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"disqusTitle": "Yes, Birth Control Can Raise Risk of Blood Clots; So Does Pregnancy",
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"content": "\u003cfigure id=\"attachment_17588\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/NuvaRing_Getty-e1392058150988.jpg\">\u003cimg class=\"size-large wp-image-17588\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/NuvaRing_Getty-640x301.jpg\" alt=\"The NuvaRing birth control product is a flexible ring which releases hormones. A woman replaces it herself once a month. (Sandy Huffaker/Getty Images)\" width=\"640\" height=\"301\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The NuvaRing birth control product is a flexible ring which releases hormones. A woman replaces it herself once a month. (Sandy Huffaker/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Merck, the drug company that makes the NuvaRing birth control product, announced last week it \u003ca href=\"http://healthland.time.com/2014/02/07/nuvaring-settlement-100-million-dollars/\" target=\"_blank\">will pay $100 million\u003c/a> to settle thousands of claims from women who believe they were harmed by using the product.\u003c/p>\n\u003cp>As\u003ca href=\"http://www.npr.org/blogs/health/2014/02/09/273145327/nuvaring-contraceptive-settlement-leaves-women-weighing-risks\" target=\"_blank\"> NPR\u003c/a> reported Monday, NuvaRing is the most recent hormone-based kind of birth control to \"become the focus of scrutiny.\" All hormone-based contraceptives, including the pill, put a woman at increased risk of blood clots, stroke and heart attack. Women need to weigh the risks of pregnancy with the risks of hormonal contraception, experts advise. But the key thing to remember is that the risks remain rare.\u003c/p>\n\u003cp>Dr. Michael Policar is an associate professor of obstetrics and gynecology at U.C. San Francisco. \"If you take a rare event, make it a little more common, it is still a rare event,\" he told NPR -- but still believes that studies are needed that compare NuvaRing head-to-head with other forms of contraception.\u003c!--more-->\u003c/p>\n\u003cp>NPR does a great service explaining absolute vs. relative risk. From \u003ca href=\"http://www.npr.org/blogs/health/2014/02/09/273145327/nuvaring-contraceptive-settlement-leaves-women-weighing-risks\" target=\"_blank\">their analysis\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The nonprofit sex education website Besider.org lays out \u003ca href=\"http://bedsider.org/features/168\" target=\"_blank\">absolute risks of blood clots\u003c/a>: For young women who are \u003cem>not\u003c/em> pregnant and \u003cem>not\u003c/em> using a birth control method with estrogen, the risk of forming a blood clot is about 1 in 5,000 per year; when using birth control methods with estrogen, that risk may be as high as 1 in 1,000 per year.\u003c/p>\n\u003cp>Women need to compare that to the risk of pregnancy, too, says Bill Albert, chief program officer for the National Campaign to Prevent Teen and Unplanned Pregnancy, which runs Bedsider. The risk of forming a blood clot while pregnant shoots up to about \u003ca href=\"http://bedsider.org/features/168\">1 in 340\u003c/a>, Albert says.\u003c/p>\n\u003cp>Given the various complications of an unplanned pregnancy, Albert says, \"skipping birth control altogether for fear of blood clots isn't the way to protect oneself.\"\u003c/p>\u003c/blockquote>\n\u003cp>Some advocates have been pushing for more disclosure of NuvaRing's risks -- but believe the product does not have to be pulled from the market. \"Even when there's scientific uncertainty … that information can be presented in a way that women can deal with,\" Amy Allina, with the \u003ca href=\"http://nwhn.org/pill-hearings-1970-0\" target=\"_blank\">National Women's Health Network\u003c/a>, told NPR. She continued:\u003c/p>\n\u003cblockquote>\u003cp>Merck's proposed settlement is \"generally a good development if it means that women are able to get the resources they need,\" Allina says. But clearer explanations of risk are needed for women who may be looking at NuvaRing in the future.\u003c/p>\n\u003cp>A spokeswoman for Merck says the company \"does conduct routine and ongoing monitoring\" of the product and that \"we also update the labeling for our products on a regular basis and where appropriate to reflect reported adverse events, regardless of whether causality has been established.\"\u003c/p>\n\u003cp>Women have lots of choices when it comes to birth control, Policar says. A range of methods — some without any hormones — are available. Second, blood clots \"happen almost entirely in women who are predisposed\" because of their weight, age, family and personal history, or smoking habit.\u003c/p>\n\u003cp>Finally, if a woman is happy with the method she has and is using it effectively — and is in the low-risk category — she should know the risk of blood clots with the NuvaRing is still less than with pregnancy.\u003c/p>\n\u003cp>Then, Policar says, he would \"leave the choice up to her.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003cspan>[contextly_auto_sidebar id=\"CdiAKIyQ0fITXe5b3wjOCvkdq8GTzKT8\"]\u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "Dr. Michael Policar is an associate professor of obstetrics and gynecology at U.C. San Francisco. \"If you take a rare event, make it a little more common, it is still a rare event,\" he told NPR -- but still believes that studies are needed that compare NuvaRing head-to-head with other forms of contraception.",
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"description": "Dr. Michael Policar is an associate professor of obstetrics and gynecology at U.C. San Francisco. "If you take a rare event, make it a little more common, it is still a rare event," he told NPR -- but still believes that studies are needed that compare NuvaRing head-to-head with other forms of contraception.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17588\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/NuvaRing_Getty-e1392058150988.jpg\">\u003cimg class=\"size-large wp-image-17588\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/NuvaRing_Getty-640x301.jpg\" alt=\"The NuvaRing birth control product is a flexible ring which releases hormones. A woman replaces it herself once a month. (Sandy Huffaker/Getty Images)\" width=\"640\" height=\"301\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The NuvaRing birth control product is a flexible ring which releases hormones. A woman replaces it herself once a month. (Sandy Huffaker/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Merck, the drug company that makes the NuvaRing birth control product, announced last week it \u003ca href=\"http://healthland.time.com/2014/02/07/nuvaring-settlement-100-million-dollars/\" target=\"_blank\">will pay $100 million\u003c/a> to settle thousands of claims from women who believe they were harmed by using the product.\u003c/p>\n\u003cp>As\u003ca href=\"http://www.npr.org/blogs/health/2014/02/09/273145327/nuvaring-contraceptive-settlement-leaves-women-weighing-risks\" target=\"_blank\"> NPR\u003c/a> reported Monday, NuvaRing is the most recent hormone-based kind of birth control to \"become the focus of scrutiny.\" All hormone-based contraceptives, including the pill, put a woman at increased risk of blood clots, stroke and heart attack. Women need to weigh the risks of pregnancy with the risks of hormonal contraception, experts advise. But the key thing to remember is that the risks remain rare.\u003c/p>\n\u003cp>Dr. Michael Policar is an associate professor of obstetrics and gynecology at U.C. San Francisco. \"If you take a rare event, make it a little more common, it is still a rare event,\" he told NPR -- but still believes that studies are needed that compare NuvaRing head-to-head with other forms of contraception.\u003c!--more-->\u003c/p>\n\u003cp>NPR does a great service explaining absolute vs. relative risk. From \u003ca href=\"http://www.npr.org/blogs/health/2014/02/09/273145327/nuvaring-contraceptive-settlement-leaves-women-weighing-risks\" target=\"_blank\">their analysis\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>The nonprofit sex education website Besider.org lays out \u003ca href=\"http://bedsider.org/features/168\" target=\"_blank\">absolute risks of blood clots\u003c/a>: For young women who are \u003cem>not\u003c/em> pregnant and \u003cem>not\u003c/em> using a birth control method with estrogen, the risk of forming a blood clot is about 1 in 5,000 per year; when using birth control methods with estrogen, that risk may be as high as 1 in 1,000 per year.\u003c/p>\n\u003cp>Women need to compare that to the risk of pregnancy, too, says Bill Albert, chief program officer for the National Campaign to Prevent Teen and Unplanned Pregnancy, which runs Bedsider. The risk of forming a blood clot while pregnant shoots up to about \u003ca href=\"http://bedsider.org/features/168\">1 in 340\u003c/a>, Albert says.\u003c/p>\n\u003cp>Given the various complications of an unplanned pregnancy, Albert says, \"skipping birth control altogether for fear of blood clots isn't the way to protect oneself.\"\u003c/p>\u003c/blockquote>\n\u003cp>Some advocates have been pushing for more disclosure of NuvaRing's risks -- but believe the product does not have to be pulled from the market. \"Even when there's scientific uncertainty … that information can be presented in a way that women can deal with,\" Amy Allina, with the \u003ca href=\"http://nwhn.org/pill-hearings-1970-0\" target=\"_blank\">National Women's Health Network\u003c/a>, told NPR. She continued:\u003c/p>\n\u003cblockquote>\u003cp>Merck's proposed settlement is \"generally a good development if it means that women are able to get the resources they need,\" Allina says. But clearer explanations of risk are needed for women who may be looking at NuvaRing in the future.\u003c/p>\n\u003cp>A spokeswoman for Merck says the company \"does conduct routine and ongoing monitoring\" of the product and that \"we also update the labeling for our products on a regular basis and where appropriate to reflect reported adverse events, regardless of whether causality has been established.\"\u003c/p>\n\u003cp>Women have lots of choices when it comes to birth control, Policar says. A range of methods — some without any hormones — are available. Second, blood clots \"happen almost entirely in women who are predisposed\" because of their weight, age, family and personal history, or smoking habit.\u003c/p>\n\u003cp>Finally, if a woman is happy with the method she has and is using it effectively — and is in the low-risk category — she should know the risk of blood clots with the NuvaRing is still less than with pregnancy.\u003c/p>\n\u003cp>Then, Policar says, he would \"leave the choice up to her.\"\u003c/p>\u003c/blockquote>\n\u003cp>\u003cspan>[contextly_auto_sidebar id=\"CdiAKIyQ0fITXe5b3wjOCvkdq8GTzKT8\"]\u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "5 Things You Should Know About This Year's Flu",
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"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17571\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8589_031-e1391802798747.jpg\">\u003cimg class=\"size-large wp-image-17571\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8589_031-640x425.jpg\" alt=\"(Kathryn Hunts/KQED)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kathryn Hunts/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>\u003cstrong>Update February 21, 2014:\u003c/strong> The California Department of Public Health says 278 people have died of flu so far this year, and an additional 29 deaths are under investigation. While cases have been declining for a few weeks, state health officials still recommend people get vaccinated, if they haven't already.\u003c/em>\u003c/p>\n\u003cp>State health officials have released the latest numbers on flu deaths -- 202 people have died so far this year and that's up from 147 last week. That's the bad news, but for the first time since early January, health officials are also saying that cases appear to be declining. At least for now. Flu season generally runs three months and is \"notoriously unpredictable,\" said Dr. James Watt, with the California Department of Public Heatlh and recommended that everyone got vaccinated.\u003c/p>\n\u003cp>Here at State of Health, we've noticed that a lot of the same questions come up again and again. With that in mind, we've compiled some answers.\u003c/p>\n\u003cp>\u003cstrong>1. Is the flu shot really the best way I can avoid getting the flu? \u003c/strong>In a word, yes. The Centers for Disease Control (CDC) \u003ca href=\"http://www.cdc.gov/flu/protect/keyfacts.htm\" target=\"_blank\">says\u003c/a> \"the single best way to protect against the flu is to get vaccinated each year.\" And you need to get it annually. While everyone over age 6 months should have it, CDC says, it's especially important for people in high risk groups including:\u003c/p>\n\u003cul>\n\u003cli>People with certain underlying medical conditions including asthma, diabetes, chronic lung disease and obesity\u003c/li>\n\u003cli>Children under age 5 and adults over age 65\u003c/li>\n\u003cli>Pregnant women -- yes, pregnant women, the vaccine is safe and effective for you, CDC says.\u003c!--more-->\u003c/li>\n\u003c/ul>\n\u003cp>Getting the flu shot is not a guarantee that you will not get the flu. \u003ca href=\"http://www.cdc.gov/flu/about/qa/vaccineeffect.htm\" target=\"_blank\">No vaccine is perfect\u003c/a>, but even if you get sick, you are likely to have a more mild course of illness if you have had the vaccine. If you haven't gotten vaccinated yet, you can find a flu shot location near you by \u003ca href=\"http://flushot.healthmap.org\" target=\"_blank\">entering your zip code on this map\u003c/a> run by the federal government.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>(As an aside, I became a fan of the flu shot after I got the flu many years ago. It came on suddenly one afternoon -- but I had Bruce Springsteen tickets that night and was determined to go. I felt worse and worse all afternoon. When I got to the Coliseum, I believe I heard the first couple songs and then fell asleep. I proceeded to sleep and fight fever for the next two days, then spent another several days recovering. It was awful.)\u003c/p>\n\u003cp>\u003cstrong>2. Why is the H1N1 strain such a big deal? \u003c/strong>The H1N1 strain surfaced in April, 2009. The first reported cases were in Mexico, and the strain went on to cause a \"pandemic\" (i.e., a global epidemic). Scientists raced to create a vaccine, but it took months. In California alone, over a roughly 16 month period, more than 600 people died. What was unusual about this strain is that the death rate in adults under 65 was higher than adults over 65. Usually influenza hits the elderly harder. Epidemiologists theorize that a similar strain may have been circulating decades ago, so older adults have some immunity to H1N1. But those under 65, not so much.\u003c/p>\n\u003cp>\u003cstrong>3. Why does California only track flu deaths in people under 65? \u003c/strong>Taking a step back, state officials say they believe California is the only state that tracks all flu deaths in adults. The CDC samples the country and then estimates deaths for people of all ages, but does not require reporting of all flu deaths from any state. California only started tracking flu deaths on a case-by-case basis in the 2011-2012 flu season. The legislature had passed a mandatory reporting requirement in the wake of the H1N1 pandemic noted above. The state says the goal of reporting is to track the severity of the flu season. Because flu is so common in the elderly, the state says, tracking deaths in that group would not be as good an indicator of severity. And besides, it's not required by law.\u003c/p>\n\u003cp>\u003cstrong>4. Can the flu shot give me the flu? \u003c/strong>In a word, no. The vaccine is created from killed viruses. While the shot cannot give you the flu, it can have minor side effects including soreness or swelling at the site of the injection, low fever or aches. Many children like the nasal spray vaccine. Here the viruses are weakened and cannot cause severe flu symptoms. But it still can cause minor side effects including runny nose, wheezing, aches and fever. CDC says that if these side effects happen, they usually start soon after vaccination and don't last long.\u003c/p>\n\u003cp>\u003cstrong>5. If the flu season is peaking, then I don't need to worry about the flu until next year, right? \u003c/strong>Um, no. This question comes up frequently in the weekly media call about flu with state health officials. They're pretty clear that flu is unpredictable, that you can only know the season has ended after it has ended, and that even if we're past a peak now, there could be another round -- something they referred to as the \"double bump.\" Health officials continue to encourage everyone over age 6 months to get vaccinated. While it can take two weeks for antibodies to kick in after you get the vaccine, you will be protected after that.\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>KQED Newsroom's Thuy Vu discussed this year's flu season with Dr. Erica Pan, Alameda County of Public Health, and me Friday night on the program.\u003c/p>\n\u003cdiv class=\"single-video\">[youtube http://www.youtube.com/watch?v=ZU0TXuNb9Ys&start=53&end=670&autoplay=0&w=640&h=360]\u003c/div>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"H6LrfRby61J9O4WQO6Vd4VPLltEkkXeX\"]\u003c/p>\n\n",
