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February 9, 2010

Hospitals brace for snow -- again!

No, you're not imagining things. MORE snow is expected to pound the region, with estimates of about a foot or more.

The prospect of a double whammy has made hospitals shift their disaster teams into high gear for the second time in a week, making sleeping arrangements for clinical staff and in some cases canceling elective surgeries. 

Howard Gwon, administrator for Johns Hopkins emergency management, said the needs are unprecedented.

"We’ve never had to activate our command center a second time in one winter -- this is record history for not only the state but Hopkins," said Gwon, Hopkins' incident commander for the last 20 years.

The hospital had some 2,000 staffers sleep at the hospital over last weekend's storm and is preparing for more tonight arranging empty hospital beds and air mattresses around the campus, he said. About 70 staffers are prepared to shuttle people to and from the hospital if the snow makes it impossible for them to travel on their own.

At Greater Baltimore Medical Center in Towson, the majority of physician practices affiliated with the hospital plan to close Wednesday, but patients should check first with their doctors, said Michael Schwartzberg, a GBMC spokesman.

The hospital, where some 4,500 births take place each year, has rescheduled some c-sections planned for tomorrow as well as some elective procedures, he said.

With this snowfall coming during a weekday -- typically busier for hospitals than weekends -- among the most important preparations is having enough staff and keeping roadways clear, he said.

Some clinicians have already put in marathon hours. Schwartzberg told me the story of a nurse who stayed in the emergency room last Friday through Sunday, catching a few hours of sleep here and there on a stretcher. She's back today, with an overnight bag, and expected to stay until Friday.

"People are really coming together, doing jobs that aren’t normally their jobs," he said. "People are going above and beyond."

Continue reading "Hospitals brace for snow -- again!" »

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February 8, 2010

Adults need vaccines too

Seniors are especially susceptible to pneumonia and yet, just 30 percent of adults 65 and older get the vaccine to protect against it, a new study has found.

We wrote a story recently about how the vaccine has been successful with kids, but adults have been underusing it. And that's been a problem because pneumonia is a common complication of the flu. This new study of 2008 figures by the Trust for America’s Health, the Infectious Diseases Society of America and the Robert Wood Johnson Foundation, offers the latest numbers on vaccine use among adults in states across the country.

The District of Columbia had the highest percentage of adults who had not been immunized -- nearly half, while Maryland was slightly higher than the national average with nearly 40 percent of seniors not getting the vaccination. Just about a quarter of seniors in Oregon hadn't been vaccinated.

It's not just low rates of pneumonia vaccinations. Just 2 percent of adults had tetanus, diphtheria and whooping cough vaccine in the previous two years and a little over a third had received the seasonal flu vaccine. Overall, the report found that the millions of adults who go without routine vaccines leads to an estimated 40,000 to 50,000 preventable deaths, thousands of preventable illnesses and $10 billion in preventable health care costs each year. 

So why don't we get vaccinations?

Continue reading "Adults need vaccines too" »

Posted by Kelly Brewington at 12:00 PM | | Comments (0)
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Tips for digging out of the snow -- safely

Still shoveling? We are too. As you tackle the remains of the weekend's snowpocalypse, which dumped at least 2 feet in the Baltimore area, be safe.

Here are a few good tips from the American Physical Therapy Association that could spare your back and shoulders.

· Lift smaller loads of snow, bend your knees and lift with your legs rather than with your back.

 

·         Use a shovel with a handle that lets you keep your back straight while lifting. A short handle will cause you to bend more to lift the load. A long one makes the load heavier.

·         Avoid twisting as much as possible. The spine can't tolerate twisting as well as it can other movements.

·         Step in the direction that you're throwing snow to prevent low back twisting. This will help avoid the “next-day back fatigue."

·         Take breaks. Stand up straight and walk around every so often. Standing backbends help reverse all that forward bending that occurs while shoveling. To do this, stand straight and tall, place your hands toward the back of your hips and bend backward slightly for a few seconds.

Also, the American Academy of Orthopaedic Surgeons has more tips on preventing shoveling injuries.

And for all you with fancy snow removing equipment, remember that snowblowers can be dangerous too. Sunday, the folks at Union Memorial Hospital's Curtis National Hand Center  treated 8 patients in just 3 hours for snowblower injuries. Here are some tips on how to use that equipment safely.

Baltimore Sun photo

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February 5, 2010

How dialysis patients manage in a blizzard

For patients who need life-sustaining treatment such as dialysis, the snow storm threatens to get between them and their care.

The Baltimore health department was fine-tuning emergency plans Friday to shuttle dialysis patients between their homes and treatment centers over the weekend. The department covers transportation for patients on medical assistance, as required by federal law. The safety-net program also offers transportation to patients who need chemotherapy and radiation. But among the most challenging logistically for the department are those patients who need three-times-a-week dialysis, said Pamela Somers, program director of field health services for the health department.

The program ferries 446 dialysis patients to and from their treatments, some of whom have a strict Tuesday, Thursday, Saturday schedule to adhere to. The threat of a blizzard means trying to reschedule some patients, a challenge in itself, while arranging a fleet of vans to go out on snow-covered roads to transport patients who cannot change their schedule.

“It’s also a huge challenge for patients, said Somers. “For folks whose times are being shifted, they need to change their diet a bit and watch their fluids,” she said. “There are medications that we can give them to have them hold out an extra day.”

Somers' team has been working on contingency plans since Tuesday.

“This is not something you do at 5 p.m. when the snow is starting,” she said. “This is something you that you have to plan for several days, and that the patients themselves need to think about.”

Continue reading "How dialysis patients manage in a blizzard" »

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Hospitals brace for the snow

We'll admit it. The prospect of a mega snowstorm, makes us freak out a bit. We Marylanders love to make panicked last-minute trips to the grocery store for toilet paper and milkat the sight of a flurry. But the storm on its way this afternoon could be huge -- smacking the area with as much as 2 feet.

Hospitals are bracing for it too by fine-tuning contingency plans, jump-starting emergency command centers and making sleeping arrangements for critical staff, from hotel reservations to outfitting hospital units with free beds.

Greater Baltimore Medical Center, Anne Arundel Medical Center and the University of Maryland Medical Center have volunteers with four-wheel-drive vehicles on hand to drive people to work if they can't make it on their own. During December's blizzard, GBMC used its emergency command unit to notify the National Guard to order a Humvee to pick up nurses who lived in rural Harford County and take them to the Towson hospital, said Michael Schwartzberg, a GBMC spokesman.

Hospital administrators said they made improvements after December's record-setting blizzard. "We are reaching out more broadly to the medical staff earlier," said Herbert C. Buchanan Jr., chief operating officer for the University of Maryland Medical Center. "We have tightened up the processes.

Meanwhile, I learned this cool tidbit from the folks at the state's emergency medical systems: most of the state's firetrucks and ambulances are outfitted with technology that with a click, enables chains to be switched onto tires so the vehicles can drive safely through the snow and ice. How very Transformers of them. I so need those on my car.

So, how are you prepping for the big snow? 

Baltimore Sun photo

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February 2, 2010

Healthy adults need less sleep as they age

Finding that you need fewer ZZZs?

Most healthy older adults need less sleep and tend to be less sleepy during the day than healthy younger people, according to a new study in the February issue of the journal SLEEP.

Results of the study showed that older adults slept about 20 minutes less than middle-aged adults, who slept 23 minutes less than young adults. The number of times older people woke up in the night increased and the amount of deep sleep decreased significantly, the report said.

Yet, this didn't seem to be a problem for the older folks without sleep disorders.

When all ages were disrupted multiple times during the night, everyone had the same reaction -- daytime napping. 

"Our findings reaffirm the theory that it is not normal for older people to be sleepy during the daytime," said principal investigator Derk-Jan Dijk, professor of sleep and physiology at the University of Surrey in the United Kingdom, in a statement. "Whether you are young or old, if you are sleepy during the day you either don't get enough sleep or you may suffer from a sleep disorder."

The study was conducted at the Clinical Research Centre of the University of Surrey and involved 110 healthy adults without sleep disorders or sleep complaints.

So, are you a daytime napper? do you feel you need a little less sleep as you have aged?

Associated Press file photo of woman sleeping at an airport

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February 1, 2010

Medical marijuana in Maryland?

In this Sunday story Meredith Cohn and I explained how a backlash against medical marijuana elsewhere could influence an expected proposal to legalize the drug for medical purposes here in Maryland.

Those behind the effort say they hope to craft a bill that imposes several restrictions on the drug's use, such as specifying that people have a long standing relationship with their doctor's before they get permission to use the drug. That means no showing up at a dispensary asking to see the doc on call for some pot. The Maryland effort may also prevent people from growing their own drugs. Supporters say the proposal could be among most stringent in the nation.

Our recent poll here at Picture of Health showed overwhelming support for medical marijuana. If you're for it, how do you think such a law should work in Maryland? What restrictions would you impose? What caveats would you implement? Or would you follow the models of other states like California? And of course, feel free to sound off if you think it's one giant bad idea. Let's hear it.

AP photo

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January 28, 2010

More local teams depart for Haiti

A crew of 22 doctors, nurses and other health professionals from the University of Maryland Medical Center and the University of Maryland School of Medicine departed for Haiti this afternoon with plenty of medical supplies and medications. 

The group, which is working with Catholic Relief Services, includes surgical staff from the University of Maryland Shock Trauma Center and four infectious disease specialists from the University of Maryland Institute of Human Virology. They'll spend more than a week working at St. Francois de Sales hospital in Port-au-Prince, which was badly damaged in the earthquake.

Posted by Kelly Brewington at 6:14 PM | | Comments (0)
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January 27, 2010

Docs blog from Haiti

More dispatches from Haiti -- from the doctors themselves. Of the medical teams we've told you about who are on the ground in Haiti, several have been chronicling their missions with blogs of their own. 

Dr. Jean-Max Hogarth from St. Joseph Medical Center in Towson returned to his native Haiti. He shares this tale of a 9-year-old girl, found under the rubble after 3 days with both feet partially amputated. She had only her mother left, after her father and two siblings were killed by the disaster.

She is a beautiful loving child that has grabbed the hearts of everyone in the hospital. God Bless her. I will NEVER forget her. Never

Unfortunately, she is one of MANY. The emergency workers have ended their search and rescue missions.

What remains is a nation in great need of long term help. God Bless my beloved Haiti.

No pictures. Too graphic

Here's a dispatch from the folks at Jhpiego, with a tale from a nurse who say women in labor aren't getting the care they deserve in Haiti, because doctors are overwhelmed with trauma injuries. Among the challenges the Hopkins-affiliated global health doctors are encountering: not enough obstetricians, doctors performing c-sections in tents with dirt underfoot and Haiti's main school for nurses and midwifes leveled by the earthquake.

Continue reading "Docs blog from Haiti" »

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January 25, 2010

Everything you wanted to know about coronary stents

Our colleague Robert Little wrote recently about concerns that several hundred patients at St. Joseph Medical Center in Towson may have received coronary implants when they didn't need them.

The issue has sparked one lawsuit so far and highlighted a debate among cardiologists and confusion among patients about when stents are necessary. Some doctors told me with the exception of patients in the middle of a heart attack, the mesh tubes that prop open narrowed arteries may be overused.

So what does that mean for heart patients? Got questions about stents?

Well, we have answers. Dr. Claudia Hochberg, an interventional cardiologist at Boston Medical Center, will be here at noon on Tuesday to answer your questions.

You can send questions in advance to me at kelly.brewington@baltsun.com.

 

Posted by Kelly Brewington at 10:33 AM | | Comments (0)
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January 22, 2010

More updates from Haiti

We've got more updates from Baltimore-area medical teams in Haiti: 

Remember that baby that Dr. Carol Ritter delivered? Well, the mom named her child after the doc. Awwwwww.

“I’ve never had one of my patients in the states in 35 years name a baby after me," said Ritter, an OBGYN at Greater Baltimore Medical Center. ‘I mean in the middle of all the sorrow you can still find the joy and, that was, that was just a gift."

Meanwhile, Dr. Guesly Delva of the University of Maryland School of Medicine’s Institute for Human Virology, returned to his native Haiti earlier this week and gave us this update via Lane Hartill from Catholic Relief Services.

"I was dreadful of coming here because of what I was seeing on TV," he said. "I broke down the first night." The relief effort is both personal and professional for Dr. Delva. In the first days after the quake he feared the worst when he hadn't heard from his mother, other relatives and friends scattered in his native Gonaives and in Port-au-Prince. Since then, he's learned his mother is fine, but he is still searching for other relatives.

