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Brush Up On Heart Health

The British Medical Journal reported on a study of toothbrushing and found that people with poor oral hygiene had an increased risk of cardiovascular disease and heart attack.

We’ve known for the last two decades that inflammation plays an important role in atherosclerosis. Markers of low-grade inflammation like C-reactive protein are also shown to be higher in heart disease.

The Scottish Health researchers looked at the general population and followed a large subset with questions about their oral health. They asked about frequency of dentist visits, toothbrushing, and controlled for many co-variables such as general activity, hypertension, smoking, height and weight. They also collected blood for studies of C-reactive protein as a marker of inflammation. They removed from the analysis participants who had no natural teeth (edentulous) and those with existing cardiovascular disease.

This elaborate and lengthy study showed that toothbrushing is associated with cardiovascular disease, and that subjects who brushed their teeth less than once a day had a 70 percent increase in heart disease compared with people who brushed twice a day. The inflammation that periodontal disease causes is directly related to increased C-reactive protein and increased heart attacks.

Leave it to the Scotts and the Brits to remind us to brush and floss every day.

REFERENCE: British Medical Journal, 2010; 340: c2451.

*This blog post was originally published at EverythingHealth*

Successful Care: Grandmother Knows Best

ATS "Year of the Lung" logoWant to know the secret to successful care of ICU patients? Think back to the advice your grandmother always gave, joked American Thoracic Society conference speaker Renee Stapleton, M.D., recently:

– Wash your hands.
– You can’t sleep your life away.
– Get some exercise.
– Sit up straight.
– Take your medicine.
– If you can’t remember it, write it down.

*This blog post was originally published at ACP Hospitalist*

“Patient Journalists”: Health News From The Patient’s Perspective

My wife and family are alternately happy and unhappy about the prospect of me headed out of town to attend two medical conventions in a row. When they need me they REALLY need me, and when they have plenty else to do, I could be on the moon and they wouldn’t miss me.

Oh well, I am off anyway to two parts of the country in rapid succession with the goal of helping patients worldwide. The first stop is the meeting of the American Urological Association and the second is the meeting of the American Society of Clinical Oncology. I’ll be in San Francisco and then Chicago to gather medical news for patients.

I am a big believer that there should not be a delay in bringing significant medical news to people living with or affected by a medical condition. For me, as a leukemia survivor, I don’t want to wait to hear about a new or better treatment. I want it now and in-depth. I don’t want to wait for my next doctor visit. And I want to hear it from the source. That’s what being a powerful patient is all about. Read more »

*This blog post was originally published at Andrew's Blog*

Is Your Doctor Running Late? Check It Out Online

I just read a Wall Street Journal article about a new web-based service called MedWaitTime that allows patients to check if their doctor is running late before heading to the office for their appointment — kind of like you can check to see if your flight is late before heading to the airport.

Brilliant.

Nothing peeves me more than sitting in a doctor’s office reading 4-month-old tattered magazines on topics I care nothing about (saltwater fishing, seriously?), and not because the doctor had an emergency (when is the last time a dermatologist had to run out to save someone), but because the office staff routinely double books. I can’t count the number of times I walked out (my limit is 30 minutes unless I’m in agony) after giving the front office a targeted piece of my mind. Read more »

*This blog post was originally published at A Medical Writer's Musings on Medicine, Health Care, and the Writing Life*

Games For Health 2010

Games For Health 2010It’s time for the 6th annual Games for Health conference. The conference, in partnership with the Robert Wood Johnson Foundation, provides a forum for experts in the fields of video games, healthcare, and science to come together and share the latest and greatest in health-related video game news and research.

From their promotional pamphlet:

Because digital games can actively engage and challenge people of all ages, they have the ability to help individuals manage chronic illnesses, support physical rehabilitation, pursue wellness goals and contribute to changes in health behaviors. Public health leaders, doctors and nurses, rehabilitation specialists, emergency first responders and other health professionals are also using games and game technologies to advance their skills and enhance how they deliver care and services. Games are even beginning to mine the wisdom of the crowds to forge critical new discoveries in biology and genomics.

The acceptance of games as a valuable health management and training method, the popular success of consoles like the Nintendo Wii, and the growth of smartphone game applications indicate that there is tremendous potential for continuing to move health and behavior change activities beyond clinical settings and the classroom and into consumers’ home, work, social and recreational spaces.

We’ll be reporting throughout the event (May 25-27). Stay tuned for info on the PS3 Move, a Wii laparoscopic trainer, and more.

*This blog post was originally published at Medgadget*

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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