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Does The Next Generation of Physicians Know What They’re Getting Into?

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Doctors have an image problem.  People see us one way.  Perhaps more importantly, we see ourselves one way.  And it seems to start at a young age.

I had a premedical student in my office recently – A friend of a friend interested in a career as a doctor.  And as I often do I like to ask the question, ‘what do you think medicine will be like when you’re done training?’ It’s something of an exercise.  I usually get an answer involving some combination of hospital rounds, physical examinations, telephone calls, and busy office visits.  Occasionally I’ll get rehearsed nonsense about black leather bags and house calls.  The young woman in my office didn’t fail to deliver.

What does the next generation of physician know? Read more »

*This blog post was originally published at 33 Charts*

Insurance Company Begins New Ad Campaign In The Face Of Health Reform

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Trudy Lieberman Cigna launched a $25 million “GO YOU” national branding campaign last week signaling that they are gearing up for tons of new customers as health reform rolls towards 2014.   That new business will come from the millions of Americans now uninsured who will start getting government subsidies as an encouragement to buy health insurance coverage.  If those uninsured folks don’t get coverage, they will have tax penalties to pay.

No insurer wants to be left behind in this expanding marketplace, so Cigna, by being first out of the gate, hopes to build brand awareness that will ring bells in 2014 when consumers must buy insurance.  It’s a smart strategy.  One industry consultant says “most insurers have not built enough brand equity with consumers.”

Cigna’s ad campaign positions health insurance as Read more »

*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*

“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

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Recently, I had a conversation with Shannon Brownlee (the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation) about whether men should continue to have access to the PSA test for prostate cancer screening, despite the overwhelming evidence that it extends few, if any, lives and harms many more men than it benefits. She felt that if patients could be provided with truly unbiased information and appropriate decision aids, they should still be able to choose to have the test (and have it covered by medical insurance). Believing that one of the most important roles of doctors is to prevent patients from making bad decisions, I disagreed.

After reading Your Medical Mind, the new book by Harvard oncologist and New Yorker columnist Jerome Groopman, I think he would probably side with Brownlee’s point of view. Groopman, whose authoring credits include the 2007 bestseller How Doctors Think, and wife Pamela Hartzband, MD have written a kind of sequel to that book that could have easily been titled How Patients Think. Drawing on interviews with dozens of patients about a wide variety of medical decisions – from starting a cholesterol-lowering drug, to having knee surgery, to accepting or refusing heroic end-of-life interventions – the authors Read more »

*This blog post was originally published at Common Sense Family Doctor*

Land Mines Continue To Harm Soldiers And Civilians Around The World

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We must not turn a blind eye to the shocking facts about land mines and the damage they cause to civilians and our own troops.  The fact that modern warfare involves buried explosives that are completely untargeted  should shock the conscience of the world.  The number of severe wounds that affect our servicemen is on the rise and the Army’s Landstuhl Regional Medical Center in Germany is filled with casualties from Iraq and Afghanistan.

There have been 79 cases of multiple amputations this year for our U.S. soldiers…more than any previous year and through July, 134 servicemen and women lost limbs.  The year is only 1/2 over!

Doctors treating the troops said there is often damage to lungs, kidneys and livers from massive blood loss and shock.  Infection is rampant and 90 soldiers lost Read more »

*This blog post was originally published at EverythingHealth*

Wanda Sykes Diagnosed With DCIS And Opts For A Double Mastectomy

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When Wanda Skyes, 47, had a bilateral breast reduction in February, the pathology returned with DCIS present in the left breast specimen.  Recently the comedian appeared on  “The Ellen DeGeneres Show” and during the interview revealed her breast cancer diagnosis and her decision to have a double mastectomy.

Sykes continued, “It wasn’t until after the reduction that in the lab work, the pathology, that they found that I had DCIS [ductal carcinoma in situ] in my left breast. I was very, very lucky because DCIS is basically stage-zero cancer. So I was very lucky.”

But, she added, “Cancer is still cancer. I had the choice of, ‘You can go back every three months and get it checked. Have a mammogram, MRI every three months just to see what it’s doing.’ But, I’m not good at keeping on top of stuff. I’m sure I’m overdue for an oil change and a teeth cleaning already.”

Because she has a history of breast cancer on her mother’s side of the family, Sykes explained she opted to have a bilateral mastectomy.

“I had both breasts removed, because now I have zero chance of having breast cancer,” she said. “It sounds scary up front, but what do you want? Do you want to wait and not be as fortunate when it comes back and it’s too late?”

The American Cancer Society Read more »

*This blog post was originally published at Suture for a Living*

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