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Alcoholism In Families: A Universal Loss

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This is a repost of my reflections on my father who passed away 13 years today. It took me 12 years to write the following eulogy and remembrance. While quite personal, I posted it here last year because I felt that my experiences were quite universal, shared by the families of the ten or twenty million alcoholics in the U.S. and the hundreds of millions worldwide. Moreover, I wanted to provide a face for my colleagues who work in the area of substance abuse and a reminder for my clinical colleagues of the people behind those they may dismiss as drunks and junkies.

In becoming one my most most highly-read and highly-commented posts, I thought I would share it again this year, especially for the new readers who’ve come on board in the last twelve months. Read more »

*This blog post was originally published at Terra Sigillata*

The Cost Of Nutrition: A Cartful Of Fruits And Veggies

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How much does a shopping cart full of nutrient-rich fruits and vegetables cost?  Let’s see:

Oranges (4.25 lbs @ $1.28/lb): $5.44
Bananas (2.66 lbs @ $0.48/lb): $1.28
Grapes (2.50 lbs @ $2.78/lb): $6.95
Green Onions (one bunch): $0.66
Asparagus (1.00 lbs @ $1.47/lb): $1.47
Apples (2.79 lbs @ $1.46/lb): $4.07
Nectarines(1.53 lbs @ $1.98/lb): $3.03
English Cucumbers ($1.78 each): $3.56
Tomatoes (1.37 lbs @ $2.78/lb): $3.81
Strawberries (1.00 lb @ $1.37/lb): $1.37
Bag of carrots (1 lb): $1.48
Mini sweet peppers (2 lb bag): $4.98

That’s $38.10 for 21.1 pounds of fruit and vegetables. That’s $1.80 per pound. Interestingly, that’s cheaper than just about everything else you can buy in a grocery store whether it’s boxed, canned, processed, fresh or frozen. It’s also interesting that this is what you’ll pay for the right to eat fast food. Go to any McDonald’s and you’ll spend about $5 for a value meal, which I suspect doesn’t even reach 3lbs of weight. Read more »

*This blog post was originally published at The Happy Hospitalist*

Ask Yourself: Have You Had Sex?

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You wouldn’t think that was a tough question – most doctors and therapists assessing risk in teenagers ask this simple question every day – but an accurate answer seems hard to get. A new study from the Kinsey Institute at Indiana University found no consensus among people 18- to 96 year-year-old when they were asked that question.

Thirty percent of the people did not consider oral sex, having sex. Twenty percent did not consider anal sex, having sex, and the winner – only 89% considered vaginal sex having sex if there was ejaculation. (Can I just say, hay carumba!)

This lack of consensus suggests that just asking the question “Have you had sex?” is pretty much a waste of time, unless you are very specific about the type of behavior you are asking about. In addition, if people do not consider these activities sexual, they are likely not worrying about the sexual risks associated with them. Be clear, be considered!

Photo credit: walknboston

This post, Ask Yourself: Have You Had Sex?, was originally published on Healthine.com by Nancy Brown, Ph.D..

Personalize Your Diabetes Management With Myabetic

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I was diagnosed with type 1 diabetes just before I started second grade, back in 1986.  I played with Barbie dolls, colored countless coloring books with my box of Crayola 96 (sharpener in the back), and sported a messy ponytail as often as my mom would allow.  

But my life also included dozens of plastic bags filled with orange-capped syringes.  And black meter cases that zipped up the side and held my glucose meter.  And small vials of bandaid-scented insulin.  My childhood was colorful and fun and just like every other kids’, but there were some dreary bits of diabetes management as a running thread.

I wish there had been things like this to hold my meter in when I was growing up with type 1 – because these meter cases are awesome:

This meter case was created by Kyrra Richards, who was diagnosed with type 1 diabetes in 2007.  I think it is GORGEOUS.  After her diagnosis, Kyrra created Myabetic – a specialty store stocked with playful and cool glucose meter cases.  She sent me a few of her meter cases to review here on SUM, and she also offered to share a little bit of her story. Read more »

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

How To De-Stress By Finding Inertia In Your Personal Life

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Recently, my wife and I went away for a weekend. I can’t remember the last time we packed our bags and left the children with their grandparents for two whole nights. Frankly, our preference is always to do things with them when we can, because in addition to loving them, we like them! But we decided to seize the moment and take that rare opportunity to go on an extended “date.”

I know that it must have been a while since we had been away, because we couldn’t stop smiling. We laughed and shopped. We ate quiet meals together without negotiating the best restaurant for four children and two adults. We held hands, but no one else was touching us, pulling us in different directions, or asking us to find anything. It was positively, delightfully spooky. Read more »

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

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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