Patients ask me, “What about those wellness exams my health insurance company says I’m entitled to every year at no cost?” Bad news. Let’s review one of life’s basic rules: you get what you pay for. What you receive during your short wellness visit (what many consider a sacrosanct ritual that boosts longevity) is little […]
Category: Aging
Anti-aging medicine uses a wide variety of diagnostic tests and therapies to maximize healthy longevity. Many anti-aging approaches are part of standard health care including colonoscopies, mammograms, cholesterol measurement, and hormone replacement. More alternative approaches include detoxification, growth hormone therapy, and nutritional supplements.
Osteopenia and Osteoporosis, Part 2
Last week in Part 1 we wrote an overview of osteoporosis and osteopenia. I couldn’t help but note that most US physicians can date their knowledge of both diagnosis and treatment to the saturation marketing of Big Pharma’s variety of osteoporosis medications, most notably the bisphosphonates (Fosamax, Boniva, Reclast). As we all get older, our […]
Osteopenia and Osteoporosis, Part 1
As is the case with many of our contemporary ailments, it was a combination of Baby Boomer longevity, the ready availability of devices to measure bone density, and Big Pharma creativity that taught both patients and physicians about osteopenia (low bone mineral density) and its more serious consequence, osteoporosis, in which bones become brittle and […]
Is Your Life Just One Big Boring Routine?
Do you have the sense that the months (and years!) are slipping by too fast? No doubt you’ve once groaned, “I can’t believe it’s April already. I still have Christmas lights on the house. How did 25% of the year go by so quickly?” Or, possibly worse, you’ve heard about a colleague receiving a gift […]
Reversing Mental Decline Part 4: Nine Immediate Steps to Prevent Dementia
We’ve covered a lot of scientific territory in this series, from the basics of Alzheimer’s to the tests used to evaluate risk. This final installment is something you can follow up on right now, regardless of where you fall on the risk spectrum. Concerning your brain, let’s say you’re in one of these four situations: […]
Reversing Mental Decline Part 3: Tests For Alzheimer’s Prevention
Dale Bredesen, MD, author of The End of Alzheimer’s: The First Program To Prevent and Reverse Cognitive Decline, refers to the tests you should undergo if you’re concerned about brain health as a “cognoscopy,” sort of a colonoscopy for your brain. Perhaps thinking back on your own colonoscopy, it’s reasonable to ask, “Do I really […]
Reversing Mental Decline Part 3: Tests For Alzheimer’s Prevention
Dale Bredesen, MD, author of The End of Alzheimer’s: The First Program To Prevent and Reverse Cognitive Decline, refers to the tests you should undergo if you’re concerned about brain health as a “cognoscopy,” sort of a colonoscopy for your brain. Perhaps thinking back on your own colonoscopy, it’s reasonable to ask, “Do I really […]
Reversing Mental Decline and Preventing Alzheimer’s, Part 2
Last week I explained the current thinking about cognitive decline, whose worst manifestation, Alzheimer’s disease, occurs because a protein called amyloid accumulates in the brain, destroying delicate brain cells. Focusing on clearing out amyloid as a treatment of Alzheimer’s has been unsuccessful. The answer is prevention. In his important book The End of Alzheimer’s: The […]
Reversing Mental Decline and Preventing Alzheimer’s, Part 1
You saw a movie last week and in discussing it with friends simply can’t remember the important parts. Plus you just missed another appointment. Planning to drive to a north suburb, you instead got on the southbound expressway and after 15 minutes of Loop traffic realized your error. You’re mixing up words and forgetting too […]
Disappointments With Testosterone
For 80 (!) years physicians have prescribed testosterone to men without being certain if it actually had any effect other than raising testosterone levels. The only FDA-approved indication for testosterone is pathological hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Examples are testicular […]
130/80: What The New High Blood Pressure Guidelines Mean For You
You might not have known it, but last Monday, November 13, 2017, you may have awakened with high blood pressure (hypertension). Don’t feel alone. A massive increase in the number of people with hypertension occurred overnight when the definition of high blood pressure was officially changed from 140/90 (and higher) to 130/80 (and higher). I’m […]
Health Screening Offers: Should You Bother?
Like most people, you’ve received one of those brochures in the mail with a headline screaming something like “Health Screening Can Save Your Life!” They’re filled with photos of happy, healthy people on golf courses or with their grandchildren and are liberally sprinkled with quotes like, “Dan’s alive today because an ultrasound revealed his aneurysm.”
Doctors Die Differently
With everything being written about our changing healthcare climate, you’re probably also seeing articles about end-of-life care. During a person’s final weeks or months, costs escalate from tens to hundreds of thousands of dollars, and all too often for little more than a minor extension of misery. It puts a new spin on Dylan Thomas:Do […]
Disappointments With Testosterone
For 80 (!) years physicians have prescribed testosterone to men without being certain if it actually had any effect other than raising testosterone levels. The only FDA-approved indication for testosterone is pathological hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Examples are […]
Worrisome Dementia Report For Women and Steps To Take
We’ve always known there was a higher rate of Alzheimer’s disease and other dementias in women than in men, initially attributed to the fact that women live longer and that the decline in mental function occurred with age. This turned out to be wrong. At 65, a woman has a greater than one-in-six chance of […]
Nutritional Supplement Shotgun Therapy
I once had a new patient arrive with her forms completed, a stack of medical records under her arm, and a large bulging gym bag in tow, saying “I brought all the supplements I’m taking. I’m hoping you can suggest a few I might not need.” One by one, she placed bottles and jars of […]
My Memory’s Just Not The Same…Is This Worrisome?
Immediate answer: The newest research shows that your own impression of your memory–not anyone else’s, and not any particular test–could be the very first sign of mental decline as you age. Longer answer: We all have episodes of forgetfulness no matter how old we are. Ask any high school senior confronted with the SAT vocabulary […]
WTF Happened To My Sex Drive?
I don’t mean to catch you mid-croissant on this topic, but I want to report the latest research on a woman’s libido and its relationship to her masturbation activities. If you’re a woman in your mid-40s or older, partnered or not, straight or gay, you may have noticed something about your sex drive you’re not […]
No More Colonoscopies! (For Most of Us)
If you’re approaching 50, you’re facing issues unique to your next half century. Oh, sure, there are lots of good things to anticipate, like joining AARP for discounts on Depends or joining one of their affordable bus tours to the Dells. You can even fantasize about retirement, though it may be years and years away. […]
A Final Commonly Missed Diagnosis: Functional Symptoms
This missed diagnosis is a bit more complicated. It’s not one specific condition, like a slightly underactive thyroid or gluten intolerance. It’s about you and your doctor’s tunnel vision, the “if your only tool is a hammer, then everything around you is a nail” sort of thinking. Functional symptoms constitute a huge spectrum of missed […]