With the holidays upon us and our country still facing a challenging economic crisis, many families are struggling with how to balance celebrating and spending without disappointing their children.
From news stories to Facebook postings, families are expressing clear concern for how to celebrate this year, what to buy for their kids and how much money to spend. They want to be honest with their kids yet shelter them from their adult financial concerns at the same time. Moreover, they feel guilty because this year was supposed to be different because last year they had the same stresses and concerns. Read more »
*This blog post was originally published at Dr Gwenn Is In*
One of the great blessings of my life is that my 91-year-old father, whom I dearly love, lives in the apartment building next door. After sixty-six years of marriage, he’s been living alone since my mother’s death last March. He is still sharp as a tack, as he might say. Read more »
The National Highway Traffic Safety Administration reported an analysis of motorcycle helmet use in fatal crashes. What was discovered is not surprising - namely, that in states in which there is not a state helmet law, the odds of a rider in a single-vehicle (e.g., the motorcycle) crash wearing a helmet was 72% less than in states with a helmet law. So, absent a law, people are not particularly inclined to wear a helmet.
One needs to couple this information with the facts about the benefits of wearing motorcycle helmets. First, motorcyle fatalities and fatality rates are increasing at a time when motorcycle riding is becoming more popular. Second, the average age of motorcycle fatalities has moved up to 39 years, from 30 years nearly 20 years ago, probably because the age of motorcycle riders has increased. Third, motorcycles expose the drivers more directly to lethal forces than do enclosed vehicles. Helmets are essential to prevent brain injuries and deaths. Read more »
After a holiday weekend of movie-going and eating that popcorn that smells so good in the theater, it was a shock to read the report from the Center for Science in the Public Interest that shows just how bad theater popcorn is. The researchers studied medium size popcorn from three large movie chains; Regal Entertainment Group, AMC and Cinemark.
The analysis showed that a Regal medium popcorn contains 1,200 calories and 60 grams of saturated fat. AMC popcorn was a “smaller” medium and contained 590 calories and 33 grams of saturated fat. This was before adding the butter topping. Cinemark wasn’t much better at 760 calories but it only had 3 grams of saturated fat.
Kudos to Cinemark for popping their corn in canola oil with less saturated fat. The other chains use heart unhealthy coconut oil, which is about 90% saturated fat. Lard is 40% saturated!
The study showed that a $12 medium popcorn and soda combination at a Regal movie would be the equivalent of three McDonald’s Quarter Pounders with 12 pats of butter. Read more »
Now a couple weeks after Thankgiving, an important concept to remember is the following:
The body doesn’t lie.
We’ve all eaten a little too much. If we’ve done any exercise, then it is likely standing in line during Black Friday (or clicking the mouse on Cyber Monday). We should not be shocked about some weight gain. Although my patients find it hard to believe, the body doesn’t lie and are stunned that they continue to gain weight in subsequent office visits. It can’t be due to anything they are doing. Read more »
There is a very nice review article in the “throw away” journal Advances in Skin & Wound Care (full reference below) which discusses the causes and management of peristomal skin complications. The photo (credit) to the right shows normal, healthy skin around a stoma.
Peristomal complications are one of the most challenging aspects of living with ostomies. The purpose of this review article was stated to be “to illustrate practical approaches to prevent and treat common peristomal skin conditions.” Read more »
GE made a graph of the average annual cost of patients with eleven common chronic diseases. Go check it out, marvel at the coolness as you grab the sliders and spin the wheel o’ misfortune. Take home point: hypertension is the single biggest driver of medical cost in all patients age 33 and up. Go figure.
*This blog post was originally published at Movin' Meat*
Ski season is upon us. There is no greater relief on a frigid winter day than warming cold, painful fingers and toes. In a recent issue of Wilderness and Environmental Medicine (2009;20:33-38), William Sands, Ph.D. and colleagues authored an article entitled, “Comparison of Commercially Available Disposable Chemical Hand and Foot Warmers.” The objective of their study was to characterize the thermal behaviors of 14 commercially available hand and foot warmers.
The warmers were studied in pairs in a laboratory setting, not in frigid conditions. Each warmer was monitored with a rapidly-responding thermister to determine its external temperature. One of each pair of warmers was placed in a boot or glove. Temperature was recorded until the heat output of the devices ceased and the temperature was determined to be identical to ambient temperature.
The results were quite interesting. There was variability both within and between manufacturers and types of warmers. Some of the devices exceeded packaging claims, while others fell short. The greater the mass of the warmer, the longer the duration of heat production. Read more »
I was supplied these photos by someone who found my blog and then corresponded with me regarding their injury. He had injured his fingers in a motorcycle accident six weeks previous to our “meeting.” He understood that I could not be his treating physician and keep his questions respectful of that. I am grateful to him for the use of his photos as they show how healing occurs.
Read Seth Godin’s most recent post, The Amateur Scientist. In a way that only Seth can do he tells how our culture has turned us all into authorities. Important stuff.
I couldn’t help but think how this applies to the Internet and our health.Unrestrained access to information has got us all thinking we know more than we do. Godin wasn’t writing about the amateur physician but he might as well have been.
Missing from the black bag of the amateur physician is a tool called clinical judgment – the pivotal substrate necessary to tie together objective clinical information.Clinical judgment is the foundation of good medical decision-making.But you won’t find it on the Internet.It can’t be found in the cloud or the hive.It isn’t free and it’s tough to get. Read more »
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I interviewed Captain Steve Blankenship, the Managing Director of Veterans Initiatives at American Airlines.
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