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Welcome Nurse Practitioner Rachel Gates + Lifestyle Medicine 101

This week we welcome Rachel Gates, NP, to WholeHealth Chicago, where she joins nurse practitioners Katie McManigal and Wendy Ploegstra. Like Wendy, Rachel is specially trained in a new (and desperately needed) branch of healthcare called Lifestyle Medicine. More about that later. Indiana-born and raised, Rachel began her education at Purdue University, earning her RN […]

Michelle Obama: Thanks for Reminding Us We’re Not Alone

You probably read last week that Michelle Obama acknowledged she’d been experiencing what she described as low-grade depression. You may have wondered aloud, as I did, how anyone who sees what’s going on in the world could avoid it. Many of us are feeling hopeless or anxious, ruminating about where this is all going, eating […]

Do You Have Low 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 hypogonadism, in which there’s an actual disorder of the male reproductive system that results in the body not producing enough testosterone. Causes of hypogonadism include […]

WholeHealth Chicago IV Therapies: Ozone

You should know that we follow the CDC safety guidelines and that all IV therapies are administered in a sanitized room by an appropriately attired staff member. You’ll be alone in the room during your 30- to 45-minute IV session, so bring something to read. It’s definitely worthwhile to have a basic understanding of ozone […]

The Cleveland Clinic and WholeHealth Chicago

I know, I know. It’s presumptuous of me to mention Cleveland Clinic in  the same line, much less on the same page, as WholeHealth Chicago, though we do have significant attributes in common, as you’ll see today. This research article, which appeared last week on the JAMA website, links the two of us in ways […]

Case Study: High Blood Pressure

Phyllis B. was a longtime patient of mine whose medical problems were happily under control and who usually came in only for annual check-ups. As I’d just seen her last month, I expected today’s visit meant some new problem had emerged. “I’m here for Kirk,” she began. I’d only met her husband once, years earlier. […]

Are Lifestyle Changes Impossible?

Many years ago, I became exhausted dealing with a friend who ignored my advice on living a healthy lifestyle. His attitude toward exercise was similar to Oscar Wilde’s “I often take exercise. Why only yesterday I had breakfast in bed.” His attitude toward food, especially restaurant food, was that he didn’t care much about quality […]

Male Menopause: Is It Real?

Short answer: Yes, but don’t hope for any quick fixes—that’s pharmaceutical industry-think. Another way to view male menopause: Sure, a ball will bounce, just not as high over time. I get asked about male menopause all the time, almost always by women (who, admittedly, represent the majority of my patients) and only rarely by my […]

How To Not Gain Weight

Please note this Health Tip will not tell you how to lose weight. If you want to browse the offerings on that topic, go to amazon and search for diet books. Once our largest bookstore attempted to track the numbers, but when they surpassed 95,000 it apparently gave up and now tell us that the […]

Winter Wellbeing

It’s hard to overstate the degree (minus 11 F tomorrow here in Chicago) to which the Midwest has settled into the dead of winter. With the rush of the holidays behind us, two dark, cold months lie ahead. Snowstorms, sub-zero temps, and icy pavement prompt many of us to stay indoors when we’d rather be […]

For A Longer Life…Stand Up Now!

By far the most common answer to my question, “Exercising these days?” is “Not enough.” This is usually accompanied by the briefest flicker of melancholy regret, as if by such a confession my patient has permanently abandoned the hopes and dreams of both a svelte body and enviable longevity. “Don’t worry,” I say, “It’s just […]

How To Get Off Statins

Getting off statins is easy. Stop swallowing the pill. If you’re not in a potentially high-risk group (as described below) and your doc prescribed a statin to get your cholesterol down a bit, you won’t have a heart attack or a stroke that day or week or probably that decade.

Pushing Your Wellness Exam Into The 21st Century

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 […]

Pre-Diabetes: What It Is And What To Do

Most physicians, myself included, jot a personal comment on a patient’s lab tests. My favorite is “Everything’s excellent!” which can be typed quickly and concentrates good news into two words that I hope trigger a smile. According to this New York Times article, doctors are writing the sentence “Your tests show you’re now in the […]

Fruitcake, Genes, and Exercise: A Spooky Holiday Story

Starting around Thanksgiving and generally ending on January 2, we’re surrounded by too much food. Many of us who spent the year really (really!) trying to lose weight and eat healthfully dread the havoc these dark days can wreak on our bodies. It’s agonizingly easy to add some pounds. Then, come January, we despair at […]

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 […]

Controversial Diagnosis #2: Chronic Fatigue Syndrome

In the mid-1980s, two outbreaks of what appeared to be infectious mononucleosis appeared in the US. Unlike typical mono, which caused exhaustion for a few weeks, people with this type were left in a permanent state of fatigue, with low-grade fevers, swollen lymph glands, muscle aches, and poor focus/concentration. In some cases, the fever and […]

The Best Piece of Financial Advice You’ll Ever Receive: Stay Healthy

The title of this piece should be in quotation marks because that advice is not my own. Based on my ineptness, I never give financial advice to anyone. Stock tips? I’m a Cumaean Sibyl in reverse. If ever money or finance come up in conversation, people who know me head for nearest exit in order […]

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 […]