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Three Common Ailments That Can Be Treated With Regular Exercise

It’s Wednesday, so I would like to tell you about some cool things I learned this past week about the science of how exercise can be used as a treatment for three common ailments.

First, some background about exercise: The great thing about exercising every day that you eat is that this magic potion is not a shot or a pill. It does not involve a doctor burning or squishing anything in your body. There are no HIPAA forms, no insurance pre-certifications, and not even a co-pay. It’s as we say, easy and free. And drum roll please…exercise is active—not passive.

Here’s the Mandrola take on how exercise might treat three specific medical conditions: Read more »

*This blog post was originally published at Dr John M*

Omega-3 Fatty Acids: The Science Behind Their Potential Heart Health Benefits

The Biology of Omega-3 fatty acids: (Just a little science:)

When fish, flax-seeds or Brussels sprouts pass through the intestine, pancreatic enzymes transform the fat to free fatty acids. These acids are quickly taken up by the cells. Once in the cell, these fatty acids enter the mitochondria, endoplasmic reticulum and cytosol–places that you might recall because your mom helped you make a Cell sponge cake in 7th grade Biology.

In the cells, the Omega-3 fatty acids (ALA, DHA and EPA) exert their healthy influence in three major ways:

  • in the control of chemical messengers;
  • in the flux of ions—cell electricity;
  • in the smoothness and health of the cell membrane.

That’s enough about cells.

How do these (good) fats help our bodies?

Omega-3 fatty acids reduce Inflammation:

–Omega-3s get in the cellular (not phone) mix and end up competing with chemicals that cause inflammation—medical people say they antagonize bioactive mediators of inflammation.

–Newly-discovered by-products of Omega-3s are important in the resolution phase of inflammation. Biochem people call these chemicals, resolvins. All you have to remember here is this: to resolve (inflammation) is heart-healthy.

–When omega-3s are incorporated into the membranes of cells they do a lot of good: things like making the membrane more fluid and less sticky. For some reason, they even block genes that induce hardening of the arteries. (Genomic effects.)

Omega-3s benefit the heart: They… Read more »

*This blog post was originally published at Dr John M*

Good Health Requires People To Help Themselves

Not every Friday brings doctoring bliss. Sorry.

Some Fridays, the wrongness of our healthcare approach squeezes you like a vice-grip.

The medical news of the week can hit you hard.

–This highly tweeted report on how Overweight is the new normal speaks to the futility of asking people to help themselves. That our strong, vibrant, and proud citizenry is succumbing to fatness saddens me deeply. Building wider doors, heavier toilets and restaurant seats without armrests is the wrong approach to fighting obesity.

–We also learned this week that the advancing fury of medical therapeutics cannot counter high rates of obesity, smoking and inactivity. The WSJ health blog reports life expectancy in some Southern US counties trails that of El Salvador and Latvia.

–The nation’s chief doctor prescribes prevention over treatment, and no one retweets her. Silence.

–And the final egg on the face of wellness was this warning from the FDA: Read more »

*This blog post was originally published at Dr John M*

Accepting Different Body Types, But Not Embracing Obesity

I just learned (yes, I’m a little late to the party) about the Body Shop anti-barbie controversy from a post on Facebook. The ad to the left has been banned from most countries, because it was believed to be in bad taste. For me, it raises some very interesting questions.

First of all, it’s been my experience that the media has been relentless in its portrayal of feminine beauty as being a dress size zero. This is an unattainable goal for most of us, and a very narrow view of what is truly attractive and physically healthy. I can’t imagine how many young girls feel deeply flawed when they compare themselves to Barbie et al. If unchecked, that self-doubt and insecurity can become a lifelong self-esteem issue or worse. Eating disorders are becoming more and more common, and carry with them the highest mortality rate of any mental illness.

That being said, I’ve often had mixed feelings about the few “love your body as it is” campaigns* that have tried to push back against the rail-thin ideal. While we all have different body types, it’s still not healthy to be obese. Just as our favorite pets are born with different natural shapes (Chihuahuas, Whippets, Golden Retrievers, and Great Danes), we humans are different sizes too. But that doesn’t mean it’s “ok” to be excessively fat. Read more »

Stop Watches May Be Better Than CT Scans At Predicting Heart Disease

It is hardly news to say that we need better means to predict who will die of heart disease. No matter how much you may hear about medical errors, hospital acquired infections, or even distracted driving, it’s still heart disease that kills the most of us.

The inflammation that begins narrowing our arteries starts when we are young. It percolates quietly, stealth-like for years. The young usually skate by unscathed. But all the cookies, beers, chips, inactivity and work stress adds up. The tension of life squeezes our arteries, daring them to crack or fissure. This cataclysm is one of the ways that middle age may introduce herself.

A friend, or colleague, or sibling dies suddenly of heart problems. Those of us that our “masters-aged” have likely felt these sensations of sadness, and then the reality that they may be next.

“I should probably come in and get a check-up,” is something I hear frequently in the doctor’s lounge after such a tragedy.

I agree. When you are old enough to use reading glasses it is time to think about what lurks inside your heart’s blood vessels.

But herein lies the catch. Read more »

*This blog post was originally published at Dr John M*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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