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My Patient, The “Health Nut”

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A version of the following post, by Kimberly Manning, FACP, appeared on the blog “Life at Grady.”

“My blood pressure is still borderline? Man!”

“Yeah…and from looking through the chart, it was 150/96 on your admission. It’s pretty much been that since you’ve been here, give or take a few points. That’s a little more than borderline, actually.” I paused for a moment, realizing that I sounded a bit discouraging. “I don’t think this would be hard to get under control at all, sir. I mean…you’re such a motivated patient, you know?”

I studied my patient carefully. He was in his late thirties, although he could totally pass for a twenty-something all day, every day. His skin looked like someone had grabbed him by the tip of his toe and uniformly dipped him in milk chocolate — not a single blemish anywhere.

“I eat right and I exercise…in fact, I’m a health nut! I’m really kind of surprised that my pressure keeps running high.” Read more »

*This blog post was originally published at ACP Hospitalist*

Diabetes Criminals And Diabetes Police

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At TCOYD [Taking Control Of Your Diabetes], one of the sessions I attended was about Diabetes Police (Healthcare Providers) and Diabetes Criminals (People With Diabetes). And I was a little taken aback by the title of the session, but we used it to our advantage when we walked into the session a few minutes after it had already started.

“Okay, we see a few late stragglers in here. It’s not like they had to be on time or anything,” Dr. Edelman quipped from the front of the room, giving us a smirk.  

“I’m sorry we’re late. But what do you expect? We’re the criminals, man!” I shot back at him. And the crew of us “criminals” took up the last few rows, our smartphones at the ready to Tweet out the best of the session. (We were the total nerd row.

The charismatic team of Dr. Bill Polansky and Dr. Steve Edelman were running this session, and it was packed with both PWDs [people with diabetes], caregivers, and medical professionals. Bill and Steve took to the white board, asking first for complaints that PWDs have about healthcare providers. Read more »

*This blog post was originally published at Six Until Me.*

The Big Apple Tells Smokers To Take A Hike (And Not In The Park)

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It looks like New York City is leading the way for public health safety by introducing a public smoking ban in all public parks, malls, plazas, beaches and playgrounds or risk a $50 fine:

Research showed, he said, that someone seated within three feet of a smoker — even in the open air — was exposed to roughly the same levels of secondhand smoke as someone sitting indoors in the same situation.

What took so long? Go, New York. I hope you succeed. Next up: Charging parents who smoke in their homes occupied by minors with child negligence.

*This blog post was originally published at The Happy Hospitalist*

Nutritional Supplements: Do They Really Help Prevent Disease?

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(Guest post submitted by MD Anderson Cancer Center)

Aisles in grocery stores and pharmacies are stacked with vitamins, minerals, herbs or other plants that you take in pill, capsule, tablet or liquid form. And, many of us buy these supplements and take them regularly, hoping to lower our chances of getting cancer and other diseases.

But do supplements really work wonders? Should you take them to help prevent cancer? Our experts say beware.

“Don’t be fooled by the label on the bottle,” says Sally Scroggs, health education manager at MD Anderson’s Cancer Prevention Center. “Researchers are still unsure about whether or not supplements actually prevent cancer.” Some studies have suggested that supplements may actually increase cancer risk by tilting the balance of nutrients in the body. Read more »

*This blog post was originally published at Health in 30*

Deceptive Health Websites Are All Too Plentiful

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By Lisa Neal Gualtieri. (Her earlier much-commented post on this subject is here.)

The Boston Globe reported this month on the sentencing of a former US Airways Express pilot, Stephen Sharp, “for selling a powdered drink mix over the Internet that he claimed was ‘100 percent’ effective in helping drug-using truck drivers, pilots, and train engineers pass federally mandated drug tests.” The ungrammatically-named “yourintheclear.com” no longer seems to exist.

Mindful of ongoing debate by Gilles Frydman and others about indicators of health website credibility, I searched for other sites selling similar products (there is no shortage) and looked on sites like Craigslist where people post questions about how to pass drug tests and how to detoxify. Based on a quick perusal, I found answers ranging from product advice that I suspect is similar to what “yourintheclear.com” sold to more than I ever want to know about urine temperature to what seemed like common sense advice. Read more »

*This blog post was originally published at e-Patients.net*

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