Football – a debate

by Louise

With fall fast approaching, we return to sports at all levels – school, college and pro. A big one is football.

I was discussing football with my kid and he mentioned that students were out of school due to football related concussions. I happened to have lunch with a bunch of people and one guy was very opposed to his kid playing football. Then, I watch Last Chance U where football seems to be the only way out for young men from disadvantaged backgrounds. They want to play in spite of concussions hoping that they will be recruited to big football schools. I was troubled by this.

Next, I see this article on CTE.

CTE found in 99% of studied brains from deceased NFL players

What do you think ? Do you think football will continue as is or will people slowly turn away ? Will kids continue to play given the emerging research ? Discuss.

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Wellness

by Rocky Mountain Stepmom

We often talk on the blog about health care policy, health insurance, death panels, Medicaid, etc. But at the Totebag end of the spectrum, there’s the wellness phenomenon.

The Wellness Epidemic

Do you follow any wellness practices or protocols? I’m unlikely to steam my vagina (sorry, Gwyneth) but I take some vitamins and do yoga. How about you?

Foods and Health

by Louise

I have become interested in the many people I meet who are careful about what they eat.  Lots of people have reduced or cut out gluten from their diets as well as diary.  Teens now go vegan.

What has been your experience with cutting out certain foods? Do you feel better in your gut, have you lost weight and feel healthier overall?

14 Best and Worst Foods for Digestion

Exercise at work

by Honolulu Mother

We’ve all heard how dangerous it is to spend all day sitting, and it’s recently been reported that we should be getting at least an hour a day of moderate exercise to counteract the effects of sitting down the rest of the day. But finding the time is difficult.

This Thrillist article proposes that exercising at work should be normalized:

YOU SHOULD BE ABLE TO EXERCISE AT WORK WITHOUT FEELING LIKE A  FREAK

I have a yoga ball, aka an adult hippety-hop, that I sit on from time to time, although I’m dubious as to whether that really does much for my core. I just like bouncing while I work. Other than that, I just try to walk out a bit at lunchtime and take the long way to and from the bathroom. I do think my colleagues would look a bit askance at deskside burpees, wall squats, and so forth.

How about the rest of you? I remember that Risley has her under-desk cycle — is it still working out well? Have others found a good way to get in a little exercise at work? And do you think exercising at work should be a thing?

What a drag it is gettin’ old

by Mémé

Many of us have older relatives who need nearby if not active supervision – not because they are demented or frail, but because the details of daily life have become too much to manage. Some of it is adjusting to modern electronics and communications. Some of is a result of spread out car dependent communities and a declining ability to drive oneself. But some of it seems to be avoidable.

One example, as described by this New Old Age column in the NYT, is medication management.

A Prescription for Confusion: When to Take All Those Pills

Lest you think this is an exaggeration, I present DH’s pill regimen. I am live-in, obviously, and manage it because even though he can still win regional bridge events, he can’t keep track of all of this, for example, the meds that have been eliminated but the pharmacy stills sends refill reminders, the varying dosages by day of the week. Or the generic supplier is changed and the refill is a different size and/or color. Or there are five white round pills that resemble each other. He has one of those 7 x 4 pillboxes I fill every Sun morning. The first pill was recently adjusted over the phone (did I mention he is hard of hearing and doesn’t wear his hearing aids around the house?) throw out old pills (trip to police station required for safe disposal). Get new pills different dosage (trip to pharmacy required.) I had to pry the phone from his hand to speak directly to the nurse.

Upon waking –
Thyroid – 1 pill 4 days a week, 1 ½ three days.

Breakfast – must wait a full hour after wake up pill
Gout
Diabetes
Diuretics (F & S)
BP L
Heart C (1 ½ pills)
Heart D (1 pill 4 days, ½ 3 days)
Vitamin D
Multivitamin
Mood B

Dinner –
Diabetes
Mood B
Blood thinner – twice a month blood draws at the doctor’s office – dose then adjusted over the phone – sometimes just for a day or two

Bedtime –
Mood E
Sleep aid
Heart C (1 ½)
BP L ( ½ )

Totebaggers, what would you suggest to make life less confusing for elders (or children) and their caretakers? I also know that an orderly family life, even without elders in the mix, is made more difficult by seemingly artificial constraints relating to kids and school and work, but somehow we expect that children need help navigating and employers will be arbitrary.

The effect of stress on health

by WCE

This article on stress levels and cholesterol made me think. How much does avoiding stress affect your work/life choices? I’m curious about whether control affects the perception of stress. When I have a lot going on, but I have control over it, I am less stressed than when I am subject to someone else’s arbitrary schedule or needs. I think my Dad and MIL, who each cared for a terminally ill spouse, were affected as caregivers in ways that affected their long-term health.

Why do you think there is so much research on diet/exercise and so little research on stress?

Stress Raises Cholesterol More Than You Think

The right amount of exercise

by L

How much exercise do Totebaggers get? More or less than you need? Right now I get far less than I need, but at this point my desire for sleep overcomes my desire to increase my exercise level. For several years in my 20s, I exercised far too much and more than was good for me; growing up I only exercised occasionally.

Physical activity guidelines: How much exercise do you need?

