Sunday, May 31, 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.

  • Exercise "feel-good afterglow" may last as long as 12 hours http://bit.ly/wfM9L

  • Effects of child head injuries can last for years http://bit.ly/dzd3H

  • "Elixir of life"? Low vitamin D levels associated with impaired thinking or "cognitive" impairments in older men http://bit.ly/uPDMF

  • The FDA approved Besivance (besifloxacin ophthalmic suspension) for the treatment of bacterial conjunctivitis http://bit.ly/cPQXV

  • High levels of the protein HU177, associated with angiogenesis, identifies patients with melanoma with poor prognosis http://bit.ly/q0o3I

  • Is you pool safe? Use some BLS/ACLS skills: Look, Listen, Feel (and smell) http://bit.ly/1apzH3

  • U.S. spends more on healthcare than any other country in the world but has higher rates of infant mortality, diabetes http://is.gd/JUMf

  • Part-time hospitalists: http://bit.ly/xAkaz

  • For hospitalists: Free MP3s of the major talks from the 2009 SHM Annual Meeting in Chicago http://tinyurl.com/l67chl

Image source: OpenClipArt.org, public domain.

Selection of My Twitter Favorites, Edition 64

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 64th 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.

  1. Ben Casnochabencasnocha Reading blogs/ RSS is a better use of time than reading Twitter. In gen'l the most interesting thinkers are blogging more than twittering.
  2. Jeff Jarvisjeffjarvis In Des Moines. Solid rain. Good for corn. Bad for my suit.
  3. Ves Dimov, M.D.AllergyNotes Why journal editors make font of "methods/statistics" smaller than the rest of the article? Not to discourage you from reading it I hope.

  4. Michael Arringtonarrington retweets are going to become serious currency in the new search engines. like hyperlinks in the "old days."
  5. Loic Le Meurloic Twitter and Facebook are the revenge of the non bloggers. They can be as influential or more than bloggers without even knowing what a blog is
  6. Jeff Jarvisjeffjarvis Twitter doesn't get the heart-rate up. Twitter keeps me from running. Twitter is not healthy.
  7. Ben Casnochabencasnocha The best thing about being famous is the chance to meet other famous people. - Andy Warhol
  8. Paul Kedroskypkedrosky one of the more terrifying searches you can do on twitter -- people texting and driving http://is.gd/CpU0
  9. J. SchwimmerKidneyNotes Epocrates Pill Finder on the iPhone correctly identified a patient's small round white tablet with 321 on one side as Ativan 0.5 mg.
  10. Judy Schrienerjudywriter When I can't sleep, I start thinking of the things I'm grateful for. Haven't gotten to the end of that list even once.
  11. Michael Arringtonarrington I'll put it this way: The new Terminator movie is so bad you keep hoping the machines will win so the movie will end.
  12. Ben Casnochabencasnocha "Kids don’t want quality time. They want quantity time — big, stinking, lazy, nonproductive quantity time." - Al Franken, advice to parents

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.

Saturday, May 30, 2009

Catching up!

I dunno why my blog broke this week. Sorry for being unreadable for a few days...well design-wise anyway. But it looks like things are back to normal. Leave a comment, tweet or email if you ever see the blog all wonky. Honestly I don't check the blog every day. Especially this past week when I was out with a migraine for two days. That's what happens when I plan to write like a mofo on Thursday night...migraine.

It's been awhile since I posted my AWEARNESS posts, so here they are:


I have another Sotomayor post ready for next week, I'm sure I'll be writing about her more. Sadly the sexist and racist attacks are keeping me too busy to actually read about her mad judge skills. Thankfully there are others out there working on this issues.

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.

