ColonChat will bust your colon cancer myths

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Quick reminder about the upcoming #ColonChat.  It is THIS FRIDAY, March 24, from Noon to 1:00 p.m. Central Time.  My colleague, Dr. Jake Matlock, will join me and others from the HCMC GI Lab for a fast-paced hour using Twitter to answer questions and bust myths about colon cancer.  These are people who look inside intestines all day long so you know they are party-type of people.

It’s fun and informative!  All you need to do is follow me on Twitter @DrDavidHilden during the hour.  Tweet me your comments or questions during the hour using the hashtag #ColonChat, or if you tend toward the whimsical, you can use #ScopeItOut instead.  Look for Dr. Matlock’s responses in real time during the hour.  We’re bringing some nurses from the GI Lab to answer questions as well since we all know it is nurses who are the real experts!

Here’s a couple of myths we will shred to pieces during ColonChat hour:

Myth:  Colon cancer is deadly so there is no point in looking for it. Wrong.  We will tell you why it is important to screen for colon cancer.

Myth:  Colon cancer is not preventable.  The heck it ain’t!  Find out why during #ColonChat.

Myth.  Colon cancer is mostly a man’s disease.  Nope.  Women get it just about as often.

Myth:  I feel fine and have normal bowel movements so I can’t have colon cancer.  Most colon cancer doesn’t cause symptoms!

Myth:  No one in my family had colon cancer so I’m not at risk.  No no no!  Although there is some genetic risk, most people who get colon cancer did not have a family member with it.

For lots more information on colon cancer, I invite you to check out my two recent previous posts on the subject.  Here’s the links to them for you to check out, share on social media, and so forth.

The one where I get a colonoscopy

 

Famous people get colon cancer and so can you

 

And be sure to tune in to #ColonChat this Friday, March 24, Noon – 1:00 p.m. on Twitter @DrDavidHilden

#ColonChat rules!

#ScopeItOut

-David

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Don’t blame farmers: the scoop on Daylight Saving Time

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True story. . .   This past Saturday I set three alarm clocks in preparation for getting out of bed to do my Sunday morning Healthy Matters radio broadcast.  It was the start of Daylight Saving Time here in the United States and the broadcast is done live.  None of that sissy pre-taped business for me.  Oh no.  I drag my can down to the WCCO studios in chilly downtown Minneapolis to mumble my way through the show every Sunday morning.

Missed the show?  Download the podcast here.

But with that “spring forward” business with the alarm clock, I’m always worried that I’ll miss the show on this particular Sunday.  So I set three alarm clocks.

You know what complicates the adjusting of the clocks ritual?  It’s that the clocks are smarter than me.  It used to be that before I went to bed on DST Saturday, I manually adjusted all the clocks.  But now, most of them do it automatically.  The nightstand alarm clock does.  So does my backup alarm clock on my smartphone.  But the microwave doesn’t.  Neither does the one on the watch.  So I go to bed not sure which device is going to change automatically and which ones aren’t so I get confused and some of them are correct and some aren’t and holy cow am I going to be an hour late and if I wake up at 3:00 a.m. and look at the clocks some are accurate and some are not and I’m going to miss the radio show and there will be the dreaded “dead air” time on the radio and  . . . .

So I don’t like daylight saving time.

Continue reading

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Famous people get colon cancer and so can you

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Dr. Jake Matlock. Now wouldn’t you want such a happy-looking guy doing your colonoscopy?

Hey, everybody.  March is Colon Cancer Awareness Month and we’re going all in (bad choice of words when talking about colonoscopies, perhaps) here at Healthy Matters.

Here’s what we’re doing for Colon Cancer Awareness Month

  1. On Friday, March 3,  I wore blue clothes in recognition of #DressInBlueDay which kicks off #ColonCancerAwarenessMonth.  
  2. On Sunday, March 5, our live Healthy Matters radio broadcast will feature my colleague Dr. Jake Matlock.  He’s a gastroenterologist who will help us unravel colon cancer screening and talk us through a colonoscopy from the guy at the fun end of the colonoscope.  (In case you’re wondering, that would be you, my friend, at the no-fun end of the colonoscope!).   Read more about Dr. Matlock later in this post.  And be sure to tune in to the radio show Sunday, March 5, 7:30 a.m. Central time on WCCO 830 AM in the upper Midwest.  It also streams live at WCCO.COM so you can listen anywhere in the world.
  3. Right here on MyHealthyMatters.org, I’m doing posts to help keep you informed about colon cancer.  If you missed my recent post (complete with pictures of me in a hospital gown), check it out – it was a popular post called “The one where I get a colonoscopy.”  That post has lots of information about the various types of colon cancer screening.
  4. Twitter chat.  Later in March (date and time to be announced) we’ll be doing another Twitter chat in which we answer your questions in rapid fire tweet tweet tweet format.  It’s fun and (hopefully) informative!

