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Twitter-Assisted Diagnosis

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I have many reasons to use Twitter. One of them is that it’s quite easy to get feedback from doctors who also use Twitter for communication. Now one of my stories was featured in the New York Times.

Some people are even using Twitter for more urgent questions. Bertalan Meskó, a medical student at the University of Debrecen in Hungary, wrote a post about a patient with mysterious symptoms: “Strange case today in internal medicine rotation. 16 years old boy with acute pancreatitis (for the 6th! time). Any ideas?”

Within hours, specialists worldwide had responded, suggesting gallstones, lupus or growths on the pancreas. One of the suggestions helped the doctors with a diagnosis.

“It would have been impossible to find that specialist through e-mail, because we had no idea who to contact,” Mr. Meskó said.

*This blog post was originally published at ScienceRoll*

Teen Suicide: How To Recognize Kids At Risk

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The coverage about Michael Blasil’s suicide raises important issues about how to really help depressed teens…and where to look for resources in our own communities.

In many ways, the coverage about the death of Marie Osmond’s son was excellent. The experts on all the news shows were spot on in discussing teen depression and suicide and all the news stations have posted important information for families on their sites. However, what was missing was the reality of how challenging it is to get care. All the experts  I heard this morning made comments such as “if your child is depressed for 2 weeks or more, you need to get that child into treatment because treatment does work in over 90% of the time.” Read more »

*This blog post was originally published at Dr. Gwenn Is In*

Population Growth Is Dependent Upon Nutrition

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Population increases when the birthrate exceeds the death rate, and decreases when the reverse occurs. So what does the world look like when there are too many people?

One way to approach this question is to consider what the limiting factors in population are. When, exactly, does the death rate exceed the birthrate? A key consideration is mortality. If people live shorter lives, the death rate goes up, and population goes down (or at least grows more slowly). What causes mortality to increase? Obviously things like wars, pandemics, and famines have an impact, but economist Robert Fogel argues that these are actually a relatively small part of the global mortality picture. Read more »

*This blog post was originally published at The Daily Monthly*

Waste In The Healthcare System: An Allegory

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AUTHOR’S NOTE: I am very frustrated with a system that increases cost dramatically and yet reduces what I get paid. The rest of the money is going somewhere, and since it is not improving the overall quality of care, it is mostly waste. We are enamored with MRI scans, stents, and expensive cancer treatments, with little to show for them except increased expenses and a lot of third parties getting rich off of this waste: drug and device manufacturers, medical imaging companies and other para-healthcare industries. This story, which originally appeared at Musings of Distractible Mind, is prompted by my frustration with waste and how it spurs unneeded health care delivery.

Once upon a time there was a land on the ocean. The people lived off of the food from the ocean and were very happy. But as they grew bigger, they had a problem: They made a lot of waste! Yuk! Nobody likes waste. What could they do about all of this that stuff that nobody needed? Read more »

*This blog post was originally published at ACP Internist*

Reflections On Chronic Illness – It Can Happen To You

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A few weeks ago, I wrote a post about being stricken with pneumonia and my reflections on what it must be like for people who live continually with chronic illnesses. I was surprised by the response from many readers, quite a few of whom I’ve never seen comment here, who voiced understanding and even relief that a “normal” would take the time to reflect on what their life might be like.

Well, my illness is continuing even longer than my pulmonologist had expected and this has evoked for me a whole new layer of emotions. I write the following not for sympathy or concern, but rather for the Medicine and Health channel of ScienceBlogs to give voice to those much worse off than I who may not otherwise have a voice in our national health care dialogue. Read more »

*This blog post was originally published at Terra Sigillata*

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