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"disqusTitle": "State Measles Cases Now at 73; Expect More",
"title": "State Measles Cases Now at 73; Expect More",
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"content": "\u003cfigure id=\"attachment_23586\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/84933742-e1421892431232.jpg\">\u003cimg class=\"size-large wp-image-23586\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/84933742-640x426.jpg\" alt=\"Five Disney staff members are among California's cases. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Five Disneyland staff members are among California's cases. (David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update, Monday, 1/26:\u003c/strong> The California Department of Public Health (CDPH) \u003ca title=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" href=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" target=\"_blank\">said Monday that California now has 73\u003c/a> confirmed cases of measles.\u003c/p>\n\u003cp>\u003cstrong>Update, Friday, 1/23:\u003c/strong> The CDPH said Friday that 68 Californians have confirmed cases of measles.\u003c/p>\n\u003cp>\u003cstrong>Original post, Wed. 1/21:\u003c/strong>\u003c/p>\n\u003cp>State health officials report \u003ca title=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" href=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" target=\"_blank\">59 confirmed cases\u003c/a> of measles in nine counties. The patients range in age from 7 months to 70 years. The California Department of Public Health has linked 42 of these cases to people who visited Disneyland or Disney's California Adventure Park. Initially, cases were linked to people who visited the parks in mid-December, but there are more confirmed cases who visited the parks in January while infectious.\u003c/p>\n\u003cp>The outbreak has spread beyond California with seven cases in Utah, Washington, Colorado and Oregon. Mexico has also confirmed a case.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Vaccination status is known for 34 of the California patients. State officials say that 28 were not vaccinated at all, one was partially vaccinated and five were fully vaccinated. (Six of the unvaccinated were babies, too young to be vaccinated.)\u003c/p>\n\u003cp>\u003cstrong>\"Devastating Consequences\"\u003c/strong>\u003c/p>\n\u003cp>\"Measles is not a trivial illness,\" said state epidemiologist Dr. Gil Chavez. \"It can be very serious with devastating consequences.\" Those consequences include pneumonia, encephalitis, and even death. Before the measles vaccine was introduced in 1963, 500 people a year died of the disease nationwide. In the current outbreak, 25 percent of people with measles have been hospitalized.\u003c!--more-->\u003c/p>\n\u003cp>In 1989-1991, a measles epidemic swept California and other places around the U.S. There were 17,000 cases in California, and 70 people died. In Philadelphia, nine children died in just three months. \"The city was in a panic,\" Dr. Paul Offit of Children's Hospital of Philadelphia told me, \"I saw children die of measles dehydration … measles encephalitis, measles can kill you.\"\u003c/p>\n\u003cp>By county, the case numbers are as follows:\u003c/p>\n\u003cul>\n\u003cli>Alameda 5\u003c/li>\n\u003cli>L.A. County 12\u003c/li>\n\u003cli>Orange 20\u003c/li>\n\u003cli>Riverside 4\u003c/li>\n\u003cli>San Bernardino 3\u003c/li>\n\u003cli>San Diego 10\u003c/li>\n\u003cli>San Mateo 1\u003c/li>\n\u003cli>Santa Clara 1\u003c/li>\n\u003cli>Ventura 1\u003c/li>\n\u003c/ul>\n\u003cp>Chavez stressed that Disneyland was a safe place to go -- as long as you are vaccinated. \"If you are not vaccinated, stay away from Disneyland,\" he said. The problem is not with Disneyland itself, but any place where large numbers -- including people from foreign countries -- congregate. Chavez described Disneyland staff as being helpful and \"quite concerned\" about the outbreak. Five Disneyland staff members are among the 59 cases.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/187317626&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>Measles was declared eliminated from the United States in 2000, but can still be reintroduced if someone from another country is infected and travels to the U.S. -- or an unvaccinated person in the U.S. travels abroad and brings the illness back.\u003c/p>\n\u003cp>Measles is a\u003ca title=\"http://www.cdc.gov/vaccines/vpd-vac/measles/faqs-dis-vac-risks.htm\" href=\"http://www.cdc.gov/vaccines/vpd-vac/measles/faqs-dis-vac-risks.htm\" target=\"_blank\"> highly infectious, airborne illness\u003c/a>. It starts off with fever as high as 105 degrees, followed by symptoms that resemble a cold -- a cough and runny nose. The hallmark of measles is a red rash that appears first on the face and upper neck, then spreads to the rest of the body. If someone with measles coughs or sneezes, droplets of virus can live on surfaces up to two hours.\u003c/p>\n\u003cp>On the press call with reporters Wednesday afternoon, Kathleen Harriman with the California Department of Public Health described published case reports of a person with measles at a basketball game -- and people across the court became infected, \"because the virus can float and hang out in the air for a long, long time,\" she said.\u003c/p>\n\u003cp>Dr. Chavez urged everyone who was not vaccinated to \u003ca title=\"http://www.cdc.gov/vaccines/hcp/vis/vis-statements/mmr.html\" href=\"http://www.cdc.gov/vaccines/hcp/vis/vis-statements/mmr.html\" target=\"_blank\">get immunized\u003c/a>. The first dose of vaccine, called MMR as it protects against measles, mumps and rubella, is given at 12-15 months of age. The second dose is given at age 4-6. Most people who get the vaccine do not experience side effects, but the \u003ca title=\"http://www.cdc.gov/vaccines/vac-gen/side-effects.htm#mmr\" href=\"http://www.cdc.gov/vaccines/vac-gen/side-effects.htm#mmr\" target=\"_blank\">most common ones \u003c/a>are fever and a mild rash.\u003c/p>\n\u003cp>If you were born before 1957, you are presumed to be immune to measles, because the disease was so widespread before the introduction of the vaccine. For years, only one dose was recommended, it protects 95 percent of people. The second dose was recommended starting in 1991. If you don't know your vaccine status, Harriman said you can safely get the MMR vaccine -- if it's an extra dose, it won't hurt you, she said.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>Related:\u003c/strong> \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" target=\"_blank\">Look Up Your School's Vaccine Opt-Out Rate Online\u003c/a>\u003c/p>\n\u003cp>Local health officers in counties affected are busy tracing those who infected patients have been in contact with. Dr. Erica Pan, deputy health officer of Alameda County, says the county has shifted resources from ebola preparedness to contact tracing for measles. Last year there were four cases of measles in Alameda County, she said, \"but we had 400 contacts to investigate.\"\u003c/p>\n\u003cp>The measles outbreak comes after years of increase of parents refusing vaccines for their children. From the 2007-2008 to 2013-2014 school years, the rate of kindergarten parents choosing the \"personal belief exemption\" to refuse vaccines doubled. While the statewide rate of personal belief exemptions reached 3.15 percent, geographic clusters had \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" target=\"_blank\">significantly higher opt-out rates\u003c/a>.\u003c/p>\n\u003cp>But that steady increase in vaccine refusals was halted with the current school year -- likely due to a \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\">new state law\u003c/a>. This school year is the first when parents who chose to opt out needed to meet first with a health care provider to discuss vaccines and vaccine preventable illnesses. The goal is to dispel misinformation and fear of vaccines. The opt-out rate dropped from 3.15 to 2.54 percent, nearly a 20 percent decrease.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That change in vaccine refusals may be too late for this outbreak, but state officials are nonetheless pleased. \"That may change the number of people opting not to vaccinate out of pure misinformation,\" Chavez said.\u003c/p>\n\n",
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"description": "Update, Monday, 1/26: The California Department of Public Health (CDPH) said Monday that California now has 73 confirmed cases of measles. Update, Friday, 1/23: The CDPH said Friday that 68 Californians have confirmed cases of measles. Original post, Wed. 1/21: State health officials report 59 confirmed cases of measles in nine counties. The patients range in age",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23586\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/84933742-e1421892431232.jpg\">\u003cimg class=\"size-large wp-image-23586\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/84933742-640x426.jpg\" alt=\"Five Disney staff members are among California's cases. (David McNew/Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Five Disneyland staff members are among California's cases. (David McNew/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Update, Monday, 1/26:\u003c/strong> The California Department of Public Health (CDPH) \u003ca title=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" href=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" target=\"_blank\">said Monday that California now has 73\u003c/a> confirmed cases of measles.\u003c/p>\n\u003cp>\u003cstrong>Update, Friday, 1/23:\u003c/strong> The CDPH said Friday that 68 Californians have confirmed cases of measles.\u003c/p>\n\u003cp>\u003cstrong>Original post, Wed. 1/21:\u003c/strong>\u003c/p>\n\u003cp>State health officials report \u003ca title=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" href=\"http://www.cdph.ca.gov/HealthInfo/discond/Pages/Measles.aspx\" target=\"_blank\">59 confirmed cases\u003c/a> of measles in nine counties. The patients range in age from 7 months to 70 years. The California Department of Public Health has linked 42 of these cases to people who visited Disneyland or Disney's California Adventure Park. Initially, cases were linked to people who visited the parks in mid-December, but there are more confirmed cases who visited the parks in January while infectious.\u003c/p>\n\u003cp>The outbreak has spread beyond California with seven cases in Utah, Washington, Colorado and Oregon. Mexico has also confirmed a case.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Vaccination status is known for 34 of the California patients. State officials say that 28 were not vaccinated at all, one was partially vaccinated and five were fully vaccinated. (Six of the unvaccinated were babies, too young to be vaccinated.)\u003c/p>\n\u003cp>\u003cstrong>\"Devastating Consequences\"\u003c/strong>\u003c/p>\n\u003cp>\"Measles is not a trivial illness,\" said state epidemiologist Dr. Gil Chavez. \"It can be very serious with devastating consequences.\" Those consequences include pneumonia, encephalitis, and even death. Before the measles vaccine was introduced in 1963, 500 people a year died of the disease nationwide. In the current outbreak, 25 percent of people with measles have been hospitalized.\u003c!--more-->\u003c/p>\n\u003cp>In 1989-1991, a measles epidemic swept California and other places around the U.S. There were 17,000 cases in California, and 70 people died. In Philadelphia, nine children died in just three months. \"The city was in a panic,\" Dr. Paul Offit of Children's Hospital of Philadelphia told me, \"I saw children die of measles dehydration … measles encephalitis, measles can kill you.\"\u003c/p>\n\u003cp>By county, the case numbers are as follows:\u003c/p>\n\u003cul>\n\u003cli>Alameda 5\u003c/li>\n\u003cli>L.A. County 12\u003c/li>\n\u003cli>Orange 20\u003c/li>\n\u003cli>Riverside 4\u003c/li>\n\u003cli>San Bernardino 3\u003c/li>\n\u003cli>San Diego 10\u003c/li>\n\u003cli>San Mateo 1\u003c/li>\n\u003cli>Santa Clara 1\u003c/li>\n\u003cli>Ventura 1\u003c/li>\n\u003c/ul>\n\u003cp>Chavez stressed that Disneyland was a safe place to go -- as long as you are vaccinated. \"If you are not vaccinated, stay away from Disneyland,\" he said. The problem is not with Disneyland itself, but any place where large numbers -- including people from foreign countries -- congregate. Chavez described Disneyland staff as being helpful and \"quite concerned\" about the outbreak. Five Disneyland staff members are among the 59 cases.\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/187317626&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>Measles was declared eliminated from the United States in 2000, but can still be reintroduced if someone from another country is infected and travels to the U.S. -- or an unvaccinated person in the U.S. travels abroad and brings the illness back.\u003c/p>\n\u003cp>Measles is a\u003ca title=\"http://www.cdc.gov/vaccines/vpd-vac/measles/faqs-dis-vac-risks.htm\" href=\"http://www.cdc.gov/vaccines/vpd-vac/measles/faqs-dis-vac-risks.htm\" target=\"_blank\"> highly infectious, airborne illness\u003c/a>. It starts off with fever as high as 105 degrees, followed by symptoms that resemble a cold -- a cough and runny nose. The hallmark of measles is a red rash that appears first on the face and upper neck, then spreads to the rest of the body. If someone with measles coughs or sneezes, droplets of virus can live on surfaces up to two hours.\u003c/p>\n\u003cp>On the press call with reporters Wednesday afternoon, Kathleen Harriman with the California Department of Public Health described published case reports of a person with measles at a basketball game -- and people across the court became infected, \"because the virus can float and hang out in the air for a long, long time,\" she said.\u003c/p>\n\u003cp>Dr. Chavez urged everyone who was not vaccinated to \u003ca title=\"http://www.cdc.gov/vaccines/hcp/vis/vis-statements/mmr.html\" href=\"http://www.cdc.gov/vaccines/hcp/vis/vis-statements/mmr.html\" target=\"_blank\">get immunized\u003c/a>. The first dose of vaccine, called MMR as it protects against measles, mumps and rubella, is given at 12-15 months of age. The second dose is given at age 4-6. Most people who get the vaccine do not experience side effects, but the \u003ca title=\"http://www.cdc.gov/vaccines/vac-gen/side-effects.htm#mmr\" href=\"http://www.cdc.gov/vaccines/vac-gen/side-effects.htm#mmr\" target=\"_blank\">most common ones \u003c/a>are fever and a mild rash.\u003c/p>\n\u003cp>If you were born before 1957, you are presumed to be immune to measles, because the disease was so widespread before the introduction of the vaccine. For years, only one dose was recommended, it protects 95 percent of people. The second dose was recommended starting in 1991. If you don't know your vaccine status, Harriman said you can safely get the MMR vaccine -- if it's an extra dose, it won't hurt you, she said.\u003c/p>\n\u003cp style=\"text-align: center\">\u003cstrong>Related:\u003c/strong> \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" target=\"_blank\">Look Up Your School's Vaccine Opt-Out Rate Online\u003c/a>\u003c/p>\n\u003cp>Local health officers in counties affected are busy tracing those who infected patients have been in contact with. Dr. Erica Pan, deputy health officer of Alameda County, says the county has shifted resources from ebola preparedness to contact tracing for measles. Last year there were four cases of measles in Alameda County, she said, \"but we had 400 contacts to investigate.\"\u003c/p>\n\u003cp>The measles outbreak comes after years of increase of parents refusing vaccines for their children. From the 2007-2008 to 2013-2014 school years, the rate of kindergarten parents choosing the \"personal belief exemption\" to refuse vaccines doubled. While the statewide rate of personal belief exemptions reached 3.15 percent, geographic clusters had \u003ca title=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" href=\"http://ww2.kqed.org/stateofhealth/2015/01/18/bay-area-communities-are-home-to-clusters-of-people-refusing-vaccines/\" target=\"_blank\">significantly higher opt-out rates\u003c/a>.\u003c/p>\n\u003cp>But that steady increase in vaccine refusals was halted with the current school year -- likely due to a \u003ca title=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" href=\"http://ww2.kqed.org/stateofhealth/2012/08/23/new-requirement-for-vaccine-exemption-passed-by-senate/\" target=\"_blank\">new state law\u003c/a>. This school year is the first when parents who chose to opt out needed to meet first with a health care provider to discuss vaccines and vaccine preventable illnesses. The goal is to dispel misinformation and fear of vaccines. The opt-out rate dropped from 3.15 to 2.54 percent, nearly a 20 percent decrease.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>That change in vaccine refusals may be too late for this outbreak, but state officials are nonetheless pleased. \"That may change the number of people opting not to vaccinate out of pure misinformation,\" Chavez said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "For Greater Happiness, Avoid the 'Busy-Ness' Trap",
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"content": "\u003cfigure id=\"attachment_23572\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/iStock_000039306500_Large-e1421866738337.jpg\">\u003cimg class=\"size-large wp-image-23572\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/iStock_000039306500_Large-640x396.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"396\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jill Suttie, \u003ca title=\"http://www.berkeleyside.com/2015/01/20/christine-carter-to-talk-about-the-sweet-spot-managing-lifes-complexities/\" href=\"http://www.berkeleyside.com/2015/01/20/christine-carter-to-talk-about-the-sweet-spot-managing-lifes-complexities/\" target=\"_blank\">Berkeleyside\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>In 2009, \u003ca href=\"http://www.christinecarter.com/\" target=\"_blank\">Christine Carter\u003c/a> felt like she had it all. Working her dream job at the \u003ca href=\"http://greatergood.berkeley.edu/\" target=\"_blank\">Greater Good Science Center\u003c/a> at UC Berkeley, she was helping further the study and dissemination of the science of happiness. She had two wonderful kids, a best-selling book called \u003ca title=\"http://greatergood.berkeley.edu/raising_happiness\" href=\"http://greatergood.berkeley.edu/raising_happiness\" target=\"_blank\">\u003cem>Raising Happiness\u003c/em>\u003c/a>, a popular blog, and frequent requests for speaking engagements.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Researchers call busyness 'cognitive overload' -- which makes us worse at everything.\" \u003c/aside>\n\u003cp>Then she got sick. At first, it seemed like no big deal—just a little strep throat. But she took a round of antibiotics and didn’t recover; then she took more. Nine courses of antibiotics later, she still hadn’t healed. Instead, she ended up in a hospital with a severe kidney infection. The diagnosis?\u003c/p>\n\u003cp>“Exhaustion,” says Carter. “My body had basically lost the ability to heal itself.“\u003c/p>\n\u003cp>That’s when she realized something was really wrong. Her life had become completely out of whack, and it was taking its toll.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Here I was, an expert on how to sustain high performance and be happy, and I could not get myself healthy, because I was overwhelmed and exhausted,” she says. “The irony was not lost on me.”\u003c/p>\n\u003cp>That’s when Carter began to chart a new course. Using her background in studying elite performance and productivity, as well as happiness, positive emotions, and well-being, she put together a plan to reinvent her life. That experience, as well as correspondence from her readers complaining that they felt overwhelmed, inspired her to write a book about her path to healing: the just-published \u003ca title=\"http://www.christinecarter.com/book/the-sweet-spot/\" href=\"http://www.christinecarter.com/book/the-sweet-spot/\" target=\"_blank\">\u003cem>The Sweet Spot: How to Find Your Groove at Home and Work\u003c/em>\u003c/a>.\u003cspan id=\"more-181512\">\u003c/span>\u003c/p>\n\u003cp>I recently talked to her about her book and the science behind finding my own sweet spot.\u003c/p>\n\u003cp>\u003cstrong>JS: What exactly is the sweet spot?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Carter:\u003c/strong> Most people think of the sweet spot as a point of maximum impact in sports, where an athlete swings the bat or racket that launches the ball with its greatest power and most natural flight, and with the least stress or resistance. So, the sweet spot, as it applies to our lives, is the overlap between where we have the most ease in our lives and the place where we have our greatest power, our greatest strength.\u003c/p>\n\u003cp>People like me who tend to be perfectionistic—well, I’m a recovering perfectionist—tend to operate outside of their sweet spot. If you think of it as a Venn diagram, I tend to operate from my strengths circle: I’m a high achiever; I get a lot of hits. But, before I changed my life, I couldn’t get those hits without operating outside my ease circle.\u003c/p>\n\u003cp>A lot of people I talk to, particularly Millennials, seem to be comfortable operating where they have the greatest ease. But, because they’ve been raised in a way where they haven’t experienced a lot of discomfort in their lives, they find it hard to risk failure; so they never develop mastery. They operate outside of their sweet spot because they just don’t generate enough power.\u003c/p>\n\u003cp>It’s pretty common for people to favor one side or the other. The trick is learning where your overlap is, and growing that overlap.