Medical jokes portray an unflattering picture of doctors in general

From this French study:

Sociological studies have shown the link between humor and unconscious ideas that we have of the society in which we evolve. Researchers conducted a survey to answer the question: "What were the stereotypes of our medical profession that emerge from a transcript of jokes collected in a medical population?"

Recruitment of the source population (doctors and medical students) was done through different personal and professional mailing lists, Twitter, Facebook, and medical press. The inclusion period was 6 weeks (from June 6 to July 14, 2013). Each physician recruited received the link to the study authors' blog: http://humourmedical.overblog.com which contained a link to the questionnaire.

Physicians responded to the following simple proposition: "tell the joke involving doctors you laugh the most".

Analysis of jokes was made by 3 investigators. First, two investigators pooled of results to generate a stereotype for each joke. Then a triangulation was made with a third investigator, to determine the final stereotype.

512 jokes were collected on the site and 448 were included in the analysis. The gender of respondents was 284 men (63%) and 164 women (37%).

156 different stereotypes were classified into 6 themes:

- Anesthesiologists were represented as lazy, inveterate coffee drinkers and less awakened than their sleeping patients.

- Surgeons were seen as megalomaniac, tyrannical with other professions, operating without thinking, as their "brain down to a neuron."

- Medical students appeared docile and absurd.

- Psychiatrists were as "crazy as their patients, sometimes passing them to the consultation and looking only at their past relationship."

Researchers claim that the stereotypes contained in the medical jokes were quite caricatured and portrayed an unflattering picture of doctors in general.



Video: "You can never Trust Doctors" (embedded above).

I'm sure some patients and doctors will not find this Eurosport commercial funny, and they probably have a point. Humor may be difficult to explain and interpret. Some social media "experts" even advise doctors not to use humor on Twitter, Facebook and blogs for fear of misinterpretation and legal repercussions.

However, humor is what makes us human. It can also help with the healing process and provide some relief at a time when you need it the most. The commercial above may not provide the best example for that particular purpose but I think you get the point.

Comments from Twitter: @scanman: Ha!! I do this ALL THE TIME!!!

References:

[The jokes are vectors of stereotypes. Example of the medical profession from 220 jokes.] [Article in French] Presse Med. 2014 Oct 2. pii: S0755-4982(14)00419-9. doi: 10.1016/j.lpm.2014.05.013. [Epub ahead of print]
http://www.ncbi.nlm.nih.gov/pubmed/25284735

Offer new treatments only as part of post-market trials until data on meaningful outcomes are available, says Ben Goldacre to BMJ

Watch the video from the BMJ channel below:

High-fructose sweeteners are a principal driver of type 2 diabetes

High-fructose sweeteners are a principal driver of type 2 Diabetes Mellitus and its consequences, according to a recent report in the journal Mayo Clinic Proceedings. Conversely, whole foods that contain fructose (eg, fruits and vegetables) pose no problem for health and are likely protective against diabetes and adverse CV outcomes. Read more here: http://www.mayoclinicproceedings.org/article/S0025-6196(15)00040-3/abstract

Our own Dr Hyman discusses How to Avoid the Hidden Dangers of High Fructose Corn Syrup in this video from the official Cleveland Clinic YouTube channel: "Dr. Mark Hyman, explores the many ill effects of high fructose corn syrup and offers strategies to avoid it. He says this sweetener can only be processed by the liver, causing what he calls a "fat production factory" in your body."



Disclaimer: I am an Allergist/Immunologist, Cleveland Clinic Florida and a Clinical Associate Professor, FAU Charles E. Schmidt College of Medicine.

This is what happens when social media sites go too far

From Ray Ray, gardener and YouTube star: "This is what happens when social media sites go too far. Mr Zuckerberg, there are certain things you (Facebook) can NOT have from me."

Facebook Launches Suicide Prevention Initiative - WSJ video

Facebook is partnering with suicide prevention organizations on a new tool to identify people in distress. Forefront research scientist Ursula Whiteside discusses the project with Sara Murray.