  • A swallowed denture: All objects that have passed the duodenal sweep should be managed conservatively. http://bit.ly/1afHX5

  • High-Deductible Health Insurance: 50% chose not to seek medical care for minor ailments 4 times in the last year http://bit.ly/a0GSu

  • WSJ Brutal Gallery: A World of Cigarette Warning Pictures by the WHO: http://bit.ly/19Cu5w

  • Dermatologists: Skin cancer is colorblind, minorities often believe pigmentation makes them immune to skin cancer http://bit.ly/BlZeQ

  • Photo of a "heart attack in a box" meal: Three Cheese Mac-N-Cheese Pasta Bread Bowl http://bit.ly/b9UXZ -- 21 million page views and counting - hopefully some people will switch to healthier diet after seeing this: http://bit.ly/57ZPQ

  • "Medical news is almost always distorted, and leads to false hopes and expectations from patients" - What to do? http://bit.ly/tLSV0

Image source: OpenClipArt.org, public domain.

Playing For Change | Song Around The World "Stand By Me"

From Twitter:

Paul Kedroskypkedrosky RT @scottblanc: love the stand by me video that's been floating around the web on so many levels - http://bit.ly/zcnrr

Playing For Change | Song Around The World "Stand By Me" from Concord Music Group on Vimeo.

Friday, May 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.

  • In dysplastic Barrett's esophagus, radiofrequency ablation had a high rate of complete eradication http://bit.ly/Kp2dx

  • Type 2 diabetes is an increasing epidemic in Asia, with an onset at a relatively young age and low body mass index. http://bit.ly/lpx5g

  • Acid-suppressants associated with 30% increased odds of hospital-acquired pneumonia, stat. significant only for PPIs http://bit.ly/2U20t3

  • Compared with healthy young-adult men, the substantially larger NFL players had a higher prevalence of hypertension http://bit.ly/z2QfV

  • Many teenagers routinely get just 3 to 5 hours sleep per night, study shows. Just one in five teens is getting the recommended eight hours of sleep each night. http://bit.ly/j8P7B

  • Normal human skin is alive with bacteria - a hundred times more kinds of bacteria, in more places, than previously known. Bacteria thriving in "vibrant communities" in healthy skin http://bit.ly/xvvdj

  • The Most Dangerous Room in the House for Seniors? Many experts believe it's the bathroom. http://bit.ly/L8NQx

Image source: OpenClipArt.org, public domain.

Do you think NEJM or BMJ should create their own "UpToDate"?

Looking at this excerpt from UpToDate:

UpToDate quote: "approximately 15% of the 1,200 patients whom I have seen..." without a reference - is this EBM?! http://bit.ly/VFXiK

I asked some "medtweeps" on Twitter: "Do you think NEJM should create its own UpToDate? eMedicine is not a real competitor and UTD needs improvement." BMJ Publishing Group is behind Clinical Evidence, "the international source of the best available evidence on the effects of common clinical interventions."

Here are some of the responses:

C. Onyeije, M.D. MFMchukwumaonyeije Yep. I've also winced at similar statements on UpToDate. Some reviewers appear to have hobby horses and axes to grind.

C. Onyeije, M.D. MFMchukwumaonyeije in my opinion UTD is good for general OB but lacking in high risk OB and internal med. So yes. NEJM should step up. from txt

Shamsha Damanishamsha NEJM's version of UpToDate? would depend on how evidence is graded/presented, price, and UI, just 4 starters! from TweetDeck in reply to AllergyNotes

Related:
Are You Dependent on UpToDate for Your Clinical Practice?
Study: UpToDate More Likely than PubMed to Answer Patient Care Questions
NEJM is a Journal (Only) No More

Disclaimer: I am a member of the NEJM Advisory Panel for Medical Students and Residents. However, my responsibilities do not include, did not include, and are not likely to include in the future any work on an "UpToDate-like" project. I am not aware of any such projects being under consideration. I had a brief consulting role with The Lancet in 2007 and the same disclaimer applies.

Thursday, May 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.

