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ADHD: Is It Genetic?

British scientists announced that attention-deficit/hyperactivity disorder (ADHD) has been linked to deleted or duplicated DNA segments (copy number variants), which leads to developmental difference in the brains of children with the condition.

Researchers scanned genomes of 366 children with ADHD and compared them with 1,047 unrelated, ethnically matched control subjects. They reported full results in The Lancet.

Rare copy number variants were almost twice as common in children with ADHD compared to the other children. Researchers commented to Reuters that there was a significant overlap between copy number variants found in ADHD and elements of the genome linked to autism and schizophrenia, specifically in a region on chromosome 16.

*This blog post was originally published at ACP Internist*

Panelist Video Interviews From The “Fact Or Fiction: ADHD In America” Capitol Hill Forum

On September 16, 2010, I attended Fact or Fiction: ADHD in America, a Capitol Hill Forum, along with Dr. Val Jones of Better Health and Dr. Rob Lamberts of Musings of a Distractible Mind.

The event, coinciding with ADD/ADHD Awareness Week, was a panel discussion about the impact ADHD has on our society. It was sponsored by Shire, in partnership with the Entertainment Industries Council (EIC) and the Lab School of Washington [Disclosure: I received a stipend for covering the event.]

Below are interviews Rob and I did with some of the panelists.

Kevin Pho interview with Michele Novotni, Ph.D., ADHD Expert and Former Attention Deficit Disorder Association (ADDA) President:

Read more »

*This blog post was originally published at KevinMD.com*

Medicine Won’t Fix Life

The man who twirled with rose in teeth
Has his tongue tied up in thorns
His once expanded sense of time and
Space all shot and torn
See him wander hat in hand –
“Look at me, I’m so forlorn –
Ask anyone who can recall
It’s horrible to be born!

– Bruce Cockburn, from song “Shipwrecked at the Stable Door”

I found the discussion around my recent post about treating colds very interesting. Sick people come to the office to find out how sick they are. Most people don’t want to be sick, and when they are sick they want doctors to make them better.

Most people.

Some people want to be sick, and some doctors want to make people sick. I am not talking about hypochondriacs — people who worry that they may have disease and become fixated on being sick. I am not talking about malingerers — people who pretend to be sick so they can get medications. I am talking about the slippery slope of defining disease. Read more »

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

ADHD: Fact Or Fiction? Join Me On Capitol Hill

adhdAttention-deficit/hyperactivity disorder (ADHD) is probably overdiagnosed by physicians. In the lay public, the term is often used jokingly to describe the common feeling of distraction we experience in a world filled with interruptions. With a constant stream of text messages, Facebook updates, TV commercials, and fast-paced Twittering, there’s little wonder that we all feel frazzled at times.

But the occasional experience of jangled nerves is not a proper basis for a diagnosis of ADHD. Unfortunately, there has been great confusion between the actual disorder, and its misuse as a label for simply feeling distracted.

So to help set the record straight and to tease out fact from fiction, I’ll be attending a forum on Capitol Hill with my co-bloggers Dr. Kevin Pho and Dr. Rob Lamberts.

If you’re in the DC area, please come and join us in person. If you’d like to view some of the event via the Internet, we’ll be conducting live interviews with the speakers on Ustream. You can join the conversation by asking your questions in real time in the chat room starting at 2:00PM (EST) on Thursday, September 16, 2010. Please save the Ustream link to join the conversation: http://www.ustream.tv/channel/fact-or-fiction-adhd-in-america. Read more »

Overmedicated Teenagers

Teen stressIt is summer camp season for kids and well-run camps require a medical history and record of prescription medications that the child is taking. One prestigious camp for teens (ages 11 to 19 — average camper is 16) in Southern California recently had 153 residential teenagers. These kids come from California and other states across the U.S. Fifty percent come from out of state and a number of campers each week are international.

Okay, so far so good. Healthy teens getting together for a week of learning and fun. Here is the shocker! I was amazed to learn that almost 25 percent of these kids are on prescription medication. Can it be that we are overmedicating teens?

Read more »

*This blog post was originally published at EverythingHealth*

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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