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Video: Infertility Is Caused By Male Factors 40% Of The Time

For thousands of years, infertility was considered a female problem. The word “barren” sounds almost comical now but was a commonplace label a century ago. In “The Cottage Physician,” written at the end of the 19th century, a section entitled “Barrenness” lists possible causes, including “want of tone or strength in the system” and “nervous debility.” Treatments included “cold bathing, general tonics or strengtheners to the system, electricity applied locally” as well as “abstinence from sexual indulgence for a time.” Fortunately, medicine has progressed considerably since then and the diagnosis and treatment of infertility have improved dramatically. But the misconception that it’s solely a female problem has persisted. Read more »

You Know It’s Time To Change Doctors When…

Have you ever thought you need to find a new doctor? Sometimes patients and doctors need to part their ways.  Some doctor-patient relationships are so good that gifts are exchanged.  Some are so bad that the doctor dismisses the patient from their clinic.

What about the patient who isn’t happy with the care they are receiving?  What about the patient who wants to find a new doctor?  Sometimes legitimate reasons exist.  Perhaps the patient and doctor do not agree on the recommended therapies.  When  the patient and doctor do not have the same goals in mind, sometimes it’s best for the patient to find a new doctor that can better work with their needs. Read more »

*This blog post was originally published at The Happy Hospitalist Blog*

Breast Health in 2010 And Mammogram Guidelines – What You Need to Know

Unless you’ve been living on another planet, you know that in mid-November, the US Preventive Services Task Force released new recommendations on screening mammography, in which they recommended against routine mammogram screening in women under age 50, and recommended that mammograms now be every two years in women ages 50-74.

What you may not have heard is that the Task Force has acknowledged that the mammogram guidelines were poorly worded, and have revised their original statement to clarify their intentions, mostly by removing those two little words “recommends against”. Read more »

*This blog post was originally published at The Blog that Ate Manhattan*

What It’s Like To Be Pregnant And Diabetic: A Day Of Medical Appointments

Last Friday, Chris and I (and BSparl) were at Joslin all day long.  ALL DAY.  But that’s what’s required with type 1 diabetes and pregnancy, so I wanted to recap these appointment for posterity, and for anyone else who is curious about what it takes to manage this whole party.  It’s a long post, but with five different appointments to cover, I want to make sure I don’t miss a beat.

Grab some coffee.  I’ll wait.  🙂

I love this baby.

Eye Dilation: Read more »

*This blog post was originally published at Six Until Me.*

Hormone Replacement For Women: Don’t Believe The Hype

Just when you thought it was safe…now there is another article in the NewYorkTimes about the pharmaceutical industry pushing hormones for post menopausal women. It is a long and somewhat “shocking” article about how women have been sold a bill of goods regarding estrogen and progesterone after menopause and Wyeth Pharmaceutical paying multimillion dollar claims for women who took hormones and developed breast cancer.

Let me say…don’t believe everything you read. As readers of EverythingHealth know, I am not a shill for big Pharma and have written critiques of their corporate tactics many times. But when it comes to Estrogen replacement it isn’t just doctors and Pharma pushing drugs on unsuspecting women.

The link between breast cancer and endometrial cancer and estrogen (ERT) has been open dialog for decades. The pharmaceutical companies have had it listed in their marketing literature and good physicians make it part of the risk/benefit discussion. I have never felt pushed to prescribe ERT when it was not indicated and good evidence remains about the benefits of female hormones for bone strength and symptom control. Patients should know that for every 10,000 women who take estrogen, 8 more cases of breast cancer are seen. Other factors influence breast cancer like smoking, radiation (excessive chest X-rays, cat scans or mammograms), alcohol etc etc etc. Read more »

*This blog post was originally published at EverythingHealth*

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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