\u003c/p>\n\u003cp>\u003cstrong>JS: Your book is coming out just after the New Year, when many of us are thinking of forming better habits, using willpower and determination. But your book says that willpower isn’t the best way to create healthier habits. Why is that?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Carter:\u003c/strong> The activities that we consciously control in our day-to-day lives are few and far between relative to everything else that’s happening in our bodies and brains, or what’s accomplished on autopilot. Our brain’s ability to train itself to do things without willpower, without self-control, without any sort of conscious control is one of our greatest advantages. Being able to do something with no effort or resistance, completely automatically—that’s the definition of ease.\u003c/p>\n\u003cp>One of the ways I grew the ease part of my life is that I put a lot of my life on autopilot, so I wouldn’t use up my limited supply of willpower on things I could do automatically. The things that take self-control or willpower, for the most part, involve decision-making, and we don’t want our willpower muscles to become fatigued by every day decisions when they could be automated. We don’t really need to spend a lot of time deciding whether or not we’re going to exercise in the morning, or what to eat or what to wear. A lot of people spend time making decisions in the morning that, in my opinion, could be automated.\u003c/p>\n\u003cp>\u003cstrong>JS: But don’t you find people resist routines?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Carter:\u003c/strong> It depends. Some people are high in novelty seeking, and they find it hard to get into \u003cimg class=\"alignright size-full wp-image-181516\" src=\"http://www.berkeleyside.com/wp-content/uploads/2015/01/thesweetspot-201x300.jpg\" alt=\"thesweetspot-201x300\" width=\"201\" height=\"300\">routines; so they resist. And to them, I’d say, it’s not as hard as you think. If you know the underlying brain mechanisms, you can skirt the brain’s booby traps. If you know what you’re doing, it’s like writing code for your brain; it’s simpler than you think.\u003c/p>\n\u003cp>My husband and I are both novelty seekers—we really love change. For me it’s important to automate mundane things in your life as a way to free up attention for new things, new endeavors. It’s not that I have less novelty or change, now that so much is automated; it’s that I can seek change and growth in more important realms.\u003c/p>\n\u003cp>\u003cstrong>JS: When writing about the balance of mastery and ease, you start with the ease side of the equation—the importance of relaxation and taking breaks. Why start there?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Carter: \u003c/strong>Because stress is pretty epidemic in North America and in the West. Most people don’t understand the benefits of ease, and they need to.\u003c/p>\n\u003cp>We have a whole cultural mantra around busyness—\u003cem>How are you? Oh, I’m really busy.\u003c/em> By that, I mean I’m busy and important. I’ve got so much going on. Busyness is seen as a sign of success, and the marker of character and importance. If you’re not busy and stressed and overwhelmed, then the reverse might be true. You might not be important or very significant; you might be lazy and of low character. This is the big cultural thing we’re up against.\u003c/p>\n\u003cp>Researchers call busyness “cognitive overload.” The state of cognitive overload makes us worse at everything. It hinders our ability to organize ourselves, to plan, to think clearly, to be creative, to innovate. It makes us irritable. It impairs our verbal fluency, and our ability to remember social information. And, it hinders our ability to control our emotions.\u003c/p>\n\u003cp>So, it makes us worse at everything. When somebody tells me they’re busy, what I hear is, this is someone who is not fulfilling their potential. They’re not able to do the best work in this world that they can, or enjoy the work that they are doing or the life that they are leading.\u003c/p>\n\u003cp>\u003cstrong>JS: Speaking of busyness, it seems like people spend more time on cell phones and computers these days, which is both a modern-day necessity and an enormous time suck. How have we become so enslaved to technology, and how can one find more balance in our lives around technology use?\u003c/strong>\u003c/p>\n\u003cp>Technology, in and of itself, is not bad. These are great tools that lead to great ease and efficiency. So, it’s really important not to demonize technology, but to realize that something happens in our brain with technology. It provides what’s called “variable ratio reinforcement;” so, it’s like a slot machine. If you have your email open, and you see that you have a new message, your attention is drawn away from what you’re doing, because every so often the email is rewarding you in some way.\u003c/p>\n\u003cp>Also, we have a dual attention mechanism in our brains—like a seesaw—so we can either be focused on a task and be in flow, getting things done in that way, or our minds can be wandering, checking for emails, unfocused. It can’t do both of those things at the same time. That’s why we get so stressed and overwhelmed with technology; it’s because we’re constantly pulled between those two states. And, that’s why it’s super important to close down your email, turn off alerts, and put your cell phone on sleep mode while you’re working on something else.\u003c/p>\n\u003cp>The other important thing is not to push yourself too far with technology. We turn ourselves into zombies if we’ve just been sitting in front of a screen all day. In order to do our best, most enjoyable work, we need to engage that mind-wandering mode from time to time. When our mind is wandering—when we’re staring into space or going for a walk in nature or doing anything \u003cem>but\u003c/em> focusing on a task—there’s a neural network that’s constantly making connections, which can lead us to our greatest insights. Unfortunately, it’s the focusing part of our brain that often gets all of the credit for our work.\u003c/p>\n\u003cp>\u003cstrong>JS: You also write about how relationships are key to happiness and wellbeing; but what do relationships have to do with mastery and ease?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Carter: \u003c/strong>We are clannish animals. We like our tribes. And our nervous system feels the safest and most secure when we’re in our groups. Just internalizing that truth is part of living with greater ease.\u003c/p>\n\u003cp>I dedicate a whole section in the book to relationships because I think that people, at least in the United States, tend to value face-to-face relationships less and less. They don’t understand how central they are for our overall wellbeing.\u003c/p>\n\u003cp>Having good social connections increases how long we live, how healthy we are, and pretty much every measure we care about, both for introverts and extroverts. And, there’s great research around what it takes to feel really connected to other people. What do the happiest, most socially connected people do differently? Well, for the most part, they’re very giving—they think of other people before they think of themselves, and they are very skilled at connecting to other people, and they know how to mend the ruptures in their relationships.\u003c/p>\n\u003cp>\u003cstrong>JS:\u003c/strong> \u003cstrong>It seems that the cultural norm is to distract oneself from discomfort—like boredom, sadness, or pain—by any means necessary; yet you emphasize the importance of learning to tolerate discomfort. How do you encourage someone to tolerate discomfort when they are culturally trained to do the opposite?\u003c/strong>\u003c/p>\n\u003cp>It’s a numbing effect to be on our phones all the time. We feel anxious about not being busy, or we’re trying to numb out another unpleasant feeling. Other people eat a pan of brownies to numb themselves. These numbing behaviors are actually pretty effective at helping us to not feel an uncomfortable emotion.\u003c/p>\n\u003cp>The problem, though, is that that when you do something to numb an emotion, you can’t do it selectively. You might feel a lot of stress at work and distract yourself by playing Angry Birds; but then you’re also numbing out your positive feelings. To lead a really joyful life, where we feel inspiration and awe and all the positive emotions that make up a happy life, we need to let ourselves feel the uncomfortable emotions as well.\u003c/p>\n\u003cp>\u003cstrong>JS: One thing I appreciated in your book is how you included “ridiculously small” steps people could take to make real change. What ridiculously small step made a big difference in your life?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Carter: \u003c/strong>The example I give in the book is still true for me: my better-than-nothing workout. Every morning, I do a one-minute plank, 20 pushups, and 25 squats. Doing two years of just that, you should see… I have Michelle Obama arms! Just from doing 20 push ups a day! But it only takes me three minutes. Three minutes, every morning.\u003c/p>\n\u003cp>Does that mean that I don’t do any other exercise? No, I actually tend to take hikes most afternoons. I get a lot of other exercise too, but not consistently. This better-than-nothing routine is what has made a huge difference in my overall health.\u003c/p>\n\u003cp>\u003cstrong>JS:\u003c/strong> The book is geared toward individuals changing their own lives. But, do you feel the book has a message for society at large?\u003c/p>\n\u003cp>\u003cstrong>Carter:\u003c/strong> Many of the reasons we feel so overwhelmed and busy and don’t operate in our sweet spot come from social structures that aren’t working for us and from really big cultural lies—that busyness is a marker of importance, that more is almost always better. There are a whole series of things we learn from our culture that really color our lives in pretty profound ways.\u003c/p>\n\u003cp>I’m getting asked a lot now to come and talk at corporations to their administrative teams and big HR departments, and it’s thrilling to me to be able to expose them to these ideas. They may say they want to work smarter, not harder; but they don’t know what working smarter is! At their companies, working smarter currently means working long hours. But if we examine what is \u003cem>really\u003c/em> smarter and how they can change their work culture, it will do a lot to undo those unhealthy and unproductive behaviors in their employees.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>KQED News Associate \u003ca href=\"http://www.berkeleyside.com/\" target=\"_blank\">Berkeleyside\u003c/a> is an independently owned news website based in Berkeley, Calif. \u003ca href=\"http://eepurl.com/lh_3b\" target=\"_blank\">Click here\u003c/a> if you would you like to receive the latest Berkeley news in your inbox once a day for free with Berkeleyside’s Daily Briefing email.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23572\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/iStock_000039306500_Large-e1421866738337.jpg\">\u003cimg class=\"size-large wp-image-23572\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/iStock_000039306500_Large-640x396.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"396\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Jill Suttie, \u003ca title=\"http://www.berkeleyside.com/2015/01/20/christine-carter-to-talk-about-the-sweet-spot-managing-lifes-complexities/\" href=\"http://www.berkeleyside.com/2015/01/20/christine-carter-to-talk-about-the-sweet-spot-managing-lifes-complexities/\" target=\"_blank\">Berkeleyside\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>In 2009, \u003ca href=\"http://www.christinecarter.com/\" target=\"_blank\">Christine Carter\u003c/a> felt like she had it all. Working her dream job at the \u003ca href=\"http://greatergood.berkeley.edu/\" target=\"_blank\">Greater Good Science Center\u003c/a> at UC Berkeley, she was helping further the study and dissemination of the science of happiness. She had two wonderful kids, a best-selling book called \u003ca title=\"http://greatergood.berkeley.edu/raising_happiness\" href=\"http://greatergood.berkeley.edu/raising_happiness\" target=\"_blank\">\u003cem>Raising Happiness\u003c/em>\u003c/a>, a popular blog, and frequent requests for speaking engagements.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"Researchers call busyness 'cognitive overload' -- which makes us worse at everything.\" \u003c/aside>\n\u003cp>Then she got sick. At first, it seemed like no big deal—just a little strep throat. But she took a round of antibiotics and didn’t recover; then she took more. Nine courses of antibiotics later, she still hadn’t healed. Instead, she ended up in a hospital with a severe kidney infection. The diagnosis?\u003c/p>\n\u003cp>“Exhaustion,” says Carter. “My body had basically lost the ability to heal itself.“\u003c/p>\n\u003cp>That’s when she realized something was really wrong. Her life had become completely out of whack, and it was taking its toll.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Here I was, an expert on how to sustain high performance and be happy, and I could not get myself healthy, because I was overwhelmed and exhausted,” she says. “The irony was not lost on me.”\u003c/p>\n\u003cp>That’s when Carter began to chart a new course. Using her background in studying elite performance and productivity, as well as happiness, positive emotions, and well-being, she put together a plan to reinvent her life. That experience, as well as correspondence from her readers complaining that they felt overwhelmed, inspired her to write a book about her path to healing: the just-published \u003ca title=\"http://www.christinecarter.com/book/the-sweet-spot/\" href=\"http://www.christinecarter.com/book/the-sweet-spot/\" target=\"_blank\">\u003cem>The Sweet Spot: How to Find Your Groove at Home and Work\u003c/em>\u003c/a>.\u003cspan id=\"more-181512\">\u003c/span>\u003c/p>\n\u003cp>I recently talked to her about her book and the science behind finding my own sweet spot.\u003c/p>\n\u003cp>\u003cstrong>JS: What exactly is the sweet spot?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Carter:\u003c/strong> Most people think of the sweet spot as a point of maximum impact in sports, where an athlete swings the bat or racket that launches the ball with its greatest power and most natural flight, and with the least stress or resistance. So, the sweet spot, as it applies to our lives, is the overlap between where we have the most ease in our lives and the place where we have our greatest power, our greatest strength.\u003c/p>\n\u003cp>People like me who tend to be perfectionistic—well, I’m a recovering perfectionist—tend to operate outside of their sweet spot. If you think of it as a Venn diagram, I tend to operate from my strengths circle: I’m a high achiever; I get a lot of hits. But, before I changed my life, I couldn’t get those hits without operating outside my ease circle.\u003c/p>\n\u003cp>A lot of people I talk to, particularly Millennials, seem to be comfortable operating where they have the greatest ease. But, because they’ve been raised in a way where they haven’t experienced a lot of discomfort in their lives, they find it hard to risk failure; so they never develop mastery. They operate outside of their sweet spot because they just don’t generate enough power.\u003c/p>\n\u003cp>It’s pretty common for people to favor one side or the other. The trick is learning where your overlap is, and growing that overlap.\u003c/p>\n\u003cp>\u003cstrong>JS: Your book is coming out just after the New Year, when many of us are thinking of forming better habits, using willpower and determination. But your book says that willpower isn’t the best way to create healthier habits. Why is that?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Carter:\u003c/strong> The activities that we consciously control in our day-to-day lives are few and far between relative to everything else that’s happening in our bodies and brains, or what’s accomplished on autopilot. Our brain’s ability to train itself to do things without willpower, without self-control, without any sort of conscious control is one of our greatest advantages. Being able to do something with no effort or resistance, completely automatically—that’s the definition of ease.\u003c/p>\n\u003cp>One of the ways I grew the ease part of my life is that I put a lot of my life on autopilot, so I wouldn’t use up my limited supply of willpower on things I could do automatically. The things that take self-control or willpower, for the most part, involve decision-making, and we don’t want our willpower muscles to become fatigued by every day decisions when they could be automated. We don’t really need to spend a lot of time deciding whether or not we’re going to exercise in the morning, or what to eat or what to wear. A lot of people spend time making decisions in the morning that, in my opinion, could be automated.\u003c/p>\n\u003cp>\u003cstrong>JS: But don’t you find people resist routines?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Carter:\u003c/strong> It depends. Some people are high in novelty seeking, and they find it hard to get into \u003cimg class=\"alignright size-full wp-image-181516\" src=\"http://www.berkeleyside.com/wp-content/uploads/2015/01/thesweetspot-201x300.jpg\" alt=\"thesweetspot-201x300\" width=\"201\" height=\"300\">routines; so they resist. And to them, I’d say, it’s not as hard as you think. If you know the underlying brain mechanisms, you can skirt the brain’s booby traps. If you know what you’re doing, it’s like writing code for your brain; it’s simpler than you think.\u003c/p>\n\u003cp>My husband and I are both novelty seekers—we really love change. For me it’s important to automate mundane things in your life as a way to free up attention for new things, new endeavors. It’s not that I have less novelty or change, now that so much is automated; it’s that I can seek change and growth in more important realms.\u003c/p>\n\u003cp>\u003cstrong>JS: When writing about the balance of mastery and ease, you start with the ease side of the equation—the importance of relaxation and taking breaks. Why start there?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Carter: \u003c/strong>Because stress is pretty epidemic in North America and in the West. Most people don’t understand the benefits of ease, and they need to.\u003c/p>\n\u003cp>We have a whole cultural mantra around busyness—\u003cem>How are you? Oh, I’m really busy.\u003c/em> By that, I mean I’m busy and important. I’ve got so much going on. Busyness is seen as a sign of success, and the marker of character and importance. If you’re not busy and stressed and overwhelmed, then the reverse might be true. You might not be important or very significant; you might be lazy and of low character. This is the big cultural thing we’re up against.\u003c/p>\n\u003cp>Researchers call busyness “cognitive overload.” The state of cognitive overload makes us worse at everything. It hinders our ability to organize ourselves, to plan, to think clearly, to be creative, to innovate. It makes us irritable. It impairs our verbal fluency, and our ability to remember social information. And, it hinders our ability to control our emotions.\u003c/p>\n\u003cp>So, it makes us worse at everything. When somebody tells me they’re busy, what I hear is, this is someone who is not fulfilling their potential. They’re not able to do the best work in this world that they can, or enjoy the work that they are doing or the life that they are leading.\u003c/p>\n\u003cp>\u003cstrong>JS: Speaking of busyness, it seems like people spend more time on cell phones and computers these days, which is both a modern-day necessity and an enormous time suck. How have we become so enslaved to technology, and how can one find more balance in our lives around technology use?\u003c/strong>\u003c/p>\n\u003cp>Technology, in and of itself, is not bad. These are great tools that lead to great ease and efficiency. So, it’s really important not to demonize technology, but to realize that something happens in our brain with technology. It provides what’s called “variable ratio reinforcement;” so, it’s like a slot machine. If you have your email open, and you see that you have a new message, your attention is drawn away from what you’re doing, because every so often the email is rewarding you in some way.\u003c/p>\n\u003cp>Also, we have a dual attention mechanism in our brains—like a seesaw—so we can either be focused on a task and be in flow, getting things done in that way, or our minds can be wandering, checking for emails, unfocused. It can’t do both of those things at the same time. That’s why we get so stressed and overwhelmed with technology; it’s because we’re constantly pulled between those two states. And, that’s why it’s super important to close down your email, turn off alerts, and put your cell phone on sleep mode while you’re working on something else.\u003c/p>\n\u003cp>The other important thing is not to push yourself too far with technology. We turn ourselves into zombies if we’ve just been sitting in front of a screen all day. In order to do our best, most enjoyable work, we need to engage that mind-wandering mode from time to time. When our mind is wandering—when we’re staring into space or going for a walk in nature or doing anything \u003cem>but\u003c/em> focusing on a task—there’s a neural network that’s constantly making connections, which can lead us to our greatest insights. Unfortunately, it’s the focusing part of our brain that often gets all of the credit for our work.\u003c/p>\n\u003cp>\u003cstrong>JS: You also write about how relationships are key to happiness and wellbeing; but what do relationships have to do with mastery and ease?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Carter: \u003c/strong>We are clannish animals. We like our tribes. And our nervous system feels the safest and most secure when we’re in our groups. Just internalizing that truth is part of living with greater ease.