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Posts Tagged ‘Dr. Manny Alvarez’

REPORT: Insert ‘Shocking Headline’ Here

Monday, December 1st, 2008

dr_manny_blog2Well that got your attention, didn’t it?

I remember a time when scientific studies were analyzed, discussed and reproduced in the scientific community before they ever entered the streamlined media world. Why? Because we wanted the results to be looked at and to determine whether or not the research was well-designed and had clinical applications. But nowadays, it doesn’t matter how small the study or how poorly designed the research is — if it has a catchy headline, the media can’t wait to throw it out there for all the world to see.

Now I do not totally blame the media — after all I am part of the problem, too. But these days it seems many medical journals, in an effort to get more recognition and readability, are all but glad to inform media outlets of their “breaking news” stories.

Yes — as they say in the media world — good content is priceless, and if it has a good headline, even better! That is why many people feel confused about the reports they read on a daily basis. One day coffee is good for you; the next day it’s not! Are these preliminary studies really helping our readers?

Here are some of today’s favorites:

  • Woman’s Leg Won’t Quit Growing
  • Chemical in Gut May Help Fight Obesity
  • Pig Organs: Ready for Humans at Last?
  • Top 4 Foods to Boost Your Memory
  • 21st Century Plague Discovered by Scientists

Now don’t these headlines make you want to read more?

Often, writers even have the same standard formula for reporting these studies prematurely. They usually ask an expert and the classic response goes something like this: “We’re all excited about the findings, but more research needs to be done.”

So I guess tomorrow I’ll talk about a new exciting study, but I’ll try to get all the facts first.

The Perfect Gift: Happy, Young & Long-Lasting for Just $9.95

Tuesday, November 25th, 2008

dr_manny_blog2The holiday season is a stressful time of year, and this year many families are feeling the crunch, making it even harder for those who are limited in their resources for giving gifts to their loved ones. In an attempt to help ease the stress, many writers and bloggers have published articles aimed at helping people by giving them suggestions on everything from books to make-it-yourself holiday baskets.

Yes, I know that gifts are optional. But let’s be real, it doesn’t matter who you are, Christmas means presents — especially for kids. Now most families will try to make sure that they have something for their little ones, but parents will also feel the guilt of not being able to give something to each other.

Now, I thought about this scenario for a while and then told my wife I did not want any presents. Not because of the money, but because I am so sad about some of the current problems we are all facing.

I sat there and reflected on the sad state of affairs this holiday season, when just like in the movie, Moonstruck, she hit me on the side of my head and said, “Snap out of it!”

So then I began to think about the perfect gift for me this Christmas. And that’s when it came to me…the perfect gift for me would be something that would bring me joy, make me feel young, and last for a long, long time. Now I know what you’re thinking — but that’s not exactly what I had in mind. My perfect gift this year would be to reconnect with a long lost friend.

I told my wife that if she wanted to give me a great gift this year, it would be to find my best friend from high school. Now this guy was my buddy, who for all four years was always at my side, and with whom many of my fondest high school memories were shared. But somehow college, medical school, residencies and life in general had separated Joe and me for almost 30 years. Let’s face it — I had forgotten about Joe. But this Christmas season, while thinking about my perfect gift, I remembered him.

Three days later, my wife called me up and said, “I found him and it only cost me $9.95.” She had gone on the Internet and tracked him down through one of the many Web sites, that for a small fee, offer a lifetime of priceless memories. So she got his number and left a message, and for the next few hours, all of my kids waited around with me to see when Joe would call.

Later that evening, Joe called me back and for those 15 minutes of conversation with my old friend, I felt like I was in high school again.

Memories are good, but when you can make those memories a reality, they make you feel the way all holidays should make us feel: Great.

Dr. Manny: Obama’s Pick of Daschle Gets a B+

Wednesday, November 19th, 2008

dr_manny_blog2Today we heard the news that former Senate Majority Leader Tom Daschle has accepted President-elect Barack Obama’s offer to serve as Secretary of Health and Human Services. It seems to me that Obama is willing to hit the ground running and might make healthcare reform one of his top priorities.

