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Former BMJ editor: “Doctors are not interested in health”

7 May

When Britain’s Dr. Richard Smith speaks, I like to listen. He’s a former editor of the British Medical Journal (and also, coincidentally, a former med school prof who in 2001 resigned from his University of Nottingham teaching post in protest over the school’s acceptance of a £3.8 million gift from a tobacco company). Dr. Smith now offers a cheeky yet revealing overview of what’s wrong with medicine. In fact, I feel compelled to share with you his recent BMJ article, published shortly after returning from the World Cardiology Congress in Dubai. He writes:

Doctors are not interested in health.

(more…)

Are you reading this sitting down? Don’t!

29 Apr

by Carolyn Thomas

A recent study of over 200,000 Australians suggests that you might want to stand up if you happen to be sitting down right now.  This study*, published in the Archives of Internal Medicine, found that prolonged sitting is a health risk  independent of physical activity, and adds to the growing body of evidence that people who sit the most die the soonest – and, worse, you may not be able to exercise this effect away.

I don’t know about you, but I thought that last finding was disturbing.

In fact, Aussie researchers reported that not even getting regular physical exercise can outweigh the higher mortality risks associated with sitting more than 11 hours a day. Healthy or sick, active or inactive, the more people sat, the more likely they were to die sooner than non-sedentary people.  (more…)

How runaway stress hurts your heart – and your brain

25 Apr

There are few life events more stressful, in my humble opinion, than surviving a heart attack. Not only is the actual cardiac event a traumatic and overwhelming experience in itself, but what very few cardiologists  tell us before they boot us out the hospital door is how debilitating the day-to-day angst about every little subsequent bubble and squeak can actually be.  I can recall, for example, feeling virtually paralyzed with fear over unexpected chest pains following my heart attack (symptoms, I later learned from my cardiac nurse, that are often called “stretching pain” – common in recently stented coronary arteries). These symptoms turned out to be relatively benign – NOT the massive second heart attack I feared they signaled at the time.

David Ropeik teaches at Harvard and is the author of Risk! A Practical Guide for Deciding What’s Really Safe and What’s Really Dangerous in the World Around You. His observations about worry and chronic stress – such as living with heart disease – may ring true for you.

He recently asked his Big Think column readers:

“Want something else to worry about? Worry about worrying too much. The evidence is building that chronically elevated stress shrinks your brain.”   (more…)

Why you’ll listen to me – but not to your doctor

13 Apr

by Carolyn Thomas

As I like to remind my women’s heart health presentation audiences, I am not a physician. I’m not a nurse. I am merely a dull-witted heart attack survivor. I also warn them that a lot of what I’m about to say to them is already available out there, likely printed on some wrinkled-up Heart and Stroke Foundation brochure stuffed into the magazine rack at their doctor’s office.

So when the organizer of an upcoming WomenHeart community talk that I do each spring called me recently to say that registration for this presentation is already full with a waiting list – and that’s with weeks still to go yet! – my interest was piqued.

As any experienced public speaker can appreciate, you’re only as good as the audience thinks you are. When a repeat event like mine fills up quickly thanks almost entirely to word-of-mouth buzz, this tells me that women attending this talk must be pretty darned motivated to learn more about how they can improve their heart health.

But meanwhile, many doctors I know lament the fact that it’s tough for them to motivate their patients to even think about lifestyle improvements to modify known heart disease risks.  (more…)

Why don’t patients listen to doctors’ heart-healthy advice?

9 Feb

by Carolyn Thomas

Imagine that your daughter is preparing for a junior ski race. It’s five minutes before the start of the race. You want to give her some meaningful advice. Which one of these two messages are you going to use?

1. “Honey, remember to do XYZ – it will help you avoid losing!”
2. “Honey, remember to do XYZ – it will make you faster and you will have more fun!”

Austrian physician Dr. Franz Wiesbauer, writing to his fellow doctors in a Medcrunch article called Why Your Health Message Does Not Work, has asked this question many times in an informal little experiment. His results?  (more…)

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