Here’s a guy you should meet

Check out my guest from the March 5 Healthy Matters radio broadcast:

That’s Dr. Jake Matlock.  He’s a gastroenterologist at Hennepin County Medical Center and one of the best in the business at treating your various intestinal problems, among them colon cancer.  He is an expert with a variety of scopes and skilled at what we call “advanced endoscopy” which means if anybody can get a scope into some dark and remote part of your innards, Jake can.  He’s also a great teacher and “explainer of things.”

He was good enough to let me into the GI Lab where he works where I snapped a few pictures.  Yes, that’s a real scope.  It’s not as long as it looks.  Yes it is.  I lied.

So I’m fired up to have Dr. Matlock on the radio broadcast tomorrow (March 5).  If you missed the show, the podcast will be available here so you can listen on your own device on your own time.

Jake and I did residency together quite a few years ago.  I remember him as being the one who made us all just a little less anxious when he entered the room – he’s smart, good with a scope, and a good guy overall.  You just get the sense that your patients are in good hands with him.

Famous people with colon cancer

In my last post about colon cancer, (which again, you can visit by clicking here) I described the why and how of getting checked for colon cancer.  That post has lots of information, including the various types of tests you may consider.  Be sure to read that post if you want to know more.

In this post, I won’t give any more medical information about colon cancer.  Rather, I’m going to do something completely different and simply show you a few well-known folks who had colon cancer.  Some of them died from it, others got test, treated, and are still going strong today.  I think it is sort of interesting.

I’ve included a fact or two about each that I didn’t know but I found cool.  I hope you do as well.

Charles M. Schulz

By Roger Higgins, public domain photo

The Minneapolis native and creator of Charlie Brown, Snoopy, and the gang had been having a serious of strokes from blood clots in his aorta.  As part of his medical evaluation, they discovered colon cancer which had already spread into his body.  You see, the presence of a malignancy (cancer) makes a person’s blood form clots more readily.  I don’t know the details in Mr. Schulz’s case, but a big ‘ol clot in a huge artery seems like it was caused, in part, by the cancer.  So the stroke could actually have been a manifestation of the cancer. 

He died on February 12, 2000 and the last original Peanuts cartoon was published the very next day.  He made it clear that he never wanted anyone else to draw his characters after he died.

Vince Lombardi

Probably the greatest coach in the history of football, or maybe any sport, the great Vince Lombardi died of colon cancer when he was just 57 years old.  He apparently said to his priest when near death that he regretted not having accomplished more in his life.  Guess all those national championships weren’t enough!

Public domain

I didn’t know this:  Coach Lombardi demanded acceptance of everyone in his locker rooms, especially gay football players (he had a gay brother).  In a book, his son said his father would “tolerate nothing but acceptance” on his teams.  What an example from a true American icon – even back in the 1960s.

That’s the coach with Bart Starr.  And though I’m a Minnesota Vikings fan now, I was born in Wisconsin and my mom has a picture of me as a toddler with a “Put me in, Vince” sweatshirt on.

 

 

Ruth Bader Ginsburg

From US Supreme Court, public domain

Yup, “Notorious RBG” (a name I just love) was diagnosed with colon cancer in 1999.  She underwent treatment, including chemotherapy and radiation.  And get this . . . after all this she embarked on a new strenuous fitness program.  By her 80th birthday, RBG could do 20 pushups.  She is so dedicated to her workouts that she calls her personal trainer the “most important person in my life” (since her husband died).  Apparently this workout would challenge someone half her age.  Go get ’em, RBG!

Want to know more about RBG and her workout?  Check out this piece on Politico.  It’s a great read!

And RBG is still going strong, even after she had a second cancer, this time pancreatic.  I want to be like her in so many ways.

Eartha Kitt

From her birth on a cotton plantation in South Carolina, Eartha Kitt became a national treasure.  Singer, actor, activist.  You know the song “Santa Baby”?  That was Ms. Kitt.   She won three Emmys for her acting and she played Helen of Troy under the direction of Orson Welles.  You know the song “C’est si bon”?  Listen to Eartha’s version here:


Eartha Kitt was much more than the woman Orson Welles called “the most exciting woman in the world.”  She also was a social activist and became involved in issues ranging from working with inner city kids in Los Angeles to peace issues to LGBT rights.

