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Jeanne Lenzer is an award-winning independent medical investigative journalist and author whose hard-hitting investigations and analyses have appeared in medical journals, such as The BMJ and the Journal of Family Practice, and in outlets such as the New York Times, Washington Post, Smithsonian Magazine, the Atlantic, Washington Monthly, Newsweek Japan, Mother Jones, and Discover. Her first book, The Danger Within Us: America's Untested, Unregulated Medical Device Industry and One Man's Battle to Survive It, explores themes that have been at the heart of Lenzer's work over the past three decades: the intersection of money and medicine and how profiteering distorts medical science and undermines the public health, often by gaming or misrepresenting research to obtain a desired outcome. The book served as a basis for the International Consortium of Investigative Journalists' award-winning Implant Files project on medical devices and for the Netflix show, Bleeding Edge . It was used by John Oliver for his segment on medical devices as well as by the television show, The Resident for segments on the vagus nerve stimulator. It was favorably reviewed by Jerome Groopman in The New Yorker. Her investigations have revealed hidden financial ties between industry and public institutions, including the U.S. Food and Drug Administration, the Centers for Disease Control and Prevention and the National Institutes of Health. In each instance, she documented flawed scientific recommendations that serve to protect profits over public health. Examples include the CDC's recommendation for oseltamivir (Roche, Tamiflu), a campaign that was paid for by Roche; and the FDA's approval of drugs over the (sometimes unanimous) recommendations of their own scientists - after being contacted by politicians beholden to manufacturers. http://www.jeannelenzer.com/
In months with five weeks, host Paul Wirkus, MD, FAAP and guest Angelo Giardino, MD, FAAP hold a book club. This month they are discussing How Doctors Think by Jerome Groopman, MD.No credit available for this episode. See vcurb.com for additional episodes.
Dr. Jerome Groopman'ın Umudun Anatomisi - İnsanlar Hastalıklarla Nasıl Baş Ederler? adlı eseri üzerine konuşurken, Stephen R. Kellert Biyofilik 2021 Tasarım Ödülü'nü kazanan Maggie's Center Leeds'e de göz atıyoruz.
Herkese selamlar. Bu bölümde Umudun Anatomisi adlı kitaba ve anlattıklarına kısaca değinmeye çalıştım. İlgimi çeken bu kitabı sizlere de tavsiye edebilmek adına bir bölüm olarak yer vermek istedim, keyifli dinlemeler... Instagram'da şurdayız: www.instagram.com/unutmadan_soyleyeyim/ Kişisel instagram hesabım: @ahmttakn Spotify linki: open.spotify.com/show/6SU9hIjoR3Gq9E1DXIP3sw?si=W9Yy-VT9T9K5P7NBPK863Q Soru görüş ve önerileriniz için: ahmetziyaakinn@gmail.com
Quais caminhos sua mente percorre até chegar ao diagnóstico e tratamento do seu paciente?Há ferramentas que podem auxiliar você nesse processo? Há atalhos ou viesses que podem te afastar do raciocínio correto? Nesse episódio Pâmela Valelongo percorre com o ouvinte os caminhos da mente do profissional de saúde para chegar ao diagnóstico e tratamento.
