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   PastimesHeart Attacks, Cancer and strokes. Preventative approaches

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From: LindyBill9/21/2012 4:44:09 PM
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Could be that women who like to eat this way happen to have a lower risk of MI.

Diet High in Total Antioxidants Associated With Lower Risk of Myocardial Infarction in Women ScienceDaily (Sep. 21, 2012) — Coronary heart disease is a major cause of death in women. A new study has found that a diet rich in antioxidants, mainly from fruits and vegetables, can significantly reduce the risk of myocardial infarction.

The study is published in the October issue of The American Journal of Medicine.

"Our study was the first to look at the effect of all dietary antioxidants in relation to myocardial infarction," says lead investigator Alicja Wolk, DrMedSci, Division of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institute, Stockholm, Sweden. "Total antioxidant capacity measures in a single value all antioxidants present in diet and the synergistic effects between them."

The study followed 32,561 Swedish women aged 49-83 from September 1997 through December 2007. The women completed a food-frequency questionnaire in which they were asked how often, on average, they consumed each type of food or beverage during the last year. The investigators calculated estimates of total antioxidant capacity from a database that measures the oxygen radical absorption capacity (ORAC) of the most common foods in the United States (no equivalent database of Swedish foods exists). The women were categorized into five groups of total antioxidant capacity of diet.

During the study, 1,114 women suffered a myocardial infarction. Women in the group with the highest total antioxidant capacity had a 20% lower risk, and they consumed almost 7 servings per day of fruit and vegetables, which was nearly 3 times more than the women with the least antioxidant capacity, who on average consumed 2.4 servings.

Dr. Wolk notes that trials testing high doses of antioxidant supplements have failed to see any benefit on coronary heart disease and, in fact, in one study higher all-cause mortality was reported. "In contrast to supplements of single antioxidants, the dietary total antioxidant capacity reflects all present antioxidants, including thousands of compounds, all of them in doses present in our usual diet, and even takes into account their synergistic effects," she explains.

In a commentary accompanying the article, Pamela Powers Hannley, MPH, Managing Editor of The American Journal of Medicine, observes that with the industrialization of our food supply, Americans began to consume more total calories and more calories from processed food high in fat and sugar. As a result, obesity rates began to climb steadily. "Although weight-loss diets abound in the US, the few which emphasize increasing intake of fruits and vegetables actually may be on the right track," she says. "Yet only 14% of American adults and 9.5% of adolescents eat five or more servings of fruits or vegetables a day."

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To: Suma who wrote (20654)9/21/2012 4:48:37 PM
From: Lane3
1 Recommendation   of 36655
Is using a water pik better than using those chargeable tooth brushes that brush 2 minutes..

They have two different purposes. A water pik (irrigator) is a flossing substitute, not a brushing substitute. I use both a sonic toothbrush and an irrigator.

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From: LindyBill9/21/2012 4:51:28 PM
   of 36655
Statins and diabetes risk: More data September 21, 2012
Sue Hughes

Tampere, Finland - Use of statins was associated with a slight increase in fasting glucose levels in patients at increased risk of type 2 diabetes in a new observational study [ 1].

The study, published online in BMJ on September 13, 2012, was conducted by Dr Nina Rautio (Pirkanmaa Hospital, Tampere, Finland) and colleagues. They concluded that their findings suggest statin use "might have unfavorable effects on glucose metabolism and . . . hamper beneficial effects of lifestyle intervention in people at high risk of type 2 diabetes."

Intensive lifestyle intervention key
Rautio told heartwire that the results should not be interpreted as discouraging statin use in people at increased risk of or with established CVD. But she emphasized that patients at high risk of diabetes would benefit from more intensive lifestyle intervention. "Healthcare professionals should take time, especially in statin users, to change their lifestyle to a healthier direction, that is, healthy diet, nonsmoking, and physical activity."

She added: "Type 2 diabetes has been shown to be preventable in people at very high risk by changing lifestyles. If a patient is worried about the potential harmful effects of statin treatment, they should consult a doctor about this matter and not stop treatment on one's own."

Commenting on the study for heartwire, lipid expert Dr Roger Blumenthal (Johns Hopkins University Medical Center, Baltimore, MD) said: "This provocative paper by Rautio et al is based on observational data, and that is its main limitation. It does end by saying that the benefits of statin therapy for the prevention of CVD in people with an increased risk [of type 2 diabetes] are still unequivocal. I agree with that last statement."

Net benefit
Blumenthal did, however, concede that statins may be associated with a modest rise in blood glucose in patients with multiple components of the metabolic syndrome. However, he cited the recent analysis from the Justification for the Use of Statins in Primary Prevention: An Intervention Trial Evaluating Rosuvastatin (JUPITER) study, which showed a clear net overall benefit over the mean two-year follow-up.

He concluded: "The message for clinicians is that patients who have multiple components of the metabolic syndrome need to try to further improve their lifestyle habits to combat the possible rise in glucose when a statin is begun. This paper suggests that statins may have unfavorable effects on glucose metabolism in certain people, so compliance with lifestyle improvements will be very important. We look forward to more prospective studies on this topic."

In the current study, researchers followed 2798 patients at high risk of diabetes for one year. Patients were given counseling on lifestyle interventions; fasting blood glucose was measured at baseline and one year.

Results showed that 484 individuals (17.3%) used statins at baseline. Of these patients, 7.5% developed type 2 diabetes during follow-up compared with 6.5% of those not taking statins, a nonsignificant difference.

Increase in fasting blood glucose
However, fasting glucose increased by 0.08 mmol/L in statin users, but remained unchanged in nonusers. This was a significant difference, and remained so after adjustment for age, sex, baseline fasting glucose, presence of CVD, use of antihypertensive and/or CAD medication, weight, and one-year weight change.

The researchers wrote: "As far as we know, this is the first study examining the association of lifestyle intervention on the risk of type 2 diabetes according to the use of statins. This question is of utmost clinical importance since we now know that type 2 diabetes is preventable by lifestyle changes."

They noted that an increase in fasting glucose in statin users suggests deterioration in insulin secretion capacity, but added that 2-hour glucose values, which reflect insulin sensitivity, were similarly decreased in statin users and nonusers.