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"excerpt": "State health officials have released the latest numbers on flu deaths -- 202 people have died so far this year and that's up from 147 last week. That's the bad news, but for the first time since early January, health officials are also saying that cases appear to be declining. At least for now. Flu season generally runs three months and is \"notoriously unpredictable,\" said Dr. James Watt, with the California Department of Public Heatlh and recommended that everyone got vaccinated.\r\n\r\nHere at State of Health, we've noticed that a lot of the same questions come up again and again. With that in mind, we've compiled some answers.\r\n1. Is the flu shot really the best way I can avoid getting the flu?",
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"description": "State health officials have released the latest numbers on flu deaths -- 202 people have died so far this year and that's up from 147 last week. That's the bad news, but for the first time since early January, health officials are also saying that cases appear to be declining. At least for now. Flu season generally runs three months and is "notoriously unpredictable," said Dr. James Watt, with the California Department of Public Heatlh and recommended that everyone got vaccinated.\r\n\r\nHere at State of Health, we've noticed that a lot of the same questions come up again and again. With that in mind, we've compiled some answers.\r\n1. Is the flu shot really the best way I can avoid getting the flu?",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17571\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8589_031-e1391802798747.jpg\">\u003cimg class=\"size-large wp-image-17571\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/RS8589_031-640x425.jpg\" alt=\"(Kathryn Hunts/KQED)\" width=\"640\" height=\"425\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kathryn Hunts/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>\u003cstrong>Update February 21, 2014:\u003c/strong> The California Department of Public Health says 278 people have died of flu so far this year, and an additional 29 deaths are under investigation. While cases have been declining for a few weeks, state health officials still recommend people get vaccinated, if they haven't already.\u003c/em>\u003c/p>\n\u003cp>State health officials have released the latest numbers on flu deaths -- 202 people have died so far this year and that's up from 147 last week. That's the bad news, but for the first time since early January, health officials are also saying that cases appear to be declining. At least for now. Flu season generally runs three months and is \"notoriously unpredictable,\" said Dr. James Watt, with the California Department of Public Heatlh and recommended that everyone got vaccinated.\u003c/p>\n\u003cp>Here at State of Health, we've noticed that a lot of the same questions come up again and again. With that in mind, we've compiled some answers.\u003c/p>\n\u003cp>\u003cstrong>1. Is the flu shot really the best way I can avoid getting the flu? \u003c/strong>In a word, yes. The Centers for Disease Control (CDC) \u003ca href=\"http://www.cdc.gov/flu/protect/keyfacts.htm\" target=\"_blank\">says\u003c/a> \"the single best way to protect against the flu is to get vaccinated each year.\" And you need to get it annually. While everyone over age 6 months should have it, CDC says, it's especially important for people in high risk groups including:\u003c/p>\n\u003cul>\n\u003cli>People with certain underlying medical conditions including asthma, diabetes, chronic lung disease and obesity\u003c/li>\n\u003cli>Children under age 5 and adults over age 65\u003c/li>\n\u003cli>Pregnant women -- yes, pregnant women, the vaccine is safe and effective for you, CDC says.\u003c!--more-->\u003c/li>\n\u003c/ul>\n\u003cp>Getting the flu shot is not a guarantee that you will not get the flu. \u003ca href=\"http://www.cdc.gov/flu/about/qa/vaccineeffect.htm\" target=\"_blank\">No vaccine is perfect\u003c/a>, but even if you get sick, you are likely to have a more mild course of illness if you have had the vaccine. If you haven't gotten vaccinated yet, you can find a flu shot location near you by \u003ca href=\"http://flushot.healthmap.org\" target=\"_blank\">entering your zip code on this map\u003c/a> run by the federal government.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>(As an aside, I became a fan of the flu shot after I got the flu many years ago. It came on suddenly one afternoon -- but I had Bruce Springsteen tickets that night and was determined to go. I felt worse and worse all afternoon. When I got to the Coliseum, I believe I heard the first couple songs and then fell asleep. I proceeded to sleep and fight fever for the next two days, then spent another several days recovering. It was awful.)\u003c/p>\n\u003cp>\u003cstrong>2. Why is the H1N1 strain such a big deal? \u003c/strong>The H1N1 strain surfaced in April, 2009. The first reported cases were in Mexico, and the strain went on to cause a \"pandemic\" (i.e., a global epidemic). Scientists raced to create a vaccine, but it took months. In California alone, over a roughly 16 month period, more than 600 people died. What was unusual about this strain is that the death rate in adults under 65 was higher than adults over 65. Usually influenza hits the elderly harder. Epidemiologists theorize that a similar strain may have been circulating decades ago, so older adults have some immunity to H1N1. But those under 65, not so much.\u003c/p>\n\u003cp>\u003cstrong>3. Why does California only track flu deaths in people under 65? \u003c/strong>Taking a step back, state officials say they believe California is the only state that tracks all flu deaths in adults. The CDC samples the country and then estimates deaths for people of all ages, but does not require reporting of all flu deaths from any state. California only started tracking flu deaths on a case-by-case basis in the 2011-2012 flu season. The legislature had passed a mandatory reporting requirement in the wake of the H1N1 pandemic noted above. The state says the goal of reporting is to track the severity of the flu season. Because flu is so common in the elderly, the state says, tracking deaths in that group would not be as good an indicator of severity. And besides, it's not required by law.\u003c/p>\n\u003cp>\u003cstrong>4. Can the flu shot give me the flu? \u003c/strong>In a word, no. The vaccine is created from killed viruses. While the shot cannot give you the flu, it can have minor side effects including soreness or swelling at the site of the injection, low fever or aches. Many children like the nasal spray vaccine. Here the viruses are weakened and cannot cause severe flu symptoms. But it still can cause minor side effects including runny nose, wheezing, aches and fever. CDC says that if these side effects happen, they usually start soon after vaccination and don't last long.\u003c/p>\n\u003cp>\u003cstrong>5. If the flu season is peaking, then I don't need to worry about the flu until next year, right? \u003c/strong>Um, no. This question comes up frequently in the weekly media call about flu with state health officials. They're pretty clear that flu is unpredictable, that you can only know the season has ended after it has ended, and that even if we're past a peak now, there could be another round -- something they referred to as the \"double bump.\" Health officials continue to encourage everyone over age 6 months to get vaccinated. While it can take two weeks for antibodies to kick in after you get the vaccine, you will be protected after that.\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>KQED Newsroom's Thuy Vu discussed this year's flu season with Dr. Erica Pan, Alameda County of Public Health, and me Friday night on the program.\u003c/p>\n\u003cdiv class=\"single-video\">\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/ZU0TXuNb9Ys'\n title='//www.youtube.com/embed/ZU0TXuNb9Ys'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/div>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"H6LrfRby61J9O4WQO6Vd4VPLltEkkXeX\"]\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Sugar Is A Risk for Heart Disease, Too",
"title": "Sugar Is A Risk for Heart Disease, Too",
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"content": "\u003cfigure id=\"attachment_17471\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/kansirnet/6338684407/sizes/o/\">\u003cimg class=\"size-large wp-image-17471\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Screen-Shot-2014-02-04-at-2.13.52-PM-640x480.png\" alt=\"A 12-ounce can of Coke has 9 teaspoons of sugar. (Kansir/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A 12-ounce can of Coke has 9 teaspoons of sugar. (Kansir/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Allison Aubrey\u003c/strong>, \u003ca href=\"http://www.npr.org/blogs/thesalt/2014/02/03/271130613/sweet-tooth-gone-bad-why-22-teaspoons-of-sugar-per-day-is-deadly\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>We've written lots lately about the potentially \u003ca href=\"http://www.npr.org/blogs/thesalt/2014/01/08/260781785/is-sugar-addiction-why-so-many-january-diets-fail\" target=\"_blank\">addictive qualities of sugar\u003c/a> and the public policy efforts to \u003ca href=\"http://www.npr.org/blogs/thesalt/2012/02/06/146481752/taxes-and-food-stamp-restrictions-proposed-to-tame-americas-sweet-tooth\" target=\"_blank\">limit consumption\u003c/a>.\u003c/p>\n\u003cp>Now comes a new\u003ca href=\"http://archinte.jamanetwork.com/article.aspx?articleid=1819573\" target=\"_blank\"> study\u003c/a>, published in \u003cem>JAMA Internal Medicine\u003c/em>, which finds that Americans who consumed the most sugar — about a quarter of their daily calories — were twice as likely to die from heart disease as those who limited their sugar intake to 7 percent of their total calories.\u003c/p>\n\u003cp>To translate that into a 2,000-calorie a day diet, the big sugar eaters were consuming 500 calories a day from sugar — that's 31 teaspoons. Those who tamed their sweet tooth, by contrast, were taking in about 160 calories a day from sugar — or about 10 teaspoons per day.\u003c/p>\n\u003cp>Unfortunately, most Americans have a sugar habit that is pushing toward the danger zone.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"The average American is consuming 22 teaspoons a day. That's about three times what's recommended,\" says Laura Schmidt of the U.C. San Francisco School of Medicine.\u003c/p>\n\u003cp>Now, we should point out, we're not talking fruit here. Researchers did not include the sugar naturally occurring in fruit or milk. Instead, the study focused specifically on the risks of \u003cem>added \u003c/em>sugar — the refined sugars and corn syrups added to foods such as baked goods and sugary sodas.\u003c/p>\n\u003cp>So, how much \u003cem>added\u003c/em> sugar is OK?\u003c/p>\n\u003cp>For starters, the American Heart Association \u003ca href=\"http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyDietGoals/Sugars-and-Carbohydrates_UCM_303296_Article.jsp\" target=\"_blank\">advises\u003c/a> that women consume no more than 6 teaspoons of sugar daily. This is about 100 calories. And men, no more than 9 teaspoons, or about 150 calories from sugar.\u003c/p>\n\u003cp>The World Health Organization says people should get no more than 10 percent of their daily calories from sugar.\u003c/p>\n\u003cp>And the last time the federal government weighed in on sugar was in the \u003ca href=\"http://www.npr.org/blogs/thesalt/2014/02/04/271130613/2010%20version%20of%20the%20Dietary%20Guidelines\" target=\"_blank\">2010 Dietary Guidelines\u003c/a>, which make only a broad recommendation to reduce consumption of added sugar.\u003c/p>\n\u003cp>So how best to reduce sugar?\u003c/p>\n\u003cp>Some steps are fairly obvious. For example, eliminating one 12-ounce can of sugar-sweetened soda can cut about 9 teaspoons of sugar.\u003c/p>\n\u003cp>But other common sources of added sugar can take you by surprise. For example, this morning I ate a small, 4-ounce cup of low-fat organic peach yogurt. I chalked it up as a very healthy breakfast, but when I looked at the nutrition label, it had 17 grams of sugar.\u003c/p>\n\u003cp>\"You just shot most of your wad\" for the day, Schmidt points out.\u003c/p>\n\u003cp>So, yeah, swap those sweetened yogurts for plain yogurt. A typical 6-ounce serving of vanilla yogurt has about 6 teaspoons of sugar — which is about as much as a regular size \u003ca href=\"https://www.snickers.com/Nutritional-Info\" target=\"_blank\">Snickers\u003c/a> bar.\u003c/p>\n\u003cp>Bottom line: Read the labels. Most nutrition labels list sugar in grams. Four grams of sugar is equivalent to about one teaspoon.\u003c/p>\n\u003cp>And, don't get forgot to count sugar if you're eating out. There can be lots of sugar added to breakfast foods.\u003c/p>\n\u003cp>For instance, stopping at Starbucks to pick up a blueberry muffin with your latte? That muffin, according to the Starbucks website, contains 29 grams of sugar, or roughly 7 teaspoons.\u003c/p>\n\u003cp>And an \u003ca href=\"http://www.dunkindonuts.com/content/dunkindonuts/en/menu/food/bakery/donuts/donuts.html?DRP_FLAVOR=Apple%20Crumb%20Donut\" target=\"_blank\">Apple Crumb Donut\u003c/a> at Dunkin Donuts will set you back 49 grams of sugar — that's more than a day's worth of added sugar.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>There's a lot of variability in baked goods. For instance, another option at Dunkin Donuts, the \u003ca href=\"http://www.dunkindonuts.com/content/dunkindonuts/en/menu/food/bakery/donuts/donuts.html?DRP_FLAVOR=Cocoa%20Glazed%20Donut\" target=\"_blank\">Cocoa Glazed Donut\u003c/a>, has much less sugar, 13 grams.\u003c/p>\n\n",
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"excerpt": "We've written lots lately about the potentially addictive qualities of sugar and the public policy efforts to limit consumption.\r\n\r\nNow comes a new study, published in JAMA Internal Medicine, which finds that Americans who consumed the most sugar — about a quarter of their daily calories — were twice as likely to die from heart disease as those who limited their sugar intake to 7 percent of their total calories.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17471\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/kansirnet/6338684407/sizes/o/\">\u003cimg class=\"size-large wp-image-17471\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/02/Screen-Shot-2014-02-04-at-2.13.52-PM-640x480.png\" alt=\"A 12-ounce can of Coke has 9 teaspoons of sugar. (Kansir/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A 12-ounce can of Coke has 9 teaspoons of sugar. (Kansir/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Allison Aubrey\u003c/strong>, \u003ca href=\"http://www.npr.org/blogs/thesalt/2014/02/03/271130613/sweet-tooth-gone-bad-why-22-teaspoons-of-sugar-per-day-is-deadly\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>We've written lots lately about the potentially \u003ca href=\"http://www.npr.org/blogs/thesalt/2014/01/08/260781785/is-sugar-addiction-why-so-many-january-diets-fail\" target=\"_blank\">addictive qualities of sugar\u003c/a> and the public policy efforts to \u003ca href=\"http://www.npr.org/blogs/thesalt/2012/02/06/146481752/taxes-and-food-stamp-restrictions-proposed-to-tame-americas-sweet-tooth\" target=\"_blank\">limit consumption\u003c/a>.\u003c/p>\n\u003cp>Now comes a new\u003ca href=\"http://archinte.jamanetwork.com/article.aspx?articleid=1819573\" target=\"_blank\"> study\u003c/a>, published in \u003cem>JAMA Internal Medicine\u003c/em>, which finds that Americans who consumed the most sugar — about a quarter of their daily calories — were twice as likely to die from heart disease as those who limited their sugar intake to 7 percent of their total calories.\u003c/p>\n\u003cp>To translate that into a 2,000-calorie a day diet, the big sugar eaters were consuming 500 calories a day from sugar — that's 31 teaspoons. Those who tamed their sweet tooth, by contrast, were taking in about 160 calories a day from sugar — or about 10 teaspoons per day.\u003c/p>\n\u003cp>Unfortunately, most Americans have a sugar habit that is pushing toward the danger zone.