After arriving in the city and working with patients, he said: "I feel a sense of desperation."

"There's so much to do. I know probably we're not going to have enough time or resources to relive all of the pain or suffering."

top photo from the Ritters: Dr. Carol Ritter and baby Carol 

bottom photo from Lane Hartill: Delva checks on a woman whose leg was amputated

Continue reading "More updates from Haiti" »

Posted by Kelly Brewington at 7:00 AM | | Comments (2)
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January 21, 2010

Baltimore medical teams provide updates from Haiti

 

 

 

 

 

 

 

 

 

 

Medical teams from the Baltimore area have flocked to Haiti to provide much-needed relief to the quake-stricken nation. As we get them, we'll fill you in with on-the-ground updates. Here are a few:

Dr. Carol Ritter, an OBGYN who delivered a baby in Haiti over the weekend, reports on her blog that the clinic she's working in on the Haiti/Dominican Republic border has seven operating rooms packed with medical teams from such countries as Germany, Japan and France. They face daunting circumstances, she writes:

A day filled with many fresh orphans. children losing parents and parents losing children all day. No one wants to stop working. Would give us time to think about it.

Dr. Guesly Delva, a fellow at the University of Maryland School of Medicine’s Institute of Human Virology, left Tuesday for his native Haiti, where he's working at St. Francois Hospital, one of Haiti's oldest hospitals that was nearly completely destroyed. Staff at Catholic Relief Services and IHV, which has an HIV/AIDS program in Haiti, have worked to create a makeshift emergency center out of the rubble.

They thought they would have to shut down, but volunteers helped get food, water and fuel for the hospitals and delivered medical supplies, according school of medicine and CRS spokespeople who compiled details from teams there and gave us this update. Now, three operating rooms are up and running staffed by Haitian, Belgian and Italian teams.

Doctors dragged a refrigerator out of the rubble to try to start a blood bank (with blood from the U.N.), they said. There are lots of amputations and bad burns and major wounds. Their focus: people in critical condition, who could die within 24 hours.

Continue reading "Baltimore medical teams provide updates from Haiti" »

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January 20, 2010

Does smoking marijuana really have medical benefits?

Or does it just get you high?

The Obama administration may have eased federal policy on marijuana enforcement, but the experts are still debating whether the drug has all the medical properties that proponents claim.

Two new stories in the NYT and the WSJ lay out the basics:

In a nutshell, there's not enough scientific evidence that pot's medical uses are valid. Studies show that smoking marijuana can improve nausea in cancer patients and others suggest that it help patients with neurological problems such as multiple sclerosis, the NYT reports. However, the story goes on to say:

But there is no good evidence that legalizing the smoking of marijuana is needed to provide these effects. The Food and Drug Administration in 1985 approved Marinol, a prescription pill of marijuana’s active ingredient, T.H.C. Although a few small-scale studies done decades ago suggest that smoked marijuana may prove effective when Marinol does not, no conclusive research has confirmed this finding.

Access to marijuana is increasing nationwide. New Jersey's governor just signed a medical marijuana bill into law on Monday, adding that state to 13 others with similar laws and down the road in Washington, there's a bill to allow some dispensaries in the district.

Maryland has a strange setup with a little-known law that while forbids medical use, could open the door for it one day, advocates hope.

AP photo 

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January 19, 2010

In Haiti, can doctors be reporters too?

Or more importantly, should they?

Since arriving to quake-devastated Haiti, network medical reporters have been shifting back and forth between doctor and reporter. Those dual roles have sparked criticism around the Web, notably from experts on journalism ethics who argue doctor/reporters put themselves in an ethical quanadry by trying to save lives one minute and tell the story the next.

"I think it's very hard for an individual who is professionally and emotionally engaged in saving lives to be able to simultaneously step back from the medical work and practice independent journalistic truth-telling," Bob Steele, journalism values scholar at the Poynter Institute, told the LA Times in this great piece about that ethical dilemma.

After Dr. Sanjay Gupta swooped in to perform brain surgery on a 12-year-old Haitian girl, Steele questioned CNN's motives in airing the story. “Frankly, it isn’t much of a story,” Steele told the LA Times. “You can’t help but look at this and worry there is a marketing element in it.”   If he's going to be a doctor, do so, but then he needs to stop being a reporter, Steele argued.

Continue reading "In Haiti, can doctors be reporters too? " »

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January 18, 2010

Baltimore doctor delivers baby in Haiti

Dr. Carol Ritter, an OBGYN at Greater Baltimore Medical Center who rushed to Haiti last week to help aid earthquake victims, delivered a baby there over the weekend.

She and her husband Dr. Tom Ritter, a dentist, left last week for Haiti. You can read about their efforts in Haiti on their blog: www.carolandtominhaiti.com. (That's them on the left)

The Ritters have long ties to Haiti and humanitarian efforts around the globe. Tom Ritter was actually supposed to fly to Haiti this week for a scheduled lecture at one of Haiti's dental schools to which he has long given donations and support, he told me during an interview last week. Then, disaster struck and the couple made quick plans to join the relief effort.

Here's what Tom Ritter wrote on his blog upon arriving in Haiti Saturday:  Wow - we've got our work cut out for us! No one should come here unless they can feed and house themselves. 100 fully equipped docs just came with no way to feed themselves, and their hotel is 3 hours away. The public hospital is not a nice place to be. Chaos is the order of the day, but good things come in every hour to help ease the suffering.

They're not alone. Last week folks at Johns Hopkins told me they hoped to send teams to Haiti soon. GBMC also made a $10,000 donation to purchase medical supplies for the region. And a team of three medical professionals from St. Joseph Medical Center in Towson, including a Haitian-American anesthesiologist, are expected to leave for Haiti tomorrow for a week-long aid mission.

photo from Tom and Carol Ritter

Posted by Kelly Brewington at 2:13 PM | | Comments (2)
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Medical aid rushes to Haiti, but bottlenecks persist

I wrote last week about the public health disaster that Haiti will likely endure for months. Help is on the way including medical reinforcements from Baltimore.

Our colleagues Robert Little and Kim Hairston are making their way to earthquake-ravaged Haiti aboard the USNS Comfort and chronicling its rescue mission. The massive floating emergency center has two decades of military and humanitarian missions under its belt.

But the enormity of the task at hand will test the 894-foot ship, which will reach its full operational capacity for the first time since it was delivered to the Navy in 1987.

Will it be ready? Will the help be enough?

While the world has certainly ratcheted up its aid response to the Haitian disaster in recent days, the situation grows desperate with reports of scarce medical supplies, overwhelmed medical teams and critics such as Doctors Without Borders, who say that the response is insufficient.

What do you think? Should governments and aid groups have acted sooner?

Continue reading "Medical aid rushes to Haiti, but bottlenecks persist" »

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January 13, 2010

Obesity epidemic could be stabilizing

Americans are fat. We've known this for years. But new research suggests that the obesity rate -- while still high -- might be slowing.

About a third of adults were obese in 2007-2008, but the rate appears to be leveling off after decades of surging obesity rates, certainly for women and probably for men, according to a new study appearing today in the Journal of the American Medical Association.

The study of 5,555 men and women 20 and older found no difference in obesity levels for women from the 2007-2008 survey period to another survey done in 1999. For men, the most recent data was unchanged from estimates from 2003-2004.

In children, a separate analysis of 3,281 kids 2 through 19, found the rates of obesity also were slowing. That study is also appearing in today's JAMA. Both the child and adult studies were done by researchers from the CDC's National Center for Health Statistics.

Sure this is encouraging news, but it's no cause for celebration, warns an accompanying editorial. Both rates are too high. Even if trends stay the same, some 68 percent of adults are overweight or obese and nearly 32 percent of school aged kids are at or above the 85th percentile of body mass index.

"Given the risk of obesity-related major health problems, a massive public health campaign to raise awareness about the effects of overweight and obesity is necessary," writes Dr. J. Michael Gaziano, a contributing JAMA editor. "The longer the delay in taking aggressive action, the higher the likelihood that the significant progress achieved in decreasing chronic disease rates during the last 40 years will be negated, possible even with a decrease in life expectancy."

AFP/Getty images

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January 12, 2010

Baltimore, Saudi experts team up on eye research

 

There's some big news in the world of ophthalmology:

The Wilmer Eye Institute of Johns Hopkins Medicine  announced a partnership today with the King Khaled Eye Specialist Hospital in Riyadh, Saudi Arabia. The eye specialists will collaborate on research, education and patient care.

“We at the Wilmer Institute have long been interested in the study and cure of blinding eye diseases around the world, and the King Khaled Eye Specialist Hospital is certainly one of the most impressive eye hospitals outside of the United States,” said Dr. Peter J. McDonnell, William Holland Wilmer Professor of Ophthalmology and the director of the Wilmer Institute, in a statement.

“Working in close collaboration with the excellent experts at the King Khaled Eye Specialist Hospital, and combining the expertise of our two institutions, will allow for more rapid evaluation of potential new therapies than would be possible with either hospital working alone”.

One major focus for the centers will be training the next generation of leaders in ophthalmology. They hope to develop new procedures and treatments for eye diseases that are difficult or not currently curable, such as diabetic eye disease.

The Wilmer Institute says it has produced more than a hundred chairpersons in departments of ophthalmology around the globe.

“We are delighted to enter into this affiliation with the Wilmer Institute,” said Dr. Abdul Elah Al-Towerki, executive director of the King Khaled Eye Specialist Hospital, in a statement. “We chose the Wilmer Institute because of its commitment to excellence and track record of advancing the field of ophthalmology. Both of our institutions have great strengths, and working closely together in this affiliation will allow us to accomplish more, in a shorter period of time, than we could working alone. This affiliation is supported at the highest levels within the government of Saudi Arabia”.

The Saudi government is providing some financial support and several Wilmer faculty members will head over to train in that country. There will also be a new endowed professorship at Johns Hopkins established to support the work.

The internationally known Wilmer Institute has more than 130 full-time faculty and is one of the largest medical institutes devoted to treatment and cure of eye diseases in this country.

The King Khaled Eye Specialist Hospital is the largest eye hospital in the Kingdom of Saudi Arabia, and is a top-ranked medical facility in the Middle East. 

Baltimore Sun file photo of final construction of the new Wilmer building/Gene Sweeney Jr. 

Posted by Meredith Cohn at 3:00 PM | | Comments (0)
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January 11, 2010

Rawlings-Blake: 'Big shoes to fill" on health commissioner front

It's been nearly a year since former city Health Commissioner Dr. Joshua M. Sharfstein left Baltimore for the Food and Drug Administration and a permanent replacement has yet to be found.

Since then, swine flu, health care reform and all manner of every day city health problems have been in the forefront. So when will Baltimore get a new health commissioner? And who might that person be?

Sharfstein left "very big shoes to fill," incoming Mayor Stephanie C. Rawlings-Blake told the Baltimore Sun's editorial board this morning. "I'm looking for that type of energy and leadership at the health department."

Sharfstein targeted manufacturers of cold and cough medicines, convincing the FDA there was little evidence the drugs worked in children younger than 4. And he took on the hazards of lead, banning its use in candy, cosmetics and jewelry sold in the city.

Rawlings-Blake didn't offer any more specifics on her preference for health commissioner, other than to say she's hopeful that there will be many resumes coming to her desk as she seeks a "top notch" person to fill the job. "There is a lot of interest from people all over to work in the city and work for the city," she said.  

It will be interesting to see how she handles this post. Public health is a huge issue for Baltimore, whose high poverty rate makes the city a magnet for all sorts of health ills.

Rawlings-Blake should stick to three major areas as she focuses the health department: substance abuse, primary care and getting kids prepared for school, advised Dr. Peter L. Beilenson, Howard County's health officer who served as Baltimore's health commissioner for 13 years.

What do you think should be the focus of the next health commissioner?

Baltimore Sun photo

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January 8, 2010

Sinai Hospital opens diabetes center

Baltimore's Sinai Hospital recently opened a center designed to teach patients with diabetes how to manage their disease and improve their lifestyle with advice and support.

With glucose monitoring instruction, nutritional counseling and insulin and medication training, the Diabetes Resource Center offers people one-on-one time with doctors, nurses and specialists to discuss their condition and create a treatment plan. It also offers group session for continued support.

