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

Latest Posts

New Blood Pressure Monitor For iPhone Costs 4 Times More Than Off-The-Shelf Version

One of the most interesting things I saw at this year’s Doctors 2.0 and You event was Withins’ Blood pressure monitor.

This iPhone-connected blood pressure monitor made its first appearance at CES, but you’ll finally be able to order one of your own today. Compatible with iPhone, iPad, and iPod touch, the $129 accessory costs three to four times as much as off-the-shelf blood pressure monitors, but integrates well if you’re looking to pair it with your Withings scale for a complete vitals management solution.

*This blog post was originally published at ScienceRoll*

How To Be A Good Doctor: 10 Rules Of The Road

He sat in a crisp white coat, staring at a computer screen, note cards in his lap. Occasionally, I noted him jot a note to himself as he compiled his list. A nurse sat next to him, pounding feverishly on the keyboard as she recorded her nurse’s note. He tentatively moved his mouse, then clicked, still staring.

I recall my first day in clinical medicine: no computer, an ER rotation, a white board filled with names and abbreviated medical problems next to them with little magnetic color-coded labels nearby. Room 1: Head trauma. Room 2: Abscess. Room 3: UTI, Room 4: Rash.

I got room 2. It was the biggest, bad-est infected sebaceous cyst on a guy’s back a newly minted doctor had ever seen. Can you say “softball?” “See one, do one,” they told me. And off I went.

Much in medicine has changed since then, but much remains the same. Medicine is miraculous, terrifying, then rewarding all at once. Fortunately, there’s a method within the madness that can serve to preserve and protect those who first start out. Every doctor has had the fortune to learn from those who passed before them as begin their journey to refine their title of “doctor” (literally, “teacher.”)

I thought it would be interesting to put a few of the “Rules of the Road for Medicine” down on paper (with the help of friends on Twitter) for interns and residents as they embark on their own incredible journey ahead. The list is not exhaustive, but hopefully can serve as a resource for our new doctors as they head off to meet their clinical challenges ahead.

Rule #1: Treat every patient like your mother Read more »

*This blog post was originally published at Dr. Wes*

Is Your Cell Phone Carrying Bacteria?

Alright doctors, time to give up the cell phones. (Never mind that there has not been a study linking cell phones and hospital acquired infections).

From the American Journal of Infection Control:

A cross-sectional study was conducted to determine bacterial colonization on the mobile phones (MPs) used by patients, patients’ companions, visitors, and health care workers (HCWs). Significantly higher rates of pathogens (39.6% vs 20.6%, respectively; P = .02) were found in MPs of patients’ (n = 48) versus the HCWs’ (n = 12). There were also more multidrug pathogens in the patents’ MPs including methicillin-resistant Staphylococcus aureus, extended-spectrum β-lactamase-producing Escherichia coli, and Klebsiella spp, high-level aminoglycoside-resistant Enterococcus spp, and carabepenem-resistant Acinetobacter baumanii. Our findings suggest that mobile phones of patients, patients’ companions, and visitors represent higher risk for nosocomial pathogen colonization than those of HCWs. Specific infection control measures may be required for this threat.

What specific measures might they consider?

They better be careful what they wish for or they might also have to take away all those dirty EMR computer keyboards, too.

*This blog post was originally published at Dr. Wes*

NPO Allows Medical Professionals To Get Feedback On Rare Health Problems

Human Health Project is  a non-profit organization funded by donations aiming at giving feedback on medical cases uploaded by medical professionals. Here is the description:

The Human Health Project began in California in 2006 as a non-profit organization when its founder, Dr. Phil Harrington, M.D., decided to create a platform for medical professionals to discuss rare and unusual health problems. The idea came from personal experience – for three years he went from doctor to doctor and struggled to find a diagnosis for his own illness. Even with access to modern healthcare and a background in medicine, the answers were still elusive, and the process was frustrating. For someone without the same access to healthcare, such as a patient in a developing nation, the challenge would have been even greater. This experience was telling of the lack of integration among the medical sciences and sparked the idea for the Human Health Project.

*This blog post was originally published at ScienceRoll*

Are There Too Many Health Chats On Twitter?

Is it me or has the number of medically related twitter chats just exploded in the past 4-6 weeks or so? In the past few weeks, there has been a lot of discussion about the proper and improper use of the twitter hash tag. I mean if more than 50% of the tweet are hash tags, then I gotta problem with it.

Twitter by it’s very nature is whiny. I mean, one of twitter’s first functions back in the day (in my opinion) and one of the first uses of twitter for the newer user is a place to vent. And, people complain, whine, vent about a great variety of stuff. But, not about the number of tweet chats that have been popping up recently?

Maybe I’m crazy, but will twitter ever get to the point when there are too many chats? Probably not. However, something that I have seen in the past few weeks is the selection of what I call the “golden” time of 9pm Eastern Time.

There is probably some solid data out there somewhere, but Read more »

*This blog post was originally published at Family Medicine Rocks Blog - Mike Sevilla, MD*

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