Can coffee help you live longer? If you drink coffee, I have some bad news and some good news. The bad news is that the more cups of coffee you drink, the higher your risk of dying early. The good news is that if you "risk adjust," then the more cups of coffee you drink, the lower your risk of dying early. Let me explain. According to a
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Firearms violence is a public health safety issue Two weeks before the Newtown, Conn, shooting I was at my doctor's office for an annual physical exam answering questions on an intake survey. Questions like "Do you smoke? How much?" and " Do you wear the seat beat?" And then one question stuck out: "Do you have any firearms in the house? Are they stored in a locked area?" What business ...

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Four years ago, as I was making rounds on the oncology floor, one of my patients with leukemia asked, out of the blue, "Hey, Doc, who you gonna vote for?" He had an Obama T-shirt by his bedside. Chuckling politely, I asked him why he wanted to know. "I'm curious, Doc," he said. "It tells me your worldview." He said that if we agreed on who should be the next president, ...

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Recently, a medical student confided in me a thought that few in our profession would dare say aloud: “We may have come to medical school to help people, but we choose our specialty careers based on potential salaries.” This in part explains why the most-prized residencies are in fields such as dermatology and radiology, whose procedures generate high fees. According to a physician survey by the Medical Group Management ...

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As the number of deaths from fungal meningitis mounts, many people want to know how fungal meningitis is diagnosed and treated. As an infectious disease doctor, it is routine for me to care for patients who come in the hospital with a fever. At first glance it is impossible to tell whether the patient has meningitis, pneumonia or a urine infection. If a patient has headache, confusion or stiff neck along with ...

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Thirty percent of health care spending — amounting to $750 billion a year — is wasted, according to a recent report by the Institute of Medicine. I know. As a doctor, I am party to this waste, and I think doctors can play a major role in recovering it. In a private conversation, a cardiologist tells me about his partners — "loose guns" he calls them. "At the hint of chest pain ...

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As I approach my 50th birthday, I worry about Medicare not being there for me when I become eligible. I have some inside knowledge about Medicare. My parents and in-laws are patients on Medicare. As a doctor, I am a provider for Medicare, and as a public health educator I am a consultant for a Medicare quality improvement organization. Everyone, including the leaders of both Democratic and Republican parties, agrees that ...

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I once thought that only the federal government in Washington could effect changes that would impact the cost of health care in the United States, especially with so much attention on the recent Supreme Court decision on the 2010 health care reform law. But now I think differently. Now I believe that emboldened employers in places like Memphis can use their clout. They can influence insurers and work directly with doctors ...

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Last fall, I went with my 12-year-old son to his middle school's opening home football game. The bleachers were lined with parents, the smell of hot dogs and nachos wafted over the field, the announcer's voice blared, and the cheerleaders jumped out of sync. The boys were dressed in shoulder, chest, thigh and kneepads covered with clean white numbered uniforms. They each wore a helmet that seemed to weigh more than ...

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On the day the U.S. Supreme Court delivered its historic decision on the Affordable Care Act (ACA), aka Obamacare, I was rounding on my hospital patients: a man on the ventilator with pneumonia who had private insurance, one elderly woman with abdominal pain going for gall bladder surgery on Medicare, and one middle aged obese woman with a skin infection without any health insurance. On my patients' TV screens I watched ...

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