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Operating as usual
acpinternist.org The number of handguns acquired in California increased sharply in the first 12 weeks following the Newtown and San Bernardino mass shootings, especially among women, whites and Hispanics, and first-time buyers.
Very appropriate during these long winter months.
huffingtonpost.com (*Unless you absolutely need it) I've had this conversation hundreds, if not thousands, of times. It usually goes like this: Patient: "I've had co...
This/ He is truly spectacular!
In a moment when BJ Miller faced his own mortality, "one of the ways that I sort of got through some of the early days was insisting that this was a variation on a theme we all experience. That theme is basically suffering."
The palliative care physician tells us about living and dying in this week's #BriefButSpectacular.
opinionator.blogs.nytimes.com My mother’s death was so wrenching that I applied to medical school to help change the way people die in America.
New UK drinking guidelines: 6 glasses of wine (small glasses) or 5 beers WEEKLY. Be honest...
cnn.com If you think you had one too many drinks over the holiday season -- you probably did. At least, if the UK's tough new alcohol guidelines are anything to go by.
A goal we should all have for 2016: eat better!
cbsnews.com These diet recommendations were proven to cut the risk of Alzheimer's in half in a new study
An oldie but goodie...
healthland.time.com New guidelines would double the number of Americans on cholesterol-lowering drugs. Dr. Sanjay Gupta of CNN wondered on Twitter whether we are “waving the white flag” when it comes to helping Americans avoid heart disease. Dr.
The author of an accompanying editorial noted that that the available evidence "gives us a strong signal that calcium supplements with or without vitamin D do not protect older people in general from fractures" and said that 700 to 800 mg of dietary calcium daily for adults is probably sufficient. However, he wrote, some groups continue to recommend 1,200 mg of calcium and 800 to 1,000 IU of vitamin D per day for women age 50 and older, amounts that are difficult to reach without supplementation. He called these recommendations "puzzling" in light of the lack of any solid supporting evidence regarding fracture benefit and pointed out that since most older people have calcium and vitamin D intakes below these recommended levels, almost the entire population of adults over age 50 could be considered at risk for fracture.
"Most will not benefit from increasing their intakes and will be exposed instead to a higher risk of adverse events such as constipation, cardiovascular events, kidney stones, or admission for acute gastrointestinal symptoms," he wrote. "The weight of evidence against such mass medication of older people is now compelling, and it is surely time to reconsider these controversial recommendations."
acpinternist.org A new study indicates that calcium supplements with or without vitamin D do not protect older people in general from fractures, and an editorialist suggests that 700 to 800 mg of dietary calcium daily for adults is probably enough. More...
A psychologist walked around a room while teaching stress management to an audience. As she raised a glass of water, everyone expected they'd be asked the "half empty or half full" question. Instead, with a smile on her face, she inquired: "How heavy is this glass of water?"
Answers called out ranged from 8 oz. to 20 oz.
She replied, "The absolute weight doesn't matter. It depends on how long I hold it. If I hold it for a minute, it's not a problem. If I hold it for an hour, I'll have an ache in my arm. If I hold it for a day, my arm will feel numb and paralyzed. In each case, the weight of the glass doesn't change, but the longer I hold it, the heavier it becomes."
She continued, "The stresses and worries in life are like that glass of water. Think about them for a while and nothing happens. Think about them a bit longer and they begin to hurt. And if you think about them all day long, you will feel paralyzed – incapable of doing anything."
Remember to put the glass down.
(Courtesy of Jimmy Harmon)
71% of su***de attempts occur within the hour of deciding. Impulse su***de is real and terrifying.
"Cayman was a really, really happy kid. He wasn't being bullied at school. He had no real girl problems. He had a happy family. There were absolutely no warning signs. He got an email about a homework assignment and probably 20 to 30 minutes later, my 13-year-old son took his life with a gun I hadn't thought about in years."
-Farid, Cayman's father
This is well said and so important.
nejm.org Editorial from The New England Journal of Medicine — Planned Parenthood at Risk
shareably.net The doctors gave it their all to make this little boy's dream come true...
Go ahead and have that omelet!
webmd.com Eggs are no longer bad guys. Coffee with those eggs? Go ahead, have a cup, maybe even three. Those are among the latest recommendations an expert advisory panel has made for the upcoming "2015 Dietary Guidelines for Americans."
Fascinating! We have so much to learn!
nytimes.com Dr. Ian Crozier, who survived an Ebola infection last fall, calls himself a poster child for “post-Ebola syndrome,” which is also being reported in West Africa.
This is sobering and so important from Dr. Molly A. Feely:
"There's scant evidence that opioids are effective for chronic noncancer pain—just a single 38-patient cohort study from 1986 suggesting that these patients were doing well with them. Yet, said Molly A. Feely, MD, FACP, that single study was used to launch the "Pain as the 5th Vital Sign" campaign in 1995.
That study, and the subsequent release of OxyContin, brought the use of opioids for chronic pain to the forefront, Dr. Feely said. "The reality is, we don't have any data other than that 38-patient cohort study that actually suggests that opioids help chronic pain." And there is ample evidence of harm.
Look at the background, Dr. Feely said. From 1999 to 2010, sales of opioids quadrupled. From 1997 to 2011, admission to inpatient addiction rehab facilities increased 900%. By 2010, prescription opioid overdoses exceeded motor vehicle accidents as well as he**in and co***ne combined as a cause of death."
methodsman.com mfw I'm trying to learn a new statistical technique, after reading about it for the past 3 hours. pic.twitter.com/wIOFWPGkNN
I understand risk vs benefit, but have serious concerns with the changes in mammogram recommendations. First, there are no breast specialists on the the panel. Second, 1 in 1000 deaths averted??? I have said it before and will say it again, if I had a 1 in 1000 chance of winning the lottery I would actually play!
