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Judges: Good Samaritan closing adds to shortage of mental health care

“It seems inescapable to me that when you close a major health facility like Good Samaritan, it cannot do anything but negatively impact the health needs, including mental health needs, of the community that they serve that’s proximate to that hospital,” said Montgomery County Common Pleas Court Judge Steven Dankof.

Article source: http://www.daytondailynews.com/business/judges-good-samaritan-closing-adds-shortage-mental-health-care/N5ybQkRaDr4p9ZDL9QsVWO/

Don’t Let Good Health Make You Sick

No matter how many times my parents, my friends, or my therapist insist that having cystic fibrosis is a full-time job, I can never seem to internalize the concept. When I’m healthy, walking to class is easy, I sleep through the night, and my bones rest beneath my skin. How can a body this functional be a full-time job? Why does everyone say CF is so hard when, at least right now, life’s kind of a breeze?

It’s because things change. That breeze grows, swirls, and morphs into a hurricane. It’s because the waves swell and begin to crash and swallow. When life is comfortable, it’s easy to forget discomfort ever existed — and that it will inevitably exist again.

Now, I’m talking to myself as much as I’m talking to you guys right now (probably more, actually), but do not let the combination of ambition and good health distract you. Do not let it deceive you into believing your self-care is optional.

Feeling healthy enough to go to the gym doesn’t warrant a three-hour lift sesh that distracts you from eating dinner. Studying is good, but studying in the library from 8 a.m. to 8 p.m. is not. When the going gets tough, the tough get going — but when the going gets easy, the tough still need to keep going!

It’s time for a check-in. When was the last time you …

  • Ate a home-cooked meal?
  • Ate any meal?
  • Brushed your teeth?
  • Had a conversation with someone?
  • Did your treatments or physical therapies?
  • Took your pills?
  • Meditated?
  • Cleaned your space?
  • Slept?
  • Exercised or stretched?
  • Changed your clothes?
  • Showered?
  • Did laundry?
  • Went outside?
  • Washed your nebulizer pieces?
  • Touched base with your doctor?
  • Turned off your computer or closed your book?

If it’s been an unusually long time since you’ve done one or more of these things, be careful — you might be on a self-destructive path.

Feeling good is an effective motivator. Invigorated by energy and strength, we can’t help but want to get to work and make our dreams come true! But as I constantly need to remind myself, you won’t be able to enjoy the products of your dreams unless you’re alive to see them. Sacrificing the “then” for the “now” may feel good at the moment, and it might even make you feel normal (for once, am I right?), but in the long run, it’s not the smart choice.

There ain’t no rest for the wicked sicked, friends. Now go do your treatments!

***

Note: Cystic Fibrosis News Today is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Cystic Fibrosis News Today or its parent company, BioNews Services, and are intended to spark discussion about issues pertaining to cystic fibrosis.

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Article source: https://cysticfibrosisnewstoday.com/2018/01/18/cystic-fibrosis-dont-let-good-health-make-you-sick/

The Presidential Physician Is Almost Certainly Not Telling the Whole Truth

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Article source: https://slate.com/technology/2018/01/the-presidential-physician-is-probably-exaggerating-trumps-good-health-and-thats-normal.html

Trump’s Doctor Dismisses Questions About Mental Stability, Stresses ‘Excellent’ Health

WASHINGTON ― Briefing reporters on the results of President Donald Trump’s first presidential medical evaluation, White House doctor Ronny Jackson on Tuesday emphasized the president’s “excellent” health and dismissed the question on many people’s minds since the recent release of Michael Wolff’s bombshell book: Is the president mentally up to his job? 

As HuffPost’s S.V. Date notes, “Wolff’s book, Fire and Fury, portrays a delusional, ignorant and impulsive chief executive who may also be suffering from a loss of his cognitive skills ― a description that has brought into public discourse what had previously been off-limits.”

Some hoped Trump’s Friday’s medical evaluation would include a cognitive or psychiatric assessment of the 71-year-old president. The government recommends Medicare recipients over age 65 undergo a cognitive assessment as part of their annual physicals. 

Jackson stressed that Trump’s examination at Walter Reed Military Medical Center contained a cognitive assessment that the president passed with flying colors.