I had the pleasure of meeting Senator Daschle years ago, and I left with the impression that he was quite knowledgeable in healthcare issues and indeed was very attentive to my concerns. But, as I said, that was many years ago.

So, what do we know so far about Senator Daschle’s credentials? Well, we can get an idea by looking at his voting record and some quotes from previous interviews.

Here’s what we know so far:

Senator Daschle supports a government-funded insurance program for the uninsured. Since 2004, he has been stipulating that everyone should have the same healthcare plan as members of Congress.

Another interesting concept that Senator Daschle likes is the creation of a Federal Health Board. Now, I’m not quite sure yet what he means by that, but it seems that this board could act as a federal clearinghouse for healthcare mandates.

With regard to his voting record, I give Senator Daschle a B+. He understands the national nursing shortage we are experiencing, and he has voted “yes” on allowing patients to sue HMOs and collect punitive damages. However, he voted “no” on limiting self-employment health deductions.

I’ll go on the record and say that when it comes to healthcare, I think that Daschle has demonstrated a balanced approach to his decisions. And, in the weeks to come, we should be getting a clearer picture of his immediate priorities.

Hopefully Senator Daschle and I will get the chance to have a one on one again soon. In the meantime, let’s all congratulate our new Secretary of Health and Human Services and wish him well―he’s got a big job ahead of him.

But let him not forget that it is important to evaluate all points of view and to maintain transparency in all aspects of healthcare reform. This is a change we must all expect.

The Obama Baby Boom

Wednesday, November 12th, 2008

dr_manny_blog2The other day I was asked if I expected an increase in the number of babies that I will be delivering in 2009 and I said “Absolutely, I expect an Obama baby boom.”

Now this is a topic that I know a lot about. Pregnancies come in cycles. I mean let’s face it, some pregnancies are accidental, some pregnancies are planned. But the trend has always been that life-changing events tend to bring people together. And you know what happens when we bring people together―nine months later, we have a blessed child.

I don’t know what it is about these life-changing events―maybe fear or euphoria is the most attractive indicator―but nonetheless, as someone who runs a hospital that delivers more than 6,000 babies a year, I have a pretty good idea when we can expect our birth rates to go up.

Now let’s talk about those life-changing events. Politics in and of itself does not make a very sexy scenario to plan a pregnancy. But I can go as far back as 1961 with the election of John F. Kennedy to tell you that following his election cycle, we saw an increase in births. The last four Republican presidents have also seen a spike in the birth rate during their presidencies. So if the trend continues, I do expect president-elect Obama to give us a significant increase in the national birth rate.

However, I think that this Obama baby boom might be more significant than others. The reason? There are two key factors president-elect Obama is bringing to the table that we have not seen on a national level in many years. Number one: Obama has such a positive optimism in some of the changes he has offered, which have resonated in the psyche of many Americans. And two: One of the top priorities on president-elect Obama’s agenda that he would like to try to accomplish in the early phases of his presidency is healthcare reform.

So I hope that president-elect Obama sets his sights on women’s healthcare with a focus on giving women the access to prenatal care that they truly deserve. Yes, this is going to be “change that you can believe in.”

Human Organs for Sale?

Thursday, November 6th, 2008

dr_manny_blog2In a recent report out of Kosovo, two doctors have been accused of performing illegal organ transplants. Trafficking of illegal organs in unregulated countries is a major insult to the great need and international coordination for legitimate organ transplant programs around the world.

There are thousands of people waiting for organ transplants in the U.S. alone. Here at home, one of the agencies – the United Network for Organ Sharing (UNOS) — tries to maintain an active list of patients in need of organs, and to raise awareness of this need, encouraging Americans to become donors. Doctors are faced with many challenges in transplanting organs — mainly the intricate surgeries necessary to bring these organs to life and the chance for rejection after the procedure.

There are already significant controversies surrounding the growth of donor programs such availability of donors, expense of the procedures and long-term monitoring. So it amazes me if this is true — that physicians which take the oath of “do no harm” could be facing allegations of human tissue trafficking.

