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Latest Posts

Some Still Won’t Sell It: Do You Know If Plan B Is Available In Your Area?

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emergency contraception, plan b, morning after pill, women's health, reporting on healthNow that the latest controversial decision over federal “morning after” pill restrictions has faded from the headlines, it’s worth following up on this question: how available is emergency contraception right now in your own community?

To recap: last week, HHS Secretary Kathleen Sebelius overruled her own science advisors in a decision preventing the “morning after” contraceptive pill Plan B from being sold over the counter at drugstores and to girls under 17 without a prescription. The election-season decision, largely regarded as highly political, could be reviewed by a federal judge after a legal challenge by a pro-choice group.

Of course, Plan B has been controversial ever since it was first approved by the FDA in 1999 (you can see Read more »

*This blog post was originally published at Reporting on Health - Barbara Feder Ostrov's Health Journalism Blog*

Looking Ahead: Considering What Medical Breakthroughs We’ll See In The Future

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A Little History:
It’s 1958 and Ensign Thomas Eggleston is giving an inservice to US Navy Nurses LT. Frances Hogan, LCDR Magie Ziskovsky, and LCDR Edna Schnips about the Van Der Graaff teletherapy machine. The nurses were participating in the Nuclear Nursing Course at the National Naval Medical Center, Bethesda, MD. This machine was considered a medical breakthrough in its day. It looks antiquated now doesn’t it? I can only imagine what these Navy nurses were thinking while they stood next to this medical wonder.

Things have changed since I became a nurse. There were no CAT Scans or MRI machines when I graduated from school. There were no IV pumps either. We ran our IVs by counting drops that flowed into a drip chamber, and we monitored the hourly flow rate by glancing at a strip of medical tape that we marked off in CCs and ran down the side of each IV bottle. The nursing text books were different back then, too. There was no mention of AIDS and a diagnosis of Read more »

*This blog post was originally published at Nurse Ratched's Place*

Pancreatic Cancer Awareness Day Is A Success, Provides A Wide Range Of Information

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This year’s Pancreatic Cancer Awareness Day was the largest and most successful yet, says event organizer Christine Rein. One hundred fifty participants attended the event, which was held Saturday, November 12, 2011 at NewYork-Presbyterian/Columbia.

The program provided information about the pancreas and its function, genetics, risk stratification and screening, cancer-therapy breakthroughs, surgical options, cysts, pre-cancerous tumors and more.

Lecture topics included: Read more »

*This blog post was originally published at Columbia University Department of Surgery Blog*

Dealing With The Problem Of Hospital Readmissions For Heart Failure

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“How are you feeling, Ms. Jones?”

“Fine.”

“Have you been more short of breath lately?”

“Not really, just when I exercise.”

“How much exercise?”

“I dunno. But after I go to the mailbox and walk back up to the house, I’ve got to stop now where before I didn’t.”

Exertional dyspnea. It conjures up a large differential of potential cardiovascular or pulmonary causes. And as the above commonly-encountered doctor-patient conversation demonstrates, the problem is a dynamic one: at rest things are often fine, on exertion or with recumbency less so.

Now imagine that the doctor then sees elevated neck veins, hears rales in the lower lung fields, and sees swollen ankles on their patient. Heart failure, right? Read more »

*This blog post was originally published at Dr. Wes*

MedWAR Allows Participants To Negotiate A Series Of Medical And Wilderness Challenges

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This is another post derived from a presentation given at the 2011 Annual Summer Meeting of the Wilderness Medical Society. Michael Caudell, M.D. from the Medical College of Georgia gave an excellent talk entitled “Scenario-Based Learning in the Wilderness and the Creation of MedWAR.”

MedWAR  (Medical Wilderness Adventure Race) is considered a challenge, and takes preparation and skill to complete. Using simulations, participants have to negotiate a series of medical and wilderness challenges. It involves both individual acumen and group dynamics. The MedWAR model is based on critical actions, all of which begin with scene safety, the “ABCs” (airway, breathing, circulation) of a medical resuscitation, and the particular scenario. Victims may be dressed as victims using moulage to simulate injuries, and scene settings are made as realistic as possible. Wilderness medicine is grounded in realism, and laced with improvisation, stress, creativity, and resourcefulness. The MedWAR concept is Read more »

This post, MedWAR Allows Participants To Negotiate A Series Of Medical And Wilderness Challenges, was originally published on Healthine.com by Paul Auerbach, M.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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