Shingles (herpes zoster) is no fun. It usually begins with a couple of days of pain, then a painful rash breaks out and lasts a couple of weeks. The rash consists of blisters that eventually break open, crust over, and consolidate into an ugly plaque. It is localized to one side of the body and to a stripe of skin corresponding to the dermatomal distribution of a sensory nerve.
Very rarely a shingles infection can lead to pneumonia, hearing problems, blindness, brain inflammation (encephalitis) or death. More commonly, patients develop postherpetic neuralgia (PHN) in the area where the rash was. The overall incidence of PHN is 20%; after the age of 60 this rises to 40%, and after age 70 it rises to 50%. It can be excruciatingly painful, resistant to treatment, and can last for years or even a lifetime. Read more »
Most of us know that salt raises blood pressure in many people. When I learned that in medical school almost 40 years ago, I have not touched a salt shaker since. I enjoy having a low normal blood pressure. A new study published in the Journal of the American Society of Nephrology (July 2010) suggests that sugar, especially the fructose that comes from corn syrup, may also raise blood pressure.
A study team from the University of Colorado in Denver looked at sugar intake among thousands of Americans in a major national nutrition survey between 2003 and 2006. Those who consumed more added sugars, such as the fructose in soft drinks, had significantly higher blood pressures than those who did not and ate more natural foods such as fresh fruit. Fructose from corn syrup is a major cause of the obesity epidemic and may also be contributing to high blood presure, the most common chronic disease in adults. Read more »
*This blog post was originally published at eDocAmerica*
Doctors trying to help patients understand a course of treatment must teach them new terms such as “medical evidence,” “quality guidelines” and “quality standards.” Patients might not be willing to accept that language lesson.
A study in Health Affairs concluded that 41 percent of patients didn’t ask questions or tell doctors about problems. The main barriers were that patients didn’t know how to talk to doctors, or their physicians seemed rushed. Only 34 percent of patients recalled physicians discussing medical research in relation to care management.
But, physicians say, that’s only half the problem. Sometimes, patients demand to see specialists when they don’t really need to. Or, they don’t accept it when evidence shows that highly-desired treatments aren’t the best ones for care. One reason may be that one in three patients believe that more expensive treatments work better than less expensive ones, according to the study in Health Affairs. Once the evidence is laid out, it can be a delicate negotiation to get patients to accept that. (American Medical News, Health Affairs, RangelMD, KevinMD)
*This blog post was originally published at ACP Internist*
I like to pass on good tips, and these ways to simplify your life make a lot of sense. The constant stress we feel because life is so complicated isn’t good for our health. Here are six tips to have a simpler lifestyle:
1. De-Clutter Your Home
Look around. If you have piles of paper, too many “things” and nic-nacs laying around, it’s hard to think clearly and function. An open, clear space allows our minds to feel open and more peaceful. Tackle one room at a time. Be ruthless and donate or toss everything that isn’t useful, beautiful, or has special memories. 2. Limit Family Activities Try to force family members to choose only those activities that are most important. Many of us are over-scheduled and have no time to “just see where the day will take us.” Thirty years ago no stores were open on Sundays and there wasn’t much to do except go on picnics or just hang out with friends and family. It’s okay to “veg out” and may even be good for your family’s health. Read more »
Journalist Andrew Holtz, one of our expert reviewers on HealthNewsReview.org, has some fun with a horserace-style look at low-carb versus low-fat diet research on his MDiTV.com site:
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