Archive for February, 2006

Feb 28 2006

Polyphasic Sleeping?

Published by barbara under Sleep, General Health

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I’m sure many of you have problems with sleep - either intermittently or or a regular basis. I know I hear about it at least half a dozen times a day.

So here is an article discussion the lack of sleep we get. It’s also talking about a concept of “polyphasic sleeping” where you essentially sleep 20 minutes at a time, several times during the day…and that’s it!

Not sure about that one….let me know what you think.

When sleep is just a dream 

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Feb 23 2006

Glucosamine | Osteoarthritis

I’m sure you will read in the news today about a study that was just released in the New England Journal of Medicine about how glucosamine is not effective.

I beg to differ here.

First of all, the study used glucosamine hydrochloride, not glucosamine sulfate - which has been shown to be effective in previous studies. This is the form that is most often recommended and most patients I see are telling me it works for them.

Secondly, this study was looking for pain relief. Glucosamine is not a pain medication, however pain relief is a secondary (and important) benefit.

Glucosamine is a supplement that I always recommend people use for a minimum of 6 weeks before deciding that it is not effective for them. What I hear most often from people is that they did not realize how helpful it was until they stopped taking it.

In addition, since over the counter supplments are not regulated the way “medications” are, it is possible you may need to try more than one brand to find one that works for you.

As always, do your research before you take something. Better yet, talk with your Nurse Practitioner or other health care provider about this or any other supplment you take.

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Feb 22 2006

Living with Lung Cancer - Workshop

Published by barbara under Cancer

Living with Lung Cancer Workshop
A free two-part telephone education workshop series for people living with lung cancer, their families, friends and health care professionals is scheduled for Feb. 23 (Part I) and June 14 (Part II). Both workshops are held from 1:30 p.m. to 2:30 p.m. EST. Register online or call 800-813-HOPE.

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Feb 20 2006

Confusing times for women on health issues

I posted the other day about yet another study that negates what the one before had said. This is what is true about studies that get published….they are just another step in the process of uncovering truths in a scientific manner. As previously stressed…looked for consistencies over time.

Things can and do change all the time. We learn more, we find new ways of asking questions and new ways of exploring the data we have.

I think this article does a good job in pointing out why common sense is the order of the day. ~ Barbara
The following article is taken from the Mercury News.

Confusing times for women on health issues
STUDIES CONTRADICT TRADITIONAL THINKING
By Kim Vo and Barbara Feder Ostrov
Mercury News

In the topsy-turvy world of women’s health, Frenchie Perry has thrown up her hands. Hormones were good, then bad, now good again. Then experts fought over fat. Now she hears they’re reconsidering the bone-strengthening powers of calcium.

“I think now, you don’t know what to think,” said the 63-year-old Palo Altan, shaking her head. “You’re on your own.”

It’s been a dizzying month for women after a series of major studies seemed to contradict traditional thinking about how to stay healthy. Among the headlines: Low-fat diets may not significantly lower the risk of heart disease or some cancers. Exercise might not change your chances of getting colon cancer. Taking estrogen doesn’t up the odds of heart disease, if you’ve had a hysterectomy.

And the chalky calcium pills may be for naught: They don’t appear to help prevent broken bones.

Whipsawed by contradictory advice, some women said the latest findings won’t make them change their ways. After all, even if the studies found some habits weren’t helping, they weren’t hurting either.

“I’m doing what I’m doing,” said Geri Brown, 52-year-old CPA from Portola Valley who drinks soy milk, practices Bikram yoga and takes calcium supplements. “This week it’ll be this, next week it’ll be that.”

Louise Beattie, a Palo Alto homemaker, says she stopped listening long ago. “Remember when they said mammograms weren’t preventing cancer?” said Beattie, 65. “I figured, `Oh, men just don’t want to spend money.’ ”

Beattie was working out at Curves in Palo Alto with Judy Laura, a retired real estate agent from Menlo Park. Despite the findings, both say they’ll continuing taking calcium — Beattie drinks a quart of milk a day, Laura takes it in pill form — because their doctors said their bones were strong.

“I think you have to use common sense,” Laura, 63, said.

Dr. Ruth Shaber, director of women’s health services at Kaiser Permanente Northern California, says she has no intention of changing her medical advice to women based on the low-fat diet study by the Women’s Health Initiative.

“The WHI is only one study,” she said, noting that it only followed women for eight years, well before some emerging cancer or heart disease cases might be detected.