"The USPSTF's draft includes statistical models estimating the lifetime consequences of screening women from ages 50-74 and also from 40-74. For every 1,000 women screened, the model finds that screening women in their 40s means an estimated one additional breast cancer death averted (from eight to seven), but with 576 additional false positive tests (1,529 vs. 953), 58 unnecessary biopsies (204 vs. 146) and two additional overdiagnosed tumors (20 vs. 18)."
npr.org In 2009, the U.S. Preventive Services Task Force said the benefits of mammograms for women under 50 were small at best. A firestorm ensued. Now the organization is back with the same message.
"They found that, unsurprisingly, the people who did not exercise at all were at the highest risk of early death.
But those who exercised a little, not meeting the recommendations but doing something, lowered their risk of premature death by 20 percent.
Those who met the guidelines precisely, completing 150 minutes per week of moderate exercise, enjoyed greater longevity benefits and 31 percent less risk of dying during the 14-year period compared with those who never exercised.
The sweet spot for exercise benefits, however, came among those who tripled the recommended level of exercise, working out moderately, mostly by walking, for 450 minutes per week, or a little more than an hour per day. Those people were 39 percent less likely to die prematurely than people who never exercised."
well.blogs.nytimes.com Two new studies suggest that the ideal dose of exercise for a long life is a bit more than many of us currently believe we should get, but less than many of us might expect.
Well said: "Just as carrying a gun doesn't necessarily make you any safer, testing yourself doesn't necessarily make you any healthier."
cnn.com Giving people more tests will increase health spending, but it won't make us healthier.
nytimes.com I am now face to face with dying. But I am not finished with living.
You can't get the flu from the vaccine, or from being outside in the cold! If you can't trust Dr. Sanjay Gupta, who can you trust?!
cnn.com Dr. Sanjay Gupta dismisses the idea that you can get the flu from the flu shot or from being outside in cold weather.
washingtonpost.com Fifteen children have died across the country from influenza, as the number of states reporting a "high" level of influenza activity jumped from 13 to 22 in one week.
nytimes.com Even as restaurants talk about smaller portions, they continue to serve a full day's worth of calories in a single meal — or even a single dish.
Flu season has arrived in Dallas County! If you have not already done so, now is time to get your flu shot! (It takes two weeks for your body to develop the needed antibodies after receiving the flu shot.) Last year influenza peaked in Dallas County the week ending December 20th.
This year most of the Influenza A is the subtype, H3N2 as opposed to previous years which was, subtype H1N1. (Swine Flu) Historically seasons with predominately Influenza A, subtype H3N2 have been more severe. Even though a portion of the circulating viruses at this time are different from the vaccine virus, The Center for Disease Control and Prevention (CDC) is still recommending the vaccine to unvaccinated individuals.
cdc.gov Early Data Suggests Potentially Severe Flu Season
This needs to be a New's Resolution for all of us! (For me at least!)
washingtonpost.com "Every aspect of who you are as a human -- every capability is degraded, impaired, when you lose sleep."
Compared to nonrunners, those who ran had a 30% lower risk of death from all causes and a 45% lower risk of death from cardiovascular disease, investigators found. The speed and frequency of a person's running routine did not make a huge difference either. The data showed novice runners who ran less than 51 minutes, fewer than 6 miles, slower than 6 miles per hour, or only one or two times per week still had a lower risk of dying.
thechart.blogs.cnn.com Good news for runners: A new study published in the Journal of the American College of Cardiology suggests running, even for a few minutes a day, can reduce your risk of dying from heart disease -- whether you plod along or go at race speed.
It has been easy to focus on Ebola for the past few weeks- don't underestimate the prevalence and severity of the flu! Get your flu shot TODAY if you have not already!
gizmodo.com It’s that time again — that time when dozens of spurious articles pop up all over the web touting all the dangers of the flu vaccine. Articles on unreliable, alarmist, misinformative sites like Natural News, Mercola, chiropractic blogs and other such sites rail against the “toxins” in the vaccine, o…
A must read!
washingtonpost.com Sometimes medical care can amount to torture.
Yikes! A perfect reminder, everything has consequences.
cnn.com Martin Bl**er says the overuse of antibiotics threatens to leave us vulnerable to an unstoppable plague, unless we change our approach
cnn.com Doctors and public health officials have long doubted that antibiotics can successfully treat the condition.
30 Day Squat challenge. Let's do this!
athleta.net Ready for another challenge? This time we’re bringing you 30 days of a great workout for your lower body that also strengthens your back and ab muscles. SQUATS! To get started…
today.com Two truths about allergies that may blow your mind: Bo Obama isn’t a hypoallergenic dog, and nobody is actually “allergic” to gluten....
cnn.com How new cholesterol treatment guidelines may affect you can be a bit murky.
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Many people grew up with the comforting presence of a dependable family doctor in Dallas, and Questcare Medical Clinic continues that tradition.
Experience Art of Medicine. VIP care to adult patient. Concierge medicine. Second Medical Opinion. On-site pharmacy. A place that the patient is listened to. Communicate with your physician and medical group via all available telecommunication.
Bringing health care back to the neighborhood
Sreedevi Marakatham, MD, Internist - Find a Top Doc
Urgent and family care, when you need it most.
Health Maintenance. Care of medical diseases. A doctor's office where you are important and a person answers the phone.
We are an internal medicine and health/wellness facility located in the Design District of Dallas.
The physicians of Signature Medicine in Dallas provide personalized service in a concierge medicine practice.