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

Latest Posts

Foundations Of Life: Still Dancing At 93

Dance legend Mary Anthony has had a life-long love of dance. At 93 years old, she continues to dance and teach students. Dr. Jon LaPook talks with Anthony about her philosophy on life.


Watch CBS News Videos Online

Dancing At 93 Years Old

Twenty-five years ago, Jennifer Dunning wrote in The New York Times: “DANCE doesn’t seem to take much stock of its wise elders. Among those veterans is Mary Anthony, one of the city’s most highly respected modern dance teachers.” I’m a big fan of wise elders. It’s how I learned medicine.

So when I got the chance to meet the now 93-year-old Ms. Anthony earlier this week, off I went to her beautifully-lit, peaceful but active studio in the East Village of New York City. My goal as a doctor: try to gain some insight into her longevity. Yes, genes are important and she certainly chose the right parents. Exercise and diet are important (she still dances and is a vegetarian). But — more interesting to me — what have been the emotional and philosophical foundations of her life? Read more »

Medical Devices: Spell “Stromuhr,” Win The Spelling Championship

gtj5ly7i.jpgThey seem to like medical devices in the high stakes world of spelling championships. Anamika Veeramani, from Cleveland, Ohio, won the Scripps National Spelling Bee this weekend by spelling “stromuhr,” a rheometer designed to measure the amount and speed of blood flow through an artery.

Don’t feel bad — we’d never heard of it before either, and we’re supposed to be experts in this stuff. Education never ends…

Merriam-Webster: Stromuhr

London Science Museum: Ludwig-type stromuhr, London, England, 1920-1940

Press release: National Spelling Bee: A Spawning Ground for Future Physicians and Obscure Diseases

*This blog post was originally published at Medgadget*

The “Medical Home” In Ontario: The Poor Left Behind Again

In a recent blog posting, I described Group Health’s medical home for 8,000 patients. It proved to be a boon for primary care physicians, who were able to reduce the size of their patient panels, see fewer patients per day, refer more patients to specialists, and maintain or increase their incomes.

Patients liked it, too. And Group Health was happy because expenditures per patient were 2 percent lower. But poor patients had trouble getting through the front door of the medical home, so based on demographic differences alone, expenditures should have been lower by 10 percent or more. Nonetheless, they declared victory.

Now news filters south from Ontario’s eight-year experiment with medical homes for 8,000,000 patients, and the news is similar. Participation is skewed to healthier and wealthier patients who, in the absence of risk adjustment, yield profitable capitation for primary care physicians. Incomes have soared an average of 25 percent. Read more »

*This blog post was originally published at PHYSICIANS and HEALTH CARE REFORM Commentaries and Controversies*

Overtreatment: When Less Is More In Medicine

The Associated Press recent article “Overtreated: More medical care isn’t always better” reiterated a commonly known fact which is not understood by the public. This problem of doing more and yet getting little in return is a common issue which plagues the U.S. healthcare system and was illustrated quite convincingly by Shannon Brownlee’s book. Americans get more procedures, interventions, imaging, and tests but aren’t any healthier.

In fact they are often worse off. Too many unnecessary back surgeries. Too many antibiotics for viral infections, which aren’t at all impacted by these anti-bacterial therapies. Too many heart stents which typically are best used when someone is actually having a heart attack. Research shows that those that are treated with medications do just as well. As all patients with cardiac stents know, they also need to be on the same medications as well.

Eliminating unnecessary treatments is a good thing, particularly when it is based on science. Read more »

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

Newsflash: TV Commercial Food Is Bad For You

We’ve been slacking in the “Medical news of the obvious” department lately. Seems like research has been either actually newsworthy or so obvious that you could spot it yourselves (for example, the continuing investigations of whether smoking and being lazy are bad for you).

But we couldn’t let this one slide by: “A new study that analyzes what would happen if a person were to eat 2,000 calories of foods that are advertised on the tube,” as HealthDay describes. As even the average Saturday morning cartoon viewer could have predicted, the food in commercials turns out to be bad for you. Read more »

*This blog post was originally published at ACP Hospitalist*

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