New Hope in Type 1 Diabetes
This week's Journal of the American Medical Association published a study that may be a turning point in treatment of type 1 diabetes. The study received much media coverage, including
Computer Aided Mammography Interpretation Not Ready for Prime Time
Most of my patients know that I'm a big fan of technology. From electronic medical records to viewing diagnostic images over the web, I love finding tools that help me take better care of patients. A study in this week's New England Journal of Medicine is an important cautionary tale that reminds us that...
Brevity is Bad Medicine
Last weekend U.S. News & World Report had a fascinating article called "The 18-second Doctor". The article is an interview with Dr. Jerome Groopman, author of More
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Concierge Medicine Gets Some Local Attention
Yesterday's L.A. Daily News business section featured an interesting story about concierge medicine. I was delighted to be one of the physicians interviewed for the story. I'm grateful to Barbara Correa for shining some light on a practice model that has received very little attention -- a model that I'm convinced is bett...
Thank You for Scheduling Your Heart Attack on Wednesday
This week's New England Journal of Medicine has an interesting study about how differently emergencies are handled outside of normal working hours. The study looked at every patient in New Jersey hospitalized with his or her first heart attack between the years of 1987 and 2002. The authors separated the ...
Women on Atkins Diet Lost More Weight than on Other Diets
Losing weight is the second hardest thing I ask my patients to do. (Quitting smoking is the hardest.) Typically, physicians have generally recommended a low-fat diet which is still the diet recommended by national guidelines. Despite this, several different kinds of diets have become popular recently with varying amounts of carbohydrates, most notably the Atkins diet which is very low in carboh...
Garlic Doesn’t Lower Cholesterol
Garlic is frequently touted as a natural treatment for high cholesterol, and many garlic extracts are sold with the suggestion that they improve cholesterol levels. The current issue of the Archives of Internal Medicine has an article reporting the most definitive study yet looking at the effects of garlic ...
We Could Always Go Back to Leeches
Last week's TIME Magazine has an excellent article about a very important trend in healthcare: evidence-based medicine. It's not long, and I urge you to read it.
The surprising truth is that the scientific practice of medicine is a very new development. For centuries medicine was an apprenticeship in...
First Nonprescription Diet Medicine Approved
This week the Food and Drug Administration approved orlistat for over-the-counter sales. Orlistat is currently available as the prescription medicine Xenical, and will be marketed over-the-counter under the brand name alli.
The details of the announcement, and reactions by various weight loss experts are detailed in More
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Skin and Beauty Products Containing Lavender and Tea Tree Oils Should be Avoided
A popular misconception (at least in health-conscious Southern California) is that natural substances are in general safer than artificial ones. Some people who would never take a prescription medication without educating themselves about the possible side effects use natural products without a second thought.
Last week's New England Journal of Medicine published an article which is a <...