HPV vaccine and 20-somethings

Younger is better, but…

The HPV vaccine protects against the most common types of viruses that not only cause cervical cancer, but mouth and throat cancers, as well.

It’s most effective when given before a child becomes sexually active.

But what about all the 20-somethings out there who didn’t have access to this vaccine? After all, it’s only been available since 2006, and before 2011 it was only offered to girls.

Is there any benefit, especially for young men, to getting vaccinated in your twenties?

I found an interesting article written by a journalist who asked the same question—because … Continue reading

Humans vs. disease: How it all began

An eternal battle

I have always been fascinated by the history of medicine and disease. I minored in medical history in college and have probably read dozens of books on the subject.

If you’re interested but don’t have that kind of time to invest, I just ran across a couple of short (very short!) videos on YouTube that I found to be remarkably good overviews of a complex topic.

The first is from Crash Course World History:

If only my history teachers in high school had been so entertaining!

I especially loved his statement: “You Continue reading

Active surveillance for thyroid cancer

Papillary thyroid cancers are overtreated

In 2010 my husband almost died while being treated for a small papillary thyroid cancer.

Papillary tumors are by far the most common type of thyroid cancer, and are typically very slow growing. Most doctors I know say that if you have to get cancer, papillary thyroid cancer is the one to pick!

My husband didn’t choose to get thyroid cancer, of course, but once his primary care physician found the lump during a routine physical, he was put on a fast track to being overtreated.

Back then, we just didn’t know any better.

I … Continue reading

Teen athletes, screening ECGs, and AEDs

screening ecgsThe debate over screening ECGs

When my son was a teenager, he participated in several school sports, including track and field.

And it always freaked me out when I heard a news report about a young teen athlete suddenly dying on a track or a basketball court.

The stories were similar: young, seemingly healthy teenagers died because no one knew they had a problem with their hearts.

Every time I wondered if I should immediately take my son to his pediatrician and demand an (electrocardiogram) ECG to make sure his heart was OK.

I had to remind myself that these … Continue reading

How to prevent colon cancer

Colon cancer on the rise in young adults

I recently read a disturbing report that colon cancer is on the rise in Millenials and GenXers.

People born in 1990 now have double the risk of colon cancer and four times the risk of rectal cancer, compared with those born around 1950 when the risk was lowest, the researchers said.

The overall risk is still very low for that age group, but the study certainly suggests that lifestyle factors—obesity, diets high in processed foods, sedentary habits—could be a factor.

March is Colon Cancer Awareness Month!

A healthy diet and exercise are … Continue reading

Be informed – Poison control number

poison control numberThe Centers for Disease Control (CDC) just released a warning about keeping hand sanitizers out of the reach of small children. Because more people use hand sanitizers during cold and flu season, there are more reports of children being poisoned by the main ingredient, either isopropyl alcohol or ethanol. About 90% of these poisonings were in children younger than five.

Anyway, here is a re-post about preventing childhood poisonings in general, and links to Poison Control and other resources. 

Stay safe! FN

A rising number of childhood poisonings

I don’t know much about e-cigarettes and vaping, but a recent study Continue reading

The Seven Year Rule

Newer drugs are not necessarily better drugs

A few days ago at the gym, I was leafing through an issue of Health magazine.

What caught my eye was not the article about preventing stress injuries, or the recipe for a zingy, low-fat curry, but rather the pages devoted to ads for prescription drugs. Drugs to treat psoriasis, hepatitis C, dry eyes, depression, Alzheimer’s, diabetes, arthritis, and overactive bladder, to name but a few.

Each ad took three pages. After doing a little mental math, I discovered the ads for these new prescription drugs made up more than 30% of the … Continue reading

Don’t use homeopathic remedies on children

homeopathic remediesHomeopathic remedies don’t cure, and they can harm

I’ve posted before about homeopathy and homeopathic remedies. In short, they don’t work. There is absolutely no sound scientific evidence that supports homeopathy.

Related post: A homeopathic parody

At best they’re a waste of money; at worse, homeopathic remedies may be harmful, especially to infants and small children.

