Bias in Health Information: Understanding the Agendas

Writers of medical advice–including columnists, insurance companies, governmental agencies, medical organizations, drug companies and even practitioners–are all biased. They always have agendas. They all choose to write about certain topics and not others. They make choices about what to include in their articles, what to leave out and how to state their cases. They’re all self-serving. They all have something to “sell,” even when there is not an immediate cash-return.

Does that mean you should throw up your hands, say the hell with it, and never read or listen to another medical message? I don’t think so, but in order to derive value from these messages, you sure as heck better understand the agendas of the people who created them. Or as the psychologists say, if you want to understand a behavior, you need to figure out what motivated it. Let’s examine some advice-givers and their biases.

What motivates health columnists? Well, how about their continued employment, the needs of their publisher-employers, and the needs of the companies the publishers wish to attract as advertisers? It’s not hard to imagine there are some subtle and not-so-subtle influences and incentives at play in framing the subject-matter and slant of the articles. Certainly, it’s hard to attract the business of potential advertisers when you have written devastating critiques of their products.

Yet don’t infer that you should ignore what the health columnists have to say. They provide a wonderful service in discussing health issues, the business of medicine and its practice. I personally enjoy reading the health columns of that great medical publication, The Wall Street Journal. In fact, I still distribute to my patients an excellent article about medication-overuse headaches that Tara Parker-Pope, one of their columnists, wrote years ago.

One of the odder chapters in the business of medicine is that certain insurance companies have positioned themselves as providers of health advice, particularly those companies paid by employers to manage their medication-benefit plans. I won’t waste the reader’s time in building a case that insurance companies have agendas and conflicts-of-interest in providing such advice. This should be self-evident.

Governmental agencies like the National Institutes of Health provide medical information which is generally reliable and useful, but influenced by the agency’s understandable needs for self-promotion and self-preservation. The same holds true for medical organizations like the American Academy of Neurology (to which I belong) and big group-practices like the Mayo Clinic and Cleveland Clinic. The advice tendered by these medical organizations in their publications and web-pages is backed by their reputations, which they zealously protect. So you can be sure that the medical content is subjected to rigorous quality-control. And fortunately, although their messages are motivated by commercial needs, the linkages are obvious and easy for the consumer to take into account.

How about individual health practitioners? Giving advice is what they do for a living, so what’s the issue? Well, in the U.S., at least, there is a genuine “medical marketplace” where competition reigns supreme. So when you need help with your health, each practitioner (including me!) would like to make the short-list of advisers whose opinions you trust and value.

Let’s move on to the drug companies. In my opinion there is no medical information that is both as pervasive and biased as that created by drug companies. And in many cases the connection between the message and the drug company’s name has been obscured or hidden, so the consumer doesn’t even know to be wary.

I have written elsewhere about the comical turn of events in the “advice” that drug companies have provided to people with headaches. For many years the makers of sinus medications invested heavily in convincing people with headaches that most of them were due to sinus disease. But now that effective and lucrative drugs for migraine exist, companies are sinking even larger sums of money into the message that those headaches weren’t due to sinus conditions after all. Instead, they’ve been due to migraine. This vignette illustrates the hazard in allowing marketing departments of drug companies to diagnose one’s headaches.

Another hazard is in allowing drug companies to write the information-sheets that doctors hand patients at the ends of office visits. Every doctor gets buried in pamphlets that sales reps from drug companies leave at their offices. For years I actually looked at these things, trying to select the 30% that might be worth retaining and passing along to my patients. After a while, 30% seemed too optimistic, so I searched for the 20% that was worth keeping, and then the 10%…well, you get the idea. The pamphlets kept getting more biased and less useful. At one time the sales reps passed out some real gems that were genuinely helpful to patients and their families. But those days are gone.

So when it comes to medical advice, consider the source.

