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WHO And H1N1: Conflict Of Interest?

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On June 11, 2009, Dr. Margaret Chan, the director general of the World Health Organization (WHO), declared that the H1N1 flu that was then spreading around the world was an official pandemic. This triggered a series of built-in responses in many countries, including stockpiling anti-viral medications and preparing for a mass H1N1 vaccination program.

At the time the flu was still in its “first wave” and the fear was that subsequent waves, as the virus swept around the world, would become more virulent and/or contagious –- similar to what happened in the 1918 pandemic. This did not happen. At least our worst fears were not realized. The H1N1 pandemic, while serious, simmered through the winter of 2009-2010, producing a less than average flu season, although with some worrisome difference. Read more »

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

Too Much Testing And Treatment? Try Superb Primary Care

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The Associated Press has been running a fantastic series of must reads with the latest article highlighting the consequence of too many imaging studies, like X-rays and CT scans, which are the biggest contributor to an individual’s total radiation exposure in a lifetime. Americans get more imaging radiation exposure and testing than people from other industrialized countries.

Reasons for doing too many tests include malpractice fear, patient demands for imaging, the difficulty in obtaining imaging results from other doctors or hospitals, as well as advanced technologies, like coronary angioplasty, which have increased radiation but avoid a far more invasive surgery like heart bypass. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

Flibanserin: Another Pre-FDA Approval Drug Hype

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Money-happy pillThis week the FDA will vote on flibanserin, the much-talked-about drug for women with the condition called hypoactive sexual desire disorder or — because everything in sexual health needs an acronym like ED or PE — HSDD.

On the eve of the FDA vote, CBS last week ran still another story about flibanserin. This drug has received so much news coverage, you’d think it cures cancer.

And CBS did little more than promote the hype even more, saying FDA approval “could translate into a $2 billion market in this country alone” and then failing to challenge the disease-mongering estimate of “10 percent to 30 percent of women” with this condition. It all just goes along with the drug company’s efforts to build a demand before the drug is even approved. Read more »

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

Brain Surgery Via The Eyelid

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34341.jpgIn the continuing effort to make surgery less invasive, physicians at Johns Hopkins Hospital are operating on the brain through a tiny incision in one of the eyelids instead of lifting a large piece of the skull.

Named transpalpebral orbitofrontal craniotomy, the procedure allows for access to the middle and front regions of the brain. The cranial cavity is reached through a hole created by removing a small, half-inch to one-inch-square section of skull bone right above the eyebrow. Endoscopic surgery can then be performed with help of previously obtained CT and MRI data. Read more »

*This blog post was originally published at Medgadget*

How Safe Are Sunscreens?

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I “preach” sunscreen use to my family, friends, and patients. I do this because sunscreen helps prevent skin cancers, but in light of the recent  President’s Cancer Panel report on Cancers from Environment ‘Grossly Underestimated’  and concerns by the group Friends of the Environment, I thought perhaps I should look at the safety of the active chemicals/nanoparticles in sunscreens.

You need both UVA and UVB protection. It is the UVA rays that are most responsible for wrinkling and aging the skin. It is the UVB rays that are the most responsible for the sunburn and skin cancer formation.

According to the American Academy of Dermatology (AAD), sunscreens should ideally be water-resistant, so they cannot be easily removed by sweating or swimming, and should have an SPF of 30 or higher that provides broad-spectrum coverage against both UVA and UVB light. I think it is not worthwhile to purchase any sunscreen with an SPF higher than 55. Read more »

*This blog post was originally published at Suture for a Living*

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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…

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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…

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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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