Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

Robots Allow Experts In The Medical Field To Bring Care To Rural Areas


Both in the United States and around the globe there is a mismatch between needed medical care and the doctors who can provide it.  Most physicians are located in urban areas where there are hospitals, teaching schools, lab and Xray and specialists to deal with most every medical condition.  Rural areas in the United States lack these resources and patients either do without,  or must travel far to be seen.  In developing countries there may be no services at all for hundreds of miles.  That is where telehealth can play a huge role in bringing medicine to the  people.

The “In-touch” robot is one technology that can work all over the world.  Through a simple lap-top computer a doctor can Read more »

*This blog post was originally published at EverythingHealth*

Building A Hospital In Haiti

Partners in Health is building a state-of-the-art teaching medical facility in Mirebalais in Haiti’s underserved Central Plateau.

My niece Annie helped design the waste and water treatment systems of the project as part of her engineering internship with Northeastern University, and will be joining the Partners in Health group upon graduation. It’s so inspiring to see this wonderful project coming to fruition and to know that she’ll be part of it.

You can be part of it, too, by donating, volunteering or, like Annie, working for Partners in Health.

Partners in Health was founded by Dr. Paul Farmer and colleagues in 1987 to serve the poor in Haiti. Dr. Farmer’s story is the subject of Tracy Kidder’s new book “Mountains Beyond Mountains: One Doctor’s Quest to Heal the World.”

[Editor's note: Also see the NPR article "The Quest of Dr. Paul Farmer."]

*This blog post was originally published at tbtam*

Death By Diarrhea? How To Make Your Own Oral Rehydration Solution

My friend and fellow medblogger Jan Gurley has participated in two mission trips to Haiti this year. On her blog she describes the shocking living conditions that she encountered, including a new outbreak of cholera. Cholera can kill a person in as few as three hours by causing the body to loose all its fluid through the intestines.

Fluid replacement is the key to surviving cholera, though plain water lacks the electrolytes necessary for sustaining life. With just four bottle caps of sugar and one bottle cap of salt in half a liter of water, you can create lifesaving oral rehydration therapy. No need for Gatorade — Dr. Gurley shows you how in this video (please pass it on):

Tweets From Doc Gurley In Haiti

She’s tweeting her medical mission in Haiti. So tragic are the unmet medical needs of these people. From Doc Gurley:

Saw an alone 9-month-pregnant 19 yr old. No birth kit, no string for the cord, no plan for who would be with her. Gave supplies+discussed how to ask helper to wash hands. Nothing sharp&clean for cord so gave scalpel. Acted out birth, w/handwashing.

Also saw woman with overwhelming postpartum uterus infection. Someone used hands at delivery to pull out pieces of placenta.

Saw 14yrold girl w/months of excruciating pain, mass in her lower belly, wasting. Ruptured appy? Tumor? Left her w/ narcotics, antibiotics.

Also, women do not have menstrual protection supplies:

I’ve been asked, if there are no pads, what do women use? In the cases I saw, one used a page of a magazine & another a dinner napkin.

God bless you, Doc Gurley, and the members of your team for all you’re doing. What can we do to help?

*This blog post was originally published at tbtam*

FilmAid Gives Hope In Haiti

FilmAid in HaitiFilmAid International provides the children of Haiti what many doctors can’t bring earthquake survivors — a moment to forget about the pain and suffering the last six months has brought. Dr. Jon LaPook reports.

Click HERE to watch the CBS Evening News video.

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

Read more »

Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

Read more »

“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

Read more »

Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

Read more »

See all book reviews »