As a physician with an interest in reducing opioid-related problems, I frequently hear stories from colleagues and friends about their loved ones who either struggle with opioid addiction or have even died from opioid-related overdose. My follow-up question to them is usually: “How did it begin?” Almost every time the answer is the same: the individual experienced acute pain either from a trauma o
برچسب: نویسنده: النا محمودی تاريخ: جمعه 31 شهريور 1396 ساعت: 10:34
Follow me on Twitter @drClaire
If you’re a parent — or anyone else who has driven a child somewhere — you likely know quite a bit about car seats.
Or do you?
As both a pediatrician and a parent, I know that lots of people don’t know everything they should about car seats and booster seats. It’s understandable, as the information can be confusing, and while resources are available, many parents don
برچسب: نویسنده: النا محمودی تاريخ: جمعه 31 شهريور 1396 ساعت: 10:34
Last week I was sitting in my bed around midnight, writing a letter to commemorate the conclusion of my participation in an intensive extended-length physical rehabilitation program at Spaulding Rehabilitation Network tailored specifically for people in the greater Boston area with chronic pain. I had first read about the program in an article in the Boston Globe, and was immediately interested in
برچسب: نویسنده: النا محمودی تاريخ: جمعه 31 شهريور 1396 ساعت: 10:34
When you have a negative emotion, are you upset or disappointed in yourself? Do you feel “bad” or “guilty” about this emotion? If so, you may be at risk for poorer longer-term psychological health.
A study in the July 2017 Joual of Personality and Social Psychology looked at the psychological health of people who accept, rather than negatively judge, their emotional experiences. Researchers foun
برچسب: نویسنده: النا محمودی تاريخ: جمعه 31 شهريور 1396 ساعت: 10:34
A blog by definition is a regularly updated website or web page, typically one run by an individual or group, and is written in an informal or conversational style. As with any conversation, there is usually a blend of fact and opinion. In the case of a blog on medical topics, frequently the opinions are those of experts, and it is not uncommon for such opinions to lead to healthy debate.
Fake new
برچسب: نویسنده: النا محمودی تاريخ: جمعه 31 شهريور 1396 ساعت: 10:34
Follow me on Twitter @RobShmerling
If you look at photos of President Obama taken before he ran for president and since he left office, you’ll notice a distinct difference: where there used to be only dark brown hair, there is now far more gray than brown. It seems that the stress of ruing a country would tu any person’s hair gray. But is stress really to blame? And why does hair tu gray, ev
برچسب: نویسنده: النا محمودی تاريخ: جمعه 31 شهريور 1396 ساعت: 10:34
Follow me on Twitter @drClaire
These days, tattoos are increasingly common. According to a 2015 Harris poll, three in 10 American adults have a tattoo — up from two in 10 in 2012. They are particularly popular in young people; among Milleials, nearly half have a tattoo.
In most states, you have to be at least 18 to get a tattoo, but with parental permission, in many states you can get one sooner
برچسب: نویسنده: النا محمودی تاريخ: جمعه 31 شهريور 1396 ساعت: 10:34
My father was ecstatic when he retired from the US Postal Service after 30 years. But it didn’t take long before he began to miss the packlike male bonding he took for granted: group lunches, team projects, water cooler banter. When they were gone, it left a big hole in his life.
“Men acquire friends through shared experiences like sports, the military, and work,” says Dr. Richard S. Schwartz, a p
برچسب: نویسنده: النا محمودی تاريخ: جمعه 31 شهريور 1396 ساعت: 10:34
Let’s face it: managing your period is a hassle. There’s the cramping, the bloating, the bleeding, and the feeling a little cranky. Not to mention the need to remember to have tampons and ibuprofen on hand. There may also be the bad timing of a special occasion or a tropical vacation that complicates things further. But as aggravating as all this may be, for most women it’s just that: an aggravati
برچسب: نویسنده: النا محمودی تاريخ: جمعه 31 شهريور 1396 ساعت: 10:34
Follow me on Twitter @drClaire
We started giving flu shots at our practice last week, and it made me not just happy, but relieved. I know how bad influenza can be and I always feel better when we can start preventing it.
Every year, influenza sickens millions, hospitalizes hundreds of thousands, and kills tens of thousands. This is not your average common cold. While it is especially dangerous for
برچسب: نویسنده: النا محمودی تاريخ: شنبه 18 شهريور 1396 ساعت: 18:58
New research on yoga has yielded promising evidence that yoga could complement traditional treatment for depression. The scientific study of yoga has grown rapidly in the past decade. Between 1975 and 2014, a total of 312 randomized controlled trials on yoga from 23 countries were published. Between 2005 and 2015, 24 randomized controlled trials have investigated yoga as a way to help treat depres
برچسب: نویسنده: النا محمودی تاريخ: شنبه 18 شهريور 1396 ساعت: 18:58
It’s amazing how a good night’s sleep can rejuvenate the mind, or “rest the little grey cells” as Hercule Poirot, Agatha Christie’s famed sleuth, liked to say.
But sound slumber may boost the brain another way by protecting you against Alzheimer’s disease. Research has begun to show an association between poor sleep and a higher risk of accumulating beta-amyloid protein plaque in the brain, one of
برچسب: نویسنده: النا محمودی تاريخ: شنبه 18 شهريور 1396 ساعت: 18:58
Follow me on Twitter @RobShmerling
If you do an Inteet search on “hiccups” you’ll find lots of supposed cures for this aoying but usually fast-passing condition — one site lists 250 of them! One thing you won’t find, though, is a good reason for why we hiccup.