Rautio pointed out that this study was based on patient self-reporting and had a relatively short follow-up period, adding: "The role of lifestyle intervention should be investigated in more detail in statin users and nonusers in an appropriately designed study."

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From: LindyBill9/21/2012 5:11:54 PM
   of 36655
Nutrition for Healthy Skin: Silica, Niacin, Vitamin K2, and Probiotics
from The Healthy Skeptic by Chris Kresser

It’s time to close out my series on nutrition and skin health. I believe that a nutrient-dense, whole foods diet, with particular attention paid to certain vitamins, minerals, and other compounds, is a powerful tool in the treatment of skin disease. It’s unfortunate that many mainstream doctors and dermatologists typically deny any connection between diet and skin health, and many patients miss the opportunity to make major improvements in their skin simply by changing what they eat. I hope that this series will give you the evidence you need to make the switch to a skin-supporting diet.

It’s unfortunate that many mainstream dermatologists deny any connection between diet and skin health.

In this final article, I will discuss the benefits of four nutrients that can play an important role in improving the look and feel of one’s skin: silica, niacin, vitamin K2, and probiotics. (Yes, probiotics are not a nutrient, but they may be one of the most important parts of a healthy skin diet!)

Silica While silica may not be considered an essential nutrient by current standards, it is likely that this trace mineral plays a functional role in human health. ( 1) In animals, a silica deficient diet has been shown to produce poorly formed connective tissue, including collagen. In fact, silica has been shown to contribute to certain enzyme activities that are necessary for normal collagen formation. Silica is essential for maintaining the health of connective tissues due to its interaction with the formation of glycosaminoglycans (GAGs), which are structural building blocks of these types of tissue. One well-known GAG important for skin health is hyaluronic acid, which has been shown to promote skin cell proliferation and increase the presence of retinoic acid, improving the skin’s hydration. ( 2)

Therefore, a deficiency in silica could result in reduced skin elasticity and wound healing due to its role in collagen and GAG formation. As we know, proper collagen formation is essential for maintaining tight, wrinkle-free skin, so silica can also be beneficial for slowing down the signs of skin aging. It’s best to get silica from natural sources, and food sources of silica include leeks, green beans, garbanzo beans, strawberries, cucumber, mango, celery, asparagus and rhubarb. ( 3)

Silica can also be found in certain types of water, such as Fiji brand water, which contains more than four times the levels found in other bottled waters due to the leaching of water-soluble silica from volcanic rock. ( 4) In fact, beverages contribute to more than half of the total dietary intake of silica, and the silica content of water depends entirely on its geological source. Silica can also be found in trace mineral supplements, such as ConcenTrace Trace Mineral Drops, which can be added to plain drinking water.

Niacin Niacin, also known as vitamin B3, plays a vital role in cell metabolism as a coenzyme in energy producing reactions involving the breakdown of carbohydrates, fats, and proteins, as well as anabolic reactions such as fatty acid and cholesterol synthesis. ( 4) The deficiency of niacin is rare these days, but was fairly common historically due to the reliance on niacin-poor food staples, such as corn and and other cereal grains, in low-income communities. ( 5) Pellagra, the disease of late stage niacin deficiency, causes a variety of skin symptoms such as dermatitis and a dark, scaly rash. In fact, the word “pellagra” comes from the Italian phrase for rough or raw skin. ( 6) The skin symptoms are often the first to appear, and may be exacerbated by even a slight deficiency in niacin over a long period of time.

While a low intake of niacin is unlikely, there are some diseases that may cause inadequate niacin absorption from the diet. An example of this is in celiac disease, where absorption is impaired by the swelling and thickening of the intestinal lining that occurs in celiac disease. ( 7) Other inflammatory gut conditions such as IBS or Crohn’s disease can also lead to a reduction in niacin absorption, and could conceivably lead to the skin-related symptoms of pellagra such as dermatitis and scaling.

Good whole-foods sources of niacin include meat, poultry, red fishes such as tuna and salmon, and seeds. Milk, green leafy vegetables, coffee, and tea also provide some niacin to the diet. Your liver can also convert tryptophan from high-protein foods like meats and milk into niacin. ( 8) In the case of true deficiency, supplementation may be necessary, but for most healthy people, a varied diet with adequate meat consumption should be enough to meet one’s nutritional needs. If choosing to supplement, be sure to consult with a licensed medical professional, as too much nicotinic acid can be harmful.

Vitamin K2 I’ve written before about the incredible health benefits of a diet rich in vitamin K2. Vitamin K2's role in the body includes protecting us from heart disease, forming strong bones, promoting brain function, supporting growth and development and helping to prevent cancer – to name a few. It performs these functions by helping to deposit calcium in appropriate locations, such as in the bones and teeth, and prevent it from depositing in locations where it does not belong, such as the soft tissues. One of the health benefits of vitamin K2 not often discussed is its role in ensuring healthy skin, and this vitamin is likely beneficial for preventing wrinkling and premature aging.

Adequate dietary vitamin K2 prevents calcification of our skin’s elastin, the protein that gives skin the ability to spring back, smoothing out lines and wrinkles. ( 9) This is because K2 is necessary for activation of matrix proteins that inhibit calcium from being deposited in elastin fibers and keeping these fibers from hardening and causing wrinkles. In fact, recent research suggests that people who cannot metabolize vitamin K end up with severe premature skin wrinkling. ( 10) Vitamin K2 is also necessary for the proper functioning of vitamin A- and D- dependent proteins. As I discussed in the first article in this series, vitamin A is essential for proper skin cell proliferation, and cannot work properly if vitamin K2 is not available. Therefore, vitamin K2 is important in the treatment of acne, keratosis pillaris, and other skin symptoms of vitamin A deficiency.

