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

Latest Posts

Heart Conditions You Don’t Learn About In Medical School

This gave me a chuckle from Doc Cartoon:

Heart conditions 

*This blog post was originally published at EverythingHealth*

Who Should Get A Flu Shot? You Should

It’s that time of year again. Children back at school. Football season is underway and baseball playoffs to start soon. The television networks are rolling out their new shows.

And it’s also time to think about getting flu shots. I just got mine today as I have done annually since going to medical school.

Compared to last year, there isn’t as much news about the flu or the flu vaccine. This year the Centers for Disease Control and Prevention (CDC) gives clear guidelines that everyone aged 6 months and older should get the influenza vaccine. 

This month the American Academy of Pediatrics recommends that all healthcare providers should be required to get the influenza vaccine.

And one fact that hasn’t gotten much attention is whether the 2009 H1N1 virus is included in the 2010-2011 vaccine: Is it? Yes, it is. This year’s vaccine will be as safe as vaccines in past years as the production process is unchanged. Inclusion of the 2009 H1N1 virus will not be a problem. Read more »

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

In Front Of The Mirror Of Middle Age

“It was the best of times, it was the worst of times…”

An intermission, the curtain has closed on youth, but the next act awaits.

Caring for hiccups of the heart, like atrial fibrillation for example, often throws me in front of the mirror, of middle age that is, and sadly the reflections show imperfections. Since I am middle aged myself, there are my own experiences. But everyday at work, on my job site, I see the effects of these same middle-age experiences on the atrium of my patients. The results are often profound. So must be the pressures.

I read a passage in the wee hours of the quiet morning, in the dark, with a flickering book light. It grabbed me. It is from Elisabeth Strout’s Pulitzer Prize-winning, Olive Kitteridge. Read more »

*This blog post was originally published at Dr John M*

Health “Care” Not Health “Performance”

The “empowered patient” movement (which I think is a good thing) strives to take the doctor out of the center of care and put the patient at its focus. The role of doctor is not to be the star of the show, the quarterback, the superhero, but the advocate and helper for the patient to accomplish their goal: Health.

Many rightly attack doctor prima donnas who want the exam/operating room to be about them instead of the patient. This is health care, not health performance. They want doctors who care more about the people they treat than they do about money, praise, or status.

I get it. I get the message that doctors have to adjust to this new age of patient empowerment and patient-centeredness. I get the fact that making patients wait is a bad thing, and that communication is as essential of a skill as is medical knowledge — remove either one of them and you don’t have care. I hear the message: Doctors should care about patients more than they care about themselves. That is what we are paid to do, and that is what we have neglected at our own peril. Read more »

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

When Medical Dedication Comes From Personal Pain

The old joke about psychological therapists is they are among the biggest consumers of therapy themselves. Lately, I have been noticing more and more how a significant portion of the people we meet wearing white lab coats have a very personal connection to the medical work they do. For them it is not a job, a meal ticket, or just putting their years of training into practice, it is a mission connected to something in their past, something in their own body, or the health of a loved one.

A recent example is Kaiten Kormanik. She is 23 and has had the genetic condition PKU since birth. She has to follow a strict low protein diet or otherwise risk severe negative effects on her brain. If you toured the labs of The Children’s Hospital of UPMC in Pittsburgh you might bump into her as she does research for her Ph.D. on, guess what?- genetic illnesses in children. And she often works alongside Dr. Gerald Vockley, the very expert physician who guides her care. As you can imagine, Kaitlen thinks about her own childhood and the faces of other children every day. You can hear her story on one of our recent programs.

Irl Hirsh, M.D., at the University of Washington, is one of America’s most famous diabetes doctors. He has diabetes himself and has all the challenges everyone with this disease has in managing it. You can hear his story on one of our earlier programs on diabetes. Read more »

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

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