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Cancer Pathology: Are Lab Tests Always Right?

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The Wall Street Journal’s Health Blog says that cancer lab tests “aren’t always right.” They report on reports issued by two professional societies that point out that as many as 20% of a certain kind of test are inaccurate. According to the Health Blog the problem is the tests “aren’t black and white, and rely on a pathologist’s judgment.”

Now, judgment is a critical factor in most everything in medicine, but perhaps nowhere else are the consequences of incorrect judgment so serious as in pathology. As Dr. William Osler famously observed: “As is your pathology, so goes your clinical practice.” But how widespread is this problem? Read more »

*This blog post was originally published at See First Blog*

Obesity, Smoking And Life Expectancy

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When we think of people who enjoy the outdoors, the images in our minds are often of healthy and vibrant individuals — stereotypes are young athletes engaged in vigorous activities like climbing, biking, skiing, etc.

Of course, going outdoors is for everyone, and persons may be young or old, active or sedentary, and healthy or infirm. We carry our personal health status with us wherever we go, and the health habits we pursue in our daily lives form the framework for our participation in adventures, recreation and other outdoor activities.

Therefore, public health issues are important, be they adherence to precautions to avoid infectious diseases or lifestyle modifications to maintain optimal physical and mental health. Read more »

This post, Obesity, Smoking And Life Expectancy, was originally published on Healthine.com by Paul Auerbach, M.D..

What Inspires True Behavioral Change?

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Vic Strecher, founder and head of the Center for Health Communications Research at University of Michigan, gave a TEDMED talk last year about what motivates people to change their self-abusing behavior. His unique experience with his daughter’s heart condition provides a background for how he approaches the topic of personal choice:

*This blog post was originally published at Medgadget*

New Mothers Who Don’t Follow Breastfeeding Guidelines Cost Us Billions

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Poor compliance with breastfeeding recommendations costs the nation at least $13 billion each year, with nearly all of the cost related to infant morbidity and mortality, according to a comprehensive economic analysis.

If 90% of new mothers followed guidelines for six months of exclusive breastfeeding for their children, an estimated 911 deaths would be prevented annually, said authors Melissa Bartick, MD, MSc, of Harvard Medical School, and Arnold Reinhold, MBA, of the Alliance for the Prudent Use of Antibiotics, both in Boston. Read more »

*This blog post was originally published at KevinMD.com*

A Picture Worth A Thousand Calories

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Shopping for groceries the other day, my kids noticed this product that made us all stop in our tracks: Chubby Drink from Aisle 7!

Yes, this is a real product from a real major brand supermarket.

Yes, the label does read “Chubby” and shows a picture of a, well, chubby kid.

No, it’s not a new health drink. Packed into that portable, kid-sized 8-ounce container is the equivalent of 2 candy bars worth of calories and sugar.

No, you’re not being “punked” or on candid blogger or seeing a prop from SNL. This truly is a real drink sold in stores coast to coast. Read more »

*This blog post was originally published at Dr. Gwenn Is In*

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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