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An Oncologist Offers Dating Advice

How do you know if a couple is right for each other?

Watch how they interact in a cancer clinic.

So says this oncologist in a poignant column from the Boston Globe. As Robin Schoenthaler writes, “When you’re a single woman picturing the guy of your dreams, what matters a heck of lot more than how he handles a kayak is how he handles things when you’re sick. And one shining example of this is how a guy deals with your purse.” Read more »

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

When Your Significant Other Overrides Your Living Will

He knew she was angry with him.

“Whenever I come to see her, I reach out and take her hand, but she looks away.”

Husband and wife for well over 50 years, they had been through a lot.  They met in another country in another time, and to hear him tell it, it almost seemed fated that they’d end up together.  Since then, they’d moved many times, raised a family, supported each other through myriad illnesses.  They were growing old together.

Unfortunately, “growing old together” doesn’t always work out like we hope it will.  Diseases and illnesses ravage our bodies; dementia ravages our brains.  She’d long ago given up on their little garden in the backyard.  It was her favorite hobby, but she couldn’t manage it anymore. Read more »

*This blog post was originally published at code blog - tales of a nurse*

When Should A Physician Help A Patient Die?

Here’s an interesting case.  A young woman drinks antifreeze to commit suicide, writes a note saying she does not want any medical treatment and calls an ambulance so she can die peacefully with the help of medical support.

I read a lot on  Happy Hospitalist about a patient’s right to demand what ever care they feel is necessary to keep them alive and the duty of the physician to provide whatever care the patient feels they require, no matter how costly or how miniscule the benefit.  Readers like to say it’s not a physician’s obligation to make quality of life decisions for the patient.

So let’s analyze this situation.  Does a  patient have the right to demand medical care and the services of physicians to let them die without pain?  Does a patient have the right to demand a physician order morphine and ativan to keep a depressed but physically intact patient comfortable as they slip away in a horrible antifreeze death under the care of medical personel? Read more »

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

Case Studies: Dangerous And Deadly Medical Experiments Conducted On Austistic Children By Anti-Vaccinationists

One of the major themes of the Science-Based Medicine blog has been to combat one flavor of anti-SBM movement that believes, despite all the evidence otherwise, that vaccines cause autism and that autism can be reversed with all sorts of “biomedical” quackery. Many (but by no means all) of these so-called “biomedical” treatments are based on the false view that vaccines somehow caused autism. I and my fellow SBM bloggers have expended huge quantities of verbiage refuting the pseudoscience, misinformation, and outright lies regularly spread by various anti-vaccine groups and two celebrities in particular, namely Jenny McCarthy and her boyfriend Jim Carrey. Most of the time, we discuss these issues in terms of the harm to public health that is done by falling vaccination rates due to the fear engendered by the message of the anti-vaccine movement and the threat of the return of vaccine-preventable diseases that once wreaked havoc among children.

There is another price, however. There is a price that is paid by autistic children themselves and their parents. It is a price paid in money and lost time. It is a price paid in being subjected to treatments that are highly implausible from a scientific standpoint and for which there is no good scientific evidence. It is a price that can result in bankruptcy, suffering, and, yes, even death. Read more »

*This blog post was originally published at Science-Based Medicine*

The Long-Term Consequences Of Conditional Love

Conditional love is finally getting the press it deserves – and it is all bad! Sorry Dr. Phil and Supernanny, many of us do not believe that what children need or want (specifically approval or love) should be offered contingently or doled out as rewards or withheld until they behave according to our wishes. Praising children for doing something right or punishing if they do something wrong – are both conditional and counterproductive.

Research completed in 2004 (Assor & Roth) with adults and recently replicated with ninth graders (Deci) suggests that children who received conditional approval were in fact more likely to do what a parent wanted, but as adults, the children tend to not like their parents much, feel internal pressure to do things versus a sense of choice or control, and they often felt guilty or ashamed of their behavior. In addition, children who reported feeling more loved when they lived up to their parents’ expectations feel less worthy as adults. Read more »

This post, The Long-Term Consequences Of Conditional Love, was originally published on Healthine.com by Nancy Brown, Ph.D..

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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