Thursday, August 31, 2017

RANT!

Did you ask any questions? 
I don't even know whom I am mad at. Myself? The doctor? The drug co? The insurance co? All of them!??

When I went for my introductory meeting with my new primary physician, he asked me did I want to get the new shot, Prevnar, that "can help" (Pfizer literature) prevent streptococcal pneumonia.

I have had two doses of the earlier vaccine--and had gotten pneumonia twice...

I asked would it make me dizzy or sick--he said no. So I agreed. I did not ask what it cost...you know, someone...since I have Blue Cross/Blue Shield Medciare Advantage (HMO).

Then I learned the doctor had billed Blue Cross $450 for that one shot--and $51 for the woman who gave it to me. He only got $170 or so (one shot, remember) and $12 for the woman.

I googled retail on the shot--for the 13-valent, about $170.

Should I have asked the cost? Would he have known it? I think I should have...

This is why health care costs are so outrageous...The govt cannot negotiate drug prices...

Almost five hundred bucks and I may still get pneumonia again! Sheesh. Maybe I sound like an idiot--but what personal responsibility do we bear?

Wednesday, August 30, 2017

Watching a lot of TV can make walking harder

A new study done at George Washington University (my alma mater) says TV watching can be a big risk factor for disability in old age.

Older people who watched more than five hours of TV a day and did fewer than three hours a week of physical activity had three times the risk of not being able to walk or having difficulty walking as those who did not.

The study analyzed existing data tracking men and women from 50 to 71 in six states and two metro areas.

At the end of eight yrs of TV watching 30% of the previously healthy seniors had mobility disabilities.

--Five hrs of TV a day--65% increased risk.

--The risk was worse when the subjects did not exercise at other times. Seven hours of activity a week equaled no increased risk, even with sitting of six hours a day.

Younger people get away with sitting more, the researchers said.

If you are older, they recommend:

--Watching TV or at the computer? Get up every hour! Or get a standing desk.

--Park several blocks from your destinations.

--March in place during commercials, if you do watch a lot of tube.

I am bad on all this--do as I say, not as I do.

Tuesday, August 29, 2017

Yes, kids 3-18 can get high BP

The American Academy of Pediatrics has published new guidelines for identifying and treating high blood pressure in children and adolescents. Go to http://aap.org.

The earlier guidelines, issued in 2004, have been updated.

For one thing, providers are urged to take pressures only during annual "wellness" visits and not in the ER or dentist's office--which had been resulting in false positives, according to Case Western Reserve researchers.

Obese or overweight kids, more likely to have high blood pressure, were removed from the standards..meaning the kids more in the middle, average weight, with elevated BP would show up better.

Blood pressure now is also to be taken by a cuff that records it in real-life settings. The old method was three high readings--you have it. And treatment, sometimes unneeded, would follow.

If medication is needed in a younger person, this should only come after an echocardiogram--an ultrasound of the heart. Before, echos were ordered for all high BP cases, not just those who were on or were to be put on medication.

What is high? Now, for a 13-yr-old and up, it's the same as for an adult..above 120/80, this might be pre-hypertensive, not automatically high.

I guess ask your doctor...as they say.

Monday, August 28, 2017

Eighteen or 80--sense of danger the same

Threat or threatened? 
You read all the patronizing stories on how easily duped older people are and sometimes I even half-believe it, thinking this or that home improvement vendor is out to "get" me.

But apparently, out on the streets, the protective instincts of older people are just as good as those of young adults in knowing when someone is aggressive.

Being streetwise is a skill honed in childhood and becomes more, not less, reliable as people age.

This according to research done at the University of Portsmouth, which is based on three studies.

They set out to gauge the ability to recognize threats, against the backdrop of fear of crime in older people.

Just being older is not directly related to fear of crime, which can be influenced by a number of factors including the type of crime, the person's gender, and the person's belief in the ability to defend him or herself.

Previous research showed that how a person walked could communicate likelihood of aggression.

While many people may be fearful of walking at night, some see risk where there is none.

But--would older people willing to take part in such research be more confident and less fearful?

By and large, streetwise-ness solifies in the late teens but does not trail off as people age.

