December 10th, 2010 by AnnMacDonald in Better Health Network, Health Tips, News, Research
Tags: Ann MacDonald, Antidepressants, Archives of General Psychiatry, Bipolar Disorder, Citalopram, Dr. Roy Perlis, Emotional Health, Harvard Health Blog, Harvard Health Publications, Harvard Medical School, Harvard Mental Health Letter, Harvard University, Major Depression, Massachusetts General Hospital, Mental Health, Mental Illness, Psychology, Sequenced Treatment Alternatives to Relieve Depression, STAR*D Study, Treatment-Resistant Depression
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Only one-third of people with major depression achieve remission after trying one antidepressant. When the first medication doesn’t adequately relieve symptoms, next step options include taking a new drug along with the first, or switching to another drug. With time and persistence, nearly seven in 10 adults with major depression eventually find a treatment that works.
Of course, that also means that the remaining one-third of people with major depression cannot achieve remission even after trying multiple options. Experts are hunting for ways to understand the cause of persistent symptoms. In recent years, one theory in particular has gained traction: that many people with hard-to-treat major depression actually suffer from bipolar disorder. However, a paper published online this week in the Archives of General Psychiatry suggests otherwise — and the findings provide new insights into the nature of treatment-resistant depression. Read more »
*This blog post was originally published at Harvard Health Blog*
December 10th, 2010 by Medgadget in Better Health Network, News, Research
Tags: Berlin, Birth Canal, C-Section, Caesarian Section, Charite Hospital, Germany, Labor And Delivery, Live Birth, Magnetic Resonance Imaging, Maternal-Child Health, Maternity Care, Medgadget, Medical Imaging, MRI, Newborn, OB/GYN, Obstetrics And Gynecology, Radiology, The Local
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At the Charité Hospital in Berlin, researchers have built a specialty MRI machine with enough space to fit a woman undergoing labor. The Local, a German newspaper in the English language, is reporting that the first images of a baby moving through the birth canal have been captured, and that the mother and child are doing just fine. The clinicians involved in the project hope to be able to study why some women end up requiring a Caesarian section, while others do not.
More at The Local: MRI scans live birth…
*This blog post was originally published at Medgadget*
December 10th, 2010 by RamonaBatesMD in Better Health Network, Research
Tags: Adolescent Health, Breast Tissue, Disease Pathology, Dr. Ramona Bates, Excisional Biopsy, Gynecomastia, Journal of Plastic and Reconstructive Surgery, Male Breast Cancer, Men's Health, Oncology, Pathologic Examination, Subcutaneous Mastectomy, Suture For A Living, Unnecessary Medical Tests, Unnecessary Procedures, Unneeded Medical Care
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Most medical centers routinely perform or require that breast tissue be sent to pathology for histologic examination. The authors of the article (referenced below) question whether this is useful when the breast tissue excised comes from an adolescent male with gynecomastia considering the benign nature of the condition.
Furthermore, the authors point out male breast cancer is rare and when it does occur it is most often in older males, not adolescent males:
In 2009, there were an estimated 1,910 new cases and 440 deaths related to male breast cancer, accounting for just 0.25% and 0.15% of all new cases of cancer and cancer deaths for males in the entire United States, respectively, with historical cohorts demonstrating that the peak incidence of male breast cancer occurs at approximately 71 years of age. More significantly, breast cancer becomes increasingly uncommon among younger age groups.
To look at the issue, the authors did a retrospective chart review of their patients younger than 21 years of age who had undergone subcutaneous mastectomy for gynecomastia between 1999 and 2010. A review of the literature was done, as was an informal survey of major children’s hospitals regarding their practice of histologic examination for adolescent gynecomastia. Read more »
*This blog post was originally published at Suture for a Living*
December 9th, 2010 by DrRich in Better Health Network, News, Opinion, Research
Tags: Biosensors, Cardiac Electrophysiology, Covert Rationing Blog, Dr. Joseph Smith, Dr. Rich Fogoros, General Medicine, HealthLeaders 20 for 2010, HealthLeaders Media, Lowering the Cost of Healthcare, Medical Technology at Home, Technology and Healthcare, Technology and Medicine, West Wireless Health Institute, Wireless Communication in Medicine, Wireless Healthcare, Wireless Technologies to the Patient
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DrRich is delighted to note that a very good and longtime friend and former colleague has been named as one of the HealthLeaders 20 for 2010 — that is, as one of 20 people, chosen by HealthLeaders Media, who are changing healthcare for the better.
DrRich has known this man for nearly two decades, and from the very beginning he has insisted his real name is Joe Smith. So let’s go with that.
Joe’s recognition by HealthLeaders is very well deserved. Joe is chief medical and science officer of the West Wireless Health Institute in San Diego, a non-profit institution whose mission is to bring wireless technologies to the patient, technologies to diagnose, monitor and treat health conditions in the patient’s own home. Joe is uniquely qualified for this role, having earned a PhD in medical engineering and medical physics, an MD from Harvard (a place DrRich has never even been allowed to see), and having spent years practicing medicine as a (particularly well-known) cardiac electrophysiologist. (Electrophysiology, as regular readers will know, is widely recognized as the geekiest of medical specialties.)
For what it’s worth, DrRich considers Joe to be one of the most honest, most ethical physicians he has ever known, one who will always place the welfare of patients ahead of his own treasure and his own career. DrRich has seen him do it. Read more »
*This blog post was originally published at The Covert Rationing Blog*
December 9th, 2010 by Mark Crislip, M.D. in Better Health Network, Humor, Opinion, Research, True Stories
Tags: 510 (k), Aculife, Acupoints, Acupressure Device, Acupuncture, Acupuncture Points, CAM, Complementary And Alternative Medicine, DeviceWatch.org, Dr. Mark Crislip, FDA, Food and Drug Administration, Mummy Medical Tattoos, Otzi, Pseudomedicine, Pseudoscience, Qi, Science and Medicine, Science Based Medicine, SkyMall, Woo
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The worst part of flying is the takeoff and landing. Not that I am nervous about those parts of the trip, it is that I am all electronic. Once I have to turn off my electronic devices, all I am left with is my own thoughts or what is in the seat pocket in front of me.
Since there is nothing to be gained from quiet introspection, I am stuck with either the in-flight magazine or SkyMall. I usually choose the latter. SkyMall, for those of you who do not fly, is a collection of catalogs bound in one volume. I have occasionally purchased products found in SkyMall and thumb through it with mild interest.
This time one product caught my eye, the Aculife home acupuncture/acupressure device. I had never noticed the “health”-related products in SkyMall before, usually looking for electronic gadgets that I really do not need. I was curious. How many other products besides Aculife are in the catalogue? According to the interwebs, about 100,000,000 Americans fly every year and well over half a billion people world wide. A lot of people can potentially look at SkyMall, including the occasional skeptic.
I have written about the many styles of acupuncture in the past: Hand and foot and tongue and ear and head and Chinese and Japanese. So many meridians and acupuncture points, how does the body find room for it all? Aculife makes it all simple. It’s all gauche, er, I mean in the left hand.
According to makers of Aculife, you can now “help strengthen your health with the latest ancient technology.” Of course I can, and for $199.95 I had better be able to. Read more »
*This blog post was originally published at Science-Based Medicine*
