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Connecting The Dots: Deer, Car Accidents, Lyme Disease, And You

Thanks to Glenn Reynolds over at InstaPundit, I learned that motor vehicle collisions with deer are up 18% compared to 5 years ago.

State Farm calculates the chances of a West Virginia vehicle striking a deer over the next 12 months at 1 in 39. Michigan remains second on that list.  The likelihood of a specific vehicle striking a deer there is 1 in 78.  Pennsylvania (1 in 94) and Iowa (1 in 104) remain third and fourth respectively.  Montana (1 in 104) moved up three places to fifth.

Now, aside from the fact that deer present challenges to our driving friends in West Virgina, Michigan, and beyond – they are also the definitive host for Lyme disease. Ticks feed on the deer (who, by the way, become infected with Lyme spirochetes but suffer no symptoms) and on unsuspecting humans – passing the infection along. And so when deer populations increase, Lyme disease often does too. Read more »

ABC News Covers Dr. Val’s Top 4 Breast Cancer Myths

httpv://www.youtube.com/watch?v=mNPftTx3m8I

1. Myth #1: Breast cancer doesn’t run in my family, so I’m less likely to get it.

A strong family history predicts breast cancer in only 5-10% of women in the US. In fact, 80% of breast cancer cases occur in women with no known family history of breast cancer whatsoever.

2. Myth #2: A lump in my breast means that I have breast cancer. Read more »

Personal Responsibility, Healthcare Reform, And Going With Our Guts

This post appears on the Hastings Center’s Values and Health Reform Connection, a new group blog on American values and why they matter in health reform.

***

Values come from the gut, not the mind, and the gut is not a sophisticated thinker about the nuances of alternative policy options.

—Jim Sabin, MD Essay: Responsibility

I’m going to do something “radical” here in the spirit of Dr. Sabin’s opening quote – and speak from my gut on the topic of responsibility.

In my opinion, it’s human nature to shirk responsibility, and our current society is a great facilitator of that natural urge. The more wealthy and technologically comfortable we become, the fewer responsibilities we have (in terms of securing basic needs), and the more empowered we are to indulge our inner narcissism. Until we accept that we all have this selfish tendency, we’ll continue to point at others and engage in a blame game that keeps us all very much in the dark about what’s really going on. Read more »

Automatic Translation Services: Miscommunications Still Likely

Health IT is valuable in many ways and I do believe it will revolutionize how we practice medicine. However, we’ve got a long way to go yet, especially in auto-translating English into other languages. This short exercise in English-Spanish translation (through a computer software program) reminds me of how far off “seamless” health technology really is…

(My mother is fully bilingual in Spanish and English and decided to test the auto-translator service with a sentence from a book. Here is the result:)

ENGLISH: He popped a deep-fried sardine into his mouth and washed it down with a few swallows of beer.

LITERAL TRANSLATION OF SPANISH RESULT: He punctured a sardine fried deep in his mouth, and he laundered it near the bottom along with some swallows (referring to the birds) made of beer.

Red Tape Alert: New FDA Rule Puts Allergan In A Double Bind

I was reading my daily MedPage Today news, when I came across this amusing example of regulatory unintended consequences. As we all know, pharmaceutical companies are not allowed to promote off-label uses of their medications – doing so is punishable with billions of dollars in fines (just ask Pfizer). But a new set of rules created by the FDA’s Risk Evaluation and Mitigation Strategies (REMS) program essentially requires Allergan to provide safety information about off-label uses of the drug — uses that are illegal for them to discuss.

So Allergan has to file a law suit to resolve the issue of being required (by the government) to do something the government considers criminal.

And the winner is?

Lawyers!

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

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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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