August 4th, 2008 by Dr. Val Jones in Announcements, News
Tags: Journalism, News
4 Comments »
I was welcomed as a new member of Washington, DC’s 100-year-old National Press Club (NPC) today. My credentials for membership? I’m a blogger.
The Internet has revolutionized information sharing and news reporting. Not only has it democratized the process, but it has harnessed the power of the common man and woman to bring a new depth and breadth of insight to the news. Just as medicine is becoming “personalized,” one could say that blogging is making journalism “personalized.”
Mainstream media outlets like the Los Angeles Times, the New York Times, and the Wall Street Journal have recognized blogging as a legitimate platform for information sharing. Bloggers like me, KevinMD, Gene Ostrovsky, Dr. Rob Lamberts, and many others are openly recommended sources for further reading. In the span of 5 years, medical blogging has become a respected part of the new media landscape.
When I told my parents that I was becoming a member of the National Press Club, my dad asked if they were going to give me a press credentialling card for my fedora (hat). For him, the NPC clearly conjured up images of 1920s news reporters crowded into small, smoke filled rooms to interview foreign dignitaries.
There was a hint of truth to my dad’s vision – the NPC retains a relatively austere interior, with large flags and club seals prominently displayed in regal blue conference rooms. But beyond the C-SPAN aesthetic, the club is undergoing substantial modernization. The restrooms feature Dyson airblades, the old library’s bookshelves are being torn down to expose bay window views of DC, and the fourth floor studios are constructed with glass and clean-line architecture.
The NPC’s new member luncheon was hosted by two staff and an NPC member who joined the club in 1971. I was astonished to learn that my new membership entitled me to a free daily breakfast and unlimited access to: their librarian for my fact-checking needs, a gym with a full-time personal trainer, meeting rooms that I could book in advance for my convenience, and a Friday night taco bar. Who knew?
Near our table was a portrait of Will Rogers who, among other things, was a nationally syndicated columnist featured in over 4000 different newspapers. Our member-host pointed at the portrait and said, “Back in Will’s day – everyone wanted to know what he thought of current events, so they’d purchase their daily newspaper to find out.”
As I considered Will Rogers’ smiling face, it suddenly struck me that blogs offer today’s readers a filter through which to view current events. And thanks to the abundance of blogs, there is an ever expanding array of personal editorial. Finding a good blog is like finding a voice you can relate to – a living commentator on events. No longer is there one voice like Will Rogers who dominates the national consciousness.
But citizen journalism has its downside, as does Karaoke. Karaoke offers everyone a microphone, but not everyone is a talented singer. In the same way, blog quality varies considerably, and so now more than ever we must cling to the old news addage, “consider the source.” The danger of blogs is that readers may ascribe more authority to their authors than they deserve. When it comes to medicine – and your health is hanging in the balance – it’s important to get the facts straight. So I believe that professional medical bloggers should work extra hard to uphold the ideals of medicine, and respect patient privacy.
Just as the NPC is welcoming bloggers like me into their midst, I hope that new media gurus will welcome what the NPC has to offer them: a rich history of journalistic integrity. I think that a fusion of old and new media might actually produce a hybrid product that will bring us the best of both worlds – a broad array of trusted voices in online journalism.
With this blog I add my “voice of reason” to the choir and look forward to all that the NPC can teach me. At the very least, I’ll enjoy Friday night taco fests with my peers in Washington.This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
July 30th, 2008 by Dr. Val Jones in Health Tips, News
Tags: News, Research, Weight Loss
2 Comments »
New research suggests that people who live in “walkable” neighborhoods weigh about 6-10 pounds less than those who live in pedestrian-unfriendly communities. Scientists at the University of Utah calculated the body mass index (BMI) of about half a million Salt Lake county residents from a state drivers license database. They then compared the “pedestrian friendliness” of the zip codes associated with the various BMIs.
They found that people who live in more densely populated zip codes (designed to be more friendly to pedestrians) tended to have lower BMIs. This research has not yet been published, so I can’t comment on the details of the study. However, it makes intuitive sense that walking more can make people lighter on their feet.
The study authors mentioned that city planners used to design communities with pedestrian activities in mind, but since the 1950’s this practice has become less common. Many new housing developments are built around the assumption that vehicles are the main form of transportation, making that a self-fulfilling prophecy.
Earlier this year I participated in an 8 week walking program promoted by the Department of Health and Human Services. At their recommendation, I purchased a pedometer with a goal of achieving 10,000 steps per day. It was an eye-opening experience for me (left to my own devices, I naturally walked about 2000 steps per day – and I don’t own a car). Americans simply don’t get the amount of exercise that they need to be healthy. We are seeing the result of our sedentary lifestyle in our country’s increasing overweight and obesity rates.
All I can say is that I’m struggling along with the rest of us – doing what I can to increase my activity level and walk as much as possible. I’m lucky to live in an area where walking is fun and easy to do. I have the utmost sympathy for those who are striving to become more active against the odds. Why not join my weight loss group and we can commiserate? There are over 2600 people in there, encouraging one another to get fit! Don’t let your zipcode determine your destiny.This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
July 11th, 2008 by Dr. Val Jones in News
Tags: Autism, News, Parenting, Research
3 Comments »
The Wall Street Journal recently described some interesting new research related to the early detection of autism. Some scientists suggest that babies at risk for developing autism have different facial-scanning eye movement patterns. In other words, babies tend to focus on the eyes and mouth of faces in their direct line of sight. Babies at risk for developing autism have difficulty recognizing faces and their eyes may tend to wander. Although this test is not a diagnostic tool, it could be used to predict risk as early as 9 months – which could allow parents to get their children into early intervention programs sooner than they do now.
