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The Dirt On Doctors

bathtub I was hesitant to post this photo because it is an image of my girlfriend’s bathtub in New York City. I’m sure she wouldn’t want me to post this, but I figure it’s ok because I didn’t reveal her identity and also, she doesn’t read my blog.

My girlfriend is a physician. She is friendly and smart and well-groomed. Her bathroom, on the other hand, is pretty scary. It’s not unlike other bathrooms I’ve seen in New York – which means this could be partially a cultural phenomenon. She knows it needs cleaning – I guess.

She invited me to stay at her place during a recent visit – instead of a hotel – and I gladly accepted. We planned to have a nice dinner and drinks out on the town. She showed me to my room and casually mentioned that she needed to get some Draino for the bathroom. I wondered what exactly that might mean, and was surprised by her use of understatement in this case. Read more »

Banning Kids From Hospitals To Reduce Spread Of H1N1 Flu: Where’s The Evidence?

I learned recently that Happy’s hospital was one of a growing number of hospitals nationwide banning children from entry during the pandemic H1N1 flu to protect their patients.  But where is the science that says it works?

Hospitals nationwide are making up their policies as they go along.

The result? Huge variation. The large Stanford University Hospital in California on Monday barred anyone under 16 from visiting, while the small Central Vermont Hospital turned away the under-12 crowd. Other hospitals have settled on 14 or 18.

Read more »

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

Medical Treatment Of Ingrown Toenails: 1908 And 2009

Flipping through the 1908 textbook, A Text-Book of Minor Surgery by Edward Milton Foote, MD I found at an antique store last month, I came across the section on ingrown toenails. The causes of ingrown toenails were much the same as one hundred years.

This is a condition in which the edge of the nail, usually of the great toe, by its too close contact with the flesh beneath causes irritation, ulceration, or suppuration. There has been much discussion as to whether the nail or the flesh is the more at fault. This discussion is without profit. It is much better to study the normal conditions, and see what can be done to restore them. Read more »

*This blog post was originally published at Suture for a Living*

Pregnant Women: 1 in 25 With H1N1 Flu Will Die Of It

by Amy Tuteur, MD

Doctors are often compelled to make quick decisions in life threatening cases with only limited information. Unfortunately, pregnant women are now going to be put in the same situation.

The H1N1 flu has taken an extraordinary toll among pregnant women. A new vaccine is now available. Because of the nature of the emergency, there has not been time to do any long term studies of the vaccine. Yet pregnant women will need to make a decision as soon as possible on whether to be vaccinated. Read more »

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

Joseph Mercola Is A Threat To Public Health, Spreading False Information

By Dr. Joseph Albeitz

Some of our more astute readers may have noticed that we are paying influenza slightly more attention than other topics of late.  That’s because this situation is new, rapidly changing, and covers more areas of science and medicine than one can easily count.  It’s also a subject about which the general public and media are keenly interested.  This is an outstanding learning and teaching opportunity for us as a professional community.  Unfortunately, it is also fertile ground for confusion, fear, and misinformation, and a playground for those who would exploit such things.

Mercola.com is a horrible chimera of tabloid journalism, late-night infomercials, and amateur pre-scientific medicine, and is the primary web presence of Joseph Mercola.  Unfortunately, it is also one of the more popular alternative medicine sites on the web and as such is uncommonly efficient at spreading misinformation.  I am not a fan, and have addressed his dross in the past. Read more »

*This blog post was originally published at Science-Based Medicine*

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