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

Latest Posts

Slow Love: Job Loss, Depression, Pajamas, And Happiness

Slow Love.jpgFrom the “unsubstantiated evidence” files, I wanted to share with you a quick light that popped on in my head while reading a much-discussed article from last weekend’s New York Times Magazine.

In it, former House & Garden magazine editor Dominique Browning vividly shares her experiences following the folding of the magazine in 2007. This long-form essay is adapted from her upcoming book, Slow Love: How I Lost My Job, Put On My Pajamas, and Found Happiness.

Much can be discussed about her experiences, but I was particularly struck by the account of her response to her newfound freedom:

“In this way, being unemployed is a lot like being depressed. You know how there are millions (O.K., a handful) of things you swear you would do if you only had the time? Now that I had all the time in the world — except for the hours during which I was looking for work — to read, write, watch birds, travel, play minor-key nocturnes, have lunch with friends, train a dog, get a dog, learn to cook, knit a sweater, iron the napkins and even the sheets, I had absolutely no energy for any of it. It made no difference that music and books and nature had long been the mainstays of my spirit. Just thinking about them exhausted me. I had absolutely zero experience in filling weeks — what if it became years? — with activity of my own choosing. Being unemployed meant being unoccupied, literally. I felt hollow.” Read more »

*This blog post was originally published at Terra Sigillata*

Birth Control: How Men Think It Works

People, people, people: If you don’t understand how birth control works, you shouldn’t be having sex. What happened to the old days when the boyfriend was expected to sit through the video and conversation about all the types of birth control during the appointment at Planned Parenthood?

A friend sent me a link to the funniest video of men (trying to) explain how birth control works — it’s worth viewing for the laughs. These are all adult men who have some serious misconceptions about how birth control works, but “lady business” as a euphemism for vagina may become part of my vocabulary!

It’s no wonder that the United States has some of the highest rates of teen pregnancy and sexually transmitted infections — our youth are ignorant about how to prevent them. Please talk to your teens about birth control.

Remember that the teens who know the most about sexuality tend to be the ones who don’t have sex. How’s that for motivation to talk to your teens?

Photo credit: nateOne

This post, Birth Control: How Men Think It Works, was originally published on Healthine.com by Nancy Brown, Ph.D..

Healthy And Fit Without Ruining Your Life?

I consider myself a relatively fit person. Of course, “relatively” is still relative. I try to watch what I eat. I usually exercise five days a week. Heck, I’ve even run a couple half-marathons. But the rest of my days are pretty much sedentary. I sit in a climate-controlled office staring at my computer screen. I make dinner in my highly-automated kitchen. After dinner I sit in the living room sipping wine and watching TV or talking to Greta. Then I go to bed and start the process over again.

That’s not a whole lot of activity for a creature that evolved for endurance. Over a 50 mile course, a race between a man and a horse can be quite competitive. Millions of people all over the world do hard manual labor day in and day out. But millions of others don’t set aside any time for exercise. In my half-marathons, I’ve finished in the top half of competitors, so compared to a lot of people, I must be doing something right. Right? Or do my sedentary days outweigh my occasional bursts of activity? I exercise an average of 4 hours per week. That’s less than 4 percent of my total waking time. Is that really enough to stay fit? Read more »

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

A Gene For Surviving Dialysis

As a hospitalist physician of seven years and taking care of dialysis patients, I’ve come to the conclusion that a dialysis survival gene exists. I talked with a nephrologist the other day about dialysis survival. Here’s what he said:

“If you take all dialysis comers, every year 25% of them will die.”

There is a broad range of dialysis survival. A 94-year-old with severe COPD, CHF, and dementia will not have the same survival statistics as a healthy 27-year-old with acute interstitial nephritis. The protoplasm from which you begin with often times determines the dialysis survival.

There are many factors that determine dialysis survival statistics. Some of them include, age, race, weight, and even the length of the dialysis treatments. But no where have I seen reported the association of dialysis survival with Happy’s presumed dialysis surivival gene. Read more »

*This blog post was originally published at The Happy Hospitalist*

New Medical Drama “21” And The Evil SGR Conspiracy To Cut Medicare

Name: “21” (% to be cut from Medicare)

Protagonist: Dr. Rob and a cast of thousands of physicians (Kiefer Sutherland wouldn’t work for such small payment.)

Villain: Evil SGR (Sustainable Growth Rate) conspiracy to cut Medicare by 21% across the board.

Victim: The elderly population depending on Medicare for payment of their medical care.

Plot:  A follow-up to the popular drama “Lost” where members of congress were stranded in Washington D.C. with the task of reforming healthcare without any contact or communication from doctors and patients. This new drama “21″ tells the tragic tale of an industry under siege and a population facing possible disaster.

Already stretched to the limit by the paltry reimbursement from Medicare for primary care office visits, Dr. Rob and his band of physicians is hit by the evil conspiracy of SGR, a secret society whose goal is to harm the elderly people in the country by driving away all people willing to give them care. The congress, tired out from haggling over the healthcare reform bill, allows evil SGR to exert its power in the name of “fiscal responsibility.” Read more »

*This blog post was originally published at Musings of a Distractible Mind*

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