FOX Health

Archive for July, 2009

Establishing Healthy Routines

Thursday, July 30th, 2009

111_cerbasi_blogOver time, we have become a nation focused on health. We now refer to most of the choices we make as healthy or unhealthy. We talk about the health of the economy, our school systems, and our relationships. As a parent, your top priority is likely how to raise a healthy child. How often do we hear expectant mothers say they don’t prefer one gender over another “as long as the baby is healthy.” These tips offer ways to raise a physically, emotionally, and academically healthy child, from any age.

 

PHSYICAL HEALTH

Schools across the country are creating and enforcing stricter standards for food served during school hours. This includes food brought into the building by staff and parents, specifically for holiday or birthday parties. One parent, Terese Guerriero of Morris County, New Jersey, calls it “the death of the home-baked cupcake.” Guerriero expresses frustration at not being able to bring in a special treat for her children’s birthdays and says her family has healthy routines that involve enjoying a treat on occasion. She also cites financial concerns for some families, saying that her children’s school district only allows items that are brought in their original packaging, including fruit. Since it is more expensive to buy prepared fruit platters than to make your own, this presents a dilemma for some families. Enjoying a birthday cupcake probably wouldn’t be a big deal these days if children were enjoying healthy food and exercising as a part of their daily routine. Here are some ways to get your child on that path.

Turn off the TV

Allot each of your children a specific amount of time they are permitted to watch TV each day. For older children, you could give a weekly amount and give them the freedom to use the hours as they wish, but keep in mind that may be harder to enforce.

10 Minute Workouts

Each day, spend 10 minutes engaging in some physical activity. It could be walking the dog, utilizing an exercise DVD, or shooting some hoops. Do something and do it everyday.

Carrots Not Cookies

Introduce healthy foods at an early age and show your children how delicious these foods can be. For children who are picky eaters, look for recipes that “hide” fruits and vegetables by using purees as an ingredient.

EMOTIONAL HEALTH

Your child’s emotional health consists of learning to trust others, feeling safe, and being confident. Being emotionally and physically present for your child is the way to establish these feelings. These are some tips for beginning to develop your child’s emotional health.

Dinner Time = Talk Time

Connecting with your child daily is the most important step to creating a sense of safety and security. Find time every day to be physically and emotionally close to your child. You can discuss the days events, headlines in the news, or upcoming family events. The most important thing is not what you are talking about, but rather the fact that you are talking each day.

If you practice a religion, practice the religion

Practicing a religion or faith means actively engaging your child in discussions and rituals associated with your beliefs. If you have a belief that is important to you, share it with your child in an open and honest way so they can understand your values and feel connected.

Acknowledge Their Feelings

There is a stigma in some cultures or households regarding showing emotion. This can often lead to confusion, frustration, and even depression as children learn to bottle their feelings instead of talking about them. Let your child know that it is OK to feel sad, nervous, or angry and give them ways to express these emotions appropriately.

ACADEMIC HEALTH

The focus on your child’s academics should be “Is she making steady progress?” not “Is she getting straight A’s?” This isn’t to say you shouldn’t challenge your child to do her best, but focusing on the product as opposed to the process can be counter-productive. Start with these ideas for fostering a healthy academic experience.

Say “I don’t know”

There will inevitably be times when your child will ask for help with his homework and you won’t have the answer. Showing your child how to find answers can be more important than having the answer. Problem solving is a skill that will benefit your child in all areas of school work and social situations.

Establish a Positive Relationship With the Teacher

Communicate to your child’s teacher that you are looking forward to a productive year as you work together to strengthen your child’s skills and academic growth. Showing your children that you are on board with their school work reinforces the importance of it. Also, remember to say only positive things about your child’s teacher in front of him. Save the negative comments for your spouse as your child will likely relay them back to the teacher and damage your relationship.

