Health

Health (25)

Ugh. Level 3 of the Runtastic Six Pack App gave me my first wake up call during my pursuit of six-pack abs that started in January of this year and was slowed by a broken foot shortly after. Going from Level 2 to Level 3 on the Runtastic Six Pack App is like going from a comfortable, at-home workout to a blood-sweat-and-tears workout worthy of a Rocky montage.

I knew MyPlate’s 10-minute abs workout wasn’t cutting it, and since purchasing my Fitbit Alta, I’ve tried stacking the MyPlate workouts, doing three in one sitting, combining the MyPlate workout with Fitbit Coach workouts, and lately, I’ve strictly completed my training plan on the Runtastic Six Pack app. Upon reaching Level 3 of the Runtastic Six Pack app training plan, I can confidently say that it is the best workout regimen for those in pursuit of six-pack abs.

Level 3 Hurts

I must have been in pretty good shape considering how easily I completed the Runtastic Six Pack app’s workouts at Levels 1 and 2. After completing 30 days of workouts increasing in difficulty, I entered Level 3 with confidence. All that confidence was undermined by Day 1 of my Level 3 training, but only by one exercise in the workout.

I completed three sets of scissor kicks without pausing or adding 30 seconds of recovery time in between sets. Even tabletop crunches came relatively easily, although I added 30 seconds of recovery time between sets two and three. I really felt my abs burning after this exercise, and that burn intensified during scissor legs, which required me to pause about halfway through each set and add 30 seconds of recovery time between sets.

Then I was taken aback by my personal trainer demanding three sets of 26 mountain climbers, but not your typical mountain climbers. Every mountain climber I know plants their foot to climb the mountain, but the Runtastic Six Pack app calls for you to suspend your front foot in midair to increase the difficulty of the exercise by reducing your balance, working your core even harder than the typical mountain climber. By the end of the workout there wasn’t a dry section of my t-shirt left for sweat, and the workout that had taken me 25 minutes or less to complete took 37 minutes at Level 3.

Level 3 Gets Easier, then Harder

By Day 5 of my Level 3 training regimen, I was back down to completing my workout in 27 minutes. I had cut out a considerable amount of recovery time between sets and was pausing my workout less and less. The harder exercises were coming more easily, and then Runtastic changed it up.

The change-up was actually easier for me than the first week of Level 3 training. Three of the four exercises were some variation of crunches, and crunches seem to be much easier for me than any plank exercises. That’s likely a result of me “cheating” myself of slow, controlled repetitions.

Plank exercises demand a controlled completion by design. The plank position is not one in which you can complete any movement very quickly. Crunches, however, can be completed quickly and form can go ignored at times, especially when you’re exhausted. Well, the pace at which I completed my crunches didn’t do me any favors when Runtastic changed up Level 3 again.

Day 11 of Level 3 training included three plank exercises and two types of crunches. This was the day I thought the app was broken or at least limited by its design. Day 11 of Level 3 training includes two sets of Thread the Needles going both to the right and left, but instead of alternating the sets and going to the right and then the left, the workout calls for two sets to the right then two more to the left. I found this to be painful for my forearms and elbows having to support my upper body weight in consecutive sets and felt I'd be better served alternating between right and left. I never did alternate the sets as to complete the training as indicated, but I asked Runtastic blog writer Hana Medvesek if this was a limitation of the app or included by design to work the same muscle groups consecutively, pain be damned. A reply was not provided as of this writing.

Runtastic Six Pack App Thread the Needle Left Part 1

Breaking up the right and left exercises would require the app to play different videos between sets, requiring a more complex design. But while alternating thread the needle exercises might be more comfortable for elbows and forearms, it might not have the same effect as working the same muscle groups consecutively. My suggestion would be to put some sort of padding under your forearm to ease the pain if you don’t have spongy carpet or a yoga mat.

The Second Half of Level 3 Tests Your Resolve

The 30-second recovery time between sets is cut in half on Day 16 of Level 3 training in the Runtastic Six Pack app, and the exercises are harder, too. As I was approaching the end of the Runtastic Six Pack app’s training regimen, I must admit I dreaded doing my workout. What was once a 25-minute workout had ballooned to a 47-minute workout that actually resulted in blood and sweat but no tears – just moans and groans from intense pain. The plank knee-to-elbow crunch exercises resulted in rug burns that made it difficult to complete workouts in consecutive days.

I actually took two days between workouts come Day 16 of Level 3 training because I was sore from my knees to my chest for two days. Obviously, cheating myself of slow, controlled completion of exercises had taken its toll. I was pausing regularly during sets and adding 30 seconds of recovery time between sets, especially for the plank knee-to-elbow crunch exercises.