Eartha Kitt died of colon cancer on Christmas Day 2008.

Claude Debussy

I love the music of Debussy, even though I still remember struggling to learn “Clair de Lune” like so many people learning to play piano.  Our son, Alex, can play “Prelude to the Afternoon of a Faun”  – well at least he used to be able to (still practicing the piano, Alex?)

Debussy was a French composer in the late 19th and early 20th centuries and he wrote sounds that not many had heard before.  But don’t call him an “Impressionist” – he hated the term!

Listen to Clair de Lune while reading the rest of this post:

Debussy was diagnosed with rectal cancer (a type of colorectal cancer) in 1909 and in 1915 he underwent one of the first colostomy procedures ever attempted.  It didn’t go well and he was in quite a bit of suffering when he died at the young age of 55 in his Paris home during a German aerial bombardment.

You know who else had colorectal cancer . . . ?

 

Here’s who: 136,000 people in the United States.  In just one year.  People like you and me.

You can get this done.  If you missed my overview of the ways you can get tested for colorectal cancer, see my earlier post by clicking here.  It’s not as hard as you think!

If you live  in Minnesota, Dr. Matlock and his team at the HCMC GI Lab would be happy to help you.  Call ’em at 612-873-6963.  Trust me, there is no one more skilled at this that Dr. Matlock and his team.  All kidding and funny pictures aside . . . he’s really good!

Thanks for listening, for stopping by, and for hanging out with me at myhealthymatters.org.  Go ahead and subscribe by e-mail if you like, and follow me on Twitter @DrDavidHilden

-David

 

 

 

 

 

 

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Sinus congestion, nasal irrigation, and the neti pot

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It seems that about 75% of my life involves nasal congestion with sinus pressure around my eyes.   It’s probably allergies to various tiny stuff floating through the air.  Not sure about that but I am so stuffy so much of the time that the makers of decongestants have taken to sending me thank you notes for my business.

I’m particularly stuffy in the winter months which I attribute to dust and mold and whatnot floating through the air – especially when Julie (my wife) turns on the ceiling fan in our bedroom.  Which is every single night.  Even in Minnesota.  In winter.  When it is 5 degrees outside.  Let’s say she likes the place cool.  You could hang sides of beef in our room.

At the risk of exposing marital disharmony over the ceiling fan issue, I think the fan clogs me up as it perfectly distributes dust and pollen and such around the bedroom and into my nose.  It’s like a fertilizer spreader spewing dust onto me as I sleep!  So I pop the decongestants and antihistamines.   Yet my sinuses remain perpetually clogged.  In case you’re wondering about the marital harmony situation  . . . I claim the ceiling fan needs to be turned off to save my sinuses.  My wife claims I just need to vacuum and dust more often.  See what I’m up against?  How can you reason with such nonsense?

But I digress.

Basically I’m pretty sure I have chronic sinusitis which is a long-lasting inflammation of the sinuses and nasal passages.  Inflammation, being my body’s defense mechanism against all airborne invaders, tends to clog up the works in my head.  I won’t get into the issue of inflammation vs. viral infection vs. bacterial infection except to say that most of the time the problem is not bacterial and hence antibiotics are not usually needed.  Continue reading

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Posted in Allergies, Health and wellness, Tips from Healthy Matters radio broadcast | Tagged , , , | 8 Comments

The one where I get a colonoscopy

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DRH colonoscopy 1 (1)See that brave patient in the picture?  Yup, that’s me, just minutes from getting my colonoscopy at HCMC last year.  I’ve been meaning to do a post about that experience and now seems as good a time as any.  What with turmoil in the country and all, what could be better than to re-live the day somebody put a 5-foot long tube inside me to have a peek?

It must be on lots of minds if last week’s radio broadcast was any indication.  The phone and text and Twitter (@DrDavidHilden) lines were full of questions about colon cancer and how to avoid it.

 

 

Here’s the podcast of that show for you to listen to if you missed it (Healthy Matters show #420 – 1/22/2017)

I like to have a little fun with most medical topics, and I gotta say that if there ever was a medical topic worthy of humor, it has to be getting a colonoscopy.  I mean, really, think about it.  It has all the ingredients of a comedy routine:

  • Gross part of the human anatomy.  Check.
  • Flushing out the entire contents of your intestines.  Check.
  • Baring your rear end to complete strangers while lying curled up on your side wishing you were literally anyplace else at that moment.  Check.
  • Complete surrender of any sense of dignity you had walking in the door.  Check.
  • Passing gas all day when it is over.  Check.

What could be more fun?

