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

Latest Posts

I’m Glad Economists Aren’t Practicing Medicine

I was invited to speak at the National Library of Medicine’s 2010 Annual Conference. Today I heard fellow speaker Uwe Reinhardt, Ph.D., discuss healthcare economics, and although his presentation was entertaining, as a physician I found it to be rather disturbing.

On the one hand I understand Reinhardt’s desire to engage Americans in a rational conversation about limited healthcare resources. My friend Dr. Rich Fogoros has been calling for this for many years. Yet, I was disappointed by his enthusiastic reductionism — that peoples’ lives should be reduced to a mere societal cost equation. He also said that, “When America grows up, it will look a lot more like Europe,” and cited a conversation with Dr. Phil Gingrey as an example of the congressman’s over-valuing human life. Read more »

How Will The iPad Fare In Healthcare?

Image representing iPad as depicted in CrunchBaseThe first iPad reviews are out, and they’re very positive. Here’s a selection of the reviews (compiled by MacRumors):

And here’s a roundup of recent medical blogs commentary on the iPad:

iMedical Apps has a nice review of how 5 medical apps might appear on the iPad, including the Blausten Human Atlas, Visual Dx Mobile, Procedures Consult, OsiriX and eFilm, and Papers.

The Unofficial Apple Weblog features a review of Carter’s Encyclopedia of Health and Medicine, an app designed specifically for the iPad. (This is not an eBook, but a full app with searchable interactive skeletons, etc.)

CareCloud, a new cloud-based EHR, plans to have an iPad version. Epic already has an iPhone app and presumably will have an iPad version available. Allscripts is rumored to have an upcoming EHR for the iPad. (No word on whether other EHRs plan on having an iPad app. If you have any information, please post a comment.)

According to Macworld, 1 in 5 doctors plan to buy an iPad. The Practice Fusion Blog has a discussion of other iPad-related surveys of doctors and healthcare professionals.

Healthcare Technology Online has a discussion of the pros of cons of the iPad in healthcare. Read more »

This post, How Will The iPad Fare In Healthcare?, was originally published on Healthine.com by Joshua Schwimmer, M.D..

The Relationships Between Poverty and Healthcare

Readers interested in the relationships between poverty and healthcare will want to read several new postings on the Web.

One is an article about my Rhoades Lecture at the Wayne County Medical Society in Detroit, “Poverty and Healthcare in America.” It is posted on the World Socialist Web Site.

Second is by James Marks, MD, MPH, Vice President of the Robert Wood Johnson Foundation, entitled “The Poor Feel Poorly.” It is posted on the Huffington Post site.

Third is “Health and Healthcare in America’s Poorest City,” a tragic and dramatic portrayal of America’s failures to its own in Detroit, also on the World Socialist Web Site.

Finally, here is a link to a collection of papers on social inequalities in health by the McArthur Network on SES and Health, published by the New York Academy of Medicine under the title, “Biology of Disadvantage.”

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

New Device Detects Whether Or Not You’ve Washed Your Hands

Doctors at the University of Florida invented a device that sniffs employees’ hands for soap residue to check whether they’ve washed them enough.

After employees wash their hands, they pass them under the sniffer and their badge activates. When they later approach a patient, a bed-side monitor reads the badge and flashes green if the person has clean hands. If the person didn’t wash or too much time has passed since they have, the badge vibrates to remind the employee.

We’d already covered bathing hands with plasma instead of soap. Don’t get those near the sniffer.

*This blog post was originally published at ACP Hospitalist*

Finding Work-Life Balance In Medicine

Paging Dr. Mortis, Dr. Rigor Mortis!

Paging Dr. Mortis, Dr. Rigor Mortis!

This is a sample section from a new book I’m writing on the transition from residency to practice.

When you die:

A) The house of medicine will collapse, and only recover by remembering your compassion and sacrifice.

B) Patients and staff will wail in sack-cloth and ashes

C) Someone may name a procedure or drug in your honor

D) People will walk over your dead body, take your vacant day-shifts and go through your pockets for change.

The answer is D. Although I’m using some hyperbole, the point is that when you die, some people will be sad; your loved ones will miss you. But life will go on. The hospital will not close, and the sick will not stop being sick. So conduct your life with this in mind. Medicine, for all it’s wonder and value, must not be a rock on which you wreck yourself. Let it enhance, not overwhelm, your life. Read more »

*This blog post was originally published at edwinleap.com*

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