By the third day of completing these exercises, though, I was down to adding the 30 seconds of recovery time solely after the second set of each exercise and between each set of the plank knee-to-elbow crunches. I had shortened my completion time from 47 minutes to 40 minutes, and was really starting to notice results.

Level 3 is not the End of the Game

Upon completion of workouts in the second half of Level 3, I could actually feel the definition of my six-pack abs with my hands when massaging my abs. I couldn’t see much more than a two-pack, but I could tell my goal of six-pack abs only required a bit more cardiovascular work to be realized.

According to the Runtastic Six Pack app’s body fat visualization, my 10-percent body fat should be low enough for my six-pack abs to be visible, and I’m confident they will be upon completion of Level 3 training on the Runtastic Six Pack app, and I’ll continue completing Level 3 workouts to make sure my six-pack abs remain defined and visible.


If you like this, you might like these Genesis Communications Network talk shows: America’s Healthcare Advocate, The Bright Side, The Dr. Daliah Show, Dr. Asa On Call, Dr. Coldwell Opinion Radio, Good Day Health, Health Hunters, Free Talk Live

Wednesday, 08 August 2018 15:33

The Science of Swearing

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Having gotten in trouble my whole life for doing so, I thought it was about time I investigated what is “swearing”, why it comes so fluently and why we frequently choose to do it. So let's break down the science of swearing…..

What is the definition of a curse word?

 

Most dictionaries define a curse word as a “profane or obscene word.”  But I disagree with this definition.  “Profane” comes from the Latin root “profanus”, or “unholy”, and Oxford Dictionary defines “profane” as not relating to that which is sacred or religious; secular, (of a person or their behavior) not respectful of religious practice.  

But many of us who use these words when you say “I just stepped in dog $%&t” aren’t referring to religion in any way, shape or form.

“Obscene”, when defined by multiple dictionaries, alludes to terms of a sexual nature.  Again, complaining that you just stepped in dog $%&t has nothing to do with sex.

So I define a swear/curse word as one that society deems to be off-color and not appropriate in public and professional settings….a word that has plenty of other socially acceptable alternatives used during anger, excitement, or awe.

When was the first curse word spoken?

 

According to historians, the first curse words originated in the 15th century.  I’m sure horses were just as messy as our dogs.  But as you can see by my definition, curse words must have had their origin in caveman days as humans developed language.  Rocks were dropped, people slipped and fell, and some burned themselves on early fire so I seriously doubt that only grammatically acceptable words and phrases were used in times of accidents.

Where did specific curse words originate?

 

Although a good old-fashioned four letter word seems as American as they come, most originate from foreign sources.

The “S” Word

 

According to Business Insider, the noun nods to Old English scitte, meaning “purging, diarrhea.” And just the basic form of excrement stems from Old English scytel. The action, however, has a much more widespread history — Dutch schijten and German scheissen. The Proto-Indo-European base skie conveys the idea of separation, in this case, from the body.

The “F” Word

 

According to the Huffington Post, the f-word is of Germanic origin, related to Dutch, German, and Swedish words for “to strike” and “to move back and forth.” It first appears, though, only in the 16th century, in a manuscript of the Latin orator Cicero. An anonymous monk was reading through the monastery copy of De Officiis (a guide to moral conduct) when he felt compelled to express his anger at his abbot.

“Ass”

 

Comes from the word “arse” and used as early as the 11th century when referring to an animal’s anatomy, and then later to humans.

The “B” Word

 

Having Old English and Germanic roots, the “B” word represented a female dog.  By the 1400’s, however, it became a “term of contempt to women,” according to Business Insider.

So why do we curse?

 

There are various theories as to why people would choose a word that may offend others.  Here’s mine:

  1. The words are easy to say.  Four letter words seem to be the most popular and can be spewed out with ease when in pain or in anger.
  2. The words inspire an emotion.  When we communicate we need a reaction to what we say, and curse words seem to elicit some of the strongest of reactions, hence reinforcing our belief that we are effectively communicating.
  3. They’re weapons.  When we get mad at someone and want to avoid a physical altercation, we weaponize our words instead, inflicting as much verbal hurt and pain as possible. One rarely finds themselves in jail after launching a full foul word offensive.
  4. They allow us to rebel. If curse words are not allowed in a school, work or professional setting then our use demonstrates our autonomy.
  5. They convey meaning that other words cannot.  The F word, for example, is one of the most notorious and ubiquitous, with movies, books, and speakers having validated its use so many times as a noun, adjective, or verb, that it has its own character and conveys a meaning, no matter how it’s used, that society easily recognizes. In fact, it’s so notorious that the F word is recognized by those who don’t even speak English.

