Piattaforma trading azioni gratis15 comments
Changing your ftp program to binary transfer
There was great commentary on my last post. I learned a lot from your words. One comment in particular has stuck with me. It concerned the formation of a how-to be-healthy booklet. An information manual, if you will. Bookstores have entire sections of self-help books.
There are manuals on healthy cooking, healthy living, healthy this and healthy that. What I was thinking about is something simpler, more to the core of the current crisis in health. It helps me understand things. What I found struck me:. Together, there has to be a selection. We have to choose health. On an individual patients level, one has to choose the healthy way. This is not complicated.
The table of health has only four legs: Every literate human in the Western world knows the basics. They just have to choose. Doctors also have to choose. We have to make a selection. Do we select the easy course, which is to ignore the elephant in the room and keep making marginal changes in medicines, perform procedures and surgery? Do we choose to care enough to address the root cause of disease?
Does the vascular surgeon keep bypassing blocked blood vessels in the patient who keeps smoking? Do we care enough to choose to engage the root cause of this crisis? Educators have really important choices to make. Those who have dedicated their life to the well being of children must reject the path we are on, and select a healthier course. A commenter made reference to eliminating physical education from schools. And finally, Society must choose. The choices we have made here are highlighted when one gets off a plane from Europe.
The people of the United States of America have made an obvious choice about their health. If we care about our vitality, there must soon be another selection. Anything more complicated than a simple choice obfuscates the problem. Americans must decide what it will be. Will we continue on the path we are on, or will someday, society wake up and decide that healthy is normal?
I was the second fastest kid in grade school. I just stuck with it — for the next fifty years. It turns out that my appetite has always been for what can only be described as the Mediterranean diet — with nuts. Forty years of eating well — as far as can be told from any medical consensus. This involves a catch Foods good for diarrhea are high glycemic. Have the AF ablation NOW, instead of waiting for a greater medical understanding and technical improvements to come along in some distant, unforeseeable future.
Not to take statins — increased risk of diabetes and muscular debility are too much to take on. Besides, what is true about cholesterol? Does a high total really count as bad? Does a good ratio really count as good? Is it even the cholesterol? Which hypertension medications, keeping in mind the many side effects that can exacerbate other existing conditions? Like, Jeff, I am also a lifetime athlete in my mids who has recently learned that, despite making all of the right choices recommended by Dr.
And now that my afib has been corrected and I have started to resume some of my former activities, I find out that I have a bad hip that will probably need to be replaced. Each individual that makes up a society is just that. The protocol of healthy choice. Whenever it comes up I have to force the doc to see me as an individual. I find it to be necessary for a positive outcome. For Jeff — NO easy answers.
They are all different. That said — I think integrated in your insightful comments is how the clinician who does care for the patient profile you present needs to be a good listener who is willing to work with the patient to help in deciding on the best choices given circumstances.
Much of Europe and the world follows the U. And not all of the U. I was born and raised in New York City — but moved away over 40 years ago. Return to that city a few years ago was tremendously gratifying to me because on the whole, the population featured VERY FEW significantly overweight individuals. On the contrary — it seemed everyone in Manhattan walked! If you consider us outliers as a valuable resource and do the hard and expensive work to figure out why our various systems fail early — having always done the four things right — then maybe you will have discovered something more basic, more profound, about the nature of human wellness.
Jeff — I believe there has been some misunderstanding with what I wished to convey. Please let me clarify the 3 messages that I meant to convey:. I believe that between the two of you — the chances are good that there can be meaningful improvement in your overall health situation.
So far so good. The team seems to work pretty well. It seems to me that profiles such as mine might provide an opportunity to see more deeply into the nature of health and aging exactly BECAUSE of my exceptions. In science or math you always look at the extremes, or exceptions, to understand. Healthy choices involve understanding long-term consequences from short-term decisions. In a society where people expect rewards immediately how capable are patients of making those healthful choices without guidance?
As teachers Docere, latin to teach our job is to partner and help them make those choices. But all quarters of our culture conspire against us, from the time allowed to spend with patients to the corporate greed that consumes us. On doing enough — nothing is ever enough, if we define enough as never having a health issue.
We all die from something eventually. Some of us die from something no one could do anything about. Bad stuff happens, even when everyone does everything right. Maybe, but mostly it makes them human. Having some understanding and expectation about the arc of our lives is another characteristic that makes us human.
On being average — A statistician runs across a man with his head stuck in a block of ice and his feet on fire. The statistician walk by and waves. Are they outside typical expectations because real anomalies happen or because the medical community does not yet understand them?
What ARE the good choices? But what about the micro-choices? We were told at one point to keep out of the sun and use the highest SPF. D results in more cancers — including, ironically, skin cancers. We were told to avoid butter and use vegetable margarine instead.
Should we drink moderately? Is it for the benefits of the bit of alcohol, or for the resveratrol? Money is being made. So much is simply unknown. What were the magic words the researchers discovered? Patients are the experts in what is important to them. What I found struck me: Selection of a path. Rejection of an alternative. This is one of the many reasons why I am just a doctor and not a famous self-help author.
The state of US health: The truth stings Concierge medicine makes everyday a snow day. Implications for impending health care reform… Success in heart health stems from the simple… Success in heart health stems from the simple….