January 1st, 2011 by Linda Burke-Galloway, M.D. in Better Health Network, True Stories
Tags: Adoption, Being Remembered, Birth, Children, Christmas, Circle Of Life, Death, Deceased Family Members, Dr. Linda Burke-Galloway, Family, Family Life, Holiday Season, Holidays, Human Experience, Infertility, Life Circle, Life Transitions, Loved Ones, Mothers, New Year, OB-GYN, Obstetrics And Gynecology, Pregnancy, Rebirth, Reproductive Health
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The holiday season is a time of both joy and sorrow. Tomorrow a childhood friend will be laid to rest — one of my favorite artists, Teena Marie, died unexpectedly two days ago and at least six other people have made their transitions as well. My own father died unexpectedly on Christmas Eve in 1981 leaving a great void in our family life. Why do people leave us during the holiday season? It has been said because they want to be remembered.
While I lamented about all the transitions that occurred in the past two weeks, one of my best friends announced that she had a new granddaughter that was born on Christmas Day. She stated that this was part of the “life cycle” or “circle of life.” Her comments gave me reason to pause and reflect. Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
December 30th, 2010 by admin in Better Health Network, News, Research, True Stories
Tags: ACP Internist, American College Of Physicians, Amgen, Anemia, Biochemistry, Dialysis, Dr. John Schumann, End Of Life, End Stage Renal Disease, EPO, Epogen, Erythropoietin, Gene Goldwasser, GlassHospital, Hormone, Internal Medicine, Kidney Failure, Medical Discoveries, Merrill Goozner, New Red Blood Cell Production, Pharmaceuticals, Pharmacology, Prostate Cancer, University of Chicago
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Gene Goldwasser died last week. He was 88, and he was my friend.
I wrote previously about a series of conversations I conducted with Gene and Rabbi A.J. Wolf a few years ago. I met Gene one spring day after calling to invite him to sit in on a class I was teaching to a small group of medical students about social issues in healthcare.
I’d read about him in a book called “The $800 Million Pill,” by Merrill Goozner. In the book, Goozner writes the story of Gene’s two-decade hunt to isolate the hormone erythropoietin (EPO).
Part of the story relates how Gene tried to interest traditional big pharma companies in his discovery, only to be brushed aside. Instead, Gene wound up sharing his discovery with what became Amgen. The company went on to make a windfall from recombinant production of the hormone and licensing it as a drug for patients with anemia and kidney failure. Read more »
*This blog post was originally published at ACP Internist*
December 29th, 2010 by AnthonyKomaroffMD in Better Health Network, Health Tips, Opinion, True Stories
Tags: Accurate Health Information, Consumer Health Information, Consumer Health Publishing, Dr. Anthony Komaroff, Harvard Health Blog, Harvard Health Publications, Harvard Heart Letter, Harvard Medical School, Harvard Special Health Reports, Harvard University, Harvard Women's Health Watch, Living A Healthier Life, Medical Publishing, Online Health Information, Preventive Health, Preventive Medicine, Public Awareness, Public Health, Quality Health Information, Reader Feedback, Trusted Health Information
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My colleagues at Harvard Health Publications and I have a mission: To provide accurate, reliable information that will help readers live healthier lives. We work hard to fulfill that mission, and the feedback we get from folks who read our newsletters, Special Health Reports, books, and online health information indicates we are on the right track. Every so often we hear something from a reader that makes me especially proud of the work we do.
