Admin Admin

What did Dr. OZ say about stress today?

January 24, 2011

Dr. Oz talked about heart attacks on his show today. He emphasized things we can do to manage our risk for ourselves. He talked about the risk for women as well as men. One of the issues that he emphasized was ‘stress.’ He noted that stress is a big contributor to heart disease. He has talked about this in terms of our diet before http://whyhealthcommunication.com/whc_blog/?p=328  I have talked about Dr. Oz referring to stress before on this blog .http://whyhealthcommunication.com/whc_blog/?p=236 

This time, I want to applaud the very concrete suggestions that Dr. Oz gave us for handling stress. He said, “Have two social conversations each day.” And, “Have one social outing each week.”  This is very useful for us. How often do we find ourselves stressed with feelings that there is ‘no wait out.’ Then we talk to a friend or a colleague about a new movie coming out, or our passion for a sport, or our love for our children. Even five minutes, and some of that stress melts away. And, yes, as impossible as it seems when we feel stressed, having a social outing–a walk at the city park or in the mall when it is too cold outdoors, lunch at Subway’s or each other’s home, or going to see that new movie–everything looks and feels different afterward. So thumbs up to Dr. Oz for concrete ideas that we all can do to manage our stress…

What did Michelle Obama have to say about WalMart today?

January 20, 2011

Michelle Obama spoke today standing in front of fresh produce at a WalMart. She talked about the initiative that WalMart will undertake to make healthy food more accessible.

http://www.youtube.com/watch?v=TwMsh8vaYvE 

WalMart will reduce the sodium in their products and get rid of products with trans fats. They will lower the prices for fresh fruits and vegetables. In short, they will work to make it possible for more of us to afford to eat healthy… Let’s hope it is a model that others follow…

Is there really any reason to believe that communication about health causes discrimination?

January 19, 2011

Yes. And we are hearing about it again as the Congress considers health care reform…yet again.

Insurance discrimination… Parents are worried once more as Congress talks about health care reform and it seems as if some conditions might not be eligible for care. It is hard to understand why a conditon that someone is born with might be ruled out for care, while a condition that has direct links to our personal behavior would be covered… We don’t want to find ourselves playing a ‘blame’ game… but resources are limited. We have somepersonal responsibility. Society has some responsibility. We have to consider both.   

Employment discrimination… A subtle thing can happen, subtle because it is hidden from view. As costs for health care increase, as medical knowledge grows, will there be some conditions that rule us out of consideration for employment?? Will some genetic conditions linked to risk from some diseases lead some employers to require testing for those genes?  What do the innovators of ’23 and me’ think about these issues?   

http://www.youtube.com/watch?v=F7UHBBHhoj0&feature=related

Social discrimination. We have years of evidence to support that naming or labeling health conditions can lead to stigmatizing behavior toward people who have been labeled…avoidance and more.   

Reproductive discrimination… Yes. How we talk about health can cause discrimination…   

How do we talk about pain?

January 18, 2011

Have you ever been asked, ‘On a scale of 1 to 10, where 10 is the most, how bad is your pain?’ I’ve been asked that question. I have heard others be asked that question. I have even seen it in prime time shows. Is it just me, or is that a hard question to answer?

I took a quick look online to see what kind of research there might be about ‘taling about pain.’ I found very little published research. There is research about pediatric pain and getting kids to use pictures of faces to tell about their pain. Then I found an article about developing a measure of neuropathic pain [http://www.meduniwien.ac.at/phd-iai/fileadmin/ISMED/Literaturhinweise/Bennett_LANSS_Pain_2001_92.pdf]. It has the kind of things that I would imagine being more helpful both for making treatment recommendations and to help a patient be able to answer. It asks whether the pain feels like pin pricks, for example. A doctor takes all of the patient’s answers to add up for a total pain score. This seems to be a good way to talk about pain when working to manage it…

How does Martin Luther King relate to communicating about health?

January 17, 2011

“When most of us think about the legacy of Martin Luther King Jr., what comes to mind is his role in the real progress toward racial equity that this country has achieved over the 38 years since his death, in areas such as employment, voting rights, housing, and education. Despite the major racial and ethnic gaps that still exist in each of these areas, concrete, measurable gains have been realized, and as a nation we should be justly proud.

“We should be equally humbled and chagrined by the vast racial and ethnic disparities and inequities that continue — 42 years after passage of the Civil Rights Act of 1964 — in Americans’ health status and access to health care…”

Have you been following the news about liver damage and acetaminophen?

