Tuesday, March 31, 2009

Magazine Review: Brain, Child (Spring 2009)

Are you a mom whose brain cells haven’t all died? Are you tired of 7 Fun Ways to Make Your Child Gifted/a Pro Athlete/Chess Master articles? Rather looking for say 60 pages to keep your smarts? Then grab yourself a copy of Brain, Child.

Brain, Child calls itself “the magazine for thinking mothers” and they ain’t kidding.

The Spring 2009 issue took forever for me to read because after each article I had to put the issue down, stew in my thoughts on the subject, reflect, and repeat for a few hours to a few days. Drugs, sex, swearing and not living with your children – what say you? Oh, don’t fret, there is an article on fashion. But instead of a spread on what is hot for the pre-tween set, we get an engaging piece from Mylisa Larsen about what she learns about fashion from her four-year-old daughter. For part of this essay, I thought that perhaps I wrote it in my sleep & sent it in. Larsen & I share free-spirited girls who like to thumb their nose at fashion rules by matching stripes of one color with plaid of another on top of a butterfly print. Larsen experiments with fashion after years of belonging to the “comfortable shoe club” with amazing, yet predictable results.

If I had to label this issue, I’d label it “The One with My Friends in it.” Katy Read’s essay on non-custodial moms is heartbreaking yet enlightening to a world that baffles me, yet I also understand. Rebekah Spicuglia, whose story was also told in a WMC op-ed, summarizes her decision to not have her son live with her. She opens her heart and decides what is best for her son, not her, not what others expect her to do, but honestly what is best for her son at that moment in time. Spicuglia is representative of why some women do opt not to have custody of their child(ren) after splitting with the father – they are in school, they need to focus on reentering the workforce and so on. They aren’t out “finding themselves,” rather they are being responsible to themselves and their child(ren). Jill Miller Zimon talks about why noncustodial moms are a growing population and that society needs to recognize them for what they are – moms. Other friends mentioned in this issue include Devra Renner, who is discussing the hope military families have that the Obama administration will help them out on a variety of issues, including some that may benefit all families and PunditMom having an ad on the back cover.

Johanna Bailey and Joan Marcus both muse about whether or not exposing your child(ren) to something “adult” (drugs and swearing, respectfully) is harmful or not. Bailey makes a strong case that talking frankly and vividly (with all the details her step-father did with her in an attempt to scare her) with children about your past drug use could have a reverse effect. She speaks from hard-earned experience. Marcus’s father was the stereotypical swearing sailor. She grew up with not just his swearing, but watching Rocky Horror and appears to be a well-adjusted adult. I do wish that Marcus had explored the difference between general cursing (shit, fuck, hell) to racist and misogynistic epithets. She touches on it, but then lets it go. I say that because I ponder the same thing. Is it so wrong for my daughter to hear me cursing out CNN, yet again, versus hearing hateful words come from my mouth? OK, you could make a case that calling the latest GOP talking head an asshole is hateful, you know what I mean. I also wonder how many times Marcus will get asked to comment on High School Musical versus Grease.

As you can see from my profiling barely half of the pieces in this issue, this is not your usual mother’s magazine. I have to admit that when I first picked up Brain, Child after I had my daughter, I felt intimidated by the pieces. Gone are the smiley baby pictures on every other page. In its place is real, hard, cold, loving content meant to make us think. Thus for the newbie readers, go grab a copy and go slowly. You have three months to read each issue before the next one shows up on your doorstep or your bookstore. If your local bookstore doesn’t carry it, ASK for it.

AND if you want to subscribe (I’m going to finally do it!) there’s a neat package deal in the magazine. You can sign up on your own for $19.95 (newsstand is $23.80) for a full year. OR you can find three momma friends, subscribe together and get each subscription costs only $14. That’s a medium cuppa soy chai in savings! And I do believe this offer is only good with the special form in the magazine.

Disclaimer: I can’t recall how my relationship with Brain, Child began, but I’m sure they pitched me the idea of reviewing them on my blog and I said yes. The issue I read was a review copy. Future copies will be paid out of my own jean pocket.

Wikipedia has a List of Medical Slang Terms

Wikipedia has an extensive list of Medical Abbreviations and Acronyms and since this was obviously insufficient, the "wisdom of crowds" assembled a complimentary list of Medical Slang Terms.

Some items are listed below:

  • Baby Catcher - an obstetrician

  • Bounceback - a patient who returns to the emergency department with the same complaints shortly after being released

  • CNS-QNS - Central Nervous System - Quantity Not Sufficient

  • Code Brown - a faecal incontinence emergency. Often used by nurses and medical technicians requesting help cleaning up an unexpected bowel movement

  • Code Yellow - a patient who has lost control of his or her bladder

  • Doc in a Box - a small health-care center, usually with high staff turnover

  • Hasselhoff - a term for any patient who shows up in the emergency room with an injury for which there is a bizarre explanation. Original Source: Baywatch actor David Hasselhoff, who hit his head on a chandelier while shaving. The broken glass severed four tendons and an artery in his right arm.