\u003c/p>\n\u003cp>I dedicate a whole section in the book to relationships because I think that people, at least in the United States, tend to value face-to-face relationships less and less. They don’t understand how central they are for our overall wellbeing.\u003c/p>\n\u003cp>Having good social connections increases how long we live, how healthy we are, and pretty much every measure we care about, both for introverts and extroverts. And, there’s great research around what it takes to feel really connected to other people. What do the happiest, most socially connected people do differently? Well, for the most part, they’re very giving—they think of other people before they think of themselves, and they are very skilled at connecting to other people, and they know how to mend the ruptures in their relationships.\u003c/p>\n\u003cp>\u003cstrong>JS:\u003c/strong> \u003cstrong>It seems that the cultural norm is to distract oneself from discomfort—like boredom, sadness, or pain—by any means necessary; yet you emphasize the importance of learning to tolerate discomfort. How do you encourage someone to tolerate discomfort when they are culturally trained to do the opposite?\u003c/strong>\u003c/p>\n\u003cp>It’s a numbing effect to be on our phones all the time. We feel anxious about not being busy, or we’re trying to numb out another unpleasant feeling. Other people eat a pan of brownies to numb themselves. These numbing behaviors are actually pretty effective at helping us to not feel an uncomfortable emotion.\u003c/p>\n\u003cp>The problem, though, is that that when you do something to numb an emotion, you can’t do it selectively. You might feel a lot of stress at work and distract yourself by playing Angry Birds; but then you’re also numbing out your positive feelings. To lead a really joyful life, where we feel inspiration and awe and all the positive emotions that make up a happy life, we need to let ourselves feel the uncomfortable emotions as well.\u003c/p>\n\u003cp>\u003cstrong>JS: One thing I appreciated in your book is how you included “ridiculously small” steps people could take to make real change. What ridiculously small step made a big difference in your life?\u003c/strong>\u003c/p>\n\u003cp>\u003cstrong>Carter: \u003c/strong>The example I give in the book is still true for me: my better-than-nothing workout. Every morning, I do a one-minute plank, 20 pushups, and 25 squats. Doing two years of just that, you should see… I have Michelle Obama arms! Just from doing 20 push ups a day! But it only takes me three minutes. Three minutes, every morning.\u003c/p>\n\u003cp>Does that mean that I don’t do any other exercise? No, I actually tend to take hikes most afternoons. I get a lot of other exercise too, but not consistently. This better-than-nothing routine is what has made a huge difference in my overall health.\u003c/p>\n\u003cp>\u003cstrong>JS:\u003c/strong> The book is geared toward individuals changing their own lives. But, do you feel the book has a message for society at large?\u003c/p>\n\u003cp>\u003cstrong>Carter:\u003c/strong> Many of the reasons we feel so overwhelmed and busy and don’t operate in our sweet spot come from social structures that aren’t working for us and from really big cultural lies—that busyness is a marker of importance, that more is almost always better. There are a whole series of things we learn from our culture that really color our lives in pretty profound ways.\u003c/p>\n\u003cp>I’m getting asked a lot now to come and talk at corporations to their administrative teams and big HR departments, and it’s thrilling to me to be able to expose them to these ideas. They may say they want to work smarter, not harder; but they don’t know what working smarter is! At their companies, working smarter currently means working long hours. But if we examine what is \u003cem>really\u003c/em> smarter and how they can change their work culture, it will do a lot to undo those unhealthy and unproductive behaviors in their employees.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_23477\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/RS12665_20141017_vaccines_jt_002-qut.jpg\">\u003cimg class=\"size-large wp-image-23477\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/RS12665_20141017_vaccines_jt_002-qut-640x426.jpg\" alt=\"This Oakland child received a nasal spray flu vaccine at a clinic in Oakland. (James Tensuan/KQED)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">This Oakland child received a nasal spray flu vaccine at a clinic in Oakland. (James Tensuan/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rob Stein\u003c/strong>, \u003ca title=\"http://www.npr.org/blogs/health/2015/01/15/377433071/this-years-flu-vaccine-is-pretty-wimpy-but-can-still-help\" href=\"http://www.npr.org/blogs/health/2015/01/15/377433071/this-years-flu-vaccine-is-pretty-wimpy-but-can-still-help\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>As expected, this year's flu vaccine looks like it's pretty much of a dud.\u003c/p>\n\u003cp>The vaccine only appears to cut the chances that someone will end up sick with the flu by 23 percent, according to the first estimate of the vaccine's effectiveness by the federal Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>The CDC had predicted this year's vaccine wouldn't work very well because the main strain of the flu virus that's circulating this year, known as an H3N2 virus, mutated slightly after the vaccine was created. That enables the virus to evade the immune system response created by getting vaccinated.\u003c!--more-->\u003c/p>\n\u003cp>The effectiveness of the flu vaccine varies dramatically from year to year, but can be as high as 50 percent to 60 percent, the CDC says. So if the early estimate of this year's vaccine's effectiveness, reported in this week's \u003ca title=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6401a4.htm?s_cid=mm6401a4_w\" href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6401a4.htm?s_cid=mm6401a4_w\" target=\"_blank\">Morbidity and Mortality Weekly Report\u003c/a>, holds up, it would put the protection at the low end.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nevertheless, the CDC and others are still urging people to get their flu shots because the vaccine does appear to work well against other, less common strains of the virus that are circulating, and they could become more common as the flu season progresses. We're about halfway through.\u003c/p>\n\u003cp>\"The flu season is not yet over,\" said William Schaffner, an infectious disease expert at Vanderbilt University. \"There are other less impressive strains that are out there making people sick, and against those strains the vaccine is actually on target. So it's providing partial protection.\"\u003c/p>\n\u003cp>The CDC has been predicting that this year could be a bad year for the flu because of the expectation that the vaccine wouldn't work very well and because H3N2 viruses tend to be pretty nasty. So the CDC has been urging doctors to be more aggressive about using antiviral drugs like Tamiflu and Relenza when their patients get the flu, especially those at high risk for complications.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Physicians should be aware that all hospitalized patients and all outpatients at high risk for serious complications should be treated as soon as possible with one of three available influenza antiviral medications if influenza is suspected, regardless of a patient's vaccination status and without waiting for confirmatory testing,\" the CDC's Joe Bresee said in a statement.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23477\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/RS12665_20141017_vaccines_jt_002-qut.jpg\">\u003cimg class=\"size-large wp-image-23477\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/RS12665_20141017_vaccines_jt_002-qut-640x426.jpg\" alt=\"This Oakland child received a nasal spray flu vaccine at a clinic in Oakland. (James Tensuan/KQED)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">This Oakland child received a nasal spray flu vaccine at a clinic in Oakland. (James Tensuan/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rob Stein\u003c/strong>, \u003ca title=\"http://www.npr.org/blogs/health/2015/01/15/377433071/this-years-flu-vaccine-is-pretty-wimpy-but-can-still-help\" href=\"http://www.npr.org/blogs/health/2015/01/15/377433071/this-years-flu-vaccine-is-pretty-wimpy-but-can-still-help\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>As expected, this year's flu vaccine looks like it's pretty much of a dud.\u003c/p>\n\u003cp>The vaccine only appears to cut the chances that someone will end up sick with the flu by 23 percent, according to the first estimate of the vaccine's effectiveness by the federal Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>The CDC had predicted this year's vaccine wouldn't work very well because the main strain of the flu virus that's circulating this year, known as an H3N2 virus, mutated slightly after the vaccine was created. That enables the virus to evade the immune system response created by getting vaccinated.\u003c!--more-->\u003c/p>\n\u003cp>The effectiveness of the flu vaccine varies dramatically from year to year, but can be as high as 50 percent to 60 percent, the CDC says. So if the early estimate of this year's vaccine's effectiveness, reported in this week's \u003ca title=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6401a4.htm?s_cid=mm6401a4_w\" href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6401a4.htm?s_cid=mm6401a4_w\" target=\"_blank\">Morbidity and Mortality Weekly Report\u003c/a>, holds up, it would put the protection at the low end.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nevertheless, the CDC and others are still urging people to get their flu shots because the vaccine does appear to work well against other, less common strains of the virus that are circulating, and they could become more common as the flu season progresses. We're about halfway through.\u003c/p>\n\u003cp>\"The flu season is not yet over,\" said William Schaffner, an infectious disease expert at Vanderbilt University. \"There are other less impressive strains that are out there making people sick, and against those strains the vaccine is actually on target. So it's providing partial protection.\"\u003c/p>\n\u003cp>The CDC has been predicting that this year could be a bad year for the flu because of the expectation that the vaccine wouldn't work very well and because H3N2 viruses tend to be pretty nasty. So the CDC has been urging doctors to be more aggressive about using antiviral drugs like Tamiflu and Relenza when their patients get the flu, especially those at high risk for complications.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Physicians should be aware that all hospitalized patients and all outpatients at high risk for serious complications should be treated as soon as possible with one of three available influenza antiviral medications if influenza is suspected, regardless of a patient's vaccination status and without waiting for confirmatory testing,\" the CDC's Joe Bresee said in a statement.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Children Need Rest After A Concussion, But How Much?",
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"content": "\u003cfigure id=\"attachment_23318\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531.jpg\">\u003cimg class=\"size-large wp-image-23318\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/iStock_000015443371_Large-640x419.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"419\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Every parent must balance the thrill of watching a child excel at a favorite sport with the fear that competition brings the risk of serious injury. That fear gripped my sister last year, when my nephew, then 10-years-old, played back-to-back soccer games against two rough teams.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Strict rest seemed to provide no additional benefit and even had some unintended consequences.\u003c/aside>\n\u003cp>After a solid blow sent him tumbling to the ground in the first game, he took several hard hits in the second, including a nasty elbow to the back of the head as he tried to get up. Feeling dizzy, he raised his hand to leave the game, a first for him. He sat out the remainder of the game and felt lousy the rest the day.\u003c/p>\n\u003cp>Thankfully, my nephew quickly recovered without more serious symptoms. But each year \u003ca title=\"http://www.cdc.gov/concussion/sports/facts.html\" href=\"http://www.cdc.gov/concussion/sports/facts.html\" target=\"_blank\">over 173,000 children 19 and under\u003c/a> suffer sports-related traumatic brain injuries, including concussions.\u003c/p>\n\u003cp>\u003ca title=\"http://www.healthychildren.org/English/health-issues/injuries-emergencies/sports-injuries/Pages/Concussions.aspx\" href=\"http://www.healthychildren.org/English/health-issues/injuries-emergencies/sports-injuries/Pages/Concussions.aspx\" target=\"_blank\">Treating a concussion\u003c/a> calls for resting body and mind until acute symptoms such as headache, dizziness and concentration troubles fade, and then allowing a gradual return to normal activities. Some children must avoid all activity -- including computer time and even reading.\u003c!--more-->\u003c/p>\n\u003cp>While this approach is widely embraced, evidence evaluating the effect of rest \u003ca title=\"http://bjsm.bmj.com/content/47/5/250.long\" href=\"http://bjsm.bmj.com/content/47/5/250.long\" target=\"_blank\">is limited\u003c/a>. Right now, no one can really say how much rest and what type of rest is optimal.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Researchers at the Medical College of Wisconsin sought to bridge that data gap in \u003ca title=\"http://pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" href=\"//pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" target=\"_blank\">a randomized trial\u003c/a> of young concussion patients published in the journal Pediatrics on Monday.\u003c/p>\n\u003cp>The study followed 88 children between the ages of 11 and 22 for 10 days after they were discharged from the emergency room with prescriptions for either “strict” or “usual” rest. Those in the strict rest group were told to avoid school, work and physical activity for five days, followed by a gradual return to activity. The usual care group received whatever instructions their doctors deemed appropriate. Based on a survey of doctors at the hospital, the authors assumed this \"usual\" care was one to two days’ rest with a gradual return to activity once symptoms disappeared.\u003c/p>\n\u003cp>The majority of children in both groups improved within the study period, in keeping with evidence that \u003ca title=\"http://www.nrl.com/portals/nrl/RadEditor/Documents/ConcussioninSport.pdf\" href=\"http://www.nrl.com/portals/nrl/RadEditor/Documents/ConcussioninSport.pdf\" target=\"_blank\">most concussions resolve\u003c/a> within a week to 10 days. But to the authors’ surprise, strict rest seemed to provide no additional benefit and even had some unintended consequences. Children on strict rest complained of more symptoms, primarily headaches, than those given so-called usual care.\u003c/p>\n\u003cp>Children confined for five days also reported more emotional symptoms, such as irritability, nervousness and sadness, says Danny Thomas, an assistant professor of pediatrics at the Medical College of Wisconsin who led the study. Thomas thinks the extra time at home might have given kids a chance to fixate on their symptoms.\u003c/p>\n\u003cp>“It’s like having a cavity that bothers you most at nighttime when you’re trying to sleep and have no distractions,” he says.\u003c/p>\n\u003cp>There’s no question that some rest is critical, and preventing kids from getting injured again is even more important for recovery, Thomas says. “But locking kids in their room and taking away their iPad is probably not going to make them better faster.”\u003c/p>\n\u003cp>Still, the study is small and, for some researchers, raises additional questions.\u003c/p>\n\u003cp>Robert Cantu, director of Sports Medicine at Emerson Hospital in Concord, Massachusetts, isn’t convinced that the study shows that strict rest offers no additional benefit. One problem, Cantu says, is that “usual care” could be very similar to strict rest.\u003c/p>\n\u003cp>When symptoms clear, doctors typically send a child back to school, Cantu says. But if a child still has significant symptoms after a few days’ rest, it’s typical to call for more rest. “You’d need to see more details about how activity differed in these two groups to say there truly wasn’t a difference,” Cantu says. And because about 80 percent of cases get better on their own, he says, you’d need much higher numbers to detect a statistical difference between the two strategies.\u003c/p>\n\u003cp>Though larger study groups are always better, a bigger concern is the age difference among the participants, says David Hovda, director of the Brain Injury Research Center at the University of California, Los Angeles.\u003c/p>\n\u003cp>“The human brain doesn’t reach maturity in terms of chemistry and metabolism until well after 20 years of age,” Hovda says. Since all of the children were in different phases of brain development, it’s hard to compare even those children who were in the same rest groups. He’d like to see a follow-up study in a smaller age group, say, high school football players or 16- and 17-year-olds.\u003c/p>\n\u003cp>Still, Hovda is intrigued by the main finding that forcing children to rest beyond a few days appears to offer no benefit. It’s likely that restricting all activity stresses them out so much that it complicates recovery, he says. Whatever the explanation, he would like to see much more research in this area.\u003c/p>\n\u003cp>In\u003ca title=\"http://pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" href=\"http://pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" target=\"_blank\"> a commentary\u003c/a> that accompanies the study, William Meehan and Richard Bachur, doctors at Boston Children’s Hospital, said that optimal rest periods will likely vary based on multiple factors, including the child’s age and gender as well as the severity of symptoms. Based on existing evidence, they conclude, a recommendation of reasonable rest for the first few days after a concussion, followed by a gradual resumption of cognitive activities and exercise – provided it carries no risk of additional head trauma -- seems prudent.\u003c/p>\n\u003cp>There may be no absolute rule for when to let your child resume regular activities following a concussion, but no one disputes that \u003ca title=\"http://www.momsteam.com/team-of-experts/no-return-to-play-in-same-game-after-suffering-concussion-for-youth-athletes-says-dr\" href=\"http://www.momsteam.com/team-of-experts/no-return-to-play-in-same-game-after-suffering-concussion-for-youth-athletes-says-dr\" target=\"_blank\">returning to play in the same game\u003c/a> risks a far more severe brain injury. My nephew didn’t like sitting out the rest of a competitive game. But he and his coaches made a good call. This year, he played every game – including the last game of the fall season, when \u003ca title=\"http://www.wcsc.org/node/890\" href=\"http://www.wcsc.org/node/890\" target=\"_blank\">his team finished \u003c/a>first in their division.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>\u003ca title=\"http://blogs.kqed.org/science/author/lizagross/\" href=\"http://blogs.kqed.org/science/author/lizagross/\" target=\"_blank\">Liza Gross\u003c/a> is a freelance science writer and senior editor at the biomedical journal PLOS Biology. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23318\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/iStock_000015443371_Large-e1420486935531.jpg\">\u003cimg class=\"size-large wp-image-23318\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/iStock_000015443371_Large-640x419.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"419\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Every parent must balance the thrill of watching a child excel at a favorite sport with the fear that competition brings the risk of serious injury. That fear gripped my sister last year, when my nephew, then 10-years-old, played back-to-back soccer games against two rough teams.\u003c/p>\n\u003caside class=\"pullquote alignleft\">Strict rest seemed to provide no additional benefit and even had some unintended consequences.\u003c/aside>\n\u003cp>After a solid blow sent him tumbling to the ground in the first game, he took several hard hits in the second, including a nasty elbow to the back of the head as he tried to get up. Feeling dizzy, he raised his hand to leave the game, a first for him. He sat out the remainder of the game and felt lousy the rest the day.\u003c/p>\n\u003cp>Thankfully, my nephew quickly recovered without more serious symptoms. But each year \u003ca title=\"http://www.cdc.gov/concussion/sports/facts.html\" href=\"http://www.cdc.gov/concussion/sports/facts.html\" target=\"_blank\">over 173,000 children 19 and under\u003c/a> suffer sports-related traumatic brain injuries, including concussions.\u003c/p>\n\u003cp>\u003ca title=\"http://www.healthychildren.org/English/health-issues/injuries-emergencies/sports-injuries/Pages/Concussions.aspx\" href=\"http://www.healthychildren.org/English/health-issues/injuries-emergencies/sports-injuries/Pages/Concussions.aspx\" target=\"_blank\">Treating a concussion\u003c/a> calls for resting body and mind until acute symptoms such as headache, dizziness and concentration troubles fade, and then allowing a gradual return to normal activities. Some children must avoid all activity -- including computer time and even reading.\u003c!