With concern over the H1N1 flu reaching an all-time high – Americans are scrambling to find ways to either prevent the virus, cure it if they get it or try to get out of getting the flu shot. And as a result, many people are turning to the Internet for help.

I have said it a thousand times and I’ll say it again: It’s not safe to buy medication over the Internet from sources that are not reputable!  There are thousands of medications available on the Web, and more and more companies are popping up each day offering fast access and delivery of both over-the-counter and prescription medications. We know the dangers associated with buying drugs online, but for some reason, people continue to do it!

In fact, it poses such a problem, that in the midst of the H1N1 flu pandemic and the hysteria it’s created, the FDA felt the need to warn consumers about purchasing products over the Internet that claim to diagnose, prevent, treat or cure the H1N1 flu virus. Trust me — nothing could be more dangerous than thinking that you can fight the H1N1 virus with unregulated medications available on the Web.

The FDA issued the warning after the agency purchased and analyzed several products online that were marketed as Tamiflu, which is an antiviral drug that slows the severity of the flu. After checking out the products, many of them were found to be unsafe.

Here is an excerpt taken directly from the FDA press release:

“One of the orders, which arrived in an unmarked envelope with a postmark from India, consisted of unlabeled, white tablets taped between two pieces of paper. When analyzed by the FDA, the tablets were found to contain talc and acetaminophen, but none of the active ingredient oseltamivir. The Web site disappeared shortly after the FDA placed the order. At the same time, the FDA also purchased four other products purported to diagnose, prevent, treat or cure the H1N1 influenza virus from other Web sites.”

The products that the FDA analyzed contained varying levels of oseltamivir, and were not approved in the U.S. And furthermore if you’re ordering medications from other countries, most of them will not even arrive in time to treat someone suffering from the H1N1 flu! It’s just not worth it, people! When you order medications that are not regulated, you’re putting yourself and/or your loved ones at risk for getting counterfeit or contaminated products, and the effects can be deadly.

So instead of logging onto the Internet the next time you need a prescription drug – pick up the phone and call your doctor. After all — that’s what we’re here for.

 Click here for more information from the FDA on how to protect yourself.

With the change in seasons now fully upon us, days are getting shorter, and the risk of seasonal affective disorder is turning into very real suffering for literally millions of Americans.  Most of this suffering can be prevented, if people recognize the cause of their symptoms and get help.

Seasonal affective disorder (SAD) most often visits patients during the fall or early winter.  It has also been called “winter depression” or “winter blues,” but its symptoms mimic major depression of any other kind—the distinguishing characteristic in this case being its connection to less sunlight.   Those symptoms can include sadness, tearfulness, decreased concentration, decreased self-esteem, low energy, alterations in sleep patterns and appetite, loss of interest in hobbies and work and, in severe cases, thoughts of suicide.

If you have struggled with repeated bouts of depression in the past, it’s very important to figure out if you can identify this kind of seasonal pattern.  But SAD doesn’t necessarily manifest itself with serious symptoms every year, so all of us need to be alert this year to whether we’re burdened by it.

SAD costs the economy dearly in lost productivity from employees, employers and entrepreneurs fighting its symptoms.  But it will also inflict an additional and very substantial financial burden on the millions of families directly affected, at a time when so many families are struggling already.  That’s one reason why SAD may be a bigger threat this year than the H1N1 flu, even though SAD gets a lot less attention.

SAD responds to the same treatments used to fight non-seasonal depression.  Psychotherapy is tremendously helpful, as is exercise and, when indicated, medication.  Another promising and safe treatment is transcranial magnetic stimulation (rTMS), which involves repeatedly stimulating a particular area of the brain using magnetic waves. 