He made sure to point out that the president passed a “longer, more difficult” version, and that administering it was “not driven by clinical concerns.”

“There’s no indication that he has any cognitive issues,” Jackson said, adding that Trump “is very articulate when he speaks to me.”

Later, he added that it was “impressive” that Trump “has a lot of energy and a lot of stamina,” and is “very sharp.”

As far as Trump’s basic health statistics, he is 75 inches tall, weighs 239 pounds, has 20/30 vision, and had “normal” results for his motor and cognitive functions, as well as “above average exercise capacity based on age and sex,” according to Jackson.

“In summary, the president’s overall health is excellent,” Jackson said. “All data indicates the president is healthy and will remain so for the duration of his presidency.”

Jackson said he suggested Trump should try to lose between 10 to 15 pounds over the next year, and recommended a healthier diet and “a dedicated, defined exercise program.”

“He would benefit from a diet that is lower in fat and carbohydrates,” Jackson said.

The results are in line with what Trump disclosed during his campaign, in notes from both his personal doctor and, for some reason, Dr. Oz. His personal physician, Dr. Harold Bornstein ― who once famously made the dubious claim that Trump would become “the healthiest individual ever elected to the presidency” ― reported in 2016 that Trump was 6-foot-3 and 236 pounds, took a statin to lower his cholesterol, and had no history of cancer or other major medical problems.

But Trump’s erratic behavior as president, and his age, leave many Americans wondering if he might be suffering from some sort of cognitive decline. Yale University psychiatry professor Bandy Lee, who has not personally evaluated Trump, told HuffPost that “we’re seeing signs of impairment in the sitting president … [and] it’s been markedly getting worse.”

Trump last week fueled talk about his mental fitness, vehemently denying he has mental health issues and calling himself “a very stable genius.” 

Article source: https://www.huffingtonpost.com/entry/trump-physical-exam_us_5a587e6ae4b0720dc4c5fac2

Mika Brzezinski: Trump’s Apparent Good Health ‘Worries Me’

(CNSNews.com) – After months of declaring President Trump unstable and questioning both his mental and physical fitness for office, one of the hosts of MSNBC’s “Morning Joe” had this to say about Trump’s clean bill of health, delivered yesterday by the doctor who examined him.

Mika Brzezinski said if Trump is cognitively healthy, he has no excuse for his behavior, and therefore, he must be “evil.”

Brzezinski raised the issue of Trump’s health as part of the continuing conversation about Trump’s reported use of the phrase “shithole countries” during a discussion about immigration last week:

“You know, that, along with the fact that the president appears to be, according to the doctor, healthy, worries me,” Brzezinski said. “Because if he wasn’t healthy, that would be a great excuse for this behavior. Now he has none. Which you can then deduce other things that are far more nefarious and frightening. Steve Rattner, I won’t ask you to answer to that, but I think it’s worth saying. I just wonder how you look at all this, given the fact that there’s a shutdown looming?”

Rattner, a frequent “Morning Joe” contributor, responded: “Well actually, I had a similar thought about the president, which is I wasn’t sure whether I was rooting for him to turn out to be cognitively healthy or cognitively not healthy. If you’re cognitively healthy and do all this stuff, it’s pretty bad.”

“I’m disturbed that they say he’s cognitively healthy,” Brzezinski said. “I think the word ‘evil’ comes to mind,” she added.

“Well, yeah, you’re right,” Rattner replied.

Rattner said regardless of whether Trump used the word “shithole” in a conversation about immigration, he obviously has “inflamed the situation” at a time when a progress was being made on that issue. And because the president “threw this monkey wrench” into the immigration debate, “now it’s complete chaos and now we have three days to go before the government shuts down and nobody knows what’s going to happen next and everybody is debating about a word.”

“We’re also debating about racism at the very highest office in the land,” Brzezinski said.

“There’s no question,” Rattner replied.
 
“And it is a really sad time for this country,” Brzezinski mourned.

“There’s no question,” Rattner repeated. “But I think at the moment we need to keep the government open and we should try to get back to a simpler place and then deal with the president’s obvious imperfections, shall we say.”

