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A Secret “Sign Of Aging”: International Disease Mongering

Just five days ago we wrote about an American journalist’s observations of medicalization of one problem sometimes observed after menopause: Vaginal atrophy.

Today we see that this disease-mongering trend has popped up in Australia as well. This should be no surprise. Such campaigns are usually led by multinational pharmaceutical companies and their advertising and public relations agencies.

What caught our eye was an article on a women’s health foundation website — a foundation that posts a pretty thin excuse for why it won’t tell you its source of funding. Its article on vaginal atrophy uses classic disease-mongering language:

Ask a woman over the age of 50 about the ‘signs of ag[e]ing’ and she’ll most likely lament about grey hairs, wrinkles and certain body parts having lost their youthful perkiness. What she probably won’t mention is that is that things are ageing “downstairs” too; up to 40% of postmenopausal women show signs of vaginal atrophy.”

The silent epidemic that no one talks about. The huge prevalence estimate — where does that 40 percent figure come from? Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Tweets From Doc Gurley In Haiti

She’s tweeting her medical mission in Haiti. So tragic are the unmet medical needs of these people. From Doc Gurley:

Saw an alone 9-month-pregnant 19 yr old. No birth kit, no string for the cord, no plan for who would be with her. Gave supplies+discussed how to ask helper to wash hands. Nothing sharp&clean for cord so gave scalpel. Acted out birth, w/handwashing.

Also saw woman with overwhelming postpartum uterus infection. Someone used hands at delivery to pull out pieces of placenta.

Saw 14yrold girl w/months of excruciating pain, mass in her lower belly, wasting. Ruptured appy? Tumor? Left her w/ narcotics, antibiotics.

Also, women do not have menstrual protection supplies:

I’ve been asked, if there are no pads, what do women use? In the cases I saw, one used a page of a magazine & another a dinner napkin.

God bless you, Doc Gurley, and the members of your team for all you’re doing. What can we do to help?

*This blog post was originally published at tbtam*

Prenatal Vitamins: Are They Necessary, Sufficient, Safe?

What is in a prenatal vitamin? Why do most doctors recommend them? Is there any evidence taking them is worthwhile? I decided recently that I would read through the ingredients of these vitamins, often touted as “essential vitamins and nutrients, crucial for the healthy development of your baby.” Hmmm. Does that mean eating traces of polyvinyl alcohol every day is beneficial?

The fine print ingredients of such brands as “One A Day”, “Centrum Materna”, “Rite Aid” and even the prescription only “Prenate Elite” are a confusing mess of milligrams, international units, RDA’s, and chemicals. As the makers of Centrum explain, “It is very challenging to formulate vitamins and minerals without the use of non-medicinal ingredients which serve to keep the product stable and to prevent the various ingredients from interacting.” They also find fault in the limited number of suppliers of the active ingredients in prenatal vitamins, and therefore claim substances like gelatin are difficult to avoid.

Let’s take a tour of the prenatal vitamin ingredient zoo. Read more »

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

“Mammogram Parties”: Have A Mammogram, Get Flowers And Chocolates?

The Chicago Tribune reports on mammogram marketing tactics being used across the U.S. — some of it apparently to “woo women back to the imaging room” after confusion over conflicting advice about breast cancer screening.

Yes, the tactics include “mammogram parties” offering chocolate fondue, massages, beauty consultations, wine, cheese, roses, and weekend-getaway spa packages. But there’s another side to this, the Tribune reports:

Simply inviting women to “mammogram parties,” could send the wrong message, said Lynne Hildreth, department administrator of women’s oncology at Moffitt Cancer Center in Tampa. …”Mammograms are a medical test, and to treat it like a haircut overlooks that there are very real risks,” said Hildreth. “It’s not the same risk as getting hit by a car, but there’s a real risk of getting a false positive, which means a biopsy work-up, time off work, sleepless nights waiting for test results and a nagging in the back of the mind that never goes away. If we put a woman through that with no medical basis, it’s irresponsible.

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Practice Medicine For A Year, Rack Up A Half-Million In Overhead?

Newly minted MDs face student loans the sizes of mortgages and might go 18 months without an income if they try to start up their own practice. And although in the words of one student, “Medicine shouldn’t be treated like a business,” physicians still have to operate their practices like one.

That’s resulted in one doctor facing a half-million in operating expenses every year in Manhattan. A half-dozen other new physicians describe their first years in practice in these two profiles, while a third details how Leslie Saltzman, ACP Member, took advantage of some resources on hand and guidance from ACP’s “Running a Practice” section to quickly grow her solo practice into a full-service resource for women’s health. (New York Post, Kaiser Health News, ACP Internist)

*This blog post was originally published at ACP Internist*

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

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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

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