November 24th, 2011 by Toni Brayer, M.D. in Research
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I live on the West Coast, where it is rare to see a smoker. Because it is not socially accepted, smokers are not out in the open. They lurk behind buildings to take a smoke break at work and I don’t even own an ashtray for friends because none of my friends smoke. But San Francisco isn’t the rest of America. In 2010 there were 45.5 million Americans who smoke, with men smoking more than women. Tobacco remains the single largest preventable cause of death and disease in the United States. Each year approximately 433,000 people die of smoking-related illness.
Here are some more stats on American adult smokers. The highest prevalence is American Indians/Alaska Natives (31.4%) followed by whites (21%). Smoking incidence decreases with increasing education and improved economics. By region, the Midwest has the most smokers in Oklahoma, Arkansas, Mississippi, Louisiana, Kentucky, Ohio and West Virginia (22-27%). That is huge.
California and Utah have the lowest percentage of adult smokers at Read more »
*This blog post was originally published at EverythingHealth*
October 22nd, 2011 by Sergio Minué, M.D. in Opinion, Research
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“I doubt that all the philosophy in this world can eradicate slavery; at best it will change its name. I can imagine worse forms of servitude than our own, more insidious forms, that will foster in men an appetite for work as rabid as the passion for war among barbarian races, either by turning people into stupid and content machines that believe in their freedom whilst fully enslaved, or by suppressing any human leisure. I prefer our physical slavery to this subjection of the spirit”.
- ‘Memoirs of Hadrian’– Marguerite Yourcenar
Nobody considers himself to be addicted to work. But we should go over how many times a day we check our e-mail or call our office while on holidays, even when we must do it almost secretly. No doubt iPads, iPhones or Blackberrys make it easier to fall into temptation, and we fool ourselves by saying we’re getting the device just to check the weather.
We tend to think workaholism is a synonym for working many hours, but this is a narrow view that ignores the addictive nature of that condition. An average workaholic has a strong inward motivation to work every minute, anywhere, not really for the money, or the promotion, or because of a lack of social life. Just for the sake of it.
Scott points out two traits to define this addiction: Read more »
*This blog post was originally published at Diario Medico*
October 2nd, 2011 by Harvey Simon, M.D. in Research
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Kicking the cigarette habit is one of the best things that smokers can do for themselves. Nicotine replacement products, prescription medications, and counseling can all help. What about the newest tobacco substitute, the electronic cigarette? Despite the appeal of so-called e-cigarettes, we don’t know enough about their safety or effectiveness to give them the green light.
Electronic cigarettes come in a variety of shapes. Some look like cigarettes, pipes, or cigars, while others are disguised as pens or other more socially acceptable items. Whatever their shape, they all are built around a battery-operated heating element, a replaceable cartridge that contains nicotine and other chemicals, and an atomizer that converts the chemicals into an inhalable vapor.
A study published this spring in the American Journal of Preventive Medicine concluded that electronic cigarettes may help smokers quit. Whether they are a safe way to quit is another question—preliminary studies from the FDA, New Zealand, and Greece raise some concerns.
There are three reasons to worry about electronic cigarettes. First, Read more »
*This blog post was originally published at Harvard Health Blog*
August 17th, 2011 by Linda Burke-Galloway, M.D. in Health Tips
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A nurse recently asked a very important question that bears repeating: What effect does long-term use of pain pills have on pregnant women? She was concerned because of the increase in number of pregnant women who are taking pain pills on a long term basis based on previous surgeries, accidents or a history of chronic pain.
The most common “pain pills” prescribed are opiates which effectively eliminate or reduce pain but have a great tendency to be abused. Opioids are natural and synthetic type drugs that have the characteristics of morphine. It can only be obtained with a prescription and unfortunately physicians contribute to the problem of dependency and abuse through their lack of scrutiny regarding patient requests. My present home state of Florida has the unsavory distinction of being known as the country’s largest pill mill and it was reported that 80 percent of opiates were not dispensed by pharmacists but by physicians who dispense them from their offices. Consequently, the Florida legislators now prohibit physicians from dispensing opiates in their offices with rare exceptions.
Why are opiates or pain killers dangerous for pregnant women? Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
August 11th, 2011 by Linda Burke-Galloway, M.D. in Health Tips, News
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Could breastfeeding kill a newborn? That is the question a California district attorney will ask a jury at the trial of a breastfeeding mother. Most women do not intend to harm their children but substance abuse and addiction comes with a heavy price. Such was the case of Maggie Jean Wortman, who has been charged with second degree murder after medical tests revealed that her newborn son died from methamphetamine intoxication obtained through her breast milk. Wortman’s 19-month-old daughter also tested positive for methamphetamine and was placed in protective custody. How could this happen?
The transfer of drugs from the mother’s blood to human milk depends on the chemical composition of the drug. Antibiotics such as penicillin will remain in the mother’s blood for long periods of time whereas certain types of blood pressure and heart medications will remain in the milk. During the first three days after birth, higher concentrations of medicine remain in breast milk. Wortman’s attorney is attempting to argue that methamphetamine in breast milk could not kill a baby but here’s why he’s wrong: Read more »
*This blog post was originally published at Dr. Linda Burke-Galloway*
I live on the West Coast, where it is rare to see a smoker. Because it is not socially accepted, smokers are not out in the open. They lurk behind buildings to take a smoke break at work and I don’t even own an ashtray for friends because none of my friends smoke. But San Francisco isn’t the rest of America. In 2010 there were 45.5 million Americans who smoke, with men smoking more than women. Tobacco remains the single largest preventable cause of death and disease in the United States. Each year approximately 433,000 people die of smoking-related illness.