But colorectal cancer really is no joke.  In this post, I hope to accomplish three things:

  1.  Convince you that getting screened for colorectal cancer makes sense.
  2. Introduce you to the various ways you can get screened.
  3. Allay any anxiety you may have over the whole subject. 

Colorectal cancer:  the bad news

In all seriousness, getting a screening test for colon cancer is among the most effective things you can do for your health.  In fact, amid all the unpleasantries people endure in an effort to stay healthy, this one ranks way up there in importance.  So let me repeat, getting screened for colon cancer is important and potentially lifesaving.

Check out the sobering news on colorectal cancer:

  • It is common.  Colorectal cancer is the 3rd most common cancer in men and women (skin cancers excluded).
  • It can be deadly.  Colorectal cancer is the second most common cause of cancer death in men (behind lung cancer), and the third most common cause of cancer death in women (behind lung and breast cancer).
  • It is potentially treatable (and dare I say?), curable.  Check this fact out – for those whose colorectal cancer is caught early, fully 90% will likely still be alive in 5 years.  But for those with advanced cancer, only 15% will still be alive in 5 years.

A quick plug for some of the best medical information on the Internet.  It comes from the Centers for Disease Control.  For more on colon cancer from the CDC, click here.

It is largely because of that last bullet point that you should get screened for colorectal cancer.  There is a dramatic difference in your chances of survival if you can only catch the cancer early on.  That is true for most cancers, but it is especially true with this one.

This is a good time to point you toward the American Cancer Society’s Cancer Statistics Center.  If you are curious about colorectal or any other cancer statistics, it is a great site to check out.  You can sort the stats by your state of residence or type of cancer.  It’s cool.

Ways to get screened

Hopefully I’ve convinced you of the importance of getting screened.  Or maybe you didn’t need convincing in the first place!  Let’s turn now to the various ways you can get the job done.

What you may not know is there are several ways to get your colon checked out.  The one we all know and love is the colonoscopy but you may not know that it is not the only way to go.  That surprises some people when I tell them that.  There is a misconception floating around that the “best” way to go is the colonoscopy and that all the other methods are inferior.  Not so, not so.  It is the test of choice for many people (it is what I did) but it isn’t for everybody.  And if the thought of an invasive procedure leads you to proscratinate forever in getting it, you are not getting the benefit of the test anyway.

As a wise person once said, “The best test for colon cancer screening is the one that the patient will actually do.”

So let’s look at the various tests you can consider:

FOBT and FIT tests

These are the tests in which you submit a little tiny stool sample and the test looks for blood in your stool that you can’t even see (hence the word “occult”).  They are similar in that you usually can collect the sample at home, they are not invasive, and they are pretty good at finding hidden blood.  They work under the principle that cancers and the pre-cancerous polyps in the colon tend to bleed.

FOBT stands for Fecal Occult Blood Test and sometimes has a little “g” in front of it (g = guaiac, so it looks like gFOBT).  It’s the older one of the two and we’re seeing it used quite a bit less today.  I think it will fade into oblivion . . . in favor of  . . . FIT testing.

FIT stands for Fecal Immunochemical Test (sometimes written iFOBT with the little “i” = immunochemical).  It is newer and uses a fancier approach to detecting blood proteins.  It has the same advantages as the gFOBT but it has additional advantages over gFOBT in that it is probably more accurate and no dietary restrictions are needed prior to doing the test.  Here’s a bit more on the FIT test.

Both of these stool tests need to be done every year.  And if they find blood in your stool, you may need a colonoscopy after all!  But they are a good choice for many people.

FIT-DNA

Photo: Nephron via Wikimedia Commons

Photo: Nephron via Wikimedia Commons

This is the newest of the bunch.  It works in a similar way to the FIT test above, but rather than look for blood, it looks for abnormal DNA in your stool.  In other words, it is looking for the genetic “fingerprint” of cancer cells.  Pretty cool, high-tech stuff here!  The picture at left, though not of the DNA itself, is a biopsy specimen showing colon cancer cells.  They are the angry looking cells throughout this piece of tissue.

This test needs to be done every three years but the data is not too certain on this yet since it is so new.  It also may not be covered by your insurance.  It is really promising though!  We will be seeing a lot more of this one in the future, I think.

Flexible sigmoidoscopy

I’m not seeing too much of this method lately.  It is sort of like a “mini-colonoscopy” in that a camera on a flexible tube is inserted into the colon.  It doesn’t require the extensive colon flush, doesn’t need as much sedation, and complication rates are lower.  Since it only looks at the lower part of the colon, however, it can miss any cancers that are higher up.

This test needs to be done every 5 years and lots of people get the stool tests in addition to it.

