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"bio": "Lisa Aliferis is the founding editor of KQED's \u003cem>State of Health\u003c/em> blog. Since 2011, she's been writing and editing stories for the site. Before taking up blogging, she toiled for many years (more than we can count) producing health stories for television, including\u003cem> Dateline NBC\u003c/em> and San Francisco's CBS affiliate, KPIX-TV. She also wrote up a \u003ca title=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\" href=\"http://www.kqed.org/news/health/obamacare/obamacare-guide.jsp\">handy guide to the Affordable Care Act\u003c/a>, especially for Californians. Her work has been honored for many awards. Most recently she was a finalist for \"Best Topical Reporting\" from the Online News Association. You can follow her on Twitter: \u003ca title=\"https://twitter.com/laliferis\" href=\"https://twitter.com/laliferis\">@laliferis\u003c/a>",
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"content": "\u003cp>The emotions of new parents can run the gamut. They're in uncharted water. Even people who have spent a great deal of time around children will likely tell you that having their own is a new experience. For Eric and Cindy Everson, it was no different. They had been around children, but when they had their son, Shane, the world changed. \"We were new parents,\" Eric says. \"We didn't know what to expect.\"\u003c/p>\n\u003cp>Still, they did recognize when Shane started missing milestones. He was late to crawl. Then he was late walking, and they had him evaluated. When Shane started walking shortly after the evaluation, Eric and Cindy hoped all was well. But they were seeing other issues as well. Shane was not not babbling or making any noises, a key marker for learning language. He was not responding when his parents called his name. Finally the formal diagnosis came. Shane had \u003ca title=\"http://www.ninds.nih.gov/disorders/autism/detail_autism.htm\" href=\"http://www.ninds.nih.gov/disorders/autism/detail_autism.htm\" target=\"_blank\">autism\u003c/a>, a neurodevelopment disorder. The communication problems their son had, the repetitive behavior they had seen, the problems with social interaction -- these are all hallmarks of autism.\u003c/p>\n\u003cp>\"We were devastated to think that our child was developmentally disabled, there was no cure,\" Cindy Everson said. \"What's his future going to look like? Will he talk? Will he walk? Will he do anything that typical kids do? ... You start living first in denial, then you have to move forward and you have to research the best types of services and therapies. It's overwhelming.\"\u003c/p>\n\u003cp>When Shane was 3, his brother, Joe, was born. By the time Joe was 20 months, he, too, was diagnosed with autism.\u003ca title=\"http://pediatrics.aappublications.org/content/128/3/e488.full\" href=\"http://pediatrics.aappublications.org/content/128/3/e488.full\" target=\"_blank\"> Recent research\u003c/a> shows that having a child with autism increases the next child's risk by almost 20 percent. At the time Joe was born, the estimates had been three to ten percent. There is no prenatal test to detect autism.\u003c/p>\n\u003cp>From the time their older son was diagnosed, Eric and Cindy entered a world of intense advocacy and managing all types of therapy for both their sons. \"We've had a lot of people and tutors and different people going in and out of the house,\" Eric explained. \"We've had them in speech therapy, occupational therapy, different types of therapies and training. Cindy was kind of like the program manager.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Joe has moderate autism and, Cindy says, is definitely \"more exhausting.\" When he was younger, he would run off down the street. One time he got out of the house in the early morning hours. A neighbor called to alert them at 5am. The Eversons put key locks on all the doors after that. Shane has mild autism, and as a young boy had problems with speech and sensory issues. Like many children with autism, he was obsessed with routine. He would want his parents to take specific routes when coming home in the car. If not, he would start screaming.\u003c/p>\n\u003cp>Erica Frieze is a clinical psychologist at the \u003ca title=\"http://www.ucdmc.ucdavis.edu/mindinstitute/\" href=\"http://www.ucdmc.ucdavis.edu/mindinstitute/\" target=\"_blank\">UC Davis MIND Institute\u003c/a>. She says the obsession with routine is very common in children with autism. \"Kids with autism like sameness,\" she said, \"and they like to follow rules. So when those rules are changed, it's difficult for them.\" When kids act out, she says, parents have to maintain consistency.\u003c/p>\n\u003cp>\u003cstrong>Resources Available\u003c/strong>\u003c/p>\n\u003cp>In California, parents are eligible for services for their children at one of \u003ca title=\"http://www.dds.ca.gov/RC/RCList.cfm\" href=\"http://www.dds.ca.gov/RC/RCList.cfm\" target=\"_blank\">21 regional centers\u003c/a> run by the state's Department of Developmental Services. Autistic children typically need everything from speech therapy to occupation therapy, help with behavior, early education and the list goes on. Children receive services at these centers until they are 3-years-old. At that point, the child transitions to the local school district and its special education programs. Eric and Cindy say they were fortunate to be able to supplement state programs with therapists they hired privately. In addition, they have a strong support network of family and friends.\u003c/p>\n\u003cp>Shannon Rosa also credits a strong network of family and friends in supporting her and her husband as they raise their autistic son Leo, 11. But when Leo was diagnosed at age 2, they initially felt alone. They didn't know anyone with an autistic child. At that time, there was no central place to go for comprehensive information, Rosa says.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I see my son as a happy child who needs support in a lot of day to day activities. I want people to try to accept him on his own terms.\"\u003c/aside>\n\u003cp>Rosa had a career as an independent writer and editor before Leo was born. Since he was diagnosed, she has trained her skills on autism, writing widely on the subject in numerous publications and blogs. In 2010, she co-founded \u003ca title=\"http://thinkingautismguide.blogspot.com/p/mission-statement.html\" href=\"http://thinkingautismguide.blogspot.com/p/mission-statement.html\" target=\"_blank\">The Thinking Person's Guide to Autism\u003c/a> website. She was senior editor of \u003ca title=\"http://thinkingautismguide.blogspot.com/p/our-book.html\" href=\"http://thinkingautismguide.blogspot.com/p/our-book.html\" target=\"_blank\">a book\u003c/a> of the same title, published just last month. It has 54 contributors, from parents to professionals to people with autism. The editors wanted to compile the latest information they could find about the condition. \"The other thing that was really missing was an understanding of what life could be like in the future for anyone with autism,\" Rosa says. \"We have a section in there with essays by people with autism so parents can have a glimpse of the future.\" (She adds that the book was an \"all-volunteer project\" and that all profits from sale are going to two autism non-profits.)\u003c/p>\n\u003cp>\u003cstrong>No Pity\u003c/strong>\u003c/p>\n\u003cp>That glimpse of the future is especially close to Rosa's heart. She criticizes the media for conditioning people \"to fear autism as the worst possible thing that can happen to us.\" Instead, she encourages parents of autistic children to work on understanding them, and helping them to develop as fully as possible. \"I see my son as a happy child who needs support in a lot of day to day activities. He needs one to one supervision, but, within that, I want people to try to accept him on his own terms,\" she says. \"Pity is of no use for us. What does pity do for us? Nothing. ... Pity closes off opportunities. Patronizing closes off opportunities. As parents, it's a responsibility to have our child be the best they can be.\"\u003c/p>\n\u003cp>And helping children be the best they can be involves fighting for services, she says. \"I know people who have gone to the mat with the regional centers and have had to be savvy, fearless and tenacious to get that funding.\" Rosa described learning to advocate for one's child as \"another education\" parents need to embark on. Early intervention is critical, she says.\u003c/p>\n\u003cp>Back at the Everson home, Shane is now 15. His brother Joe is 12. Those early years of therapy have helped both boys tremendously, their parents say. Shane, who didn't talk at all until he was 4, now won't stop talking. He has a cell phone and attends some mainstream classes at his school. Joe has more significant language difficulties. His parents think it is unlikely he will ever be able to live on his own. \"It's interesting raising two autistic kids with such different needs,\" Cindy Everson says. \"All children have potential to reach; as parents we help them reach their potential. We're doing that with our kids. We have two kids with autism that are affected differently and we try to do our best every day to help them reach their potential.\"\u003c/p>\n\u003cp>From those first weeks of devastation and denial after Shane's diagnosis, Eric and Cindy, have formed a rich family life. \"We had to really come to that point of acceptance to let us really be able to accept the fact that our family is a different family, but that's OK. Our kids have brought us so much joy,\" Cindy says. \"I feel like my character is stronger because of all the things they've taught me. You see progress and it becomes what you do. We have an awesome time with our kids.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cstrong>\u003ca title=\"http://www.californiareport.org/\" href=\"http://www.californiareport.org/\" target=\"_blank\">Learn More: The California Report special half-hour on many aspects of parenting.\u003c/a>\u003c/strong>\u003c/p>\n\n",
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"excerpt": "The emotions of new parents can run the gamut. They're in uncharted water. Even people who have spent a great deal of time around children will likely tell you that having their own is a new experience. For Eric and Cindy Everson, it was no different. They had been around children, but when they had their son, Shane, the world changed. \"We were new parents,\" Eric says, \"we didn't know what to expect.\"\r\nStill, they did recognize when Shane started missing milestones. He was late to crawl. Then he was late walking and they had him evaluated.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>The emotions of new parents can run the gamut. They're in uncharted water. Even people who have spent a great deal of time around children will likely tell you that having their own is a new experience. For Eric and Cindy Everson, it was no different. They had been around children, but when they had their son, Shane, the world changed. \"We were new parents,\" Eric says. \"We didn't know what to expect.\"\u003c/p>\n\u003cp>Still, they did recognize when Shane started missing milestones. He was late to crawl. Then he was late walking, and they had him evaluated. When Shane started walking shortly after the evaluation, Eric and Cindy hoped all was well. But they were seeing other issues as well. Shane was not not babbling or making any noises, a key marker for learning language. He was not responding when his parents called his name. Finally the formal diagnosis came. Shane had \u003ca title=\"http://www.ninds.nih.gov/disorders/autism/detail_autism.htm\" href=\"http://www.ninds.nih.gov/disorders/autism/detail_autism.htm\" target=\"_blank\">autism\u003c/a>, a neurodevelopment disorder. The communication problems their son had, the repetitive behavior they had seen, the problems with social interaction -- these are all hallmarks of autism.\u003c/p>\n\u003cp>\"We were devastated to think that our child was developmentally disabled, there was no cure,\" Cindy Everson said. \"What's his future going to look like? Will he talk? Will he walk? Will he do anything that typical kids do? ... You start living first in denial, then you have to move forward and you have to research the best types of services and therapies. It's overwhelming.\"\u003c/p>\n\u003cp>When Shane was 3, his brother, Joe, was born. By the time Joe was 20 months, he, too, was diagnosed with autism.\u003ca title=\"http://pediatrics.aappublications.org/content/128/3/e488.full\" href=\"http://pediatrics.aappublications.org/content/128/3/e488.full\" target=\"_blank\"> Recent research\u003c/a> shows that having a child with autism increases the next child's risk by almost 20 percent. At the time Joe was born, the estimates had been three to ten percent. There is no prenatal test to detect autism.\u003c/p>\n\u003cp>From the time their older son was diagnosed, Eric and Cindy entered a world of intense advocacy and managing all types of therapy for both their sons. \"We've had a lot of people and tutors and different people going in and out of the house,\" Eric explained. \"We've had them in speech therapy, occupational therapy, different types of therapies and training. Cindy was kind of like the program manager.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Joe has moderate autism and, Cindy says, is definitely \"more exhausting.\" When he was younger, he would run off down the street. One time he got out of the house in the early morning hours. A neighbor called to alert them at 5am. The Eversons put key locks on all the doors after that. Shane has mild autism, and as a young boy had problems with speech and sensory issues. Like many children with autism, he was obsessed with routine. He would want his parents to take specific routes when coming home in the car. If not, he would start screaming.\u003c/p>\n\u003cp>Erica Frieze is a clinical psychologist at the \u003ca title=\"http://www.ucdmc.ucdavis.edu/mindinstitute/\" href=\"http://www.ucdmc.ucdavis.edu/mindinstitute/\" target=\"_blank\">UC Davis MIND Institute\u003c/a>. She says the obsession with routine is very common in children with autism. \"Kids with autism like sameness,\" she said, \"and they like to follow rules. So when those rules are changed, it's difficult for them.\" When kids act out, she says, parents have to maintain consistency.\u003c/p>\n\u003cp>\u003cstrong>Resources Available\u003c/strong>\u003c/p>\n\u003cp>In California, parents are eligible for services for their children at one of \u003ca title=\"http://www.dds.ca.gov/RC/RCList.cfm\" href=\"http://www.dds.ca.gov/RC/RCList.cfm\" target=\"_blank\">21 regional centers\u003c/a> run by the state's Department of Developmental Services. Autistic children typically need everything from speech therapy to occupation therapy, help with behavior, early education and the list goes on. Children receive services at these centers until they are 3-years-old. At that point, the child transitions to the local school district and its special education programs. Eric and Cindy say they were fortunate to be able to supplement state programs with therapists they hired privately. In addition, they have a strong support network of family and friends.\u003c/p>\n\u003cp>Shannon Rosa also credits a strong network of family and friends in supporting her and her husband as they raise their autistic son Leo, 11. But when Leo was diagnosed at age 2, they initially felt alone. They didn't know anyone with an autistic child. At that time, there was no central place to go for comprehensive information, Rosa says.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"I see my son as a happy child who needs support in a lot of day to day activities. I want people to try to accept him on his own terms.\"\u003c/aside>\n\u003cp>Rosa had a career as an independent writer and editor before Leo was born. Since he was diagnosed, she has trained her skills on autism, writing widely on the subject in numerous publications and blogs. In 2010, she co-founded \u003ca title=\"http://thinkingautismguide.blogspot.com/p/mission-statement.html\" href=\"http://thinkingautismguide.blogspot.com/p/mission-statement.html\" target=\"_blank\">The Thinking Person's Guide to Autism\u003c/a> website. She was senior editor of \u003ca title=\"http://thinkingautismguide.blogspot.com/p/our-book.html\" href=\"http://thinkingautismguide.blogspot.com/p/our-book.html\" target=\"_blank\">a book\u003c/a> of the same title, published just last month. It has 54 contributors, from parents to professionals to people with autism. The editors wanted to compile the latest information they could find about the condition. \"The other thing that was really missing was an understanding of what life could be like in the future for anyone with autism,\" Rosa says. \"We have a section in there with essays by people with autism so parents can have a glimpse of the future.