Ask the Teacher for Homework

Check in with your child’s teacher about once a month and ask what you can work on at home. Your teacher will be happy to give you topics or skills to reinforce at home and may be able to give you examples of how to do so. Making education a part of your daily routine shows your children that learning is fun and important to you.

If you have young children, the key is to remember that you can establish healthy routines from the get go and your children will jump on board without a fight. They won’t miss the soda and chips if they never had them. If reinforcing academic skills while chatting at the dinner table is the norm, they will be willing participants. If you have older children and are looking to change your family’s ways, remember to model what you expect of your children. Have a family meeting to discuss the changes that will be coming to the cupboard and stick with your decision to live a healthier life.

Jennifer Cerbasi teaches at a public school for children on the autism spectrum in New Jersey. As a coordinator of Applied Behavioral Analysis programs in the home, she works with parents to create and implement behavioral plans for their children in an environment that fosters both academic and social growth. In addition to her work both in the classroom and at home, she is also a member of the National Association of Special Education Teachers and the Association for Supervision and Curriculum Development.

Barack Obama and the Psychology of Race

Wednesday, July 29th, 2009

ablow052710President Obama lost something invaluable last week when he weighed in on the arrest of his friend, Harvard professor Henry Louis Gates, Jr., saying the Cambridge police acted stupidly. He lost the presumption that he is colorblind and embraces all races and both genders equally.

This colorblindness was, perhaps, the fondest hope of the American public when we elected President Obama to our highest office.  As the son of a white woman from Kansas and a black man from Kenya we hoped his election marked the ascent of a leader possessed of so much empathy, so much intelligence and such a desire to understand all perspectives and experiences that he could resonate with anyone’s needs and disenfranchise no one.

That hope has withered for many, and it will be difficult to resurrect.  The fact that President Obama remained in a church headed by a pastor (Reverend Wright) who denounced white people, together with the fact that the First Lady says she felt no pride in our country until very recently, together with the fact that President Obama nominated a woman to the Supreme Court who slurred white judges as inferior, together with the President’s recent unwarranted slur of a white police sergeant as stupid seems to reveal deep-seated anger in him and constitutes a psychological pattern of insensitivity to the feelings of Caucasians.  He is a President who now (and hopefully only temporarily) seems the least colorblind of my lifetime, a terrible irony and tragedy I certainly didn’t imagine transpiring when he announced his candidacy.

The emotions some white people are sharing with me seem to parallel the feelings that African Americans may have struggled with in the past.  They tell me that they fear President Obama resents them, but won’t say so plainly, that he considers them “less than” others, maybe even demonic (like Reverend Wright does), but won’t admit it.  This gives them, and it gives me, a sliver of insight into how painful it must have been for disenfranchised minorities for decades in this country.  But the price of that slim window on the feelings of others has been high, indeed.  For the millions of white Americans who now better understand what it feels like to doubt that the President of the United States is their President, too, our heightened empathy comes with deep sadness and not a little anxiety.

President Obama doesn’t seem to understand the full depth of what has transpired.  It can’t be glossed over with the words he shared after the Crowley fiasco: 

“This has been ratcheting up, and I obviously helped to contribute ratcheting it up.  I want to make clear that in my choice of words, I think I unfortunately gave an impression that I was maligning the Cambridge Police Department and Sgt. Crowley specifically.  And I could’ve calibrated those words differently.”

He then invited Crowley over to the White House for a beer with Professor Gates.

What we needed, as white Americans, for all Americans, was a moment less about political caution and false camaraderie and more about self-revelation.  I kept thinking, as I listened to President Obama, of how short his statement fell from the words of another great African American politician, Jesse Jackson.  During the 1984 Presidential campaign, when Jackson sought the Democratic nomination, he referred to New York City as Hymietown, a slur against Jews.  I remember him taking the podium at the Democratic Convention and apologizing.  It was 25 years ago, and I was just 22-years-old, so forgive me if I have forgotten some of the words.  Most of them are seared into my memory—these two-and-a-half decades later:

“If I have offended anyone, or renewed old fears, I am deeply sorry.  Charge it to my head and not my heart.  I am an imperfect servant.  God is not yet finished with me.”

