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Liquid Calories And School Lunches

Bloomberg recently posted that the New York school system is going to eliminate whole milk from their cafeterias to cut calories. 4.6 billion calories and 422 billion grams of fat will be eliminated from the menu by this plan. A good plan for the kids involved. Well, at least a good start.

As the post notes, schools nationwide are working diligently to tweak menus and offer healthier alternatives for kids in all grades from elementary school to high school. Some schools, such as the school district my kids attend, use electronic payment systems where parents can log-on to see what their kids have purchased. We’ve found this helpful at times to remind our kids about healthy alternatives and how to order a healthy lunch, especially on days when they find them selves either completely ravenous or with little time, which can easily happen in a typical school day. Read more »

*This blog post was originally published at Dr. Gwenn Is In*

Early Puberty Linked To Aggression in Women

Interesting title, eh? A University of Queensland study has reported in the Australian and New Zealand Journal of Criminology that females who experience puberty before the age of 12 may be more aggressive, which seems perfectly expected to me!

Young girls who experience puberty are frequently the tallest kids in their classrooms, the first ones to have breasts, and are likely to be teased and approached in a sexual manner by older males! This context means they are more likely to date earlier, have opportunities to drink, smoke and become sexual earlier, etc.. In fact, these girls, although they get in more trouble at teens, tend to grow up to be very strong and resilient women – characteristics frequently correlated with aggression!

I am simply not surprised by these results but do hope that the results encourage schools, medical professionals and others who work with preteens to notice pubertal changes and help young girls deal with the pressure and changing peer and social status that comes with puberty.

Photo credit: xinem

This post, Early Puberty Linked To Aggression in Women, was originally published on Healthine.com by Nancy Brown, Ph.D..

Airplane Medicine: What Happens When You Answer The Flight Attendant’s Call For A Doctor

Rounding at 37,000 Feet

Anyone who has flown long-distance flights has heard the call: “If there is a doctor on board, please identify yourself to a flight attendant.” But it’s impossible to understand how that call induces the urge to flee to the lavatory and hide unless you are one of those unfortunate few who are on the hook, which is to say that you are qualified to respond, but you really really don’t want to.

“But Gee,” I can hear you think, “Aren’t you an ER doctor? Isn’t this sort of thing second nature to you? Don’t you revel in the adrenaline and glory?” Well, yes. But. First of all, there is the performance anxiety thing. I’m used to working with a very small audience. In Economy class, there may be 300 people watching me try to do my thing, and I’m just not used to that many people being in the exam room — and I know they are very interested in what’s going on. Read more »

*This blog post was originally published at Movin' Meat*

Cognitive Impairment Often Goes Undocumented In Hospital Charts

A recent JHM study found that hospital staff often don’t recognize cognitive impairment in patients age 65 and older. This was especially true for patients on the younger end of the spectrum, and those with more comorbidity.

Of the 424 patients (43%) in the study who were cognitively impaired, 61% weren’t recognized as such by ICD-9 coding. Interestingly, there was no significant difference between patients with documented and undocumented cognitive impairment as far as mortality, length of stay, home discharge, readmission rates, incidence of delirium, or receipt of anticholinergics. One troubling finding: a significant number of patients with cognitive impairment received anticholinergic medication, even though it’s not recommended for patients with any type of CI. Read more »

*This blog post was originally published at ACP Hospitalist*

The Friday Funny: The Incendiary Blog Post

Blog connoisseurs know that certain authors have an almost formulaic approach to provocation. In this hilarious description of a “typical incendiary blog post” (thank you, Chris Clarke) readers will learn just how predictable some blogs (and their comment sections) really are. For the record, we don’t publish such posts at Better Health… just ones that make fun of them.

***

This is the title of a typical incendiary blog post

This sentence contains a provocative statement that attracts the readers’ attention, but really only has very little to do with the topic of the blog post. This sentence claims to follow logically from the first sentence, though the connection is actually rather tenuous. This sentence claims that very few people are willing to admit the obvious inference of the last two sentences, with an implication that the reader is not one of those very few people. This sentence expresses the unwillingness of the writer to be silenced despite going against the popular wisdom. This sentence is a sort of drum roll, preparing the reader for the shocking truth to be contained in the next sentence.
Read the rest of this post at Coyote Crossing here.

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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