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Latest Posts

The Prius And Accelerator Problems: Don’t Believe The Hype

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I have a confession: I’ve been risking my life.

Yes, still driving a Prius.

I do buy that accelerator pedals can be mechanically jammed by a floor mat (though there’s clips on my car to hold it in place), but this unintended acceleration ‘panic’ is just that.  (If for no other reason that there’s now a flurry of cases of this, and none before it was the freak-out du jour). Read more »

*This blog post was originally published at GruntDoc*

Twitter-Assisted Diagnosis

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I have many reasons to use Twitter. One of them is that it’s quite easy to get feedback from doctors who also use Twitter for communication. Now one of my stories was featured in the New York Times.

Some people are even using Twitter for more urgent questions. Bertalan Meskó, a medical student at the University of Debrecen in Hungary, wrote a post about a patient with mysterious symptoms: “Strange case today in internal medicine rotation. 16 years old boy with acute pancreatitis (for the 6th! time). Any ideas?”

Within hours, specialists worldwide had responded, suggesting gallstones, lupus or growths on the pancreas. One of the suggestions helped the doctors with a diagnosis.

“It would have been impossible to find that specialist through e-mail, because we had no idea who to contact,” Mr. Meskó said.

*This blog post was originally published at ScienceRoll*

Now There’s a Breath Test For Tuberculosis

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Menssana Research, Inc is touting results from a trial testing its Breathscanner for diagnosing patients with active pulmonary tuberculosis. Menssana has developed technology that may bring breath testing for a variety of conditions, including the already FDA approved breath test for heart transplant rejection.

Some details about the technology from Menssana:

The Mycobacteria that cause pulmonary TB generate a very distinctive pattern of volatile organic compounds (VOCs) when grown in the laboratory. If these VOCs could also be detected in the breath of infected patients, it might provide a new method for detecting active infection with pulmonary TB. Read more »

*This blog post was originally published at Medgadget*

AHRQ Says It Will Take 20 Years To Close Healthcare Quality Chasm

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As one would expect from such a diverse group, comparisons were a common topic at the co-located National Medical Home Summit, National Retail Clinic Summit, and Population Health and Disease Management Colloquium this week.

During an opening session, Carolyn Clancy, head of the AHRQ, updated us on some of the comparison work her agency has been doing. Last year’s stimulus bill dedicated a lot of funds ($300 mill directly, more through the Secretary of HHS) to the agency’s work on comparative effectiveness. Read more »

*This blog post was originally published at ACP Internist*

Will Nicotine-Free Cigarettes Be Mandated By The FDA?

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In the previous posting I discussed the possibility of FDA requiring that no tobacco products be allowed to emit Carbon Monoxide. While appealing in its simplicity, such a strategy may have problems in that it could be interpreted as a ban on a whole class (or classes) of tobacco products, which the legislation does not allow.

Another strategy might be to reduce the harm from tobacco by lowering the nicotine content/delivery of cigarettes down to the level at which they are no longer addictive. A form of this strategy was proposed in the 1990’s by leading tobacco researchers Professor Neal Benowitz, and Professor Jack Henningfield. The FDA legislation singles out nicotine as the only chemical that cannot be reduced to zero, but this allows FDA the right to reduce the nicotine delivery of tobacco products down to a level just above zero at which they would no longer be addictive. Read more »

This post, Will Nicotine-Free Cigarettes Be Mandated By The FDA?, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

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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