That was plenty good enough for me.  I didn’t believe Jackson could fake a statement like that.  And I never questioned the man’s heart again. 

President Obama, we need that kind of eloquence and honesty right now.  We need you to do that kind of soul-searching and let us in on the result.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His newest book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement. Check out Dr. Ablow’s Web site at livingthetruth.com.

Take the Itch Out of Summer Allergies!

Wednesday, July 29th, 2009

Dr. BassettLet’s face it: The best defense is a good offense.  In the case of allergies, that means you’ll need to develop a plan for allergic conditions such as stinging insect allergy, bug bite and mosquito reactions, food allergies, poison ivy and other rashes — especially if you have a history of an allergic reaction. 

Pesky mosquitoes can cause small or large bite reactions. Are you allergic to mosquitoes? Don’t scratch to avoid localized infection.  Topical steroid creams and cool compresses may offer supportive relief.  Don’t smell so nice and avoid scented products and colognes.  Also, prime biting times are generally dusk and dawn. Use insect repellents and wear long sleeves and pants — especially if in the woods or in a heavy mosquito area. 

If you have a history of reacting to stinging insects such as a honey bee, wasp, hornet or yellow jacket, you certainly need an evaluation with an experienced insect allergy specialist.  Frequent testing can reveal whether or not you will need to receive allergy injections to reduce your risk of a future life-threatening reaction, if stung.

Are you allergic to sunscreen and other products you may be using outdoors and at the beach? Skin allergies to the suspect ingredient can be easily diagnosed through office-based skin patch tests to identify the skin allergen that is likely to be causing the reaction or rash.  Sometimes it even is a fragrance or preservative present in the product used. 

Poison ivy reactions are on the rise due to climate change.  Know what these problematic plants look like, especially if you react to them.  You may try various over-the-counter barrier- or lanolin-type creams that are now designed to prevent the oil in the poison ivy/sumac family of plants that cause the horrible itching, rashes and blisters associated with this condition.  Some individuals with severe reactions will need prescription medication for proper treatment. 

Stay tuned for other mid summer strategies to keep you well. 

Dr. Clifford W. Bassett is an assistant clinical professor of medicine at the Long Island College Hospital and on the faculty of NYU School of Medicine. He is the current vice chair for public education committee of the American Academy of Allergy, Asthma and Immunology. No information in this blog is intended as medical advice to any reader or intended to diagnose or treat any medical condition.

Summer Super Foods

Tuesday, July 28th, 2009

tanya_zuckerbrot2TOMATOES

Summer dish: Sliced tomato with balsamic vinegar
Nothing says summer like vine ripe tomatoes. Tomatoes naturally lend themselves to health-conscious summer cooking, being sweet, yet low in calories. In fact, tomatoes are one of the most frequently consumed “vegetables” in the United States, whether raw, steamed, fried, stewed, crushed, pureed, or reduced to a sauce. (Though thought of as a vegetable, tomatoes are botanically classified as fruits.) They are also one of our best sources of vitamin C, a powerful antioxidant.

They also contain beta-carotene and several other carotenoids that may have their own disease-preventing properties, particularly against heart disease and cancer. One carotenoid, lycopene, may help reduce the risk of prostate cancer. Tomatoes also offer a good dose of potassium, which helps to reduce the risk of stroke.

SALMON

Summer dish: Simply grilled on the barbeque
Summer marks the beginning of salmon fishing season and the time of year when fresh salmon is again available in your local markets. Salmon is low in calories and saturated fats and high in protein. Wild salmon is one of the best sources of health-promoting fats known as the omega-3 fatty acids. Omega-3s promote cardiovascular health, brain health and provide anti-inflammatory protection.

Cardiovascular health: omega-3’s prevent platelets in the blood from clumping together and sticking to the arterial wall in the form of plaque. They also drive down triglycerides and LDL (bad) cholesterol.

