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Cookbook Medicine: Using “Treatment Standardization” To Bar Doctors From Hospitals

Is the need for cookbook medicine being used as a ploy to bar cardiologists from practicing at competing hospital systems in Colorado? An excerpt from the Reporter Herald:

Banner Health, the owner of McKee Medical Center in Loveland and the operator of North Colorado Medical Center in Greeley, soon will bar cardiologists who are not on the Banner payroll from practicing at the Greeley hospital. The denial of hospital privileges to cardiologists outside the Phoenix-based Banner system is the latest step in carving up the heart of the Northern Colorado health care market, where two dominant hospital groups — Banner and Poudre Valley Health System — vie for shares. Read more »

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

Do Satisfied Patients Mean Good Medical Care?

A version of this op-ed was published on March 15, 2010 in USA Today:

If you recently saw a doctor, you might subsequently receive a survey in the mail asking whether your physician was friendly, spent enough time with you, or showed the appropriate level of concern for your medical issues.

Read the rest of article here: Op-ed: Patient satisfaction doesn’t mean the best medical care

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

A Link Between Depression and Female Baldness

Female-Hair-LossA reader sent me this really sad story that got me thinking about hair restoration for women:

Happy, I wanted to share with you this picture of a woman who’s lost all hope. I saw her a few years back during my psychiatry rotation. As you can see, it looks like she’s going bald, but in fact, during her fits of rage and depression she’s actually pulling out her own hair. How sad is that? Just another example of what we docs take care of on a daily basis. 

Man, that’s unbelievable. I don’t know much about classic female pattern baldness. From what I’ve read it’s usually a diffuse loss of hair everywhere or  a central expansion of hair loss but rarely does it encompass the entire scalp. It’s usually caused by hormones, aging and genes. In advanced age, I’ve seen more than my fair share of elderly women who have more hair on their chin then they do on their head. Read more »

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

Can My iPad Help Me Be Healthier?

If you follow me on Twitter or read my personal blog, you probably know by now that I bought myself an iPad this week. The main reason I got it is because I’m a sucker for shiny new technology, but I also wanted to see if I could use it to help myself become a little less sedentary.

As I mentioned in my first two posts about fitness this month, there’s a growing body of research suggesting that a sedentary lifestyle is harmful to your health. I was interviewed about one such study a few months ago on the PRI show “The Takeaway,” and the evidence is fairly convincing: People who spend more hours watching TV also have a higher mortality rate than those who watch it less, even after accounting for exercise. Granted, it’s only a correlation, but the evidence converges quite well with several other studies.

But what am I supposed to do about it? My job requires me to spend long hours in front of a computer screen. If exercising a 30 or 40 minutes a day can’t prevent me from getting heart disease or cancer, what will? Some researchers, including David Dunstan, the lead researcher on the TV-watching study, suggest that just standing periodically, rather than sitting all day, can help a lot. That’s where the iPad comes in. Read more »

*This blog post was originally published at The Daily Monthly*

Condoms With Handles Help Keep “The Mood”

According to Grove Medical, disruption of “the mood” is a main barrier to condom use. With their Sensis condoms with QuikStrips, the company tries to overcome this mental handicap by offering a new condom technology to protect the passion while practicing safer sex.

The QuikStrips are little handles on the side of the condom that work much like the pull-off tabs on a bandage, creating an application that helps to apply the condom quickly in the right way.

Presumed benefits include appropriate spacing at the reservoir, no touching of the condom as it’s being applied, and less chance of accidental inside-out-then-flip contamination. Read more »

*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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