Do you know anyone whose faint accent or slight lisp becomes pronounced only when they are excited, or distracted? I think that something similar is happening to people who were once obese, but whose weight is now closer to the normal range. Continue reading
My mom doesn’t take diabetes medicine; she keeps her blood sugars normal through a combination of common sense and careful carbohydrate consumption. A few years ago, she had to be hospitalized at her local hospital for what she called a “minor procedure.” The procedure went fine, but the food did not. Continue reading
If I can help it, I like patients vertical, not horizontal. I want to make sure that nobody gets a disease that could have been prevented. Sure, accidents happen. And illnesses show up every day in the lives of patients and their families who did nothing to deserve them, and who could have done nothing to prevent them. But not all illnesses. Continue reading
Everyone has a lot going on this week, so I’m going to keep it short and sweet.
There continues to be a lot of talk about why measures of obesity and infant mortality are so high in the U.S. relative to other Western countries. These kinds of measures are commonly employed to assess the overall health of a population. As a country, the U.S. spends significantly more for medical care. Why, then, does it not translate into improved health outcomes? Continue reading
When I cared for adults in an internal medicine practice in suburban Cleveland, I frequently observed a wonderful phenomenon. It was not at all unusual for patients to bring along their children and grandchildren, fresh from a prior appointment across the hall with their pediatrician. Beautiful, bright-faced, fresh-scrubbed, engaging, chubby, usually well-behaved, American children. The pediatricians’ well-intended recommendations on reducing the rate of weight gain continued to be unsuccessful, and my patients’ faces told me that the ongoing exhortations had become tiresome. If they knew how to fix this problem, they told me, they already would have. Continue reading
This past week I went to hear Dr. Mark Hyman speak to our medical students about functional medicine. My brain was spinning a mile a minute. That happens whenever I spend time thinking about actually preventing illness instead of chasing it. I channeled my energies by spending a good part of the time busily writing tweets to send out on my Twitter feed: Continue reading
Hope springs eternal. No matter how unsuccessful their efforts to “lose weight,” people continue to try. Laudable. Applaudable. And respectable. But, for the most part, unsuccessful. Continue reading