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Trying To Quit Smoking? Should You Cut Down Or Go Cold Turkey?

Most specialist smoking cessation services advise patients to select a quit date and quit smoking completely on that day (usually along with medication), but many smokers prefer the idea of cutting down gradually. What are the pros and cons?

I theory, cutting down gradually might provide a “softer landing” in that it might spread out the nicotine withdrawal over a longer period, rather than giving the nicotine receptors an abrupt shock of no nicotine. It also seems to fit with common sense that it might be easier to change the behavior gradually rather than all at once. Read more »

This post, Trying To Quit Smoking? Should You Cut Down Or Go Cold Turkey?, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

Audio: ACP President: Not Enough Americans Have Been Vaccinated Against H1N1 Flu

stubbsOver 10,000 Americans (mostly young) have already died of H1N1 flu, and yet we’ve only vaccinated 10-20% of those who need protection. January 10-16 is National Influenza Awareness Week, and the American College of Physicians is doing its part to raise awareness of the ongoing need to protect Americans from the next wave of influenza.

I interviewed ACP President, Dr. Joseph Stubbs, about the current influenza season and Americans’ vulnerabilities to the virus. Please enjoy the audio of our conversation or read the transcript below.

[audio:https://getbetterhealth.com/wp-content/uploads/2010/01/flustubbsjan.mp3]

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Video: Infertility Is Caused By Male Factors 40% Of The Time

For thousands of years, infertility was considered a female problem. The word “barren” sounds almost comical now but was a commonplace label a century ago. In “The Cottage Physician,” written at the end of the 19th century, a section entitled “Barrenness” lists possible causes, including “want of tone or strength in the system” and “nervous debility.” Treatments included “cold bathing, general tonics or strengtheners to the system, electricity applied locally” as well as “abstinence from sexual indulgence for a time.” Fortunately, medicine has progressed considerably since then and the diagnosis and treatment of infertility have improved dramatically. But the misconception that it’s solely a female problem has persisted. Read more »

Why The American People Are Against The Current Approach To Healthcare Reform

It is easy to introduce bias into poll results and surveys. Most people are cynical about polling results

However, when every one of the major polling services’ come up with the same answer, one must believe the results represent unified public opinion. The Democrats in the House of Representative, the Democrats in the Senate and President Obama are ignoring the fact that the American public is against President Obama’s healthcare reform plan.

There is no question that America needs healthcare reform. It does not need President Obama’s version of healthcare reform as I have discussed in the past. Most importantly President Obama’s healthcare reform system will not work. It ignores the basic problems and defects in the present healthcare system. Read more »

*This blog post was originally published at Repairing the Healthcare System*

Some Insurance Companies Deny Coverage Of Facial Reconstruction After Trauma

I noticed this article title on MDLinx, then went to the Journal of Plastic and Reconstruction website to read the full article.  The abstract is free to read, the full article requires a subscription.

The study was prompted by the authors noticing third party insurers increasingly deny coverage to patients with post traumatic and congenital facial deformities.  This denial is often cited as due to the deformities not being seen as “functional” problems.  The authors cite the recent facial transplants patients as having demonstrated  that the severely deformed are willing to undergo potentially life-threatening surgery and extended chemotherapy in an attempt in look normal. Read more »

*This blog post was originally published at Suture for a Living*

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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