The focus of this web site is medicine. In this blog, you’ll read about patient stories. The situations have been changed to be HIPAA compliant. Factual statements may or may not be true. I may change ages, gender or presenting complaints about patients. I may even entirely make up complete patient encounters from my fertile imagination. Trust me, if you think I’m writing about you, I’m not. There are billions of people in this world and readers send me stories about patients all the time. It isn’t you.
You’ll also read a lot about health care policy. I may throw in posts about life lessons, computers, and will even throw in family stories once in a while. If you’re looking for articles about politics, sports, or celebrities, you’re in the wrong place – unless the topics have some relationship to medicine.
If you want to add a guest post or to cross-post something from your blog, or if you have a patient story you want me to write about, e-mail me. See more information in the “About Me” page.
So I hadn’t planned to continue doing Healthcare Updates, but there are always so many interesting healthcare-related articles that I can’t stay away. To wit … For women, it’s the birth control pill. For men, it may soon be a shot to the nuts. Literally. Researchers showed that an injection of Vasalgel into the vas deferens (the pathway leading out of the testicles) could temporarily block the flow of sperm and effectively sterilize monkeys. Other studies in rabbits showed that the gel eventually “flushed out,” returning flow of sperm. Learn more about Vasalgel here. If you aren’t adventurous enough to inject some slime into your working parts, there’s also an app for that … maybe. A mobile app called Natural Cycles was recently granted approval to be used as a contraceptive in the European Union. It works by tracking temperatures and then predicting when women ovulate. The app will recommend against having sex on days 6 through 16 of a woman’s cycle. That’s all fine and dandy, but to me, there are too many variables involved in fertility. These “fertility awareness” methods of contraception are notoriously unreliable. As in up to 24% of women will end up pregnant at the end of 1 year by using them. Wondering if the app will give refunds for that. If your smartphone can’t keep you from getting pregnant, it may at least be able to tell you if you smell bad. New Japanese gadget called KunKun links to your smart phone and detects multiple different chemicals that are often associated with bad smells. At an estimated price of $300, I don’t know that I’d purchase this for personal use, but it would be an interesting attraction outside of a bar at the end of the evening – as long as no one puked on it. One of my many pet-peeves: Overmedicating our children. There is waaay too much medication for ADHD and ADD being prescribed to young children. The problem is that the diagnosis of ADHD includes activities that are common in most children – doesn’t pay attention, doesn’t listen, fails to finish chores, often loses things, fidgets in seat, often “on the go” …. these activities seem to be the rule, not the exception. This article recommends that we Stop Drugging Our Kids and explores some of the reasons parents may want their kids to take stimulant medications. Helping kids excel in school and perhaps a lack of parenting skills fit in there somewhere maybe? Money quote: “we are putting kids on drugs for behaving in age appropriate ways.” Absolutely true and it needs to stop. The graphic accompanying the article artfully demonstrates one of the issues our society is facing. Fascinating article about how grip strength is a predictor of overall health … and how grip strength is rapidly declining in this country: Raising the American Weakling. One researcher, an occupational therapist, noted that the grip strength in her patients was far from the norms established in the 1980s. The article cites many other studies showing that, for example, that grip strength was a stronger predictor of all-cause and cardiovascular mortality than systolic blood pressure. Another interesting point in the article was that a top NHL scouting prospect wasn’t able to perform a single pull-up during a fitness test. On the other hand (no pun intended), a different researcher noted that womens’ grip strength is worse than men, yet women live longer than men. I’m a fan of exercising, so I tend to agree with the study sentiments – even if grip strength is an imperfect indicator of overall strength/health. Another fascinating article about how some doctors in Wake ...Read More »