What cyberbullies have in common with their victims

Conditions and Diseases
August 10, 2010

by John Gever

So-called cyberbullies share many of the psychosocial features as their victims — and in fact many bullies were also victims themselves, researchers from Finland said.

A population-based cross-sectional study surveyed more than 2,000 seventh- and ninth-graders in two Finnish communities and found that cyberbullies had higher than average rates of self-perceived difficulties in life, headache, feeling unsafe at school, and perceiving teachers as uncaring, among other problems, reported Andre …

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What cyberbullies have in common with their victims

Today’s new physicians are unable to improve patient safety

Medical Education
August 10, 2010

It has been 10 years since the landmark Institute of Medicine report “To Err is Human” uncovered disturbing deficiencies in the quality of our nation’s medical care.

Progress in correcting these deficiencies remains frustratingly slow, and it has become clear that achieving the quality and safety improvements we seek will require us to examine our approach to medical education.

Although today’s newly minted physicians are well prepared in the science of medicine …

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Today’s new physicians are unable to improve patient safety

Laugh, Sing, and Eat Like a Pig: Facing death, with hope

Patient
August 9, 2010

An excerpt from Laugh, Sing, and Eat Like a Pig.

laughsingLast month Dave deBronkart, known on the internet as “e-Patient Dave,” released his first book, Laugh, Sing, and Eat Like a Pig: How an Empowered Patient Beat Stage IV Cancer (and what healthcare can learn from it) (www.LaughSingBook.com).

It’s his personal cancer story – excerpts from the journal he kept …

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Laugh, Sing, and Eat Like a Pig: Facing death, with hope

Male hormone treatment and testosterone replacement concerns

Conditions and Diseases
August 9, 2010

One of my medical school professors was an internationally renowned subspecialist, whose ward occupied the entire top floor of the medical tower at Academy Hospital in Uppsala.

He had cadres of residents working for him, and for two glorious months I rotated through his ward as part of my internal medicine training in medical school.

One thing that stands out in my memory, to this day, from those two months is how …

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Male hormone treatment and testosterone replacement concerns

Sharing medical records with patients can save lives

Patient
August 9, 2010

Regina Holliday’s husband, Fred, age 39, died of cancer in June 2009 leaving his wife, and his two young, beautiful children behind.  During their journey through the healthcare system to try to get Fred the help he needed, too many hurdles were put in their way.  Their story makes you want to scream.

Among the horrors of their journey was the fact that Fred was transferred …

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Sharing medical records with patients can save lives

Video games are linked with attention problems in children

Conditions and Diseases
August 9, 2010

by Michael Smith

It’s not just TV — video games are also associated with an increased risk of attention problems in children, researchers said.

A large study found that children who spent more than three hours in front of a computer or television screen — whether playing video games or watching TV — were significantly more likely to have attention problems, according to Edward Swing, MS, of Iowa State University in Ames, …

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Video games are linked with attention problems in children

10 EMR don’ts when choosing electronic medical record

Health Technology
August 9, 2010

So, you’ve decided to move forward and get an EMR for your practice, but studies and reports of EMR implementation failures are adding to your anxiety levels.

You’ve probably read scores of rules on how to go about the task — some of them in this column. But today I want to share with you some important things you shouldn’t do.

Medical groups of all sizes and specialties across the country make …

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10 EMR don’ts when choosing electronic medical record

Treating people with humility, and every patient like a V.I.P.

Patient
August 8, 2010

People often seem to think that members of the medical world are excessively preoccupied with, defined according to, and ruled by a status-oriented system.

That may have been an accurate perception a generation ago, but I’ve seen enough surgeons sweeping O.R. floors, attending physicians socializing with interns, and doctors having deep conversations with custodians to believe that “medical people” have matured a little past the old caste systems that governed the …

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Treating people with humility, and every patient like a V.I.P.

Academic medical centers need better conflict of interest policies

Medical Education
August 8, 2010

by John Gever

Academic medical centers need comprehensive policies to manage their physicians’ relationships with industry and other commercial interests, according to the Association of American Medical Colleges (AAMC).

Disclosure of such relationships — both to patients and to their institutions — should be more detailed than is currently the case at many medical schools, an AAMC task force recommended in a new report.

In particular, significant potential conflicts should be reported annually …

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Academic medical centers need better conflict of interest policies

Is migraine pain comparable to torture?

Conditions and Diseases
August 7, 2010

by Diana E. Lee

Last year, People published an interview with Cindy McCain, wife of U.S. Senator John McCain of Arizona.

She revealed she has dealt with excruciating migraine attacks for about 15 years, including during her husband’s presidential campaign. Though she has never discussed them publicly before, she has chosen to talk about her situation now to help bring awareness to this disabling condition and all the people going through what …

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Is migraine pain comparable to torture?

