I’ll spare you a migraine. Don’t google “ozone therapy” as you’ll get 2.1 million results in 0.35 seconds. And while this is a mere fraction of what happens when you search for “migraine” (80 million in 1.19 seconds), just reading about the controversy over ozone therapy in first 20 entries might be enough to give […]
Category: O
Overcoming Worry
Ask a group of doctors about the conditions they treat most frequently and they’ll likely place stress among the top ten. The factors triggering all this stress seem endless: pressures having to do with work, home, money, relationships, and even how we respond to a daily commute. It’s important to acknowledge that some life circumstances […]
Osteopenia and Osteoporosis, Part 2
Last week in Part 1 we wrote an overview of osteoporosis and osteopenia. I couldn’t help but note that most US physicians can date their knowledge of both diagnosis and treatment to the saturation marketing of Big Pharma’s variety of osteoporosis medications, most notably the bisphosphonates (Fosamax, Boniva, Reclast). As we all get older, our […]
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 […]
Overlooked Diagnosis: The Most Common Cause
The high point in my medical education was a medical school semester at a hospital in Soho, the very heart of London’s swinging ‘60s. From an academic point of view, I don’t remember much except for one compelling lecture from a very British professor on making an accurate diagnosis. He began by saying doctors had […]
Out Of Whack Hormones
“My hormones are out of whack!” That’s the single most common sentence I hear from my patients. It can come from a 25-year-old with irregular periods and industrial-strength PMS whose energy has gone down the tubes. Or from a 45-year-old (on the threshold of pre-menopause) who continues to gain weight even though she’s eating less […]
Out Of Whack Hormones
“My hormones are out of whack!” That’s the single most common sentence I hear from my patients. It can come from a 25-year-old with irregular periods and industrial-strength PMS whose energy has gone down the tubes. Or from a 45-year-old (on the threshold of pre-menopause) who continues to gain weight even though she’s eating less […]
Obsessing Over Regrets
We each have our own personal stash of regrets, and when they surface our language trends to the elegantly named counterfactual conditional phrasing: “If only I had married Bob, I would have been happy.” Well, you didn’t marry Bob (instead you married The Jerk), and in any case there’s no guarantee Bob isn’t his own […]
Obamacare: The Losers
In last week’s Health Tip we reviewed the groups that have done remarkably well with the passage of the Affordable Care Act (ACA), also called Obamacare. Unfortunately, three of the four big winners are industries enjoying record profits as a result of the new law–the health insurance industry, hospitals (and the physician practices they now […]
Obamacare: The Winners and The Losers
Despite the efforts of a few hardliners in Congress, it looks like Obamacare–the Affordable Care Act–is here to stay. After making its best effort to kill the bill at a fetal stage, the big guns of American healthcare (various medical associations, the American Hospital Association, Big Pharma, the health insurance industry) are now enjoying a […]
Overdiagnosed and Overtreated: Where’s Mine?
I recently read that mild high blood pressure is turning out to be one of the most overdiagnosed and overtreated health conditions. Untold millions are taking meds they probably don’t need, possibly experiencing unpleasant side effects in the process. The actual history–why we’re all taking inordinate amounts of blood pressure meds–was revealed when it was […]
Out Of Whack Hormones
“My hormones are out of whack!” That’s the single most common sentence I hear from my patients. It can come from a 25-year-old with irregular periods and industrial-strength PMS whose energy has gone down the tubes. Or from a 45-year-old (on the threshold of pre-menopause) who continues to gain weight even though she’s eating less […]
Obama Kvells, Docs Report Misery, and A Modest Proposal
Kvell is a Yiddish word meaning super happy and proud. My grandmother, for example, kvelled when I actually got my MD degree, even though she’d been calling me Dr. Edelberg since I was two. This week, it was President Obama’s turn to kvell. He’d received great news about the Affordable Care Act (ACA), which, now […]
Our Statin Nation
Although they don’t know who they are, 11 million Americans awakened last week as victims of a new disease, the dreaded “statin deficiency disorder,” or SDD. It’s not easy to diagnose because there are no symptoms. Even the lab test once closely linked to the word “statin”—cholesterol measuring–may miss SDD. In fact, with no symptoms […]
Are You An Accidental Orthorectic? It’s Possible…
I saw a pleasant but very worried 40-something woman a few weeks ago who had written on her intake form “Candida!” “Food allergies!” and “I don’t know what to eat!” To be honest, she didn’t look particularly healthy, likely because she was both poorly nourished and depressed. Her story is provocative. Many months earlier, feeling […]
Four Reasons To Like Obamacare
Like everyone who works in health care, I’m both excited and nervous about what the Affordable Care Act (ACA), also known as Obamacare, will mean for both patients and practitioners. I like to view my excitement as an optimistic one, similar to the way people must have felt in the 1930s when Social Security guaranteed […]
An Occasionally Pleasant Minimum Security Prison
What three things do the following occupations have in common: teacher, nurse, secretary (now called administrative assistant), and information technologist? First, I would classify them all as helping professions. Second, based both on surveys and my own experience as a physician, they all work under conditions of stress, suffer a lot of anxiety and depression, […]
You, the Wonderful One-Hoss Shay
Back in the 19th century, the physician and writer Oliver Wendell Holmes Sr. wrote the cheerful poem “The Deacon’s Masterpiece or The Wonderful One-Hoss Shay.” The poem tells of a deacon who wanted to build a perfect shay, a popular two-wheeled carriage drawn by a horse, one that would last 100 years. He did so, […]
Overweight? Blame Your Car
The endless and usually irritating “which is better?” debate between city dwellers and suburbanites came to a grinding halt in 2003 when a study was published showing suburbanites were on average several pounds heavier than their urban counterparts.
Obsessing Over Regrets
We each have our own personal stash of regrets, and when they surface our language trends to the elegantly named counterfactual conditional phrasing: “If only I had married Bob, I would have been happy.” Well, you didn’t marry Bob (instead you married The Jerk), and in any case there’s no guarantee Bob isn’t his own brand of jerk.