Some out-of-the-box thinking on obesity:

Fat is not a feminist issue, as Susie Orbach once claimed. Fat is a class issue. Rich, educated people are not fat; you see almost no children in private schools who are overweight. Fatness and obesity are directly related to lower education and lower incomes.

What is sad is that at a time when this country is richer than ever and ought to have ...

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And asks animal activists to stop harassing his family. (via FARK.com)

Watch out if you're missing a few days of mail.

This is probably going on in other sports:

Players are freezing the cells taken from the umbilical cord blood of their babies as a possible future cure for cartilage and ligament problems. Stem cells can be used to regenerate damaged organs and tissue because they are the earliest form of cells.

The paper quoted one unnamed Premier League player from a northwest club as saying: "We decided to store ...

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I like the concept of a "personal responsibility contract", but the NEJM takes exception:

There are well-understood reasons why Medicaid beneficiaries have poorer health indicators and higher rates of noncompliance than many other patients. Poverty results in reduced access to child care, transportation, healthful foods, and exercise facilities, as well as lower literacy, more life crises, and higher rates of untreated psychiatric illnesses. People with fewer experiences of success ...

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Apparently one doctor arm-wrestles his patients to see if they're fit for driving.

Dr. Bennett redux?

More obesity firestorm. A physician apologizes after telling it like it is:

Trudy admits she is 5 stone (31.7kg) overweight, but did not want to say what she weighs.

"I know I have a weight problem and it doesn't help my asthma, but it's swings and roundabouts. I can't exercise because of my breathing," she said.

She claimed the doctor had pointed to his mouth and told ...

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It's becoming a group thing:

Gone are the days when patients slipped into a plastic surgeon's office alone and sometimes in disguise for a consultation and, after the surgery, slinked away to a secret location to recover. Now, patients may arrive not only with a wish list of procedures they have seen on TV or researched online, but also flanked by parents, siblings, spouses or partners. Or the wild ...

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Dr. Id

A Canadian doctor is fined for rudely firing his patients:

The college heard Rathe, who moved to the physician-strapped Windsor suburb of Belle River in 2001, removed from his patient list 328 people he deemed difficult, dismissing some from his practice with "f--- you."

He was physically aggressive with two patients -- he pushed one woman -- and emotionally abusive to others.

Response to OTC Plan B

Read some responses from New York women.

What would you do in the following situation?

Jenna, 18, requests an abortion referral. Because she has irregular periods, she didn't suspect pregnancy until her clothes got tight and the results of a home pregnancy test came out positive.

On exam, her uterus is 16 to 18 weeks in size. The abortion clinic in your town only terminates pregnancies before 12 weeks. You have to request special permission from ...

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The reasoning is as follows:

Asthma is not a single disease, but a group of syndromes with different origins and characteristics and so it is best to scrap the name, it says.

Always good for a laugh, Dr. Charles comes up with a few decorative needles of his own.

Medblog article

Physician's Personal Advisory recently interviewed Medpundit and myself on a recent article about physician blogs: "Blogging offers creative outlet for physicians".

More warnings on Advair

A recent letter to the NEJM gives some pause on Advair. The problem is with the salmeterol component, which can lead to clinical worsening if given during an acute asthma attack.

These parents wage an internet campaign to lobby Aetna to cover their son's treatment.

Apparently her remains have been scattered in eight hospitals.

A former popcorn worker wins a $20M lawsuit which alleges this. (via a reader tip)

Not surprisingly, all in the name of money:

As a result of the price hike, publicly funded clinics from Maine to New Mexico are running short on popular contraception products, scrambling to find reasonably priced generics, and scaling back on the choices they offer low-income women. Chronically underfunded, the clinics are in no shape to absorb this blow, especially now. The number of women in need of subsidized contraception ...

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Great article. Another major reason for variation is that medicine is rarely black and white. There can be several different, yet effective, approaches to treat and diagnose disease. It's not called "the art of medicine" for nothing.

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