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Symptoms: Disease or Functional?

In medical school, you’re taught that patients either have a disease or don’t: That your patient is either genuinely unwell with a name-able condition (and the positive test results affirming this diagnosis) or not.

Money and Happiness

“Money won’t make you happy.” A boring cliché, hammered into our heads by our moms since that gleeful afternoon when we showed her our first day’s profits from the lemonade stand. We still try our best to believe it, but secretly we don’t. In our hearts we’d like–just once–to be tested with wealth.

How Much Exercise?

I owe the details of this health tip to Dr. Joseph S. Alpert, the physician-editor of the American Journal of Medicine. Since a subscription to this highly respectable journal is, for non-physicians, $166 a year, I’ll assume it’s not regularly thrust through your mail slot and share his article with you.

Doctors and Lab Tests

When I was in pre-med (back in the Pleistocene Era, to many of you), I worked as a lab technician in a small hospital. All those blood and urine tests you’ve had whose results are now fully automated were once processed slowly and painstakingly by hand (mine among them). The so-called metabolic profile of about 20 tests that today takes a few seconds to complete would have occupied me for nearly a full workday.

Biography as Biology

I’d first come across this phrase during a lecture by psychologist and medical intuitive Carolyn Myss, PhD, at a meeting of the American Holistic Medical Association and later reading some of her books, especially Why People Don’t Heal. In it she explores the common problem of people with chronic symptoms and negative test results, delving into how these symptoms develop and what might be done to help them.

Avoiding Holiday Weight Gain

The next two weeks are the year’s most dangerous when it comes to the radius of your waist, the width of your thighs, and the heft of your chins.

As I write, it’s two degrees below zero in Chicago and I think we can safely agree most of us won’t be jogging off the extra calories we’re facing from now into the new year. Driving to the health club in a winter storm is also a bit off-putting

Why We Get Fat: It’s Official

Don’t “Ho-ho-ho” me, Santa baby, with a “Because we eat too much.” While it’s true that overeating even a healthy diet will set you in the direction of being mistaken for the Michelin woman, it’s what you’re chowing down that really counts.

Another Mystery Rash

In last week’s Case of the Mysterious Rash, a young man’s near-daily eruption of hives turned out to be triggered by a latex sensitivity he’d developed while walking the sandy beaches of Hawaii wearing rubber flip-flops.

This brings to mind another patient. Liz, too, had seen a bevy of dermatologists, none of whom could identify the culprit behind her hives. Liz knew from her internet research that the trigger is discovered in only about 60% of cases. Still, she persevered. There had to be something behind her rash, which had been coming and going for years.

Hormones and Breast Cancer

By noon on the day the story hit the news, I’d received a dozen emails from (sensibly) concerned patients asking what the study meant for them. First appearing in JAMA (the Journal of the American Medical Association) and then picked up by the wire services and spread around the world, the article addressed phase two of the Women’s Health Initiative (WHI) Study that was originally published in 2002.

Worst-Fear Insurance

Nursing homes, or what we now euphemistically call “long-term care facilities,” are a relatively recent phenomenon. Until about 30 years ago, great grandmothers usually existed as a shadowy presence in a family, often confused and crotchety until they became ill, took to bed, and died. Nobody thought of putting them “in a home.”

Should I Get the Flu Shot?

When it comes to flu shots, I admit I take a far more conventional approach than many patients at WholeHealth Chicago and regular readers of these Health Tips might expect of a doctor who calls himself “alternative” or “integrative.” I’ve recently been reading some of the alternative medicine newsletters online warning people away from flu shots. The conclusion often seems to be “…and I’ve got this product you can buy instead.”