In recent months, certain homeopathic remedies for teething babies have been targeted by the Food and Drug Administration (FDA).

These products, Hyland’s Teething Tablets and Hyland’s Teething Gel, contain very small amounts of a well-known poison—belladonna or “deadly nightshade.”

How can poison be a … Continue reading

Soluble fiber and bad cholesterol

insoluble fiberCholesterol and diet

A few months ago I posted about my husband’s dilemma with his cholesterol, specifically his low-density (LDL) or “bad” cholesterol level.

His physician advised a statin, but my husband is understandably reluctant to start taking a daily pill for the next 30+ years.

Because he has no other heart disease risk factors, such as being overweight, a smoker, high blood pressure or a family history of heart disease, he and his physician made a plan to re-check his cholesterol level in 6 months.

A date which is rapidly approaching.

He’s exercising more and being more careful … Continue reading

Healthcare’s perverse financial incentives

A hospital puts profits over patient safety

First do no harm.

That’s part of every medical school graduate’s oath. It should be the motto of anyone working in healthcare.

But I just read a disheartening piece of investigative journalism in my local newspaper, the Seattle Times, about a hospital where I trained, worked, and received care. The story highlights how the perverse financial incentives in healthcare (do more, get paid more) undermine patient care and safety.

…the aggressive pursuit of more patients, more surgeries and more dollars has undermined Providence’s values — rooted in the nonprofit’s founding as a

Continue reading

The health effects of pot – What do we know?

The good news and the bad news

A few years ago my state, Washington, legalized marijuana. I voted in favor.

Since then I’ve wondered if that was a good idea. Tax windfall aside, what do we really know about the health effects of pot, good or bad?

Recently, one of my favorite health news sites, Healthcare Triage, posted this video: What we know about pot in 2017

Dr. Carroll presents a good summary of available research on the health effects of pot. Unfortunately, as he points out, there just isn’t enough quality research being … Continue reading

We’re doing too many screening and diagnostic tests

More tests = more money

Anyone who has read my blog over the years knows this is a subject I come back to again and again: the overuse of screening and diagnostic tests.

It’s a problem in our healthcare system for a couple of reasons.

First, the majority of healthcare providers are paid based on volume. In other words, the more patients they see, the more tests they run, the more surgeries they perform, then the more they get paid. It doesn’t matter if the outcome is poor, because they still get paid. In fact, they make even more money … Continue reading

Learn CPR and first aid

♥It’s Valentine’s Day!♥ In honor of that I thought I would re-post about learning CPR. It’s a great skill to have! FN

Here’s a feel-good story about a young man who saved a life because he knew how to perform CPR—and wasn’t afraid to use it!

CPR delivered: “I left a pizza boy and came back a pizza man”

CPR is a great skill to know. It’s not going to be useful in every scenario, but just having the knowledge of how to do it can be very empowering in an emergency situation. And many CPR classes also teach you … Continue reading

Hygge – The Danish art of happiness

Hygge, pronounced “hue-gah”

A friend sent me a link to an article about the Danish philosophy of hygge. Her stepmother is Danish, so perhaps that’s why it caught her eye.

I hadn’t heard of hygge before, although I do remember reading somewhere that the Danes are considered the happiest people on the planet (ignoring Hamlet, of course).

Apparently that’s because of hygge, from which we get the English word “hug”.

Like a hug, hygge is about being cozy, comfy and cuddled. It encompasses home decor, clothing, social interactions and self-care.

After a January filled with below-freezing temperatures, flu and a … Continue reading

Choosing an antifungal cream

antifungal creamOne cream to treat them all

Over the weekend, I discovered I had a minor case of athlete’s foot. I’m no athlete, but note to self: wear flip-flops when taking a shower at the gym!

I couldn’t find a tube of antifungal cream in my medicine cabinet—it’s been years since anyone in my family has needed it—so I went out to buy one.

A large number of options confronted me. As always, I thought to myself, “How do ordinary consumers decide which of these fifty tubes of antifungal creams they need?”

Most manufacturers market the creams (or ointments, powders or … Continue reading