The best place to have a baby – indeed !

Posted on 23. Mar, 2015 by in IVF success, IVF success story

Here’s a heart warming success story from one of our patients.We got married really young in April 2006. At an age of 23 and 21 as husband and wife; having a baby is the last thing you are thinking about. Coming from a big – really BIG Marwadi Joint …

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Nurses are the superheroes of health care

Posted on 23. Mar, 2015 by in Hospital, nurse, Physician

Being a nurse is one of the most important jobs in any society. It is also one of the most respected. Public opinion polls consistently rank nurses as the most trusted profession — usually ranking well above physicians. And it’s for good reason. Patients in hospital may forget who their doctor is, but they will […]

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Learning from the detectives

Posted on 23. Mar, 2015 by in Medical Rants

Many readers know that I love mystery novels and TV shows.  Recently I was talking with a 3rd year student, and realized that one of the reasons I love internal medicine is that every day I am a detective.  As I watch detective shows and movies and as I read or listen to detective novels […]

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Writing update: Lown Institute Conference and ACC2015

Posted on 23. Mar, 2015 by in ACC2015, AF ablation, Atrial fibrillation, Doctoring, General Ablation, General Cardiology, General Medicine, Health care, Health Care "Reform", Healthy Living, Knowledge, Lown Conference, RightCare, Social Media/Writing/Blogging

Hi all, I have been busy in the last few weeks. Here is an update of my happenings and posts. From March 8-11, I attended and presented at the third annual Lown Institute Conference in San Diego. I have never felt more at home in a conference than I did at the Lown conference. Take […]

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Primecuts – This Week In The Journals

Posted on 23. Mar, 2015 by in PrimeCuts

By Ian Henderson, MD

Peer Reviewed

This past Tuesday The 2015 NCAA College Basketball tournament began. The yearly event, always filled with bracket busting upsets and edge-of-your-seat buzzer beaters, normally stars players and coaches. During the first round matchup between number 14 seed Georgia State and 3 seed Baylor, it was a seat that stole the show(1). This wasn’t a seat bolted to the floor in the stands but rather a stool with four wheels on it. Georgia State coach Ron Hunter, after an Achilles…

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A therapy program for medical students

Posted on 23. Mar, 2015 by in Education, Medical school, Psychiatry

I am wearing my favorite scrubs, the teal ones a friend gave to me while I was volunteering in the aftermath of the Haitian earthquake. My first-year classmates and I are in front of the anatomy lab, waiting to see our cadaver for the first time. Our group enters, and we stand around the blue-plastic-cloaked […]

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Community-centered health homes: The next iteration of quality-based care

Posted on 23. Mar, 2015 by in Policy, Primary care

In late January, government officials announced a timeline for Medicare’s shift to paying clinicians based on quality of care rather than quantity of services.  As Medicare goes, so go private insurers; this makes the agency’s move toward quality-based reimbursement nothing less than a sea change. It builds momentum for a view of health and health […]

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Are cardiac risk calculators accurate?

Posted on 23. Mar, 2015 by in conditions, heart

After more than a decade of titrating medications to low density lipoprotein cholesterol targets, family physicians who have transitioned to the 2013 American College of Cardiology / American Heart Association cholesterol treatment guideline now base treatment decisions on a patient’s estimated 10-year risk for a cardiovascular event. Although it endorsed the ACC/AHA guideline last year, the American Academy of […]

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What does it mean to live in the age of Abilify? 

Posted on 23. Mar, 2015 by in Medications, Meds, Psychiatry

I learned recently that the antipsychotic Abilify is the biggest selling prescription drug in the U.S.  To be a top seller, a drug has to be expensive and also widely used.  Abilify is both.  It’s the 14th most prescribed brand-name medication, and it retails for about $30 a pill.  Annual sales are over $7 billion, nearly a billion more than the […]

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8 reasons why you should marry a female physician

Posted on 23. Mar, 2015 by in Physician, Surgery

A couple of years ago, I asked a friend of mine how she met her husband.  It was at a bar, and when she asked his occupation he replied, “I work for the city.”  She took that to mean he was a construction worker.  They began dating and quickly fell in love.  Much to her […]

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Top stories in health and medicine, March 23, 2015

Posted on 23. Mar, 2015 by in heart, News, Rheumatology

From MedPage Today: Match Day Hits Record High Numbers. I wasn’t sure where I was going to open my Match Day envelope on March 20. Sealed inside was information about where I would be completing my internship in internal medicine and residency in physical medicine and rehabilitation. How Will PROMISE Change Practice for Angina Dx? The […]

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MiM Mail: Ever too late for medicine?

Posted on 23. Mar, 2015 by in MiM mailbag

Hello, I am a 34 year old working mother of two young children (3.5 years old and 14 months). I have been working as a research scientist in the pharmaceutical industry for a number of years now. I have been thinking of becoming a doctor since 2005. I…

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My Op-Ed in Today’s New York Times… and My New Book

Posted on 22. Mar, 2015 by in book review, Information Technology, Media/Press Coverage, Patient Safety/Medical Errors

This week feels like the coming out for my new book, The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age. The NY Times ran my op-ed on health IT today (they chose the slightly sensationalist title, FYI). I’ve also start…

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Day 2 versus Day 5 transfer

Posted on 22. Mar, 2015 by in Blastocyst, blastocyst transfer, day 2 transfer, day 5 transfer, embryo arrest, IVF embryos

