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Weighing in on…’pink slime’

March 23, 2012

I am sure that you’ve all heard about it. But just to be sure we are on the same page, let me share a brief story about ‘pink slime’ below so you know what I am talking about. I guess one of my favorite comments I’ve heard during this discussion came from a vegetarian who stated, “If I knew where my meat was coming from, I might eat it.” For me, it is the use of the word “lean” that gets me. Count the number of times it appears in the news story here. It really makes me wonder how often I have purchased really ‘lean’ ground beef in the past and got it at a good price–but really wasn’t getting what I thought I was buying.. Hmm. And when did pink slime first get added to our meat supply? Anyone know?

A stark reminder to check your prescriptions…closely

March 8, 2012

I heard the story about a pharmacy mix-up the other day that reminded me how important it is to inspect my medications closely before taking them. As the clip shows, a medication was given that looked the same in color and size, but very much was not the same. A cancer drug instead of fluoride tablets.

I found an error once. The pill was a different color than my prescription but the same size. So I looked closer and it wasn’t my medication. You can check your prescription by going to http://www.drugs.com/imprints.php and enter the number on your pill to be sure that it is what was prescribed according to the label.

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Health communication about noise pollution and health

February 11, 2012

I talked about visiting a Marcellus Shale drilling site last spring. I didn’t say much about the noise. But it was …loud. I guess the noise starts well before the drilling begins. And we know quite a bit about the effects of noise on human health. The Environmental Protection Agency summarizes it at this link: http://www.epa.gov/air/noise.html …things like increased blood pressure, hearing loss, sleep loss, and then loss of productivity…

http://youtu.be/g_95vu-J6Vs

What is ‘negative labeling’ of genetically modified foods?

February 6, 2012

My three favorite food groups are salsa, salsa, and more salsa. I prefer to have a beautiful garden of fresh tomatoes and onions and peppers to pluck and prepare my own salsa. But I don’t. So I use Green Mountain Gringo Salsa, the ‘hot’ variety. And I am forever happy when Dr. Oz talks about healthy eating and I find that my salsa qualifies. It has some sea salt in it but that’s the last ingredient in the list of fresh vegetables.

And then there is the message, ‘No Genetically Modified Ingredients’. I think they mean to say, ‘No Genetically Engineered Ingredients’. I think that because what I believe is true about the salsa I love is that the ingredients have not been genetically altered with the DNA of one organism combined with another. No salmon in the tomatoes, for example. [read about this here:   http://www.pbs.org/wnet/dna/pop_genetic_gallery/index.html ].

This method of informing consumers about GM content in food is called negative labeling — it tells us something isn’t present. In cases where there is no ‘negative label,’ we can reach the conclusion that there is such content in the food. We don’t know what. We don’t know how much. But we also don’t know based on any systematic research conducted over time whether we need to know.
http://youtu.be/MfTQergr29M
 

The magazine…Baby Talk… and the topic–childbirth classes

February 4, 2012

April 1982, my friend had an article about the birth of her twins in baby talk: THE FIRST BABY MAGAZINE where she described her experience and mentions me, her “second childbirth coach, a close friend”… Her other coach was her husband. As her labor progressed, my friend tells the story about how the nurse put an I.V. in her arm ‘just in case’ and how her two coaches looked away, leading the nurse to remark, “If you can’t watch this, how do you expect to watch these babies get delivered?” But we did. And the babies were beautiful.

I persist in believing that such classes are beneficial. Here is someone who says just what I would say about how such classes help with the process http://www.parents.com/pregnancy/giving-birth/preparing-for-labor/childbirth-classes/ 

But here, too, is one of those videos… http://www.parents.com/videos/m/32086618/birthing-101.htm 

And another…

One more with Jimmy Kimmel’s spin…

And when the shoe is on the other foot in health communication, so that a patient wants to reject treatment or medication, what then?

Jauary 17, 2012

Sometimes, life really is a race…

Here is my daughter pictured in a skull at the Head of the Charles rowing competition. Looking at it, I am thinking about how our discussion about conscience clauses ignores the other side of the story.

I was reminded of our right to refuse treatment based on our values and morals when I once more searched to find published research about how doctors, especially pharmacists, talk about these issues with patients when it means that a doctor/pharmacist is not going to provide medication or treatment.

Orr and Jensen conclude in the Journal of Medical Ethics,

“How should the clinician respond when a patient or family requests “inappropriate” treatment based on religious beliefs? As in all situations where there is disagreement about treatment options, good communication is the most important step towards resolution. The patient or family must clearly understand the medical situation. This may require repeated discussion, conversations with consultants,viewing of x-rays or other clinical data, or other efforts familiar to most clinicians. A management conference, which includes the patient/family, primary physician, consultants, bedside nurses and others from the care-team, is often the best way to ensure that such communication happens.” (1993, p. 145; http://jme.bmj.com/content/23/3/142.full.pdf+html)

The article’s title? “Requests for “inappropriate” treatment based on religious beliefs.”

I think the suggested course of communication in the decision-making scenario is a great model for how to talk about decisions when the shoe is on the other foot, so to speak…and the focus is conscience clauses and the provider’s religious beliefs.

