occasionally hellacious shifts.

I’ve blogged before on my observation that the kids seem to be the adults in the some families.

  • They don’t want to undress for an exam, so they fight the parents who are helpless in the face of taking a shirt off a three-year-old.
  • They have to be restrained so they don’t run rampant in the ER, and they slap their parent across the face. The parent doesn’t respond.
  • They are told they need to cooperate with a procedure and they answer their parent with a loud, clear, “F*** YOU!” At the age of five. The parent retreats. Read more »

*This blog post was originally published at Emergiblog*

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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