We prefer doing Day 5 transfers because it allows us to select the best embryos , and this increases the chances of a pregnancy. Allowing the embryos to grow in vitro to Day 5 allows them to “ compete “ with each other, so we can transfer the best …

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The physician distribution problem shouldn’t be a surprise

Posted on 22. Mar, 2015 by in Education, Medical school

In news to absolutely no one with an iota of common sense, the purported physician shortage isn’t actually one of numbers, but rather a problem of distribution. Per this article by in the Washington Post: Critics of doctor shortage projections have argued for years that the problem is actually poor distribution of physicians, with too many clustered […]

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What this patient needs for a normal blood pressure

Posted on 22. Mar, 2015 by in heart, Physician, Primary care

Dwight Frost had all the risk factors, plus he had already had a stroke several years ago. His blood sugars were too high, his lipid profile was near the top of the class, he still smoked a cigar now and then, and his blood pressure hovered around 200. He also seemed a little vague about […]

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Opossums May Come to Humans’ Rescue for Snake Anti-Venom

Posted on 22. Mar, 2015 by in Dermatology, Family Medicine, Research, News,

The mammals are immune to snakes’ poisons, pointing to better antidotes for people

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Our health system is changing, and it’s a damn shame

Posted on 22. Mar, 2015 by in Health reform, Physician

I understand that there is a difference between perception and reality.  I also get that the kind of people one meets on a tropical vacation in the middle of March are of a certain economic and sociopolitical status. Nonetheless, I am amazed at how history seems to repeat itself.  Year after year, while sitting in […]

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Smog Plus Pollen May Mean Even More Sneezing

Posted on 22. Mar, 2015 by in Allergy, Preventive Medicine, News,

Higher levels of airborne ozone, nitrogen dioxide might boost potency of birch tree allergen: study

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The danger of admission diagnoses (ht @medicalaxioms)

Posted on 22. Mar, 2015 by in Medical Rants

Now that is a strange title.  How can a diagnostic label cause problems?  Yet our current insurance environment actually causes diagnostic delays and errors. As I understand it, patients need an admission diagnosis to justify admission to insurance companies.  Often in the hospital “quality assurance” representatives require me to assign a diagnosis so that the […]

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Why don’t health insurance companies return the patient’s medical records to them ?

Posted on 22. Mar, 2015 by in Uncategorized

My father recently had hip replacement surgery. The surgery went well, and we submitted the insurance claim to his insurer, New India Assurance, through their TPA, Medicare TPA. We had to submit all the original medical records, along with the bills an…

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A thank you to a mother and son in the ER

Posted on 22. Mar, 2015 by in Cancer, emergency, GI, Physician

I walked into room 30 to find two eager sets of eyes awaiting me. One set belonged to a young man, late-twenties, muscular and imposing, sitting in a chair in the corner of the room. His eyes were hazel brown, big and inviting, relieved at seeing my entry into their sheltered world. The other set […]

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IVF patients, Startup founders and failure

Posted on 22. Mar, 2015 by in Uncategorized

IVF patients should start thinking of themselves as entrepreneurs because this will help them to cope better with the IVF emotional roller coaster ride. In one sense, the IVF ride is very similar to the journey which a founder has to go through. Afte…

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This is why physicians are burning out

Posted on 21. Mar, 2015 by in emergency, Hospital, Physician, Primary care

American physicians have had it.  We are retiring early, cutting back, changing careers, and moping in to work in astounding numbers.  The typical pep talks, whether given aloud by medical directors and administrators or consisting of internal dialog occurring in the physician’s mind, are not working anymore.  “You have it better than most people.”  “You […]

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Health care IT and the airline industry

Posted on 21. Mar, 2015 by in Medical Rants

I look forward to reading Bob Wachter’s new book on health it.  He has an interesting op-ed today in the NY Times – Why Health IT is still so Bad  I love this quote: I interviewed Boeing’s top cockpit designers, who wouldn’t dream of green-lighting a new plane until they had spent thousands of hours […]

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The vexing problem of dying for the medical profession

Posted on 21. Mar, 2015 by in Palliative care, Physician

Thomas Hobbes described life as pitifully “nasty, brutish, and short.” Thanks to the free market and the state, life is no longer a Hobbesian nightmare. But death has become nasty, brutish, and long. Surgeon and writer, Atul Gawande, explores the medicalization of aging and death in Being Mortal. Gawande points to a glaring deficiency in medical […]

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Patient experience builds brand equity

Posted on 21. Mar, 2015 by in Hospital, Policy

Health care in the U.S. continues its radical transformation with the rollout and rapid adoption of high-deductible insurance plans. More than even value-based purchasing, this has the potential to reshape the health care landscape because it has awakened the health care consumer. In its 2014 Employer Health Benefits Survey, The Kaiser Family Foundation reported that […]

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Smoking May Be Linked to Prostate Cancer’s Return

Posted on 21. Mar, 2015 by in Oncology, Reproductive Medicine, Preventive Medicine, News,

But quitting more than 10 years ago is associated with reduced risk, study says

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Tips for Managing Spring Allergies

Posted on 21. Mar, 2015 by in Allergy, News,

Know your triggers, expert says

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Stop calling SGR repeal the doc fix. It’s about fixing Medicare.

Posted on 21. Mar, 2015 by in Medicare, Policy

Members of Congress and the news media have a bad habit of referring to efforts to stop Medicare from arbitrarily cutting payments to physicians for taking care of their patients as the “doc fix.”  Typical is this story from CNN — “Bipartisan Love: Boehner, Pelosi strike deal to kick doc fix” — that reported on the […]

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