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"The average American is consuming 22 teaspoons a day. That's about three times what's recommended,\" says Laura Schmidt of the U.C. San Francisco School of Medicine.\u003c/p>\n\u003cp>Now, we should point out, we're not talking fruit here. Researchers did not include the sugar naturally occurring in fruit or milk. Instead, the study focused specifically on the risks of \u003cem>added \u003c/em>sugar — the refined sugars and corn syrups added to foods such as baked goods and sugary sodas.\u003c/p>\n\u003cp>So, how much \u003cem>added\u003c/em> sugar is OK?\u003c/p>\n\u003cp>For starters, the American Heart Association \u003ca href=\"http://www.heart.org/HEARTORG/GettingHealthy/NutritionCenter/HealthyDietGoals/Sugars-and-Carbohydrates_UCM_303296_Article.jsp\" target=\"_blank\">advises\u003c/a> that women consume no more than 6 teaspoons of sugar daily. This is about 100 calories. And men, no more than 9 teaspoons, or about 150 calories from sugar.\u003c/p>\n\u003cp>The World Health Organization says people should get no more than 10 percent of their daily calories from sugar.\u003c/p>\n\u003cp>And the last time the federal government weighed in on sugar was in the \u003ca href=\"http://www.npr.org/blogs/thesalt/2014/02/04/271130613/2010%20version%20of%20the%20Dietary%20Guidelines\" target=\"_blank\">2010 Dietary Guidelines\u003c/a>, which make only a broad recommendation to reduce consumption of added sugar.\u003c/p>\n\u003cp>So how best to reduce sugar?\u003c/p>\n\u003cp>Some steps are fairly obvious. For example, eliminating one 12-ounce can of sugar-sweetened soda can cut about 9 teaspoons of sugar.\u003c/p>\n\u003cp>But other common sources of added sugar can take you by surprise. For example, this morning I ate a small, 4-ounce cup of low-fat organic peach yogurt. I chalked it up as a very healthy breakfast, but when I looked at the nutrition label, it had 17 grams of sugar.\u003c/p>\n\u003cp>\"You just shot most of your wad\" for the day, Schmidt points out.\u003c/p>\n\u003cp>So, yeah, swap those sweetened yogurts for plain yogurt. A typical 6-ounce serving of vanilla yogurt has about 6 teaspoons of sugar — which is about as much as a regular size \u003ca href=\"https://www.snickers.com/Nutritional-Info\" target=\"_blank\">Snickers\u003c/a> bar.\u003c/p>\n\u003cp>Bottom line: Read the labels. Most nutrition labels list sugar in grams. Four grams of sugar is equivalent to about one teaspoon.\u003c/p>\n\u003cp>And, don't get forgot to count sugar if you're eating out. There can be lots of sugar added to breakfast foods.\u003c/p>\n\u003cp>For instance, stopping at Starbucks to pick up a blueberry muffin with your latte? That muffin, according to the Starbucks website, contains 29 grams of sugar, or roughly 7 teaspoons.\u003c/p>\n\u003cp>And an \u003ca href=\"http://www.dunkindonuts.com/content/dunkindonuts/en/menu/food/bakery/donuts/donuts.html?DRP_FLAVOR=Apple%20Crumb%20Donut\" target=\"_blank\">Apple Crumb Donut\u003c/a> at Dunkin Donuts will set you back 49 grams of sugar — that's more than a day's worth of added sugar.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>There's a lot of variability in baked goods. For instance, another option at Dunkin Donuts, the \u003ca href=\"http://www.dunkindonuts.com/content/dunkindonuts/en/menu/food/bakery/donuts/donuts.html?DRP_FLAVOR=Cocoa%20Glazed%20Donut\" target=\"_blank\">Cocoa Glazed Donut\u003c/a>, has much less sugar, 13 grams.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "What Philip Seymour Hoffman's Tragic Death Teaches Us About Addiction",
"title": "What Philip Seymour Hoffman's Tragic Death Teaches Us About Addiction",
"headTitle": "State of Health | KQED News",
"content": "\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' last November. Robyn Beck/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>As I think pretty much everyone must know by now, the actor \u003ca href=\"http://ww2.kqed.org/news/2014/02/02/philip-seymour-hoffman-art-howe-moneyball-role\" target=\"_blank\">Philip Seymour Hoffman died Sunday\u003c/a>, apparently of a heroin overdose. I was stunned when I found out, then deeply saddened when I read reports that he had told \"\u003ca href=\"http://www.cbsnews.com/news/2006-philip-seymour-hoffman-on-60-minutes/\" target=\"_blank\">60 Minutes\u003c/a>\" in 2006 that he had given up drugs and alcohol when he was 22 -- \"I got panicked for my life,\" he told Steve Kroft. Hoffman \u003ca href=\"http://www.nytimes.com/2014/02/03/movies/philip-seymour-hoffman-actor-dies-at-46.html?hp&_r=0\" target=\"_blank\">relapsed\u003c/a> last year.\u003c/p>\n\u003cp>But my sadness turned to a kind of cold fury when I saw too many comments on social media clucking disapproval for Hoffman's \"selfishness\" and \"poor choices.\" (I'm not linking to them here; you can find them easily enough if you want to.) One friend on Facebook noted that another friend's thread about Hoffman was the only one he'd seen acknowledging \"the tragedy of his drug addiction.\"\u003c/p>\n\u003cp>And, indeed, addiction is a disease. Dr. David Smith has treated thousands of addicts since he founded the Haight Ashbury Free Clinic in 1967. He talked to me about \"battling an uninformed public.\"\u003c!--more-->\u003c/p>\n\u003cp>\"Diabetes is a disease of the pancreas. Addiction is a disease of the brain,\" he said. If you don't think addiction is a disease, Smith said, \"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>Smith told me about the \"4 C's of addiction\" -- craving, compulsion, loss of control and continued use in spite of bad consequences. \"Craving is a signal,\" Smith said, then added the worst thing an addict can do when craving is to isolate. Hoffman appears to have died alone, in a Greenwich Village apartment.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In a moving piece for The Guardian, the comedian and actor Russell Brand talked about the power of support -- or \"fellowships\" -- in battling his own craving for heroin. The \u003ca href=\"http://www.theguardian.com/culture/2013/mar/09/russell-brand-life-without-drugs\" target=\"_blank\">whole piece\u003c/a> is worth a read, but I'll excerpt here:\u003c/p>\n\u003cblockquote>\u003cp>Without these fellowships I would take drugs. Because, even now, the condition persists. Drugs and alcohol are not my problem, reality is my problem, drugs and alcohol are my solution.\u003c/p>\n\u003cp>If this seems odd to you it is because you are not an alcoholic or a drug addict. You are likely one of the 90% of people who can drink and use drugs safely. I have friends who can smoke weed, swill gin, even do crack and then merrily get on with their lives. For me, this is not an option. I will relinquish all else to ride that buzz to oblivion. Even if it began as a timid glass of chardonnay on a ponce's yacht, it would end with me necking the bottle, swimming to shore and sprinting to Bethnal Green in search of a crack house. I look to drugs and booze to fill up a hole in me; unchecked, the call of the wild is too strong. I still survey streets for signs of the subterranean escapes that used to provide my sanctuary. I still eye the shuffling subclass of junkies and dealers, invisibly gliding between doorways through the gutters. I see that dereliction can survive in opulence; the abundantly wealthy with destitution in their stare.\u003c/p>\u003c/blockquote>\n\u003cp>Smith said that Hoffman's death \"shatters the myth that addiction is a lower socioeconomic disease.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003cem>KQED's Forum discusses \u003ca href=\"http://www.kqed.org/a/forum/R201402040900\" target=\"_blank\">Battling Drug Addiction\u003c/a> Tuesday morning, Feb. 4. \u003ca href=\"http://www.kqed.org/radio/listen/\" target=\"_blank\">Listen Live at 9am\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Watch: Suburban Junkies, a look at young prescription drug addicts in California's Orange County who turn to heroin for a cheaper high.\u003c/em>\u003c/p>\n\u003cdiv style=\"overflow: hidden\">\n\u003cdiv class=\"embedly\">\u003ciframe src=\"//cdn.embedly.com/widgets/media.html?src=http%3A%2F%2Fwww.youtube.com%2Fembed%2FuhgdZHPxYds%3Ffeature%3Doembed&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DuhgdZHPxYds&image=http%3A%2F%2Fi1.ytimg.com%2Fvi%2FuhgdZHPxYds%2Fhqdefault.jpg&key=981697b3caaa4776a9e96c1890128d7f&type=text%2Fhtml&schema=youtube\" frameborder=\"0\" scrolling=\"no\" width=\"640\" height=\"360\">\u003c/iframe>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003cp>\u003cspan class=\"embedly-powered\" style=\"float: right\">\u003ca title=\"Powered by Embedly\" href=\"http://embed.ly/code?url=http%3A%2F%2Fyoutu.be%2FuhgdZHPxYds\" target=\"_blank\">\u003cimg src=\"http://static.embed.ly/images/logos/embedly-powered-small-light.png\" alt=\"Embedly Powered\">\u003c/a>\u003c/span>\u003c/p>\n\u003cdiv class=\"media-attribution\">via \u003ca class=\"media-attribution-link\" href=\"http://www.youtube.com/\" target=\"_blank\">YouTube\u003c/a>\u003c/div>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003c/div>\n\u003c/div>\n\n",
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"excerpt": "But my sadness turned to a kind of cold fury when I saw too many comments on social media clucking disapproval for Hoffman's \"selfishness\" and \"poor choices.\" (I'm not linking to them here; you can find them easily enough if you want to.) One friend on Facebook noted that another friend's thread about Hoffman was the only one he'd seen acknowledging \"the tragedy of his drug addiction.\"\r\n\r\nAnd indeed addiction is a disease. Dr. David Smith has treated thousands of addicts since he founded the Haight Ashbury Free Clinic in 1967. He talked to me about \"battling an uninformed public.\"",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\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' last November. Robyn Beck/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>As I think pretty much everyone must know by now, the actor \u003ca href=\"http://ww2.kqed.org/news/2014/02/02/philip-seymour-hoffman-art-howe-moneyball-role\" target=\"_blank\">Philip Seymour Hoffman died Sunday\u003c/a>, apparently of a heroin overdose. I was stunned when I found out, then deeply saddened when I read reports that he had told \"\u003ca href=\"http://www.cbsnews.com/news/2006-philip-seymour-hoffman-on-60-minutes/\" target=\"_blank\">60 Minutes\u003c/a>\" in 2006 that he had given up drugs and alcohol when he was 22 -- \"I got panicked for my life,\" he told Steve Kroft. Hoffman \u003ca href=\"http://www.nytimes.com/2014/02/03/movies/philip-seymour-hoffman-actor-dies-at-46.html?hp&_r=0\" target=\"_blank\">relapsed\u003c/a> last year.\u003c/p>\n\u003cp>But my sadness turned to a kind of cold fury when I saw too many comments on social media clucking disapproval for Hoffman's \"selfishness\" and \"poor choices.\" (I'm not linking to them here; you can find them easily enough if you want to.) One friend on Facebook noted that another friend's thread about Hoffman was the only one he'd seen acknowledging \"the tragedy of his drug addiction.\"\u003c/p>\n\u003cp>And, indeed, addiction is a disease. Dr. David Smith has treated thousands of addicts since he founded the Haight Ashbury Free Clinic in 1967. He talked to me about \"battling an uninformed public.\"\u003c!--more-->\u003c/p>\n\u003cp>\"Diabetes is a disease of the pancreas. Addiction is a disease of the brain,\" he said. If you don't think addiction is a disease, Smith said, \"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>Smith told me about the \"4 C's of addiction\" -- craving, compulsion, loss of control and continued use in spite of bad consequences. \"Craving is a signal,\" Smith said, then added the worst thing an addict can do when craving is to isolate. Hoffman appears to have died alone, in a Greenwich Village apartment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In a moving piece for The Guardian, the comedian and actor Russell Brand talked about the power of support -- or \"fellowships\" -- in battling his own craving for heroin. The \u003ca href=\"http://www.theguardian.com/culture/2013/mar/09/russell-brand-life-without-drugs\" target=\"_blank\">whole piece\u003c/a> is worth a read, but I'll excerpt here:\u003c/p>\n\u003cblockquote>\u003cp>Without these fellowships I would take drugs. Because, even now, the condition persists. Drugs and alcohol are not my problem, reality is my problem, drugs and alcohol are my solution.\u003c/p>\n\u003cp>If this seems odd to you it is because you are not an alcoholic or a drug addict. You are likely one of the 90% of people who can drink and use drugs safely. I have friends who can smoke weed, swill gin, even do crack and then merrily get on with their lives. For me, this is not an option. I will relinquish all else to ride that buzz to oblivion. Even if it began as a timid glass of chardonnay on a ponce's yacht, it would end with me necking the bottle, swimming to shore and sprinting to Bethnal Green in search of a crack house. I look to drugs and booze to fill up a hole in me; unchecked, the call of the wild is too strong. I still survey streets for signs of the subterranean escapes that used to provide my sanctuary. I still eye the shuffling subclass of junkies and dealers, invisibly gliding between doorways through the gutters. I see that dereliction can survive in opulence; the abundantly wealthy with destitution in their stare.\u003c/p>\u003c/blockquote>\n\u003cp>Smith said that Hoffman's death \"shatters the myth that addiction is a lower socioeconomic disease.\"\u003c/p>\n\u003cp>\u003cstrong>Learn more:\u003c/strong>\u003c/p>\n\u003cp>\u003cem>KQED's Forum discusses \u003ca href=\"http://www.kqed.org/a/forum/R201402040900\" target=\"_blank\">Battling Drug Addiction\u003c/a> Tuesday morning, Feb. 4. \u003ca href=\"http://www.kqed.org/radio/listen/\" target=\"_blank\">Listen Live at 9am\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>Watch: Suburban Junkies, a look at young prescription drug addicts in California's Orange County who turn to heroin for a cheaper high.\u003c/em>\u003c/p>\n\u003cdiv style=\"overflow: hidden\">\n\u003cdiv class=\"embedly\">\u003ciframe src=\"//cdn.embedly.com/widgets/media.html?src=http%3A%2F%2Fwww.youtube.com%2Fembed%2FuhgdZHPxYds%3Ffeature%3Doembed&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DuhgdZHPxYds&image=http%3A%2F%2Fi1.ytimg.com%2Fvi%2FuhgdZHPxYds%2Fhqdefault.jpg&key=981697b3caaa4776a9e96c1890128d7f&type=text%2Fhtml&schema=youtube\" frameborder=\"0\" scrolling=\"no\" width=\"640\" height=\"360\">\u003c/iframe>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003cp>\u003cspan class=\"embedly-powered\" style=\"float: right\">\u003ca title=\"Powered by Embedly\" href=\"http://embed.ly/code?url=http%3A%2F%2Fyoutu.be%2FuhgdZHPxYds\" target=\"_blank\">\u003cimg src=\"http://static.embed.ly/images/logos/embedly-powered-small-light.png\" alt=\"Embedly Powered\">\u003c/a>\u003c/span>\u003c/p>\n\u003cdiv class=\"media-attribution\">via \u003ca class=\"media-attribution-link\" href=\"http://www.youtube.com/\" target=\"_blank\">YouTube\u003c/a>\u003c/div>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003c/div>\n\u003c/div>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_17421\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8481_transform.jpg\">\u003cimg class=\"size-large wp-image-17421\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8481_transform-640x421.jpg\" alt=\"KQED News interactive producer Olivia Hubert-Allen gets her flu shot. (Lisa Pickoff-White/KQED)\" width=\"640\" height=\"421\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">KQED News interactive producer Olivia Hubert-Allen gets her flu shot. (Lisa Pickoff-White/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>State health officials reported Friday that deaths from influenza have reached 147, including four children under age 18. Another 44 deaths are under investigation, but not confirmed.\u003c/p>\n\u003cp>The total deaths so far this flu season, which started last September, eclipses the number from all of last year -- 106.\u003c/p>\n\u003cp>As health officials have noted \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/01/08/flu-now-widespread-in-california/\" target=\"_blank\">all month\u003c/a>, the H1N1 strain is circulating -- that's the same strain that led to the pandemic in \u003ca href=\"http://www.cdc.gov/h1n1flu/cdcresponse.htm\" target=\"_blank\">2009-2010\u003c/a>. Younger adults are at increased risk from H1N1. The theory is that adults over 65 were exposed to H1N1 decades ago and have retained some immunity. Younger adults were (presumably) never exposed so have no natural protection.\u003c/p>\n\u003cp>Health officials urged all Californians over age 6 months to get a flu shot. This year's vaccine is well-matched to the circulating strains, health officials say. They urge people who believe they have the flu to contact their doctors immediately and ask about anti-viral medications.\u003c/p>\n\u003cp>KQED radio's Stephanie Martin talked to health editor Lisa Aliferis about the flu. Learn more:\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ciframe src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/132453409&color=ff5500&auto_play=false&hide_related=false&show_artwork=true\" frameborder=\"no\" scrolling=\"no\" width=\"100%\" height=\"166\">\u003c/iframe>\u003c/p>\n\n",
