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Online Psychotherapy And Telehealth’s Tipping Point

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If you told me last year that web-base psychotherapy would gain traction I wouldn’t have believed you.  That was before I met Mark Goldenson, CEO of Breakthrough, a silicon valley based web startup that matches patient and therapist through a secure online portal.  Breakthrough clients can review a therapist’s qualifications and fees, view sample video, and initiate therapy by video or phone.

In a 2.0 world marked by clouds, hives and democratized healthcare, Breakthrough is cultivating one-on-one relationships through improved access to mental health services.  Everyone should be talking about this. Read more »

*This blog post was originally published at 33 Charts*

Standing Up To Bullies: A Father Shows His Son How It’s Done

Brad 1975009Brad asked how I think I influenced his development as a child. I think I taught him about leadership, perseverance, patience, problem solving, pattern recognition, innovative thinking, and compassion for others. The irony is I believe he taught me more than I taught him.

Mutual trust and respect must go hand and hand with the love for a child. Kids are people too. They have the same emotional responses to perceived events as we do as adults.

One of many incidents of mutual respect comes to mind. Brad was 11 years old in the 6th grade.

My accountant, at that time, was an avid stamp collector. I thought learning about the sub culture of stamp collecting would be a terrific intellectual experience for both of us. My accountant took us to several stamp shows and taught us how to value stamps. We started collecting. We accumulated a nice stamp collection. The collection had great potential to increase in value. We both learned a lot and grew together in the stamp collecting business. Read more »

*This blog post was originally published at Repairing the Healthcare System*

Choices, Stick-Chasing, And Finding Joy

One late afternoon, some summers ago, I was at the beach.

I was with our dog, a Labrador retriever.  He was playing fetch with a stick I was throwing into the ocean.  Every time I threw it, he darted into the ocean to find it.  Swimming through the waves, he would get the stick and carry it

back proudly to shore.  He would drop it in front of me, shake off some of the water soaking his coat, and stare at me, heaving, begging me to throw it in again.

We did this for a while, and it was always the same.  He was joyous.  Eventually I had to stop, even though I loved

seeing him that way.  He would have kept doing it until he drowned.

I realized something else as I was watching him.

He was so happy because jumping into the North Atlantic to retrieve things is what he was born to do.

Now, people are much more complicated than dogs. Read more »

*This blog post was originally published at See First Blog*

Tweens Want The Latest Gadget, But Enjoy Simple Toys Longer

My daughter really wants an iTouch. She’s 12…a tween. We heard nothing about this until recently when a friend was over who happened to have been given one for a holiday gift. It turns out that many of her friends have them now so she feels like iPods are suddenly passe.

Instead of asking us for one or concocting a plan to put it on her next birthday list, she came up with the idea to earn enough money for it by doing chores around the house. Pointing out the amount of chores and likely time frame to sock away $200-300 bucks was not a deterrent, at least not out of the gate. Read more »

*This blog post was originally published at Dr. Gwenn Is In*

Google Drop-Down Menus Tell You All You Need To Know


A post on Dan Ariely’s Predictably Irrational draws our attention to Google as a source of data for all sorts of research into human emotions. Dan Ariely, the James B. Duke Professor of Behavioral Economics at Duke University, believes that by using drop down suggestions in Google, we can gain insights into “what people might care the most about concerning a given topic. 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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