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The Rise of Apps to Monitor Chronic Disease
The Wall Street Journal has an interesting article about the increasing sophistication of personal apps on your electronic device to help monitor and treat conditions such as diabetes, COPD, CHF, and hypertension.  Although not a new idea by any means, the concept of self-monitoring with apps is getting more sophisticated.  Instead of simply entering data […] The post The Rise of Apps to Monitor Chronic Disease appeared first on The Examining Room of Dr. Charles.
Source: The Examining Room of Dr. Charles - July 4, 2017 Category: Primary Care Authors: drcharles Tags: health & diet Source Type: blogs

How To Be More Efficient As A Primary Care Doctor
As an overextended physician in my 40’s, with a family life and a daily sense of exhaustion, I have given up the quixotic dream of helping to change healthcare in this country. I’m just trying to survive each day, along with my patients, and to be an efficient and helpful primary care doctor. If you […] The post How To Be More Efficient As A Primary Care Doctor appeared first on The Examining Room of Dr. Charles.
Source: The Examining Room of Dr. Charles - June 5, 2017 Category: Primary Care Authors: drcharles Tags: Uncategorized primary care Source Type: blogs

How To Read a Prescription for Glasses (It ’s Easy!)
I get asked how to read prescriptions all the time, including those for glasses. Reading a prescription for eyeglasses from your optometrist is simple, here’s how: (short video) How to Read a Prescription for Eyeglasses / Common Abbreviations Ordering prescription glasses online from somewhere like EyeBuyDirect or glasses.com? Be sure you know how to read […] The post How To Read a Prescription for Glasses (It’s Easy!) appeared first on The Examining Room of Dr. Charles.
Source: The Examining Room of Dr. Charles - June 2, 2017 Category: Primary Care Authors: drcharles Tags: health & diet eyebuydirect eyeglasses prescription pupillary distance Source Type: blogs

Banning Trans-Fatty Acids in Restaurants Saves Lives, Improves Mouth-Feel
Good news for supporters of trans-fatty acid bans: in New York State counties that implemented restrictions on their use in restaurants and eateries, there were significantly fewer admissions to local hospitals for heart attacks and cardiovascular events. Specifically, researchers found a 6.2% decline in admission for hearts attacks and strokes combined, and an even greater […] The post Banning Trans-Fatty Acids in Restaurants Saves Lives, Improves Mouth-Feel appeared first on The Examining Room of Dr. Charles.
Source: The Examining Room of Dr. Charles - May 4, 2017 Category: Primary Care Authors: drcharles Tags: health & diet trans fats trans fatty acid Source Type: blogs

The Inherent Badness of Refinement
I had an interesting conversation with a psychologist friend of mine who specializes in treating sexual addictions. She did not tell me anything interesting in terms of specific cases, practices, or titillating bedroom details, but rather piqued my awareness of the brave new world of dating and casual sex as facilitated by apps like Tinder. […] The post The Inherent Badness of Refinement appeared first on The Examining Room of Dr. Charles.
Source: The Examining Room of Dr. Charles - March 22, 2017 Category: Primary Care Authors: drcharles Tags: health & diet Source Type: blogs

What Is “ New Car Smell, ” and Is It Unhealthy? (Yes!)
What is “new car smell” and is it bad for you? As I shopped for a new car last year, I realized that my priorities were considered odd by most car salesmen. The three most important characteristics I desired in a new car were good gas mileage, good crash safety, and relatively low concentrations of […] The post What Is “New Car Smell,” and Is It Unhealthy? (Yes!) appeared first on The Examining Room of Dr. Charles.
Source: The Examining Room of Dr. Charles - August 5, 2018 Category: Primary Care Authors: drcharles Tags: health & diet cars hazardous chemicals Source Type: blogs

Does Nutrisystem Work? A Doctor ’ s Thoughts on the Diet (2020)
I was recently asked by a patient: “Does Nutrisystem really work? And if so, how does Nutrisystem work?” I’ve never really examined the merits or nutritional underpinnings of Nutrisystem enough to provide a coherent answer, but in this post I will review the positives and potential negatives that can be seen upon a brief review, […] The post Does Nutrisystem Work? A Doctor’s Thoughts on the Diet (2020) appeared first on The Examining Room of Dr. Charles.
Source: The Examining Room of Dr. Charles - December 15, 2017 Category: Primary Care Authors: drcharles Tags: health & diet diets nutrisystem Source Type: blogs

How To Read a Prescription for Glasses (It ’ s Easy!)
I get asked how to read prescriptions all the time, including those for glasses. Reading a prescription for eyeglasses from your optometrist is simple, here’s how: (short video) How to Read a Prescription for Eyeglasses / Common Abbreviations Ordering prescription glasses online from somewhere like EyeBuyDirect or glasses.com? Be sure you know how to read […] The post How To Read a Prescription for Glasses (It’s Easy!) appeared first on The Examining Room of Dr. Charles.
Source: The Examining Room of Dr. Charles - June 2, 2017 Category: Primary Care Authors: drcharles Tags: health & diet eyebuydirect eyeglasses prescription pupillary distance Source Type: blogs