 

What are “fake” curse words?

 

“Fake” curse words are terms we use to convey a curse without actually swearing.  Commonly used alternatives to swearing include:

  • Flipp’n
  • Flip
  • Frick
  • Dang
  • Heck
  • Witch
  • Shut the Front Door
  • Son of a Motherless Goat
  • Son of a gun
  • Dagnabbit
  • Beeswax
  • Holy shitake mushroom
  • Wuss
  • Pluck it
  • Yuk fu
  • Fire truck
  • Donald Duck

Is cursing/swearing ever considered “good?”

 

In 2017, a study from Stephens et al, from Keele University in the UK, found swearing to increase strength and power performance when working out.

Previously, in 2009, the same researchers found men who were allowed to swear while immersing their hand in cold water could maintain it twice as long as those who had to keep their language clean.

So if we perform better while cursing, will it ever become acceptable to curse?

Society seems to already accept many curse words, even on prime time television, a barometer we use to determine if a word is OK to say out in public.  However once we take a four letter word and “legalize it”, people will gravitate towards words that aren’t acceptable because of the aforementioned reasons.  We want to be rebellious and demonstrate our feelings in times of pain and anger.

So for those of you who find this unacceptable, I really couldn’t give a flipp’n cluck.…..

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Achieving and maintaining good health is as easy as following the Golden Rule and Ten Commandments for good health. 

The Golden Rule

Do unto your body as you’d like your body to do unto you.

You are only capable of what your body allows, and your body allows only what you allow it. If you want to avoid illness or injury, you must give your body what it needs to do so. You must stretch and maintain flexibility to avoid ligament and tendon injuries. You must consume vitamins and minerals to avoid illness. You must consume protein to build muscle and protect your bones and organs. You must rest your body to remain alert. Give your body what it needs, and it will reward you with good health.

The Ten Commandments

1. Thine body is a temple. Thou shalt not worship any bodies but thine.

The only thing you take with you to the grave is your body, and you only get one of them. You must take care of it as you would a home, or better yet, a place of worship. Don’t just keep a clean home; keep a temple with spotless, stained-glass windows.

And you shouldn’t try to imitate anyone else’s body because your body is unique. Your body might not be meant to emulate any other. I was obsessed with obtaining the “Rocky body” for years. I figured if Sylvester Stallone could put over 200 pounds on a five-foot, ten-inch frame, so could I. Well, lower back problems made it difficult for me to carry the upper body weight necessary to achieve the 200-pound goal, so I slimmed down to my high school weight of 150 pounds and focused on my core strength to accommodate my lower back.

Know your body’s capabilities and incapabilities, and accommodate it. If you have bad feet, ankles, knees or suffer from chronic back pain like me, don’t carry around a lot of upper-body weight.

2. Thou shalt not take thine body for granted.

You only get one, so don’t abuse it. Even if you work your way back from years of abuse, whether that be from overeating or a poor diet, lack of exercise, or drug or alcohol abuse, your body won’t be the same after that abuse. That doesn’t mean you can’t still be in the best shape of your life at advanced ages, but think of your body like the picture of Dorian Gray in Oscar Wilde’s seminal novel. Your body, like the picture, displays the “sins” of your days, so to age gracefully, you must have discipline.

3. Thou shalt not consume more calories than thou burns.

Regardless of your exercise regimen, if you want to maintain your weight, you mustn’t consume more calories than you burn in any day, except...

4. Remember the cheat day and keep it weekly.

Keeping a weekly cheat day on which you consume just a few more calories than you burn keeps your metabolism high in order to burn more calories while sedentary and sleeping. It will also help satisfy your urges to consume those not-so-healthy foods.

5. Honor fitness and nutrition.

Good health is not achievable without honoring both fitness and nutrition. You must move regularly and eat a healthy diet, not one or the other.

6. Thou shalt not skip breakfast.

People who don’t eat breakfast are starving their bodies of calories when they’re needed most. Breakfast means breaking your fast. Your body has gone seven hours or more without being fed, yet has been burning calories all that time. Your body nor your brain can function at optimal levels without breakfast.

7. Thou shall exercise 30 minutes per day.

The magic number for activity is 30 minutes per day. If you can just stay on your feet and moving for half an hour per day, you’re body and brain will benefit.

8. Thou shalt not rob thy body of snacks.

Instead of eating three, large meals per day, eat one big meal at breakfast, a bit smaller meal for lunch and even smaller dinner, filling in the gaps with healthy, fulfilling snacks like fruits, vegetables and nuts (if you’re not allergic). If half of your calories per day come from snacks and the other half from meals, you’ll be spreading your calorie consumption out to allow your body to optimally use those calories instead of storing them.