It’s important to get adequate amounts of dietary vitamin K2, particularly if trying to heal the skin or prevent wrinkles. Great sources of vitamin K2 include butter and other high fat dairy products from grass-fed cows, egg yolks, liver, and natto. Fermented foods such as sauerkraut and cheese are also quite high in vitamin K2 due to the production of this vitamin by bacteria. It is important to note that commercial butter and other dairy products are not significantly high sources of vitamin K2, as most dairy cattle in our country are fed grains rather than grass. It is the grazing on vitamin K1-rich grasses that leads to high levels of vitamin K2 in the dairy products of animals, so be sure to look for grass-fed dairy products when trying to increase your intake of vitamin K2. ( 11) A great all-around supplement for skin health is Green Pasture’s Fermented Cod Liver Oil and Butter Oil blend. It has a great mix of vitamins A, D, K2, and omega-3s in the proper ratios to help maximize skin health, especially in people with acne.

Probiotics Probiotics are one of the most fascinating areas of modern nutrition research, and a topic I am passionate about. I will be discussing what is known as the “gut-brain-skin” axis during my presentation upcoming at the Weston A. Price Foundation Wise Traditions Conference in November, and have been researching the connection between gut flora and skin conditions for months. While there is a great deal of information on the skin-gut axis, I’ll give a quick summary of the information in this article – the rest you’ll have to see in my presentation in a few months!

The skin-gut axis has been studied since the 1930s, and yet we’re only just beginning to understand the role that probiotics may play in skin health. The ability of the gut microbiota and oral probiotics to influence systemic inflammation, oxidative stress, glycemic control, and tissue lipid content, may have important implications in skin conditions such as acne, rosacea, atopic dermatitis, and psoriasis. ( 12) Recent studies have shown that orally consumed pre and probiotics can reduce systemic markers of inflammation and oxidative stress, which may help reduce inflammatory acne and other skin conditions. ( 13, 14, 15) There is also a connection between small intestine bacterial overgrowth (SIBO) and the incidence of acne, suggesting that reestablishing the proper balance of gut microflora is an important factor in treating acne.

There are far more beneficial effects of probiotic bacteria for skin health than I will be able to mention in this article; I will cover the topic much more in-depth at the conference in November. However, I believe the evidence strongly supports the role of probiotics in treating a variety of skin conditions, and recommend that anyone suffering from skin trouble be especially diligent about including fermented foods such as sauerkraut, kimchi, yogurt, and kefir in your regular diet.

Well that’s the end of the “Nutrition for Skin Health” series! As a quick recap, the top whole-foods nutrients I recommend as part of any skin-healing diet are:

  • Vitamin A
  • Zinc
  • Vitamin C
  • Omega-3 Fatty Acids
  • Biotin
  • Sulfur
  • Vitamin E
  • Pantothenic Acid (vitamin B5)
  • Selenium
  • Silica
  • Niacin
  • Vitamin K2
  • Probiotics
I hope this information has been helpful to you, and I would love to hear any success stories from readers who have treated their skin conditions using nutritional changes!

Other articles in this series: Nutrition for Healthy Skin: Vitamin A, Zinc, and Vitamin C
Nutrition for Healthy Skin: Omega-3 Fatty Acids, Biotin, and Sulfur
Nutrition for Healthy Skin: Vitamin E, Pantothenic Acid, and Selenium

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From: LindyBill9/21/2012 5:18:04 PM
3 Recommendations   of 36655
Protect Yourself
from Science-Based Medicine by Mark Crislip
Flu season is upon us. If there is such a thing as flu season. H1N1 started at the furthest point in time you could get from the traditional start of the flu season. It is an interesting question as to whether global warming will alter the flu season, as it has the RSV season. Classically influenza is a fall/winter disease and fall started today.

It is perhaps worthwhile to review what is known about influenza.

1) The disease influenza, the gasping oppression, is a disease that has been plaguing humans for about 500 years. It is a predominantly respiratory infection, causing a protracted cough with fevers and myalgias. The term flu is used loosely to cover almost any febrile illness, and I remain uncertain as to what a stomach flu might be. I tend towards the picky side; flu is due to the influenza virus. There are many viri that can cause a flu like illness, but only the influenza virus causes the flu.

2) The flu is due to a virus, the influenza virus. There is influenza A and B and C. There are them what deny germs as a cause of disease, and I will admit that as an infectious disease doctor I have a vested interest in germs causing disease. After all, my job is me find bug, me kill bug, me go home.

3) Not every flu like illness is due to the influenza virus. In a given season the influenza virus may account for around 10-15% of flu like illness in the community, although during epidemics influenza can account for 60% of flu like illnesses.

4) Influenza kills. It kills directly, it kills by acute secondary infections, it kills by worsening underlying diseases like heart failure, it kills long term by increasing vascular events such as heart attacks and stroke. Influenza kills the young, the old, the obese and the pregnant. Deaths by influenza also depend on the virulence of the circulating strains. Some strains, such as H5N1 (the bird flu) or H3N2, are more likely to kill (60% for H5N1) than strains like H1N1 which was of moderate virulence. Influenza deaths, both direct and indirect, are difficult to measure and are at best an estimate. As an example somewhere between 151,700 to 575,400 people died worldwide from H1N1 the first year, with a mean of about 250,000.

5) When exposed to influenza, either as an infection or as a vaccine, the body responds in part by making antibody. Roughly, the better the antibody response to the influenza antigens, the better the protection to that strain of influenza. I say roughly as it depends on what part of the antigenic structure the body responds to: antibody to some antigenic sites offer better protection to influenza than others. If you are lucky enough to respond to some highly conserved sites on the virus you could conceivably be immune to all strains of influenza.

6) The influenza vaccine offers moderate protection against influenza. Unfortunately the antigens of the virus change year to year (antigenic drift) and decade to decade (antigenic shift), while the vaccine strain are fixed prior to a given season and may not optimally match the circulating strains. If there is a good match between vaccine and circulating strains in a healthy population, the protection from the vaccine can be high: for H1N1 it was 87%.

7) Unfortunately those who need to be protected from the influenza virus are those most likely not to respond to the virus vaccine: the obese, the pregnant, the elderly and those with chronic medical diseases.