According to this...

I wonder.

I feel more vulnerable and slow... I may recognize a threat--but then what?

Friday, August 25, 2017

Packing the kids' lunch boxes

When my daughter switched from public to parochial school, hot lunches were a thing of the past. I had to pack her lunch.

I used to make little salads in small plastic tubs I collected. One day I asked her if she liked those salads and she said, "Uh, I trade them."

But according to a story by Sarah D. Young in Consumer Affairs (Aug 24), kids eat 40% of their calories at school.

She recommends a mix of the food groups in that lunch box or bag.

--Keep it balanced. Include grains, lean proteins, colorful fruits/veggies, and low-fat dairy. Drinkable yogurt can be a good addition. Include hummus or dip for the veggies. Maybe peanut butter for the fruit. (If your school is not peanut-free, of course.)

--Include a protein--tuna, turkey, chicken or maybe edamame, beans or tofu. Be sure they get protein at breakfast, too.

--Be unexpected, creative. Cut fruit into shapes, use avocado as a spread, make pasta salads with little broccoli florets in it.

--As a beverage, stick with water or milk. Soda or energy drinks are not worth the calories.

As my child reached sixth grade, I had her shop for and pack her own lunch--to cut down on the "trading."

Tofu, huh? Don't remember our eating a lot of that--isn't it a host food for something with flavor?

Thursday, August 24, 2017

Darn it, people, you don't take your meds

Adhere Tech bottle. See
lighted strip,
Want to save a $100 billion to $300 billion? Take your meds as prescribed.

A whole industry is devoted to making "smart" pill bottles linked to the internet to alert you when it's time or if you haven't taken some pill as directed.

The final step in science, on researcher says, is the medication.  Researchers spend years or decades developing drugs, then get them approved and into the hands of doctors, who then prescribe them--but if the patient does not take it--all is for naught.

Up to HALF the time, people do not take pills as directed. This can account for as many as 100,000 deaths.

In one test, Harvard scientists did a randomized trial of (1) a pill bottle with toggles to make whether a pill had been taken, (2) a compartment pill box, and (3) a digital cap that acts as a stopwatch on top of a pill bottle.

They expected better pill taking from the digital cap--but there was no difference at all.

Meanwhile other bottles light up, trigger a call to your phone or a text, contact caregivers, and so on.

New on the scene is the so-called iPhone of pill bottles--by Adhere Tech. See picture.

They realize their average customer is 70 and may not be a wifi-ed to the gills.

It works out of the box--but is not yet available.

But even with a glowing pill bottle, people still don't take their pills...bottom line.

Patients, said one doctor, don't like taking pills every day--it reminds them of illness.

I will admit I take my BP meds but cheat on the two vitamins I am supposedly lacking.

And now--did you read this? They are not sure you really need to take all 10 days of your antibiotic.

Wednesday, August 23, 2017

Trees provide million$ in "services"

Megacities, home to 10% of the world's 7.5 billion people, are beholden to trees for more than $500 million each in benefits that make ccities cleaner, more affordable, and pleasant.

In a recent study in Ecological Modeling,  a team of researchers came up with the half a billion number for the benefits of trees.

The researchers also noted that these benefits can be increased by up to 85%. The key would be to establish trees throughout the cover area--to filter air and water pollutants, reduce building energy use, and improve human well-being (shade, beauty).

Trees directly and indirectly cool buildings and reduce human suffering through heat waves, the scientists pointed out. Trees also transpire water which turns hot air into cooler air.

Trees also remove particles harmful to respiration.

In other words, nature can cooperate with us. The researchers said this knowledge might encourage conservation and protection of trees.

And maybe the planting of more trees?

Tuesday, August 22, 2017

Few people "shop" for health care

Can encouraging people to price-compare on health procedures lower the cost of health care? We hear this all the time, yet two studies done at Harvard show that few people actually do this.

Published in Health Affairs (Aug), the two studies addressed the notion that by giving people "skin in the game" with high deductibles and copays will cause patients to choose lower-priced health providers--and thus drive prices down.

Ooops--turns out reality is more complicated.