9. Thou shalt not covet thy neighbor’s diet.

If your body feels good, you should feel good about your diet -- enough so that you don’t envy what others eat. Your diet should also allow you to enjoy things others enjoy, and a focus on consuming smaller servings of sweets or salty carbs to satisfy any urges. Attempting to eliminate any and all vices is impossible and dangerous, so instead of consuming carbohydrates, replace those calories with fats. Fat is the preferred fuel for human metabolism anyway.

10. Thou shalt not covet thy neighbor’s sleep schedule.

If you’re tired you should sleep. Naps are incredibly invigorating, so if you don’t get at least seven hours of sleep per night, or work an erratic schedule, take naps to get seven or more hours of sleep per day.


If you like this, you might like these Genesis Communications Network talk shows: America’s Healthcare Advocate, The Bright Side, The Dr. Daliah Show, Dr. Asa On Call, Dr. Coldwell Opinion Radio, Good Day Health, Health Hunters, Free Talk Live

Friday, 27 July 2018 18:22

Salmonella linked to common dry snacks

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A voluntary recall has been initiated by Flower Foods as their Swiss Rolls, Goldfish and Ritz Crackers may have Salmonella lurking in the box.

Earlier this month Kellogg’s Honey Smacks were recalled for the same reason. And last week the US Department of Agriculture included Hungry-Man Chipotle BBQ Boneless Chicken Wyngz in the recall.

Why? Salmonella may have contaminated the whey protein powder used in these shelf products.  Poor hand washing and improperly cleaned machinery could introduce the bacteria into the food supply.

Whey powder comes from milk, provides many of the nutrients such as calcium and thiamine, and is used as a food binder and extender, rendering the food product nonperishable.

 

Whey protein scoupe. Sports nutrition.

Unlike other bacteria, however, Salmonella does not necessarily need moist environments to thrive.  According to researchers at the University of Georgia, Salmonella can survive at least 6 months in cookies and crackers.

 

salmonella.jpeg

 

So the salmonella can live on the whey protein for months. And since most dry snacks are not cooked, there’s no opportunity to kill off the pathogens and those with vulnerable immune systems could become ill after ingestion.

 

Salmonella Outbreak Linked to Raw Turkey in 26 States

 

The CDC has reported over 90 people have been sickened with Salmonella being linked to raw turkey.

Over 26 states are currently affected including: Alaska, California, Colorado, Florida, Georgia, Hawaii, Iowa, Illinois, Indiana, Kansas, Kentucky, Massachusetts, Michigan, Minnesota, New Jersey, New York, North Carolina, Ohio, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Virginia and Wisconsin.

Symptoms of salmonella poisoning include fever, chills, rash, diarrhea and stomach cramps within 12-72 hours after exposure. The illness can last 4-7 days, although most people will recover without treatment.

 

McDonald’s has voluntarily recalled their salads in multiple states as 163 cases are being investigated by the CDC for a food poisoning link.

Why is food borne illness on the rise?

 

Multiple issues could be playing a role.

  1. Fresh produce is not cooked like meat and can therefore harbor more germs
  2. Preservatives, used in fast food, help to deter pathogen growth, and more people are shying away from fast food than in the past, opting for “fresh,” healthier options.
  3. On-the-go produce may not be washed after packaging due to a false sense of security that the vegetables are “clean.”
  4. As our population ages, and as more people suffer from immunocompromising disease such as diabetes and cancer, they may be more susceptible to foodborne illness.
  5. Our gut microbiome has changed as our diets have shifted to food with more preservatives, hence possibly being less resilient to new pathogens that enter.
  6. In regards to the ground turkey, it is not the same as ground beef and leaving the patties pink in the center mean you are consuming raw poultry. Turkey meat may need to cook longer until no pink is seen and core temperature is at least 165 degrees for at least 15 seconds
  7. We’re less strict about cleaning than we used to be.  Countertops used to be bleached and scrubbed for longer periods of time than we do now-a-days with antimicrobial wipes.

Therefore be diligent about cleaning countertops, cook your food thoroughly, wash produce before eating and be aware of any reported recalls.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Due to a lack of profit potential, Novartis Pharmaceuticals has been the latest to join the exodus of drug companies from antibiotic research and development.

The Swiss based pharmaceutical company will shut down their antibacterial and antiviral research programs resulting in the termination of 140 jobs.

They join Sanofi, Allergan and AstraZeneca who have also pulled out of antimicrobial R & D.

Pfizer, GlaxoSmithKline, Merck and Roche will remain active in the antimicrobial market.

