Robert was the picture of health. He had run eight marathons and finished countless 5K and 10K races. He tracked everything from sleep to food intake, logging his exercise parameters religiously. A seven-minute mile was a routine workout for Robert. But over the course of a few days, he noticed that he felt more winded during his run. One morning, when he awoke and checked his heart rate variability (HRV), it ...

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I  have lately been discussing the state of health care with a lot of doctors. I’m a doctor, and I’m also a consumer of health care services. Imagine my surprise when I visited a local ER on a three day weekend, hoping to get some advice from someone who might be able to use the panoply of diagnostic tools available in the ED to help me mitigate the pain of a ...

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Dear personal trainers, I’ll admit it: I was skeptical. In the past, I doubted that personal trainers -- at least for me -- could offer real value. It’s not that I gave it much thought, or had anything against personal training, but if the idea were brought up, I’d laugh it off and say, “No personal trainer can push me harder than I push myself.” But I’m writing this to say that I was ...

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shutterstock_52832917 Daytime TV advertising is dominated by two players. Pharmaceutical companies with direct to consumer pitches and the so-called "toxic tort." How confusing it must be to the average person to see a new drug pushed by one commercial, to be immediately followed by another commercial from a lawyer trying to sue for the known side effects of the exact same drug. It ...

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shutterstock_95651341 There can be little doubt that these days that political correctness has run rampant. Terms like "racist," "sexist," or "homophobic" are thrown around so frequently and early now that one has to wonder what is actually being accomplished. If you were to ask a physician what PC label they most fear, it would be "disruptive." Let's face it. We are no longer ...

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While there are worse times to sprain an ankle and chip a bone than just one week before a long­awaited trip to Venice, I couldn’t think of one as I sat in the emergency room for eight hours last fall. Venice, the place of canals and not cars; ancient bridges sans escalators. How ironic that just a few days before I was crowing to my husband over my hotel coup. A ...

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shutterstock_110078714 In Bill’s room were his doctor, a medical scribe, a physician assistant, and a medical student. Not an imposing group, but in that moment each of them knew more about what was happening to Bill than he did. They were strangers who held keys to his fate. The doctor first instructed the scribe to generate an electronic note. Then, he turned his ...

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shutterstock_105328079 No one wants to hear that they have a disease. And yet everyone will develop some degree of degenerative disc disease (DDD) -- or degenerative spine disease -- over the course of a lifetime. DDD refers to a combination of age-related and wear-and-tear-related changes that occur within the spine over time. It is very common and a natural part of aging. Most ...

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shutterstock_146442830 For many women, pregnancy is a wonderful experience. There are, however, many changes and challenges the mom-to-be can expect, and back pain is one of them. The good news for pregnant women is that the development of severe or debilitating low back pain is very rare. The incidence of symptomatic low back pain that is severe is about 1 to 2 percent. ...

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shutterstock_115937422 “It must be nice.” Without a doubt, this is my least favorite colloquialism in the English language. Though not explicitly stated in the phrase, I have always felt that it implied luck and/or privilege rather than plain old hard work. I have a problem with that because very few things in this precious world are easily obtained, whether it is a fit ...

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