There are still many open questions about the ethics of organ transplants and I’m just going to throw it out there for you folks to comment on, but should there be an age limit in people waiting for an organ transplant?

Should people with a history of alcohol or drug abuse be eligible to receive organ transplants?

And how about financial incentive — should monetary compensation be a part of any program – either for a recipient to pay their way to the “top” of the list, or for a person to be compensated for donating a healthy organ?

I know what the answers to those questions are in my mind, but I’m interested in hearing from you…

Healthcare: A Presidential Priority?

Monday, November 3rd, 2008

dr_manny_blog1No matter who wins Tuesday, both candidates have reminded us that one of their first priorities when they take office in January will be the economy, and a close second: healthcare… No! Wait, it will be alternative energy and healthcareor better yet, I think it was foreign policy and healthcare.

Well any way you look at it, healthcare reform is always one of the Top 5 items politicians would like to tackle after winning the election. But somehow, it always seems to end up taking a backseat to what they perceive as “more immediate” popular needs.

As a practicing physician, I always feel like a bridesmaid, but never a bride. Yet in this election, I truly feel a marriage is in my cards. Now maybe I sound like a hopeless romantic, but if you think that Wall Street has problems, our healthcare system is worse off.

Every time we mention the issues with healthcare in this country, many ill-informed individuals  immediately begin to critique our nurses, doctors and researchers, making idiotic claims that Cuba or Venezuela have it better than we do in the U.S. And trust meI have visited many hospitals and talked to the leading physicians from all around the globewe are still the envy of the world. 

So when healthcare is put on the political agenda, we do not need to reinvent the wheel. We just need our government to give us the same attention that they have been giving to the crisis on Wall Streetand understand that our future is at stake as well.

So just like our economic and political pundits hoping for their perfect giftI too have made my listand I hope that the politicians are not stingy, and give me the “wedding” of my dreams.
 
1. Create affordable healthcare insurance for all families with CHOICE.

2. Make hospitals and physicians accountable for quality and create incentive for success. The incentives should be fiscally responsible, yet REAL.

3. Create the “Pregnant Women’s Security Act.” We need to decrease premature labor in the U.S. and give financial protection to women with high-risk pregnancies that cannot work.
 
4. Invest in healthcare infrastructure.  We need to built more hospitals and give access to these hospitals to secure federal loans with favorable terms.

5. We need more nurses. Help nursing students get educational aid and foster the nursing science.

So all I can hope for on our “big day” is that this election brings a union between two American institutions―politics and healthcare―and a president who is really committed to the best interests of the American people.

Crisis on Wall Street: Why Do Innocent People Suffer?

Wednesday, September 17th, 2008

This morning as I was leaving the house to come to work at FOX, my 12-year-old son asked me a question that stopped me dead in my tracks.

“Hey dad, is America in a depression?” he said.

And I said “No, why do you ask?”

“Because I hear everybody talking about the economy and all this trouble that I don’t understand,” he said.

“What do you know about the Great Depression of the 1920s,” I asked.

“Well,” he said, “I know there was no money and I think people were jumping out of buildings in New York.”

I tried to reassure him that things were okay and that nobody was jumping out of windows…yet.

But as I left, I started thinking about our conversation, and I asked myself: Why do innocent people suffer? How is all this anxiety and stress over the current economic crisis going to be remembered by the next generation in America?

Yes, every mental health professional will tell us that there are multiple studies that correlate severe financial debt and depression – even suicide.

I remember reading a recent report of two college student that killed themselves after being overwhelmed by credit card debt.

In India, an estimated 150,000 debt-ridden farmers have committed suicide since 1997.

Yes, we all know that suicide is not the solution, but again I asked myself, why do innocent people suffer?

And as I stopped to ponder the answer to my burning question, I began to evaluate some of the things that many of us have forgotten – the things that are truly important.

Love and respect for ourselves and others – that’s what’s important. You can’t buy happiness. The integrity of our lives and the way we love and respect the people we are so fortunate to have in them is far more important than any economic indicator on Wall Street.

