Harvard Medical School Commentaries: What Your Doctor Is Saying

Feb292012

Update From the Medical Journals: February 2012

by Mary Pickett, M.D.
Harvard Medical School

Avodart Might Slow Prostate Cancer ... read more

Category: What Your Doctor Is Saying

Nov92011

Placebos -- What Your Doctor Is or Isn't Saying

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Placebos are pills or other treatments that are considered harmless and inactive. Researchers use placebos in studies to evaluate how well a treatment works. The subjects in the placebo group are... read more

Category: What Your Doctor Is Saying

Aug102011

What I've Learned by Listening

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Doctors can improve how they communicate with their patients. But, sometimes your doctor should be saying nothing at all. That's because he or she should be listening. ... read more

Category: What Your Doctor Is Saying

Jul82011

What Makes a Drug a Drug?

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Imagine you have a bad cold. Your mother tells you take vitamin C. A television commercial suggests Theraflu (a combination of acetaminophen, diphenhydramine, and phenylephrine). An online medical... read more

Category: What Your Doctor Is Saying

Mar302011

Update From the Medical Journals: March 2011

by Mary Pickett, M.D.
Harvard Medical School

Japan Crisis Prompts Review of Risks From Radiation ... read more

Category: What Your Doctor Is Saying

Jan102011

Circulation Troubles -- What Do They Mean?

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Blood flows from the lungs and heart to other parts of the body through arteries. Veins bring blood back to the heart and lungs. This process, called circulation, is vital to deliver oxygen, sugar... read more

Category: What Your Doctor Is Saying

Jul82010

Taking the Pain Out of Pain Relievers

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Pain relievers must be among the most misunderstood types of medications out there. I get these questions all the time:

Can I take Advil if I'm also taking Aleve?

Can I drink if I'm taking aspirin?... read more

Category: What Your Doctor Is Saying

May62010

The Case for Moderation

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

It's not just your mother who recommends "all things in moderation." Your doctor may suggest this as well. ... read more

Category: What Your Doctor Is Saying

Feb232010

What Are the Odds? Understanding Risk

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

"If you take this medication, you will reduce your risk of disease by 20%, and 98% of people taking it have no serious side effects." ... read more

Category: What Your Doctor Is Saying

Feb232010

Decoding the '-Omas'

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Perhaps you've heard the words adenoma, lipoma and papilloma before. The all end with "-oma." It's one of the most common medical suffixes (word endings) used by doctors in medical records and biopsy... read more

Category: What Your Doctor Is Saying

Oct82009

Twisted Medicine

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

... read more

Category: What Your Doctor Is Saying

Jul82009

Feet Matter

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

There's little doubt about it: Feet are important. Until you've had a foot problem, you may not realize just how important they are. ... read more

Category: What Your Doctor Is Saying

May252009

The '-osis' Diagnosis

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

They sound like words that people make up when imitating doctors: diverticulosis, osteochondromatosis, pneumoconiosis. These long, complicated words ending in "-osis" sound highly technical, even... read more

Category: What Your Doctor Is Saying

May252009

Decoding the 'Plasties'

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

In the 1967 movie, The Graduate, Dustin Hoffman's character is given career advice in a single word: "plastics." If the movie were made today, the advice might be "plasty" instead.

The 3 R's of... read more

Category: What Your Doctor Is Saying

May252009

Uncertainty: Medicine's Frequent Companion

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

... read more

Category: What Your Doctor Is Saying

May252009

Name That Drug

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Did you ever wonder where drugs get their names? I have, especially when I can't figure out how to say or spell a medicine's name or when I'm trying to identify one by a patient's description. It can... read more

Category: What Your Doctor Is Saying

May252009

Medical Terminology - When Size Matters

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Diseases can often change the size of various body parts. So when doctors need to describe the heart or lungs, or abnormal findings such as tumors by their size, you might think the words "big" and... read more

Category: What Your Doctor Is Saying

May252009

The Many Ways To Say 'Normal'

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

When you talk with your doctor about your health and medical care, much of the discussion may focus on bothersome symptoms and concerns you have about your health. ... read more