\" (She adds that the book was an \"all-volunteer project\" and that all profits from sale are going to two autism non-profits.)\u003c/p>\n\u003cp>\u003cstrong>No Pity\u003c/strong>\u003c/p>\n\u003cp>That glimpse of the future is especially close to Rosa's heart. She criticizes the media for conditioning people \"to fear autism as the worst possible thing that can happen to us.\" Instead, she encourages parents of autistic children to work on understanding them, and helping them to develop as fully as possible. \"I see my son as a happy child who needs support in a lot of day to day activities. He needs one to one supervision, but, within that, I want people to try to accept him on his own terms,\" she says. \"Pity is of no use for us. What does pity do for us? Nothing. ... Pity closes off opportunities. Patronizing closes off opportunities. As parents, it's a responsibility to have our child be the best they can be.\"\u003c/p>\n\u003cp>And helping children be the best they can be involves fighting for services, she says. \"I know people who have gone to the mat with the regional centers and have had to be savvy, fearless and tenacious to get that funding.\" Rosa described learning to advocate for one's child as \"another education\" parents need to embark on. Early intervention is critical, she says.\u003c/p>\n\u003cp>Back at the Everson home, Shane is now 15. His brother Joe is 12. Those early years of therapy have helped both boys tremendously, their parents say. Shane, who didn't talk at all until he was 4, now won't stop talking. He has a cell phone and attends some mainstream classes at his school. Joe has more significant language difficulties. His parents think it is unlikely he will ever be able to live on his own. \"It's interesting raising two autistic kids with such different needs,\" Cindy Everson says. \"All children have potential to reach; as parents we help them reach their potential. We're doing that with our kids. We have two kids with autism that are affected differently and we try to do our best every day to help them reach their potential.\"\u003c/p>\n\u003cp>From those first weeks of devastation and denial after Shane's diagnosis, Eric and Cindy, have formed a rich family life. \"We had to really come to that point of acceptance to let us really be able to accept the fact that our family is a different family, but that's OK. Our kids have brought us so much joy,\" Cindy says. \"I feel like my character is stronger because of all the things they've taught me. 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"content": "\u003cp>\u003cstrong>By Rachel Dornhelm\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_2600\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/RachelFamily.jpg\">\u003cimg class=\"size-medium wp-image-2600 \" title=\"Karen Witham reads to her children, giving her husband a chance to recharge.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/RachelFamily-e1327698035255-300x284.jpg\" alt=\"Karen Witham reads to her children, giving her husband a chance to recharge.\" width=\"300\" height=\"284\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Karen Witham reads to her children, giving her husband a chance to recharge.\u003c/figcaption>\u003c/figure>\n\u003cp>A friend once told me conspiratorially that there is no such thing as work-life balance. “It’s more like a work-life see-saw,” she said. “If one thing is up, the other is down.”\u003c/p>\n\u003cp>I talked to many parents about their efforts to integrate their work and family lives \u003ca title=\"http://www.californiareport.org/archive/R201201271630/e\" href=\"http://www.californiareport.org/archive/R201201271630/e\" target=\"_blank\">for this story\u003c/a> that ran on KQED’s The California Report. Despite the incredible variation, one theme emerged. Often, the details of peoples’ stories – working full-time, part-time, odd hours, being a single parent – made people feel like their situation was so specific they were reinventing it all. The isolation makes it worse.\u003c/p>\n\u003cp>Some families are trying to change this. The Witham-Price family I profiled in my story set a goal of actively seeking out community and took action by joining a cooperative preschool and a Unitarian Universalist church.\u003c!--more-->\u003c/p>\n\u003cp>As the mother of 5-year-old twins, the process of talking to people openly about how they struggle with the same challenges was a relief. I’ve put together tips from the collective wisdom below. I urge you to add yours.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But, first, while the radio story focused on what happens in the home, it’s important to note that there’s much more to achieving work-life balance. Many groups, such as \u003ca title=\"http://www.momsrising.org/\" href=\"http://www.momsrising.org/\" target=\"_blank\">MomsRising\u003c/a> and the \u003ca href=\"http://www.working-families.org/\" target=\"_blank\">Labor Project for Working Families\u003c/a>, are working on getting policies in place that would make workplaces more family friendly.\u003c/p>\n\u003cp>Other groups are focused on changing workplaces from the inside to allow for more flexible work arrangements. The \u003ca href=\"http://www.nytimes.com/2011/01/08/business/08perks.html?pagewanted=all\" target=\"_blank\">accounting industry has gotten attention\u003c/a> for its flex policies recently and every year \u003ca href=\"http://www.workingmother.com/best-companies\" target=\"_blank\">Working Mother magazine releases its lists\u003c/a> of the best workplaces.\u003c/p>\n\u003cp>But \u003ca href=\"http://www.uchastings.edu/faculty-administration/faculty/williams/\" target=\"_blank\">law professor Joan Williams\u003c/a> of U.C. Hastings \u003ca href=\"http://www.worklifelaw.org/\" target=\"_blank\">Center for WorkLife Law\u003c/a> says the latest research suggests it’s not just about having the policy spelled out. It’s also vital there is no stigma attached to taking advantage of the policy. No sidelong glances at someone leaving early, or grumbles about people working from home. And that can require a whole culture change, with focused trainings for employees.\u003c/p>\n\u003cp>Williams also points out the distinctions between the challenges facing salaried workers and hourly workers. \u003ca href=\"http://www.worklifelaw.org/pubs/ImprovingWork-LifeFit.pdf\" target=\"_blank\">Hourly workers are increasingly faced with Just In Time scheduling\u003c/a> [PDF], meaning employers change their hours on a weekly basis. This can wreak havoc on child care and work-family balance.\u003c/p>\n\u003cp>There’s no question lots of structural work needs to be done, but what changes can you make in your home? Christine Carter, sociologist and author of \u003ca title=\"http://greatergood.berkeley.edu/raising_happiness/\" href=\"http://greatergood.berkeley.edu/raising_happiness/\" target=\"_blank\">Raising Happiness\u003c/a>, says start by zeroing in on the problem spots and bad routines. Then, start small. Being good at The Juggle is not innate to anyone. It’s a matter of building skills, “So maybe this month you’re working on the skill of motivating your kids or the skill of building bigger community,\" Carter says.\u003c/p>\n\u003cp>After talking to her, I made this my \"Month of the Cleaner House.\" I've been getting up a few minutes earlier to unload the dishwasher first thing. I put a comb back in its place rather than throwing it on the clutter pile in the kitchen. So far, so good.\u003c/p>\n\u003cp>Carter, a single mom to a 9 and 11 year old, also suggests setting strict technology boundaries. “I don’t check email after 9 PM and no smart phones are allowed in the dining room or living room, ever,\" she insisted.\u003c/p>\n\u003cp>Here are more ideas from parents in the thick of it:\u003c/p>\n\u003cul>\n\u003cli>Don’t hesitate to ASK at work for what you need. For example, tell your colleagues or boss, “I can no longer come to the Thursday late afternoon staff meeting but will join by phone.” If you state your needs clearly, you might be surprised.\u003c/li>\n\u003cli>If two parents are both working full time consider taking turns being the primary on-call parent, e.g. the one who always goes to doctors' appointments, sports games, etc to allow the other to focus on career. Either switch every year or every 5 years.\u003c/li>\n\u003cli>Let go of some things. If you delegate something, like food, to your partner appreciate that they’re doing it and don’t second guess the way they’re handling it.\u003c/li>\n\u003cli>Get together with a friend on a weekday evening to cook two dishes that can last for a few days’ dinners or lunches. It addresses both the isolation and gets food on the table. Or exercise together.\u003c/li>\n\u003cli>If you’re in a position of authority at work, jump at the chance to codify family-friendly policies so expectations for all employees are clear.\u003c/li>\n\u003cli>Take turns with your spouse each morning (Monday-Friday) getting your kids ready. That could open up solo time for the other parent to exercise, work or engage in a hobby. If mornings won't work for your family, try evenings.\u003c/li>\n\u003c/ul>\n\u003cp>Balancing work and family is a huge subject that takes the proverbial village. Tips and experiences are welcome, and so is humor. One parent observed, “I know I have achieved work-life balance when I feel equally guilty at home and at work.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003ca title=\"http://www.californiareport.org/\" href=\"http://www.californiareport.org/\" target=\"_blank\">Learn More: The California Report special half-hour on parenting. \u003c/a>\u003c/strong>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cstrong>By Rachel Dornhelm\u003c/strong>\u003c/p>\n\u003cfigure id=\"attachment_2600\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/RachelFamily.jpg\">\u003cimg class=\"size-medium wp-image-2600 \" title=\"Karen Witham reads to her children, giving her husband a chance to recharge.\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/RachelFamily-e1327698035255-300x284.jpg\" alt=\"Karen Witham reads to her children, giving her husband a chance to recharge.\" width=\"300\" height=\"284\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Karen Witham reads to her children, giving her husband a chance to recharge.\u003c/figcaption>\u003c/figure>\n\u003cp>A friend once told me conspiratorially that there is no such thing as work-life balance. “It’s more like a work-life see-saw,” she said. “If one thing is up, the other is down.”\u003c/p>\n\u003cp>I talked to many parents about their efforts to integrate their work and family lives \u003ca title=\"http://www.californiareport.org/archive/R201201271630/e\" href=\"http://www.californiareport.org/archive/R201201271630/e\" target=\"_blank\">for this story\u003c/a> that ran on KQED’s The California Report. Despite the incredible variation, one theme emerged. Often, the details of peoples’ stories – working full-time, part-time, odd hours, being a single parent – made people feel like their situation was so specific they were reinventing it all. The isolation makes it worse.\u003c/p>\n\u003cp>Some families are trying to change this. The Witham-Price family I profiled in my story set a goal of actively seeking out community and took action by joining a cooperative preschool and a Unitarian Universalist church.\u003c!--more-->\u003c/p>\n\u003cp>As the mother of 5-year-old twins, the process of talking to people openly about how they struggle with the same challenges was a relief. I’ve put together tips from the collective wisdom below. I urge you to add yours.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But, first, while the radio story focused on what happens in the home, it’s important to note that there’s much more to achieving work-life balance. Many groups, such as \u003ca title=\"http://www.momsrising.org/\" href=\"http://www.momsrising.org/\" target=\"_blank\">MomsRising\u003c/a> and the \u003ca href=\"http://www.working-families.org/\" target=\"_blank\">Labor Project for Working Families\u003c/a>, are working on getting policies in place that would make workplaces more family friendly.\u003c/p>\n\u003cp>Other groups are focused on changing workplaces from the inside to allow for more flexible work arrangements. The \u003ca href=\"http://www.nytimes.com/2011/01/08/business/08perks.html?pagewanted=all\" target=\"_blank\">accounting industry has gotten attention\u003c/a> for its flex policies recently and every year \u003ca href=\"http://www.workingmother.com/best-companies\" target=\"_blank\">Working Mother magazine releases its lists\u003c/a> of the best workplaces.\u003c/p>\n\u003cp>But \u003ca href=\"http://www.uchastings.edu/faculty-administration/faculty/williams/\" target=\"_blank\">law professor Joan Williams\u003c/a> of U.C. Hastings \u003ca href=\"http://www.worklifelaw.org/\" target=\"_blank\">Center for WorkLife Law\u003c/a> says the latest research suggests it’s not just about having the policy spelled out. It’s also vital there is no stigma attached to taking advantage of the policy. No sidelong glances at someone leaving early, or grumbles about people working from home. And that can require a whole culture change, with focused trainings for employees.\u003c/p>\n\u003cp>Williams also points out the distinctions between the challenges facing salaried workers and hourly workers. \u003ca href=\"http://www.worklifelaw.org/pubs/ImprovingWork-LifeFit.pdf\" target=\"_blank\">Hourly workers are increasingly faced with Just In Time scheduling\u003c/a> [PDF], meaning employers change their hours on a weekly basis. This can wreak havoc on child care and work-family balance.\u003c/p>\n\u003cp>There’s no question lots of structural work needs to be done, but what changes can you make in your home? Christine Carter, sociologist and author of \u003ca title=\"http://greatergood.berkeley.edu/raising_happiness/\" href=\"http://greatergood.berkeley.edu/raising_happiness/\" target=\"_blank\">Raising Happiness\u003c/a>, says start by zeroing in on the problem spots and bad routines. Then, start small. Being good at The Juggle is not innate to anyone. It’s a matter of building skills, “So maybe this month you’re working on the skill of motivating your kids or the skill of building bigger community,\" Carter says.\u003c/p>\n\u003cp>After talking to her, I made this my \"Month of the Cleaner House.\" I've been getting up a few minutes earlier to unload the dishwasher first thing. I put a comb back in its place rather than throwing it on the clutter pile in the kitchen. So far, so good.\u003c/p>\n\u003cp>Carter, a single mom to a 9 and 11 year old, also suggests setting strict technology boundaries. “I don’t check email after 9 PM and no smart phones are allowed in the dining room or living room, ever,\" she insisted.\u003c/p>\n\u003cp>Here are more ideas from parents in the thick of it:\u003c/p>\n\u003cul>\n\u003cli>Don’t hesitate to ASK at work for what you need. For example, tell your colleagues or boss, “I can no longer come to the Thursday late afternoon staff meeting but will join by phone.” If you state your needs clearly, you might be surprised.\u003c/li>\n\u003cli>If two parents are both working full time consider taking turns being the primary on-call parent, e.g. the one who always goes to doctors' appointments, sports games, etc to allow the other to focus on career. Either switch every year or every 5 years.\u003c/li>\n\u003cli>Let go of some things. If you delegate something, like food, to your partner appreciate that they’re doing it and don’t second guess the way they’re handling it.\u003c/li>\n\u003cli>Get together with a friend on a weekday evening to cook two dishes that can last for a few days’ dinners or lunches. It addresses both the isolation and gets food on the table. 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"disqusTitle": "Can Games and Reading Keep Alzheimer's at Bay?",