Eight) (When I use the ’8' and the ‘)’ I get a happy face like this ) The benefit of the vaccine extends beyond prevention of flu. Of course, if you don’t get influenza, you cannot spread it to others. If you do not get influenza, then, of course you can’t die of its complications, like pneumonia and heart attack. Influenza vaccination could potentially reduce the occurrence of sudden death, AMI, and stroke by 50%. Babies born to vaccinated mothers have fewer cases of influenza. Vaccinated mothers are less like to have have stillborn or small babies. Not getting influenza or being vaccinated against flu has many short term and long term benefits.

9) Influenza spread can be decreased by mechanical/environmental interventions: hand washing and masks, although these interventions have variable efficacy depending on the population studied. They are not as effective as not getting the virus.

10) Health care workers are particularly problematic. For a variety of reasons they are likely to come to work ill, influenza can be potentially infectious before people are symptomatic, and spread in the hospital occurs, leading to true stories such as this:

Patient Story: Spreading the Flu 4-2012

As a reminder, we have added patient stories to meetings as a way of “bringing the patient into the room,” clarifying the context for our quality plan, and emphasizing the complexities and the importance of the work we are undertaking.

Today’s story is about a group of patients, a nurse, and influenza. It starts with Patient #1, a 57 year-old woman admitted through the emergency department (ED) to one of our hospitals in mid-March with fever and shortness of breath. She was transferred to an inpatient unit with a mask on, which triggered the staff on the receiving unit to implement droplet precautions. Initially thought to have pneumonia, testing confirmed her symptoms were the result of influenza type A, H1N1. After four nights in the hospital, she was discharged home after an uneventful hospital stay and a flu shot.

Patient #2, next door to Patient #1, is a 58 year-old man who was admitted in early March for a GI bleed with multiple co- morbidities. His progress was steady until nine days after admission, when he developed a new fever and respiratory symptoms. These symptoms developed on the same day of Patient #1’s admission. Influenza was suspected two days following the development of his fever, and staff implemented droplet precautions. Lab testing confirmed influenza type A. He remained hospitalized for two more days and received a flu shot before being transferred to a skilled nursing facility.

Down the hall, Patient #3, a 77 year-old man, was admitted two days after Patient #1 for acute stroke and urinary tract infection. On day 3 of his hospitalization, he developed a fever and cough. Lab testing confirmed influenza type A. Droplet precautions were ordered with the lab test for influenza. He remained hospitalized an additional four nights and received a flu shot before being discharged.

Patient #4, a 76 year old man, down the hall from the first two patients and around the corner from Patient #3, was admitted on the same day as Patient #1 following a fainting event at home. Due to his long-standing heart issues, he was kept overnight for observation and discharged the following morning. However, he returned to the ED three days later with continued symptoms. He was discharged from the ED only to return the next day with shortness of breath. Six hours after being readmitted, staff suspected influenza and ordered droplet precautions. His lab tests returned positive for influenza type A. After spending three nights in the hospital, he was discharged home after receiving a flu shot. The following day, he was admitted to the intensive care unit and continued receiving treatment as an inpatient for secondary pneumonia, a complication of his influenza type A infection.

The fifth person in our story is a nurse on the unit where these four patients were admitted. She works on a nursing unit whose hand hygiene performance is currently 67%, and where 85% of the unit staff were vaccinated for this year’s seasonal flu. The particular nurse in this case, however, was 1 of only 9 on the unit who chose not to be vaccinated. Her manager stated that the reason the nurse gave for not receiving the vaccine was that she “was not convinced of the evidence that the vaccine protects patients from transmission … she said she would get the vaccine if she truly believed it protected her patients, but that she didn’t.”

This nurse cared for Patient #1 on her first day of admission. She cared for Patient #2 on the eighth and ninth day (when he developed flu symptoms) of his stay. She also cared for Patient #3 on the first two days of his inpatient stay. There does not appear to be any direct contact with this nurse and Patient #4.

The nurse in our story developed symptoms consistent with influenza three days after working with Patient #1 and Patient #2 (which is the usual 1- to 4-day incubation period for influenza). Due to symptoms, she only worked a partial shift that day. Suspecting her symptoms may be influenza, she used a mask until relief staff was available. She returned home and was able to care for herself without medical intervention. She was not tested for influenza and remained off work for one week. She is still undecided about receiving the flu vaccine.

11) Because those in the hospital are particularly vulnerable to the ravages of infections, mortality from hospital acquired influenza is remarkably high: 25%.

12) Influenza vaccine is safe as well as effective. There have been some rare complications to the vaccine: Guillian-Barre in the 1970's and the recent reports that prior vaccination may have made disease from H1N1 worse. Biologic systems are complex, but I look at vaccines as much safer than seat belts and air bags, both of which can cause injury and death. I would still prefer to be in a car accident with seat belts and air bags and work during the flu season with vaccination.

13) Influenza vaccination for health care workers runs at best 70% in the US, which if it were my kids math grade would be cause for some ‘splanin. Doctors and nurses run a bit higher, with an 80% influenza vaccination rate in some institutions.

14) It would be nice to prevent the spread of influenza from health care workers to patients. There is no data for hospitals, although there are nursing home studies to suggest that when staff is vaccinated against flu there is a decrease in flu in the inmates, er, nursing home patients. One retrospective study suggested that units that had higher vaccination rates had fewer cases of flu, but the definitive study has yet to be done. There is buckets of biologic plausibility to suggest that vaccinating health care workers would be of benefit to patients under their care.

15) I have little (actually none) respect for HCW’s who do not get vaccinated. We have a professional and moral obligation to place our patients first. I think those who do not get vaccinated, except for a minority with a valid allergy, are dumb asses. Here is a copy of my yearly screed over at Medscape:

This essay is, I would like to clarify, directed at healthcare providers, not patients. Healthcare providers have no excuse to avoid the flu vaccine: they have access to the world’s medical knowledge and should be able to rise above superstition and ignorance. Yes, I too am a Dumb Ass, but for different reasons.

I give you, slightly rewritten for 2012, a Budget of Dumb Asses.

