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A Simplified Formula For Good Health

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You can’t do anything about your genes, but here’s a formula for good health — simplified:

0          Cigarettes
5          Servings of fruits and vegetables a day
10        Minutes of silence or relaxation a day
30        Body mass index (BMI) below
150      Minutes of exercise a week    

You knew this already, but are you really doing it?

*This blog post was originally published at EverythingHealth*

Germs, Kids, And School

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Everyone knows that when it comes to germs and kids, it can sometimes be difficult to limit the spread of infection — especially in a school or daycare setting. In this video, I talked with local TV news last week about germs and kids, and about preventing infections in college students during finals week:

 

If you find this video helpful, I invite you to check out my other videos at MikeSevilla.TV. Enjoy!

*This blog post was originally published at Doctor Anonymous*

New Recommendations For Vitamin D

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Vitamin D has been talked about as the vitamin — the one that might help fend off everything from cancer to heart disease to autoimmune disorders, if only we were to get enough of it.

“Whoa!” is the message from a committee of experts assembled by the Institute of Medicine (IOM) to update recommendations for vitamin D (and for calcium).

The IOM committee’s report, released this morning, says evidence for many of  the health claims for vitamin D is “inconsistent and/or conflicting or did not demonstrate causality.” The exception is the vitamin’s well-documented (and noncontroversial) benefits on bone growth and maintenance.

The IOM panel’s report also says most North Americans (Canadians as well as Americans) have more than enough vitamin D in their blood to achieve the desired effect on bone. The committee said a blood level of 20 nanograms per milliliter (ng/mL) is sufficient for most people.

The panel set 600 International Units (IU) as the recommended daily intake for children and for adults ages 19 to 70. People ages 71 and older are supposed to get an additional 200 IU, or 800 IU a day.

That’s a fairly sizable increase over the previous recommendations of 200 IU per day through age 50, 400 IU for people ages 51 to 70, and 600 IU for people ages 71 and older. Read more »

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

Faith, Fitness, And The Principle Of Daily Self-Improvement

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Since March I’ve been working out with a fitness instructor. She is the toughest, most motivated coach I’ve ever known. Sadly, today was our last day together because she’s beginning maternity leave and I’m moving out of the area. I was reflecting on what made her such a great trainer, and I think the essence was her undying belief in everyone’s ability to improve. Each exercise was a chance to do better than last time — to perfect one’s form, do one more repetition, or to slow the speed of a lift or increase the resistance involved.

She never let me slack — she told me she believed in me, that I could do better, and that she didn’t care how many reps I did, I had to do them the right way. There were times that I just wanted an “easy” workout, or when I’d ask for understanding: “Klaudia, can we ease up on the cardio a bit today, I just ate lunch?” I’d ask. “That’s okay,” she’d smile, “I have a bucket for you right here if you need it.”

Frequently she’d time me racing repeatedly up and down seven flights of stairs… Read more »

End-Of-Life Wishes: How To “Engage With Grace”

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As patients, as family members, as friends, as health care providers, we have all faced end-of-life issues at one time or another, and we will face them again. And again. 

This weekend the “Engage With Grace” message is being broadcast virally, through a “blog rally,” at a time when many people are with family and friends over the long weekend. The point is: We all need to have the potentially uncomfortable conversation with people close to us about what kind of treatment we would want, and they would want, if incapable of making or communicating healthcare decisions. CNN ran a story on “Engage With Grace” yesterday.

End-of-life decision-making has long been an issue of great personal and professional interest to me, and I am proud to have played a role in having out-of-hospital DNR orders recognized in Massachusetts by EMS providers, as an example. Read more »

*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*

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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