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High-Dose Flu Vaccine For Older Adults

Dr. Novella  has recently written about this year’s seasonal flu vaccine and Dr. Crislip has reviewed the evidence for flu vaccine efficacy. There’s one little wrinkle that they didn’t address — one that I’m more attuned to because I’m older than they are.

I got my Medicare card last summer, so I am now officially one of the “elderly.” A recent review by Goodwin et al. showed that the antibody response to flu vaccines is significantly lower in the elderly. They called for a more immunogenic vaccine formulation for that age group. My age group. One manufacturer has responded. Read more »

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

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.

Nurses Stand Up For Science And Patient Safety, Then Face Jail Time?

balanceYou 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 »

Bill Gates Doubles Down On Financial Support For Global Vaccination

Thanks to a tip from FOX Business Network, Bill Gates has just announced that his Foundation is doubling its financial support ($10 billion over the next 10 years) to save children from vaccine-preventable illnesses on a global scale. This is very good news, and probably the best use of Gates Foundation money from an ROI perspective in healthcare.

httpv://www.youtube.com/watch?v=OvAxIQhQU3o

For more information, check out the GAVI Alliance (on Twitter, follow: @amanda4gavi)

Another helpful site: Immunization Action Coalition

Mythbusters For Moms: Dr. Rahul Parikh (Salon.com) And Dr. Val Discuss Top Pediatric Misconceptions

rahulparikhSince mainstream media is feeding parents a constant stream of health information that is often inaccurate and poorly vetted (just ask Gary Schwitzer), I thought it would be helpful to create a new series at Better Health: Mythbusters for Moms. Now, I know that moms aren’t the only ones who will benefit from “straight talk” from healthcare professionals, but the alliteration was simply irresistible.

Our first guest of the series is Dr. Rahul Parikh. Rahul is a board-certified pediatrician who works at Kaiser Permanente’s Walnut Creek Medical Center in California. Prior to becoming a pediatrician, Rahul completed a degree in molecular biology at UC Berkeley, and his medical degree at Tufts in Boston.

Online, Rahul is perhaps best known for his columns, featured at Salon.com. There he takes a critical look at media misinformation about health and science, and has spoken out against misleading content promoted by Oprah Winfrey and the Huffington Post.

You may listen to an audiocast of our conversation here (or read a short transcript below):

[Audio:https://getbetterhealth.com/wp-content/uploads/2010/01/rahulparikhmfm.mp3]

Read more »

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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