Alzheimer’s Care Giving While Maintaining Your Own Health

Just for a moment I want you to imagine that you are coming out of a very deep sleep. If you have ever had surgery try to remember the way you felt as you were trying to make sense of things as you awoke. As you imagine or remember this sensation do you find yourself wondering if it is morning or night? Are you trying to remember where you are? Do you have a startle reaction and think for a moment that you are late for work or forgot to pick up your children at school? I have had that upsetting feeling if I wake up in the middle of the night or even after a nap. Now imagine that same fog every moment of your life…….

So many care givers find themselves frustrated with an Alzheimer’s sufferer. They may say things like “He just doesn’t seem to care if I am with him or not” or “He doesn’t enjoy doing anything any more.” I know that it is so hard to accept the changes in your loved one and know that this is going to be your reality. If you can remind yourself that the behaviors are organic it will help. The plaque is building up and spreading over the surface of the brain just as a grassfire moves across a dry field. As it covers more areas your loved falls deeper into that fog. Alzheimer’s disease doesn’t show up like a broken one or a surgical scar but the effects are just as real.

When the things they say or do cause you to feel angry or sad do you best to remember that it is the disease…not your loved one. That’s when it is time for some care giver TLC.

Care giver burnout is a very real occurrence. If you are caring for someone you must include your own needs each day. Your health may decline at a faster rate than the person you are caring for if your dietary, emotional and physical needs are not met. Skipping your checkups with Dr.s is not an option.

You may be asking “How am I supposed to do all of this all by myself?” The answer is simple. You can’t do it all alone. The first step to healthy care giving is accepting the fact that you have limitations. Every human being does. You can only stay awake, maintain your health and keep up with the demands for a limited amount of time. When you reach your limit you may find yourself suffering from care giver burnout. You may have trouble concentrating, experience nervous tension, and you may find it difficult to fight off resentment toward your loved one or others in your family that you feel should be assisting you.

Reach out. Call upon your family, friends, church and community organizations. Your local hospitals will have information regarding community resources. This information can usually be found by contacting the Social Services Department. Another good resource is the Alzheimer’s Association. By taking care of your health you will, in turn be a better care giver.

Most Needed Lawn Garden Tools

So you want a superbly manicured garden with smooth edges, sharp hedges, colourful flowerbeds and maybe a few topiaries and water capabilities thrown in? Anyone will have a stunning lush panorama with a bit creative imaginative and prescient, a lot of work, and the proper lawn lawn gear.

While the essential step of designing your landscape and selecting the correct foliage and blooms on your place is notably crucial, it’s also a totally individualized and localized process that only you and your neighborhood nursery can accomplish. Sure, I may want to provide you with the overall lists of the flora and trees that develop properly in your location and I can advocate what colorings and textures appearance extraordinary together. Ultimately it comes down to your personal tastes and the availability of plants and bushes on your region. That isn’t always the focus of this text.

The attention of this text is to safely assess whether or not or not you have get admission to to the right lawn and garden gear and equipment that will nicely carry out the renovation required of your masterpiece. Once you have get admission to to all the proper equipment, preserving the associates inexperienced with envy is baby’s play.

A quick appearance within the considered necessary garden shed ought to yield the subsequent objects at a naked minimum:

– Traditional garden or soil rake that’s often used within the soil
– Leaf rake or the fan shaped rake used by and large for cleaning up leaves and particles
– Long deal with hoe used to break up the dirt and eliminate weeds
– Spade or spherical tipped shovel used to dig holes and trenches
– Pruning shears used to prune shrubs, timber and flowers
– Hedge clippers to trim hedges and shrubbery into the preferred shapes
– Hand tool set which includes a trowel, weeder, and cultivator
– Wheelbarrow that’s used to haul just about anything and shop your back
– Lawn mower of which there are numerous types but I pick one that mulches and has a bag so that you have greater alternatives
– Seeder which isn’t always critical but is a time saver for over seeding the garden or applying fertilizer over large areas
– Assortment of lawn hoses and sprinklers with which to make certain proper watering

