November 25th, 2010 by DrWes in Better Health Network, Health Tips, News, Opinion, Research
Tags: Calorie Consumption, Cardiac Electrophysiology, Cardiology, Dietetics, Dr. Wes Fisher, Eating Habits, Food and Drink, General Medicine, Harvard, Healthy Diet, Heart Attack, Heart Health, High-Fat Diet, Holiday Eating, Indigestion, Lipids, Overeating, Thanksgiving, Washington Post, WesMusings
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It seems the Washington Post, cloaked under an anonymous author, wants to use scare tactics to keep most of us from enjoying Thanksgiving with their ominously titled article, “And for dessert, a heart attack?” They spew all kinds of garbage with very little data about how eating a high-fat diet might give you a heart attack.
If you want to know more, consider this article* from some pretty smart folks at Harvard. Then eat, drink, and be merry without guilt (courtesy of Dr. Wes). Happy Thanksgiving!
– WesMusings of a cardiologist and cardiac electrophysiologist.
*REFERENCE: Renata, M. and Mozaffarian, D. “Saturated Fat and Cardiometabolic Risk Factors, Coronary Heart Disease, Stroke, and Diabetes: a Fresh Look at the Evidence.” Lipids, 31 Mar 2010.
[Photo credit: Lambert]
*This blog post was originally published at Dr. Wes*
November 25th, 2010 by DrRich in Better Health Network, Health Policy, Humor, Opinion, True Stories
Tags: 30 Million Newly-Insured Patients, Americans With No Health Insurance, Being Thankful, Covert Rationing Blog, Dr. Rich Fogoros, Emergency Room Overcrowding, Healthcare reform, JAMA, Journal of the American Medical Association, Obamacare, People Without Health Insurance, Primary Care Crisis, Thanksgiving, U.S. Healthcare System, Uninsured Patients
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In what has become a tradition over the past few years, DrRich proudly reprises his annual Thanksgiving message to his beloved readers:
Gathered around the Thanksgiving table, DrRich’s large extended family, carrying out a longstanding tradition, each offered in their turn one reason for being thankful on this most reflective of American holidays. DrRich listened respectfully as each of his loved ones, and each of the ones he was obligated to tolerate benignly because they had married (or in some other manner had committed to) one of his loved ones, recounted a cause for thanks.
There is no need for DrRich to recite their utterances here, because they were all perfectly predictable and fairly mundane, having mostly to do with items such as maintaining good health, finding a job, being able to afford one’s mortgage payments, getting a passing grade in French, receiving a new puppy, Mr. Obama’s remarkable presidency, the apparent continued structural integrity of the Universe despite Mr. Obama’s presidency, etc., etc.
When it was at last DrRich’s turn, he, in retrospect perhaps somewhat inadvisedly, was unable to refrain from displaying his keen insight and superior analytical abilities on matters related to healthcare (a topic, anyone would have to admit, about which most of us would very much like to feel thankful). Lifting his glass, DrRich pronounced that he was most deeply and humbly thankful for the 47 million Americans without health insurance.
And further, especially thankful that their ranks must surely be growing, given the recession, advancing unemployment, imminent collapses of businesses and indeed entire industries, etc. And even though Obamacare promises to significantly reduce that number, DrRich went on to express his fervent wish that large numbers of the uninsured might still be with us a year and two years and even ten years hence, for the great and good benefit of us all. Read more »
*This blog post was originally published at The Covert Rationing Blog*
November 25th, 2010 by Edwin Leap, M.D. in Better Health Network, Health Tips, True Stories
Tags: Appreciation, Being Thankful, Comfort Food, Dr. Edwin Leap, Emotional Well-Being, Enjoying Others, Faith, Family and Friends, Family Medicine, Food and Drink, Fun Activities, General Medicine, Gifts Of Others, Gratefulness, Gratitude, Greenville News, Loved Ones, Personal Perspective, Personal Priorities, Sacrifices Of Others, Thankfulness, Thanksgiving, Time With Family
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Here is my column in [the November 21st] Greenville News:
This Thanksgiving we will have 32 guests at the table. Rather, at the tables we scatter about the dining room…and living room…and kitchen. At our house, food is practically a sacrament. And obviously Thanksgiving is the high holiday of American eating. So we will be honoring the tradition by feeding everyone as much as we can.
Because the guests are all beloved to us, we will also have a variety of foods, in a variety of presentations. For instance, there will be fresh cranberries for organic purists, as well as a maroon gelatinous mass of cranberries for those who feel that cranberries indeed spring from aluminum. The turkeys will be divided perfectly among dark and light meat lovers. And for the carb-loving, there will be sweet potatoes, mashed potatoes, and potatoes soft, but cut into chunks. (In deference to the texture-challenged.)
We will have assorted dressings, casseroles and vegetables. And more types of sweets than any of us really need. All of it because we love one another, friends, family, young and old. And we want everyone to have something that they love. The sheer pleasure of eating is one (but not the only) reason that we love the holiday so much.
