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The Big Apple Tells Smokers To Take A Hike (And Not In The Park)

It looks like New York City is leading the way for public health safety by introducing a public smoking ban in all public parks, malls, plazas, beaches and playgrounds or risk a $50 fine:

Research showed, he said, that someone seated within three feet of a smoker — even in the open air — was exposed to roughly the same levels of secondhand smoke as someone sitting indoors in the same situation.

What took so long? Go, New York. I hope you succeed. Next up: Charging parents who smoke in their homes occupied by minors with child negligence.

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

Driving Safe Cars Can Save Lives

New England Patriots NFL quarterback Tom Brady was on his way to practice when he crashed into a minivan which allegedly ran a red light. His Audi S8 car T-boned the other vehicle a few blocks from his home. A relieved New England Patriots owner Bob Kraft noted after the accident:

“[Tom] arched and prepared himself and we’re just lucky with the glass and angles. We have a lot to be thankful for. It was really a miracle…We’re very, very lucky. Patriot Nation is lucky he had his seatbelt on.”

Was it simply luck or good car design and mechanical engineering? Crumple zones and the passenger cage of a car when built for maximum safety decrease injury. Yet, unfortunately, there is significant variability among safety in cars. Brady walked  away from the accident for a variety of reasons.

As a future hall of fame quarterback, Brady has lightning fast reflexes when analyzing defensive blitzes and options when throwing the football. Quickly bracing himself for impact may have helped. Wearing a seatbelt definitely helped. What may have helped the most was the type of car he drove. Read more »

*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*

Canadians Warned To Protect Themselves Against Unvaccinated Californians?

whooping-coughThe Public Health Agency of Canada has issued a “travel health notice” to its citizens who plan to travel to California. Childhood vaccination against whooping cough (pertussis) has dropped low enough to result in a 7-fold increase in the number of infections over the past year alone.

An increasing number of parents are opting out of vaccines, a trend that could threaten to reverse the preventive health gains we’ve made against certain infectious diseases this past century. How scary is that?

Incidentally, whooping cough can be lethal — killing a small percentage of kids who suffocate from the damage it does to the respiratory tract. For more information about whooping cough, I recommend the Mayo Clinic’s consumer health website.

To all the moms and dads out there, please vaccinate your kids. The benefits far outweigh any potential harms. And to you Canadians, make sure you’re vaccinated before you go to California.

The Importance Of Discriminating Against The Obese

DrRich has pointed out several times that it is very important to our new healthcare system, as a matter of principle, to be able to discriminate against the obese.

The obese are being carefully groomed as a prototype, as a group whose characteristics (ostensibly, their lack of self-discipline, or their sloth, or their selfishness, or whatever other characteristics we can attribute to them to explain how their unsightly enormity differentiates them from us), will justify “special treatment” in order to serve the overriding good of the whole.

The obese are a useful target for two reasons. First, their sins against humanity are painfully obvious just by looking at them, so it is impossible for them to escape public scorn by blending in to the population, unlike some less obvious sinners such as (say) closet smokers, or pedophiles. And second, since true morbid obesity almost always has a strong genetic component, successfully demonizing the obese eventually will open the door to the demonization of individuals with any one of a host of other genetically mediated medical conditions. Read more »

*This blog post was originally published at The Covert Rationing Blog*

Food And Pesticides: The Dirty Dozen

Fruits and VegetablesThe Environmental Working Group (EWG) is a non-profit focused on public health. We know that the long-term consequences of eating chemicals from pesticides used on our foods is damaging to our health.

The EWG analyzed data from the FDA and found that people who eat five fruits and vegetables a day from the “Dirty Dozen” are eating 10 pesticides a day. We want people to eat more fruits and vegetables, but NOT to ingest more chemicals. Rinsing reduces but does not eliminate pesticides. So what’s the answer? Rinse completely and buy the “Dirty Dozen” foods organic whenever possible. Read more »

*This blog post was originally published at EverythingHealth*

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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