  • Shotgunning - ordering a wide variety of tests in the hope that one will show what's wrong with a patient

References:
Medical slang, from Wikipedia, the free encyclopedia.

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.

  • Late Bedtimes Linked to Heart Disease: Men who go to bed after midnight have significantly more hardening of the arteries. The fewer hours a man slept each night, the higher his BMI, blood pressure, and triglyceride levels, a study showed http://bit.ly/fiYX

  • Polypill (called Plycap = thiazide, atenolol, ramipril, simvastatin, aspirin) promising in cutting heart risks http://bit.ly/16gA2h

  • Polymeal: Diet of wine and chocolate, fish, almonds, and garlic might cut heart risk by more than 75% http://bit.ly/KSX8T

  • Heavy use of marijuana may trigger psychosis http://bit.ly/xAvj4

  • TASER shot to the head may cause a generalized tonic-clonic seizure http://bit.ly/3WvOCn

  • Tonsillectomy linked to excess weight gain in kids http://bit.ly/2ocUjd

  • Codapedia, a Wiki for medical coding will launch in April http://www.codapedia.com/

  • Babies born between Apr-July more likely to have hypoplastic left heart syndrome, mother's Strep throat possible cause http://bit.ly/1JqENW

  • Babies born just a few weeks earlier than 37 weeks are more likely to have developmental and behavior problems later on http://bit.ly/fa3Gx

  • "ICU Glycemic Control: Another Can’t Miss Quality Measure Bites the Dust" http://bit.ly/lRHs3

  • CR: Considering switching to Crestor? At about $105 for a month’s supply, a year’s worth of Crestor can exceed $1,000 http://bit.ly/8D7dA

Image source: OpenClipArt.org, public domain.

Monday, March 30, 2009

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.

  • Patients on Crestror who reached aggressive targets of LDL below 70 and CRP below 1 had a 80% lower risk of CAD or death http://bit.ly/bcWjl

  • Pregnancy hormone "relaxin" relaxes blood vessels, reduces symptoms of acute heart failure and improves survival http://bit.ly/2UBo9

  • Mad cow expert may have died from the disease, possibly exposed to contaminated human tissue through his work http://bit.ly/rGCj

  • Kevin, MD: Nighthawks, dayhawks, and the demise of the American radiologist - are the days of general radiology numbered? http://bit.ly/1aF9UI

  • NPR: Listen to "Electronic Medical Records A Charged Debate" http://bit.ly/17MXE

Image source: OpenClipArt.org, public domain.

Statins may decrease DVT and PE risk

The study authors randomly assigned 17,802 healthy men and women with LDL of less than 130 mg/dL (3.4 mmol/L) and high-sensitivity CRP of 2.0 mg/L or higher to receive rosuvastatin, 20 mg per day, or placebo.

The rates of venous thromboembolism were 0.18 and 0.32 event per 100 person-years of follow-up in the rosuvastatin and placebo groups, respectively (hazard ratio with rosuvastatin, 0.57; P=0.007).

The rates of pulmonary embolism were 0.09 in the rosuvastatin group and 0.12 in the placebo group (hazard ratio, 0.77; 95% CI, 0.41 to 1.45; P=0.42), whereas the rates of deep-vein thrombosis only were 0.09 and 0.20, respectively (hazard ratio, 0.45; P=0.004).

In this trial of apparently healthy persons, rosuvastatin significantly reduced the occurrence of symptomatic venous thromboembolism by 43% (DVT and PE).

NBC video.

References:
A Randomized Trial of Rosuvastatin in the Prevention of Venous Thromboembolism. MEJM, March 29, 2009 (10.1056/NEJMoa0900241).

Sunday, March 29, 2009

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.

  • Watching your team lose in the Super Bowl could increase your risk of death by 17% http://is.gd/pqsQ

  • Working Out at the 'Brain Gym' - Outfits Promise to Keep Older Minds Sharp With Computers, Walnuts and Green Tea http://is.gd/prlg

  • CNN on Medical tourism: Have illness, will travel http://bit.ly/RPHcc
  • Portable doctor: Rovio is a WiFi-enabled mobile webcam - allows you see, hear, and speak from anywhere in the world... http://bit.ly/vtdZL

  • MedConnect - a portal for Australian physicians by Elsevier http://is.gd/plPC

Image source: OpenClipArt.org, public domain.