Category: What Your Doctor Is Saying

May252009

Pool Rules: What Your (Public Health) Doctor Is Saying

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

... read more

Category: What Your Doctor Is Saying

May252009

Understanding Why Your Doctor Might Say No

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Did you ever go to a doctor's office with a request and leave without getting what you expected? Perhaps you read a newspaper article describing a treatment studied by a highly reputable academic... read more

Category: What Your Doctor Is Saying

May72009

The Ultimate Natural Remedy

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

When your doctor recommends a new medication, you know to ask about its risks (side effects) and benefits. But did you know that you should also ask about the risks and benefits of no treatment? In... read more

Category: What Your Doctor Is Saying

Mar182009

Mysterious Acronyms

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

... read more

Category: What Your Doctor Is Saying

Mar182009

Tech Speak

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

When your doctor is speaking with you about your health, you'll probably be paying close attention. He or she will try to make sure that the information is clear. But despite this, physicians or... read more

Category: What Your Doctor Is Saying

Mar182009

Common Versus Rare Conditions

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

There's a saying among medical trainees that "when your hear hoof beats, think horses, not zebras." In other words, something common is more likely to explain an ache, pain or other symptom than... read more

Category: What Your Doctor Is Saying

Mar182009

Making Sense Of Medical Warnings

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Life is full of warnings and, clearly, some are more helpful than others. But warning labels are so common that you may begin ignoring them or you may not notice them at all. Just how should one... read more

Category: What Your Doctor Is Saying

Mar182009

Medical Doctors Versus Spin Doctors: Sorting Through Conflicting Information

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Have you ever noticed that what your doctor says about a medicine is different from what you hear in advertisements or in the news? The differences may be subtle, perhaps the choice of words, or... read more

Category: What Your Doctor Is Saying

Mar182009

Learning From History

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Contrary to the notion that tests provide the most useful information to your doctor, your current symptoms and past information about your health (collectively called the "history") are critically... read more

Category: What Your Doctor Is Saying

Oct212008

Inflammatory Words

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Medical terms can be intimidating. If your doctor tells you that you have a combination of tracheobronchitis, pharyngitis and otitis, it may sound like you have something horrible. But in fact, he or... read more

Category: What Your Doctor Is Saying

Oct212008

The World Of Syndromes

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Have you ever heard of carpal tunnel syndrome? Down syndrome? Chronic fatigue syndrome? The names may be familiar, but did you ever wonder why they are called "syndromes?" Some syndromes carry a... read more

Category: What Your Doctor Is Saying

Oct212008

Who's Who in Your Health Care, Part 1: In the Hospital

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Several years ago, our hospital decided to install white marker boards in every hospital room. The boards were installed so that all the health care professionals’ names could be listed along with... read more

Category: What Your Doctor Is Saying

Oct212008

The 'Excluding' Language Of Medicine

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Did you ever notice that your doctor talks more about conditions you do not have than what you do? ... read more

Category: What Your Doctor Is Saying

Oct212008

Medical Terminology - The Case For Accuracy

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

The language we use to describe our health is important. It allows us to communicate vital information with others, including health care providers. Yet many terms or phrases that seem... read more

Category: What Your Doctor Is Saying

Oct212008

Body Language: Telling Your Anterior From Your Posterior

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

You may have heard the expression used to explain the three rules of real estate: location, location, location. The same expression applies to the specific terms doctors use to describe one body part... read more

Category: What Your Doctor Is Saying

Oct212008

Describing A Hospital Patient's Condition

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

A celebrity is sick in the hospital or a shooting victim is rushed to the emergency room. Their condition is reported as “serious” but later upgraded to “fair” or “good.” Did you ever wonder what... read more

Category: What Your Doctor Is Saying

Oct132008

Name That Disease!

