Is It Bad to Take Medications?

This blog is dedicated to helping non-medical consumers make smart choices about how to handle their health and health care. Nowhere, and I mean nowhere, is there more misinformation or more misconceptions than where medications are concerned.

Sometimes when I advise prescription drugs to treat uncontrolled medical conditions patients react as if I am literally trying to poison them. I find the majority of patients, regardless of their intelligence, are not well educated about either the danger of not treating certain conditions or the benefit of treatment with the right drug at the right dose.

Read this post if you are willing to set your preconceptions aside and look at the whole medication question from a health professional’s perspective.

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Consumers are the Ultimate Stakeholder in Health Care Reform

This week President Obama invited “stakeholders” in the health care system to the White House to seek their input about the best ways to reform health care. Representatives from hospitals, the insurance industry, medical device and pharmaceutical companies, labor and physicians came to discuss ways to lower health care costs across the board. Neither consumers nor nurse practitioners were among the invited stakeholders.

Also this month the Deloitte Center for Health Solutions (a subsidiary of the international consulting company Deloitte and Touche) published their analysis of a survey they did of 4,001 American adult health care consumers. The survey (administered either in English or Spanish) sought information about the behaviors and attitudes of consumers regarding health care.

Read this post to learn what we as consumers - the ultimate stakeholders in health care reform - say we want.

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Your Lifestyle Choices: Are You Preventing Disease – or Inviting It?

Maverick Health and my book, A Nurse Practitioner’s Guide to Smart Health Choices, are all about using your lifestyle behaviors to prevent or control chronic diseases. I’ve been at this for over a decade now and every day I read studies and hear news-bites that only validate what I write about on this blog and talk about in my book.

But until you know what I know and, more importantly, act on what you know all this information is useless. Read this post about a study in Europe that looked at how well people controlled their risk factors after they’d already had a heart attack or serious cardiac event. Hint: reviewers that read the study found its results “ominous”.

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Synch to Your Body’s Own Clock and to Mother Earth for Better Health

In March 2009, Proceedings of the National Academy of Sciences published research done at the Division of Sleep Medicine at Brigham and Women’s Hospital in Boston. Researchers studied 10 subjects – 5 men and 5 women – to see what happened to their cardiovascular and metabolic systems if their behavioral and circadian rhythms were disrupted.

If you want to know what effect being out of synch with your body’s own clock and the rhythms of the Earth has on your health, read this post.

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What Is Insulin Resistance and Why Should You Care?

Insulin resistance is a silent condition that, unrecognized and untreated, leads to diabetes. According to the Centers for Disease Control and Prevention, 57 million adults are estimated to have insulin resistance – also known as “impaired glucose tolerance”, “impaired fasting glucose”, “prediabetes” and “metabolic syndrome”.

And you know what? You have more power over this condition than your health professional does. A diagnosis of diabetes is a life changing event. Read this post to see what you can do to head diabetes off at the pass and prevent it.

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How Much Exercise is (Really) Enough?

In February 2009, the American College of Sports Medicine published Appropriate Physical Activity Intervention Strategies for Weight Loss and Prevention of Weight Regain for Adults. In this position statement they revised their 2001 position and raised the bar on the amount of exercise they recommend - from 150 minutes to 250 minutes a week. 

In my book, A Nurse Practitioner’s Guide to Smart Health Choices, I went out on a limb and exceeded the ACSM guidelines at the time and recommended 240 minutes of exercise a week at your target heart rate as the minimum amount of exercise needed for good health and weight maintenance. I went even further and, in the book, recommended 300 minutes of exercise a week if you are really serious about losing weight.

Before you click me off, just read this post.

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Do You Want to Prevent a Stroke? Behave This Way

Working on my book over 10 years ago, I already knew from experience that behaviors - not mysterious diseases - are the cause most of today’s illnesses. After years as a critical care nurse, I saw how medical treatments arrive too late in the game – way too late – to spare people the pain and suffering that comes from having a chronic disease or suffering a catastrophic health event like a stroke. Nobody was talking much back then about health risks or the behaviors that create them, but they are now.

Study after study keeps proving that certain lifestyle behaviors promote health and prevent disease. Two recent studies – one published in the British Journal of Medicine  and one in the journal Circulation- both showed how specific lifestyle behaviors dramatically reduce stroke risk.

Read this post to see what those behaviors are.

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Vitamin D Update – Are 3 out of 4 Americans Really Deficient?

Six months ago, in September 2008, I wrote a post on vitamin D. Since then info keeps pouring in about the apparent benefit of this supplement. This month researchers at the University of Colorado Denver School of Medicine reported that three out of four Americans are deficient in vitamin D. They claim that’s up from about one out two 20 years ago. Some have argued that it might just seem that way because of how vitamin D was measured then and now.

After I researched and wrote that post 6 months ago, I started measuring my patients’ vitamin D levels. I am shocked at the results.

Read this post to see what vitamin D levels are like here in the “Sunshine State” of Florida.

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Do You Think You Are Following a Low Salt Diet? You Probably Aren’t

This week Time Magazine ran a really good article online by Tiffany Sharples about the pitfalls and difficulties of following a low salt diet. Here’s a link to it. If you are African American, a woman, have CHF (congestive heart failure) or high blood pressure, this would be a good link to follow.

First read my post about the story of a patient of mine who had to dramatically cut his sodium intake after a stroke.

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Unleashing Your Inner Olympian

I was talking to a diabetic patient of mine one day who was was worried about the an upcoming trip to Disney with his grand-daughter where he would have to do more walking than he was accustomed to. I asked him if he exercised. He held up his hand in a “stop right there” gesture and said, “Do not speak to me about exercise, I follow the religion of comfort and exercise is uncomfortable.” His statement left me completely speechless (and if you knew me you would appreciate how uncharacteristic that is).

This post is for all of you who have lost touch with your inner Olympian.

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