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The Stories In Medicine That Need To Be Told

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I can’t help but think that as time passes we’ll forget about how much medicine has changed with the introduction of the Internet.  We’re witnessing a transition that hasn’t been seen in generations.  We live with the end result but the memory of how we got here is fading quickly.  Like any kind of cultural shift, once we’ve arrived it’s hard to remember what it was like along the way.

How did patients think before the information revolution?  And how did it go down when patients began to search?  How specifically did information clash with the old model of doctor and patient and how did we deal with it?  There are stories here that need to be told.  I think the real stories are in the small details of what went down between doctors and patients. But as early adopters, most of us spend our time looking forward, not back. Read more »

*This blog post was originally published at 33 Charts*

Thrombolytics: To Give Or Not To Give

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For years now, we’ve all heard the drum-beat.  Bill-boards in cities have proclaimed it.  Various medical associations have touted it’s importance.  Stroke symptoms have to be treated immediately!  Give clot-busting drugs, also known as ‘thrombolytics!’

Until, of course, those in favor of giving the drugs (namely neurologists)  realized that a)  Not everyone with a stroke, aka ‘brain attack’ has insurance and b) people have a very inconsiderate habit of having said strokes at the most inconvenient of hours.  For instance, after 5PM, on the weekend, on holidays.  The nerve!

So across the country, physicians in emergency departments like mine are finding themselves expected by the court of public opinion to give a potentially dangerous drug (albeit a sometimes useful drug) without any neurologist being available to evaluate the patient.  Our emergency department thought we had a tele-medicine link; even that has failed, as nearby physicians in our regional referral center don’t feel keen to take responsibility for our patients.  Our own neurologists, of course, have Read more »

*This blog post was originally published at edwinleap.com*

Does Google+ Have The Potential To Be Used In Medicine And Pharma?

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There have been some articles and blog entries lately focusing on whether Google+ could be used in medicine or pharma. I’ve been trying to use it more actively in the past couple of days and it’s still a question for me to figure out whether I should separate my professional Facebook and Google+ activities. A few comments from fellow bloggers:

Google+: the ultimate tool for social geeks

My first impressions are enthusiastic. Google+ has enormous potential and can become the future of private and social communication. Fresh and slim design, no gaming distractions, no 140 word limit. Yes, it sets itself between facebook and twitter. There is a necessary condition: people willing to adopt this new tool and even migrate from other platforms. If I really have to say, I think its competing more with facebook, since twitter can be easily synced with Google Buzz, which I have ultimately activated today. In few words Google+ has given me an excellent impression of being a professional and versatile platform.

Could Google+ be Pharma’s Answer to Social Media Marketing? Read more »

*This blog post was originally published at ScienceRoll*

Tummy Tucks Aren’t Just For Lazy People

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Recently at the gym (I workout three to five days a week mostly swimming laps in a pool,) I got into a conversation with a mom about tummy tuck surgery. This happens occasionally when you wear your CosmeticSurgeryTruth.com t shirt to the gym. :)

“I would never get a Tummy Tuck. I would just workout more.”

People do not see outside of their own experience very often. This pretty young mom would not benefit much by a Tummy Tuck as she had no “hanging apron” or much lose skin. Many gastric bypass patients or other women not as fortunate after pregnancy to have their bellies “snap back” have changes. And some of them workout several days a week too. Tummy Tuck surgery is not Read more »

*This blog post was originally published at Truth in Cosmetic Surgery*

Some Young Europeans Are Starting To Eat Like Americans

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For years I have touted the health benefits of the “Mediterranean Diet” and encouraged patients to eat like the Europeans.   Fresh farm vegetables, olive oil, fish and red wine have been linked with longevity and good health.  I just read in NPR news that young Italians are forgoing the eating patterns of their elders and are imitating the “U.S. diet”.  The result is soaring obesity, just like in the United States.

According the the article, young Italians ages 6-12 are sitting in front of the TV and are eating fast foods and soda.  In just three generations, the eating habits and activity of kids has changed from their healthy grandparents.  Italian health officials say obesity is reaching epidemic proportions.

Part of the diet changes are a result of Read more »

*This blog post was originally published at EverythingHealth*

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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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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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