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"content": "\u003cfigure id=\"attachment_2438\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Alzheimers0404.jpg\">\u003cimg class=\"size-medium wp-image-2438\" title=\"A woman, suffering from Alzheimer's Disease, in a retirement home corridor. (Sebastien Bozon/AFP/Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Alzheimers0404-300x199.jpg\" alt=\"A woman, suffering from Alzheimer's Disease, in a retirement home corridor. (Sebastien Bozon/AFP/Getty Images)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A woman, suffering from Alzheimer's Disease, in a retirement home corridor. (Sebastien Bozon/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Every 69 seconds, another American develops Alzheimer's Disease. According to the \u003ca title=\"http://www.alz.org/\" href=\"http://www.alz.org/\" target=\"_blank\">Alzheimer's Association\u003c/a>, of the top 10 causes of death in America, Alzheimer's Disease is the only cause of death with \u003ca title=\"http://www.alz.org/documents_custom/2011_Facts_Figures_Fact_Sheet.pdf\" href=\"http://www.alz.org/documents_custom/2011_Facts_Figures_Fact_Sheet.pdf\" target=\"_blank\">no known treatment or cure\u003c/a>.\u003c/p>\n\u003cp>The \u003cem>cause\u003c/em> of Alzheimer's Disease is a mystery as well, but a leading suspect is the protein beta-amyloid that accumulates and appears to cause brain cell death. The combination of degenerating brain cells and the amyloid forms plaque.\u003c/p>\n\u003cp>A medicine to stop the amyloid buildup would be welcome, but today, U.C. Berkeley researchers say they have potentially identified a simpler approach.\u003c!--more-->\u003c/p>\n\u003cp>Writing in the \u003ca title=\"http://archneur.ama-assn.org/cgi/content/full/archneurol.2011.2748\" href=\"http://archneur.ama-assn.org/cgi/content/full/archneurol.2011.2748\" target=\"_blank\">Archives of Neurology\u003c/a>, researchers found a link between people who engage in lifelong \"cognitively stimulating activities\" and reduced formation of beta-amyloid.\u003c/p>\n\u003cp>\"This is the first study that's linked a lifestyle factor, something that people practice over the course of their lifetime, to amyloid on the brain,\" said Susan Landau, Ph.D., of U.C. Berkeley's Helen Wills Neuroscience Institute. \"What that means is that people who said that they did activities like reading, writing, playing games, every day, almost every day or a few times a week and who reported that over the course of their lifetime, that they were more likely to have a lower level of this pathological, amyloid protein in their brains which is associated with Alzheimer's Disease.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Researchers used PET scans (Positron Emission Tomography) to look at the brains of 65 healthy older people and 10 people with Alzheimer's. The participants' average age was about 75. The study also a control group of 11 people with an average age of about 25. Before the advent of these more sophisticated PET scans, it was not possible to study beta-amyloid on living patients. The protein and resulting plaque could only be examined on autopsy.\u003c/p>\n\u003cp>To determine how cognitively active people had been through their lives, the participants were interviewed and asked to assess how frequently they had engaged in \"common cognitively demanding activities.\" The researchers looked at activities that were not dependent on socioeconomic status, such as \"reading books or newspapers, writing letters or emails, going to the library, and playing games.\" They looked at five specific ages: 6, 12, 18, 40 and the participant's current age.\u003c/p>\n\u003cp>The research was funded in part by the Alzheimer's Association. Bill Fisher is CEO of the Alzheimer's Association of Northern California. He pointed out that even though this study was a small one, its focus on reading, writing and remaining cognitively active through life is an approach with few drawbacks.\u003c/p>\n\u003cp>\"It's a small study. More work needs to be done, which is unfortunately always the case,\" he said. \"There's nothing very risky about this intervention. It's a good thing for us anyway.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Landau agrees that more work is needed, but this study brings change to a challenging field. \"It does open the door to looking at a whole set of other factors that may be linked to Alzheimer's that may help us understand the development of the disease. ... And we don't know whether, when you have amyloid in your brain, that means you're likely to develop memory problems in five years, or in 10 years or in 15 years. These are all really incredibly important questions.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2438\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Alzheimers0404.jpg\">\u003cimg class=\"size-medium wp-image-2438\" title=\"A woman, suffering from Alzheimer's Disease, in a retirement home corridor. (Sebastien Bozon/AFP/Getty Images)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Alzheimers0404-300x199.jpg\" alt=\"A woman, suffering from Alzheimer's Disease, in a retirement home corridor. (Sebastien Bozon/AFP/Getty Images)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A woman, suffering from Alzheimer's Disease, in a retirement home corridor. (Sebastien Bozon/AFP/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Every 69 seconds, another American develops Alzheimer's Disease. According to the \u003ca title=\"http://www.alz.org/\" href=\"http://www.alz.org/\" target=\"_blank\">Alzheimer's Association\u003c/a>, of the top 10 causes of death in America, Alzheimer's Disease is the only cause of death with \u003ca title=\"http://www.alz.org/documents_custom/2011_Facts_Figures_Fact_Sheet.pdf\" href=\"http://www.alz.org/documents_custom/2011_Facts_Figures_Fact_Sheet.pdf\" target=\"_blank\">no known treatment or cure\u003c/a>.\u003c/p>\n\u003cp>The \u003cem>cause\u003c/em> of Alzheimer's Disease is a mystery as well, but a leading suspect is the protein beta-amyloid that accumulates and appears to cause brain cell death. The combination of degenerating brain cells and the amyloid forms plaque.\u003c/p>\n\u003cp>A medicine to stop the amyloid buildup would be welcome, but today, U.C. Berkeley researchers say they have potentially identified a simpler approach.\u003c!--more-->\u003c/p>\n\u003cp>Writing in the \u003ca title=\"http://archneur.ama-assn.org/cgi/content/full/archneurol.2011.2748\" href=\"http://archneur.ama-assn.org/cgi/content/full/archneurol.2011.2748\" target=\"_blank\">Archives of Neurology\u003c/a>, researchers found a link between people who engage in lifelong \"cognitively stimulating activities\" and reduced formation of beta-amyloid.\u003c/p>\n\u003cp>\"This is the first study that's linked a lifestyle factor, something that people practice over the course of their lifetime, to amyloid on the brain,\" said Susan Landau, Ph.D., of U.C. Berkeley's Helen Wills Neuroscience Institute. \"What that means is that people who said that they did activities like reading, writing, playing games, every day, almost every day or a few times a week and who reported that over the course of their lifetime, that they were more likely to have a lower level of this pathological, amyloid protein in their brains which is associated with Alzheimer's Disease.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Researchers used PET scans (Positron Emission Tomography) to look at the brains of 65 healthy older people and 10 people with Alzheimer's. The participants' average age was about 75. The study also a control group of 11 people with an average age of about 25. Before the advent of these more sophisticated PET scans, it was not possible to study beta-amyloid on living patients. The protein and resulting plaque could only be examined on autopsy.\u003c/p>\n\u003cp>To determine how cognitively active people had been through their lives, the participants were interviewed and asked to assess how frequently they had engaged in \"common cognitively demanding activities.\" The researchers looked at activities that were not dependent on socioeconomic status, such as \"reading books or newspapers, writing letters or emails, going to the library, and playing games.\" They looked at five specific ages: 6, 12, 18, 40 and the participant's current age.\u003c/p>\n\u003cp>The research was funded in part by the Alzheimer's Association. Bill Fisher is CEO of the Alzheimer's Association of Northern California. He pointed out that even though this study was a small one, its focus on reading, writing and remaining cognitively active through life is an approach with few drawbacks.\u003c/p>\n\u003cp>\"It's a small study. More work needs to be done, which is unfortunately always the case,\" he said. \"There's nothing very risky about this intervention. It's a good thing for us anyway.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Landau agrees that more work is needed, but this study brings change to a challenging field. \"It does open the door to looking at a whole set of other factors that may be linked to Alzheimer's that may help us understand the development of the disease. ... And we don't know whether, when you have amyloid in your brain, that means you're likely to develop memory problems in five years, or in 10 years or in 15 years. These are all really incredibly important questions.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_2426\" class=\"wp-caption alignleft\" style=\"max-width: 293px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/foreman_vert.jpg\">\u003cimg class=\"size-full wp-image-2426\" title=\"Cancer survivor Rene Foreman (right) with her daughter, Michelle. (Photo: StoryCorps)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/foreman_vert.jpg\" alt=\"Cancer survivor Rene Foreman (right) with her daughter, Michelle. (Photo: StoryCorps)\" width=\"293\" height=\"291\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/01/foreman_vert.jpg 293w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/foreman_vert-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/foreman_vert-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/foreman_vert-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/foreman_vert-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/foreman_vert-75x75.jpg 75w\" sizes=\"(max-width: 293px) 100vw, 293px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cancer survivor Rene Foreman (right) with her daughter, Michelle. (Photo: StoryCorps)\u003c/figcaption>\u003c/figure>\n\u003cp>As I got in my car to go work this morning, I switched on NPR. Instead of the predictable sounds of host/reporter/interviewee, I was confused by what sounded like a computer talking.\u003c/p>\n\u003cp>Then I was riveted.\u003c/p>\n\u003cp>What I was hearing was the story of Rene Foreman, an Orange County woman, who had lost her voice box to cancer in 1999. Foreman's piece is part of the \u003ca title=\"http://www.npr.org/series/4516989/storycorps\" href=\"http://www.npr.org/series/4516989/storycorps\" target=\"_blank\">StoryCorps\u003c/a> project. As \u003ca title=\"http://www.npr.org/2012/01/20/145459323/using-a-new-voice-to-enjoy-life-after-cancer\" href=\"http://www.npr.org/2012/01/20/145459323/using-a-new-voice-to-enjoy-life-after-cancer\" target=\"_blank\">NPR reports\u003c/a>, Rene now uses an electrolarynx. It's a small device that Foreman holds against her throat to produce her voice, electronically.\u003c/p>\n\u003cp>Yes, initially she sounds something like a creature from Star Wars, but right away, I got past the strangeness. Foreman says she's happier without her voice now than she was with her voice. She says, \"it's a small price to pay for being alive.\" In addition, she enjoys the distinction that her unusual \"voice\" provides:\u003c/p>\n\u003cblockquote>\u003cp>\"People are really very kind, once they realize what the situation is,\" she says. \"I may go into a restaurant once, and if I go back there a year later, and it's the same woman at the front desk, she'll say, 'Where have you been? We haven't seen you for a while.' So, I feel like a movie star.\"\u003c/p>\u003c/blockquote>\n\u003cp>You have to\u003ca title=\"http://www.npr.org/2012/01/20/145459323/using-a-new-voice-to-enjoy-life-after-cancer\" href=\"http://www.npr.org/2012/01/20/145459323/using-a-new-voice-to-enjoy-life-after-cancer\" target=\"_blank\"> listen\u003c/a> to this remarkable woman speak to get the full impact of her story. The NPR feature is not even three minutes long. I guarantee if you hear five seconds of Foreman talking, you'll be hooked.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2426\" class=\"wp-caption alignleft\" style=\"max-width: 293px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/foreman_vert.jpg\">\u003cimg class=\"size-full wp-image-2426\" title=\"Cancer survivor Rene Foreman (right) with her daughter, Michelle. (Photo: StoryCorps)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/foreman_vert.jpg\" alt=\"Cancer survivor Rene Foreman (right) with her daughter, Michelle. (Photo: StoryCorps)\" width=\"293\" height=\"291\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2012/01/foreman_vert.jpg 293w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/foreman_vert-32x32.jpg 32w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/foreman_vert-64x64.jpg 64w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/foreman_vert-96x96.jpg 96w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/foreman_vert-128x128.jpg 128w, https://ww2.kqed.org/app/uploads/sites/27/2012/01/foreman_vert-75x75.jpg 75w\" sizes=\"(max-width: 293px) 100vw, 293px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Cancer survivor Rene Foreman (right) with her daughter, Michelle. (Photo: StoryCorps)\u003c/figcaption>\u003c/figure>\n\u003cp>As I got in my car to go work this morning, I switched on NPR. Instead of the predictable sounds of host/reporter/interviewee, I was confused by what sounded like a computer talking.\u003c/p>\n\u003cp>Then I was riveted.\u003c/p>\n\u003cp>What I was hearing was the story of Rene Foreman, an Orange County woman, who had lost her voice box to cancer in 1999. Foreman's piece is part of the \u003ca title=\"http://www.npr.org/series/4516989/storycorps\" href=\"http://www.npr.org/series/4516989/storycorps\" target=\"_blank\">StoryCorps\u003c/a> project. As \u003ca title=\"http://www.npr.org/2012/01/20/145459323/using-a-new-voice-to-enjoy-life-after-cancer\" href=\"http://www.npr.org/2012/01/20/145459323/using-a-new-voice-to-enjoy-life-after-cancer\" target=\"_blank\">NPR reports\u003c/a>, Rene now uses an electrolarynx. It's a small device that Foreman holds against her throat to produce her voice, electronically.\u003c/p>\n\u003cp>Yes, initially she sounds something like a creature from Star Wars, but right away, I got past the strangeness. Foreman says she's happier without her voice now than she was with her voice. She says, \"it's a small price to pay for being alive.\" In addition, she enjoys the distinction that her unusual \"voice\" provides:\u003c/p>\n\u003cblockquote>\u003cp>\"People are really very kind, once they realize what the situation is,\" she says. \"I may go into a restaurant once, and if I go back there a year later, and it's the same woman at the front desk, she'll say, 'Where have you been? We haven't seen you for a while.' So, I feel like a movie star.\"\u003c/p>\u003c/blockquote>\n\u003cp>You have to\u003ca title=\"http://www.npr.org/2012/01/20/145459323/using-a-new-voice-to-enjoy-life-after-cancer\" href=\"http://www.npr.org/2012/01/20/145459323/using-a-new-voice-to-enjoy-life-after-cancer\" target=\"_blank\"> listen\u003c/a> to this remarkable woman speak to get the full impact of her story. The NPR feature is not even three minutes long. I guarantee if you hear five seconds of Foreman talking, you'll be hooked.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Can Yoga Really \"Wreck Your Body\"?",
