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Prevention Magazine’s Inaccurate “Coffee Cures” Story

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The September issue of Prevention magazine inaccurately headlines the story “4 Ways Coffee Cures.” There’s no solid proof that coffee cures anything — unless some of you cure bacon with java, which I don’t want to know about.

What the story (below) did was to try to present a cute little graphic summary of observational studies that show a statistical association between increasing coffee consumption and fewer early deaths, fewer deaths from heart attack, fewer cases of dementia, and fewer cases of type 2 diabetes.

But such observational studies (they actually never cite the source — I’m just giving them the benefit of the doubt that they’re citing observational studies) CAN’T establish cause and effect, therefore it’s inaccurate for the story to use terms like “cure,” “protective,” and “lowers (or reduces or slashes) your risk.” Besides being inaccurate, such stories fail to educate readers. They mislead.

We ask the editors of Prevention to read and understand our guide “Does the Language Fit the Evidence? Association versus Causation.

Prevention coffee cures.jpg

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Patients Are Splitting Pills To Cut Healthcare Costs

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Patients are pill-splitting more to trim back healthcare costs, according to a poll by Consumer Reports. In the past year, 39 percent took some action to cut costs.

The poll of more than 1,100 people found that 45 percent of people take at least one prescription drug and average four. But 27 percent said they didn’t always comply with a prescription, and 38 percent of those younger than 65 without drug coverage didn’t fill prescriptions at all.

Just over half of patients felt that doctors didn’t consider their ability to pay when prescribing a drug, while nearly half blamed drugmaker’s influence for physicians’ prescribing habits. (HealthLeaders Media)

*This blog post was originally published at ACP Internist*

Concussions In Younger Athletes Are On The Rise

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Young athlete holding headA study published earlier this week by the American Academy of Pediatrics states that “the number of sport-related concussions is highest in high school-aged athletes, but the number in younger athletes is significant and on the rise.” Why is this? Many believe this is from better recognition of the symptoms and the need to be medically evaluated.

I did a couple of interviews with local TV news to talk about the subject (Video 1 and Video 2). In my research on this subject, I found an article from the Dayton Daily News stating that the Ohio High School Athletic Association (OHSAA) passed a policy in May 2010:

Any athlete who exhibits signs, symptoms or behaviors consistent with a concussion (such as loss of consciousness, headache, dizziness, confusion or balance problems) shall be immediately removed from the contest and shall not return to play until cleared with written authorization by an appropriate health care professional.

In addition, on the OHSAA website there’s an entire section devoted to concussions and head injuries. I have also read that other states have taken similar steps, especially with high school and younger athletes.

If you find the videos in this post helpful, I encourage you to see my other interviews on health-related topics at MikeSevilla.TV

*This blog post was originally published at Doctor Anonymous*

Texting While Driving: “It’s Like Everybody’s Drunk” Or Worse

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A mentor recently mentioned in passing that he stopped riding motorcycle when cellphones came out, as he noticed the average driver distraction level had gone way up. He said, “It’s like everybody’s drunk.”

There’s lots of ways to be an impaired driver: Physical or mental fatigue, chemicals (legal and not), emotional extremes, etc. (This is not an exhaustive list). What I want to focus on here is a very controllable risk factor: Divided attention.

A quick Internet search turned up some original research from Car and Driver on the subject of texting while driving compared with actual alcohol-impaired driving, and the results are shockingly worse than I would have thought. From their (admittedly limited but well done) study, texting is way worse than being at the legal alcohol limit when it comes to both reading and writing. Read more »

*This blog post was originally published at GruntDoc*

Doctor-Patient Communication: Much Room For Improvement

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In a surprising report from the Archives of Internal Medicine, we learn that most hospitalized patients (82 percent) could not accurately name the physician responsible for their care and almost half of the patients did not even know their diagnosis or why they were admitted.

If that isn’t enough, when the researchers queried the physicians, 67 percent thought the patients knew their name and 77 percent of doctors thought the patients “understood their diagnoses at least somewhat well.” I would call that a pretty significant communication gap.

Ninety percent of the patients said they received a new medication and didn’t know the side effects. Although 98 percent of physicians thought they discussed their patients’ fears and anxieties with them, only 54 percent of patients thought they did. Read more »

*This blog post was originally published at ACP Internist*

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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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