Category Archives for Health & Wellness

Daily Gratitude Is Always Good for Your Health

Published in Woonsocket Call on November 27, 2016

A few days ago we celebrated Thanksgiving, the nation’s oldest tradition. Over 48 million Americans traveled a minimum of 50 miles to spend this national holiday with family and friends, and a whopping 46 million turkeys were carved at these gatherings, served with mashed potatoes, gravy, stuffing, green beans, pumpkin and pecan pie.

Thanksgiving always falls on the fourth Thursday of November, and is a leisurely day to catch up with others, while centered around eating a traditional Thanksgiving dinner. Many will turn on their TV’s to watch National Football League games, the Macy’s Thanksgiving Day Parade or even see the pre-taped Westminster Dog Show.

But, with all these outer activities taking place throughout this day, we must not forget that Thanksgiving is a time to be thankful and show gratitude for all our personal and professional blessings.

Being Grateful, Giving Thanks

For this weekly commentary this writer reached out to Rhode Islanders asking them to think about and acknowledge what they were grateful for, and here were their thoughts…

John S. Baxter, Jr., 48, director of constituent services, Office of the President of the Senate, is grateful for being able to use professional developed skills to assist in his volunteer work. “Today, I am thankful for being able to make my living helping people through my service in the Rhode Island Senate. I’m also particularly thankful for lessons learned on the job that can be applied when I volunteer in my community; whether it is feeding the hungry, assisting persons with disabilities or supporting the arts,” says Baxter, a Pawtucket resident.

Jeffrey Brier, 63, president of Brier & Brier, is thankful for his family and business clients. This Warren resident says, “I am thankful to sit with my family and enjoy our Thanksgiving meal and each other’s presence. Saddened by those who are not with us and for those who have passed on. As an insurance agent, Brier says he finds it gratifying “to meet so many nice people with whom I enjoy working and assisting with their personal and business insurance.”

Greg Gerritt, 63, a Providence resident puts his words into action. Gerritt, founder of Buy Nothing Day Winter Coat Exchange, noted, “I actually skipped when they went around the table asking each to say what they were thankful for. I do not think of it that way. What I did was organize the 20th Buy Nothing Day Winter Coat Exchange. Might be different sides of the same coin.”

Denise Panichas, 62, is thankful for the “selfless people” that come into her life “Being in the nonprofit world, I’m always amazed at how selfless people can be and no one even knows the good deeds they do…at this time of year, I always take a step back and think to myself, “What would the world be without with those willing to sacrifice their time and talents?,” says Panichas, a Woonsocket resident who serves as executive director of The Samaritans of Rhode Island.

Scott Rotondo, 43, of Pawtucket, says his “cup truly runneth over” when asked what he is thankful for. The controller at Boston, Massachusetts-based Tivoli Audio, acknowledges, “I’m grateful for my career, my radio show and most of all our newest family addition, my daughter Jessica who we adopted out of foster care. I have made it a point to sincerely thank my family for all the support and love they’ve shared with me this year.”

Finally, Scott Wolf, 63, a Providence. resident, is grateful for positive role models he had while growing up. Wolf, executive director at Grow Smart RI, says “I thought about how lucky I have been to have so many outstanding role models –my parents first and foremost among them–, who are now gone physically but still inspiring me to leave my own positive mark on society.”

Being Grateful is Good for Your Health

According to Michael Craig Miller, MD, senior editor, mental health publishing at Harvard Health Publications, “the simple act of giving thanks is not just good for the community but may also be good for the brain and body.”

“By acknowledging the goodness in their lives, expressing gratitude often helps people recognize that the source of that goodness lies at least partially outside themselves. This can connect them to something larger—other people, nature, or a higher power,” says Miller, in his blog article entitled, “In Praise of Gratitude,” posted on the Harvard health Web Site, on October 29, 2015.

In Miller’s blog posting, he notes, “In the relatively new field of positive psychology research, gratitude is strongly and consistently linked to greater happiness. Expressing gratitude helps people feel positive emotions, relish good experiences, improve their health, deal with adversity, and build strong relationships.”

Adds Robert A. Emmons, Ph.D., on his blog article, “Why Gratitude is Good,” posted on November 10, 2015 on the Greater Good Science Center’s Web Site, gratitude can allow us to “celebrate the present.”

According to Emmons, a professor of psychology at the University of California, Davis, and the founding editor-in-chief of The Journal of Positive Psychology, research findings indicate that “Gratitude blocks toxic, negative emotions.” These findings also show that “grateful people are more stress resistant” and “have a higher sense of self-worth.”