With some 18 million people nationwide struggling with diabetes -- nearly 360,000 of them in Maryland alone -- the needs for support are huge. Many more are living with diabetes and have not been diagnosed.

For more information about the center, call 410-601-WELL

Posted by Kelly Brewington at 7:00 AM | | Comments (0)
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January 7, 2010

TV nurses -- the good and the bad

Depictions of medical professionals have come a long way since General Hospital first aired. But when it comes to nurses, too often they are relegated to tired stereotypes, say authors Sandy Summers and Harry Jacobs Summers.

The pair, who penned the book Saving Lives: Why the Media Portrayals of Nurses Put US All at Risk, and are behind the Baltimore-based group The Truth About Nursing ,have come out with a list of the best and worst portrayals of nurses of 2009.

The good ones offer compelling portrayals of nurses who go all out for the care of their patients. They also rise above one-dimensional stereotype of nurses, such as "the handmaidens, the naughty nurse, the angel and the battle axe," writes Sandy Summers, a Hopkins-trained nurse.

Topping the best list: Edie Falco's Nurse Jackie on Showtime. She's tough as nails, with a few, um, issues -- an addiction to painkillers and an affair with a coworker, for starters -- but she's human and fights for the best care for her patients, Summers writes.

Interestingly enough, some nurse organizations have been no fans of Jackie's, while others said they were willing to take the good with the bad -- as long as there's more positive aspects in future episodes.  

Continue reading "TV nurses -- the good and the bad" »

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January 6, 2010

Frigid temps bring health risks, CDC says

 

The temperatures have been below normal for some time now, in Maryland and around the country, so it seems like a good time to remind everyone to stay safe and warm.

The Centers for Disease Control and Prevention say the cold air makes everyday activites challenging, if not dangerous. Young children, older adults and the chronically ill are most at risk, so make sure to check on these peolpe regularly. 

Exposure to cold temperatures can cause frostbite and hypothermia, which can be life-threatening. The CDC advises seeking immediate medical attention if you suspect you have either. 

Frostbite causes skin to appear red and feel painful.  Without medical attention, skin will then turn white or grayish and feel firm, waxy or numb.  Symptoms of hypothermia include shivering, exhaustion, confusion, fumbling hands, memory loss, slurred speech and drowsiness.

So, stay inside if you can, or seek shelter somewhere warm. Using the oven and candles for heat has had fatal consequences in Baltimore and beyond.

Continue reading "Frigid temps bring health risks, CDC says" »

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January 5, 2010

Do you take your medicine by the spoonful?

I admit, I've done it. Fess up, you have too. But using that fine silverware to help the medicine go down isn't recommended and could result in giving yourself a dangerously inaccurate dose, says a small study appearing in this week's Annals of Internal Medicine.

A pair of Cornell researchers decided to test whether people are able to pour the proper dose of medicine into a household spoon. They tried out their experiment with a group of 195 college students. Researchers gave them three spoons -- a teaspoon, a tablespoon and a larger spoon and asked them to pour exactly 5 ml of cold medicine into each.

The students tended to underdose with the medium spoon (by 8 percent) and overdose with the larger spoon (about 12 percent). Most had no idea they had made an error. In fact, they were pretty confident they poured the right amount into each spoon.

These folks were in a well-lit room and got a practice pour and still made some errors when trying to estimate the amount of the medication, the authors point out. More mistakes would be likely among sick, tired patients trying to eyeball a spoonful of medicine for themselves, they wrote.

The take home message: don't use a kitchen spoon. Use the cap that the medicine comes with, a special dosing spoon or a measuring dropper.  

Continue reading "Do you take your medicine by the spoonful? " »

Posted by Kelly Brewington at 12:00 PM | | Comments (0)
Categories: General Health
        

January 4, 2010

Quitting smoking can raise diabetes risk

No one doubts that quitting smoking is one of the best ways to improve your health. But a new study by Johns Hopkins researchers suggests that, in the short term, tossing the cigarettes might actually increase the risk of developing diabetes.
People who quit smoking tend to gain weight and those extra pounds can put a person at increased diabetes risk. In fact, the diabetes risk was higher for people who gave up cigarettes than for those who continued to smoke — but only within the first couple of years of quitting, according to the research appearing Tuesday in the Annals of Internal Medicine.
After that, the diabetes risk decreased and almost disappeared after 10 years, researchers found.
The study shouldn’t deter people from quitting smoking, researchers urged. Rather, quitters should be conscientious about their weight, and doctors who counsel them should offer lifestyle coaching, intensive weight management and glucose level checks, said Hsin-Chieh Yeh, an assistant professor of internal medicine and epidemiology at the Johns Hopkins University School of Medicine and the report’s lead author. In addition, some studies suggest nicotine-replacement therapy such as the patch could help patients keep off the pounds, she said.
Most importantly, “don’t even start smoking,” Yeh told Kelly Brewington. “Quitting is good, but you need to watch your weight.”
In the study of nearly 10,900 middle-aged adults who were followed for 17 years, those who quit smoking had a 70 percent increased risk of developing diabetes in their first six years smoke-free. But smoking is also a risk factor for developing diabetes, researchers said. Over the same period, smokers had a 30 percent increased risk. The more a person smoked and the more pounds they gained, the higher the risk, researchers found.
Dr. Kevin Ferentz, a smoking cessation expert and associate professor in the department of family and community medicine at the University of Maryland School of Medicine, said the study confirms what he sees in his practice — about a third of all smokers who quit gain an average of 5 to 8 pounds. It’s not because of a slowed metabolism, he said. Quitters often substitute eating for smoking.
To stop successfully, smokers need nutritional advice and a plan to tackle the triggers that keep them vulnerable to relapse, he said. Ferentz reminds quitters to munch on low-calorie snacks like carrot sticks, celery and sugar-free gum when the cravings hit.
“The key to stopping smoking is preparation, it’s not will power,” he said. “The analogy that I use is stopping smoking is a test. You either study for the test and there’s a good chance you will pass, or you don’t study and there’s a good chance you will fail.”

Posted by Kate Shatzkin at 5:10 PM | | Comments (1)
Categories: General Health
        

December 30, 2009

Don't mix alcohol and energy drinks, expert says

 

New Year's is upon us and many people will no doubt be mixing some drinks to celebrate.

But one local expert is warning not to mix alcohol with energy drinks. It's dangerous, says Mike Gimbel, director of Powered by Me!, a St. Joseph Medical Center program for training and educating people on steroids and other performance enhancers.

Energy drinks are stimulants and alcohol is a depressant, and that sends dangerous mixed messages to the nervous system, he says. The stimulant effets can mask how drunk people are because fatigue is one of the normal ways to tell. They may also believe they aren't that impaired and drive. But they are just as drunk.

Gimbel says that energy drinks will not sober up a drunk. Neither will coffee, for that matter. Only time can do that.

Baltimore Sun file photo/Doug Kapustin

Posted by Meredith Cohn at 12:00 PM | | Comments (0)
Categories: General Health
        

Ginkgo biloba won't boost your memory

Millions of people take vitamin supplements and among the most popular is ginkgo biloba, with a reputation for boosting concentration, memory and even thwarting dementia.

But the popular herb has been proven to do none of those things, according to a new study appearing in the Journal of the American Medical Association.

The study is being called the largest clinical trial to date on the plant extract's value in slowing cognitive decline.

In the study of some 3,000 people ages 72 to 96, half received doses of 120-mog ginkgo extract twice a day for about six years. The other half got a placebo. The team of researchers didn't find any difference in memory language or attention and saw no differences in effects by age, race or education.

It isn't surprising. Last year, a comprehensive clinical trial concluded that supplement is not effective in prolonging or staving off Alzheimer's. An accompanying editorial said taking the supplement won't help and could possibly cause harm.

Continue reading "Ginkgo biloba won't boost your memory" »

Posted by Kelly Brewington at 7:00 AM | | Comments (6)
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December 29, 2009

Recall of Tylenol arthritis medication expanded

The maker of Tylenol Arthritis Pain medicine is expanding a voluntary recall after reports that the caplets had a moldy smell, triggering nausea, dizziness and stomach pain.

First off, all reports of problems were temporary and not serious, says the Food and Drug Administration.

Still, the recall affects all lots (increased from just five last month) of the 100-count bottles of caplets with the red EZ open cap. The foul smell is caused by trace amounts of a chemical called 2,4,6-tribromoanisole, used to treat wooden pallets that store packaging materials, the FDA said late Monday.

If you've bought the medicine and would like a refund, contact the company at 1-888-222-6036.

If you've taken this medicine and had an adverse reaction, you can report it to the FDA here: www.fda.gov/medwatch

Posted by Kelly Brewington at 12:14 PM | | Comments (1)
Categories: General Health
        

December 21, 2009

Still digging out from the storm? Be safe

For all you Marylanders still trying to find your driveway after the weekend's record-breaking blizzard, be safe -- especially if you've got a fancy new snow blower.

The Curtis National Hand Center at Union Memorial Hospital in Baltimore saw 10 patients over the weekend with traumatic hand injuries from snow blower accidents.

Some of the center's most challenging hand reconstruction surgeries come from snow blower injuries, said Debra Schindler, a Union Memorial spokeswoman.

Schindler passes on these tips to keep in mind while you're digging out:

• Stop the engine and use a long stick to unclog wet snow and debris from the machine. Never use your hands to unclog a snow thrower.

• Always keep hands and feet away from all moving parts.

• Never leave the machine running in an enclosed area.

• Add fuel to the tank outdoors before starting the machine; don’t add gasoline to a running or hot engine. Always keep the gasoline can capped, and store gasoline out of the house and away from ignition sources.

• If you have an electric-powered blower, be aware of where the power cord is at all times.

Even if you don't have powerful snow removing tools at your disposal, remember, shoveling snow has its own risks. The one death blamed on Saturday's storm was a man who died of a heart attack while shoveling. (Shoveling snow is actually a known trigger for heart attacks.)

Here are some tips from the American Academy of Orthopaedic Surgeons on preventing shoveling injuries. Stay safe -- and warm!
 

Baltimore Sun photo

Continue reading "Still digging out from the storm? Be safe" »

Posted by Kelly Brewington at 11:00 AM | | Comments (0)
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December 16, 2009

Touchdowns score donations for diabetes

Now for a little football departure. (We're quite versatile here at Picture of Health)

No one expects Ravens fans to root for the opposing team. But during this Sunday's match up with the Chicago Bears, perhaps Baltimore fans can take a little comfort in touchdowns scored by their rival.

For every touchdown Bears quarterback Jay Cutler completes, drugmaker Eli Lilly and Company will donate $1,000 to the summer camp scholarship fund of the American Diabetes Association. Cutler, who has type 1 diabetes, has been raising awareness of the illness through the Touchdowns for Diabetes program. So far this season, some $48,000 has been raised.

 

Posted by Kelly Brewington at 3:00 PM | | Comments (1)
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December 8, 2009

Patients paying extra fees for office visits

Our Consuming Interests bloggers today are talking about a billing practice that is irking some patients.

Basically, the patients are getting charged fees for visiting their doctor in a clinic setting, verses a private doctor's office. The fees are from the hospitals that run the clinics. Some are also seeing bills for urgent care when they thought they were going in for a routine visit.

It seem as though the patients could just be paying their regular co-pay if they saw their doctor in another office. The bloggers suggest asking when you make your appointment how billing works. They also suggest calling your insurers and challenging the fees.

You can read more about it on Consuming Interests or in the Wall Street Journal via ConsumerWorld.

Anyone have this happen to them?

Baltimore Sun file photo/David Hobby

Posted by Meredith Cohn at 11:46 AM | | Comments (2)
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December 4, 2009

Diabetes cases to double, costs to triple in next 25 years

Diabetes is deadly and costly. And the number of people with the disease and the cost to treat them is only expected to soar in the coming years, according to a new study.

In the next 25 years, the number of Americans with diabetes is expected to double from nearly 24 million in 2009 to 44 million in 2034 and the cost of treating the disease will triple from $113 billion to $336 billion, says a new report in the journal Diabetes Care.

The rise in diabetes cases will take a huge toll on the already strained Medicare system. Medicare spending on diabetes is expected to rise from $45 billion to $171 billion, the report estimated.

"If we don't change our diet and exercise habits or find new, more effective and less expensive ways to prevent and treat diabetes, we will find ourselves in a lot of trouble as a population," said the study's lead author Dr. Elbert Huang, an assistant professor of medicine at the University of Chicago.