  • NEJM: The Proposed Government Health Insurance Company — No Substitute for Real Reform, would be more successful in forcing lower reimbursement rates on physicians and hospitals http://bit.ly/loR6D

  • NEJM: Handguns, Health, and the 27 words of the Second Amendment http://bit.ly/rubSm

  • Somehow, the NEJM's use of the terms "younger old persons" and "older old persons" doesn't sound quite right... http://bit.ly/k8yW0

  • Use of acid-reducing drugs was associated with a 30% increased risk for developing pneumonia http://bit.ly/YZYPl

  • Increase in incidence of type 1 diabetes is 3.9% per year. http://is.gd/I7pK

  • Radiofrequency Ablation Treats Barrett’s Esophagus, Reduces Cancer Risk http://is.gd/I7rc

  • Cleveland Clinic Wellness Grand Rounds - video and slides http://www.cchs.net/wellnes...

  • Dr. Gupta started posting XR/CT/MRIs of his cases weekly - good educational value, he needs a separate blog than CNN's http://is.gd/HKxc

  • UpToDate quote: "approximately 15% of the 1,200 patients whom I have seen..." without a reference - is this EBM ?! http://bit.ly/VFXiK

Image source: OpenClipArt.org, public domain.

Under construction

Somehow my template is all whack, but I don't have time to fix it at the moment. Sorry if some of the text is unreadable. But hopefully tonight I can get it back looking as spiffy as it was before.

xoxo,
me

ECG Videos: For Med Students studying the basics of reading an electrocardiogram



ECG Video part 1: For Med Students studying the basics of reading an electrocardiogram, from the University of Wisconsin.


ECG Video part 2.

Related:
Imaging: Electrocardiograms, X-rays, CT scans
A Systematic Approach to Reading an EKG by Using 2 Mnemonics

Wednesday, May 27, 2009

Feminist Parenting: Patriotism

Patriotism. This could be a bigger issue than when to tell the kid how babies are made. At least with that, there are books with diagrams and science to fall back on. But patriotism...ay!

This issue came to light a few weeks ago as she was practicing for her spring concert. "A-M-E-R-I-C-A! I love America!" over and over for the weekend. I have to admit it was cute, but I asked her why she loved America. "Mom, it's just the song!"

Oh, hell no!

"You know why I love America? Because it's one of the few places where anyone can stand up for what they believe in and make things change." And on I went with the obligatory Stanton, King, Obama and Huerta talk. Seriously, her history teachers will either love me or hate me.

As a baseball fan I know all the words to the Star Spangled Banner. I sing it EVERY single time I hear it. Or at least I try to...Ya know sometimes the song just needs to be sung not interpreted. Anywho, so I feel like I'm a pretty patriotic person. I just want my daughter to know why we love this country, not a blind love.

It's ironic that some people who most loudly wave their patriotism scoff at those of us who dare to protest or question why things are the way they are. And my patriotism is grounded in that change, questioning and protest.

I know feminist parents who don't want their kids to even say the Pledge until they are old enough to truly understand it. I'm not at that stage, but rather I want her to question the things she's told "just are." Well at least from people who aren't her parents.

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.

  • Acne Guidelines: topical retinoids should be first-line treatment and backbone of acne maintenance therapy. Long-term maintenance therapy with antibiotics is not recommended. Benzoyl peroxide (not ABx) may be added to a long-term retinoid regimen to provide antimicrobial action http://is.gd/Fvog

  • Medical male circumcision reduces the acquisition of HIV by heterosexual men by 38-66% http://is.gd/FwdB

  • Obese, Diabetic Youths Already Have Artery Plaque, Suggesting Early Heart Disease http://is.gd/FC4O

  • Professional Football Players Have Higher Rates of Hypertension. “When we compared NFL players weighing 200 pounds to 200-pound people, the NFL players’ blood pressures were much higher” http://is.gd/FCad

  • Which is the Fittest City in U.S.? Washington, D.C. http://is.gd/FtEt

Image source: OpenClipArt.org, public domain.