I have seen many, many of my patients also benefit tremendously from the use of bright light therapy, which involves sitting for a short time each day in front of specially designed portable lights (which are relatively inexpensive and widely available) that replicate sunlight (without exposing the user to any damaging “tanning” light).   One of these devices is called the goLite, but just Googling “bright light therapy for depression” will bring up lots of choices.  If fall and winter and “down” times for you, then get one of these lights and use it.  It could change your life—for about $150.

It’s time we took SAD very seriously, given the fact that it causes so much damage to so many lives and is so responsive to treatment.  It’s the psychiatric epidemic that comes every year—and one we already know how to defeat.

Dr. Keith Ablow is a psychiatry correspondent for FOX News Channel and a New York Times bestselling author. His book, “Living the Truth: Transform Your Life through the Power of Insight and Honesty” has launched a new self-help movement including www.livingthetruth.com. Dr. Ablow can be emailed at info@keithablow.com.

I read an interesting article today reporting the findings from a poll that seriously contradict what the White House and the AMA have been suggesting about the way medical professionals feel about the proposed bill to overhaul the health care system. And while I can’t say I’m surprised at the overwhelming negative response to the plan – the statistics speak volumes.

An IBD/TIPP poll found the following:

– 45% of doctors polled said they would consider leaving their practice or retiring early if the proposed health care bill was to pass

– 65% or 2 out of 3 practicing physicians polled say they oppose the plan

– 72% of doctors polled disagree with the administration’s claim that the government can cover 47 million more Americans with better quality care and at a lower cost

Click here to read the full article

I think there’s some truth to this study – and here’s why…

Right now, doctors are caught between a rock and a hard place and we have very few alternatives – many doctors have already started moving to other parts of the country where there is less government regulation on how they run their practice. What we are finding – and will continue to find with this health care bill looming – is that doctors have already started dropping their private practices and taking hospital jobs. Many are changing specialties or plan on not offering certain procedures because of strict government regulation once we move toward a universalized health care system – and for those doctors to perform procedure using local hospital facilities, well, that costs money, too. We’ve been facing a primary care doctor shortage for years now, and the numbers continue to drop. All of these things have a negative impact on the quality of care patients receive.

So I want to do a little research of my own. I want to hear what YOU think – especially if you’re a doctor or in the medical field. How do you feel about the proposed bill and do you think that it will cause doctors to leave the medical field?

Make your voice heard! I’ll be reading some of your comments on FOX & Friends tomorrow morning at 6:30 a.m. E.T., where we’ll be discussing this report in more depth.

During the past three decades, obesity in America has been on the rise, in part due to increased calorie consumption and portion sizes. Did you know about half of this increase can be attributed to sweetened beverages? A recent study in the American Journal of Clinical Nutrition showed that around 37 percent of our total daily liquid calories come from sugar-sweetened drinks. Not only has the number and variety of calorically dense drinks been on the rise, but the average soft drink portion is now 20 ounces, a whopping 50 percent greater than the 12-ounce portion of thirty years ago!

So what exactly does this mean for our waistlines? One 20-ounce soda has about 250 calories and 68 grams of sugar — with no nutritional benefits. That’s like eating 17 teaspoons of sugar, much more than you would add on your own to your morning coffee or tea. Adding an extra 250 calories every day will lead to gaining 25 pounds in just one year!

In addition, studies suggest that when people consume more calories in the form of beverages, they do not compensate by eating or drinking less. This is because the calories are often “empty,” or nutrient-poor, and do not get your metabolism moving the same way a nutritious meal or snack would. Especially with these jumbo portions, it is easier to drink more than eat a greater amount of solid food, which would offer more satiation than the liquid calories.

With the increasing obesity rates, even the government is taking action on this matter. According to the Wall Street Journal, Senate leaders are considering new federal taxes on soda and other sugary drinks to help pay for an overhaul of the nation’s health care system. Its unclear how much the tax will be, but even at a proposed 3 cents per can, about $24 billion would be generated over the next four years. What would the government do with the money? Expand health insurance coverage to all Americans. Whether or not this would help decrease soda consumption is unclear, but it might make Americans think twice about what they are drinking.