Much of the increase will be driven by aging baby boomers, who are nearing the age where they are at higher risk for developing the disease. While not all types of diabetes are preventable, type 2 diabetes -- which accounts for 90-95 percent of all cases -- is linked to obesity.

Still -- and this is fascinating - researchers expect the number of diabetes cases to soar, even if obesity rates remain don't increase.

Continue reading "Diabetes cases to double, costs to triple in next 25 years" »

Posted by Kelly Brewington at 7:19 AM | | Comments (1)
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December 2, 2009

ICU infections common around the globe

Hospital infections can be deadly. In fact, preventable infections are among the top 10 causes of death in the U.S., according to the CDC.

And while much attention has been given to the topic of late, infection rates are still high worldwide, according to new research published in the Journal of the American Medical Association.

In a study of 14,000 patients in intensive care units in 75 countries, half had infections, the study found. The more time patients spent in the ICU, the more likely they were to get an infection. And patients with infections were more likely to die than those without.

Specifically, patients who stayed in the ICU for up to a day had an infection rate of 32 percent. That figure jumped to 70 percent for patients with an ICU stay of more than a week, the team of international researchers found. Wow. Infected patients had twice the mortality rate than those not infected -- 25 percent vs. 11 percent.

Continue reading "ICU infections common around the globe" »

Posted by Kelly Brewington at 7:12 AM | | Comments (0)
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December 1, 2009

Is your chicken dinner safe?

We've been urged for years to cook poultry thoroughly to prevent food-borne illness. But just how contaminated are store-bought chickens in the first place?

Consumer Reports' latest test finds two-thirds of whole broilers bought in grocery stores nationwide tested positive for salmonella and or campylobacter, the leading bacterial causes of food-borne disease.

The magazine has been testing chickens since 1998. The new findings are a slight improvement from last year's. But advocates at Consumer Reports say the contamination is still too high and it is evidence that tighter government regulations are needed to ensure safe poultry. 

Continue reading "Is your chicken dinner safe?" »

Posted by Kelly Brewington at 7:03 AM | | Comments (0)
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November 13, 2009

Today's baby boomers face more disabilities

As the nation's baby boomers age, their health needs grow in volume and complexity. The extent of those needs and their possible impact on the nation's health care system are constantly being assessed by researchers. The latest: aging baby boomers are more likely to have disabilities, according to a new study by UCLA researchers.  

The study, to be published in the American Journal of Public Health, examined data from the National Health and Nutrition Examination Surveys for 1988-1994 and 1999 to 2004.

Researchers looked at three age groups 60-69, 70-79 and 80 and older, analyzing such mobility issues as walking from room to room, getting out of bed and doing chores around the house. They found increases in disabilities for all groups, except for those 80 and up.

Disabilities among people in their 60s increased between 40 and 70 percent in all the areas studied, regardless of socioeconomic status, health and weight. Racial minorities and overweight people had even higher increases. Researchers think the nation's changing demographics may have something to do with the trend. Blacks and Hispanics, whose populations are expected to grow the most, are more likely to be poor and obese -- factors that increase the risk of disabilities, the study states. 

Continue reading "Today's baby boomers face more disabilities " »

Posted by Kelly Brewington at 7:00 AM | | Comments (2)
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November 12, 2009

High BPA levels could reduce sexual function in men

Workers exposed to high levels of the chemical BPA were more likely to have erectile dysfunction and other sexual problems than men not exposed to the chemical, a new study has found.

The research, appearing in the latest issue of the journal Human Reproduction, studied 634 Chinese factory workers over five years, comparing men whose workplaces had high levels of BPA to those who had none. Workers in the factories with BPA had four times the risk of erectile dysfunction and seven times more risk of ejaculation problems, researchers from Kaiser Permanente found.

While other studies have linked high BPA levels to sexual dysfunction in animals, the authors say this study is the first in humans to study BPA's impact on men's reproductive system.

BPA, or bisphenol-A, use is widespread and the chemical is present in the urine of some 92 percent of Americans, the study states. Manufacturers use BPA to make the linings of food and beverage bottles and cans because it's durable, makes plastics harder and can withstand high temperatures.

Whether it's safe remains controversial. The government has been debating BPA, while consumer groups push hard for bans of the chemical. The Food and Drug Administration is expected to release findings from a long study on the issue later this month. Meanwhile, studies continue to question the safety of BPA. Last week, we told you about a Consumer Union report that found measurable levels of the chemical in canned foods.

In the study on sexual problems linked to BPA, the authors acknowledge more study is needed on the topic. For starters, men in the study were exposed to BPA levels 50 times higher than what the average man faces in the States. But for now, they say, given the widespread use of BPA their finding should be considered as the debate continues over its safety.

Posted by Kelly Brewington at 7:00 AM | | Comments (0)
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November 10, 2009

ER wait times increase

Long waits in the nation's emergency rooms are nothing new. But research finds they're getting worse.

One in four emergency room patients in 2006 waited longer to be seen than recommended -- an increase of one in five from less than a decade earlier in 1997, according to a new study in the Archives of Internal Medicine.

With more people using emergency rooms for non-life threatening medical problems, the rates of ER usage have soared. In 1994, there were 93 million visits to the nation's ERs. In 2006 that figure spiked to 119 million visits, according to the study. And it's worst in urban areas. Three quarters of emergency departments in urban areas are at or above capacity, which means longer waits, people being diverted to other hospitals or people choosing to leave without getting care.

Overcrowding means not just unhappy patients, but can cause serious delays in treatment of conditions such as pneumonia, cardiac symptoms and abdominal pain, the authors write.

Continue reading "ER wait times increase " »

Posted by Kelly Brewington at 7:02 AM | | Comments (0)
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November 5, 2009

Good hospital food -- does it exist?

Hospital food. Yuck, right? Ranks right up there with bland school lunches and nuked airline "meals," goes the stereotype. Well, not all hospital food is lousy, according to the folks at Chowhound, a great site for restaurant reviews, recipes and good foodie tips.

There's an amusing post on a Chowhound message board asking about the quality of food in hospitals around the country. People have chimed in with tales of unclassifiable "meat covered in sauce" and "gummy oatmeal" to tasty Asian stir fry and enchiladas so scrumptious one patient didn't want to go home. The details are great. Hilarious stuff.

Some folks said the food was so bad they lost weight in the hospital and others said they were so hungry from their medical problems any old crumb was delicious. And still other raved about the selection of fresh veggies and inventive meals. Who knew?

Looking for hospital food that isn't crummy? There are quite a few corners of the Internet devoted to the search for tasty hospital cuisine. Hospital Food, encourages people to post photos of their meals and even includes a link to a popular Facebook group devoted to hospital eats.

Hospitals have been working to step it up lately with tastier, healthier meals, after enduring the  reputation of doling out processed foods with zero flavor. Organic produce, hormone-free meats and local ingredients have been making their way to hospital kitchens. Some hospital cafeterias have gotten downright glitzy, with low-fat high-flavor buffets. And local hospitals such as Johns Hopkins and the University of Maryland Medical Center even sponsor farmer's markets.

So, is it all bad? Tell us your hospital food experiences.

AP photo.

 

Continue reading "Good hospital food -- does it exist?" »

Posted by Kelly Brewington at 7:33 AM | | Comments (9)
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November 4, 2009

University of Maryland unveils new center for global health

University of Maryland School of Public Health is getting a boost from an old football playing alum to launch a center devoted to local and global health issues.

Madieu Williams, a 2003 Maryland grad and Minnesota Vikings free safety, made an endowment to the school of public health to launch the Center for Global Public Health Initiatives.

The center brings together efforts near and far -- from Williams' own Prince George's County to the Embassy of Sierra Leone. The center will focus on local, state and global public health initiatives in Prince George's County and Freetown, Sierra Leone.

Posted by Kelly Brewington at 11:24 AM | | Comments (0)
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Are contaminants lurking in your canned veggies?

A new study finds that a range of common canned goods contain measurable levels of the chemical additive BPA -- even in products whose labels assured they were "organic" or "BPA- free."

The study by Consumer Union, the nonprofit that publishes Consumer Reports, included a wide range of canned goods and showed elevated levels of BPA, known as Bisphenol A. Top among the list included such products as Campbell's Chicken Noodle Soup and Del Monte Fresh Cut Green Beans. You can read the full list of products tested here.

Children who eat numerous servings a day of the products with the highest BPA levels could ingest levels shown to cause adverse affects in animal studies, the report said.

BPA is a used to make the linings of food and beverage bottles and cans. Manufacturers use it because it's durable, makes plastics harder and can withstand high temperatures. 

Public health advocates have been pushing to get the FDA to ban BPAs in can linings and baby bottles, pointing to studies that link the chemical to reproductive problems and cancer. Consumer Union sent a letter to the FDA noting the latest research as further support for such a ban. Meanwhile, manufacturers and industry groups say their products don't expose people to unsafe levels of the chemical.

The FDA is studying data on the issue and is expected to make a decision later this month.

Posted by Kelly Brewington at 7:12 AM | | Comments (0)
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November 3, 2009

What's the best way to quit smoking -- that works?

People can struggle for years to quit smoking and the magnitude of advice and remedies about how to do so effectively can be overwhelming. 

So, which method works best?

New research examining five treatments finds that the nicotine patch plus a nicotine lozenge does the trick.

The study, appearing in the November issue of the Archives of General Psychiatry, enrolled 1,504 adult smokers -- all of whom were were motivated to quit -- to try one of six smoking cessation methods: nicotine lozenge alone, nicotine patch alone, bupropion (the drug Wellbutrin) alone, patch and nicotine lozenge, bupropion and nicotine lozenge or lastly, a placebo.

In addition to taking the specified treatment for eight to 12 weeks after quitting, participants got six one-on-one counseling sessions. People were evaluated after one week, eight weeks and six months after quitting. Nicotine patch plus a lozenge had the strongest support in helping folks take the first steps to quit, researchers found. These participants were more likely to have quit after seven days, and although some relapsed, they had longer periods between quitting and relapse than people in the other groups.

Previous studies have found the patch works well with other nicotine replacement methods from gum to nasal sprays, the authors said. Researchers think the key to making that first successful attempt to quit is using a patch with some other form of treatment.

Posted by Kelly Brewington at 12:05 PM | | Comments (8)
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November 2, 2009

Beef recall affects Maryland

New York beef manufacturer Fairbanks Farms has issued a voluntary recall of a little more than half a million pounds of ground beef.

The recall, which affects states from Maine to North Carolina -- Maryland included -- comes after one person died in New Hampshire and people were sickened in other states after eating beef thought to be contaminated by the bacteria E.coli. 

The products, which include ground beef, meatloaf and meatball mix, carry sell-by dates from Sept. 19-28 and were sold under such brands as Trader Joe's Butcher Shop Fine Quality Meats, Giant Meatloaf & Meatball Mix and BJ's Lean Ground Beef, Contains 7% Fat. Here are some details from Fairbanks Farms. And here's a list of the products from the USDA.

But the extent of affected meat could be much broader, the USDA warns. The products were distributed to stores in Maryland, Connecticut, New York, Pennsylvania, New Jersey, Massachusetts, North Carolina and Virginia and the recall initially applied to just those states. But because chain stores often redistribute products, Fairbanks Farms has extended the recall to include all states throughout the Northeast and Mid-Atlantic. 

Also confusing matters, the affected meat may carry different labels and sell-by dates than are included in the USDA product list. So bottom line: check the meat in your freezer. If you're concerned, contact the store where the meat was purchased. Or, just toss it in the trash if you're really worried.

Posted by Kelly Brewington at 12:03 PM | | Comments (2)
Categories: General Health
        

October 29, 2009

Diet and exercise reduces diabetes risk

We talk about it all the time here at Picture of Health -- diet and exercise can help ward off a host of diseases. Bear with me if you're tired of hearing it, but it's true. A new study based on 10 years worth of data drives home the point when it comes to a disease that affects some 24 million people nationwide: diabetes.

People who stuck to a healthy diet and consistent exercise over a decade cut their risk of diabetes by 34 percent, according to new research sponsored by the National Institutes of Health and published in the latest issue of The Lancet. Diet and exercised lowered the diabetes risk even better than the diabetes drug metformin, which reduced the rate of developing the disease by 18 percent, according to the study.

