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The 10 (Not 100) “Most Powerful People In (Your) Health Care”

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In case you haven’t seen it, a list of the 100 Most Powerful People in Health Care was [recently] published. In thinking about this list I realized that, in reality, these people had little to do with my patients’ health care delivery. So how did they became the most powerful people in health care?

Quite simply, they are not the 100 most powerful people in health care, but rather they are the 100 most powerful people overseeing the funding of health care — at least for the moment. In as little as 11 months, many of the people on this list will be gone or have moved on to their next money-making venture.

So who are the most powerful people in health care? Read more »

*This blog post was originally published at Dr. Wes*

The Twitter Diet?

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Here is a recent piece in the New York Times by reporter Brian Stelter who decided to lose weight by 1) getting support from fellow Twitterers, and 2) by tweeting everything he eats throughout the day. An excerpt:

I knew that I could not diet alone; I needed the help of a cheering section. But rather than write a blog, keep a diary or join Weight Watchers, I decided to use Twitter. I thought it would make me more accountable, because I could record everything I ate instantly. And because Twitter posts are automatically pushed to each person who subscribes to them, an audience — of friends or strangers — can follow along.

What’s surprising is that he didn’t start using some kind of data-collecting application. Read more »

*This blog post was originally published at ScienceRoll*

Weight Loss Dos And Don’ts: What’s In Your Grocery Cart?

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Grocery cartI know it’s not politically correct to look at what other people buy at the grocery store, but as a physician I just can’t help noticing. Some carts contain huge containers of soda pop, Doritos, frozen pizza, and other packaged goods.

I’m not surprised, because at the end of every isle is a display case that offers the giant soda for 89 cents or the Doritos on special for $1.29. With this type of marketing, it takes a strong person to resist the “bargain.”

Yesterday the woman in front of me (overweight, middle-aged) had a strange assortment of goods that she probably thought would help her lose weight. She had several Weight Watcher-type meals, diet drinks, power bars, and lots of “light” items — “light butter,” “light crackers,” “light yogurt,” and “light ice cream.” 

Folks, this won’t work. Eating this way won’t help her lose weight. She needs to make dramatic changes to drop the pounds. Read more »

*This blog post was originally published at EverythingHealth*

Be Aware Of Heat Dangers In Young Athletes

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Young athleteWith back-to-school time around the corner, the Centers for Disease Control and Prevention has issued a warning about the risk for heat-related illness in young athletes, especially football players, the Los Angeles Times reports.

Coaches and parents should be aware of the signs and symptoms of heat stroke, dehydration and other problems, and fluid replacement formulas should be used during practices and workouts, among other precautions, the LA Times said.

*This blog post was originally published at ACP Internist*

Diabetes And Precision Carb Guessing

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A  diabetes-friendly Happy Meal.  :: rimshot ::I keep measuring cups in my purse so that I can measure out my dinners out to be exact. I keep a small food scale in the glove compartment of my car so I am never guessing how many ounces a certain item might be. And I have the Calorie King booklet in my pocket at all times, so that I’m never left guessing. I even sewed pockets into all my clothes, just to bring the booklet around.

(The previous paragraph is filled with lies. Big, fat ones.)

I wish I was a precision carb counter. I wish I had the patience for it, always either eating pre-packaged and factory-analyzed foods or spending my time carefully measuring and weighing any home cooked adventures. But I am not a precision carb counter. I’m a precision carb guesser. Read more »

*This blog post was originally published at Six Until Me.*

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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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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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