I recently read that the skills involved in taking a patient’s medical history and performing a physical exam have declined as doctors become increasingly dependent on high-tech diagnostic equipment. Compared to medical education in years past, relatively little emphasis is placed on bedside medicine, a new term for an old concept: getting the necessary information […]
Category: Internal Medicine
Internal medicine is a medical specialty that focuses on the diagnosis, treatment, and prevention of nonsurgical conditions in adults. Internists also promote preventive medicine including healthful eating, weight reduction, smoking cessation, and regular exercise.
Death By Restaurant
Fair warning: This is one of those Don’t Shoot the Messenger health tips. Believe me, I’ve eaten in a lot of restaurants over the years, but now, having read a series of articles recently published in medical journals, I’ll be doing more grocery shopping and home cooking. We all get a tremendous proportion of our […]
Do I Really Need A Check-Up?
Posted 06/24/2013 You’d never guess this would be a hotly debated topic among physicians, since an affirmative answer seems so obvious. As for patients, assuming you have insurance, a doctor, and nothing’s really wrong with you, you still might like someone to look things over and ensure nothing’s amiss, no evil lurking inside that will […]
Do Vegetarians Live Longer?
A recent article in JAMA Internal Medicine would certainly make it appear that way. Researchers from Loma Linda University recruited more than 73,000 Seventh Day Adventists (the university is an Adventist-affiliated school) and asked detailed questions about dietary and other lifestyle habits, including tobacco and alcohol use, degree of exercise, income, and education level. Enrollees were divided into non-vegetarians and vegetarians. Then the vegetarians were subdivided into vegans (no […]
Health News Roundup
I have a wire basket on my desk stacked with medical articles that merit my muttering, “This is useful. Might be handy for a future health tip.” On the plus side, they’re all undeniably of interest. On the minus, there’s not enough material in each article to merit a complete health tip. So this week […]
The Care and Feeding of Your Microbiome
If you read the history of alternative medicine in the US, you’ll be as intrigued as I was by its preoccupation with your gastrointestinal system and feces. Diet, digestion, absorption, elimination, and possessing a wondrous “inner hygiene” were recurring themes originating in the late 19th century, when Kellogg’s cereals were the mainstay health food at […]
The Insanity of Healthcare Pricing
It’s hard to believe now, but about 50 years ago when you went shopping for a new car you simply had no idea how badly you were being stiffed by the dealer. Oh, sure, he might show you the invoice price from Detroit, but he’d also routinely add hundreds of dollars for shipping, dealer prep […]
Medical Research: A Satisfying Drink from A Firehose
As a physician, one of the most useful aspects of the internet is the ease with which I can keep up with the latest in medicine. In medical school and throughout my training, I learned that the typical medical textbook (despite its heft) was extremely limited in scope and a full five years behind current […]
“Club Med” Diet
Posted 04/15/2013 I was surprised to learn that the much-revered Mediterranean Diet went back nearly 70 years to the work of American physician Ancel Keys, MD, stationed in Italy during World War II. Keys, who died in 2004 at age 100 (!), noted the very low incidence of heart disease and the excellent longevity among […]
An Occasionally Pleasant Minimum Security Prison
What three things do the following occupations have in common: teacher, nurse, secretary (now called administrative assistant), and information technologist? First, I would classify them all as helping professions. Second, based both on surveys and my own experience as a physician, they all work under conditions of stress, suffer a lot of anxiety and depression, […]
Why We Take Nutritional Supplements
I’m pretty confident that you, a reasonably regular reader of these health tips, devote a small portion of your living quarters to nutritional supplements. Your morning ritual of teeth/skin/hair/clothes likely includes some pill-swallowing, an act you regard not necessarily as pleasant, but as necessary, sort of like inserting your contacts or a tampon. Most of […]
My Colonic
I know. You’re thinking, “Do I really need to read about Dr. E’s colonic irrigation this morning, sitting here with my latte and bran muffin?” Well, I haven’t written anything about colonics for quite awhile, but recently I learned the Illinois Division of Professional Regulation (DPR) wants to close the offices of the dozen or […]
All Hail The Bean!
What a pleasant surprise to open this week’s Archives of Internal Medicine and find the results of a trial on the benefits of eating legumes–beans, lentils, and chickpeas. This was a real clinical trial, working with a group of people who had mild Type 2 diabetes. During the three-month study period, half the enrollees ate […]
Multivitamins Prevent Cancer
The medical profession has always been very reluctant to acknowledge that vitamins are useful for anything except treating vitamin deficiency diseases, even when confronted with evidence to the contrary. This negativism toward vitamins begins in medical school, where doctors-in-training are indoctrinated with phrases like “Vitamins end up in the toilet,” “Anyone eating a healthy diet […]
A Step Forward for Acupuncture, Four Decades Too Late
Probably few of you remember that at one time there was virtually no acupuncture available in the US. Until the late 1970s the phrase “Why not try acupuncture?” simply didn’t exist. In 1971, when President Nixon made his historic visit to the People’s Republic of China, his press secretary James Reston experienced acupuncture for post-operative […]
Chronicle of a Death
A very disturbing article, the likes of which I’ve never read in all my years as a physician, appeared in a recent issue of the AMA’s Archives of Internal Medicine. Written by Neil Holtzman, MD, a Johns Hopkins-based pediatrician, it describes the circumstances surrounding the untimely death of his beloved wife of many years, Barbara […]
You, the Wonderful One-Hoss Shay
Back in the 19th century, the physician and writer Oliver Wendell Holmes Sr. wrote the cheerful poem “The Deacon’s Masterpiece or The Wonderful One-Hoss Shay.” The poem tells of a deacon who wanted to build a perfect shay, a popular two-wheeled carriage drawn by a horse, one that would last 100 years. He did so, […]
Belly Health, Rosacea, and A Starring Role for Mites
You might want to wash your hands before reading this. Start by placing your fingertip to your cheek. Go ahead, really. Now slowly move it toward your lips and into your mouth, paying attention to the uninterrupted inward turn of skin as it changes from cheek to lip to mucous membrane. You probably never thought […]
Qigong for Women’s Breast Health
True prevention for breast health is an active, life-enhancing process. From the Chinese medicine perspective, maintaining a strong internal energy system is the key to true prevention. Life force or the intelligent energy that powers your body’s physical organ systems must flow smoothly throughout the body and the organ systems have to work together harmoniously. […]
Six Commonly Missed Diagnoses: Gluten Sensitivity
Post 06/04/2012 The current guesstimate says roughly 20% of the population are intolerant to gluten, with about 1% of that group having a potentially fatal intestinal condition called celiac disease. The remaining 19% or so are classified as having “non-celiac gluten sensitivity.” Despite the dozens and dozens of medical and psychiatric conditions linked to gluten […]