About 11 percent of the nation's adult population has diabetes, the vast majority of them the type 2 variety, the kind that can be prevented. Being overweight, inactive and having a family history all contribute as risk factors. Another 57 million overweight have glucose levels higher than normal, but not yet in the diabetic range. Still, those levels keep them at high risk of developing diabetes down the road or having a heart attack or stroke.

Continue reading "Diet and exercise reduces diabetes risk" »

Posted by Kelly Brewington at 12:31 PM | | Comments (2)
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October 26, 2009

Obese? Your doctor may have less respect for you

Anyone who has struggled with their weight knows what it's like to be on the receiving end of fat jokes. Despite a national obesity epidemic, our society isn't particularly sensitive to overweight people. Doctors included.

A new study from Johns Hopkins researchers found that physicans actually have less respect for their obese patients. In fact, in a study of 238 Baltimore patients, researchers found the higher their body mass index, or BMI, the less respect they received from their doctors. Ouch.

For 40 years, studies have documented health care providers' negative bias toward overweight people, the new study states. Some past research has found that obesity was a characteristic that elicited "negative feelings" among doctors. Others found that health care professionals associate obesity with negative terms such as lazy, incompetent and ignorant. Wow. And still other studies have found doctors are ambivalent about treating obesity.

But Hopkins researchers say this new study, appearing in the November issue of the Journal of General Internal Medicine, is among the first to examine doctors' direct attitudes toward their obese patients.  

Continue reading "Obese? Your doctor may have less respect for you" »

Posted by Kelly Brewington at 7:11 AM | | Comments (7)
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October 23, 2009

Women, equity and health care reform

Around the country 60 percent of the best-selling health care plans will charge a 40-year-old nonsmoking woman more for her health insurance  than a nonsmoking man of the same age, according to a recent report by the National Women's Law Center.

The discrepancy has sparked the center's new campaign web: "Being a woman is not a pre-existing condition," complete with T-shirts and direct to congress form letters to urge legislators to make sure women are not forgotten in the health care reform debate.

The report also found that in some states, it's legal for an insurer to reject a woman who has been a victim of domestic violence, or reject a woman simply because she's pregnant or has had a c-section in the past. This Newsweek article also breaks down some other inequities.

Insurance companies can charge women more for similar coverage through gender rating, which is allowed in 40 states and the District of Columbia, the report states. This happens in the individual insurance market, not typically among large employers, who are prohibited from discriminating on the basis of gender and other factors. Still, those higher costs affect millions of women every day.

Continue reading "Women, equity and health care reform" »

Posted by Kelly Brewington at 11:58 AM | | Comments (1)
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October 22, 2009

Prescription drug labels -- what the companies don't tell

Medical professionals are often left in the dark about the benefits and harms of prescription drugs because the details often fail to make their way to the label, according to a new editorial in the New England Journal of Medicine.

The whole process of which harms and benefits end up on drug labels -- package inserts that come with medications -- is complex. And sometimes, harmful information is excluded, according to the article by Dr. Lisa M. Schwartz and Dr. Steven Woloshin of the Darthmouth Institute for Health Policy and Clinical Practice.   

The labels, it turns out, are written by the manufacturers of the medication. Those labels are later approved by the Food and Drug Administration. Drug companies provide documents to support their case for the benefits and harms of a drug, but too often, doctors who want to prescribe a drug don't have all the critical information they need because its missing from the approved label, the authors contend.

Take the drug Lunesta, whose sales reached $800 million last year. The label says only that it is superior to placebo, but it doesn't explain how much, the authors state. In fact, the FDA review of studies on Lunesta found that while it did perform better than placebo in one test, on average, patients still had trouble falling asleep and didn't report being more alert in the morning.  

While the FDA has made improvements recently, the bottom line, the authors say, is the agency needs more thorough in communicating drug information to doctors.

Baltimore Sun photo

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Posted by Kelly Brewington at 7:03 AM | | Comments (0)
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October 19, 2009

Obama administration eases policy on medical marijuana

The Obama Administration said today that people who use and sell marijuana for medical purposes should not face federal prosecution. Instead, prosecutors should go after only high level traffickers.

The new Justice Department guidelines issued today to 14 states that allow medical marijuana effectively reverse long-existing stance on the drug. The Bush Administration raided medical distributors who violated federal laws.

While a handful of states allow marijuana for medical purposes, it's carefully restricted. California, however, is the only state where dispensaries can sell and advertise marijuana.

And the practice has taken off in recent years and attitudes toward the drug appear to be changing. Smoking pot is no longer taboo, but just well, normal, according to this piece in the LA Times. 

At fashion-insider parties, joints are passed nearly as freely as hors d'oeuvres. Traces of the acrid smoke waft from restaurant patios, car windows and passing pedestrians on the city streets -- in broad daylight. Even the art of name-dropping in casual conversation -- once limited to celebrity sightings and designer shoe purchases -- now includes the occasional boast of recently discovered weed strains such as "Strawberry Cough" and "Purple Kush."

As I heard Jon Stewart say on The Daily Show recently: did California just legalize marijuana without anybody noticing?

Continue reading "Obama administration eases policy on medical marijuana" »

Posted by Kelly Brewington at 3:15 PM | | Comments (3)
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October 15, 2009

Wash your hands! And remember, soap is your friend

It's been mantra of public health officials since the swine flu outbreak in the spring: wash your hands.

But you never hear folks instruct how. Seems pretty ridiculous doesn't it? Everyone knows how to wash their hands, don't they?

Well, apparently they do not. Lots of people are forgetting a crucial companion in the handwashing game: soap.

A new study appearing in the American Journal of Public Health takes an examination of British handwashing trends, specifically after people had exited the loo.

Researchers installed sensors in highway service station bathrooms to record soap use in about 200,000 people. Flashing signs reading such messages as "Don't be a dirty soap dodger" and "Don't be a dope, use soap" encouraged people to wash their hands the right way. Researchers alternated between more than two dozen  reminders, from the gentle to the heavy handed. They also tested what happened when people didn't get a reminder. 

Without reminders, only 32 percent of men washed their hands with soap. Seriously, guys! Women did twice as better -- 64 percent. Still, ewwwww. I'm disturbed.

People who got reminders did a little bit better. But what's really fascinating is the kind of reminders people responded to.

Continue reading "Wash your hands! And remember, soap is your friend" »

Posted by Kelly Brewington at 12:29 PM | | Comments (7)
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October 5, 2009

What's lurking in your hamburger?

A story in Sunday's New York Times takes a terrifying look at beef contamination and the industry's lack of testing and oversight to prevent it. Brace yourself, this could make you rethink that burger at lunchtime.

The fascinating piece tells the tale of a 22-year-old dance instructor, who after eating a grilled burger, came down with a food-borne illness so severe that it shut down her kidneys, caused seizures and ultimately left her paralyzed.

E.coli was the culprit. Ground beef, the article explains, is vulnerable to the bacteria since it rarely comes from a single cut of meat, but rather from multiple sources ground together in a process that makes contamination possible every step of the way. The Times tracked the source of the woman's burger to various slaughterhouses and packaging plants in the U.S. and Uruguay. (A journalistic feat in itself, since such details are shrouded in secrecy). Inadequate testing and lax safety mechanisms along the way led to the tainted burger.

"As the trimmings are going down the processing line into combos or boxes, no one is inspecting every single piece," said one federal inspector... who requested anonymity because he was not authorized to speak publically.

Yikes. Despite a rash of outbreaks, media attention and federal regulations that forbid companies from selling meat tainted with E.coli, eating ground beef is "still a gamble" the article contends. Every year, tens of thousands fall ill from the bacteria.

Continue reading "What's lurking in your hamburger?" »

Posted by Kelly Brewington at 7:00 AM | | Comments (12)
Categories: General Health
        

September 25, 2009

Stem cells can help the body repair after injury

Surgeons try their best to repair torn cartilage and flesh in serious injuries. But what if they got a little help from the body itself? What if the body could generate its own repair mechanisms to replace vital tissues?

It could happen. New stem cell research being done at Johns Hopkins is investigating the ability to use stem cells to help the body repair itself after injury.

Our colleague Frank Roylance gives us the scoop on how science is progressing on the stem cell front after he spent some time earlier this week at the 2009 World Stem Cell Summit, held here in Baltimore.

The Hopkins' lab, run by researcher Jennifer Elisseeff, is also working on technologies that will enable stem cells to reconstruct fat and muscle lost to surgery or trauma. Scientists are also testing a kind of contact lense that can help a patient's own stem cells rebuild a damaged  cornea. After years of promises from scientists that stem cells can transform modern medicine -- they are getting closer to such practical applications.

"People are working on the basic science of things and trying to understand how tissue develops but also at the same time developing practical technologies that can be used in the clinic today," Elisseeff said.

Fascinating stuff.

AP photo

Posted by Kelly Brewington at 12:11 PM | | Comments (0)
Categories: General Health
        

September 24, 2009

Flu shot works better than spray in adults

There are two ways to get the flu vaccine -- in a shot, or in a mist that sprays up the nose. While both have long been used to protect the public from seasonal flu strains, a new study found the shot was 50 percent more effective than the spray for healthy adults. 

The spray, made by Maryland manufacturer MedImmune and known as FluMist, uses a live -- but weakened -- form of the virus to make the vaccine. The traditional shot used in the study was manufactured by Sanofi Pasteur and is made from an inactivated virus grown in chicken eggs.

The mist has become an increasingly popular way to give the vaccine in children -- what child wants to sit still for a needle in the arm? It's also very effective in kids under 6. But people have questioned whether it is as effective in adults.

The study, published in the new issue of the New England Journal of Medicine, was carried out in 1,954 healthy adults 18 to 49 years old during the 2007-2008 flu season. Those who got the shot responded far better than those who used the mist.

Continue reading "Flu shot works better than spray in adults" »

Posted by Kelly Brewington at 7:00 AM | | Comments (0)
Categories: General Health
        

September 21, 2009

Josie's story: a mother turns grief into advocacy

It's a wrenching story. In 2001, 18-month-old Josie King was burned over 60 percent of her body after being scalded in the bathtub of her family's home.

Her parents took her to one of the most renowned medical institutions in the world -- Johns Hopkins. She died there three weeks later, not becuase she wasn't getting better, but because doctors made fatal errors in her care.

Sun readers might remember the heartbreaking tale told about Josie by former reporter Erika Niedowski in 2003. In the new book, Josie's Story, Josie's mother Sorrel King tells the story in her own words, describing how she turned grief into a crusade to eliminate medical mistakes.

The book describes how Sorrel and her husband took the money from their settlement with the hospital to set up a foundation to prevent similar tragedies from happening and what they learned and how they grieved along the way.

I spoke with Sorrel King for a Q&A that ran in today's newspaper. Here are a few highlights:

Continue reading "Josie's story: a mother turns grief into advocacy" »

Posted by Kelly Brewington at 7:10 AM | | Comments (21)
Categories: General Health
        

September 15, 2009

Antibiotics on sale on the Internet without prescription

antibioticsAntibiotics are easily available online and without a prescription, a new study finds, a potentially unexplored source of overuse of this kind of medication.

Researchers at the Medical University of South Carolina did simple Google and Yahoo! searches to find more than 130 vendors selling pencillin, erythromycin, even Cipro online. One-third sold antibiotics without a prescription, while the others just required someone to fill out a medical history to get the drugs. It is illegal to sell antibiotics without a prescription in the United States.

Antibiotic resistance is a big worry in the medical and research communities. Many are concerned that antibiotics are over-prescribed. So-called "superbugs" have been popping up, dangerous bacteria that are resistant to many forms of antibiotics, something that comes with their overuse. Educational campaigns have been directed, according to the study, to doctors who prescribe antibiotics, cautioning them to use the drugs more judiciously.

Continue reading "Antibiotics on sale on the Internet without prescription" »

Posted by Kelly Brewington at 7:00 AM | | Comments (0)
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September 10, 2009

Tracking down unsafe foods

Up until now, food manufacturers determined if and when they would tell government officials about products they believed could seriously sicken humans or animals.

This week, the Food and Drug Administration changed that, instead requiring companies to alert them within 24 hours if  contamination is suspected. The FDA rolled out its Reportable Food Registry, an electronic system designed to head off potential cases of foodborne illness.

According to the FDA, the reasons why a company might have to report a problem include if there has been bacterial contamination, allergen mislabeling or elevated levels of certain chemicals.

Companies that fail to report could face fines or other sanctions. Companies are not required to report a problem if they have solved it and taken steps to correct it before an item is shipped.