January 14, 2011

We don’t set out to overdose on our over the counter drugs, but some of them are ‘invisible’… they are included in so many products that it can add up before we know it and cause problems. Serious problems for acetaminophen… 42 thousand hospitalizations for overdosing… 400 deaths… just in the U.S. http://www.nytimes.com/2009/07/07/health/07well.html?_r=1

But the answer is not switching… aspirin is invivisible in lots of products as well. I write about this in the chapter about health profits in Talking about health… Elderly adults using creams with aspirin and young adult athletes seeking pain relief have had problems with overdosing by accident because the ingreident is included in so many products… A note of caution for us all…

What’s in the numbers — how does public health data reflect you and me?

January 13, 2011

Pennsylvania’s Department of Health online site tells us a lot about numbers and how communication adds up to a lot of data. There is a link in the form of an image for newborns near the bottom of the homepage that tells the story about data collected at the time of a birth in Pennsylvania [http://www.portal.state.pa.us/portal/server.pt?open=514&objID=558226&mode=2].

Linking from the general overview, there is an image of a block —  one of several —  to click on for answers to ‘parents frequently asked questions.’ It describes what screening tests will be conducted on each newborn, and tells us — that the results will be reported to the Department of Health. And so it begins… information about each one of us contributing to public health priorities…

NIH — What is it and how does it relate to communicating about health?

January 12, 2011

I talk a bit about the National Institutes of Health –NIH [http://www.nih.gov/]– in the chapter, “What’s politics got to do with it?” The various institutes and centers in NIH [http://www.nih.gov/icd/index.html] give a sense of where and about what issues, conditions, disease — such as the eye institute, the national cancer institute, the institue on aging, the heart lung & blood institute to name a few — decisions will be made regarding research and federal funding for the research. The Office for Research on Women’s Health, formed in 1990, assures that efforts will be made to include rather than exclude women from medical research [http://orwh.od.nih.gov/about.html].

The federal budget continues to include significant expenditures for NIH, with President Obama seeking to bring the 2011 budget to 32 billion [ http://www.aacr.org/home/public–media/science-policy–government-affairs/aacr-cancer-policy-monitor/aacr-cancer-policy-monitor—february-2010/white-house-proposes-to-increase-nih-budget-by-$1-billion.aspx]. As citizens, we should take a look at these decisions and realize that the ways that NIH organize predict the research that will be done…

Why does communicating about health matter?

January 10,2011

When talking about health, we form ideas about responsibility… Who do we blame for our cold, our cancer, our heart disease, our low vision? At one end of the blame continuum is personal responsibility and at the other end —  societal responsibility. In between, we have friends, family, co-workers, and media –including advertisements that make it seem that if we could only take the right medication, all would be well. Or, movies that make it seem as if there are more solutions available to us than there are in reality. Or news reports that do the same…

What a surprise when I walked into my classroom for the semester and found a student desk positioned near the podium with a sign posted overhead: FOR STUDENT WITH SPECIAL NEEDS. DO NOT MOVE. The same message was taped to the desktop. Hmm, what’s wrong with this picture? What does it communicate? Who and what is responsible for a student not using the desk?

How do we know what health message to trust about autism and vaccines?

January 7, 2011

121_2191bWell, the issue that one of the students in my undergraduate students focused on last semester — in the designing health messages class — was autism and vaccines. She explained how the medical research that led to media stories about vaccines and autism was based on a small sample size of 12 children and that 10 of 13 of the original researchers who authored the study no longer stand behind its conclusion that there is a link between autism and vaccines. Now, we have a new story in a medical journal —  telling how the results in the original publication were ‘made up’. See http://kottke.org/11/01/autism-study-fraudulent

As consumers of news and health information, we can question samples sizes. We can question the ways that studies are conducted, including whether there were too few or too many control variables. We can question the lack of representativeness of a study — the failure to include males and females, or the absence of different age groups and various sociodemographic audiences, for example. But we do have to ‘trust’ that the researchers accurately represent what actually happens in the conduct of a study. Just as we trust grocers to put expiration dates on our food labels that reflect actual dates, that bankers take precautions to safeguard our accounts, that pilots and bus drivers and auto mechanics are honest when they say they have been trained to do the work that we trust them to do. And for the most part, in all of these cases, and in medical research as well —  we can trust… But it doesn’t mean that we shouldn’t ask questions. And it doesn’t mean that we shouldn’t look for the credentials to support our trust…

Related Posts Plugin for WordPress, Blogger...