The bottom line is if you’re just starting out on a weight loss plan, the easiest way to cut calories is to eliminate liquid calories from soda, juice, and sweetened teas. Stick to water, unsweetened teas/coffee and other zero-calorie beverages. Every pound is equal to 3500 calories so if you cut out that 250-calorie drink every day, you’d lose at least 2 pounds every month. And that’s without any other change in your diet!

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.

President 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.

Today we heard of a shooting at the Holocaust Museum in Washington, D.C. that appears to be the work of a single gunman, whom authorities believe to be a man in his late 80s by the name of James Von Brunn. If this is the suspect in custody, he is actually a World War II veteran and vocal member of the Holy Western Empire, which at this point, seems to be a white supremacy group.

It is sad to see people resorting to violence to settle their differences. And we have to be aware that we still need to be vigilant in our efforts to protect ourselves — despite the feeling of some Americans that security measures in this country have become too intrusive. It’s important to support our men and women in uniform, who at both the local and national levels, do a terrific job of keeping our country safe.

What this man did was an act of terrorism — domestic terrorism.

But the big question is: What’s the psychological profile of this shooter? If you look at some of the psychological profiles of past shooters, they are all different in their own way. However, there always seem to be some common themes.

Most of these people are angry at someone or a group of people, and share a psychotic belief that their misfortunes are predicated on the actions of those they hate.

Usually they are loners — they feel rejected by others or by society as a whole.

For some, substance abuse and depression are common themes, but even knowing these common themes, it is almost impossible to differentiate between who will just withdraw from society and who has the potential to snap and hurt innocent people.

I pray for those hurt in this tragedy and hope that we are able to create systems that could perhaps better identify high-risk people and prevent future tragedies from occurring.

Infuriated by a deteriorating economy and blatant abuse of American taxpayers, the public is taking a strong stand to prevent banking executives from getting away with fiscal robbery. What many have failed to realize is that another industry — the health insurance industry — is getting away with murder, perhaps literally, by putting their bottom lines above your welfare, and this time it could be hazardous to your health.

Across the health care community from doctors to pharmaceutical companies to hospital organizations, steps have been taken to implement ethical standards. Codes of conduct are hardly a new idea. Most are self-imposed by professional organizations or trade groups on their members, often in an effort to voluntarily level up their members’ general behavior, especially in the wake of legal or political scrutiny. For example, the pharmaceutical industry substantially revised its code governing interactions with health care professionals after public and professional criticism. Managed care organizations, however, are the only remaining hold-outs that have not adopted a Code of Conduct, leaving them highly unsupervised. Sadly, the very companies Americans often think help pay their bills are undercutting the quality of American health care in their pursuit of a fatter bottom line.

The game works like this: Health insurers’ profits increase as outlays for patient costs decrease. One such way to keep patient costs down is by prescribing generic drugs over name-brand drugs. In a practice known as drug switching, patients are switched from more expensive, name-brand drugs to generics, even if the name-brand drug was working and the patient experienced no negative side effects.

Managed care companies go to great lengths to make sure the switch appears innocent — a doctor is trying to help a patient reduce his or her medical expenses, and therefore recommends the generic. However, behind the closed doors of invite-only dinners and receptions hosted by managed care organizations, many doctors are lured into drug switching programs that offer attractive fiscal incentives, and there is no mechanism in place to regulate these practices.

Doctors are paying the price as well. In a survey done by the Toledo Blade last year among Ohio doctors, ninety-five percent of respondents said insurers interfered with decisions about prescriptions, 91 percent with testing, 74 percent with referrals, and 69 percent with hospitalization decisions. Eighty-six percent said interference compromised patient care, 76 percent said it adversely affected their patients, and 65 percent said they were unable to successfully protest denials. Most shockingly, 14 percent believed interference from an insurer had contributed to the death or serious injury of a patient.