Article source: https://www.cnsnews.com/news/article/susan-jones/mika-brzezinski-trumps-apparent-good-health-worries-me

Your Good Health: Woman’s high water intake likely OK

Dear Dr. Roach: I am a rather healthy 35-year-old woman. I drink a lot of water daily — approximately five to six litres, just because I feel the need to. My doctor does not seem concerned, as she says it may be normal for my body. I’ve been drinking these amounts for five to six years (I think it started during pregnancy). My family is concerned, as they say it is too much for the kidneys. I would truly appreciate your opinion. Also, I do not know whether any of this may be relevant, but I am not diabetic (but I am insulin-resistant); I do not use any medication; I am a smoker; I have gastritis; and I am slightly overweight.

Anon.

Five litres a day is more than most people need. However, it is well within the ability of the normal kidneys to handle, assuming you are getting enough of the electrolytes and minerals the body requires.

People taking diuretics, which affect the kidney’s ability to regulate salt, can develop dangerously low sodium levels with excess water intake.

Dear Dr. Roach: In 2010, my husband had an abdominal/pelvic CT scan (for an unrelated reason), and they found a 14-millimetre mass in his lower right kidney. In 2017, a repeat scan showed that the mass was much larger, and he had the kidney removed. The pathology showed a 48-by-40-mm papillary kidney cancer, type 1. We were told that removing the kidney would be curative, and no other testing (scans) have been ordered. We have not been told of specific type or staging. I had breast cancer in the past (mastectomy and radiation) so am familiar with the process. Is renal cancer different? We just feel out of the loop and that we should have more information on this cancer. He has lost a lot of weight.

K.K.

Several kinds of cancers start in the kidney, but papillary kidney cell cancer is a less common type. Fortunately for you and your husband, type 1 cancers generally are not as aggressive, and people with this kind of kidney cancer have a better prognosis than people with other types.

It is completely obvious, at least in hindsight, that the 14-mm mass should not have gone so long without a followup.

Around the time of diagnosis, an evaluation is undertaken to look for evidence of spread, including a CT scan of the lungs. Kidney cancer also can go to the bone, so if he had any bone pain or elevated blood tests showing bone damage (called alkaline phosphatase), most experts would recommend a bone scan as well. If there is no spread, the five-year survival in people with this type of cancer is greater than 90 per cent. No chemotherapy is indicated if there is no evidence of spread. I would recommend a visit with a medical oncologist, just to make sure his workup is complete.

The weight loss is concerning. It may indeed have been the tumour; cancers can make substances that cause people to lose weight. However, I personally wouldn’t stop looking, especially if the weight loss continues.

Dr. Roach Writes: A recent column on multiple myeloma noted that myeloma is uncommon in younger people. About 3.5 per cent of myeloma cases occur in people under 45; however, that is still a lot of cases, and many physicians are unaware that this cancer can occur in young people. You can learn more about this cancer at myeloma.org.

Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu.

Article source: http://www.timescolonist.com/life/health/your-good-health-woman-s-high-water-intake-likely-ok-1.23146253

Presidential health: Here’s what we know about health of Obama, Bush and Clinton

President Trump’s physician has declared that the commander-in-chief is in “excellent health.”

It’s not quite to the “healthiest individual ever elected to the presidency” level — something Trump’s personal doctor declared during the 2016 presidential campaign — but it’s a description that has often been used during previous administrations and does indicate that the president is fit to serve.

More: White House doctor: President Trump ‘is in excellent health’ and physical ‘went exceptionally well’

More: Will Trump’s exercise and eating habits catch up to him as stress mounts?

So how does that compare to past presidents? Let’s take a look back.

Barack Obama

Over the course of Obama’s eight years in office, his physical reports pointed to one thing: Obama was healthy and enjoyed “all the benefits of good health.” The reports listed Obama’s vitals, as well as his lab results and previous medical history. 

“The president continues to focus on healthy lifestyle choices,” Dr. Ronny Jackson, the physician to the president, wrote in 2016. “He eats a healthy diet, remains tobacco free and only drinks alcohol occasionally and in moderation. He continues to exercise daily with a focus on aerobic fitness and resistance weight training.”

