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When Doctors Deliver Babies Too Early

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Babies born between the 34th and 36th week have more complications and cost the U.S. $26 billion annually. These children have more risk of death, cerebral palsy, cognitive impairment, or respiratory problems.

In the United States, nearly 13% of infants are born before they reach 37 weeks gestation. According to the Society for Maternal-Fetal Medicine (SMFM), that rate is much higher than other developed nations, and physicians may be partially to blame for the early deliveries.

Some of the reasons may be older moms or the increased use of artificial reproductive technology and multiple births, but some physicians are choosing to deliver between 34 and 37 weeks even when there is no clear medical indication. Read more »

*This blog post was originally published at EverythingHealth*

Challenges Continue For Women In Science And Medicine

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I didn’t turn on the computer yesterday (yes, it was glorious), so I missed Mother’s Day coverage in our local newspaper. When we returned home, I was happy to see that on the front page of the print copy the dean of Duke School of Medicine, Nancy Andrews, M.D., Ph.D., was featured with her daughter in the lab on their “fun Saturdays” together.

Also cited and pictured in the article was Duke vice dean for research and professor of pharmacology and cancer biology, Sally Kornbluth, Ph.D., and her daughter.

Written by News & Observer science editor Sarah Avery, the article describes how women are increasing in ranks in biomedical degrees earned while still lagging at the associate professor level and up. This trend was cited specifically for faculty and administrators in basic science departments of medical schools, but is widespread in academic science and engineering. Read more »

*This blog post was originally published at Terra Sigillata*

Patient Follow-Up: What Doctors Can Learn From Dentists

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I have to give my dentist credit. He and his staff know when I am due for a cleaning and call me to schedule an appointment without fail. They also call to remind me the day before an appointment. Many dentists, I understand, do similar kinds of things for their patients.

As a patient, I like being reminded — it’s a great service. I also like the fact that someone’s looking out for me. From a business perspective it makes a lot of sense as well. Fewer “no shows,” more cleanings, more billings, and so on.

It’s too bad that more physicians don’t routinely follow up with their patients, particularly when it really counts. Read more »

*This blog post was originally published at Mind The Gap*

An Artificial Pancreas For Type 1 Diabetes

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Researchers at Massachusetts General Hospital and Boston University have reported that an “artificial pancreas” has worked in 11 patients enrolled in a study sponsored by the Juvenile Diabetes Research Foundation (JDRF). The device consists of insulin pumps, glucose sensors, and a laptop with regulatory software. Read more »

*This blog post was originally published at Medgadget*

Why Creating Healthcare “Consumers” Won’t Work

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I [recently] gave a speech at the Midwest Business Group on Health’s (MBGH) 30th Annual Conference. The MBGH is one of the country’s leading organizations on healthcare, and its members include the leading innovators and thought leaders on healthcare in America. It was a privilege to present to them.

I spoke about why healthcare just isn’t a consumer business in spite of all of the effort to turn people into healthcare “consumers.”

At Best Doctors, we have a closeup view of what happens to people when they try to find their way through the healthcare system. It’s not a pleasant picture. Healthcare consumers –- if you can call them that –- are often lost, confused, frustrated, alone. Read more »

*This blog post was originally published at See First Blog*

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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