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Podcast: Planning for Death and Why It Matters
In this episode, Gabe talks with PsychCentral.com editor-in-chief Dr. John Grohol about the importance of planning for the end of life.  We all know that everybody dies, but at the same time, no one wants to think about their own inevitable death. Do you know how you would like the end of your life to go?  What if you needed to make that decision for a loved one? Do you know what they want? Would they want to be resuscitated? Do they want to die at home or in a hospital? Do you even know what kinds of decisions need to be made, or what the options are?  Listen in as Dr. John explains that there is a degree of wisdom ...
Source: World of Psychology - August 15, 2019 Category: Psychiatry & Psychology Authors: The Psych Central Podcast Tags: Aging Death & Dying General LifeHelper The Psych Central Show Source Type: blogs

‘I Apologize for What You Are About To See’
By HILARY HATCH, PhD The growing movement to include the patient voice in medicine through Motivational Interviewing, patient-reported outcomes, social determinants of health and shared decision-making One day in 2011, as a part of my research on ways to improve patient-provider communication about health behaviors, I was shadowing Dr. G., a talented young internist with a cheerleader demeanor. He marched through 12 afternoon patient appointments with confidence and purpose. But when he saw the name of the last patient on her schedule, he turned pale, faced me and said, “I apologize for what you are about to see....
Source: The Health Care Blog - August 13, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Patients Psychology Hilary Hatch motivational interviewing patient-reported outcomes Phreesia Social Determinants of Health Source Type: blogs

Fight Aging! Newsletter, August 12th 2019
We examined 9293 individuals from the Copenhagen General Population Study using nuclear magnetic resonance spectroscopy measurements of total cholesterol, free- and esterified cholesterol, triglycerides, phospholipids, and particle concentration. Fourteen subclasses of decreasing size and their lipid constituents were analysed: six subclasses were very low-density lipoprotein (VLDL), one intermediate-density lipoprotein (IDL), three low-density lipoprotein (LDL), and four subclasses were high-density lipoprotein (HDL). Remnant lipoproteins were VLDL and IDL combined. Mean nonfasting cholesterol concentration was 72...
Source: Fight Aging! - August 11, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Hospice Care Can Help Throughout the End Stages of Life
Photo credit Mikhail Rakityanskiy ...For weeks, each time I walked into Dad's room in the nursing home, he would be rigid in bed, up on one elbow and slamming his fist against his hand. Pow! Pow! Pow! Over and over, he pounded fist against hand. I would try to get him to relax; to lie back. He couldn't comprehend. Pow! Pow! Pow! He was trying to knock out the pain. Read the full article on Agingcare about how hospice care can improve the quality of life for people nearing death:   Carol Bradley Bursack is the Candid Caregiver MedicareFAQ – Medicare Resource Center Support a caregiver or jump-start discussion in sup...
Source: Minding Our Elders - August 4, 2019 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs

Fight Aging! Newsletter, August 5th 2019
In conclusion, with study of the frailty syndrome still in its infancy, frailty analysis remains a major challenge. It is a challenge that needs to be overcome in order to shed light on the multiple mechanisms involved in the pathogenesis of this syndrome. Although several mechanisms contribute to frailty, immune system alteration seems to play a central role: this syndrome is characterized by increased levels of pro-inflammatory markers and the resulting pro-inflammatory status can have negative effects on various organs. Future studies should aim to better clarify the immune system alteration in frailty, and seek to esta...
Source: Fight Aging! - August 4, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Fight Aging! Newsletter, July 22nd 2019
This study elucidates the potential to use mitochondria from different donors (PAMM) to treat UVR stress and possibly other types of damage or metabolic malfunctions in cells, resulting in not only in-vitro but also ex-vivo applications. Gene Therapy in Mice Alters the Balance of Macrophage Phenotypes to Slow Atherosclerosis Progression https://www.fightaging.org/archives/2019/07/gene-therapy-in-mice-alters-the-balance-of-macrophage-phenotypes-to-slow-atherosclerosis-progression/ Atherosclerosis causes a sizable fraction of all deaths in our species. It is the generation of fatty deposits in blood vessel...
Source: Fight Aging! - July 21, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Podcast: Openly Discussing Suicide in Our Communities
   One of the most dangerous misconceptions about suicide is that asking a loved one if they are suicidal will increase the odds that they will attempt suicide.  Today Dr. Nate Ivers of Wake Forest University discusses the importance of making “the covert overt” by asking blunt, straightforward questions of those you suspect may be thinking about suicide.  What words should you use, and if the answer is yes, what should you do next?  And why are we so uncomfortable about asking these potentially lifesaving questions? Find out on this episode. SUBSCRIBE & REVIEW   Guest information for ‘Discussing...
Source: World of Psychology - July 11, 2019 Category: Psychiatry & Psychology Authors: The Psych Central Podcast Tags: Depression Grief and Loss Suicide The Psych Central Show Source Type: blogs

Using Writing to Help Us Process Our Grief
On a cool November morning in the small town of Mountain View, Calif., Sarah Neustadter’s beloved boyfriend, John—the man she was going to marry—threw himself in front of an oncoming train. Just days prior, John had turned 36. The devastation Neustadter felt was so deep that she, too, wanted to die. “The pain of missing him was unbearable. The thought of living the rest of my life, years upon years, without him filled me with hopelessness and despair,” Neustadter writes in her new book Love You Like the Sky: Surviving the Suicide of a Beloved. Eight months after John died, Neustadter started sending emails to hi...
Source: World of Psychology - July 9, 2019 Category: Psychiatry & Psychology Authors: Margarita Tartakovsky, M.S. Tags: Books Creativity General Grief and Loss Self-Help Bereavement grieving Journaling Mourning writing Source Type: blogs

