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Physicians Who Exercise Are More Likely To Encourage Patients To Follow Suit

Active, healthy medical students are more likely to prescribe physical activity to patients, according to research presented at a meeting of the American College of Sports Medicine.

A research team assessed objective markers of cardiometabolic health, including cardiorespiratory fitness and attitudes on physical activity counseling, in 577 freshman medical students in Colombia from 2005 to 2010. Students’ health and fitness were measured by waist circumference, body mass index, fasting glucose levels and lipid profiles, in addition to the 20-meter shuttle run test.

Attitudes toward physical activity counseling were gauged through students’ answers to “How relevant do you think it will be in your future medical practice to counsel your patients on physical activity?” and “I will have the ability to counsel my patients more credibly and effectively if I am physically active.” Read more »

*This blog post was originally published at ACP Internist*

More Women Die Of Heart Attack Than Men Do

Several studies have shown that women have a higher mortality rate than men if they have a heart attack. A study published in the American Heart Journal helps to explain why. The researchers looked at data from 2,542 women who had a heart attack. Compared to men, the women were older, less likely to be white, and less likely to smoke. They also had more serious health conditions than the men. They had diabetes, high blood pressure (hypertension), congestive heart failure, and chronic obstructive pulmonary disease (COPD).

We’ve known for a long time that women are about 10 years older than men at the time of their first heart attack. The authors believe that the reason women are more likely to die is because of these other conditions that are present. Women in the study were also more likely to receive a blood transfusion and experience gastrointestinal bleeding, strokes, and vascular complications which lead to death.

They didn’t find any gender difference when they controlled for these other conditions. The number of diseased vessels were the same as was the severity of stenosis.

So what does this tell women? The guidelines for longevity and good health haven’t changed: Don’t smoke, control high blood pressure, and make sure your weight is healthy to prevent diabetes and other vascular problems. Stay active. Heart attacks can be prevented by good lifestyle choices.

*This blog post was originally published at EverythingHealth*

Disease By Choice

“Why should I take my blood pressure medication,” you ask? The more I do this thing called hospitalist medicine, the more I appreciate the power of lifestyle choices we all make.

Every opportunity I get I give my patients my smoking lecture and charge their insurance  a CPT 99406. Everybody knows that smoking is bad for you and it causes lung cancer. Nobody knows all the other stuff. They’re always shocked.

Maybe it’s time for me to start a blood pressure lecture. I often have  patients who say: “Why should I take my blood pressure medication?” They always answer their own question with the same answer: “I was feeling fine. I didn’t see a reason to take my blood pressure medication.”

You see, these are people with insurance. These are people with the Medicare National Bank. These are people who don’t have to lift a finger or a dime to pay any out-of-pocket expenses for their healthcare. And yet, they still lack the motivation to care for themselves, even with incredible resources out there these days to help them — things like great online blood pressure chart sites for home monitoring.

Whatever the reason — whether it’s ignorance, laziness, lack of motivation, lack of remembering, or selfishness — people just don’t take care of themselves. Read more »

*This blog post was originally published at The Happy Hospitalist*

America Has A Heart

As an American, I was proud when I heard the news. I grinned to myself. It was on my way to work, through a beautiful city park, with the sun rising over the hillside. The morning radio program reported the news that a California judge overturned their state’s ban on gay marriage.

I know what you’re thinking: A medical blog is running amuck right into a political hornet’s nest. But isn’t it true that a nation’s kindness is a defining characteristic?

America and Americans do much that is good and right. Examples of such goodness are too numerous to list. If you are a victim of a calamity, you can be sure that America will help. Ask Haiti. And it’s not just foreign countries, we help each other. There’s a flood and then there are volunteers. A power outage and there are cords across the streets. It’s not controversial to say we are a kind nation. Read more »

*This blog post was originally published at Dr John M*

6 Tips To A Simpler Lifestyle

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 »

*This blog post was originally published at EverythingHealth*

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…

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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…

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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…

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“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…

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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…

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