--more-->\u003c/p>\n\u003cp>While this approach is widely embraced, evidence evaluating the effect of rest \u003ca title=\"http://bjsm.bmj.com/content/47/5/250.long\" href=\"http://bjsm.bmj.com/content/47/5/250.long\" target=\"_blank\">is limited\u003c/a>. Right now, no one can really say how much rest and what type of rest is optimal.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Researchers at the Medical College of Wisconsin sought to bridge that data gap in \u003ca title=\"http://pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" href=\"//pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" target=\"_blank\">a randomized trial\u003c/a> of young concussion patients published in the journal Pediatrics on Monday.\u003c/p>\n\u003cp>The study followed 88 children between the ages of 11 and 22 for 10 days after they were discharged from the emergency room with prescriptions for either “strict” or “usual” rest. Those in the strict rest group were told to avoid school, work and physical activity for five days, followed by a gradual return to activity. The usual care group received whatever instructions their doctors deemed appropriate. Based on a survey of doctors at the hospital, the authors assumed this \"usual\" care was one to two days’ rest with a gradual return to activity once symptoms disappeared.\u003c/p>\n\u003cp>The majority of children in both groups improved within the study period, in keeping with evidence that \u003ca title=\"http://www.nrl.com/portals/nrl/RadEditor/Documents/ConcussioninSport.pdf\" href=\"http://www.nrl.com/portals/nrl/RadEditor/Documents/ConcussioninSport.pdf\" target=\"_blank\">most concussions resolve\u003c/a> within a week to 10 days. But to the authors’ surprise, strict rest seemed to provide no additional benefit and even had some unintended consequences. Children on strict rest complained of more symptoms, primarily headaches, than those given so-called usual care.\u003c/p>\n\u003cp>Children confined for five days also reported more emotional symptoms, such as irritability, nervousness and sadness, says Danny Thomas, an assistant professor of pediatrics at the Medical College of Wisconsin who led the study. Thomas thinks the extra time at home might have given kids a chance to fixate on their symptoms.\u003c/p>\n\u003cp>“It’s like having a cavity that bothers you most at nighttime when you’re trying to sleep and have no distractions,” he says.\u003c/p>\n\u003cp>There’s no question that some rest is critical, and preventing kids from getting injured again is even more important for recovery, Thomas says. “But locking kids in their room and taking away their iPad is probably not going to make them better faster.”\u003c/p>\n\u003cp>Still, the study is small and, for some researchers, raises additional questions.\u003c/p>\n\u003cp>Robert Cantu, director of Sports Medicine at Emerson Hospital in Concord, Massachusetts, isn’t convinced that the study shows that strict rest offers no additional benefit. One problem, Cantu says, is that “usual care” could be very similar to strict rest.\u003c/p>\n\u003cp>When symptoms clear, doctors typically send a child back to school, Cantu says. But if a child still has significant symptoms after a few days’ rest, it’s typical to call for more rest. “You’d need to see more details about how activity differed in these two groups to say there truly wasn’t a difference,” Cantu says. And because about 80 percent of cases get better on their own, he says, you’d need much higher numbers to detect a statistical difference between the two strategies.\u003c/p>\n\u003cp>Though larger study groups are always better, a bigger concern is the age difference among the participants, says David Hovda, director of the Brain Injury Research Center at the University of California, Los Angeles.\u003c/p>\n\u003cp>“The human brain doesn’t reach maturity in terms of chemistry and metabolism until well after 20 years of age,” Hovda says. Since all of the children were in different phases of brain development, it’s hard to compare even those children who were in the same rest groups. He’d like to see a follow-up study in a smaller age group, say, high school football players or 16- and 17-year-olds.\u003c/p>\n\u003cp>Still, Hovda is intrigued by the main finding that forcing children to rest beyond a few days appears to offer no benefit. It’s likely that restricting all activity stresses them out so much that it complicates recovery, he says. Whatever the explanation, he would like to see much more research in this area.\u003c/p>\n\u003cp>In\u003ca title=\"http://pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" href=\"http://pediatrics.aappublications.org/content/early/2015/01/01/peds.2014-0966\" target=\"_blank\"> a commentary\u003c/a> that accompanies the study, William Meehan and Richard Bachur, doctors at Boston Children’s Hospital, said that optimal rest periods will likely vary based on multiple factors, including the child’s age and gender as well as the severity of symptoms. Based on existing evidence, they conclude, a recommendation of reasonable rest for the first few days after a concussion, followed by a gradual resumption of cognitive activities and exercise – provided it carries no risk of additional head trauma -- seems prudent.\u003c/p>\n\u003cp>There may be no absolute rule for when to let your child resume regular activities following a concussion, but no one disputes that \u003ca title=\"http://www.momsteam.com/team-of-experts/no-return-to-play-in-same-game-after-suffering-concussion-for-youth-athletes-says-dr\" href=\"http://www.momsteam.com/team-of-experts/no-return-to-play-in-same-game-after-suffering-concussion-for-youth-athletes-says-dr\" target=\"_blank\">returning to play in the same game\u003c/a> risks a far more severe brain injury. My nephew didn’t like sitting out the rest of a competitive game. But he and his coaches made a good call. This year, he played every game – including the last game of the fall season, when \u003ca title=\"http://www.wcsc.org/node/890\" href=\"http://www.wcsc.org/node/890\" target=\"_blank\">his team finished \u003c/a>first in their division.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003ca title=\"http://blogs.kqed.org/science/author/lizagross/\" href=\"http://blogs.kqed.org/science/author/lizagross/\" target=\"_blank\">Liza Gross\u003c/a> is a freelance science writer and senior editor at the biomedical journal PLOS Biology. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_23307\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/apranihita/166189726/in/photolist-6az8zU-kN7PR6-7FKk1C-fFLq7-e8kkdg-57DF8s-rQz2b-gsgBn-2HZjk-eUAG7X-bGTfPD-fQAha7-V5PnU-bMLq3n-gEqER5-9tBxox-aL5DkP-8Jmbe3-aA1Zv4-e4g8fA-34Hd-B6YVh-B6YSh-5qmfFj-2bZgN-tqnh9-bUK4CF-4HTuQx-6pyyxn-6swp7a-567FTe-hmEo5-4Uh1iw-B6YNV-4BcVFH-e9PgH9-4Dber-qpGoT-7xyk3u-fxPgF9-4poBac-dNojpu-nSZyf2-gQA5bH-2dCyRv-aLowiV-oRxHFr-5nbQH5-7Vr9EL-5bJgzY\">\u003cimg class=\"size-large wp-image-23307\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/166189726_e876535436_o-640x480.jpg\" alt=\"(J R/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(J R/Flickr)\u003cem> \u003c/em>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rachel Zimmerman,\u003c/strong> \u003ca title=\"http://commonhealth.wbur.org/2015/01/resolutions-after-a-trauma-sleep-play-love\" href=\"http://commonhealth.wbur.org/2015/01/resolutions-after-a-trauma-sleep-play-love\" target=\"_blank\">WBUR\u003c/a>\u003c/p>\n\u003cp>A friend, trying to cheer me up over the holidays, suggested I find comfort in this fact: “The worst year of your life is coming to an end.”\u003c/p>\n\u003cp>In 2014 I became a widow, and my two young children lost their father. Needless to say our perspective and priorities have shifted radically.\u003c/p>\n\u003cp>Last year at this time, my New Year’s resolutions revolved around carbs, and eating fewer of them. This year, carbs are the least of my worries. My resolutions for 2015 are all about trying to let go of any notion of perfection and seek what my mother calls “crumbs of pleasure” — connection, peace and actual joy on the heels of a life-altering tragedy that could easily have pushed me into bed (with lots of comforting carbs) for a long time.\u003c!--more-->\u003c/p>\n\u003cp>As a mom I know with stage 4 cancer put it, when your world is shaken to its core, your goals shift from things you want to “do” — spend more time exercising, learn Italian, make your own clothes — to ways you want to “be,” knowing that your life can shift in an instant.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>So, with that in mind, here are my five, research-backed, heal-the-trauma resolutions for 2015:\u003c/p>\n\u003cp>\u003cstrong>A Restful Sleep\u003c/strong>\u003c/p>\n\u003cp>Yes, at the top of my list of lofty life goals is a very pedestrian one: sleep. Lack of sleep can devastate a person’s mental health and without consistent rest, the line between emotional stability and craziness can be slim. (See \u003ca title=\"http://www.nimh.nih.gov/health/publications/postpartum-depression-facts/index.shtml\" href=\"http://www.nimh.nih.gov/health/publications/postpartum-depression-facts/index.shtml\" target=\"_blank\">postpartum depression\u003c/a>, for one example.) In my family at least, to ward off depression and anxiety, we need good sleep and lots of it; more \u003ca title=\"http://www.ted.com/talks/arianna_huffington_how_to_succeed_get_more_sleep?language=en\" href=\"http://www.ted.com/talks/arianna_huffington_how_to_succeed_get_more_sleep?language=en\" target=\"_blank\">Arianna Huffington\u003c/a> and less \u003ca title=\"http://www.businessinsider.com/successful-people-who-barely-sleep-2012-9#bill-clinton-former-us-president-18\" href=\"http://www.businessinsider.com/successful-people-who-barely-sleep-2012-9#bill-clinton-former-us-president-18\" target=\"_blank\">Bill Clinton\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Play, Sing, Dance\u003c/strong>\u003c/p>\n\u003cp>The beautiful thing about children is that despite tragedy and loss, they remain kids; they are compelled to play, climb, run and be active. Resilience, as the literature says. In their grief, they can still cartwheel on the beach, play tag or touch football in the park. Shortly after my husband died, I tried very hard to play the games my kids liked, which often felt like that scene in the Sound of Music where the Baroness pretends to enjoy a game of catch with the children. Soon I learned to broaden my definition of play — really anything, physical, or not — that serves no other purpose other than to elicit pure joy.\u003c/p>\n\u003cp>Now we play freeze dance, cranking Adele way too high; we sing in the car (I’m kind of stuck on Taylor Swift: “Are we out of the woods yet, are we in the clear?”); we have handstand contests and we perform in an opera together with other families.\u003c/p>\n\u003cp>\u003cstrong>Love The One Who Is With You\u003c/strong>\u003c/p>\n\u003cp>Death freaks everyone out. Some people can handle the immense pain and still venture into our orbit, to nurture and care for us. Others can’t. I’ve learned to gravitate toward those who can help us heal, bring us soup and sweets and make our Halloweens and birthdays special and celebratory, despite a lingering sadness. Our family, friends and school community have been our safety net, providing \u003ca title=\"http://www.psychologicalscience.org/index.php/news/releases/social-connections-drive-the-upward-spiral-of-positive-emotions-and-health.html\" href=\"http://www.psychologicalscience.org/index.php/news/releases/social-connections-drive-the-upward-spiral-of-positive-emotions-and-health.html\" target=\"_blank\">social connection\u003c/a>, love and car-pooling. We lean on them often, and slowly, we are regaining our stability; life goes on.\u003c/p>\n\u003cp>At home, my daughters and I have formed a little cocoon-sized unit of love: when we’re tired or stressed, we suspend the rules about screen time and sugar consumption. Our New Year’s Eve was a smorgasbord of Gilmore Girls on the laptop, with sides of cocoa and cookies.\u003c/p>\n\u003cp>\u003cstrong>Be In Nature\u003c/strong>\u003c/p>\n\u003cp>I haven’t stumbled across a formal study on this, but based on an N of 1, I’ve found that swimming in the ocean is just as effective as .5 milligrams of Ativan to reduce anxiety. In a broader sense, we know that “\u003ca title=\"http://commonhealth.wbur.org/2013/04/why-to-exercise-today-for-medicine\" href=\"http://commonhealth.wbur.org/2013/04/why-to-exercise-today-for-medicine\" target=\"_blank\">exercise as medicine\u003c/a>” works, and is particularly good at triggering \u003ca title=\"http://commonhealth.wbur.org/2014/12/why-to-exercise-today-77\" href=\"http://commonhealth.wbur.org/2014/12/why-to-exercise-today-77\" target=\"_blank\">tranquility \u003c/a>when it is performed outside. Running on the beach, or in the brisk cold sunshine, or diving into the water offers a kind of primal balm, that feeling of alive-ness, that can boost a sinking mood.\u003c/p>\n\u003cp>\u003cstrong>Ban Perfection\u003c/strong>\u003c/p>\n\u003cp>My youngest daughter was in a school play recently; when asked to comment on her own performance, she said: “It wasn’t perfect.” Now, I’m banning the idea of perfection from my home. What does that mean? Who is the decider here? I want my children to formulate their own standards of achievement, not rely on the outside world’s fickle ideals; I want them to feel good, and proud and passionate about their work and play, not perfect; I want to teach them it’s OK to \u003ca title=\"http://www.forbes.com/sites/margaretperlis/2013/10/29/5-characteristics-of-grit-what-it-is-why-you-need-it-and-do-you-have-it/\" href=\"http://www.forbes.com/sites/margaretperlis/2013/10/29/5-characteristics-of-grit-what-it-is-why-you-need-it-and-do-you-have-it/\" target=\"_blank\">not know the answer and ask for help\u003c/a>. I want them to take charge of their \u003ca title=\"http://qz.com/297648/how-the-story-you-tell-yourself-can-make-you-happier/\" href=\"http://qz.com/297648/how-the-story-you-tell-yourself-can-make-you-happier/\" target=\"_blank\">own stories\u003c/a>, embrace what they love, be curious about the world and gather every infinitesimal crumb of pleasure they can possibly find. Even if, once in a while, it’s a crumb filled with carbs.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Rachel Zimmerman is co-editor of\u003ca title=\"http://commonhealth.wbur.org\" href=\"http://commonhealth.wbur.org\" target=\"_blank\"> CommonHealth\u003c/a>, a blog from WBUR, an NPR affiliate in Boston. \u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23307\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/apranihita/166189726/in/photolist-6az8zU-kN7PR6-7FKk1C-fFLq7-e8kkdg-57DF8s-rQz2b-gsgBn-2HZjk-eUAG7X-bGTfPD-fQAha7-V5PnU-bMLq3n-gEqER5-9tBxox-aL5DkP-8Jmbe3-aA1Zv4-e4g8fA-34Hd-B6YVh-B6YSh-5qmfFj-2bZgN-tqnh9-bUK4CF-4HTuQx-6pyyxn-6swp7a-567FTe-hmEo5-4Uh1iw-B6YNV-4BcVFH-e9PgH9-4Dber-qpGoT-7xyk3u-fxPgF9-4poBac-dNojpu-nSZyf2-gQA5bH-2dCyRv-aLowiV-oRxHFr-5nbQH5-7Vr9EL-5bJgzY\">\u003cimg class=\"size-large wp-image-23307\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2015/01/166189726_e876535436_o-640x480.jpg\" alt=\"(J R/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(J R/Flickr)\u003cem> \u003c/em>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rachel Zimmerman,\u003c/strong> \u003ca title=\"http://commonhealth.wbur.org/2015/01/resolutions-after-a-trauma-sleep-play-love\" href=\"http://commonhealth.wbur.org/2015/01/resolutions-after-a-trauma-sleep-play-love\" target=\"_blank\">WBUR\u003c/a>\u003c/p>\n\u003cp>A friend, trying to cheer me up over the holidays, suggested I find comfort in this fact: “The worst year of your life is coming to an end.”\u003c/p>\n\u003cp>In 2014 I became a widow, and my two young children lost their father. Needless to say our perspective and priorities have shifted radically.\u003c/p>\n\u003cp>Last year at this time, my New Year’s resolutions revolved around carbs, and eating fewer of them. This year, carbs are the least of my worries. My resolutions for 2015 are all about trying to let go of any notion of perfection and seek what my mother calls “crumbs of pleasure” — connection, peace and actual joy on the heels of a life-altering tragedy that could easily have pushed me into bed (with lots of comforting carbs) for a long time.\u003c!--more-->\u003c/p>\n\u003cp>As a mom I know with stage 4 cancer put it, when your world is shaken to its core, your goals shift from things you want to “do” — spend more time exercising, learn Italian, make your own clothes — to ways you want to “be,” knowing that your life can shift in an instant.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>So, with that in mind, here are my five, research-backed, heal-the-trauma resolutions for 2015:\u003c/p>\n\u003cp>\u003cstrong>A Restful Sleep\u003c/strong>\u003c/p>\n\u003cp>Yes, at the top of my list of lofty life goals is a very pedestrian one: sleep. Lack of sleep can devastate a person’s mental health and without consistent rest, the line between emotional stability and craziness can be slim. (See \u003ca title=\"http://www.nimh.nih.gov/health/publications/postpartum-depression-facts/index.shtml\" href=\"http://www.nimh.nih.gov/health/publications/postpartum-depression-facts/index.shtml\" target=\"_blank\">postpartum depression\u003c/a>, for one example.) In my family at least, to ward off depression and anxiety, we need good sleep and lots of it; more \u003ca title=\"http://www.ted.com/talks/arianna_huffington_how_to_succeed_get_more_sleep?language=en\" href=\"http://www.ted.com/talks/arianna_huffington_how_to_succeed_get_more_sleep?language=en\" target=\"_blank\">Arianna Huffington\u003c/a> and less \u003ca title=\"http://www.businessinsider.com/successful-people-who-barely-sleep-2012-9#bill-clinton-former-us-president-18\" href=\"http://www.businessinsider.com/successful-people-who-barely-sleep-2012-9#bill-clinton-former-us-president-18\" target=\"_blank\">Bill Clinton\u003c/a>.\u003c/p>\n\u003cp>\u003cstrong>Play, Sing, Dance\u003c/strong>\u003c/p>\n\u003cp>The beautiful thing about children is that despite tragedy and loss, they remain kids; they are compelled to play, climb, run and be active. Resilience, as the literature says. In their grief, they can still cartwheel on the beach, play tag or touch football in the park. Shortly after my husband died, I tried very hard to play the games my kids liked, which often felt like that scene in the Sound of Music where the Baroness pretends to enjoy a game of catch with the children. Soon I learned to broaden my definition of play — really anything, physical, or not — that serves no other purpose other than to elicit pure joy.\u003c/p>\n\u003cp>Now we play freeze dance, cranking Adele way too high; we sing in the car (I’m kind of stuck on Taylor Swift: “Are we out of the woods yet, are we in the clear?”); we have handstand contests and we perform in an opera together with other families.\u003c/p>\n\u003cp>\u003cstrong>Love The One Who Is With You\u003c/strong>\u003c/p>\n\u003cp>Death freaks everyone out. Some people can handle the immense pain and still venture into our orbit, to nurture and care for us. Others can’t. I’ve learned to gravitate toward those who can help us heal, bring us soup and sweets and make our Halloweens and birthdays special and celebratory, despite a lingering sadness. Our family, friends and school community have been our safety net, providing \u003ca title=\"http://www.psychologicalscience.org/index.php/news/releases/social-connections-drive-the-upward-spiral-of-positive-emotions-and-health.html\" href=\"http://www.psychologicalscience.org/index.php/news/releases/social-connections-drive-the-upward-spiral-of-positive-emotions-and-health.html\" target=\"_blank\">social connection\u003c/a>, love and car-pooling. We lean on them often, and slowly, we are regaining our stability; life goes on.\u003c/p>\n\u003cp>At home, my daughters and I have formed a little cocoon-sized unit of love: when we’re tired or stressed, we suspend the rules about screen time and sugar consumption. Our New Year’s Eve was a smorgasbord of Gilmore Girls on the laptop, with sides of cocoa and cookies.\u003c/p>\n\u003cp>\u003cstrong>Be In Nature\u003c/strong>\u003c/p>\n\u003cp>I haven’t stumbled across a formal study on this, but based on an N of 1, I’ve found that swimming in the ocean is just as effective as .5 milligrams of Ativan to reduce anxiety. In a broader sense, we know that “\u003ca title=\"http://commonhealth.wbur.org/2013/04/why-to-exercise-today-for-medicine\" href=\"http://commonhealth.wbur.org/2013/04/why-to-exercise-today-for-medicine\" target=\"_blank\">exercise as medicine\u003c/a>” works, and is particularly good at triggering \u003ca title=\"http://commonhealth.wbur.org/2014/12/why-to-exercise-today-77\" href=\"http://commonhealth.wbur.org/2014/12/why-to-exercise-today-77\" target=\"_blank\">tranquility \u003c/a>when it is performed outside. Running on the beach, or in the brisk cold sunshine, or diving into the water offers a kind of primal balm, that feeling of alive-ness, that can boost a sinking mood.\u003c/p>\n\u003cp>\u003cstrong>Ban Perfection\u003c/strong>\u003c/p>\n\u003cp>My youngest daughter was in a school play recently; when asked to comment on her own performance, she said: “It wasn’t perfect.” Now, I’m banning the idea of perfection from my home. What does that mean? Who is the decider here? I want my children to formulate their own standards of achievement, not rely on the outside world’s fickle ideals; I want them to feel good, and proud and passionate about their work and play, not perfect; I want to teach them it’s OK to \u003ca title=\"http://www.forbes.com/sites/margaretperlis/2013/10/29/5-characteristics-of-grit-what-it-is-why-you-need-it-and-do-you-have-it/\" href=\"http://www.forbes.com/sites/margaretperlis/2013/10/29/5-characteristics-of-grit-what-it-is-why-you-need-it-and-do-you-have-it/\" target=\"_blank\">not know the answer and ask for help\u003c/a>. I want them to take charge of their \u003ca title=\"http://qz.com/297648/how-the-story-you-tell-yourself-can-make-you-happier/\" href=\"http://qz.com/297648/how-the-story-you-tell-yourself-can-make-you-happier/\" target=\"_blank\">own stories\u003c/a>, embrace what they love, be curious about the world and gather every infinitesimal crumb of pleasure they can possibly find. Even if, once in a while, it’s a crumb filled with carbs.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Rachel Zimmerman is co-editor of\u003ca title=\"http://commonhealth.wbur.org\" href=\"http://commonhealth.wbur.org\" target=\"_blank\"> CommonHealth\u003c/a>, a blog from WBUR, an NPR affiliate in Boston. \u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Using Both Phone Support and Websites Help Smokers Kick the Habit",
