January 27th, 2011 by Linda Burke-Galloway, M.D. in Health Tips, Opinion
Tags: Background Check, Choosing a Doctor, Dr. Linda Burke-Galloway, Empowered Patient, Fetal Health, Healthy Baby, Healthy Pregnancy, Labor And Delivery, Maternal-Fetal Specialist, Medical Credentials, OB/GYN, Obstetrics And Gynecology, Patient Empowerment, Smart Mother, Unborn Child, Women's Health
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The journey to a healthy pregnancy and delivery begins with the selection of a healthcare provider, and the challenge is to find the right one. This is the person who will be in charge of your pregnancy up until the time of the delivery, so it certainly is not a casual date. For the next 280 days your life and the life of your unborn child will be in this person’s hands. A background check is therefore in order.
One of the best ways to find the right healthcare provider is by word-of-mouth referral from neighbors, friends, or family members however please don’t stop there. Labor and delivery nurses are also a great source of referral because they have seen physicians and midwives under their most vulnerable and challenging moments.
Don’t feel intimidated about checking a provider’s credentials — this is public information. You can find out whether the provider’s medical license is current or expired. You’ll also be able to obtain information on whether the provider has ever been disciplined by the board for medical malpractice or unprofessional behavior or misconduct. Healthcare providers are not exempt from problems with alcoholism, drug addiction, professional incompetence, and unprofessional or unethical behaviors. Although less than five percent of healthcare providers have egregious problems, you want to make certain that your provider is not one of them. Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
January 27th, 2011 by BarbaraFicarraRN in Expert Interviews, Health Tips
Tags: American Chemistry Council, Baby Bottles, Barbara Ficarra, Bisphenol A, BPA, Chemically Speaking Blog, Dr. Joe Schwarcz, Estrogenic Compounds, FDA, Food and Drink, Food and Drug Administration, Food Storage Containers, Harmful Chemicals, Health Dangers of Plastic Containers, Health In 30, McGill University, National Toxicology Program, Natural Estrogens, NTP, Plastic Products, Plastics Safety, Ploycarbonate Plastics, Rubbermaid, Truth About Plastics, Tupperware, Water Bottles
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Information circulating about the dangers of plastic containers has created fear and confusion. Are plastic containers toxic? Do harmful chemicals leach out into its contents? Do we need to discard all plastic containers?
Recently, I interacted in a live health chat on MedHelp about the safety of plastics. Scientist, Joe Schwarcz, Ph.D., Director of McGill University’s Office for Science and Society, talked about “The Real Truth About Plastics: What You Should And Shouldn’t Worry About.”
While Dr. Schwarcz states that some plastics like those made by Tupperware and Rubbermaid are safe to use, there are other plastics made of Bisphenol A (BPA) that may cause some concern, however he did not become alarmed.
There is extensive information on the safety of plastics, and reading some of it can easily cause panic and confusion, but the smartest step health consumers can do for themselves is to remain calm and don’t become alarmed. Gather the facts and determine what’s best for you.
The Facts About Bisphenol A (BPA)
Bisphenol A (BPA) is used to manufacture polycarbonate plastics. This type of plastic is used to make some types of beverage containers, compact disks, plastic dinnerware, impact-resistant safety equipment, automobile parts, and toys. BPA epoxy resins are used in the protective linings of food cans, in dental sealants, and in other products.
General exposure to BPA at low levels comes from eating food or drinking water stored in containers that have BPA. Small children may be exposed by hand-to-mouth and direct oral (mouth) contact with materials containing BPA. Dental treatment with BPA-containing sealants also results in short-term exposure. In addition, workers who manufacture products that contain BPA can be exposed.
How Does BPA Get Into The Body?
BPA can leach into food from the epoxy resin lining of cans and from consumer products such as polycarbonate tableware, food storage containers, water bottles, and baby bottles. Additional traces of BPA can leach out of these products when they are heated at high temperatures. Read more »
*This blog post was originally published at Health in 30*
January 26th, 2011 by Glenn Laffel, M.D., Ph.D. in Health Tips, Research
Tags: Aging and Weight Gain, CARDIA, Coronary Artery Risk Development in Young Adults, Dr. Arlene Hankinson, Dr. Glenn Laffel, Exercise and Aging, Habitual Exercise, High Activity Levels, JAMA, Journal of the American Medical Association, Northwestern University, Pizaazz
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People know it’s important to avoid excessive weight gain as they get older, and that exercise is a key to success in this regard. But until recently, scientists had published surprisingly few studies purporting to quantify the impact of habitual exercise on weight gain over the long haul.