"title": "Can Yoga Really \"Wreck Your Body\"?",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_2088\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Yoga_01122012_Flickr_Kristin-Andrus.jpg\">\u003cimg class=\"size-medium wp-image-2088\" title=\"Hopefully, this boy will be OK. (Kristin Andrus: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Yoga_01122012_Flickr_Kristin-Andrus-300x300.jpg\" alt=\"Hopefully, this boy will be OK. (Kristin Andrus: Flickr)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Hopefully, this boy will be OK. (Kristin Andrus: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca title=\"http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all\" href=\"http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all\" target=\"_blank\">The New York Times Magazine\u003c/a> hit a nerve earlier this month with its \"How Yoga Can Wreck Your Body\" feature. The piece outlined injuries including torn cartilage, herniated discs and even a stroke. Media outlets from \u003ca title=\"http://www.salon.com/2012/01/10/yoga_wont_really_wreck_your_body/singleton/\" href=\"http://www.salon.com/2012/01/10/yoga_wont_really_wreck_your_body/singleton/\" target=\"_blank\">Salon\u003c/a> to \u003ca title=\"http://www.mensfitness.com/training/lose-weight/the-dangers-of-yoga\" href=\"http://www.mensfitness.com/training/lose-weight/the-dangers-of-yoga\" target=\"_blank\">Men's Fitness\u003c/a> have weighed in. \u003ca title=\"http://www.observer.com/2012/01/the-10-best-responses-to-new-york-times-magazine-yoga-article/\" href=\"http://www.observer.com/2012/01/the-10-best-responses-to-new-york-times-magazine-yoga-article/\" target=\"_blank\">The New York Observer\u003c/a> says the story could be the biggest \"Non-Controversy of the Year.\"\u003c/p>\n\u003cp>Non-controversy or real controversy, the story has become a big story. Today on KQED's \u003ca title=\"http://www.kqed.org/a/forum/R201201121000\" href=\"http://www.kqed.org/a/forum/R201201121000\" target=\"_blank\">Forum\u003c/a>, no less than five guests debated and discussed the merits of yoga. Spoiler alert: four of the guests defended the practice of yoga, but with some caveats.\u003c/p>\n\u003cp>A big issue for yoga seems to be that many more millions of people are now \"practicing\" it. (\"Practicing\" being yoga-speak for \"doing.\") On \u003cem>Forum\u003c/em>, Kaitlin Quistgaard, editor-in-chief of the \u003ca title=\"http://www.yogajournal.com/\" href=\"http://www.yogajournal.com/\" target=\"_blank\">Yoga Journal\u003c/a>, put the number at 15 million Americans, up from four million in 2001, according to the \u003cem>Times\u003c/em>. That's big growth and it's meant a big change for yoga teachers.\u003c!--more-->\"Early on when I started teaching in the late 90's,\" said yoga teacher \u003ca title=\"http://jasonyoga.com/\" href=\"http://jasonyoga.com/\" target=\"_blank\">Jason Crandell\u003c/a>, \"there might be eight to ten people in class. Now, in a handful of circumstances, there's closer to 30 to 50 people in class. So I have to be better and better, and many teachers have to be better and better at dealing with a larger number of students coming in with more pre-existing injuries.\"\u003c/p>\n\u003cp>The guests agreed that students should shop for teachers, either by reviewing information available or relying on word of mouth. Crandell said the \u003ca title=\"http://yogaalliance.org/\" href=\"http://yogaalliance.org/\" target=\"_blank\">Yoga Alliance\u003c/a> certifies teachers and has become the \"industry standard.\"\u003c/p>\n\u003cp>The best way for students to avoid injury is to slow down or rest completely if something feels wrong. But the guests mostly challenged the dire stories in the \u003cem>Times\u003c/em>, and pointed out that injury can happen doing any physical activity. In particular, Quistgaard took issue with the article's mention of 46 emergency room visits in 2002 due to yoga, saying that with millions of people practicing yoga, 46 is not a huge number.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But to be fair, the \u003cem>Times\u003c/em> pointed out that the ER visits went from 13 in 2000, to 20 in 2001 and then to 46. The reporter said it suggested a trend.\u003c/p>\n\u003cp>Midway through the show, there was what seemed to me a surprise guest--the central character from the \u003cem>Times\u003c/em> article, yoga teacher Glenn Black. In the \u003cem>TImes\u003c/em> piece, he was quoted as saying the \"vast majority\" of people should give up yoga because it is \"too dangerous.\" He confirmed to \u003cem>Forum\u003c/em> listeners that he had been quoted accurately.\u003c/p>\n\u003cp>\"I've been teaching yoga for 40 years,\" Black said, \"and I've been doing body work for longer than that. There are very few people in the world that don't have one or more problems in their body. By doing yoga, some of it is very repetitious, some of it is very vigorous, spending on how much you take care of yourself in the class, regardless of whether a teacher knows you, that teacher may not be able to assess your particular situation, especially in a class that has 30 to 50 people in it.\"\u003c/p>\n\u003cp>What followed was about ten minutes of gentle conversation where the other guests continued to assert that yoga was safe, when practiced properly, with the right teacher, as long as the student was mindful of his or her body.\u003c/p>\n\u003cp>\"There aren't statistics that are hard that show in evidenced literature,\" said rehabilitation physician\u003ca title=\"http://www.cpmc.org/providersearch/?sitecfg=49&vs=detail&action=providerdetail&masterid=15843&isLevelOne=1&recId=ps132291sp13229123262338&healthplans=1&physname=Moshe%20M.%20Lewis,%20M.D.\" href=\"http://www.cpmc.org/providersearch/?sitecfg=49&vs=detail&action=providerdetail&masterid=15843&isLevelOne=1&recId=ps132291sp13229123262338&healthplans=1&physname=Moshe%20M.%20Lewis,%20M.D.\" target=\"_blank\"> Moishe Lewis\u003c/a>, \"that there are a specific number of specific injuries that are directly attributable to the actual practice of a yoga style. Without those numbers, doctors like myself ... are going to feel comfortable when we send certain patients to yoga.\"\u003c/p>\n\u003cp>\u003cstrong>More info:\u003c/strong>\u003c/p>\n\u003cp>\u003ca title=\"http://www.kqed.org/a/forum/R201201121000\" href=\"http://www.kqed.org/a/forum/R201201121000\" target=\"_blank\">Listen\u003c/a> to the complete program.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca title=\"http://www.theawl.com/2012/01/six-reasons-to-ignore-the-new-york-times-yoga-article\" href=\"http://www.theawl.com/2012/01/six-reasons-to-ignore-the-new-york-times-yoga-article\" target=\"_blank\">Six Reasons to Ignore the New York Times Yoga Article\u003c/a>.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_2088\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Yoga_01122012_Flickr_Kristin-Andrus.jpg\">\u003cimg class=\"size-medium wp-image-2088\" title=\"Hopefully, this boy will be OK. (Kristin Andrus: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/Yoga_01122012_Flickr_Kristin-Andrus-300x300.jpg\" alt=\"Hopefully, this boy will be OK. (Kristin Andrus: Flickr)\" width=\"300\" height=\"300\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Hopefully, this boy will be OK. (Kristin Andrus: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ca title=\"http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all\" href=\"http://www.nytimes.com/2012/01/08/magazine/how-yoga-can-wreck-your-body.html?pagewanted=all\" target=\"_blank\">The New York Times Magazine\u003c/a> hit a nerve earlier this month with its \"How Yoga Can Wreck Your Body\" feature. The piece outlined injuries including torn cartilage, herniated discs and even a stroke. Media outlets from \u003ca title=\"http://www.salon.com/2012/01/10/yoga_wont_really_wreck_your_body/singleton/\" href=\"http://www.salon.com/2012/01/10/yoga_wont_really_wreck_your_body/singleton/\" target=\"_blank\">Salon\u003c/a> to \u003ca title=\"http://www.mensfitness.com/training/lose-weight/the-dangers-of-yoga\" href=\"http://www.mensfitness.com/training/lose-weight/the-dangers-of-yoga\" target=\"_blank\">Men's Fitness\u003c/a> have weighed in. \u003ca title=\"http://www.observer.com/2012/01/the-10-best-responses-to-new-york-times-magazine-yoga-article/\" href=\"http://www.observer.com/2012/01/the-10-best-responses-to-new-york-times-magazine-yoga-article/\" target=\"_blank\">The New York Observer\u003c/a> says the story could be the biggest \"Non-Controversy of the Year.\"\u003c/p>\n\u003cp>Non-controversy or real controversy, the story has become a big story. Today on KQED's \u003ca title=\"http://www.kqed.org/a/forum/R201201121000\" href=\"http://www.kqed.org/a/forum/R201201121000\" target=\"_blank\">Forum\u003c/a>, no less than five guests debated and discussed the merits of yoga. Spoiler alert: four of the guests defended the practice of yoga, but with some caveats.\u003c/p>\n\u003cp>A big issue for yoga seems to be that many more millions of people are now \"practicing\" it. (\"Practicing\" being yoga-speak for \"doing.\") On \u003cem>Forum\u003c/em>, Kaitlin Quistgaard, editor-in-chief of the \u003ca title=\"http://www.yogajournal.com/\" href=\"http://www.yogajournal.com/\" target=\"_blank\">Yoga Journal\u003c/a>, put the number at 15 million Americans, up from four million in 2001, according to the \u003cem>Times\u003c/em>. That's big growth and it's meant a big change for yoga teachers.\u003c!--more-->\"Early on when I started teaching in the late 90's,\" said yoga teacher \u003ca title=\"http://jasonyoga.com/\" href=\"http://jasonyoga.com/\" target=\"_blank\">Jason Crandell\u003c/a>, \"there might be eight to ten people in class. Now, in a handful of circumstances, there's closer to 30 to 50 people in class. So I have to be better and better, and many teachers have to be better and better at dealing with a larger number of students coming in with more pre-existing injuries.\"\u003c/p>\n\u003cp>The guests agreed that students should shop for teachers, either by reviewing information available or relying on word of mouth. Crandell said the \u003ca title=\"http://yogaalliance.org/\" href=\"http://yogaalliance.org/\" target=\"_blank\">Yoga Alliance\u003c/a> certifies teachers and has become the \"industry standard.\"\u003c/p>\n\u003cp>The best way for students to avoid injury is to slow down or rest completely if something feels wrong. But the guests mostly challenged the dire stories in the \u003cem>Times\u003c/em>, and pointed out that injury can happen doing any physical activity. In particular, Quistgaard took issue with the article's mention of 46 emergency room visits in 2002 due to yoga, saying that with millions of people practicing yoga, 46 is not a huge number.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But to be fair, the \u003cem>Times\u003c/em> pointed out that the ER visits went from 13 in 2000, to 20 in 2001 and then to 46. The reporter said it suggested a trend.\u003c/p>\n\u003cp>Midway through the show, there was what seemed to me a surprise guest--the central character from the \u003cem>Times\u003c/em> article, yoga teacher Glenn Black. In the \u003cem>TImes\u003c/em> piece, he was quoted as saying the \"vast majority\" of people should give up yoga because it is \"too dangerous.\" He confirmed to \u003cem>Forum\u003c/em> listeners that he had been quoted accurately.\u003c/p>\n\u003cp>\"I've been teaching yoga for 40 years,\" Black said, \"and I've been doing body work for longer than that. There are very few people in the world that don't have one or more problems in their body. By doing yoga, some of it is very repetitious, some of it is very vigorous, spending on how much you take care of yourself in the class, regardless of whether a teacher knows you, that teacher may not be able to assess your particular situation, especially in a class that has 30 to 50 people in it.\"\u003c/p>\n\u003cp>What followed was about ten minutes of gentle conversation where the other guests continued to assert that yoga was safe, when practiced properly, with the right teacher, as long as the student was mindful of his or her body.\u003c/p>\n\u003cp>\"There aren't statistics that are hard that show in evidenced literature,\" said rehabilitation physician\u003ca title=\"http://www.cpmc.org/providersearch/?sitecfg=49&vs=detail&action=providerdetail&masterid=15843&isLevelOne=1&recId=ps132291sp13229123262338&healthplans=1&physname=Moshe%20M.%20Lewis,%20M.D.\" href=\"http://www.cpmc.org/providersearch/?sitecfg=49&vs=detail&action=providerdetail&masterid=15843&isLevelOne=1&recId=ps132291sp13229123262338&healthplans=1&physname=Moshe%20M.%20Lewis,%20M.D.\" target=\"_blank\"> Moishe Lewis\u003c/a>, \"that there are a specific number of specific injuries that are directly attributable to the actual practice of a yoga style. Without those numbers, doctors like myself ... are going to feel comfortable when we send certain patients to yoga.\"\u003c/p>\n\u003cp>\u003cstrong>More info:\u003c/strong>\u003c/p>\n\u003cp>\u003ca title=\"http://www.kqed.org/a/forum/R201201121000\" href=\"http://www.kqed.org/a/forum/R201201121000\" target=\"_blank\">Listen\u003c/a> to the complete program.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca title=\"http://www.theawl.com/2012/01/six-reasons-to-ignore-the-new-york-times-yoga-article\" href=\"http://www.theawl.com/2012/01/six-reasons-to-ignore-the-new-york-times-yoga-article\" target=\"_blank\">Six Reasons to Ignore the New York Times Yoga Article\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "UCSF Study: Smoking Marijuana (Occasionally) Isn't Bad For Lungs",
"title": "UCSF Study: Smoking Marijuana (Occasionally) Isn't Bad For Lungs",
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"content": "\u003cfigure id=\"attachment_1943\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/marijuana-smoker1.jpg\">\u003cimg class=\"size-medium wp-image-1943\" title=\"Occasional marijuana use isn't bad for the lungs, according to a UCSF study. (Chuck Grimmett: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/marijuana-smoker1-300x200.jpg\" alt=\"Occasional marijuana use isn't bad for the lungs, according to a UCSF study. (Chuck Grimmett: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Occasional marijuana use isn't bad for the lungs, according to a UCSF study. (Chuck Grimmett: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Smoking an occasional marijuana joint isn't bad for your lungs. In fact, lighting up once in a while may increase lung function, according to researchers at University of California, San Francisco.\u003c/p>\n\u003cp>The \u003ca title=\"http://jama.ama-assn.org/content/307/2/173\" href=\"http://jama.ama-assn.org/content/307/2/173\" target=\"_blank\">UCSF study\u003c/a>, released today, looked at the pulmonary functions of 5,000 men and women over a 20 year period. It found that those who smoked marijuana for up to seven \"joint-years\" had a slight increase in lung capacity. What the heck is a \"joint-year\"? It's defined as an average of one joint a day for seven years, or about one a week for 49 years.\u003c/p>\n\u003cp>But that doesn't mean that marijuana smokers have the lung capacity of \u003ca title=\"http://marvel.com/universe/Thing_%28Benjamin_Grimm%29\" href=\"http://marvel.com/universe/Thing_%28Benjamin_Grimm%29\" target=\"_blank\">\"The Thing\"\u003c/a> in Fantasic Four. The change in lung capacity doesn't have much of a functional impact, according lead author and UCSF professor Mark Pletcher. \"The amount of lung volume that is extra in marijuana smokers at that level versus non-marijuana smokers is very small.\"\u003c/p>\n\u003cp>\u003c!--more-->Pletcher says that small difference in lung capacity may simply be because marijuana smokers are better test takers. \"People who smoke marijuana tend to inhale very deeply when they smoke, so that may train them for the actual pulmonary function test -- so they can inhale and exhale more quickly and more deeply.\"\u003c/p>\n\u003cp>Pletcher says while that may be good news for medical marijuana users, smoking may still cause coughing, phlegm and even wheezing. And smoking \u003cem>too much\u003c/em> marijuana may have a negative affect on the lungs. He said the data suggested that very heavy marijuana use was linked to adverse effects on pulmonary function similar to tobacco use.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>\u003c/em>\"When you get above 10 joint-years of exposure, we saw that the more you smoke, the lower your pulmonary function. But we couldn't really prove it because there weren't a lot of heavy smokers in our sample.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1943\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/marijuana-smoker1.jpg\">\u003cimg class=\"size-medium wp-image-1943\" title=\"Occasional marijuana use isn't bad for the lungs, according to a UCSF study. (Chuck Grimmett: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/marijuana-smoker1-300x200.jpg\" alt=\"Occasional marijuana use isn't bad for the lungs, according to a UCSF study. (Chuck Grimmett: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Occasional marijuana use isn't bad for the lungs, according to a UCSF study. (Chuck Grimmett: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Smoking an occasional marijuana joint isn't bad for your lungs. In fact, lighting up once in a while may increase lung function, according to researchers at University of California, San Francisco.\u003c/p>\n\u003cp>The \u003ca title=\"http://jama.ama-assn.org/content/307/2/173\" href=\"http://jama.ama-assn.org/content/307/2/173\" target=\"_blank\">UCSF study\u003c/a>, released today, looked at the pulmonary functions of 5,000 men and women over a 20 year period. It found that those who smoked marijuana for up to seven \"joint-years\" had a slight increase in lung capacity. What the heck is a \"joint-year\"? It's defined as an average of one joint a day for seven years, or about one a week for 49 years.\u003c/p>\n\u003cp>But that doesn't mean that marijuana smokers have the lung capacity of \u003ca title=\"http://marvel.com/universe/Thing_%28Benjamin_Grimm%29\" href=\"http://marvel.com/universe/Thing_%28Benjamin_Grimm%29\" target=\"_blank\">\"The Thing\"\u003c/a> in Fantasic Four. The change in lung capacity doesn't have much of a functional impact, according lead author and UCSF professor Mark Pletcher. \"The amount of lung volume that is extra in marijuana smokers at that level versus non-marijuana smokers is very small.\"\u003c/p>\n\u003cp>\u003c!--more-->Pletcher says that small difference in lung capacity may simply be because marijuana smokers are better test takers. \"People who smoke marijuana tend to inhale very deeply when they smoke, so that may train them for the actual pulmonary function test -- so they can inhale and exhale more quickly and more deeply.\"\u003c/p>\n\u003cp>Pletcher says while that may be good news for medical marijuana users, smoking may still cause coughing, phlegm and even wheezing. And smoking \u003cem>too much\u003c/em> marijuana may have a negative affect on the lungs. He said the data suggested that very heavy marijuana use was linked to adverse effects on pulmonary function similar to tobacco use.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Health Care Privacy? Apparently Not.",
