On Confidence
In conclusion, on closer inspection, I guess my current lack of confidence is ultimately a “first world” problem. I mean, I’ve got food on my table, clothes on my back, a roof over my head, a car to get me from point A to point B. Friends and family to keep me company. I’ve got it all. Maybe, I should be confident. I can tell myself that the cancer is truly gone and that Tommy is truly on the right path. And after all, there is dieting and hair dye and yoga and crossword puzzles. I can reinvent my old self. Confidence is only a heartbeat away. I have to remember that. (Source: World of Psychology)
Source: World of Psychology - November 12, 2016 Category: Psychiatry & Psychology Authors: Laura Yeager Tags: Aging Bipolar Creativity Habits Personal Self-Help Success & Achievement Breast Cancer Confidence Positive Psychology self-confidence Self-Esteem Source Type: blogs

Antidepressants And Women ’s Bones
Certain antidepressants used to relieve hot flashes, night sweats and other menopausal symptoms appear to increase the risk of bone fractures. The class of drugs, selective serotonin reuptake inhibitors (SSRIs), include Celexa, Lexapro, Prozac, Luvox, Paxil and Zoloft, and are now considered effective alternatives to hormone replacement therapy. Investigators from Boston’s Northeastern University used a pharmaceutical database to identify more than 137,000 women age 40 through 64 who began taking SSRIs for menopausal symptoms between 1998 and 2010 and compared them with some 236,000 women taking prescription drugs fo...
Source: Dr. Weil's Daily Health Tips - November 1, 2016 Category: Consumer Health News Authors: Dr. Weil Tags: Science and Supplement News antidepressant bone density bones Source Type: blogs

Novo's Ills Are Indicative of Something Other Than A Free Market for Insulin
As I ' ve already addressed, a few weeks ago (see my post athttp://blog.sstrumello.com/2016/08/the-business-of-diabetes-cvs-caremarks_5.html for more), Novo Nordisk ' s CEO Lars Rebien Sorensen rather unceremoniously announced he was retiring early (see http://fortune.com/2016/09/01/novo-nordisk-ceo-retire-insulin/ for more) which was kind of an acknowledgement that the era of easy price increases for its products in the U.S. is over. Already, CVS Caremark and United Health announced that they are dropping Sanofi ' s Lantus in favor of biosimilar versions from Lilly/Boehringer or Merck/Samsung, and there ' s...
Source: Scott's Web Log - September 30, 2016 Category: Endocrinology Tags: 2016 Biosimilar generic insulin Novo Nordis PBM prices Source Type: blogs

Novo's Ills Are Indicative of Something Other Than A Free Market for Insulin
As I ' ve already addressed, a few weeks ago (see my post athttp://blog.sstrumello.com/2016/08/the-business-of-diabetes-cvs-caremarks_5.html for more), Novo Nordisk ' s CEO Lars Rebien Sorensen rather unceremoniously announced he was retiring early (see http://fortune.com/2016/09/01/novo-nordisk-ceo-retire-insulin/ for more) which was kind of an acknowledgement that the era of easy price increases for its products in the U.S. is over. Already, CVS Caremark and United Health announced that they are dropping Sanofi ' s Lantus in favor of biosimilar versions from Lilly/Boehringer or Merck/Samsung, and there ' s...
Source: Scott's Web Log - September 30, 2016 Category: Endocrinology Tags: 2016 Biosimilar generic insulin Novo Nordis PBM prices Source Type: blogs

The Future of Work Part I
Have you ever taken some time to think about what work will look like 5, 10 or even 20 years from now? If you haven’t, it is probably worth the effort because a changing work environment may have dramatic implications for how you are employed in the future. In these two posts, I want to talk about some of the trends I’m seeing and how they may play out in the coming years. Outsourcing Companies are getting better and better at spinning off specific business functions and letting them be handled by others. For example, many businesses can’t justify running payroll in-house. It is cheaper to hire a company...
Source: Productivity501 - September 20, 2016 Category: Psychiatry & Psychology Authors: Mark Shead Tags: Misc Source Type: blogs

Mockingbird #1: Medical Annotations
I hope everyone has been reading Mockingbird, which recently finished its first storyline. It’s a fun comic featuring an enjoyable character, good writing, and great art. Since much of the first story takes place in a SHIELD medical clinic — and since Bobbi keeps reminding us she has a doctorate in biology — I thought the series was ripe for some elucidating medical annotations. Since I don’t want this post to drag on forever, I’m going to break the storyline down into three separate posts. This first one will just deal with the first issue. Mockingbird #1 Chelsea Cain, writer Kate Niemczyk, a...
Source: Polite Dissent - September 12, 2016 Category: Primary Care Authors: Scott Tags: newtag Source Type: blogs

Dementia Care, Which Drugs Increase the Risk of Falling
Medications can increase the risk of falls and falling; and, are a major cause of injuries and death in older adults.By Bob DeMarcoAlzheimer's Reading RoomDuring the entire 8 and a half years, 3,112 days, that I was taking care of my mother, I worried about her falling.Falls can result in hip injuries, head injuries, or something worse.If you loved one is falling, or complaining of "dizziness" check out the list of medications below; and then, consult with your personal care doctor.Problems with Balance, Walking, Falling an Early Sign of DementiaThe drugs older people take can make them more susceptible to falling.Research...
Source: Alzheimer's Reading Room, The - September 7, 2016 Category: Neurology Tags: alzheimer's care Alzheimer's Dementia dementia care dementia falls dementia help for caregivers family caregiving help alzheimer's help with dementia care memory care searches related to falling Source Type: blogs

