Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

Pap Smears for Women: New Guidelines

No Comments »

Right in the middle of the national firestorm about Mammogram recommendations, the American College of Gynecologists (ACOG) has issued new guidelines for screening of cervical cancer. After 40 years of successfully convincing women to get pap smears annually, the new recommendations say women should not get their first pap test until age 21 and the intervals for testing can then be stretched out.

The new recommendations say that women should start pap screening at age 21 (not teens who are sexually active as previously recommended) and then every two years through age 29. Women age 30 and over with three negative pap smears can stretch it out for three years. Women over age 65 can stop getting pap tests if their previous tests have been negative. Women who have had a hysterectomy for non-cancer reasons never need a pap smear. Read more »

*This blog post was originally published at EverythingHealth*

Drugs To Prevent Cancer? The NYT Misses The Devil In The Details

No Comments »

In yet another article addressing the war on cancer, The New York Times today tackles cancer prevention, focusing on alternative and mainstream Pharma products marketed to reduce the risk for cancer.

While author Gina Kolata seems to have done her homework when it comes to the failure of alternative medicine to prevent cancer, she has missed the story completely when it comes to telling why the medical profession and patients may have failed to embrace Big Pharma’s push to use their drugs to prevent breast and prostate cancer. Of course, that’s not surprising since almost exclusively, the experts she interviewed were those who conducted the clinical trials of these drugs. Read more »

*This blog post was originally published at The Blog that Ate Manhattan*

Flu Vaccine, Dystonia, Cheerleaders, And The Truth

1 Comment »

In my efforts to have a rational discussion about the H1N1 flu shot I have been increasingly confronted with the following fear, expressed most commonly by concerned mothers and teenagers:

Did you see that video on Youtube about the cheerleader who got the flu shot? Something called dystonia? She can’t walk unless she goes backwards. I don’t want to risk ending up like that.

Apparently Inside Edition broadcast a story featuring a woman who claims to have a movement disorder she attributes to an adverse effect of the seasonal flu shot. I had to take a look at this video along with the millions of other viewers. Here it is: Read more »

*This blog post was originally published at The Examining Room of Dr. Charles*

Do Low Carb Diets Make People Angry?

No Comments »

As if we haven’t seen enough bad press for low carb diets, check this out: a study just published in the Archives of Internal Medicine found that dieters who followed a low carb diet for a year were more depressed, angry, and confused than people following a higher carb diet.

The researchers studied two groups of people for one year. Both were on a reduced calorie diet and both lost an average of 30 pounds. However, the group on the low carb diet had detrimental effects on their mood.

I know I am pretty angry when I don’t have chocolate for a long time! 😉 Seriously, other smaller studies have not shown changes in mood with low carb diets, but we will have to see if future studies show a similar affect. It makes sense…we know that carbs cause release of serotonin, the feel good hormone. There is a reason people say they are “addicted” to carbs. One is because they are our body’s preferred source of energy, so we need them for energy and we can “crave” them. The other is that they literally make us feel good (and they taste great!) Read more »

This post, Do Low Carb Diets Make People Angry?, was originally published on Healthine.com by Brian Westphal.

When A Second Opinion Saves A Child’s Life

No Comments »

Your child seems half dead to you, but you’re frozen with uncertainty.  Are they just being whiny?  Is that fever going to pass quickly?  When do I know if my child needs an emergency assessment?  When do I know if they need emergency medical care?

I recently got involved in just a situation with one of Mrs. Happy’s friends.  She has a young child, about four years old who came down with a fever a week ago.  The child has a history of asthma and a history of supraventricular tachycardia.  The child was meandering along doing fine when one day his condition changed. Read more »

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

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…

Read more »

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…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

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…

Read more »

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…

Read more »

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…

Read more »

See all book reviews »

Commented - Most Popular Articles