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How The System Affects Our Doctors: A Must-See Documentary

Yesterday a much-anticipated package arrived in the mail containing a documentary film directed (and acted) by a young emergency room physician, Ryan Flesher, M.D., and produced by a former clinical social worker, Nancy Pando, L.I.C.S.W. The film is called “The Vanishing Oath.”

As background, the film is a 3-year project born in 2007 just before the great U.S. healthcare reform debate began. Over 200 hours of interviews were conducted to explore a simple question:

Why Dr. Flesher had grown to hate medicine. Read more »

*This blog post was originally published at Dr. Wes*

Shoot A Turkey, Help Fight Heart Disease

Turkey and broken heartFrom Freep.com:

“Medical researchers at Wayne State University have asked hunters in the state [Michigan] to donate the hearts of harvested wild turkeys for researching heart disease and congestive heart failure.

The National Wild Turkey Federation recently joined the school in making the appeal. Researchers hope that tests using wild turkey hearts could lead to medical breakthroughs for combating heart problems in humans.”  Read more.

-WesMusings of a cardiologist and cardiac electrophysiologist.

*This blog post was originally published at Dr. Wes*

How Much Does A Heart Attack Cost?

Money HeartHow much would a heart attack cost you? Quite a bit, according to CBS MoneyWatch.com:

According to an article from the National Business Group on Health, the average total [editor’s note: lifetime] cost of a severe heart attack -– including direct and indirect costs -– is about $1 million. Direct [lifetime] costs include charges for hospitals, doctors and prescription drugs, while indirect costs include lost productivity and time away from work. The average [lifetime] cost of a less-severe heart attack is about $760,000. Amortized over 20 years, that’s $50,000 per year for a severe heart attack and $38,000 per year for a less-severe heart attack.

I’m all for maintaining a healthy lifestyle, but before we get all hot and bothered about performing more testing to “prevent” a heart attack as a means to save healthcare costs going forward, remember the lessons we learned from the Tim Russert fallout. Read more »

*This blog post was originally published at Dr. Wes*

A New Heart And A New Mission

Mr. Ron Murray, a tranplant heart recipient, tells his story:

From the video:

“If the transplant issue ever comes up for anyone listening, that’s almost the first thing they would think, too. If I had time to think about it over that year, I would have realized ‘Oh, my God.’ I would have apprehension all built up about how I would react to…I mean is it going to change my way of thinking? Is it going to alter my own thoughts? None of that holds up, ultimately.

When I realized that there was going to be forever an emotional component, and maybe a spiritual component to this thing that I hadn’t thought about, is when I became –- God, I don’t even know if I can tell you about it –- that I began to grieve for the donor, that brought me to tears several of those nights. Read more »

*This blog post was originally published at Dr. Wes*

How 3D TV Can Affect Your Health

I can’t read for any length of time in a moving vehicle — it makes me nauseous. This is because in order for the body to determine where it is at all times, the brain combines visual information, touch information, inner ear information, and internal expectations to judge its position in space.

Under most circumstances, the senses and expectations agree. When they disagree, there is conflict, and motion sickness can occur. In my case with reading in a car, my eyes that are fixed on the written page tell my brain that I am still. However, as the car goes over bumps and accelerates or decelerates, my inner ear disagrees resulting in my brain activating the nausea center and causing motion sickness.

Well, the same thing might happen with 3D TV. Read more »

*This blog post was originally published at Dr. Wes*

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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