One study looked at use of a cost comparison tool--offering the tool did not move the needle downward.

The second study, a national survey, showed that while a majority liked the idea of cost comparing, only 3% actually did it.

In fact, only 13% had even asked about costs before receiving care. Still, they did not believe the highest cost providers were necessarily the best.

So why not compare? Seventy-seven percent did not want to switch doctors to get a lower cost.

I would guess not only do people not want to switch docs based on price, health plans with networks might preclude it.

So much for this "competition" idea we hear so often. Do you really want to think you are finding the cheapest doctor available?


Monday, August 21, 2017

Better care for those with dementia

My mother had senile dementia--not Alzheimer's--just the old-fashioned kind. Basically she outlived her brain by 20 yrs--she looked cute, we made sure she had nice clothes, hair, nails, etc. But she was vague on the past, to say the least.

I moved from DC to AZ to help take care of her--she lived in various facilities (she had means), but my sister and I oversaw her care, selected places, and of course, managed her funds.

In one large facility, run by a well regarded company, she was drugged, we think. Also, in the same place, assaulted. This was on the second day--all this. There was no third day--we found a new place in a single family home accredited by the state of Arizona.

However, in many cases, even in extremely pricey nursing and assisted care places (think $10K a month), residents with dementia are "snowed" with antipsychotic drugs.

Rutgers Today spoke with Olga Jarrin of the Rutgers School of Nursing, and Stephen Crystal, of the Institute for Health, Health Care Policy and Aging research, about this.

Why is reducing use of anti-psychotic drugs important for patient safety?

Crystal:  ...(They are) associated with significantly increased mortality. The FDA has a "black box" warning on these meds.

What is being done in the US to address this--has it been effective?

Crystal: In 2012, the Centers for Medicare and Medicaid Services moved to reduce antipsychotic prescribingm stregnthened regulatory oversight, educated nursesm abd formed state bodies to oversee this.

 By 2016, use of thes meds had decreased by one-third. Some states cut it by 40%.

Where can consumers get info on where to get the best care?

Jarrin: Go to:https://www.medicare.gov/nursinghomecompare/search.html?  Homes get 1-5 stars. Detailed info is available, including how many patients are restrained or given antipsychotics.

How can pressure ulcers be reduced? 

Jarrin: Risk factors for these include poor mobility, poor nutrition, poor circulation, and  incontinence. Nurses can encourage residents to move, change position. One technique is to play music in the facility to remind residents and nurses people need to move.

How about unintentional weight loss? 

Jarrin: Patients may require asistance to eat. Hand feeding is recommended. If the patient refuses food, there are techniques to counter that.

I think too often "big drugs" are used to keep patients quiet and compliant. As people age, and I have found this myself, they metabolize drugs differently from younger people. This needs to be taken into consideration--not the ease of running a facility.

Friday, August 18, 2017

FDA reveals adverse cosmetic reports

The WEN hair products have apparently attracted thousands of complaints...I know when my hair fell out in handfuls a year ago and I considered WEN, people I knew said no, no, not that stuff.

But these complaints did have one effect--the FDA has released its Adverse Reporting System database.

The most commonly implicated products are hair care, skin care, and tattoos. Through 2014, complaints numbered under 400--but the WEN outpouring kicked that up 78%.

Many other people probably have reactions to cosmetics--but go back to the doctor and don't consult a govt agency.

If you have a beef, you can report directly to: www.fda.gov/cosmetics/complianceenforcement/adversereporting.

One dermatologist, who says he lives and breathes cosmetics day and night, said he has not thrown out  out all the soaps and creams in his house.

He also said he was not in favor of overregulation, which could result in higher prices.

So--I guess we're back o buyer beware--and now, maybe buyer report.

A month ago, my daughter was distraught--some new eye cream had made her eyes swell shut. Turns out it was a new nail polish--she had been touching near her eyes.

Thursday, August 17, 2017

Weight discrimination can affect health


...And health care.

Recently, a team from Connecticut College surveyed studies and found that disrespectful treatment and fat shaming to get people to change their behavior can cause patients to avoid treatment or even consulting a doctor altogether.

