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Personalized Medicine: A Bait And Switch

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Mark Hyman, a proponent of so-called “functional medicine” promoting himself over at the Huffington Post (an online news source that essentially allows dubious medical infomercials to pass as news) has posted a particularly egregious article on personalized medicine for dementia.

In the article Hyman distorts the modern practice of medicine, the current state of genetic science, and the very notion of “disease.” It is, as usual, a fine piece of medical propaganda sure to confuse many a reader. Hyman starts with some standard epidemiology of dementia –- it’s a common and growing disorder –- but then descends quickly into distortion and pseudoscience. Read more »

*This blog post was originally published at Science-Based Medicine*

How To Use Self-Tanners

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Your doctor has told you not to use tanning beds anymore. Your skin is beginning to show more aging than your age should have. You have a family history of skin cancer and want to avoid it. Whatever your reason, you have decided to look at self-tanners as an alternative.

I applaud that decision, but remember to use safe sun practices and/or sunscreens as self-tanners offer no protection to your skin from UVA or UVB rays.

According to About.com:Chemistry, self-tanners have been around in some form since 1960:

In 1960, Coppertone introduced its first sunless tanning product — QT® or Quick Tanning Lotion. This lotion produced an overall orange effect. Today’s sunless tanning products produce much more realistic results. Read more »

*This blog post was originally published at Suture for a Living*

Dr. Insurance Broker

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Call it sweet, delicious vindication. It was clinic day yesterday. No longer had I completed my rant in this blog about UnitedHealthcare’s program to require all cardiac elecrophysiologists to obtain a “notification number” before performing any pacemaker or defibrillator procedure, I discovered my letter from them dated June 3, 2010, on my desk stating that this requirement will begin September 1, 2010, for all Illinois electrophysiologists for “all electrophysiology procedures.”

Not longer than an hour later I was seeing a 67-year-old patient in the clinic who asked me: “I just got my Medicare (Part A) card and must decide about which insurer I should use for Part B, C, D, E, and F,” he said jokingly. “Since I have the medical problem and might need some care in the future, is there a company you would recommend?” Read more »

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

Get A Discount If Your Doctor Is Running Late?

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Should doctors face consequences if they run late? From The New York Times’ health blog, Well, comes a story where a medical group promises “same-day appointments and longer, more personalized visits that start on time.”

Sounds good, right? But it comes with a caveat, namely, a $199 annual membership fee. A tremendous amount of primary care can be bought with that amount of money, and if patients were willing to pay that, service will most definitely improve. Read more »

*This blog post was originally published at KevinMD.com*

How ePatients Can Help Heal Healthcare

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ePatient Dave, who shared his story (video below) with my students in the “Internet in Medicine” course this semester, is about to publish his own book: “Laugh, Sing, and Eat Like a Pig: How an Empowered Patient Beat Stage IV Cancer.”

Now three of his friends have written essays about this important issue:

We who’ve worked on it hope it will provoke thought about how healthcare is changing because of what e-patients can contribute, empowered as individuals and enabled by the Internet. To start that process, we’re publishing the introduction.

Three friends and mentors generously offered introductory essays. These essays they have little to do with my story, and everything to do with how e-patients can help heal healthcare:

 

My message to @Berci’s Medicine 2.0 course, March 25 2010 from e-Patient Dave deBronkart on Vimeo.

*This blog post was originally published at ScienceRoll*

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