Portable doctor? Rovio is a WiFi-enabled mobile webcam - allows you see, hear, and speak from anywhere in the world



What is Rovio?

"Rovio is a WiFi-enabled mobile webcam that allows you see, hear, and speak from anywhere in the world... as if you were right there in the room."

It could potentially be used as a "portable doctor" -- without the physical examination part (an important limitation).

A recent study compared desktop videoconferencing to conventional face-to-face visits for a range of commonly presenting problems in a general practice. A total of 175 patients were recruited.

In the first arm, the patients completed a visit (virtual or face-to-face) with a physician; they then completed a second visit via the other modality with another physician. In the second arm of the study, subjects had both visits face-to-face; different physicians conducted the two face-to-face consultations.

Patients found virtual visits similar to face-to-face visits on most measures, including time spent with the physician, ease of interaction and personal aspects of the interaction. Physicians were also highly satisfied with the virtual visit modality.

The diagnostic agreement between physicians was 84% between face-to-face and virtual visits; it was 80% between the two face-to-face visits.


Rovio at CES 2008, from Engadget.

From Twitter:

vene2ia Rovio is a good idea for a portable doctor. However, it can't be an interventionalist

References:
A randomized trial of virtual visits in a general medicine practice. Ronald F Dixon and James E Stahl. J Telemed Telecare 2009;15:115-117.

Tuesday, May 26, 2009

Video of "Mayo Clinic atrium piano, charming older couple" viewed 1 million times, will be subject of case study



From the blog SMUG - Social Media University, Global by Lee Aase:

"The embedded video, which will be the subject of a future case study, cracked the 1 million mark in total views on YouTube. When I embedded it on our Sharing Mayo Clinic blog on April 7, it had been viewed 1,005 times over the preceding six months. As of this writing it’s at 1,108,201 views (and also was featured on the front page of msn.com yesterday, where it has been seen more than 133,000 times)"


Mayo Clinic Piano Story

Related:
A Bite of Life… By Jodi Hume.
Mayo Clinic “Octogenarian Idols” Scheduled to Appear on Good Morning America.

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.

  • Life expectancy is best in Japan (83 years) and worst in Sierra Leone (41 years), notes the WHO. In the U.S., life expectancy for a baby born in 2007 is 78 years. It's the same in Chile, Cuba, Denmark, Slovenia... http://bit.ly/1TpmX

  • NPR: Decoding The Mystery Of Near-Death Experiences http://bit.ly/wRRJB

  • 17% and 15% reductions in non-fatal myocardial infarction and CAD, respectively, with better control of blood sugar in DM2 http://bit.ly/MO8U5

  • CNN: Survey showed 1 in 5 adults admitted urinating in public pools http://bit.ly/x9yNp

  • "Has Google killed the medical riddle?" http://bit.ly/csWO

  • TIME: "Red Bull's New Cola: A Kick from Cocaine?" Banned in Germany. http://bit.ly/REhIi

  • More Evidence That Recession Is Bad for Patients and Doctors http://is.gd/Cp5R

  • Analysis of illness blogs: Reading and incorporating illness blogs into care will enhance patient-provider relationships? http://is.gd/CoZP

  • Journal of Cell Science: "The importance of stupidity in scientific research" http://is.gd/eJuz

  • CNN: South Carolina authorities have located a 555-pound teenager and his mother... http://bit.ly/fe37s

Image source: OpenClipArt.org, public domain.

Monday, May 25, 2009

Book Review: Men and Feminism by Shira Tarrant

Disclaimer: Shira & I write for Girl w/Pen but we're not great friends. We just write for the same blog. That said, that's how she came to know me to pass my name to her publicist who offered me a free copy of the book to review. Which I replied with a YES! in record time. And now our review...

