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Christmas And The ‘Begats’ Of The Emergency Department

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Often as not, the miseries of our friends, patients,  co-workers or family began with other miseries.  The Bible is full of ‘begats.’  Abraham begat Isaac, Isaac begat Jacob, Jacob begat his 12 sons.

Pain is similar; abuse begat depression.  Loss begat alcoholism.  Loneliness begat PID.  Ridicule begat drug abuse. Ignorance begat incapacity. Infidelity begat sorrow. Fatigue begat anger. Neglect begat rage. Abuse begat indifference.

On the other hand, love begat happiness. Children begat purpose. Knowledge begat excellence.  Concern for humanity begat medical science.  Love for others begat long call nights and long surgeries.

Love for country begat sacrifice.  Love for wives, husbands and children begat fidelity.

Love for mankind begat Jesus in the manger, Jesus on the cross.

Life is a series of ‘begats.’

Edwin

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

What’s The Most Dangerous Day Of The Year?

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With 365 days a year, one would think the law of averages would win this battle.  And you would be wrong. Because there is a deadliest day of the year?  It’s none other than Christmas.  Who would have thought that?  Why would Christmas be the deadliest day of the year.

Researchers examined 53 million natural deaths between 1973 and 2001.  What they found was cardiac and non-cardiac deaths peaked during Christmas and New Year’s (between 4-5% higher than expected).  They also found that the proportion of holiday deaths was increasing with time. Read more »

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

Vi Typhoid Vaccine: Safe And Effective For Young Children

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Vaccination against infectious diseases is perhaps the most important reason why millions of additional persons do not succumb with morbidity and mortality from viral and bacterial infections in the modern world. Vaccines are most effective when they are administered with sufficient distribution and frequency to protect as many people as possible.

In the July 23, 2009 issue of the New England Journal of Medicine (N Engl J Med 2009;361:335-44, there appeared an article reporting a study by Dipika Sur, MD and colleagues entitled “A Cluster-Randomized Effectiveness Trial of Vi Typhoid Vaccine in India.” The premise of the study was that typhoid fever, caused by infection with the bacteria Salmonella enterica serotype typhi (S. typhi), causes up to 600,00 deaths per year, mostly in developing countries. Injectable Vi polysaccharide vaccine has up to this time been used in a limited fashion in public health programs, and there have been unanswered questions about its effectiveness in children (ages 2 to 5 years) and in particular its use to cause “herd” immunity (e.g., if it is given to a large population living in close proximity, will it promote immunity in the nonimmunized “herd” of people). Read more »

This post, Vi Typhoid Vaccine: Safe And Effective For Young Children, was originally published on Healthine.com by Paul Auerbach, M.D..

Skin Cancer Alert: Tanning Bed Use Increases In Winter

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It’s winter so why think about skin cancer?   One of the major risk factors is UVA and UVB rays from sun exposure which is much more common in the summer.  Tanning beds never cease being used, regardless of season and may even be used more in the winter than summer.

There is never a wrong season to be reminded of the prevalence of skin cancer or the risk factors for skin cancer or ways to prevent skin cancer. Read more »

*This blog post was originally published at Suture for a Living*

Alternative Medicine’s Flawed Reasoning: The One True Cause of All Disease

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Chiropractors, homeopaths, naturopaths, acupuncturists, and other alternative medicine practitioners constantly criticize mainstream medicine for “only treating the symptoms,” while alternative medicine allegedly treats “the underlying causes” of disease.

Nope. Not true. Exactly backwards. Think about it. When you go to a doctor with a fever, does he just treat the symptom? No, he tries to figure out what’s causing the fever and if it’s pneumonia, he identifies which microbe is responsible and gives you the right drugs to treat that particular infection. If you have abdominal pain, does the doctor just give you narcotics to treat the symptom of pain? No, he tries to figure out what’s causing the pain and if he determines you have acute appendicitis he operates to remove your appendix. Read more »

*This blog post was originally published at Science-Based Medicine*

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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