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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    My wife ordered a book a few weeks ago by Henri Nouwen, called “Bread for the Journey”. It was published posthumously and contains daily reflections. Nouwen is perhaps best known for his writings about the “wounded healer”. This morning over coffee, Emma asked me to look at today’s reflection, titled “Care, the Source of All […]
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    In the near future, doctors will be the link between the science and humanity of medicine. They will listen and guide, while computers do the diagnosing… Oncologist James Salwitz writes about the Federal Health IT Strategic Plan in a nice piece on The Health Care Blog: “The doctor will no longer be the final fountain […]
  • The New Paternalism
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  • More on Bribing Doctors
    The going rate for physician bribery seems to be around $100 per act. In Great Britain it is slightly less, about $88, or £55. In one recent American case, I was offered $100 for putting a hypotensive diabetic patient of mine on an ACE inhibitor (“Incentive, Bribe or Kickback?“) Now my British fellow GPs stand […]
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