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Environmental Cancer: A Report From The President’s Panel

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While most of the news sources are reporting that cancers from the environment are ‘grossly underestimated’ in response to the recently released 240-page report from the President’s Cancer Panel, I want to focus on the steps individuals can take to lessen their personal exposure to environmental carcinogens. Collectively, these small actions can drastically reduce the number and levels of environmental contaminants. Read more »

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

Does Group Health’s “Medical Home” Leave The Poor Behind?

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Group Health has published two papers recently, one in Health Affairs and the other in JAMA, both extolling the virtues of its Medical Home. These follow their brief report last fall in the NEJM and the lengthy description of their model in the American Journal of Managed Care. Their model has been promoted by the Commonwealth Fund, and it is cited in the currrent issue of Lancet.

The big news is that costs were a full 2% lower than conventional care, hardly a great success –- it wasn’t even statistically significant. But was even this small difference due to the Medical Home, or was it because the Medical Home patients were less likely to consume care? Read more »

*This blog post was originally published at PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies*

Depression And Chocolate

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ChocolateDepressed people ate about 60 percent more chocolate compared with others, and major depression more than doubled consumption, reported researchers in the usually-more-reliable Archives of Internal Medicine. Now researchers want to further delve into the issue.

“Whether there is a causal connection, and if so in which direction, is a matter for future prospective study,” the authors wrote.

We wonder if Hershey’s would provide samples for the treatment arm of such studies, and if so, how people can sign up?

*This blog post was originally published at ACP Internist*

Which Diet Fits Your Genes?

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Why do some diets work better than others? Why can your best friend lose 10 pounds with a low-carb diet and your weight just hovers? Why can some people eat just about everything and still stay skinny?

It’s all in the genes. 

Mindy Dopler Nelson, Ph.D., of Stanford University reported the results of her study at the American Heart Associate Conference. She found that a single nuceotide polymorphism caused women to loose five times as much weight on the Atkins diet compared with women who didn’t have the gene. Read more »

*This blog post was originally published at EverythingHealth*

Shoot A Turkey, Help Fight Heart Disease

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Turkey and broken heartFrom Freep.com:

“Medical researchers at Wayne State University have asked hunters in the state [Michigan] to donate the hearts of harvested wild turkeys for researching heart disease and congestive heart failure.

The National Wild Turkey Federation recently joined the school in making the appeal. Researchers hope that tests using wild turkey hearts could lead to medical breakthroughs for combating heart problems in humans.”  Read more.

-WesMusings of a cardiologist and cardiac electrophysiologist.

*This blog post was originally published at Dr. Wes*

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…

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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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