Barbara discusses her boundary-pushing mother, dental trauma, finding empathy for her parents and their own childhood traumas, and finally finding her way out of CS. Below are some resources Barbara would like to share that were helpful to her: Books: Mothers Who Can't Love: A Healing Guide for Daughters by Susan Forward • Cultish: The Language of Fanaticism by Amanda Montell • Cure: A Journey into the Science of Mind over Body by Jo Marchand • Bright-Sided: How Positive Thinking is Undermining America by Barbara Ehrenreich • Childhood Disrupted: How Your Biography Becomes Your Biology and How You Can Heal by Donna Jackson Nakazawa (and her IG) • How Doctors Think by Jerome Groopman, MD • Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick by Maya Dusenberry • All three books by Dr. Jen Gunter - The Vagina Bible, Menopause Manifesto, and Blood (and her Substack and IG) Podcasts: Unbiased Science (also a FB page) Science VS America Dissected Emancipate Your Mind
Today Asif asks Ali about his involvement with Canada Reads, which returns on March 28, 2022 (4:43). After a brief digression about the band Genesis, Ali discusses the genesis of Canada Reads. He talks about how it was developed by the CBC and how the guests and books are selected. He then discusses notable guests and books and how he became involved with the show. Then Asif discusses his favourite medical books (39:24): ‘The House of God' by Samuel Shem, ‘An Anthropologist on Mars: Seven Paradoxical Tales' by Oliver Sachs, ‘How Doctors Think' by Jerome Groopman, and ‘When Breath Becomes Air' by Paul Kalanithi. The opinions expressed are those of the hosts, and do not reflect those of any other organizations. This podcast and website represents the opinions of the hosts. The content here should not be taken as medical advice. The content here is for entertainment and informational purposes only, and because each person is so unique, please consult your healthcare professional for any medical questions. Music courtesy of Wataboi and 8er41 from Pixabay Contact us at doctorvcomedian@gmail.com Follow us on Social media: Twitter: @doctorvcomedian Instagram: doctorvcomedian Show Notes: Canada Reads 2022: https://www.cbc.ca/books/canadareads/meet-the-canada-reads-2022-contenders-1.6326413 Jerome Groopman: http://jeromegroopman.com/ When Breath Becomes Air: https://www.penguinrandomhouse.com/books/258507/when-breath-becomes-air-by-paul-kalanithi/ Five years later: Lucy Kalanithi on loss, grief and love: https://scopeblog.stanford.edu/2020/04/20/five-years-later-lucy-kalanithi-on-loss-grief-and-love/
From being an employed physician in a pediatric practice to owning her own pediatric practice and now employing other physicians, Dr. Jamie Hutton's transition from employed to an Entrepreneurial physician was not easy.We talk about what forced her into making this decision, the challenges that come with opening your own practice, and how she met them head on and conquered them.She learnt some tough lessons along the way which she shares and her pearls of wisdom would be invaluable for anyone thinking of transitioning to their own private practice in a time when being employed seems to be the norm.Dr. Hutton's book and podcast recommendations:Podcasts:DoctorMeFirstEntreMDDoctors UnboundFearless FreedomBootstrap MDHigh-Yield PhysiciansMoney meets MedicineBooks:Patients Build Your Practice by Michael E. Cafferky8 to Great: The Powerful Process for Positive Change by MK MuellerSecrets of Six-Figure Women by Barbara StannySecrets of the Best Run Practices by Judy CapkoHow to be a Rock Star Doctor by Rebekah BernardHow Doctors Think by Jerome Groopman
Barry Schwartz is an American psychologist. He frequently publishes editorials in The New York Times applying his research in psychology to current events. Schwartz's research addresses morality, decision-making and the inter-relationships between science and society. His books illuminate the underlying psychological plagues of our time. Why We Work The Paradox of Choice: Why More Is Less The Battle for Human Nature: Science, Morality and Modern Life Practical Wisdom Key Takeaways [2:25] It’s Barry’s secret desire is to play in Bruce Springsteen’s band, or to play center field for the Yankees. [4:25] Wise people have good judgment and they use that judgment in