This prompted a response from our now President:

“I am deeply troubled by The Blade’s report of how insurance companies, not doctors and nurses, are making decisions about patient care,” said Senator Barack Obama in a statement to The Blade. “Medical decisions should be made based on what’s good for your health, not what’s good for an insurance company’s bottom line.”

As managed care organizations seek to maximize profits and survive the economic downturn, the public can likely expect increasing use of cost-driven practices. These aggressive tactics must stop, and a comprehensive Health Insurer Code of Conduct must be implemented by which managed care organizations agree to abide by ethical standards such as transparency, clinical autonomy and, most importantly, patient safety and welfare.

The best Rx for every American is access to quality health care and medicine. It’s time to ensure the health insurance industry puts your safety before profits.

For more information about the National Health Insurer Code of Conduct go to: www.insurepatientaccess.org.

Fox News Health Tips:

• Know your medicines. Talk to your doctor about your prescriptions. Are they generics or brand names? What are they supposed to do? Are there less-expensive options? What are the risks and benefits of taking the drug?
• Be on guard. If anyone wants to switch your prescription, ask why. Will the new drug interact with existing medications?
• Appeal. With your doctor’s help, use your health plan’s appeals process to seek coverage for your desired medication.

Today I want to comment on a news piece from the New York Post about Dr. Malcolm Lloyd, a physician who seems to be recommending daily alcohol consumption as a preventative for a variety of ailments from the common cold to Alzheimer’s and certain cancers. He also seems to be indicating that people who drink regularly in moderation seem to live longer than those who don’t. Give me a break!

I know that there have been numerous publications exploring the correlation between alcohol consumption and heart health. For example, we all know that a chemical compound found in wine called resvesterol, is a potent antioxidant that has been shown to complement the stability of a healthy heart.

However, there have been many other studies that have clearly demonstrated increased cancer rates ― especially breast cancer ― in women who consume moderate amounts of alcohol.

Now trust me, I am not, by a long shot, a person who doesn’t enjoy a good drink once in a while. And I do acknowledge that there are cultures in various parts of the world where alcohol is an integral part of the local cuisine. However, these are also the cultures where healthy servings of vital nutrients, vegetables and proteins play a key role in their daily eating habits. They tend to be more physically active, and place a lot of importance on maintaining healthy sleep patterns.

But here in the U.S., we are a “fast-food nation.” For the last 3-5 years, we’ve been hearing about how the obesity rate has reached epidemic proportions – affecting both adults and our children.

Obesity significantly raises the risk for many diseases and conditions like:
          o          Coronary heart disease

          o          Type 2 diabetes

          o          Cancers (endometrial, breast, and colon)

          o          Hypertension (high blood pressure)

          o          Dyslipidemia (high total cholesterol or high levels of triglycerides)

          o          Stroke

          o          Liver and Gallbladder disease

          o          Sleep apnea and respiratory problems

          o          Osteoarthritis (a degeneration of cartilage and its underlying bone within a joint)

          o          Gynecological problems

 
Americans also deal with high rates of depression — another disease that when coupled with the effects of alcohol can have disastrous results.

We also have to remember that alcohol has addictive properties that for some folks can completely ruin the chances of future health and longevity.

I know that everyone is looking for an excuse to justify their daily cocktail, but I find it irresponsible for one physician to give us a free pass to drink myself to “an everlasting life.”

Staying healthy and happy is a struggle for about half of Americans, according to a massive survey that attempts to measure the nation’s general welfare, much like the Dow Jones Industrial Average portrays the health of the stock market.

The Gallup-Healthways Well-Being Index, based on interviews of more than 100,000 people so far, shows that 47 percent of Americans are struggling and 4 percent are suffering. Forty-nine percent of respondents are reported to be thriving based on a personal assessment of how they feel about their lives at the time of the survey, and where they think they’ll be in five years.

Are you happy and/or healthy?