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



Latest Posts

A Medical Alert Bracelet Inside Your iPhone

2 Comments »

mzl.ahygqfzq.320x480-75.jpgOnCall Defender Medical Alert (available via iTunes) is an iPhone app that features 3G connection to a 24-hour security monitoring service. Via a subscription service, you can use your iPhone to send an emergency notification to the service after which local law enforcement or EMT services, depending on the type of alarm, will be dispatched.

The advantage over using 911 is that the monitoring service automatically receives GPS localization of your whereabouts and that you can cancel the emergency call within 15 seconds. The service costs $16.99 a month or $9.99 with a one-year subscription. Read more »

*This blog post was originally published at iMedicalApps*

Dr. Oz’s First Colonoscopy Finds Pre-Cancerous Polyp: What Can This Teach Us?

No Comments »

Dr. LaPook and Dr. OzDr. Mehmet Oz just might be the last person on earth people would expect to get a colon polyp. He’s physically fit (he left me in the dust the last time we ran together), he eats a healthy diet, he doesn’t smoke, and he has no family history of colorectal cancer or colon polyps.

But several weeks ago, when Mehmet had his first screening colonoscopy at age 50, I removed a small adenomatous polyp that had the potential to turn into cancer over time. Statistically, most small polyps like his don’t become cancer. But almost all colon cancers begin as benign polyps that gradually become malignant over about 10 to 15 years.

Since there’s no way of knowing which polyps will turn bad, we take them all out. The good news is there’s plenty of opportunity to prevent cancer by removing these polyps while they are still benign. But only about 63 percent of Americans between ages 50 and 75 get screened for colorectal cancer. Read more »

Prevention Magazine’s Inaccurate “Coffee Cures” Story

No Comments »

The September issue of Prevention magazine inaccurately headlines the story “4 Ways Coffee Cures.” There’s no solid proof that coffee cures anything — unless some of you cure bacon with java, which I don’t want to know about.

What the story (below) did was to try to present a cute little graphic summary of observational studies that show a statistical association between increasing coffee consumption and fewer early deaths, fewer deaths from heart attack, fewer cases of dementia, and fewer cases of type 2 diabetes.

But such observational studies (they actually never cite the source — I’m just giving them the benefit of the doubt that they’re citing observational studies) CAN’T establish cause and effect, therefore it’s inaccurate for the story to use terms like “cure,” “protective,” and “lowers (or reduces or slashes) your risk.” Besides being inaccurate, such stories fail to educate readers. They mislead.

We ask the editors of Prevention to read and understand our guide “Does the Language Fit the Evidence? Association versus Causation.

Prevention coffee cures.jpg

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

Itchy Bottom? Pre-Moistened Wipes Can Cause A Rash

1 Comment »

Itchy bottomItchy behinds are part of my everyday. It shouldn’t be part of yours.

Itching on your bottom is usually a minor annoyance, but it can be debilitating. A patient of mine was unable to work because his derrière itching was so intense. A common cause of itching bottom, called pruritus ani, is allergic contact dermatitis.

Places where your skin transitions from outside to inside, such as the lips or the anus, are susceptible to dermatitis because your skin’s barrier is limited in these locations. Without a thick layer of keratin, irritants on the outside easily get into your skin. Moist toilet tissues, such as baby wipes or towelettes, might seem to get you cleaner than old-fashioned toilet paper, but chemicals in the wipes cause a rash in some people. Read more »

*This blog post was originally published at The Dermatology Blog*

The Right To Mourn

No Comments »

Grief and lossI seem to have had a run on bereavement recently, in that I’ve had several patients who have lost loved ones. Some have wound up in my office for unrelated complaints, only to have the grief spill out. I’ve become aware of the struggles of others via Facebook.

I’ve found this handout (from Family Practice Management several years ago) to be very useful. I keep copies in my office and hand them out when needed, but it occurs to me that having another way to disseminate this helpful information would be a good idea. Read more »

*This blog post was originally published at Musings of a Dinosaur*

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