"title": "Health Care Privacy? Apparently Not.",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_1712\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/PrimeHealth_HQ_MonicaLam_CaliforniaWatch.jpg\">\u003cimg class=\"size-medium wp-image-1712\" title=\"(Monica Lam: California Watch)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/PrimeHealth_HQ_MonicaLam_CaliforniaWatch-300x168.jpg\" alt=\"(Monica Lam: California Watch)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Monica Lam: California Watch)\u003c/figcaption>\u003c/figure>\n\u003cp>For more than a year \u003ca title=\"http://www.primehealthcare.com/\" href=\"http://www.primehealthcare.com/\" target=\"_blank\">Prime Healthcare Services\u003c/a>, which owns 14 hospitals in California, has been the subject of state and federal investigation into potentially fraudulent billing with Medicare and Medi-Cal. Journalists at California Watch have \u003ca title=\"http://californiawatch.org/prime\" href=\"http://californiawatch.org/prime\" target=\"_blank\">filed numerous stories\u003c/a> and even done their own analysis of 50 million Medicare records about Prime's billing practices.\u003c/p>\n\u003cp>But this post is not about Medicare fraud.\u003c/p>\n\u003cp>Instead, it's about unapproved release of one patient's medical records, as Mike Hiltzik of the Los Angeles Times\u003ca title=\"http://www.latimes.com/health/healthcare/la-fi-hiltzik-20120104,0,3519433.column\" href=\"http://www.latimes.com/health/healthcare/la-fi-hiltzik-20120104,0,3519433.column\" target=\"_blank\"> explained in his column\u003c/a> today:\u003c/p>\n\u003cblockquote>\u003cp>Of all the personal information that you might want to keep private, your medical records are the most important. That's why federal and state laws carry stiff penalties, up to and including jail time, for healthcare providers who let such data loose into the wild.\u003c/p>\n\u003cp>So you should be aghast at how free and easy Prime Healthcare Services and two executives at Prime-owned Shasta Regional Medical Center have been with the medical chart of a patient named Darlene Courtois. They showed the entire chart to an editor of her hometown newspaper, and Prime's corporate office divulged some of her medical examination results to me (though I didn't ask for them). They didn't have her permission for those disclosures, her daughter says.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->A little background--California Watch had told \u003ca title=\"http://californiawatch.org/health-and-welfare/prime-hospital-bills-malnutrition-patient-says-she-wasn-t-treated-14055\" href=\"http://californiawatch.org/health-and-welfare/prime-hospital-bills-malnutrition-patient-says-she-wasn-t-treated-14055\" target=\"_blank\">Courtois' story\u003c/a> as evidence that Prime had fraudulently billed Medicare. Courtois had been treated at Shasta Medical Center after a fall in early 2010. The hospital had billed Medicare for a rare nutritional disorder, kwashiorkor. But Courtois later requested her medical records. In the 63 pages she received, there was no mention of kwashiorkor, California Watch reported.\u003c/p>\n\u003cp>But the 63 pages apparently were not the complete record. Prime argues that because Courtois had already shared her medical records publicly that she essentially waived her right to privacy. Privacy of medical records is guaranteed under the 1996 Health Insurance Portability and Accountability Act, known as HIPAA. Prime insists it had the right to share other internal documents about her treatment.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But Hiltzik didn't buy that argument, nor did many of the legal experts he talked to:\u003c/p>\n\u003cblockquote>\u003cp>Under the law, there's no such thing as an implied authorization by a patient for disclosure of personal records, said Linda Ackerman, a San Francisco expert in privacy law.\u003c/p>\n\u003cp>The office of civil rights of the \u003ca id=\"ORGOV0000126162\" title=\"U.S. Department of Health and Human Services\" href=\"http://www.latimes.com/topic/health/u.s.-department-of-health-human-services-ORGOV0000126162.topic\">U.S. Department of Health and Human Services\u003c/a>, which enforces HIPAA, put it this way: \"There is no 'waiver' that would apply to the release of a chart or medical record to the media without an individual's written authorization.\"\u003c/p>\n\u003cp>Several experts told me it doesn't matter if the hospital was trying to contradict misinformation provided by a patient (even if that's what Courtois did, which is debatable). Under the law, patients themselves can divulge anything they wish about their medical conditions and their treatment by a hospital. But a hospital's obligation is to keep its mouth shut. A desire to deflect bad PR is not an excuse. Even if they think they're in the right, the law says healthcare providers have to suffer in silence, the experts say.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>The whole of Hiltzik's column is a great read, and he ends with a call for prosecutors to step in:\u003c/p>\n\u003cblockquote>\u003cp>The behavior of Prime and Shasta Regional should provide rich fodder for investigations by state and federal agencies and by U.S. prosecutors in Sacramento, who cover Shasta County. Dr. McCampbell holds a California medical license issued in 2005, and it would be worthwhile for the state medical board to look into her participation in this matter and determine whether it meets the standards of professional conduct required of a California licensee.\u003c/p>\n\u003cp>As for the rest of the bigwigs at Prime and Shasta, plainly they all need to be shipped to a reeducation camp in the rules of patient confidentiality. If, that is, they can stay out of jail.\u003c/p>\u003c/blockquote>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1712\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/PrimeHealth_HQ_MonicaLam_CaliforniaWatch.jpg\">\u003cimg class=\"size-medium wp-image-1712\" title=\"(Monica Lam: California Watch)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/01/PrimeHealth_HQ_MonicaLam_CaliforniaWatch-300x168.jpg\" alt=\"(Monica Lam: California Watch)\" width=\"300\" height=\"168\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Monica Lam: California Watch)\u003c/figcaption>\u003c/figure>\n\u003cp>For more than a year \u003ca title=\"http://www.primehealthcare.com/\" href=\"http://www.primehealthcare.com/\" target=\"_blank\">Prime Healthcare Services\u003c/a>, which owns 14 hospitals in California, has been the subject of state and federal investigation into potentially fraudulent billing with Medicare and Medi-Cal. Journalists at California Watch have \u003ca title=\"http://californiawatch.org/prime\" href=\"http://californiawatch.org/prime\" target=\"_blank\">filed numerous stories\u003c/a> and even done their own analysis of 50 million Medicare records about Prime's billing practices.\u003c/p>\n\u003cp>But this post is not about Medicare fraud.\u003c/p>\n\u003cp>Instead, it's about unapproved release of one patient's medical records, as Mike Hiltzik of the Los Angeles Times\u003ca title=\"http://www.latimes.com/health/healthcare/la-fi-hiltzik-20120104,0,3519433.column\" href=\"http://www.latimes.com/health/healthcare/la-fi-hiltzik-20120104,0,3519433.column\" target=\"_blank\"> explained in his column\u003c/a> today:\u003c/p>\n\u003cblockquote>\u003cp>Of all the personal information that you might want to keep private, your medical records are the most important. That's why federal and state laws carry stiff penalties, up to and including jail time, for healthcare providers who let such data loose into the wild.\u003c/p>\n\u003cp>So you should be aghast at how free and easy Prime Healthcare Services and two executives at Prime-owned Shasta Regional Medical Center have been with the medical chart of a patient named Darlene Courtois. They showed the entire chart to an editor of her hometown newspaper, and Prime's corporate office divulged some of her medical examination results to me (though I didn't ask for them). They didn't have her permission for those disclosures, her daughter says.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c!--more-->A little background--California Watch had told \u003ca title=\"http://californiawatch.org/health-and-welfare/prime-hospital-bills-malnutrition-patient-says-she-wasn-t-treated-14055\" href=\"http://californiawatch.org/health-and-welfare/prime-hospital-bills-malnutrition-patient-says-she-wasn-t-treated-14055\" target=\"_blank\">Courtois' story\u003c/a> as evidence that Prime had fraudulently billed Medicare. Courtois had been treated at Shasta Medical Center after a fall in early 2010. The hospital had billed Medicare for a rare nutritional disorder, kwashiorkor. But Courtois later requested her medical records. In the 63 pages she received, there was no mention of kwashiorkor, California Watch reported.\u003c/p>\n\u003cp>But the 63 pages apparently were not the complete record. Prime argues that because Courtois had already shared her medical records publicly that she essentially waived her right to privacy. Privacy of medical records is guaranteed under the 1996 Health Insurance Portability and Accountability Act, known as HIPAA. Prime insists it had the right to share other internal documents about her treatment.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But Hiltzik didn't buy that argument, nor did many of the legal experts he talked to:\u003c/p>\n\u003cblockquote>\u003cp>Under the law, there's no such thing as an implied authorization by a patient for disclosure of personal records, said Linda Ackerman, a San Francisco expert in privacy law.\u003c/p>\n\u003cp>The office of civil rights of the \u003ca id=\"ORGOV0000126162\" title=\"U.S. Department of Health and Human Services\" href=\"http://www.latimes.com/topic/health/u.s.-department-of-health-human-services-ORGOV0000126162.topic\">U.S. Department of Health and Human Services\u003c/a>, which enforces HIPAA, put it this way: \"There is no 'waiver' that would apply to the release of a chart or medical record to the media without an individual's written authorization.\"\u003c/p>\n\u003cp>Several experts told me it doesn't matter if the hospital was trying to contradict misinformation provided by a patient (even if that's what Courtois did, which is debatable). Under the law, patients themselves can divulge anything they wish about their medical conditions and their treatment by a hospital. But a hospital's obligation is to keep its mouth shut. A desire to deflect bad PR is not an excuse. Even if they think they're in the right, the law says healthcare providers have to suffer in silence, the experts say.\u003c/p>\u003c/blockquote>\n\u003cp>\u003c/p>\n\u003cp>The whole of Hiltzik's column is a great read, and he ends with a call for prosecutors to step in:\u003c/p>\n\u003cblockquote>\u003cp>The behavior of Prime and Shasta Regional should provide rich fodder for investigations by state and federal agencies and by U.S. prosecutors in Sacramento, who cover Shasta County. Dr. McCampbell holds a California medical license issued in 2005, and it would be worthwhile for the state medical board to look into her participation in this matter and determine whether it meets the standards of professional conduct required of a California licensee.\u003c/p>\n\u003cp>As for the rest of the bigwigs at Prime and Shasta, plainly they all need to be shipped to a reeducation camp in the rules of patient confidentiality. If, that is, they can stay out of jail.\u003c/p>\u003c/blockquote>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>By: Kenny Goldberg\u003c/p>\n\u003cfigure id=\"attachment_1574\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BabywithCellPhone_SparkCBC_Flickr_12202011.jpg\">\u003cimg class=\"size-medium wp-image-1574\" title=\"(SparkCBC: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BabywithCellPhone_SparkCBC_Flickr_12202011-300x199.jpg\" alt=\"(SparkCBC: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Actually, it's the mother who is supposed to be getting the text messages. (SparkCBC: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Cells phones are practically ubiquitous and enable people to do everything from pay bills to play games, not to mention plain old phone calls. But a service developed last year has found a new way to use cell phones. It’s called \u003ca title=\"http://www.text4baby.org/\" href=\"http://www.text4baby.org/\" target=\"_blank\">text4baby\u003c/a> and the goal is to help mothers-to-be have a healthy pregnancy.\u003c/p>\n\u003cp>One of those moms is San Diego resident Jeanne Watson. When she was six months pregnant, a nurse at the clinic told her about the text4baby program. Women who sign up for the service get three health-related text messages each week directly to their mobile phone. The service itself is free and the text messages are also free to receive. It didn’t take long before Watson was sold on it.\u003c/p>\n\u003cp>\u003c!--more-->“It’s really to the point,” she said. “It just tells you what you should ask the doctor, so you can get an actual answer from a doctor, and not something on the Internet that could be true or not true. You can’t just Google everything. You’ll get like ten different answers.”\u003c/p>\n\u003cp>Watson’s baby, Lilah, was born a month ago, but text4baby continues to send Watson messages, reminding her about vaccinations and well-baby check ups.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The texts are more than reminders, they’re a permanent list. “I always have my phone with me,” Watson said. “I’m always going through my text messages. So even if I forget to read it or something, I can go back and it’s there. And it’s always with me on my phone.”\u003c/p>\n\u003cp>When a pregnant woman signs up for the program, either \u003ca title=\"http://www.text4baby.org/index.php/sign-up\" href=\"http://www.text4baby.org/index.php/sign-up\" target=\"_blank\">online\u003c/a> or on her cell phone, she enters her due date. When she's enrolled, each text message she receives contains health tips and resources, all timed to coincide with either a specific stage of pregnancy, or a specific stage in a baby’s first year of life. The messages span categories ranging from prenatal care to injury prevention, 250 messages in all. The texts were developed in collaboration with the Centers for Disease Control.\u003c/p>\n\u003cp>Barbara Mandel directs the \u003ca title=\"http://www.sdcmsf.org/about-sdcmsf\" href=\"http://www.sdcmsf.org/about-sdcmsf\" target=\"_blank\">San Diego County Medical Society Foundation\u003c/a>, which in turn leads the San Diego County text4baby coalition. Altogether, 40 local maternal and child health non-profits are involved.