Every once in awhile amidst the weekly deluge of medical articles comes a show-stopper that has the potential to change the way we practice. Rarer yet is the article that not only changes how we practice, but calls into question why we do what we do. This recent article from the New England Journal of Medicine is just such an article. Before you bolt, let me simplify it for you.

Here’s the ...

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You are a new parent. Your infant is gassy, fussy, spitty, and does not sleep much. In other words your infant is a normal baby. You are stressed, and like any good parent, you want to fix what "ails" your infant. As you stroll down the baby aisle at the grocery store, you see labels that tout words like gentle, comfort, and restful. Formula manufacturers are brilliant. They know their ...

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There has been an irresistible urge for people — doctors, public health officers, politicians, journalists, the usual pundits — to compare adherence to HIV treatment in resource-rich vs. resource-limited setting. I suspect this is because the whole issue got off to a famously bad start in 2001, when then-head of  the U.S. Agency for International Development (USAID) Andrew Natsios said in an interview with the Boston Globe that Africans,

don’t know what Western time ...

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Childhood obesity is a problem. It is a function of the foods children eat both at home and at school. The people responsible for feeding children are parents not advertisers. Running the line that it is all to do with advertising allows adults to run a "Johnny told me to" line, which would not be accepted as an excuse from a child. It is not about blaming parents. It is about ...

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by Eileen M.K. Bobek, MD The year after I finished my emergency medicine residency, I had all four of my wisdom teeth pulled. Afterwards, I looked as if I had taken several punches to my face. My jaw was swollen, my skin a cornucopia of muddied blues, purples, greens, yellows and reds. If people didn't know better, I told my husband with a laugh, they might think that I'd ...

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It is not until about eight weeks of age that an infant has a fully developed capacity for mutual gaze. Then a baby looks directly into his mother’s eyes, while she, in turn, reflects back this loving gaze, cooing softly in response to her baby’s earliest communication. When a mother looks at a baby in a way that communicates with him, not with words but with feelings, “I understand you,” he ...

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“Facebook is for the living, not the dying” – Regina Holliday It finally happened. The day my Facebook feed included information about a friend’s illness. This is the photograph my friend Matt posted to his feed. Normally I don’t play that close attention to everything in there, but this caught my eye immediately. When we talked on the phone, I understood that this ...

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I mentioned having a migraine this past weekend, and was somewhat surprised by how many people commented and wrote to me, surprised that a doctor, let alone a neurlogist, would actually get migraines. What's up with that? I know this may be hard to believe, but we get health problems too. I see this odd view surprisingly often. People who somehow expect us to be beyond the health concerns of non-doctors. We may be ...

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An excerpt from Beautiful Brain, Beautiful You.  Published by Hyperion. Copyright(c)2011. by Marie Pasinski, MD Although much has been written about how red wine in moderation can be good for your heart and your brain, I would like you to reconsider. It’s important to understand that the studies supporting this claim are “observational.” This means they were conducted through self-reported questionnaires inquiring into the drinking habits of a large group of ...

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How often do you see your doctor?  Once a year?  Every 6 months?  Never?  Most of you are pretty healthy and only show up for screening physical exams or aches and pains.  Some of you may have more health problems and come more frequently. What if you had diabetes, coronary disease, hypertension, high cholesterol, and sleep apnea, but no symptoms to indicate any ...

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