Colonoscopy

This is the one most of us think about.  A specially trained doctor (a gastroenterologist – basically a really talented person with an inexplicable tolerance for looking at the nether regions of people) inserts a long-flexible camera into your intestines, all the way to the point where your large intestine (your “colon”) begins.  Which is about 5 feet up there.  Believe me, they are able to get a good look and simply see with their own eyes if you have a lesion (cancer or polyp).  The advantage is that if they see something bad, they can either remove it entirely (like a polyp) or take a biopsy (to see if it is a cancer).

Cool picture time.   Here’s a normal intestine as seen by your gastroenterologist (this one is actually in the rectum):

Photo: Melvil via Wikimedia Commons

Photo: Melvil via Wikimedia Commons

Here’s an intestine with a polyp (don’t know if it is the pre-cancerous kind or not, but that’s why we take them out!)

Photo: Stephen Holland, M.D

The other advantage is that for most people, colonoscopy only needs to be done every 10 years, perhaps every 5 years if they see something concerning.

But there are disadvantages to the colonoscopy.  There is a small, but real, risk of perforation, which is where the colon wall gets a hole in it.  And this is bad.  Remember, your colon is full of bacteria and other unpleasantness.  The outside of your colon (in your abdominal cavity) is sterile.  You really don’t want the contents of your intestines to spew out into your belly.  That can lead to a condition called peritonitis which can lead to sepsis which can be very serious.

Fortunately, this is a rare complication (estimates range from 1 in 500 all the way down to 1 in 6000).  And although big perforations usually require surgery right away, many small perforations can heal themselves.

Virtual colonoscopy

I feel like I should mention this one (technically called CT colonography).  It uses x-rays (a CT scan) to look at the colon non-invasively.  Super tempting to go this route as it eliminates the invasiveness and thus the risk of colonoscopy.  But I don’t see too many people getting the virtual test done.  After all, it does expose you to radiation (albeit not a whole lot), and if it finds something abnormal, you still have to get the colonoscopy anyway.

My colonoscopy

I’ll end with my own story.  I figure doctors who are counseling patients to get tested better be doing it for themselves, eh?

So I turned the magic age of 50 a while back and for most people, that is the age where all this colon talk gets real, real fast.  I’m talking people at average risk.  Others at higher risk (say your dad had cancer at an early age, for example) should do it sooner.

So I decided to go for it on a winter day last year.  I saw my doctor (yup, I actually have a doctor that I see, though I have to admit it was turning 50 that prompted me to finally get a doctor of my own.  Tsk-tsk, I know).  He prescribed all the prep stuff which I faithfully did.

colon prepHave you ever done the colon prep?  Many of you remember getting such a large volume of the prep solution that you practically needed a grocery cart to get it home.  You’d go to the pharmacy to pick it up, and they would push to you across the counter like a zillion gallons of the stuff in big jugs.  You’d swear there was a mistake, that you were only getting the prep for one person not the whole family.  But it was real.  That was the way we used to do it (and still do for some people as it does actually work).  You drank the solution the night before the colonoscopy until it came out the  bottom end looking just like it did going in the top end – like clear water.

My prep was of the newer kind.  Instead of gallons of prep solution, I went the route where you pour an entire bottle of a laxative powder into a bottle of sports drinks and drink it down in a few sittings.  Then you wait for the action to begin.  And you spend most of the next 12-24 hours in the bathroom.   This is a good time to get a supply of reading material and to tell your family to clear out of the place – for their own good.

Sometimes I think the people who devise these prep schemes are deranged.

So I did all that the night before my test.  Then I show up for my colonoscopy to the GI Lab at HCMC, which is the hospital where I work.  A couple points about that.  First, why do they have to call it the GI Lab?  Are they doing experiments in there?  Second, it does take a bit of self-assurance to get your colonoscopy at your own workplace.  I’m sitting there in a hospital gown with my rear end exposed for all the world to see when 2 or 3 people I see in the hallways all the time come in.  Tough to maintain any sense of workplace decorum in that situation, I think.

So being the talker that I am, I try to make small talk with the nurse whom I know I will see a few hours later in the cafeteria line.  He’s all professionalism, thankfully.  And the doctor comes in, but I don’t make much eye contact with her, my backside being the side of interest, after all.

I assure the team that I will be watching my entire colonoscopy on the video monitor, just like Katie Couric did on live television a few years ago.  And I really intended to watch because I was genuinely curious to take a gander at my own intestines from the inside out.  That’s actually a pretty cool opportunity when you think about it.  I thought I did a pretty good job staying awake.  But then at one point I looked at the screen only to find out that the doctor was just finishing the whole procedure.  She had done my entire colonoscopy and I dozed off for the whole of it!