\u003c/p>\n\u003cp>“What we’ve learned is that are many folks who don’t have access to computers, or don’t use computers often, but [do] have a high use of text messaging,” Mandel says.\u003c/p>\n\u003cp>The target audience is young, low-income expectant mothers. The messages are available in English or Spanish. While text4baby is available both across California and nationwide, San Diego’s program is one of only a handful that offers \u003cstrong>local\u003c/strong> referrals to doctors, clinics, and breastfeeding support. Some 2,400 San Diegans have signed up for it.\u003c/p>\n\u003cp>Mandel says the concept of using text messaging to encourage healthy behavior is becoming more popular. “They’ve been using it for diabetes and for some cardiac care as well,” she says. “This is the first time that text messaging is being used for getting messages out to expectant and new moms. And we are trying to prove the efficacy of that technique.”\u003c/p>\n\u003cp>UC San Diego Health System Professor \u003ca href=\"http://repromed.ucsd.edu/divisions/obs-gyn/LaCoursiere.shtml\">Yvette LaCoursiere\u003c/a> is one of the researchers studying the technique's efficacy, the first time it’s been formally reviewed. \u003ca title=\"http://ucsdnews.ucsd.edu/pressreleases/text4baby_mobile_service_shows_positive_results_for_new_moms/\" href=\"http://ucsdnews.ucsd.edu/pressreleases/text4baby_mobile_service_shows_positive_results_for_new_moms/\" target=\"_blank\">The research team found\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>75 percent of women reported that text4baby messages informed them of medical warning signs they did not know.\u003c/li>\n\u003cli>71 percent reported talking to their doctor about a topic that they read on a text4baby message.\u003c/li>\n\u003cli>63 percent reported that text4baby helped them remember an appointment or immunization that they or their child needed.\u003c/li>\n\u003c/ul>\n\u003cp>Dr. LaCoursiere says she was initially worried that text4baby would prompt too many unnecessary calls to physicians. “What we found, though, is it actually opens a dialogue,” she said. “Three-quarters of women who used the service said that they’ve learned a piece of information. They brought that information to their doctor and started a discussion with them.\"\u003c/p>\n\u003cp>The next step is to find out whether women who use text4baby have better health outcomes. They hope to have some answers on that front next year.\u003c/p>\n\u003cp>\u003cem>Editor's note: this story first ran on \u003ca title=\"http://www.californiareport.org/archive/R201112070850/d\" href=\"http://www.californiareport.org/archive/R201112070850/d\" target=\"_blank\">The California Report \u003c/a>on December 7. \u003c/em>\u003c/p>\n\u003cp>\u003cem>Listen to Kenny Goldberg's full report here:\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201112070850d.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201112070850d.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>By: Kenny Goldberg\u003c/p>\n\u003cfigure id=\"attachment_1574\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BabywithCellPhone_SparkCBC_Flickr_12202011.jpg\">\u003cimg class=\"size-medium wp-image-1574\" title=\"(SparkCBC: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BabywithCellPhone_SparkCBC_Flickr_12202011-300x199.jpg\" alt=\"(SparkCBC: Flickr)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Actually, it's the mother who is supposed to be getting the text messages. (SparkCBC: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Cells phones are practically ubiquitous and enable people to do everything from pay bills to play games, not to mention plain old phone calls. But a service developed last year has found a new way to use cell phones. It’s called \u003ca title=\"http://www.text4baby.org/\" href=\"http://www.text4baby.org/\" target=\"_blank\">text4baby\u003c/a> and the goal is to help mothers-to-be have a healthy pregnancy.\u003c/p>\n\u003cp>One of those moms is San Diego resident Jeanne Watson. When she was six months pregnant, a nurse at the clinic told her about the text4baby program. Women who sign up for the service get three health-related text messages each week directly to their mobile phone. The service itself is free and the text messages are also free to receive. It didn’t take long before Watson was sold on it.\u003c/p>\n\u003cp>\u003c!--more-->“It’s really to the point,” she said. “It just tells you what you should ask the doctor, so you can get an actual answer from a doctor, and not something on the Internet that could be true or not true. You can’t just Google everything. You’ll get like ten different answers.”\u003c/p>\n\u003cp>Watson’s baby, Lilah, was born a month ago, but text4baby continues to send Watson messages, reminding her about vaccinations and well-baby check ups.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The texts are more than reminders, they’re a permanent list. “I always have my phone with me,” Watson said. “I’m always going through my text messages. So even if I forget to read it or something, I can go back and it’s there. And it’s always with me on my phone.”\u003c/p>\n\u003cp>When a pregnant woman signs up for the program, either \u003ca title=\"http://www.text4baby.org/index.php/sign-up\" href=\"http://www.text4baby.org/index.php/sign-up\" target=\"_blank\">online\u003c/a> or on her cell phone, she enters her due date. When she's enrolled, each text message she receives contains health tips and resources, all timed to coincide with either a specific stage of pregnancy, or a specific stage in a baby’s first year of life. The messages span categories ranging from prenatal care to injury prevention, 250 messages in all. The texts were developed in collaboration with the Centers for Disease Control.\u003c/p>\n\u003cp>Barbara Mandel directs the \u003ca title=\"http://www.sdcmsf.org/about-sdcmsf\" href=\"http://www.sdcmsf.org/about-sdcmsf\" target=\"_blank\">San Diego County Medical Society Foundation\u003c/a>, which in turn leads the San Diego County text4baby coalition. Altogether, 40 local maternal and child health non-profits are involved.\u003c/p>\n\u003cp>“What we’ve learned is that are many folks who don’t have access to computers, or don’t use computers often, but [do] have a high use of text messaging,” Mandel says.\u003c/p>\n\u003cp>The target audience is young, low-income expectant mothers. The messages are available in English or Spanish. While text4baby is available both across California and nationwide, San Diego’s program is one of only a handful that offers \u003cstrong>local\u003c/strong> referrals to doctors, clinics, and breastfeeding support. Some 2,400 San Diegans have signed up for it.\u003c/p>\n\u003cp>Mandel says the concept of using text messaging to encourage healthy behavior is becoming more popular. “They’ve been using it for diabetes and for some cardiac care as well,” she says. “This is the first time that text messaging is being used for getting messages out to expectant and new moms. And we are trying to prove the efficacy of that technique.”\u003c/p>\n\u003cp>UC San Diego Health System Professor \u003ca href=\"http://repromed.ucsd.edu/divisions/obs-gyn/LaCoursiere.shtml\">Yvette LaCoursiere\u003c/a> is one of the researchers studying the technique's efficacy, the first time it’s been formally reviewed. \u003ca title=\"http://ucsdnews.ucsd.edu/pressreleases/text4baby_mobile_service_shows_positive_results_for_new_moms/\" href=\"http://ucsdnews.ucsd.edu/pressreleases/text4baby_mobile_service_shows_positive_results_for_new_moms/\" target=\"_blank\">The research team found\u003c/a>:\u003c/p>\n\u003cul>\n\u003cli>75 percent of women reported that text4baby messages informed them of medical warning signs they did not know.\u003c/li>\n\u003cli>71 percent reported talking to their doctor about a topic that they read on a text4baby message.\u003c/li>\n\u003cli>63 percent reported that text4baby helped them remember an appointment or immunization that they or their child needed.\u003c/li>\n\u003c/ul>\n\u003cp>Dr. LaCoursiere says she was initially worried that text4baby would prompt too many unnecessary calls to physicians. “What we found, though, is it actually opens a dialogue,” she said. “Three-quarters of women who used the service said that they’ve learned a piece of information. They brought that information to their doctor and started a discussion with them.\"\u003c/p>\n\u003cp>The next step is to find out whether women who use text4baby have better health outcomes. They hope to have some answers on that front next year.\u003c/p>\n\u003cp>\u003cem>Editor's note: this story first ran on \u003ca title=\"http://www.californiareport.org/archive/R201112070850/d\" href=\"http://www.californiareport.org/archive/R201112070850/d\" target=\"_blank\">The California Report \u003c/a>on December 7. \u003c/em>\u003c/p>\n\u003cp>\u003cem>Listen to Kenny Goldberg's full report here:\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cobject width=\"335\" height=\"85\" classid=\"d27cdb6e-ae6d-11cf-96b8-444553540000\" codebase=\"http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=6,0,40,0\">\u003cparam name=\"flashvars\" value=\"file=http://www.kqed.org/radio/archives/R201112070850d.xml\">\u003cparam name=\"src\" value=\"http://www.kqed.org/assets/flash/kqedplayer.swf\">\u003cembed width=\"335\" height=\"85\" type=\"application/x-shockwave-flash\" src=\"http://www.kqed.org/assets/flash/kqedplayer.swf\" flashvars=\"file=http://www.kqed.org/radio/archives/R201112070850d.xml\">\u003c/embed>\u003c/object>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_1463\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BabySleeping_Flickr_MeganMyers.jpg\">\u003cimg class=\"size-medium wp-image-1463\" title=\"(Flickr: Megan Myers)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BabySleeping_Flickr_MeganMyers-300x199.jpg\" alt=\"(Flickr: Megan Myers)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Flickr: Megan Myers)\u003c/figcaption>\u003c/figure>\n\u003cp>A children's advocacy group in Santa Clara County has launched a campaign to discourage parents from sleeping in bed with their infants. As the \u003ca title=\"http://www.mercurynews.com/health/ci_19556235\" href=\"http://www.mercurynews.com/health/ci_19556235\" target=\"_blank\">San Jose Mercury News reports\u003c/a>, advocates say bed sharing is not just dangerous, but can be lethal. The Mercury News cites statistics showing 20 babies in Santa Clara County have died since 2005 due to \"unsafe sleeping practices.\" But critics argue that bed sharing can be safe, under the right circumstances.\u003c/p>\n\u003cp>Yesterday's press conference from \u003ca title=\"http://www.first5kids.org/\" href=\"http://www.first5kids.org/\" target=\"_blank\">First Five Santa Clara County\u003c/a> included the emotional story of Karma Sunshine King, the mother of an infant who died while sleeping in bed with her.\u003c/p>\n\u003cblockquote>\u003cp>The 33-year-old Santa Clara mother said she crawled into her bed last November with her 3-month-old son, Cash, and when she woke up, \"my son did not wake up with me.\"\u003c/p>\n\u003cp>\"That was the worst day of my life,\" King said. \"It changed me forever.\"\u003c/p>\n\u003cp>King said she grew up in a Filipino family where bed sharing is the norm.\u003c/p>\n\u003cp>That's until Cash died, and Dr. Michelle Jorden, a county medical examiner, came to her home and conducted a baby death re-enactment with her.\u003c/p>\n\u003cp>Jorden strongly argues against bed sharing because children can have blankets and pillows accidentally placed on their faces.\u003c/p>\u003c/blockquote>\n\u003cp>But critics say each case must be looked at in detail.\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>James McKenna, who heads the\u003ca title=\"http://cosleeping.nd.edu/\" href=\"http://cosleeping.nd.edu/\" target=\"_blank\"> Mother-Baby Behavioral Sleep Lab at the University of Notre Dame\u003c/a>, called the statistics \"a fraud.\"\u003c/p>\n\u003cp>\"There's no proof here that all bed sharing is unsafe,\" McKenna said. \"It matters how you sleep with your baby.\"\u003c/p>\n\u003cp>When told the circumstances of Cash's death, he said other factors surrounding the bed sharing made a dangerous environment for Cash.\u003c/p>\n\u003cp>For example, King admitted to drinking at Santana Row in San Jose the night before Cash died. She also smoked, bottle fed her baby and kept her bed full of pillows and a fluffy comforter. All of those factors, McKenna said, have to be accounted for, because they can cause an infant's death.\u003c/p>\n\u003cp>The two sides do agree on one piece of advice: Babies should be put to bed safely, on their backs without blankets and pillows to potentially suffocate them.\u003c/p>\n\u003cp>McKenna added he does not support bedsharing for all parents: Parents who are severely overweight, who smoke and who bottle feed should not sleep with their babies because their physiological responses are not as alert.\u003c/p>\u003c/blockquote>\n\u003cp>The American Academy of Pediatrics has for years recommended\u003ca title=\"http://www.healthychildren.org/English/ages-stages/baby/sleep/pages/A-Parents-Guide-to-Safe-Sleep.aspx\" href=\"http://www.healthychildren.org/English/ages-stages/baby/sleep/pages/A-Parents-Guide-to-Safe-Sleep.aspx\" target=\"_blank\"> putting babies to sleep on their backs. \u003c/a>In addition, the organization says babies, ideally, should sleep in the same room as their parents, but on a separate sleeping surface. Even Attachment Parenting International, an advocacy group promoting emotional bonds between parents and children, is careful to distinguish between \u003ca title=\"http://www.attachmentparenting.org/principles/night.php\" href=\"http://www.attachmentparenting.org/principles/night.php\" target=\"_blank\">room sharing and bed sharing for infants\u003c/a>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\u003cp>\u003c/p>\n",
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"excerpt": "A children's advocacy group in Santa Clara County has launched a campaign to discourage parents from sleeping in bed with their infants. As the San Jose Mercury News reports, advocates say bed sharing is not just dangerous, but can be lethal. The Mercury News cites statistics showing 20 babies in Santa Clara County have died since 2005 due to \"unsafe sleeping practices.\" But critics argue that bed sharing can be safe, under the right circumstances.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1463\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BabySleeping_Flickr_MeganMyers.jpg\">\u003cimg class=\"size-medium wp-image-1463\" title=\"(Flickr: Megan Myers)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BabySleeping_Flickr_MeganMyers-300x199.jpg\" alt=\"(Flickr: Megan Myers)\" width=\"300\" height=\"199\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Flickr: Megan Myers)\u003c/figcaption>\u003c/figure>\n\u003cp>A children's advocacy group in Santa Clara County has launched a campaign to discourage parents from sleeping in bed with their infants. As the \u003ca title=\"http://www.mercurynews.com/health/ci_19556235\" href=\"http://www.mercurynews.com/health/ci_19556235\" target=\"_blank\">San Jose Mercury News reports\u003c/a>, advocates say bed sharing is not just dangerous, but can be lethal. The Mercury News cites statistics showing 20 babies in Santa Clara County have died since 2005 due to \"unsafe sleeping practices.\" But critics argue that bed sharing can be safe, under the right circumstances.\u003c/p>\n\u003cp>Yesterday's press conference from \u003ca title=\"http://www.first5kids.org/\" href=\"http://www.first5kids.org/\" target=\"_blank\">First Five Santa Clara County\u003c/a> included the emotional story of Karma Sunshine King, the mother of an infant who died while sleeping in bed with her.\u003c/p>\n\u003cblockquote>\u003cp>The 33-year-old Santa Clara mother said she crawled into her bed last November with her 3-month-old son, Cash, and when she woke up, \"my son did not wake up with me.\"\u003c/p>\n\u003cp>\"That was the worst day of my life,\" King said. \"It changed me forever.\"\u003c/p>\n\u003cp>King said she grew up in a Filipino family where bed sharing is the norm.\u003c/p>\n\u003cp>That's until Cash died, and Dr. Michelle Jorden, a county medical examiner, came to her home and conducted a baby death re-enactment with her.\u003c/p>\n\u003cp>Jorden strongly argues against bed sharing because children can have blankets and pillows accidentally placed on their faces.\u003c/p>\u003c/blockquote>\n\u003cp>But critics say each case must be looked at in detail.\u003cbr>\n\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>James McKenna, who heads the\u003ca title=\"http://cosleeping.nd.edu/\" href=\"http://cosleeping.nd.edu/\" target=\"_blank\"> Mother-Baby Behavioral Sleep Lab at the University of Notre Dame\u003c/a>, called the statistics \"a fraud.\"\u003c/p>\n\u003cp>\"There's no proof here that all bed sharing is unsafe,\" McKenna said. \"It matters how you sleep with your baby.\"\u003c/p>\n\u003cp>When told the circumstances of Cash's death, he said other factors surrounding the bed sharing made a dangerous environment for Cash.\u003c/p>\n\u003cp>For example, King admitted to drinking at Santana Row in San Jose the night before Cash died. She also smoked, bottle fed her baby and kept her bed full of pillows and a fluffy comforter. All of those factors, McKenna said, have to be accounted for, because they can cause an infant's death.\u003c/p>\n\u003cp>The two sides do agree on one piece of advice: Babies should be put to bed safely, on their backs without blankets and pillows to potentially suffocate them.\u003c/p>\n\u003cp>McKenna added he does not support bedsharing for all parents: Parents who are severely overweight, who smoke and who bottle feed should not sleep with their babies because their physiological responses are not as alert.\u003c/p>\u003c/blockquote>\n\u003cp>The American Academy of Pediatrics has for years recommended\u003ca title=\"http://www.healthychildren.org/English/ages-stages/baby/sleep/pages/A-Parents-Guide-to-Safe-Sleep.aspx\" href=\"http://www.healthychildren.org/English/ages-stages/baby/sleep/pages/A-Parents-Guide-to-Safe-Sleep.aspx\" target=\"_blank\"> putting babies to sleep on their backs. \u003c/a>In addition, the organization says babies, ideally, should sleep in the same room as their parents, but on a separate sleeping surface. Even Attachment Parenting International, an advocacy group promoting emotional bonds between parents and children, is careful to distinguish between \u003ca title=\"http://www.attachmentparenting.org/principles/night.php\" href=\"http://www.attachmentparenting.org/principles/night.php\" target=\"_blank\">room sharing and bed sharing for infants\u003c/a>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"disqusTitle": "Should Older Adults be Screened for Cancer?",
