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Do You Know What Metabolic Syndrome Is?

People with metabolic syndrome are twice as likely to develop heart disease, and five times as likely to develop diabetes, as those who don’t have metabolic syndrome. But many people are not yet familiar with this relatively new term. Do you know what metabolic syndrome is?

OECD Country Populations with a BMI > 30 (1996-200

OECD Country Populations with a BMI > 30 (1996-2003)

Metabolic syndrome is the combination of several medical problems associated with morbid obesity. In addition to obesity, these conditions include: Read more »

*This blog post was originally published at Columbia University Department of Surgery Blog*

Being A Diabetic Parent Isn’t Easy

Lead by Korey Hood and Stefan Rubin, the Parenting with Type 1 Diabetes session at Friends for Life was aiming to touch upon the different challenges of being a parent with type 1 diabetes, instead of the concentration on parenting a child with type 1 diabetes that Children With Diabetes was once known for.  This was my first year attending this session, and I sat between two of my best friends in the diabetes community – Scott and George.

“So thanks for coming, you guys.  We’re here to talk about parenting with type 1 diabetes,” said Korey.

At this point, people started doing introductions.  “Hi, I’m So-and-So and I was diagnosed with diabetes in 1998.”  or “I’ve been diabetic for 16 years and I have three children.”  Only introductions.  That’s it.

So why was I already crying? Read more »

*This blog post was originally published at Six Until Me.*

Are The Low Prices Of Generic Drugs Enough To Make You Switch?

Generic medications appear to be far more cost-effective than previously reported, concluded a team of Harvard professors. But, physicians and patients aren’t adopting them wholeheartedly.

Patents of 20 drugs with annual sales of more than $1 billion expired or will do so between 2010 and 2013, including Lipitor and Plavix, the highest- and second-highest revenue producing drugs in the U.S. While highly effective generics provide low-cost options for chronic disease management, they are not always factored into cost analyses, and are sometimes viewed with concerns about their safety and efficacy.

The Harvard team revisited a 2008 study that used brand-name medication costs in an analysis of the cost-effectiveness of strategies to prevent adverse outcomes associated with cardiovascular disease and diabetes. The study found that up to 244 million quality-adjusted life-years could be gained over 30 years with appropriate preventive care. But, the study authors wrote, that “most prevention activities are expensive when considering direct medical costs.”

The Harvard team recalculated figures from the 2008 research, Read more »

*This blog post was originally published at ACP Internist*

Meta-Analyses And A Capricious Drug Approval Process: The Actos And Avandia Stories

Both Germany and France have now suspended the marketing of Actos (pioglitazone) due to concerns of a link between Actos and bladder cancer. Though we have known about bladder cancer concerns for some time, these recent concerns about the bladder cancer link stem from a recent report analyzing the FDA’s Adverse Event Reporting System (AERS), which found that 93 cases of cancer were recorded between 2004 and 2009 in patients treated with antidiabetic drugs, of which 31 patients were treated with pioglitazone, representing a statistically significant increased risk of bladder cancer (ROR 4.30, 95% confidence interval, 2.82-6.52; P less than 0.0001).

Interestingly, the FDA announced that it was going to look into the link between Actos and bladder cancer only a few days before it made its final decision on what to do with Avandia (as if they didn’t know about the Actos cancer risk before the July 2010 advisory board).

Despite the many things you have heard about Avandia, back in July 2010, the FDA decided to severely restrict the use of Avandia for three reasons: Read more »

*This blog post was originally published at ACP Internist*

The Case Of A Chronic Corneal Abrasion

Birds have sharp little nails.  For the record.Back at the beginning of May, the Bird took a swipe at my left eyeball with her little birdie talon, ripping off a nice, solid chunk of my cornea and leaving me in some serious pain.  It was a rough couple of days, especially because Chris was away for the week on business, but my family and friends pitched in to help with the baby and to allow me to heal.

I figured I was done with this issue.

“You may want to be careful about recurrence, Kerri.  With this kind of injury, it does happen.”  My eye doctor warned me, handing me a small tube of eye goop stuff.  “This is Muro 128.  Pull down your lower eyelid and smear this in there.  It will help keep your eye coated while you sleep.”

(Oh eyeball injuries.  You make me feel old, because if you Google “Muro 128,” you’ll see that this product is targeted at the 60+ crowd.  Throw in a few tennis balls for my walker and I’m ready for my debut at the bingo hall.)

I used the stuff, but it wasn’t enough Read more »

*This blog post was originally published at Six Until Me.*

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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