Since the birth of antibiotics in 1928 with Sir Alexander Fleming’s discovery of Penicillin, we’ve aimed to make them stronger and shrewder than the bacteria.  However, nature always wins, and some bacteria have outsmarted our fanciest of antibiotics, as we’ve seen with MRSA (methicillin-resistant staph aureus) and CRE (carbapenem-resistant enterobacteriaceae).  The more antibiotics we make and use, the stronger the bacteria become.

Since insurance companies favor generics, new drugs that do go through the long and expensive process of R & D have no guarantee of turning a profit.  According to a report published by the Tufts Center for the Study of Drug Development (CSDD) the cost of developing a prescription drug that is successful enough to make it to market costs approximately $2.6 billion.  Drugs that are researched, developed, tested but then fail in obtaining FDA approval or success long-term may never make it to market, costing the drug company millions.

The Writing’s On The Wall

 

And pharmaceutical companies aren’t stupid.  They see the legal circus surrounding Purdue Pharma for its “role” in the opioid crisis, so drug companies may wonder if they’ll eventually be held liable for the “superbug crisis”.   If a company thinks they will lose money or be sued in the future for a drug that cost billions to manufacture, they may choose to pass.

But if they pass….who steps up?

I suggest more research into other forms of treating antibiotics such as laser treatments.  Or go old school with silver.  During the Roman empire and Middle Ages, silver had been used as healing agent.  During the Civil War, silver nitrate was used to cure Gonorrhea, another bacteria currently becoming drug resistant.  The silver nitrate was eventually replaced by a colloidal silver. But in 2013 researchers at Boston University discovered why silver was so antibacterial.  Its properties interfered with the cell metabolism of the pathogen as well as  disrupted its wall.  This mimics what antibiotics have been designed to do.  Silver may be able to be used as an agent by itself, in a non toxic form of course, or used in conjunction with current antibiotics who cannot break into the bacteria wall by themselves.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Tuesday, 17 July 2018 18:02

Snoring may be a risk factor for dementia

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Could Dementia and CTE be Prevented with Oxygen Therapy?

 

When brains get deprived of oxygen, during sleep apnea or trauma, dementia and/or neurological sequelae may ensue.

For years I’ve suggested giving oxygen at night to those athletes at risk of CTE, chronic traumatic encephalopathy, and those at high risk for dementia and Alzheimers. Oxygen at high concentrations have been found to help wounds heal, and why should a vulnerable organ fight for oxygen. Give the brain what it needs.

Now a study from Sydney University reports loud snoring could be an early warning sign for dementia and memory issues.

Those who have airway obstruction will make noise when they sleep. Those with obstructive sleep apnea, inability to breath during sleep due to airway obstruction by fat, large tonsils, large posterior tongue and other issues, may in response snore loudly.

 

mallampati(1)

 

Researchers found those who had sleep apnea had reduced thickness in the temporal lobes, memory centers of the brain which also are integral in speech processing and abstract thinking.  When memory tests were given, those with these changes scored poorly.

Study authors suspect that older people should therefore be screened for obstructive sleep apnea.  Currently we screen those who are overweight, fatigued, or hypertensive, but maybe we should screen all seniors?  Personally, I feel we should intervene sooner, such as middle age, if we want to ward of dementia early.

Last year we learned of a two-year old near-drowning victim, who was submerged for nearly 15 minutes and sustained brain-damaged, surprisingly has “minimal” deficits after given extensive oxygen therapy.

In February 2016, Eden Carlson climbed through a baby gate while her mother was showering and fell into the family pool. Her mother performed CPR and medical personnel worked to revive her for hours. They succeeded, but she had suffered cardiac arrest and brain damage. Upon discharge from the hospital 48 days later, Eden had difficulty speaking, walking and responding to her family.

Her medical team then tried oxygen treatments twice a day in 45 minute sessions.  These were “normobaric” oxygen treatments, or oxygen at the concentration of one atmosphere (sea level). Then three weeks later she was moved to New Orleans for “hyperbaric” oxygen treatments, or breathing 100% oxygen in a chamber greater than atmospheric pressure.

After ten sessions her mother reported “near normal” activity with doctors finding only “minimal damage” on her MRI scan.

 

An MRI scan 162 days after the incident showed that the child still has mild residual brain injury but the cortical and white matter atrophy she suffered was nearly completely reversed.

An MRI scan 162 days after the incident showed that the child still has mild residual brain injury but the cortical and white matter atrophy she suffered was nearly completely reversed. (Medical Gas Research)

 

According to NYDailyNews, the cortical and white matter atrophy (thinning) almost completely reversed.