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

What if you discovered a new disease and were asked to name it? Would you name it after yourself? Would you feel honored if others wanted to name it after you? Or would you prefer to name it after... read more

Category: What Your Doctor Is Saying

Oct132008

Math In Medicine: Know Your 'Rithmetic

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Perhaps you were not convinced. I know I had my doubts. But when my parents told me that the math I was learning in high school would be useful in my everyday adult life, my response was predictable:... read more

Category: What Your Doctor Is Saying

Oct132008

Top Five Digestion Misconceptions

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

I saw a patient the other day who asked me if it was true that heartburn is just another name for ulcers. As I started to answer, it occurred to me that problems with the digestive system are not... read more

Category: What Your Doctor Is Saying

Sep82008

Symptoms -- Location, Location, Location

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

When buying or selling a home, they say the three most important things are: Location, location and location. ... read more

Category: What Your Doctor Is Saying

Aug122008

Not So Fast: Why Your Doctor Is Skeptical

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Perhaps this has happened to you: There's a news report in the paper about a new drug that sounds great, seems safe, works well and is intended for symptoms you have, such as arthritis, heartburn or... read more

Category: What Your Doctor Is Saying

Aug122008

When the Research Doctor Says, 'More Study Needed'

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Have you ever noticed that when medical research is described in the news, the last line is usually a disclaimer about how more research is needed? It sometimes seems surprising given the positive... read more

Category: What Your Doctor Is Saying

Aug122008

How Your Doctor Looks at Research: the Error Factor

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

If you look at most medical news stories years later, there is often little to show for them. The latest "groundbreaking research" has gone nowhere and the news has moved on to other "breakthroughs."... read more

Category: What Your Doctor Is Saying

Aug122008

A Day in the Life

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Doctors frequently use medical terminology even when they don't need to. Maybe it's just habit or the need to make the medical record seem more, well, medical. Habits are hard to break, and doctors... read more

Category: What Your Doctor Is Saying

Aug122008

Reading Your Medical Record

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

In an ideal world, communication occurs in two directions — you tell your doctor about your symptoms, your concerns, your efforts to maintain your health as well as you can, and so on. Your doctor... read more

Category: What Your Doctor Is Saying

May272008

Sometimes It's 'I Don't Know'

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

I have often heard it said that the number of ways to express a concept tells you how important that concept is. If that's true, the unknown must be quite important in medical practice. If you are a... read more

Category: What Your Doctor Is Saying

May272008

Medical Test Results: Are You Normal, and Is That a Good Thing?

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

When doctors talk shop, they often use terms to describe an examination or test result by comparing it to "normal." While this might seem straightforward, health care professionals use several... read more

Category: What Your Doctor Is Saying

May272008

The Mystery of the 'Opathies'

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Catch your doctor talking to another doctor and you are likely to hear conversation like this: "…she does have type 2 diabetes but no history of nephropathy, retinopathy or neuropathy …." It is the... read more

Category: What Your Doctor Is Saying

May272008

Understanding Your Prescription Slip

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Somehow, I never thought to question the assumption that knowing Latin would help me understand medical terms I would need to learn in medical school. So when I got to college, I abandoned the... read more

Category: What Your Doctor Is Saying

May272008

How To Understand When Your Doctor Talks Statistics

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

... read more

Category: What Your Doctor Is Saying

May272008

When Your Doctor Is Vague

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Among the many reasons it may be hard to understand your doctor is one that may surprise you: Doctors sometimes use terms that are intentionally vague. ... read more

Category: What Your Doctor Is Saying

May272008

'Hypo'-thetically Speaking

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

It is likely that your doctor routinely uses words or phrases when speaking with other doctors that would sound foreign to you unless you have a medical background. Although it might sound like a... read more

Category: What Your Doctor Is Saying

Apr252008

Getting 'Hyper'

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

Perhaps you have heard the terms "hypertension" or "hyperventilation." These are terms used commonly outside of a doctor's office. But, how about "hyperhidrosis," "hyperemesis" or "hyperthyroidism"?... read more

Category: What Your Doctor Is Saying

Apr132008

Who's Who in Your Health Care, Part 2: Non-M.D.s

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

If you have ever been a patient, you may have run across a number of people who were not your doctor but played some other role in the delivery of your health care. There is the person at the front... read more

Category: What Your Doctor Is Saying

Mar132008

'Dys' Can Help You Understand Your Doctor

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

The language of medicine can be confusing. But sometimes it overlaps considerably with that of everyday communication. The prefix "dys" is a good example. Have you ever heard a relationship described... read more

Category: What Your Doctor Is Saying

The Many Faces of Heart Disease

by Robert H. Shmerling, M.D.
Beth Israel Deaconess Medical Center

"There's something wrong with your heart." ... read more

Category: What Your Doctor Is Saying