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

Latest Posts

Should Doctors Be Socially Anonymous?

No Comments »

I don’t think doctors should be socially anonymous. We need to be seen. Here’s why going underground isn’t good policy for physicians:

Anonymity makes you say stupid things. When you’re shouting from the crowd it’s easy to talk smack.  Come up to the podium, clear your throat, and say something intelligent. You’re a physician, not a hooligan.

It’s 2010: Anonymity died a long time ago. You think anonymity offers shelter? You’re funny, you are. Anonymity is a myth. You can create a cockamamie pseudonym, but you can’t hide.  And if I don’t find you, the plaintiff attorneys will. They found Flea.

Being a weanie is no excuse. Just as you’re unlikely to consult a lawyer before speaking at a cocktail party, commenting as Dr. You is unlikely to kill you or land you in court. Just a few pointers: Don’t talk about patients, help people out, and be nice. Trust me, I’m a doctor. Read more »

*This blog post was originally published at 33 Charts*

PTSD “Breakthrough?” Real Science Doesn’t Need Endorsement

3 Comments »

The PTSD BreakthroughIt infuriates me when someone misappropriates the word “science” to promote treatments that are not actually based on science. I have just read a book entitled The PTSD Breakthrough: The Revolutionary Science-Based Compass RESET Program by Dr. Frank Lawlis, a psychologist who is the chief content advisor for Dr Phil and The Doctors. There is very little science in the book and references are not provided. It amounts to an indiscriminate catalog of everything Dr. Lawlis can imagine that might help post-traumatic stress disorder (PTSD) patients. 

He describes recent brain imaging studies suggesting that signs of traumatic brain injury are associated with PTSD.  He thinks PTSD can no longer be considered a psychological condition, but must be approached as a complex biological, physical, psychological, and spiritual condition. He says many of these patients have brain damage. Read more »

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

Debunking Fake Diseases

No Comments »

Ever heard of adrenal fatigue? Wilson’s temperature syndrome? If not, there’s a good reason: They exist only on the Internet.

The Hormone Foundation, an affiliate of the Endocrine Society, recently issued two fact sheets for patients debunking these so-called conditions, which were “apparently conceived only in an effort to sell products promoted to treat them,” the LA Times reported. No medical evidence supports either faux disease and there are no tests or treatments for them, but patients still try to alleviate them with supplements, some of them potentially dangerous, the Times said.

Adrenal fatigue is characterized by such “symptoms” as having salt and sugar cravings and needing coffee to get you through the day, while the man who discovered Wilson’s temperature syndrome also coincidentally promotes a product to treat it, according to the Times. (Hormone Foundation, LA Times)

*This blog post was originally published at ACP Internist*

Coffee Grounds To Combat Cellulite?

1 Comment »

Coffee groundsLast week a popular TV talk show featuring a bunch of doctors (I’m not naming names) discussed how coffee grounds can improve cellulite. They explained how rubbing coffee grounds into your skin imparts caffeine into the cellulite thereby improving the circulation and drawing the toxins out.

This is a great tip, except that rubbing coffee grounds on your skin does not impart any caffeine into it, and there are no toxins in cellulite.

Cellulite is a normal secondary sex characteristic of women. It is the result of thin connective tissue in women’s skin. Massaging the cellulite (with coffee, tea, grapes, cream cheese, or chocolate frosting) pushes the fat back into the skin, temporarly improving the appearance. There is no science behind using coffee to treat this normal condition.

Scientific studies have shown, however, that carrying a wet coffee filter filled with grounds into your bathroom will burn more calories, because you’ll spend 20 minutes later cleaning up the mess in your shower.

*This blog post was originally published at The Dermatology Blog*

WHO Partners With Traditional Healers In Africa

No Comments »

There’s an AIDS epidemic in Africa, and efforts to fight it are hampered by the endemic social problems of that continent. Chief among them are the lack of sufficient modern health resources, the spread of destructive rumors and myths about HIV/AIDS, and even the persistence of HIV denial in Africa (although this last factor is better than in the past).

The World Health Organization (WHO) and the International HIV/AIDS Alliance are teaming up with the Traditional Health Practitioners Association of Zambia (THPAZ) to address the first problem –- the lack of health services.

Most Zambians use traditional healers for primary healthcare. The WHO has therefore decided to utilize traditional healers in the fight against AIDS. There are interesting pros and cons to this policy, but it must first be recognized that there is no ideal solution to the problem. The resources to provide optimal modern health care to treat and prevent HIV/AIDS (which would need to include a massive education program) in Zambia and the rest of Africa simply do not exist. One might argue that the world should provide those resources, but let’s put that issue aside and focus on what to do in the meantime. 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