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"excerpt": "State health officials reported Friday that deaths from influenza have reached 147, including four children under age 18. Another 44 deaths are under investigation, but not confirmed. \r\n\r\nThe total deaths so far this flu season, which started last September, eclipses the number from all of last year -- 106. ",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17421\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8481_transform.jpg\">\u003cimg class=\"size-large wp-image-17421\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/8481_transform-640x421.jpg\" alt=\"KQED News interactive producer Olivia Hubert-Allen gets her flu shot. (Lisa Pickoff-White/KQED)\" width=\"640\" height=\"421\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">KQED News interactive producer Olivia Hubert-Allen gets her flu shot. (Lisa Pickoff-White/KQED)\u003c/figcaption>\u003c/figure>\n\u003cp>State health officials reported Friday that deaths from influenza have reached 147, including four children under age 18. Another 44 deaths are under investigation, but not confirmed.\u003c/p>\n\u003cp>The total deaths so far this flu season, which started last September, eclipses the number from all of last year -- 106.\u003c/p>\n\u003cp>As health officials have noted \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/01/08/flu-now-widespread-in-california/\" target=\"_blank\">all month\u003c/a>, the H1N1 strain is circulating -- that's the same strain that led to the pandemic in \u003ca href=\"http://www.cdc.gov/h1n1flu/cdcresponse.htm\" target=\"_blank\">2009-2010\u003c/a>. Younger adults are at increased risk from H1N1. The theory is that adults over 65 were exposed to H1N1 decades ago and have retained some immunity. Younger adults were (presumably) never exposed so have no natural protection.\u003c/p>\n\u003cp>Health officials urged all Californians over age 6 months to get a flu shot. This year's vaccine is well-matched to the circulating strains, health officials say. They urge people who believe they have the flu to contact their doctors immediately and ask about anti-viral medications.\u003c/p>\n\u003cp>KQED radio's Stephanie Martin talked to health editor Lisa Aliferis about the flu. Learn more:\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cfigure id=\"attachment_17374\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/lyntally/5007648675/sizes/l/\">\u003cimg class=\"size-large wp-image-17374\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/5007648675_38ed2375e6_b-640x496.jpg\" alt=\"(Go Interactive Wellness/Flickr)\" width=\"640\" height=\"496\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Go Interactive Wellness/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Allison Aubrey,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2014/01/28/267612550/yoga-may-help-overcome-fatigue-after-breast-cancer\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Exercise helps recovery after cancer treatment, but fatigue can make working out hard. Yoga can help reduce fatigue for breast cancer survivors, a study finds. It's one of a growing number of efforts using randomized controlled trials to see if the ancient practice offers medical benefits.\u003c/p>\n\u003cp>Women who took a yoga class three hours a week for three months said they experienced 40 percent less fatigue compared to a group of breast cancer survivors who did not do yoga.\u003c/p>\n\u003cp>\"Fatigue is a major and serious problem in survivors,\" even years after treatments have ended, \u003ca href=\"http://faculty.psy.ohio-state.edu/1/kiecolt-glaser/\">Janice Kiecolt-Glaser\u003c/a>, a psychology professor at Ohio State University and lead author of the study, said.\u003c/p>\n\u003cp>The participants who did yoga also had lower levels of cytokines, which are markers of inflammation, in their blood, Kiecolt-Glaser says. Cytokine levels were reduced up to 20 percent six months after starting yoga. It's not clear how this may affect their health, she says.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Other studies have found that fatigue interferes with daily activities for about one third of cancer survivors. And fatigue can become a self-perpetuating cycle. \"The less you do, the more fatigued you are,\" says Kiecolt-Glaser. Yoga seems to be a way to break that cycle. The \u003ca href=\"http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.8860.abstract?sid=d641998e-1d13-4b98-9d70-521e7152478c\">study\u003c/a> was published online in the \u003cem>Journal of Clinical Oncology\u003c/em>.\u003c/p>\n\u003cp>Researchers recruited about 200 women for the study, all of whom had completed cancer treatment within three years. They ranged in age from 20s to 70s. The class included a series of very gentle stretching and strength-building exercises as well as breathing techniques.\u003c/p>\n\u003cp>\"It's relaxing and refocuses the body,\" Sue Cavanaugh of Columbus, Ohio, a study participant, said. She says yoga has not only helped with fatigue, it's also helped her regain some of the lost mobility in her right arm.\u003c/p>\n\u003cp>\"I'm happier because I can do the things I like,\" Cavanaugh says, including working with large installations in her work as an artist.\u003c/p>\n\u003cp>Earlier \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/23181734\">studies\u003c/a> of yoga for cancer patients and survivors have found that yoga helped reduce distress, anxiety and depression, and had a moderate effect on fatigue and quality of life. But a Cochrane review of \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22895974\">studies\u003c/a> looking at the broader issue of cancer and exercise found that more vigorous exercise produced greater reductions in fatigue and improvements in quality of life. Exercise also may \u003ca href=\"http://www.cancer.gov/cancertopics/factsheet/prevention/physicalactivity\">reduce the risk\u003c/a> of cancer recurrence.\u003c/p>\n\u003cp>The Cochrane review also points out the biggest problem with doing randomized controlled trials of yoga: you know if you're doing it. That could bias people's perception of benefits.\u003c/p>\n\u003cp>\"We're getting [breast cancer survivors] on bikes, on treadmills and training them like athletes,\" says \u003ca href=\"http://radonc.duke.edu/research-education/research-labs/cardiooncology/jones-lab\">Lee Jones\u003c/a>, a radiation oncologist at Duke University's School of Medicine who studies the effect of exercise on cancer patients. Fatigue is a hurdle for lots of survivors, he says. \"But if you actually prescribe exercise, they can exercise, and pretty vigorously.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Yoga can be a complementary form of movement to aerobic exercise, Jones says.\u003c/p>\n\n",
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"excerpt": "Women who took a yoga class three hours a week for three months said they experienced 40 percent less fatigue compared to a group of breast cancer survivors who did not do yoga.\r\n\r\n\"Fatigue is a major and serious problem in survivors,\" even years after treatments have ended, Janice Kiecolt-Glaser, a psychology professor at Ohio State University and lead author of the study, said.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Other studies have found that fatigue interferes with daily activities for about one third of cancer survivors. And fatigue can become a self-perpetuating cycle. \"The less you do, the more fatigued you are,\" says Kiecolt-Glaser. Yoga seems to be a way to break that cycle. The \u003ca href=\"http://jco.ascopubs.org/content/early/2014/01/21/JCO.2013.51.8860.abstract?sid=d641998e-1d13-4b98-9d70-521e7152478c\">study\u003c/a> was published online in the \u003cem>Journal of Clinical Oncology\u003c/em>.\u003c/p>\n\u003cp>Researchers recruited about 200 women for the study, all of whom had completed cancer treatment within three years. They ranged in age from 20s to 70s. The class included a series of very gentle stretching and strength-building exercises as well as breathing techniques.\u003c/p>\n\u003cp>\"It's relaxing and refocuses the body,\" Sue Cavanaugh of Columbus, Ohio, a study participant, said. She says yoga has not only helped with fatigue, it's also helped her regain some of the lost mobility in her right arm.\u003c/p>\n\u003cp>\"I'm happier because I can do the things I like,\" Cavanaugh says, including working with large installations in her work as an artist.\u003c/p>\n\u003cp>Earlier \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/23181734\">studies\u003c/a> of yoga for cancer patients and survivors have found that yoga helped reduce distress, anxiety and depression, and had a moderate effect on fatigue and quality of life. But a Cochrane review of \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/22895974\">studies\u003c/a> looking at the broader issue of cancer and exercise found that more vigorous exercise produced greater reductions in fatigue and improvements in quality of life. Exercise also may \u003ca href=\"http://www.cancer.gov/cancertopics/factsheet/prevention/physicalactivity\">reduce the risk\u003c/a> of cancer recurrence.\u003c/p>\n\u003cp>The Cochrane review also points out the biggest problem with doing randomized controlled trials of yoga: you know if you're doing it. That could bias people's perception of benefits.\u003c/p>\n\u003cp>\"We're getting [breast cancer survivors] on bikes, on treadmills and training them like athletes,\" says \u003ca href=\"http://radonc.duke.edu/research-education/research-labs/cardiooncology/jones-lab\">Lee Jones\u003c/a>, a radiation oncologist at Duke University's School of Medicine who studies the effect of exercise on cancer patients. Fatigue is a hurdle for lots of survivors, he says. \"But if you actually prescribe exercise, they can exercise, and pretty vigorously.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Yoga can be a complementary form of movement to aerobic exercise, Jones says.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>Morgan Gleason is one of 3 in a million. Just 15, she was diagnosed in 2010 with Juvenile Dermatomyositis, an \u003ca href=\"http://www.rheumatology.org/Practice/Clinical/Patients/Diseases_And_Conditions/Dermatomyositis_(Juvenile)/\" target=\"_blank\">inflammatory disease\u003c/a> of the muscle, skin and blood vessels, according ton the American College of Rheumatology. There's no cause, no cure and the treatment sounds positively awful -- the treatment puts her at risk of contracting \"the painful and serious condition of aseptic meningitis,\" \u003ca href=\"http://amygleason.blogspot.com/2014/01/i-am-patient-and-i-need-to-be-heard.html\" target=\"_blank\">her mother writes\u003c/a>.\u003c/p>\n\u003cdiv style=\"overflow: hidden\">\n\u003cdiv class=\"embedly\">\u003ciframe src=\"//cdn.embedly.com/widgets/media.html?src=http%3A%2F%2Fwww.youtube.com%2Fembed%2FBqFfRiyW07I%3Ffeature%3Doembed&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DBqFfRiyW07I&image=http%3A%2F%2Fi1.ytimg.com%2Fvi%2FBqFfRiyW07I%2Fhqdefault.jpg&key=6c6e02c8c9d111e0ba664040d3dc5c07&type=text%2Fhtml&schema=youtube\" frameborder=\"0\" scrolling=\"no\" width=\"640\" height=\"360\">\u003c/iframe>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003cp>\u003cspan class=\"embedly-powered\" style=\"float: right\">\u003ca title=\"Powered by Embedly\" href=\"http://embed.ly/code?url=http%3A%2F%2Fyoutu.be%2FBqFfRiyW07I\" target=\"_blank\">\u003cimg src=\"http://static.embed.ly/images/logos/embedly-powered-small-light.png\" alt=\"Embedly Powered\">\u003c/a>\u003c/span>\u003c/p>\n\u003cdiv class=\"media-attribution\">via \u003ca class=\"media-attribution-link\" href=\"http://www.youtube.com/\" target=\"_blank\">YouTube\u003c/a>\u003c/div>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>And so it was that Morgan found herself hospitalized to treat aseptic meningitis. But she became fed up by the constant early morning interruptions by the medical team charged with caring for her. Her mother recorded this video of Morgan demanding better treatment. \"They come in at 6 in the morning and they don't all come together.\" \"I need sleep … I've tried to tell them, I give better answers, I'll participate more,\" if I get enough sleep. \"I am a patient, and I demand to be heard,\" she says. Anyone who has been in the hospital can probably relate.\u003c/p>\n\u003cp>\u003c!--more-->Gleason has become the latest powerful spokesperson for the engaged patient movement.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "And so it was that Morgan found herself hospitalized to treat aseptic meningitis. But she became fed up by the constant early morning interruptions by the medical team charged with caring for her. Her mother recorded this video of Morgan demanding better treatment. \"They come in at 6 in the morning and they don't all come together.\" \"I need sleep … I've tried to tell them, I give better answers, I'll participate more,\" if I get enough sleep. \"I am a patient, and I demand to be heard,\" she says. Anyone who has been in the hospital can probably relate.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Morgan Gleason is one of 3 in a million. Just 15, she was diagnosed in 2010 with Juvenile Dermatomyositis, an \u003ca href=\"http://www.rheumatology.org/Practice/Clinical/Patients/Diseases_And_Conditions/Dermatomyositis_(Juvenile)/\" target=\"_blank\">inflammatory disease\u003c/a> of the muscle, skin and blood vessels, according ton the American College of Rheumatology. There's no cause, no cure and the treatment sounds positively awful -- the treatment puts her at risk of contracting \"the painful and serious condition of aseptic meningitis,\" \u003ca href=\"http://amygleason.blogspot.com/2014/01/i-am-patient-and-i-need-to-be-heard.html\" target=\"_blank\">her mother writes\u003c/a>.\u003c/p>\n\u003cdiv style=\"overflow: hidden\">\n\u003cdiv class=\"embedly\">\u003ciframe src=\"//cdn.embedly.com/widgets/media.html?src=http%3A%2F%2Fwww.youtube.com%2Fembed%2FBqFfRiyW07I%3Ffeature%3Doembed&url=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DBqFfRiyW07I&image=http%3A%2F%2Fi1.ytimg.com%2Fvi%2FBqFfRiyW07I%2Fhqdefault.jpg&key=6c6e02c8c9d111e0ba664040d3dc5c07&type=text%2Fhtml&schema=youtube\" frameborder=\"0\" scrolling=\"no\" width=\"640\" height=\"360\">\u003c/iframe>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003cp>\u003cspan class=\"embedly-powered\" style=\"float: right\">\u003ca title=\"Powered by Embedly\" href=\"http://embed.ly/code?url=http%3A%2F%2Fyoutu.be%2FBqFfRiyW07I\" target=\"_blank\">\u003cimg src=\"http://static.embed.ly/images/logos/embedly-powered-small-light.png\" alt=\"Embedly Powered\">\u003c/a>\u003c/span>\u003c/p>\n\u003cdiv class=\"media-attribution\">via \u003ca class=\"media-attribution-link\" href=\"http://www.youtube.com/\" target=\"_blank\">YouTube\u003c/a>\u003c/div>\n\u003cdiv class=\"embedly-clear\">\u003c/div>\n\u003c/div>\n\u003c/div>\n\u003cp>And so it was that Morgan found herself hospitalized to treat aseptic meningitis. But she became fed up by the constant early morning interruptions by the medical team charged with caring for her. Her mother recorded this video of Morgan demanding better treatment. \"They come in at 6 in the morning and they don't all come together.\" \"I need sleep … I've tried to tell them, I give better answers, I'll participate more,\" if I get enough sleep. \"I am a patient, and I demand to be heard,\" she says. Anyone who has been in the hospital can probably relate.\u003c/p>\n\u003cp>\u003c!--more-->Gleason has become the latest powerful spokesperson for the engaged patient movement.\u003c/p>\n\u003cp> \u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "California Flu Deaths Double Since Last Week",
