October 21st, 2010 by Harriet Hall, M.D. in Better Health Network, Health Policy, Health Tips, News, Opinion, Research, True Stories
Tags: Dr. Harriet Hall, Dr. Mark Crislip, Dr. Steve Novella, Elderly Care, Fluzone, High-Dose Flu Vaccine, Immunization, Immunology, Influenza, Medicare, Older Adults, Patient Options for Preventive Care, Preventive Health, Preventive Medicine, SBM, Science Based Medicine, The Medical Letter, Vaccination, Vaccines
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Dr. Novella has recently written about this year’s seasonal flu vaccine and Dr. Crislip has reviewed the evidence for flu vaccine efficacy. There’s one little wrinkle that they didn’t address — one that I’m more attuned to because I’m older than they are.
I got my Medicare card last summer, so I am now officially one of the “elderly.” A recent review by Goodwin et al. showed that the antibody response to flu vaccines is significantly lower in the elderly. They called for a more immunogenic vaccine formulation for that age group. My age group. One manufacturer has responded. Read more »
*This blog post was originally published at Science-Based Medicine*
October 19th, 2010 by Jennifer Shine Dyer, M.D. in Better Health Network, True Stories
Tags: Childhood Illness, Dr. Jennifer Shine Dyer, Hashimotos Thyroiditis, Hypothyroidism, Learning Lessons From Patients, Patient Strength, Pediatric Endocrinology, Positive Attitude
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When I was in the 8th grade and honored at the “A” team honor roll breakfast, the speech was one that I never forgot: “Attitude is Everything.” Essentially, having a good education and good grades give you the tools to be successful, but having a great attitude toward any challenges ASSURES that you will arrive at that success.
Being a pediatrician AND an endocrinologist, I am blessed to work with many graceful children and their families who face medical endocrine challenges with great attitudes. I can recall numerous examples but will share one of my favorites: A now 11-year-old vibrant female with hashimotos thyroiditis who was diagnosed at 5 years old. Initially, she required frequent lab checks for medication adjustment (~5-6) which then decreased to ~2-3 annually thereafter for further medication dosing adjustments of synthroid replacement as she outgrew prior lower doses.
Her attitude towards her lab draws has always stuck with me because surprisingly she actually looked forward to them AND to her endo visits! She and her mother would always go out to eat and spend special quality time together whenever she had to have a lab draw. They would always choose Mexican food for these special outings, and in fact would limit all Mexican food intake, making it that much more special. Read more »
October 19th, 2010 by KerriSparling in Better Health Network, Health Policy, Medblogger Shout Outs, News, Opinion, True Stories
Tags: 33 Charts, Blog World Expo 2010, Dr. Bryan Vartabedian, Dr. Kevin Pho, Health Bloggers, Healthcare Social Media, Kerri Morrone Sparling, KevinMD, Kim McAllister, Medical Bloggers, Medical Blogosphere, Online Medical Communities, Six Until Me, Social Health, Social Networking Technologies, Social Networks
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I was in Las Vegas, but it wasn’t all just spending quality time with blogging buddies. There was work to do — we were there for the Social Health track of BlogWorld & New Media Expo 2010 to help inform others about the discussions taking place in the medical blogosphere, and the power of these communities.
The panel that I was participating on was Social Networks & The Medical Blogosphere: Compatible or Competitive, with fellow panelists Kevin Pho and Bryan Vartabedian (see photo) moderated by the fabulous Kim McAllister. The big question was: “Are these social networking technologies helping or hurting the blogosphere?”
We, as a panel, gave this a lot of thought as we prepared for our discussion, and we ultimately settled on the answer of “Well…both.” Read more »
*This blog post was originally published at Six Until Me.*
October 17th, 2010 by Dinah Miller, M.D. in Better Health Network, Book Reviews, Opinion, True Stories
Tags: Dr. Dinah Miller, Dr. Gary Small, Friends Treating Friends, General Medicine, Medical Professionalism, Medical Treatment Of Friends, My Three Shrinks, Professional Boundaries, Professional Judgment, Professionalism In Healthcare, Psychiatry and Psychology, Shrink Rap, The Naked Lady Who Stood On Her Head
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I just finished reading Dr. Gary Small’s book, The Naked Lady Who Stood On Her Head.
In the final chapter of the book, Dr. Small talks about his mentor, friend, and father figure who’s mentioned throughout the book. The mentor approaches him on the golf course, where they meet to talk, and says he needs psychotherapy and Small is the man to do it. The author is surprised, hesitant, and a bit uncomfortable with the demand (it comes as more than a request.) His wife likens it to the need for a plumber or a dentist, and Dr. Small takes on the task. The mentor calls all the shots: Where the meetings will be, what pastry they will eat, the form of his payment. The author initially misses the diagnosis and uses this as an example of how one can be blinded.
So is it okay for a friend to treat a friend? Read more »
*This blog post was originally published at Shrink Rap*
October 17th, 2010 by Peggy Polaneczky, M.D. in Better Health Network, Health Policy, Humor, News, Opinion, True Stories
Tags: 20-Year-Old Embryo, Amendment 62, Assisted Reproductive Technology, Biological Development, Birth Control Pills, Colorado, Cryopreserved Embryo Birth, Dr. Peggy Polaneczky, Embryo Cryopreservation, Human Being, In Vitro Fertilization, IUD, Personhood Rights Bill, Reproductive Health, The Blog That Ate Manhattan
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There appears to be a new record for a cryopreserved embryo birth. From NPR:
In 1990 a couple underwent In Vitro Fertilization. They eventually had a healthy baby. They also, as is common, had a number of microscopic embryos that hadn’t been implanted, but were viable. They decided to anonymously donate them. Now, one of those embryos has produced a little boy, 20 years after being created.
In other embryo-related news, Colorado has another personhood rights bill (Amendment 62) on the ballot for November:
As used in sections 3, 6, and 25 of Article II of the state constitution, the term “person” shall apply to every human being from the beginning of the biological development of that human being.
So here’s my question: Under the proposed Colorado amendment, would this kid be legal to drink on his first birthday? I’m just sayin’…
Seriously, Colorado — just say “no” to Amendment 62. Its proponents plan to use it to try and outlaw birth control pills and IUDs.
*This blog post was originally published at tbtam*