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Eating Meat And Gaining Weight

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A new study published in the American Journal of Clinical Nutrition is reporting an association with eating meat and weight gain. This is a fairly robust epidemiological study, but at the same time is a good example of how such information is poorly reported in the media, leading to public confusion.

The data is taken from the European Prospective Investigation into Cancer and Nutrition–Physical Activity, Nutrition, Alcohol, Cessation of Smoking, Eating Out of Home and Obesity (EPIC-PANACEA) project. This is a long-term epidemiological study involving hundreds of thousands of individuals, and is therefore a great source of data. We are likely to see many publications from from it. This one looked at the association of meat eating –- poultry, red meat, and processed meat -– with total weight. Read more »

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

Good Looks In Medicine: Does It Matter?

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Handsome-Mechanic-Now-On-Duty-Sign-AdvertisementI found this sign while driving past a mechanic’s shop the other day. Of course, now I get it. How do women pick their mechanic? This sign explains it all. Just look for the “Handsome Mechanic ‘Now On Duty'” sign. I wonder if it works for doctors, too.

Be honest. If your doctor had exceptionally good-looking physical features by most people’s standards, would you be more likely or less likely to keep him or her as your doctor? Would you be more likely or less likely to think of them as highly intelligent? Would you be more likely or less likely to sue them when something goes wrong?

We know that babies respond to good-looking parents differently even as newborns. So why would we expect adults to respond to handsome mechanics and doctors any differently?

*This blog post was originally published at The Happy Hospitalist*

Should Medical School Applications Mention Social Media?

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I have a friend actively involved in social health applying for medical school. She reached out to ask me how much should she make of her social media involvement? Will the mention of participation on a SXSW panel or the start of a social community help or hurt her application?

Actually a good question. Some academics, after all, see social media as a waste of time, but many are curious about it.  The really smart ones understand its potential power. So as a medical school applicant you can see how this could work for you or against you.

While initially I thought that positioning yourself as a social health innovator could be something of a liability, I think the potential upside outweighs risk. But like so many things, it’s all in how you set it up. Read more »

*This blog post was originally published at 33 Charts*

A Letter To Dr. Josephine Briggs About Her Support Of Naturopathy

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Josephine P. Briggs, M.D.

Director, National Center for Complementary and Alternative Medicine

Dear Dr. Briggs,

As you know, we’ve met twice. The first time was at the Yale “Integrative Medicine” Symposium in March. The second was in April, when Drs. Novella, Gorski and I met with you for an hour at the NCCAM in Bethesda. At the time I concluded that you favor science-based medicine, although you are in the awkward position of having to appear ‘open-minded’ about nonsense.

More about that below, but first let me address the principal reason for this letter: it is disturbing that you will shortly appear at the 25th Anniversary Convention of the American Association of Naturopathic Physicians (AANP). It is disturbing for two reasons. First, it suggests that you know little about the tenets and methods of the group that you’ll be addressing. Second, your presence will be interpreted as an endorsement of those methods and of that group—whether or not that is your intention. Read more »

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

Should Doctors Be Paid To Communicate With Patients?

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I often hear from physicians that they would do a better job communicating with patients if they were adequately reimbursed for the time it took to do so. Given that certain types of physician-patient communications (patient education, care planning, etc.) can have quantifiable, therapeutic benefits for patients, I can see their point.

I have no problem with physicians asking to be adequately reimbursed for services they provide, as long as they are high quality and add value. For example, teaching chronic disease patients how to care for themselves at home takes time and is critical to effective patient self care. In this role, physicians are called upon to be a provider of necessary information as well as a coach to encourage and support patients.

But as evidence suggests, many physicians don’t communicate effectively enough with patients, chronic or otherwise, to seem to merit additional reimbursement. Read more »

*This blog post was originally published at Mind The Gap*

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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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