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How Reliable Is Health Information On The Web?

Recently some Science-Based Medicine (SBM) colleagues (David Gorski, Kimball Atwood, Harriet Hall, Rachel Dunlop) and I gave two workshops on how to find reliable health information on the Web. As part of my research for this talk I came across this recent and interesting study that I would like to expand upon further: Quality and Content of Internet-Based Information for Ten Common Orthopaedic Sports Medicine Diagnoses.

The fact that the article focuses on orthopedic diagnoses is probably not relevant to the point of the article itself, which was to assess the accuracy of health information on the Web. They looked at 10 orthopedic diagnoses and searched on them using Google and Yahoo, and then chose the top results. They ultimately evaluated 154 different sites with multiple reviewers for quality of content and also for their HON rating. Read more »

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

Twitter Used To Gauge The Nation’s Mood

A team from Northeastern University and Harvard Medical School has been analyzing words used in tweets by American users in an attempt to gauge the public mood around the country.

What they discovered was that users on the West Coast seem to be quite a bit jollier than those on the East Coast. It’s not clear whether the data was collected during the summer or winter months and accordingly adjusted, for that surely would affect the readings.

Researchers were able to infer the mood of each tweet using a psychological word-rating system developed by the National Institute of Mental Health’s Center for the Study of Emotion and Attention. The system ranks words based on how they make people feel. Read more »

*This blog post was originally published at Medgadget*

Pregnant Women And Caffeine

Pregnant woman with coffeeThe American College of Obstetricians and Gynecologists has issued a statement that moderate caffeine consumption (<200mg/day — about a cup of coffee) does not increase a woman’s risk for miscarriage or preterm birth. The review of recent studies was published in Obstetrics and Gynecology and should reassure women about drinking coffee when pregnant.

Caffeine does cross the placenta, but there was no difference found between the moms who drank caffeine while pregnant and those who did not.

If you wonder how much caffeine is in certain drinks or foods, click here.

One fact the study did not mention is that many women have a natural aversion to coffee when they are pregnant. Maybe nature knows best.

*This blog post was originally published at EverythingHealth*

Holding Hands Is Good For The Heart

A trained observer is what most electrophysiologists are. And being a trained observer carries over into real life, as would the handiness of a plumber, or the strength of a brick layer, or the wordsmithing of a journalist.

Will and I drive past our house.

“Where are we going now,” he asks in the exasperated tone of a 13 year old.

I need to take a picture.

Why?

Because middle-aged patients who’ve recently realized that their life is half over often seek clues to longevity.

Let’s take stressed-out, middle-aged patients who’ve somehow been rendered free of AF (maybe by a skillful ablation, or more likely just happenstance). Let’s also say they don’t smoke, drink excessively, have normal blood pressure, normal blood sugar, and aren’t obese. Is there anything else they can do to live longer, they often ask? Yes, I believe there is. Read more »

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

“The Thought” Of Your Child Having Diabetes

It wasn’t until yesterday that I thought “The Thought” for the first time.

She had a very wet diaper in the afternoon. And even though she had nursed for a long time and even though she seemed (and is) healthy and very strong, I still thought about taking out my meter and pricking her heel myself. Just thought it for a second.

I didn’t follow through, though. I didn’t let “The Thought” stay for more than a flicker, as I immediately finished changing her diaper and started singing her a song about the power of tiny spoons. (Don’t ask — my songs never make any sense.) I shook “The Thought” off the same way I shake off the thought every time I wonder if my niece or nephew might have dipped into my autoimmune grab bag. I don’t allow my brain to go there. It’s not denial, but feels more like a protective measure taken by my mind, protecting my psyche from letting “The Thought” permeate my daily life. Read more »

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

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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