So I thought long and hard, and I decided to tell my son the biblical story of Job – a story I think many people should read in these times of financial crisis.

Job was a happy man, a wealthy man who lived a prosperous life filled with family and good fortune. But one day, Job was tested by God. He was stripped of his fortune, his family and his health. Job began to complain of God’s indifference, he wondered why God did not punish the wicked instead of him. But after all of his analysis, he understood that what was important to God was the love that should never be questioned — the love that he has for his children. And, in the end, Job’s prosperity was restored.

Why do innocent people suffer? Because perhaps they forget that love, compassion and respect settles all debt.

Dr. Manny’s Notes: Spicy Food to Blame for Woman’s Death?

Tuesday, September 16th, 2008

Is spicy food to blame for the death of a British newlywed? Not so fast, doc!

A recent story about a 24-year-old woman who died from an asthma attack  still lacks many facts. Her doctor believes it was triggered by the spicy foods she had eaten three days earlier - but we still don’t know the exact cause of death.

First, we need to have a postmortem report, which we don’t have yet. And second, to say that spicy food was a possible contributing factor in this woman’s death gives these popular foods a bad rap.

There are many foods – and not necessarily spicy ones – which contain food allergens that can trigger a histamine release in the body, ultimately leading to an asthma attack.

There are also medical reports that have documented things like food additives, excessive sweets, and fried or oily foods as poor nutritional choices for asthmatic patients. However, there are many asthmatic patients that feel just great after eating jalapenos in a salad.

So before you throw out your Tabasco sauce, consult your doctor to see which diet is best for you.

Recent Headlines: Failed Vasectomy Leads to Lawsuit

Wednesday, September 10th, 2008

After reading the story about the couple in Arkansas that is suing the doctor and hospital because the wife became pregnant and miscarried after her husband had undergone a vasectomy, I understand how a patient could get upset and disappointed about having had that outcome happen to them.

But I’m also disappointed by the fact they’re rushing to sue the healthcare establishment for negligence and defamation and are seeking unspecified monetary damages.

Now, I don’t know of any procedure that is risk-free. If you go up and down the medical literature, you will always find that there is certain percentage of patients that will experience complications and/or contribute to failure rates. Therefore it seems that we must always sue any doctor who has a complication or a failure in the procedure.

My friends, if this trend continues, we will further weaken our healthcare system.

If you read medical articles written on failure rates of vasectomies, you will find that each and every one of them quotes a small but real risk of a subsequent pregnancy. I think that many folks hear “small risk” and somehow translate it into “no risk.” Failure to communicate this type of information to patients does represent a negligent act on the part of the physician, but if the information is given, then there is a mutual responsibility among doctor and patient of understanding the reality of medicine. A vasectomy can fail within the first 3 months after surgery, and even though the chances are much less, it can also fail one year after surgery.

Yes, I know I don’t have all the facts in this case, but let’s be fair about what medical science is: not always perfect.

Bristol Palin: The ‘Politics’ of Teen Pregnancy

Wednesday, September 3rd, 2008

With the recent announcement that vice presidential candidate Sarah Palin’s 17-year-old daughter, Bristol is five months pregnant, there has been a lot of media attention and speculation about her condition.

Politics aside, I am deeply concerned about the potential effects that this unwarranted publicity will have on this young girl. We must remember that there are many high-risk aspects associated with teen pregnancy. Statistically, we know that pregnant teens have high rates of low-birth weight infants, as well as premature deliveries.

One factor that concerns me particularly is the level of unnecessary stress that this young woman is facing due to her mother’s campaign for vice president. It has been clearly documented that stress has been linked to fatigue in pregnant women, as well as anxiety, loss of appetite and sleeplessness.

Another factor that has been identified as a result of stress during pregnancy is the potential for an increased amount of corticotropin-releasing hormone, or CRH, which has been directly linked with premature labor and increased blood pressure.

It is important for all of us to remember that pregnancy is a special time for a mother-to-be — no matter what her age or circumstances may be — and it involves the lives of two people, one of whom is in the most vulnerable stage of life and deserves our respect and support.

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