Brain health: Omega-3’s interact with the fatty layers that surround brain cells and help protect brain cells from the diseases of aging, like Alzheimer’s.

CORN

Summer Dish: Corn on the cob
Is there anything more satisfying at a summer bar-b-que than an ear of hot corn on the cob? In addition to being sweet and satisfying, there are many health benefits of corn.

One cup of corn provides 18.4 percent of the daily recommendation of fiber. Its high-fiber content is one of the biggest benefits of corn. Fiber has been shown to help lower cholesterol levels and help reduce the risk of colon cancer. Fiber is also useful in helping to lower blood sugar levels in diabetics.

Corn is a surprising source of several vitamins, including folic acid, niacin and vitamin C. The folic acid in corn is now known to be an important factor in preventing neural-tube birth defects. It’s just as important in preventing heart disease, according to studies that show folic acid can prevent a buildup of homocysteine, an amino acid in the body.

SUMMER SQUASH

Summer Dish: Sautéed or grilled squash
Summer squash contains vitamin C as well as beta-carotene, folate and fiber. These nutrients make summer squash a tool in preventing cancers, heart disease and diseases caused by inflammation such as arthritis and asthma.

Whether you’re trying to lose weight or just adopt a healthier eating program, summer squash’s rich fiber content can help you get full faster — and give you many of the nutrients you need.

Tanya Zuckerbrot, MS, RD is a nutritionist and founder of www.Skinnyandthecity.com.    She is also the creator of The F-Factor Diet™, an innovative nutritional program she has used for more than ten years to provide hundreds of her clients with all the tools they need to achieve easy weight loss and maintenance, improved health and well-being.  For more information log onto www.FFactorDiet.com

Swine Flu at Camp

Monday, July 27th, 2009

siegel1I have long been concerned about potential overuse of the anti-flu drug Tamiflu, in fact there are sections on this topic in both my book on fear and my book on flu. But in my opinion, the current situation with H1N1 swine flu calls for the careful use of Tamiflu at large camp outbreaks. Use of the drug is warranted to help decrease shedding time in patients with mild cases and to prevent additional cases in their close contacts.

The CDC does not agree with me.

Here are the plusses:

1 – Since Tamiflu is highly successful at slowing spread, its use to squash outbreaks can help keep camps open which has the added benefit of keeping sick kids from bringing flu home to many different zip codes and thereby expanding the outbreak. People who are more at risk (including pregnant women, infants, and those with chronic conditions) may catch it that way. Even though this is a mild virus so far, with millions of cases around the world and only 700 plus deaths, there is always the chance that it will get worse; in fact a recent study shows that it lingers in the lungs of Ferrets (who react to flu like humans), causing lung infections.

2 – More circulating virus may increase the chance of a lethal mutation. The famous second mutation that may have occurred in 1918, when the virus became much more severe in time for the fall flu season, is extremely unlikely, but possible.

3 – Children seem more at risk for severe cases, perhaps because of a lack of immunity to an older H1N1 virus that was circulating before 1957. Older patients who have that immunity may have milder cases.

4 – Isolation of sick people and their contacts is the first priority, but use of Tamiflu (especially when there is no vaccine available), is a useful adjunct which may help to keep the camp open.
Here are the minuses:

1 – Use of Tamiflu may increase the chance of resistance occurring. There are some excellent articles on recent Tamiflu resistance, which also demonstrate that resistance sometimes occurs spontaneously, without exposure to flu:

H1N1 swine flu – the non-sustained Danish and Japanese resistance cases were in patients taking Tamiflu prophylactically. (see New Scientist article)

The interesting case in early July of a girl from San Francisco who picked up Tamiflu resistance in Hong Kong but NEVER took Tamiflu. (see NY Times article)

And the spontaneously generated resistance to seasonal H1N1 (NOT SWINE FLU) in last year’s flu season which led to massive resistance to that strain. (See NY Times article)

2 – Tamiflu shortages could emerge (although the CDC has stockpiled 50 million dose courses, and it is difficult to envision a scenario where there is a shortage of this magnitude, especially with a vaccine in the offing.