I went home, had an uneventful day and made it to work the next day as good as new.

My point being: this was no big deal.  To prove it, here I am giving two thumbs up:

DRH colonoscopy 2

Sure, the prep was not a walk in the park.  But it was not that bad.  The colonoscopy itself?  Heck I slept through all of it.  Did it hurt? Not in the least.  Was it embarrassing?  Naw.  (Yours is not the first nor the last rear end they will see and trust me, they don’t care at all what yours looks like).

I should point out that for some people, the prep really is miserable.  For some, the sedation is not as effective as they would like.  The procedure can be uncomfortable for some people, even painful.  And as I mentioned above, for some (thankfully not too many) there are complications.  So your experience may not be just like mine.

But I find that most people, even those who worried about it in advance, the colonoscopy turned out to be much less unpleasant that they imagined.

So if you are over 50 and have not done this yet: my parting advice is to pick one of these tests and DO IT.  So many illnesses that afflict us can’t be prevented.  This is not one of them.

David

Drop me a comment below if you want.  And subscribe by e-mail if you like what you see.  I promise, no spam or junk mail!

 

 

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Getting to – and maintaining – a healthy weight

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By D. Bernard & Co, Melbourne (photographer) Adam Cuerden (restoration) via Wikimedia Commons

It is practically an expectation in health and wellness forums to talk about weight loss after the first of the year.  New Year’s resolutions being all the rage in January.  Perhaps you plan to lose a few pounds this year?

For me, it’s always around the middle where I put on a few pounds.  You know, the little beer belly.  The muffin top.  The love handles.  Begone, all of ye!

I was doing so well last fall, eating right, exercising more and so forth.  Then winter in Minnesota hit.  Now it gets dark at 4:30 in the afternoon.  The perpetual ice slick on the sidewalks turn running or walking outside into a potentially bone-shattering experience.  I mean, literally, bone-shattering as in broken hips and wrists.  It has been so cold outside that your teeth hurt the minute you leave the house.

So I tend to hibernate a bit.  Evenings on the couch reading next to a warm fire, although evoking images of Norman Rockwell, are not the way to shed pounds.  Especially if I’m eating unhealthy foods all evening and maybe having a glass of wine with my chocolates.  Wow that is starting to sound good:  warm fire, wine chocolates, a good book . . . ah, but I digress.  I’m supposed to be talking about diet and exercise here.

 

Reminds me of a post I did about the challenges of staying active in northern climates. Check it out here.

To show you the depth of my dedication to the cause of fitness, I included a recent photo of me above.  Yup, that’s me all right.

Healthy life choices

So we talked weight loss and healthy livin’ on the show this week.

Natalie IkemanTo help me out, I invited a repeat guest to last Sunday’s Healthy Matters broadcast.  Joining me on the radio show was Natalie Ikeman, who is a Physician Assistant HCMC’s Golden Valley Clinic.  She runs “The Great Slim Down” weight loss program which you can check out here.

 

 

If you missed the show, you can to the podcast by clicking the “Play” arrow here: Healthy Matters logo alternate

 

Tips for losing weight and keeping it off

Natalie gave us some great tips from her work with patients trying to lose weight.  I’ll review some of them here.

Make goals.  

With her patients, Natalie meets monthly to set goals.  The good news is that they don’t have to be huge undertakings.  The goals can be small changes in your daily lifestyle which you continually adjust, a process which Natalie refers to as “turning up the dial” on your goals.

Just a few examples of achievable goals are:

  • Stress management tactics
  • Better food choices
  • Portion control when eating
  • Finding time for daily movement, like taking small walks on your lunch hour

Nothing big, nothing huge, just small changes to your daily routine.

People who are successful at weight loss have some common characteristics:

Natalie’s patients in the Great Slim Down have lost an average of about 16 pounds.  That is not only impressive but it is a sustainable amount of loss.  She points out a few characteristics of these patients:

  • They keep a daily record of their food intake.  The simple act of recording what you eat – whether on paper or using one of the many apps for your mobile device – makes a person aware and less likely to fool themselves into thinking they are eating healthier than they really are.  People usually eat more calories than they realize!
  • They are active often in their daily lives.  They find a way to move throughout the day.
  • They are striving to meet their own goals, not goals set by someone else.
  • They hold themselves accountable by sticking with it.

Pop (soda for those of you not from Minnesota) is not a healthy choice.

The sugar in soft drinks has virtually no nutritional value, and in fact, it probably leads to weight gain.  For more on that, see my previous blog post, “Just a spoonful of sugar . . . is really not good for you.”