"We learn about problems after people get sick," Michael Taylor, senior adviser to the FDA's commissioner, told reporters. "This is intended to inform us of contamination problems before people get sick."

The registry was mandated by Congress in 2007 and is supposed to be an answer to complaints that FDA doesn't react quickly enough to food safety issues. There have been a series of high-profile cases of foodborne illness recently, where many have gotten sick and some have died from consuming contaminated peanut butter, spinach, cookie dough and more.

Posted by Stephanie Desmon at 7:08 AM | | Comments (1)
Categories: General Health
        

September 9, 2009

Now, don't be shy...

There's still time left to take part in Picture of Health's inaugural "ask an expert" extravaganza. Got a pressing medical concern? Step right up and submit one here. We'll pick the best question, find you the right expert to answer it and post the response here. (The original deadline for submissions was supposed to be today, but because of the holiday week, we're extending it until next Wednesday)  

And wait, there's more. (Cue the infomercial voiceover) Our fist winner will receive a year's gym membership to Brick Bodies. (Fine print alert: Must be a local resident 25 and older. Good at any location. First-time visitors qualify and the membership is not valid with a current membership.)

Watch this space. On Friday, Sept. 18, we'll publish the winning question (complete with a response from a doc).

photo: stock.xchng

Posted by Kelly Brewington at 2:00 PM | | Comments (3)
Categories: General Health
        

The prez as health mag cover model

President Barack Obama seems to be talking health care reform everywhere these days. Tonight, he'll address a joint session of Congress. He's even on the cover of the October issue of Men's Health magazine, which hits newsstands next week, where he does discuss health care reform, but also takes on a range of health issues. (Sorry, ladies, unlike this mag's more typical cover models, his abs are hidden under a dignified suit and tie.)

Among the tidbits in the mag:

* Obama thinks a "sin tax" on soda and other sugary products "is an idea that we should be exploring." Still, he acknowledges that could spark a fight on Capitol Hill where "legislators from certain states that produce sugar or corn syrup are sensitive to anything that might reduce demand for those products." He adds that some people, understandably, don't want "Big Brother telling them what to eat or drink." Kids, he said, "drink way too much soda."

* Obama talks about his six-day-a-week workout schedule. "My blood pressure is pretty low, and I tend to be a healthy eater. So I probably could get away with cutting [my workouts] back a bit," he tells the mag. "The main reason I do it is to clear my head and relieve me of stress."

Continue reading "The prez as health mag cover model" »

Posted by Stephanie Desmon at 7:15 AM | | Comments (4)
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September 3, 2009

Help the colorblind find their medication

color blind pillsOne person's little pink pill looks like a little blue pill to someone who is colorblind. With color blindness found in 8 percent of men and .4 percent of women, color-coding of medication may not prevent mistakes as it is intended. Instead, it can create confusion, write Australian optometrists in the only journal The Lancet last week.

They cite an earlier study of 100 colorblind people where 2 percent reported taking the wrong drug because they couldn't tell what color the pill was. People with red-green colorblindness have difficulty with colors on both of those spectra and are better able to pick out yellow, blue, grey and white.

At the right, pictures A and C are how most people see colors. Pictures B and D are similar to what a colorblind person might see.

Continue reading "Help the colorblind find their medication" »

Posted by Stephanie Desmon at 2:02 PM | | Comments (0)
Categories: General Health
        

Ask a medical expert -- win a prize

ask a medical expertWe here at Picture of Health know you worry about your health. We do, too. And we know you probably have pressing questions you would love to ask your doctor, if only she had time to sit and chat. So next Friday, we will inaugurate our Ask a Medical Expert feature.

Here's how it works: You submit your questions. We will pick the best one and the winning question will be answered here next Friday, Sept. 11. It's that easy

We hope you will submit questions. We hope you will tell your friends and family to submit questions. And since we are feeling generous today -- and not above bribery -- our first winner will receive a year's membership at Brick Bodies. (Offer good for local residents 25 and older. First-time visitors qualify and the membershop is not valid with a current membership. Good at any location. I love writing the fine print.)

So ask away and watch this space for answers.

Posted by Stephanie Desmon at 11:00 AM | | Comments (1)
Categories: General Health
        

August 31, 2009

On the wards in the aftermath of Katrina

 

An airboat pulls up to help evacuate patients and and staff at  Memorial  Medical  Center in New Orleans in 2005.
Associated Press file photo 2005

 

This impressive piece in Sunday's New York Times Magazine offers a harrowing look inside one of New Orleans' hospitals as the waters of Hurricane Katrina rose and trapped patients and staff without power, sufficient supplies and any promises of imminent rescue. (The photo above shows patients and staff being evacuated in 2005.)

The story is one of doctors forced to make life or death decisions at Memorial Medical Center as the hours became days. In many cases, the doctors hastened the deaths of critically ill patients they believed would not survive evacuation. They also injected high doses of morphine and another drug into patients who had do-not-resuscitate orders but were not close to death. In an unusual move, the staff had decided to evacuate the healthiest patients first and leave the sickest to last.

Authorities later arrested a doctor and two nurses for second-degree murder, but a grand jury refused to indict.

Many stories were shocking. One stood out, mostly because of what the doctor involved would go on to tell Sheri Fink, the reporter who wrote the NYT piece. It is the case of Jannie Burgess, a 79-year-old woman with advanced uterine cancer and kidney failure.

Before the storm hit, Burgess was already sedated by morphine to keep her comfortable and, because of all the fluids she was getiing, weighed 350 pounds.

Continue reading "On the wards in the aftermath of Katrina" »

Posted by Stephanie Desmon at 12:21 PM | | Comments (1)
Categories: General Health
        

Secondhand smoke in cars worse than in bars

Jurisdictions around the globe have tried to squash secondhand smoke by banning smoking in public places. But only a few have tried to prevent people from lighting up in their cars -- typically only when children are present. 

A new study from Johns Hopkins' school of public health takes on the question car smoking -- just how bad is it?

Pretty bad. The amount of secondhand smoke was significantly higher in cars than in bars and restaurants, the paper found. 

Makes sense. Anyone who has driven with a smoker knows it can be impossible to escape the air in a smoky car -- forget about it if the windows are rolled up. But researchers also found that exposure to secondhand smoke lingers long after the smoker has put out the butt.

Continue reading "Secondhand smoke in cars worse than in bars" »

Posted by Kelly Brewington at 7:00 AM | | Comments (14)
Categories: General Health
        

August 27, 2009

The price of that CT scan

advanced medical imaging radiationA study published today says that a lot of people are getting advanced medical scans -- half of patients ages 18 to 34 (!) had one in the last year. The scans can be costly to the health care system. They expose people to radiation, in some case levels that could increase their cancer risk. And very few of the tests have been scientifically proven to improve health or help people live longer.

And yet, when the doctor says you need a CT of your abdomen to check out the pain you've been having, you get one. The doctor ordered it, so it must have value, right? It won't cost you much money if you have decent insurance. And who thinks of cancer risk when sent for one little test?

Continue reading "The price of that CT scan" »

Posted by Stephanie Desmon at 7:34 AM | | Comments (1)
Categories: General Health
        

August 26, 2009

Tough guys don't go to the doctor

Men who embrace traditional beliefs on masculinity are 50 percent less likely than other men to go to the doctor, says a new study. And the attitudes of these "macho men" might just be what leaves them sicker than women, researchers conclude.

The study, led by a Rutgers sociologist and shared at a recent meeting of the American Sociological Association, touches on some stereotypes, for sure. But they appear to be grounded in facts, the researchers found. Based on responses from 1,000 men in the 2004 wave of the Wisconsin Longitudinal Study, researchers found education made no difference in the responses. Highly-educated men with the strong masculinity beliefs were just as unlikely to obtain preventative care as men with less education.

The study has some limitations -- mainly the participants were all white, middle-aged and had at least a high school degree.

But I think the authors make a good point. And I'd argue it has nothing to do with being "macho." Most men I know, regardless of their beliefs, are afraid to go to the doctor. I understand I may be generalizing, so please feel free to call me out on it. But in a very small unscientific sample of my girlfriends and women family members, all admit to being the ones who nag their husbands and boyfriends to go to the doctor, be it for a routine checkup or for a serious issue.

Are we alone?

Continue reading "Tough guys don't go to the doctor" »

Posted by Kelly Brewington at 12:09 PM | | Comments (4)
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August 21, 2009

The question of sex isn't that simple

runner

The tale of Caster Semenya and whether the world champion sprinter is a man or a woman has been a fascinating topic in sports circles over the last few days. After the masculine-looking 18-year-old girl's first major victory this week at the championships in Berlin, track and field officials said she would be undergoing tests to verify her eligibility as a woman.

Easy as pie, right? The whole Biology 101 thing -- two X chromosomes and you're female and if you have a Y chrosome, you're male, no?

But this piece in the New York Times is the best so far explaining why it just isn't as simple as a blood test to determine whether someone is male or female.

Photo by AFP/Getty Images

Posted by Stephanie Desmon at 3:39 PM | | Comments (1)
Categories: General Health
        

August 20, 2009

Life expectancy at an all-time high, CDC says

life expectancyLife expectancy has hit an all-time high, the CDC tells us, reaching nearly 78 years in the United States.

The most recent data, from 2007, shows an increase from a life expectancy of 77.7 years in 2006 to 77.9 in 2007. Over a decade, life expectancy increased 1.4 years. Meanwhile, the CDC says, the death rate is down.

Life expectancy may go down this year because death rates are up already and because there are more elderly in the U.S.

The United States lags behind about 30 other countries in estimated life span, the Associated Press reports. Japan has the longest life expectancy — 83 years for children born in 2007, according to the World Health Organization.

Continue reading "Life expectancy at an all-time high, CDC says" »

Posted by Stephanie Desmon at 12:00 PM | | Comments (0)
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August 18, 2009

COBRA enrollment doubles with subsidy, study says

cobraLaid-off workers have been flocking in recent months to COBRA, the federal program that has long allowed them to keep their employers' health insurance for 18 months -- but for a hefty price.

Lots of people have become eligible for the program -- with unemployment at a 25-year high -- but few are able to afford it when they lose their income. COBRA allows involuntarily terminated to pay 100 percent of the premium plus 2 percent for administrative costs. The cost: roughly $8,800 a year for the average worker.

The doubling of COBRA enrollment has been since February, when the government began paying a subsidy to make the coverage actually affordable to some unemployed people, according to an analysis by Hewitt Associates, a human resources consulting firm.

Continue reading "COBRA enrollment doubles with subsidy, study says" »

Posted by Stephanie Desmon at 10:47 AM | | Comments (0)
Categories: General Health, Health care reform
        

Snorers beware

sleep apneaResearchers say that one in four men suffer from sleep apnea and nearly one in 10 women do. Even moderate episodes of interrupted breathing at night can increase the risk of death significantly, according to a new study led by Johns Hopkins researchers.

The causes of death are many, and they appear to be linked to repeated stretches of time when the body is deprived of oxygen over the course of a night, every night, for a long period of time.

The main symptom of apnea is snoring, loud snoring that often awakens the snorer. Still, many people with apnea don't even know they have the disorder.

Sleep apnea is believed to be on the rise because it is linked to the growing obesity epidemic in theh United States.

Continue reading "Snorers beware" »

Posted by Stephanie Desmon at 8:25 AM | | Comments (5)
Categories: General Health
        

August 13, 2009

Call to action on breastfeeding and...a doll who nurses?

Breast is best. That's what the breastfeeding advocates always say. Public health proponents, too, have long promoted the benefits of nursing, from boosting infants' immunity to encouraging critical bonding time between mother and baby.

With that in mind, the CDC, the Surgeon General and the Department of Health and Human Services have announced a "Call to Action on Breastfeeding" seeking public comment on ways to encourage the practice. While the site is no longer accepting new comments (you can read the old ones here), the organizers are still holding public hearings, including one happening today in Atlanta. The goal is to update the government's Blueprint for Action on Breastfeeding, a 10-year- old document that spearheaded the push to get moms to nurse.

Now, that's not the only way to extol the virtues of nursing. How about something a little more, how shall we say, interactive? A doll. That makes sucking sounds. Who breastfeeds. You can't make this stuff up.

The Spanish doll -- known as Bebe Gloton (roughly, Gluttonous Baby in English) -- comes with a halter top with flowers placed where nipples should be. Bebe latches on and voila, sucks. There's even a video demonstration.