I wonder if you are one of those Dumb Asses who do not get the flu shot each year? Yes. Dumb Ass. Big D, big A. You may be allergic to the vaccine (most are not when tested), you may have had Guillain-Barre (most can be vaccinated safely), in which case I will cut you some slack. But if you don’t have those conditions and you work in healthcare and you don’t get a vaccine for one of the following reasons, you are a Dumb Ass.

1. The vaccine gives me the flu. Dumb Ass. It is a killed vaccine. It cannot give you the influenza. It is impossible to get flu from the influenza vaccine.

2. I never get the flu, so I don’t need the vaccine. Irresponsible Dumb Ass. I have never had a head on collision, but I wear my seat belt. And you probably don’t use a condom either. So far you have been lucky, and you are a potential winner of a Darwin Award, although since you don’t use a condom, you are unfortunately still in the gene pool.

3. Only old people get the flu. Selfish Dumb Ass. Influenza can infect anyone, and the groups who are more likely to die of influenza are the very young, the pregnant, and the elderly. Often those most at risk for dying from influenza are those least able, due to age or underlying diseases, to respond to the vaccine. You can help prevent your old, sickly Grandmother or your newborn daughter from getting influenza by getting the vaccine, so you do not get flu and pass it one to her. Flu, by the way, is highly contagious, with 20% to 50% of contacts with an index case getting the flu. However, Granny may be sitting on a fortune that will come to you, and killing her off with the flu is a great way to get her out of the way and never be caught. That would make a good episode of CSI.

4. I can prevent influenza or treat it by taking echinacea, vitamin C, oscillococcinum or Airborne. Gullible Dumb Ass cubed then squared. None of these concoctions has any efficacy what so ever against influenza. And if you think oscillococcinum has any efficacy, I would like you to invest in a perpetual motion machine I have invented. None of the above either prevent or treat influenza. And you can’t “boost” your immune system either. Anyone who suggests otherwise wants you money, not to improve your health.

5. Flu isn’t all that bad of a disease. Underestimating Dumb Ass. Part of the problem with the term flu is that it is used both as a generic term for damn near any viral illness with a fever and is also used for a severe viral pneumonia. Medical people are just as inaccurate about using the term as the general public. The influenza virus directly and indirectly kills 20,000 people (depending on the circulating strain and year) and leads to the hospitalization of 200,000 in the US each year. Influenza is a nasty lung illness. And what is stomach ‘flu’? No such thing.

6. I am not at risk for flu. Denying Dumb Ass. If you breathe, you are risk for influenza. Here are the groups of people who should not get the flu vaccine (outside of people with severe adverse reactions to the vaccine): Former President Clinton, who evidently doesn’t inhale. Michele Bachmann. Wait, that’s the HPV vaccine. And people who are safe from zombies. If you don’t get the vaccine you do not have to worry about the zombie apocalypse, because zombies eat brains.

7. The vaccine is worse than the disease. Dumb Ass AND a wimp. What a combination. Your mother must be proud. Unless you think a sore deltoid for a day is too high a price to pay to prevent two weeks of high fevers, severe muscles aches, and intractable cough.

8. I had the vaccine last year, so I do not need it this year. Uneducated Dumb Ass. Each year new strains of influenza circulate across the world. Last year’s vaccine at best provides only partial protection. Every year you need a new shot.

9. The vaccine costs too much. Cheap Dumb Ass. The vaccine costs less than a funeral, less than Tamiflu, and less than a week in the hospital.

10. I received the vaccine and I got the flu anyway. Inexact Dumb Ass. The vaccine is not perfect and you may have indeed had the flu. More likely you called one of the many respiratory viruses (viri?) people get each year the flu. Remember there are dozens of potential causes of a respiratory infection circulating, the vaccine only covers influenza, the virus most likely to kill you and yours.

11. I don’t believe in the flu vaccine. Superstitious, premodern, magical thinking Dumb Ass. What is there to believe in? Belief is what you do when there is no data. Probably don’t believe in gravity or germ theory either. Everyone, I suppose, has to believe in something, and I believe I will have a beer.

12. I will wait until I have symptoms and stay home. Dangerous Dumb Ass. Despite often coming to work ill, especially second year residents, about 1 in 5 cases of influenza are subclinical, hospitalized patients are more susceptible to acquiring influenza from HCW’s than the general population, and 27% of nosocomial acquired H1N1 died. And you will never realize that you were the one responsible for killing that patient by passing on the flu.

13. The flu vaccine is not safe and has not been evaluated for safety. Computer illiterate Dumb Ass. There are 1342 references on the PubMeds on safety of the flu vaccine, and the vaccine usually causes only short term, mild reactions. All health care requires weighing the risks of an intervention against the benefits. For the flu vaccine all the data suggests huge benefit for negligible risk. And as a HCW, it could be argued that we have a moral responsibility to maximize the safety of our patients.

14. The government puts tracking nanobots in the vaccine as well as RFID chips as part of the mark of the beast, and the vaccine doesn’t work since it is part of a big government sponsored conspiracy to keep Americans ill, fill hospital beds, line the pockets of big pharma and inject the American sheeple with exotic new infections in an attempt to control population growth and help usher in a New World Order. Well, that excuse is at least reasonable. Paranoid Dumb Ass.

So get the vaccine. And pass this essay on to someone else instead of the flu. The life you may save may be your own. Or be a Dumb Ass.

15) And this leads to my final thought. There is a tremendous amount of medical literature pointing to the safety and wide ranging benefits of the influenza vaccine as well as the morbidity and mortality that influenza inflicts on humans every year. Despite that information, when you are admitted to the hospital you have a greater than one in three chance that the HCW taking care of you is ignoring that information and going unvaccinated.

I have long been of the opinion that you judge a person by the company they keep. If your health care worker is a big enough dumb ass to avoid the flu vaccine, what other areas of medicine are they equally incompetent in? Do you want to drive in a car with no seat belts or air bag, whose brakes are of uncertain maintenance? Do you want you or your loved ones to be cared for by someone who is dumb ass enough to not get the flu vaccine, putting you and yours at risk when most vulnerable? Can you expect that person to do the rest of their job correctly when they cannot understand and implement a core competency of medicine? Not me.