I think we also love it for a few other reasons. For instance, we (and I mean all Americans) love it because it slows us down, just a bit, before the Christmas madness sets in. Yes, the day after Thanksgiving it’s “game on.” But on Turkey Thursday we stop, if only because we are too full to move. So much of our lives involve rushing, hurrying, competing. Thanksgiving is a food-stuffed, sleep-inducing speed bump in the frantic activity of the season.
We also love it because it is tangible. Today so much is virtual. So much of our lives are borne on the airwaves, across cell-towers or satellites. Our pleasures are so often intangible, insubstantial — distant sounds and images on movies, television shows, or the Internet. Even our work is often virtual. Thanksgiving is a time when we can touch and taste, listen and embrace. Read more »
*This blog post was originally published at edwinleap.com*
November 24th, 2010 by GarySchwitzer in Better Health Network, Health Policy, News, Research, True Stories
Tags: Atlantic Magazine, Dr. Carl Elliott, Gary Schwitzer, HealthNewsReview.org, Medical Ghostwriter, Medical Ghostwriting, Medical Litigation, Medical Writers, Medication-Related Lawsuits, Moral Outrage, Pharmaceutical Research, Plagiarism, Playing Doctor, Science Writing
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Dr. Carl Elliott writes about ghostwriting in the December issue of The Atlantic magazine, “Playing Doctor: How to spin pharmaceutical research.” He profiles a young scientist (“David”) who became a ghostwriter about 10 years ago.
Excerpts:
“Ghostwritten articles surface again and again in litigation (in cases concerning Vioxx, Fen-Phen, Zyprexa, Premarin, Neurontin, and Zoloft, to mention just a few). Years before the Avandia scandal, GlaxoSmithKline paid $2.5 million to the State of New York to settle a lawsuit alleging that it had concealed studies suggesting an increased risk of suicidal behavior in children and teenagers taking Paxil, most notoriously in an article “authored” by Dr. Martin Keller of Brown University. One 2003 study in The British Journal of Psychiatry found that ghostwriters working for a single medical-communications agency had produced more than half of all medical-journal articles published on Zoloft over a three-year period.
To many critics, the moral outrage of ghostwriting is like that of plagiarism: academic physicians are getting credit for articles they didn’t actually write. To David, letting someone else take the credit for his work is a minor humiliation. The real problem, of course, is much worse: spinning data perverts science. It also downplays risks that can lead to serious injuries, and deaths. As David puts it, “The moral crime I was being asked to commit was to do with truthfulness.” Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
November 24th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips, News, Research
Tags: AF, Alzheimer's Disease, Atrial Fibrillation, Benefits of Exercise, Cleveland Journal of Medicine, Clinical Trials, Cognitive Decline, Cognitive Function, Colinesterase Inhibitors, Coumadin, Dabigatran, Dialysis, Dr. Toni Brayer, Elderly People, Everything Health, Evidence Based Medicine, Family Medicine, Flu Vaccine, General Medicine, Geriatrics, Internal Medicine, Medical Research, Medical Science, Older Adults, Pradaxa, Preventing Falls and Fractures, Primary Care, Science and Medicine, Vitamin D, Warfarin
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New clinical trials and published research are giving us information on how to improve health in elderly patients. Here are some brief points from the Cleveland Journal of Medicine that were surprising to me:
— Each year 30 percent of people age 65 or older fall and sustain serious injuries so preventing falls and fractures is important. Vitamin D prevents both falls and fractures, but mega doses of Vitamin D (50,000 mg) might cause more falls. A better dose is 1,000mg a day in people who consume a low-calcium diet.
— Exercise boosts the effect of influenza vaccine.
— The benefits of dialysis in older patients is uncertain, as it does not improve function in people over age 80. We don’t even know if it improves survival. Older patients who receive dialysis for kidney failure had a decline in function (eating, bed mobility, ambulation, toileting, hygiene, and dressing) after starting treatment.
— Colinesterase inhibitors (Aricept, Razadyne and Exelon) are commonly used to treat Alzheimer disease, but they all can have serious side effects. Syncope (fainting), hip fractures, slow heart rate, and the need for permanent pacemaker insertion were more frequent in people taking these drugs. The benefits of these drugs on cognition is modest.
— A new drug called Pradaxa (dabigatran) will likely prove to be safer than Coumadin (warfarin). Over two million adults have atrial fibrillation and the median age is 75. The blood thinner warfarin is critical for prevention of strokes but it caries a high risk of bleeding and drug levels have to be monitored frequently. Dabigatran will probably replace warfarin, but it will probably also be a lot more expensive.
As I often say, medicine and science are constantly changing and evolving. As new evidence comes forth, physicians and patients need to re-evaluate they way we do things.
*This blog post was originally published at EverythingHealth*
