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Discusses Women's Health

Happy birthday to our public health insurance programs! A recent article in JAMA reported some impressive statistics about them that I thought were worth sharing … Medicare and Medicaid serve 111 million beneficiaries and account for $1 trillion in total spending. They generate 43% of hospital revenue and represent 39% of national health spending. One…

My daughter is getting married this weekend at my home so I didn’t have a chance to write my blog post. I will renew my medical vows to you next week.

I, like most physicians had to switch to EMR’s (electronic medical records) three years ago. It took months to train both my staff and myself. We had to scan all the charts and put them in a HIPAA protected cloud. There are numerous EMR’s out there and the problem is that they do not “talk”…

This definitely caught my attention: In the section titled, “News from the FDA” in this week’s edition of JAMA there was a short notification that the FDA had approved a drug to reduce double chins. The drug is called Kybella (I have no idea what the Latin root for chin is, or how they came…

As many of you know, I am on the board of trustees of Save the Children. I have received daily updates on the horrific consequences of the earthquake in Nepal. Save the Children has had programs in Nepal for decades and has a staff of 450 in the most rural areas of the country. Our…

I am writing this after having hiked up a mountain, slow motioned through tai chi, attempted a “funky dance” class (no I did not do it in a white coat) and was balanced with BOSU sculpt. (Exercises are done on an unstable half ball called a BOSU. The word stands for” both sides up”… it’s…

We all have had dense breasts (although a better word would be “firm”) from puberty into our early 40s. Most women know what I mean… perky comes to mind, and when we actually looked good in a T-shirt without a bra (when we did purchase a bra, we looked for one that was low cut…

As I sipped my afternoon cup of coffee, I came across an article in the journal Menopause that examined the association between caffeine and menopausal symptoms. How relevant I thought…after all 85% of the US population consumes some form of caffeine containing beverage daily. And 80% of women going through perimenopausal and menopause have vasomotor…

With the advance of genomic medicine, a myriad of issues regarding discrimination in obtaining insurance and jobs has come to fore. It turns out that every one of us carries at least a few genetic variants that will influence, but in most cases not exclusively determine our health and lifespan. And as computers “spell out”…

I, like everyone else, have gone digital. I read several of my medical journals on my iPhone or iPad. Every time I see a patient, my nurse and I enter her vital signs, medications, allergies, smoking status, family history, environmental data and of course, medical complaints, physical exam, diagnosis, assessment and plan on her electronic…

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