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Canker Sores: Who Gets Them And Why?

Mouth painCanker sores are painful, and mouth pain cannot be ignored. They’re difficult to prevent and you just have to cope with them until they go away. We have no idea what causes them. For a doctor, this is difficult to accept. What the heck are canker sores?

The medical term is apthous ulcers and they’re round or oval painful ulcers that appear on the tongue, inner lips, inside of cheeks, or palate of the mouth. Up to 40 percent of people have experienced canker sores. So why have the remaining 60 percent never had them? We don’t know. Read more »

*This blog post was originally published at EverythingHealth*

Doctor-Patient Communication: Much Room For Improvement

In a surprising report from the Archives of Internal Medicine, we learn that most hospitalized patients (82 percent) could not accurately name the physician responsible for their care and almost half of the patients did not even know their diagnosis or why they were admitted.

If that isn’t enough, when the researchers queried the physicians, 67 percent thought the patients knew their name and 77 percent of doctors thought the patients “understood their diagnoses at least somewhat well.” I would call that a pretty significant communication gap.

Ninety percent of the patients said they received a new medication and didn’t know the side effects. Although 98 percent of physicians thought they discussed their patients’ fears and anxieties with them, only 54 percent of patients thought they did. Read more »

*This blog post was originally published at ACP Internist*

Weight Loss Dos And Don’ts: What’s In Your Grocery Cart?

Grocery cartI know it’s not politically correct to look at what other people buy at the grocery store, but as a physician I just can’t help noticing. Some carts contain huge containers of soda pop, Doritos, frozen pizza, and other packaged goods.

I’m not surprised, because at the end of every isle is a display case that offers the giant soda for 89 cents or the Doritos on special for $1.29. With this type of marketing, it takes a strong person to resist the “bargain.”

Yesterday the woman in front of me (overweight, middle-aged) had a strange assortment of goods that she probably thought would help her lose weight. She had several Weight Watcher-type meals, diet drinks, power bars, and lots of “light” items — “light butter,” “light crackers,” “light yogurt,” and “light ice cream.” 

Folks, this won’t work. Eating this way won’t help her lose weight. She needs to make dramatic changes to drop the pounds. Read more »

*This blog post was originally published at EverythingHealth*

U.S. Pharmaceutical Sales: The Top 10 List

Misc drugsThe top moneymakers for the U.S. pharmaceutical industry might surprise you. These aren’t necessarily the most prescribed medications (although some of them are), but they’re the top products in terms of sales in 2009. The revenues were in billions:

1. Lipitor – used for high cholesterol: $7.5 billion

2. Nexium – a proton pump inhibitor for GERD: $6.3 billion

3. Plavix – a blood thinner: $5.6 billion

4. Advair Diskus – used for asthma and COPD: $4.7 billion Read more »

*This blog post was originally published at EverythingHealth*

Miscarriage? Don’t Wait To Get Pregnant Again

About 15 to 20 percent of women who know they are pregnant will have a miscarriage. The loss of a pregnancy before 20 weeks is considered a miscarriage. Many women suffer grief and shock after a miscarriage and fear there is something wrong with them or that they did something to cause it. But the reasons for miscarriage are usually not known. Women are often told to wait “a few months” to get pregnant again to let their bodies recover.

A new study published in the British Medical Journal looked at over 30,000 women who had a miscarriage in their first recorded pregnancy and subsequently became pregnant again. They found that women who conceived again within six months were less likely to have another miscarriage or problem pregnancy. They were even less likely to have a cesarean section, preterm delivery or infant of low birth weight. These women were more likely to have an induced labor.

The researchers wrote: “Women wanting to become pregnant soon after a miscarriage should not be discouraged.” These women had the best reproductive outcomes.

*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…

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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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