After Natalie and I suggested that we ought to avoid so much sugary soft drinks, a few listeners asked if diet pop is healthier.  In a word, no.  Although diet soft drinks are probably better than sugary drinks, they also contain ingredients that lack much nutritional value.  Maybe stick to water!

So how about water?

For years, decades really, people have been taught to drink more water.  Most of us probably remember the “8 glasses a day” advice.  That is, in fact, what I told patients for years.  But the reality is that there is not a lot of scientific evidence that otherwise healthy people need to drink more water than they already do.  In other words, if you are thirsty you get a drink and if you are not, you don’t.

Photo: Jean Fortunet

Photo: Jean Fortunet

So that’s it?  Is that all there is to the water story – that it doesn’t matter?

Well, maybe not so fast. . . as we talked about on the radio program, there are some studies from this past year that suggest that there really is a benefit to drinking more water.  One study found that more water was associated with less obesity.  You can read about that one here.  Another study found that drinking more water made people consume fewer calories, – check out this article about that one from the Atlantic.

I should caution that no single study can be used to definitely prove anything.  Truth with a capital “T” is hard to come by in medical science!  So whenever I refer you to studies like these, I do so to get you thinking about your own situation and not to imply that one study is proof of anything.  Replication is the key in scientific studies (the findings of one study must be confirmed with separate studies).

But the water studies are at least thought-provoking.  It makes sense to me that if you are focusing your liquid intake on water, you will be less likely to drink soft drinks and fruit juices that are loaded with calories and sugar.  That has to be a good thing.

As Natalie said on the show, none of us should be “drinking our meals.”  Amen to that.

Move more

One half of the healthy equation is Eat Less.  The other half is Move More.  But how?  Most of us are not about to lace up our running shoes and hit the pavement for a long run.  Most of us can’t get to the gym for a run on the treadmill or an exercise class.  If you can do those things – great!

But lots of us have physical limitations that prevent vigorous work outs.  And gym memberships ain’t cheap!  So what can we do?

Let’s turn to Natalie again.  As a companion to “The Great Slim Down” program, she has produced a series of short videos to give you ideas for exercise that may be right for you.  Some are low intensity, others more vigorous.  Some require standing and moving while others can be done by people from a seated position.

Here’s an example of one of Natalie’s videos:

To see the rest of them, go to the HCMC YouTube channel.  If the link doesn’t work, simply search online for “HCMC YouTube channel” and click Playlists.  You’ll find them there.

Housework is good for you

Listen to the show podcast (the player is above in this post).  We talked about housework as a form of exercise.  And you know what?  It works.  One listener to the show moved nearly 10,000 steps in one day simply doing housework.  I complained that now I really have no excuse not to vacuum the house.  Rats.

The Great Slim Down

I’ll close with one last word about the Great Slim Down.  If you are in the Minneapolis area and struggling to lose some weight, maybe you should see Natalie.  Simply call 612-873-6963 or check out the Golden Valley Clinic site here.  No better time than now!

Thanks for reading.  Hope you are all having a good day, a good week, a good winter where ever you are!

David

 

 

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Posted in Diet and exercise, HCMC, Preventive care, Primary Care, Tips from Healthy Matters radio broadcast, Uncategorized | Tagged , , , , | Leave a comment

Butterflies and bacteria: thoughts on a healthy planet

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butterflies-2My family just returned from a pilgrimage of sorts.  Having returned from a journey to witness one of nature’s miracles – and picking up a bit of a health problem myself –  I’m feeling all butterfly-ish.

Please read on for my story and some thoughts about health, both the human, the insect, and the planetary kind.

(Except where noted, all photos are © David Hilden.  Amazing what you can do with a camera phone) Continue reading

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Posted in Dr. Hilden's reflections, Public Health | Tagged , , , , | 14 Comments

Maybe your doctor should be a woman

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people_green_icon-svg

Quick, picture in your head a highly competent physician.  What does that person look like?

Does your doctor image look like this?

Photo: ABC Television [Public domain], via Wikimedia Commons

Public domain photo

Or like this?

By Ministry of Information Photo Division Photographer, Stone Richard [Public domain], via Wikimedia Commons

Public domain photo

 For the record and the recognition, that’s Dr. Gibson-Hill, a doctor in Bristol, England.  You probably know the guy in the top photo.

History has maybe ingrained in us the image of doctors as many things, but first of all they have been men.  The reality, even dating back over a hundred years (Elizabeth Blackwell, anyone), is that women have served as physicians for a great long time.