First off, when you see the cover of the book you'll notice that this book is part of the Seal Press Studies series. But DO NOT FREAK OUT! While this book can easily be in a Gender & Women's Studies course syllabus, I also believe this is an excellent book for anyone to pick up in order to know more about how men have fit into the feminist movement.

What's that? You don't think that men have been a part of the feminist movement? Oh how mistaken you are! But it's not your fault that you believe that, first of all, our history classes don't teach women's history and when we take it upon ourselves we do focus on the accomplishments of kick ass women like Elizabeth Cady Stanton and Dolores Huerta. In fact men have been supportive of the movement all along, not as many as we would want, but that's where Tarrant really gets into the question of men & feminism.

Tarrant goes thru the history of the (mostly American) women's movement and reveals the men behind the amazing women, but also reveals some of their contradictions including how their public voice did not match their private lives or how men used motherhood as a way to push for women's rights.

But I felt that the gem of this book was how Tarrant wrestled with trans and gay issues within the context of feminism and masculinity. She showed us how the fear of being labeled a sissy keeps even the most feminist of men silent thus complacent in continuing our sexist and homophobic society. She walks us thru how ignoring or being ignorant of trans-issues keeps us focused on the false binary of boy-girl, masculine-feminine and thus keeping all of us in gendered boxes. As close friends know, I believe my feminism can connect almost any issue and Tarrant does a brilliant job at showing us how we must pay attention to the plight of boys and men under patriarchy in order to bring out a more just world. I wish I had had this book a few years ago when I was trying to create a men's issues committee for a feminist org I use to work with. I was shot down loudly and quickly.

Tarrant also has a great chapter on male privilege. It's an easy read in terms of vocabulary, althou it might be hard for anyone to totally grasp. Essentially Tarrant says "Great, you're a great guy. You might love a feminist woman, never hit her and even support her work. But unless you are taking progressive steps to call out others on their sexism there's still work to be done." It's not finger-pointing or male-bashing at all. Rather it's a straight forward call to action for all the "I'm not a feminist but..." men in our lives who really need to walk all that talk.

This would be an excellent present for a feminist dad/husband in training. It's 150 pages of the feminist manliness. If you're a nrrd like me, it's great summer reading too. Get your copy from an indie bookstore or Powells.com.

Crossposted at Feminist Review

Sunday, May 24, 2009

Selection of My Twitter Favorites, Edition 63

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 63rd 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.

  1. Westby Fisher, MDdoctorwes Does anyone know where I can find a pen in the clinic now? No one has thought to buy 'em since pharma no longer delivers.
  2. David Schronceschroncd Thought for the day: Did you ever wonder why wrong numbers are never busy?
  3. J. SchwimmerKidneyNotes Anyone else working in the hospital at the stroke of midnight experience the temptation to immediately round on everybody all over again?
  4. David Schronceschroncd Home Depot's earnings jumped 44%. They finally realized that you make money when your customers can actually find the stuff they want to buy
  5. Ed BennettEdBennett An interesting data visualization tool for health risk factors - simple, but powerful http://tr.im/lL3l
  6. Dave Winerdavewiner Woke up with an insight: Twitter is blogging. It lowers the barrier to entry to personal publishing. That's the common denominator.
  7. Loic Le Meurloic RT @martinvars: Prince Charles just said: what´s great about Google is that it helps me as I get old and forget who I am #google #zeitgeist
  8. Aaron Loganpyknosis I've done a lot of lymph node exams, but it still makes me squirm when I see others go bare hand to bare pit. Universal pitcautions, people?
  9. Bryan VartabedianDoctor_V From the bio of @memeticbrand: "Be the person your dog thinks you are"
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.

Saturday, May 23, 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.


Image source: OpenClipArt.org, public domain.

Friday, May 22, 2009

Feminist | Mom

I do not intend to dive back into the mania that surrounded Nona's article in the Nation, but I feel like Michael Corleone when I read shots like Julie Pippert's Guardian's article:

This most recent debate among feminists began with a naive assertion by Nona Willis Aronowitz that mothers who write blogs are disconnected from feminists. Nonsense, I said, in a lengthy comment, citing both MOMocrats and WomenCount. Both cover issues of interest to women, and have begun working to influence political decision making.

