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How Patient Complaints Affect Defensive Medicine

Doctors often have a communication disconnect with their patients. A recent piece from the New York Times encapsulates the issue, citing a recent New England Journal of Medicine perspective.

According to oncologist Ethan Basch, “Direct reports from patients are rarely used during drug approval or in clinical trials. If patients’ comments are sought at all, they are usually filtered through doctors and nurses, who write their own impressions of what the patients are feeling.”

There are a variety of reasons for this. Some doctors feel they have a better sense of the patient’s symptoms than the patient himself. Biases can affect how doctors and nurses perceive symptoms. Read more »

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

American Obesity And Sugar-Sweetened Beverages

We are a nation stricken with an epidemic of obesity, which contributes to the incidence of diabetes and heart disease. Each of these has been linked to consumption of sugar intake, and in particular, sugar-sweetened beverages.

There’s nothing evil about sugar — it’s just that too much of it in certain forms is bad for you. For the purpose of definition, sugar-sweetened beverages contain added, naturally-derived caloric sweeteners such as sucrose (table sugar), high-fructose corn syrup, or fruit juice concentrates. Read more »

This post, American Obesity And Sugar-Sweetened Beverages, was originally published on Healthine.com by Paul Auerbach, M.D..

Obesity, Smoking And Life Expectancy

When we think of people who enjoy the outdoors, the images in our minds are often of healthy and vibrant individuals — stereotypes are young athletes engaged in vigorous activities like climbing, biking, skiing, etc.

Of course, going outdoors is for everyone, and persons may be young or old, active or sedentary, and healthy or infirm. We carry our personal health status with us wherever we go, and the health habits we pursue in our daily lives form the framework for our participation in adventures, recreation and other outdoor activities.

Therefore, public health issues are important, be they adherence to precautions to avoid infectious diseases or lifestyle modifications to maintain optimal physical and mental health. Read more »

This post, Obesity, Smoking And Life Expectancy, was originally published on Healthine.com by Paul Auerbach, M.D..

Wireless Hacking Of Medical Implants: A Call For Regulation

Researchers from the Medical Device Safety Institute at Beth Israel Deaconess Medical Center in Boston and the Department of Computer Science and Engineering at the University of Washington in Seattle have published an article in the latest New England Journal of Medicine suggesting technological and regulatory actions that they hope will increase the security and privacy of implantable medical devices.

As has been reported earlier, implantable pacemakers, defibrillators, and similar devices are subject to wireless hacking that may influence their functionality. Although a lip-smacking target for devious hackers, an actual incident where a person’s implant has been interfered with is yet to be reported.

NEJM: Improving the Security and Privacy of Implantable Medical Devices…

Flashback: Implant Hacking Possible, Not Probable…Yet

*This blog post was originally published at Medgadget*

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…

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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…

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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…

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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…

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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…

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