George W. Bush

Per a 2001 physical Bush underwent in the first year of his presidency, he was in “outstanding health and fit for duty.”

In addition to listing his vitals and other key information, the report notes Bush’s previous activity- and sports-related injuries and surgeries. It also noted that Bush had the “occasional cigar” and didn’t drink alcohol.

“The President is in the top 2% of men his age in cardiovascular fitness,” the report reads. “This fitness level would place him in the Excellent category for men 40-44 and Superior range for men 45 and older. He is stratified to a very low coronary risk profile.”

Bill Clinton

Clinton’s health was an ongoing subject throughout his campaign and presidency.

During the 1992 campaign, his doctors told journalists that Clinton was in excellent health, but noted that he had allergies, mild hearing loss, chronic laryngitis and needed to lose weight.

By 1997, Clinton was fitted with a hearing aid. His weight, cholesterol levels and blood pressure fluctuated throughout his presidency. By the end of his time in office, his physician had given him a prescription to lower his cholesterol and he had a lesion removed from his back.

Clinton himself noted that it was important for the public to know about his health, though.

“The public has a right to know the condition of the president’s health,” he said in 1996.

George H.W. Bush

According to a 1989 physical, Bush was in “extremely sound physical condition.”

He underwent the typical physical examination that indicated he had mild osteoarthritis, but no other significant changes to his health. He also had a cyst drained.

“He keeps fit through a number of physical activities, which we recommend he continue on a regular basis,” his doctor said at the time. “Today’s examination shows him to be in excellent health.”

Ronald Reagan

Reagan underwent a number of physicals throughout his presidency. In his first in 1981, the report noted that he was in “excellent health” and had recovered from the gunshot wounds he suffered during an assassination attempt earlier in the year.

By 1985, his doctor was positive about both Reagan’s physical and mental health.

“President Reagan continues to enjoy good health,” the physician said. “His overall physical and mental condition is excellent.”

That same year, Reagan underwent three surgeries. During the first, he had a polyp removed from his colon. He had a second polyp — discovered during the first surgery — later removed, and that polyp was found to be cancerous.

The White House provided regular updates on his health, including one note from his doctors: “He is fast returning to championship form.”

In 1987, he also a basal cell epithelioma removed from his nose, and in 1989, he had voluntary surgery on his hand.

Article source: https://www.usatoday.com/story/news/politics/onpolitics/2018/01/16/presidential-health-heres-what-we-know-health-obama-bush-and-clinton/1035730001/

Good genes? How can Trump eat a lot of fast food, exercise little and be healthy?

The White House physician maintained President Trump is in “excellent health” Tuesday, despite what a new book describes as his strong attraction to fast food, including cheeseburgers in bed.  

Ronny Jackson, the White House physician, said the 71-year-old Trump stands 6 feet, 3 inches tall and weighs 239 pounds. He also said Trump has “above average” exercise capacity, even though he doesn’t exercise beyond golf. 

That height and weight gives Trump a body mass index (BMI) of 29.9 which places him in the overweight category on the verge of obesity, defined as a BMI of 30 or greater.

So how is he so healthy? 

“Incredible genes, i just assume,” said Jackson, who said he told Trump that if he ate better and exercised for the last 20 years he “might live to be 200.” 

While Trump’s may be the dream diet of a teenage boy, it’s a nightmare for those trying to model or message that healthy eating — and exercise — are the key to good health.  Tyson’s Corner, Va. internal medicine doctor Sam Pappas faced that dilemma the same afternoon Jackson was explaining Trump’s health data to the press.  A 50-something male patient described his “very Trumpesque” approach to diet and exercise during a follow up to his own physical as if it was okay.

Pappas, who frequently performs physicals for government and military personnel, said he had to remind his also-stocky, muscular man that unlike the teetotalling Trump “you like to have your wine.”  As with his own patient, Pappas said he would encourage lower Trump to eat lower carbohydrate diet with more healthy fats. 

Indeed, Jackson is going to work with Trump and a nutritionist on the president’s diet which will emphasize lower carbs and fats. 

