06Jun

December 22nd, 2020

When mom took your temperature and decided that at 98.6 F you were fine, she might very well have been wrong.

She was relying on a 150 year old standard that a growing number of studies are finding is too high by about a degree.

It’s not that German physician Carl Wunderlich was wrong. It’s that the average body temperature has declined since he first published the figure in 1868.

“Our temperature’s not what people think it is,” said Dr. Julie Parsonnet, a professor of medicine and health research at Stanford Medical School. “What everybody grew up learning, which is that our normal temperature is 98.6, is wrong.”

She and a group of her colleagues earlier this year published an analysis of body temperature trends in the US since the Civil War. It confirm what other studies found — our body temperature has been going down for decades. They determined the body temperature of men born in the early to mid-1990s is on average 1.06 F lower than that of men born in the early 1800s and that of women of the same time periods is on average 0.58 F lower.

The researcers offered a number of possible reasons for the decline ranging from better hygiene and healthcare to lower rates of inflammation and improved diets. Even modern heating and air conditioning were mentioned as contributing factors.

Now, a study of an indigenous population of forager-horticulturists in the Bolivian Amazon has come up with similar findings.

Published in Science Advances, a multinational team of physicians, anthropologists and local researchers found that over 16 years of study the average body temperature among the Tsimane declined by .09 F a year to a current average of 97.7 F.

“In less than two decades we’re seeing about the same level of decline as that observed in the U.S. over approximately two centuries,” said lead researcher Michael Gurven, UC Santa Barbara professor of anthropology and chair of the campus’s Integrative Anthropological Sciences Unit.

Though the Bolivian Amazon is thousands of miles and a lifestyle away from the US, the researchers suspect some of the same factors may be responsible for the declining body temperature. Health care has improved and infection and inflammation have been reduced.

Said Gurven, “It’s likely a combination of factors — all pointing to improved conditions.”

Photo by The New York Public Library on Unsplash

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Jun 6, 2023

Family Doctors Are In Demand Everywhere

Family physicians are the most recruited of all doctors. The demand for these family practitioners is expected to grow by 10%, second only to psychiatrists. Yet those who practice family medicine have seen their average pay decrease, making these doctors among the lowest paid of all medical specialties.

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These aren’t new revelations, but they stand out starkly in the just-released Physician Compensation Report from Physicians Thrive, a financial advisory firm for doctors. The report is a compilation of data from multiple sources. It covers pay and bonuses by physician specialty and practice, and drills down into regional and state differences, hiring demand, and gender gap issues.

The report tells us that in 2020 specialists earned an average $346,000 per year, up from $341,000 in 2019. But female physicians earn 28% less on average than their male counterparts in the same specialty.

Primary care physicians, including family medicine practitioners, earn an average of $243,000 per year, up from $237,000 in 2019. But half of all family medicine doctors earn less than $205,000. And they’ve seen their pay decrease by 8.3%, the largest of all medical specialties, according to the report.

Why isn’t clear.

It’s not a matter of a significant gender imbalance the way it is in pediatrics where almost two-thirds of the doctors are women. Or in obstetrics/gynecology, which is 59% female. The Association of American Medical Colleges says 59% of the family medicine doctors are male.

For whatever reason, the Physicians Thrive report says that, “Since 2014, the number of physicians choosing to work in family medicine has decreased, leaving family practices understaffed throughout the country.”

Picking up at least some of the slack are nurse practitioners and physician assistants. The report says 78% of NPs and 33% of PAs provide primary care, according to the report. Though they do much of the same work as a physician, nurse practitioners on average earned $124,000 in 2019.

The highest-paid specialists, according to the report, are neurosurgeons earning a median of $645,000. In the Midwest, these specialists earn an average of $760,000 annually, making them the highest-paid specialists anywhere.

Photo by CDC on Unsplash

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