Better Health: Smart Health Commentary Better Health (TM): smart health commentary



Latest Posts

Dr. Rob’s New Year’s Wish List

No Comments »

This past year was a big year.  We got:

  • A new president, whose name rhymes with “llama” (which is cool)
  • A healthcare reform bill (results pending)
  • I got to meet a bunch of bloggers (including the South African blogger, Bongi)
  • I became a podcaster, joining Grammar Girl’s posse
  • Idaho remained in the union despite the underhanded actions of the plumbers’ union
  • The long-awaited sequel to Alvin and the Chipmunks (although I too was disgusted by the violence of the fans)
  • Oprah was still afraid of me, announcing her retirement from TV.
  • Dr. Phil’s badgering phone calls continued.
  • I was on NPR, was in Medical Economics, authored the chapter of a book (forgot to tell you), and bought some really comfortable shoes.
  • I got stressed-out (although not more than Oprah) and took some time off.  People were really nice to me when I did. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

Pharma Discloses Physician Relationships – Now What?

No Comments »

This was the year that Pharma disclosed the names and payments of their physician consultants.  Look here for physicians speaking and consulting with Merck, GlaxoSmithKline, Lilly, and Pfizer.

Physician disclosure of conflict is important.  It helps put a physician’s opinion and point of view into a context. Disclosure has long been the standard in the academic world.  This represents the first time that such information has been made available to the general public.

But how will patients use this information and how will it affect care and outcomes?  Should patients flatly avoid physicians or others who have a relationship with a pharmaceutical company?  And should patients routinely screen physicians for conflict?

I don’t know the answer to these questions.  I’m not sure patients know the answer to these questions.  I suspect patients may not like the idea but would be willing to overlook a pharma connection when the reputation of the physician is impeccable.

Transparency is all the rage.  Expect more. But I’m wondering how the average health consumer will practically process the information.

*This blog post was originally published at 33 Charts*

Social Media 2.0: When Real Experts Broadcast Themselves

No Comments »


Tweety Bird
Image by sirwiseowl via Flickr

Disclosure: I’m fascinated with Technology in general and social software and communities in particular. I’m one of Twitter’s biggest fanboys (here’s proof). I blog and tweet often about these media because I believe it’s important that we understand our relationship with Technology (and for me, Technology is more than just gadgets – for instance: I consider Law, Democracy, Religion and Capitalism technologies – but that’s another post).

I also believe that we need better or more original conversations about the Web and its deepening influences on our lives, our businesses, our sciences and our health care. Social Media pundits (or however they refer to themselves: gurus, evangelists, mavens) for too long have held the dominant voice in these discussions.

One phenomenon which our Web has engendered is the ability for virtually anyone to express their opinions and experiences and perspectives in accordance with their mastery of media. And therein lies a pesky issue: one’s accumulation of social attention for a particular field doesn’t always correlate with their expertise.

Over the last decade, many brilliant contributors have offered important and refreshing perspectives on the promises of the web. But some of these ideas have yet to be vetted and validated by closer scrutiny and scientific inquiry. The truth is not always intuitive. It’s easy, therefore, for appealing ideas to have fundamental flaws. Read more »

*This blog post was originally published at phil baumann online*

A New Year’s Resolution For Scientists: Engage More With The Media

1 Comment »

Steve Silberman and Rebecca Skloot just pointed out to me an editorial from science writer Chris Mooney that has appeared online and will be in the Sunday, January 3rd edition of The Washington Post.

In the essay, “On issues like global warming and evolution, scientists need to speak up,” Mooney continues his longstanding call to scientists to take ownership in combating scientific misinformation, invoking the very weak response of the scientific community to the aftermath of e-mails and documents hacked from the Climatic Research Institute at the University of East Anglia.

The central lesson of Climategate is not that climate science is corrupt. The leaked e-mails do nothing to disprove the scientific consensus on global warming. Instead, the controversy highlights that in a world of blogs, cable news and talk radio, scientists are poorly equipped to communicate their knowledge and, especially, to respond when science comes under attack. Read more »

*This blog post was originally published at Terra Sigillata*

The Decade’s Top 5 Threats To Science In Medicine

9 Comments »

As 2009 comes to an end, it seems that everyone is creating year-in-review lists. I thought I’d jump on the list band wagon and offer my purely subjective top 5 threats to rational thought in healthcare and medicine.

Of course, it strikes me as rather ironic that we’re having this discussion – who knew that medicine could be divorced from science in the first place? I thought the two went hand-in-hand, like a nice antigen and its receptor… and yet, here we are, on the verge of tremendous technological breakthroughs (thanks to advances in our understanding of molecular genetics, immunology, and biochemistry, etc.), faced with a growing number of people who prefer to resort to placebo-based remedies (such as heavy-metal laced herbs or vigorously shaken water) and Christian Science Prayer.

And so, without further ado, here’s my list of the top 5 threats to science in medicine for 2009 and beyond: 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…

Read more »

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…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

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…

Read more »

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…

Read more »

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…

Read more »

See all book reviews »

Commented - Most Popular Articles