Medical Geek Humor on Twitter

Twitter is a microblogging service where people answer the question "What are you doing?" via 140-character messages from their cellphone, laptop or desktop. You can select the messages (called "tweets") that you find interesting, useful, amusing, or disagreeable.

The tweets below are part of the series Medical Geek Humor on Twitter:


Ves Dimov, M.D.AllergyNotes Transcriptionist made up a new word for an asthma dictation: "Since she was not able to tolerate beta agonase" - Correct: "beta-AR2 agonist" Gráinne Murphymurphygrainne I miss our typists. No more 'abdominal erotic aneurysms' ;-)
If you are included in this post but you would like to have your tweet removed for any reason, please email me and will comply with your request the same day.

Saturday, March 28, 2009

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.

  • People who ate red meat 10 times weekly were 47% more likely to develop age-related macular degeneration (AMD) http://is.gd/plEA

  • Women who live in 3-generational households with a spouse, children, and parents have double the risk for a coronary event http://is.gd/plD3

  • Study: It may seem unlikely that teenage boys could have erectile difficulties, but it can happen. http://is.gd/plCk

  • Soon, the police could build a picture of what a criminal looks like by analyzing DNA found at a crime scene http://is.gd/pbL6

  • New therapy for osteoporosis: Denosumab is a monoclonal antibody that binds to RANKL (Receptor Activator for NFkB Ligand) http://is.gd/plH8

  • Robert Scoble finds a "top pediatrician on Yelp: it's not just for restaurants anymore." http://is.gd/pbom

Image source: OpenClipArt.org, public domain.

Friday, March 27, 2009

My Green Thumb Experiment - Planting

And when I say experiment, I mean it. If a green thumb is what people have when they have the abililty to grow things, I have an icky brown-yellow of a dead wilted plant. So when I received an email from Cook's Garden I hesitated. I think the idea of gardening is awesome and I think more people should do it. And more people are! But who am I to tell people what seeds to get & all that jazz?

Instead I emailed back and said, "What if you sent me a pack of seeds to experiment with and I'll blog it?" And obviously they said yes.

I received one packet of Burpee's Money Garden seeds. They are called the Money Garden because if you spend $10 on the packet you can grow up to $650 worth of veggies. Now I live in Chicago and am lucky to have a backyard, but I'd have to turn my entire backyard into a garden to get $650. I figure we might get $150 worth of veggies with the tiny amount of seeds we planted.



We also got a packet of Kaleidoscope Carrot Mix -- multicolored carrots! Our daughter is super jazzed about these. She really loves gardening.

Last weekend was almost perfect for mid-March so we ended up doing our planting then. I consulted with Cinnamon, who along with Andrew, grows her own herbs & other goodies. She had read in the Chicago Tribune a trick that you make these paper cups to start your seedlings out in (see photo). Then after a few weeks you transplant them to the garden -- I assume after the last frost. See, this is why I need a consultant.

So the seeds are planted in their lil cups and then they have been placed in a window garden box so we can keep them outside, but bring them inside when needed.

If they survive until the last frost, we'll move them into the garden! If not, I guess we might try again...We do have plenty of seeds.

I'm off to WAM!

I have a few posts scheduled for my absence, but if you aren't already following me on Twitter, why aren't you? haha! Instead of my usual "I'm craving chocolate" posts, I'll be Tweeting from WAM! this weekend. I won't live tweet everything, but some good highlights. Later!

"Dad defends loopy kid's video "David After Dentist"


"David After Dentist" is a YouTube hit with more than 54 million views.


Video: David After Dentist, a little boy gets out of the dentist's chair and is a little woozy.

Poor guy. I felt sorry for him. However, he looks much happier in the CNN follow-up video embedded at the top.

Family cashing in on 'David After Dentist'

CNN follow-up story from March 2010:

The viral clip has been viewed almost 54 million times and gave rise to the catchphrase and has been an unexpected bonanza for the boy's Orlando, Florida-area family, who, despite some criticism that they exploited their child by posting his image online, has turned the 1:59 min home video into a lucrative sideline. The surgeon who performed the surgery on David "wants nothing to do with the video," DeVore said.

DeVore used to work as a real-estate agent but has quit that for now to focus on the little "David After Dentist" empire. The video continues to get about 100,000 views a day. He has even heard from medical students who want to use the video in presentations about anesthesiology.

He would not say exactly how much the family has earned from the video but said it's in the "low six figures." The video's popularity may also help pay for David's college tuition. The family earns money from licensing use of the video and gets a cut of revenue from the ads placed around the clip on YouTube.

References:
360 Shot: Trip to the dentist. A little boy gets out of the dentist's chair and is a little.