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"content": "\u003cfigure id=\"attachment_17333\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/gabrielsaldana/5163535400/sizes/l/\">\u003cimg class=\"size-large wp-image-17333\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/5163535400_750563b997_b-640x426.jpg\" alt=\"(GabrielSaldana/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The flu shot is the best way to protect yourself against the flu, health officials say. (GabrielSaldana/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>State health officials reported Friday that fatalities from influenza now stand at 95 statewide -- with another 51 deaths reported from local jurisdictions under investigation.\u003c/p>\n\u003cp>That brings the total to 146 deaths -- more than the 106 deaths California had during all of last year's flu season.\u003c/p>\n\u003cp>\"We so far have a much more severe season,\" said state epidemiologist Dr. Gil Chavez with the California Department of Public Health. A child in Riverside County was among last week's fatalities, bringing to three the number of fatalities in children statewide. All of them were under age 10.\u003c/p>\n\u003cp>Chavez noted that the H1N1 strain is the culprit and says the strain causes more severe disease and more deaths. In addition, it tends to hit younger people harder, in particular those with pre-existing health conditions.\u003c!--more-->\u003c/p>\n\u003cp>While doctor's office visits and hospitalizations for flu were fewer last week than the week prior, Chavez said it was impossible to know if the flu season is peaking. \"It's too early to tell whether or not it's a trend,\" Chavez told reporters in a media call Friday morning. \"We know that the flu is rather unpredictable, and it has ebbs and flows.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Chavez urged those who are not vaccinated to get a flu shot, saying that there's good availability of the vaccine statewide and that it is the best way people can protect themselves from the illness. He stressed that people with chronic health conditions are at higher risk and should be vaccinated.\u003c/p>\n\u003cp>Pregnant women should also get the flu shot, he said. Influenza can\u003ca href=\"http://www.cdc.gov/flu/protect/vaccine/pregnant.htm\" target=\"_blank\"> cause more serious illness\u003c/a> in pregnant women than in women who are not pregnant. Women can \"have a healthier pregnancy and avoid complications\" of the flu, he said. Plus the shot may provide some immunity to the fetus as well.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If you've been following this year's flu season, you may have noted that flu deaths are only reported for people under 65. California is the only state that mandates reporting of flu deaths, said Dr. James Watt, chief of the division of communicable disease control. The surveillance was put in place in the wake of the\u003ca href=\"http://www.cdc.gov/h1n1flu/cdcresponse.htm\" target=\"_blank\"> 2009 H1N1 pandemic\u003c/a>. Flu deaths are more common among people over age 65 and may not be an indication of the severity of the season, health officials say.\u003c/p>\n\n",
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"description": "State health officials reported Friday that fatalities from influenza now stand at 95 statewide -- with another 51 deaths reported from local jurisdictions under investigation. That brings the total to 146 deaths -- more than the 106 deaths California had during all of last year's flu season. "We so far have a much more severe",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17333\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/gabrielsaldana/5163535400/sizes/l/\">\u003cimg class=\"size-large wp-image-17333\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/5163535400_750563b997_b-640x426.jpg\" alt=\"(GabrielSaldana/Flickr)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">The flu shot is the best way to protect yourself against the flu, health officials say. (GabrielSaldana/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>State health officials reported Friday that fatalities from influenza now stand at 95 statewide -- with another 51 deaths reported from local jurisdictions under investigation.\u003c/p>\n\u003cp>That brings the total to 146 deaths -- more than the 106 deaths California had during all of last year's flu season.\u003c/p>\n\u003cp>\"We so far have a much more severe season,\" said state epidemiologist Dr. Gil Chavez with the California Department of Public Health. A child in Riverside County was among last week's fatalities, bringing to three the number of fatalities in children statewide. All of them were under age 10.\u003c/p>\n\u003cp>Chavez noted that the H1N1 strain is the culprit and says the strain causes more severe disease and more deaths. In addition, it tends to hit younger people harder, in particular those with pre-existing health conditions.\u003c!--more-->\u003c/p>\n\u003cp>While doctor's office visits and hospitalizations for flu were fewer last week than the week prior, Chavez said it was impossible to know if the flu season is peaking. \"It's too early to tell whether or not it's a trend,\" Chavez told reporters in a media call Friday morning. \"We know that the flu is rather unpredictable, and it has ebbs and flows.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Chavez urged those who are not vaccinated to get a flu shot, saying that there's good availability of the vaccine statewide and that it is the best way people can protect themselves from the illness. He stressed that people with chronic health conditions are at higher risk and should be vaccinated.\u003c/p>\n\u003cp>Pregnant women should also get the flu shot, he said. Influenza can\u003ca href=\"http://www.cdc.gov/flu/protect/vaccine/pregnant.htm\" target=\"_blank\"> cause more serious illness\u003c/a> in pregnant women than in women who are not pregnant. Women can \"have a healthier pregnancy and avoid complications\" of the flu, he said. Plus the shot may provide some immunity to the fetus as well.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>If you've been following this year's flu season, you may have noted that flu deaths are only reported for people under 65. California is the only state that mandates reporting of flu deaths, said Dr. James Watt, chief of the division of communicable disease control. The surveillance was put in place in the wake of the\u003ca href=\"http://www.cdc.gov/h1n1flu/cdcresponse.htm\" target=\"_blank\"> 2009 H1N1 pandemic\u003c/a>. Flu deaths are more common among people over age 65 and may not be an indication of the severity of the season, health officials say.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Another Health Problem with (Many) Sodas: Caramel Color",
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"content": "\u003cfigure id=\"attachment_17308\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/460403869-2-e1390505120856.jpg\">\u003cimg class=\"size-large wp-image-17308\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/460403869-2-640x516.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"516\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>There's caramel, and then there's caramel color. It turns out the two don't have much to do with each other. This matters to you if you drink soda.\u003c/p>\n\u003cp>Caramel color is the additive in many soft drinks and some foods that turns them brown. Some types of caramel color contain a chemical called 4-methylimidazole or 4-Mel, and 4-Mel is potentially carcinogenic. In 2011, the state of California \u003ca href=\"http://oehha.ca.gov/prop65/prop65_list/010711list.html\" target=\"_blank\">added 4-mel to \u003c/a>the so-called Prop. 65 list -- a list of chemicals known by the state to cause cancer.\u003c/p>\n\u003cp>Consumer Reports published \u003ca href=\"http://www.consumerreports.org/cro/news/2014/01/caramel-color-the-health-risk-that-may-be-in-your-soda/index.htm\" target=\"_blank\">an analysis\u003c/a> of various brands of soda on Thursday. They found that two brands exceeded a level of 29 micrograms per can or bottle: Pepsi One and Malta Goya. Consumer Reports cites state data showing daily consumption above that amount would cause one excess case of cancer in every 100,000 people.\u003c!--more-->\u003c/p>\n\u003cp>\"There's no reason why consumers should be exposed to an avoidable and unnecessary risk that can stem from coloring food brown,\" said Urvashi Rangan, PhD in the Consumer Reports story. He's a toxicologist and executive director of the magazine's Food Safety and Sustainability Center. \"Manufacturers have lower 4-Mel alternatives available to them. Ideally there would be no 4-Mel in food.\"\u003c/p>\n\u003cp>Consumer Reports conducted two rounds of testing of the sodas during 2013. Both times, samples of Pepsi One and Malta Goya exceeded 29 micrograms per can or bottle. But neither product had a cancer-risk warning label, as required by Prop. 65.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Consumer Reports contacted both Pepsi and Malta Goya. Only Pepsi responded. From \u003ca href=\"http://www.consumerreports.org/cro/news/2014/01/caramel-color-the-health-risk-that-may-be-in-your-soda/index.htm\" target=\"_blank\">Consumer Reports\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>After we informed PepsiCo of our test results, the company issued a statement that said that Proposition 65 is based on per day exposure and not exposure per can. It also cited government consumption data that shows that the average amount of diet soda consumed by people who drink it is 100 milliliters per day, or less than a third of a 12-ounce can. For that reason, they believe that Pepsi One does not require cancer-risk warning labels—even if the amount of 4-MeI in a single can exceeds 29 micrograms.\u003c/p>\n\u003cp>Consumer Reports says there is analysis of government data that shows higher levels of daily consumption of soft drinks generally. \"No matter how much consumers drink they don't expect their beverages to have a potential carcinogen in them. And we don't think 4-MeI should be in foods at all. Our tests of Coke samples show that it is possible to get to much lower levels,\" says Rangan.\u003c/p>\u003c/blockquote>\n\u003cp>Consumer Reports says that because of its results, Consumers Union, the policy wing of Consumer Reports, is contacting the California Attorney General's office and is also petitioning the Food and Drug Administration \"to set a federal standard for 4-Mel and to require manufacturers to list the type of caramel color they use on the products' ingredient lists.\" While there are four types of caramel coloring, only two of them contain 4-Mel.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Consumer Reports also found that three brands -- Coke, Diet Coke, and Coke Zero -- had less than 5 micrograms per can in its tests, which, the report noted, its \"experts believe is more acceptable.\" Consumer Reports said it used Sprite as a control. It's a clear soda and showed no significant levels of 4-Mel, the group found.\u003c/p>\n\n",
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"excerpt": "There's caramel, and then there's caramel color. It turns out the two don't have much to do with each other. This matters to you if you drink soda.\r\n\r\nCaramel color is the additive in many soft drinks and some foods that turns them brown. Some types of caramel color contain a chemical called 4-methylimidazole or 4-Mel, and 4-Mel is potentially carcinogenic. In 2011, the state of California added 4-mel to the so-called Prop. 65 list -- a list of chemicals known by the state to cause cancer.",
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"description": "There's caramel, and then there's caramel color. It turns out the two don't have much to do with each other. This matters to you if you drink soda.\r\n\r\nCaramel color is the additive in many soft drinks and some foods that turns them brown. Some types of caramel color contain a chemical called 4-methylimidazole or 4-Mel, and 4-Mel is potentially carcinogenic. In 2011, the state of California added 4-mel to the so-called Prop. 65 list -- a list of chemicals known by the state to cause cancer.",
"title": "Another Health Problem with (Many) Sodas: Caramel Color | KQED",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17308\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/460403869-2-e1390505120856.jpg\">\u003cimg class=\"size-large wp-image-17308\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/460403869-2-640x516.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"516\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>There's caramel, and then there's caramel color. It turns out the two don't have much to do with each other. This matters to you if you drink soda.\u003c/p>\n\u003cp>Caramel color is the additive in many soft drinks and some foods that turns them brown. Some types of caramel color contain a chemical called 4-methylimidazole or 4-Mel, and 4-Mel is potentially carcinogenic. In 2011, the state of California \u003ca href=\"http://oehha.ca.gov/prop65/prop65_list/010711list.html\" target=\"_blank\">added 4-mel to \u003c/a>the so-called Prop. 65 list -- a list of chemicals known by the state to cause cancer.\u003c/p>\n\u003cp>Consumer Reports published \u003ca href=\"http://www.consumerreports.org/cro/news/2014/01/caramel-color-the-health-risk-that-may-be-in-your-soda/index.htm\" target=\"_blank\">an analysis\u003c/a> of various brands of soda on Thursday. They found that two brands exceeded a level of 29 micrograms per can or bottle: Pepsi One and Malta Goya. Consumer Reports cites state data showing daily consumption above that amount would cause one excess case of cancer in every 100,000 people.\u003c!--more-->\u003c/p>\n\u003cp>\"There's no reason why consumers should be exposed to an avoidable and unnecessary risk that can stem from coloring food brown,\" said Urvashi Rangan, PhD in the Consumer Reports story. He's a toxicologist and executive director of the magazine's Food Safety and Sustainability Center. \"Manufacturers have lower 4-Mel alternatives available to them. Ideally there would be no 4-Mel in food.\"\u003c/p>\n\u003cp>Consumer Reports conducted two rounds of testing of the sodas during 2013. Both times, samples of Pepsi One and Malta Goya exceeded 29 micrograms per can or bottle. But neither product had a cancer-risk warning label, as required by Prop. 65.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Consumer Reports contacted both Pepsi and Malta Goya. Only Pepsi responded. From \u003ca href=\"http://www.consumerreports.org/cro/news/2014/01/caramel-color-the-health-risk-that-may-be-in-your-soda/index.htm\" target=\"_blank\">Consumer Reports\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>After we informed PepsiCo of our test results, the company issued a statement that said that Proposition 65 is based on per day exposure and not exposure per can. It also cited government consumption data that shows that the average amount of diet soda consumed by people who drink it is 100 milliliters per day, or less than a third of a 12-ounce can. For that reason, they believe that Pepsi One does not require cancer-risk warning labels—even if the amount of 4-MeI in a single can exceeds 29 micrograms.\u003c/p>\n\u003cp>Consumer Reports says there is analysis of government data that shows higher levels of daily consumption of soft drinks generally. \"No matter how much consumers drink they don't expect their beverages to have a potential carcinogen in them. And we don't think 4-MeI should be in foods at all. Our tests of Coke samples show that it is possible to get to much lower levels,\" says Rangan.\u003c/p>\u003c/blockquote>\n\u003cp>Consumer Reports says that because of its results, Consumers Union, the policy wing of Consumer Reports, is contacting the California Attorney General's office and is also petitioning the Food and Drug Administration \"to set a federal standard for 4-Mel and to require manufacturers to list the type of caramel color they use on the products' ingredient lists.\" While there are four types of caramel coloring, only two of them contain 4-Mel.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Consumer Reports also found that three brands -- Coke, Diet Coke, and Coke Zero -- had less than 5 micrograms per can in its tests, which, the report noted, its \"experts believe is more acceptable.\" Consumer Reports said it used Sprite as a control. It's a clear soda and showed no significant levels of 4-Mel, the group found.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Top Health Concerns for U.S. Latinos: Diabetes, Cost of Care",