I am, ahem, no skinny and at age 40, gave up on the constant dieting. I also refused to get weighed at the doctor's office, because I had had doctors blame every complaint and symptom on my weight (one time even a strep throat) . I got a number of reactions to this refusal...One physician said get weighed or leave. I left. Another made me turn my back to the scale. Recently, because I was facing surgery and drugs based on weight, I had to return to the scale--the nurse said it's in kilograms, don't worry about it. Another said she never wanted to know the number, either.

Is the latter a change of attitude? I don't know.

More serious is the attitude you can detect in a doctor--of disgust, disdain, impatience. The study revealed that fat patients are often told to just lose weight, while the so-called normals are given batteries of tests.

In a study of over 300 autopsy reports, obese patients were 1.65 times more like to have undiagnosed conditions, indicating missed diagnosis.

Some doctors also prescribe the same doses for an overweight person as a normal weight person--resulting in underdosing.

And then there are the microaggressions. Doctors are people out in the world--they may share the same distaste for overweight people as many in the rest of the population. They may refuse to even touch a fat person to examine them. They may see the weight in the chart and wince or roll their eyes.

Medicalizing weight means weight is seen as a disease and loss as a cure. This assumes that weight is well within a person's control--more weight thus means poor health habits. Many, if not most, overweight people do not eat cheeseburgers r whole cakes all day. Many exercise. Other predictors of illness--notice, I say predictors not cause--are genetics, diet, stress, and poverty. And maybe bearing the weight of stigma?

Fat shaming is also prevalent in the social media--resulting in bullying.

All this leads to stigma, to feeling "less than" all day.

I once had a doctor tell me to walk an hour a day. I could not think of a good reason not to, so I did--for years. When I went back to her after a year, I said, I am walking. She said, well, I hadn't lost weight so she didn't buy it.

Never went back to her.

Wednesday, August 16, 2017

Binge-watching can be bad for ya

Research at the University of Michigan and the Leuven School for Mass Communication Research in Belgium found that high amounts of binge-watching leads to poorer sleep quality, more fatigue, and more insomnia than regular TV watching.

Binge-watching defined as watching "excessive" amounts of one show in one sitting.

The team surveyed 423 adults between 18 and 25 in 2016. They were asked about sleep, fatigue and insomnia and their frequency of binge-watching.

Most--81%--said they did binge-watch. Of that group, 40% had done it in the last month. Twenty-eight percent said they had done it a couple of times. Seven percent had done it every day during the preceding month!

The subjects slept on average seven hours and 37 minutes. Those who binge-watch reported more fatigue and poor sleep quality.

Too, bingeable shows tend to have plots that keep the viewer tied to the screen. The viewer becomes intensely involved.

This means a longer period is needed to "cool down." Or they may watch "just one more episode." (J of Clinical Sleep Medicine)

I binged on the first season of Breaking Bad--I would say it was disturbing but I don't remember sleep problems.

I guess there is such a thing as an overdose of horrible images.

Tuesday, August 15, 2017

We might get rid of the SQUEEZY BP machines

Remember this one?
March of progress!
It's ever so trendy now for the doctor's assistant who "rooms" you to slap on an automatic blood pressure cuff that then, in my experience, squeezes your arm until you scream for mercy and goes down just as slowly. Often, the reading is inconclusive.

Can you tell? I hate these! I often insist on my BP being taken with the manual soft cuff and by a non-sadist.

Now, researchers at the Jerusalem College of Technology and the Shaare Zedek Medical Center have developed a better way to take systolic blood pressure.

Systolic is the top number, diastolic the bottom one. The customary manual or automatic methods can be affected by "white coat syndrome"--the tendency of being the doctor's office creating a higher reading.

Sometimes patients are asked to take their pressure at home to avoid the white coat effect.

Still, the automatic is less accurate than the manual.

An incorrect high reading can lead to the prescribing of meds the patient does not need and which might be harmful.

This team therefore developed a new device using a pressure cuff on the arm and an electro-optic device on the finger. Similar to that finger clamp that measures oxygenation, the finger device sends light through the finger and picks up the pulses of the heart rate.