Hiccupping is a more complex reflex than it might seem: a sudden contraction or spasm of the diaphragm and the muscles between the ribs
برچسب: نویسنده: النا محمودی تاريخ: پنجشنبه 16 شهريور 1396 ساعت: 16:17
Remember when packaged foods emblazoned with the words “fat free” seemed to be everywhere? Then came labels boasting “zero grams of trans fat.” “Sugar free” and “low sodium” claims soon joined the chorus. These days, gluten-free foods are all the rage.
For the most part, food industry trends have echoed the nutritional mantras of the time and were designed to improve our health — especially cardio
برچسب: نویسنده: النا محمودی تاريخ: پنجشنبه 16 شهريور 1396 ساعت: 16:17
Follow me on Twitter @RobShmerling
If you’re like me, you leaed that about 90% of people are right-handed and much of the reason is genetic. And that’s true, although it remains a mystery why our genetic evolution led to so many more righties than lefties).
But for certain tasks, handedness can be “overcome.” For example, right-handed kids leaing to play teis, golf, or baseball can become su
برچسب: نویسنده: النا محمودی تاريخ: جمعه 10 شهريور 1396 ساعت: 23:12
Follow me on Twitter @RobShmerling
When I see patients with rheumatoid arthritis, I’m often asked about diet. Are there foods that can help? Should I avoid certain foods?
The role of diet in arthritis
Whenever I’m asked about diet for arthritis, my short answer is that with a few exceptions, there is no proven role for making dietary changes. In the case of rheumatoid arthritis, there is no clear
برچسب: نویسنده: النا محمودی تاريخ: جمعه 10 شهريور 1396 ساعت: 23:12
Follow me on Twitter @drClaire
More and more, I have families in my practice who are trying out treatments and therapies I didn’t prescribe. Most of the time, it’s absolutely fine. Other times, it’s not.
“Complementary and alteative medicine” is a broad term that refers to treatments that are not generally part of traditional Weste medicine. It includes things like herbal remedies, dietary sup
برچسب: نویسنده: النا محمودی تاريخ: جمعه 10 شهريور 1396 ساعت: 23:12
The world of primary care is challenging right now. It can be frustrating for both patients and doctors.
From the patient’s perspective
Let’s say you’re basically healthy, but overweight. You can’t quite get your diet under control. You’d like your doctor’s help and maybe some testing, like thyroid. So you call your primary care doctor. You work through the practice’s phone tree and leave a messag
برچسب: نویسنده: النا محمودی تاريخ: جمعه 10 شهريور 1396 ساعت: 23:12
Follow me on Twitter @RobShmerling
Multiple sclerosis (MS) is a condition of unknown cause in which the covering lining of nerve fibers (called myelin) is damaged. Myelin is like insulation on a wire — when it is damaged, nerve impulses are not transmitted properly. This leads to an array of symptoms including weakness, vision problems, numbness, tingling, and poor coordination or imbalance that c
برچسب: نویسنده: النا محمودی تاريخ: جمعه 10 شهريور 1396 ساعت: 23:12
When you were younger, life revolved around goals: college degree, new job, traveling to a foreign country, ruing a marathon. Having your eyes (and mind) on a prize kept you motivated and engaged.
But as you age that focus tends to wane. What’s left to accomplish? Is it even worth striving for something anymore? Yet you need goals as you age more than ever.
“Goals are crucial to keeping your men
برچسب: نویسنده: النا محمودی تاريخ: جمعه 10 شهريور 1396 ساعت: 23:12
What if I could prescribe a pill that could prevent or treat high blood pressure, diabetes, high cholesterol, heart disease, even depression and dementia? And what if researchers had extensively researched this pill and the result was: ample proof that it’s effective. On top of that, it’s practically free and has no bad side effects. As a matter of fact, its only side effects are improved sleep, i
برچسب: نویسنده: النا محمودی تاريخ: جمعه 3 شهريور 1396 ساعت: 3:17
When you are pregnant, what you hear from people around you makes a difference. You want to do the right thing for your child; if someone you trust gives you advice, you listen.
That’s why we need to be sure that pregnant women get good advice.
In a study recently published in the joual Pediatrics, researchers in New Zealand found that when pregnant women got discouraging information about immun
برچسب: نویسنده: النا محمودی تاريخ: جمعه 3 شهريور 1396 ساعت: 3:17
In the 1980s, reports began to surface of a potential coection between vasectomies and prostate cancer. This worried men considering vasectomies for birth control, but it was also controversial. Some studies detected an association while others didn’t. Harvard Prostate Knowledge last covered the topic in 2015, after the largest study to that point detected slightly higher risks of high-grade pro
برچسب: نویسنده: النا محمودی تاريخ: جمعه 3 شهريور 1396 ساعت: 3:17
I frequently lecture to physicians, pharmacists, and other healthcare professionals on drug safety, and I often start by asking how many people have ever observed a serious adverse drug event. Almost everyone in the room raises his or her hand. I then ask how many have ever reported a serious adverse drug event to the US Food and Drug Administration (FDA) or to a drug company, and almost all of th
برچسب: نویسنده: النا محمودی تاريخ: جمعه 3 شهريور 1396 ساعت: 3:17