• Nov8

    At KevinMD, Dr. Joel Sherman writes smartly about why men avoid going to the doctor.  One reason: it reminds them of mortality. A second reason: a potential prostate exam. A third: they have to wait, a lot. Plus, telling a female receptionist about a male-related problem is not great.

    Note to middle aged men: erectile dysfunction is an early warning sign for heart disease, until proven otherwise.

    Men get more heart disease and die younger than women. Going to the doctor is usually an event (a screening exam, unable to move because of back spasm or broken limb) rather than a process (cancer prevention, for example).  Research on men backs this up.

    In my office, men often come in for lifestyle advice, weight loss help or nutrition consultation if they have a close friend or relative who recently became ill. Say, someone who had a high calcium score (over 400) or had a heart attack or prostate disease diagnosis.

    That’s especially true in men under 60; men over 60 know they need to protect their health. And they know that seeking help is an acceptable behavior, as is staying healthy.

    Sometimes another doctor requires them to come in, or a wife/girlfriend/mother/daughter/lover makes them. It takes courage to come in.

    45% of men don’t have a primary care physician, and 10% can’t remember when they last saw a doctor. 9% would avoid doctors even if they had blood in urine or semen.

    On KevinMD, above, a nurse writes about her husband: “He’s a little overweight (20lbs).  He says, “I’ll go when I lose weight”.

    It’s understandable that men feel that way.  But not necessary. What if it was a game, or competitive, or there were rewards involved, or it was actually fun?

     
  • Oct16

    The coming health care social media revolution in health care is getting some buzz. There’s the Mayo Clinic Health Care Social Media conference this week. There’s Connected Health next week. There’s Health 2.0 and South by Southwest, e-Patient Connections (with lots of consumers), and the always ahead of the curve Medicine 2.0 at Stanford.Get in on BlogWorldExpo!

    Oh, wait, they’ve already happened.

    What if you didn’t have to spend a few thousand dollars on travel, a hotel, and a full-access conference pass to the one remaining big health care social media conference of the year, at which people way more well known than I am will drop pearls of wisdom as they tweet by?

    This is the part where I tell you about my talk at BlogWorld and New Media Expo 2011 in LA next month. I’m speaking about what health care social media can and should do to learn from entertainment, tech, transportation and marketing to actually improve patient care, public health and doctor-patient relationships, not just market, spin and promo.

    You could snag a live, in-person conference ticket and save 20%. Enter the code “BWEVIP20″ for the discount.

    But, if you can’t travel, buy a virtual ticket (probably the best deal if you don’t do social media marketing or cruise ship management for a living. Gourmet barges need YouTube, too).

    Because BlogWorld’s Virtual Ticket is the best you-can’t-be-there-live-but-you-can-attend-anyway virtual event in social media and health care social media around.

    The Virtual Ticket contains audio/video recordings of all 100+ hours of conference sessions. There are live recordings during the conference and at the extracurricular events. The recordings of the sessions AND the live extras available for you for a full year.

    If you do come, I’ll be there all day Saturday, until my session at 3pm concluding the Social Health track (more about that soon) with Scott Monty of Ford Motor Company and Dakila Divina of EveryDay Health. But if you can’t make it LA, check out a virtual ticket to Blogworld…it’s a bargain.

     
  • Oct12

    Half the U.S. takes at least one supplement daily. My personal favorite is a guy who came into my office with a Trader Joe’s double-handled bag and deposited 33 bottles on my desk. 45 minutes later…*

    Three reports this week again show that dietary supplements can act like medicine–they can help, or they can make things worse.

    The first large report showed that multivitamins and iron supplements, separately, increased mortality and cancer risk in older women (mean age 61),  The second showed that 400 IU of vitamin E daily increased prostate cancer in healthy men.  And the third, from Institute of Medicine authors, cautioned about overdoing Vitamin D…not more than 600IU daily, vs the Endocrine Society recommendations (1000-2000 IU of vitamin D3 daily).

    Lots of info is missing: supplement quality is hard to monitor, and many contain binders, fillers, additives, artificial preservatives, coloring and flavors; dosages matter; so do other interactions.

