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Osteopenia and Osteoporosis, Part 1

As is the case with many of our contemporary ailments, it was a combination of Baby Boomer longevity, the ready availability of devices to measure bone density, and Big Pharma creativity that taught both patients and physicians about osteopenia (low bone mineral density) and its more serious consequence, osteoporosis, in which bones become brittle and […]

Controversial Diagnosis #2: Chronic Fatigue Syndrome

In the mid-1980s, two outbreaks of what appeared to be infectious mononucleosis appeared in the US. Unlike typical mono, which caused exhaustion for a few weeks, people with this type were left in a permanent state of fatigue, with low-grade fevers, swollen lymph glands, muscle aches, and poor focus/concentration. In some cases, the fever and […]

The Best Piece of Financial Advice You’ll Ever Receive: Stay Healthy

The title of this piece should be in quotation marks because that advice is not my own. Based on my ineptness, I never give financial advice to anyone. Stock tips? I’m a Cumaean Sibyl in reverse. If ever money or finance come up in conversation, people who know me head for nearest exit in order […]

130/80: What The New High Blood Pressure Guidelines Mean For You

You might not have known it, but last Monday, November 13, 2017, you may have awakened with high blood pressure (hypertension). Don’t feel alone. A massive increase in the number of people with hypertension occurred overnight when the definition of high blood pressure was officially changed from 140/90 (and higher) to 130/80 (and higher). I’m […]

Functional Medicine 101 + Introducing Dr. Alaina Gemelas

Functional Medicine is without a doubt the fastest growing medical specialty of the 21st century. Public interest in it and public acceptance of it continues to please me. Every day I hear the sentence, “I made this appointment because I wanted a functional approach.” When I ask patients how they learned about it, the answer […]

Moving and Eating To Protect Your Heart

One of the great pleasures of Chicago is summer. We’re outdoors and moving around, whether jogging, swimming, biking, walking the dog, slamming a volleyball, or tossing a Frisbee. And because we’re all wearing fewer clothes, we can tell in a single furtive glance if we’re happy with our weight. “Oh, well,” you think, “I might […]

Health Screening Offers: Should You Bother?

Like most people, you’ve received one of those brochures in the mail with a headline screaming something like “Health Screening Can Save Your Life!” They’re filled with photos of happy, healthy people on golf courses or with their grandchildren and are liberally sprinkled with quotes like, “Dan’s alive today because an ultrasound revealed his aneurysm.”

Pain And How We Perceive It

Many people suffering chronic pain and fatigue hear far too often the dismissive “it’s all in your head.” Dr. Edelberg has written frequently on the destructive nature of this statement, which places all the blame on the patient and none on the physician to dig deeper into the causes. As Dr. E wrote in a […]

Worrisome Dementia Report For Women and Steps To Take

We’ve always known there was a higher rate of Alzheimer’s disease and other dementias in women than in men, initially attributed to the fact that women live longer and that the decline in mental function occurred with age. This turned out to be wrong. At 65, a woman has a greater than one-in-six chance of […]

Will You Live Another Five Years?

Of course you might not want to know the answer to that. Or, having worked diligently on healthful eating and regular exercise, you may want to know if it will all pay off. Now, in a joint project between Swedish statisticians and a half million (!) volunteers in the UK, there’s a simple questionnaire that […]

Are Lifestyle Changes Impossible?

Many years ago, I became exhausted dealing with a friend who ignored my advice on living a healthy lifestyle. His attitude toward exercise was similar to Oscar Wilde’s “I often take exercise. Why only yesterday I had breakfast in bed.” His attitude toward food, especially restaurant food, seemed too often that he didn’t care if […]

For A Longer Life…Stand Up Now!

By far the most common answer to my question, “Exercising these days?” is “Not enough.” This is usually accompanied by the briefest flicker of melancholy regret, as if by such a confession my patient has permanently abandoned the hopes and dreams of both a svelte body and enviable longevity. “Don’t worry,” I say, “It’s just […]

How To Not Die At Your Health Club

All things considered, most of us would prefer not to become acutely ill in a public place. You’d rather not faint at Macy’s, upchuck in a theatre lobby, or suddenly become aware of the Mount St. Helen’s rumbling in your intestines as you sit third row center at Orchestra Hall. If you trip and fall […]

Your Walking Pace, Thighs, and Longevity

I’m sure you shared my sense of relief when you read earlier this year that being a tad overweight actually was a positive in terms of lifespan. Not obese by any means, but a little chunky–husky if you will–was just fine. Researchers analyzed thousands of moderately overweight people and concluded that their all-cause mortality was […]

Helmet-Free Biking (Sometimes)

Chicago is in the process of selecting where to locate some 300 racks for its new bike-sharing program, delayed until Spring 2013 by politics (which will come as no surprise to any true Chicagoan). Modeled after similar programs in Canada and Europe, the bike-share program is simple.  The racks are stocked with rental bikes. Swipe […]

How Much Exercise?

I owe the details of this health tip to Dr. Joseph S. Alpert, the physician-editor of the American Journal of Medicine. Since a subscription to this highly respectable journal is, for non-physicians, $166 a year, I’ll assume it’s not regularly thrust through your mail slot and share his article with you.

Will Alzheimer’s Skyrocket?

In 2006, the very dark comedy Idiocracy played local theatres for what seemed like a few hours before disappearing into DVD bins and obscure cable channels. Its Rip van Winkle story involves a not particularly bright Army librarian, recruited into a Pentagon hibernation program, awakening centuries into the future and finding himself the most intelligent person in America.