Saturday, May 23, 2009

wellness weekly

Okay back to the regular news and a video meal:

The News:

Prescription Drugs: I believe that anyone who has read at least three of my blog entrees, even ones from the early 00s, knows that I have a very strong inclination against prescription drugs. It is also true that when a disease can be controlled or cured and quality life years added, I support pharmacotherapy. That is my little disclaimer I guess. I don’t want people to think that I never advocate for meds. I am not doing so today however. This past week has been a disturbing one in several ways. One big pharma is reported to have paid less taxes than one would expect due to a certain way that they closed a deal, and another kept worrisome clinical trial results hidden from people taking a certain antipsychotic drug. By the way, this is NOT the first case like that. Another company is in trouble for over charging Medicaid. All are being investigated. I also spoke to a man this week who listed six or seven prescription meds he has to take, though he couldn’t name any chronic disease that he had. Another woman told me that the doctor keeps putting her adult daughter on more and more meds and is stymied because she isn’t losing weight. The mother said to me, “He doesn’t understand. She eats like a pig.” Another woman told me how when she was first diagnosed with emphysema, she continued to smoke and could not make her inhaler last for the whole month. On a positive note, she told me that she has quit smoking and hardly needs to use the inhaler. That is EXACTLY why it is never too late to quit smoking. If you have a disease and are in treatment for it, that treatment will be more effective if you stop the activity that is causing the disease. I know, I am so smart. Back to the drug companies, one of them markets an inhaler for COPD in TV commercials and actually says during the commercial that the medicine can be used by current smokers. WHAT?!?!?! Too many meds, too many side effects, and too little personal responsibility. Remember, at least four of the ten leading causes of death and disability CAN and should be prevented.

Omega 3s: I want to say more about this today. First I advise that you read a little more from a trusted source, i.e, a non profit volunteer agency that does not also sell supplements! The American Heart Association. Here is a direct link: Fish and Omega-3 Fatty Acids. I want to revisit this for two reasons. First, last week I reported that Dr. K Cooper said in his lecture that everyone needs to take Omega 3s in supplement form and that the dose is 1g per day. I know he said 1 gram and that it should be 60% DHA/EPA, both of those statements are supported in other literature but the AHA has different dosage recommendations based on an individuals health. According to the AHA for example, I do not need to take the supplement but someone wanting to reduce their LDL or with existing heart disease should. Also they recommend even higher doses for some people, with physician supervision. You must make your own educated decisions. But here is the second thing I want to emphasize. The amount and type of Omega 3 that these companies are adding to your bread, eggs, milk and whatnot, are both WRONG. I checked out a milk carton today that very boastfully claimed 36 mg of Omega 3, well, great, where are you going to get the other 964 mg you need to get 1 GRAM. One place is in salmon, but oh my gosh, there is another awesome link on the AHA, it lists mercury content in one column and omega 3 in the other (by gram). This is wonderful and the kind of info I need to bring out to the community. Fish, Levels of Mercury and Omega-3 Fatty Acids
Device Recall Hits ‘em Where it Hurts: Drugs and devices, both types of companies can get seedy with their direct to consumer advertising and their doctor pandering. More reason to eat your fish and not your chips! We have had recalls of pacemaker batteries, wires that misfire, defibrillators, stents that reclog and more, but this time Medtronic got in trouble with a bone graft device that doctors recommended and used for off label conditions. They can do that, but the concern is that they may have been paid consulting or speaking fees and indirectly marketed the device for a treatment for which it was not FDA approved. Things have gotten bad because a lot of adverse health outcomes were reported for the off label use. Seriously, the FDA didn’t seem that keen on the device for the regular use either. This off label stuff is serious business, I myself had to sign a disclaimer before talking to docs about tobacco addiction treatment. Anyway, according to the WSJ this week, there has been a near 70% profit drop for Medtronic and jobs are being cut.
Fitness: Just a short bit to remind you that physical fitness is measured by muscle strength and endurance as well as flexibility and cardiovascular conditioning. It is important and imperative to good health to exercise your heart. Cardiovascular activity, what we often think of as aerobic, includes activities that get your heart rate up. A weight bearing exercise is not necessarily cardio and cardio is not necessarily weight bearing. What does weight bearing have to do with it? Weigh bearing exercises help men and women prevent bone loss. So running is an example of both cardio and weight bearing while swimming and cycling are just cardio. Of course walking can really get your heart rate up and you can cycle without increasing your heart rate much. Effort counts! Weight training for fitness is not the same as weight training for a competition. Ladies, relax, really, you won’t bulk up unless you spend hours and hours and hours in the gym weekly. Flexibility can be gained through simple stretches, yoga, pilates, etc. Whatever You are willing to do. You can work your core also without doing crunches, by doing the plank for example.

Okay then what are you doing? Don’t just sit there you have diseases to prevent…


Live Well
Deirdre

the following video is a dinner I put together after work one day. enjoy






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