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American Academy Of Pediatrics Endorses Guidelines For Checking LDL Cholesterol Levels In Kids

Why would a pediatrician draw blood from your 9-, 10-, or 11-year-old at his or her next annual wellness visit? Because the American Academy of Pediatrics (AAP) recently endorsed updated guidelines that call for checking LDL (bad) cholesterol levels in all kids between the ages of 9 and 11.

The cholesterol-test recommendation created quite a stir. But wait, there’s more. The guidelines also call for annual blood pressure checks beginning at age 3, and periodic blood sugar measurements starting between ages 9 to 11. There’s also a strong recommendation for kids and adolescents to limit sedentary screen time to two hours or less per day, and to get at least an hour a day of moderate physical activity.

The biological basis for these guidelines is that atherosclerosis (the fatty gunk in arteries that causes heart attacks, strokes, and other serious problems) starts during youth. In many cases, Read more »

*This blog post was originally published at Harvard Health Blog*

Airline And Health Care Industries Team Up

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The airline industry has long been a paradigm example of safety, but it was not always that way. The transition occurred over the second half of the 20th century and was marked by rigorous equipment testing and procedures, such as the strict incorporation of checklists. Healthcare is an industry that recently has become quite interested in the possibility of implementing airline industry standards to improve patient safety and care delivery (read the books The Checklist Manifesto and Why Hospitals Should Fly if you’d like a solid overview of this phenomenon)

This month Lockheed Martin and Johns Hopkins, two institutional leaders in the fields of aviation and healthcare, respectively, announced a partnership to bring cutting-edge systems integration to the intensive care unit (ICU).  According to the press release: Read more »

*This blog post was originally published at Medgadget*

Getting Doctors And Patients On The Same Team: A Basketball Metaphor For Health Care

It is tough playing man-to-man when coaches on the sideline keep insisting your team plays zone.

Such is it with health care.

For doctors, the man-to-man defense never ends. Stay with them. Glue to them. Move with them. Run with them. Defend against the bounce pass, or the dribble to avoid the admission. Hands up! Watch their waist, ignore the head fake. You shift your coverage to accommodate their needs. One on one, mana-a-mano.

But for the business of medicine, it’s all about the zone. Defend the admission basket against as many people as possible with the least number of defenders. Stay in your position. Work it 2-1-2, 2-3, or if you’re really adventurous: 1-2-2. Stick to Read more »

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

Drug Marketing During The Holidays Targets Night Shift Workers

…And all through the town not a creature was stirring except for some struggling to stay awake throughout the night shift….

So reads a newspaper ad for a federally-controlled substance in prescription drug form that is marketed for ES caused by SWD or OSA.

Don’t know what that means?

Come on.  Where have you been?

Like ED for erectile dysfunction, PE for premature ejaculation, and GERD for gastrointestinal reflux disorder, these are the new marketing names for conditions that drug companies want to sell you drugs for.

ES = excessive sleepiness

SWD = shift work disorder

OSA = obstructive sleep apnea

The drug company’s online ads feature a fireman, a police officer, a construction worker.  I am very sensitive to Read more »

*This blog post was originally published at Health News Review*

Complications Following The Birth Of Twins Result In The Mother’s Death

It’s an obstetrician’s worst nightmare and it continues to happen on a daily basis. The story of Michal Lura Friedman brings tears to my eyes. After 7 years of trying, the 44 year old songwriter finally became pregnant –with twins. Her husband, Jay Snyder, a free-lance voice-over artist, describes the 9 months of Friedman’s pregnancy as pure bliss. However towards the end, her blood pressure became elevated so she was scheduled to have a C. Section the day after Thanksgiving.

Snyder accompanied his wife to the hospital and witnessed the birth of his babies. Then Friedman began to bleed. And bleed. And bleed. At 9:30 p.m., she became yet another U.S. maternal mortality statistic.

At least 2 women die from complications of childbirth in the US daily. Some celebrities such as Christy Turlington Burns have become a Maternal Health Advocate as a result of first-hand experience. She Read more »

*This blog post was originally published at Dr. Linda Burke-Galloway*

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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