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"content": "\u003cfigure id=\"attachment_23301\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000010937267_Large-e1420058742360.jpg\">\u003cimg class=\"size-large wp-image-23301\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000010937267_Large-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nancy Shute\u003c/strong>,\u003ca title=\"http://www.npr.org/blogs/health/2014/12/31/374172305/using-both-quit-lines-and-web-sites-helps-smokers-stop\" href=\"http://www.npr.org/blogs/health/2014/12/31/374172305/using-both-quit-lines-and-web-sites-helps-smokers-stop\" target=\"_blank\"> NPR\u003c/a>\u003c/p>\n\u003cp>If you're resolved to quit smoking this year, it's arguably the one best thing you could do for your health. But it's not easy, so every bit of help is a good thing.\u003c/p>\n\u003cp>People who used both state-sponsored telephone quit lines and newer Web-based services to quit smoking were more successful, compared with people who just used one service, a study finds.\u003c/p>\n\u003cp>That might be because using the two different kinds of help makes it easier to quit, according to the \u003ca title=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6351a1.htm?s_cid=mm6351a1_w\" href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6351a1.htm?s_cid=mm6351a1_w\" target=\"_blank\">study\u003c/a>, conducted by researchers at the Centers for Disease Control and Prevention and published Wednesday in \u003cem>Morbidity and Mortality Weekly Report\u003c/em>. Or it could mean that they're more motivated, the researchers say — motivated enough to track down and try the different tools.\u003c!--more-->\u003c/p>\n\u003cp>Almost 8,000 people in four states — Alabama, Arizona, Florida and Vermont— participated in the study, which asked them seven months after they had signed up whether they'd smoked in the past 30 days. They were in their 40s, on average, and had started smoking as teenagers.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The people who used both quit lines and Web-based programs (like \u003ca title=\"http://802quits.org/\" href=\"http://802quits.org/\" target=\"_blank\">802Quits\u003c/a>, from Vermont) stayed off cigarettes slightly better than people who used only phone services, and considerably better than people who used Web tools alone.\u003ca title=\"http://www.nobutts.org\" href=\"http://www.nobutts.org\" target=\"_blank\"> California's 1-800-NO-BUTTS quit line\u003c/a> has been in operation since 1992. People can sign up for a range of free services, including one-on-one counseling and text messages.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>State public health departments have a long history of success with stop-smoking \u003ca title=\"http://www.cdc.gov/tobacco/quit_smoking/cessation/quitlines/index.htm\" href=\"http://www.cdc.gov/tobacco/quit_smoking/cessation/quitlines/index.htm\" target=\"_blank\">quit lines,\u003c/a> but there's not nearly as much evidence on the value of Web-based programs, which are newer. These data suggest that those websites may not yet be hitting the sweet spot when it comes to helping people stick with it.\u003c/p>\n\n",
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"datePublished": "2015-01-01T08:52:47-08:00",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23301\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000010937267_Large-e1420058742360.jpg\">\u003cimg class=\"size-large wp-image-23301\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000010937267_Large-640x426.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Nancy Shute\u003c/strong>,\u003ca title=\"http://www.npr.org/blogs/health/2014/12/31/374172305/using-both-quit-lines-and-web-sites-helps-smokers-stop\" href=\"http://www.npr.org/blogs/health/2014/12/31/374172305/using-both-quit-lines-and-web-sites-helps-smokers-stop\" target=\"_blank\"> NPR\u003c/a>\u003c/p>\n\u003cp>If you're resolved to quit smoking this year, it's arguably the one best thing you could do for your health. But it's not easy, so every bit of help is a good thing.\u003c/p>\n\u003cp>People who used both state-sponsored telephone quit lines and newer Web-based services to quit smoking were more successful, compared with people who just used one service, a study finds.\u003c/p>\n\u003cp>That might be because using the two different kinds of help makes it easier to quit, according to the \u003ca title=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6351a1.htm?s_cid=mm6351a1_w\" href=\"http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6351a1.htm?s_cid=mm6351a1_w\" target=\"_blank\">study\u003c/a>, conducted by researchers at the Centers for Disease Control and Prevention and published Wednesday in \u003cem>Morbidity and Mortality Weekly Report\u003c/em>. Or it could mean that they're more motivated, the researchers say — motivated enough to track down and try the different tools.\u003c!--more-->\u003c/p>\n\u003cp>Almost 8,000 people in four states — Alabama, Arizona, Florida and Vermont— participated in the study, which asked them seven months after they had signed up whether they'd smoked in the past 30 days. They were in their 40s, on average, and had started smoking as teenagers.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The people who used both quit lines and Web-based programs (like \u003ca title=\"http://802quits.org/\" href=\"http://802quits.org/\" target=\"_blank\">802Quits\u003c/a>, from Vermont) stayed off cigarettes slightly better than people who used only phone services, and considerably better than people who used Web tools alone.\u003ca title=\"http://www.nobutts.org\" href=\"http://www.nobutts.org\" target=\"_blank\"> California's 1-800-NO-BUTTS quit line\u003c/a> has been in operation since 1992. People can sign up for a range of free services, including one-on-one counseling and text messages.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>State public health departments have a long history of success with stop-smoking \u003ca title=\"http://www.cdc.gov/tobacco/quit_smoking/cessation/quitlines/index.htm\" href=\"http://www.cdc.gov/tobacco/quit_smoking/cessation/quitlines/index.htm\" target=\"_blank\">quit lines,\u003c/a> but there's not nearly as much evidence on the value of Web-based programs, which are newer. These data suggest that those websites may not yet be hitting the sweet spot when it comes to helping people stick with it.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Top 5 Stories on State of Health in 2014",
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"content": "\u003cfigure id=\"attachment_23293\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/481872851-e1420054138323.jpg\">\u003cimg class=\"size-large wp-image-23293\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/481872851-640x425.jpg\" alt=\"President Obama took a victory lap on Apr. 1 as the first open enrollment of the Affordable Care Act came to a close and millions had signed up. A story about the ACA was in State of Health's top five posts this year. (Nicholas Kamm/AFP/Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">President Obama took a victory lap on Apr. 1 as the first open enrollment of the Affordable Care Act came to a close and millions had signed up. A story about the ACA was in State of Health's top five posts this year. (Nicholas Kamm/AFP/Getty Images) \u003ccite>(Nicholas Kamm/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It's been a big year in health: the launch of the Affordable Care Act, an ongoing Ebola epidemic and the first soda tax in the country, passed by Berkeley voters.\u003c/p>\n\u003cp>Here on State of Health, all those stories got plenty of attention from you, the readers. But the Top 5 might surprise you. We crunched the numbers and here are the posts that netted the most views this year.\u003c/p>\n\u003cp>1) \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/02/03/what-philip-seymour-hoffmans-death-sadly-teaches-us-about-addiction/\" href=\"http://ww2.kqed.org/stateofhealth/2014/02/03/what-philip-seymour-hoffmans-death-sadly-teaches-us-about-addiction/\" target=\"_blank\">What Philip Seymour Hoffman's Tragic Death Teaches Us About Addiction\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_17429\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg\">\u003cimg class=\"size-full wp-image-17429\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg\" alt=\"Philip Seymour Hoffman arrives for the Los Angeles premiere of 'The Hunger Games: Catching Fire' in Los Angeles, California, last November. Robyn Beck/AFP/Getty Images)\" width=\"640\" height=\"431\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-400x269.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-320x216.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Philip Seymour Hoffman arrives for the Los Angeles premiere of 'The Hunger Games: Catching Fire' in Los Angeles, California, last November. Robyn Beck/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>We all know the sad details. In February, Philip Seymour Hoffman died of a drug overdose. He had been an addict as a young man, but given up drugs and alcohol at 22. His relapse cost him his life. But what troubled me most after his death were the heartless social media attacks about his \"selfishness\" and \"poor choices.\"\u003c!--more-->\u003c/p>\n\u003cp>Everyone weighed in after Hoffman's death, so I wrote a short post about the disease of addiction. “Diabetes is a disease of the pancreas. Addiction is a disease of the brain,” Dr. David Smith, founder of the Haight-Ashbury Free Clinic told me.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>If you don’t think addiction is a disease, he added, “then take a laxative, sit on the toilet and try not to have a bowel movement.” Yes, a simplistic analogy, he said, “but effective.”\u003c/p>\n\u003cp>The short post went viral and became the most read State of Health post this year. It also generated scores of comments, many from family members of addicts.\u003c/p>\n\u003cp>2) \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/08/26/earthquake-safety-stand-in-a-doorway/\" href=\"http://ww2.kqed.org/stateofhealth/2014/08/26/earthquake-safety-stand-in-a-doorway/\" target=\"_blank\">Earthquake Safety: Stand In A Doorway?\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_21034\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/454076420-e1420055410857.jpg\">\u003cimg class=\"size-large wp-image-21034\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/454076420-640x476.jpg\" alt=\"Police officers in Napa prop up a fallen door in front of a damaged building following Sunday's earthquake there. (Justin Sullivan/Getty Images)\" width=\"640\" height=\"476\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Police officers in Napa prop up a fallen door in front of a damaged building following Sunday's earthquake there. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Early Sunday morning on Aug. 24, a magnitude 6.0\u003ca title=\"http://ww2.kqed.org/stateofhealth/wp-admin/post-new.php\" href=\"http://ww2.kqed.org/stateofhealth/wp-admin/post-new.php\" target=\"_blank\"> earthquake rolled through the Bay Area\u003c/a>. The epicenter was south of Napa, and damage in that city was extensive.\u003c/p>\n\u003cp>A couple days after the quake, I became troubled when several of my colleagues mentioned \"standing in a doorway\" was a safe thing to do in an earthquake.\u003c/p>\n\u003cp>I knew this was wrong. Really wrong. In all likelihood, the idea of the doorway being safe in a quake goes back to the 19th century, when homes were built of adobe. Adobe crumbles in an earthquake and the only thing left standing would be the wood-framing of the doorway.\u003c/p>\n\u003cp>Not many people live in adobe homes these days. Instead, experts say to drop, cover and hold on.\u003c/p>\n\u003cp>3) \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" target=\"_blank\">Vaccine Opt-Out Rate Doubled in 7 Years; Look Up Your School Online\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5990\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-e1411754682989.jpg\">\u003cimg class=\"size-large wp-image-5990\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-620x398.jpg\" alt=\"(Jeff J. Mitchell: Getty Images)\" width=\"620\" height=\"398\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jeff J. Mitchell: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The rate of parents choosing not to vaccinate their children doubled over seven years. Olivia Allen-Price used \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" target=\"_blank\">seven years of state data \u003c/a>of vaccine rates at 8,220 public, private and parochial schools statewide to create an easy look-up tool where parents could see what the opt-out rate is at their own school. We followed up with\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/26/vaccine-opt-out-rate-at-sons-school-is-32-percent-should-i-freak-out/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/26/vaccine-opt-out-rate-at-sons-school-is-32-percent-should-i-freak-out/\" target=\"_blank\"> a story about a parent \u003c/a>who wondered, \"Should I freak out?\" when he discovered the opt-out rate at his son's school was 32 percent.\u003c/p>\n\u003cp>4) \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/10/09/for-legal-immigrants-obamacare-has-options-for-aging-parents/\" href=\"http://ww2.kqed.org/stateofhealth/2013/10/09/for-legal-immigrants-obamacare-has-options-for-aging-parents/\" target=\"_blank\">For Legal Immigrants, Obamacare Has Options for Aging Parents\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_15577\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/172615408-e1387329913378.jpg\">\u003cimg class=\"size-full wp-image-15577\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/172615408-e1387329913378.jpg\" alt=\"A view of the the Statue of Liberty. (Timothy Clary/AFP/Getty Images)\" width=\"640\" height=\"472\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/10/172615408-e1387329913378.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/172615408-e1387329913378-400x295.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/172615408-e1387329913378-320x236.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A view of the the Statue of Liberty. (Timothy Clary/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Of all the stories about the Affordable Care Act we have written (and there have been \u003ca title=\"http://ww2.kqed.org/stateofhealth/category/reform/\" href=\"http://ww2.kqed.org/stateofhealth/category/reform/\" target=\"_blank\">a lot of them\u003c/a>), this one -- about options for aging parents of legal immigrants -- got the most traffic. Why? Because before Obamacare, newly-arrived aging immigrants had few health insurance options. They were not eligible for Medicare, and because of the existence of Medicare, there was virtually no insurance market for people over 65. Under the ACA, lawfully present immigrants are eligible to apply for insurance on the Obamacare exchanges, including Covered California.\u003c/p>\n\u003cp>KQED's \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Guide\u003c/a>, while not technically a post on State of Health was produced by the State of Health team, and it continues to get the most views of any of our Obamacare coverage.\u003c/p>\n\u003cp>5)\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/06/23/share-your-bill-make-health-costs-transparent-in-california/\" href=\"http://ww2.kqed.org/stateofhealth/2014/06/23/share-your-bill-make-health-costs-transparent-in-california/\" target=\"_blank\"> PriceCheck Project: Creating A Database of Real Health Care Costs\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_19667\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/RS10943_Facebook_Final-hpf.jpg\">\u003cimg class=\"size-full wp-image-19667\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/RS10943_Facebook_Final-hpf.jpg\" alt=\"(Illustration: Andy Warner)\" width=\"640\" height=\"206\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10943_Facebook_Final-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10943_Facebook_Final-hpf-400x129.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10943_Facebook_Final-hpf-320x103.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Illustration: Andy Warner)\u003c/figcaption>\u003c/figure>\n\u003cp>Health care costs are notoriously opaque and wildly variable. So, we teamed up with LA's KPCC, and ClearHealthCosts.com, a New York City start-up, to launch PriceCheck, a crowdsourced database of health care costs. We launched in June and held our breath. Would you, our audience, share your prices? Yes, hundreds of you did. Thousands more searched our database looking for real prices. We'll be back in 2015 with more \u003ca title=\"http://pricecheck-healthcosts.tumblr.com\" href=\"http://pricecheck-healthcosts.tumblr.com\" target=\"_blank\">PriceCheck stories\u003c/a>. But for now, thank you for making this project such a success.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>We appreciate your being part of the State of Health community, and we look forward to sharing more health stories with you in 2015!\u003c/p>\n\n",
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"excerpt": "Yes, the launch of the Affordable Care Act was the biggest health story overall, but which individual posts did you read the most?",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23293\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/481872851-e1420054138323.jpg\">\u003cimg class=\"size-large wp-image-23293\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/481872851-640x425.jpg\" alt=\"President Obama took a victory lap on Apr. 1 as the first open enrollment of the Affordable Care Act came to a close and millions had signed up. A story about the ACA was in State of Health's top five posts this year. (Nicholas Kamm/AFP/Getty Images)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">President Obama took a victory lap on Apr. 1 as the first open enrollment of the Affordable Care Act came to a close and millions had signed up. A story about the ACA was in State of Health's top five posts this year. (Nicholas Kamm/AFP/Getty Images) \u003ccite>(Nicholas Kamm/AFP/Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>It's been a big year in health: the launch of the Affordable Care Act, an ongoing Ebola epidemic and the first soda tax in the country, passed by Berkeley voters.\u003c/p>\n\u003cp>Here on State of Health, all those stories got plenty of attention from you, the readers. But the Top 5 might surprise you. We crunched the numbers and here are the posts that netted the most views this year.\u003c/p>\n\u003cp>1) \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/02/03/what-philip-seymour-hoffmans-death-sadly-teaches-us-about-addiction/\" href=\"http://ww2.kqed.org/stateofhealth/2014/02/03/what-philip-seymour-hoffmans-death-sadly-teaches-us-about-addiction/\" target=\"_blank\">What Philip Seymour Hoffman's Tragic Death Teaches Us About Addiction\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_17429\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg\">\u003cimg class=\"size-full wp-image-17429\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg\" alt=\"Philip Seymour Hoffman arrives for the Los Angeles premiere of 'The Hunger Games: Catching Fire' in Los Angeles, California, last November. Robyn Beck/AFP/Getty Images)\" width=\"640\" height=\"431\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-400x269.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/02/RS8528_450461661-hpf-320x216.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Philip Seymour Hoffman arrives for the Los Angeles premiere of 'The Hunger Games: Catching Fire' in Los Angeles, California, last November. Robyn Beck/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>We all know the sad details. In February, Philip Seymour Hoffman died of a drug overdose. He had been an addict as a young man, but given up drugs and alcohol at 22. His relapse cost him his life. But what troubled me most after his death were the heartless social media attacks about his \"selfishness\" and \"poor choices.\"\u003c!--more-->\u003c/p>\n\u003cp>Everyone weighed in after Hoffman's death, so I wrote a short post about the disease of addiction. “Diabetes is a disease of the pancreas. Addiction is a disease of the brain,” Dr. David Smith, founder of the Haight-Ashbury Free Clinic told me.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>If you don’t think addiction is a disease, he added, “then take a laxative, sit on the toilet and try not to have a bowel movement.” Yes, a simplistic analogy, he said, “but effective.”\u003c/p>\n\u003cp>The short post went viral and became the most read State of Health post this year. It also generated scores of comments, many from family members of addicts.\u003c/p>\n\u003cp>2) \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/08/26/earthquake-safety-stand-in-a-doorway/\" href=\"http://ww2.kqed.org/stateofhealth/2014/08/26/earthquake-safety-stand-in-a-doorway/\" target=\"_blank\">Earthquake Safety: Stand In A Doorway?