January 8th, 2011 by DrWes in Better Health Network, Health Tips, Humor, Opinion
Tags: Bra, Cardiac Device, Cardiac Electrophysiology, Defibrillator, Dr. Wes Fisher, Heart Disease, Magnets, Medical Device Interference, Pacemaker
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This comment [with a specific photo] was posted on my blog earlier:
“I was reading one of your old posts about magnets and I was wondering if a magnetic front closure on a bra would be a problem? There’s a warning on the label but I know part of that is just due to liability. What about this bra that has a magnet clasp on the front? If the magnet hits right in between the breasts would it be close enough to the device that it could interfere? Also does having a magnet that close change the settings or turn off a defibrillator/pacemaker early? I’m sure most doctors would say just wear another bra but this bra in particular is very comfy! I’ve tried it on but not worn it for extended periods of time. Luckily this is one of the only major complaints I’ve had about having heart disease and a [medical] device at such a young age.”
First, let me say thank you for asking this question. Who knew research could be so, er, entertaining! Second, this question reinforces why medical blogging is so great: You learn something new every day.
Now, as I slap myself back to a bit more professional stance, I’ll summarize by saying I think you’ll be okay to use such a bra with some precautions. Given the picture and the clasp’s location, this bra is more likely to interfere with the pacemaker of the partner you hug rather than yourself, provided your pacemaker was implanted over three centimeters from the magnetic clasp. Since most pacemakers and defibrillators are implanted just below the collar bone, the chance of the magenetic clasp to interfere with your device is remote. Read more »
*This blog post was originally published at Dr. Wes*
January 8th, 2011 by admin in Better Health Network, Health Tips
Tags: Anxiety, Depression, Dermatology, Dr. Greg Murray, Dr. Jena Wider, Dry Skin, Exposure To Sunlight, Healthy Skin, Holidays, Light Box, Light Therapy, Mayo Clinic, Mood Disorders, National Mental Health Association, Psychiatry and Psychology, SAD, Seasonal Affective Disorder, Skin Care, Society For Women's Health Research, Stress, SWHR, Swinburne University of Technology, Winter
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This is a guest post from Dr. Jennifer Wider.
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Winterize Your Mind And Body
During the winter months, certain health issues may arise that women should have on their radar. From mental health issues like stress, depression and seasonal affective disorder (SAD), to physical concerns like skin care, the winter can certainly pack an extra punch.
Depression peaks during the holiday season, affecting more than 17 million Americans, according to the National Mental Health Association. On average, women are more vulnerable to stress-related illnesses like depression and anxiety than men. One study, conducted by Pacific Health Laboratories, revealed that 44 percent of American women report feeling sad through the holidays compared to 34 percent of American men.
“Depression of any kind is more common in females than males,” explains Greg Murray, M.D., lecturer and clinical psychologist at Swinburne University of Technology in Australia. “A pattern of elevated depression in the winter months is more marked in women than in men.”
There are a host of different reasons why women may be more susceptible to stress during the winter than men. Women tend to be the primary caretakers of the family and often take on the extra burden of the holidays with gift buying, entertaining, and coordinating visits with extended family. For working women, the added responsibilities can be difficult to balance, especially if they are already balancing a family, job, childcare and eldercare duties. Read more »
January 7th, 2011 by Debra Gordon in Better Health Network, Opinion
Tags: Debra Gordon, Dying Well, Dying With Dignity, Elderly Family Members, Elderly Loved Ones, End Of Life Care, End-Of-Life Decisions, End-Of-Life Planning, End-Of-Life Preferences, End-Of-Life Wishes, Fear Of Death, Health Affairs, High Cost Of Dying, Julie Appleby, Keeping Dying People Alive, Medicare, Mortality, Quality of Life, USA Today
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My cousin’s mother-in-law is in her late 90s. She had horrible osteoporosis and can barely move. She has little cognitive function left. She requires nearly 24-hour care and no one would even attempt to say she has any quality of life left. She told her son years ago that she was “ready to go,” and had had enough.
And yet when I asked my cousin’s husband if his mother had any do-not-resuscitate orders, or had ever completed an advanced director outlining her wishes of what kind of end-of-life care she wanted, he said no. His sister, he said, just wasn’t ready for that yet. So what, I asked, will you do when/if your mother gets pneumonia? Will you treat it with antibiotics? Will you put her on a respirator? If she is no longer able to eat, will you feed her through a tube?
He couldn’t answer. And he was clearly uncomfortable with the questions. Read more »
*This blog post was originally published at A Medical Writer's Musings on Medicine, Health Care, and the Writing Life*
January 7th, 2011 by KevinMD in Better Health Network, Opinion
Tags: American Journal of Bioethics, American Medical News, CDC, Centers For Disease Control and Prevention, Chronic Pain Treatment, Controlled Substances, Doctor Patient Relationship, Dr. Kevin Pho, Drug Addiction, Drug Overdose, Fatal Opioid Overdoses, KevinMD, Medication Control, Opioid Pain Relievers, Pain Agreements, Pain Contracts, Pain Management, Pharmacology, Prescription Drug Use, Primary Care, Random Drug Testing, Substance Abuse
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Doctors today are wary about treating chronic pain. One of the main worries is precipitating fatal opioid overdoses. Indeed, according to the CDC, and reported by American Medical News, “fatal opioid overdoses tripled to nearly 14,000 from 1999 to 2006 … [and] emergency department visits involving opioids more than doubled to nearly 306,000 between 2004 and 2008.”
Requiring chronic pain patients to sign pain contracts is a way to mitigate this risk. But how does that affect the doctor-patient relationship?
Indeed, a contract is an adversarial tool. Essentially, it states that a patient must comply with a strict set of rules in order to receive medications, including where and how often they obtain controlled substances, and may involve random drug testing. Break the contract and the patient is often fired from the practice. Read more »
*This blog post was originally published at KevinMD.com*
January 7th, 2011 by Bryan Vartabedian, M.D. in Better Health Network, Humor, Opinion, True Stories
Tags: 33 Charts, AMA, American Medical Association, Doctor Patient Relationship, Doctor's Feelings, Doctor's Lifestyle, Doctor's Personal Life, Doctor's Viewpoint, Doctors Not On Duty, Doctors Seeing Patients, Doctors' Privacy, Dr. Bryan Vartabedian, Family Medicine, In Real Life, IRL, Medical Humor, Patients Seeing Doctors After Hours, Pediatrics, Physician Behavior, Physician Visibility In Public, Privacy Settings For Doctors, Social Media, Work-Life Balance
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In the movie “The Sixth Sense,” there was that kid who saw dead people. I’m like that. But I see patients and their parents instead. They’re all around me.
They’re watching at the grocery store when my kids act up. We meet during anniversary dinners, at Christmas Eve service, and on the treadmill at the Y. I bump into parents when buying personal effects and even during the early morning coffee run in my oldest sweats. I see patients.
The follow-up dialog between the parents might go something like this:
Dad: “Marge, don’t you think Billy’s colitis might be better managed by a doctor capable of pulling himself together?”
Mom: “Don’t be ridiculous, Frank. DrV’s bedhead has nothing to do with his ability to care for Billy. And besides, I’ve heard that he can intubate the terminal ileum in under 10 minutes.”
It’s not that I necessarily mind being seen in the wild. I’m pretty comfortable in my own skin, even when it’s glistening after a workout. I’m bothered more by the fact that patients may be repulsed by my occasional bedraggled appearance. If I knew they were good with it, I might be less caught up with the whole matter. Read more »
*This blog post was originally published at 33 Charts*