More opioids, more pain: Fueling the fire
For more than a century, clinicians have noticed a paradoxical phenomenon: certain patients who are taking opioids (which are supposed to numb pain) become more sensitive to pain than those who are not taking opioids. The earliest observation of this phenomenon can be traced back to the British physician Sir Clifford Allbutt, who, in 1870, described it: “at such times I have certainly felt it a great responsibility to say that pain, which I know is an evil, is less injurious than morphia, which may be an evil. Does morphia tend to encourage the very pain it pretends to relieve?” Research studies and clinical observatio...
Source: Harvard Health Blog - July 8, 2019 Category: Consumer Health News Authors: Shafik Boyaji, MD Tags: Pain Management Source Type: blogs

Fight Aging! Newsletter, July 8th 2019
In this study, we identify a link between members of the genus Veillonella and exercise performance. We observed an increase in Veillonella relative abundance in marathon runners postmarathon and isolated a strain of Veillonella atypica from stool samples. Inoculation of this strain into mice significantly increased exhaustive treadmill run time. Veillonella utilize lactate as their sole carbon source, which prompted us to perform a shotgun metagenomic analysis in a cohort of elite athletes, finding that every gene in a major pathway metabolizing lactate to propionate is at higher relative abundance postexercise. Us...
Source: Fight Aging! - July 7, 2019 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

Would you have given thrombolytics to this NSTEMI patient?
Case submitted by Dr. James AlvaA middle aged male called EMS for chest pain. EMS arrived and confirmed that the patient was complaining of chest pain and shortness of breath.They recorded this prehospital ECG:What do you think?Normal QRS complex rhythm with hyperacute T-waves in V2-V6, I and aVL. Slight STE in V2 only, with significant STD and thus de-Winter pattern in V4-V6. Leads II and III show reciprocal depression of the ST segment (II) and T-wave (III). This is diagnostic of acute myocardial infarction of the anterolateral walls, with the most likely etiology being Occlusion of the LAD. In other words, this ECG show...
Source: Dr. Smith's ECG Blog - July 6, 2019 Category: Cardiology Authors: Pendell Source Type: blogs

Into The Future of Gastroenterology With Digestibles And Microbiome Testing
Gluten? Lactose? Stomach pain? Digestive troubles? Way too many people suffer from gastrointestinal issues, and much less are aware of the digital technologies that can come to their aid. Did you know that digestibles could successfully replace the dreaded colonoscopy? Or have you heard about microbiome testing? What about the swarm of health apps supporting dietary restrictions? We took a deep breath and jumped into the universe of digital technologies just to bring you as much information about the future of gastroenterology as possible. Will you jump after us? IBS, colorectal cancer, and other animals Referring to...
Source: The Medical Futurist - July 4, 2019 Category: Information Technology Authors: nora Tags: Future of Medicine Genomics Health Sensors & Trackers diet dieting digestibles digestion digital health gastro gastroenterologist gastroenterology gastrointestinal gluten gut Innovation lactose microbiome stomach techno Source Type: blogs

PTSD: Dealing with the Boom of July 4th
With the summer in full swing. Many of us are looking ahead to July 4th, planning time away from work and looking forward to a well needed break. For most Americans, Independence Day reflects a day of fun, having barbecues with close friends and family, eating wonderful food and rejoicing at night under the fireworks. For some Americans, however, fireworks and crowds are a major trigger for Post-Traumatic Stress Disorder, inducing flashbacks, hypervigilance and sweating, among other symptoms. While in the general population, approximately 7-8% of people have PTSD at some point in their lives, this number increases to 10% i...
Source: World of Psychology - July 3, 2019 Category: Psychiatry & Psychology Authors: Jessica Koblenz, PsyD Tags: General PTSD Self-Help Trauma 4th Of July Combat Veteran Fireworks Hypersensitivity triggers Source Type: blogs

Are We Born with an Expiration Date?
Do you believe we are born with an expiration date and that we “sign up for” a certain number of years? I heard a story today of a stellar young woman on the way to a big event who was killed in a car accident. She crossed paths with another driver who was running late for his own intended destination and he blew through a red light. The young woman was an organ donor whose generosity will save numerous lives. I know of others who were just going about a “normal” day, and they made their transition suddenly. Some are unexpectedly given a life-ending diagnosis and, as a result, experience pain and su...
Source: World of Psychology - June 30, 2019 Category: Psychiatry & Psychology Authors: Edie Weinstein, MSW, LSW Tags: Grief and Loss Health-related Personal death dying Fear Near Death Experience Source Type: blogs

From Chernobyl To Mars: The Future Of Radiation Protection
In the minutes after block 4 of the nuclear power plant in Chernobyl exploded, no one knew that they are experiencing a disaster that never happened anywhere before on planet Earth. The public health, environmental, and even the socio-political consequences were disastrous and we can still experience the negative impacts. That’s why we posed the question of what public health authorities, as well as individuals, can do to mitigate the consequences of radiation exposure, and what digital technologies are available for radiation detection. In this respect, after our investigations, it even turned out that it would be benef...
Source: The Medical Futurist - June 29, 2019 Category: Information Technology Authors: nora Tags: Future of Medicine Space Medicine astronautics chernobyl disaster fiction Health Healthcare Innovation mars nuclear power plant public health radiation radiation exposure radiation protection technology Source Type: blogs