    But supplements are disease-specific. Just not as gently as food (usually), or as sharply as medication (often). Dr. Weil will give you a free vitamin recommendation + 25% off your order for specific conditions.

    Some specific supplements improve wound healing, especially important to the post-operative patient and clinician. Others are FDA-approved for lowering triglycerides (omega-3s, making a prescription medication) and macular degeneration (ditto). Folic acid supplements taken by pregnant women reduce risk of severe language delay in 3 year olds; in men, however, they may increase the risk of colorectal cancer.

    The bottom line: there’s hope. If you take a supplement, you should do a Therapeutic Trial.

    Start and stop the supplement (well-researched, high quality) on the basis of which symptoms you expect it to improve. Write them down, on a scale of 1 to 10: 4 or  or 8 or 12 weeks later, gauge them again. Then pull out the paper and see if you made progress.

    *… his simplified supplements meant a clearer head, clearer urine and a clearer approach to his own health.

     
  • Sep26

    I recently agreed to be a mentor for Blueprint Health, a NYC residential program that helps very early stage health technology companies get started. With everything I have going on, why this new role?

    One, I get to hang out with the other healthcare mentors. And two, I get to teach.

    Teaching is not just a way to share what I know, but a way to learn. It helps me find out what I really think about new subjects, and make the next leaps to help my business.

    Teaching is one of the most overlooked roles at a start-up. Medicine revolves around the concept of continual investigation and teaching.

    Every day, residents and attending physicians do “rounds” on patients, which are both teaching and modeling sessions.

    Imagine if at your business, your managers at your company spent 10 minutes presenting a new concept or recent article to employees.

    In medicine, everyone is expected to teach, from medical students to attending physicians. I still look at most of my own roles that way.

    My first love in medicine is medical ethics, and my most important mentor is Mark Siegler, MD. Mark recently accepted the leadership of the newly endowed, with a $43 million gift, University of Chicago’s Bucksbaum Institute for Clinical Excellence, which focuses on the MD-Patient relationship. Mark is a superb teacher.

    Companies at the intersection of health and technology that can provide a blueprint for the next generation to do it better will be leaders.  Blueprint will provide teams with $20,000, office space and mentorship for 3 months. The program begins January 9.  Apply now.

     
  • Sep21

    Everyone knows that odd bits of an animal are simply offal.

    But the odd bits of fruits, vegetables and legumes are rich. Rich in most of the vitamins, minerals and phytochemicals packed into produce.

    Good cooks will want to know what’s in those odd bits, and use them, instead of tossing them down the disposal, into the compost or on the landfill.  Plus, you paid for the whole plant…why not use it?

    Here are 5 quick, simple ways to use chard stems, citrus peels and squash innards.

    1. Sauté finely chopped chard stems and greens with garlic and onion in olive oil, until soft; add balsamic vinegar, salt and pepper and Tabasco to serve as a side dish

    2. Sauté finely chopped chard stems with onion and garlic for any saute or soup base, or with sweet potatoes, milk and gruyere in a gratin

    3. Puree whole organic lemons, quartered and unpeeled, with seeded watermelon and a touch of agave nector for an agua fresca

    4. Add whole organic lemon and orange peels, before or after zesting, to a sangria, with peaches, benedictine, grenache and cointreau

    5. Scoop out pumpkin, hubbard, kabocha and acorn squash seeds, either after roasting the split halves, or before. Rinse the seeds of most of their strings, sprinkle with salt or curry powder, roast in a single layer at 400 degrees for 10-12 minutes on a sheet pan, for a snack

    Chard stems are tender when sliced thin and cooked well, and stuffed with insoluble fiber. They help things run smoothly.

    Citrus peels contains higher concentrations of flavonoids than the actual pulp. Just beneath the skin is the white pith, rich in pectin and other insoluble fibers, which improve satiety.

    Squash seeds contain the potential of the whole plant. Crispy, spicy and crunchy, they supply something that’s often missing in good-for-you food: texture and flavor.  The seeds are protein, calcium and zinc rich.