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re: Healthcare vs Health
Posted on 3/28/19 at 7:43 pm to ThinePreparedAni
Posted on 3/28/19 at 7:43 pm to ThinePreparedAni
https://www.statnews.com/2018/07/26/physicians-not-burning-out-they-are-suffering-moral-injury/
quote:
Physicians aren’t ‘burning out.’ They’re suffering from moral injury
By SIMON G. TALBOT and WENDY DEAN JULY 26, 2018
quote:
Most physicians enter medicine following a calling rather than a career path. They go into the field with a desire to help people. Many approach it with almost religious zeal, enduring lost sleep, lost years of young adulthood, huge opportunity costs, family strain, financial instability, disregard for personal health, and a multitude of other challenges. Each hurdle offers a lesson in endurance in the service of one’s goal which, starting in the third year of medical school, is sharply focused on ensuring the best care for one’s patients. Failing to consistently meet patients’ needs has a profound impact on physician wellbeing — this is the crux of consequent moral injury.
quote:
In an increasingly business-oriented and profit-driven health care environment, physicians must consider a multitude of factors other than their patients’ best interests when deciding on treatment. Financial considerations — of hospitals, health care systems, insurers, patients, and sometimes of the physician himself or herself — lead to conflicts of interest. Electronic health records, which distract from patient encounters and fragment care but which are extraordinarily effective at tracking productivity and other business metrics, overwhelm busy physicians with tasks unrelated to providing outstanding face-to-face interactions. The constant specter of litigation drives physicians to over-test, over-read, and over-react to results — at times actively harming patients to avoid lawsuits.
quote:
The simple solution of establishing physician wellness programs or hiring corporate wellness officers won’t solve the problem. Nor will pushing the solution onto providers by switching them to team-based care; creating flexible schedules and float pools for provider emergencies; getting physicians to practice mindfulness, meditation, and relaxation techniques or participate in cognitive-behavior therapy and resilience training. We do not need a Code Lavender team that dispenses “information on preventive and ongoing support and hands out things such as aromatherapy inhalers, healthy snacks, and water” in response to emotional distress crises. Such teams provide the same support that first responders provide in disaster zones, but the “disaster zones” where they work are the everyday operations in many of the country’s major medical centers. None of these measures is geared to change the institutional patterns that inflict moral injuries. What we need is leadership willing to acknowledge the human costs and moral injury of multiple competing allegiances. We need leadership that has the courage to confront and minimize those competing demands. Physicians must be treated with respect, autonomy, and the authority to make rational, safe, evidence-based, and financially responsible decisions. Top-down authoritarian mandates on medical practice are degrading and ultimately ineffective.
quote:
A truly free market of insurers and providers, one without financial obligations being pushed to providers, would allow for self-regulation and patient-driven care. These goals should be aimed at creating a win-win where the wellness of patients correlates with the wellness of providers. In this way we can avoid the ongoing moral injury associated with the business of health care.
Posted on 6/21/19 at 8:31 am to ThinePreparedAni
Sorry, no link as this is part of a mailing list I subscribe to
The message is important:
Sometimes life is stranger than science fiction.
When Soylent first came onto the scene, I couldn’t help shaking my head. It’s the perfect reflection of just how mismatched our modern environment has become from our genes and biology, and how disconnected we’ve become from our bodies.
(If you’re not familiar with Soylent, it’s a meal replacement beverage loaded with cheap, industrial ingredients that became popular in Silicon Valley.)
Soylent was invented by an electrical engineer who seemed to view real food as a time-consuming distraction that kept him from “maximizing his productivity.”
Since then, it has attracted a devoted following of (mostly) young, male tech workers who want to stay at their desk for 12 to 14 hours a day without being inconvenienced by anything as banal as having to eat a real meal.
Look, I’m not completely against the occasional meal replacement. I get that there are times in life when preparing and eating a real-food meal just isn’t possible.
But grabbing a meal replacement shake or bar when you’re late for a flight and heading out the door is fundamentally different than replacing all of your food with these products—which is what some unfortunate souls have done with Soylent.
Soylent started with a liquid formula. Its first three ingredients, other than water, are all processed foods: soy protein isolate, maltodextrin (aka sugar), and high oleic safflower oil.