This raises the question, should oxygen therapy, either normobaric or hyperbaric, be instituted immediately after injury (near drowning, concussion, infection, etc.) and chronically for those at higher risk of dementia (diabetics, those with heart disease, high blood pressure and cholesterol, and stroke victims)?

Athletes who sustain multiple concussions are at high risk of developing CTE, Chronic Traumatic Encephalopathy.  This progressive, degenerative disease of the brain is also found in veterans and those who have sustained repeated head trauma.  Symptoms include mood disorders, paranoia, impulse control issues, aggression, and memory loss to name a few.

Many victims of CTE aren’t diagnosed until after they die, upon autopsy and evaluation of brain tissue, hence it may be worth researching early oxygen intervention to those at high risk before symptoms surface.

Now oxygen therapy is not without its risks, as those with COPD, chronic obstructive pulmonary disease, could lose their respiratory drive, and oxygen toxicity could cause bleeding and seizures.  But controlled trials could allow us to investigate if one of the simplest of treatments can help battle some of the most difficult of diseases.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

A study finds patients don’t mind their ER doc’s body art.

Researchers from St. Luke’s University Health Network in Bethlehem, Pennsylvania surveyed emergency room patients who rated the providers on a five point Likert scale on their perception of competence, professionalism, caring, approachability, trustworthiness, and reliability in their doctor.  Their findings found patients had “no perceived difference” in the above metrics, “and assigned top box performance in all domains >75% of the time, regardless of physician appearance.”

So Can Medical Students Break out the Nose Ring?

 

No, not so fast.  Although body art is beautiful, and accessorizing with piercings can make our dreary scrubs pop, the average physician is fighting more and more these days to capture the faith of the patient who keeps turning to the web for medical advice.

The above study surveyed patients in emergency rooms….a setting in which patients are desperate to receive care in an emergency and are grateful, on most occasions. What about the oncologist who needs to give somber news about a patient’s cancer?  Would patients appreciate the skull and crossbones tattoo on his neck? Probably not.

 

 

 

Skull-and-Crossbones-Tattoo-Designs-Poison-Pirate.jpg

 

Piercings and tattoos make a statement, tell a story, or add character to the body on which they adorn.   And the attention they command is why I’m such a fan. So I agree that it has no bearing on one’s “competence, professionalism, caring, approachability, trustworthiness, and reliability.”  However, in many medical scenarios the patient needs to feel he is the main focus. Patients want to believe we providers wake up, eat, exercise to maintain our health, dress, and wash our hands for them.  And they’re right…we do. So our personal style, statements and stories are kept to a minimum at work.

It’s unfortunate because I was really hoping to get the following Lord of the Rings tattoo of Aragorn when hubby wasn’t looking….

 

artist--kristian-kimonides--aragorn-tattoo_18179093247.jpg

 

For more on the study see here.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

Canadian researchers report women who work 45 hours or more a week are at higher risk of developing diabetes.  Those who work 30-40 hours weekly, however, are not at increased risk.

In this study, published in the British Medical Journal Diabetes Research and Care, study authors looked at 7000 men and women, aged 35-74, who were working a variety of hours per week.  They found men more likely to develop diabetes, especially if they were obese, but women who worked greater than 45 hours/week were 62% more likely to acquire the disease than women who worked “normal working hours.”

This may shock many of us whose normal work week plus housework clocks in at 80-100 hours.  However, extra hours of work increases stress inducing hormones that may contribute to poor sugar metabolism.

Another theory is longer work days may induce more carbohydrate eating for energy.

Study author Peter Smith of the Institute of Work and Health in Toronto said, “If you look at time spent outside of work, women do more care of household members and more routine housework. The only thing women don’t do more of is watching TV and exercising.”

According to the CDC, 23.4 million people in the US have diabetes, and in total 100 million Americans suffer from prediabetes or diabetes.

Previously the 7th leading killer of Americans, diabetes affects so many people that it has now become third leading cause of death in the US. A study in 2017 found 12% of deaths in the US is caused by diabetes, trailing behind heart disease and cancer, ranked at #1 and #2.

What is Diabetes?

 

Diabetes is a disease in which the body doesn’t utilize and metabolize sugar properly.  When we consume food, its broken down into proteins, nutrients, fats, water, and sugar. These components are necessary for cell growth and function.  They get absorbed in the small intestine and make it to the bloodstream.   In order for a cell to utilize sugar, it needs the hormone insulin to help guide it in.  It’s similar to a key that fits in the keyhole of the “door” of the cell, opening it up so sugar can enter.  Insulin is produced in the pancreas, an organ that receives signals when one eats to release insulin in preparation of the sugar load coming down the pike.