the service of good goals. [9:25] There is an infinite number of ways people can screw up. Putting more rules in place doesn’t stop that from happening. [10:30] As a leader, you want to instill good judgment in your people so that you can relax the rules. [13:00] Most management systems are designed to avoid developing wise employees. [15:00] Barry shares a story of how doctors learn to deliver bad news. [18:00] Instead of stumbling through your careers, mentors can help you find shortcuts and prevent a lot of mistakes. [21:20] Rules are okay if you are seeking mediocre results. They do not work well when extraordinary circumstances arise, which happens every day. [21:55] Employee incentives can also be a double-edged sword because it can move focus away from the people you’re trying to serve. [31:20] When you plan on using your judgment, there will be times you get it wrong. This means you also have to be prepared for failure. [33:50] Empathy is good, but too much of a good thing can hurt others unintentionally. [34:10] Organizations have to be willing to tolerate imperfect outcomes and failures if they’re trying to nurture people. [39:00] In highly competitive environments, leaders are afraid to relax because they don’t want to fall behind, but people need that from time to time to produce innovative results. [41:15] If you’re trying to build a workforce that lasts generations, setting up quarterly metrics and goals only forces people to think short term. [42:00] Companies are making critical mistakes. They’re hiring ‘plug and play’ people that they can use today and not thinking about the resources and talent pool they’ll be needing for the future. [42:15] Hire people on character and things you can’t teach, and then teach your people the skills they need to know to get the job done. [45:30] We have a narrow understanding of what self-reliance truly means. [48:55] Unfortunately, it often takes trauma to get people willing to take a chance and to think boldly about different ways to do things. [51:35] As we navigate a new world, be open to changing yourself. Quotable Quotes “You want people to use their judgment, but if you don’t trust the people you’re overseeing to have good judgment, then, of course, you have to give them rules.” “Better to come up with a rule that will keep people mediocre than say, ‘Use your judgment.’” “A lot of the stuff we learn to be wise, we learn the hard way, you learn by making mistakes, but if you have a mentor, the mentor can make sure the mistakes aren’t catastrophes.” “Courage is the mean between cowardice and recklessness. If you’ve got too little, you’re a coward. If you got too much, you’re reckless. You want just the right amount.” “If you focus on rules, you’ll have rule followers. Rule followers are okay if you are seeking mediocre results.” “Most companies hire on the basis of abilities that can be immediately put to use. They want plug-and-play employees. This is a colossal mistake.” Resources Mentioned Bio: Barry Schwartz Barry’s Four books: The Battle for Human Nature: Science, Morality and Modern Life The Paradox of Choice: Why More Is Less Practical Wisdom: The Right Way to Do the Right Thing Why We Work “Dying Words,” by Jerome Groopman The Leadership Podcast is Sponsored by: Cultivate Grit. Amplify Action. Click HERE to learn more. Free downloads of Quick Reference Guides on Delegation, Time Management, Sales, and more.
Dr. Jerome Groopman and Timothy Snyder discuss Snyder’s recent book "Our Malady: Lessons in Liberty from a Hospital Diary," healthcare in the U.S., and other timely topics. Groopman holds an endowed Chair of Medicine and Chief of Experimental Medicine at Harvard Medical School. Snyder is the Levin Professor of History at Yale University and a permanent fellow at The Institute for Human Sciences in Vienna.
