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A Twitter Primer For Physicians

With the explosion of social media, I am amazed at how many cardiologists I encounter who know little to nothing about blogs, Twitter, Facebook, Google Buzz and the like. “I’m too busy.” “Who has time for that stuff?” “I wouldn’t have time for anything else.” “How can I possibly keep up?”

And yet today, as more and more patients reach out to the web to find medical information or, more importantly, their doctor, physician specialists of all types should probably be asking, “Can I afford to not be connected with social media in one way or another?”

Google yourself. Read more »

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

Good Health Doesn’t Come From Good Insurance

The CDC has put out an interactive map of heart disease and stroke so you can compare your state or even county with the rest of the country.  It offers data on mortality, hospitalizations and  even penetration of  generalist and subspecialist availability.

What I found interesting was the lack of definitive association between access to generalists or subspecialists and mortality.  While rural areas with a low penetration of physicians generally had a higher mortality than urban centers,  many urban centers with a high penetration of generalists and subspecialist also had a high mortality as well. One could presume that rural America has many factors separate and independent of health care that affects their mortality rate.  The same could be said for urban America. Read more »

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

Coffee And The Heart – Researchers Are Getting Paid Way Too Much To Rehash Old Data

This week, coffee seems to be good for the heart:

“People who are moderate coffee drinkers can be reassured that they are not doing harm because of their coffee drinking,” said Arthur Klatsky, the study’s lead investigator and a cardiologist at Kaiser’s Division of Research.

These “surprising” data are to be presented at the AHA meeting March 5th. (You’ll have to wait until then to get the REAL scoop, it seems.)

But a quick Google search on Dr. Klatsky’s earlier studies using the same questionaire database shows the problems with using questionaire data to make such sweeping conclusions. Take, for instance, these findings from 1973: Read more »

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

A Nurse’s Guide To Heart Attacks

How do you know if you’re having a heart attack? Are you thinking about the classic Hollywood example?

Hollywood Loves Drama – Know the Signs of a Heart Attack

The classic example of a Hollywood heart attack is a person clutching their chest, gasping for a breath and falling to the ground.

After all, Hollywood is hot for drama, and when it comes to portraying a person having a heart attack, the exaggerated Hollywood version is far more riveting than a person sitting quietly wondering if their very slight arm discomfort is anything they should be concerned about.

The Hollywood version can be very misleading. Read more »

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

A Stethoscope App for the iPhone: Is It Better The Old Fashioned Way?

It’s out there. It makes a cool picture, but I wonder how many medical students realize how unimportant apps like this have become to today’s cardiovascular care. Don’t get me wrong, it’s good to hear the difference between a systolic and diastolic murmur, or for the really talented, a diastolic rumble on physical exam. Recognizing the difference between mild and severe aortic stenosis is also very helpful. After all, the physical exam remains the most cost-effective instrument in medicine. 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…

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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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