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Calcium Supplements: Good For Your Bones But Bad For Your Heart?

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Calcium is good for us, right? Milk products are great sources of calcium, and we’re told to emphasize milk products in our diets. Don’t (or can’t) eat enough dairy? Calcium supplements are very popular, especially among women seeking to minimize their risk of osteoporosis. Osteoporosis prevention and treatment guidelines recommend calcium and vitamin D as an important measure in preserving bone density and reducing the risk of fractures. For those who don’t like dairy products, even products like orange juice and Vitamin Water are fortified with calcium. The general perception seemed to be that calcium consumption was a good thing – the more, the better. Until recently.

In a pattern similar to that I described with folic acid, there’s new safety signals from trials with calcium supplements that are raising concerns. Two studies published in the past two years suggest that calcium supplements are associated with a significantly increased risk of heart attacks. Could the risks of calcium supplements outweigh any benefits they offer? Read more »

*This blog post was originally published at Science-Based Medicine*

Safe Injection Protocols Are Not Being Followed By Clinicians

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Thanks to Laura Landro for shining light on unsafe injections in her WSJ blog, “Unsafe Injection Practices Persist Despite Education Efforts.”

Landro writes:

“A new push is underway to eliminate unsafe injection practices, which remain a persistent safety problem despite years of efforts to educate clinicians about the risks of re-using needles, syringes and drug vials.

In the U.S., failure to follow safe practices in delivering intravenous medications and injections has resulted in more than 30 outbreaks of infectious disease including hepatitis C, and the notification of more than 125,000 patients about potential exposure just in the last decade, according to health-care purchasing alliance Premier Inc.”

As a registered nurse this is unthinkable.  Learning to administer injections safely is “patient care 101.”  There is no excuse for any health care professional to unsafely inject patients.

Patients in the hospital, ambulatory surgical centers or outpatient settings, should expect that their nurses, doctors and other clinicians are administering injections safely. Read more »

*This blog post was originally published at Health in 30*

Free iPhone App For Cancer Patients: A Must-Have Tool From ASCO

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Cancer.net, an oncologist approved cancer information site from the American Society of Clinical Oncology (ASCO), has released a free iPhone and iPad app — full of handy features for cancer patients.

The free app allows cancer patients and their family members to look up pertinent information based on cancer type and download a wealth of oncology related information in the form of videos, podcasts, and up to date articles.

Where the app truly shines is in there key features: Ability to store questions, medications and symptoms.  The way this app implements these key features is absolutely stunning, and makes the application a must have for cancer patients and their family members.

This review will explore these features and how your patients can use this app.

Questions Read more »

*This blog post was originally published at iMedicalApps*

Free Throat, Head, Neck Cancer Screenings May Overstate Their Effectiveness

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All over the country in May, hospitals are offering “Free Throat Cancer Screening.” A Google search turned up dozens of results for that specific term or the related “oral, head and neck cancer screening.”

Here’s one example, promoting “Oral, Head and Neck Cancer Awareness Week, May 8-14.”

This promotion uses ominous warnings:

Can you live without your voice?

What about your jaw?

Would you miss it if you couldn’t swallow food?

Throat cancer can take all of those things away, along with your ability to eat, talk and breathe normally. These debilitating problems can be prevented, but you have to catch cancer early.

Some promotions – such as this one – use celebrity pitches such as “If it happened to Michael Douglas, it can happen to you.”

Here’s one that states, “A 10-minute, painless screening could save your life.”

But where’s the evidence for that? Read more »

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

Don’t Believe The Hype About SmartLipo, A Laser Liposuction Procedure

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It frequently amazes me how patients can be wowed by technology and advertising hype. The attraction of newer technology in particular helps part many people from their money at times. The SmartLipo system is one of the laser-assisted liposuction systems on the market. I have blogged on it before having used it quite a bit a few years ago.

The system is being marketed with phrases like “almost anyone can be a good candidate for SmartLipo.” That is simply BS.

I saw an attractive young woman in the office who had had Smartlipo on her lower back. It looked like the Geiko Gecko had done it. Her smooth contour had been made irregular and discolored despite the fact that the surgery had happened quite a while prior. Her ribs had been a bit exposed by the loss of some of the fat that would normally have laid over them. Early lipo results do change, but this wasn’t something that was going to improve over time. I have seen worse but this was so unnecessary.

SmartLipo Led to a Dent

Why did this happen? Read more »

*This blog post was originally published at Truth in Cosmetic Surgery*

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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