Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

The Clock’s Tick-Tock And Our “Tickers”

With the daylight savings fall-back date for 2010 rapidly approaching (remember: “Spring forward, fall back” — which is this Sunday, November 7th, 2010), I’m reminded of some research I read a few years back suggesting a link between daylight savings and heart attack risk. The research suggested the Monday effect of increased heart attacks was not related to stress, but rather the sleep cycle.

When looked at from the daylight savings fall-back perspective, the research suggests the extra hour of sleep we gain from the November 7th, 2010 daylight savings fall-back date will be protective against heart attack risk. Good to know, especially if you’re the cardiologist on call the week following either date.

*This blog post was originally published at The Happy Hospitalist*

Misusing Medical Technology And Escalating The Cost Of Healthcare

Guest post by Stephen C. Schimpff, M.D.

We are often told that the reason for the high cost of medical care is all of our new technologies and drugs. There is an element of truth in that but when used correctly, new technologies save lives and improve the quality of patient care and often improve safety. But technologies used inappropriately increase costs while not improving quality and may adversely impact safety.

A patient example

An older woman had been coming to the same primary care physician (PCP) as her daughter for over twenty years. She lived in another city about 30 miles distant but she preferred to visit the doctor with her daughter. She also occasionally saw a doctor near her home if she had an immediate problem.

On nearly every visit she said that she felt “tired.” Repeated history and exam over twenty years revealed no cause nor did logical tests such as those for anemia or hypothyroidism. She then developed syncopal episodes — times when she would black out and fall to the floor, once bruising her head when she fell against the stove, and then waking up in a few minutes. Evaluation by the PCP showed that she had intermittent episodes of bradycardia, or very slow heart rate, resulting in the drop attacks. Read more »

*This blog post was originally published at Health in 30*

Heart Murmurs: A Cartoon Guide

Ever wonder what the six grades of heart murmurs really means?

A cartoon guide to heart murmurs

SOURCE: A Cartoon Guide to Becoming a Doctor

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

Health Benefits Of Green Tea-Omega 3 Combo

We have know for some time that there are health benefits from drinking green tea. Research also shows that Omega 3 fatty acids have beneficial effects on a number of organs in the body, including the cardiovascular system, the brain, and even depression.

Dr. Fereidoon Shahidi, research professor in the Department of Biochemistry at Memorial University in Newfoundland, Canada, is hoping to show that green tea polyphenols, particularly epigallocatechin gallate (EGCG), may also prevent colon cancer and even have anti-viral effects when combined with certain Omega 3 fatty acids.

“We know from experience that green tea is not well absorbed by the body,” Dr. Shahidi said. “Our premise was to see if by adding something to it that has its own benefits, like Omega 3 fatty acids, we might get an entity that would have improved properties in terms of its absorption and health benefits,” he said. Read more »

*This blog post was originally published at EverythingHealth*

Sex And Your Defibrillator

Have a defibrillator and feel like getting frisky? For the first time that I can recall, there’s a very helpful article published in Circulation addresses the concerns of implantable cardiac defibrillator (ICD) patients and sexual activity. There’s all kinds of helpful tidbits, like this one:

A study of 1,774 patients who had experienced an acute myocardial infarction showed that sexual activity was a likely contributor in fewer than 1 percent of cases. In fact, regular physical exertion, such as that associated with sexual activity, was associated with a decreased risk of cardiac events in patients.

Now that’s helpful!

Recall that defibrillators are designed to detect rapid, potentially life-threatening arrhythmias. Most of the time, sexual activity does not lead to heart rates at a level that ICD’s would consider elevated during intercourse. (This, of course is patient specific). While your doctor can tell you the rate cut-off at which your ICD might possibly fire, watching your heart rate rise with a monitor during those moments might be a bit of a, shall we say, turn-off. Read more »

*This blog post was originally published at Dr. Wes*

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…

Read more »

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…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

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…

Read more »

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…

Read more »

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…

Read more »

See all book reviews »

Commented - Most Popular Articles