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Doctors As Translators

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By Danielle Ofri, MD, PhD

If asked what a doctor does, most people would probably come up with the standard description of diagnosing and treating disease, usually while wearing an ill-fitting white coat. Before I entered practice, even during my medical training that probably would have been my answer too.

But my years in the trenches of real medicine have altered that definition greatly. I do spend time doing the things I learned in medical school like diagnosing disease and writing prescriptions, but that turns out to be only a part of the job, often a very small part.

Much of the time I find myself acting as sounding board. Read more »

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

Do Newborn Babies Cry With Mother’s Accent?

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French and German scientists decided to analyze the crying of newborns from the two countries for differences in intonation. Turns out that German babies have a different “accent” to their cry compared with those from France, which implies that language learning perhaps begins even in the womb.

The analysis of crying conducted under the supervision of the psychologist Kathleen Wermke from the ZWES showed that the newborns tended to produce the intonation pattern most typical for their respective mother tongue. The crying patterns of the German infants mostly began loud and high and followed a falling curve while the French infants more often cried with a rising tone. This early sensitivity to features of intonation may later help the infants learn their mother tongue, the researchers say. “When they begin to form their first sounds, they can build on melodic patterns that are already familiar and, in this way, don’t have to start from scratch”, says the neuropsychologist. The evolutionary roots of this behaviour are older than the emergence of spoken language, the researchers believe. “The imitation of melodic patterns developed over millions of years and contributes to the mother-child bond” says Friederici.

Press release: Babies with an accent …

Abstract in Current Biology: Newborns’ Cry Melody Is Shaped by Their Native Language…

*This blog post was originally published at Medgadget*

Maybe The ER Shouldn’t Be A Fun Place For Kids

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What’s the deal with hospital stickers these days?  I found this sticker laying around in Happy’s emergency department the other day.  Should we be encouraging children to come to the emergency room and feeling happy and excited about the sticker they get?  I’m not sure putting a happy robot on a sticker and proclaiming ones exciting visit to the emergency is the best public health policy.  Perhaps we need to take a different course of action before another entire generation of  citizens feel obliged to use the emergency department as their sole source of medical care.  Perhaps instead of a hospital sticker, children in the emergency room would all get a saline injection in their shoulder.  Now that’s the kind of memory you want kids to have of their emergency room visit. They should fear the hospital and do everything in their power to stay healthy as adults.  Not feel giddy about happy robots on hospital stickers.

Do children get hospital stickers at your facility?

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

Homebirth Risks: Babies Three Times More Likely To Die

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By Amy Tuteur, MD

More than 10,000 American women each year choose planned homebirth with a homebirth midwife in the mistaken belief that it is a safe choice. In fact, homebirth with a homebirth midwife is the most dangerous form of planned birth in the US.

In 2003 the US standard birth certificate form was revised to include place of birth and attendant at birth. In both the 2003 and 2004 Linked Birth Infant Death Statistics, mention was made of this data, but it was not included in the reports. Now the CDC has made the entire dataset available for review and the statistics for homebirth are quite remarkable. Homebirth increases the risk of neonatal death to double or triple the neonatal death rate at hospital birth. Read more »

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

How To Bend The Cost Curve In Healthcare

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President Obama has stressed the importance of “bending the cost curve” in order to put the brakes on galloping health care expenses that total 2.5 trillion dollars a year and are increasing at 6% a year. The fastest way to do this is shockingly simple: carefully explain to patients the known risks and benefits of procedures. Read more »

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