What is naive is to keep saying the same thing over and over and expect the problem to go away. "Now, Veronica," you're saying, "You keep saying the same thing over and over." Yes, but I want the problem to be resolved not tucked under the rug.

Thank you, thank you, thank you to all the people to have sent me emails about this issue. They say things like "I too feel alone in finding feminist mom friends!" online and off.

First, if you're online, do check out MOMocrats and find each of those writers personal blogs. They are feminists and moms. The fact that Nona failed to mention them in the article continues to be beaten into the earth.

I was asked by Julie and others why I didn't mention MOMocrats when I talked with Nona. And I replied with:: I have no idea if I did or did not. I'm fairly certain that I mentioned PunditMom because I love her stuff and I want to see her get more play. I'm sure I mentioned NOW's Mothers & Caregivers Economic Rights committee because I'm the co-chair. Why am I not certain about MOMocrats? Well honestly cause I'm not one of them. Why would I spend valuable time talking with a journalist writing for the Nation talking about a group that I'm not involved with? Now really...I wanted to see the NOW committee get more play. Mostly because I do hear from moms and others that feminists in general and NOW specifically don't work on mom issues. Oh really? is my response.

Now is there a divide? A disconnect? A whatchamacallit between mom bloggers and feminist bloggers? I still say yes.

That does not mean that there aren't feminist bloggers who support mom issues OR that mom bloggers aren't feminist. What that means is that we aren't connecting enough to really galvanize our power to get stuff done.

And this is coming from someone who has been blogging since late 2000 (I really hate to throw that around like this, but I feel like I have to) and has loved since almost their inception Feministe (started by a single former teenage mom) and Bitch PhD (feminist mom extraordinaire).

There are also a TON of moms of color who are so feminist/womanist/political that they don't embrace the mom blogger label because they feel it isn't strong enough for them. This list is not to signify that they personally feel that way, but I see them as missing in the mom(my) blog is feminist discussion Culture Kitchen, Mamita Mala and flip flopping joy. They are three women who are far more radical in so many ways and whom I learn from in different ways (even if they don't always appreciate me as a student).

This is another example of what I mean by a disconnect.

This is why I was FLOORED with joy when Momsrising took the brave step to send out alerts on the issue of immigration. While I love Momsrising and love to work with them, they do work on some fairly tame issues. Yes, in the grand scheme of things, I think paid sick days is such a tame issue it boggles my mind why it's not a freakin' given.

And really maybe that's the issue here. Me.

Maybe I wish the mom blogosphere isn't aggressive enough and that the feminist blogosphere doesn't respect enough.

Or maybe I've been around so damn long that I don't recognize the evolution.

Maybe I surround myself with too many different characters.

Or maybe I'm flat wrong. But I know I'm not because some of you have told me otherwise.

As long as I keep hearing from you that I'm on to something, I'm going to ride this horse until it's dead. Althou I do hope I can gracefully dismount and let the critter go graze into the sunset.

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.

  • There are some interesting articles in this week's editions of NEJM and JAMA. Have a look if you have a few minutes. You will not be disappointed. JAMA and NEJM are using more videos to supplement articles http://jama.ama-assn.org - Good move, make them embeddable too...

  • First NEJM article about Web 2.0 use in medicine? Harnessing the Web for Public Health Surveillance http://bit.ly/occSi

  • Schizophrenia was associated with an increased risk of violent crime, confounded by substance abuse. In patients with schizophrenia, 13.2% had at least 1 violent offense compared with 5.3% of general population http://bit.ly/NdBQM

  • Intramyocardial Bone Marrow Cell Injection for Chronic Myocardial Ischemia: modest improvement in myocardial perfusion http://bit.ly/tc1ri

  • Tamsulosin within 14 days of cataract surgery associated with serious postoperative ophthalmic adverse events. Alpha-blockers used to treat BPH (other than tamsulosin) not associated with postoperative ophthalmic adverse events? http://bit.ly/DQ07m

Image source: OpenClipArt.org, public domain.

