db's Medical Rants

Success!!  My resolution last year led to a year of exercise – The Thanksgiving Resolution – year 3.
Last year I started on November 1.  In the past 12 months I exercised 194 days.  I believe my cardiovascular fitness is a B+ to A-.  What pleases me the most is that I had consistency.
So this year [...]

Is Bicycling Bad for Your Bones?
This title made me pause. I am using the exercise bike 5-6 hours each week.
Reading the article reassured me.
In his study, the bone density of 32 male, competitive bike riders, most in their late 20s and early 30s, was compared to that of age-matched controls, men who were active [...]

Back in November I made a commitment to improve my fitness. The Thanksgiving resolution – year 3. Fortunately, this year I have had no significant injuries and I have continued my resolution all year. April and May were a bit down due to excessive travel, but this month I have rebounded and [...]

Increased physical activity in middle age is eventually followed by a reduction in mortality to the same level as seen among men with constantly high physical activity. This reduction is comparable with that associated with smoking cessation.

From Total mortality after changes in leisure time physical activity in 50 year old men: 35 year follow-up of [...]

 
As I continue my weight loss (started November 1), I chose a simple plan.  I increased energy expenditure (exercise) and decreased energy intake.  This time I do not have a diet plan, rather I am trying to decrease my calorie intake modestly most days.  I still go out to eat with friends and colleagues, and sometimes [...]

 
Back in November I posted my yearly Thanksgiving challenge.  Last year my challenge was going great until February, when I developed severe metatarsal pain.  My internist and I made a presumptive diagnosis of stress fracture – never obtained an Xray and treated conservatively.  Since a big part of my exercise program includes striding machines (elliptical [...]

 
Ten Dead Dogs    4:06    Wild Sweet Orange   
The Thief & the Heartbreaker    4:39    Alberta Cross   
Runnin’ Down a Dream    4:23    Tom Petty & The Heartbreakers  
Viva la Vida    4:01    Coldplay   
Young Americans    3:17    David Bowie   
Someday Baby    4:56    Bob Dylan   
Jigsaw Falling Into Place    4:09    Radiohead   
Runaround Sue    2:52    Dion   
Every Little Thing She Does [...]

Thanks to all the comments on my previous post.  I believe that I did an incomplete job in describing my concerns.
Our current payment system has incentives for the wrong behavior.  If all lawyers received $200 for a will (fixed price, regardless of complexity), we would see shoddy, cookie cutter wills and lawyers who avoid complex [...]

Last year I challenged the readers to make a Thanksgiving exercise and eating resolution.  This is the most dangerous period of the year for weight gain.  So once again I challenge you to work out regularly and eat smart until the New Year.
I currently favor the elliptical machine.  I listen to music, picking songs which [...]

The definitions of underweight, desirable, overweight and obese are somewhat arbitrary. We generally use BMI to classify patients. “Experts” have told us that ideal weight (BMI 21-25) would decrease mortality. Maybe they are wrong -Causes of Death Are Linked to a Person’s Weight
Linking, for the first time, causes of death to specific [...]

Low-carb dieters knew it all along
Last week, the popular carb-slashing Atkins diet received a dollop of endorsement from two new studies after years of being pooh-poohed by health specialists. The studies, published Tuesday in the journal Annals of Internal Medicine, showed that the meat- and fat-rich regimen caused faster weight loss in the short [...]

Seniors need strength training, too
Many people think that beyond a certain age, you become too weak to strength train or benefit from it. But research shows the complete opposite. Without adequate muscle exercise, most adults lose 20 to 40 percent of the muscle they had as young adults. With too much muscle loss people [...]

Hold That Stretch: Warm-Up Is Challenged

Now a major study is stirring renewed discussion about when stretching is and is not beneficial.
The study, a review of six decades of research by the Centers for Disease Control and Prevention, found that stretching does little to prevent injury during exercise when done outside of a warm-up. [...]

Going on vacation. Will resume blogging either Sunday or Monday. Playing golf and giving health care thoughts a rest. Have a great weekend!!!
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Wow – sometimes research provides good news. FITNESS: Study finds no evidence stretching prevents injuries

People who stretched were no more or less likely to suffer injuries such as pulled muscles, which the increased flexibility that results from stretching is supposed to prevent, researchers found. And the injuries found in the study [...]

I might love this diet. Can a high-carb diet help you lose weight?
American Dietetic Association spokeswoman Cindy Moore agreed and said with low-carb diets hogging the spotlight, “it may be a reminder that we can lose weight in a variety of different ways.” Foods on the successful diets included high-fiber cereal, vegetarian [...]

You probably saw this on TV or read this in the newspapers. The Post-Atkins Low Carb Diet
The level of saturated fat that is permitted in the Atkins diet is still more than in other low-carbohydrate diets, and 60 percent of calories are still supposed to come from fat, although trans fats are [...]

Weight loss surgery has a major “upside”. Morbidly obese patients who have major weight loss have wonderful health and social benefits. Despite the danger, for many patients the risk is clearly worthwhile. We must always remember the risk though – Mass. Panel to Probe Obesity Surgery
Massachusetts health officials announced plans [...]

This article explains our portion control problem very well – Want to stay slim? Get a handle on America’s out-of-control food portions
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