\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_21034\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/454076420-e1420055410857.jpg\">\u003cimg class=\"size-large wp-image-21034\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/454076420-640x476.jpg\" alt=\"Police officers in Napa prop up a fallen door in front of a damaged building following Sunday's earthquake there. (Justin Sullivan/Getty Images)\" width=\"640\" height=\"476\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Police officers in Napa prop up a fallen door in front of a damaged building following Sunday's earthquake there. (Justin Sullivan/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Early Sunday morning on Aug. 24, a magnitude 6.0\u003ca title=\"http://ww2.kqed.org/stateofhealth/wp-admin/post-new.php\" href=\"http://ww2.kqed.org/stateofhealth/wp-admin/post-new.php\" target=\"_blank\"> earthquake rolled through the Bay Area\u003c/a>. The epicenter was south of Napa, and damage in that city was extensive.\u003c/p>\n\u003cp>A couple days after the quake, I became troubled when several of my colleagues mentioned \"standing in a doorway\" was a safe thing to do in an earthquake.\u003c/p>\n\u003cp>I knew this was wrong. Really wrong. In all likelihood, the idea of the doorway being safe in a quake goes back to the 19th century, when homes were built of adobe. Adobe crumbles in an earthquake and the only thing left standing would be the wood-framing of the doorway.\u003c/p>\n\u003cp>Not many people live in adobe homes these days. Instead, experts say to drop, cover and hold on.\u003c/p>\n\u003cp>3) \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/vaccine-opt-out-rate-doubled-in-7-years-look-up-your-school-online/\" target=\"_blank\">Vaccine Opt-Out Rate Doubled in 7 Years; Look Up Your School Online\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_5990\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-e1411754682989.jpg\">\u003cimg class=\"size-large wp-image-5990\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/05/Vaccination-Large-Jeff-J-Mitchell-Getty-620x398.jpg\" alt=\"(Jeff J. Mitchell: Getty Images)\" width=\"620\" height=\"398\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jeff J. Mitchell: Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>The rate of parents choosing not to vaccinate their children doubled over seven years. Olivia Allen-Price used \u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/11/our-vaccine-database-methodology/\" target=\"_blank\">seven years of state data \u003c/a>of vaccine rates at 8,220 public, private and parochial schools statewide to create an easy look-up tool where parents could see what the opt-out rate is at their own school. We followed up with\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/09/26/vaccine-opt-out-rate-at-sons-school-is-32-percent-should-i-freak-out/\" href=\"http://ww2.kqed.org/stateofhealth/2014/09/26/vaccine-opt-out-rate-at-sons-school-is-32-percent-should-i-freak-out/\" target=\"_blank\"> a story about a parent \u003c/a>who wondered, \"Should I freak out?\" when he discovered the opt-out rate at his son's school was 32 percent.\u003c/p>\n\u003cp>4) \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/10/09/for-legal-immigrants-obamacare-has-options-for-aging-parents/\" href=\"http://ww2.kqed.org/stateofhealth/2013/10/09/for-legal-immigrants-obamacare-has-options-for-aging-parents/\" target=\"_blank\">For Legal Immigrants, Obamacare Has Options for Aging Parents\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_15577\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/172615408-e1387329913378.jpg\">\u003cimg class=\"size-full wp-image-15577\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/10/172615408-e1387329913378.jpg\" alt=\"A view of the the Statue of Liberty. (Timothy Clary/AFP/Getty Images)\" width=\"640\" height=\"472\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2013/10/172615408-e1387329913378.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/172615408-e1387329913378-400x295.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2013/10/172615408-e1387329913378-320x236.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A view of the the Statue of Liberty. (Timothy Clary/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Of all the stories about the Affordable Care Act we have written (and there have been \u003ca title=\"http://ww2.kqed.org/stateofhealth/category/reform/\" href=\"http://ww2.kqed.org/stateofhealth/category/reform/\" target=\"_blank\">a lot of them\u003c/a>), this one -- about options for aging parents of legal immigrants -- got the most traffic. Why? Because before Obamacare, newly-arrived aging immigrants had few health insurance options. They were not eligible for Medicare, and because of the existence of Medicare, there was virtually no insurance market for people over 65. Under the ACA, lawfully present immigrants are eligible to apply for insurance on the Obamacare exchanges, including Covered California.\u003c/p>\n\u003cp>KQED's \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" target=\"_blank\">Obamacare Guide\u003c/a>, while not technically a post on State of Health was produced by the State of Health team, and it continues to get the most views of any of our Obamacare coverage.\u003c/p>\n\u003cp>5)\u003ca title=\"http://ww2.kqed.org/stateofhealth/2014/06/23/share-your-bill-make-health-costs-transparent-in-california/\" href=\"http://ww2.kqed.org/stateofhealth/2014/06/23/share-your-bill-make-health-costs-transparent-in-california/\" target=\"_blank\"> PriceCheck Project: Creating A Database of Real Health Care Costs\u003c/a>\u003c/p>\n\u003cfigure id=\"attachment_19667\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/RS10943_Facebook_Final-hpf.jpg\">\u003cimg class=\"size-full wp-image-19667\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/RS10943_Facebook_Final-hpf.jpg\" alt=\"(Illustration: Andy Warner)\" width=\"640\" height=\"206\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10943_Facebook_Final-hpf.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10943_Facebook_Final-hpf-400x129.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/06/RS10943_Facebook_Final-hpf-320x103.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Illustration: Andy Warner)\u003c/figcaption>\u003c/figure>\n\u003cp>Health care costs are notoriously opaque and wildly variable. So, we teamed up with LA's KPCC, and ClearHealthCosts.com, a New York City start-up, to launch PriceCheck, a crowdsourced database of health care costs. We launched in June and held our breath. Would you, our audience, share your prices? Yes, hundreds of you did. Thousands more searched our database looking for real prices. We'll be back in 2015 with more \u003ca title=\"http://pricecheck-healthcosts.tumblr.com\" href=\"http://pricecheck-healthcosts.tumblr.com\" target=\"_blank\">PriceCheck stories\u003c/a>. But for now, thank you for making this project such a success.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>We appreciate your being part of the State of Health community, and we look forward to sharing more health stories with you in 2015!\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "How Much Drinking Causes A Hangover?",
"title": "How Much Drinking Causes A Hangover?",
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"content": "\u003cfigure id=\"attachment_16935\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/2184139735_b126928315_b-e1388187405732.jpg\">\u003cimg class=\"size-large wp-image-16935\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/2184139735_b126928315_b-640x426.jpg\" alt=\"(ckelly/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(ckelly/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: this story originally ran Dec. 30, 2013.\u003c/em>\u003c/p>\n\u003cp>Medically, the condition is called “veisalgia” — from the Norwegian \u003cem>kveis \u003c/em>or “uneasiness following debauchery,” and the Greek \u003cem>algia, \u003c/em>otherwise known as “pain.”\u003c/p>\n\u003cp>But you probably just call it a hangover.\u003c/p>\n\u003cp>The helpful PR coordinators at the American College of Physicians resent information about a review, published back in 2000, titled simply \u003ca title=\"The Alcohol Hangover\" href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3\" target=\"_blank\">The Alcohol Hangover\u003c/a>. “More than 4700 articles have been written about alcohol intoxication (from 1965 to 1999), but only 108 have addressed alcohol hangover,” the researchers, all at UC San Francisco at the time, wrote.\u003c/p>\n\u003cp>But you probably don’t care about how much research has been done, you just want to know how many drinks cause a hangover.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Let’s get to it:\u003cspan id=\"more-16926\">\u003c/span>\u003c/p>\n\u003cul>\n\u003cli>For men, a dose of “five to seven standard cocktails” consumed over a four-to-six-hour period, is “almost always followed by hangover symptoms.”\u003c/li>\n\u003cli>For women, the dose is three to five drinks. Women feel the effects of alcohol on a smaller dose not because they are smaller (in general) than men, but because they \u003ca title=\"Alcohol Metabolism--Alcohol Alert No. 35\" href=\"http://pubs.niaaa.nih.gov/publications/aa35.htm\" target=\"_blank\">metabolize alcohol\u003c/a> differently.\u003c/li>\n\u003c/ul>\n\u003cp>For the purposes of their review, the researchers defined a hangover as having at least two of the following not-so-surprising symptoms: headache, “poor sense of overall well-being” (in other words, feeling crappy), diarrhea, anorexia, tremulousness, fatigue, nausea.\u003c/p>\n\u003cp>What the researchers had trouble defining was how a hangover happens. There are theories, but no one is sure. The researchers dismissed the popular idea that a hangover is caused by “alcohol withdrawal.” The researchers say that the physical changes in a hangover are different from those that happen when a chronic alcohol abuser stops drinking alcohol.\u003c/p>\n\u003cp>Curiously, a hangover is not “solely dose-related,” the researchers wrote, although the more alcohol a person drinks, the more severe the symptoms might be. Some possible culprits as to a hangover’s pain include:\u003c/p>\n\u003cul>\n\u003cli>Congeners: this byproduct in many dark liquors — such as brandy, tequila, wine and whiskey — can increase the “frequency and severity of hangover,” the researchers reported. Conversely, clear liquors such as rum, vodka and gin generally cause hangover less frequently and could explain why people with more severe alcoholism favor these liquors.\u003c/li>\n\u003cli>Acetaldehyde: this is a byproduct of alcohol metabolism and can contribute to hangover symptoms\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Treating the Hangover: No Easy Solutions\u003c/strong>\u003c/p>\n\u003cp>Alcohol consumption promotes excessive urination, out of proportion to the liquid consumed. That sets you up for dehydration, but as the alcohol wears off, a hormone that limits urination increases. Drinking water can help, but “in our clinical experience, hydration attenuates but does not completely relieve hangover symptoms.”\u003c/p>\n\u003cp>So drinking water is not a big help (although being well-hydrated with water can help you avoid or reduce a hangover).\u003c/p>\n\u003cp>Some evidence showed that people who took tolfenamic acid when they were consuming the alcohol had fewer hangover symptoms. Tolfenamic acid is an “NSAID,” a non-steroidal anti-inflammatory drug. It’s not sold in the U.S. (apparently available in Britain; very helpful). “Other non steroidal agents are frequently used to treat hangover symptoms but have not been studied.”\u003c/p>\n\u003cp>Because no other NSAIDs have been studied, I can’t give you names of drugs that could treat hangover symptoms, but I can suggest what you should avoid. In general,\u003ca href=\"http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm239747.htm\" target=\"_blank\"> do not take acetaminophen\u003c/a> — brand name Tylenol — when you drink alcohol. The combination can cause severe liver damage.\u003c/p>\n\u003cp>Another study showed taking vitamin B6 before, during and after drinking alcohol reduced hangover symptoms.\u003c/p>\n\u003cp>My colleagues at KQED Science have \u003ca title=\"How Science Can Help Prevent a (Bad) Hangover\" href=\"http://blogs.kqed.org/science/audio/how-science-can-help-prevent-a-bad-hangover/\" target=\"_blank\">a helpful story with more tips on avoiding a hangover\u003c/a> (or at least a bad hangover).\u003c/p>\n\u003cp>\u003cstrong>Hangover Carries Its Own Health Risks\u003c/strong>\u003c/p>\n\u003cp>I was surprised to learn that the hangover is about more than just feeling yucky. The researchers quantified costs in impaired job performance, but the hangover patient is at increased risk of injury because of “diminished visual-spatial skills and dexterity \u003cem>even after alcohol can no longer be detected in the blood\u003c/em>” (emphasis mine). Visual-spatial skills are what you need when you’re driving or operating any heavy machinery. Use caution.\u003c/p>\n\u003cp>Note to anyone who is Tahoe-bound for the New Year’s holiday: Skiers may also be at higher risk of injury due to the hangover.\u003c/p>\n\u003cp>Also troubling is that hangover puts stress on the heart. People with a hangover have an increase in heart rate and blood pressure. There is some evidence that people suffering from a hangover are at increased risk of dying from a heart attack.\u003c/p>\n\u003cp>\u003cstrong>The Hangover Through the Ages\u003c/strong>\u003c/p>\n\u003cp>The researchers opened their review by citing the Bible: “Woe unto them that rise up early in the morning, that they may follow strong drink.” (Isaiah 5:11) and closed by citing Homer:\u003c/p>\n\u003cblockquote>\u003cp>Hangover’s historical past may predict its future. Homer provided one of the first descriptions of the disorder. A companion of Odysseus, Elpenor, awoke from a drunken sleep, sprang up, and jumped off a roof, falling to his death (\u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3#r62-8\">62\u003c/a>–\u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3#r62-8\">63\u003c/a>). Of interest, Elpenor “returned from the dead, begging Odysseus to bury his body,” a sentiment we have often heard echoed by patients with hangover. The most extreme form of hangover, a psychiatric dissociation characterized by irrational behavior, has since become known as the Elpenor syndrome.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Happy New Year! Drink wisely.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_16935\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/2184139735_b126928315_b-e1388187405732.jpg\">\u003cimg class=\"size-large wp-image-16935\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2013/12/2184139735_b126928315_b-640x426.jpg\" alt=\"(ckelly/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(ckelly/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>Editor's Note: this story originally ran Dec. 30, 2013.\u003c/em>\u003c/p>\n\u003cp>Medically, the condition is called “veisalgia” — from the Norwegian \u003cem>kveis \u003c/em>or “uneasiness following debauchery,” and the Greek \u003cem>algia, \u003c/em>otherwise known as “pain.”\u003c/p>\n\u003cp>But you probably just call it a hangover.\u003c/p>\n\u003cp>The helpful PR coordinators at the American College of Physicians resent information about a review, published back in 2000, titled simply \u003ca title=\"The Alcohol Hangover\" href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3\" target=\"_blank\">The Alcohol Hangover\u003c/a>. “More than 4700 articles have been written about alcohol intoxication (from 1965 to 1999), but only 108 have addressed alcohol hangover,” the researchers, all at UC San Francisco at the time, wrote.\u003c/p>\n\u003cp>But you probably don’t care about how much research has been done, you just want to know how many drinks cause a hangover.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Let’s get to it:\u003cspan id=\"more-16926\">\u003c/span>\u003c/p>\n\u003cul>\n\u003cli>For men, a dose of “five to seven standard cocktails” consumed over a four-to-six-hour period, is “almost always followed by hangover symptoms.”\u003c/li>\n\u003cli>For women, the dose is three to five drinks. Women feel the effects of alcohol on a smaller dose not because they are smaller (in general) than men, but because they \u003ca title=\"Alcohol Metabolism--Alcohol Alert No. 35\" href=\"http://pubs.niaaa.nih.gov/publications/aa35.htm\" target=\"_blank\">metabolize alcohol\u003c/a> differently.\u003c/li>\n\u003c/ul>\n\u003cp>For the purposes of their review, the researchers defined a hangover as having at least two of the following not-so-surprising symptoms: headache, “poor sense of overall well-being” (in other words, feeling crappy), diarrhea, anorexia, tremulousness, fatigue, nausea.\u003c/p>\n\u003cp>What the researchers had trouble defining was how a hangover happens. There are theories, but no one is sure. The researchers dismissed the popular idea that a hangover is caused by “alcohol withdrawal.” The researchers say that the physical changes in a hangover are different from those that happen when a chronic alcohol abuser stops drinking alcohol.\u003c/p>\n\u003cp>Curiously, a hangover is not “solely dose-related,” the researchers wrote, although the more alcohol a person drinks, the more severe the symptoms might be. Some possible culprits as to a hangover’s pain include:\u003c/p>\n\u003cul>\n\u003cli>Congeners: this byproduct in many dark liquors — such as brandy, tequila, wine and whiskey — can increase the “frequency and severity of hangover,” the researchers reported. Conversely, clear liquors such as rum, vodka and gin generally cause hangover less frequently and could explain why people with more severe alcoholism favor these liquors.\u003c/li>\n\u003cli>Acetaldehyde: this is a byproduct of alcohol metabolism and can contribute to hangover symptoms\u003c/li>\n\u003c/ul>\n\u003cp>\u003cstrong>Treating the Hangover: No Easy Solutions\u003c/strong>\u003c/p>\n\u003cp>Alcohol consumption promotes excessive urination, out of proportion to the liquid consumed. That sets you up for dehydration, but as the alcohol wears off, a hormone that limits urination increases. Drinking water can help, but “in our clinical experience, hydration attenuates but does not completely relieve hangover symptoms.”\u003c/p>\n\u003cp>So drinking water is not a big help (although being well-hydrated with water can help you avoid or reduce a hangover).\u003c/p>\n\u003cp>Some evidence showed that people who took tolfenamic acid when they were consuming the alcohol had fewer hangover symptoms. Tolfenamic acid is an “NSAID,” a non-steroidal anti-inflammatory drug. It’s not sold in the U.S. (apparently available in Britain; very helpful). “Other non steroidal agents are frequently used to treat hangover symptoms but have not been studied.”\u003c/p>\n\u003cp>Because no other NSAIDs have been studied, I can’t give you names of drugs that could treat hangover symptoms, but I can suggest what you should avoid. In general,\u003ca href=\"http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm239747.htm\" target=\"_blank\"> do not take acetaminophen\u003c/a> — brand name Tylenol — when you drink alcohol. The combination can cause severe liver damage.\u003c/p>\n\u003cp>Another study showed taking vitamin B6 before, during and after drinking alcohol reduced hangover symptoms.\u003c/p>\n\u003cp>My colleagues at KQED Science have \u003ca title=\"How Science Can Help Prevent a (Bad) Hangover\" href=\"http://blogs.kqed.org/science/audio/how-science-can-help-prevent-a-bad-hangover/\" target=\"_blank\">a helpful story with more tips on avoiding a hangover\u003c/a> (or at least a bad hangover).\u003c/p>\n\u003cp>\u003cstrong>Hangover Carries Its Own Health Risks\u003c/strong>\u003c/p>\n\u003cp>I was surprised to learn that the hangover is about more than just feeling yucky. The researchers quantified costs in impaired job performance, but the hangover patient is at increased risk of injury because of “diminished visual-spatial skills and dexterity \u003cem>even after alcohol can no longer be detected in the blood\u003c/em>” (emphasis mine). Visual-spatial skills are what you need when you’re driving or operating any heavy machinery. Use caution.\u003c/p>\n\u003cp>Note to anyone who is Tahoe-bound for the New Year’s holiday: Skiers may also be at higher risk of injury due to the hangover.\u003c/p>\n\u003cp>Also troubling is that hangover puts stress on the heart. People with a hangover have an increase in heart rate and blood pressure. There is some evidence that people suffering from a hangover are at increased risk of dying from a heart attack.\u003c/p>\n\u003cp>\u003cstrong>The Hangover Through the Ages\u003c/strong>\u003c/p>\n\u003cp>The researchers opened their review by citing the Bible: “Woe unto them that rise up early in the morning, that they may follow strong drink.” (Isaiah 5:11) and closed by citing Homer:\u003c/p>\n\u003cblockquote>\u003cp>Hangover’s historical past may predict its future. Homer provided one of the first descriptions of the disorder. A companion of Odysseus, Elpenor, awoke from a drunken sleep, sprang up, and jumped off a roof, falling to his death (\u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3#r62-8\">62\u003c/a>–\u003ca href=\"http://annals.org/article.aspx?articleid=713513&resultClick=3#r62-8\">63\u003c/a>). Of interest, Elpenor “returned from the dead, begging Odysseus to bury his body,” a sentiment we have often heard echoed by patients with hangover. The most extreme form of hangover, a psychiatric dissociation characterized by irrational behavior, has since become known as the Elpenor syndrome.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>Happy New Year! Drink wisely.