Now they’re moving into “solids”—as they call them—with the Soylent Squared bar as their first entry. Mmmmm, yummm … get a load of the ingredients in their Chocolate Brownie version of the bar:
ingredients:
Corn syrup as the number-two ingredient! Maltodextrin is in there too.
But wait, it has vitamins, and “20 grams of plant protein,” so it must be healthy!
Soylent is the predictable result of what food philosopher Gyorgy Scrinis calls “nutritionism,” the reductionist idea that food is no more than a collection of individual nutrients.
If you buy into nutritionism, then something like Soylent makes perfect sense—presuming you believe that all sources of protein, carbohydrate, and fat are created equal, which of course they are not.
But if you instead believe in the concept of “nutrient synergy”—that whole, real foods contain vitamins, minerals, enzymes, and other substances that work synergistically to provide the body with what it needs—then it is abundantly clear why drinking or eating a bunch of synthetic nutrients in a bottle or a bar is not going to end well.
But Soylent isn’t just a product of nutritionism and a misguided approach to food.
It’s a result of a culture that is obsessed with maximizing productivity at all costs, and one that ignores the fact that we are not just disembodied minds that can do cool stuff like develop apps and software—our bodies are what make us human.
---
Nutritionism is just a small subset of material reductionism. It (much like the unhinged / mindless capitalism example above) can be toxic unless the proper context is applied...
We are going to soon find out that the realm we inhabit is much more wonderous / stange than reductionist material science can perceive. Pay attention
Embrace this and learn to be human again (case in point in next post)...
The message is important:
Sometimes life is stranger than science fiction.
When Soylent first came onto the scene, I couldn’t help shaking my head. It’s the perfect reflection of just how mismatched our modern environment has become from our genes and biology, and how disconnected we’ve become from our bodies.
(If you’re not familiar with Soylent, it’s a meal replacement beverage loaded with cheap, industrial ingredients that became popular in Silicon Valley.)
Soylent was invented by an electrical engineer who seemed to view real food as a time-consuming distraction that kept him from “maximizing his productivity.”
Since then, it has attracted a devoted following of (mostly) young, male tech workers who want to stay at their desk for 12 to 14 hours a day without being inconvenienced by anything as banal as having to eat a real meal.
Look, I’m not completely against the occasional meal replacement. I get that there are times in life when preparing and eating a real-food meal just isn’t possible.
But grabbing a meal replacement shake or bar when you’re late for a flight and heading out the door is fundamentally different than replacing all of your food with these products—which is what some unfortunate souls have done with Soylent.
Soylent started with a liquid formula. Its first three ingredients, other than water, are all processed foods: soy protein isolate, maltodextrin (aka sugar), and high oleic safflower oil.
Now they’re moving into “solids”—as they call them—with the Soylent Squared bar as their first entry. Mmmmm, yummm … get a load of the ingredients in their Chocolate Brownie version of the bar:
ingredients:
Corn syrup as the number-two ingredient! Maltodextrin is in there too.
But wait, it has vitamins, and “20 grams of plant protein,” so it must be healthy!
Soylent is the predictable result of what food philosopher Gyorgy Scrinis calls “nutritionism,” the reductionist idea that food is no more than a collection of individual nutrients.
If you buy into nutritionism, then something like Soylent makes perfect sense—presuming you believe that all sources of protein, carbohydrate, and fat are created equal, which of course they are not.
But if you instead believe in the concept of “nutrient synergy”—that whole, real foods contain vitamins, minerals, enzymes, and other substances that work synergistically to provide the body with what it needs—then it is abundantly clear why drinking or eating a bunch of synthetic nutrients in a bottle or a bar is not going to end well.
But Soylent isn’t just a product of nutritionism and a misguided approach to food.
It’s a result of a culture that is obsessed with maximizing productivity at all costs, and one that ignores the fact that we are not just disembodied minds that can do cool stuff like develop apps and software—our bodies are what make us human.
---
Nutritionism is just a small subset of material reductionism. It (much like the unhinged / mindless capitalism example above) can be toxic unless the proper context is applied...
We are going to soon find out that the realm we inhabit is much more wonderous / stange than reductionist material science can perceive. Pay attention
Embrace this and learn to be human again (case in point in next post)...