Once you have got your arsenal of garden and garden tools you are equipped to trim, rake and mow your way to a panorama that not only turns heads however adds to the value of your own home and the neighborhood in preferred. And most importantly, consider to have a laugh even as you are landscaping your garden

Add Space With a Wood Garden Shed

Garden sheds made from wooden are a brilliant addition to any outdoor. Garden sheds are available in a wide form of styles and sizes. You can get one as small as 8×6. While this may now not keep much, there may be still plenty you may do with it. It is the precise size to use as a gardening shed, ideal for all of your gardening wishes. You can keep all your substances in there like gloves, small gear, plant meals, pesticides, seeds, soils and all of you watering desires. This way you will be extra prepared and be capable of spend more time for your lawn.

A medium sized lawn shed will preserve greater. A 10×16 will keep not simplest your gardening elements, but one this length would additionally be properly as greater storage if you have no basement, extra room in your private home. You should placed your greater household items in there or even all of you vacation decorations. This could also help to free up area in your garage, or be very useful when you have no storage.

You can also use this size as a workshop. You may want to have electric run for your workshop-lawn shed. This would also be the proper length to apply as a infant’s playhouse. Perfect for the toddlers and when they grow up, you continue to have the extra space you would possibly want. This is also the proper size to keep all your pool objects when you have a pool. You may want to positioned your pool chemicals, cleaners, toys and additional patio chairs in there. Moreover, you can lock these so that you could have a completely secure region to maintain these things and not worry about little fingers getting a keep of them.

Of route, if this size remains too small then you could buy one as large as 12×24. This might be ideal for storing all your needs. You should purchase ones, or make ones that have windows and porches on them. You can add exclusive shelves to them making them able to storing all of your matters. Perfect when you have a using lawn mower or maybe a snow decrease. Maybe you have an at home business in vehicle restore, or perhaps you are a timber employee, best for storing all of your tools. Again, whichever length of lawn shed you make a decision to go along with, you will in reality locate many makes use of for it, and it will virtually be a welcome boost on your lawn and home.

Cleanse Your Colon For A Boost In Health

A variety of health problems exist today which can all be traced back to the colon; abdominal pain, discomfort, constipation, diarrhea and lack of energy. Bowel movements are the basis of our health. If we don’t have at least one bowel movement per day, we are already walking our way toward disease. These diseases even may lead to colon cancer. Therefore we require a regular cleanses of our colon, kidney, liver & gall bladder to keep our bodies healthy. A colon cleanse is the most important cleanse of all others.

Different Types of Colon Cleansing

The different methods of colon cleansing are 1) Colon Hydrotherapy, 2) Enemas, 3) Herbal supplements, 4) Laxatives and 5) Oxygen-based Cleansers. Here is a brief description about all these cleansing methods.

1) Colon Hydrotherapy: In this process of colon cleansing warm and filtered water is used to fuse into the colon via a plastic tube. With this method, only the large intestine can be cleansed. Colon hydrotherapy process is also termed as ‘colonic irrigation’ and ‘using colenemas.’

2) Enemas: The problem of constipation is being treated by this process of colon cleansing from many earlier centuries. The effectiveness of this treatment mainly depends on the type of enema used. Enemas are used to remove the waste material only from the lower part of the colon. Enemas are also useful in emptying the rectum. The different types of enemas are water enemas, coffee enemas, clay enemas, etc. Most people do not like inserting enemas through their rectal cavity.

3) Herbal supplements: Nowadays, different herbal supplements are available on the market in the form of pills or capsules. These herbal supplements are very inexpensive and are not fully effective in cleansing the bowel.

4) Laxatives: Like enemas these are also used as the temporary treatments of constipation. This treatment can be considered as the most dangerous treatment among all other colon cleansing methods as there may be serious dehydration and even loss of muscle round the colon lining.