Whether or not you've been exposed to the virus, the COVID-19 pandemic impacts everyone's sense of well-being. Three scholars in the field of global mental health look at the various ways loss, fear, anxiety—and on top of it, a massive global recession—weigh on the mental well-being of different groups. And they anticipate a surge in demand for mental health services as a result of the pandemic.Although the contemporary world has never seen the likes of such economic contraction as we have now, the recession of 2008 might be an instructive case. Vikram Patel, professor of global health and population, explains what is known about the mental health impacts stemming from that recent recession. Mary-Jo DelVecchio Good, a sociologist and medical anthropologist, gets inside the mind and experiences of the doctors and healthcare workers who are taking care of us (and it's not necessarily what you would expect). And psychiatrist Dr. Giuseppe Raviola gives an unflinching look at what American families and kids are struggling with during lockdown.The scholars also discuss the fraught state of mental health service delivery in the US, and advocate for adopting an approach to mental health services very different from the US's hierarchical system of licensed specialists.Finally, our guests confront the great disparities in the hardships this pandemic creates: in short, wealthy people are doing just fine and have all the advantages, while for others, the pandemic has taken away so many of the resources they once had, causing enduring stress.Disclaimer: This podcast was recorded on May 22, 2020 when the US had approximately 1.5 million positive COVID-19 cases.Host:Kathleen Molony, Director, Weatherhead Scholars Program.Guests:Vikram Patel, Faculty Associate. The Pershing Square Professor of Global Health and Wellcome Trust Principal Research Fellow, Department of Global Health and Social Medicine, Harvard Medical School. Professor, Department of Global Health and Population, Harvard T.H. Chan School of Public Health.Mary-Jo DelVecchio Good, Faculty Associate. Professor of Global Health and Social Medicine, Department of Global Health and Social Medicine, Harvard Medical School, and Department of Sociology, Harvard University. For the past thirty years, she has cohosted the Friday Morning Seminar in Culture, Psychiatry, and Global Mental Health at the Weatherhead Center. Giuseppe (“Bepi”) Raviola, is a board-certified child, adolescent, and adult psychiatrist, and the Director of Mental Health for Partners in Health, a Boston-based humanitarian healthcare organization that serves ten countries. Bepi is actively involved in training contact tracers in Massachusetts through Partners in Health.Producer/Director:Michelle Nicholasen, Editor and Content Producer, Weatherhead Center for International Affairs.Related Links:Deaths of Despair and the Future of Capitalism by Anne Case and Angus DeatonUN leads call to protect most vulnerable from mental health crisis during and after COVID-19 (UN News, May 14, 2020)“Physician Burnout, Interrupted” by Pamela Hartzband, M.D., and Jerome Groopman, M.D. (The New England Journal of Medicine, June 25, 2020)EMPOWER: Building the Mental Health Workforce, Global Health Institute, HarvardFollow the Weatherhead Center for International Affairs:WCFIA WebsiteEpicenter WebsiteTwitterFacebookSimplecastSoundcloudVimeo
Rabbis Efrem Goldberg, Philip Moskowitz, and Josh Broide, from Boca Raton Synagogue, shmooze about contemporary issues. Every week features an unscripted and lively discussion, special guests, and a behind-the-scenes look at leading a large and dynamic Jewish community. Connect with Rabbi Efrem Goldberg:Website: https://rabbiefremgoldberg.org/Facebook: http://www.facebook.com/efrem.goldberg Twitter: http://twitter.com/rabbigoldberg
اپیزود ۱۶ پادکست رادیو تاکترک عادت موجب مرض نیست!نویسنده : Jerome Groopmanمترجم : علی امیریگویندگان : محمدامین ضَرّابی - زکیه دهقانیطراح پوستر: پرناز فرشادمنبع : http://tarjomaan.com/آهنگ های این اپیزود : https://bit.ly/3178E5b و ضیا غیاثیرادیو تاک در اپلیکیشن اپل پادکست : https://apple.co/2EMywbQرادیو تاک در اپلیکیشن کست باکس : castbox.fm/vc/2452758 رادیو تاک در اپلیکیشن گوگل پادکست : https://bit.ly/35z9ZUsرادیو تاک در اپلیکیشن نوار : https://bit.ly/388GDw5رادیو تاک در تلگرام : https://t.me/radiotalkpodcastاینستاگرام : https://www.instagram.com/radiotalkpodcast/توئیتر : https://twitter.com/radiotalkpodایمیل : radiotalkpod@gmail.comکتاب های معرفی شده در این اپیزود:خرده عادت ها | جیمز کلیر | نشر میلکانقدرت عادت | چارلز داهیگ | نشر آرایانکتابفروشی هایی که کتاب های معرفی شده تو اپیزودها رو دارن:کتابسرای قائم (شیراز) خانه کتاب پیدایش (تهران) برای آگاه شدن از اپیزودهای جدید، در یکی از اپلیکیشنهای Castbox یا Apple Podcasts یا Google Podcast یا تلگرام یا نوار، رادیو تاک رو subscribe کنید.