3 – Potential side effects of Tamiflu, including nausea, or an allergic reaction. But side effects are rare, Tamiflu is a very well tolerated drug overall.

4 – By having the flu now, when it is mild, a person should be immune later on, during flu season, when the flu could return in a more severe form.

I must admit, some of what drove me to put my own 12 year old son on Tamiflu prophylaxis at Camp Modin where there were more than 80 cases was because I have a 4 year old son at home with asthma and chronic ear infections. I was worried about my older son bringing the flu home. But my own scenario was far from unique, which is why I recommended that all of Camp Modin take Tamiflu.

My article on the Modin Protocol I created was published in Slate on July 10th. (see Slate article)

This was followed by a front page article by Tamar Lewin this past Thursday July 23d in the NY Times which described the problem – and solution – at the camp. (see NY Times article)

The following day, Dr. Anne Schuchat, director of the National Center on Immunization and Respiratory Diseases at the CDC, reacted to the Times article by disagreeing with camps using Tamiflu to control outbreaks. She said she “strongly recommended” giving the drug only to people already seriously ill, or to their family members who are pregnant, have asthma or have other conditions that could be life-threatening if they caught the flu.

Finally, on Saturday, July 25th, Donald McNeil wrote an excellent balanced article in the Times describing Camp Modin’s use of Tamiflu, the rationale for my advice compared to the reasons for the CDC’s disagreement. (See NY Times article)

Dr. Marc Siegel is an internist and associate professor of medicine at the NYU School of Medicine. He is a FOX News medical contributor and writes a health column for the LA Times, where he examines TV and movies for medical accuracy. Dr. Siegel is the author of “False Alarm: The Truth About the Epidemic of Fear and “Bird Flu: Everything You Need to Know About the Next Pandemic.” Read more at www.doctorsiegel.com

Spice Up Your Life

Thursday, July 23rd, 2009

tanya_zuckerbrot2A dash of spice might be all you need to jump start your health.  Numerous studies have confirmed that spices can help prevent certain cancers, lower blood pressure, control blood sugar and improve cardiovascular health.  In addition, spices have been shown to minimize the damage of aging and actually help you lose weight by saving hundreds of calories and adding flavor — enabling you to avoid adding heavy sauces, butter or other fats.

 

Cinnamon:

Health Boost:  Cinnamon helps to reduce the risk of diabetes and cardiovascular disease. A study in the December 2003 Diabetes Care found that eating one to six grams of cinnamon daily significantly reduced blood sugar levels in people with type 2 diabetes. Recent research indicates that cinnamon can have favorable effects on brain function. Participants in a study chewed cinnamon gum or smelled the sweet spice. Cognitive tests revealed that subjects who used cinnamon had better memory functions and could process information more quickly.

How to Use it: For a delicious and healthy dessert, sprinkle on top of an apple and bake in the oven at 350 degrees until it can be pierced with a fork. To get a boost of cinnamon throughout the day,  just sprinkle the good old stuff into your oatmeal, yogurt or baked goods.

Turmeric

Health Boost: Turmeric isn’t just known for its bright-yellow color and distinct flavor, but it’s also known for its many health benefits, such as its powerful anti-inflammatory properties. Surprisingly, it’s the bright pigment of turmeric, which is called curcumin, that is said to be the primary pharmacological agent in turmeric. In numerous studies, curcumin’s anti-inflammatory effects have been shown to be comparable to over-the-counter medicines like Motrin.