This post was edited on 6/21/19 at 8:42 am
Posted on 6/21/19 at 8:32 am to ThinePreparedAni
https://www.washingtonpost.com/nation/2019/06/20/horns-are-growing-young-peoples-skulls-phone-use-is-blame-research-suggests/?utm_term=.fb92d12d1fec
quote:
Horns are growing on young people’s skulls. Phone use is to blame, research suggests.
By Isaac Stanley-Becker
June 20 at 4:40 AM
quote:
Mobile technology has transformed the way we live — how we read, work, communicate, shop and date. But we already know this. What we have not yet grasped is the way the tiny machines in front of us are remolding our skeletons, possibly altering not just the behaviors we exhibit but the bodies we inhabit. New research in biomechanics suggests that young people are developing hornlike spikes at the back of their skulls — bone spurs caused by the forward tilt of the head, which shifts weight from the spine to the muscles at the back of the head, causing bone growth in the connecting tendons and ligaments. The weight transfer that causes the buildup can be compared to the way the skin thickens into a callus as a response to pressure or abrasion.
Mark of the beast???
quote:
An important question is what the future holds for the young adult populations in our study, when development of a degenerative process is evident in such an early stage of their lives?” ask the authors in one paper, published in Nature Research’s peer-reviewed, open-access Scientific Reports. The study came out last year but has received fresh attention following the publication last week of a BBC story that considers, “How modern life is transforming the human skeleton.”
https://www.bbc.com/future/story/20190610-how-modern-life-is-transforming-the-human-skeleton
quote:
How modern life is transforming the human skeleton
quote:
If, in the future, the same technique were used to piece together how people lived in 2019, the scientists would find characteristic changes in our skeletons that reflect our modern lifestyles. (Credit: Alamy) The time we spend on our smartphones appears to be changing the shape of our skulls (Credit: Alamy) “I have been a clinician for 20 years, and only in the last decade, increasingly I have been discovering that my patients have this growth on the skull,” says David Shahar, a health scientist at the University of The Sunshine Coast, Australia. The spike-like feature, also known as the “external occipital protuberance” is found at the lower back of the skull, just above the neck. If you have one, it’s likely that you will be able to feel it with your fingers – or if you’re bald, it may even be visible from behind. Until recently, this type of growth was thought to be extremely rare. In 1885, when the spike was first investigated, the renowned French scientist Paul Broca complained that it even had a name at all. “He didn’t like it because he had studied so many specimens, and he hadn’t really seen any which had it.”
quote:
Text neck When we’re sitting upright, these hefty objects are balanced neatly on top of our spines. But as we lean forwards to pore over famous dogs on social media, our necks must strain to hold them in place. Doctors call the pain this can cause “text neck”. Shahar thinks the spikes form because the hunched posture creates extra pressure on the place where the neck muscles attach to the skull – and the body responds by laying down fresh layers of bone. These help the skull to cope with the extra stress, by spreading the weight over a wider area. Of course, bad posture was not invented in the 21st Century – people have always found something to hunch over. So why didn’t we get the skull protuberances from books? One possibility is down to the sheer amount of time that we currently spend on our phones, versus how long a person would previously have spent reading. For example, even in 1973, well before most modern hand-held distractions were invented, the average American typically read for about two hours each day. In contrast, today people are spending nearly double that time on their phones. Indeed, for Shahar, the biggest surprise was just how large the spikes were. Before his study, the most recent research was conducted at an osteological lab in India, in 2012. That’s a lab specialising entirely in bones – as you can imagine, they have quite a lot of skulls – but the doctor there only found one with the growth. It measured 8 mm, which is so small, it wouldn’t even have been included in Shahar’s results. “And he thought it was significant enough to write a whole paper about it!” he says. In his own study, the most substantial growths were 30mm long. Intriguingly, the strong men from the Mariana islands also tend to have growths on their skulls. They are thought to have developed for a similar reason – to support their powerful neck and shoulder muscles. The men may have carried heavy weights by suspending them from poles across their shoulders. Shahar says it’s likely that the modern spikes will never go away. They will continue to get bigger and bigger – “Imagine if you have stalactites and stalagmites, if no one is bothering them, they will just keep growing” – but it’s rare for them to cause any trouble by themselves. If there is an issue, it will probably be caused by the other compensations that the body must make for all our hunching.
