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Should Mom Share Her Bed With Baby?

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I’ve watched the pendulum swing back and forth on the wisdom of mom sharing her bed with a baby. The American Pediatric Society has come out against the practice, because of a higher incidence of sudden infant death. But nearly half of all British moms sleep with their baby at times, and one-fifth share a bed regularly during the first year.

According to a British study published in [the October 2010 issue of] Pediatrics, the value of breastfeeding should be considered before advising mothers not to share  beds with their infants. The results showed that mothers who shared a bed with their newborns were better educated and of a higher socioeconomic status, and that those whose children routinely slept in their beds during the first 15 months of life reported a significantly greater incidence of breastfeeding.

“Both cross-sectional epidemiological and sleep laboratory studies showed close links between the frequency and duration of breastfeeding and the practice of bed sharing,” writes Peter Blair, PhD, Community-Based Medicine and Social Medicine, University of Bristol, United Kingdom, the author of the study. Read more »

*This blog post was originally published at EverythingHealth*

A 3-Point Solution To Long Waits At The Doctor’s Office

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I have an easy solution to a vexing problem in today’s healthcare crisis. A problem so widespread that it’s worth hundreds of words in the Wall Street Journal: Long wait times at the doctor’s office.

But first, before I give my simple, pragmatic, master-of-the-obvious solution, let me say something truthful: I try. I try really hard — to run on time, that is.

I’ve been there myself — a patient in a gown, in a cold room with only big pharma-sponsored propaganda on the walls to stare at.

At the risk of a sounding like a…blogger, let it be said that practicing quality medicine in the current luxury of technology is much more complicated than it used to be. Such complexity devours our most precious treasure: Time with the patient. Read more »

*This blog post was originally published at Dr John M*

Blogging For Clean Water

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This year’s topic for Blog Action Day [was] water. Many of us take clean water for granted, but even in the United States we are finding more and more that our drinking water is contaminated with prescription drugs. Dry years put our water reservoirs at risk and often result in mandatory restrictions on water use.

I am guilty of taking water for granted. I do try to use a full load when washing my clothes. I do turn off the water while brushing my teeth. I don’t water my lawn regularly. But I am still guilt of taking it for granted. I expect clean water to be there for me to drink and use for bathing.

Clean water is not the norm for many in the world. Nearly one billion people lack basic access to safe drinking water. That’s nearly 1 out of every 8 of us. Organizations like CharityWater.org are trying to bring clean wells to areas in Africa that lack clean water.

Read more »

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

Inherited Health: Building Family Medical Histories

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More than a year ago I wrote about AccessDNA, which now changed focus and became Inherited Health. Jordanna Joaquina, M.S., C.G.C., Director of Genetics and Co-Founder of Inherited Health, shared what kind of changes they implemented into the site:

— We have created an easy-to-use and secure tool that allows people and their biological relatives to collectively create and update their family health history together.

— We then analyze the family history information to create a personal health guide, which identifies hereditary disease risks and provide actionable guidance about how to lower these risks for each family member.

— We also provide a summary of the family health history that can be printed and shared with doctors and helps avoid repeatedly filling out health history forms at doctors office and improves the accuracy of the information provided because of collaborative family effort.

Click HERE to see an image of a whole health report, with all the details and disease risks.

*This blog post was originally published at ScienceRoll*

High-Dose Flu Vaccine For Older Adults

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Dr. Novella  has recently written about this year’s seasonal flu vaccine and Dr. Crislip has reviewed the evidence for flu vaccine efficacy. There’s one little wrinkle that they didn’t address — one that I’m more attuned to because I’m older than they are.

I got my Medicare card last summer, so I am now officially one of the “elderly.” A recent review by Goodwin et al. showed that the antibody response to flu vaccines is significantly lower in the elderly. They called for a more immunogenic vaccine formulation for that age group. My age group. One manufacturer has responded. 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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