"A life is like a garden. Perfect moments can be had, but not preserved, except in memory"

A life is like a garden. Perfect moments can be had, but not preserved, except in memory. LLAP
— Leonard Nimoy (@TheRealNimoy) February 23, 2015

Don't smoke. I did. Wish I never had. LLAP
— Leonard Nimoy (@TheRealNimoy) January 11, 2015

Most cancers caused by "bad luck" in cell division and "poor repair" of the defect

Researchers at Johns Hopkins University studied 31 different cancers. Of those, just 9 were found to be linked to bad genetics or unhealthy lifestyle choices. However, researchers excluded two of the most common cancers from their study, breast cancer and prostate cancer (published in the journal Science).

The most common cause of the production of most cancerous cells occurs when one chemical letter in DNA is incorrectly swapped for another during stem cell division. Scientists found that cancer rates were higher in parts of the body where cells are quickest to regenerate, thereby creating more random mutations.

Genetic mutations that randomly crop up as our stem cells divide are “the major contributors to cancer overall, often more important than either hereditary or external environmental factors.”



BBC: New research suggests most types of cancer are the result of bad luck, rather than unhealthy lifestyles, diet or even inherited genes.

References:

Study concludes that many cancers caused by bad luck in cell division | Fox News http://buff.ly/1xebIsy
Besides Lifestyle and Inherited Genes, Cancer Risk Also Tied to Bad Luck - WSJ http://buff.ly/1xebVMw

Ironstrength, the Doctor's Total-Body Exercise Routine - New York Times video

Dr. Jordan Metzl is a sports medicine physician who developed an extreme total-body workout routine called Ironstrength. He now teaches free exercise classes all around New York City. Produced by: Colin Archdeacon.

Myelodysplastic Syndromes / Myeloproliferative Disorders

What are myelodysplastic syndromes?

Myelodysplastic syndromes are clonal marrow stem-cell disorders, characterized by ineffective hemopoiesis leading to blood cytopenias, and by progression to acute myeloid leukemia in a third of patients.

Who is affected?

15% of cases occur after chemotherapy or radiotherapy for a previous cancer. The syndromes are most common in elderly people.

What is the cause?

The pathophysiology involves cytogenetic changes with or without gene mutations and widespread gene hypermethylation at advanced stages.

What are the symptoms?

Clinical manifestations result from cytopenias (anemia, infection, and bleeding).

How to make the diagnosis?

Diagnosis is based on examination of blood and bone marrow showing blood cytopenias and hypercellular marrow with dysplasia, with or without excess of blasts. Prognosis depends largely on the marrow blast percentage, number and extent of cytopenias, and cytogenetic abnormalities.

What is the treatment?

Treatment of patients with lower-risk myelodysplastic syndromes, especially for anaemia, includes growth factors, lenalidomide, and transfusions.

Treatment of higher-risk patients is with hypomethylating agents and, whenever possible, allogeneic stem-cell transplantation.

In this first video in the series, Myeloproliferative Neoplasms 2015 - Mayo Clinic, Ruben Mesa, M.D., professor and hematologist at Mayo Clinic in Arizona, discusses the treatment and management of myeloproliferative neoplasms as well as shares highlights from the 56th Annual American Society of Hematology (ASH) meeting in San Francisco, December 2014.



Here is the complete playlist:

https://www.youtube.com/playlist?list=PLSWR1ylG_6JZKr0ChD4N_8MJ3g3FnF08S

References:

Myelodysplastic syndromes : The Lancet http://buff.ly/VwiRor

Tracking Sleep With Wearables Literally Changed My Life - The Medical Futurist

From Bertalan Mesko: "I use wearable gadgets to measure the quality of my sleep and as some of the subscribers asked me how I do that in details step by step, I thought I would share the whole process and my methods in one video. I hope you will find it useful."