5) Oxygen-based Cleansers: The best method among all the colon cleansing methods is the Oxygen-based Cleansers. In this process of colon cleansing the compacted matter can be melt away by oxidation reduction reaction. A good oxygen-based colon cleanser works in the whole system and can completely cleanse the entire intestinal tract and it also fully detoxifies the whole tract.

The Benefits of Colon Cleansing

– Prevents irregular bowel movements and constipation
– Helps to promote clearer skin
– Improvement in Concentration
– Absorb minerals and vitamins easier
– Colon cleansing also helps us from different fatal disease like colon cancer.

I hope the above information will give you a good idea on which type of cleanse to do for your colon, and open your eyes to the many reasons as to why you should opt for a colon cleanse if you haven’t had one, regardless of your current state of health.

Car Hire Barcelona

If you’re journeying Barcelona to go to the metropolis on my own you can now not rent a car for the complete of your stay but there are a few remarkable locations to explore simply outdoor of the town. Often flights to Barcelona are extra highly-priced than surrounding airports; because of this many budget airways fly to Gerona and switch passengers at the very last leg by means of teach. It is continually safer to double take a look at a flight as a few humans think they’ve booked immediately to Barcelona and become in Gerona having to switch throughout.

Flying to Gerona (103 Kilometers away) or Reus (106 kilometers away) can be pretty a very good option; with the aid of taking gain of the less expensive fee flights it makes it less complicated to appearance to lease a vehicle for the onward travel to Barcelona. A rent automobile for a week stay can regularly be the identical charge as taking a taxi switch from the airport. There is constantly the reality that you may avoid any further transport expenses throughout your live and the convenience of your very own rent car, it becomes the sensible option. Here are a few mind approximately where to go to in Barcelona and a few great excursions to round Barcelona:

Barcelona dominates a exquisite vicinity on the North Eastern coast of the Iberian Peninsular. On the brink of the Mediterranean, Barcelona is honestly the second largest city in Spain. Physically and in terms of populace this length and popularity has made it the capital of the Catalonia place. If you are looking ahead to for you to use the Spanish language in Barcelona take into account that most of the public communicate Catalan which can be quite tough to apply and really difficult to recognize.

As with many Spanish cities, Barcelona is full of culture, conflict, and numerous traditions from the various societies that have ruled here. The towns history dates back to the second century BC while the Romans began a agreement at the site. The World’s fair passed off in Barcelona in 1988, the city became experiencing a big financial up flip at some point of the industrialization of this era. Since then Barcelona has grown to the height of way of life, art and Mediterranean glory we understand these days.

Getting around in Barcelona metropolis middle can be a busy and traumatic revel in, driving especially may be hard but is the quickest manner of tour. The town has a very modern and smooth metro gadget which connects to maximum of the town and all the locations you may like to go to. However in case your resort is located a long way from a metro station or you intend to visit some locations out of doors of Barcelona, taxis can be found effortlessly at reasonable expenses; you must also visit some of the exceptional white sandy beaches just out of doors of Barcelona. If you are starting in Gerona or Reus I urge you to spend an afternoon exploring both of those cities, they each offer historical and unique activities.

The majority of visitors to Barcelona live along the Ramblas plenty of top and moderately priced motels and resturants may be observed here. It is the center for maximum of the nightlife activities inside the metropolis. The Ramblas is a long walkway which joins with the Columbus monument filled with street hawkers, acts, mime artists and stalls there may be pastime and Spanish life nearly 24 hours a day. It’s a totally amusing region to be, do be warned though the Ramblas is also a warm spot for thieves who target the big crowds of vacationers. Be positive to keep your wits approximately you and an eye to your assets and bags whilst you forestall. Be aware whilst passing alongside the Ramblas there are some architectural delights which can without problems be missed, make certain you look out for the Palau de los angeles Virreina; the stunning 18th century mansion residence sits subsequent the Boqueria marketplace.