Sunday, May 19, 2019

Medical Aid in Dying

This thread, about MAiD, is powerful. Dr. Juurlink is an amazing physician working in Toronto.

Wednesday, May 8, 2019

Fitness May Affect Risk of Lung, Colorectal Cancer and Likelihood of Survival after Diagnosis


In a recent study, adults who were the most fit had the lowest risk of developing lung and colorectal cancer. Also, among individuals who developed lung or colorectal cancer, those who had high fitness levels before their cancer diagnosis were less likely to die compared with those who had low fitness levels. The findings are published early online in CANCER, a peer-reviewed journal of the American Cancer Society.

There is limited data on the relationship between cardiorespiratory fitness and lung and colorectal cancer risk and mortality. To investigate, Catherine Handy Marshall, MD, MPH, of Johns Hopkins School of Medicine, and her colleagues studied 49,143 adults who underwent exercise stress testing from 1991–2009 and were followed for a median of 7.7 years. The study represents the largest of its kind, as well as the first of its kind to involve women and a large percentage of non-white individuals. Those in the highest fitness category had a 77 percent decreased risk of developing lung cancer and a 61 percent decreased risk of developing colorectal cancer. Among individuals who developed lung cancer, those with the highest fitness had a 44 percent decreased risk of dying during follow-up, and among adults who developed colorectal cancer, those with the highest fitness had an 89 percent decreased risk.

Additional studies are needed to expand on these results and to determine if improving fitness can influence risk and mortality rates of cancer.

 
Full Citation:
Cardiorespiratory Fitness and Incident Lung and Colon Cancer in Men and Women: Results from the Henry Ford Exercise Testing (FIT) Cancer Cohort.” Catherine Handy Marshall, Mouaz H. Al-Mallah, Zeina Dardari, Clinton A. Brawner, Lois E. Lamerato, Steven J. Keteyian, Jonathan K. Ehrman, Kala Visvanathan, and Michael J. Blaha. CANCER; Published Online: May 6, 2019 (DOI: 10.1002/cncr.32085).
URL Upon Publication

Tuesday, May 7, 2019

Fitness may improve cancer survival

In a recent study, adults who were the most fit had the lowest risk of developing lung and colorectal cancer. Also, among individuals who developed lung or colorectal cancer, those who had high fitness levels before their cancer diagnosis were less likely to die compared with those who had low fitness levels. The findings are published early online in CANCER, a peer-reviewed journal of the American Cancer Society.

Full Citation:
“Cardiorespiratory Fitness and Incident Lung and Colon Cancer in Men and Women: Results from the Henry Ford Exercise Testing (FIT) Cancer Cohort.” Catherine Handy Marshall, Mouaz H. Al-Mallah, Zeina Dardari, Clinton A. Brawner, Lois E. Lamerato, Steven J. Keteyian, Jonathan K. Ehrman, Kala Visvanathan, and Michael J. Blaha. CANCER; Published Online: May 6, 2019 (DOI: 10.1002/cncr.32085).
 



Friday, April 5, 2019

Hearing issues prevent access to information


In a Journal of the American Geriatrics Society study of 13,940 adults age 65 years and older, nearly half reported difficulty hearing, and those reporting difficulty said that they had lower levels of active participation in their health care.
The study examined “patient activation,” or the knowledge, skills, and confidence that equip patients to participate actively in their health care. Compared with those reporting “no trouble” hearing, those reporting “some trouble” hearing had a 42 percent greater risk of low patient activation. For those with “a lot of trouble” hearing, the comparable risk increase was 70 percent.
The study’s authors noted that clinicians’ awareness of hearing loss, and the use of simple steps to improve communication, could allow patients to more actively participate, which could lead to improvements in their health.
“Poor hearing puts patients at risk for poor outcomes,” said senior author Dr. Jan Blustein, of New York University. “For example, people with hearing loss may be unable to understand their doctor when she explains medication changes. Attending to hearing loss could pay off in greater patient involvement in care and better health.”
hearing aids

Tuesday, March 19, 2019

The cost of insulin

Sunday, March 10, 2019

Product Review: CBD Living Water

I was sent a 6-pack of this bottled water to review. It has a lovely taste. We're on well water, which is a different kettle of fish, for some! We're used to natural water.