“There are ‘good’ genes, but what research has shown us is that more than genes, more than health care, more than social circumstances, behaviors are the leading cause of premature death,” says Bernadette Melnyk, a professor and dean of Ohio State University’s college of nursing and the university’s chief wellness officer. “And there’s good evidence behind that.”

After all, one’s genes can only do so much. 

“Some gene variants are slightly more efficient at detoxifying harmful chemicals in the liver, which leads to a slightly decreased cancer risk,” says Maureen Murphy, a cancer geneticist with the Wistar Institute in Philadelphia. “But I don’t think good genetics trumps —  I mean beats —  bad lifestyle.” 

Trump’s supporters emphasize that the fact he’s never been a smoker or drinker is key to his good health, but most experts say diet and exercise are still critical to good health and longevity. 

Still, Pappas says Trump’s triglycerides level (the amount of fat in the blood) of 129 is good, his blood pressure of 122/74 is “very good” and his blood glucose level of 89 is “a very good marker” as it’s under 90. Above 90 is pre-diabetes. 

Pappas also says government physicals, including Trump’s, don’t have as much data as he would like, such as waist measurement which would be a better indicator of problems than BMI for someone with a muscular build like Trump. Jackson said the physical did not include body measurements.

Trump has stated openly that exercise is overrated, even going so far as to say that it can create more problems than it cures. 

 ‘‘All my friends who work out all the time, they’re going for knee replacements, hip replacements — they’re a disaster,’’ Trump said in a September 2015 New York Times Magazine article.

Jackson says he will come up with an exercise program for Trump that doesn’t put his joints at risk. 

Former House Speaker Newt Gingrich and media company owner Chris Ruddy told USA TODAY in earlier interviews that Trump is genetically high energy and benefits from his cleaner living habits. Jackson agreed Tuesday. 

Smoking is “about the worst” thing you can do for your health and “drinking isn’t too far behind,” says Murphy. But excess weight is a “terrible risk factor for poor health.”  Diet and exercise are “roughly equal” in importance to not smoking or drinking, says Murphy.

While fast food and sweets are hardly what she’d like to see the commander in chief eating, Melnyk and physician Bruce Lee of John Hopkins University’s Global Obesity Prevention Center advocate the 80/20 rule, or that if you adhere to a well balanced and healthy diet for about 80% of what you eat, the rest can be less healthy foods. 

“Everyone’s a human being and if they try to stick to a very strict diet, it’s difficult for anyone to be able to maintain that,” says Lee, who is also a professor at Johns Hopkins’ Bloomberg School of Public Health. 

More:

Will Trump’s exercise and eating habits catch up to him as stress mounts?

Will Trump’s exercise and eating habits catch up to him as stress mounts?

Is chronic sleep deprivation impairing President Trump’s brain, performance?

Trump doesn’t get any exercise beyond golfing with a cart that Jackson or others know of.  Asked if that’s moderate to vigorous activity as described by the federal government, Lee says “not necessarily.” Walking back and forth to a cart and swinging a club, don’t bring golf anywhere close to sports such as basketball or swimming, Lee says, but he does note it “gets you out in nature.” 

Playing golf while riding a cart burns only about half as many calories than walking, or an average of 411 calories for nine holes, according to a study by Neal Wolkendoff of the Colorado Center for Health and Sport Science. 

Even if Trump has had good health until his early 70s, that doesn’t mean his lifestyle will lead to longevity beyond what he’s already experienced or for the typical 71-year-old, which is what Jackson predicted he would at least achieve.  

If your gene variants have helped prevent disease, it’s “not because of lifestyle — you’ve been lucky,” says Murphy. “Luck is a huge part and it might not last.”

 

Article source: https://www.usatoday.com/story/news/politics/2018/01/16/good-genes-how-can-trump-eat-lot-fast-food-exercise-little-and-healthy/1036518001/

Donald Trump Is in Good Physical and Mental Health, White House Doctor Says

President Donald Trump’s doctor has recommend that he lose some weight, but said that the president is in excellent physical and mental health otherwise.

Speaking in the White House briefing room Tuesday afternoon, White House physician Dr. Ronny Jackson described the results of four hours of physical and mental health testing on Friday.

“The president’s overall health is excellent,” he said, adding “there’s no indication whatsoever that he has any cognitive issue.”