Dr. Arlene Hankinson and her colleagues at Northwestern University set out to do just that. Using data from a prospective follow-up study, Hankinson’s group showed that men who were able to maintain high activity levels over an extended period gained six fewer pounds, and five fewer centimeters of waist circumference than those in the lowest activity group. Women in the highest activity group gained 13 fewer pounds and nearly seven centimeters less around their waists.
To reach these conclusions, the scientists examined data from the Coronary Artery Risk Development in Young Adults (CARDIA) study, which is a 20-year longitudinal study that began in 1985. CARDIA included complete historical data for 3,554 men and women from Chicago, Birmingham, Minneapolis, and Oakland. Enrollees were 18 to 30 years old at study onset. Read more »
*This blog post was originally published at Pizaazz*
January 26th, 2011 by GarySchwitzer in Health Tips, Opinion
Tags: Cardiology, Gary Schwitzer, Harold Demonaco, HealthNewsReview.org, Heart Attack Risk, Heart Health, Inaccurate Health Reporting, Massachusetts General Hospital, Media Inaccuracy, Media Misinterpretation, Medical Reporting, Non-Evidence-Based, Overtesting, Prevention Magazine, Preventive Health, Preventive Medicine, Screening Tests, Unnecessary Medical Tests, Women's Health
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The February issue of Prevention magazine has an article entitled “Surprising Faces of Heart Attack” profiling “three women (who) didn’t think they were at high risk. Their stories are proof that you could be in danger without even knowing it.” No, their stories are not proof of that.
The story is about three women in their 40s. The story varyingly states that the three should have had the following screening tests:
— Advanced cholesterol test, carotid intimal medial thickness test ( CIMT)
— Advanced cholesterol test and stress echocardiography
— Cardiac calcium scoring and CIMT
There’s an accompanying piece: “7 Tests You’re Not Having That Could Save Your Life.”
I asked one of our HealthNewsReview.org medical editors, Harold Demonaco, director of the Innovation Support Center at the Massachusetts General Hospital, to review the two pieces. As his day-job title suggests, he deals with review of the evidence for new and emerging healthcare technologies. He wrote:
The section “7 Tests you are not having that could save your life” states: “If you have not had these cutting edge screenings, put this magazine down and call your doctor. Now.”
Wow. While much of the information is correct, it is the context that is disturbing. Suggesting that these tests are essential in everyone is a bit over the top. Some of the information provided for each test is basically correct. However in some cases the recommendations go well beyond national guidelines.
The major issue here is the tacit assumption that tests are infallible, without any downsides and are always a good thing. That is simply not the case. So who should get these tests? Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
January 26th, 2011 by Elaine Schattner, M.D. in Health Tips, Opinion
Tags: Cancer Treatment, Choosing a Doctor, Delayed Treatment, Doctor Patient Relationship, Dr. Elaine Schattner, Empowered Patient, Finding the Right Doctor, Medical Lessons, Medical Opinions, Oncology, Patient Empowerment, Physicians' Opinion, Second Opinion, Too Many Medical Opinions
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A few years ago I started writing a book on what it was like to be a cancer patient and an oncologist. This morning I came upon this section on second opinions:
Is It OK To Get A Second Opinion?
Definitely. And there’s no need to be secretive about it, or to worry about hurting the doctor’s feelings. Second opinions are routine in fields like oncology, and are often covered by insurance. Be up-front: Any decent oncologist can understand a cancer patient’s need to find a doctor who’s right for them, with whom they’re comfortable making important decisions. And in difficult cases, some specialists appreciate the chance to discuss the situation with another expert. So a second opinion can be beneficial to patients and physicians alike.
When things can get out of hand, though, is when patients start “doctor shopping.” For example, I’ve cared for some patients with leukemia who’ve been to see over 10 oncologists. If you’re acutely sick, this sort of approach to illness can be counterproductive — it can delay needed therapy. From the physician’s perspective, it’s alienating: Who wants to invest her time, intellectual effort, and feelings for a patient who’s unlikely to follow up? Besides, oncology is the sort of field where each consulting doctor may have a distinct opinion. (If you see 10 oncologists, you may get 10 opinions.) Beyond a certain point, it may not help to get more input, but instead will cloud the issue. Read more »
*This blog post was originally published at Medical Lessons*