"title": "Top Health Concerns for U.S. Latinos: Diabetes, Cost of Care",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17257\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/169276535Crop-e1390326397443.jpg\">\u003cimg class=\"size-large wp-image-17257\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/169276535Crop-640x452.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"452\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Patti Neighmond,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2014/01/21/263505386/taking-the-pulse-of-latino-health-concerns\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Latino immigrants in the U.S. say the quality and affordability of health care is better in the U.S. than in the countries they came from, \u003ca href=\"http://www.npr.org/blogs/health/2014/01/21/263505386/npr.org/blogs/codeswitch/2014/01/17/263502571/a-new-poll-takes-a-look-at-views-from-latino-america\">according to the latest survey by NPR\u003c/a>, the Robert Wood Johnson Foundation and the Harvard School of Public Health. But many report having health care problems.\u003c/p>\n\u003cp>About a third of immigrant respondents (31 percent) said they'd had a serious problem with being able to pay for health insurance in the past 12 months. And more than 1 in 4 had a serious problem affording doctor and hospital bills and prescription medicines.\u003c/p>\n\u003cp>But the health issue that Latinos said is most concerning for them and their families — whether they were born in the U.S. or immigrated here — is diabetes. Last year, in another poll, Latinos said cancer was the biggest problem facing the country.\u003c/p>\n\u003cp>Hispanic populations have a high prevalence of Type 2 diabetes. About 10 percent of Latino adults have been diagnosed with it or have \"prediabetes,\" a stage of the disease that often goes undetected.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>One important factor: Latinos may be \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/15929869\">genetically predisposed\u003c/a> to the disease — a risk that can be aggravated by environment and diet.\u003c/p>\n\u003cp>\u003cstrong>The Diabetes 'Plague'\u003c/strong>\u003c/p>\n\u003cp>Take the example of East Los Angeles, an area heavily populated by Mexican-Americans.\u003c/p>\n\u003cp>Like many of her friends and family members, Rebecca Martinez-Rocha says she struggles with her weight. At one point, she weighed more than 320 pounds.\u003c/p>\n\u003cp>\"I don't think I realized it at the time, whether it was denial or I stopped getting on a scale,\" she says, \"but I was morbidly obese.\"\u003c/p>\n\u003cp>And, as it turns out, Martinez-Rocha was \u003ca href=\"http://www.diabetes.org/are-you-at-risk/prediabetes/\">prediabetic\u003c/a>, a diagnosis she received at a local health clinic.\u003c/p>\n\u003cp>\"I wasn't aware of the fact that I was ill; I figured that I was relatively young, in my 20s and early 30s,\" she says. \"It was kind of one of those 'aha' moments in life, where you look at it and put it all together and you think, 'How did I get here?' \"\u003c/p>\n\u003cp>The doctor who diagnosed Martinez-Rocha's condition is Anne Peters, a diabetes specialist and professor at University of Southern California's Keck School of Medicine. She's also the director of a diabetes program at \u003ca href=\"http://dhs.lacounty.gov/wps/portal/dhs/roybal\">Roybal Comprehensive Health Center\u003c/a>.\u003c/p>\n\u003cp>Peters says Type 2 diabetes is the \"plague\" of the Latino community she treats: \"Individuals here are getting diabetes at rates we've not seen before.\"\u003c/p>\n\u003cp>About 12 percent of the Latino population she sees has diabetes. Peters projects that number will climb to nearly 30 percent over the next few decades if nothing changes in the environment or diet of local residents.\u003c/p>\n\u003cp>Peters told Martinez-Rocha she was on her way to getting insulin-dependent Type 2 diabetes. Martinez-Rocha says she got very scared and made major changes. She lost 160 pounds.\u003c/p>\n\u003cp>But many patients don't do that, in large part because prediabetes is often \"silent.\" Unless people go to a doctor and get their blood sugar measured, they'll never know they have it.\u003c/p>\n\u003cp>And that's a shame, Peters says, because prediabetes can be turned around. \"If somebody has prediabetes, they need to lose weight — not a lot of weight, maybe only 10 to 15 pounds,\" she says.\u003c/p>\n\u003cp>They \"don't have to become skinny\" to benefit, she adds. Studies show that moderate weight loss can reduce diabetes risk by half.\u003c/p>\n\u003cp>Losing weight is hard for many people. But Martinez-Rocha says it's even harder when you live in a neighborhood that offers lots of high-fat, high-salt and high-sugar food.\u003c/p>\n\u003cp>\"If you drive around my neighborhood, every corner you'll see a taco stand, a fast-food restaurant, a sweet-bread store, places selling tamales or fried food,\" Martinez-Rocha says.\u003c/p>\n\u003cp>\u003cstrong>'Food Swamps'\u003c/strong>\u003c/p>\n\u003cp>In NPR's poll with the \u003ca href=\"http://www.rwjf.org/en/research-publications/find-rwjf-research/2014/01/latinos-lives-and-health-today.html%20\">Robert Wood Johnson Foundation\u003c/a> and \u003ca href=\"http://www.hsph.harvard.edu/\">Harvard School of Public Health\u003c/a>, 1 in 5 Mexican-Americans rated the availability of fresh fruits and vegetables in their neighborhoods as fair or poor.\u003c/p>\n\u003cp>Alex Ortega, a public health researcher and professor of public health at UCLA, calls neighborhoods like this, where healthy food is hard to come by, \"food swamps.\"\u003c/p>\n\u003cp>Walk into the typical corner market, he says, and the first things you'll see are signs for liquor and lottery tickets, cigarettes, soda and chips. \"They might sell some fruits and vegetables, but they're typically in the back of the store and in very poor quality,\" Ortega says.\u003c/p>\n\u003cp>Our survey found that Latino immigrants generally do not perceive their diets as less healthy in the U.S.: 38 percent see their diet as healthier in the United States, and about the same number (39 percent) say it's about as healthy. One in 5 (21 percent) see their diet as less healthy.\u003c/p>\n\u003cp>\u003ca href=\"http://www.cpc.unc.edu/projects/nutrans/publications/PennyAcculturation-SSM.pdf\">Previous studies have shown\u003c/a> that obesity rates among immigrants increase as their duration of residence in the U.S. increases. They suggest this might be attributable in part to changes in lifestyle, including an unhealthy diet.\u003c/p>\n\u003cp>\u003cstrong>Will Converting Stores Lower Obesity?\u003c/strong>\u003c/p>\n\u003cp>Ortega is committed to turning the Latino diet around. As director of the \u003ca href=\"http://www.ph.ucla.edu/cphhd/\">UCLA-USC Center for Population Health and Health Disparities\u003c/a>, Ortega is heading a project to convert corner stores in low-income neighborhoods.\u003c/p>\n\u003cp>About a month ago, Ortega, along with community activists, local high school students and store owner Maria Avila, transformed the \u003ca href=\"http://newsroom.ucla.edu/portal/ucla/changing-the-way-a-community-eats-249674.aspx\">Euclid Market\u003c/a> in the Boyle Heights section of East Los Angeles. They added windows and a new paint job, and rearranged and organized shelving. But most importantly, Ortega says, they added healthful foods.\u003c/p>\n\u003cp>The newly converted store opened to the public in December. Today, when you walk in the door, the first things you see aren't cigarettes and junk food — they're fresh fruits and vegetables.\u003c/p>\n\u003cp>This is the fourth corner store in the area to be converted. Ortega is still collecting data, but anecdotally, he says, store owners tell him they have more customers, they're selling more fruits and vegetables, and they're making more money.\u003c/p>\n\u003cp>But the big question is whether the availability of fresh fruits and vegetables will make a difference in the health of the neighborhood and the epidemic of diabetes.\u003c/p>\n\u003cp>\u003cstrong>Better Options, Better Diet\u003c/strong>\u003c/p>\n\u003cp>For college freshman DeeDee Barba, it has made a difference. She has taken part in the store conversion project for two years. Not only has she learned about marketing and sales, but she's also learned about nutrition. As a result, she says, her family now eats more healthfully. Part of that includes no dressing on salads.\u003c/p>\n\u003cp>\"We now eat our salads with olive oil and lemon, and it's actually good,\" she says. \"We eat a lot of fish and chicken; we rarely eat red meat. We eat rice, but we have whole-wheat rice. We don't drink soda anymore — we drink mostly water.\"\u003c/p>\n\u003cp>High school senior Steven Cardona, 17, has worked with the store conversion project for the past year. Learning about nutrition, he says, has changed his family's diet dramatically.\u003c/p>\n\u003cp>\"Before, we would eat lots of fast food, but now we eat mostly steamed vegetables, rice, chicken and lean meats,\" he says. Family members have lost a lot of weight, and everybody reports feeling \"better,\" he says.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Ortega says that's exactly what's hoped for: that the availability of healthy food in low-income neighborhoods like this will make a difference in what residents buy, cook and eat. And that it will mean changing diets and reducing the high rates of obesity and diabetes in the Latino community in East L.A.\u003c/p>\n\n",
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"excerpt": "Latino immigrants in the U.S. say the quality and affordability of health care is better in the U.S. than in the countries they came from, according to the latest survey by NPR, the Robert Wood Johnson Foundation and the Harvard School of Public Health. But many report having health care problems.\r\n\r\nAbout a third of immigrant respondents (31 percent) said they'd had a serious problem with being able to pay for health insurance in the past 12 months. And more than 1 in 4 had a serious problem affording doctor and hospital bills and prescription medicines.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17257\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/169276535Crop-e1390326397443.jpg\">\u003cimg class=\"size-large wp-image-17257\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/169276535Crop-640x452.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"452\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>Patti Neighmond,\u003c/strong> \u003ca href=\"http://www.npr.org/blogs/health/2014/01/21/263505386/taking-the-pulse-of-latino-health-concerns\" target=\"_blank\">NPR\u003c/a>\u003c/p>\n\u003cp>Latino immigrants in the U.S. say the quality and affordability of health care is better in the U.S. than in the countries they came from, \u003ca href=\"http://www.npr.org/blogs/health/2014/01/21/263505386/npr.org/blogs/codeswitch/2014/01/17/263502571/a-new-poll-takes-a-look-at-views-from-latino-america\">according to the latest survey by NPR\u003c/a>, the Robert Wood Johnson Foundation and the Harvard School of Public Health. But many report having health care problems.\u003c/p>\n\u003cp>About a third of immigrant respondents (31 percent) said they'd had a serious problem with being able to pay for health insurance in the past 12 months. And more than 1 in 4 had a serious problem affording doctor and hospital bills and prescription medicines.\u003c/p>\n\u003cp>But the health issue that Latinos said is most concerning for them and their families — whether they were born in the U.S. or immigrated here — is diabetes. Last year, in another poll, Latinos said cancer was the biggest problem facing the country.\u003c/p>\n\u003cp>Hispanic populations have a high prevalence of Type 2 diabetes. About 10 percent of Latino adults have been diagnosed with it or have \"prediabetes,\" a stage of the disease that often goes undetected.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>One important factor: Latinos may be \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/15929869\">genetically predisposed\u003c/a> to the disease — a risk that can be aggravated by environment and diet.\u003c/p>\n\u003cp>\u003cstrong>The Diabetes 'Plague'\u003c/strong>\u003c/p>\n\u003cp>Take the example of East Los Angeles, an area heavily populated by Mexican-Americans.\u003c/p>\n\u003cp>Like many of her friends and family members, Rebecca Martinez-Rocha says she struggles with her weight. At one point, she weighed more than 320 pounds.\u003c/p>\n\u003cp>\"I don't think I realized it at the time, whether it was denial or I stopped getting on a scale,\" she says, \"but I was morbidly obese.\"\u003c/p>\n\u003cp>And, as it turns out, Martinez-Rocha was \u003ca href=\"http://www.diabetes.org/are-you-at-risk/prediabetes/\">prediabetic\u003c/a>, a diagnosis she received at a local health clinic.\u003c/p>\n\u003cp>\"I wasn't aware of the fact that I was ill; I figured that I was relatively young, in my 20s and early 30s,\" she says. \"It was kind of one of those 'aha' moments in life, where you look at it and put it all together and you think, 'How did I get here?' \"\u003c/p>\n\u003cp>The doctor who diagnosed Martinez-Rocha's condition is Anne Peters, a diabetes specialist and professor at University of Southern California's Keck School of Medicine. She's also the director of a diabetes program at \u003ca href=\"http://dhs.lacounty.gov/wps/portal/dhs/roybal\">Roybal Comprehensive Health Center\u003c/a>.\u003c/p>\n\u003cp>Peters says Type 2 diabetes is the \"plague\" of the Latino community she treats: \"Individuals here are getting diabetes at rates we've not seen before.\"\u003c/p>\n\u003cp>About 12 percent of the Latino population she sees has diabetes. Peters projects that number will climb to nearly 30 percent over the next few decades if nothing changes in the environment or diet of local residents.\u003c/p>\n\u003cp>Peters told Martinez-Rocha she was on her way to getting insulin-dependent Type 2 diabetes. Martinez-Rocha says she got very scared and made major changes. She lost 160 pounds.\u003c/p>\n\u003cp>But many patients don't do that, in large part because prediabetes is often \"silent.\" Unless people go to a doctor and get their blood sugar measured, they'll never know they have it.\u003c/p>\n\u003cp>And that's a shame, Peters says, because prediabetes can be turned around. \"If somebody has prediabetes, they need to lose weight — not a lot of weight, maybe only 10 to 15 pounds,\" she says.\u003c/p>\n\u003cp>They \"don't have to become skinny\" to benefit, she adds. Studies show that moderate weight loss can reduce diabetes risk by half.\u003c/p>\n\u003cp>Losing weight is hard for many people. But Martinez-Rocha says it's even harder when you live in a neighborhood that offers lots of high-fat, high-salt and high-sugar food.\u003c/p>\n\u003cp>\"If you drive around my neighborhood, every corner you'll see a taco stand, a fast-food restaurant, a sweet-bread store, places selling tamales or fried food,\" Martinez-Rocha says.\u003c/p>\n\u003cp>\u003cstrong>'Food Swamps'\u003c/strong>\u003c/p>\n\u003cp>In NPR's poll with the \u003ca href=\"http://www.rwjf.org/en/research-publications/find-rwjf-research/2014/01/latinos-lives-and-health-today.html%20\">Robert Wood Johnson Foundation\u003c/a> and \u003ca href=\"http://www.hsph.harvard.edu/\">Harvard School of Public Health\u003c/a>, 1 in 5 Mexican-Americans rated the availability of fresh fruits and vegetables in their neighborhoods as fair or poor.\u003c/p>\n\u003cp>Alex Ortega, a public health researcher and professor of public health at UCLA, calls neighborhoods like this, where healthy food is hard to come by, \"food swamps.\"\u003c/p>\n\u003cp>Walk into the typical corner market, he says, and the first things you'll see are signs for liquor and lottery tickets, cigarettes, soda and chips. \"They might sell some fruits and vegetables, but they're typically in the back of the store and in very poor quality,\" Ortega says.\u003c/p>\n\u003cp>Our survey found that Latino immigrants generally do not perceive their diets as less healthy in the U.S.: 38 percent see their diet as healthier in the United States, and about the same number (39 percent) say it's about as healthy. One in 5 (21 percent) see their diet as less healthy.\u003c/p>\n\u003cp>\u003ca href=\"http://www.cpc.unc.edu/projects/nutrans/publications/PennyAcculturation-SSM.pdf\">Previous studies have shown\u003c/a> that obesity rates among immigrants increase as their duration of residence in the U.S. increases. They suggest this might be attributable in part to changes in lifestyle, including an unhealthy diet.\u003c/p>\n\u003cp>\u003cstrong>Will Converting Stores Lower Obesity?\u003c/strong>\u003c/p>\n\u003cp>Ortega is committed to turning the Latino diet around. As director of the \u003ca href=\"http://www.ph.ucla.edu/cphhd/\">UCLA-USC Center for Population Health and Health Disparities\u003c/a>, Ortega is heading a project to convert corner stores in low-income neighborhoods.\u003c/p>\n\u003cp>About a month ago, Ortega, along with community activists, local high school students and store owner Maria Avila, transformed the \u003ca href=\"http://newsroom.ucla.edu/portal/ucla/changing-the-way-a-community-eats-249674.aspx\">Euclid Market\u003c/a> in the Boyle Heights section of East Los Angeles. They added windows and a new paint job, and rearranged and organized shelving. But most importantly, Ortega says, they added healthful foods.\u003c/p>\n\u003cp>The newly converted store opened to the public in December. Today, when you walk in the door, the first things you see aren't cigarettes and junk food — they're fresh fruits and vegetables.\u003c/p>\n\u003cp>This is the fourth corner store in the area to be converted. Ortega is still collecting data, but anecdotally, he says, store owners tell him they have more customers, they're selling more fruits and vegetables, and they're making more money.\u003c/p>\n\u003cp>But the big question is whether the availability of fresh fruits and vegetables will make a difference in the health of the neighborhood and the epidemic of diabetes.\u003c/p>\n\u003cp>\u003cstrong>Better Options, Better Diet\u003c/strong>\u003c/p>\n\u003cp>For college freshman DeeDee Barba, it has made a difference. She has taken part in the store conversion project for two years. Not only has she learned about marketing and sales, but she's also learned about nutrition. As a result, she says, her family now eats more healthfully. Part of that includes no dressing on salads.\u003c/p>\n\u003cp>\"We now eat our salads with olive oil and lemon, and it's actually good,\" she says. \"We eat a lot of fish and chicken; we rarely eat red meat. We eat rice, but we have whole-wheat rice. We don't drink soda anymore — we drink mostly water.\"\u003c/p>\n\u003cp>High school senior Steven Cardona, 17, has worked with the store conversion project for the past year. Learning about nutrition, he says, has changed his family's diet dramatically.\u003c/p>\n\u003cp>\"Before, we would eat lots of fast food, but now we eat mostly steamed vegetables, rice, chicken and lean meats,\" he says. Family members have lost a lot of weight, and everybody reports feeling \"better,\" he says.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ortega says that's exactly what's hoped for: that the availability of healthy food in low-income neighborhoods like this will make a difference in what residents buy, cook and eat. And that it will mean changing diets and reducing the high rates of obesity and diabetes in the Latino community in East L.A.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Minority Parents Less Likely to Use Appropriate Car Seat, Study Finds",
