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Balancing Priorities and Relationships as Integrative Healthcare Providers, with Adam Perlman, MD

Adam Perhlman

Relationships, priorities, and a life worth living when serving as a physician Essay by Adam Perlman, MD, MPH, Director of the Leadership Program in Integrative Healthcare at Duke University. Relationships are a key component to success — and sometimes failure — not only on the job but also in one’sRead

Opioids may exacerbate pain, new study shows

Increasingly practitioners are voicing concerns about the long-term safety of opioid medications for treating chronic pain. Since 2000, nearly 165,000 lives have been lost from addiction to prescription opioids, according to federal reports. A new study by professors at University of Colorado Boulder shows the escalation of opioid prescriptions for

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Plant Extracts Superior for Managing Osteoarthritis

osteoarthritis

Plant extracts may not be as potent as taking ibuprofen for osteoarthritis. Their subtlety is a positive says, Michael Jurgelewicz, DC. “They have an action that spreads across multiple enzyme systems, which is often a better way to go because you get the effect you want without the potential downstream side effects such as edema, hypertension, ulceration, or renal dysfunction,” he writes.

Omega-3 May Improve Quality of Life for Pancreatic Cancer Patients

pancreatic cancer

The addition of intravenous omega-3 fatty acids to anti-tumor medications for pancreatic cancer may improve quality of life (QOL) and clinical response, according to researchers from the University Hospitals of Leicester, UK. The authors report that the first clinical trial of intravenous (IV) ω-3FAs as a therapeutic agent in anyRead

Are Today’s Adolescents Tomorrow’s Hip-Fracture Patients?

The seeds of the pernicious disease osteoporosis are sown during adolescence, when the skeleton is most active in absorbing dietary calcium and building up nearly all the bone mass that will carry the teenager throughout life. Along with calcium, both vitamin D and vitamin K (particularly vitamin K2) are essential for bone formation. Little research has been done to evaluate adolescents’ vitamin K requirements for optimal bone development, but recent papers indicate that vitamin K status plays an important role in children’s bone health, and that bone metabolism requires significantly more vitamin K than blood coagulation. Calcium and vitamin D intake is well understood in the medical community, though fewer physicians are aware of the importance of vitamin K2, and little has changed with respect to dietary intake. By Karan Baucom, MD; Lara Pizzorno, MA; and Joseph Pizzorno, ND, published in the J of Restorative Medicine, Osteoporosis: The Need for Prevention and Treatment.

Food: The Vital Adjunct to Cardiovascular Care

By Elizabeth Klodas MD, FACC As a cardiac care community, we have certainly become exceptionally adroit at managing heart disease – prescribing statins, treating hypertension, and implanting stents and defibrillators. But we do all this while failing to effectively address the underlying fundamental root cause of atherosclerosis – poor nutrition.

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HealthyKitchens HealthyLives: Disruptive Wellness

“What if medical schools and schools of public health partnered with culinary and behavioral change experts to create new curricula for both health care providers and chefs? Might this novel strategy ultimately benefit both patients and the general public?” — David Eisenberg, MD at HealthyKitchens HealthyLives conference, March 14, 2014

This was the opening statement at the recent HealthyKitchens HealthyLives conference at the Culinary Institute of America (CIA) in St. Helena. Is Eisenberg an idealist or realist? Had I not seen it myself, I might have used the “i” word, with a capital I. As with any disruptive innovation, idealism is one part of the energy quotient that drives change. This conference explored the hands-on reality of how to affect lasting behavior change starting in the kitchen.

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