How to use it: For a bold dip, you can’t resist, mix it into nonfat Greek yogurt, and add salt and pepper to taste. Serve the dip alongside raw carrots, celery and peppers. Rosemary Health Boost: Scientists from Iwate University in Japan and the Burnham Institute for Medical Research in California have found that the antioxidant carnosic acid found in rosemary, protects the brain from free radical damage. Oxidative damage, caused by excess free radicals is a major cause of neurodegenerative diseases such as stroke, Alzheimer’s and Parkinson’s disease. How to use it: For a delicious chicken rub, combine 2 teaspoons of rosemary leaves with 2 teaspoons of seasoning salt and 1/2 teaspoon thyme leaves.

Garlic:

Health Boost: Since 1858, garlic has been known for its antibacterial properties. At this time Louis Pasteur discovered that bacterial cells died when they were saturated with garlic. Garlic has long been considered an herbal “wonder drug.” Garlic has 1 percent of the potency of penicillin.

How to use it: Sauté fresh garlic over low heat and mix spinach, and Parmesan cheese and place atop whole-wheat pasta.

Paprika:

Health Boost: One reason to spice up your meals: You’ll crank up your metabolism. Capsaicin, the substance that gives kick to peppers and chilies, has a thermogenic effect, meaning it causes the body to burn extra calories for 20 minutes after you eat them.

How to use it:  Add a teaspoon of paprika to store-bought hummus or prepare your own guacamole using an avocado, ½ diced onion, ½ diced tomato, ½ teaspoon lemon juice, ½ teaspoon onion powder and ½ teaspoon garlic powder.

Ginger:

Health Boost: You’ve all heard that ginger can help soothe your stomach, but did you know it can help heal a migraine also? Denmark researchers have discovered that ginger can block the effects of prostaglandins. These are substances that cause inflammation of the blood vessels in the brain, which leads to migraines. Research suggests that ginger can help relieve migraine headaches by blocking the production of natural substances that cause inflammation and pain.

How to use it: Make your own ginger dressing by combining 2 tablespoons balsamic vinegar, 1 tablespoon soy sauce, 1 teaspoon Dijon mustard, ½ teaspoon minced garlic, ½ teaspoon minced ginger (optional), ½ teaspoon pepper and 2 scallions.

Oregano:

Health Boost:  A USDA study found that gram-for-gram, oregano has the highest antioxidant activity of 27 fresh culinary herbs. Oregano is also a potent antioxidant, rich in phytonutrients. On a per-gram basis, fresh oregano has 42 times more antioxidant activity than apples, 30 times more than potatoes, 12 times more than oranges, 4 times more than blueberries. Antioxidants are known to reduce risk factors for heart disease and various types of cancers.

How to use it:  To spice up grilled cheese, add ¼ teaspoon oregano leaves and tomato to the classic favorite.

Thyme:

Health Boost:  Thyme is one of the most well-known remedies for treating teeth and fighting the gum disease gingivitis. The active ingredient in this common herb is thymol which can be found in Listerine mouthwash because of its antibacterial and antifungal properties.

How to use it: Use thyme in scrambled eggs for a fragrant flavor boost. It can be used to improve the flavor of most dishes, especially slow-cooked dishes.

Tanya Zuckerbrot, MS, RD is a nutritionist and founder of www.Skinnyandthecity.com. She is also the creator of The F-Factor Diet™, an innovative nutritional program she has used for more than ten years to provide hundreds of her clients with all the tools they need to achieve easy weight loss and maintenance, improved health and well-being. For more information log onto www.FFactorDiet.com.

The Sexuality of an Older Woman

Wednesday, July 22nd, 2009

yvonne_headshot2yvonne-q1

Dear Dr. Fulbright,
I’m a 54-year-old man, divorced and dating again, and find that older women who are into menopause or post-menopause have different attitudes about sex and their own sexuality.  When I was a teen, I was the “hunter.” Now, in middle age and single, I find myself being “the hunted.”  Women who can no longer have children also seem to be more sexual now in their later years. Your thoughts?  —Mark

yvonne-a2Dear Mark,
There are a couple of major things going on when it comes to older women being seemingly more “aggressive” with their sexual relationships. First, with some widowed or divorced women, their quest is to find a partner for their later years. In some cases, there is the need or hope for financial support. For others, fear of loneliness is a driving factor. Knowing that the pickings get slimmer with every passing year, they’re going to be that much more assertive with the men they come across.