So, don’t wait until next Thanksgiving to show gratitude to all the good things surrounding you today. Be thankful for everything positive in your life, each and every day. Research tells us that showing gratitude may well be good for your physical and mental well-being.

Putting the Brakes on Testosterone Prescriptions

Published in Pawtucket Times on March 30, 2015

Sophisticated mass marketing pitching testosterone to combat age-related complaints combined with lax medical guidelines for testosterone prescribing can be hazardous to your physical health, even leading to strokes and death, warns an editorial in this month’s Journal of the American Geriatrics Society.
The March 2015 editorial coauthored by Dr. Thomas Perls, MD, MPH, Geriatrics Section, Department of Medicine, Boston Medical Center in Boston, and Dr. David Handelsman, MBBS, Ph.D., ANZAC Research Institute, in New South Wales, Australia, expressed concern over commercial-driven sales of testosterone, effectively increasing from “$324 million in 2002 to a whopping $2 billion in 2012, and the number of testosterone doses prescribed climbing from “100 million in 2007 to half a billion in 2012.”

Pitting Patients Against Patients

The editorial authors see the “40 fold” increase of testosterone sales as the result of “disease mongering,” the practice of widening the diagnostic boundaries of an illness and aggressively promoting the disease and its treatment in order to expand the markets for the drug. Glitzy medical terms, like “low T” and “andropause,” showcased in direct-to-consumer product advertising pit aging baby boomers against their physicians, who demand the prescriptions, say the authors.

“Clearly, previous attempts to warn doctors and the public of this disease mongering that is potentially medically harmful and costly have not been effective, says co-author Dr. Perls.

The epidemic of testosterone prescribing over the last decade has been primarily the proposing of testosterone as a tonic for sexual dysfunction and/or reduced energy in middle-aged men, neither of which are genuine testosterone deficiency states,” observes Dr. Handelsman.

According to the National Institutes on Aging (NIA), the nation’s media has increasingly reported about “male menopause,” a condition supposedly caused by diminishing testosterone levels in aging men. “There is very little scientific evidence that this condition, also called andropause or viropause, exists. The likelihood that an aging man will experience a major shutdown of testosterone production similar to a woman’s menopause is very remote.”

The authors agree with the NIA’s assessment, but go further. They point out in their editorial that for many men, testosterone does not decline with age among men retaining excellent general health, and if it does, the decline is often due to common underlying problems such as obesity and poor fitness. Those who hawk testosterone have developed advertising that focus on common complaints among older men such as decreased energy, feeling sad, sleep problems, decreased physical performance or increased fat.

But, many times a testosterone level won’t even be obtained and the patient is told that, simply based on these common symptoms alone or with minor reductions in serum testosterone, they have “late onset hypogonadism” or that their erectile dysfunction may be improved with testosterone treatment, say the authors. But the authors also point out the true hypogonadism is the cause in fewer than 10% of men with erectile dysfunction.

FDA Enters Debate

The U.S. Food and Drug Administration’s (FDA) recent dual commission findings concluded that testosterone treatment (marketed as ‘low T’) is not indicated for age-associated decline. The benefits of this “deceptive practice” remain unproven with the risks far outweighing the perceived benefits,” says the agency. Pharmaceutical companies are now required to include warning information about the possibility of an increased risk of heart attacks and stroke on all testosterone product labels.

Health Canada, Canada’s FDA, recently echoed the FDA’s committee findings that age-related hypogonadism has not been proven to be a disease-justifying treatment with testosterone. Both agencies warn of an increased risk of blood clots in the legs and lungs and the possibility of increased risk for heart attack associated with testosterone use.

In a statement, James McDonald, the chief administration officer for the Board of Medical Licensure and Discipline, says: “There is a concern in healthcare regarding direct-to-consumer prescribing of medication. At times, the prescription is not evidence-based, and can lead to misuse. There is concern with Testosterone, a schedule 3 controlled substance,that can be used as a performance-enhancing drug. The Rhode Island Board of Medical Licensure (BMLD) investigates complaints regarding all types of misuse of prescription medications as well as complaints regarding over-prescribing.”

