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Clinical Knowledge Versus Clinical Judgment

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Read Seth Godin’s most recent post, The Amateur Scientist. In a way that only Seth can do he tells how our culture has turned us all into authorities. Important stuff.

I couldn’t help but think how this applies to the Internet and our health. Unrestrained access to information has got us all thinking we know more than we do.  Godin wasn’t writing about the amateur physician but he might as well have been.

Missing from the black bag of the amateur physician is a tool called clinical judgment – the pivotal substrate necessary to tie together objective clinical information. Clinical judgment is the foundation of good medical decision-making. But you won’t find it on the Internet. It can’t be found in the cloud or the hive. It isn’t free and it’s tough to get. Read more »

Quitting Smoking? Your Nicotine receptors Take Over A Month To Normalize

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Nicotine withdrawal symptoms typically peak in the first week of abstinence and return to normal at around 3-4 weeks. It has long been known that certain nicotinic receptors (particularly the beta-2 subtype) are closely involved in nicotine addiction, and that smokers have a larger number of nicotine receptors in their brains than non-smokers. When the smoker quits, this large number of vacant, unstimulated receptors is believed to be involved in the resulting craving and distressing withdrawal (irritability, restlessness, depression, anxiety, poor concentration etc).

Earlier this year, a study published by Drs Kelly Cosgrove, Julie Staley and colleagues at Yale University, provided evidence on the time course of normalization of these receptors after quitting smoking. Read more »

This post, Quitting Smoking? Your Nicotine receptors Take Over A Month To Normalize, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

Dr. Val Tells ABC News About Hospital Errors And How To Avoid Them

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httpv://www.youtube.com/watch?v=GtC_8KJZrkI

I kick off this segment with a surprising twist: I describe a hospital error that I experienced as a patient in the ER of a famous academic medical center.  And yes, I give a shout out to Paul Levy at minute 5 for his courageous efforts to reduce infection rates at Beth Israel Deaconess Medical Center in Boston.

Teens Describe Their Ideal Realtionship With A Parent

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As a parent, sometimes it is hard to know how our teens perceive us. We all want to be there for our children and have a great relationship with each of them, but sometimes they might not perceive our actions the same way we intend them to, so here is what a group of teens have to say about the perfect relationship with a parent. Just food for thought.

The perfect parent would …

  • Male, age 18: Listen. Everything else hinges upon listening.
  • Female, age 17: Be open to talk and understand me.
  • Male, age 17: Talk, express what they want and show affection, not think affection is understood, or a given. Read more »

This post, Teens Describe Their Ideal Realtionship With A Parent, was originally published on Healthine.com by Nancy Brown, Ph.D..

Being Healthy Means Living Healthy, Not Spending More

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I opened a fortune cookie the other day, expecting it to say something relatively nonsensical or meaningless, only to have it read:

“Money is not everything. You can buy a doctor but not heath.”

This fortune tells the story of more people than most of us can count, including ourselves at times. All too often we fall into trap of thinking that the more we spend on health the healthier we will become. Not true. In fact, good health is a state of mind and need not cost more than time for exercise, time to give ourselves the R&R we need to nurture our souls, the price of food to eat for proper weight and overall good health, and the occasional co-pay for our primary care physician and needed prescriptions.

We can toss money at vitamins, pricey health clubs, personal trainers, diets, alternative health treatments, doctors, second opinions, medications, prescription and nonprescription, as many people do, but those things can’t get us healthy. More times than not, they only produce the facade of good health. Read more »

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

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