Updated: 03/18/2010

Selection of My Twitter Favorites, Edition 51

Twitter is a microblogging service where people answer the question "What are you doing?" via 140-character messages from their cellphone, laptop or desktop. You can select the messages (called "tweets") that you find interesting, useful, amusing, or disagreeable. Here is the 51st edition of My Twitter Favorites (the oldest post is at the bottom, the newest at the top): Micro-blogging on Twitter is easy, fun and can be very useful and educational if you follow/subscribe to interesting people. You can read more here: A Doctor's Opinion: Why I Started Microblogging on Twitter and visit my account at Twitter/AllergyNotes.


Zappos.com CEO -Tonyzappos So @tempo finishes story & cab driver promptly turns music off. Eerily silent now. Driver is either subtle hinter or on twitter
Zappos.com CEO -Tonyzappos Sharing taxi, @tempo starts telling me a story and cab driver promptly cranks music way up. With great power comes great responsibility.
Vijay scanman His recent loss of hair has made @movinmeat a philosopher ;) "If a tweep tweets and nobody reads it, did it make a sound?"
Heidi Allendreamingspires I am being followed by someone following 22,429 tweeples. do you think he'll miss me if I don't follow back.
AllergyZone CEO JimAllergyZoneCEO #AAAAI 9 kids with peanut allergy, 4 responded to oral desensitization. Not ready for prime time. Don't try this at home!
ataskatask Bernanke on 60 Min: 'I Told Paulson Not to Let Lehman Fail, But Did Listen? Noooo' http://bit.ly/9RMZ8 #itoldyouso
Joy BuchananJoyHCN U wanna prevent a deadly food allergy anaphylaxis rxn: "No epi, no eatie!" Always have an epi pen and know how to use it #AAAAI
Zappos.com CEO -Tonyzappos "A lot of people have no idea how ridiculously lucky they r that they are a human & not a tree. (Nothing against trees)" - @garyvee at #sxsw
Loic Le Meurloic "don't worry about being unfocused, remain unfocused and something will happen" @garyvee #sxsw #quote
Ves Dimov, M.D.AllergyNotes I find the "link-sharers" on Twitter useful. The "conversationalists" - not so much. Both can be entertaining though... :)
Howard Lukshjluks @dawson go outside... look up and out and take in the big picture.... Focus on the horizon... Always works for me....
Ves Dimov, M.D.AllergyNotes Oversaturation of tweets is reversing the value that Twitter offers from conferences http://is.gd/nnJg - Does not apply to med. conferences

The inclusion of a Twitter update (tweet) in Selection of My Twitter Favorites does not represent endorsement or agreement of any kind.

If you are included in this post but you would like to have your tweet removed for any reason, please email me and will comply with your request the same day.

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.

  • Recommended daily sodium intake for people with HTN, over 40, and all African-American adults: 1,500 mg http://is.gd/pair

  • A 65-year-old couple retiring in 2009 would need $240,000 to cover medical costs over the rest of their lives http://is.gd/papD

  • Pet lovers beware: Cats, dogs are tripping hazards - 240 Americans go to ER daily for sprains, fractures caused by them. Women are 2.1 times more likely to have a pet-related fall http://is.gd/paeT

  • Beta-carotene, retinol, and lutein supplements at doses higher than in multivitamins, increase lung cancer risk http://is.gd/pag1

  • Video: Post-Op Interview - Lance Armstrong shows X-rays of his clavicle with 12 screws http://is.gd/pamU - Best wishes for speedy recovery!

  • Economy Down, Vasectomy Up: Urologists are reporting that twice as many men have been seeking permanent sterilization http://is.gd/pagB

  • Bad TV makes for worse medical education: medical students admitted they "learned" how to intubate from ER TV series http://is.gd/p4zJ

  • Trans Fat: When Zero Isn't Really Zero - eat a few snack foods a day and trans fats add up incrementally http://is.gd/p4AV

  • BBC: "Drinking steaming hot tea may lead to oesophageal (food tube) cancer" http://is.gd/pacE - Who calls the esophagus "food tube"?

  • Children with attention deficit/hyperactivity disorder who are not receiving medication often have sleep disturbances. Sleep problems affect 25 to 50 percent of children with ADHD http://is.gd/padX

Image source: OpenClipArt.org, public domain.

Thursday, March 26, 2009

Shameless Self-Promotion

I have a new piece over at RH Reality Check on a pending bill here in Illinois:

Illinois could be on the verge of passing one of the most progressive reproductive health bills, the Reproductive Health and Access Act, any state has seen in a long time. HB 2354, now being considered by the full House, must be on the verge of passage, because the anti-choice voices in the state are throwing around lie after lie in any venue that they can find themselves in. Reports that children are coming home with flyers asking their parents, including at least one Illinois State Representative, to oppose the bill, are coming in from around the state. One elected official was called out during Sunday services.
There's also a Facebook group for the bill, so please join! And invite others!

