Dr. Jan Gurley

Dr. Jan Gurley is a board-certified internist physician who writes regularly at Doc Gurley: Posts from an Insane Healthcare System

Posts by Dr. Jan Gurley

MedCity Influencers

Is it time to vaccinate everyone for Whooping Cough?

An influential panel at the CDC, called the Advisory Committee on Immunization Practices has recommended that Whooping Cough (Pertussis) vaccinations be extended to all adults as well, including those aged over 65. The recommendation is in part because it is recognized that adults get the disease and then pass it to children and infants. The […]

Hospitals

More obesity issues: Less pay for more weight

I’ve written before about obesity issues — mostly related to soda and diet soda (the message — even diet soda isn’t good for you — try to drink water instead) and also that even being a little overweight can still result in health problems. But a new study, coming out of the National Longitudinal Study […]

Hospitals

A closer look at vitamin E in men and multivitamins for women

I am a big fan of some vitamin supplements — notably vitamin D — which many people living urban lives tend to get significantly too little of. But there is some recent bad news about vitamin supplements. The first piece is that a large study suggests that there is a very slight link between taking […]

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MedCity Influencers

Homeless and starving in the financial district

This is one in a series of articles, running the five weeks between Thanksgiving and New Year’s, examining the relationship between housing loss and death in San Francisco. Ken sleeps under a sheltered overhang in the Financial District, an area full of sun-glinting towers and chic lunchtime hot-spots. Without a home and a sink, Ken is utterly dependent on the cheapest of prepared food options.

MedCity Influencers

Living and dying in the Tenderloin

This is one in a series of articles, running the 5 weeks between Thanksgiving and New Year’s, examining the relationship between housing loss and death in San Francisco. Nate, a self-described "Tenderloin rat," talks about having trained in the Navy, working on submarine sonar systems, then coming home to be employed by his wife’s wealthy family.

MedCity Influencers

Living on the streets: could love be the answer?

Despite the influx of police, the second man hadn't fled -- he was going to the hospital. He stood, swaying a bit, the blanket-cape of paramedic-care draped across his shoulders. The weepy woman still clung to him, her thin arms tight as a belt around his waist, her head pressed tight to his breastbone. He had tears on his cheeks, and the woman was muttering, "You almost died," over and over. He was alive, truly, because of her.

MedCity Influencers

Microsoft talks HealthVault, electronic medical records

Last week at the Health 2.0 conference I got the chance to talk with Sean Nolan of Microsoft about the work the company is doing in information technology for healthcare and electronic medical records and other related fields. Microsoft has created a technology called HealthVault and you my interview with Sean Nolan is embedded below.

Health IT

Social media, Web tackle lifestyle choices

In the intersection of online communities and health, Health 2.0 focused a session on behavior change. With so many of our chronic diseases due to lifestyle choices, online communities and tools hold the promise to help people make small, hard, and sustained incremental steps. The session reviewed some recent approaches, and online tools, and the key to their success.

MedCity Influencers

How about Docs Gone Wild?

Is it just me, or have stories about doctors behaving badly become so commonplace that it feels like we need a new, amped-up phrase. Something that would better encapsulate the orgy of vile behavior that reflects poorly on the rest of my profession, thereby costing us all a chunk of our self-respect. Maybe something lighthearted? How about Docs Gone Wild?

MedCity Influencers

Should every doctor in America be sued?

Here's your multiple choice question to set the stage: what percentage of all physicians do you think should be sued for malpractice? Would you say one-in-10 doctors ought to be sued? Or one-third? How about every single one of them? Answer: There's basically one claim per doctor being filed in America right now.