At the same time, the cuff is inflated. When the cuff pressure increases above systolic blood pressure, the pulses disappear. When the cuff pressure goes below the person's systolic, the pulses reappear.

Anyhow--it works. How soon can we see it in use? Who knows? And will the cuff part be so alarmingly tight?

Maybe it could use some more work...but stay tuned.

Of course, there are many variations on sale now...lower arm cuffs, finger alone, on your phone, etc.

Monday, August 14, 2017

How to avoid a dog bite

I miss my first dog Spencer (poodle/sheepdog) every day of my life. How I loved him...

But I realize not all dogs are exuberant, kissy-face bundles of happiness...My mail man Anthony often says a dog just chased him or nipped.

One day, in her twenties, my daughter came out of her room with a huge ointment-covered bandage on her face--she had leaned over to snuggle a friend's pit bull and the dog, perhaps startled, tried to chew off her upper lip--19 stitches--the ER--and a fight with the insurance company, which wanted to get the money back from the dog owner (we supplied the info--don't know if they ever did).

More than 4.7 million dog bites take place each year--in summer. That is when dogs and children are outside and interact more.

Robert Olympia, MD, pediatric emergency medicine specialist at Penn State's Children's Hospital, says the chance of infection from a dog bite is between 5% and 15%, so antibiotics are a good idea. But before that, clean the bite with soap and water and apply pressure to stop bleeding.

If bleeding won't stop and if the child complains of pain or numbness, go to the ER. They will ask about the dog's rabies vaccine status...If this is not known, rabies shots may be recommended.

Most dogs that bite are known to the children or family, so rabies status is known.

Unprovoked attacks are rare.

Some tips:

--When choosing a dog, find out as much as you can about the dog's background. An anxious dog or one that shies away from humans may not be best. The more social the dog, the less chance of biting.

--Don't approach a dog you don't know. Always ask the dog's caregiver if it's OK to pet.

--Let the dog sniff your closed hand.

--Tell children to be quiet and calm.

--Dogs don't like hugs and kisses as much as we think. Wrapping your arms around a dog is not a good idea.

--If a dog runs at you, stand motionless. They will chase if you run.

--If you are attacked, roll in a ball on the ground.

Gee, this makes dogs sound like monsters...They aren't. But they are living things and have brains and preferences as to how they want to be treated. Don't overload them at first meeting.

That applies to me, too.

Friday, August 11, 2017

Are you giving your kid the wrong idea?

Yes--more on body image. What a fun topic for Friday.

On the website BlackHealthMatters.com, a writer said her daughter had suddenly asked, "Mom, am I getting fat?"

The child was 10 and the author thought, "Who has been putting this in her mind?" The dance teacher? Cheerleading coach? Drama teacher?

Then she realized the messages had been coming from HER.

Do you find yourself saying things like:

--Do you think Mommy looks fat in this dress?

--Mommy is so fat.

--I am so fat.

--I look fat in this.

--I ate so much, no wonder I can't fit into my clothes.

--These jeans make me look fat.

--My butt is too big.

These statements sound innocent and slip out, often in the hearing of young girls.

Believe me, these messages are heard.

I heard much worse things when I was a child--my weight was always a family issue. My dad called me a baby elephant. My three siblings and parents were "normal."

With me, it was my stick-thin mother delicately frowning if I reached for a roll or making a point of saying, "Please put my dressing on the side--it is so fatty, you know."

Some of this can be avoided.

By the way--the woman in the pix put her child--yes, that one--on a diet at age 7.

Thursday, August 10, 2017

Protect your health records on the road

Some people travel between homes in winter and summer and others trek around the planet.

When you travel, you may put your identity at special risk.

--Never accept "free" health services or products requiring you health plan ID number.

--Never share insurance numbers on the phone--unless you called them.

--If you take your medical records with you, put them in a locked box or scan them and put them on an encrypted thumb drive or CD.

--Shred old records.

---If you are home or on the road, take labels off prescription bottles before tossing them.

--Make sure your purse or wallet is secure.

--Do not use public wi-fi to log onto health financial sites.