The doll, not yet available in the U.S., has sparked all sorts of controversy with opponents calling it "sucky", creepy and that it could encourage teen sex.  Meanwhile, defenders argue there's nothing wrong with a doll promoting this very natural, very healthy practice.

So, what say you?

Posted by Kelly Brewington at 12:00 PM | | Comments (11)
Categories: General Health
        

August 10, 2009

Mixed hot weather messages from city

It's going to be a hot one today. It's already 91 degrees in Baltimore and some places may even reach 100. The city has declared it a Code Red day, opening cooling centers to ensure people get enough cool air and water. One of the city's many tips: Stay inside during the hottest time of the day.

Unless, it turns out, you have to attend the groundbreaking being held for a new homeless shelter downtown. Reporters and advocates are being called to an empty lot on the Fallsway at 2 p.m. (the hottest time of the day) for a dog-and-pony show where city officials -- including Mayor Sheila Dixon -- are likely to don hard hats and carry shovels to commemorate the occasion.

Here's hoping they have enough water on hand. And maybe even a paramedic or two. Heat exhaustion is a real issue on days like today (a healthy member of our softball team had to be rushed to the hospital yesterday when she fell ill in the heat).

Perhaps there is an upside. At least city officials will have an incentive to keep the proceedings short.

Illustration from stock.xchng

Posted by Stephanie Desmon at 10:54 AM | | Comments (1)
Categories: General Health
        

August 5, 2009

Thoughts about kidney donation

kidney donationWe've written about kidney donation here a few times lately, most of it stemming from the 16-person, domino transplant completed at Johns Hopkins this month. That transplant began when a man from Virginia offered to donate his kidney to a stranger. A fascinating piece in the most recent issue of The New Yorker, written by Larissa MacFarquhar, asks a terrific question: "What sort of person gives a kidney to a stranger?"

She tells the tale of one man who donated his kidney to a woman he found online, on a site designed to link donors to those in need. When a story about his deed hit the local news, someone called him on the phone in the hospital and "told him that she hoped his remaining kidney would fail quickly and kill him because her husband had been next in line to receive a kidney and (the donor) had given his to someone else." When a story appeared in the local paper, it asked "whether it was fair for him to pick his recipient, choosing who lived and who died."

Continue reading "Thoughts about kidney donation" »

Posted by Stephanie Desmon at 7:00 AM | | Comments (2)
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August 4, 2009

Consumer Reports ranks area hospitals

Consumer Reports is now in the hospital rating business. The site rates more than 3,400 hospitals nationwide based on surveys of some 1 million patients.

The surveys come from the government's Hospital Consumer Assessments of Healthcare Providers and Systems.

The ratings take into account patient satisfaction in a variety of ways such as, communication with doctors, pain control, cleanliness and quietness of rooms, information about discharge and new medicines and whether a patient would recommend the hospital.

Locally, Anne Arundel Medical Center and Johns Hopkins Hospital were ranked highest in Maryland, both with overall scores of 78 out of 100.

Survey respondents' biggest complaints were about discharge planning and communication about their medications.

 

Continue reading "Consumer Reports ranks area hospitals" »

Posted by Kelly Brewington at 2:12 PM | | Comments (3)
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August 3, 2009

Divorce may be bad for your health

As long as marriage has been around, people have been extolling the benefits of it. And every so often a study comes along to tell us a new perk of being wed, from sheer happiness to financial stability to, of course, health. Well, here's the latest: Not only is marriage good for you, the inverse is also true -- divorce or the death of a spouse can harm one's health even if the person remarries, according to a study by researchers from Johns Hopkins and the University of Chicago.

(Is it just me, or do these studies always seem to come out when some high profile split is in the news? Jon and Kate plus 8 anyone? With all their drama, I wonder how their health is doing?)

Anyhow, the marriage study, appearing in next month's Journal of Health and Social Behavior, found that people who were divorced or widowed were 20 percent more likely to have a chronic health condition such as heart disease, diabetes or cancer than married people. They were also 23 percent more likely to have mobility problems than couples who stayed together. Even people who remarried were 12 percent more likely to have chronic health problems and 19 percent more likely to have mobility troubles than their married peers.

Continue reading "Divorce may be bad for your health " »

Posted by Kelly Brewington at 12:58 PM | | Comments (1)
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July 28, 2009

'Tis the season for seasonal flu shots

flu shotIt's time to roll up your sleeve. 

We're not talking about swine flu this time, just the plain-old, run-of-the-mill seasonal flu, a killer in its own right of 36,000 Americans each year. Several major manufacturers of seasonal flu vaccine have announced over the last two days that they have started shipping doses to distributors, earlier than usual. Vaccine could be in the hands of health care providers as early as next week.

The manufacturer of Flu-Mist -- Gaitherburg-based MedImmune -- says it hopes that by getting their nasal spray vaccine into doctors' offices over the summer, physicians will be able to administer it to kids at back-to-school check-ups and more well visits than if they waited until later in the fall.

Continue reading "'Tis the season for seasonal flu shots" »

Posted by Stephanie Desmon at 2:51 PM | | Comments (0)
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July 27, 2009

Will a slimmer U.S. mean lower health care costs?

obesity

Much of the health-care reform talk on Capitol Hill right now is about cost savings. How can the amount of money spent on health care be reduced?

The authors of a study published online today say the answer could be in reducing obesity.

"There is an undeniable link between rising rates of obesity and rising medical spending," write the authors from the Reseach Triangle Institute and the Centers for Disease Control and Prevention.

They calculate that the cost of treating obesity and the disorders related to it may be as high as $147 billion a year, up from an estimate of $78.5 billion in 1998. Roughly half of that is financed by government spending through Medicare and Medicaid.

Continue reading "Will a slimmer U.S. mean lower health care costs?" »

Posted by Stephanie Desmon at 11:39 AM | | Comments (5)
Categories: General Health
        

Will the doctor be there in an emergency?

Let's say this swine flu business got really serious and a pandemic flu emergency took hold. You might expect an army of doctors and nurses would flock to hospitlas to serve the public at a time of crisis -- right?

Well, according to a new study, one in six public health workers said they would NOT go to work during a pandemic flu emergency, regardless of how severe it is, according to a new survey by researchers at Johns Hopkins Bloomberg School of Public Health.

And those findings are an improvement from a 2005 report that found more than 40 percent of public health employees were unlikely to go to report for duty such an emergency.

 

Continue reading "Will the doctor be there in an emergency?" »

Posted by Kelly Brewington at 7:00 AM | | Comments (0)
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July 24, 2009

Scientists as crime-fighting detectives

It happened just three weeks after the 9/11 attacks -- mysterious white powder was turning up in letters to the media and politicians in congress. The powder turned out to be deadly, the sender unknown.

The anthrax attacks ended up killing five people and alarming everyone about the threat of biological terrorism. As the FBI tackled the case, they enlisted some unexpected crime-fighters: scientists. They helped trace the powder to its origins. Among them was Claire Fraser-Liggett, director of the University of Maryland's Institute for Genome Sciences, who worked on the project while at the director of the Institute for Genomic Research in Rockville.

She and her team will star in a documentary airing at 9 p.m. Sunday on National Geographic, discussing how they cracked the case. Last month, PBS ran a special on NOVA and there's an online video snippet. It's a fascinating detective story that highlights the use of a new field -- forensic genomics. It's also, as Fraser-Liggett said to me in an interview recently, "really cool."

Continue reading "Scientists as crime-fighting detectives" »

Posted by Kelly Brewington at 12:30 PM | | Comments (2)
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July 21, 2009

Too old? Too fat?

Two stories from last week really got me thinking -- and got tongues wagging.

old momThe first one, out of Spain, was about a woman who less than three years ago became the oldest new mother in the world at the grandmotherly age of 66. She had lied about her age and convinced an American doctor to help her conceive her twins. Last week, the single mom died of cancer at the age of 69, leaving her toddlers without any parents. Having the technology to extend child-bearing years is a wonderful tool under some circumstances, but is there a point when you're just too old to become a parent?

 

regina benjaminThe second story comes out of the inspiring tale of Dr. Regina Benjamin, the family doctor picked to be President Obama's surgeon general. Last week, we wrote about how Benjamin has spent her career in rural Alabama, seeing patients who sometimes paid her for her services in oysters, if at all. She built a clinic for those in need, and built it again and again when Hurricane Katrina and then a fire stood in the way.

But some are complaining about something far more superficial: Benjamin's weight. They argue that a plus-size doctor sets a lousy example for a nation struggling with an obesity epidemic. They say she is simply too fat to preach about healthy living.

Continue reading "Too old? Too fat?" »

Posted by Stephanie Desmon at 8:08 AM | | Comments (7)
Categories: General Health
        

July 20, 2009

Tracking environmental health

A fancy new tool from the Centers for Disease Control and Prevention enables users to track environmental health hazards across the country.

The National Environmental Public Health Tracking Network collects information on environmental hazards, how people are exposed to them and if they lead to serious illnesses. The goal is to help people understand how the environment may play a roll in their health.

Scientists have known that air pollution and lead can contribute to illness, but many other environmental and health connections remain unproven. This site attempts to gather more information to better understand the possible connections.

 

Continue reading "Tracking environmental health" »

Posted by Kelly Brewington at 1:30 PM | | Comments (0)
Categories: General Health
        

The gift of fresh air

kathryn chenaille

Nine-year-old Kathryn Chenaille spent three months living at the Ronald McDonald House in Baltimore after a bone marrow transplant made necessary by her battle with aplastic anemia.

Her immune system was nearly wiped out by the procedure so her family worried about the air she would be breathing in the communal residence. Her father went out and bought for her room a high-powered air purifier that uses a UV filter to kill germs. The family thinks the filter kept Kathryn from getting sick while she was at Ronald McDonald. Now that she is in remission, Kathryn wanted to give something back to the place she left in February -- air purifiers.

Any day now, the Baltimore facility will get 37 purifiers, a gift from a company that makes the Secure Air 1200. When they heard Kathryn's story -- and her goal to bring clean air to other sick kids -- they donated the first batch. Now, Kathryn and her family are trying to raise money to buy air purifiers for Ronald McDonald Houses across the country. With every $45 raised, another room at a Ronald McDonald House will get an air purifier.

"If we could do it all across the country, that'd be great, but that's pretty big so we'll start with Pennsylvania," said Kathryn's mother Carolyn.

Continue reading "The gift of fresh air" »

Posted by Stephanie Desmon at 7:59 AM | | Comments (1)
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July 17, 2009

Jon Stewart does health care reform

OK, OK, this entry is a little late. Here's a little secret: I can't stay up past 10 p.m. So I never see "The Daily Show with Jon Stewart" until it is re-run the next day. Still, I had to share this great piece from Wednesday night's show, one that -- aside from a pretty funny riff about the president throwing out the first pitch at this week's All-Star Game -- focused on health care reform.

Sure, there was the obligatory interview with Kathleen Sebelius, secretary of the U.S. Department of Health and Human Services. But check out this hilarious piece of satire on universal health care in other countries.

I can't decide if my favorite part is when "reporter" Samantha Bee, who hails from Canada, shows off the C-section scar on her NECK as she discusses the single-payer system in her home country. Or if it is Wyatt Cenac standing in front of an ER with a cleaver stuck in his head, calling himself an uninsured American. When Stewart points out he is insured, Cenac explains he was until he was injured, that he was thrown off his plan because of this "pre-existing condition." Kitchen tools, he is told, have been around longer than he has.

 

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Posted by Stephanie Desmon at 10:30 AM | | Comments (0)
Categories: General Health
        

Bad news, good news on circumcision and HIV

HIV circumcision

AP Photo

In recent years, research studies done in three African countries have conclusively showed that being circumcised reduces a man's risk of acquiring HIV by roughly 50 percent. Could a man's circumcision also protect his partner from getting infected? The answer appears to be no.

A Ugandan study, led by Dr. Maria J. Wawer from Johns Hopkins Bloomberg School of Public Health and published in this week's issue of The Lancet, was stopped short after 2 years when it was determined that HIV-infected men who were newly circumcised were just as likely to spread the disease to their partners as those who remained uncircumcised. ...

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Posted by Stephanie Desmon at 8:30 AM | | Comments (4)
Categories: General Health
        

July 15, 2009

Rising costs leave more Marylanders, Americans without health insurance

As members of Congress duke it out in the health care reform debate, a national consumer advocacy group releases this sobering statistic: an average of 740 Marylanders lose their health insurance every week, according to a new study by Families USA.

