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Monday, April 29, 2024
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                                                         “The best cure for insomnia is to get a lot of sleep.”
― W.C. Fields

Photo Credit: MonicaDengo.com

Photo Credit: MonicaDengo.com

A couple of years ago I was traveling with a group of women in Russia. Early the first morning I casually mentioned that I didn’t sleep so well last night. Without a second of hesitation, the four women in the circle started to rumble through their bags to offer me an Ambian or one of the other sleep aids they take nightly to pound the pillar.  When I asked them if this was just their travel routine until they settled in a new time zone, they said no. They took them nightly to get to sleep.

A good friend recently did her own research about sleep. She posted this question on her Facebook status “How many hours of sleep do you get a night and how many times, if any, do you wake up during the night?”

The answers popped up in great numbers. They ranged from 7 undisturbed hours to getting up 5 times over a 5 hour period of restlessness nights. It was mostly women with the worse sleep histories.

It seems like many Americans are taking drugs to get more sleep, particularly women aged 50-59.

The Center for Disease Control’s National Center for Health Statistics latest data reported their first study on actual use of prescription aids for sleep. They found that close to 9 million people or 4% of US adults use sleep medication, with higher use among middle-aged adults ages 50 to 59 and the elderly.

You’ve all seen the articles that periodically show up about what a lack sleep may contribute to – from lower sex drive, to inflammatory diseases like diabetes and heart disease, and grumpiness.

Jeez, maybe that’s why we’re not smiling enough.

Maybe the Patient Protection and Affordable Care Act needs to amend the law and add another provision – nap rooms at every work place and in our schools.

People – take care and get some sleep.

        Happy Labor Day weekend!

                                                                                                           Barbara Glickstein is co-director of CHMP.

             

Breastfeeding rates in the U.S. are increasing but not to a level that we ought to have, given the overwhelming evidence of the positive effects of breastfeeding for mothers, infants, and the infant-turned-adult. The barriers to women being able to breastfeed their infants at all, as well as for more than a few days or weeks, are substantial and include a societal aversion to breastfeeding in public, lack of private space for women to either feed their infants or pump their breasts during work breaks, the continued promotion of infant formula, and old misconceptions about the infant’s need for variation in nutrition.

Tonight on Healthstyles, producer and moderator Diana J. Mason, RN, PhD, FAAN, talks about breastfeeding with Dr. Diane Spatz, PhD, RN-C, FAAN, Professor of Perinatal Nursing and Helen M. Shearer Term Professor of Nutrition at the University of Pennsylvania, and researcher in lactation at the Children’s Hospital at the University of Pennsylvania. Dr. Spatz discusses recent evidence documenting the healing properties of breast milk, even when an infant cannot ingest it. She also talks about the public and private sector policies that are needed to achieve higher breastfeeding rates.

So tune in tonight at 11:30 PM on WBAI (www.wbai.org; 99.5 FM); or, to listen to the program anytime, click here:

Healthstyles is sponsored by the Center for Health, Media & Policy at Hunter College, City University of New York.

Breastfeeding rates in the U.S. are increasing

This is a repost from Primary Care Progress, a community of clinicians, trainees, and patients committed to transforming America’s broken primary healthcare system.

Primary care providers take care of many patients with diabetes during their careers, but how often does one of those patients tell providers exactly what he wants and how he’d like to be treated? Here, read 17-year-old Trevor Torres’ refreshing perspective.

By Trevor Torres

a0cdb07dd9d27a6c33b4a0053b82f910-huge-awesomepict_2My name is Trevor Torres, though I’m also known as the Diabetes Evangelist. At 17 years old, I’ve launched a speaking career through which I share my unique perspective with the health care community — that of an empowered teenage patient. Before I began public speaking, I recorded a video for the Institute for Healthcare Improvement (IHI) Open School. It exploded in popularity and led to the start of my speaking career. In that video – as someone who has spent a lot of time with doctors – I talk about what I expect from health care providers. I thought the health care professionals and trainees who read this blog might like to hear my perspective, especially because they will undoubtedly take care of lots of diabetics and teenagers during their career in primary care.

There’s two main things I expect from my heath care providers. One: Don’t condescend. When I was first diagnosed with diabetes, the doctors said, “You can give yourself insulin in one of two ways: You can do it based on your blood sugar, so if you have higher blood sugar, give yourself more insulin. Or you can do it based on what you’re going to eat, so if you’re going to eat x amount, give yourself x amount of insulin.” Now maybe I’m one of the smarter patients, but I was like, “Why don’t I just come up with an algorithm that incorporates both variables?” That’s probably a little atypical, but the bottom line is if your patient already has something like that figured out, you don’t need to simplify the explanation down to what you perceive your patient’s level of understanding to be. You can explain something, and then if your patient doesn’t understand it, they can ask for clarification. That may be just me, but I really hate it when I feel like I’m being talked down to. And that also might be my age: I know we kids are a little uptight about that!   (continue here)
Check out Trevor’s video, Trevor and the Perks of Diabetes

[youtube=http://www.youtube.com/watch?v=cMGgoInt1Mo&w=420&h=315]

This is a repost from Primary Care