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Dr. Abraham Verghese: The “Top Gun” Of American Medicine

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The first-year medical students I precept were too young to see Tom Cruise’s alter ego Lieutenant Pete “Maverick” Mitchell grace the big screen in the 1986 blockbuster film “Top Gun.” Yet, the story has a relevant analogy to medicine. 

According to the film, during the Vietnam war American pilots were relying too much on technology to bring enemy fighters down. They weren’t as skilled in taking out the opposition. They fired their technologically advanced missiles to try and get the job done. They didn’t think. It didn’t work. They forgot the art of dogfighting.

The military discovered that technology alone wasn’t going to get the job done. The best fighter pilots needed the skills, insight, and wisdom on when to use technology and when not to. As a result, the Navy Fighter Weapons School, known simply as Top Gun, was created to retrain the military pilots on this vital lost skill. The goal of the program was specifically to make the best of the best even better.

Like the military, the country is discovering that the healthcare system enabled with dazzling technology isn’t getting the job done either. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

“Small Steps”: Get Healthy Compliments Of Uncle Sam

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It makes my blogging life easier if I can just direct readers to a cool site, compliments of (drumroll…) — the U.S. government! The site, called Smallstep Adult and Teen, is filled with great healthy eating and exercise tips. Check it out and click around a bit. (Don’t ya’ just love the Internet?) From the site:

Today’s lifestyle doesn’t allow much room for health. And that’s where Small Steps comes in. We know that it’s impossible for many people to make dramatic lifestyle changes. Instead, we want to help you learn ways that you can change small things about your life and see big results.

*This blog post was originally published at EverythingHealth*

Learning Lessons From Patients: Attitude Is Everything

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When I was in the 8th grade and honored at the “A” team honor roll breakfast, the speech was one that I never forgot: “Attitude is Everything.” Essentially, having a good education and good grades give you the tools to be successful, but having a great attitude toward any challenges ASSURES that you will arrive at that success.

Being a pediatrician AND an endocrinologist, I am blessed to work with many graceful children and their families who face medical endocrine challenges with great attitudes.  I can recall numerous examples but will share one of my favorites: A now 11-year-old vibrant female with hashimotos thyroiditis who was diagnosed at 5 years old. Initially, she required frequent lab checks for medication adjustment (~5-6) which then decreased to ~2-3 annually thereafter for further medication dosing adjustments of synthroid replacement as she outgrew prior lower doses.

Her attitude towards her lab draws has always stuck with me because surprisingly she actually looked forward to them AND to her endo visits! She and her mother would always go out to eat and spend special quality time together whenever she had to have a lab draw. They would always choose Mexican food for these special outings, and in fact would limit all Mexican food intake, making it that much more special. Read more »

“Dollars For Doctors”: Is Your Doctor Being Paid By A Drug Company?

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An historic piece of journalism was published today. Six news organizations partnered on the “Dollars for Docs” project — ProPublica, NPR, PBS’s Nightly Business Report, the Chicago Tribune, Boston Globe and Consumer Reports. They examined $258 million in payments by seven drug companies in 2009 and 2010 to about 18,000 healthcare practitioners nationwide for speaking, consulting, and other tasks.

This webpage can be your gateway to the project, with links to a database searchable by doctor’s name or by state, and links to the journalism partners’ efforts:

Boston Globe
“Prescription for Prestige”
The Harvard brand, unrivaled in education, is also prized by the pharmaceutical industry as a powerful tool in promoting drugs. Its allure is evident in a new analysis of all publicly reported industry payments to physicians.

Consumer Reports
“Consumers Wary of Doctors Who Take Drug-Company Dollars”
Most Americans are skeptical of financial relationships between doctors and companies, according to a new, national from the Consumer Reports National Research Center.

Chicago Tribune
“Doctors Draw Payments From Drug Companies”
Follow drug company money in Illinois, and it leads to the psychiatry department at Rush University Medical Center, a prominent headache clinic on the North Side of Chicago, a busy suburban urology practice and a psychiatric hospital accused of overmedicating kids.

PBS
“Nightly Business Report”
A doctor talks about quitting drug company money when their marketing tactics crossed the line.

NPR
“Drug Companies Hire Troubled Docs As Experts”

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Cancer Prevention: How To Sift Through The Headlines

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Guest post submitted by MD Anderson Cancer Center

Most of us can’t keep up with all the new ways to avoid cancer. Thanks to the Internet, we now have an unlimited supply of cancer knowledge at our fingertips. But, how can we filter out the good, the bad and the questionable?

Below are steps to help you tease out the facts when reading that next big news story on preventing cancer.

Says who?

Don’t just take the writer’s word for it. Dig a little deeper to find out the source behind the hype. The American Cancer Society says you should ask yourself these questions when reading an article:

  • Was this a press release from a company announcing a new breakthrough in cancer prevention?
  • Was it a report from a clinical study that was given at a scientific conference?
  • Was it a report from a study that was published in a respected medical journal?
  • Where was the study done? What do you know about the research centers that conducted and sponsored the study?

Knowing the answers to these questions can help you decide on where you need to go to seek more details about the study findings. Visit the source of the information to learn more about how this new substance or method was tested. Read more »

*This blog post was originally published at Health in 30*

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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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