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Do Democrats And Republicans Have Different Work Out Regimens?

In Washington, even exercise gets political.

This morning, the WSJ reported that a small group of Congressmen, primarily Republicans, have embraced the adrenaline-infused exercise regimen that is P90X. They jump, stretch and flex to the tune of Tony Horton, a man who clearly checked the right box on career day. The 90-day results-intensive program celebrates its “I couldn’t move the next day” sensations.

On the other side of the ideological spectrum resides the pragmatic approach of the White House. Last month, the NY Times described the regimented, non-boot-campish routine espoused by Mr and Mrs Obama. Our current executive branch favors a personal trainer who likes working people hard, but…”as politely as possible.”  The president adheres to a common sense program of regular morning exercises that balances cardio and strength training. Calm, measured and balanced.

Both approaches to exercise appeal to me. Read more »

*This blog post was originally published at Dr John M*

The Seven Golden Rules For Kidneys

In the better-late-than-never category comes my shout out for World Kidney Day, which was March 10th.

I love their slogan: “Protect your Kidneys, Save your Heart.”

As an organ, the kidneys are a lot like offensive lineman in football; they do all the hard work but remain mostly anonymous. They sit motionless in the back of the body,quietly and humbly filtering salt, water and toxins from our bodies. Though some may think that pee smells bad, or is gross, not having “healthy” pee is a real problem.  No one ever thinks of their kidneys until they malfunction.

Though the inner workings of the kidney–with all its convoluted loops, capsules and ion exchangers–are more complicated to understand than the heart, keeping your kidneys healthy is simple: just make heart-healthy choices. Read more »

*This blog post was originally published at Dr John M*

An Animated Look At The Future Of Healthcare

Mrs. Happy and I just returned from Disney World for our Happy family vacation. (It was either that or a Parkinson’s Cruise.) While at Disney’s Epcot Center, Mama and Papa Happy discovered what the future of healthcare in America will look like, and it has nothing to do with insurance.

You’ve all seen that giant Epcot ball. Inside that ball is a slow-moving ride that takes you through thousands of years of history. At the end you choose your own future. I present to you this video showing the future of healthcare in America, courtesy of the Epcot Spaceship Earth and Mama and Papa Happy:

A couple words of mention. They still think there will be doctors in the future, unless their reference to doctors was reference to future nurse practitioners known as Dr. Nurse. That’s quite possible. Maybe that’s why the future of healthcare has nothing to do with medical care or insurance and has everything to do with healthy lifestyle. You don’t need to be a nurse for that, you just have to accept the truth of healthy living. And you don’t need a medical school education or even nursing education requirements to make that happen.

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

A Patient’s Contagious Confidence And Endless Possibilities

In a recent post I wrote why patients are the most important part of the medical team, and my colleagues, Elizabeth Cohen, Kevin Pho, MD, Donna Cryer, JD, and Carl R. Sullivan, MD, shared their insights as well. Today, Ginger Vieira, a patient living with type 1 diabetes and celiac disease, says:

“You, as the patient, are the most important part of the medical team because you are the one who makes the daily decisions, who balances your disease around dinners, soccer games, long hours at work without enough time to check your blood sugar and eat lunch. You are the one who takes the knowledge you learn from your doctor and fits it into your everyday life. That’s a huge role, and it’s never easy.”

Ginger Vieira shares her story about the challenges and how her positive attitude is allowing her to lead a life she thought was off limits.

Contagious Confidence, Endless Possibilities

By Ginger Vieira

“Don’t let anyone tell you that you can’t do something.” My twin brother, Pete, said this to me several months ago. I wrote it down on an index card and taped it to my bathroom mirror. Funny thing is, it’s never been other people telling me I can or cannot do something. The loudest voice I hear is my own.

When I was diagnosed with type 1 diabetes in the seventh grade over eleven years ago, the first list that ran through my head was the list of things I probably couldn’t do anymore. I couldn’t eat ice cream without first counting the grams of carbohydrates in the bowl and determining how much insulin I needed. I couldn’t play basketball anymore (at least, that’s what I thought). I couldn’t buy candy and popcorn with my friends when we go to the movies without feeling overwhelmingly guilty about eating such diabetic-off-limits food. The list of foods, activities, dreams and goals I thought were off-limits seemed endless. Read more »

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

The Secret To A Long And Healthy Life: CBS News’ Dr. Jon LaPook Reports

If you want to improve the health of Americans, why not look around the world for places where people live the longest, healthiest lives and try to copy whatever it is they’re doing? That’s exactly what Dan Buettner has done. He is the author of The Blue Zones: Lessons for Living Longer From the People Who’ve Lived the Longest.

Examples of areas he calls “blue zones” are Sardinia, Okinawa, Costa Rica (the Nicoya Peninsula), Ikaria (a Greek island), and Loma Linda, California. Things residents have in common include exercising regularly, eating more vegetables and less meat, engaging in social networking, and having a sense of purpose. Read more »

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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