Does surgery prevent knee osteoarthritis?

Physician
August 7, 2010

by John Gever

Surgery for torn knee ligaments and meniscal cartilage may have improved patients’ short-term outcomes, but it did not seem to prevent the eventual development of osteoarthritis, researchers said.

A study that followed 326 patients for a mean of 10 years found that radiographic findings shortly after the initial knee injury strongly predicted the long-term clinical course, with no significant difference seen between those who did and did not have …

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Does surgery prevent knee osteoarthritis?

Will patients embrace Health 2.0?

Health Technology
August 7, 2010

Someone going by the name “Darthmed” recently posted a comment that stopped me in my tracks:

… The remaining 95% of “patients” out there are not motivated to become informed, or invest the time/energy/money in using any of these tools. These are the folks that know that fast food isn’t healthy, but are just too tired to choose differently. Some (emphasis on some) will do a standard Google search when they …

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Will patients embrace Health 2.0?

Testosterone and when should low levels be treated in older men

Conditions and Diseases
August 6, 2010

I’ve been interested in the role of testosterone in physical performance, depression and aging for many years. While at the University of Iowa, I was involved in research to detect testosterone doping, the psychological effects of testosterone and the potential for testosterone to alleviate depression in older men.

One of the difficult questions facing clinicians is when is testosterone too low in older men.

One problem with answering this question is the …

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Testosterone and when should low levels be treated in older men

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3 tips to stick with an exercise program

Potpourri
August 6, 2010

How many times have you started a new exercise program and been determined that this time would be different? You’d actually keep it up. You wouldn’t quit. But, a few weeks or months later, you’re back to your old ways. You’re busy, and you have lots of “legitimate” excuses for skipping a fitness routine.

I think most people who have tried to make regular exercise a part of their lives have …

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3 tips to stick with an exercise program

Patients will skip care with higher deductibles and copays

Health Policy
August 6, 2010

The Wall Street Journal reported that overall medical use fell as patients had fewer doctor office visits, lab testing, and maintenance medications possibly due to the recession or as a result of consumer driven healthcare in the way of higher deductibles and copays.

This is very worrisome.  Certainly patients should have some financial responsibility for their care, but skimping on care will only result in Americans not becoming healthier, but sicker.  …

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Patients will skip care with higher deductibles and copays

Laughter and humor heals the soul in life’s most difficult times

Patient
August 6, 2010

by Charles Bankhead

My oldest sister died recently. She spent the last three years of her life in a nursing home, trying to hold on to reality and her dignity as her mind and body betrayed her.

Barely five feet tall, my sister Peggy had a big heart and a vibrant personality that made her seem much taller. I have a lot of fond memories of her, many of which involve her …

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Laughter and humor heals the soul in life’s most difficult times

MKSAP: A 35-year-old man with red eye and acute eye pain

Conditions and Diseases
August 6, 2010

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.

mksap 15A 35-year-old man is evaluated for red eye and acute onset of right eye pain. He wears contact lenses daily. Fluorescein staining is positive for corneal abrasion without a dendritic, or branching, pattern. He is instructed to stop wearing the contact …

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MKSAP: A 35-year-old man with red eye and acute eye pain

Will Medicare really lose physicians because of the SGR?

Health Policy
August 6, 2010

For years, physicians have argued that the specter of annual cuts in Medicare will cause many of them to leave the program, or at the very least, to limit how many new Medicare patients they will accept in their practices. Yet, for the most part, measures of seniors’ access show that the vast majority enjoy good access to care.

For instance, in May of this year, the Medicare Payment Advisory Commission …

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Will Medicare really lose physicians because of the SGR?

Attribution error in a patient with colon cancer

Conditions and Diseases
August 5, 2010

Zahia Esber, ACP Associate Member, who practices at McKenzie-Willamette Medical Center in Eugene, Ore., told us about a case of a 71-year-old obese woman whose mental status deteriorated rapidly while in the hospital.

The patient had undergone a sigmoid resection in December 2009 for colon cancer. At that time, her mental status was intact. Three weeks after surgery, she returned to the hospital because of nausea and anorexia. She told the …

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Attribution error in a patient with colon cancer

Metastatic cancer and the matching walkers

Patient
August 5, 2010

They made a regal couple, the elderly man and woman sitting in Room 19. She was the patient, he the supportive husband. She sat in the treatment cot while he sat in a chair pulled near her bedside. Together, they greeted me with their warm smiles as I walked into their room.

They both had full heads of healthy, silvery hair that shimmered from the overhead fluorescent bulbs. Their eyes were …

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Metastatic cancer and the matching walkers

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