Here is my suggestion. When you and yours are in the clinic or the hospital, request care only from practitioners that have had the flu vaccine. Put a sign on your hospital room door: No entry unless you are influenza vaccinated or put a copy of this essay on the door. You do have the right to refuse care, especially from a dumb ass.

I know this idea is a non-starter. Sick, vulnerable people are in no condition to potentially antagonize their providers. No one is likely to want to piss off their HCW, espcially if that person holds the key to the morphine.

There is a bankrupt idea that it is OK for patients to ask their provider if they washed their hands. It never worked. I took an informal poll of patients on one of my medical floors and asked if they would ever tell their doctor or nurse to wash their hands and not a one said they would. It would be like asking your pilot if he put the wheels down as they stated a landing. Patients need to trust trust that we are doing what is in their best interests. When it comes to influenza vaccination, you can’t.

I do not really expect anyone will actually ask to be cared for only by influenza vaccinated providers.

But I can dream.


Of sorts. I had the opportunity to play gold with my brother and son and the time I would normally spend linking to references was spent on the links. I hope to update it, but really, you can’t search the Pubmeds?

Dolan GP, Harris RC, Clarkson M, Sokal R, Morgan G, Mukaigawara M, et al. Vaccination of health care workers to protect patients at risk for acute respiratory disease. Emerg Infect Dis [serial on the Internet]. 2012 Aug [date cited].

J Hosp Infect. 2012 Jul;81(3):202-5. Epub 2012 Jun 1.
Nosocomial H1N1 infection during 2010-2011 pandemic: a retrospective cohort study from a tertiary referral hospital.

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To: LindyBill who wrote (20656)9/21/2012 5:46:07 PM
From: Brian Sullivan
1 Recommendation   of 36655
Shocking News: Sugar consumption causes obesity.
But this is a good study with stattistically significant results

Studies Add Fuel to Sugary-Drinks Ban Debate

Research published Friday sheds important new light on a burning question for parents, public policy makers, and the beverage industry—the role that sugary drinks play in the obesity epidemic.

Two randomized trials involving children and a third study analyzing genetic risk of obesity offer some of the most robust evidence to date that consumption of sugar-sweetened beverages is linked to weight gain, pediatricians and obesity experts said.

The studies, published in the New England Journal of Medicine Friday, also add fuel for an ongoing debate about measures to reduce sugary drink consumption as New York City Mayor Michael Bloomberg prepares to impose a ban on the sale of sugary drinks in containers larger than 16 ounces in restaurants, movie theaters and other venues over which the city has jurisdiction.

A soft-drink dispenser at a store in New York City, which is set to ban sugary drinks larger than 16 ounces.

Findings such as those in the two randomized trials "provide a strong impetus to develop recommendations and policy decisions to limit consumption of sugar-sweetened beverages," Sonia Caprio, a professor of pediatrics at the Yale School of Medicine, wrote in an accompanying editorial.

But the American Beverage Association, a trade group representing Coca-Cola, Pepsi. and other beverage makers contended in a statement that the studies had several shortcomings. "Studies and opinion pieces that focus solely on sugar-sweetened beverages, or any other single source of calories, do nothing meaningful to help address this serious issue," the ABA said.

Obesity remains a serious and costly epidemic across the U.S., with about two-thirds of Americans either overweight or obese, though rates have stabilized over the past decade.

In the study of genetic risk, researchers at the Harvard School of Public Health analyzed three large cohorts of more than 33,000 people. They found that those who drink a large number of sugary drinks and are genetically disposed toward obesity are at greater risk of weight gain from their consumption of those drinks, said Lu Qi, senior author, assistant professor of nutrition at Harvard School of Public Health and assistant professor of medicine at Brigham and Women's Hospital.

One of the randomized trials involved 224 overweight and obese adolescents in ninth and tenth grade who normally consume sugary drinks. One group instead spent a year drinking bottled water, flavored water, and other noncaloric drinks delivered to their homes.

Their increase in body mass index after the one-year intervention was smaller than that of a control group which made no changes in beverage consumption. Children in the intervention group weighed about four pounds less each than those in the control group after the year, said David Ludwig, study author and director of the New Balance Foundation Obesity Prevention Center at Boston Children's Hospital. "That is a very large difference," he said. Hispanic teens had the most benefit, with those who drank nocalorie drinks gaining 14 fewer pounds over the year.

The intervention, which was funded by the National Institutes of Health and other organizations, ended after a year, and there was no difference between the groups after the second year.

In a double-blind randomized trial in the Netherlands, 641 normal-weight children ages 4 to 11 drank either a sugared or a sugar-free 8-ounce juice drink during a morning school break. The drinks were formulated to look and taste alike. The children drinking the sugary beverage gained an average of one kilogram more than those who drank the sugar-free version over the 18 month period of the trial.

Half of the one kilogram difference was a gain in body fat, said Martijn Katan, principal investigator and a professor of nutrition at VU University of Amsterdam. The rest was in lean mass or associated with height gain. The extra weight "was largely adding fat," Dr. Katan said. The research was supported by the National Organization for Health Research and Development and other organizations.

The studies strengthen evidence that drinking sugary beverages contributes to weight gain, said Andrew Racine, senior vice president and chief medical officer at Montefiore Medical Center in New York. "The question is how this should inform public policy," he said. "The way we made inroads against tobacco is not because each doctor spent five minutes telling patients not to smoke" but through large policy changes like banning indoor smoking, he said.

"Prior to these two randomized studies, there was not sufficient evidence to conclude that reducing sugar-sweetened beverage consumption would reduce weight or total body fat," said David Allison, associate dean for science and director of the Nutrition Obesity Research Center at the University of Alabama at Birmingham, whose research has been supported by the NIH and the beverage industry, among others.

Now that the evidence is in, he said, more research is needed to see how it plays out in larger populations. "What Bloomberg could say is, it's plausible the ban I'm proposing would help and this new study makes it a little more plausible," he said of Dr. Ludwig's trial. But a ban or other policy must also take into account economic, environmental, and other factors, he said.

