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Do virginity pledges prevent premarital sex? What does? Influences and attitudes.

January 7th, 2009

by  James Hubbard, M.D., M.P.H.

The headlines read, “Study shows virginity pledgers as sexually active as peers,” or, “Virginity pledges don’t work.”  OK, I thought, I’m not too keen on public pledges myself.  They were probably done in the emotion and peer pressure of the moment.  I wish all programs would undergo similar scrutiny.

But, then, I read an interview with the study’s author and found ”the rest of the story,” to quote Paul Harvey.  I didn’t take my own advice and believed a headline without reading the details.

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Boost your immune system: supplements, herbs, vitamins to treat colds–and the evidence behind them

January 6th, 2009

by James Hubbard, M.D., M.P.H.

Many people use nutritional supplements, herbs, vitamins to try to boost immunity and ward off colds.  It is only natural (pun intended) since we don’t have a cure for the annoying and frequent set of viruses that cause colds.

A few days back, I wrote about some general tried and true methods to increase your immunity that have good studies to back them up and don’t cost money.   They should be your base for protection.  Only implement other methods after you have put the base in place.

Good, reliable studies of herbs, vitamins and supplements that prove efficacy and safety are harder to find.  Although many people swear by their home remedy, the mainstream medical world has not taken these seriously, in the past.  We are now trying to catch up but have a long way to go.

The reason I reneged on my promise to post this information, on boosting your immune system with herbs, supplements and vitamins on yesterday, was I wanted to wait on access to the information at www.naturalstandard.com, where they utilize a group of medical experts and scientists to review all of the reliable data we have on alternative medicines.  Their mission is ”to provide objective, reliable information that aids clinicians, patients, and healthcare institutions to make more informed and safer therapeutic decisions.”

Here is what they say about specific supplements, herbs and vitamins fighting the common cold.

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Death of a child. What we can learn from the Travolta family tragedy?

January 5th, 2009

by James Hubbard, M.D., M.P.H.

No one should have to bury their child.  A universal truth that will never be cliche.  There is nothing worse than the death of your son or daughter.  It haunts you forever.

I know from second-hand experience after my parents had to do just that when my sister died in an auto accident in her twenties.  The Travoltas know first-hand.  You can only try to cope.  But how?  What common lessons can be learned from such an unthinkable tragedy?

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What is Kawasaki disease? Should I worry about my child?

January 3rd, 2009

by James Hubbard, M.D., M.P.H.

Whenever there is a public tragedy such as the death John Travolta and Kelly Preston’s son, Jet, we are all sad, and some of us worry how it might relate to us. At least, I do.  It is a realty check. Don’t we all, sometimes, fear the worst for our children or is it just me?

We don’t know the cause of his death yet, but we do know that both parents have talked about their son getting Kawasaki disease when a child.  So, for now, if our own child gets sick we think, could it be Kawasaki Disease?  What if I, or the doctor miss the diagnosis?  How serious a threat is it to my family? 

Knowledge and perspective may help a little.                                 
                                                                                                            photo CDC.strawberry tongue                        

                                                                                                                                                                

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How to boost your immunity during the cold and flu season

January 2nd, 2009

by James Hubbard, M.D., M.P.H.

photo by James Gathany

Looking for a cure for the common cold or flu?  Sorry to disappoint.  You won’t find one that is proven to work.  Trying to boost your immunity to fight off those pesky viruses?  You’ve come to the right place.  As a reminder, colds and influenza are caused by viruses that affect your upper respiratory system.  Antibiotics kill bacteria, not viruses.  They don’t work on colds or the flu.  If you do get one of these nasty viruses, it has to run its course as your body’s immune system fights it to the finish.  Here are some ways you can boost and strengthen your immune system to help in the battle.

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Health resolutions I actually may keep

December 31st, 2008

will this be Dr. H by year's end?

Will this be Dr. H by year's end?

The time has come.  The year is ending.  I have to make a choice.  I resolve to keep all 5 of yesterday’s options.  Okay, I know I am a hedger, but I believe these are doable.  I may even add to drink more alcohol (dirty look from wife).

Let’s go over my reasoning.

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Health resolution choices for the New Year narrowed down

December 30th, 2008

by James Hubbard, M.D., M.P.H.

I am still trying to decide what my New Year’s health resolution will be.  Something I can keep, but have to work and focus on.  A long-term goal with short-term steps and rewards.  I have a few in mind, and thanks for your suggestions Sagan and Judy.

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Quit smoking as your New Year’s resolution? Make it your priority.

December 29th, 2008

by  James Hubbard, M.D., M.P.H.

Healthy Lung.  Courtesy of American Lung Association

I used to make New Year’s resolutions when I was very, very young.  They were bold and visionary.  I never kept them and forgot what they were by January 2.  Since my late teens, when people would ask me if had made a resolution, I would tell them something like sweat less, age a year or some other nonsense.

Maybe I should compromise and make one good resolution that I try my best to keep.  Something specific and doable.   Any ideas for me? (keep it civil now)  What is your resolution?

If you smoke, may I suggest to stop by the end of 2009?  Many patients I advise to stop smoking give me a frustrated look that implies easier said than done.  I know.  But what if you make it the one thing you resolve to do, your number one priority for 2009?

Here is one incentive.  Dr. Norman Edleman of the American Lung Association says half of smokers die of lung disease.  Have you ever seen anyone with chronic lung disease?  Most of you can imagine cancer, but there are other more long term diseases that slowly destroy your lungs to the point you become constantly short of breath and nothing (including oxygen) relieves you.  Fully half.  I know most of you think you will not be in that half.  Maybe, if you are lucky (sarcasm goes here), you may die of one of the many other associated cancers, or heart disease.

Here are some tips to help you stop.

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Irritable Bowel Syndrome: Updated recommendations from the American College of Gastroenterology

December 23rd, 2008

James Hubbard, M.D., M.P.H.

Irritable Bowel Syndrome (IBS) affects 20 percent of U.S. adults.  Although it doesn’t actually harm the intestines, it can wreak havoc on the sufferer with any combination of abdominal bloating, cramping, diarrhea and constipation.  In a recent post I reported a study showing that the old standby treatments of fiber, peppermint oil and antispasmotics still work for most people.

The American College of Gastroenterologists has released updated treatment recommendations, as reported by the University of Michigan. New recommendations of note are:

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Prevent falls on ice. Winter walking tips from an orthopedist.

December 22nd, 2008

by James Hubbard, M.D., M.P.H.

I must admit I slip on the ice frequently.  Sometimes I fall.  Luckily, I have always gotten back up with only my pride bruised.  However, I do see serious injuries after every significant snowfall.  You really don’t want a cast for Christmas, do you?

Dr. Ronald Grelsamer, a knee and hip orthopedic doctor from Mt. Sinai hospital in New York, gives his winter walking tips to avoid serious injuries.

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