Category Archives: Weekly Links

Weekly Links #5 — Obesity again and goals

This week’s links are short and sweet. It’s been a busy week between work and the Badger game yesterday (Russell Wilson’s pretty good, turns out). Next week I’ll be back on top of things, scouring for those fatalistic genetics articles.

1. “Study: U.S. obesity rates projected to climb by 2030” This article caught my eye because of its relationship to last week’s articles. In particular, the war on fat article talked about the CDC scaling back obesity projections. This article contrasts with that, citing another study’s projections. Odds are, things will probably fall somewhere in the middle. I did find it interesting, however, that the study noted the problems that childhood obesity could cause with the overall populations obesity. I also liked that they noted some of the cultural problems behind the obesity projections.

2. “It’s Not a Goal, It’s a Reason” This article does a good idea of recognizing both the value and the problems with goals. Goals are great for short-term motivations (like fitting into a suit) but goals are also limited to smaller timeframes. A goal of living a healthy lifestyle is difficult to keep up as motivation for an extended period of time. You need a reason and you need to keep it in view. My reason for wanting to be healthy is to avoid the health problems much of my family has had. It’s about writing my own destiny and not just giving up because I will probably have lots of problems with my weight and health.

I’ll be back next week with more. OSS and Vegetarian Adventures will be coming in the next couple of days.

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Weekly Links #4 — Obesity and Another Excuse for Eating all the Cookies

It’s Thursday. Time for weekly links! Only three links this week, because I we’re getting heavy on some stuff. Sorry for the lack of posts this week. There’s a big one coming tomorrow morning and the vegetarian adventure has been postponed to saturday this week. Hang in there. I know you’re excited.

1. “Fat People Are Not Our Enemy” This article talks about a lot of things. It’s main point is that we need to stop hating on ‘fat’ people, citing an article that found overweight people to be just as healthy as their skinny counterparts. A couple things here, from me. First, being a little bit overweight is not necessarily a bad thing. Having a little bit of fat can help the body be more resilient, help it survive difficult times. That is not an endorsement to gain weight, though!

Second, and I agree with the article on this, BMI is a terrible way to measure obesity. The nice thing about BMI is that it is easy to calculate. Therefore, it’s very useful to get a general idea on the population from a public health standpoint. However, easy to calculate also means a lot of error. For example, when I was in some of the best shape of my life during high school, calculating BMI put me at the border of overweight and obese. I most definitely was not! BMI oversimplifies and it doesn’t take into account muscle mass, instead using a simple height vs weight set-up. However, the article claims that our reliance on BMI has changed what we consider healthy. I would disagree with that.

How many people do you know judge health based on BMI (minus healthcare workers)? I’m going to guess not many. Most people can tell the difference between an obese person, someone who is an unhealthy level of overweight, and someone who is maybe overweight but still healthy. Maybe the war on fat has gone too far. Discrimination is never a good thing. But I would not say that science thinks being too heavy is good for you, as the article concludes.

2. “Obesity in America: How the Social Norm on Weight Has Shifted” In sticking with the obesity discussion, this article talks about people’s views on obesity. Most interesting for me was the high numbers of people who skew themselves downward on the obesity scale. (Note: I don’t know if they used BMI or not for the polls). Also, science in this one claims that up to 80% of chronic diseases can be linked to weight. I can understand people’s confusion with science. I’m going to guess the number in actuality comes in below 80%, but I’m also going to believe this side of things a little more than the claim that heavy is good.

Anyways, I love that this article emphasizes the need for bottom-up change. Being honest, I don’t put much hope in top-down change these days. Too much stupid bickering and partisanship for anything to get done. So any changes are going to have to come from below. The community example is nice, and it would be cool to see this pop up in other places too. Good article all around.

3.“Westerners ‘programmed to eat junk food'” Back to busting DNA articles! I’m not arguing with the study. It’s very possible, especially the survival side of things. BUT, the title again! I’ve found that titles tend to be very sensationalist since I’ve started this blog, usually exaggerating the actual claims in the article. Yes, westerners may crave foods that are less healthy due to genetic heritage. But it doesn’t MAKE people eat the unhealthy foods. I crave sugary foods. Constantly. Terrible sweet tooth. Is this because of my ‘switch’? Maybe, but I don’t eat sugary foods all the time. There’s this useful thing called consciousness which allows me to choose what I do and don’t eat. The article doesn’t touch on this at all, mostly just quoting the scientists. Who, I should add, go no further than mentioning that it could control craving and explaining it’s origin. Not saying we are programmed to eat junk food. Saying we might have a genetic based desire for junk food. Programmed is a very different thing. Programmed to crave versus programmed to eat is also very different. Whew! I’m done now.

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Weekly Links #3

It’s Thursday. And I’m actually doing my weekly links on time! So we’re going to celebrate with a long one. Of course, I’m behind on all my other posts for this week (they’re coming, I promise!). Didn’t have internet for awhile with the move.

So, I feel like I haven’t yet explained why I’m doing links every Thursday. Or more importantly, why a lot of them have to do with public health stuff. Part of it is that I’m very interested in public health and thinking about getting my MPH while I’m at med school. The other side of it is that public health ideas can have an influence on your life–by changing views, helping to understand how things work, or just for the general advice. Anyways, on to the articles!