Posted on 8/4/19 at 11:27 am to ThinePreparedAni
TLDR: our views and current management of mental health issues are largely wrong/misguided
https://blogs.scientificamerican.com/cross-check/are-psychiatric-medications-making-us-sicker/
We currently live mismatched with our evolutionary history
How did ancient cultures manage? See next post...
https://blogs.scientificamerican.com/cross-check/are-psychiatric-medications-making-us-sicker/
quote:
Are Psychiatric Medications Making Us Sicker?
By John Horgan on March 5, 2012
quote:
Anatomy of an Epidemic: Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America (Crown 2010), by the journalist Robert Whitaker, is one of the most disturbing, consequential works of investigative journalism I've read in a long time. Perhaps ever. Whitaker has persuaded me that American psychiatry, in collusion with the pharmaceutical industry, may be perpetrating the biggest case of iatrogenesis—harmful medical treatment--in history. I’m even more impressed by Whitaker’s research and reasoning after hearing him speak at my school, Stevens Institute of Technology, on February 29. He is the kind of science journalist who makes me proud to be a science journalist. I'm thus printing here a modified version of an article I wrote about Anatomy last fall for The Chronicle of Higher Education. I also urge you to check out Whitaker’s Psychology Today blog, where he addresses his critics. I first took a close look at treatments for mental illness in the mid-1990s while researching an article for Scientific American. At the time, sales of a new class of antidepressants, selective serotonin reuptake inhibitors, or SSRIs, were booming. The first SSRI, Prozac, had quickly become the most widely prescribed drug in the world. Many psychiatrists, notably Peter Kramer, author of the bestseller Listening to Prozac (Viking 1993), touted SSRIs as a revolutionary advance in the treatment of mental illness. Prozac, Kramer claimed in a phrase that I hope now haunts him (but probably doesn't), could make patients "better than well."
quote:
As recently as the 1950s, Whitaker contends, the four major mental disorders--depression, anxiety disorder, bipolar disorder and schizophrenia--often manifested as episodic and "self-limiting"; that is, most people simply got better over time. Severe, chronic mental illness was viewed as relatively rare. But over the past few decades the proportion of Americans diagnosed with mental illness has skyrocketed. Since 1987, the percentage of the population receiving federal disability payments for mental illness has tripled; among children under the age of 18, the percentage has grown by a factor of 35. This epidemic has coincided, paradoxically, with a surge in prescriptions for psychiatric drugs. Between 1985 and 2008, U.S. sales of antidepressants and antipsychotics multiplied almost fifty-fold, to $24.2 billion. Prescriptions for bipolar disorder and anxiety have also swelled. One in eight Americans, including children and even toddlers, is now taking a psychotropic medication. Whitaker acknowledges that antidepressants and other psychiatric medications often provide short-term relief, which explains why so many physicians and patients believe so fervently in the drugs' benefits. But over time, Whitaker argues, drugs make many patients sicker than they would have been if they had never been medicated.
quote:
Anatomy has received other recognition. It won the 2010 Investigative Reporters and Editors Award for Investigative Journalism. A review in New Scientist concluded that Whitaker's arguments seem "far-fetched" at first but on closer examination "are worryingly sane and consistently based on evidence. They amount to a provocative yet reasonable thesis, one whose astonishing intellectual punch is delivered with the gripping vitality of a novel. Whitaker manages to be damning while remaining stubbornly optimistic in this enthralling and frighteningly persuasive book." At the very least, Whitaker’s claims warrant further investigation. Check out his book and make up your own mind.
We currently live mismatched with our evolutionary history
How did ancient cultures manage? See next post...
