One of the great blessings of my life is that my 91-year-old father, whom I dearly love, lives in the apartment building next door. After sixty-six years of marriage, he’s been living alone since my mother’s death last March. He is still sharp as a tack, as he might say. Read more »
I kick off this segment with a surprising twist: I describe a hospital error that I experienced as a patient in the ER of a famous academic medical center. And yes, I give a shout out to Paul Levy at minute 5 for his courageous efforts to reduce infection rates at Beth Israel Deaconess Medical Center in Boston.
The new breast cancer screening guidelines announced November 16th by the U.S Preventive Services Task Force have sparked widespread anger and confusion. The debate centers on the relative risks and benefits of various methods of trying to pick up breast cancer at an early stage. All current techniques, including mammography, MRI, ultrasound, and breast exam, can reveal abnormalities that end up being benign. These so-called “false positives” often lead to expensive, anxiety-producing, and invasive testing such as biopsy and fine-needle aspiration. The big question is: What screening tests are “worth it” and how do we define “worth it?” Read more »
President Obama has stressed the importance of “bending the cost curve” in order to put the brakes on galloping health care expenses that total 2.5 trillion dollars a year and are increasing at 6% a year. The fastest way to do this is shockingly simple: carefully explain to patients the known risks and benefits of procedures. Read more »
For more information about this lecture, check out:
Meredith Gould’s blog post, A Tale of One Presentation
Science-Based Medicine’s, Mainstreaming Science-Based Medicine: A Novel Approach
One of the attendees to this year’s TEDMED was the venerable Steve Wozniak, founder of Apple Computer. Steve is an engaging person so he wanted to show us his NIXIE tube wrist watch and how he uses it to intimidate fellow airline travelers. It ain’t medical, but is surely amusing:
*This blog post was originally published at Medgadget*
The Internet has revolutionized how we receive information - and it’s also changing how we learn about and manage our health. A new “ePatient” movement promises to empower patients with online and mobile tools - making it easier than ever to contact a physician, track health variables, and join a support group.
Four minutes isn’t much time to summarize an entire movement, and I think I got a little off topic while suggesting a new use case for David Hale’s NIH PillBox (a pill identifier tool). I said it could be used to identify pills even after your pet licked part of the label off them!
For more information about ePatients, check out my earlier blog post.
According to a recent study, about one in five teenagers have electronically distributed provocative pictures of themselves that could land them in jail. A joint survey by Cosmogirl.com and The National Campaign to Prevent Teen and Unplanned Pregnancy found that 19% of teenagers answered “yes” when asked if they had ever “sent a nude or semi-nude picture/video” of themselves to someone via email, cell phone, etc. Read more »
The BBC is reporting on a wirelessly controlled “spider pill” being developed somewhere in Italy. The device supposedly has eight legs and reportedly can crawl through intestines. With an attached video camera, the device might actually become a diagnostic modality for imaging the intestinal tract. The big question is whether it is more unpleasant to have a colonoscope defile you or a robotic gerbil crawl through the insides.
(hat tip: Engadget)
*This blog post was originally published at Medgadget*
Susie Essman, aka Susie Greene of Larry David’s HBO program, “Curb Your Enthusiasm,” has written a hilarious book (and yes, I actually read it) called What Would Susie Say?: Bullsh*t Wisdom About Love, Life and Comedy. For this week’s CBS Doc Dot Com, I talked to Susie about some of her health issues covered in the book, including menopause, fear of germs, and hypochondria. “So far this month,” she told me, “I’ve had Lyme disease, hysterical blindness, enlarged prostate….”
If any woman could actually have an enlarged prostate - either her own or snatched in a fit of pique from her beleaguered television husband played by Jeff Garlin - it would be Susie Green. But as we discussed her real and imagined symptoms, it became clear that Susie Essman can be easily talked down from her flashes of hypochondriacal thinking. So she doesn’t actually meet the official psychiatric definition of “hypochondriasis,” in which a misinterpretation of symptoms leads to a preoccupation with having a serious illness that interferes with daily functions and lasts at least six months despite reassurances from a doctor. In fact, her belief that she’s a hypochondriac is hypochondriacal. Read more »