Drs. Handelsman and Perls also warn about another drug commonly hawked for anti-aging, growth hormone. The FDA requires that doctors perform a test to demonstrate that the body does not produce enough growth hormone. “Those who market and sell HGH for these common symptoms nearly never perform the test because if they did a properly performed test, it would almost never be positive because the diseases that cause growth hormone deficiency in adults, such as pituitary gland tumors, are very rare,” said Perls. Growth hormone is well known for its side effects, including joint swelling and pain and diabetes. Ironically, opposite of anti-aging claims, growth hormone accelerates aging, increases cancer risk and shortens life span in animal studies.

In the editorial, Perls and Handelsman call upon professional medical societies and governmental agencies to take definitive steps to stop disease mongering of growth hormone and testosterone for conjured-up deficiencies.
“These steps include the banning of ‘educational’ and product advertising of testosterone for these contrived indications,” said Perls. “Furthermore, the FDA and Health Canada should require a physician’s demonstration of a disease process proven to benefit from testosterone administration in order to fill a lawful prescription for testosterone.”

Tightening Up Prescription Guidelines

The issue of prescribing testosterone is firmly on the medical profession’s radar screen with the FDA’s recent committee’s findings and Perls and Handelsman’s pointed editorial calling for the medical profession to seriously tighten up the lax consensus guidelines in order to stop the medically inappropriate prescribing of testosterone.
Rather than pushing testosterone, wouldn’t it be a “mitzvah – a good deed- if the nation’s pharmaceutical companies ran public service commercials stressing the importance of losing weight, exercising and eating nutritious meals as a way to effectively combat age-related problems, like low libido. But, this won’t happen because it is not a revenue generator or good for the company’s bottom line.

Herb Weiss, LRI ’12 is a Pawtucket-based writer covering aging, health care and medical issues. He can be reached at hweissri@aol.com.

Experts Offer Some Advice on How to Age Successfully

Published in Pawtucket Times, February 21, 2014

            As an aging baby boomer, the pains and aches of old age and my noticeable gray hair are obvious signs of getting closer to age 60.

            Amazing, being given a free donut with my large cup of coffee at Dunkin Donuts, an AARP member benefit, is a clear reminder to me of how people may perceive my chronological age.  When I pulled out my wallet to get my membership card, the employee said, “Don’t worry, your covered.”  Simply put, by having gray hair it was obvious to the young woman that I was eligible to get the free donut.

            The aches and pains of getting older happen more often, too.   After spraining my ankle from a fall on a sheet of ice, while taking out my garbage, it took much longer for this injury to heal.  Most recently, a sharp pain in my hip makes me wonder if hip replacement surgery could be in my future.

            Even like me, President Barack Obama has shown his age by his gray hair and is even beginning to publicly complain about his aches and pains, because of living over five decades.

            The 52- year- old President told retired National Basketball Association star Charles Barkley in a recent interview that he was limiting his trip to the basketball court to once a month because “things happen.”

             “One is, you just get a little older and creakier. The second thing is, you’ve got to start thinking about elbows and you break your nose right before a State of the Union address,” said the 52-year-old president in the interview on the TNT network before the NBA All-Star Game.

             Discussing the aging process during an exchange about his signature healthcare reform law, Obama said that being past 50, “you wake up and something hurts and you don’t know exactly what happened, right?”

 Taking Control of the Aging Process

             Of course, President Obama’s complaints about getting old went viral. Approaching two Rhode Island gerontologists and a geriatric physician, this columnist gives the middle aged President tips on easing into his old age.

            Phillip G. Clark, ScD,  Director, URI Program in Gerontology and Rhode Island Geriatric Education Center and Professor, Department of Human Development and Family Studies, notes that some research has indicated that the decade between 50 and 60 is when many people start getting “messages” that they are getting older. These can be physical, psychological, familial, and social.

             “A lot are based on the messages that they receive from those around them, including the media (“if you’re older than 50, you should be taking Centrum Silver, or you qualify for this special type of life insurance policy,” adds Clark. “These messages may not reflect an accurate picture of what normal aging really is, but rather a biased and stereotypical portrait,” he says, for example, supposed bodily reminders of aging, such as aches and pains, may be due more to lack of exercise rather than actual aging itself.

             To successfully age, “stay physically active” says Clark, suggesting that you get an assessment from your physician.  This helps both your body and your brain. A moderately brisk, 30-minute walk a day is all you need, he notes.  “It’s more important that you build physical activity into your daily routine and do something that you enjoy and can stick with, than spend a lot of money on a gym membership that you seldom use,” he says.  Eating a diet that is high in fruits and vegetables is also important as part of a healthy lifestyle at any age.