Like most medical experts, Shaber puts great stock in consistent research, including some data from the WHI, showing that exercise helps improve heart health. “Thirty minutes a day, at least five days a week. No excuses anymore.”

She counsels women to eat whole grains, avoid so-called “bad fats,” and avoid high-fructose corn syrup.

“Women are very susceptible to what they hear in newspapers, on the radio, from friends and family,” she said. “They’ll come in with a bag full of vitamins that they’ve spent a great deal of money on. There’s confusion out there about what’s good for them. It’s confusing for doctors, too.”

Kathryn Sucher, a dietician and professor of nutrition and food science at San Jose State University, says the problem with studies like the WHI is that they are examining a one-size-fits-all diet strategy.

“There probably isn’t a benefit to everyone from a low-fat diet or taking calcium and Vitamin D,” she said. “But if you know you have a risk of a certain disease, or if your cholesterol is high, should you go on a high-fat diet? No.”

The study’s results “don’t give you a wholesale license to go out and eat whatever you want,” she said. “One of the biggest risk factors for breast cancer is being overweight.”

Americans have long looked to a low-fat diet as “another magic bullet, thinking, `if I just do this, I’ll live forever,’ ” she said. “The bottom line is, it’s the type of fat you consume, the total calories you consume, that is probably more important than total fat.’”

Adding to fog are health writers who interpret the studies differently, said Jewelle Gibbs, a retired psychology professor who lives at Stanford. She remembers recently reading two newspaper articles about the same study: One paper said calcium offered moderate benefits, the other said there were none.

“The press doesn’t give clear summaries,” said Gibbs, who still plans to take her 1,200 mg a day “so I don’t fall and break a hip.”

Sucher, 55, has changed her own diet to minimize her risk of heart disease, which runs in her family. By cutting back on salt, saturated fat and trans fats, and eating oatmeal, she has lowered her cholesterol and blood pressure. She advises women to control their weight, exercise frequently, eat more fruits and vegetables and replace saturated fats such as butter with healthier fats like olive oil.

“Everything in moderation,” she said. “Eat real food, and don’t go overboard.”

Caryn Finhill, 48, has developed her own similar guidelines for a healthy life.

“Logic dictates that you do things in moderation,” the Palo Alto woman said. “You enjoy your life, try to keep the stress down and have a loving family. That’s all you can do.

“You can follow this fad and that fad and that mucks it up. In 10 years, they find something else.”

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Feb 18 2006

New Menopause Site

Published by barbara under Menopause, General Health

I’ve been playing around with a new website builder and put together a collection of articles by various people on menopause.

As varied as the authors are, so are the articles. Diversity can be a good thing when it comes to menopause as there is no one single best approach. We’ll try to keep it that way so there is something for most women there.

You may want to bookmark the site as I’ll be adding to it frequently as new articles become available. In addition, the site receives news and updates via various RSS feeds. This means it’s updated with news and information from a variety of sources.

I invite you to visit CelebrateMenopause. You might want to bring along a cup of tea….

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Feb 15 2006

Hormones - in the news again

Another study, more confusion.

Feb. 13, 2006 - In recent years many women stopped taking hormones for menopause after a report linked them to heart disease. Now researchers have found that estrogen might not be as bad as we thought — especially for younger women.

The new findings suggest a possible estrogen benefit for women in their 50s, but experts say it’s too early to recommend hormones to help the heart.

Read more: http://www.webmd.com/content/article/118/113092.htm

My recommendation: Talk with your health care provider, weigh all the pro’s and con’s and then make a careful decision based on your individual preferences, risk and health status.

Stay healthy!

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Feb 12 2006

Women and Heart Attacks

Published by barbara under Heart Concerns, General Health

If you’re a woman, you may not believe you’re as vulnerable to a heart attack as men–but you are. Women account for nearly half of all heart attack deaths. Heart disease is the number one killer of both women and men.

There are differences in how women and men respond to a heart attack. Women are less likely than men to believe they’re having a heart attack and more likely to delay in seeking emergency treatment.

Further, women tend to be about 10 years older than men when they have a heart attack. They are more likely to have other conditions, such as diabetes, high blood pressure, and congestive heart failure–making it all the more vital that they get proper treatment fast.