"title": "Should Older Adults be Screened for Cancer?",
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"content": "\u003cfigure id=\"attachment_1314\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Grandparents_JasonDeRusha_Flickr_12132011.jpg\">\u003cimg class=\"size-medium wp-image-1314\" title=\"(Jason DeRusha: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Grandparents_JasonDeRusha_Flickr_12132011-300x200.jpg\" alt=\"(Jason DeRusha: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jason DeRusha: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Right about now, you might be thinking you've heard enough of cancer screening. From mammography to prostate cancer, cancer screening tests have been much debated this fall. \u003ca title=\"http://www.npr.org/templates/story/story.php?storyId=120493002\" href=\"http://www.npr.org/templates/story/story.php?storyId=120493002\" target=\"_blank\">Should a 40 year old woman get a mammogram or not\u003c/a>? \u003ca title=\"http://www.npr.org/blogs/health/2011/10/07/141148384/influential-panel-giving-thumbs-down-to-prostate-blood-test\" href=\"http://www.npr.org/blogs/health/2011/10/07/141148384/influential-panel-giving-thumbs-down-to-prostate-blood-test\" target=\"_blank\">Should men abandon the PSA test\u003c/a>? Yet another study released this week looks at a surprisingly unexplored group--older Americans.\u003c/p>\n\u003cp>Researchers wanted to look at this group because of an \"ambiguity of recommendations\" for them. While it seems like there's some ambiguity for the rest of us, the ambiguity here is particularly surprising since age is perhaps the most significant risk factor for many cancers.\u003c/p>\n\u003cp>\u003c!--more-->The study, \"\u003ca href=\"http://archinte.ama-assn.org/cgi/content/short/171/22/2031\" target=\"_blank\">Prevalence of Cancer Screening in Older, Racially Diverse Adults\u003c/a>\u003cem>,\u003c/em>\" appears in the Archives of Internal Medicine and found that, among adults aged 75 to 79, the screening rates for colorectal, breast, cervical and prostate cancer were between 56 and 62 percent. Screening rates are lower for older adults who are not white.\u003c/p>\n\u003cp>But are these rates good or bad? Too high or too low? The major organizations that issue guidelines on screening are divided on age cutoffs, as are many doctors. \u003ca title=\"http://geriatrics.medicine.ucsf.edu/facstaff/walter.html\" href=\"http://geriatrics.medicine.ucsf.edu/facstaff/walter.html\" target=\"_blank\">Dr. Louise Walter of UC San Francisco's Division of Geriatrics\u003c/a>, captures that divide in a commentary that accompanies the published study:\u003c/p>\n\u003cblockquote>\u003cp>\"Some had advocated for high breast and colorectal cancer screening rates in healthy older adults because the incidence and mortality of these cancers increase with age. ... Others have advocated for low cancer screening rates in persons older than 75 years because the benefit of continuing screening is uncertain and screening can cause substantial harm, especially in frail, older adults.\"\u003c/p>\u003c/blockquote>\n\u003cp>In an interview, Walter spoke of experiences from her own practice. \"I have 80-year-olds hiking in mountains ... and likely to live a long time, and I have people who have serious medical issues, dementia and life limiting disease.\" The types of preventive care she would recommend for these two patients, she says, is very different and not based on age, but on their overall health status.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The study also found that nearly one in ten patients with terminal cancer still received screening tests for breast, cervical or prostate cancer. Walter described cases of older women who have had a hysterectomy, including removal of the cervix, yet still receive Pap smears to test for cervical cancer.\u003c/p>\n\u003cp>\"The thing I try to emphasis is let's do thoughtful cancer screening. Let's avoid cancer screening in someone without a cervix, someone who is in a nursing home, very frail.\" While people often think of screening tests as fairly benign, a positive result can lead to more and more invasive procedures to confirm a diagnosis, invasive procedures that can be very difficult for frail patients to withstand.\u003c/p>\n\u003cp>This study underscores the need for \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/12/08/how-much-do-elderly-patients-want-to-know-and-should-doctors-tell-them/\" href=\"http://ww2.kqed.org/stateofhealth/2011/12/08/how-much-do-elderly-patients-want-to-know-and-should-doctors-tell-them/\" target=\"_blank\">doctors to talk with older patients about their overall prognosis.\u003c/a> Walter pointed out that screening tests can become a \"distraction\" from someone's overall health concerns. \"If you had a recent heart attack, that's your major problem. Any major problem should make you rethink, 'Why am I looking for an asymptomatic problem that I probably don't have?'\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"excerpt": "From mammography to prostate cancer, cancer screening tests have been much debated this fall. Yet another study released this week looks at a surprisingly unexplored group--older Americans. Researchers wanted to look at this group because of an \"ambiguity of recommendations\" for them. This ambiguity is surprising since age is perhaps the most significant risk factor for many cancers.",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1314\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Grandparents_JasonDeRusha_Flickr_12132011.jpg\">\u003cimg class=\"size-medium wp-image-1314\" title=\"(Jason DeRusha: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Grandparents_JasonDeRusha_Flickr_12132011-300x200.jpg\" alt=\"(Jason DeRusha: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Jason DeRusha: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Right about now, you might be thinking you've heard enough of cancer screening. From mammography to prostate cancer, cancer screening tests have been much debated this fall. \u003ca title=\"http://www.npr.org/templates/story/story.php?storyId=120493002\" href=\"http://www.npr.org/templates/story/story.php?storyId=120493002\" target=\"_blank\">Should a 40 year old woman get a mammogram or not\u003c/a>? \u003ca title=\"http://www.npr.org/blogs/health/2011/10/07/141148384/influential-panel-giving-thumbs-down-to-prostate-blood-test\" href=\"http://www.npr.org/blogs/health/2011/10/07/141148384/influential-panel-giving-thumbs-down-to-prostate-blood-test\" target=\"_blank\">Should men abandon the PSA test\u003c/a>? Yet another study released this week looks at a surprisingly unexplored group--older Americans.\u003c/p>\n\u003cp>Researchers wanted to look at this group because of an \"ambiguity of recommendations\" for them. While it seems like there's some ambiguity for the rest of us, the ambiguity here is particularly surprising since age is perhaps the most significant risk factor for many cancers.\u003c/p>\n\u003cp>\u003c!--more-->The study, \"\u003ca href=\"http://archinte.ama-assn.org/cgi/content/short/171/22/2031\" target=\"_blank\">Prevalence of Cancer Screening in Older, Racially Diverse Adults\u003c/a>\u003cem>,\u003c/em>\" appears in the Archives of Internal Medicine and found that, among adults aged 75 to 79, the screening rates for colorectal, breast, cervical and prostate cancer were between 56 and 62 percent. Screening rates are lower for older adults who are not white.\u003c/p>\n\u003cp>But are these rates good or bad? Too high or too low? The major organizations that issue guidelines on screening are divided on age cutoffs, as are many doctors. \u003ca title=\"http://geriatrics.medicine.ucsf.edu/facstaff/walter.html\" href=\"http://geriatrics.medicine.ucsf.edu/facstaff/walter.html\" target=\"_blank\">Dr. Louise Walter of UC San Francisco's Division of Geriatrics\u003c/a>, captures that divide in a commentary that accompanies the published study:\u003c/p>\n\u003cblockquote>\u003cp>\"Some had advocated for high breast and colorectal cancer screening rates in healthy older adults because the incidence and mortality of these cancers increase with age. ... Others have advocated for low cancer screening rates in persons older than 75 years because the benefit of continuing screening is uncertain and screening can cause substantial harm, especially in frail, older adults.\"\u003c/p>\u003c/blockquote>\n\u003cp>In an interview, Walter spoke of experiences from her own practice. \"I have 80-year-olds hiking in mountains ... and likely to live a long time, and I have people who have serious medical issues, dementia and life limiting disease.\" The types of preventive care she would recommend for these two patients, she says, is very different and not based on age, but on their overall health status.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The study also found that nearly one in ten patients with terminal cancer still received screening tests for breast, cervical or prostate cancer. Walter described cases of older women who have had a hysterectomy, including removal of the cervix, yet still receive Pap smears to test for cervical cancer.\u003c/p>\n\u003cp>\"The thing I try to emphasis is let's do thoughtful cancer screening. Let's avoid cancer screening in someone without a cervix, someone who is in a nursing home, very frail.\" While people often think of screening tests as fairly benign, a positive result can lead to more and more invasive procedures to confirm a diagnosis, invasive procedures that can be very difficult for frail patients to withstand.\u003c/p>\n\u003cp>This study underscores the need for \u003ca title=\"http://ww2.kqed.org/stateofhealth/2011/12/08/how-much-do-elderly-patients-want-to-know-and-should-doctors-tell-them/\" href=\"http://ww2.kqed.org/stateofhealth/2011/12/08/how-much-do-elderly-patients-want-to-know-and-should-doctors-tell-them/\" target=\"_blank\">doctors to talk with older patients about their overall prognosis.\u003c/a> Walter pointed out that screening tests can become a \"distraction\" from someone's overall health concerns. \"If you had a recent heart attack, that's your major problem. Any major problem should make you rethink, 'Why am I looking for an asymptomatic problem that I probably don't have?'\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp> \u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_1278\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BloodVials_ShannonMuskopf_Flickr_12122011.jpg\">\u003cimg class=\"size-medium wp-image-1278 \" title=\"People with hemophilia lack a substance that helps blood clot. (Shannon Muskopf: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BloodVials_ShannonMuskopf_Flickr_12122011-300x225.jpg\" alt=\"People with hemophilia lack a substance that helps blood clot. (Shannon Muskopf: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">People with hemophilia lack a substance that helps blood clot. (Shannon Muskopf: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>In a preliminary study, six patients in England were successfully treated by gene therapy for the blood-clotting disease \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001566/\" target=\"_blank\">hemophilia B\u003c/a>. Researchers injected each patient with the correct form of the gene that makes the needed substance that helps blood to clot, called a clotting factor.\u003c/p>\n\u003cp>\"I think it's a significant advancement in gene therapy and a treatment for hemophilia,\" said \u003ca href=\"http://med.stanford.edu/profiles/Mark_Kay\" target=\"_blank\">Mark Kay, Professor at Stanford's School of Medicine\u003c/a> and a co-author of the study. \"It's been over a year for some of the patients and they are continuing to make the [clotting] factor. We have to start at low doses and work our way up. We have patients that are at 10 percent level for half a year.\"\u003c/p>\n\u003caside class=\"pullquote alignleft\">The current medication has a lifetime cost per adult patient of up to $20 million.\u003c/aside>\n\u003cp>That 10 percent is remarkable. In hemophilia, people with a severe form of the disease have less than one percent of the clotting factor. Those with 10 percent are often able to live a normal life.\u003c/p>\n\u003cp>\u003c!--more-->\"I'm very excited about it,\" said Dieter Gruenert, Ph.D., Adjunct Professor at UCSF. \"People have been working on this for quite some time. Hopefully this will provide an impetus for further support and funding in this country for these kinds of studies.\"\u003c/p>\n\u003cp>The field of gene therapy has long been marked by setbacks. \"There was disappointment because people over-promised what was going to happen in a certain time frame,\" Kay explained. \"Like anything it takes longer for things to come to fruition and there were side effects that actually made it very difficult.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Indeed, at least one of the patients had an immune reaction in this study. But because of past experiences, researchers were watching patients closely and treated them promptly.\u003c/p>\n\u003cp>Matching the optimism of the doctors were hemophilia patients themselves. Brian Smith, 45, of Oakland, was diagnosed with hemophilia B when he was just six weeks old. When he was a boy, the treatment was whole blood transfusions. Today the treatment is protein therapy. Smith says he carries three boxes of medicine with him everywhere he goes and must give himself intravenous infusions every other day. He's been waiting for a gene therapy advance.\u003c/p>\n\u003cp>\"It's always been bad news,\" he said in an interview today. \"But this is a breakthrough we've all been waiting for, for a very long time. It'll make my life so much easier.\"\u003c/p>\n\u003cp>Smith currently receives a \"giant box\" of medicine at a cost of about $30,000 a month. He added that he's grateful for the good health insurance he has.