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_23245\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000031160536_Large-e1419898178918.jpg\">\u003cimg class=\"size-large wp-image-23245\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000031160536_Large-640x422.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"422\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Oh yes, this is it: the last few days of the holidays, meaning that after midnight Wednesday, when the New Year rings in, several tens of millions of Americans will start thinking about how to take off the pounds they started putting on back in November -- or before that.\u003c/p>\n\u003cp>When I googled \"diet\" just now, I got \u003ca title=\"https://www.google.com/?gws_rd=ssl#q=diet\" href=\"https://www.google.com/?gws_rd=ssl#q=diet\" target=\"_blank\">more results \u003c/a>than there are people in this country. No surprise that weight loss is pretty much \"everyone's No. 1 resolution,\" said Dr. Jennifer Slovis, who leads the weight management program at Kaiser Oakland. She joined a discussion about weight loss on \u003ca title=\"http://www.kqed.org/a/forum/R201412291000\" href=\"http://www.kqed.org/a/forum/R201412291000\" target=\"_blank\">KQED's \u003cem>Forum\u003c/em>\u003c/a> Monday morning.\u003c/p>\n\u003cp>The first thing they did on the show was dispatch the idea that fad diets can work for you long term. \"We really only support evidence-based therapies,\" said Katie Ferraro, a registered dietitian and professor at the UC San Francisco School of Nursing. \"Unfortunately, those are kind of boring: 'Eat less and exercise more' are not the sexiest messages out there.\"\u003c/p>\n\u003cp>While you should avoid fad diets, the \u003cem>Forum\u003c/em> guests all agreed that individuals have flexibility in how they get to \"eating less and exercising more.\"\u003c!--more-->\u003c/p>\n\u003cp>\"The most important thing when it comes to diet is to find a diet that works for you, that you can maintain,\" said Dr. John Morton, chief of bariatric surgery at Stanford. This may be limiting carbohydrates or limiting fats. But a big strategy is portion control. Portions should be about the size of your fist.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Slovis pointed out that in 1950, a dinner plate was 9 inches. Today it is 13 inches. If you're filling your plate, it's a lot more full today than in 1950. \"It's hard to keep track of what you're eating,\" Slovis said.\u003c/p>\n\u003cp>A 2,000-calorie-a-day diet is \"a good, happy medium for most healthy adults,\" Ferraro said, but then she burst the bubble when she said most Americans eat 3,000 calories a day. It takes only an extra 500 calories a day to gain a pound every week. (I think I might go buy those smaller dinner plates right now.)\u003c/p>\n\u003cp>There are easy things you can cut to strip a lot of calories from your diet. Morton talked about eliminating soda, juices, alcohol, fruit drinks and coffee drinks. \"These big coffees can have as much as 800 calories. That's like a Big Mac in a cup,\" he said. And soda has \"no nutritive value.\"\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/183790543&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>The Power of Exercise -- Especially If You're Over 40\u003c/strong>\u003c/p>\n\u003cp>While exercise by itself is a really difficult way to lose weight, it's critically important if you want to avoid putting those pounds back on. To lose one single pound, you need to burn 3,500 calories. Morton said he works out on an elliptical machine and, on a good day, might burn 300 calories.\u003c/p>\n\u003cp>In yet another insult of aging, once people cross 40, their metabolism starts to slow down. But don't despair, because you can rev it up through exercise. \"Dieting is only half the equation,\" said Ferraro. \"You have to be doing the activity on the other side of the equation.\"\u003c/p>\n\u003cp>It need not be a fancy gym membership, the experts agreed. Just walking will do it. \"Anything is better than nothing,\" Morton said. \"It's like putting money in the bank. A little now means a lot later.\" Best is an hour a day, several times a week, but Morton, as many others have said, argues for starting where you can: 10-minute bursts, three times a day, works, too.\u003c/p>\n\u003cp>\u003cb>Real World Weight-Loss Stories\u003c/b>\u003c/p>\n\u003cp>Near the end of the show, a caller asked where she could see the research for herself. Slovis directed her to the \u003ca title=\"http://nwcr.ws/default.htm\" href=\"http://nwcr.ws/default.htm\" target=\"_blank\">National Weight Control Registry\u003c/a>. It has stories of people who have lost at least 30 pounds and have kept that weight off for at least a year. But the average registry member \u003ca title=\"http://nwcr.ws/Research/default.htm\" href=\"http://nwcr.ws/Research/default.htm\" target=\"_blank\">has lost 66 pounds\u003c/a> and kept it off more than five years.\u003c/p>\n\u003cp>The registry tracks more than 10,000 people. Here are key components of how they achieved their goals:\u003c/p>\n\u003cul>\n\u003cli>Low-fat, low-calorie diet\u003c/li>\n\u003cli>Exercise -- average of an hour per day\u003c/li>\n\u003cli>Breakfast every day\u003c/li>\n\u003cli>Weigh at least once a week\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>It's worth reading some of the \u003ca title=\"http://nwcr.ws/stories.htm\" href=\"http://nwcr.ws/stories.htm\" target=\"_blank\">success stories\u003c/a> from registry members. The \u003ca title=\"http://health.nih.gov/search_results.aspx?terms=nutrition\" href=\"http://health.nih.gov/search_results.aspx?terms=nutrition\" target=\"_blank\">National Institutes of Health\u003c/a> and the \u003ca title=\"http://m.medlineplus.gov/nutrition.html\" href=\"http://m.medlineplus.gov/nutrition.html\" target=\"_blank\">National Library of Medicine\u003c/a> also have good information about healthy living, including strategies for children's nutrition.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_23245\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000031160536_Large-e1419898178918.jpg\">\u003cimg class=\"size-large wp-image-23245\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000031160536_Large-640x422.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"422\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Oh yes, this is it: the last few days of the holidays, meaning that after midnight Wednesday, when the New Year rings in, several tens of millions of Americans will start thinking about how to take off the pounds they started putting on back in November -- or before that.\u003c/p>\n\u003cp>When I googled \"diet\" just now, I got \u003ca title=\"https://www.google.com/?gws_rd=ssl#q=diet\" href=\"https://www.google.com/?gws_rd=ssl#q=diet\" target=\"_blank\">more results \u003c/a>than there are people in this country. No surprise that weight loss is pretty much \"everyone's No. 1 resolution,\" said Dr. Jennifer Slovis, who leads the weight management program at Kaiser Oakland. She joined a discussion about weight loss on \u003ca title=\"http://www.kqed.org/a/forum/R201412291000\" href=\"http://www.kqed.org/a/forum/R201412291000\" target=\"_blank\">KQED's \u003cem>Forum\u003c/em>\u003c/a> Monday morning.\u003c/p>\n\u003cp>The first thing they did on the show was dispatch the idea that fad diets can work for you long term. \"We really only support evidence-based therapies,\" said Katie Ferraro, a registered dietitian and professor at the UC San Francisco School of Nursing. \"Unfortunately, those are kind of boring: 'Eat less and exercise more' are not the sexiest messages out there.\"\u003c/p>\n\u003cp>While you should avoid fad diets, the \u003cem>Forum\u003c/em> guests all agreed that individuals have flexibility in how they get to \"eating less and exercising more.\"\u003c!--more-->\u003c/p>\n\u003cp>\"The most important thing when it comes to diet is to find a diet that works for you, that you can maintain,\" said Dr. John Morton, chief of bariatric surgery at Stanford. This may be limiting carbohydrates or limiting fats. But a big strategy is portion control. Portions should be about the size of your fist.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Slovis pointed out that in 1950, a dinner plate was 9 inches. Today it is 13 inches. If you're filling your plate, it's a lot more full today than in 1950. \"It's hard to keep track of what you're eating,\" Slovis said.\u003c/p>\n\u003cp>A 2,000-calorie-a-day diet is \"a good, happy medium for most healthy adults,\" Ferraro said, but then she burst the bubble when she said most Americans eat 3,000 calories a day. It takes only an extra 500 calories a day to gain a pound every week. (I think I might go buy those smaller dinner plates right now.)\u003c/p>\n\u003cp>There are easy things you can cut to strip a lot of calories from your diet. Morton talked about eliminating soda, juices, alcohol, fruit drinks and coffee drinks. \"These big coffees can have as much as 800 calories. That's like a Big Mac in a cup,\" he said. And soda has \"no nutritive value.\"\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/183790543&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>\u003cstrong>The Power of Exercise -- Especially If You're Over 40\u003c/strong>\u003c/p>\n\u003cp>While exercise by itself is a really difficult way to lose weight, it's critically important if you want to avoid putting those pounds back on. To lose one single pound, you need to burn 3,500 calories. Morton said he works out on an elliptical machine and, on a good day, might burn 300 calories.\u003c/p>\n\u003cp>In yet another insult of aging, once people cross 40, their metabolism starts to slow down. But don't despair, because you can rev it up through exercise. \"Dieting is only half the equation,\" said Ferraro. \"You have to be doing the activity on the other side of the equation.\"\u003c/p>\n\u003cp>It need not be a fancy gym membership, the experts agreed. Just walking will do it. \"Anything is better than nothing,\" Morton said. \"It's like putting money in the bank. A little now means a lot later.\" Best is an hour a day, several times a week, but Morton, as many others have said, argues for starting where you can: 10-minute bursts, three times a day, works, too.\u003c/p>\n\u003cp>\u003cb>Real World Weight-Loss Stories\u003c/b>\u003c/p>\n\u003cp>Near the end of the show, a caller asked where she could see the research for herself. Slovis directed her to the \u003ca title=\"http://nwcr.ws/default.htm\" href=\"http://nwcr.ws/default.htm\" target=\"_blank\">National Weight Control Registry\u003c/a>. It has stories of people who have lost at least 30 pounds and have kept that weight off for at least a year. But the average registry member \u003ca title=\"http://nwcr.ws/Research/default.htm\" href=\"http://nwcr.ws/Research/default.htm\" target=\"_blank\">has lost 66 pounds\u003c/a> and kept it off more than five years.\u003c/p>\n\u003cp>The registry tracks more than 10,000 people. Here are key components of how they achieved their goals:\u003c/p>\n\u003cul>\n\u003cli>Low-fat, low-calorie diet\u003c/li>\n\u003cli>Exercise -- average of an hour per day\u003c/li>\n\u003cli>Breakfast every day\u003c/li>\n\u003cli>Weigh at least once a week\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\n\u003cp>It's worth reading some of the \u003ca title=\"http://nwcr.ws/stories.htm\" href=\"http://nwcr.ws/stories.htm\" target=\"_blank\">success stories\u003c/a> from registry members. The \u003ca title=\"http://health.nih.gov/search_results.aspx?terms=nutrition\" href=\"http://health.nih.gov/search_results.aspx?terms=nutrition\" target=\"_blank\">National Institutes of Health\u003c/a> and the \u003ca title=\"http://m.medlineplus.gov/nutrition.html\" href=\"http://m.medlineplus.gov/nutrition.html\" target=\"_blank\">National Library of Medicine\u003c/a> also have good information about healthy living, including strategies for children's nutrition.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Look Out for Nasty Flu Season, CDC Says",
"title": "Look Out for Nasty Flu Season, CDC Says",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_22820\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/RS99_flushot20130116-lpr-e1417725899273.jpg\">\u003cimg class=\"size-large wp-image-22820\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/RS99_flushot20130116-lpr-640x504.jpg\" alt=\"(Timothy A. Clary/AFP/Getty Images)\" width=\"640\" height=\"504\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Timothy A. Clary/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rob Stein, \u003ca title=\"http://www.npr.org/blogs/health/2014/12/04/368438117/h3n2-cdc-warns-that-the-flu-season-may-be-a-bad-one\" href=\"http://www.npr.org/blogs/health/2014/12/04/368438117/h3n2-cdc-warns-that-the-flu-season-may-be-a-bad-one\" target=\"_blank\">NPR\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>We may be in for a nasty flu season. That's the warning out today from the federal Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>The CDC is worried because the most common strain of flu virus circulating in the United States is one called H3N2. In previous years, H3N2 strains have tended to send more people to the hospital than other strains — and cause more deaths, especially among the elderly, children and people with other health problems.\u003c/p>\n\u003cp>Another concern is that more than half of the H3N2 viruses tested so far this year have \"drifted,\" meaning they have mutated slightly from the strain used to make this year's flu vaccine.\u003c!--more-->\u003c/p>\n\u003cp>\"In past season during which predominant circulating influenza viruses have been antigenically drifted, decreased vaccine effectiveness has been observed,\" the CDC wrote in an alert sent to doctors.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Translation? This year's flu vaccine may not work as well as it usually does.\u003c/p>\n\u003cp>The CDC emphasized, however, that the vaccine will still provide some protection, so it's important that as many people as possible get vaccinated.\u003c/p>\n\u003cp>The agency also urged people at risk of flu-related complications to seek treatment as soon as possible because antiviral drugs can help reduce the severity of the flu. The medicines work best when taken within the first 48 hours of getting sick.\u003c/p>\n\u003cp>So far, it looks like the drugs, Tamiflu and Relenza, will work well against the strains of flu virus circulating, the CDC says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Clinicians should encourage all persons with influenza-like illness who are at high risk for influenza complications to seek care promptly to determine if treatment with influenza antiviral medication is warranted,\" the alert says.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22820\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/RS99_flushot20130116-lpr-e1417725899273.jpg\">\u003cimg class=\"size-large wp-image-22820\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/RS99_flushot20130116-lpr-640x504.jpg\" alt=\"(Timothy A. Clary/AFP/Getty Images)\" width=\"640\" height=\"504\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Timothy A. Clary/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Rob Stein, \u003ca title=\"http://www.npr.org/blogs/health/2014/12/04/368438117/h3n2-cdc-warns-that-the-flu-season-may-be-a-bad-one\" href=\"http://www.npr.org/blogs/health/2014/12/04/368438117/h3n2-cdc-warns-that-the-flu-season-may-be-a-bad-one\" target=\"_blank\">NPR\u003c/a>\u003c/strong>\u003c/p>\n\u003cp>We may be in for a nasty flu season. That's the warning out today from the federal Centers for Disease Control and Prevention.\u003c/p>\n\u003cp>The CDC is worried because the most common strain of flu virus circulating in the United States is one called H3N2. In previous years, H3N2 strains have tended to send more people to the hospital than other strains — and cause more deaths, especially among the elderly, children and people with other health problems.\u003c/p>\n\u003cp>Another concern is that more than half of the H3N2 viruses tested so far this year have \"drifted,\" meaning they have mutated slightly from the strain used to make this year's flu vaccine.\u003c!--more-->\u003c/p>\n\u003cp>\"In past season during which predominant circulating influenza viruses have been antigenically drifted, decreased vaccine effectiveness has been observed,\" the CDC wrote in an alert sent to doctors.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Translation? This year's flu vaccine may not work as well as it usually does.\u003c/p>\n\u003cp>The CDC emphasized, however, that the vaccine will still provide some protection, so it's important that as many people as possible get vaccinated.\u003c/p>\n\u003cp>The agency also urged people at risk of flu-related complications to seek treatment as soon as possible because antiviral drugs can help reduce the severity of the flu. The medicines work best when taken within the first 48 hours of getting sick.\u003c/p>\n\u003cp>So far, it looks like the drugs, Tamiflu and Relenza, will work well against the strains of flu virus circulating, the CDC says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Clinicians should encourage all persons with influenza-like illness who are at high risk for influenza complications to seek care promptly to determine if treatment with influenza antiviral medication is warranted,\" the alert says.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "How Obesity Spills Over Into Our Sex Lives ",
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"content": "\u003cfigure id=\"attachment_22796\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000050853770_Large-e1417630663656.jpg\">\u003cimg class=\"size-large wp-image-22796\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000050853770_Large-640x555.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"555\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Irene Noguchi\u003c/strong>\u003c/p>\n\u003cp>Journalist Sarah Varney’s book might make you think twice the next time you step on a scale.\u003c/p>\n\u003cp>Over two-thirds of Americans are \u003ca title=\"http://jama.jamanetwork.com/article.aspx?articleid=1104933; http://www.cdc.gov/obesity/data/\" href=\"http://jama.jamanetwork.com/article.aspx?articleid=1104933;%20http://www.cdc.gov/obesity/data/\" target=\"_blank\">overweight or obese\u003c/a>, and that extra weight increases the risk of all kinds of physical health problems.\u003c/p>\n\u003cp>But Varney looked at an under-reported area -- how being significantly overweight contributes to sexual problems, both emotional and physical -- in her new book \"\u003ca title=\"http://www.amazon.com/XL-Love-Obesity-Complicating-Americas/dp/1609614836\" href=\"http://www.amazon.com/XL-Love-Obesity-Complicating-Americas/dp/1609614836\" target=\"_blank\">XL Love: How the Obesity Crisis is Complicating America's Love Life\u003c/a>.\"\u003c/p>\n\u003cp>For starters being overweight or obese leads to riskier sexual behavior for girls and women and erectile dysfunction for men, she described recently on \u003ca title=\"http://www.kqed.org/a/forum/R201411121000\" href=\"http://www.kqed.org/a/forum/R201411121000\" target=\"_blank\">KQED's Forum\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/176622145&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>The risks start young. Girls are entering puberty earlier, and that leads to \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/11/04/study-girls-entering-puberty-younger-obesity-appears-major-factor-kaiser-san-francisco/\" href=\"http://ww2.kqed.org/stateofhealth/2013/11/04/study-girls-entering-puberty-younger-obesity-appears-major-factor-kaiser-san-francisco/\" target=\"_blank\">lower self-esteem and higher risk of depression\u003c/a>. One in four African-American girls \u003ca title=\"http://pediatrics.aappublications.org/content/early/2013/10/30/peds.2012-3773.abstract\" href=\"http://pediatrics.aappublications.org/content/early/2013/10/30/peds.2012-3773.abstract\" target=\"_blank\">will start developing breasts \u003c/a>by the age of 7. The same happens for about 15 percent of Latinos and about 10 percent of whites, with lower percentages for Asian-Americans.\u003c/p>\n\u003cp>Overweight and obese girls are having sex earlier, and that worries parents and adolescent psychologists. Varney, who is a senior correspondent with Kaiser Health News, added that studies show girls who start puberty earlier were at higher risk for sexual touching and sexual abuse\u003c/p>\n\u003cp>When obese girls had sex, they took more risks. They were more likely to have sex before the age of 13, more likely to have three or more partners by the time they finished high school, and less likely to use condoms.\u003c/p>\n\u003cp>\u003cstrong>Erectile Dysfunction in Men\u003c/strong>\u003cbr>\nOverweight and obese men were reporting problems with their libido and erectile dysfunction. “Men tend to store fat in their bellies, which has an enzyme that converts testosterone into estrogen,” Varney says. So overweight men tend to have lower levels of testosterone, which affects their performance in bed. “It is not surprising to see a huge rise in Cialis and testosterone treatments, at the same time we’re seeing an increase in obesity in the U.S.,” Varney noted.\u003c/p>\n\u003cp>\u003cstrong>Emotional Effects\u003c/strong>\u003cbr>\nVarney says doctors often get squeamish talking about obesity and sex. “It’s one of their least favorite subjects,\" she said. But the fear goes both ways -- patients say they don’t feel they can confide in doctors about their problems. Varney said people told her they had a hard enough time talking to anyone in their family about their weight. They told her that they had to \"put on this front that I'm doing okay,\" Varney says.\u003c/p>\n\u003cp>One of her interviewees, Dana, a petite overweight woman, called herself “The Monster.” In Varney’s book, Dana talked about feeling invisible to the outside world.