By the group's estimates, 114,780 people will lose health coverage in Maryland from 2008 through December 2010. Nationwide, that figure could climb to 6.9 million, according to the organization, which if you haven't noticed, is lobbying bigtime for Congress to hurry and pass a bill that will expand coverage to those without. In fact, just an hour ago, a Senate committee made a first step to do just that.

Rising premiums -- up 119 percent from 1999 to 2008 -- are causing more families to go without coverage, both in Maryland and nationwide, according to the report "The Clock is Ticking: More Americans Losing Health Insurance.

photo courtesy of Brooks Elliot @ flickr

Posted by Kelly Brewington at 12:31 PM | | Comments (1)
Categories: General Health
        

July 14, 2009

From rural doc to America's family physician

regina benjamin

The focus of the health care reform debate has been on Washington and insurance companies and hospitals. The talk has, so far, been about how expensive the current delivery system is.

Dr. Regina Benjamin comes to the debate from a different place, literally and figuratively.  Yesterday, President Obama made the family doctor, who for years has cared for the poor and uninsured in rural Alabama, his choice for surgeon general. In doing so, he put the spotlight -- if only for a news cycle -- on those communities that shouldn't be ignored as the debate continues.

Benjamin's work has been in a small clinic in the 2,500 resident Gulf Coast town of Bayou La Batre, 25 miles south of Mobile. And it hasn't been easy. Often, her patients are cash-strapped and she has accepted payment in the form of oysters or fish. She has moonlighted in emergency rooms in other towns to help keep her clinic afloat.  "You got treated if you had money or not," the town's mayor told NPR this morning. ...

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Posted by Stephanie Desmon at 1:01 PM | | Comments (1)
Categories: General Health
        

July 13, 2009

Read the small type: Contains acetaminophen

tylenol and acetaminophen and labelsThe new caution about acetaminophen, the popular painkiller, isn't about it suddenly being more toxic. Rather, it highlights a fear that we may be taking too much of the stuff without even realizing it.  

Acetaminophen isn't just in Tylenol. It's in Nyquil. It's in Midol. It's in Vicks cough syrup. It is in dozens of cough and cold products. We may not be taking more Tylenol than is recommended, but we can push into the territory of liver damage when we take several acetaminophen-containing products at once. ...

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Posted by Stephanie Desmon at 6:33 AM | | Comments (1)
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July 8, 2009

Rockin' out for science

See the guy on the far right? The one decked out in aviator shades rocking out next to Aerosmith’s Joe Perry? President Barack Obama just picked him to lead the National Institutes of Health.

Dr. Francis S. Collins, who led the government’s successful effort to decode the human genome (he also happens to play the guitar) is among a handful of preeminent researchers featured in a slick six-page photo spread in the June issue of GQ. The photos are part of a larger ad campaign called “Rock Stars of Science” designed to celebrate scientists, highlight the importance of their research and draw attention to the funding needed to make their work possible.

Collins did his groundbreaking work while as director of the National Human Genome Institute in Bethesda. He’s featured with such other notables as Dr. Harold Varmus, the former director of NIH, who won the Nobel Prize for his discovery of cancer genes, and Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases.

By featuring some of the nation’s renowned researchers alongside the likes of rockers Sheryl Crow and Seal, the hope is to make these science gurus more accessible and dare we say, cool, to the average American.

As Collins says in an interview on the Rock Stars of Science site, “I think it's a great idea to show that scientists are not all a bunch of oddball nerds.”

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Posted by Kelly Brewington at 6:05 PM | | Comments (7)
Categories: General Health
        

Unlike diamonds, kidneys don't last forever

kidney surgery

With all of the talk about kidney transplants in recent days, one thing has been left unsaid: Many kidney transplants don't last forever.

About 50 percent of kidney transplants from live donors are still working at 20 years, which means many people will need repeat transplants. With more transplants being done than ever before, and being done so successfully, the number of repeat transplants has been on the rise in recent years.

I wrote this story last year. In talking with some pediatric nephrologists (kidney docs), they mentioned something I never knew, that kidney transplants, especially in younger people, are a wonderful long-term fix but not necessarily a permanent one. And that's not always because patients may reject a new kidney or get some other severe illness.

"We can't get the grafts to last forever," Dr. Alicia M. Neu, a pediatric nephrologist at Johns Hopkins Children's Center, told me at the time. "We've kind of hit a wall. People live with one kidney all the time. They donate one, and they're fine. ...

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Posted by Stephanie Desmon at 10:22 AM | | Comments (0)
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July 7, 2009

One kidney saves eight lives

dr. robert montgomery johns hopkinsIt all started with a Virginia man who offered his kidney to a woman from his parish who needed one. They had never met but Thomas F. Koontz thought the donation would be a good way to give back to God, whom he credited with saving his teenage daughter's brain cancer. The woman from church ended up finding a different donor. So Koontz called Johns Hopkins. He offered his kidney to anyone who might needed it,

His completely selfless act started a chain of events that would allow not just one person to get a desperately needed kidney, but eight people who needed new organs to keep them alive.

Surgeons at Johns Hopkins Hospital this morning held a press conference to announce that they -- along with doctors from hospitals in Oklahoma City, St. Louis and Detroit -- had performed a record feat. They completed an eight-way, multi-hospital, domino kidney transplant. This swap required seven pairs of people -- each made up of one person in need of a kidney and one willing to donate, but whose blood or tissue type was incompatible with the intended recipient. A computer program was fed all of the potential donor pairs and devised a complicated exchange that took place over the course of three weeks and involved several kidneys being flown around the country. At the end of the line was someone who didn't have a live donor offering a kidney, a woman who received her kidney at Hopkins last night. She was the ultimate recipient of Koontz's largesse.

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Posted by Stephanie Desmon at 2:24 PM | | Comments (0)
Categories: General Health
        

Can long trips be bad for your health?

airplaneLong-distance travel may increase the risk of potentially deadly blood clots, a new study published today suggests, and the longer the trip, the greater risk of danger.

The relationship between venous thromboembolism -- clots that form in the veins, typically the leg, and can be deadly if they move to the lungs -- and travel has long been suggested. But previous studies have yielded contradictory findings. The study, published in this week's issue of Annals of Internal Medicine, looks back at previous data and finds that travel by any means is associated with a three-fold higher risk of these blood clots. And when limited to air travel, that relationship was even stronger: For every two additional hours on a plane was associated with a 26 percent increase in risk for blood clots.

Still, don't panic. These clots are still relatively uncommon. ...

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Posted by Stephanie Desmon at 8:00 AM | | Comments (1)
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July 6, 2009

Calling all Facebook MDs

facebook medicine My friend Rebecca posted something about her toe Friday night on her Facebook page. Rebecca wrote that she thought "it's broken; my husband thinks it's just bruised. Either way, my toe hurts."

What struck me about this was the response that came from her friend Tracy less than an hour later: "Post pix and let your FB MDs decide."

I loved this reply. Health topics that were once taboo (OK, maybe not broken toes) are now open for discussion -- on Facebook, no less. As a medical reporter, I've had more than one man start a conversation with me about his prostate exam and PSA numbers. But more often, in talking to friends, we discuss ours ailments or our kids' maladies and try to make armchair diagnoses. A lot of them figure our combined knowledge could be (nearly) as good as any docs. I wouldn't go that far, but that doesn't mean I don't engage in a little informal doctoring of my own.

Do you and your friends "play doctor," trying to diagnose one another? Do you use Facebook to do it? Twitter?

Photo/Getty Images

Posted by Stephanie Desmon at 12:06 PM | | Comments (2)
Categories: General Health
        

July 2, 2009

Osteoporosis: Not just for women anymore

osteoporosisLong known to be a concern of aging women, osteoporosis turns out to be nearly as common in older men, a new study suggests.

Doctors routinely screen women in their sixties for thinning bones. But there are no guidelines for checking the bones of male patients. Physicians tend to look for osteoporosis in men only after a problem -- like a suspicious fracture -- occurs.

Dr. Sherita H. Golden, a Johns Hopkins epidemiologist and the author of the new study in the Journal of Clinical Endocrinology and Matabolism, said she and her colleagues were surprised by the findings.

Falling estrogen levels contribute to thinning bones in women and low testosterone levels have been linked to bone loss, Golden said, so it does make sense that the hormonal changes of aging, regardless of gender, could lead to osteoporosis. Osteoporosis makes bones fragile and more likely to break, which can leave sufferers debilitated and deformed.

Another surprising finding: Osteopenia, a less severe form of bone loss, is actually more prevalent in aging men than in aging women.

Golden would like to see the study of men duplicated. If the results match up, she thinks the answer is clear: Men should be screened just as carefully for bone loss as women.

Image courtesy of answers.com

Posted by Stephanie Desmon at 8:00 AM | | Comments (3)
Categories: General Health
        

July 1, 2009

How much is too much?

A federal advisory panel’s vote Tuesday to pull two popular prescription drugs off the market has shed light on a problem with a common ingredient in over-the-counter painkillers: acetaminophen.


The Food and Drug Administration panel recommends banning drugs like Vicodin and Percocet which combine a stronger narcotic with acetaminophen – the key ingredient in medicine cabinet staples like Tylenol and Excedrin. (It’s unclear if will happen, though. The FDA isn’t required to follow the panel’s advice, but it often does).


The reason for the recommendation? Big concerns about overdoses related to acetaminophen.  A New York Times story explains not only can the painkiller cause liver damage, more than 400 people die and 42,000 are hospitalized every year in the United States from overdoses.


In an effort to confront such problems, the panel made a slew of other decisions about the painkiller. Experts voted to lower the maximum daily dosage to less than 4 grams, or eight tablets of Extra Strength Tylenol. Another vote recommended a prescription for a 1,000 milligram dose – or two tablets of Extra Strength Tylenol.

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Posted by Kelly Brewington at 1:19 PM | | Comments (4)
Categories: General Health
        

June 30, 2009

Hopkins exec blogs kidney donation

Woman donates kidneyTen days ago, Johns Hopkins Hospital exec Pamela Paulk had two kidneys. Today, she has one -- and a co-worker she barely knew three years ago also has one, thanks to Paulk's decision to donate one of hers. Just because she could. 

She has been blogging the entire experience. She is even tweeting it.

Her story begins about 10 years ago after she observed a transplant surgery and started thinking about becoming a kidney donor herself. About five years ago, she decided she was ready to give, but she wanted her kidney to go to someone she was connected to in some way. Then, a few years later, she ran into Robert Imes. A painter and mechanic at the hospital who Paulk knew well enough to say "Hello" to, Imes had been out sick for 10 months with kidney disease.

"I said, 'Robert, I really missed you. Is there anything I can do for you?' He said, 'I need a kidney.' And I said, 'You can have mine,'" Paulk recalled. ...

Continue reading "Hopkins exec blogs kidney donation" »

Posted by Stephanie Desmon at 12:00 PM | | Comments (2)
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June 29, 2009

Welcome to Picture of Health!

We know living healthy isn’t easy. And these days it can be downright confusing amid the dizzying array of dense medical studies, endless health tips and fly-by-night Web sites offering cyber diagnoses.

Allow us to be your guides through this maze. We’ll do the hard work for you by sifting through the studies and the latest health crazes to zero in on the big stories and most interesting nuggets to help you live healthier. We’ll round up the fascinating, the alarming, the quirky and most of all, the helpful.

We recognize there are limits to our expertise -- we’ve got no MD or PhD after our names (although we like to joke that we are "medical professionals" and have been known to casually diagnose a sick newsroom colleague). So, from time to time, we’ll have medical professionals from the nation’s leading institutions here in our Baltimore backyard to answer your health questions.

Along the way, we’ll share what we’ve learned off the beat too -- personal triumphs and fears alike -- as we ride the twists and turns on this journey toward healthy living right along with you. And since we’re all in this together, we hope you'll share your stories too.

Got a great health tip? A concern you need help with? A personal story that you think will help someone else on this journey? Let us know!  

Posted by Kelly Brewington at 7:00 AM | | Comments (0)
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Kelly Brewington came to the health beat a year ago after covering everything from education and government to race and immigration in her 11 years as a reporter. Since then, she has tackled stories on autism, heart failure and acupuncture used to treat drug addiction. She’s been fascinated by medicine since childhood, when her doctor dad and nurse mom gave her Gray’s Anatomy coloring book to play with. She also blames her early exposure to the field of medicine for her hypochondria.

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