February 18th, 2010 by Harriet Hall, M.D. in Better Health Network, Book Reviews
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In 1925, Francis Peabody famously said “The secret of the care of the patient is in caring for the patient.” A new book by Norman Makous, MD, a cardiologist who has practiced for 60 years, is a cogent reminder of that principle.
In Time to Care: Personal Medicine in the Age of Technology, Dr. Makous tackles a big subject. He attempts to show how modern medicine got to where it is today, what’s wrong with it, and how to fix it. For me, the best part of the book is the abundance of anecdotes showing how medicine has changed since Dr. Makous graduated from medical school in 1947. He gives many examples of what it was like to treat patients before technology and effective medications were introduced. He describes a patient who died of ventricular fibrillation before defibrillators were invented, the first patient ever to survive endocarditis at his hospital (a survival made possible by penicillin), a polio epidemic before polio had been identified as an infectious disease, the rows of beds in the tuberculosis sanitariums that no longer exist because we have effective treatments for TB. Read more »
*This blog post was originally published at Science-Based Medicine*
February 11th, 2010 by Medgadget in Better Health Network, News, Research
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New cancer targeting nanoparticles seem like daily news here at Medgadget. Today we have gold nanoparticles developed jointly by researchers at Rice University and A.V. Lykov Heat and Mass Transfer Institute in Minsk, Belarus that create plasmonic nanobubbles when targeted with a laser. These particles can be guided to a tumor by antibodies and then activated to generate tiny explosions, so clinicians one day will be able to stay back and enjoy. Read more »
*This blog post was originally published at Medgadget*
February 10th, 2010 by Dr. Val Jones in News
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You may have heard about the whistleblower case in Texas where 2 nurses reported a physician (Dr. Rolando G. Arafiles, Jr.) to the State Medical Board for unethical medical practices. Even though the American Nurses Association’s Code of Ethics requires nurses to report physicians who may be of harm to patients, these two were punished for doing the right thing. (Apparently, the local sheriff was a friend of Dr. Arafiles’ and took it upon himself to charge the nurses with misuse of official information, a third-degree felony in Texas, because patient medical record numbers were included in the letter to the Texas Medical Board). The criminal prosecution charges were dropped against Vicki Galle, but the case against Anne Mitchell is ongoing.
But the real story – what was Dr. Arafiles doing that was so egregious? – has yet to be made public by the nurses. And thanks to bloggers Mike Dunford, and Orac over at ScienceBlogs.com, the truth is being revealed. Video footage of Dr. Arafiles’ bizarre medical beliefs and practices are available here. Apparently, he prescribed colloidal silver to treat H1N1 flu, promoted the false idea that vaccines contain a wild array of toxins (everything from MSG to fetal tissue), and was diagnosing patients with “Morgellons disease” which he describes as a parasitic infection that produces fibers that turn host cells into plastic. Read more »
January 28th, 2010 by Dr. Val Jones in Announcements
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Seed Media Group’s Research Blogging Awards honor the outstanding bloggers who discuss peer-reviewed research. With over 1,000 blogs registered at ResearchBlogging.org and 8,500 posts about peer-reviewed journal articles collected, it is time to recognize the best of the best.
Any blog that discusses peer-reviewed research is eligible for nomination, and the winners will be determined by votes from their peers in the Research Blogging community. All finalists will be highlighted on ResearchBlogging.org, and winners will receive cash prizes totaling $2000.
Here’s how the awards will be chosen: Read more »
January 21st, 2010 by Steve Novella, M.D. in Better Health Network, Research
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The problem with the Western diet is not one of deficiency, but one of excess. We get too much of a good thing – too many calories, too much of the wrong kind of fat, and too much salt. As a result obesity, diabetes, and hypertension are growing health problems.
There also does not appear to be an easy solution – voluntary diets founded primarily on will power are notoriously ineffective in the long term. Add to that is the marketplace of misinformation that makes it challenging for the average person to even know where to apply their (largely ineffective) will power.
It can be argued that this is partly a failure, or an unintended consequence, of market forces. Food products that provide cheap calories and are tasty (sweet, fatty, or salty) sell well and provide market incentives to sell such products. Consumers then get spoiled by the cheap abundance of tempting foods, even to the point that our perspective on appropriate portion sizes have been super-sized. Read more »
*This blog post was originally published at Science-Based Medicine*