Diabetes Explained



So I imagine our mouth like a waiting room, the blood stream like a hallway, and the cells of the body the rooms along the hallway.  Insulin is the key to open the cells’ “doors” allowing sugar to enter.  If the sugar does not get in, it stays in the bloodstream “hallway” and doesn’t feed the cell.  Weight loss occurs, and individuals may become more thirsty as the sugar in the blood makes it fairly osmotic, something the body wants to neutralize, reduce.  The kidneys are going to want dump the excess sugar, so to do so, one would urinate more, again causing thirst.  So when a diabetic loses weight, urinates more frequently and becomes thirsty, you now understand why.

Complications of Diabetes

 

Cardiovascular disease – Sugar is sticky, so it can easily add to atherosclerotic plaques.

Blindness – high sugar content draws in water to neutralize and small blood vessels in the eye can only take so much fluid before they burst.  Moreover, high blood sugar weakens blood vessels.

Kidney disease – the kidneys work overtime to eliminate the excess sugar. Moreover, sugar laden blood isn’t the healthiest when they themselves need nourishment.

Infections – pathogens love sugar. Its food for them.  Moreover blood laden with sugar doesn’t allow immune cells to work in the most opportune environment.

Neuropathy – nerves don’t receive adequate blood supply due to the diabetes-damaged blood flow and vessels, hence they become dull or hypersensitive causing diabetics to have numbness or pain.

Dementia – as with the heart and other organs, the brain needs healthy blood and flow.  Diabetes has been found to increase risk of Alzheimer’s as well.

Type I vs. Type II Diabetes

 

Type I Diabetes, previously called insulin dependent or Juvenile diabetes, occurs when the pancreas doesn’t produce insulin, possibly from the immune system destroying the cells that produce the hormone. When this occurs there is rapid weight loss and death could occur if the cells don’t get the sugar they need.  Insulin has to be administered regularly.

Type II Diabetes, previously called non-insulin dependent or adult-onset diabetes,  occurs in those who began with a fully functioning pancreas but as they age the pancreas produces less insulin, called insulin deficiency, or the insulin produced meets resistance. This is the fastest growing type of diabetes in both children and adults.

What is insulin resistance?

 

Insulin resistance, if using our hallway and door analogy, is as if someone is pushing against the door the insulin is trying to unlock. As we know, those with obesity are at higher risk for diabetes, hence fat can increase insulin resistance. It’s also been associated with an increase in heart disease.

Blood sugar numbers

 

If your fasting blood sugar (glucose) is greater than 126 mg/dl, or your non fasting blood sugar is greater than 200 mg/dl, you may be considered diabetic. Pre-diabetes occurs when the fasting blood sugar is between 100 and 125 mg/dl.  If ignored, and the sugar rises, pre-diabetics may go on to develop diabetes.

 

dmp-blood-sugar-levels-chart

SOURCE DIABETESMEALPLANS.COM

 

Preventing/Controlling Diabetes

 

1/3 of American adults are currently pre-diabetic. Experts predict 1/3 of US Adults will be diabetic by the year 2050. Although genetics plays a big role, decreasing ones sugar intake and maintaining an active lifestyle can help ward of diabetes.

Foods high in sugar and carbohydrates increase one’s risk, so a diet rich in vegetables and lean meats is preferred.

For more information, visit http://www.diabetes.org/.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

A study from the Environmental Working Group (EWG) found that most of our meat purchased at the supermarket contains antibiotic resistant bacteria.

The National Antimicrobial Resistance Monitoring System tested bacteria on meat in 2015 and found them to be resistant to one of fourteen antibiotics. These “superbugs” were detected on:

 

  • 71% Pork Chops
  • 79% of Ground Turkey
  • 62% Ground Beef
  • 36% Chicken Breasts, Wings and Thighs tested.

Dr. Gail Hansen, a public health expert and veterinarian states, “Bacteria transfer their antibiotic resistance genes to other bacteria they come in contact with in the environment and in the gastrointestinal tract of people and animals, making it very difficult to effectively treat infections.”

The EWG provides a tip sheet on how to avoid superbugs in meat here.

What is a Superbug?

 

A superbug is a pathogen, most commonly bacteria, that can survive antibiotics that most species would buckle under. Its resistance could be caused by a variety of factors.  Maybe it has a mutation that makes it stronger. Maybe its genetic material shields it from the toxic medicine.  Maybe it’s luck. So shortly after it celebrates surviving the antibiotic assault, it divides to reproduce, making more bacteria. If this progeny bacteria maintain the same genetic material as its parent, or if included, mutation, they can be now be resistant to the antibiotics as well.

