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May 2006 - Posts

  • Acupuncture - Does it work?

    Acupuncture?  Does it work?  I guess the answer is, "it depends".  A recent review (May 8, 2006) by the authoritative Medical Letter concluded that acupuncture alone has not been shown in rigorous, duplicated studies to benefit any defined medical condition.  It may be worth trying in patients with chronic pain, particularly low back pain that doesn't respond to more conventional treatment.  It may also be effective when added to other drugs for headache and to antinausea and anti-vomiting drugs for cancer patients undergoing chemotherapy.  How does it work?  We don't know frankly though there are some evidence it can increase the production of pain relieving chemicals in the body.  And it may have other effects on nerve pathways in the brain, spinal cord and peripheral nerves.  Talk to your doctor but in general, acupuncture shouldn't be the first or primary course of treatment for pain.
  • Stressed Out At Work?

    Try these tips to soothe your workday

    One of the biggest sources of stress for many people is the workplace, yet your options for stress relief at work may seem limited. But here are some ideas:

  • ABC TV flick -- Avian Flu!

    Avian Flu . . The movie and the reality! Anyone out there see the ABC TV flick this week about avian flu? I did (though most Americans watched American Idol and frankly, I should've too). First the good news. Raising awareness about avian flu as a potential individual and public health threat is a good thing. However, some of the messages and approach could scare rather than inform. What do YOU need to know?

    - Avian flu (H5N1 strain) to date has not shown person-to-person transmission

    - You can't get it from eating chicken or poultry - as always cook it thoroughly.

    - Flu prevention, of all types, starts with personal hygiene (handwashing frequently, covering face when sneezing) and immunization.

    - There is no specific effective vaccine but scientists worldwide are working on it

    - All of the estimates of illness, deaths and economic impact are just that - estimates. Any change in the virus might also change the accuracy of the impact.

    - Yes, international spread of flu can be rapid and is being closely monitored.

    - Early identification may allow us to use some traditional public health measures - "quarantine" but practically speaking, this may not be effective. A common sense reduction in public gatherings would be prudent to minimize person-to-person contact.

    - Special "preventive medications" such as Tamiflu are not recommended and shouldn't be stockpiled. It isn't clear how effective they are.

    - Yes, there may be demands on the business community with increased absenteeism and health care system.

    - If you've got chronic medications or medical needs, its advisable to have a supply

    - The just released report from the US government on flu planning and other resources can be accessed through the website http://www.pandemicflu.gov/planguide/checklist.html

    Let's be informed and prepared responsibly, not hysterically, about the avian flu.

    Dr Mike

  • Hate your workout? Try something else...

    Ever tried to stick with a workout you couldn't stand? For years my workouts consisted of half-hearted efforts to run or  lift weights, originally to put mass on my pitifully thin body, then later to remove years of Miller Lite detritus from my expanding mid-section. The problem was that I hated every second of every workout. Each step of a 2 mile run was painful, every rep with embarassingly light weight was pure misery.

    Go figure - these workouts produced almost no results. I remained rail-thin until I turned 30, then immediatley packed on 40 pounds, until I weighed in at nearly 200 pounds on my wedding day 02/02/02.

    Then, at 33, I discovered... Fight Club.

    3 years later, I'm in the best shape of my life.

    I submit to you the following video, which will appear graphic and rather shocking, but I assure you that it represents one of the safest and most effective ways to get in shape - and learn to realistically defend yourself in an actual fight.

    EDITED: a bunch of people told me the link below no longer works. Here's a new one:
    http://www.youtube.com/watch?v=VN6PvPCrStI

    http://video.google.com/videoplay?docid=8137340106961077524&q=gracie&pl=true
    (the video is Royce Gracie, a Brazilian, who, at 17 years old, is shown defeating a Kung Fu blackbelt nearly twice his age and 30 pounds heavier, in a controlled, no-holds-barred fighting match)

    The martial art is Brazilian Jiu Jitsu, and to this day I am baffled why anyone in the world would not study it. On a scale of 1 to 10, the physical exertion in a single training session is a 10; on any given day, you will lose quarts of sweat, your every muscle will hurt, and you will barely be able to drag yourself to your car.

    I could go on for days about how great this grappling sport really is, but I will simply state the following, and get back to my point:

    Man, woman, big, small, old, young; take BJJ lessons for 3 months, and you will never lose a fight again.

    It will appear from the video that only knuckle-dragging brutes would be interested in such a thing, but let me say that schools in your area cater to all kinds of people - professional fighters, women who want effective self-defense, guys who want to get in shape, and people looking for a unique and competitive sport. Most schools will accomodate any skill level, and any specific training goal, and we do not spend our time swinging wild punches at each other (despite what we want people to think).

    I train 3 times a week, religiously, and I love every second of it. I am convinced that it is the love, not the training, that make Jiu Jitsu so effective for my health.

    But, as hard for it is for me to imagine, perhaps grappling is not for everyone. Rolling around on the mats with a bunch of sweaty dudes might not sound like all that much fun. The point of this diatribe is to suggest that if you are having difficulty finding time, energy, or motivation to work out, the problem may be your choice of excercise, and not a lack of any of the three. It took me a quarter century to figure that out.

    So forget the treadmill, drop the weights, put away the leg warmers - go back out and find something you really love, and it won't seem like work at all. And stop by my Brazilian Jiu Jitsu school anytime - we love to beat up on the new guys!

    http://en.wikipedia.org/wiki/Brazilian_Jiu_Jitsu
    http://www.grappling.com/
    http://www.grapplearts.com/search.php


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