April 20th, 2010 by Harriet Hall, M.D. in Better Health Network, Book Reviews, Opinion
Tags: Belief-Based Medicine, Breakdown, CAM, Complimentary and Alternative Medicine, Evidence Based Medicine, General Medicine, Homeopathy, Jon Queijo, Medical Breakthoughs, Medical Discoveries, Medical History, Medical Literature, Medical Mysteries, Modern Medicine, Natural Medicines, Naturopathy, Science Based Medicine
No Comments »
In his new book Breakthrough! How the 10 Greatest Discoveries in Medicine Saved Millions and Changed Our View of the World, Jon Queijo describes what he believes are the 10 greatest discoveries. Nine of them are uncontroversial discoveries that have been on other top-10 lists, but his 10th choice is one that no other list of top discoveries has ever included.
Queijo realizes this, and even admits in his introduction that a former editor of the New England Journal of Medicine refused to review his book because there is no such thing as alternative medicine, only treatments that work and treatments that don’t. But he “respectfully disagrees.” Read more »
*This blog post was originally published at Science-Based Medicine*
April 7th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Book Reviews, Health Policy, Opinion, Primary Care Wednesdays
Tags: Automated Diagnostics, General Medicine, Indispensible, Innovators, Insight, Invisible, Irreplaceable, Jay Parkinson, Linchpin Doctors, Make A Difference, Managed Care, Mechanical Patient Care, Medical Community, Modern Patient Care, Passion In Medicine, Personal Accountability, Physicians, Powerless Cogs, Primary Care, Real Leaders, Relevant, Remarkable, Seth Godin
No Comments »
I just finished Seth Godin’s Linchpin. Seth makes the case that in a hypercompetitive world the stakes are higher than ever to make an indispensible contribution to something you care about. The linchpin is the essential element, the piece of a wheel or organization that is absolutely irreplaceable.
Seth references business, but he might as well have been talking about obstetricians or internists. We need more linchpin doctors.
Modern patient care is progressively marginalizing physicians. Care that is increasingly “managed” and dependent upon automated diagnostics is leaving physicians as powerless cogs in a system of mechanical patient care. Patients have become naturally detached as they search for solutions of their own.
Physicians have to be remarkable to remain relevant. Physicians have to offer something not available anywhere else. Physicians need to make a difference and in their own way and serve as real leaders and innovators in their relationships with patients and their communities. Physicians have to be linchpins. Read more »
*This blog post was originally published at 33 Charts*
April 3rd, 2010 by David Kroll, Ph.D. in Better Health Network, Book Reviews, Health Tips, Opinion, True Stories
Tags: Depression, Dominique Browning, General Medicine, Happiness, House & Garden Magazine, Job Loss, Newfound Freedom, Primary Care, Psychology, Slow Love, Unemployed
2 Comments »
From the “unsubstantiated evidence” files, I wanted to share with you a quick light that popped on in my head while reading a much-discussed article from last weekend’s New York Times Magazine.
In it, former House & Garden magazine editor Dominique Browning vividly shares her experiences following the folding of the magazine in 2007. This long-form essay is adapted from her upcoming book, Slow Love: How I Lost My Job, Put On My Pajamas, and Found Happiness.
Much can be discussed about her experiences, but I was particularly struck by the account of her response to her newfound freedom:
“In this way, being unemployed is a lot like being depressed. You know how there are millions (O.K., a handful) of things you swear you would do if you only had the time? Now that I had all the time in the world — except for the hours during which I was looking for work — to read, write, watch birds, travel, play minor-key nocturnes, have lunch with friends, train a dog, get a dog, learn to cook, knit a sweater, iron the napkins and even the sheets, I had absolutely no energy for any of it. It made no difference that music and books and nature had long been the mainstays of my spirit. Just thinking about them exhausted me. I had absolutely zero experience in filling weeks — what if it became years? — with activity of my own choosing. Being unemployed meant being unoccupied, literally. I felt hollow.” Read more »
*This blog post was originally published at Terra Sigillata*
March 21st, 2010 by KevinMD in Better Health Network, Book Reviews, Health Tips, True Stories
Tags: Anxiety, Dance, Depression, General Practice, Physician Burnout, Relaxation, Stress
No Comments »
By Susan Biali, M.D.
Ten years ago, I was an emergency medicine resident and wanted to die. Today, I’m a general practitioner in part-time practice and in love with life. What made the difference? I signed up for a dance class.
Reports on physician burnout list the personality traits that set us up for trouble: we’re excessively conscientious, feel overly responsible, want to please everyone, and function on an extremely high level –- even if we’re overloaded, exhausted, or our personal life is falling apart. We burn out because we bend over backwards to help others, until something (like our minds or our health or our marriages) finally snaps. Now imagine this: what if we took some of that deep caring and hyper-responsibility, and turned it on ourselves?
When my depression hit bottom and I became a serious risk to myself and my patients, my chief resident asked me to take a stress leave. On impulse I went on a solo tropical vacation and one night at the resort, as I watched an exuberant group of salsa dancers burning up the stage, my eyes filled with tears. I suddenly remembered that when I was a little girl, I practiced incessantly in the basement to my ABBA records, preparing myself for the moment that I would live my dream and finally become a “Solid Gold Dancer.” That night, in that darkened tropical theater, I knew how I would save my life. Read more »
*This blog post was originally published at KevinMD.com*
February 18th, 2010 by RamonaBatesMD in Better Health Network, Book Reviews
Tags: Cocaine, Drug Addiction, Genius On The Edge, Morphine, Plastic Surgery, Surgery, William Stewart Halsted
No Comments »
I received a free copy of the book, Genius on the Edge: The Bizarre Double Life of Dr. William Stewart Halsted by Gerald Imber, MD, a week ago. I have enjoyed reading it. The book is the biography of Dr Halsted, but also gives you a glimpse into the life of many other great medical figures: William Osler, William Henry Welch, Harvey Cushing, etc. (photo credit)
In many ways it is a history of medicine/surgery in America. Halsted was very influential in bringing aseptic techniques to surgery and introduced the residency training system. He used his knowledge of anatomy to improve surgical technique. He performed the first successful hernia repair and radical mastectomy for breast cancer.
Early in his career Halsted became addicted to cocaine while experimenting with the drug for use as a local anesthetic. Treatment at the time, involved substituting morphine for cocaine. Halsted spent 40 years of his life struggling with his addiction to both cocaine and morphine. Read more »
*This blog post was originally published at Suture for a Living*