_68481070_c0131441-e._coli_bacterium,_tem-spl.jpg

DRUG RESISTANT E. COLI – IMAGE FROM BBC

 

According to the CDC: Each year in the United States, at least 2 million people become infected with bacteria that are resistant to antibiotics and at least 23,000 people die each year as a direct result of these infections.

Why are superbugs growing on our food?

 

One theory is we give antibiotics to farm animals to keep them healthy, avoid disease and improve their growth.  These antibiotics may be used and consumed so frequently that bacteria learn how to overcome and create new, resilient progeny.

How do we avoid getting sick?

 

The following is a guide on temperature goals for various meats:

food temp.png

 

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

Although it's been long known that flight attendants are at higher risk of breast cancer and melanoma, new research has found an increase risk in the following additional cancers:

  • non-melanoma (basal cell and squamous cell)
  • thyroid
  • cervical
  • uterine
  • gastrointestinal

Researchers from Harvard T. H. Chan School of Public Health, led by research associate, Irina Mordukhovich, surveyed over 5000 flight attendants as part of the Harvard Flight Attendant Health Study (FAHS) and found a four-fold risk in non-melanoma skin cancer, a two-fold risk in melanoma, and a 51% greater risk of breast cancer, among other malignancy risks.

Those flight attendants with three or more children had even a higher risk of breast cancer.

TIME Magazine reported the following:

“Flight attendants are considered a historically understudied occupational group, so there is a lot we don’t know about their health,” says Mordukhovich. “What we do know for sure is the exposures that both pilots and flight attendants have—the main one being high radiation levels because of cosmic radiation at altitude.” That exposure may not be concerning for people taking individual flights, but for people whose jobs involve flying, that risk may have a negative effect on their health, as the study results suggest.

A 2007 study found an increase risk of heart attacks, respiratory illness, poor sleep, depression and anxiety in cabin crew.

What’s surprising is the average flight attendant does not smoke and maintains a healthy weight, hence thought to live a healthier lifestyle, decreasing heart and cancer risk.  So….

Why are flight attendants at increased risk?

 

Multiple factors can affect those who work high in the skies. These include:

  • cosmic ionizing radiation (radiation coming from outer space with higher levels in the upper earth’s atmosphere)
  • solar radiation from sun flares
  • disruption of their sleep cycle, circadian rhythm (long linked to cancer)
  • exposure to chemicals such as jet fuel, flame retardants and other chemicals.
  • constant exposure to pathogens and communicable diseases (link to cancer not yet determined)
  • not being able to maintain regular hydration and diet

 

airline.jpg

 

How can flight attendants protect themselves?

 

It’s difficult for those who staff airlines to alter their schedule, diet or uniform.  But what’s recommended is the following:

  • wear sunscreen
  • wear long sleeves and skirts/pants
  • maintain good hydration and a regular diet
  • try to ask for regular shifts that allow one to sleep regular cycles
  • if at higher genetic risk for some cancers (BRCA1 and BRCA2 gene mutations) see your medical provider about recommended screening.

The CDC recommends the following:

  • Try to reduce your time working on very long flights, flights at high latitudes, or flights which fly over the poles. These are flight conditions or locations that tend to increase the amount of cosmic radiation the crewmembers are exposed to. You can calculate your usual cosmic radiation exposures. The FAA’s CARI program website allows you to enter information to estimate your effective dose from galactic cosmic radiation (not solar particle events) for a flight.

  • If you are pregnant or planning a pregnancy, it is important to consider your work exposures, including cosmic radiation. If you are pregnant and aware of an ongoing solar particle event when you are scheduled to fly you may want to consider trip-trading or other rescheduling actions if possible.

    • For flight attendants, a NIOSH study found that exposure to 0.36 mSv or more of cosmic radiation in the first trimester may be linked to increased risk of miscarriage.

    • Also, although flying through a solar particle event doesn’t happen often, a NIOSH and NASA study found that a pregnant flight attendant who flies through a solar particle event can receive more radiation than is recommended during pregnancy by national and international agencies.

  • Regarding solar particle events:

Are travelers at risk?

 

Experts have suggested that those who are frequent fliers are still at low risk of being exposed to “too much radiation”.  Traveller.au.com writes: Overall, the amount “is really inconsequential,” said Dr. Edward Dauer, director of radiology at Florida Medical Center in Fort Lauderdale, adding that medical CT scans result in a much higher dose.

Read more:

 

Flight risk: how much radiation do planes expose you to?

 

Therefore medical professionals may suggest flying “in moderation” and checking in for regular check ups.

How can I check my radiation dose?

 

The American Nuclear Society provides a calculator, based on where one lives, how many x-rays, and how many hours one flies, here.

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Daliah Wachs is a guest contributor to GCN news. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

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