"title": "Minority Parents Less Likely to Use Appropriate Car Seat, Study Finds",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_17245\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/hunterji/4054275272/sizes/l/\">\u003cimg class=\"size-large wp-image-17245\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/4054275272_489ecb436b_b-640x480.jpg\" alt=\"Children should always use a booster seat until they are big enough to fit in a seat belt properly. (Joshua & Amber/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Children should always use a booster seat until they are big enough to fit in a seat belt properly. (Joshua & Amber/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brian Lau, MD\u003c/strong>\u003c/p>\n\u003cp>Many studies have shown that parents don't always use carseats and booster seats, and their kids could be at increased risk in a crash. A new study published this week shows that non-white children have particularly low use.\u003c/p>\n\u003cp>Researchers from The University of Michigan surveyed 601 parents about their car seat usage for 1 to 12-year-old children that received treatment at the emergency room. They found that non-white parents were nearly four times less likely to use appropriate child car restraints than white parents.\u003c/p>\n\u003cp>Doctors and policy makers have known of this disparity and attributed it to socioeconomic variables. But the new study shows that differences remained even after accounting for education and income.\u003c!--more-->\u003c/p>\n\u003cp>“People have suggested that racial disparities in restraint use are due to differences in socioeconomic status,” said lead author Dr. Michelle Macy, a pediatrician at the University of Michigan, in an email. “Our results demonstrate the answer is more complicated than that.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>In the study, the authors noted that because race continues to be a \"significant predictor\" of appropriate car seat usage, \"suggests that modifiable factors not measured in our study, such as parental knowledge, motivation, barriers, and sociocultural norms, may contribute to disparities.\"\u003c/p>\n\u003cp>Others point out that income and education are not the only factors when accounting for differences in racial and socio-economic disparities.\u003c/p>\n\u003cp>“Injury prevention often suffers with greater social stress,” said Dr. Lee Sanders, co-director of Stanford's Center for Policy, Outcomes and Prevention. “Factors like single-parent families and greater number of kids can make it difficult to keep up with changes from kid to kid.” Both of these factors are associated with lower socio-economic status and were not directly accounted for in the study.\u003c/p>\n\u003cp>Laws on injury prevention vary from state to state which may make it difficult for anyone, but particularly adults with greater social stressors, to track what kind of car seat is appropriate at what age.\u003c/p>\n\u003cp>“State laws generally fall short of ‘optimal’ child passenger safety recommendations,” said Dr. Macy. This may be due in part to state legislators lagging behind recent changes to the American Academy of Pediatric \u003ca href=\"http://pediatrics.aappublications.org/content/early/2011/03/21/peds.2011-0213.full.pdf+html\">guidelines\u003c/a> released in March 2011 that place greater emphasis on child size than child age when determining when to transition from car seats, booster seats, and ultimately the front seat.\u003c/p>\n\u003cp>“Keep kids in a rear seat whenever possible,\" said Dr. Macy, \"using a rear-facing car seat beyond 1 year and until the child outgrows the car seat’s rear-facing weight or height limit.\" She added that children should be in a booster seat from the time they outgrow their forward-facing car seat -- until an adult seat belt \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/injviosaf/Documents/boosterseatlawposterEng.pdf\" target=\"_blank\">fits properly\u003c/a>.\u003c/p>\n\u003cp>Having the proper car seat and knowing how to use it is one thing, but getting your kids to stay in them is another.\u003c/p>\n\u003cp>“One of the most effective methods is to tell the kids that you won’t start the car until they are safely in their seat,” said Dr. Sanders, “and don’t let the kid trying to get out of their seat or complaining, fool you into thinking they are safe without their child seat.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Regardless of race, proper child passenger restraint use is known to save lives. California has been one of the leaders in keeping\u003ca href=\"http://www.cdph.ca.gov/programs/Pages/CPSinCalifornia-VOSP.aspx\" target=\"_blank\"> its guidelines up-to-date\u003c/a> with the American Academy of Pediatrics.\u003c/p>\n\n",
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"excerpt": "Many studies have shown that parents don't always use carseats and booster seats, and their kids could be at increased risk in a crash. A new study published this week shows that non-white children have particularly low use.\r\n\r\nResearchers from The University of Michigan surveyed 601 parents about their car seat usage for 1 to 12-year-old children that received treatment at the emergency room. They found that non-white parents were nearly four times less likely to use appropriate child car restraints than white parents.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17245\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://www.flickr.com/photos/hunterji/4054275272/sizes/l/\">\u003cimg class=\"size-large wp-image-17245\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/4054275272_489ecb436b_b-640x480.jpg\" alt=\"Children should always use a booster seat until they are big enough to fit in a seat belt properly. (Joshua & Amber/Flickr)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Children should always use a booster seat until they are big enough to fit in a seat belt properly. (Joshua & Amber/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Brian Lau, MD\u003c/strong>\u003c/p>\n\u003cp>Many studies have shown that parents don't always use carseats and booster seats, and their kids could be at increased risk in a crash. A new study published this week shows that non-white children have particularly low use.\u003c/p>\n\u003cp>Researchers from The University of Michigan surveyed 601 parents about their car seat usage for 1 to 12-year-old children that received treatment at the emergency room. They found that non-white parents were nearly four times less likely to use appropriate child car restraints than white parents.\u003c/p>\n\u003cp>Doctors and policy makers have known of this disparity and attributed it to socioeconomic variables. But the new study shows that differences remained even after accounting for education and income.\u003c!--more-->\u003c/p>\n\u003cp>“People have suggested that racial disparities in restraint use are due to differences in socioeconomic status,” said lead author Dr. Michelle Macy, a pediatrician at the University of Michigan, in an email. “Our results demonstrate the answer is more complicated than that.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>In the study, the authors noted that because race continues to be a \"significant predictor\" of appropriate car seat usage, \"suggests that modifiable factors not measured in our study, such as parental knowledge, motivation, barriers, and sociocultural norms, may contribute to disparities.\"\u003c/p>\n\u003cp>Others point out that income and education are not the only factors when accounting for differences in racial and socio-economic disparities.\u003c/p>\n\u003cp>“Injury prevention often suffers with greater social stress,” said Dr. Lee Sanders, co-director of Stanford's Center for Policy, Outcomes and Prevention. “Factors like single-parent families and greater number of kids can make it difficult to keep up with changes from kid to kid.” Both of these factors are associated with lower socio-economic status and were not directly accounted for in the study.\u003c/p>\n\u003cp>Laws on injury prevention vary from state to state which may make it difficult for anyone, but particularly adults with greater social stressors, to track what kind of car seat is appropriate at what age.\u003c/p>\n\u003cp>“State laws generally fall short of ‘optimal’ child passenger safety recommendations,” said Dr. Macy. This may be due in part to state legislators lagging behind recent changes to the American Academy of Pediatric \u003ca href=\"http://pediatrics.aappublications.org/content/early/2011/03/21/peds.2011-0213.full.pdf+html\">guidelines\u003c/a> released in March 2011 that place greater emphasis on child size than child age when determining when to transition from car seats, booster seats, and ultimately the front seat.\u003c/p>\n\u003cp>“Keep kids in a rear seat whenever possible,\" said Dr. Macy, \"using a rear-facing car seat beyond 1 year and until the child outgrows the car seat’s rear-facing weight or height limit.\" She added that children should be in a booster seat from the time they outgrow their forward-facing car seat -- until an adult seat belt \u003ca href=\"http://www.cdph.ca.gov/HealthInfo/injviosaf/Documents/boosterseatlawposterEng.pdf\" target=\"_blank\">fits properly\u003c/a>.\u003c/p>\n\u003cp>Having the proper car seat and knowing how to use it is one thing, but getting your kids to stay in them is another.\u003c/p>\n\u003cp>“One of the most effective methods is to tell the kids that you won’t start the car until they are safely in their seat,” said Dr. Sanders, “and don’t let the kid trying to get out of their seat or complaining, fool you into thinking they are safe without their child seat.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Regardless of race, proper child passenger restraint use is known to save lives. California has been one of the leaders in keeping\u003ca href=\"http://www.cdph.ca.gov/programs/Pages/CPSinCalifornia-VOSP.aspx\" target=\"_blank\"> its guidelines up-to-date\u003c/a> with the American Academy of Pediatrics.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Back Pain? Exercise May Help You Learn Not to Feel It",
"title": "Back Pain? Exercise May Help You Learn Not to Feel It",
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"content": "\u003cfigure id=\"attachment_17153\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/79071736-e1389637911232.jpg\">\u003cimg class=\"size-large wp-image-17153\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/79071736-640x424.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"424\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Patti Neighmond and Richard Knox\u003c/strong>,\u003ca href=\"http://www.npr.org/blogs/health/2014/01/13/255457090/pain-in-the-back-exercise-may-help-you-learn-not-to-feel-it\" target=\"_blank\"> NPR\u003c/a>\u003c/p>\n\u003cp>More than 1 in 4 adult Americans say they've recently suffered a bout of low-back pain. It's one of the most common reasons people go to the doctor. And more and more people are being treated for it.\u003c/p>\n\u003cp>America spends \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=181453\">more than $80 billion a year\u003c/a> on back pain treatments. But many specialists say less treatment is usually more effective.\u003c/p>\n\u003cp>In fact, there's \u003ca href=\"http://www.jabfm.org/content/22/1/62.full.pdf+html\">evidence\u003c/a> that many standard treatments for back pain — surgery, spinal injections and painkillers — are often ineffective and can even worsen and prolong the problem.\u003c/p>\n\u003cp>Dr. Jerome Groopman agrees with that premise. He suffered back pain for almost 20 years. He was a young marathon runner 32 years ago when back pain struck out of the blue.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"I couldn't run. It was difficult to sleep,\" he says. \"I wasn't confined to bed, but I was hobbling around.\"\u003c!--more-->\u003c/p>\n\u003cp>Groopman, a Harvard cancer specialist who writes about medicine for \u003cem>The New Yorker\u003c/em>, wanted the problem fixed — right away. So he found a surgeon who removed a damaged \u003ca href=\"http://www.spine-health.com/conditions/spine-anatomy/spinal-discs\">disc\u003c/a>, the jellylike cushioning between each vertebra.\u003c/p>\n\u003cp>The surgery didn't fix his pain.\u003c/p>\n\u003cp>Then, one day during brunch at a friend's house, something happened that altered the course of his life.\u003c/p>\n\u003cp>\"I stood up from a chair and just had an explosive electric shock through my lower back,\" he remembers. \"Basically, I fell to the floor and couldn't get up.\"\u003c/p>\n\u003cp>His previous pain was severe. But this was over the top. Groopman could hardly move.\u003c/p>\n\u003cp>\"I was so desperate after almost three weeks that I found a neurosurgeon and orthopedist who said, 'You have spinal instability. We'll fuse you, and in three weeks you'll be playing football.' \"\u003c/p>\n\u003cp>In a \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/002968.htm\">spinal fusion\u003c/a>, surgeons weld together adjacent vertebrae with a bone graft. It's an \u003ca href=\"http://depts.washington.edu/ccor/studies/SpineSurgEpi.shtml\">increasingly common\u003c/a> operation.\u003c/p>\n\u003cp>But for Groopman, more surgery made things worse.\u003c/p>\n\u003cp>\"I woke up from the surgery in excruciating pain, and basically could hardly move my legs,\" he says. \"And I remember the orthopedic surgeon coming by and saying, 'Well, I don't know why you're having so much trouble. ... But, you know, if it doesn't get better in a few weeks we could reoperate.' \"\u003c/p>\n\u003cp>Some research suggests that \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/17268274\">1 in 5 patients\u003c/a> who have surgery for back pain end up having more surgery.\u003cstrong> \u003c/strong>For some, like Jerry Groopman, it doesn't help at all.\u003c/p>\n\u003cp>There's \"\u003ca href=\"http://www.jabfm.org/content/22/1/62.abstract?sid=e37c1e7a-9d17-440e-a7f2-a661a4ab70b7\">good reason\u003c/a> to think that we are overprescribing painkillers, overprescribing injections, overprescribing back surgery,\" according to Dr. Richard Deyo. He is an authority on evidence-based medicine at Oregon Health Sciences University who has studied treatment of back pain.\u003c/p>\n\u003cp>One reason invasive treatments for back pain have been rising in recent years, Deyo says, is the ready availability of \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/007493.htm\">MRI scans\u003c/a>. These detailed, color-coded pictures that can show a cross-section of the spine are a technological tour de force. But they can be dangerously \u003ca href=\"http://www.choosingwisely.org/doctor-patient-lists/imaging-tests-for-lower-back-pain/\">misleading\u003c/a>.\u003c/p>\n\u003cp>\"Seeing is believing,\" Deyo says. \"And gosh! We can actually see degenerated discs, we can see\u003cem> \u003c/em>bulging discs. We can see all kinds of things that are alarming.\"\u003c/p>\n\u003cp>That is, they look alarming. But they're most likely not the cause of the pain.\u003c/p>\n\u003cp>Lots of people who are pain-free actually have terrible-looking MRIs. And among those who have MRI abnormalities and pain, many specialists question whether the abnormality is really the cause of the pain, and whether fixing it can make the pain go away.