Our beliefs about illness may sometimes help in our healing. These authors share insights on how this occurs:Rilke's book (Stephen Mitchell translation for Kindle)Jerome Groopman's Amazon pageKate Bowler's bookThe PLOS ONE study on placebos for IBS
Dominate the most common in-flight emergencies with tools and tips from this classic Curbsiders episode. Our guest, Angelica Zen MD, (formerly an IM Chief Resident at UCLA), recounts a harrowing tale of heroism at 30,000 feet and schools us on how to throw down in an in-flight emergency. We review what’s available in the standard medical kit, common conditions encountered, and the medical legal implications of responding to in-flight emergencies. This episode is a must listen before you next step on a plane. Original air date November 21, 2016. Full show notes https://thecurbsiders.com/episode-list. Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Credits Written, produced and edited by: Matthew Watto MD, FACP Cover Art by: Matthew Watto MD, FACP Hosts: Stuart Brigham MD; Paul Williams MD, FACP; Matthew Watto MD, FACP Guest: Angelica Zen MD Partners Win a prize! Celebrate National Internal Medicine Day and tell us why you’re I.M. Proud. Tell us why you are I.M. Proud and enter the contest by visiting acponline.org/improud to submit your story today! Answer one of the three questions below and share your story on social media using the hashtags #IMProud #NationalInternalMedicineDay, and tag @acpinternists. Prizes will be given out 3 times through June of 2020. The first group of winners will be announced on the first ever National Internal Medicine Day October 28, 2019! What makes you proud to practice internal medicine or one of the I.M. subspecialties? What recent patient experience made you proud to be an internist or subspecialist? How is internal medicine unique from other subspecialties? See us at the CHEST 2019 Annual Meeting in New Orleans! We’ll be doing two live interviews on stage, plus recording two recap episodes to bring you high yield clinical pearls from the conference. Look out for us in our red Curbsiders shirts and say hello. Take a picture with Stuart! Give Paul a hug! Register today https://chestmeeting.chestnet.org/ !!!! Time Stamps 00:00 Cold open; Disclaimer 00:50 Sponsor: ACP’s National Internal Medicine Day 2019 www.acponline.org/improud 01:10 Intro, Guest Bio 02:50 Guest onliner; Wellness tips; Tips for staying up on the literature Pick of the Week*: How Doctors Think (book) by Jerome Groopman; MDCalc app; AHRQ app; Physician’s First Watch 07:30 Sponsor: ACP’s National Internal Medicine Day 2019 www.acponline.org/improud 09:08 Dr. Zen tells her story 19:27 Monitoring your patient in-flight 20:05 Contents of the standard in-flight medical kit 22:10 What Dr. Zen would have done differently 23:05 How to use available resources in-flight 24:20 Medical legal implications 28:07 How to respond to common in-flight emergencies and how to respond 29:35 Syncope and presyncope 31:55 Hypoxia altitude simulation test (HAST) 33:15 Altered mental status 33:52 Anaphylaxis 35:34 Stroke and acute coronary syndrome 36:55 Dr. Zen’s take home points 38:50 Outro *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on my Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goal Listeners will comprehend their role and potential liabilities during in-flight emergencies and effectively utilize available resources for triage, patient care, and decisions about diverting the plane. Learning objectives By the end of this podcast listeners will: Be familiar with the contents of the standard medical kit Think outside the box to identify, improvise and utilize the available resources for patient care Recognize the medical legal consequences of providing emergency medical care on a plane Confidently evaluate and manage common in-flight emergencies using the available resources Disclosures Dr. Zen reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Citation Zen A, Brigham SK, Williams PN, Watto MF. “#19 In-Flight Emergencies.” The Curbsiders Internal Medicine Podcast https://thecurbsiders.com/episode-list. Original air date November 21, 2016.
In this episode of Critical Matters, we discuss acute neuromuscular disorders in the intensive care unit with Dr. M. Kamran Athar. The discussion focuses on the Guillain-Barre Syndrome and Myasthenia Gravis. Dr. M. Kamran Athar is a practicing neuro intensivist at the Farber Institute for Neuroscience in Philadelphia. Dr. Athar is an assistant professor of Medicine and of Neurology at the Jefferson School of Medicine in Philadelphia. Additional Resources: The clinical management of neuromuscular disorders in intensive care: https://bit.ly/2wWlYe1 Early predictors of mechanical ventilation in Guillain-Barré syndrome: https://bit.ly/2Icb1vi International consensus guidance for management of myasthenia gravis: https://bit.ly/2Ic2g4I Books Mentioned in this Episode: How Doctors Think by Jerome Groopman: https://amzn.to/2ZmHSmV
As providers, the safety of our patients is paramount. In recent years, increased attention has been given to diagnostic error in medicine, specifically those that arise through error in cognitive perception, failed heuristics and biases. In today’s episode, we are talking with Joe Grubenhoff, MD about error in diagnosis and strategies for reducing cognitive bias. Dr. Grubenhoff is the Associate Medical Director of Clinical Effectiveness and is a pediatric emergency medicine physician at Children’s Colorado. He is also an Associate Professor of Pediatrics at the University of Colorado School of Medicine. Resources mentioned in today's episode: How Doctor's Think by Jerome Groopman, MD Thinking Fast and Slow by Daniel Kahneman What did you think of today's episode? Send Dr. Brumbaugh a tweet @DBrumbaughMD.