Antidepressants seem to weaken bones
I just read this bit of news: it looks as though antidepressants have a negative impact on bones. A Columbia University study found that people who took Prozac for at least a year were at a higher risk of bone fractures and depletion. So if you are taking “some selective serotonin reuptake inhibitors (SSRI),” especially any containing fluoxetine, you should definitely have a look at this “New Scientist” article: goo.gl/gYr8hs Note that not all SSRIs have a similar effect on bones… (Source: Margaret's Corner)
Source: Margaret's Corner - September 7, 2016 Category: Cancer & Oncology Authors: Margaret Tags: Blogroll Source Type: blogs

Is It Withdrawal Symptoms or a Depression Relapse
Four years ago, a good friend of mine put her 10-year-old son on Prozac (fluoxetine). He had always suffered from anxiety and anger outbursts, but at age 9, his behavior turned violent, and his ruminations were keeping him up at night. My friend and her husband went to a variety of child psychologists, but the cognitive behavioral therapy wasn’t enough. Finally, they got a referral to a psychiatrist, who diagnosed the boy with attention deficit hyperactivity disorder (ADHD), obsessive compulsive disorder (OCD), and generalized anxiety disorder (GAD). The doctor prescribed both Ritalin (methylphenidate) and Prozac. The bo...
Source: World of Psychology - August 30, 2016 Category: Psychiatry & Psychology Authors: Therese J. Borchard Tags: Depression Medications Mental Health and Wellness Personal Bipolar Disorder Mood Disorder Prozac withdrawal Source Type: blogs

Let Food Be Thy Medicine: 20 Superfoods to Improve Your Health
Conclusion Based on extensive medical and scientific studies, health professionals have identified different types of superfoods that are greatly beneficial in promoting a healthy lifestyle. To help health enthusiasts get a better idea of the superfood concept, the comprehensive list above will serve as an important source of information. At the same time, they are given the liberty of incorporating these foods into their daily diets based on their personal preferences. References About the Author Katleen Brown is a health, beauty and fitness writer. She loves to publish her articles on various health related websites...
Source: Life Learning Today - June 30, 2016 Category: Consumer Health News Authors: AgentSully Tags: Green Living Healthy Living Recipes food be thy medicine natural healing nutrition superfoods Source Type: blogs

Let Food Be Thy Medicine: 20 Superfoods to Improve Your Health
Conclusion Based on extensive medical and scientific studies, health professionals have identified different types of superfoods that are greatly beneficial in promoting a healthy lifestyle. To help health enthusiasts get a better idea of the superfood concept, the comprehensive list above will serve as an important source of information. At the same time, they are given the liberty of incorporating these foods into their daily diets based on their personal preferences. References http://www.besthealthmag.ca/best-eats/nutrition/nutrition-tips-spirulina-helps-cleanse-and-detox/ https://www.glozine.com/lifestyle/health/affo...
Source: Life Learning Today - June 30, 2016 Category: Consumer Health News Authors: AgentSully Tags: Green Living Healthy Living Recipes food be thy medicine natural healing nutrition superfoods Source Type: blogs

Book Review: Ordinarily Well: The Case for Antidepressants by Peter Kramer
My post for today is a review of Peter Kramer's new book over on Clinical Psychiatry News.  You may remember him from Listening to Prozac, and he's back now with more on the science that supports the use of anti-depressants.The review of Ordinarily Well can be read here: http://bit.ly/1Y6Tu9p  ----- Listen to our latest podcast at mythreeshrinks.com or subscribe to our rss feed. Email us at mythreeshrinks at gmail dot com Our book is out now. (Source: Shrink Rap)
Source: Shrink Rap - June 3, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

Utah : Just Say "NO!"
This is not a post on abortion.  Let's not even go there.  This is a post on who gets to practice medicine.So Utah passed a law -- signed by their governor after how many years of medical school? -- that mandates doctors to give general anesthesia to women having abortions after 20 weeks of gestation.  Legislators sometimes unwittingly attempt to practice medicine and pass laws that interfere with the doctor patient relationship, but this is the first time I've heard of legislation that demands a procedure that endangers a patient's life.  The theory is that the fetus might feel pain and that general an...
Source: Shrink Rap - April 4, 2016 Category: Psychiatry Authors: Dinah Source Type: blogs

10 Things Med Students Shouldn’t Do
This is my first year of being a senior resident and it is only January; and yet I have seen all these things happen. Sadly, this has all led me to the grim realization of why I got such good evals as a medical student: it wasn’t because I was some sort of social genius. (And yes, I really thought I might have been a social genius.) No, it was because I did not do the following things, ALL OF WHICH I HAVE SEEN WITH MY OWN EYES. Seriously, if you don’t do these things, don’t worry. You will be fine. Your residents will love you. Do not claim to be late to rounds because you had a “Cat medical eme...
Source: Action Potential - January 26, 2016 Category: Universities & Medical Training Authors: Action Potential Tags: Uncategorized Source Type: blogs