Madama Ambi interviewed me for her podcast show, Interview4Obama. It turned out pretty good, IMO, especially since it was our second attempt at this. The first time we tried a video podcast, but the sound was horrible and somehow my image was lost. Oh well!

Working as a Professional Feminist

This post is for the Fem2.0 "What is work?" blog carnival.

I've never stopped to think of what work means to me. It's just one of those words that you take for granted. But as I stop to ponder my relationship with the word, it's amazing.

As a Latina of Mexican heritage, work is not a four-letter word. Lazy is. Despite the stereotype of Mexicans & our siestas, we work hard. In fact I didn't know what a siesta really meant until I got to Spanish class in 7th grade. A siesta in my household meant taking five minutes for some iced tea. I haven't studied our relationship with work to know if Latin@s are taught to work hard to fight against the stereotype or we just work hard naturally. Pollo - huevo. Either way, it was drilled in me early on that we work hard for what we have. And that continues to this day.

I know that I am privileged in a way that sometimes overshadows my very humble lower income background. I have a bachelors and a masters degree. I am married to a man who is also a college-educated Latino. We met before either of us had our degrees. Considering that only 12% of Latinos have college degrees (pdf!) I would say that's quite a privilege in this economy.

I am mostly privileged in that I call myself a professional feminist because I have a job that allows me, wants me to do feminist work every day and I love it. Yes, it's work in that there are days where the clock just creeps by. It's work that I have to raise money so that I can do work. My salary might be paid by the state, but the programs I plan are paid by funds I raise. It's also very hard work getting students to come out for a program that they request, but somehow life gets in the way of them attending. I like to describe my job as being a grassroots organizer for women majoring in science & engineering. I have to herd them and sometimes bribe them with pizza. It's hard work.

I also have to break their hearts and that's really the hardest part. When a students asks me why we don't have infant care. When a student asks me why a general science course is so "hard" and doesn't understand why a 50% is passing in college. The cold truths of academia breaks some of them and my job is to tell it like it is, but also instill some hope that if we all work together, maybe, just maybe things will change.

And that's why I call myself a professional feminist. I'm not professional in that I'm churning out book after book. I'm not professional because I get paid thousands of dollars to speak (althou if you want, just ask!). I'm professional in that I get paid to work for educational and economic equity by supporting young women who want to be scientists and engineers. Some days that menas helping them network. Some days that means seeing yet another student tell me how her professor let the men in the class "be boys" during lecture.

I'm a campus feminist, but I'm sending my students out into the world and arming them with feminist tools.

Now as a new freelance writer/pro-blogger, work is different. That work looks frivolous to many. Images of sitting in a wifi'd cafe come to mind and honestly, that is where some of my best work is born. But some days it is harder than herding undergraduates. It's almost like always being in graduate school. Research, citations, editing and then waiting for validation in comments or emails from readers. Or the rejection email. It's still work, but it's invisible to most.

Yet the most invisible of all my work is mothering.

Oddly it is the work that I think moms get the most recognition from.

People may ask how I do so much or give me kudos for doing so much, but rarely do people want to hear the gory & hilarious details of mothering. Currently I've discovered that if I fall bask to sleep after I wake up my daughter, she wants to surprise me by getting dressed & washed up. This allows her to come, wake ME up and then I say, "Oh! You're dressed!" This does nothing to speed things up in the morning, but it does bring the "Come on!" and screaming down to almost nothing. And honestly, that's worth the extra 5 minutes we're always running late by.

Mothering is a lot of work and the emotional toll is the hardest part.

Do I think we should get paid for mothering? No. Do I think we should have paid leave, paid sick days and affordable child care? Yes. There's a world of difference between being paid to have children and having a society that values all children.

So what is work?

Work is the stuff we do each day for our loved ones, to pay the rent and in order to take a vacation once every few years. Work is work. You know what it is because it makes you sweat.

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.

  • Less than 2% of U.S. hospitals have a comprehensive system of electronic health records across all clinical units http://is.gd/oZwv

  • Two Paths to Personal Health Records: Your Doctor's Office or the Internet? NEJM perspective: http://is.gd/oZY3

  • Maternal immune cells "teach" those of the fetus how to balance the need for self-defense and immunologic tolerance http://is.gd/oZYq

  • Male circumcision significantly reduced the incidence of HIV, HSV-2 infection and the prevalence of HPV infection http://is.gd/oZYB

  • The American Psychiatric Association will end CME seminars and meals sponsored by drug companies at its annual meetings http://is.gd/oZD2

  • Video: Horse treated for grass allergy with avoidance and antihistamines http://bit.ly/spSw8

Image source: OpenClipArt.org, public domain.

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.