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To: LindyBill who wrote (20658)9/21/2012 5:54:40 PM
From: Lane3
1 Recommendation   of 36655
Find Out What The Scientific Evidence Actually Says About "Healthy Diets"

This blog is day after day after day reporting undesirable associations with statins. I've quit reading them there are so many posts.

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From: LindyBill9/21/2012 6:08:06 PM
   of 36655
Unstable Angina
from Heart Disease

Unstable angina - angina that occurs at rest and apparently for no reason - is a strong warning that one of the coronary arteries has become critically unstable, and that without rapid treatment a full-blown heart attack may ensue. Read about what causes unstable angina, how to recognize it, and how to make sure you are getting the appropriate care, here.

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To: Les H who wrote (20650)9/21/2012 6:15:12 PM
From: Les H
1 Recommendation   of 36655
Vitamin D May Prolong Life

Increasing vitamin D intake could increase the chances of living for the elderly, especially for those who are really frail, a new study says.
By Amber Moore | Jul 27, 2012 07:23 AM EDT

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From: Brinks9/21/2012 7:16:44 PM
1 Recommendation   of 36655
Anatabloc nutraceutical supplement available at GNC Thyroid

Thyroid / Thyroiditis


In the USA alone over 70 million THYROID prescriptions are written at a value of about $2 billion; it's the 4th most prescribed prescriptions for any disease. In the USA there are approximately 20 million people being treated for THYROID disease.

How Many Americans Suffer THYROID Disorders?: Statistics Reveal THYROID Disease is Common in the USA

In early October 2012 Johns Hopkins University School of Medicine is said to be releasing results of a human THYROID study using the dietary supplement Anatabloc. The study is funded in part by the Walton Family Foundation and is being performed in nine (9) clinical sites in Michigan, Texas, New Jersey, Illinois, and Florida.

Human THYROID Study Evaluating the Dietary Supplement Anatabloc in THYROID Health-ASAP (Antabloc Supplementation Autoimmune Prevention)

The American THYROID Association

Falls Church, Virginia. Sep. 19, 2012 The American THYROID Association (ATA) today announced today announced it will honor Paul W. Ladenson, MD, of Johns Hopkins University in Baltimore, with the 2012 Lewis E. Braverman Award on Sept. 21 at the 82nd ATA Annual Meeting in Québec City, Québec, Canada. The Lewis E. Braverman Lectureship Award recognizes a member of the ATA who has demonstrated excellence and passion for mentoring fellows, students, and junior faculty and has a long history of productive THYROID research.

“While advancing his own body of research, Dr. Ladenson has become widely respected as one of endocrinology’s most thoughtful and trusted mentors, making him an outstanding choice for the 2012 Lewis E. Braverman Lectureship Award,” said ATA President James A. Fagin, MD, of Memorial Sloan-Kettering Cancer Center. “Countless fellows and trainees have benefited from the opportunity to work directly with Dr. Ladenson over the years and have gone on to assume leadership positions in the field of endocrinology at various universities, research institutes, and within the ATA.”

Dr. Ladenson holds several distinguished positions at Johns Hopkins University, where he is the John Eager Howard Professor of Endocrinology, and Professor of Medicine, Pathology, Oncology, Radiology and Radiological Science. He is also director of the Division of Endocrinology and Metabolism and a Distinguished University Professor.

Dr. Ladenson’s research interests include applications of THYROID hormone analogues for treatment of cardiovascular disease, novel approaches to THYROID cancer diagnosis and management, and health economic analyses related to THYROID patient care. Currently, Dr. Ladenson is investigating effects of the nutritional supplement anatabine on autoimmune thyroiditis.

Note that at a meeting at the Roskamp Institute ( in June 2011, Dr. Ladenson stated that, “aside from RCP-006 (anatabine - now Anatabloc™ at GNC) there is no known compound that stops thyroiditis.”

Evaluating the Dietary Supplement Anatabloc in THYROID Health-ASAP (Antabloc Supplementation Autoimmune Prevention)

Background of Anatabloc

If you’re not familiar with research history of Anatabloc™ here you go: A quick history of ‘tobacco’ research; in 2004 Dr. Paul Ladenson, Director of the Division of Endocrinology at Johns Hopkins conducted studies among a group of flight attendants and found reduction of thyroiditis / Hashimoto’s disease related to inhalation of second hand cigarette smoke.

Next in the timeline, Founder of Anatabloc Jonnie Williams determined that one of the 4000 chemicals in tobacco /nicotine, namely anatabine, reduced the urge to smoke. What Star found was that the anatabine-based compound had many/now hundreds, of other beneficial effects. A central part of the Anatabine (that evolved into Anatabloc™) narrative occured when Jonnie Williams wife developed severe THYROID disease facing serious THYROID surgery because of his advanced thyroiditis.

Famously devoted to her, Williams arranged for his wife to be treated by one of the top THYROID specialists in the world, Dr. Patrizio Caturegli. Caturegli studied with internationally known Italian endocrinologist professor Aldo Pinchera of the University of Pisa. Today, Caturegli is associate professor of pathology, endocrinology and immunology at Johns Hopkins.

William’s wife had already developed THYROID nodules. At that point, surgery was necessary and scheduled 30 days out. Williams told Caturegli about the anatabine supplement. Caturegli suggested that there would be no harm in her trying the product. She did. The fibrosis reversed and the surgery was canceled. Her condition has continued to improve, and Williams reports that she is completely free of the symptoms of THYROID disease.


Johns Hopkins later became very interested and they began their THYROID research. A surging accumulation of confirming data began to occur largely from the Roskamp Institute (, conducting research using anatabine on Alzheimer’s disease, gastroenterology, rheumatology, cancer, auto-immune diseases (lupus), and cardio-atherogenesis (the process of atheromatous plaque development in arteries), among other conditions.

About Anatabloc at GNC

Anatabloc® leverages the body’s natural process for regulating its own inflammation using anatabine, a naturally-occuring compound found in some plants, combined with Vitamin A and D3 to help the body to avoid excessive creation of inflammation. Pre-clinical studies have shown that this combination inhibits pro-inflammatory pathways, thereby helping maintain lower levels of inflammation.