             Clark also recommends that aging baby boomers stay engaged with settings and activities that keep them involved in life through their faith community, family and friends. Even having a sense of purpose in life that gets you outside of yourself, through volunteering, can help you age more gracefully, he adds, stressing that having a social network and people who care about and support you are essential elements of successful aging at any age.

             But don’t forget to “have a positive attitude and keep a sense of humor,” warns Clark. According to the gerontologist, this can get you over the challenges and hurdles you may encounter.  “Being resilient in the face of the challenges of life and getting older demands that we see the positive side of situations and not get bogged down in focusing on what we no longer have. We need to emphasize what we can do to keep the enjoyment in our lives.”

             Successful aging may not be swimming the English Channel at age 80, noted Brown University Professor of Medicine and of Health Services, Richard Bresdine, Director of Brown’s Center for Gerontology and Healthcare Research and Director of the Division of Geriatrics in the Department of Medicine.  However, for the general population, successful aging, that is “optimum physical cognitive functioning, rests on your genes, education and life experiences,” he says, not accomplishing great feats like swimming the English Channel.

            While the Brown University geriatrician agrees with Clark about the impact of exercise and social networks on improving your health and longevity, he also sees other ways to increase the quality of your aging.

 Strategies to an Improved Life Style

             According to Besdine, a majority of people with high blood pressure don’t take medication to control it.  This chronic condition can cause strokes.  Smoking does not just cause lung cancer, “but every type of cancer and chronic lung disease, “one of the worst ways to die on this planet.”

             Driving safely can increase your lifespan and quality of aging.  As one ages your eyesight may change, glare becomes a problem, and you lose flexibility to turn.  Retraining programs, offered by AARP and AAA, can reduce the probability of having an accident, says Besdine.

             Don’t forget your pneumonia or influenza vaccination, warns Besdine.  Having repeated occurrences of the flu can lead to heart disease and other health issues, he says.

             A good nutritional diet is key to enhancing the quality of health in your later years, notes Besdine, but people living on fixed incomes may not be able to afford eating fruits, vegetables and lean meats.  Cooking for yourself may even lead to a decision to not make nutritional meals.  Besdine is also a big advocate of the Mediterranean diet, a heart-healthy eating plan that emphasizes fruits, vegetables, whole grains, beans, nuts and seeds, and healthy fats.  He notes that this diet reduces your chances of getting heart disease and diabetes.

             Besdine also notes that there are simple things that you can do at home to increase your longevity and quality of life.  Make sure your home is safe, equipped with fire and carbon monoxide detectors.  Rid your kitchen of toxic substances.  He urges a “gun free” home. “This is not a political statement. Research shows us that a person is much more likely of being shot by a gun that is kept at home,” he says.

             Screening for cancers (by scheduling a mammogram and/or colonoscopy) and depression, along with moderate drinking, good oral health care, and preventing osteoporosis by taking calcium and Vitamin D, even reducing adverse drug reactions and improving mobility, are simple ways to increase the chances of your successful aging, Besdine says.

 Unraveling Research Findings

             Rachel Filinson, Ph.D., Professor of Sociology/Gerontology Coordinator at Rhode Island College, says the “devil may well be in the details,” as older persons try to unravel research findings that might provide them with a clear road maps to achieve successful aging.

             For instance, Filinson notes that while some gerontologist have long regarded “under nutrition,” that is the consuming relatively few calories to sustain oneself,” as a way to increase one’s longevity, others disagree with the theory.

             Meanwhile, mental stimulation is believed by many to deter cognitive decline, Filinson says, but brain teasers and games have not been adequately proven by research findings, she adds, while reading and writing may be helpful.

             Although a large social network and recreational pursuits have been lauded as essential to enhance the quality of aging, some investigations have found that solitary activities like gardening are just as effective, observes Filinson.

             In that science can be a work in progress, Filinson believes that older adults can take charge of their lives by optimizing the positives and minimizing the negatives–how we age.  “It’s about the choices we make in life rather than the genes we were born with,” she quips.

             President Obama might well listen to Clarke, Besdine, and Filinson’s sage advice as to how he can cope with the aging process. Even small changes in his daily,  mundane routines, like using the stairs rather than taking an elevator in the White House or even taking Bo, the first family’s dog, for a brief walk around the grounds, can result in his living longer, even reduce his noticeable aches and pains.

              Herb Weiss, LRI ’12, is a Pawtucket-based writer covering aging, health care and medical issues.  He can be reached at hweissri@aol.com.