I sat down, and had some one afternoon. It has a nice buzz. I was having trouble comparing my regular medical marijuana oil dosage to the water, it's a bit complicated. I find my medical marijuana (MM – see below) makes me thirsty, not hungry. The water was very refreshing.

I would recommend this product and this company, if this is your thing. They provide good service. (Below is the product information.) It's an interesting concept.


The CBD Living Water shipped well, although a couple of bottles fell over in the box. They were fine. The box was open along the one side. Whoopsie somewhere.


I tracked it from UPS, then it ended up with Canada Post. This was funny. It was delivered to my door by my mail carrier. All very convenient. They didn't have any info for the Canada Post progress. That was interesting, as my carrier is a woman, thankfully. I'd just taken off my wet pants from my snowshoe trip, and I was wrapped in a blanket. We had a good laugh about that.



Product information from the company:

CBD Living Water is the flagship product from global CBD manufacturer CBD Living. CBD Living Water is crisp 9+ pH alkaline water infused with 10 mg of nano-CBD per bottle, designed to help with pain relief and anxiety as well as lower body acidity.
Although CBD Living Water was one of the first CBD waters to hit the market, today marks the launch of a brand-new formulation, which contains double the amount of CBD as the previous water, in addition to an alkaline pH. Studies have shown links between alkaline water and elimination of environmental toxins, boosted immunity and reduced acidity in the body, which is commonly caused by poor diet, caffeinated beverages, alcohol and stress and can lead to ailments such as high blood pressure, high cholesterol and acid reflux.
CBD Living is one of the first truly global CBD companies, providing worldwide shipping to all countries where CBD is legal. 

Full disclosure..

I take Medical Marijuana (MM) CBD oil, bought online from Tweed, so I was interested in seeing what the water is like. My oil comes with warnings not to drive, and tells you to start small, and slowly increase the dosage until you find the right amount. That would be good to include with the CBD Living Water

I take anywhere from 5 - 8 mL at night, or if my anxiety and depression or arthritis symptoms are bad, during the day. At night I often take a dose, as it really helps me sleep, and stops the relentless nightmares I tend to have. My oil is balanced with both THC and CBD. I do not drive if I have taken any, nor do I have any alcohol. 

 

Monday, February 11, 2019

Women, geriatric care and consults

Wednesday, January 30, 2019

Comparisons between Medical Cannabis


 , Ph.D. & , Ph.D.
ABSTRACT – An evidence-based approach is needed to shape policies and practices regarding medical cannabis, thereby reducing harm and maximizing benefits to individuals and society. This project assesses attitudes towards and utilization of medical cannabis and the mainstream healthcare system among medical cannabis users. The research team administered brief hard copy surveys to 450 adults attending an annual public event advocating for cannabis law reform. Among usable responses (N = 392), the majority (78%) reported using cannabis to help treat a medical or health condition. Medical cannabis users reported a greater degree of use of medical cannabis and a greater degree of trust in medical cannabis compared to mainstream healthcare. In comparison to pharmaceutical drugs, medical cannabis users rated cannabis better on effectiveness, side effects, safety, addictiveness, availability, and cost. Due to the medical use of cannabis, 42% stopped taking a pharmaceutical drug and 38% used less of a pharmaceutical drug. A substantial proportion (30%) reported that their mainstream healthcare provider did not know that they used medical cannabis. Other issues identified included lack of access to mainstream healthcare, self-initiated treatment of health issues, little knowledge of psychoactive content, and heavy cannabis use.
Received 29 Jun 2018, Accepted 11 Nov 2018, Published online: 08 Jan 2019

Monday, January 14, 2019

1 in 4 Ontario Physicians are 'high testers'

ICES
Ontario family doctors are "high testers," ordering more imaging or lab tests, with their patients more likely to be diagnosed with thyroid or prostate cancers that may not need treatment: Cancer Medicine.

Saturday, December 22, 2018

Flu Watch 2018







For more information on the flu, see the Flu (influenza) web page. 
This report is available on the Government of Canada Influenza webpage.