medicine

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This air traffic controller thought the pilot declaring an emergency was full of baloney.  I’m afraid the only baloney in his future might be the stuff he’s eating while he waits in the unemployment line.

I cannot be the only person who got angry reading this.  An airline sends an emergency plea for help to air traffic control down below.  The air traffic control decides that this is a hoax and does nothing.

The fact that everyone survives is not a defense — don’t even mention it. Read more on Crying For Help vs. Crying “Wolf!”…

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Hello health care system.  This is weird, to put it mildly.

As far as anyone seems to be able to figure out what happened, this 38 year old nurse killed five dialysis patients and “assaulted” five others by putting sodium hypochlorite – bleach — in their dialysis tubing.

She had some problems with domestic violence and public intoxication and such.  But according to the relevant statements, that was all resolved before she did this.

Jurors have convicted her of capital murder, but she is not going to get the death penalty.  Mostly, this is because she is deemed to be of no further danger if she’s kept out of health care.  Her daughter seems to be taking it hard.  This is an indication for counseling, but not a change in Mommy’s sentence. Read more on When Nurses Kill…

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Seems to me that doctors are starting to think like insurance companies.

And it seems to me they are making decisions for the wrong reasons.

No.  This is the wrong way to think. Read more on Unnecessary Medical Tests…

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To tell people who are overweight that they need to move around more and count calories is kind of like telling Yogi Bear to leave tourists alone and avoid eating the contents of picnic baskets.  It ain’t gonna happen.

I have long ago surrendered to the fact that logic, reason, science and – yes, even the truth – have overcome the need to manipulate the population with misinformation in order to control them and to wring every bit of money out of them.

I give professional nutritionists the benefit of a doubt — even though two of them wrote this book.  After all, every dietitian I have ever known was “recovering” from at least one eating disorder.  And usually on the “lower serotonin” side of life, probably a little obsessive, maybe a little depressed.

Mostly, these are people who believe everything they are told without questioning, or exist on “wishful thinking.”  Or they have a political or professional agenda. Read more on How Many Calories in B.S.?…

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Sure, the malpractice system is broken.  And there are lots of suboptimal doctors out there.

I have told some what the correct diagnosis is and they have ignored me.  Some are too busy to take phone calls from me.  Institutions have refused to order tests that I’ve requested.

On the other hand, I have been lectured about the necessity for “cover your ass” medicine.  I could not practice it if I wanted to.  Nobody would pay for it.  In my specialty, I am always told to look for ways to cut costs while some patients cry to me they cannot afford their medicine.  We do our best. Read more on Capping Malpractice Damage Awards…

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Narcissistic men have raised cortisol – or physiological stress — from being these bully-others sorts. But women do not? Hmmm.

A narcissist is somebody who puts their needs above yours in any relationship.  I can count on one hand the times I have seen them in treatment.  They are “bullies” and we usually see their victims.

Cortisol – commonly known as the “stress” hormone — can be accurately measured with a mouth swab.  Because of this, people can do research — many of whom appear to be a great deal more open minded than doctors. Read more on Physiological Validation of Narcissism…

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“Concordance.”  That means doctor and patient wanting the same thing.  In psychiatry we call it a “therapeutic alliance.”  We work for it — assuming we have the time.  But if the time is not there, on some level we all know that nothing will happen.

Leave it to the pharmacists to at least touch on a reason for “lack of concordance” that nobody seems to discuss. “With increasing numbers of medications shown to do more good than harm when taken as prescribed, low compliance is a major problem in health care,” reads an unpretentious sentence in the abstract.

And people wonder why there is no “trust” between patient and doctor. Read more on Trusting Your Doctor…

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To paraphrase some recent political campaigns, the FDA was against Qnexa before they were for it.

I’ve written about this diet drug compound before —  HERE And HERE.

Last time I wrote about this “drug,” I thought it was down for the count. Aauugghh!!!!

Like a scene from “Night Of The Living Diet Drugs” – it is back from the grave.

You bet your life! (Literally if you take this) – our protective government watchdogs at the FDA originally said this was too dangerous to unleash on the public.  Then – as the politicians say – they did a “Flip Flop.” This No-Vowel remedy QNEXA (ok, it has a couple of vowels, but not enough) is not actually a drug — it is a combination of two drugs.

This is of course, the cheapest way to get a new product on the market and eliminate R&D costs as well as testing for safety and efficacy. The company takes two separate FDA-approved agents and combines – kind of like making Frankenstein out of left-over body parts.

(This is turning into a Halloween column, isn’t it?  Sorry.) Read more on They’re Ba-a-a-a-ck!!! Zombie Diet Drugs!!!…

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Many people are proud of the state from which they came. But I value the state they (we, all of us) can go to.

It’s called a “Resource State.”

Don’t bother looking on a map – unless it is a map of the cerebral cortex.  Yet, it isn’t clearly defined as a location in the brain either.

I know it sounds mysterious, but it is easy to access and the benefits once you get there are astronomical.  I think I need to give you some illustrations to make my point.

Once when I was in prison (that always gets attention – but actually I was employed as a prison psychiatrist and not serving time for criminal activities) I treated a young man of 28 who was doing time for armed robbery.  His problem was depression with occasional suicidal ideation. Read more on The Resource State — Your Magic Ticket To Happiness…

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When I was little, my Grandfather-of-Blessed-Memory (maternal) came to visit us at 6 am every Sunday morning, arising very early to drive about two hours from Springfield to our Boston suburb of Chelsea.

Springfield would be considered “way out west” as compared to civilized and urbanized Boston, so it is like the country mouse coming to the big city.

He said the road was not busy and drive was relaxing and pleasant for him. But his visits were anything  but relaxing and pleasant for us, who would much rather have tried to sleep in on Sunday.

The exception was my paternal Grandmother-of-Blessed-Memory – who was also an early riser. Older folks often seem to get up early.

(That’s how I know I’m not old yet – I still love to sleep late). These two senior members of our family seemed to get along well.  Grandfather called her “Mother Goldstein,” and even brought her a nice bottle of (coincidentally named) “Mother Goldstein” brand kosher wine. There was one incident that I recall that upset a peaceful Sunday morning when I was about five. I came downstairs in my best baby blue lace dress to hear Grandfather yelling at Grandmother never to serve him that “horrible drink” again. Read more on Chicory, Belgian Endives And Me…

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