Women should learn the heart attack warning signs. These are:

  • Pain or discomfort in the center of the chest.
  • Pain or discomfort in other areas of the upper body, including the arms, back, neck, jaw, or stomach.
  • Other symptoms, such as a shortness of breath, breaking out in a cold sweat, nausea, or light-headedness.

As with men, women’s most common heart attack symptom is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting, and back or jaw pain.

If you feel heart attack symptoms, do not delay. Remember, minutes matter! Do not wait for more than a few minutes–5 minutes at most–to call 9-1-1. Your family will benefit most if you seek fast treatment.
(Courtesy of National Institute of Health)

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Feb 08 2006

Oh-oh, now what?

Well the study may not have panned out as it was anticipated, however, it does lead one to believe that we really need to start eating better at a younger age.

This is not to say that 50 is too late to start though. As always, take every study with a grain of salt.

~~~~~~~~~~~~~

Those healthy veggies and virtuous non-fat desserts help women far less than doctors hoped — if they help at all, say three major studies trying to link low-fat, high-fibre diets with reduced cancer risk, heart disease and stroke.

Today, the Journal of the American Medical Association reports that an eight-year clinical trial of 48,800 U.S. women aged 50 and up indicates either that a good diet is overrated, or that midlife is too late to begin it.

The journal sums it up bluntly: “A diet low in fat, but high in fruit, vegetables and grains, does not significantly reduce the risk of breast cancer, colorectal cancer or cardiovascular disease in postmenopausal women.”

Scientific jaws are dropping everywhere.

Breast and colon cancer are two of the three most common cancers in North American women (along with lung cancer).

For decades, doctors have urged women to eat a healthier diet as a defence against these diseases, as well as to lower their blood pressure and cholesterol, and prevent heart disease and stroke.

The high-fibre, low-fat diet is still a good idea, some of the researchers conclude — but if so, then tweaking a diet at age 50 is too little, too late, to change a woman’s future health.

You can read the rest of it here

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Feb 06 2006

Menopause Is a Wake-Up Call

Menopause Is a Wake Up Call
by Rebecca Hulem, RN, RNP, CMC

“Change is not made without inconvenience”
Richard Hooker

The above quote is the perfect reminder for all of us transitioning through menopause:
When it comes right down to it, the hot flashes, night sweats, mood swings, fuzzy thinking, sleep disturbances and decreased libido are all just downright inconvenient!!!

After all, we are women who are very busy and responsible. We have things to do, people to take care of, and places we need to be. The inconvenience of the physical changes and emotional chaos that menopause sometimes brings…
well, it’s just not on our agenda!

So what do we do? We look for ways to postpone these inconveniences as though we get to choose when and if we will allow ourselves to go through them. Our desire to postpone has been supported by the medical community with thousands of prescriptions for hormones and antidepressants. Am I suggesting that these medications are bad? Absolutely not! Every medication has the potential to make a profound and healthy change in someone’s life.

What I am suggesting (and what I get into in depth in my book, “Feelin’ Hot?”), is the following:

  • Every woman is a unique individual whose lifestyle, body and personal beliefs are significant factors in health care choices.
  • Menopause is a “wake up” call that reminds women they have the right to take a proactive role in deciding how they live their lives, to make decisions, and embrace lifestyle choices for healthy living.
  • Women need knowledge, tools, and guidance to discover their personal truth as they embrace this exciting “second half” of their lives.

So wake up, educate yourself, embrace your choices and enjoy!

(c)Rebecca J. Hulem, RN, RNP, Certified Menopause Clinician, has 28 years experience in the medical community and is the author of Feelin’ Hot and contributing author to two additional books. To sign up for her free menopause newsletter or for further information, please refer to her website at TheMenopauseExpert

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Feb 02 2006

Medicare Drug program problems…

If you are on medicare and struggling with the new medication program, you may be interested in this:

WASHINGTON - Private insurers offering prescription drug coverage through Medicare should supply senior citizens with an additional 60-day supply of medicine for emergency cases, the Bush administration says.

The move will give beneficiaries more time to find alternative treatments when their plan won’t cover a prescription, or more time to file an appeal. Pharmacists had warned that the previous 30-day limit could pose significant problems for poor senior citizens and disabled patients.The new prescription drug program under Medicare began Jan. 1. In a review of the first month, Health and Human Services Secretary Mike Leavitt acknowledged there were problems with the startup. “I make no excuses,” he said. “We own the problems.”

You can read the entire article here.

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