  • Eating a light meal during labour did not influence obstetric or neonatal outcomes, nor did it increase vomiting http://bit.ly/1HGl8k

  • Allowing a pregnant woman to eat during labor does not seem to have any impact on the outcome of the infant or mother. The C-section rate was 30% in each group - women who ate a light meal during labor and those who did not http://bit.ly/fZfvj

  • WHO Stresses TB-HIV Link : HIV patients accounted for a quarter of people who died from tuberculosis in 2007 http://bit.ly/151rfY

  • Fluoroscopy-guided lumbar puncture, doubles the risk of bleeding in people older than 80 years compared to younger people http://bit.ly/rMAn

  • Not surprising: Dog-bite injuries in children (head and neck) peak in warm weather. Dog-bite injuries in children: family pet was to blame in 27%, pit bulls were most commonly involved. http://is.gd/oZCr

  • Sleeping position does not influence the severity of flat head syndrome in infants (deformational plagiocephaly) http://is.gd/oZDJ

Image source: OpenClipArt.org, public domain.

Strangest PubMed title ever? And the same author has published a whole string of them...

Judge for yourself:

I am a 64-year-old man, and I've always been proud of my perfect health record. I've also been proud of my full head of hair, even after the gray started creeping in. Four months ago I caught pneumonia and spent eight days in the hospital (three in intensive care). It took a while, but I'm finally back to normal - except that my hair is falling out. It comes out in clumps when I shampoo or even comb it, and it's gotten noticeably thin all over. I remember reading about Propecia in your newsletter but I don't have the old issue. Should I try the medication?

Simon HB.

Harv Mens Health Watch. 2002 Jun;6(11):8. No abstract available. PMID: 12079806 [PubMed - indexed for MEDLINE]


The same author has published a whole string, all 193 of them:

On call. My wife doesn't want our son to go out for the wrestling team because she's worried he might catch herpes. I thought herpes was contracted from a very different contact sport. Please enlighten us.

Simon HB.

Harv Mens Health Watch. 2008 Aug;13(1):8. No abstract available. PMID: 19112673 [PubMed - indexed for MEDLINE]

-------------

On call. Wife's disinterest in sex.

Simon HB.

Harv Mens Health Watch. 2006 Apr;10(9):7-8. No abstract available. PMID: 18833637 [PubMed - indexed for MEDLINE]

-------------

Harvey Simon is an Associate Professor of Medicine at Harvard Medical School and Founding Editor of the Harvard Men's Health Watch. His most recent book, The No Sweat Exercise Plan, was published by McGraw-Hill in 2006.

Related:
PubMed Suprise: A Researcher with 600 Co-Authors on a Single Article
Link via The OpenHelix Blog.

Wednesday, March 25, 2009

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.

  • Intensive glucose control (81-108 mg/dL) increased mortality among adults in the ICU. New target:180 mg/dL or less. NEJM: http://is.gd/oKOP

  • Aggressive blood sugar treatment an ICU danger: lowering glucose below 108 mg/d/L increases death risk by 10% http://bit.ly/uzLg

  • Three out of every four Americans are deficient in vitamin D. http://bit.ly/G1YTY

  • Non-spine bone fractures were 20% less likely among seniors taking more than 400 U of vitamin D per day. New target dose of vitamin D between 1,000 and 2,000 units per day? http://bit.ly/C1CU6

  • CR: To get the vitamin D you need, we recommend as little as 10 minutes outdoors three or four times a week. http://bit.ly/k6Gh3

  • 5.3 million Americans have Alzheimer's, and each patient costs Medicare 3 times more than patients without the disease. Direct and indirect costs of Alzheimer's and other dementias amount to more than $148 billion annually. Alzheimer's is the sixth-leading cause of mortality in the United States http://bit.ly/zAgO9

  • Contaminated colonoscopy gear at the Miami Veterans Affairs Healthcare System may have exposed veterans to hepatitis, HIV http://bit.ly/uBuP

  • Men who ate fatty fish weekly had a 63% lower risk for developing aggressive prostate CA than those who "never" ate fish http://bit.ly/lvuw

Image source: OpenClipArt.org, public domain.

What is the best test to diagnose vitamin D deficiency?

Serum 25(OH)D.

The circulating half-life of 25(OH)D is 2 weeks. This is the best test to determine vitamin D status.

A 25(OH)D level of less than 32 ng/mL is considered vitamin D insufficient because intestinal calcium absorption is optimized at levels above 32 ng/mL.

A 25(OH)D level of less than 15 or 20 ng/mL have been used to define vitamin D deficiency.