This letter was recently sent to the editor of the Harvard Women’s Health Watch:
One of your mailings undoubtedly saved me a lot of grief. (My kids, anyway.) I was aware of a woman’s heart attack symptoms being different from a man’s, and your brochure contained a paragraph confirming that. Early in June I was packing for a trip to celebrate my brother’s 90th birthday, at the same time a ditching project was being done in my back lot. Trying to deal with several matters at the same time is a talent I’ve outgrown, at 88, so didn’t think too much of the sudden fatigue and vague aches I felt in jaw & arms. I crashed for a nap in my recliner, felt OK afterwards, and figured it was just stress. The next day I was ready to leave, but got to thinking of those symptoms, and the fact the brochure had arrived at just that time, and wondered if it was more than coincidence and maybe I should pay attention? Didn’t much like the idea of something happening out in the middle of nowhere, so took myself to the fire hall where an EMT was on duty. He ushered me into the ambulance, did an EKG, and soon I was being helicoptered on doctor’s orders to St. Joseph’s Hospital. There I had 3 stents installed, and they apparently are doing their job. Thank you! Read more »
*This blog post was originally published at Harvard Health Blog*
December 29th, 2010 by KevinMD in Better Health Network, Opinion, True Stories
Tags: 15-Minute Office Visit, Clinical Judgment, Consideration of Symptoms, Dismissing Symptoms, Dr. Danielle Ofri, Dr. Kevin Pho, Family Medicine, General Medicine, Internal Medicine, KevinMD, Medical Malpractice, Minimizing Symptoms, Misdiagnosis, New York Times, Not Enough Time For Patients, Patient Care, Patient Complaints, Patient Concerns, Patient Questions, Patients Who Worry Well, Primary Care, Prioritizing Patients' Complaints, Questions To Ask Your Doctor, Rushed Office Visit, Signs and Symptoms, Telling Your Doctor About Symptoms, Underdiagnosed, Wrong Diagnosis, Wrong Medical Decisions By Doctors
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Primary care physicians often have to see patients with a litany of issues — often within a span of a 15-minute office visit.
This places the doctor in the middle of a tension: Spend more time with the patient to address all of the concerns, but risk the wrath of patients scheduled afterwards, who are then forced to wait. And in some cases, it’s simply impossible to adequately address every patient question during a given visit.
It’s a situation that internist Danielle Ofri wrote recently about in the New York Times. In her essay, she describes a patient, who she initially classified as the “worried well” type:
… a thin, 50-year-old educated woman with a long litany of nonspecific, unrelated complaints and tight worry lines carved into her face. She unfolded a sheet of paper on that Thursday morning in my office with a brisk snap, and my heart sank as I saw 30 lines of hand-printed concerns.
Ms. W. told me that she had recently started smoking again, after her elderly mother became ill, and she was up to a pack a day now. She had headaches, eye pain, pounding in her ears, shortness of breath and dizziness. Her throat felt dry when she swallowed, and she had needling sensations in her chest and tightness in her gut. She couldn’t fall asleep at night. And she really, really wanted a cigarette, she told me, nervously eying the door.
This is the kind of patient who makes me feel as though I’m drowning.
Dr. Ofri did as many doctors do: She listened appropriately, went over the patient’s history and physical, reviewed prior tests, and concluded that many of her symptoms were due to anxiety. Except, in this case, they weren’t. The patient eventually had a pulmonary embolus, and hospitalized. Read more »
*This blog post was originally published at KevinMD.com*
December 22nd, 2010 by Lucy Hornstein, M.D. in Better Health Network, Health Tips, Opinion, True Stories
Tags: AAFP, American Academy of Family Physicians, Being Happy, Creating Happiness, Dr. Lucy Hornstein, Emotional Well-Being, Family Medicine, General Medicine, Happiness In Life, Happy People, Mental Health, Musings of a Dinosaur, Personal Freedom, Secret To True Happiness, The H Card, To Be Happy
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The most moving speaker at the American Academy of Family Physicians (AAFP) convention I went to in Denver a few months ago was a doctor with Stage 4 cancer who had survived well past all expectations for his disease. While talking about achieving happiness through balance in life, he pulled out of his wallet a card made for him by his daughter, a preschool teacher.
“This is the C card,” he told us. “It says: ‘I have cancer. I can do whatever I want.’”
What a great idea, I thought. As much as it resonated with me, though, I couldn’t help but feel there was more to it than that.
Recently I was comforting a dear friend who had lost her mother. Remembering this handout from the AAFP, I held her close and said: “You’re a mourner now. You can do whatever you want.” I might as well said: “You have the M card.”
There’s this crotchety old guy in his eighties whom I’ve known for years. He does whatever he wants. I don’t think he actually carries a card in his wallet that says: “This is the O card. I am old. I can do whatever I want,” but he might as well. He is indeed old, and so he is entitled. Read more »
*This blog post was originally published at Musings of a Dinosaur*
The holiday season is a time of both joy and sorrow. Tomorrow a childhood friend will be laid to rest — one of my favorite artists, Teena Marie, died unexpectedly two days ago and at least six other people have made their transitions as well. My own father died unexpectedly on Christmas Eve in 1981 leaving a great void in our family life. Why do people leave us during the holiday season? It has been said because they want to be remembered.