Second, between education, media programming, and simply the times, many older women are embracing their sexuality as never before. They’re not afraid to see themselves as sexual — and flaunt it. They love the fact that they no longer have to worry about getting pregnant, PMS, menstruation, birth control or raising children. In so many ways, they’re free when it comes to responding to their sexual urgings.

Do you have a question about sex? If so, foxnewshealth.com wants to hear from you! E-mail your questions to drmanny@foxnews.com

Dr. Yvonne Kristín Fulbright is a sex educator, relationship expert, columnist and founder of Sexuality Source Inc. She is the author of several books including, “Touch Me There! A Hands-On Guide to Your Orgasmic Hot Spots.”

Psychiatry’s Lesson for Universal Health Care

Wednesday, July 22nd, 2009

ablow052710As President Obama tries to remake the American health care system, the gutting of psychiatry by insurance company policies and other administrative forces is a good lesson in what to avoid. 

The endless red tape inherent in dealing with many insurers and the loss of professional autonomy to insurance company “reviewers,” has led many of the best and brightest psychiatrists and psychologists to accept no insurance reimbursement at all.  Psychiatrists have, if you will, acted out Atlas Shrugged, Ayn Rand’s cautionary tale of what can happen when institutions throttle individuals.  They’ve walked away and taken their gifts as healers with them.  In fact, when I refer patients to other mental health care professionals, it’s very challenging for me to find clinicians I consider in the top echelons of my field who will accept third party reimbursement of any kind.  A brain drain has siphoned off access to some of the wisest counsel available in psychiatry, except for those willing to pay cash, and I believe the same could happen (or greatly accelerate where it already is happening) in other medical specialties.

The influence of insurance company policies has also led to the public being served by professionals from allied health fields, such as clinical nurse specialists.  The need or desire for these companies to save money, which will only be accelerated by the current Obama plan, means social workers and nurses are the preferred providers of psychotherapy and medication evaluations to those battling depression and schizophrenia and bipolar disorder.  This phenomenon could find its reflection in the firm ground of internal medicine and endocrinology and obstetrics and other specialties yielding to intellectual quicksand, in which the knowledge and skills of physicians often disappear from the landscape entirely.

There’s nothing inherently wrong with getting your health care from physician assistants and nurses.  But these folks didn’t go to medical school, and didn’t complete residencies, and if I were confronting a serious condition I’d want to be treated by people who had.  I’d pay for it out of my own pocket.  And my guess is that we’ll end up having to.

Oh, one more thing:  Not only did many psychiatrists walk out on the system, lots of the ones who stayed let their practices be shaped by insurance company reimbursement policies that pay them more to prescribe medications than to talk to people.  So there are a whole bevy of shrinks who’ll see you for ten minutes once a month and just write you a prescription.  It actually pays pretty well, even if it leaves them out of seventy percent of what can restore patients—effective, expert psychotherapy.  That medical art is in danger of extinction.

See, Obama’s eight principles for overhauling health care address economics, access, prevention, safety and cost.  They don’t address how to preserve the core of the world’s most successful, powerful, inventive health care system ever:  the contributions and creativity and commitment of America’s physicians.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His newest book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement. Check out Dr. Ablow’s Web site at livingthetruth.com.

Should You Get the H1N1 Vaccine?

Tuesday, July 21st, 2009

dr_manny_blog2There’s no doubt that this H1N1 flu, also known as swine flu, has been a real doozy. With more than 1 million people infected in the U.S. alone and approximately 263 deaths, attention must be paid to a potentially worsening condition.

