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The Planet of Widowhood

This post begins with an ending. On February 27th, 2010, my beloved husband died in his sleep. His life ended and, in a way, mine did, too. Widowhood is a lonely word with a dark meaning, but life goes on. A new life begins when your old one ends.

Sorry I’ve been away so long. I missed my blog but I just didn’t know where to begin. I feel like I’ve just moved onto a new planet called Widowhood. Everything is different here. I’m walking on a landscape where everything is out of place. I’m filling out unfamiliar legal forms almost everyday, and I have to carry David’s death certificate in my handbag everywhere I go. Daily tasks are overwhelming. Cooking? What’s that? David cooked all of our meals at home so now I’m eating out. I feel insecure and that’s just not me. I don’t like living on this planet. Read more »

*This blog post was originally published at Nurse Ratched's Place*

Population Growth Is Dependent Upon Nutrition

Population increases when the birthrate exceeds the death rate, and decreases when the reverse occurs. So what does the world look like when there are too many people?

One way to approach this question is to consider what the limiting factors in population are. When, exactly, does the death rate exceed the birthrate? A key consideration is mortality. If people live shorter lives, the death rate goes up, and population goes down (or at least grows more slowly). What causes mortality to increase? Obviously things like wars, pandemics, and famines have an impact, but economist Robert Fogel argues that these are actually a relatively small part of the global mortality picture. Read more »

*This blog post was originally published at The Daily Monthly*

Update From Haiti: Despair Sets In And Women Consider Suicide

jangurleyDr. Jan Gurley just returned from a mission trip to Haiti, 5 weeks after the earthquake hit. In this audio clip, she relays a horrific first-hand account of the current realities of life in Port Au Prince. With no running water, bathrooms, or place to shelter – and packed into a field with 100,000 people – some young women are choosing to stop drinking water in an effort to commit suicide.

Dr. Gurley describes the loss of human dignity associated with the crisis in Haiti, including a near stampede when sanitary napkins were offered in a crowd of women. She explains that the place is becoming dangerous – and the screams of women being raped in the night fill the dark air. In the day time, people huddle together for safety while the stench of rotting corpses surrounds them. With the rainy season approaching, and tent cities perched precariously on land-slide prone hills, Dr. Gurley predicts a second wave of disease, violence, despair, and death in Haiti.

[Audio:https://getbetterhealth.com/wp-content/uploads/2010/02/haitiupdategurley.mp3]

Colon Cleansing: It Might Hurt, But It Won’t Help

The internet is full of colon cleansing methods that tout the benefits of colon detox. I saw one website that showed long “worms” that live for years in the colon that “need” to be removed with special expensive potions. One of the most common questions for GI doctors is about colon cleansing and if it is beneficial. I don’t know any physicians who believe the colon needs “detoxification” or special cleansing, but until now I didn’t have a scientific way to answer that question from patients.

A study from the Am J. Gastroenterology now gives us the answer. The study authors looked at all relevant articles published between 1966 and 2008. They blinded the articles and measured outcomes and adverse events. Read more »

*This blog post was originally published at EverythingHealth*

Gallbladder Surgery, Medical Errors, And John Murtha

While the news reports that Representative John Murtha of Pennsylvania died after complications from gallbladder surgery, the question no one is asking is whether his death was a preventable one or simply an unfortunate outcome. According to the Washington Post, Murtha had elective laproscopic gallbladder surgery performed at the Bethesda Naval Hospital and fell ill shortly afterwards from an infection related to his surgery.

He was hospitalized to Virginia Hospital Center in Arlington, Virginia, to treat the post-operative infection. His care was being monitored in the intensive care unit (ICU), a sign which suggests that not only was the infection becoming widespread but also that vital organ systems were shutting down. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

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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