Sometimes I come across items in medical journals, books, magazines or newspapers that intrigue me or seem worth sharing – that’s my purpose behind “A Country Doctor Reads”.

A few random samples:

ADHD in France and the USA

I have speculated before about why the U.S. has such a high incidence of ADHD and to what extent this is because of environmental influences. A blog I just came across touches on the same subject.

Jeff Kane, M.D. writes about the difference between French and American child-rearing in an interesting post. His blog has a lot of wisdom and interesting commentary.

via HEALTHCARE AS THOUGH PEOPLE MATTER.

 

Are Surgeons More Handsome Than Internists?

It has been statistically proven that surgeons are taller and more handsome than Internists and Family Physicians. I didn’t come across the evidence until now:

via Phenotypic differences between male physicians, surgeons, and film stars: comparative study | BMJ.

When Stumped for a Diagnosis, Examine the Patient!

The new issue of The Lancet tells a story of a woman with a stubborn cough, unrelieved by standard treatments and no closer to a diagnosis even after extensive testing. When someone finally examined the whole patient, she turned out to have an obvious breast cancer. The cough, it turned out, was caused by pulmonary lymphangitic carcinomatosis.

The authors propose the term “McCoy’s Syndrome”, after the physician in Star Trek. He relied solely on technology to diagnose his patients. We should not, the authors say:

“Unfortunately, McCoy’s syndrome seems to be widespread in the health system at the moment, striking mainly doctors, but also other health-care professionals and even patients. The most characteristic feature of the syndrome is the excessive faith in medical technology, particularly imaging. Other components that might also be present are the absence of clinical reasoning and of establishing emotional links with sick people. Some cases also show incapacity to think about common diagnostic hypotheses, particularly in university hospital environments.”

McCoy’s syndrome: a new medical entity : The Lancet.

 

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  • Three Little Words
    Newly minted physician Pranay Sinha, opening up about early professional doubts, writes about the comfort a senior colleague’s three words gave: “Dude, me too!” “We need to be able to voice these doubts and fears. We need to be able to talk about the sadness of that first death certificate we signed, the mortification at […]
  • Babies Have Privacy Rights, Too
    Baby picture collages on the walls of doctors who deliver or care for babies must go, according to HIPAA privacy regulations. I must admit, this hadn’t occurred to me until I read this morning’s The New York Times. Baby pictures are as protected as medical records under the law… “I think we have to have […]
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    Margalit Gur-Arie, a frequent contributor over at KevinMD.com, has written about an important syndrome to consider when planning elective, expensive procedures: “Hypoliquidemia is a disease of the financial system. It is characterized by low levels of liquid cash in your bank account, low credit scores and low socioeconomic status (SES). Other signs and symp […]
  • Medico-Legal Integration in Primary Care?
    We have Behavioral Health Specialists embedded in our medical clinics. Now I hear that some clinics are doing the same with lawyers for the benefit of their patients. The New York Times has an interesting article about this: “In the early 1990s, Barry Zuckerman, the chief of pediatrics at Boston City Hospital (now Boston Medical […]
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