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  • Comments on Michael Jackson’s Death

    Michael's Jackson's sudden death surprised many. Accurate details of his complex medical history were largely unknown to the public. (Properly so, as these should remain for any individual exquisitely private.) The assumption had been all along that, despite his difficulties with psychiatric, dermatological, and plastic surgery compromises and misadventures, his general cardiovascular and medical statuses were presumably good. After all, he had remained a world-class entertainer—one about to undertake a physically and mentally demanding long-term world tour.

  • Vitamins, Minerals, and “Supplements”

    Nutritious food that is properly prepared, in balance, and consumed in moderation remains the only guaranteed "best program" for optimal nutrition. The science of nutritional supplements, deficiencies, vitamins, minerals, etc., remains challenging. Controlled studies, including outcomes studies (i.e., those that determine if an intervention really helps us or not), are difficult to do because there are so many variables. Evidence-based guidelines are sparse.
     
    Medical science currently recommends the following in terms of vitamins, minerals, and supplements:

  • Common Sense Advice on Health, Happiness, and Longevity

    One of the more pleasant aspects of my professional life is to read excellent medical journals and publications. I read, skim, or speed read quite a few, mostly in my own specialty of internal medicine. (And, yes, "internal medicine" IS a specialty. I have never liked the term primary care medicine and almost never use it. I consider it to be a meaningless nonmedical term of economic convenience for those who do not know the essence of medicine.)

  • The HIPPAY Approach to Medicine

    In September 1969, I entered Tufts University School of Medicine, in Boston. The classes of the first two or three days were lectures about introduction and orientation to the new and bewildering world that was to be our professional universe for the next four years and beyond.

  • The Physician's Most Important Tool

    Imagine a simple tool that helps your physician accurately formulate perhaps 90% of diagnostic considerations, enhances the patient-physician therapeutic relationship, costs nothing extra, has no risk of adverse effects or harm, and the use of which itself is therapeutic. Must be too good to be true.

    No! Such a tool actually exists; it always has, and it is just as important now as it ever was. It is the CHAIR!

  • What Is Polypharmacy?

    Polypharmacy simply means too many prescription drugs. It is a legitimate diagnosis, and it is itself a disease state—one that physicians should more frequently assess and more frequently try to help their patients avoid.

    While appropriately used pharmaceutical agents are beneficial and often life saving, NONE are completely risk free. The very first fact one learns on the first day of medical school (and one of the most important concepts in all of medicine) is this: "Any medicine can cause any side effect, at any time"—even months after its discontinuation.

  • Is Obesity Really That Bad?

    Overweight and obesity are both terms for ranges of weight that are greater than what is generally considered healthy for a given height. These terms identify ranges of weight that have been shown to increase the likelihood of certain diseases and other health problems. Without going into great detail in terms of weight ranges, there are some "rules of thumb."

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