• Sep26

    I recently agreed to be a mentor for Blueprint Health, a NYC residential program that helps very early stage health technology companies get started. With everything I have going on, why this new role?

    One, I get to hang out with the other healthcare mentors. And two, I get to teach.

    Teaching is not just a way to share what I know, but a way to learn. It helps me find out what I really think about new subjects, and make the next leaps to help my business.

    Teaching is one of the most overlooked roles at a start-up. Medicine revolves around the concept of continual investigation and teaching.

    Every day, residents and attending physicians do “rounds” on patients, which are both teaching and modeling sessions.

    Imagine if at your business, your managers at your company spent 10 minutes presenting a new concept or recent article to employees.

    In medicine, everyone is expected to teach, from medical students to attending physicians. I still look at most of my own roles that way.

    My first love in medicine is medical ethics, and my most important mentor is Mark Siegler, MD. Mark recently accepted the leadership of the newly endowed, with a $43 million gift, University of Chicago’s Bucksbaum Institute for Clinical Excellence, which focuses on the MD-Patient relationship. Mark is a superb teacher.

    Companies at the intersection of health and technology that can provide a blueprint for the next generation to do it better will be leaders.  Blueprint will provide teams with $20,000, office space and mentorship for 3 months. The program begins January 9.  Apply now.

     
  • Apr6

    Return-to-work (RTW) coordination programs are successful in reducing long-term work disability.  But they vary a lot from one employer to the next.

    What doesn’t vary is why employers undertake them: to save money and boost productivity.  And they do save money: 94% of savings coming from reduced medical expenditures, with even a modest effort at coordination.

    Coordination is the key–not medical training or medical assessment. Caring, job accommodation, communication and conflict resolution are part of successful RTW coordination. It’s about problem solving much more than diagnosis and treatment.

    It’s well known that a brief psychological intervention can reframe a person’s impression of the heart attack they just had, and make it less severe: fonder, in a way.

    It’s less well known that functional restoration significantly and consistently reduces sick-leave days, much more than for physical therapy for chronic back pain.

    Or that cancer interventions for RTW are being seriously studied.

    Absence (short term disability, long term disability, workers’ compensation, Family Medical Leave and absenteeism) is even more of a hot button with job insecurity rampant in America.

    Millions of Americans have lost their jobs, and many of those who have had a long absence want to return to productivity.  And their employers want them to.

    The core questions are “What will most help them do so, cost-effectively?” and “How should employers keep employees healthy and safe at work, so they don’t become disabled?

     
  • Sep28

    New exciting food is the new pharma initiatives seem to be fighting with an equally new governmental crack-down on food with pharma claims.

    Who should you believe?

    On the one hand, Nestle is about to invest $500m in a new company to create food-based solutions to diabetes, obesity, Alzheimers and more.

    I think this is brilliant–Kit-Kats aside–and will bring much of the global interest in the health effects of foods front and center.  And it’s about time.

    On the other hand, the FDA doesn’t like Walgreen’s/CVS/Johnson and Johnson claiming that their mouthwash improves oral health because it contains flouride.  The FTC doesn’t like POM Wonderful’s claims that it improves prostate cancer (or its CEO’s claims that it is “40 percent as effective as Viagra“)…or a dozen other issues in the warning letter.  Cheerios don’t lower cholesterol, Mini-Wheats don’t improve kids attention, and there is more to come.

    How does a consumer make sense of this?  Does food work like medicine, or is it just food?

    I’m going to talk about this, and our way out, at TEDx American Riviera in Santa Barbara next month: the NYTimes covered TEDx talks this weekend. Expect 12 intense and hopefully entertaining minutes.

     
  • Jun4

    Food as medicine has had a long history, but until recently in the U.S., it’s been seen as a sort of fringe element. A little scruffy, not very tasty, and honestly, a bit weird.

    Foodies often don’t like the idea because food should be about flavor, love, aroma, authenticity, personality and nuance. Or boldness. But certainly not clinical work. Sadly, only 1% of the attendees of the 2010 IACP’s Annual Conference identified themselves as nutritionists (I spoke…it was great!)

    And medical types often don’t like the idea because it seems too squishy, scientifically speaking. Pharmaceuticals are single, usually short-acting chemical compounds honed down to FDA approval. Food is so much more complicated, biochemically, than pharmaceuticals that it’s hard for even the sharpest scientists to identify the single variable which is causing the effect in food.

    And yet, the science has evolved dramatically over the past 15 years. The really great news is that physicians and scientists are getting it, and finally catching up to the public’s interest. Here, for example, is a TED lecture on cancer and food…just what the doctor ordered (culinary medicine, if you will!).

     
  • May10

    Anyone who has been in gardening store knows the smell of synthetic artificial pesticides…it wafts into your nose and head as you are walking down the aisle towards the potting soil. That’s herbicide Roundup Ready, and its ilk, and there are now weeds and other plants that are resistant.

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