--Monitor your credit reports to see if your medical or financial information has gotten out.

When I traveled, I also purchased temporary travel insurance--I got mine from Amex--that would fly me home if I got sick and cover medical bills abroad.

I also carried a few American hundred-dollar bills--accepted everywhere, I have found. I even had to use one to pay a doctor in Madrid. Nothing like good old cash.

Wednesday, August 09, 2017

No, no, no--no watching eclipse without eyewear

On Aug 21st, the moon will block the sun for up to 3 hours--and this will be visible across the US. A once-in-a-lifetime event.

The entire sun will be covered in the southwest corner of Kentucky.

Still, even when the sun is totally blocked--and of course in areas with partial blocking--solar filter glasses MUST be worn, according to Patrick A. Scott, OD, PhD, assistant professor at the University of Louisville Dept of Ophthalmology &Visual Sciences.

Looking directly at the sun causes "solar retinopathy." The blast of UV light creates toxic free radical cells that can damage the photoreceptors and specialized pigment of the eye. There is no treatment for this--except to avoid it.

This damage can result in mild to moderate reduction in vision as well as central blind spots!

Most at risk are younger people, those with an  intraocular lens implanted after cataract surgery, and those on photosensitive drugs such as tetracycline and amiodarone.

The doctor's Dept in Louisville sees 10 cases a year with solar retinopathy from laser pointers or high intensity sun exposure.

Be sure to get--and wear--glasses with special purpose solar filters. You can see some approved ones on NASA's website. https://eclipse2017.nasa.gov/safety

I already know two people who are gearing up for this--in ancient times, people thought it meant the world was ending.

Now--despite current events--we think it's a good time.



Tuesday, August 08, 2017

Health orgs applying "design thinking"

Amitha Kalaichandran, New York Times, writes about a hospital that used a nurse-generated idea to clear up confusion over who was in charge during emergency treatment: The trauma team leader wears an orange vest. In another facility--he or she wears a hard hat.

In recent years, more hospitals support ideas from any and all members of the team--using the human-centered approach called "design thinking."

Some aspects of this are empathy for the user (the patient), interdisciplinary buy-in, and immediate prototyping  or pilot programming.

Usually design thinking comes in when a service is fundamentally broken.

At Thomas Jefferson University in Philly, little kids could not respond meaningfully to the 1-10 pain scale, so they created the CareCube--on each face of the colorful cube was a drawing of a face in various stages of pain.

At another hospital, they noticed that the closer the sink was to patients with a contagious intestinal infection, the more likely staff was to wash hands. So they moved these patients to a new part of the hospital with handier sinks.

There is also an organization now called Clinicians for Design.

Over the years, on this blog, I have covered:

--A vending machine for doctor's offices so patients can get their first prescription without going to the pharmacy (since they may be sick or have kids in tow)

--A range of flavorings for liquid medicines for finicky patients

--Introduction of complementary therapies

--Ways to make hospitals quieter, especially at night

--Phone apps and wearables that eliminate doctor visits

--Special clothes for the disabled and wheelchair bound

To name a few.

Keep thinking!


Monday, August 07, 2017

Allergy-proofing school life

At home, parents can make sure allergic kids have inhalers close at hand and that dust and mite poo are vacuumed regularly...but what about when kids get out in the world, namely to school?

Keeping allergies and asthma under control at school is a challenge, says Stephen Tilles, MD, president of the American College of Allergy, Asthma and Immunology (ACAAI.org).

Parents need to work with both the child and the school.

Some tips:

Ask questions--now--at school. How does the school nurse handle allergy emergencies? Is there a school nurse, for that matter? Who calls 911? What if the child can't remember how to operate the epinephrine injector or can't find it? Are teachers trained in allergic reactions? Make a list of questions--meet with the nurse.

Make sure your child really has a food allergy. About 5-8% of kids have true allergies--many are misdiagnosed. You need to work with an allergist. Skin pricks are not effective unless the child has had allergy symptoms. Keep the school fully informed on a diagnosed allergy.

What about allergens hiding at school? For instance, what about the classroom pet? Or pet dander on the clothes or backpack of another child? Pollen and dust settle if classrooms are not cleaned well. Does the teacher keep windows open?

