On location at the American Heart Association’s “Scientific Sessions” meeting in Chicago, Andrew Schorr discusses lowering your risk of heart disease and how weight affects your risk:
I did a little “self care” earlier this week. I did it by not caring for myself. I went to the doctor.
I was sitting in the waiting area for my appointment and saw the mother of one of my patients. “Why are you here?” she asked. “I have a doctor’s appointment,” I replied. She got a curious look on her face, asking: “Don’t you doctors just take care of yourselves? I thought that was what doctors did.”
We do take care of ourselves. In fact, we do it far more often than we should. Being your own doctor allows for a lot of denial. When you spend your day advocating healthy lifestyles after you had trouble finding pants that would fit in the morning, denial is necessary. “Do as I say, not as I do.”
I realize that this is hypocrisy — that is why I was at the doctor on Monday. My patients have noticed my expanding waistline, commenting on it more than I would wish. Certainly my pants get in the way of denial as well, not forgiving the fact that I have been under a whole lot of stress. Pants don’t accept excuses.
So I found myself in the unfamiliar experience of being the patient. Instead of closing my mind and emotions to my own body, I had to frankly assess what I was doing to it. Standing on the scale was as frank of an assessment as I would ever want. Read more »
There are plenty of “survivalists” out there who stock their basements with canned goods, getting ready for some unexpected (and unlikely) apocalypse. Meanwhile there are things that are much more likely to happen to you — like getting sick — which many of us don’t prepare for at all. So to help you get started, here are five important tips on how you can become a healthcare survivalist:
1. Take care of your chronic conditions. Whether it’s high blood pressure, diabetes, high cholesterol, depression, asthma or any other kind of ailment, do what it takes to manage your own care. Take your medications and follow your doctors’ instructions. Why? Because if you don’t, your condition can get worse and lead to even more serious problems. As much of a pain as it may (literally) be, there’s a reason the old saying “an ounce of prevention” still resonates today — because it’s true.
2. Live a healthy lifestyle. Everyone gives you this advice, but with studies showing that 42% of Americans will be obese by 2050, it doesn’t seem to be getting through. Denial can wonderfully appealing; but when it comes to your health, it can also kill you. Stop smoking, exercise, and eat right. You may find that your employer has programs in place that will help you do all of those things, and many of them work. Why not give one of them a try? You can’t improve your life all at once, but you can start. Your life will be happier if you keep yourself healthy. So rather than whistling past the graveyard, jog past it. Read more »
*This blog post was originally published at See First Blog*
New York City’s war on sugary soft drinks had to balance evidence-based medicine with a short, simple message that would go viral in the community. Going viral won, according to e-mails of internal discussions between the city’s health commissioner, his staff, and the ad agency that crafted the campaign. The statement that soda would cause a person to gain 10 pounds a year is contingent upon many factors, argued the staff, but the desire to produce a media message with impact overruled the details. One nutritionist called the campaign “deliciously disgusting.”
Chocolate may moderate HDL cholesterol in type 2 diabetics, according to the November issue of Diabetic Medicine. High polyphenol chocolate increased HDL cholesterol in diabetics without affecting weight, insulin resistance or glycemic control. Researchers enrolled 12 type 2 diabetics in a randomized, placebo-controlled double-blind crossover study to 45 g chocolate with or without a high polyphenol content for eight weeks and then crossed over after a four-week washout period. HDL cholesterol increased with high polyphenol chocolate (1.16+/-0.08 vs. 1.26+/-0.08 mmol/l, P=0.05) with a decrease in the total cholesterol: HDL ratio (4.4+/-0.4 vs. 4.1+/-0.4 mmol/l, P=0.04). No changes were seen with the low polyphenol chocolate.
With Halloween, sugar will be on everyone’s mind (and in everyone’s stomachs). To find out how many calories and how much fat that pile of Halloween candy totals, try this interactive module. (New York Times, Diabetic Medicine, ABC Chanel 7 News-Denver)
*This blog post was originally published at ACP Internist*
According to Marshall Becker, PhD, MPH, a one-time professor of mine and prime mover behind the Health Belief Model (HBM), four things must be in place for health behavior change to occur. I am paraphrasing here:
A person has to know that they have a particular health condition.
A person has to believe that having said health condition is bad.
A person must perceive the benefits of behavior change to outweigh the difficulties of behavior change.
There must be a “call to action” to spark the change.
Absent any one of these steps and the likelihood that behavior change will occur is diminished. Read more »
*This blog post was originally published at Mind The Gap*
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…
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…
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…
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…
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…