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Study: What Makes A Sports Bra Most Comfortable?

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Many women will tell you that large breasts are an impediment to exercise, both in terms of discomfort and embarrassment. According to a study of 20 women with C+ breasts in Medicine & Science in Sports & Exercise (MSSE), sports bras which provide breast encapsulation, compression, and elevation (whereas traditional sports bras only provide compression and encapsulation) are more comfortable during physical activity.

Breast motion tracking was done via “infrared light-emitting diodes (2-mm diameter)…placed directly on both nipples under each bra using double-sided surgical tape, as the nipples have been found to be the best indicator of vertical breast displacement.” Read more »

*This blog post was originally published at Medgadget*

Doctors Meet A Decade Later

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I just had my ten-year medical school reunion. It’s hard for me to imagine it’s been ten years since my last medical school class. It’s been fourteen years since that first week of gross anatomy. That class was so hard, I almost dropped out of medical school after one week.

A bunch of us local docs from my medical school class of 2000 rode to academic mecca in a stretch limo. What did I learn from my experience at my ten-year medical school reunion? Other than forgetting a few names:

  • When I was in medical school, lots of medical students, on occasion, would  drink heavily. I learned ten years later some doctors, on occasion, still drink heavily and get drunk.
  • When I was in medical school, lots of medical students smoked cigarettes. I learned ten years later some doctors, on occasion, still smoke (but only when they’re drinking). Apparently.
  • When I was in medical school, some students were really funny. I learned ten years later some doctors, on occasion, are still really funny, even when they aren’t drunk.
  • When I was in medical school, some students were really smart. I learned ten years later some doctors, on occasion, are still really smart. Most of us others have been dumbed down with years of practice.

It was fun to learn about what my colleagues have been doing. Ten years later the cellphones are a bit fancier, everyone’s talking about their Facebook page, and I’m completely content sitting  on the couch with Mrs. Happy watching everyone else get drunk like it was yesterday.

*This blog post was originally published at The Happy Hospitalist*

Miscarriage? Don’t Wait To Get Pregnant Again

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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*

Why More Doctors Don’t Blog

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I recently got into a discussion with a couple friends about doctors and blogging. Why don’t we see more doctors out there? Of the hundreds of thousands of doctors, I’d expect more to be taking a voice. Even during the U.S. healthcare reform debate — crickets.

Of course there are doctors who blog, but the numbers are slim. What’s behind it?

Passion. Pushing great content requires a passionate interest in changing ideas and making a difference. There’s malaise in medicine right now. Margins are slim. Physicians are losing control of what’s happening around them. The fire in the belly that drove so many doctors to choose medicine has given way to a preoccupation with survival.

Late adopters. Most doctors think a blog is something that deviant teens do on a cellphone. There’s endemic ignorance in the medical community surrounding social technology. Can we teach ‘em? Maybe. But I think this is a generational issue that will work itself out with time. The use of social technology to facilitate dialog between doctor and patient will evolve over the next several years as: 1) technology evolves and 2) digital communication becomes a standard. Keep in mind that many of us still work with doctors who grew up using rotary phones. Read more »

*This blog post was originally published at 33 Charts*

Too Old To Be Practicing Medicine?

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With apologies to the Beatles:

“When I get older, losing my hair, many years from now,
Will you see need me, will you still feed me,
When I’m ninety four?”

From the New York Post:

Former NYPD chief cardiologist Dr. Irving Kroop retired in 1986 — when he was 70 — with a $64,364 disability pension awarded because of a bad heart, according to sources and city records.

All the while, he’s maintained a private practice in Brooklyn and moonlighted at NYCERS, the New York City Employees Retirement System, which paid him $14,479 last year to help determine whether other city workers should get disability pensions.

“Hats off to the man — he’s 94 years old but disabled? And still going strong?” said an incredulous Carol Kellerman, head of the Citizens Budget Commission.

Kroop, who gets $155 an hour as a private contractor for city’s civilian pension board, shuffles into examining rooms with a cane and oxygen tank, sources say.

This story presents an interesting dilemma in this era of shrinking retirement income for our seniors who want to continue to work. Should there be an age limit for practicing doctors? How do we assess if a doctor is “disabled” as they age? Should we care? 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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