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

Latest Posts

mHealth Summit Opens With The Director Of The NIH Explaining The Importance Of Mobile Health

No Comments »

201011082322.jpgThe explosion of smart phones, originally led by the iPhone 2007, has catalyzed the explosion of mobile medical apps which our readers are surely familiar with. But, along with the proliferation of medical reference apps and interfaces to electronic health records (EHRs), there is a much broader world of mobile medical devices and simpler phone interfaces collectively termed “mHealth,” which is an area of intense interest for governments, industry and care providers.

This year, this interest has been punctuated by nearly half a dozen different mobile health meetings — many that iMedicalApps has attended and participated in. Perhaps, the largest one of all — the mHealth Summit — is now in session in the Washington Convention Center, sponsored in part by the Foundation at National Institutes of Health (FNIH) — an event we are currently attending. This type of sponsorship is an indication of the importance mobile health (or “mHealth”) is now reaching. To further accentuate this, the keynote speaker to launch the event was Dr. Francis Collins, the director of the NIH himself. Read more »

*This blog post was originally published at iMedicalApps*

Do The Elderly Benefit From The “Fury Of American Medicine?”

No Comments »

I don’t consider myself a right-wing healthcare fear monger, but if I were this study would be worthy of amplification. As reported concisely in the New York Times, from the journal Demography (not previously known to me), population researchers reported that even though elderly Americans have more medical problems than their peers in Britain, older Americans live longer once they make it to 70. Why would this be?

Is it because Americans who reach 70 are “heartier” than Britons, as Columbia University PhD (but now on leave and working at HHS) Sherry Giled says. Or is better survival of the American elderly one of the benefits of the “fury of American medicine?” Read more »

*This blog post was originally published at Dr John M*

5 Tips For Diagnosing Yourself Online

No Comments »

“What’s the highest peak in North America, Mt. McKinley or Denali?” This is a great question the Web can answer for you. “What’s that lump on my neck?”  This is another great question — but not one you should rely on the Web to solve.

Best Doctors recently conducted a Twitter-based poll to find out what channels of information people use to get healthcare advice.  It turns out, 54 percent of respondents use the Web as their primary source of information. Is this kind of do-it-yourself medicine a good idea?

I’m a firm believer that you should do everything you can to make sure you’re getting the right care when you’re sick. But before you start your do-it-yourself journey, here are five things to keep in mind:

1. To get the right answer, you need to ask  the right questions. If you decide that that lump on your neck is a sign of lymphoma, you’re going to get very worried and start researching everything you can on lymphoma. You may see your doctor and when he tells you it’s actually a benign cyst, you’re going to have a hard time believing him. Now, your skepticism is a good thing, but before you start driving yourself crazy with serious conclusions, make sure you have your facts straight. Read more »

*This blog post was originally published at See First Blog*

Diabetes: Be Part Of The Cure

No Comments »

(And no, this doesn’t mean you have to become Robert Smith.)

With more than two decades of diabetes clocked in, my faith in a cure has been shaken with every diabetes anniversary. Each September, I realize that more has been done to improve the quality of life for people with diabetes, but little has been done in giving us the hope that a cure — a real cure — is possible in our lifetime.

Except last year, when I made a trip to Florida to visit the Diabetes Research Institute (DRI), my hope was reignited. The Diabetes Research Institute is functioning solely to provide research for a cure for diabetes. And I have cautious hope that they will be the ones to make great strides in curing type 1 diabetes. If not for me, then for the generation after me.

Which is why I am part of The Cure this month for American Diabetes Month. I made a small donation to the DRI and uploaded my photo to the Cure collage. (You can find me in the bottom left hand corner of that sassy little “E” there.) 

Be part of the Cure!

Camillo Ricordi, Scientific Director and Chief Academic Officer of the University of Miami Diabetes Research Institute, stated in a recent interview on the Huffington Post: “I started this work to cure diabetes. My goal has not changed. I will keep working until I get the job done.”

I can get on board with that.  Be part of the Cure.

*This blog post was originally published at Six Until Me.*

Screening For Lung Cancer: New Findings And Continued Controversy

No Comments »

Lung cancer screening has been an area of considerable controversy. Before today, there had been no evidence that screening patients for lung cancer, either with a CT scan or chest x-ray, saved lives.

For years, doctors have been waiting for the results of the large, randomized National Lung Screening Trial (NLST), conducted by the National Cancer Institute.

[Yesterday] it was announced that the trial was stopped early, with a bold, positive finding:

All participants had a history of at least 30 pack-years, and were either current or former smokers without signs, symptoms, or a history of lung cancer.

As of Oct. 20, 2010, the researchers saw a total of 354 deaths from lung cancer in the CT group, compared with 442 in the chest x-ray group.

That amounts to a 20.3% reduction in lung cancer mortality — a finding that the study’s independent data and safety monitoring board decided was statistically significant enough to halt the trial and declare a benefit.

Previously, only breast, colon, and cervical cancer has had the evidence back up its screening recommendations. It’s still early in the game, but it appears that lung cancer may be following in that same path. That said, there are a variety of concerns before opening up the floodgates to screening chest CTs. Read more »

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

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