Better Health: Smart Health Commentary Better Health (TM): smart health commentary

Latest Posts

Expert Offers Tips For Preventing Diabetic Neuropathy

[Editor's note: In recognition of American Diabetes Month, Harvard Health Publications is collaborating with MSN.com on its Stop Diabetes initiative. Today's post, published on World Diabetes Day, is the first of several focusing on this all-too-common disorder.]

People tend to think of diabetes as a silent, painless condition. Don’t tell that to the millions of folks with diabetes-induced tingling toes or painful feet. This problem, called diabetic neuropathy, can range from merely aggravating to disabling or even life threatening. It’s something I have first-hand (or, more appropriately, first-foot) knowledge about.

High blood sugar, the hallmark of diabetes, injures nerves and blood vessels throughout the body. The first nerves to be affected tend to be the smallest ones furthest from the spinal cord—those that stretch to the toes and feet.

Diabetic neuropathy affects different people in different ways. I feel it as Read more »

*This blog post was originally published at Harvard Health Blog*

Husband Disapproves Of Wife’s Decision To Get Breast Reduction Surgery

Jeanette’s story:

For as long as I can remember my nickname has been ‘Jen Big Boobs’. Friends joke that the first thing they see when I walk through the door is my chest. I know they mean no harm – just as ­­I know that my husband, Steve, adores them ­­– but it’s reached the point where they have ­­got to go. They simply dominate my life. Whether I’m trying to get comfy in bed or walking down the street I can’t forget them for a moment. They are always there, getting in the way of everything I do. In primary school I was the first in class to wear a bra. So when my pals changed in the classroom for PE, I’d change in the loos. Big boobs weren’t a huge surprise – they ­run in my family. But it was embarrassing and ­I didn’t like being different. They’ve singled me out for loads of attention. Buying bras has always been and still is a nightmare. I have to order specially-made ones that are ugly and cost up to £50. By the time I was 20 I’d already gone to see ­my GP about a reduction operation. He was ­sympathetic but said I was too young for ­surgery.

Steve’s story:

I love my wife’s big boobs and don’t want them reduced. I don’t mind admitting that Read more »

*This blog post was originally published at Truth in Cosmetic Surgery*

Antibiotic Resistant Bacteria Kill Tens Of Thousands Each Year

Antimicrobial resistance is a world-wide problem and increases the difficulty a variety of infections. In the United States, the major threat that is faced each day by millions of Americans every year is posed by bacteria that are resistant to antibiotics. Studies to obtain precise estimates for all types of resistant infections is ongoing, but we do know that every year, almost 90,000 people become ill with infections caused by one of these resistant bacteria—methicillin-resistant Staphylococcus aureus or MRSA. Of these people, over 15,000 die.

Tremendously effective strategies have been developed to prevent infections, especially those likely to be caused by resistant bacteria. Readers of this blog are very familiar with the wide range of evidence-based, proven-effective interventions that reduce the incidence of infections and prevent the transmission of dangerous pathogens between people, especially hospitalized patients who are most at risk.

But a critical strategy for preventing the development of drug resistance in bacteria is to use antibiotics carefully and judiciously. Scientists have known for 70 years, Read more »

*This blog post was originally published at Safe Healthcare*

FDA Approves Tetanus/Diphtheria/Pertussis Vaccine For Adults Over 65

BoostrixMost of us are familiar with the need to achieve immunization against tetanus (“lockjaw”) and diphtheria. Fewer are familiar with the need to immunize against pertussis (“whooping cough”). Boostrix is a vaccine used to achieve immunity against all three. Until recently, there had not been a vaccine approved by the Food and Drug Administration (FDA) against pertussis intended for use in elders (ages 65 years and older). On July 8, 2011, the FDA approved Boostrix for use in this population of seniors.

The link to the FDA announcement is http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm262390.htm

Whooping cough is not a trivial disease. It is a highly communicable infectious disease caused by the bacterium Bordetella pertussis. It is transmitted by respiratory secretions or large droplets from the respiratory tract of an infected person. In children, whooping cough is typified by Read more »

This post, FDA Approves Tetanus/Diphtheria/Pertussis Vaccine For Adults Over 65, was originally published on Healthine.com by Paul Auerbach, M.D..

Cancer Drug Has Potential To Treat Chronic Ear Infections

I read with astonishment that a class of cancer drugs known as VEGF Inhibitors (ie, Avastin and Erbitux) used to treat colorectal, lung, breast, and kidney cancers can also be used to potentially treat a type of chronic ear infection known as glue ear… at least in theory and in mice. Glue ear is when an individual suffers from repetitive ear infections or upper respiratory infections to the point where the fluid in the ear turns into a maple syrup consistency. It’s thick, sticky and tough to get rid of with standard antibiotic medications. Standard treatment to address glue ear is placement of ear tubes to allow ventilation and drainage of the ear as well as antibiotic/steroid ear drops.

British researchers using the mouse model have determined that Read more »

*This blog post was originally published at Fauquier ENT Blog*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

Read more »

Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

Read more »

See all interviews »

Latest Cartoon

See all cartoons »

Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

Read more »

“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

Read more »

Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

Read more »

See all book reviews »