Healthier habits

by Risley

Here’s an article about the recent announcement re: the carcinogenic properties of red meat and processed red meat. The article dispels the “red meat causes cancer” scare by explaining something many of us in this group have said many times: all things in moderation. A bit of red meat, like a bit of sun or a bit of alcohol, has benefits. A ton of red meat, like a ton of sun or a ton of alcohol — not a good plan.

Red Meat for Health: A Recent WHO/IARC Ruling

What health scare information — real or imagined or later debunked — has changed the way you approach your health? Here are some of the changes we’ve made in our house, some based on actual science (though I’ve already forgotten the details) and some based on overreaction or instinct:

Limited microwave use. Not so recent, actually–we’ve been doing this for many years. As I write this, though, I can’t recall reading a single thing that says microwaves are a health risk. I don’t recall if we read something about this once and I’ve simply forgotten it, or if we came up with this ourselves. It makes sense to me instinctively though, so I avoid them. (Meanwhile, I go through the x-ray scanner at airports quite happily. This is not a post about consistency, evidently!)

Limited processed soy. I read that processed soy is a potential issue, particularly for young girls. Something about hormones in the processed soy, maybe? No memory of it, but I have three young women in the house, two of whom eat a lot of tofu at their mother’s, so I figure our house should be pretty much soy free, to be safe. (I understand certain tofu–extra soft, maybe?–is okay but other kinds aren’t Obviously, I’m not good at remembering details, so I just avoid it all, for the most part).

No more plastic unless it’s BPA-free. Again because of reproductive health, and all the girls running around this house. We do have some of those little IKEA dishes (plastic). I’ve told the kids not to eat hot things in those and not to put them in the microwave. I really should just dump them all, I suppose. Again, I’m not scoring consistency points.

Limited/no lunch meat. Again, the processed meat thing. And a nitrate thing I vaguely recall reading. We used to use those little squares of ham in fried rice, but now we sub in shrimp. Of course, now the go-to sandwich choice around here for kids is PB + Nutella, so I’m not sure this was a true health move.

Michael Pollan’s rules. I still try to keep us following these. Things like, “Don’t eat something with more than 10 ingredients/with ingredients you don’t know/that your grandmother wouldn’t recognize/that comes from the aisles of the grocer rather than the perimeter” etc. One thing I love about The Lady is that her ingredient lists are 90% or more from the perimeter, so I don’t have to think about it much. No idea if they’ve debunked these guidelines but I can’t see how we can go wrong eating mostly produce and avoiding processed food with a ton of chemicals, so I’m sticking with Mike. We’ve taken this to another level over the past half year or so, meaning that we no longer cheat as much. I’d say we cheat 0-5% on groceries and a little more when out. Those numbers used to be far, far higher. I swear I have more energy, particularly in the afternoons. It could be because of something else, but I’ve decided it’s from cutting out sugar and processed food.

Probiotics. One every morning for gut health. Maybe it’s these little guys, or maybe it’s that DH and I have stepped up our workouts quite a bit over the last several months, but he and I have reached a whole new level of lean lately. We had already been following the Pollan guidelines more strictly, so it seems like the final step of adding a probiotic was the game changer.

No more than one drink/day for women. Breast cancer risk if you drink more than one. No idea if this has been debunked or not, but I can think of various other good reasons to stick to one/day, so I’m sticking to it and have warned the girls a trazillion times that they should do the same.

What about you? Have you taken things too far for reasons you can no longer recall, or for reasons that may never have existed in the first place, except in your gut? Or do you figure that all these rules/discoveries/warnings change all the time anyway, so there’s no sense getting too fired up about them, and just stay the course instead, eat/drink what you’ve always consumed, whether in moderation or not, and assume it’ll all be fine?

Telemedicine — Yay Or Nay?

by Grace aka costofcollege

Telemedicine may be the wave of the future for many types of health care.

The same forces that have made instant messaging and video calls part of daily life for many Americans are now shaking up basic medical care. Health systems and insurers are rushing to offer video consultations for routine ailments, convinced they will save money and relieve pressure on overextended primary care systems in cities and rural areas alike. And more people like Ms. DeVisser, fluent in Skype and FaceTime and eager for cheaper, more convenient medical care, are trying them out….

But telemedicine is facing pushback from some more traditional corners of the medical world. Medicare, which often sets the precedent for other insurers, strictly limits reimbursement for telemedicine services out of concern that expanding coverage would increase, not reduce, costs. Some doctors assert that hands-on exams are more effective and warn that the potential for misdiagnoses via video is great.

Legislatures and medical boards in some states are listening carefully to such criticisms, and a few, led by Texas, are trying to slow the rapid growth of virtual medicine. But many more states are embracing the new world of virtual house calls, largely by updating rules to allow doctor-patient relationships to be established and medications to be prescribed via video. Health systems, facing stiff competition from urgent care centers, retail clinics and start-up companies that offer video consultations through apps for smartphones and tablets, are increasingly offering the service as well.

My new doctor has a terrific email system that allows us to conveniently discuss health issues.  I know a person who is very happy with her Skype psychotherapy sessions.  The possibilities are intriguing.

What’s your experience with telemedicine?  Do you welcome the convenience, or fear that it will lead to many errors and lower quality healthcare?