Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

Molecular Condoms And Controlling The Spread Of HIV/AIDS In Women

National Women and Girls AIDS Awareness Day, a nationwide observance that raises awareness and promotes action in the fight against HIV/AIDS, took place on March 10. As the nation turns its attention to this important cause, women and girls around the world continue to be affected by HIV/AIDS in high numbers. According to reports from the Joint United Nations Program on HIV/AIDS, HIV is the leading cause of death and disease among women of reproductive age across the globe.

HIV is a virus that can cause acquired immunodeficiency syndrome, or AIDS, a disease that diminishes the body’s ability to fight off infection. Unprotected intercourse is the primary way HIV is spread, but it can also be shared through IV drug use, blood transfusion or from mother to baby during pregnancy, childbirth or breastfeeding.

Despite the fact that HIV/AIDS-related deaths are significantly lower in the United States when compared with other regions of the world, the disease remains a serious public health issue. According to statistics from the Centers of Disease Control and Prevention (CDC) in Atlanta, roughly 280,000 women are affected by AIDS in the United States today. Read more »

*This blog post was originally published at Society for Women's Health Research (SWHR)*

Dogs, Hospitals, And Unintended Consequences

Every day I go to the emergency room to admit my adults, I can hear the screaming babies and toddlers. Sometimes, the screams are actually from their parents after realizing  how much their visit is going to  cost.  But most of the time it’s really frightened kids in an unfamiliar environment.

Happy’s hospital used to hand out hospital stickers so kids would associate emergency rooms with a fun place to hang out.  It turns out, after  intense behind the scenes discussions with administration, that this policy was a covert attempt to increase the volume of our pediatric emergency room volumes.

After looking at the numbers, and understanding how hospitals get paid,I have now come on board and am part of a committee think tank that does nothing more than think of ways to get more people through the doors.   We invited the intelligence behind the 50% rise in pediatric ICU volumes after implementing the pediatric ICU art project. Read more »

*This blog post was originally published at The Happy Hospitalist*

Fear And The High Risk Patient

Every day, doctors do risky things for their patients, often because they have no other options. Today is such a day for me.

I don’t know how it will go, and because of privacy laws I really can’t tell you about the case, I’m sorry. (Nor will you get an epilogue, that’s not the point of this post). But let’s just say that any normal person would consider the case I’m about to perform very high risk because of the patient’s condition. Even though you tell people they could die and take care to mention that fact time and time again, you wonder if they really can comprehend the significance of what you’re saying – after all, there is a fine line between being reassuring in a time of crisis and telling it like it is. Read more »

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

Facing Death: A Little Child Will Lead Them

This week I lost one of my patients, Cooper. He was a feisty 4-year-old with mitochondrial depletion syndrome.  I began looking after him as an infant when he wouldn’t stop screaming.  I saw him through surgeries, diagnostic rabbit trails, and ultimately helped with the painful decision to undergo small bowel transplantation.  Inexplicable symptoms and strange complications defined his short life.  While he spent his final days in considerable pain, his lucid moments were spent throwing marshmallows at his siblings.  It sort of encapsulates who he was.  Great spirit.

Independent of the circumstances, a child’s death is always brutally difficult to process.  It’s counterintuitive.  And facing Cooper’s parents for the first time after his passing was strangely difficult for me.  When he was alive I always had a plan.  Every sign, symptom, and problem had a systematic approach.  But when faced with the most inconceivable process, I found myself awkwardly at odds with how to handle the dialog.  In a hospital my calculated clinical role has a way of sheltering me from a parent’s reality.  At a funeral it’s different. Read more »

*This blog post was originally published at 33 Charts*

Your Dog May Be Your Best Personal Trainer

Earlier this week there was an article in the NY Times by Tara Parker-Pope  —Forget the Treadmill. Get a Dog. — which states in a more elegant way what I have been saying for years now.

……Several studies now show that dogs can be powerful motivators to get people moving. …..

Just last week, researchers from Michigan State University reported that among dog owners who took their pets for regular walks, 60 percent met federal criteria for regular moderate or vigorous exercise. …….

A study of 41,500 California residents also looked at walking among dog and cat owners as well as those who didn’t have pets. Dog owners were about 60 percent more likely to walk for leisure than people who owned a cat or no pet at all. ……..

I have called my dog Rusty my personal trainer.  He never lets me off the hook.  We walk daily regardless of the weather (hot, cold, rain, snow). Read more »

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

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…

Read more »

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…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

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…

Read more »

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…

Read more »

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…

Read more »

See all book reviews »

Commented - Most Popular Articles