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A Multi-Prong Attack On Fatness

If I was Surgeon General, I would follow the lead of our country’s first Mom, Michelle Obama. This is serious folks. We as an American society need to solve the obesity crisis, not just for our physical health, but for our country’s financial stability.

Reducing the spiraling costs of healthcare is wanted by all. So far, prevention of the diseases which contribute most to our healthcare costs, (heart disease, cancer and orthopedic issues, to name just a few) has been given only lip service, by our future supplier of healthcare — the American government.

It turns out that the mechanisms to reduce our most costly ailments are the same as those that mitigate obesity. It is like simple math. (If a=b, and b=c, than a=c.)  If lifestyle choices reduce obesity, and less obesity means less consumption of healthcare for heart disease and cancer, than better lifestyle choices means less healthcare consumption. Bunches less. (See, simple math was not so useless.) It is for this reason that I believe the most productive way to reduce health care expenditures is to reduce obesity. Read more »

*This blog post was originally published at Dr John M*

Sports Physicals For Kids: Why So “Ducky?”

Dear American Academy of Pediatrics,

I think there is a mistake. Kids have recently started coming into the office with forms for sports physicals, and the form is different. See below:

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Someone added stuff to the form! Not only do we have to continue the inexplicable obsession with the hernia check (for maximum humiliation of boys, we try to use only female examiners for this), there’s a bunch of new stuff. Read more »

*This blog post was originally published at Musings of a Distractible Mind*

More Babies For Diabetic Mommy?

While I was at CBC a few weeks ago, one of the staff members asked me if I was planning on having more children. “I don’t think so,” I said, without hesitation. “I love my daughter endlessly, and now that she’s part of my family, I can’t imagine my life without her, but I can’t lie to you. I didn’t enjoy being pregnant. I wanted a baby, but spending nine months pregnant was very, very stressful.”

The staff member who asked the question looked disappointed. And in that moment, I sort of wish I had lied. “Oh, you look disappointed. I’m sorry! It’s not just because of diabetes stuff. It’s my own personal preference. I don’t want to lie!”

And I won’t lie. The end result of my pregnancy was the most beautiful, smiley baby I have ever laid eyes on, and having her as part of our family has been the greatest joy that Chris and I have ever experienced. Seriously — it sounds like a cheesy Hallmark card, but it’s true. This kid fills a hole in my heart that I didn’t even know existed until I heard her cry and I finally felt complete. But being pregnant, the actual journey of carrying her inside of me, was not an experience I’m looking to repeat. This isn’t entirely a diabetes-based decision, either. Read more »

*This blog post was originally published at Six Until Me.*

Vacation Unplugging: How Important Is It?

It’s a post you’ll see periodically: Blogger goes on vacation and goes dark from his blog and Twitter. This spawns the requisite post detailing how nice it was to be away. Refreshed and all the stronger, we hear about the lessons from playing parchese, listening to the crickets sing, and ignoring the purr from Tweetdeck.

[Recently] I have been on vacation, but I didn’t necessarily unplug. I screened for critical emails once a day. I had prewritten and scheduled a couple of posts, but they didn’t require much maintenance. Besides that, I was too busy boogie boarding, kayaking, and eating crab cakes to really look at Twitter. Read more »

*This blog post was originally published at 33 Charts*

Checkups For You, Checkmarks For Your Doctor

My car was making a chirping noise when I drove forward and a high-pitched whine when I went in reverse, so I took it into the mechanic and, while he’s under the hood, for some long-deferred routine maintenance (an oil change).

So when the phone rang, I was expecting him to tell me I need new brakes. Nope, it’s the pharmacy, which can’t refill a prescription. I have to see the doctor in person. I’m not sick, but I’d deferred my routine maintenance for too long. In this case, because I’m on a maintenance drug, he needs to check my blood pressure (which by this point was rising). Read more »

*This blog post was originally published at ACP Internist*

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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