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Romance Rx: Take One Date Night A Week

Is there anything more wonderful than date night with the one you love? 

Jan and I went out last night. It was a cold rainy May evening, and we drove down the dark highway in my truck. The bench seat is wonderful, because she can sit right next to me, where she has been for nearly 26 years now.

We were in jackets, and asked to sit next to the fire at the restaurant. Exhausted from a crazy weekend, we exhaled and ordered chips and cheese dip, then dined on soup. 

When we finished we sat awhile longer, our drinks refilled by our attentive waiter. And we reflected, planned, laughed and told stories. We discussed the year past and the year to come. We basked in one another as we basked in the warmth. Read more »

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

Conversations At An HIV Clinic: Medication Costs And Side Effects

“I like your watch,” pharmacist Jin Jun tells me as I’m sitting down to interview him.

I have a plastic runner’s watch, nothing special, but I see Jun is wearing something similar. “Do you run?” I ask him.

Jun is a tall, personable man who runs marathons, it turns out, and he enthusiastically invites me to run in a 5K race this weekend. I’m not sure I’ll be able to make it but I ask him for the details anyway.

Jun is equally passionate about his job, which one day a week involves helping the patients at the Carolinas Medical Center Infectious Disease Clinic with HIV drug adherence. I ask him how he handles cases like LaShana Walker’s, where some days she just doesn’t feel like taking her medications because they make her so nauseous. Read more »

*This blog post was originally published at The Daily Monthly*

Broken Arm? Try Some Ibuprofen

Pain management is a hot topic in medicine in general and certainly in medicine for the outdoors. Injuries in particular, and many illnesses, cause pain, which in turn causes the victim to suffer. To a great extent, pain is subjective, but regardless of whether your pain is a “1” or a “10,” it can be disabling and even dangerous, particularly if it causes you to be distracted in a situation of risk (e.g., climbing, swimming, walking along a ridgeline).

Broken bones usually hurt a great deal. It’s commonly believed that the pain is always of a severity to require the administration of “strong” pain medicine, notably, something containing a narcotic compound. This may not be true. Read more »

This post, Broken Arm? Try Some Ibuprofen, was originally published on Healthine.com by Paul Auerbach, M.D..

Osteoporosis Drugs: Should We Curb Our Enthusiasm?

A recent story on NPR accused the drug manufacturer Merck of inventing a disease, osteopenia, in order to sell its drug Fosamax. It showed how the definition of what constitutes a disease evolves, and the role that drug companies can play in that evolution.

Osteoporosis is a reduction in bone mineral density that leads to fractures. The most serious are hip fractures, which require surgery, have complications like blood clots, and carry a high mortality. Many of those who survive never walk again. Vertebral fractures are common in the osteoporotic elderly and are responsible for dowager’s hump and loss of height. There is also an increased risk of wrist and rib fractures. Read more »

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

Powerful Acne Drug Forced Off Market By Lawsuits

Effective-Acne-Treatment-Severe-Nodular-AcneThe physical scars will be nothing compared to the emotional scars that will haunt the children.   I recently read  that the effective acne treatment Accutane was pulled off the market this summer quietly ending access to an excellent and effective acne treatment for millions of self conscious teens and young adults.  Accutane, or isotretinoin as it’s known, was used to treat severe nodular acne.

It turns out that Accutane was linked to inflammatory bowel disease, and other side effects resulting in thousands of lawsuits.  It spent twenty five years on the market embroiled in controversy.

Approved by the Food & Drug Administration (FDA) in 1982, Accutane has been the subject of controversy for years. It first garnered attention in the late eighties for causing severe birth defects. It has also been known to cause psychiatric problems, and has been linked to hundreds of cases of suicide in the United States. Accutane has also been associated with problems of the liver, kidneys, central nervous system, and pancreas, as well as the cardiovascular, musculoskeletal and auto-immune systems.

Read more »

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

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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