And the reality today is that women are a huge part of the physician workforce in the United States.  I remember vividly one moment during the first hour of the first day of my Medical School education at the University of Minnesota some 20 years ago.  The Dean stood up in front of the nearly 200 of us eager young medical students and announced that for the first time in that school’s history, more than half the medical students were women.  The room erupted in applause that day.

My current practice bears this out.  In my group of hospitalist physicians at HCMC, we have 17 women and 14 men.  So when you see a doctor in our hospital and I presume at all other hospitals in the country, you are likely to be cared for by a physician who happens to be a woman.

This is a good thing. Continue reading

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Posted in Ethics and philosophy, Health in the News, Humanities and Medicine, Medical research | Tagged , , , | Leave a comment

9th year of Healthy Matters. . . and you have homework

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japanese_urban_expwy_sign_number_9Friends, in January we will be launching the 9th year of the Healthy Matters radio broadcast on WCCO 830 AM radio!

When HCMC decided to produce a radio show in late 2008, they put out a call for a host.  I was minding my own business practicing general internal medicine, when two friends of mine (thanks, Anne and Heidi) independently prodded me to audition.  After all, they both knew me well and pretty much said I talk a whole lot so why not give it a try.  So I did an audition tape at the Minneapolis WCCO studio and in January 2009 we launched the first Healthy Matters show.

I thought it would last 6 months or a year, tops.

That was 8 years and 416 shows ago.  9numbernineincircle

My friend and co-host Denny Long and I are still on the air because of one thing and one thing only: you the listeners!

 

Here’s the homework assignment

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To celebrate our 9th year, I want to compile the Top Nine Reasons you listen to the show. So I have a request:  leave me a comment below  on this post with the top reason you listen to the show.

Or you can send me a Tweet @DrDavidHilden using the hashtag #HealthyMatters

Special Christmas Eve show

I’ll compile the Top Nine and read them on the air at our special Christmas Eve show, which will be on Saturday, December 24 at 7:00 a.m (Central time) on WCCO 830 AM in the upper Midwest and streaming live on WCCO.COM

200px-bundesautobahn_9_numberWhy do you listen?  Is it a specific medical topic?  Maybe you like the range of expert guests?  Maybe it is the Open Lines shows?  Maybe you just like the sound of Denny Long’s voice (I know I do!).  Maybe it is to hear me get stumped with a medical question that I can’t answer!  Maybe your wife makes you listen and you actually wish you were watching football instead.  Ha.

Whatever it is – leave a comment below or send it to me with a Tweet @DrDavidHilden using #HealthyMatters.

Maybe I’ll read it on the air on Christmas Eve!

motorway_exit_9_irelandAnd I am genuinely thankful for you, the listeners.  You’re the best.

-David

 

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Posted in HCMC, Tips from Healthy Matters radio broadcast | Tagged , | 20 Comments

Apple cider vinegar: a Healthy Matters investigative report!

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On a recent “Open Lines” radio broadcast (in which we have no topic and I simply answer the sundry questions from listeners) somebody asked about the health benefits of apple cider vinegar.  Fair enough.

Well as a highly educated medical professional I am here to firmly and unequivocally state after my extensive exposure to the best in medical science that I know nothing about apple cider vinegar, whether it be the health benefits or culinary benefits or counter top cleaning benefits.

abby-and-acvBut happily, I’m not 100% ignorant about apple cider vinegar any longer.  Just about 90% ignorant. That’s since my daughter introduced me to the stuff while I was visiting her far from home at college.  Here’s how it all went down.  I was having some queasiness in my belly or some such thing and she goes to the cupboard and pulls down a giant bottle of ACV (apple cider vinegar = ACV).  Then she starts telling me all about how ACV improves everything from colds to upset tummy to sunburn and cancer and everything in between.  But she does live in Los Angeles so I naturally wondered what the crazy Californians are teaching my level-headed Midwest-raised daughter.

But I was game to give it a try.  So  we poured some ACV into a glass of water, I held my nose, and drank it all down.  It wasn’t too horrible to drink so that was a plus.  And dang if my stomach queasiness didn’t get a little better!

So I chalk up my rapid improvement to one of two possibilities:

Placebo effect – I convinced myself that it helped because I wanted it to help.

OR

Apple cider vinegar really does help upset tummies.

Which is it?

So in the spirit of hard-hitting investigative journalism and to be true to my medical credentials and only stick to the best science, I’ve done some looking into ACV as a health option.  Here’s what I found: Continue reading

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Posted in Dental, Diet and exercise, Health and wellness, Medical research | Tagged , , , , | 15 Comments