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The Hypochondriac Hero

diceIt’s morning, and in the shower he reaches a trembling hand up towards his face and strokes his jugular lymph node chain, searching for any indications that the small lumps palpable within might have gotten larger. He feels the same familiar bumps, rolls them like jelly beans inside a package, and wonders if at least one lymph node is rotting with cancer.

As he dresses for work he follows the sinews of his neck down to his thyroid gland, a bowtie beneath his skin. The right side is larger than the left, and this asymmetry surely indicates a malignancy. He’s read that thyroid cancers are actually quite curable, unless he has one of the rare kinds, which he almost certainly does. Three years to go before death, full of surgeries and chemo, if he’s lucky. Read more »

*This blog post was originally published at The Examining Room of Dr. Charles*

Television Violence Against Women On The Upswing

I guess the theme this week is “when things go wrong.” It seems like just when I think we are getting a grip on public health issues like smoking and violence against women, something appears to shake up my naive belief that we are making progress.

Last month the Parents Television Council (PTC) reported that incidents of violence against women on mainstream U.S. TV has increased by 1.2 times in the past five years with the depiction of teen girls as victims being four times as high as it was five years ago. This particular type of violence seems to be increasing at a higher rate than just regular violence, which makes it worse.

Singled out as the worst offender was Fox which the PTC said allows violence against women to be trivialized through punch lines in comedies like “Family Guy” and “American Dad.” Faring the best was ABC (that is, until the AMA Award show last week) which apparently was the only network not showing a dramatic increase in the number of stories that included beating, violent threats, shooting, rape, stabbing and torture. Read more »

This post, Television Violence Against Women On The Upswing, was originally published on Healthine.com by Nancy Brown, Ph.D..

Massachusetts Leads The Way In Smoking Cessation

Across the country health insurance coverage for smoking cessation treatment – both counseling and medications – has been extremely patchy. For example, we ask all the new patients attending our smoking cessation clinic in New Jersey if their insurance covers smoking cessation treatment, and the vast majority have no idea. Typically its also not easy for either the patient or provider to find out either. It doesn’t just depend on the insurer, but on the plan, the type of service, what they’ve already had in terms of preventive care. We’ve had many occasions where we call the insurer twice on the same day and get a different answer. And New Jersey is a state that is supposed to have relatively good insurance coverage for tobacco cessation! So it’s a mess nationwide, and the net result is that fewer patients get the treatment they need because they are put of by the uncertainty about the cost and difficulty finding out how much it is. Read more »

This post, Massachusetts Leads The Way In Smoking Cessation, was originally published on Healthine.com by Jonathan Foulds, Ph.D..

How To Reduce Teen Drug Use: Dinner With Parents

I know I have said this before, but now there is more research to back it up. A recent report on the results from the “back-to-school” survey (September 2009) done by the National Center on Addiction and Substance Abuse at Columbia University reports a decade of research finding that the more often children have dinner with their parents, the less likely they are to smoke, drink, or use drugs.

Bottom line – compared to teens who have family dinners 5+ times a week, those who do not are twice as likely to use tobacco and marijuana and 1.5 times likelier to use alcohol. They also get significantly better grades and report that it is easier to talk to their parents. Read more »

This post, How To Reduce Teen Drug Use: Dinner With Parents, was originally published on Healthine.com by Nancy Brown, Ph.D..

Do Low Carb Diets Make People Angry?

As if we haven’t seen enough bad press for low carb diets, check this out: a study just published in the Archives of Internal Medicine found that dieters who followed a low carb diet for a year were more depressed, angry, and confused than people following a higher carb diet.

The researchers studied two groups of people for one year. Both were on a reduced calorie diet and both lost an average of 30 pounds. However, the group on the low carb diet had detrimental effects on their mood.

I know I am pretty angry when I don’t have chocolate for a long time! 😉 Seriously, other smaller studies have not shown changes in mood with low carb diets, but we will have to see if future studies show a similar affect. It makes sense…we know that carbs cause release of serotonin, the feel good hormone. There is a reason people say they are “addicted” to carbs. One is because they are our body’s preferred source of energy, so we need them for energy and we can “crave” them. The other is that they literally make us feel good (and they taste great!) Read more »

This post, Do Low Carb Diets Make People Angry?, was originally published on Healthine.com by Brian Westphal.

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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