Category Archives: Uncategorized

Help Wanted: Qualified Death Panelists

Details at The American Interest.

What’s the Best Treatment for Constipation?

Dov Gandell, MDCM, of Sunnybrook Health Sciences Center in Toronto, is quoted by MedPageToday:

Randomized controlled trials involving older participants have revealed the benefits of osmotic laxatives, such as polyethylene glycol and lactulose. Evidence supporting the use of bulk agents, stool softeners, stimulants, and prokinetic agents was lacking, limited, or inconsistent.

Read the rest.  The MedPageToday article implies there’s not much hard evidence for lifestyle interventions such as high-fiber intake, hydration, and exercise.

The Heritability of Intelligence

One factor that seems protective against dementia is to start life with high intelligence.  Genetics plays a significant role in that.  What are the odds a genius will pass his intelligence to his spawn?  Not as great as you might think.

Isaac Newton was a smart guy, but “…according to historians none of Newton’s paternal kinsfolk were able to even sign their names.” 

Basic Guidelines for Strength Training

Skyler Tanner summarized John Christy’s Magic List.

What’s the “Healthy” Dose of Alcohol?

Ned Koch opines here.

The traditional maximum recommended dose of alcohol is one drink daily for women, two for men.  Of course, many should not drink at all.

Fruit-Only Diet Sickens Ashton Kutcher

…as he prepared for role as Steve Jobs.  Details at USA Today.  I’ve never run across a patient eating only fruit.

Pull-Ups Are Making a Comeback

Read about it in the Sacramento Bee.

This Is How Our Brains Trick Us

“The human brain is capable of 1016 processes per second, which makes it far more powerful than any computer currently in existence. But that doesn’t mean our brains don’t have major limitations. The lowly calculator can do math thousands of times better than we can, and our memories are often less than useless — plus, we’re subject to cognitive biases, those annoying glitches in our thinking that cause us to make questionable decisions and reach erroneous conclusions. Here are a dozen of the most common and pernicious cognitive biases that you need to know about.”

Read the rest at io9.

Major Diabetes Complications on the Run

Here’s a quote from a recent Diabetes Care:

Improved therapeutics and health care delivery have brought remarkable declines in the incidence of … complications, with a 50% reduction in amputations from their peak in 1997 and ∼35% reduction in the incidence of end-stage renal disease. Similarly, 10-year coronary heart disease risk dropped from 21% in 2000 to 16% in 2008.

Exercise helps prevent and control diabetes

Exercise helps prevent and control diabetes

Nevertheless, diabetes remains the leading cause of blindness, renal failure, nontraumatic lower-limb amputation, in adults 18 to 65 years of age.  We gotta stay after it!

In addition to lower rates of major diabetes complications, we now have 11 classes of drugs for treating diabetes, compared with just three or four a generation ago.

The essay by Dr. Robert Ratner also notes 79 million Americans with prediabetes.  They need my Conquer Diabetes and Prediabetes book.  It’s only $9.99 (USD), a drop in the ocean compared to the $174 billion spent on diabetes in 2007 in the U.S.

—Steve

Michelle Fields on the Looming Inter-Generational Conflict

One-minute YouTube video.