Jackson, who served presidents George W. Bush and Barack Obama as well, said he recommended that Trump lose 10 to 15 pounds over the next year through alterations in diet and exercise. Trump currently weighs 239 pounds, which at 6-foot-3 puts him just under the technical definition of obese under the body mass index, or BMI.

“He would benefit from a diet that is lower in fat and carbohydrates and a routine exercise regimen,” Jackson said, but acknowledged that Trump is famously averse to exercise. “He’s more enthusiastic about the diet part than the exercise part,” he said, joking that he may bring First Lady Melania Trump on board to make sure her husband sticks to a diet and workout plan.

These periodic health evaluations are arguably particularly critical for Trump, who at age 71 is the oldest person ever elected president for a first term. News reports in recent weeks have also shed light on some of Trump’s dietary habits: he reportedly drinks 12 Diet Cokes a day, and he regularly orders from McDonald’s, according to Michael Wolff’s book Fire and Fury. In another new book by two former aides called Let Trump Be Trump, Trump is described ordering “two Big Macs, two Fillet-O-Fish, and a chocolate malted” for one meal from McDonald’s.

“On Trump Force One there were four major food groups: McDonald’s, Kentucky Fried Chicken, pizza and Diet Coke,” the authors say.

Jackson said he’s going to have a nutrition specialist come meet with the White House chefs. “I think the main thing we focused on with regards to lifestyle changes are diet and exercise,” Jackson said. “If we get diet and exercise right, the weight loss will come.”

Jackson said Trump sleeps four to five hours per night, and takes Propecia for prevention of hair loss. Jackson also addressed the incident in December when Trump appeared to slur his words during a speech: Trump does not wear any dentures, Jackson said, and the incident was likely the result of a dry mouth caused by Sudafed that the president had been taking.

The medical checkup also came amid renewed concerns about Trump’s psychological health. After the publication of Wolff’s book, which claimed that some of Trump’s aides considered him unfit for office, the president defended himself on Twitter as “a very stable genius.”

Jackson said that he wasn’t planning on administering any cognitive tests to Trump, but the president requested them. He performed a test called the Montreal Cognitive Assessment, a 10-minute test which tests for mild cognitive dysfunction, and said Trump scored 30 out of 30.

“Absolutely,” Jackson said, “he’s fit for duty,”

Article source: http://time.com/5104183/donald-trump-health-ronny-jackson/

A hub for good health: Local senior centers connect older adults with the resources they need to remain active and …

The National Council on Aging estimates that nearly 1 million older adults visit a senior center every day, which comes as no surprise to anyone who has enjoyed the wide variety of programs offered at the centers in Eau Claire and Chippewa Falls. Currently, they offer opportunities to:

  • Exercise
  • Socialize
  • Develop skills such as painting, woodcarving, and writing
  • Enjoy card games, billiards, and other recreational activities
  • Receive screenings and instruction about health and personal care

Due to each center’s focus on promoting wellness, older adults who regularly visit them have more success managing chronic conditions and may enjoy a greater sense of well-being.

JOIN US!

3D Community Health: Body.Mind.Spirit, a service of HSHS Sacred Heart and St. Joseph’s hospitals, hosts regular health presentations at L.E. Phillips Senior Center in Eau Claire. During the first session of 2018—scheduled for February 7, at 1 p.m.—physical therapist Shannon Birkholz, DPT, will discuss ways to increase your activity in the winter while also preventing the risk of falls. “These programs are free and include refreshments and educational literature seniors can take home,” says Kelly Lauscher, Health Educator for 3D Community Health. “Presentations take place every four months, and this year our focus is on body, mind (May), and spirit (October).”

Specific activities and membership requirements vary between hospitals. For more information about the Partners of HSHS St. Joseph’s, visit stjoeschipfalls.org/volunteer/partners. For information about the Volunteer Partners of HSHS Sacred Heart, visit sacredhearteauclaire.org/volunteer/partners.

Article source: http://www.wqow.com/story/37266480/a-hub-for-good-health-local-senior-centers-connect-older-adults-with-the-resources-they-need-to-remain-active-and-engaged