More Evidence That Recession Is Bad for Patients and Doctors

WebMD quotes a survey of the U.S. family physicians by AAFP:

  • Recession Is Bad for Health: Americans skipping doctor’s appointments, scrimping on drugs, eating more unhealthy foods

  • 90% of family doctors surveyed said their patients have expressed concerns about paying their bills

  • 42% percent planned to buy fewer fruits and vegetables

  • AAFP’s survey of doctors: 54% reported seeing fewer total patients since January 2008 when the recession began

References:
Recession Is Bad for Health. WebMD.
Image source: United States one-dollar bill. Wikipedia, public domain.

Thursday, May 21, 2009

Selection of My Twitter Favorites, Edition 62

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 62nd 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.

  1. Loic Le Meurloic my #1 criteria if something matters or not these days: how often it is talked about on Twitter.
  2. Brad Wrightprogressnotes Also learned about a remarkable medical device, the retrospectoscope: http://is.gd/ASuz
  3. Graham Walkergrahamwalker Reviewing ventilator management, peak vs plateau pressures, AutoPEEP. (Basically what to do if the vent starts beeping really loud.)
  4. Dr. Sanjay GuptasanjayguptaCNN today's quote: "I am not nearly as certain about anything, as I used to be about everything"- winston churchill. so true as I get older...
  5. Frank Lfirehorse Cat amasses 500k followers http://bit.ly/lrto0: Maybe this is because the cat tweets more interestingly than some humans (via @LanceUlanoff)
  6. Lance UlanoffLanceUlanoff This Is Getting Ridiculous: Cat Amasses Half A Million Twitter Followers In 3 Months http://bit.ly/lrto0 Me: Imagine how this make ME feel.
  7. Chris SeperchrisseperIcon_lock Basking in glow of son's best cello recital ever. Standing in back of auditorium watching other cello parents. Lots are reading the paper.
  8. Howard Lukshjluks Operating yesterday... Pink Floyd came on the radio, Rolling Stones next ... residents and students had no idea who they were !! Ouch :-(
  9. Aaron Watkinsaaronwatkins I just woke up sitting in my lounge chair with my laptop on my lap. I think that's enough computing for today. Probably enough day for today
  10. Chris SeperchrisseperIcon_lock Thought telling my son he was getting a bigger cello would cause celebration. Instead he disintegrates into tears. His cello is his friend.

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

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Wednesday, May 20, 2009

Book Review: You'd Be So Pretty If... by Dara Chadwick

When I was pregnant I dreamed about having a daughter. And I kinda freaked. How could I possibly raise a strong women-child in this body obsessed world when most days I loathe my body? How long could I fake it so she doesn't pick up on my body hate? Well the Goddess did send me a woman-child who not only looks JUST like me but her favorite thing to do with me is to squeeze my belly fat. OK she likes to do that with everyone, but she also adds in "Mommy's the squishiest!"

You'd Be So Pretty If...Teaching Our Daughters to Love Their Bodies - Even When We Don't Love Our Own by Dara Chadwick tackles just this issue. This was a painful book to read but I loved it. I'm also mailing my copy to Amy. She was over when I got the copy and looked at me, "I want that!"

This was one pseudo-academic book that really used the personal memoir aspect perfectly. Chadwick grounds her book in exploring how women learn to criticize our bodies from media, but especially from our own moms. Chadwick's mom had a saying, "If you think you're fat, you probably are." By the end of the book Chadwick reinterrprets that saying to mean that we are in control of how we feel about our body.

