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Eye Allergy Sufferers: Rubbing Your Eyes Is The Number One No-No

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I’m afraid this is one of those do-as-I-say, not-as-I-do blog posts. I must confess that when my eyes are itching from pollen exposure I can rarely resist rubbing them. So I absolutely empathize with those of you who also fall victim to the sweet lure of eye-rubbing when allergies flare. But as a responsible physician, I must tell you that rubbing those itchy eyes is like pouring water on a grease fire. It only makes things worse.

Allergens (including foreign substances including pollen) like to stick to moisture-rich surfaces such as eye lids, eye balls, noses, and throats. Our bodies’ immune cells recognize these allergens and launch an attack to break down their proteins and remove them from the tissues. Specialized allergen removers, called mast cells, flock to areas that are heavy laden with pollen (or mold, pet dander, dust mite feces, etc.) Once they are near the allergens they break apart, spilling their acidic chemicals and histamines onto the invaders to break them down to remove them. These chemicals can cause stinging and itching sensations in the eyelid edges and other sensitive areas.

When we rub our eyes, we actually rupture mast cells at a faster pace due to mechanical traction. The result is that massive loads of acid and histamine are released into the already-sensitive tissues and the itching and burning often increases exponentially. So we rub harder!

As you can see, this is a vicious cycle that is best avoided. When your eyes become red, watery, and itchy from allergens the smartest course of action is to wash the area that has been exposed, flush the eyes with artificial tears, and try anti-histamine drops for itch relief. If you’re a contact lens wearer like me, try daily disposable lenses. A fresh pair every morning prevents possible allergens (that can cling to contacts from the day before) from being re-introduced into your eyes.

Let’s hope that pollen counts are more manageable next year, and until then we should all try our very best to remember the alternatives to eye-rubbing. I’m putting a bottle of artificial tears in my purse right now!

For more eye-allergy tips, please check out my recent interview with ABC News:

For further information about general eye health, please check out my Healthy Vision podcasts at Blog Talk Radio.

Disclosure: Dr. Val Jones is a paid consultant for VISTAKON® Division of Johnson & Johnson Vision Care, Inc.

Surprising Exercise Science: What’s The Use Of Stretching?

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If you’re like me, you  probably feel guilty about not making stretching a part of your regular exercise routine. I attributed my history of low back pain to lack of stretching, although when I began practicing yoga last year I experienced no lasting benefits. Stretching was uncomfortable and I saw very little improvement in my flexibility for all my efforts. I eventually gave up after one well-meaning yogi told me that I may just be “genetically incapable” of making much progress. I turned to strength training and running with complete resolution of my back pain – though with a continued inability to bend over and touch my toes or sit cross legged for prolonged periods. Oh well. No traditional Japanese dining for me!

And so it was with great surprise that I read the conclusions from a recent analysis (by Alex Hutchinson, Ph.D.) of the science of stretching. I recommend that you read it for yourself (along with the links to the primary source literature). But I’m going to summarize his findings here:

Q: Does stretching reduce the risk of injuries during exercise?

A: Not that we can prove.

Q: Does stretching help you avoid soreness after exercise?

A: No.

Q: Does stretching make you stronger or faster?

A: No. In fact, there is some evidence that stretching can have the opposite effect. Why? Muscles have spring-like properties, so that when they are stretched out, they become less able to transmit as much force. Imagine the difference between the power of a thick, metal spring and a thin metal spring. Studies have shown that the more flexible you are, the less efficient you are as a runner.

My take away message is that there’s no need to flagellate yourself into stretching if you don’t like it. It really depends on what you need to do with your body – if you’re a gymnast, then stretching will always be a part of your life. If you’re a runner who hates yoga, so be it. You may never win a toe-touching competition, but then again, you can probably crush the Primal Games competition. Wish me luck as I attempt to do just that in two weeks!

Awesome Hydrocolloid Bandages Reduce Scarring After Mole Removal

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I’m a dermatologist’s dream – a fair-skinned, freckly person with lots of small moles. The perfect candidate for a lifetime of 6-month skin checks!

Luckily for me, none of my moles have ever been cancerous. To be honest (please look the other way, dermatologist friends) I have sometimes put off skin checks for fear of being invited to undergo yet another biopsy. I’ve had about 9 procedures so far, and I have the scars to prove it. But this time around, I found a product that really reduced my healing time and scarring. I’m so excited about the results that I don’t care if I need a total-body shave biopsy next year. Bring it on! No one will be able to tell.

It is a little surprising that hydrocolloid gel technology hasn’t been on the consumer market for all that long (I wasn’t able to figure out when this product was launched in retail stores but it seems to me that I’ve only seen it around for the last few years or so). Hydrocolloid dressings are a staple in wound healing in the hospital setting, and I’ve seen marvelous results with pressure ulcer repair in the hands of experienced wound care nurses. The gel essentially creates a moist scaffold for skin cells to fill in defects and divots. The gel absorbs moisture from the skin and wound “oozing” while creating a sterile barrier against dirt and germs. The scab-less healing creates minimal scar tissue and the bandage is hypo-allergenic and incredibly flexible.

The product I used is called ActivFlex premium adhesive bandages (a Johnson & Johnson Band-Aid brand). I’ve seen generic knock-offs on store shelves but haven’t tried them. All I can say is that the experience has been terrific, and it’s such a relief to know that I don’t need to worry about scars from small cuts, burns, or mole biopsies any more. This is a fantastic invention – and I’d love to hear from others (be they dermatologists, plastic surgeons, or regular users of the product) to find out if they’ve had the same luck!

No need to fear skin checks anymore, my fair-skinned friends. You can recover nicely from procedures with a little hydrocolloid help from your local grocery store or pharmacy.

Improving Your Diet In The New Year

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If healthier eating is on your list of resolutions for 2012, look no further. The January 2012 issue of the Harvard Women’s Health Watch offers 12 ways to break old dietary habits and build new ones.

For many years, nutrition research focused on the benefits and risks of single nutrients, such as cholesterol, saturated fat, and antioxidants. Today, many researchers are exploring the health effects of foods and eating patterns, acknowledging that there are many important interactions within and among nutrients in the foods we eat.

The result is a better understanding of what makes up a healthy eating plan. Here are five food- or meal-based ways to improve your diet that we list in the article (you can see all 12 on the Harvard Health website):

Pile on the vegetables and fruits. Their high fiber, mineral, and vitamin content make fruits and vegetables a critical component of any healthy diet. They’re also the source of beneficial plant chemicals not found in other foods or supplements.

Go for the good fats. Read more »

*This blog post was originally published at Harvard Health Blog*

Could Your Skinny Jeans Be To Blame For A Rash On Your Legs?

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If your legs are red, bumpy, and irritated, don’t blame your soap or body lotion. It may be your skinny jeans. Those popular body-huggers may look hot, but they could be causing some very uncool things on your skin.

When you move in your skinny jeans, the material causes friction on your skin, which over time, can lead to folliculitis, inflammation of the hair follicles. If you have red, itchy bumps or pimples, especially on your thighs where skinny jeans tend to be tightest, then stop wearing them for a few days to let your skin heal. To treat folliculitis, Read more »

*This blog post was originally published at The Dermatology Blog*

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