This week, it was announced that a patient in the United Kingdom had been cured of H.I.V. The “London Patient” is only the second person with H.I.V. to be cured of the disease since its discovery, in 1981. The breakthrough comes weeks after President Trump announced a plan to eradicate the disease by 2030. Jerome Groopman joins Dorothy Wickenden to discuss how previous Administrations have addressed the AIDS crisis, and the politics of science and medicine in the Trump era—on everything from the anti-vaccine movement to climate-change denialism.
Anchors away In this Heartbeat we talk with a child abuse pediatrician who has seen what happens when we can’t see past a single diagnosis. She defines anchoring bias, how it can trip us up, and how to see past it. Join the conversation on Social Media @empulsepodcast or at ucdavisem.com Host: Dr. Julia Magaña, Assistant Professor of Pediatric Emergency Medicine at UC Davis. Guest: Antoinette “Tony” Laskey MD, MPH, MBA Professor of Pediatrics and Division Chief University of Utah Pediatrics. She is also the medical director of Safe and Healthy Families, a child abuse assessment and treatment center. Resources: How doctors think by Jerome Groopman https://www.amazon.com/How-Doctors-Think-Jerome-Groopman-ebook/dp/B003JTHWGE/ref=sr_1_1?ie=UTF8&qid=1525122494&sr=8-1&keywords=how+doctors+think Pat Croskerry, MD: Gating the holes in the Swiss cheese (part I): Expanding professor Reason's model for patient safety. (link: https://www.ncbi.nlm.nih.gov/pubmed/29168290) Seshia SS, Bryan Young G, Makhinson M, Smith PA, Stobart K, Croskerry P. J Eval Clin Pract. 2018 Feb;24(1):187-197. doi: 10.1111/jep.12847. Epub 2017 Nov 23 Read Jon Ilgen, MD (@Jon_Ilgen) EM tweet about cognitive biases. Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Audio Productions for audio production services.
Dr. Pamela Hartzband, an endocrinologist, and Dr. Jerome Groopman, an oncologist, both practice at Beth Israel Deaconess Medical Center and are professors of medicine at Harvard Medical School. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. J. Groopman and P. Hartzband. The Power of Regret. N Engl J Med 2017;377:1507-9.
