Michelle Obama refers to childhood obesity as the tobacco of the 21st century. I agree. Obesity is quickly overtaking smoking as the nation’s No. 1 killer. As a pediatrician who sees firsthand the impact of overweight and obese children, we need to have conversations with our patient families that focus on obesity as a clinical issue. Right now, this isn’t happening. The rate of missed diagnosis for childhood obesity is over 95 percent, ...

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Lying in a hospital bed, my seriously obese patient can barely see her swollen and odorous right foot over her abdominal fat. The foot is soon to be amputated, the result of an untreatable infection exacerbated by diabetes and kidney failure, which developed in part because of obesity. Her two children, ages 6 and 12, hover from the hospital bed to the couch. In between, the bedside table is strewed with ...

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From MedPage Today:

  1. USPSTF Praised for Preeclampsia Guidance. When it comes to whether or not to treat women at high risk for preeclampsia with low-dose aspirin therapy, the U.S. Preventive Services Task Force (USPSTF) guidelines are spot on.
  2. Early Signs of Stroke Missed in Many Cases. Many strokes may be missed in emergency departments (EDs) in the days before the problems become obvious.

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As a life-long dedicated health care provider, caring about those in physical and mental need is always a presumed requirement of the field. You’re ill, I act. You’re hurt, I act. I care enough to help educate about prevention of injury and disease. I’ve sacrificed a great deal of comfort, sleep, and mental energy to care enough to help those in need -- even for those who ...

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Most humans have spent most of human history nearly starving to death. So it’s no surprise that we spend a lot of time thinking about food. And it’s no surprise that food has acquired cultural, social, and religious significance in almost every society. Because food is so important, and because it’s nearly impossible for us not to ascribe powerful effects to anything important to us, every society imbues special health ...

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Weight is not a behavior, and weight is not a choice. Nobody wakes up and decides what to weigh today. In an age when healthy and unhealthy behaviors are increasingly subject to incentives and disincentives, respectively, this is all too easily forgotten. Of course, weight is largely the byproduct of behaviors and choices, namely what and how much we eat, and what and how much we do: calories in and calories ...

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From MedPage Today:

  1. Brain Structure Disrupted in Autistic Kids. Autopsied brains of autistic children showed "patches of disorganization" not seen in otherwise healthy children.
  2. Weight-Loss Surgery: It's Not Just About Stomach Size. An increase in bile acids, not just smaller stomach size, helps promote weight loss and better glucose control after vertical sleeve gastrectomy (VSG).
  3. Small, Frequent Meals Don't Rev Metabolism. Dieters ...

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From MedPage Today:

  1. More of the Bugs Kids Get Are Resistant. The rate of antibiotic-resistant Gram-negative bacterial infections in children is increasing in inpatient and outpatient settings.
  2. Salt, Obesity May Prematurely Age Young Cells. High sodium intake and obesity may act synergistically to accelerate cellular aging in adolescents, according to new research.
  3. Breast-Sparing Tops Mastectomy in New Analysis. Breast-conserving surgery led to ...

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From MedPage Today:

  1. Stool DNA Test Detects Colon Cancer. A stool DNA test detected significantly more colon cancers in average-risk patients as compared with a conventional fecal immunochemical test (FIT).
  2. 10 Ways to Safely Push Ketamine in the ED. A doctor recently took me on a ketamine trip, and I enjoyed it immensely.
  3. 'Rebound' Obesity Seen After ADHD Treatment. Children with attention-deficit/hyperactivity ...

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Among the more contentious issues regarding health and weight control -- perhaps surprisingly, contentious among professionals and the general public alike -- is the role of personal responsibility. Unfortunately, this readily devolves into discord, because the cultural tendency of our time is denigrate those with whom we disagree, and hunker down in our distal, opposing corner. Just take a look at Congress to see how well this is ...

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