Anatabloc is a dietary supplement for anti-inflammatory support of the immune system. Since many disorders, like coronary artery disease, diabetes, asthma, Alzheimer's, and rheumatoid arthritis, are caused by chronic low-level inflammation, Anatabloc is a potential preventative treatment for these diseases.

Anatabine is a naturally-occurring alkaloid, found in eggplant, peppers, green tomatoes, tobacco, potatoes, and a variety of other plants and vegetables in the Solanaceae family. Anatabloc® stimulates a natural body process to promote a healthy inflammatory response.

What is Anatabloc®?
Anatabloc® is a supplement that contains 1 milligram of anatabine base, 500 units of Vitamin A and 40 units of Vitamin D3.

No prescription required
Because Anatabloc® is a dietary supplement, it does not require a prescription.

How often do I take it?
For best results take two tablets/lozenges three times daily

Key article about heart attacks and strokers and inflammation

WSJ article of September 3 , 2012 here




Anatabloc radio advertisement featuring pro football player Jeremy Shockey. "I feel better than I've felt in years!" He says he feels like he is 26 again.When you are taking Anatabloc you feel like you are much younger than you are.

Radio clip Doctor


Who is Fred Couples?

Fred Couples -- His C Reactive Protein levels (an inflammation marker measured by blood tests) dropped from 6.5 to 0.8, according to his interview on ESPN's The Morning Drive

Pro Golfer Fred Couples

TV news report on Anatabloc

Few Testimonies on Anatabloc and Thyroid

· THYROID Study-- By fyreball27 . 7 months ago . Permalink

So I armed my sis with a bunch of info to take to her THYROID doctor (where she was headed...

So I armed my sis with a bunch of info to take to her THYROID doctor (where she was headed to get her next prescription for low performance THYROID)...told her she might have a tough time getting him to read it all but to at least ask what he thinks. She said he was shocked to hear that she knew about Antabloc/Anatabine because he has been in talks with Dr. Ladenson at Johns Hopkins to participate in a THYROID study--which she unfortunately didn't qualify for (much to her chagrin, she was hoping to get the product for free) but for the study they are apparently looking for new patients who haven't yet been treated...anyway, he recommended that she try it, and he would test her levels again in a month to see what kind of difference there was. Pretty COOL!! [My sis, who won't take the dang time to read the info, has also been somewhat skeptical of this "supplement"...while she surprised her doctor by brining it up with him, she was equally surprised by the fact that he not only knew about it but was also going to be in a study for it!! Guess BIG SIS knows what she's talking about!!! WOOHOO!!! :)

· THYROID results when taking Anatabloc By martinduong339 . 11 months ago . Permalink

Someone posted this here Lynn Oliver Just wante...

Someone posted this here Lynn Oliver Just wanted to share some amazing results. I have been battling THYROID disorders for over 10 years. I am 50 years old eat healthy, exercise everyday 1 hour of cardio 6 days a week and weights. I have been told by 2 different dentists that my body is attacking the roots of my teeth.. hence autoimmune disorders as is THYROID disease. My past two blood results for my thryoid were as follows: thryoid antibodies normal is 0-60 U/ml. my first result was 2720.5 U/ml, several months later they were 3655 U/ml.. I started taking Anatabloc 10 tablets a day for 16 days. I already had an appointment with my Dr. and asked if she could retest me and explained what I've been taking. She just called me with my blood work... my THYROID antibodies are now 300 U/ml... In just 16 days they decreased 3,355 U/ml. please share this with your friends and family who have any autoimmune disorders.. ie thryoid, diabetes, arthritis... the list is endless.

· THYROID Testimonial from Facebook By rkruzick . 9 months ago . Permalink

I thought I would post this before it was taken down from the Facebook page......yet anoth...

I thought I would post this before it was taken down from the Facebook page......yet another reason I will stay long. Lynn Oliver I've posted before about my thryoid and it was taken off. since than I have given it to my relatives all for different ailments and have had remarkable success. To recap my THYROID antibodies were 2720.5U/ml ( normal range is 0-60 U/ml) 6 months later they were 3655.6 U/ml.. Took anatabloc 10 a day was on it for 16 days and I was due for another blood test. My antibodies were 300 U/ml... WOW.. ...

· THYROID Testimonial from Facebook - rest of message By thearun . 9 months ago . Permalink . Go to topic

"I've posted before about my thryoid and it was taken off. since than I have give...

"I've posted before about my thryoid and it was taken off. since than I have given it to my relatives all for different ailments and have had remarkable success. To recap my THYROID antibodies were 2720.5U/ml ( normal range is 0-60 U/ml) 6 months later they were 3655.6 U/ml.. Took anatabloc 10 a day was on it for 16 days and I was due for another blood test. My antibodies were 300 U/ml... WOW.. waiting for my blood results.. Next gave it to my daughter who was having panic attacks, slight depression.. she was on 6 a day and felt like she couldn't sleep. She dropped her dosage to 3 a day and after one week called me and said " Mom I actually feel happy". She has since had only 1 panic attack that was very brief. she is 5'9" weighs 136 lbs. Now the mother in law has major OCD. I urged her to take it and she finally did. 3 a day. after about 1 week she spoke with me about how "calm" she is, she does not need to check things. ie door locked, stove shut off etc.. we are talking about someone who needs an hour to leave her house!! Her words " I can look at it and tell myself I don't need to check it " she is about 5'4" maybe weighs 130. Next up the hubby who would get up in the middle of the night 4-5 times to use the bathroom.. yes over 50.. got to love that prostate... he started taking 4 a day he is 6ft. weighs 222lbs. He is only getting up 1 time now. He is going to increase dosage to 6 a day to see if that will eliminate the 1 bathroom break so that he may get a full night sleep. will keep you posted

“Another item in closing: Eight years ago I was diagnosed with hypothyroidism and have been treated for the disease since then. I just received my lab results back from my internist. My THYROID Stimulating Hormone test was 1.84, the lowest reading in 8 years and down from 6.29 (hypothyroidism) when I began my treatment. Since I began taking Anatabloc last year my TSH has fallen from 3.3 to the new low of 1.84.”

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