What to do with Lansley ' s rotten bill
The Liberal Democrats have let us all down on a grand scale but there are a few around with a great deal of common sense. Charles West is one. Read what he had to say here: pdf . Of course, any doctor with a modicum of nous could have written this. Not many politicians could. But then Charles West is a doctor.
Source: Dr Grumble - October 13, 2011 Category: Primary Care Source Type: blogs

TBTAM DIGEST – Nov 30, 2022
Cross-publishing here for those without a substack subscription (Which is free)… Happy almost December! Hope you had a great Thanksgiving and are enjoying the in-between holiday time. Here’s what’s been going on in my neck of the woods…. What I’ve been cooking on the blog Farro with Oyster Mushrooms and Onions – You call it Thanksgiving. I call it a chance for a sweet potato bake-off. Spanish Stuffed Peppers – An original recipe from The Blog that Ate Manhattan. With a little help from my friends (and family)… Where I Ate Valley Green Inn in the Wissahickon Valley.&n...
Source: The Blog That Ate Manhattan - December 1, 2022 Category: Primary Care Authors: Margaret Polaneczky, MD Tags: Uncategorized Source Type: blogs

If You Don’t Look For It, You Will Miss It
Death leaves an invisible silence, a wrenching disappearance of love’s voice and presence. Your father held you in your first moments, poured his love and life into your cup, and told stories that created a fabled purpose from the dull chaos.  And then he was no more. Are loved ones gone forever when they die? They live a new, unselfish life within the murky, star-forming nebula of our memories.  We conjure them in moments of anxiety, sing along with them in the music they loved, and see how they once adored us as we tuck our children into bed.  And beyond our perceptions, they exist as nothing and everything. An...
Source: The Examining Room of Dr. Charles - March 2, 2014 Category: Primary Care Authors: drcharles Tags: Uncategorized Source Type: blogs

Is Thanksgiving Actually a Misguided Holiday?
I used to think of Thanksgiving as the supremely humble, agenda-less holiday most deserving of our celebration. As an American adaptation of harvest festivals found in other cultures, it seems at once natural, secular, and modest. Yet as I called a lovely woman a few days before the holiday to inform and counsel her that she has cancer, the notion of millions of others “giving thanks” rang hollow, selfish, self-referential, and arrogant. The turkey on her table was unexpectedly as rotten as the necrotic mass in her pelvis, and her many arriving guests were suddenly interlopers in her nightmare. Perhaps there is...
Source: The Examining Room of Dr. Charles - November 30, 2013 Category: Primary Care Authors: drcharles Tags: Uncategorized Source Type: blogs

Food Truck Examining Room, an Evolving Concept
Given that our health care system has become a bloated carcass of once honorable intentions, I think a fundamental redesign of the examining room is in order.  For beyond the doctor and patient, the physical room which contains their ebullient repartee is the next logical target for improvement.  Here is one radical idea that may need only a few tweaks: The foodtruckexaminingroom will roam from town to town across the United States, stopping in major cities and small towns with main streets in order to provide excellent medical consultations. The charge will be $25 per “visit”, with home made food gifts stron...
Source: The Examining Room of Dr. Charles - October 30, 2013 Category: Primary Care Authors: drcharles Tags: Uncategorized Source Type: blogs

A Review of Chronic Resilience, a book by Danea Horn
Author Danea Horn has written a book entitled Chronic Resilience in which she describes “10 sanity-saving strategies for women coping with the stress of illness.” I read a copy of the book and highly recommend it. The stresses of being ill and suffering from chronic illness are manifold. Just today I listened to a woman in the examining room whose fear, anxiety, and sense of isolation with her medical problems were as distressing as the many unpleasant feelings of pain, dizziness, and dread. I did my best to listen to her, validate her concerns, and offer her constructive medical solutions – but I found myself al...
Source: The Examining Room of Dr. Charles - September 12, 2013 Category: Primary Care Authors: drcharles Tags: Uncategorized Source Type: blogs

Vomiting, Diarrhea, and Our Place in the Universe
I’m not sure I can live up to the promise of this post, but as I crouched naked on my hand and knees this weekend, crippled in the 6th hour of profuse diarrhea and vomiting, a few thoughts came to me. First, how woefully miserable it is to feel sick. Not just sniffly-nose-nasal-congestion-sick, but rather the kind of sick that if it went much longer you might question your will to keep suffering. I felt a tight, painful clench in my trunk that would not ease; a foul urgency to sit on the toilet as liquid poured out; that familiar burst of saliva and welling nausea as I scrambled to clean one end before the guttural r...
Source: The Examining Room of Dr. Charles - July 29, 2013 Category: Primary Care Authors: drcharles Tags: Uncategorized Source Type: blogs

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