\u003c/p>\n\u003cp>The research was made available online over the weekend in the \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1108046\" target=\"_blank\">New England Journal of Medicine\u003c/a>. An \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMe1111138\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMe1111138\" target=\"_blank\">accompanying editorial\u003c/a> by Dr. Katherine Ponder at the Washington University School of Medicine in St. Louis called it a \"landmark,\" adding that, if successful, gene therapy could yield tremendous cost savings. The current medication has a lifetime cost per adult patient of up to $20 million. In developing countries, many patients die at a young age.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The research continues. \"The next step is to treat additional patients and see how much variation there is from patient to patient and make sure this immune response issue is something that can be treated,\" Kay said. \"There's been a lot of work over the years and things are finally paying off, but move forward with cautious optimism. This looks really promising but we still need to do more studies in humans before we can make long-term predictions about the success of the therapy.\"\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_1278\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BloodVials_ShannonMuskopf_Flickr_12122011.jpg\">\u003cimg class=\"size-medium wp-image-1278 \" title=\"People with hemophilia lack a substance that helps blood clot. (Shannon Muskopf: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/BloodVials_ShannonMuskopf_Flickr_12122011-300x225.jpg\" alt=\"People with hemophilia lack a substance that helps blood clot. (Shannon Muskopf: Flickr)\" width=\"300\" height=\"225\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">People with hemophilia lack a substance that helps blood clot. (Shannon Muskopf: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>In a preliminary study, six patients in England were successfully treated by gene therapy for the blood-clotting disease \u003ca href=\"http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001566/\" target=\"_blank\">hemophilia B\u003c/a>. Researchers injected each patient with the correct form of the gene that makes the needed substance that helps blood to clot, called a clotting factor.\u003c/p>\n\u003cp>\"I think it's a significant advancement in gene therapy and a treatment for hemophilia,\" said \u003ca href=\"http://med.stanford.edu/profiles/Mark_Kay\" target=\"_blank\">Mark Kay, Professor at Stanford's School of Medicine\u003c/a> and a co-author of the study. \"It's been over a year for some of the patients and they are continuing to make the [clotting] factor. We have to start at low doses and work our way up. We have patients that are at 10 percent level for half a year.\"\u003c/p>\n\u003caside class=\"pullquote alignleft\">The current medication has a lifetime cost per adult patient of up to $20 million.\u003c/aside>\n\u003cp>That 10 percent is remarkable. In hemophilia, people with a severe form of the disease have less than one percent of the clotting factor. Those with 10 percent are often able to live a normal life.\u003c/p>\n\u003cp>\u003c!--more-->\"I'm very excited about it,\" said Dieter Gruenert, Ph.D., Adjunct Professor at UCSF. \"People have been working on this for quite some time. Hopefully this will provide an impetus for further support and funding in this country for these kinds of studies.\"\u003c/p>\n\u003cp>The field of gene therapy has long been marked by setbacks. \"There was disappointment because people over-promised what was going to happen in a certain time frame,\" Kay explained. \"Like anything it takes longer for things to come to fruition and there were side effects that actually made it very difficult.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Indeed, at least one of the patients had an immune reaction in this study. But because of past experiences, researchers were watching patients closely and treated them promptly.\u003c/p>\n\u003cp>Matching the optimism of the doctors were hemophilia patients themselves. Brian Smith, 45, of Oakland, was diagnosed with hemophilia B when he was just six weeks old. When he was a boy, the treatment was whole blood transfusions. Today the treatment is protein therapy. Smith says he carries three boxes of medicine with him everywhere he goes and must give himself intravenous infusions every other day. He's been waiting for a gene therapy advance.\u003c/p>\n\u003cp>\"It's always been bad news,\" he said in an interview today. \"But this is a breakthrough we've all been waiting for, for a very long time. It'll make my life so much easier.\"\u003c/p>\n\u003cp>Smith currently receives a \"giant box\" of medicine at a cost of about $30,000 a month. He added that he's grateful for the good health insurance he has.\u003c/p>\n\u003cp>The research was made available online over the weekend in the \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1108046\" target=\"_blank\">New England Journal of Medicine\u003c/a>. An \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMe1111138\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMe1111138\" target=\"_blank\">accompanying editorial\u003c/a> by Dr. Katherine Ponder at the Washington University School of Medicine in St. Louis called it a \"landmark,\" adding that, if successful, gene therapy could yield tremendous cost savings. The current medication has a lifetime cost per adult patient of up to $20 million. In developing countries, many patients die at a young age.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The research continues. \"The next step is to treat additional patients and see how much variation there is from patient to patient and make sure this immune response issue is something that can be treated,\" Kay said. \"There's been a lot of work over the years and things are finally paying off, but move forward with cautious optimism. This looks really promising but we still need to do more studies in humans before we can make long-term predictions about the success of the therapy.\"\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_1099\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Hands_RyanWilcox_Flickr_12082011.jpg\">\u003cimg class=\"size-medium wp-image-1099\" title=\"(Ryan Wilcox: Flickr)\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2011/12/Hands_RyanWilcox_Flickr_12082011-300x200.jpg\" alt=\"(Ryan Wilcox: Flickr)\" width=\"300\" height=\"200\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Ryan Wilcox: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>Not so long ago, it was common for doctors to keep sick patients, even terminally ill patients, in the dark about their prognosis. Today, many patients are actively involved in managing their illnesses, in partnership with their doctors. Indeed, one of the tabs on this blog is \"You're the Boss.\"\u003c/p>\n\u003cp>But a \"Perspective\" in today's\u003cem> \u003ca title=\"http://www.nejm.org/doi/full/10.1056/NEJMp1109990?query=TOC\" href=\"http://www.nejm.org/doi/full/10.1056/NEJMp1109990?query=TOC\" target=\"_blank\">New England Journal of Medicine\u003c/a>\u003c/em> says doctors have shied away from explicit conversations about prognosis with a group of patients they should engage--the very elderly. The writers recommend doctors discuss \"overall prognosis\" with elderly patients who have a life expectancy of less than 10 years or who are 85.\u003c/p>\n\u003cp>\u003c!--more-->If you're thinking that conversation sounds a bit, well, \u003cem>unpleasant\u003c/em>, research shows that a majority of elderly patients want to have the information. In one study, 55 percent of frail elderly patients whose doctor had never discussed their prognosis wanted to. In a second study, albeit a small one with 60 people including disabled African-American, Chinese-American, Latino and white patients, 65 percent said they would want to be told if they had less than five years to live.\u003c/p>\n\u003cp>The recommendations come from a team of doctors in the \u003ca title=\"http://geriatrics.medicine.ucsf.edu/\" href=\"http://geriatrics.medicine.ucsf.edu/\" target=\"_blank\">Division of Geriatrics at UC San Francisco\u003c/a> and the \u003ca title=\"http://www.sanfrancisco.va.gov/\" href=\"http://www.sanfrancisco.va.gov/\" target=\"_blank\">San Francisco VA Medical Center.\u003c/a> \"People want to know not just for medical reasons,\" said Dr. Alexander Smith of the San Francisco VA, one of the authors, \"but because they want to make life choices, put financial affairs in order, arrange for a durable power of attorney for health care and think about longterm care.\"\u003c/p>\n\u003cp>Smith is a palliative care physician, someone who is trained in talking with patients about challenging medical news. He acknowledged that it is a skill to have these conversations. But for many elderly patients, information about lifespan is not a surprise. \"In our experience, many older adults are aware that they are in life's final chapter, so such a conversation would not come as a shock to them. As physicians we have an obligation to give them honest information.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Of particular concern is the risk of many medical interventions, including screening tests. The writers cite a specific example of colonoscopy, an invasive procedure where the benefits may not be seen for years, benefits the patient may not live to see.\u003c/p>\n\u003cp>\"This is really about empowering patients,\" Smith said, \"giving patients information so they can make informed choices.\"\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Still, doctors must tread carefully. While a majority of surveyed patients did want prognostic information, a sizable minority did not. Doctors should not force the discussion, the writers say.\u003c/p>\n\n",
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"excerpt": "Not so long ago in American healthcare, it was not uncommon for doctors to keep sick patients, even terminally ill patients, in the dark about their prognosis. But, today, many patients are actively involved in managing their illnesses, in partnership with their doctors. Indeed, one of the tabs on this blog is \"You're the Boss.\"",
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},
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"info": "KQED’s statewide radio news program providing daily coverage of issues, trends and public policy decisions.",
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"officialWebsiteLink": "/californiareport",
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"order": 8
},
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"info": "Every week, The California Report Magazine takes you on a road trip for the ears: to visit the places and meet the people who make California unique. The in-depth storytelling podcast from the California Report.",
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},
"link": "https://www.cityarts.net",
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"order": 1
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"info": "\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />",
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"id": "commonwealth-club",
"title": "Commonwealth Club of California Podcast",
"info": "The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.",
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"source": "Commonwealth Club of California"
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"google": "https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw",
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"order": 9
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"meta": {
"site": "radio",
"source": "WNYC"
},
"link": "/radio/program/freakonomics-radio",
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"id": "fresh-air",
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"info": "A live production of NPR and WBUR Boston, in collaboration with stations across the country, Here & Now reflects the fluid world of news as it's happening in the middle of the day, with timely, in-depth news, interviews and conversation. Hosted by Robin Young, Jeremy Hobson and Tonya Mosley.",
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"hidden-brain": {
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"source": "NPR"
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"how-i-built-this": {
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"info": "Guy Raz dives into the stories behind some of the world's best known companies. How I Built This weaves a narrative journey about innovators, entrepreneurs and idealists—and the movements they built.",
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"airtime": "SUN 7:30pm-8pm",
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"hyphenacion": {
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"tagline": "Where conversation and cultura meet",
"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"jerrybrown": {
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"title": "The Political Mind of Jerry Brown",
"tagline": "Lessons from a lifetime in politics",
"info": "The Political Mind of Jerry Brown brings listeners the wisdom of the former Governor, Mayor, and presidential candidate. Scott Shafer interviewed Brown for more than 40 hours, covering the former governor's life and half-century in the political game – and Brown has some lessons he'd like to share. ",
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"order": 18
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},
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"id": "latino-usa",
"title": "Latino USA",
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"info": "Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.",
"imageSrc": "https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg",
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"link": "/radio/program/latino-usa",
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},
"marketplace": {
"id": "marketplace",
"title": "Marketplace",
"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
"airtime": "MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.marketplace.org/",
"meta": {
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"source": "American Public Media"
},
"link": "/radio/program/marketplace",
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"masters-of-scale": {
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"title": "Masters of Scale",
"info": "Masters of Scale is an original podcast in which LinkedIn co-founder and Greylock Partner Reid Hoffman sets out to describe and prove theories that explain how great entrepreneurs take their companies from zero to a gazillion in ingenious fashion.",
"airtime": "Every other Wednesday June 12 through October 16 at 8pm (repeats Thursdays at 2am)",
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"source": "WaitWhat"
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"rss": "https://rss.art19.com/masters-of-scale"
}
},
"mindshift": {
"id": "mindshift",
"title": "MindShift",
"tagline": "A podcast about the future of learning and how we raise our kids",
"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg",
"imageAlt": "KQED MindShift: How We Will Learn",
"officialWebsiteLink": "/mindshift/",
"meta": {
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"source": "kqed",
"order": 12
},
"link": "/podcasts/mindshift",
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"google": "https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5",
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}
},
"morning-edition": {
"id": "morning-edition",
"title": "Morning Edition",
"info": "\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. Hosts Steve Inskeep, David Greene and Rachel Martin bring you the latest breaking news and features to prepare you for the day.",
"airtime": "MON-FRI 3am-9am",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/Morning-Edition-Podcast-Tile-360x360-1.jpg",
"officialWebsiteLink": "https://www.npr.org/programs/morning-edition/",
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"link": "/radio/program/morning-edition"
},
"onourwatch": {
"id": "onourwatch",
"title": "On Our Watch",
"tagline": "Deeply-reported investigative journalism",
"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
"imageSrc": "https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg",
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"officialWebsiteLink": "/podcasts/onourwatch",
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"source": "kqed",
"order": 11
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