Parathyroid hormone levels start to rise at 25(OH)D levels below 31 ng/mL, which is another marker of vitamin D insufficiency. Although not always required for the diagnosis of vitamin D insufficiency, a serum PTH may be used to help establish the diagnosis of vitamin D insufficiency. Vitamin D is a steroid hormone and a component of a complex endocrine pathway sometimes called 'vitamin D endocrine system' (Medscape, 2012).

The word vitamin was originally derived from Funk's term "vital amine."

Calcifediol, also known as calcidiol, 25-hydroxycholecalciferol, or 25-hydroxyvitamin D (abbreviated 25(OH)D), is a prehormone which is produced by hydroxylation of vitamin D3 (cholecalciferol) in the liver.


Calcidiol.

Calcidiol is then converted in the kidneys into calcitriol (1,25-(OH)2D3), that is the active form of vitamin D.


Calcitriol, 1,25-dihydroxycholecalciferol.

Calcidiol can also be converted into 24-hydroxycalcidiol in the kidneys via 24-hydroxylation.

References:

Vitamin D Deficiency and Related Disorders: Differential Diagnoses & Workup. eMedicine.
Vitamin D -- Elixir of Life?
A vitamin D3 dosage of 800 IU/d increased serum 25-(OH)D levels to greater than 50 nmol/L in 97.5% of women http://bit.ly/GzBCcA
Vit. D may play a role in your allergies and want to get tested? Cost is no longer covered in ON, Canada - see why: http://goo.gl/1eyW4
Calcifediol, from Wikipedia, the free encyclopedia.
Image sources: Wikipedia, public domain.

Medical Geek Humor on Twitter

Twitter is a microblogging service where people answer the question "What are you doing?" via 140-character messages from their cellphone, laptop or desktop. You can select the messages (called "tweets") that you find interesting, useful, amusing, or disagreeable.

The tweets below are part of the series Medical Geek Humor on Twitter:

Ed BennettEdBennett To @aaronwatkins "hopefully we start doing it" - Hopkins should go slow and carefully with SoMe, take a few years to get it right :)

Ed BennettEdBennett To @aaronwatkins I'm kidding of course. I'd welcome a SoMe presence by our friends across town, adding a respected voice to the conversation

If you are included in this post but you would like to have your tweet removed for any reason, please email me and will comply with your request the same day.

Tuesday, March 24, 2009

10 Questions You Need to Ask About Colonoscopy

From The NYTimes:

  1. Why is effective bowel preparation important?
  2. How can I maximize my chance of an effective bowel preparation?
  3. Are there certain medications I should stop taking before colonoscopy?
  4. Are all colonoscopists equally effective at finding polyps and cancers during colonoscopy?
  5. How can I be sure that my colonoscopist will do a careful examination?
  6. How can I reduce the risk of a complication during colonoscopy?
  7. Should I try colonoscopy without sedation?
  8. If I undergo sedation, should it be given by an anesthesiologist?
  9. Do all colonoscopists follow the same rules to determine when my colonoscopy should be repeated?
  10. Why aren’t the problems with the delivery of colonoscopy already solved?

Questions # 1, 2, 3, 6, 7 are very important, question # 10 probably not so much.


March is Colon Cancer Awareness Month: Get a Screening Colonoscopy if Appropriate for Your Age and History

References:

Cleveland Clinic Colorectal Cancer Risk Assessment Tool. Get your score in 2 minutes (free).
10 Questions You Need to Ask About Colonoscopy. NYTimes.
March is Colon Cancer Awareness Month: Get a Screening Colonoscopy if Appropriate for Your Age and History
Video: See What to Expect During a Colonoscopy.
Fear was the No. 1 reason people gave to explain why they hadn’t gone in for a colonoscopy to screen for colon cancer. NYTimes.
Get your colonoscopy in the morning - each hour brings a 4% reduction in the number of polyps the doctors spotted http://goo.gl/2FGQt
Colonoscopy Developer Dies at 94 - NYTimes http://goo.gl/iBnOp - Dr. Wolff was unconventional and surely made headlines in his day.
Colon cancer and colonoscopy - Cleveland Clinic YouTube playlist 
Image source: Colon (anatomy), Wikipedia, public domain.

Comments from Twitter:

Jackie Fox @jackiefox12: 11th question: Do I have to??

New approach taking hold: Facebook is for (close) friends, Twitter is for business


Fred Wilsonfredwilsona longer explanation of my decision to cut my facebook friends by over 300 ppl yesterday http://bit.ly/41sSJM

Ves Dimov, M.D.AllergyNotes New approach taking hold: Facebook is for close friends and Twitter is for business - any thoughts?

beryl moragoberyltheperil if twitter would only be for business, it would be boring.

beryl moragoberyltheperil what I like about twitter is the randomness & playfulness mixed with the serious, it's nicer-less cumbersome.
MedConnectmedconnect agree - twitter too instantaneous to be used only for friends - friends never online same times as me, but colleagues always are
omearamdomearamd I think @NathanBowers said it best, "Facebook is for people you used to know and Twitter is for people you want to know."