1. “Why is it so Difficult for Doctors to Stay on Time?” A couple of weeks ago in my links, I posted an article talking about doctors running behind and what the patient can do about it. This is a great follow-up piece from a doctor’s perspective. I like how it shows the tension between trying to stay on time and giving each patient as much time as they need. I definitely saw this issue at the community health center where I spent some time. We were always behind, and it was solely due to making sure each patient had their questions or concerns satisfied (within reason).

2. “Do Calories Really Count?” Loved this article. And it certainly fits in with the Michael Pollan school of thinking on food. I think the best takeaway from this article is the statement about the body being a chemistry lab instead of a bank. All calories are not equal. Sound advice.

3. “New Drug Could Cure Nearly Any Viral Infection” This is just pretty cool. I’m interested to see what this could lead to.

4. “A Prescription for Fear” Fantastic article comparing WebMD and Mayo Clinics websites. I’ve thought for a long time that WebMD might be doing more harm than good (saving the explanation for a longer post in the future), but this article from the NY Times exposes just what’s wrong with it–namely, pharmaceutical backing. Something to keep in mind next time you’re checking stuff out online about your health.

5. “Just 15 Minutes of Exercise a Day Could Add Years to Your Life” Just doing anything can help! No excuses about not having enough time.

6. “Will a Healthy Lifestyle Prevent Illness” This is an article that is kind of against what I’m about. It’s not off-base, but I think it goes too far. Yes, auto-immune disorders and a number of other health problems ignores a healthy lifestyle. But just because there is no guarantees that a healthy lifestyle will improve many things doesn’t mean that it’s not worth it (which the article doesn’t claim, but argues strongly enough that I would consider it implied). Yes, ancestry and luck are a factor. But it is foolish to undercut the way a person lives as a factor. It might not be guaranteed, but I can guarantee that the risks are high without a healthy lifestyle.

7. “Genetics and Obesity” I’ll let this article finish off my argument. I love the end. “Genetics is Not Destiny”. Thank you! I also really enjoy the line about dealing with the genetic hand you are dealt.

If you find any interesting articles or suggestions, please(!) send them to me!

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Weekly Links #2

This week’s links are fewer than I normally would like, but I’m using a couple of articles for a post coming later today or tomorrow. Getting closer to having them in on Thursday though! One of these weeks I’ll actually have them on time (or I’ll meet myself halfway and make it a Friday post). Anyways, three of the posts this week are from kevinmd.com. Great site; always interesting stuff on there. Usually I’ll try to work a little more variety in, but some of them warranted a separate post this week. Without further ado:

1. “What Would a Smart, Compassionate, Affordable Health Care System Look Like?” This is an insightful piece on some of the problems in our healthcare system. At the heart of the article is the idea that we are spending too much for what we are getting. It doesn’t offer any solutions, but does raise a number of questions in an attempt to get some discourse started.

2. “Two Changes to Cut Federal Health Care Expenditures” This article does offer a couple of solutions to the massive amount spent on health care. #1 surprised me. It just seems odd to me that negotiating for prices would be prohibited in the first place. #2 also makes sense at a basic level, but I want to know who would be deciding efficacy and effectiveness. I would worry about politics getting too involved and ending up right back where we started.

3. “Why Doctors Shouldn’t Leave Their Emotions Behind” I found this piece interesting as someone looking to get into medicine. I think I would rather be the kind of doctor who does form a relationship with each patient rather than staying emotionally detached. But at the same time, I can see how that would take a definite toll. Thought it was interesting.

4. “Corn Subsidies Make Unhealthy Food Choices the Rational Ones” This topic is one I find very frustrating personally. I’ll probably end up doing a whole post on it at some point, but this article does a good job of getting the basic info out there. Our national agricultural system needs an overhaul. I’ll save the rest of the rant for another time and just leave it at the article for now.

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Weekly Links #1 — Long Waits and the Primary Care Shortage

Long Waits and the Primary Care Shortage

So every Thursday, I’m going to try to post links to articles I’ve found interesting over the week with the occasional thoughts. (I know it’s already Saturday this week, running a little behind already). So here we go.

1. “How to Head Off Long Waits for the Doctor” I spent some time shadowing at a community health center, doing family medicine. One of the thing that really stood out to me was that we always seemed to be running behind. Appointments were set up in either 10 or 20 minute blocks but I rarely felt like we met either of them. I think there is a tension between keeping appointments close to on time and giving patients as much time as they need. The doctor I was with definitely fell on the side of giving patients as much time as they needed (within reason). Anyways, the article makes some suggestions for dealing with it from the patient side, but they don’t seem like solutions that would accomplish a whole lot. I don’t have any solutions, myself, but the article is an interesting look at a problem facing patients and doctors.

2. “Why Medical School Should Be Free” This is an interesting op-ed piece linking medical school debt to the shortage of primary care physicians. As someone who has a lot of debt already, and so much more to come with medical school, I definitely understand its point. There is certainly pressure to pursue higher-paying specialties when it can mean paying off student loans years earlier.

3. “Medical school debt only partially explains the primary care shortage” Kevinmd.com posted this response to #2. It recognizes Dr. Chen’s argument, but proposes that a larger part of the primary care shortage is caused by high tuition costs deterring underrepresented minorities and students from lower socioeconomic statuses. A very interesting complement to #2.

4. “When specialists try to practice primary care” Following the primary care them, this is another kevinmd.com piece. It makes a nice argument for placing greater value on generalism.

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