Posted on 8/4/19 at 11:27 am to ThinePreparedAni
https://blogs.scientificamerican.com/observations/psychedelic-medicine-is-coming-the-law-isnt-ready/
quote:
Psychedelic Medicine Is Coming. The Law Isn’t Ready A surprising resurgence of psychedelic research has produced its first FDA-approved treatment, with more likely on the way
By Matt Lamkin on July 31, 2019
quote:
In March, the Food and Drug Administration approved esketamine, a drug that produces psychedelic effects, to treat depression—the first psychedelic ever to clear that bar. Meanwhile the FDA has granted "breakthrough therapy" status—a designation that enables fast-tracked research—to study MDMA (also called "ecstasy") as a treatment for post-traumatic stress disorder and psilocybin as a treatment for major depression. While these and other psychedelic drugs show promise as treatments for specific illnesses, FDA approval means doctors could also prescribe them for other, "off-label" purposes—including enhancing the quality of life of people who do not suffer from any disorder. Hence if MDMA gains approval as a treatment for PTSD, psychiatrists could prescribe the drug for very different purposes. Indeed, before the federal government banned MDMA, therapists reported striking success in using MDMA to improve the quality of intimate relationships. Recent research bolsters these claims, finding that the drug enhances emotional empathy, increases feelings of closeness, and promotes thoughtfulness and contemplativeness.? Similarly, while psilocybin has shown potential as a treatment for depression and anxiety, physicians could also prescribe the drug to promote the well-being of healthy individuals. When researchers at Johns Hopkins gave psilocybin to healthy participants with no history of hallucinogen use, nearly eighty percent reported that their experiences "increased their current sense of personal well-being or life satisfaction 'moderately' or 'very much'"—effects that persisted for more than a year.?
quote:
Yet while the FDA generally does not regulate physicians' prescribing practices, a federal law called the Controlled Substances Act bars them from writing prescriptions without a "legitimate medical purpose." Although this prohibition aims to prevent doctors from acting as drug traffickers, the law does not explain which purposes qualify as "legitimate," nor how to distinguish valid prescriptions from those that merely enable patients' illicit drug abuse.? Would prescribing a psychedelic drug simply to promote empathy or increase "life satisfaction" fall within the scope of legitimate medicine—or would these practices render the physician a drug dealer?
quote:
Similar strategies could be used to mitigate any unique risks posed by psychedelics, without limiting their use to patients suffering from particular disorders. One can imagine a system in which psychedelic drugs could be lawfully prescribed to a healthy individual, but only as part of a guided therapy session led by a specially trained physician. Multiple studies have found that both MDMA and psilocybin can be safely administered in well-supervised clinical settings like these, without harming patients or promoting drug dependence.
Posted on 8/4/19 at 11:30 am to ThinePreparedAni
Smart phones are a form of mind control
Posted on 8/4/19 at 11:35 am to Upperdecker
quote:
Smart phones are a form of mind control
Absolutely
Dopamine hits on tap...
Steve Jobs did not let his kids use...
Posted on 8/5/19 at 10:31 am to ThinePreparedAni
Timely info below:
https://peterattiamd.com/rickdoblin/
quote:
PODCAST #65 – Rick Doblin, Ph.D.: MDMA — the creation, scheduling, toxicity, therapeutic use, and changing public opinion of what is possibly the single most important synthetic molecule ever created by our species
"I think that there's a fundamental human right that people have to explore their consciousness. . .I believe we should have a system of licensed legalization [for psychedelics]." — Rick Doblin
by PETER ATTIA
August 5, 2019
quote:
In this episode, Rick Doblin, founder and executive director of MAPS, discusses MDMA, a molecule that has (at a minimum) revolutionary therapeutic benefits for PTSD, but arguably could have, at the highest order, a lasting impact on humanity’s ability to peacefully coexist. Rick details the history of MDMA, what lead to its unfortunate criminalization, and his lifelong work trying to protect MDMA (and other psychedelics) from criminalization (and his subsequent attempt to decriminalize it) Through his founding of MAPS, Rick has made enormous progress in debunking many of the exaggerated risks being claimed against MDMA (neurotoxicity, memory loss, depression, Parkinson’s, etc.), and is very close to getting FDA approval for a psychotherapy technique using MDMA. Additionally in this discussion, you will learn about the history of LSD, psilocybin, and other psychedelics and how the combination of the misunderstanding of them with the crackdown on drug use in the 1970s lead to their designation of schedule 1 substances. But it’s important to note that you will also realize from this discussion just how different MDMA is compared to the average psychedelic. We end this discussion with a message of hope: there are going to be many people who are going to wonder what can they do to receive this MDMA therapy. We talk about what those clinical trials look like, what the enrollment looks like, and perhaps more importantly, what a compassionate use license would look like, such that if there are patients who are in need of this therapy (prior to its approval) they can have an understanding of the legal paths to doing just that.
Posted on 8/1/20 at 1:09 pm to ThinePreparedAni
quote:
dismal metabolic and mental health of our country is going to bankrupt it
Bumped...
Everyone now understand why true health and the perspective in this thread matter to politics...
Reference the risk factors for covid and current reports...
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