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Psychiatrist Wants To Know Your Thoughts On Bipolar Disorder

I’d like to ask your help for a moment.  I’m going to write a blog post for this week’s Clinical Psychiatry News on Bipolar Disorder.  I’d like to know how you see the term used, or the symptoms that are hallmarks of the illness for you.  If you respond as my favorite commenter, “Anonymous,” could I ask that you define yourself…psychiatrist, psychologist, pediatrician, patient with bipolar disorder, friend of someone diagnosed with bipolar disorder….

Also, please just off the top of your head, I can read DSM or Google myself, and I’m more interested in Read more »

*This blog post was originally published at Shrink Rap*

Family Medicine Residents And Students Discuss Leadership And Advocacy

Just wanted to get some initial thoughts down following the Family Medicine Summit organized by the California Academy of Family Physicians. I’ll have some more developed thoughts in a later post. These initial thoughts were from the plane going from that meeting to the Mayo Clinic Social Media Summit – the meeting I’m at right now.

First of all, thanks again to the California Academy of Family Physicians for the invitation to speak. The audience was mainly Family Medicine Residents and medical students. From my understanding, the registration numbers exceeded expectations (I take full credit for that – Hehe). It’s always energizing to me to present to residents & students.

The opening keynote was from CAFP President Dr. Carol Havens. She asked the audience for words that they think of when you hear “Family Physician.” And, as you can see from this twitpic, the audience came up with a huge list of Family Physician qualities. My favorites are “comprehensive care,” “revolution,” and, of course, “Love.”

My leadership & advocacy sessions Read more »

*This blog post was originally published at Family Medicine Rocks Blog*

Should Medicare Focus On Long-Term Care?

“HERE is the dirty little secret of health care in America for the elderly, the one group we all assume has universal coverage thanks to the 1965 Medicare law: what Medicare paid for then is no longer what recipients need or want today.”

So argues New York Times reporter Jane Gross in a provocative op-ed in last Sunday’s New York Times. She makes the case that too much of Medicare is going to medical treatments and drugs of little value to the elderly, and nearly nothing on long-term care, citing the case of her own family’s experience:

“In the case of my mother, who died at 88 in 2003, room and board in various assisted living communities, at $2,000 to $3,500 a month for seven years, was not paid for by Medicare. Yet neurosurgery, I later learned was not expected to be effective in her case, was fully reimbursed, along with two weeks of in-patient care. Her stay of two years at a nursing home, at $14,000 a month (yes, $14,000) was also not paid for by Medicare. Nor were Read more »

*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*

Can Price Transparency In The Insurance Industry Fix Healthcare?

Truthful information (Price Transparency) is a huge issue in the healthcare system. Hospital systems, physicians, drug companies, pharmacies, the healthcare insurance industry and the government hide behind the opacity of information.

There is a mutual distrust among stakeholders.

This mutual distrust must be overcome and price transparency achieved before any progress can occur in Repairing The Healthcare System.

In order to achieve Pareto efficiency in the healthcare system all the stakeholders must agree to price transparency. The advantage of Pareto efficiency is that Read more »

*This blog post was originally published at Repairing the Healthcare System*

Considering The Risks And Benefits Of The Birth Control Pill

From a message posted on Facebook:

Is the pill safe? The International Agency for Research on Cancer in a 2007 study made by 21 scientists reported that the pill causes cancer, giving it the highest level of carcinogenicity, the same as cigarettes and asbestos. It also causes stroke, and significantly increases the risk of heart attacks. Several scientific journals have stated that the natural way of regulating births through the Billings Ovulation Method has no side-effects, and is 99.5 % effective.

The Billings Ovulation Method (BOM) is a method of natural family planning where women are taught to recognize when they have ovulated by examining their cervical mucus, allowing them to avoid intercourse during fertile periods or conversely, to have intercourse during fertile periods when pregnancy is desired. We used to call people who used the rhythm method “parents,” but BOM is more reliable than older abstinence methods.

I’m a big fan of oral contraceptives. They contributed to Read more »

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

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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