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Pregnant Women And Caffeine

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Pregnant woman with coffeeThe American College of Obstetricians and Gynecologists has issued a statement that moderate caffeine consumption (<200mg/day — about a cup of coffee) does not increase a woman’s risk for miscarriage or preterm birth. The review of recent studies was published in Obstetrics and Gynecology and should reassure women about drinking coffee when pregnant.

Caffeine does cross the placenta, but there was no difference found between the moms who drank caffeine while pregnant and those who did not.

If you wonder how much caffeine is in certain drinks or foods, click here.

One fact the study did not mention is that many women have a natural aversion to coffee when they are pregnant. Maybe nature knows best.

*This blog post was originally published at EverythingHealth*

Holding Hands Is Good For The Heart

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A trained observer is what most electrophysiologists are. And being a trained observer carries over into real life, as would the handiness of a plumber, or the strength of a brick layer, or the wordsmithing of a journalist.

Will and I drive past our house.

“Where are we going now,” he asks in the exasperated tone of a 13 year old.

I need to take a picture.

Why?

Because middle-aged patients who’ve recently realized that their life is half over often seek clues to longevity.

Let’s take stressed-out, middle-aged patients who’ve somehow been rendered free of AF (maybe by a skillful ablation, or more likely just happenstance). Let’s also say they don’t smoke, drink excessively, have normal blood pressure, normal blood sugar, and aren’t obese. Is there anything else they can do to live longer, they often ask? Yes, I believe there is. Read more »

*This blog post was originally published at Dr John M*

“The Thought” Of Your Child Having Diabetes

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It wasn’t until yesterday that I thought “The Thought” for the first time.

She had a very wet diaper in the afternoon. And even though she had nursed for a long time and even though she seemed (and is) healthy and very strong, I still thought about taking out my meter and pricking her heel myself. Just thought it for a second.

I didn’t follow through, though. I didn’t let “The Thought” stay for more than a flicker, as I immediately finished changing her diaper and started singing her a song about the power of tiny spoons. (Don’t ask — my songs never make any sense.) I shook “The Thought” off the same way I shake off the thought every time I wonder if my niece or nephew might have dipped into my autoimmune grab bag. I don’t allow my brain to go there. It’s not denial, but feels more like a protective measure taken by my mind, protecting my psyche from letting “The Thought” permeate my daily life. Read more »

*This blog post was originally published at Six Until Me.*

What Doctors And Patients Can Learn From Apple And Steve Jobs

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First, I am a big admirer of Apple CEO Steve Jobs for his thoughtful 2005 Stanford commencement speech, his clarity of vision, and his superb skills as a leader. Fortune magazine named him CEO of the decade after turning around the company he founded from near bankruptcy in the late 1990s to becoming the most valued company today. Though I have great respect for him, I haven’t bought an Apple product, ever, until this year.

So I watched with great interest his press conference regarding Antennagate which has consumed technology news with regards to the design of the new iPhone 4 and its new antenna design. Apparently this makes the smartphone vulnerable to dropping phone calls when held a certain way, known as the death grip. If one simply avoided holding the phone that one explicit way, the phone otherwise worked fine. As a result, 22 days after the latest iPhone was available to the public, Jobs and Apple were instead addressing an issue which dwarfed their latest product launch.

Doctors and patients can learn plenty by watching Jobs’ approach to the problem, because the situation he and his team were tackling is similar to what a doctor addresses daily in the office. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

Physician Social Networks: Are Doctors Liable For What They Say?

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Last week I invited a local pediatrician to connect with me on a physician social network. I thought it would be cool to see how it might improve our ability to stay in touch and share information. In a return email she was enthusiastic, but qualified it by saying that she wouldn’t want to be held liable for anything she said.

It raises an interesting concern: Can a physician be held accountable for rendering an opinion in a clinical scenario casually presented in a physician network?

Water Cooler Risk

The question of liability for casual dialog is interesting, but not a new question. Doctors have been talking for years. At lunch conferences, in hallways, and in surgical lounges -– the curbside is a way of life for all of us. Good physicians, after all, almost never work alone. Read more »

*This blog post was originally published at 33 Charts*

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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

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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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