Thursday, February 14, 2013

Live the Life You Want

We all want to get the most we can out of life. Whether we want to find a loving partner, work at a meaningful career, gather an abundance of financial resources, or have enough leisure time to pursue favored interests, the usual bottom line is that we want to be happy. Throughout thousands of years of history, the great philosophers have pointed to happiness as the worthwhile goal of all human activities. But such joy often escapes us, even at times when we think to ourselves that we ought to be happy. Various obstacles stand in our way, not the least of which is physical pain....
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Thursday, January 17, 2013

Flu Vaccine and Safety in Pregnancy. A breakdown of the study that says it is.

I'm sure you'll be hearing about, or have already heard, the new study that says the flu vaccine is safe for pregnant women. Here is a breakdown of the actual study they are basing this on.

1) It is a data survey study that looked at H1N1 vaccinated pregnant women in Norway in 2009 and it showed from their study that there was a decrease incidence of fetal deaths in the vaccinated population. That's it. Now, you look closer here's the discrepencies.

A) First, their only parameter for safety is of fetal death. No statistics or information about birth defects, APGAR scores, mental status, autism, etc. - you know the drill. Basically, while fetal death is important, it is not the only thing that makes a vaccine safe or not safe (and I use the word 'safe' loosely)

B) Second, it makes no mention of or decision to look into the socioeconomic factors that may effect the data - lower socioeconomic status usually means less access to healthcare which can translate to less vaccines but also more ways to effect fetal mortality. Again, they are making broad assumptions that fetal deaths are only correlated to vaccinated vs. non-vaccinated along with flu exposure.

C) Third, the vaccine that they were following, Pandemrix is (a) influenza-based but only supposed to be using in cases of pandemic H1N1 (a situation we're not currently in in the US), and, most importantly (b) is not licensed for usage in the US, so it's not a vaccine any of our patients, or any US citizen, is likely to ever be innoculated with, so even if the study was actually valid, it's not one that just translates to our current flu vaccines being 'safe'. (FYI, Pandemrix contains thimerosal,squalene, formaldehyde and polysorbate 80 and is thought to cause narcolepsy in children and adolescents)
 
D) Fourth, the actual percentage difference in fetal deaths between the vaccinated and non-vaccinated population was, by my own calculations, a .17% difference.

D) Fifth, the conclusion in the paper only actually states there is a decrease in fetal deaths (which I still think is a big leap in stating so, but whatever) but the media has taken it and extrapolated that to say it's plain old safe. 
E) One last thing, while it made sure to include pregnant women with an influenza diagnosis, it makes an unverified leap that those that had a fetal death, were indeed caused by their flu So there's the real info. Here's the link to the study if you need as well:
http://www.nejm.org/doi/full/10.1056/NEJMoa1207210?query=featured_home

Thanks to my fellow colleague Dr. Jason Pape for the breakdown.

Thursday, October 11, 2012

Top Three Fitness Tips from the World of Dance‏

Professional dancers are a pretty select group. These elite athletes are arguably among the fittest people in the world. Dance training provides flexibility, strength, speed, and agility - qualities of which we'd all like to have more. As a result, the dancer's experience provides lifelong guidance for the rest of us as we pursue our own fitness-and-exercise quest. Here are three key fitness tips from the dance world that all of us can use....
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Friday, September 28, 2012

The Three P's

Pasta, pizza, and peanut butter. We've all been there. For some of us, these three delicious, yet nutritionally limited, pantry items constituted our three main food groups for months, if not years. But there comes a time when the party's over and we need to deal with reality. Changing to a well-rounded, healthful food plan will likely be a very good thing for most of us. But what is a "well-rounded, healthful food plan", actually?...
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Tuesday, August 7, 2012

Heroes - Active Parents Raise Active Kids

We are constantly searching the landscape for heroes. This is not to fill in a missing piece in ourselves, but rather represents an ongoing search for inspiration, stimulation, and motivation. Even those of us who are self-starters need coaches and mentors to cause us to reach ever-higher levels of achievement. We all need support. We all need guidance. We all need fresh perspectives. Children, in particular, need guidance. Usually, a child's parents are her leaders or role models....

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Friday, June 29, 2012

How Your Gut Flora Influences Your Health

"Each individual's community of gut microbes is unique and profoundly sensitive to environmental conditions, beginning at birth. Indeed, the mode of delivery during the birthing process has been shown to affect an infant's microbial profile. Communities of vaginal microbes change during pregnancy in preparation for birth, delivering beneficial microbes to the newborn.
At the time of delivery, the vagina is dominated by a pair of bacterial species, Lactobacillus and Prevotella. In contrast, infants delivered by caesarean section typically show microbial communities associated with the skin, including Staphylococcus, Corynebacterium, and Propionibacterium.
While the full implications of these distinctions are still murky, evidence suggests they may affect an infant's subsequent development and health, particularly in terms of susceptibility to pathogens." [Emphasis mine]

How Your Gut Flora Influences Your Health