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Massachusetts Leads The Way In Smoking Cessation

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Across the country health insurance coverage for smoking cessation treatment – both counseling and medications – has been extremely patchy. For example, we ask all the new patients attending our smoking cessation clinic in New Jersey if their insurance covers smoking cessation treatment, and the vast majority have no idea. Typically its also not easy for either the patient or provider to find out either. It doesn’t just depend on the insurer, but on the plan, the type of service, what they’ve already had in terms of preventive care. We’ve had many occasions where we call the insurer twice on the same day and get a different answer. And New Jersey is a state that is supposed to have relatively good insurance coverage for tobacco cessation! So it’s a mess nationwide, and the net result is that fewer patients get the treatment they need because they are put of by the uncertainty about the cost and difficulty finding out how much it is. Read more »

This post, Massachusetts Leads The Way In Smoking Cessation, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

Female Surgeon Propositioned By Patient Via Facebook

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There is an interesting article in E-Health Europe about how patients try to contact doctors on Facebook, the popular social networking site, and how doctors shouldn’t respond to them. In my “Medicine and Web 2.0” university credit course, we cover this important issue several times and I try to provide students with useful pieces of advice about how to avoid such problems.

The Medical Defence Union said it was aware of a number of cases where patients have attempted to proposition doctors by sending them an unsolicited message on Facebook or similar sites.

The medical defence body said it would be “wholly inappropriate” to respond to a patient making an advance in such a way. Read more »

*This blog post was originally published at ScienceRoll*

Famous Amnesiac’s Brain Donated To Science

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Contrary to common misconceptions, real cases of amnesia are extremely rare. But Henry Gustav Molaison (known as patient H.M.) was subject of a radical experimental brain surgery in 1953 in an attempt to treat his epileptic seizures following which he was not able to form new memories. About a year ago, Mr Molaison passed away but left to science his fascinating brain which is currently being dissected at the University of California San Diego Brain Observatory. The researchers in charge of the project have setup a live video feed with an open invitation to anyone interested in viewing the slicing to join in the fun. Read more »

*This blog post was originally published at Medgadget*

Sexually Transmitted Infections Still On The Rise

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The CDC announced last week that the latest statistics on Chlamydia, gonorrhea and syphilis are still unacceptably high in the United States. The U.S. has some of the highest rates of sexually transmitted infections of any developed country in the world including 1.2 cases of Chlamydia in 2008 and syphilis cases, up 18 percent, are at 13,500. Men who have sex with men accounted for 63 percent of the syphilis cases, but the rate among women also increased 36 percent between 2007 and 2008.

Almost half of the 19 million new sexually transmitted infection cases reported each year are among 15- to 24-year-olds. Clearly marking the shift away from abstinence-only policies, the CDC called for better, more honest and open, sex education including how to use a condom, limiting the number of sexual partners, and avoiding people who have had multiple sex partners. Read more »

This post, Sexually Transmitted Infections Still On The Rise, was originally published on Healthine.com by Nancy Brown, Ph.D..

Man in Coma 23 Years – Is He Really Conscious?

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I don’t know. The mainstream media is doing a wonderful job sensationalizing this case, presenting it without skepticism. Some outlets are doing a good job of discussing the relevant issues – but they don’t have the information to have a meaningful discussion of this particular case. Details are tantalizing but thin.

The case is that of Rom Houben. The story was broke, as far as I can tell, by the Mail Online – yes, that is a huge red flag. It does not make the story wrong, it just doesn’t instill in me confidence in the reporting.

Mr. Houben was in a terrible motor vehicle accident 23 years ago and has been paralyzed ever since. His diagnosis has been PVS – persistent vegetative state. However, recently, we are told, his mother insisted on a neurological re-evaluation. This is actually quite reasonable, generally speaking (again, without knowing specific details of this case). Read more »

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

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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