 

 

 

Old science, new science, and conflicting science about coffee and caffeine–and health

January 12, 2012

Shortly before the holidays, I heard Dr. Oz talking about coffee. He played a game with audience members and emphasized that coarsely ground, light roast coffee made with cold water and NEVER microwaved is best when aiming for the benefits of coffee. Benefits? I thought. Isn’t it interesting how different stories emphasize different results?

On the hunt for the science I went. In 2009, a study reported that 3-5 cups of coffee a day related to a reduced risk –65% less — for dementia and Alzheimer’s disease [http://iospress.metapress.com/content/d885346618q57103/].

I was reminded of my discussion in my book, Talking about health, about old science, new science, conflicting science, and no science. I went online in search of some more science to discuss the coffee and caffeine health benefits. I found the Dr. Oz story: http://www.drozfans.com/dr-ozs-advice/dr-oz-american-roast-coffee-prevents-colon-cancer-coffee-trivia/

An article in 1990 reports findings that the participants who reported drinking more coffee had a higher incidence of colon cancer [http://www.jstor.org/pss/20065645]. 

A study reported in 1993 found no relationship between more than 34,000 women’s reports of caffeine consumption and breast cancer [http://aje.oxfordjournals.org/content/138/6/380.short].

In 2007, a study found that 2 cups of black tea or decaf. coffee each day related to reduced risk for ovarian cancer, but regular coffee did not show this relationship. Again, women self-reported their behaviors [ http://onlinelibrary.wiley.com/doi/10.1111/j.1525-1438.2006.00773.x/full].

Also in 2007, a study found that drinking 2 cups a day of regular coffee greatly reduced — 43% — risk for liver cancer [http://www.gastrojournal.org/article/S0016-5085(07)00568-9/abstract].

What does it all mean? Talking about health means thinking about when a study was conducted, who particpated, and how the research was done. Self-reports are different from clinical studies. I don’t know of any clinical trials where participants are given coffee over time and compared to participants who do not consume coffee. So the research depends on individuals reporting how much coffee they drink. And then clinical reports about their health status provide a picture of what might be making a difference in the health of some compared to others. So when talking about health, don’t lose sight of the meaning of shorthand expressions like, ‘drinking 2 cups of coffee a day reduces your risk for cancer’…

Consumer Reports and Apple Juice: Why Did Dr. Besser Apologize to Dr. Oz?

December 11, 2011

Not long ago, near the end of September,  I reflected on the debate that took place between Dr. Besser and Dr. Oz about apple juice. It was a chance to consider the meaning of evidence when reports appear about the safety of food or other substances. I noted that I would have appreciated it if Dr. Besser had spent more time talking about why the evidence was of poor quality and less time attacking Dr. Oz.

Well, new data is in. Dr. Besser apologized to Dr. Oz and aimed his criticism at the FDA where data about arsenic in applie juice had been piling up for a number of years. A new study released by Consumer Reports added to that data. Dr. Oz gives tips about the amount of apple juice that should be safe for children at different ages to drink. It is clear that all of us need to keep asking for answers to the question: how did the science reach that conclusion? When we ask, someone just might listen and try to give a more valid answer…

Would you like to have a copy of the book, ‘Moral problems in medicine’, edited by Samuel Gorovitz and colleagues?

October 7, 2011

It happens. My library at home and in the office spills over onto the floor in my office. The floors at home. In the library. And the bedroom. There is the chair beside the TV. Oh and the table in the library. There is the tactic of placing a few books here and a few books there. All in the name of ‘decorating’ with books. But it reaches a critical mass and is just…too much. So I have selected some to part with. Before just dumping them into the local book drive box, I thought I would give you a chance to say that you would like to have this book. I will tell you a bit about it and how to have it [book jacket in tact and all] for your own.

First, let me just say that Penn State has approved a dual title degree program in bioethics, with Communication Arts & Sciences being one of the departments within which a student might elect to pursue this degree http://live.psu.edu/story/54735. I have always been fascinated and engrossed in debates about health, health care, and ethics. Not the least of these is the continuous discussion about whether access to health care paid for by insurance ’causes’ individuals to use more care–the moral hazard linked to insurance. It is because of my interest in this area that I’ve read hundreds [yes, ’tis true] of books dealing with the topic on all kinds of levels in all kinds of nations. And I own a lot of books on this subject–broadly speaking. Which brings me to this book.  

Regarding the book itself, it is listed in this bibliography:  http://www.qcc.cuny.edu/SocialSciences/ppecorino/SS640/bibliography.html regarding “General works in medical and bioethics.”

The book was reviewed positively in the Journal of the American Medical Association shortly after publication. http://jama.ama-assn.org/content/236/25/2906.1.short  Notably, the reviewer comments on the fact that the book does not limit the topic to any one field but provides varied views from contributors in a number of fields. At any rate, if the topic interests you and you want this book, tell me so in the comment section. I will select someone to receive the book and go out of the blog to get your mailing information via email. Then the book will soon be traveling your way…

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