The journey thou is hard, but one that I believe all moms of daughters should take. There's a chapter in there for dads and brothers as well. Chadwick starts us off with the idea that as moms we create a "body image blueprint" for our grrls. "As mothers, how we feel about and relate to our own bodies - and the conscious or unconscious expression of that relationship - creates a "body image blueprint" for our daughters (pg 8)." It's pretty obvious once we start to think about it, isn't it? Stop and think about what you learned about your body from your mom.

I learned that it was something that had to be controlled, reigned in and would eventually fail you. I remember my mom weighing her food. I can now see that my mom used "fatness" for talking me into covering up more of my body. I look at pics of myself back in middle and high school and think, "Seriously? I thought I was fat?!" When in fact she was trying to hide my very developed body.

And I love that Chadwick included "the talk" in her book. She links our developing bodies to our sexuality or perceived sexuality because grrls bodies are going thru puberty, evolving to our eventual woman form and with that adding weight.

Chadwick writes a lot about how we interact with our daughters. Not just how we comment on their body, or how we comment on our own, but also how we accept or decline compliments in front of them or from them. Chadwick quotes professionals that say we shouldn't use the word fat in front of kids. A few months ago I would had been all "Hell yeah!" but Dawn's recent musings on our fat tummies has me rethinking that stance. I'm trying to get my mind wrapped around how to allow the use of the word fat, teach the kid not to use it for others - at least in a negative sense - and all that.

The issue of media education comes up and as board member of WIMN, I totally agree that we need to teach all kids how to see thru media. But even those of us with all the media savvy still fall prey to media messages. I know all the photos are photoshopped, but I'm still pissed when I can't get my hair to look "just like hers!" I also think that Chadwick takes her daughter's very privileged experience of seeing behind the scenes of a magazine as too representative of how all girls could be and thus minimizes the harmful effects of our photoshopped world.

I also have to add that I felt Chadwick minimized her own eating disorder. I can sense that she is still coming to terms with it and I get that. At one point she says she flirted with an eating disorder, later admits to losing thirty pounts in high school from an eating disorder and near the end dismisses her eating disorder past as an "adolescent mentality." From all the things I've read on eating disorders, it is a mentality, but not just for adolescents. And she does mention this, I was just floored by the wording.

Despite the slight issues I had with the book, I can't say enough how I hope that every mom out there reads this book. You might even find a way to love your body more, forgive your mom for how she programmed you or just know that you really are impacting your daughter with jokes about your body. Chadwick also gives you some good points on how to talk to the men in your lives (Dads & brothers) on how their boy behavior is not going over as "just a joke" to your 13-year-old daughter and to cut it the fuck out.

Oh and Amy, I want my copy back when you're done.

Grab a copy for yourself at an indie bookstore or Powells.com.

Disclaimer: I received this book for review after I requested it from the publisher.

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.

  • "Health shock": Patients' stroke risk was 200-480% higher in the week after hospital discharge. Risk factors for stroke: 80-84 yo; never married; multi-story building; DM2, HTN, stroke; difficulty picking up a coin http://bit.ly/TBDlI

  • Flomax Linked to Cataract Surgery Risks: detached retina or lost lens. Men Who Take Flomax Shortly After Cataract Surgery were 2.3 times more likely to have a serious complication. Cataract surgery is the most common operation in the US. Flomax linked to intraoperative floppy iris syndrome (IFIS) http://bit.ly/frAIH

  • Assessing moral attributes in med school interviews, premeds preparing for the “right” answers. http://bit.ly/b3Pws

  • TSA says whole-body imaging machines emit 10,000 times less radio frequency than a cell phone http://bit.ly/4j9j9d

  • New Tool in the MD's Bag: A Smartphone http://is.gd/BjKY

  • "Google Calculating Who’s About to Quit: algorithm gets inside people’s heads even before they know they might leave" http://is.gd/Biee

Image source: OpenClipArt.org, public domain.