I typically don’t like to scare people into paying attention to health care issues, but I do think that as soon as a vaccine becomes available here in the U.S. for the H1N1 virus, you should get it.

I recently learned of two alarming cases where pregnant women became affected with the H1N1 virus. Any type of flu can be quite devastating for a pregnant patient. The reason for the significant effect in pregnancy is that pregnant women typically have suppressed immune systems and their pulmonary compliance is significantly altered due to the pressure from the pregnant uterus. So when they get the flu, it could very quickly turn into a deadly pneumonia with very high degrees of complication for both the mother and the unborn child.

That was just the case with these two recent reports — one from Australia where a mother fell ill from the swine flu and ultimately the baby died in utero, and in the other case, a woman in Florida had to deliver at 27 weeks of gestation due to the flu, and the infant ultimately died from complications associated with his prematurity.

So the message is loud and clear: This new virus is very contagious. We don’t have natural immunity, and if you have any risk factors — especially if you’re pregnant — get the vaccine as soon as it is available.

Click here to read the full story.

Healthy Weight Gain

Tuesday, July 21st, 2009

tanya_zuckerbrot2Just as it’s not healthy to be overweight, being underweight can be a problem, too — putting you at risk for malnutrition and problems like osteoporosis later in life. But there’s definitely a right and a wrong way to do it. You don’t want to add foods high in sugar and fat that can increase your risk for heart disease, high cholesterol, and diabetes, not to mention affect your energy level and mood.

It’s ok to eat carbs — they’re not all created equal, after all.  Opt for whole-wheat breads and whole-grain cereals, which are calorie-dense sources of fiber and disease-fighting phytochemicals and antioxidants.  Look for breads that have about 100 calories per slice.  Arnold’s Grains & More breads are made with 100 percent whole-wheat flour and come in varieties such as Double Protein (110 calories, 3 grams of fiber, and 7 grams of protein per slice) and Double Fiber (90 calories and 5 grams of fiber per slice).  As for cereal, try Fiber One Caramel Delight, which tastes like Cinnamon Toast Crunch but has 180 calories and 9 grams of fiber per cup. For something less sweet, try Quaker Oatmeal Squares Cereal (1 cup has 210 calories and 5 grams of fiber). Add sliced bananas and low-fat milk for a hearty, healthy breakfast or a great midday snack.

Enjoy some heart-healthy fats like olive oil, canola oil, salmon and nuts. These foods pack a calorie punch without the artery-clogging fats of creamy, fried, and greasy foods — in fact, they can even reduce your risk of heart disease. It’s easy: For a daytime snack, munch on some almonds or walnuts. For dinner, try broiling a 6-ounce filet of salmon drizzled with olive oil, salt and pepper and sautéing a side of spinach with garlic and a tablespoon of olive oil.

Pack in the protein. While eating fats and carbs will add pounds, our bodies need protein to help maintain and build muscle mass. Go for lean protein like grilled chicken breast, white meat turkey, egg whites and seafood. For an extra boost, add protein powder to fruit smoothies.

Other quick tips for adding healthy calories:
•   Sprinkle walnuts or almonds into your morning bowl of cereal
•   Add a cup of whole-wheat pasta or brown rice to your dinner
•   Toss together your own trail mix. Combine almonds (or any other nut), high-fiber cereal , dried fruit and semi-sweet chocolate chips, and put it in small bags for a go-to snack any time of the day. Get creative and add your own twist to the mix!
•   ½ whole-wheat bagel with peanut butter and sliced banana
•   Create your own pizza, Tortilla pizza (whole-wheat, high-fiber tortilla with low-fat mozzarella and tomato sauce)

Tanya Zuckerbrot, MS, RD is a nutritionist and founder of www.Skinnyandthecity.com.    She is also the creator of The F-Factor Diet™, an innovative nutritional program she has used for more than ten years to provide hundreds of her clients with all the tools they need to achieve easy weight loss and maintenance, improved health and well-being.  For more information log onto www.FFactorDiet.com.

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