\u003c/p>\n\u003cp>Surgery can help for certain conditions, such as a \u003ca href=\"http://www.webmd.com/back-pain/herniated-disc-18869\">herniated or bulging disc\u003c/a> with leg pain called \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/sciatica/basics/definition/con-20026478\">sciatica\u003c/a>. But most age-related back pain usually can't be fixed with surgery.\u003c/p>\n\u003cp>Research is showing that the pain often has nothing to do with the mechanics of the spine, but with the way the nervous system is behaving, according to \u003ca href=\"http://www.nebh.org/doctors/rainville-james-1008560\">Dr. James Rainville\u003c/a> of New England Baptist Hospital in Boston.\u003c/p>\n\u003cp>\"It's a change in the way the sensory system is processing information,\" says Rainville, who is a physiatrist, or specialist in rehabilitation medicine. \"Normal sensations of touch, sensations produced by movements, are translated by the nervous system into a pain message. That process is what drives people completely crazy who have back pain, because so many things produce discomfort.\"\u003c/p>\n\u003cp>This is a different way of thinking about pain. Normally pain is an alarm bell that says, \"Stop what you're doing right now or you may hurt yourself!\" But for many people, that pain is a false signal. It's not about looming danger; it's actually caused by hypersensitive nerves.\u003c/p>\n\u003cp>Rainville says that about \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/8935469\">25 percent\u003c/a> of patients with acute back trouble get stuck in an endless loop of pain. He thinks this chronic back pain is often due to persistent hypersensitivity of the nervous system.\u003c/p>\n\u003cp>Genetics may help explain why back pain becomes chronic for that 25 percent. But whatever the underlying cause, Rainville and others have discovered that many of them can learn to ignore their pain.\u003c/p>\n\u003cp>That process requires around six months of regular visits to a \u003ca href=\"http://www.youtube.com/watch?v=NM4jBGMb5s8\">back pain \"boot camp\u003c/a>,\" where specially trained therapists gradually increase the intensity of exercises designed not only to increase the strength and flexibility of the back, but also to teach patients that it's OK to move normally again.\u003c/p>\n\u003cp>Janet Wertheimer is a 61-year-old Massachusetts woman who recently completed Rainville's boot camp. She has had severe back pain on and off for 10 years.\u003c/p>\n\u003cp>One recent morning, therapist Lisa Childs put Wertheimer through her paces, starting with a rotary torso machine that required her to twist her back this way and that against the resistance of a stack of iron plates.\u003c/p>\n\u003cp>Next she moved to a back extension device. Wertheimer arched her back against the weight stack — by this point in her rehabilitation, 100 pounds of weight. It's something most people with chronic back pain couldn't imagine doing.\u003c/p>\n\u003cp>\"Do you feel like you could do 5 pounds more or 10 pounds?\" Childs asks.\u003c/p>\n\u003cp>\"You can try 10 and I'll see what happens,\" Wertheimer says.\u003c/p>\n\u003cp>Wertheimer has a sudden twinge in her back. But Childs, who's trained to evaluate these things, says it's OK. Wertheimer is building strength. And along the way, she's learning not to be afraid. \"It's learning not to fear the pain, learning that you can live with pain,\" Wertheimer says. \"Understand what that pain is, but then put it aside.\"\u003c/p>\n\u003cp>Most patients in Rainville's boot camp and similar programs find that the pain eventually lessens over a few months. Sometimes it even goes away.\u003c/p>\n\u003cp>For years after his spinal fusion, Groopman was never without back pain. He tried a long list of things without success. Then a friend suggested that he see Rainville.\u003c/p>\n\u003cp>Given his long search for relief, Groopman was skeptical. But he decided to give Rainville's boot camp a try.\u003c/p>\n\u003cp>\"He was really tough,\" Groopman recalls. \"He said to me, 'You are worshiping the volcano god of pain!' And I thought: 'What is this about?' \"\u003c/p>\n\u003cp>Rainville explains: \"In primitive cultures, if you lived near a volcano and the volcano started smoking and looking like something was going to happen, well, it was obvious[ly] because gods were mad at you. And you'd start doing silly things — sacrificing chickens or goats or whatever, thinking that that would appease the gods.\"\u003c/p>\n\u003cp>In a strange way, Rainville says, people with chronic back pain do something very similar. They sacrifice parts of their life — playing golf or softball, running, picking up bags of groceries or grandchildren. Patients get so afraid of pain, they do anything to avoid it.\u003c/p>\n\u003cp>\"They keep putting things onto this altar, thinking that's going to change the situation,\" Rainville says.\u003c/p>\n\u003cp>But it usually doesn't work. Instead, they get more paranoid about any twinge of pain, and all the while they lose strength and flexibility.\u003c/p>\n\u003cp>Eventually that message sank in with the skeptical Dr. Groopman. \"It took about two months for me to really buy in that this was the way to go,\" he says. \"Just let it go. Don't pay attention to it. ... And after about nine months, I was basically without any back pain.\"\u003c/p>\n\u003cp>It doesn't work that well for everyone. Janet Wertheimer still has some back pain. But she says after graduating from boot camp she can pretty much do anything she wants to — ski, go on mountain hikes, walk her dogs.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>And the pain? Most of the time, she says, she blocks it out and moves on.\u003c/p>\n\n",
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"excerpt": "Surgery can help for certain conditions, such as a herniated or bulging disc with leg pain called sciatica. But most age-related back pain usually can't be fixed with surgery.\r\n\r\nResearch is showing that the pain often has nothing to do with the mechanics of the spine, but with the way the nervous system is behaving, according to Dr. James Rainville of New England Baptist Hospital in Boston.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_17153\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/79071736-e1389637911232.jpg\">\u003cimg class=\"size-large wp-image-17153\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/01/79071736-640x424.jpg\" alt=\"(Getty Images)\" width=\"640\" height=\"424\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Patti Neighmond and Richard Knox\u003c/strong>,\u003ca href=\"http://www.npr.org/blogs/health/2014/01/13/255457090/pain-in-the-back-exercise-may-help-you-learn-not-to-feel-it\" target=\"_blank\"> NPR\u003c/a>\u003c/p>\n\u003cp>More than 1 in 4 adult Americans say they've recently suffered a bout of low-back pain. It's one of the most common reasons people go to the doctor. And more and more people are being treated for it.\u003c/p>\n\u003cp>America spends \u003ca href=\"http://jama.jamanetwork.com/article.aspx?articleid=181453\">more than $80 billion a year\u003c/a> on back pain treatments. But many specialists say less treatment is usually more effective.\u003c/p>\n\u003cp>In fact, there's \u003ca href=\"http://www.jabfm.org/content/22/1/62.full.pdf+html\">evidence\u003c/a> that many standard treatments for back pain — surgery, spinal injections and painkillers — are often ineffective and can even worsen and prolong the problem.\u003c/p>\n\u003cp>Dr. Jerome Groopman agrees with that premise. He suffered back pain for almost 20 years. He was a young marathon runner 32 years ago when back pain struck out of the blue.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"I couldn't run. It was difficult to sleep,\" he says. \"I wasn't confined to bed, but I was hobbling around.\"\u003c!--more-->\u003c/p>\n\u003cp>Groopman, a Harvard cancer specialist who writes about medicine for \u003cem>The New Yorker\u003c/em>, wanted the problem fixed — right away. So he found a surgeon who removed a damaged \u003ca href=\"http://www.spine-health.com/conditions/spine-anatomy/spinal-discs\">disc\u003c/a>, the jellylike cushioning between each vertebra.\u003c/p>\n\u003cp>The surgery didn't fix his pain.\u003c/p>\n\u003cp>Then, one day during brunch at a friend's house, something happened that altered the course of his life.\u003c/p>\n\u003cp>\"I stood up from a chair and just had an explosive electric shock through my lower back,\" he remembers. \"Basically, I fell to the floor and couldn't get up.\"\u003c/p>\n\u003cp>His previous pain was severe. But this was over the top. Groopman could hardly move.\u003c/p>\n\u003cp>\"I was so desperate after almost three weeks that I found a neurosurgeon and orthopedist who said, 'You have spinal instability. We'll fuse you, and in three weeks you'll be playing football.' \"\u003c/p>\n\u003cp>In a \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/002968.htm\">spinal fusion\u003c/a>, surgeons weld together adjacent vertebrae with a bone graft. It's an \u003ca href=\"http://depts.washington.edu/ccor/studies/SpineSurgEpi.shtml\">increasingly common\u003c/a> operation.\u003c/p>\n\u003cp>But for Groopman, more surgery made things worse.\u003c/p>\n\u003cp>\"I woke up from the surgery in excruciating pain, and basically could hardly move my legs,\" he says. \"And I remember the orthopedic surgeon coming by and saying, 'Well, I don't know why you're having so much trouble. ... But, you know, if it doesn't get better in a few weeks we could reoperate.' \"\u003c/p>\n\u003cp>Some research suggests that \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/17268274\">1 in 5 patients\u003c/a> who have surgery for back pain end up having more surgery.\u003cstrong> \u003c/strong>For some, like Jerry Groopman, it doesn't help at all.\u003c/p>\n\u003cp>There's \"\u003ca href=\"http://www.jabfm.org/content/22/1/62.abstract?sid=e37c1e7a-9d17-440e-a7f2-a661a4ab70b7\">good reason\u003c/a> to think that we are overprescribing painkillers, overprescribing injections, overprescribing back surgery,\" according to Dr. Richard Deyo. He is an authority on evidence-based medicine at Oregon Health Sciences University who has studied treatment of back pain.\u003c/p>\n\u003cp>One reason invasive treatments for back pain have been rising in recent years, Deyo says, is the ready availability of \u003ca href=\"http://www.nlm.nih.gov/medlineplus/ency/article/007493.htm\">MRI scans\u003c/a>. These detailed, color-coded pictures that can show a cross-section of the spine are a technological tour de force. But they can be dangerously \u003ca href=\"http://www.choosingwisely.org/doctor-patient-lists/imaging-tests-for-lower-back-pain/\">misleading\u003c/a>.\u003c/p>\n\u003cp>\"Seeing is believing,\" Deyo says. \"And gosh! We can actually see degenerated discs, we can see\u003cem> \u003c/em>bulging discs. We can see all kinds of things that are alarming.\"\u003c/p>\n\u003cp>That is, they look alarming. But they're most likely not the cause of the pain.\u003c/p>\n\u003cp>Lots of people who are pain-free actually have terrible-looking MRIs. And among those who have MRI abnormalities and pain, many specialists question whether the abnormality is really the cause of the pain, and whether fixing it can make the pain go away.\u003c/p>\n\u003cp>Surgery can help for certain conditions, such as a \u003ca href=\"http://www.webmd.com/back-pain/herniated-disc-18869\">herniated or bulging disc\u003c/a> with leg pain called \u003ca href=\"http://www.mayoclinic.org/diseases-conditions/sciatica/basics/definition/con-20026478\">sciatica\u003c/a>. But most age-related back pain usually can't be fixed with surgery.\u003c/p>\n\u003cp>Research is showing that the pain often has nothing to do with the mechanics of the spine, but with the way the nervous system is behaving, according to \u003ca href=\"http://www.nebh.org/doctors/rainville-james-1008560\">Dr. James Rainville\u003c/a> of New England Baptist Hospital in Boston.\u003c/p>\n\u003cp>\"It's a change in the way the sensory system is processing information,\" says Rainville, who is a physiatrist, or specialist in rehabilitation medicine. \"Normal sensations of touch, sensations produced by movements, are translated by the nervous system into a pain message. That process is what drives people completely crazy who have back pain, because so many things produce discomfort.\"\u003c/p>\n\u003cp>This is a different way of thinking about pain. Normally pain is an alarm bell that says, \"Stop what you're doing right now or you may hurt yourself!\" But for many people, that pain is a false signal. It's not about looming danger; it's actually caused by hypersensitive nerves.\u003c/p>\n\u003cp>Rainville says that about \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmed/8935469\">25 percent\u003c/a> of patients with acute back trouble get stuck in an endless loop of pain. He thinks this chronic back pain is often due to persistent hypersensitivity of the nervous system.\u003c/p>\n\u003cp>Genetics may help explain why back pain becomes chronic for that 25 percent. But whatever the underlying cause, Rainville and others have discovered that many of them can learn to ignore their pain.\u003c/p>\n\u003cp>That process requires around six months of regular visits to a \u003ca href=\"http://www.youtube.com/watch?v=NM4jBGMb5s8\">back pain \"boot camp\u003c/a>,\" where specially trained therapists gradually increase the intensity of exercises designed not only to increase the strength and flexibility of the back, but also to teach patients that it's OK to move normally again.\u003c/p>\n\u003cp>Janet Wertheimer is a 61-year-old Massachusetts woman who recently completed Rainville's boot camp. She has had severe back pain on and off for 10 years.\u003c/p>\n\u003cp>One recent morning, therapist Lisa Childs put Wertheimer through her paces, starting with a rotary torso machine that required her to twist her back this way and that against the resistance of a stack of iron plates.\u003c/p>\n\u003cp>Next she moved to a back extension device. Wertheimer arched her back against the weight stack — by this point in her rehabilitation, 100 pounds of weight. It's something most people with chronic back pain couldn't imagine doing.\u003c/p>\n\u003cp>\"Do you feel like you could do 5 pounds more or 10 pounds?\" Childs asks.\u003c/p>\n\u003cp>\"You can try 10 and I'll see what happens,\" Wertheimer says.\u003c/p>\n\u003cp>Wertheimer has a sudden twinge in her back. But Childs, who's trained to evaluate these things, says it's OK. Wertheimer is building strength. And along the way, she's learning not to be afraid. \"It's learning not to fear the pain, learning that you can live with pain,\" Wertheimer says. \"Understand what that pain is, but then put it aside.\"\u003c/p>\n\u003cp>Most patients in Rainville's boot camp and similar programs find that the pain eventually lessens over a few months. Sometimes it even goes away.\u003c/p>\n\u003cp>For years after his spinal fusion, Groopman was never without back pain. He tried a long list of things without success. Then a friend suggested that he see Rainville.\u003c/p>\n\u003cp>Given his long search for relief, Groopman was skeptical. But he decided to give Rainville's boot camp a try.\u003c/p>\n\u003cp>\"He was really tough,\" Groopman recalls. \"He said to me, 'You are worshiping the volcano god of pain!' And I thought: 'What is this about?' \"\u003c/p>\n\u003cp>Rainville explains: \"In primitive cultures, if you lived near a volcano and the volcano started smoking and looking like something was going to happen, well, it was obvious[ly] because gods were mad at you. And you'd start doing silly things — sacrificing chickens or goats or whatever, thinking that that would appease the gods.\"\u003c/p>\n\u003cp>In a strange way, Rainville says, people with chronic back pain do something very similar. They sacrifice parts of their life — playing golf or softball, running, picking up bags of groceries or grandchildren. Patients get so afraid of pain, they do anything to avoid it.\u003c/p>\n\u003cp>\"They keep putting things onto this altar, thinking that's going to change the situation,\" Rainville says.\u003c/p>\n\u003cp>But it usually doesn't work. Instead, they get more paranoid about any twinge of pain, and all the while they lose strength and flexibility.\u003c/p>\n\u003cp>Eventually that message sank in with the skeptical Dr. Groopman. \"It took about two months for me to really buy in that this was the way to go,\" he says. \"Just let it go. Don't pay attention to it. ... And after about nine months, I was basically without any back pain.\"\u003c/p>\n\u003cp>It doesn't work that well for everyone. Janet Wertheimer still has some back pain. But she says after graduating from boot camp she can pretty much do anything she wants to — ski, go on mountain hikes, walk her dogs.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"soldout": {
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