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Medicine Vs. Religion: My Brother’s Keeper Revisited

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A few weeks back, I had introduced a patient who was willing to let her religious beliefs stand in the way of receiving the proper medical treatment she needed to stay alive. I want to revisit with you this dying patient, who hadn’t known me or any doctor for over 30 years.

As the rest of the family, who were not as committed to a religious path, stood by her expectantly, I said to her: “I had a brother who was a true believer in the power of God and that faith could heal all things or be called God’s will. Like you, he was a competent adult in charge of his decisions. He wouldn’t listen to anyone else — not his wife, father, mother, children, brother — not even me, the doctor. He died two years ago, leaving behind 10 children and a wife who depended on him. We all believe he died unnecessarily.

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Medical Testing, Doctors, And “X-Ray Vision”

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Boston Celtics basketball player Kendrick Perkins injured his knee during the NBA Finals against the Lakers when he landed awkwardly. Unable to weightbear, he left Game 6 not to return for the following pivotal Game 7.

Based on his mechanism of injury and his physical examination, his trainer reported that he tore his medial collateral ligament (MCL) as well as the posterior cruciate ligament (PCL). More amazingly, this was done without the help of a MRI. Since Perkins was unable to play the final game, there was no urgent medical need to expedite the test, as regardless of the result his season was already done.

How do doctors know what’s wrong without X-ray vision or an imaging test? (Note that Perkins did get a X-ray, but X-rays generally don’t show ligament injuries.) Is it guessing? Read more »

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

Inside The NIH Grant Review Process

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The National Institutes of Health (NIH) is the world’s biggest sponsor of research in the life sciences. Today’s biologists, clinical researchers, and many others rely on the NIH for their funding.

To help people better understand how the peer review process happens within the NIH, the agency’s Center for Scientific Review created the following video that includes samples of research being openly discussed by a number of scientists:

Click here to view another video of tips for NIH grant applicants.

*This blog post was originally published at Medgadget*

Herbal Remedy For UTI? If You’re A Lab Rat, Maybe

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Lab ratA patient came into the office the other day carrying a small clipping from a reputable women’s health newsletter touting new research on an herbal remedy for urinary tract infection. Having recurrent bladder infections, my patient naturally was wondering if this was something she should try.

The article was entitled “Herbal Remedy Effective for Urinary Tract Infections” and began with this startling revelation:

The common herbal extract forskolin can greatly reduce urinary tract infections and could potentially help antibiotics kill the bacteria that cause most bladder infections. 

But the article advised that the “popular” remedy was not FDA approved for this indication, so you should “ask your doctor.” Read more »

*This blog post was originally published at The Blog that Ate Manhattan*

Social Media Bill Of Rights?

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Should we have a Bill of Rights for social media sites? It’s something we need to consider as such software becomes an integral part of our daily communications.

Some might say such a document isn’t needed, that we aught to take a buyer-beware approach. But I would argue that the core issue of the privacy threats of new media isn’t really privacy, but rather dignity. Having to go through fifty steps to set your privacy settings is undignified, even if your privacy is ensured.

So if we value human dignity, we aught to consider standards of dignity. A Bill of Rights, even if unenforceable, may at least remind us of the disturbing force of social technologies. What’s your take?

*This blog post was originally published at Phil Baumann*

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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

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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