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A Humorous Look At The Physical Exam

People are asking for more physical exam posts.

People asked for more Millli Vanilli too.  People aren’t always smart.

But you ask, I give.  I am just that kind of guy.  It’s been a long time (since October) since I have done a post on this subject.  So for all of you “newbies” out there (I just wanted to use that word and sound like a nerd), I want to give you a recap of what I have already done on the physical exam.  That way people who have not inflicted upon themselves read the old ones can get all caught up.  To be honest, this is one of my favorite series as well.  Or is that “serieses?”  Where’s Grammar Girl when you need her? Read more »

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

Vaginal Estrogen – When Less Is More

If there’s one thing I’ve learned over the years when it comes to medications, it’s this – more is not necessarily better. You can have too much of a good thing, and less can sometimes be more.

Certainly that’s been the mantra when it comes to hormone replacement in menopause. Since the WHI findings were released in 2002, we’ve all been going lower and lower with estrogen dosing, and finding that, for many women, it’s more than enough to treat the symptoms.

Now, a new low dose formulation of vaginal estrogen, Vagifem 10 ug, approved in Dec 2009, has hit the market. I have to say that I am thrilled to have this option for my patients.(I know, some of you are in shock that I would actually be talking favorably about a new drug, but hey, when they get it right, they get it right.) Read more »

*This blog post was originally published at The Blog that Ate Manhattan*

Diabetes 365: Photos Of Life With Diabetes

An update on Diabetes 365

There’s been a handful of photographers who have tackled the Diabetes 365 project for this year, and I’m proud to be in their company.  It’s a very inspiring experience, to see how diabetes is reflected in the lives of the members of D365, and how it is captured through their camera lenses.

Some of us are using our DSLR cameras, some of us our point-and-shoots, some documenting with our iPhones or our Blackberries, but every last one of us is showing our lives with diabetes, every day.  I know I’ve talked about this project before, but watching the photos stack up in the Diabetes 365 Flickr group and seeing how, and what, people with diabetes are choosing to document their lives with this disease is incredible.

You didn’t need to join the group in January – it’s a rotating door of participants.  If you want to join the Diabetes 365 group, you can jump in anytime and start.  Every day can be Day 1.

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

Social Media And The Future Of Hospital Communications

I took care of a young lady the other day whom I admitted for  diabetic ketoacidosis.  She asked me what her bicarbonate level was.  I was a bit surprised since most of the time my DKA patients’ don’t care what their bicarb levels are.  I told her it was eight.  For the non medical types out there, that’s low.  That’s critically low.
I asked her why she wanted to know.  And before she could even get the words out, she had posted a Tweet onto her Twitter acount to update all her friends and family of her impending hospital admission.  I found that fascinating. Read more »

*This blog post was originally published at Happy Hospitalist*

Better Health Covers HIMSS 2010: Day 2

Our first day of social media coverage at HIMSS was a lot of fun. We had hundreds of people join in our UStream interviews and I spoke at the “Meet The Bloggers” panel with some very cool peers. Today we’ll be conducting more interviews at the Better Health media center, located in the lobby of Building B, just behind the information desk. I hope you’ll join us for live coverage. Simply follow along by clicking here. Here’s who Dr. Mike Sevilla, Dr. Nick Genes, and I will be interviewing:

himssagendaday2

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 Cartoon

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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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