January was a month of whirlwind production for me, keeping premium coaching clients on track, getting group coaching off the ground, and launching the Lifestyle Medicine Online Course for Physicians... WHEW And so I've taken the first few weeks of February as a period of reflection and renewal.
It seems that Fasting is all the rage nowadays. Intermittent fasting, alternate day fasting, reverse fasting, you name it. Do you often wonder if this is a passing fad, or if it here to stay? Well I’m here to report my personal experience over the last three weeks, when I tried the Daniel Fast along with several members of my family.
In celebration of American Heart Disease month, let’s talk about the heart as it relates to pregnancy.
The heart is one of the hardest working organs in the body. It functions like a pump to deliver oxygen to all the organs and cells in the body as well as nutrients.
Its heart health month and hypertension is one of the most prevalent medical conditions that can impact your heart. As a primary care physician, I often see people with uncontrolled blood pressure. There are a few trends that I have noticed that contribute to their blood pressure being poorly controlled.
Despite the fact that most people will have had the misfortune of visiting the emergency department (ED) at some point in their life, I find that many folks do not really understand what happens in the ED.
1. Emergency medicine is a specialty. Yes, we actually did residency training to learn how to work in the ED. This training lasted three to four years after medical school and is sometimes followed by another one to three years of additional training for subspecialty certifications, like pediatric emergency medicine, toxicology, hyperbaric and undersea medicine to name a few.
No doubt you’ve heard that the American Heart Association and American College of Cardiology announced new hypertension guidelines this month. Mass media have been quick to point out that 50% of Americans now meet the criteria for hypertension, which is now defined as an average blood pressure of greater than 120/80. This is true and many Americans worry that they are now going to be expected to take more medications, to the benefit of Big Pharma.
As a brand new mom one of the things I appreciated the most about our pediatric office, well maybe a few things, is that they had several waiting rooms. There are separate waiting rooms for sick visits, well-child visits and there is also a waiting room for newborns.
The tragic attack this week in New York City reminds us all of how vulnerable we are in this day and age. Often, our healthcare system is heavily taxed due to multiple injuries and fatalities. On September 11, 2001, hospitals from hundreds of miles away were on standby to assist with the overwhelming demands for healthcare on that tragic day, including the hospital where I worked at that time, Jewish Hospital in Louisville, Kentucky.
We are approaching the end of October very soon and for some families that means cute photo ops at pumpkin patches, bone fire nights with s’mores, hayrides, touring apple orchards and plenty other fall festivities. Now comes the time for haunted houses, the latest superhero and princess’ costumes, parades, and buckets full of sweets.
My doctor’s office referred me to the Emergency Department (ED):
The first and most important thing to know is exactly why you are referred to the ED. Was it because you spoke to the front desk person to try to schedule an appointment and they suggested you go to the ED instead? Did you speak to the nurse and based on your symptoms, he or she recommended that you go to the ED? Did the office simply not have any appointments available and stated that if you felt you need to be seen sooner to go to the ED? Did you have a recent appointment and the doctor told you specific symptoms to go to the ED for and those have now occurred? Did you have a recent appointment in which labs or x-rays were ordered and have resulted abnormally and you are being referred to the ED?
Each of the scenarios above occur on a daily basis in our healthcare system.