\u003c/p>\n\u003cp>“She talks about reaching for something on the top shelf [in a store], and nobody would help her. Nobody would open the door for her when she was walking in places,” says Varney.\u003c/p>\n\u003cp>“Not only are you dealing with how the world is treating you, but you’re also dealing with all the physical disabilities of being that heavy: the severe knee pain, the terrible sleep apnea,\" Varney said. Dana also worried she would lose her job and worried about how she would pay her mortgage and health insurance premiums.\u003c/p>\n\u003cp>“When you talk to people who are obese and get beyond the platitudes, there are a lot of serious concerns they have about mobility, ability to keep their jobs, provide for their families,\" Varney said. \"These are serious concerns, it’s not just [about] body image or self esteem.”\u003c/p>\n\u003cp>Dana eventually had bariatric weight loss surgery and a tummy tuck. But when she sat her new, slim self opposite her husband (“a loving man who has always been very supportive of her,” Varney says), Dana didn’t get the response she was hoping for.\u003c/p>\n\u003cp>“She’s looking at him and wondering, ‘When is he going to put the moves on me again?’ And he says, ‘It’s been so long that our relationship has been in the cooler, I just stopped thinking about you that way.’”\u003c/p>\n\u003cp>Varney says many of the people she met while researching this book surprised her. They talked about how obesity affected them on deep physical and emotional levels that went beyond basic stereotypes. And losing weight wasn’t necessarily the solution to their problems.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Carlos Romero was 28 and weighed over 400 pounds. Doctors diagnosed him with muscular dystrophy, which inspired him to lose more than half his weight. He changed his diet, started exercising, and successfully dating. But Varney says, “When he looks in the mirror, he still sees this 400-pound man and everything that’s wrong with him, as opposed to all the progress that he’s made.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22796\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000050853770_Large-e1417630663656.jpg\">\u003cimg class=\"size-large wp-image-22796\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/12/iStock_000050853770_Large-640x555.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"555\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Irene Noguchi\u003c/strong>\u003c/p>\n\u003cp>Journalist Sarah Varney’s book might make you think twice the next time you step on a scale.\u003c/p>\n\u003cp>Over two-thirds of Americans are \u003ca title=\"http://jama.jamanetwork.com/article.aspx?articleid=1104933; http://www.cdc.gov/obesity/data/\" href=\"http://jama.jamanetwork.com/article.aspx?articleid=1104933;%20http://www.cdc.gov/obesity/data/\" target=\"_blank\">overweight or obese\u003c/a>, and that extra weight increases the risk of all kinds of physical health problems.\u003c/p>\n\u003cp>But Varney looked at an under-reported area -- how being significantly overweight contributes to sexual problems, both emotional and physical -- in her new book \"\u003ca title=\"http://www.amazon.com/XL-Love-Obesity-Complicating-Americas/dp/1609614836\" href=\"http://www.amazon.com/XL-Love-Obesity-Complicating-Americas/dp/1609614836\" target=\"_blank\">XL Love: How the Obesity Crisis is Complicating America's Love Life\u003c/a>.\"\u003c/p>\n\u003cp>For starters being overweight or obese leads to riskier sexual behavior for girls and women and erectile dysfunction for men, she described recently on \u003ca title=\"http://www.kqed.org/a/forum/R201411121000\" href=\"http://www.kqed.org/a/forum/R201411121000\" target=\"_blank\">KQED's Forum\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/176622145&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\" width=\"100%\" height=\"166\" frameborder=\"no\" scrolling=\"no\">\u003c/iframe>\u003c/p>\n\u003cp>The risks start young. Girls are entering puberty earlier, and that leads to \u003ca title=\"http://ww2.kqed.org/stateofhealth/2013/11/04/study-girls-entering-puberty-younger-obesity-appears-major-factor-kaiser-san-francisco/\" href=\"http://ww2.kqed.org/stateofhealth/2013/11/04/study-girls-entering-puberty-younger-obesity-appears-major-factor-kaiser-san-francisco/\" target=\"_blank\">lower self-esteem and higher risk of depression\u003c/a>. One in four African-American girls \u003ca title=\"http://pediatrics.aappublications.org/content/early/2013/10/30/peds.2012-3773.abstract\" href=\"http://pediatrics.aappublications.org/content/early/2013/10/30/peds.2012-3773.abstract\" target=\"_blank\">will start developing breasts \u003c/a>by the age of 7. The same happens for about 15 percent of Latinos and about 10 percent of whites, with lower percentages for Asian-Americans.\u003c/p>\n\u003cp>Overweight and obese girls are having sex earlier, and that worries parents and adolescent psychologists. Varney, who is a senior correspondent with Kaiser Health News, added that studies show girls who start puberty earlier were at higher risk for sexual touching and sexual abuse\u003c/p>\n\u003cp>When obese girls had sex, they took more risks. They were more likely to have sex before the age of 13, more likely to have three or more partners by the time they finished high school, and less likely to use condoms.\u003c/p>\n\u003cp>\u003cstrong>Erectile Dysfunction in Men\u003c/strong>\u003cbr>\nOverweight and obese men were reporting problems with their libido and erectile dysfunction. “Men tend to store fat in their bellies, which has an enzyme that converts testosterone into estrogen,” Varney says. So overweight men tend to have lower levels of testosterone, which affects their performance in bed. “It is not surprising to see a huge rise in Cialis and testosterone treatments, at the same time we’re seeing an increase in obesity in the U.S.,” Varney noted.\u003c/p>\n\u003cp>\u003cstrong>Emotional Effects\u003c/strong>\u003cbr>\nVarney says doctors often get squeamish talking about obesity and sex. “It’s one of their least favorite subjects,\" she said. But the fear goes both ways -- patients say they don’t feel they can confide in doctors about their problems. Varney said people told her they had a hard enough time talking to anyone in their family about their weight. They told her that they had to \"put on this front that I'm doing okay,\" Varney says.\u003c/p>\n\u003cp>One of her interviewees, Dana, a petite overweight woman, called herself “The Monster.” In Varney’s book, Dana talked about feeling invisible to the outside world.\u003c/p>\n\u003cp>“She talks about reaching for something on the top shelf [in a store], and nobody would help her. Nobody would open the door for her when she was walking in places,” says Varney.\u003c/p>\n\u003cp>“Not only are you dealing with how the world is treating you, but you’re also dealing with all the physical disabilities of being that heavy: the severe knee pain, the terrible sleep apnea,\" Varney said. Dana also worried she would lose her job and worried about how she would pay her mortgage and health insurance premiums.\u003c/p>\n\u003cp>“When you talk to people who are obese and get beyond the platitudes, there are a lot of serious concerns they have about mobility, ability to keep their jobs, provide for their families,\" Varney said. \"These are serious concerns, it’s not just [about] body image or self esteem.”\u003c/p>\n\u003cp>Dana eventually had bariatric weight loss surgery and a tummy tuck. But when she sat her new, slim self opposite her husband (“a loving man who has always been very supportive of her,” Varney says), Dana didn’t get the response she was hoping for.\u003c/p>\n\u003cp>“She’s looking at him and wondering, ‘When is he going to put the moves on me again?’ And he says, ‘It’s been so long that our relationship has been in the cooler, I just stopped thinking about you that way.’”\u003c/p>\n\u003cp>Varney says many of the people she met while researching this book surprised her. They talked about how obesity affected them on deep physical and emotional levels that went beyond basic stereotypes. And losing weight wasn’t necessarily the solution to their problems.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Carlos Romero was 28 and weighed over 400 pounds. Doctors diagnosed him with muscular dystrophy, which inspired him to lose more than half his weight. He changed his diet, started exercising, and successfully dating. But Varney says, “When he looks in the mirror, he still sees this 400-pound man and everything that’s wrong with him, as opposed to all the progress that he’s made.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Scientists Show Dogs Really Do Understand What We Say",
"title": "Scientists Show Dogs Really Do Understand What We Say",
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"content": "\u003cfigure id=\"attachment_22743\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/emdot/3990985751/in/photolist-a1wddm-bKLVNF-nDpT57-75ER2a-6EuENc-oSw5Rz-bujwHn-4aga9b-8Nni4s-oaKjJC-bkPbyj-2fyFq6-gQQaBV-5bgGb9-3nDfhY-bpFVzk-axDXod-4VRgLc-5TEDDA-e7xmuV-iyipNq-8rw6vC-4ufLcp-bhrh6F-6sdRCL-foFyMz-o6HiNW-5Tj8r8-tE1bt-61Eebw-2fyEBV-6wXmQm-fiuENb-kVW3fD-CeHVt-8XpHEn-aSRU9K-5AnF6b-d6igid-kVWZAM-dUwxVB-8Hp57m-9Ng7HU-5qHCR-sazbx-8YrEMF-9YB1kw-dN7z3v-84qW2t-fT2QK\">\u003cimg class=\"size-large wp-image-22743\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/3990985751_86675d3d77_o-640x426.jpg\" alt=\"(emdot/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(emdot/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Michaeleen Doucleff,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2014/11/28/367092004/how-dogs-understand-what-we-say\" href=\"http://www.npr.org/blogs/health/2014/11/28/367092004/how-dogs-understand-what-we-say\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Scientists — and anyone who lives with a canine — know that dogs pay close attention to the emotion in our voices. They listen for whether our tone is friendly or mean, how the pitch goes up or down and even the rhythms in our speech.\u003c/p>\n\u003cp>But what about the meaning of the words we say?\u003c/p>\n\u003cp>Sure, a few studies have reported on super smart dogs that know \u003ca title=\"http://www.sciencemag.org/content/304/5677/1682.abstract\" href=\"http://www.sciencemag.org/content/304/5677/1682.abstract\" target=\"_blank\">hundreds\u003c/a> of words. And Chaser, a border collie in South Carolina, even learned 1,022 nouns and commands to go with them.\u003c/p>\n\u003cp>But otherwise, there's little evidence that dogs differentiate between speech with meaningful words from sounds that contain only inflections, says neurobiologist Attila Andics, at the MTA-ELTE Comparative Ethology Research Group in Budapest.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"We know quite a bit about how much dogs get about how we say things, Andics says, \"but we know quite little about how much dogs get about what we say to them.\"\u003c/p>\n\u003cp>That's about to change.\u003c/p>\n\u003cp>Psychologists \u003ca title=\"http://www.cell.com/current-biology/abstract/S0960-9822(14)01339-6\" href=\"http://www.cell.com/current-biology/abstract/S0960-9822(14)01339-6\" target=\"_blank\">reported\u003c/a> Wednesday in the journal Current Biology that dogs do pay attention to the meaning of words. And they process that information in a different part of the brain than where they process emotional cues in speech.\u003c/p>\n\u003cp>To figure all that out, graduate student Victoria Ratcliffe at the University of Sussex in England set up a clever experiment.\u003c/p>\n\u003cp>She brought 250 dogs into the lab. And then for each one, Ratcliffe put a speaker on either side of the dog's head.\u003c/p>\n\u003cp>Then she played the command \"to come\" out of both speakers, at the same time. At first, the command sounded normal. It had both meaningful words and emotional cues in it.\u003c/p>\n\u003cp>Then Ratcliffe started to manipulate the speech in the command. In some instances, she removed all the inflections in the speaker's voice. In other instances, she kept the inflections in the speaker's voice but removed the words (or replaced the words with gibberish).\u003c/p>\n\u003cp>For each command, Ratcliffe recorded which way the dogs turned their heads — toward the left speaker or toward the right speaker. Even though both speakers were playing the same sounds, a clear pattern emerged.\u003c/p>\n\u003cp>When the dogs heard commands that still had meaningful words in them, about 80 percent of the animals turned to the right. When they heard commands, with just emotional cues in them, most dogs turned to the left.\u003c/p>\n\u003cp>That result sounds simple. But Andics, who wasn't involved in the study, says the findings show something surprising: \"That dogs are able to differentiate between meaningful and meaningless sound sequences.\"\u003c/p>\n\u003cp>The study also suggests that a dog's brain breaks up speech into two parts: the emotional cues and the meaning of the words. Then it processes these two components on opposite sides of the brain: emotional cues on the right, meaning of words on the left. (Yes, it's opposite to the way the dogs turned.)\u003c/p>\n\u003cp>That's a bit similar to how we humans process speech. We also break up speech into several parts, such as the meaning of the words, clues about the speaker and emotional cues.\u003c/p>\n\u003cp>\"But with humans, it's trickier,\" Andics says. \"We believe the human brain processes various aspects of human speech in different stages and in many different parts of the brain.\"\u003c/p>\n\u003cp>Still though, Andics says the new study offers one way that people may be able to communicate better with their best friends: Pick the ear you use carefully.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Tell all the emotional things to the dog in his left ear,\" Andics says. \"For commands that you want a dog to get clearly and precisely, tell them in right ear.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_22743\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"https://www.flickr.com/photos/emdot/3990985751/in/photolist-a1wddm-bKLVNF-nDpT57-75ER2a-6EuENc-oSw5Rz-bujwHn-4aga9b-8Nni4s-oaKjJC-bkPbyj-2fyFq6-gQQaBV-5bgGb9-3nDfhY-bpFVzk-axDXod-4VRgLc-5TEDDA-e7xmuV-iyipNq-8rw6vC-4ufLcp-bhrh6F-6sdRCL-foFyMz-o6HiNW-5Tj8r8-tE1bt-61Eebw-2fyEBV-6wXmQm-fiuENb-kVW3fD-CeHVt-8XpHEn-aSRU9K-5AnF6b-d6igid-kVWZAM-dUwxVB-8Hp57m-9Ng7HU-5qHCR-sazbx-8YrEMF-9YB1kw-dN7z3v-84qW2t-fT2QK\">\u003cimg class=\"size-large wp-image-22743\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/11/3990985751_86675d3d77_o-640x426.jpg\" alt=\"(emdot/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(emdot/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Michaeleen Doucleff,\u003c/strong> \u003ca title=\"http://www.npr.org/blogs/health/2014/11/28/367092004/how-dogs-understand-what-we-say\" href=\"http://www.npr.org/blogs/health/2014/11/28/367092004/how-dogs-understand-what-we-say\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Scientists — and anyone who lives with a canine — know that dogs pay close attention to the emotion in our voices. They listen for whether our tone is friendly or mean, how the pitch goes up or down and even the rhythms in our speech.\u003c/p>\n\u003cp>But what about the meaning of the words we say?\u003c/p>\n\u003cp>Sure, a few studies have reported on super smart dogs that know \u003ca title=\"http://www.sciencemag.org/content/304/5677/1682.abstract\" href=\"http://www.sciencemag.org/content/304/5677/1682.abstract\" target=\"_blank\">hundreds\u003c/a> of words. And Chaser, a border collie in South Carolina, even learned 1,022 nouns and commands to go with them.\u003c/p>\n\u003cp>But otherwise, there's little evidence that dogs differentiate between speech with meaningful words from sounds that contain only inflections, says neurobiologist Attila Andics, at the MTA-ELTE Comparative Ethology Research Group in Budapest.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"We know quite a bit about how much dogs get about how we say things, Andics says, \"but we know quite little about how much dogs get about what we say to them.\"\u003c/p>\n\u003cp>That's about to change.\u003c/p>\n\u003cp>Psychologists \u003ca title=\"http://www.cell.com/current-biology/abstract/S0960-9822(14)01339-6\" href=\"http://www.cell.com/current-biology/abstract/S0960-9822(14)01339-6\" target=\"_blank\">reported\u003c/a> Wednesday in the journal Current Biology that dogs do pay attention to the meaning of words. And they process that information in a different part of the brain than where they process emotional cues in speech.\u003c/p>\n\u003cp>To figure all that out, graduate student Victoria Ratcliffe at the University of Sussex in England set up a clever experiment.\u003c/p>\n\u003cp>She brought 250 dogs into the lab. And then for each one, Ratcliffe put a speaker on either side of the dog's head.\u003c/p>\n\u003cp>Then she played the command \"to come\" out of both speakers, at the same time. At first, the command sounded normal. It had both meaningful words and emotional cues in it.\u003c/p>\n\u003cp>Then Ratcliffe started to manipulate the speech in the command. In some instances, she removed all the inflections in the speaker's voice. In other instances, she kept the inflections in the speaker's voice but removed the words (or replaced the words with gibberish).\u003c/p>\n\u003cp>For each command, Ratcliffe recorded which way the dogs turned their heads — toward the left speaker or toward the right speaker. Even though both speakers were playing the same sounds, a clear pattern emerged.\u003c/p>\n\u003cp>When the dogs heard commands that still had meaningful words in them, about 80 percent of the animals turned to the right. When they heard commands, with just emotional cues in them, most dogs turned to the left.\u003c/p>\n\u003cp>That result sounds simple. But Andics, who wasn't involved in the study, says the findings show something surprising: \"That dogs are able to differentiate between meaningful and meaningless sound sequences.\"\u003c/p>\n\u003cp>The study also suggests that a dog's brain breaks up speech into two parts: the emotional cues and the meaning of the words. Then it processes these two components on opposite sides of the brain: emotional cues on the right, meaning of words on the left. (Yes, it's opposite to the way the dogs turned.)\u003c/p>\n\u003cp>That's a bit similar to how we humans process speech. We also break up speech into several parts, such as the meaning of the words, clues about the speaker and emotional cues.\u003c/p>\n\u003cp>\"But with humans, it's trickier,\" Andics says. \"We believe the human brain processes various aspects of human speech in different stages and in many different parts of the brain.\"\u003c/p>\n\u003cp>Still though, Andics says the new study offers one way that people may be able to communicate better with their best friends: Pick the ear you use carefully.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"Tell all the emotional things to the dog in his left ear,\" Andics says. \"For commands that you want a dog to get clearly and precisely, tell them in right ear.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"mindshift": {
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"order": 12
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"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"info": "Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. For one hour a week, the show tries to lift the veil from the process of \"making media,\" especially news media, because it's through that lens that we see the world and the world sees us",
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"perspectives": {
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"planet-money": {
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"info": "The economy explained. Imagine you could call up a friend and say, Meet me at the bar and tell me what's going on with the economy. Now imagine that's actually a fun evening.",
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"politicalbreakdown": {
"id": "politicalbreakdown",
"title": "Political Breakdown",
"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
"airtime": "THU 6:30pm-7pm",
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"possible": {
"id": "possible",
"title": "Possible",
"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
"airtime": "SUN 2pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.possible.fm/",
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"source": "Possible"
},
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},
"pri-the-world": {
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"title": "PRI's The World: Latest Edition",
"info": "Each weekday, host Marco Werman and his team of producers bring you the world's most interesting stories in an hour of radio that reminds us just how small our planet really is.",
"airtime": "MON-FRI 2pm-3pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/The-World-Podcast-Tile-360x360-1.jpg",
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},
"radiolab": {
"id": "radiolab",
"title": "Radiolab",
"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
"airtime": "SUN 12am-1am, SAT 2pm-3pm",
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},
"reveal": {
"id": "reveal",
"title": "Reveal",
"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
"airtime": "SAT 4pm-5pm",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/reveal300px.png",
"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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"source": "npr"
},
"link": "/radio/program/reveal",
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"rss": "http://feeds.revealradio.org/revealpodcast"
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"source": "kqed",
"order": 16
},
"link": "/podcasts/rightnowish",
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