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Learning Lessons From Patients: Attitude Is Everything

When I was in the 8th grade and honored at the “A” team honor roll breakfast, the speech was one that I never forgot: “Attitude is Everything.” Essentially, having a good education and good grades give you the tools to be successful, but having a great attitude toward any challenges ASSURES that you will arrive at that success.

Being a pediatrician AND an endocrinologist, I am blessed to work with many graceful children and their families who face medical endocrine challenges with great attitudes.  I can recall numerous examples but will share one of my favorites: A now 11-year-old vibrant female with hashimotos thyroiditis who was diagnosed at 5 years old. Initially, she required frequent lab checks for medication adjustment (~5-6) which then decreased to ~2-3 annually thereafter for further medication dosing adjustments of synthroid replacement as she outgrew prior lower doses.

Her attitude towards her lab draws has always stuck with me because surprisingly she actually looked forward to them AND to her endo visits! She and her mother would always go out to eat and spend special quality time together whenever she had to have a lab draw. They would always choose Mexican food for these special outings, and in fact would limit all Mexican food intake, making it that much more special. Read more »

Audio Interview: What You Need To Know About Thyroid Disease

thyroidimageJanuary is thyroid disease awareness month, and since an estimated 25 million people in the U.S. have various thyroid problems, I thought it would be a good idea to get an expert update on this often over-looked gland.

Victor Bernet, FACP, is Director of the National Capitol Consortium Endocrinology Fellowship at Walter Reed Army Medical Center in Washington, D.C., and the author of MKSAP 15′s chapter on disorders of the thyroid gland. I interviewed him about why thyroid disorders go undiagnosed, what alternative treatments are available, and how primary care physicians and specialists can work together to manage thyroid disease. Please listen to the audio of our conversation or check out the written summary below.

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Thyroid Awareness: Dr. Val Tells ABC News To Check Their Necks

January is thyroid disease awareness month, and I was invited to educate the good people at Let’s Talk Live about this often-forgotten little gland. For this segment, I used Twitter to poll my friends about interesting thyroid factoids. Thanks to Nick Genes @blogborygmi who reminded me of the connection between carpal tunnel syndrome and hypothyroidism and to Meredith Gould @meredithgould who mentioned that depression sometimes has a thyroid-related cause.

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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…

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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…

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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…

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“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…

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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…

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