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Periodic Table Of The Condiments

Thanks to Book of Joe for highlighting this whimsical diagram (and yes, it reminded me of my Rock Star experience in LA that I just blogged about).


Vote In My Poll Or You Will Be Forced To Read About Cats Forever!

Alright, well a little melodrama never hurt anyone did it? I’m trying really hard to listen to my readers and adjust my blogging themes/topics/approach accordingly. I actually have no idea what you like to read – health policy, touching stories, humor, research explained, expert interviews, celebrity health initiatives, health tips… etc. So I’m asking. What would you like me to blog about? Please vote in my poll on the right hand side of this page. (Or if you’re viewing this message in a reader, well please come on over to my blog and vote.)

So far (my poll has a N=11, not a very high statistical power) you readers seem to be saying that you like personal stories about the blogger (I guess that means you want me to tell you about my cat – well there she is, featured in the top left-hand corner. Her name is “Ona” and she has an insatiable appetite for grilled asparagus.)

But I have this sneaking suspicion that you don’t really want to hear about ME, you’d like to hear about healthcare and medicine from a fresh perspective. But maybe I’m wrong. Maybe this should be a cat blog? Please do vote in my poll so you can water down the voices of those crazy people who are asking for more personal blogging. If you don’t… my only choice is to give the people what they want…  and you may be doomed to read about kitties, etc. forever!

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Bizarre event of the day: I was voted as one the top 20 most influential health voices on Twitter. So go ahead and follow me there. My Twitter name is drval.

Tattoo Regrets In Los Angeles

True story: As a fourth-year medical student I spent a summer working with a dermatologist in Los Angeles. In addition to all the skin cancer removal, sun damage, and Mohs surgery patients, my preceptor had a thriving laser tattoo removal business.

One day a rock band electric guitarist came into the office requesting help for an incident he’d had the night before. Apparently he’d gotten terribly drunk (+/- stoned) and made an impulsive tattoo decision that he regretted deeply in the light of morning.

The gaunt, long-haired gentleman entered the dermatology suite with his head hung low. He sat down in the exam chair and explained that he was there for a tattoo removal consultation. “Man, I can’t believe I did this to myself,” he muttered as he unbuttoned his shirt.

I wondered what on earth could be so terrible…

And then I saw it.

It was an 8 inch by 4 inch, bright yellow and black tattoo…

On the left side of his neck…

An exact replica of…

The periodic table of the elements.


Tips For Handling Halloween When You Have Diabetes

My friend and fellow blogger Kerri Morrone Sparling (at the Six Until Me blog) was diagnosed with type 1 diabetes when she was in second grade. The diagnosis came a few short weeks before Halloween, and back then she didn’t realize the risks of sneaking candy bars behind her mom’s back.

Now that Kerri’s grown up, she has some excellent tips for parents of children with type 1 diabetes (or frankly, for anyone who wants to enjoy Halloween and manage their diabetes). You should check out her video blog on the subject here.

Some tips include:

1. Focus on the costume part of the holiday, not the candy part.

2. Make some “candy” corn with Splenda, Equal or a sugar substitute. Enjoy the salty-sweet treat instead of a Snicker’s bar (for example).

3. Work in a small amount of candy into your diet plan. Eat a half a candy bar during a period of high activity, for example, and the sugar spike will not be so bad.

Please check out Kerri’s post for more tips!

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And for a good laugh about candy, check out The Onion’s headline here.

Unexpected Consequences: Wyeth Law Suit Could Limit Patient Access To Medications

Photo of Bert Rein

Bert Rein

On November 3, 2008 the US Supreme Court will hear opening arguments in the Wyeth vs. Levine case. This highly publicized lawsuit has been discussed by the New York Times and the Journal of the American Medical Association and will likely be the most important case during the upcoming Supreme Court term. However, neither source has fully explained the unexpected consequences to the consumer if Wyeth loses.

To get to the bottom of the issue, I interviewed Bert Rein, attorney for Wyeth. Bert has conducted interviews with NPR and the three major TV news networks. Please enjoy this exclusive podcast interview here at Getting Better with Dr. Val, or read my summary of our conversation below.

Dr.Val: Bert, please summarize for our listeners what has happened so far in the Wyeth vs. Levine case.

Rein: Ms. Levine is a guitarist who suffers from migraine headaches and associated nausea. One day she sought pain management therapy at a clinic in northeast Vermont – the same clinic where she regularly received care.  They elected to treat her with a combination of demerol (for pain) and phenergan (for nausea). They delivered the drugs intramuscularly, but several hours later Ms. Levine returned, complaining of an unrelieved migraine headache.

The clinic’s physician realized that the drugs would be more potent if they were injected intra-venously so he asked the PA (physician assistant) to give another dose of the drugs through Ms. Levine’s vein. Unfortunately, the PA inserted a butterfly needle (rather than the usual heplock for an IV) into what she thought was Ms. Levine’s vein, and delivered the phenergan into or near a punctured artery. Phenergan’s label clearly states that the drug can cause tissue necrosis if it comes in contact with arterial blood. Ms. Levine experienced a necrotic reaction to the medication which resulted in the eventual amputation of her arm. She sued the clinic for negligence and was awarded $700,000 dollars in a cash settlement.

Ms. Levine then brought a separate lawsuit against Wyeth, claiming that the phenergan label did not offer sufficient instructions about how to administer it safely, though the risks of necrosis from arterial blood exposure to phenergan are well known and labeled in capital letters as a warning on the drug’s label. Read more »

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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