Imagine being admitted to a psychiatric hospital and accused of being a pathological liar because no matter how carefully you follow the high-carb diet prescribed by your physicians, you continue to lose weight. In the introduction to his book, How Doctors Think, Dr. Jerome Groopman shares the story of a woman who was misdiagnosed with anorexia nervosa. The patient was ready to give up when one last doctor discovered villous atrophy and determined that it was celiac disease—not an eating disorder—that was causing her malnourishment. Today the Gluten Free RN explores the reasons why celiac disease and gluten sensitivity are often mistaken for anorexia nervosa. She shares the limited research in the field, as well as the symptoms related to malnourishment that may be caused by gluten, including several mental health disorders. Listen in as Nadine covers the use of PWAG (people who avoid gluten) as a derogatory term and shares her frustration with labels like ‘orthorexia nervosa’ which imply that gluten-sensitive patients are obsessed with healthy food: ‘I avoid gluten like the plague because it is, in fact, the plague for those of us who have celiac disease.’ What’s Discussed: The use of PWAG as a derogatory term ‘People who avoid gluten’ Half of people in US Implies food crazed/obsessed The new term orthorexia nervosa Refers to obsessive behavior in pursuit of healthy diet Not clinical term/official diagnosis The concept of food as medicine Anecdotal evidence of celiac disease misdiagnosed as anorexia Introduction of Dr. Jerome Groopman’s book, How Doctors Think Woman admitted to psychiatric hospital (thought to be pathological liar) Continued to lose weight despite prescribed high-carb diet Biopsy revealed Marsh 4 damage Gluten-free diet resolved symptoms Why celiac disease and gluten sensitivity are misdiagnosed as eating disorders Inability to absorb nutrients results in severe weight loss, malnutrition Become picky eaters because food causes suffering Practice food avoidance The prevalence of celiac disease 3% of the US population Millions undiagnosed How gluten affects a celiac patient Gluten protein as neurotoxin Damages intestines Impairs immune system Causes inflammation Heart attack Stroke Joint, muscle pain Any -itis Nadine’s recommended variation of a Paleo diet Local, organic, whole foods 100% grass-fed beef (no antibiotics/hormones) Nutrient dense The study of celiac disease and eating disorders Very few research studies in last 11 years Handful of case studies in literature The issues associated with malnourishment Little body fat Cachectic Hormonal disruption Thyroid issues The anger and contempt Nadine has experienced as the Gluten Free RN Gluten, dairy associated with comfort food People resistant to give up The mental health issues associated with malnourishment Significant cognitive impairment Hypoxia Brain atrophy (shrinking) The effect of gluten on epithelial tissue Leaky skin, lungs, blood vessels, blood-brain barrier Causes increased/decreased blood pressure, POTS The consequences of gluten getting through the blood-brain barrier Causes hypoxia Brain needs oxygen to work appropriately Brain fog (irritability, anger) Early onset dementia The shocking statistics around psychotropic medication in the US Up to 50% of population on anti-depressants, mood-altering drugs Gluten-free diet could help ‘get brain back’ Nadine’s advice for parents of children who miss multiple days of school Could be undiagnosed celiac disease No downside to clinical trial of gluten-, dairy-free diet Consider Whole30 Diet (eliminate sugar, grains, legumes) The process of a gluten detox Gluten has narcotic-like effect on brain May feel worse before you feel better One day to two months The benefits of maintaining a gluten-free diet Anxiety goes away Mood improves Able to sleep Pain resolves Heal intestines, epithelial tissue Reduce inflammation Heal immune system Brain receives necessary oxygen The foods Nadine recommends as part of a super-good, high fat diet Avocados Olive oil Coconut oil Coconut milk Hemp milk Why Nadine chooses not to eat if there is any risk of gluten contamination in her food The places where gluten hides Single bread crumb Dusting of flour Oil French fries cooked in Personal care products Resources: How Doctors Think by Jerome Groopman, MD Dr. Groopman’s NPR Interview “The Interaction Between Eating Disorders and Celiac Disease: An Exploration of 10 Cases” in the European Journal of Gastroenterology & Hepatology “Orthorexia and Anorexia Nervosa: Two Distinct Phenomena? A Cross-Cultural Comparison of Orthorexic Behaviours in BMC Psychiatry “Predictors of Orthorexic Behaviours in Patients with Eating Disorders: A Preliminary Study” in BMC Psychiatry “Eating Disorders and Celiac Disease: A Case Report” in The International Journal of Eating Disorders Connect with Nadine: Instagram Facebook Contact via Email ‘Your Skin on Gluten’ on YouTube Melodies of the Danube Gluten-Free Cruise with Nadine Books by Nadine: Dough Nation: A Nurse's Memoir of Celiac Disease from Missed Diagnosis to Food and Health Activism
Hope is hard to define. It's more than optimism; more than positivity. What exactly is hope? The best definition I've read came from Dr. Asa Andrew's book, Empowering Your Health. In it, he quotes Dr. Jerome Groopman, M.D. who practiced hematology and oncology for thirty years. Throughout the years, Dr. Groopman's patients taught him about the power of hope. Here's the quote Dr. Andrew uses from the book The Anatomy of Hope: Hope is the elevating feeling we experience when we see—in the mind's eye—a path to a better future. Hope acknowledges the significant obstacles and deep pitfalls along that path. True hope has no room for delusion. Biblical Hope — John Piper "Biblical hope not only desires something good for the future; it expects it to happen. And it not only expects it to happen; it is confident that it will happen. There is a moral certainty that the good we expect will be done." It gives us joy and peace. It gives us strength, courage, boldness. It gives us endurance, comfort, confidence in the face of death. Biblical hope is knowing and resting in God's Grace through a relationship with Jesus Christ.
