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Let Kids Be “Willy-Nilly”

As a cardiologist and advocate for healthy living through exercise, the bleak news of rising childhood obesity hits me hard. But as an endurance athlete well versed in the inflammatory effects of excessive exercise, and a coach of middle school children, recent news reports on the overtraining of American youth is equally troublesome.

The overtraining of the young American athlete has risen to the level of capturing the attention of the American Academy of Pediatrics.  I planned on letting this New York Times piece pass quietly, as yet another documentation of how adults are either explicitly or implicitly drilling out the young athlete — sacrificing fun at the alter of performance. Little League-like overzealousness is old news dating back to my era, I thought. But I just couldn’t help myself. Read more »

*This blog post was originally published at Dr John M*

Pet Safety: Dog Bite Awareness And Prevention

It seems that each year, I just miss National Dog Bite Prevention Week, which is the third full week of May. As you know, it’s June already. But can it ever hurt to review such important information?

More than 4.7 million people a year receive bites from man/woman’s best friend. If you have read this blog for very long, you know I dearly love my dogs — deceased ones (Columbo, Ladybug, and Girlfriend) and the living one, Rusty. I have no illusions that dogs bite, and given the right provocation I think mine would (although most of the time they are totally harmless and would just invite you in to rob me).

Most dog bite-related injuries occur in children 5 to 9 years of age. Almost two thirds of injuries among children 4 years or younger are to the head or neck region. Dog bites are a largely preventable public health problem, and adults and children can learn to reduce their chances of being bitten. Read more »

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

The Pain Scale, Animated And Narrated

Here is another blogger’s take on the ubiquitous hospital pain scales. You’ve probably seen some version of this chart before. You may also have noticed how inadequate it is at helping you. Based on the faces, this is my interpretation of the chart:

0: Haha! I’m not wearing any pants!

2: Awesome! Someone just offered me a free hot dog!

4: Huh. I never knew that about giraffes.

6: I’m sorry about your cat, but can we talk about something else now? I’m bored.

8: The ice cream I bought barely has any cookie dough chunks in it. This is not what I expected and I am disappointed.

10: You hurt my feelings and now I’m crying!

None of that is medically useful and it doesn’t even have all the numbers, so I made a better one with all the numbers. Read more »

*This blog post was originally published at Movin' Meat*

On Leave From The “Life-Inflicted” Battle

Here on this balcony, in Hilton Head, South Carolina, the wind is cool, the air typically thick with humidity, my wife reading a novel by my side. Inside the rental, our children are winding down after days of sun, sand and sea. Their bodies scrubbed pink by salt water and ocean breezes, their faces glowing with sun. My daughter’s lovely blonde hair is more blonde than usual.

I am on leave, in a sense. I am not, however, in the armed forces. Furthermore, I am not at a conference or working at all (except for a little writing, which is as much breath as work.) I am, in fact, celebrating my 20th wedding anniversary on a trip suggested and planned by my love. 

I have accomplished little that the world would view as substantial this week. I have viewed it as a kind of sabbath. I have enjoyed my family, played on the beach, eaten far too much and delighted in every single, solitary minute…and Oreos.

“Sabbath,” “on leave,” “R&R” — however one describes it, we must remember to do it — we need it — because life is a kind of battle. Many well-educated, peaceful post-moderns think that’s far to bellicose a description, but the truth remains: Life is a struggle that rises to the description of battle with stark regularity. Read more »

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

Medical Receptionist Extinction?

Medical receptionists beware — your days are numbered.

This little gizmo was placed in one of our facility’s lobbies this week. (No, it’s not being used to get your boarding pass at the airport, but it’s amazing the parallels healthcare is taking with the airline industry.)

Instead, it’s used to check in patients presenting to have their blood drawn for prothromin times. Just swipe your credit card, confirm your appointment, sign your name, and away you go!

On seeing this, one doctor exclaimed: “But INR checks are my patients’ only chance to get out and socialize!”

Fortunately for now there are still human assistants there to help patients learn how to use the new device.

-WesMusings of a cardiologist and cardiac electrophysiologist.

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

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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