Researchers at Canada’s McMaster University recently announced that they had developed a computerized test using eye-movement sensors that aims to predict the risk of autism in children as young as 9 months. The system, which administers five eye-tracking tests over 10 minutes, measures the direction and fixation of a child’s eyes when confronted with computerized images, including human faces.
“Children with autism in general have difficulty extracting affective information from faces, and also difficulty in recognizing faces,” says Katarzyna Chawarska, director of the Yale clinic. By tracking eye movements, “we can begin to understand what interests them, how they examine objects they select for processing, and what motivates them intrinsically,” she says.
But eye-tracking won’t pick out all children with autism. That’s because the disorder can manifest itself in a variety of ways at different ages, such as a child not responding when called or failing to exhibit normal body gestures. Some children also won’t cooperate with the eye-tracking equipment.
I think it’s too early to know how valuable this tool will be in the evaluation of children at risk for autism spectrum disorders, but it’s certainly an interesting idea.
This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
July 11th, 2008 by Dr. Val Jones in News
Tags: Caregiving, Disabilities, Geriatrics, Hospitals, News, Technology
2 Comments »
Intel just received FDA approval for their new in-home monitoring devices. The press release notes:
The Intel Health Guide enables caregivers to provide their patients with more personalized care at home, while also engaging and empowering patients to take a more active and positive role in their own care.
Intel said the interactive guide integrates vital sign collection, patient reminders, multimedia educational content and feedback and communications tools such as videoconferencing and e-mail. It can connect to specific models of wired and wireless medical devices, including blood pressure monitors, glucose meters, pulse oximeters, peak flow meters and weight scales.
Now this is a good idea – imagine how much pain and suffering we can alleviate by intervening in illnesses before they become acute? For example, when a patient with CHF begins to decompensate, physicians can intervene before the patient experiences severe shortness of breath and requires a hospital admission via the ER. What about catching a hyperglycemic episode early on? What about a hypertensive emergency that has no symptoms until very late in the game?
Avoiding the hospital can reduce exposure to infections, medical errors, insomnia, stress, and disorientation. Early intervention in disease keeps people out of the ER, and saves money and resources – while improving quality of life for the patients. The data gathering tools not only empower patients to be as independent as possible for as long as possible, but they empower physicians to care for their patients more effectively.
Unlike services that are aimed at replacing physicians, this one is designed to make them more efficient and effective. One day I imagine that a primary care physician will be able to keep an eye on her patients on one web page – with input from all the terminals combined into a dashboard. Alerts can be set at customized levels for different patients, and with a glance of an eye the physician will be able to see which patients may need help.
This is a brave new world of real-time health communication, and with technologies like this one, we may be able to bridge the gap between growing care needs and decreasing care resources while actually improving quality to boot.
Personal, affordable, telemedicine for the chronically ill. Bravo, Intel.This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
June 30th, 2008 by Dr. Val Jones in News
Tags: Hospitals, News, Parenting, Plastic Surgery, Surgery
1 Comment »
I read a touching story at the BBC news center about a young woman with Alpert’s Syndrome. This rare syndrome is present in only 1 in 170,000 births. It results in facial disfigurement and mitten-like hands.
The physical defects of Apert’s syndrome were first described by Fredrick Apert in 1942. These characteristics include: A tower-shaped skull due to craniosynostosis (premature fusion of the sutures of the skull)—an underdeveloped mid-face leading to recessed cheekbones and prominent eyes, malocclusion (Faulty contact between the upper and lower teeth when the jaw is closed) and limb abnormalities such as webbing of the middle digits of the hands and feet.
Bones of the fingers and toes are fused in Alpert’s infants giving a “mitten-like” appearance of their hands. Children with Apert’s syndrome can have unusual speech characteristics such as hyponasal resonance due to an under-developed mid face, small nose and long soft palate and, sometimes, cleft palate.
What struck me about the girl’s story was how she described how it felt to be teased growing up, and how the worst part of the teasing was that no one stuck up for her. I’ve seen kids do this kind of thing before, and I can imagine how painful it is when no one has the courage to go to bat for you. I’ve often wondered how “doing nothing” to defend a little one might be just as bad as actively harrassing them. I’d encourage parents to teach their children not to tease others, and beyond that, to come to the defense of those being teased. I bet this will do a lot of psychological good for the victims.
The good news in this case is that the girl has had some very successful reconstructive surgery and has a fairly normal life. The teen is even thinking about boyfriends, and preparing for college. Many thanks to the surgeons who did such a wonderful job.
And coincidentally, the Happy Hospitalist brought this story to my attention: a 4 month old kitten was in a horrible accident that resulted in her losing the front half of her face. Veterinarians were able to save her life, though she remains quite deformed. I am told that the kitty is not in any pain, and is enjoying her life as a therapy pet. She brings hope to those recovering in the hospital from surgeries and serious illnesses. I suppose they see her as a loving animal who is cheerfully going about her kitty business, without giving much thought to her previous injury.
These stories of hope are made possible by the surgeons and veterinarians who devote their lives to saving face. In so doing, they provide the rest of us with valuable lessons, and new friends of exemplary courage.This post originally appeared on Dr. Val’s blog at RevolutionHealth.com.