You might remember the hubbub (a kerfuffle?) over the NEJM opinion piece written by Dr. Jerome Groopman and Dr. Pamela Hartzband. See my first post about their article. There are more links at the bottom of this postNow, the "Perspective" section of the New England Journal of Medicine has published a piece titled "The Hard Work of Health Care Transformation" by Dr. Richard Bohmer. Check it out. Dr. Bohmer says "government and regulators influence" (or attempt to influence, I'd add) healthcare organizations through financial rewards and penalties, regulatory constraints, and attempts to encourage "performance-improvement activities through education, research, and measurement programs." These approaches might help, but aren't sufficient. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/lean-blog-audio/support
In the article posted today, Pamela Hartzband, M.D., and Jerome Groopman, M.D. (the later the author of the popular book How Doctors Think), rant about all sorts of things… some of which have nothing to do with Lean... http://leanblog.org/audio116 --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/lean-blog-audio/support
This Brown Bag, Green Book is a little different. Instead of a book, the discussion is based on a New Yorker article “http://www.newyorker.com/reporting/2008/08/11/080811fa_fact_groopman?currentPage=all (Superbugs)” by Jerome Groopman. Dr. Martha Buchanan, Director of Knox County Health Department, led the discussion. (Recorded October 20, 2010) For a long-form treatment of antibiotic resistant superbugs, check out Superbug by Maryn McKenna. The focus of this book is the pathogen known as MRSA: methicillin-resistant Staphyloccocus aureus. See also the Frontline documentary below.
Dr. Pamela Hartzband, an endocrinologist, and Dr. Jerome Groopman, an oncologist, both practice at Beth Israel Deaconess Medical Center and are professors of medicine at Harvard Medical School. Stephen Morrissey, the interviewer, is the Managing Editor of the Journal. P. Hartzband and J. Groopman. There Is More to Life Than Death. N Engl J Med 2012;367:987-9.
Dr. Jerome Groopman joins Dr. David Stevens to discuss the effect money has on the practice of medicine.
Guest: Jerome Groopman, MD Host: Martin Samuels, MD Is there any way for clinicians to avoid misdiagnosis and other 'thinking errors'? Host Dr. Martin Samuels discusses this important topic with researcher, physician, and author Dr. Jerome Groopman. Dr. Groopman explores some of the unintended consequences of targeted medical research and 'the Christopher Reeve effect.'
Part 3 of an address by best-selling author and Harvard Professor of Medicine Jerome Groopman to a patient safety symposium in Cambridge about the cognitive processes that lead physicians to make an incorrect diagnosis. Part 1 reviewed the ways physicians seek and process information on their way to making correct and incorrect diagnoses. Part 2 involved how how thinking errors occur. Part 3 looks at how to apply this knowledge to improving diagnoses in medical practice.
Best-selling author and Harvard Professor of Medicine Jerome Groopman speaks to a patient safety symposium in Cambridge about the cognitive processes that lead physicians to make an incorrect diagnosis. Part 1 reviewed the ways physicians seek and process information on their way to making correct and incorrect diagnoses. Part 3 will look at how to apply this knowledge to improving diagnoses in medical practice.
Best-selling author and Harvard Professor of Medicine Jerome Groopman speaks to a patient safety symposium in Cambridge about the ways physicians seek and process information on their way to making correct and incorrect diagnoses. Subsequent segments Part II and Part III will review how thinking errors occur, and how to apply this knowledge to improving diagnoses in medical practice.