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.

  • U.S. tea imports increased 7% in 2008, as people responded to the perceived health benefits of green tea. U.S. imports of traditional tea -- black, white, green and oolong -- grew by 3-5% per year over the past decade http://is.gd/omUr

  • Americans' diet - we get 7% of our calories from soft drinks, top food group by caloric intake is “sweets” http://is.gd/onT2

  • Scary headline of the day: Red meat raises risk of all kinds of death. 11% of deaths in men and 16% of deaths in women could be prevented if people decreased their red meat consumption. http://is.gd/oCZP

  • 1 in 5 Americans has high triglycerides, the percentage had doubled over the past 30 years, driven by obesity http://is.gd/oD0T

  • Another descriptive health news headline: "Red-faced Asian drinkers at esophageal cancer risk" http://is.gd/oD1a - Reuters can do better... 30% of East Asians - Chinese, Japanese, Koreans - have an enzyme deficiency that causes flushing when they drink alcohol. This is the source: The Alcohol Flushing Response: An Unrecognized Risk Factor for Esophageal Cancer from Alcohol Consumption http://is.gd/oD7B

  • Robin Williams' heart surgery for aortic valve replacement goes 'extremely well' at Cleveland Clinic http://is.gd/oD5P

  • ABC video: Tweeting brain surgery http://gmy.news.yahoo.com/v... - Somehow, it doesn't sound too appealing...

  • Furious Rabies after an Atypical Exposure: 2 patients developed rabies after butchering and consuming a dog or a cat. http://is.gd/oD7y

  • Two thousand Pakistani women in four years were victims of "honour" killings, according to a study linked in BMJ. One in five homicides in Pakistan may be so called honour killings, main reason was alleged extramarital relationships http://is.gd/oD7A

  • Advanced Paternal Age Is Associated with Impaired Neurocognitive Outcomes during Infancy and Childhood http://is.gd/oD7E

Image source: OpenClipArt.org, public domain.

Monday, March 23, 2009

Movie Review: Sunshine Cleaning

WARNING: This is a chick flick.

But the good kind! So dudes, forget what I just said.

This is a movie about relationships, mostly between sisters, but also between a dad and his girls, a mom and her son and between a missing mom and the girls she left behind.

It's a chick flick in the best sense of the term.

It's also a movie about expectations...one we have for ourselves, ones we think others have for us and how we react to those.

It's hard to review this movie without giving too much away.

What I can say is that this movie made me laugh as much, if not more, than it made me cry.

The film was released in NY and LA two weeks ago then in San Diego; Phoenix; San Francisco; Seattle; Portland; Denver; Minneapolis; Chicago; Detroit; Washington, D.C; Boston; Philadelphia; Atlanta; Dallas; and Houston last weekend. It opens everywhere on March 27.

If you care about women-made movies (two women has leads, woman screenwriter and a woman director) then go see this movie. Hell, even if you don't but want to see a movie that doesn't blow everything up, go see Sunshine Cleaning.

Medical Geek Humor on Twitter

Twitter is a microblogging service where people answer the question "What are you doing?" via 140-character messages from their cellphone, laptop or desktop. You can select the messages (called "tweets") that you find interesting, useful, amusing, or disagreeable.

The tweets below are part of the series Medical Geek Humor on Twitter:

Vijay scanman this is tweet number 8500; that could be a reason why so many tweeps stopped following me :)

Vijay scanman RT @movinmeat: I have nothing to say. And yet I cannot shut up. <== You've got the concept of twitter now :)

If you are included in this post but you would like to have your tweet removed for any reason, please email me and will comply with your request the same day.

Video: Who Inspires You?



Video: Who Inspires You? Hear what inspiration means for Sir Ken Robinson.

Sir Ken Robinson is an internationally recognized leader in the development of creativity, innovation and human resources.

He was born into a modest income family in Liverpool, the fifth of seven children. He contracted polio when he was four and was sent to a school for disabled children. After an industrial accident his father became quadriplegic and yet continued to be central to their family lives. His parents encouraged him to pursue his education and to not allow his disability to define him. Later, he was included in a regular school, went on to university, and then on to an outstanding career in education.

Sir Robinson was knighted in June 2003 by Queen Elizabeth II for his achievements in creativity, education and the arts.

His latest book, The Element: How Finding Your Passion Changes Everything, was published in January 2009.

References:
Ken Robinson (British author), from Wikipedia, the free encyclopedia.
The case for an education system that nurtures creativity: TED Conference talk, Monterey, California, 2006.
Sir Ken Robinson. Srdad.com.