Talk to your expert. Meet with the allergist before school starts. For instance, kids with asthma under the care of an allergist miss 77% fewer days of school.

Think ahead. Be proactive.

Friday, August 04, 2017

Babies study grownups for clues

Ever catch a baby as young as 8 months studying you intently?

Some researchers at Washington University says that even before they can talk, babies are keeping close track of what's happening and look for patterns that will help them guess what will happen next.

For instance, they can judge a grownup's preference for a certain toy or food. (This may explain why kids want a toy another kid is playing with.)

The tykes base their predictions on consistency. In the tests, a grownup would choose the same item over and over while the baby watched--and then when the grownup picked a different one, the baby would exhibit a longer "looking time," presumably while the baby figured out what happened.

In another test, a baby would offer an actor the same toy the actor had seemed to prefer as the baby observed.

There may be a lot going on in those fuzzy little heads. Who knows what a very small infant is picking up--a word to the wise.

Thursday, August 03, 2017

Yay--drinking may stall "cognitive decline"

Finally, a study I can get behind! It has long been intimated by some studies that moderate drinking can increase lifespan (on an average basis).

Now a University of California San Diego study seems to show that older adults who consume alcohol moderately on a regular basis are more likely to live to 85 without dementia or other  (J of Alzheimer's Disease).

The studied subjects over 29 years--"moderate to heavy" consumption 5-7 days a week seemed to result in better cognitive health.

What is moderate and what is heavy?

--Moderate is one bev a day for adult women of any age and men 65 and older or up to two a day for men under 65

--Heavy is defined as up to three for women and men 65 or older, and four drinks for men under 65

Above that--not just heavy but excessive. (Few in the study drank to this level, the researchers noted.)

In fact, excessive can cause dementia.

The researchers are not sure why drinking seems to result in few cognitive issues.

Still, they say these findings do not mean people who don't drink should start. Some people have other health problems made worse by alcohol and still others cannot limit intake.

I drink a shot of vodka when I remember to buy it--it helps with my knee pain. Better for me than Tylenol? Looks like maybe. My mother had dementia (non-Alz). I sure don't want it.

Wednesday, August 02, 2017

Glyphosphate--Roundup to you--finally attacked

Timberrr, A giant bottle of Roundup, the controversial weedkiller is toppled outside the European Commission to highlight the desire for a ban on glyphosphate.

But--the EU members are also discussing licensing the stuff in the European Union.

Meanwhile, citizens are calling for an end to its use, an overall reduction in pesticide use, and more info on safety.

European farmers are showing it's possible to be profitable without weedkillers.

California has said glyphosphate causes cancer and the UN's cancer experts say it "probably" does.

The chemical has been found in the environment and in organisms (meaning you).

You can google the research. You may want to kill weeds--but do you want the process to kill you back?

This goop is everywhere...I see people hosing down their yard with it every weekend.

Tuesday, August 01, 2017

Treatments for pets benefiting humans

It's no secret around here that I love TV shows about veterinarians...I almost trust vets more than medical doctors.

Jennifer Gardener, MD, assistant professor of dermatology at the University of Washingon Seattle, says dermatologists, vets, and scientists can learn a lot from each other.

The UW One Health movement explores the links between humans, animals, and the environment. The idea goes back to when one "doc" dealt with both animals and humans.

Remember, both are living things and exist in the same environment.

Sometimes things from that environment that show up in animals can provide valuable info on treating people.

One example is the effort put into immune-based treatments for canine stopic dermatitis. Topical ointments don't work so well with fur. But the immune-based approach could also translate to humans.

Another area is the invisible mites that live on both humans and animals. In humans, these can cause rosacea and hair loss. The One Health people are finding out which can be passed from human to animal and back.

Thinking you can catch some stuff from your pet may cause you to be less loving and close...But what if the condition is not catchable? This would be another advantage of thinking of health of people and pets along one continuum.

When I was a  kid we had a monkey that gave our new puppy ringworm--and then my brothers got it.

Just wanted to share that. You're welcome.