March 18th, 2011 by GarySchwitzer in News, Opinion
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A new post on the Embargo Watch blog, “The power of the press release: A tale of two fish oil-chemotherapy studies,” addresses an issue that had me running around in circles for hours last week.
Some news organizations were reporting on a paper in the journal Cancer, reporting that it had been published in that day’s online edition.
But it hadn’t been – not when the stories were published.
Instead, all I could find was a study by the same authors on the same topic that had been published in the same journal two weeks prior.
What apparently happened, as Embargo Watch surmises as well, is that many journalists simply covered what was in the journal’s news release – not what had already been published two weeks prior – which was a more impressive article. And they rushed to publish before the new study had even been posted online – all over a very short-term study in a small number of people. Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
March 18th, 2011 by Emergiblog in Humor, Opinion, True Stories
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This is so wrong.
You can’t make this stuff up.
It seems an emergency department in Memphis, Tennessee is now taking online reservations for their services. Yes, you heard that right, you can now hop online and select the time you would like to be seen for your “emergency”. Just pay $15.00 and you can give your chief complaint, your medical history and your list of medications ahead of time, saving you time and trouble when you pop in with your pesky problem!
What if the problem is serious?
The computer won’t let you register and flashes a “Call 911″ sign at you.
But wait! There’s more!
If you are not seen within 15 minutes of your scheduled time, you money is cheerfully refunded!
I’m not kidding. Read more »
*This blog post was originally published at Emergiblog*
March 18th, 2011 by John Mandrola, M.D. in Health Tips
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In the better-late-than-never category comes my shout out for World Kidney Day, which was March 10th.
I love their slogan: “Protect your Kidneys, Save your Heart.”
As an organ, the kidneys are a lot like offensive lineman in football; they do all the hard work but remain mostly anonymous. They sit motionless in the back of the body,quietly and humbly filtering salt, water and toxins from our bodies. Though some may think that pee smells bad, or is gross, not having “healthy” pee is a real problem. No one ever thinks of their kidneys until they malfunction.
Though the inner workings of the kidney–with all its convoluted loops, capsules and ion exchangers–are more complicated to understand than the heart, keeping your kidneys healthy is simple: just make heart-healthy choices. Read more »
*This blog post was originally published at Dr John M*
March 18th, 2011 by Harriet Hall, M.D. in Opinion
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After giving birth, most mammals eat the afterbirth, the placenta. Most humans don’t. Several hypotheses have been suggested as to why placentophagy might have had evolutionary survival value, but are there any actual benefits for modern women? Placentophagy has been recommended for various reasons, from nutritional benefit to preventing postpartum depression to “honoring the placenta.” In other cultures, various rituals surround the placenta including burial and treating it as sacred or as another child with its own spirit. Eating the placenta is promoted by some modern New Age, holistic, and “natural-is-good” cultural beliefs.
Some women eat it raw, but many women have a yuck-factor objection to eating raw bloody tissue. It can be cooked: recipes are available for preparing it in various ways. For those who don’t like the idea of eating the tissue, placenta encapsulation services are available, putting placenta into a capsule that is more esthetically acceptable and that can even be frozen and saved for later use in menopause. Read more »
*This blog post was originally published at Science-Based Medicine*
March 17th, 2011 by Shadowfax in Health Tips, True Stories
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I’ve remarked in the past how rarely I ever learn anything useful from physical exam. It’s one of those irritating things about medicine — we spent all that time in school learning arcane details of the exam, esoteric maneuvers like pulsus paradoxus, comparing pulses, Rovsing’s sign and the like. But in the modern era, it seems like about half the diagnoses are made by history and the other half are made by ancillary testing. Some people interpreted my comments to mean I don’t do an exam, or endorse a half-assed exam, which I do not. I always do an exam, as indicated by the presenting condition. I just don’t often learn much from it. But I always do it.
The other day, for example, I saw this elderly lady who was sent in for altered mental status. There wasn’t much (or indeed, any) history available. She was from some sort of nursing home, and they sent in essentially no information beyond a med list. The patient was non-verbal, but it wasn’t clear if she was chronically demented and non-verbal or whether this was a drastic change in baseline. So I went in to see her. I stopped at the doorway. “Uh-oh. She don’t look so good,” I commented to a nurse. As an aside, this “she don’t look so good” is maybe 90% of my job — the reflexive assessment of sick/not sick, which I suppose is itself a component of physical exam. But I digress. Her vitals were OK, other than some tachycardia*. Her color, flaccidity and apathy, however, really all screamed “sick” to me. Of course, the exam was otherwise nonfocal. Groans to pain, withdraws but does not localize or follow instructions. Seems symmetric on motor exam, from what I can elicit. Belly soft, lungs clear. Looks dry. No rash. Read more »
*This blog post was originally published at Movin' Meat*
