Tuesday, December 31, 2013

CNN.com - Health: The year medical 'fixes' got busted

CNN.com - Health
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The year medical 'fixes' got busted
Dec 31st 2013, 11:45

Aaron Carroll says in 2013, we found we spend billions of dollars on sketchy or overly prescribed medical therapies -- vitamins, pills -- when we could be spending it on measures like diet and exercise

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Health : The Atlantic: Before Everyone Resolved to Lose Weight: Meaningful Resolutions of Yore

Health : The Atlantic
Health news and analysis on The Atlantic. 
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thumbnail Before Everyone Resolved to Lose Weight: Meaningful Resolutions of Yore
Dec 31st 2013, 17:41, by Olga Khazan

New York City Mayor Ed Koch tests the Big Apple Ball in 1981. (AP/Lederhandler)

"Did you make any New Year's resolution? Of course you did! Who doesn't? There is something irresistibly magnetic about the first day of the New Year — something that compels a new channel of thought ... One looks back with regret for the things that might have been done, and deplores things that have been done, and forthwith makes a resolution to remedy the omissions this year."

So wrote a reporter, who seems to have been getting paid by the word, for the British Exeter and Plymouth Gazette on January 4, 1913.

Wikimedia Commons

This year, most Americans will resolve forthwith to do some permutation of "getting fit" or "losing weight."

But New Year's resolutions predate our modern-day weight concerns by centuries.

So, what did people resolve before we had the scourge of cellulite and the temptation of McRib to stir us to action?

The answer: just to be a better person, apparently. Resolutions from the early 20th century ranged from swearing less, to having a more cheerful disposition, to recommitting to God.

New Year's postcards from the early 1900s, for example, reveal a touchier, feelier time for goal-setting, encouraging their recipients to dedicate themselves to living a "sincere and serene life" and "repelling promptly every thought of discontent, anxiety, discouragement, impurity, and self-seeking." Others said to smile when you "fall down and out" or to simply keep a diary.

Swearing off vices such as foul language and flirting might also have been popular, judging from the cartoonist Walter McDougall's "Old Mr. Profanity Makes a New Year's Resolution," from 1903, as well as a 1911 cigarette ad suggesting men "Stop kissing other peoples' girls."

The Ohio State University Billy Ireland Cartoon Library & Museum 

In 1927, the professor and author John Erskine published an essay in The Century Magazine resolving to vote in upcoming elections for "the candidate who insults the other fellow least," to stop supporting biased newspapers, to "work for the peace of the world," and to "teach nothing that I do not believe." That last one, he mentioned, "should be a fairly easy ideal to reach."

The journalist and social reformer Ida Wells made a renewed commitment to God and Christian living her New Year's resolution in 1887. "I am so overwhelmed with the little I have done for the one who has done so much for me & I resolve to ... work for the master," she wrote in her diary at the time. She apparently stuck with it, too, teaching Sunday school in her hometown of Memphis for much of her life.

It was also not uncommon to, uh, strongly suggest resolutions for other people to take up.

In January 1936, Chester Washington, editor of the Pittsburgh Courier, asked the local YMCA to "resolve" to allow supervised dancing after basketball games so that "young folks would get clean recreation."

In 1920, the National Cash Register company did what any beneficent employer would: It suggested resolutions for its own district managers.

American Stationer and Office Outfitter, 1920

The intentions ranged from practical:

"I will analyze my territory and find out its possibilities."

"I will use up-to-date selling methods"

...to existential: "I will give more attention to the future and stop living in the past."

In a 1919 newspaper comic strip, a wife persuades her husband to swear off smoking. ("Everybudy swears off somethin' fer New Years!") And it works ... until the man rigs up some pipes that run behind the sofa and force smoke up the chimney.

Cliff Sterrett/Library of Congress

The Nottingham (U.K.) Evening Post created a list in 1889 of suggested resolutions for politicians of the day. For Lord Salisbury, the prime minister, they recommended, "to be more cautious in my expressions, to be more temperate in my judgements, and generally more reticent all around" — perhaps because Salisbury had recently caused a stir by suggesting that a non-white Briton would never be elected to Parliament.

To be fair, the fact that the goals seemed more virtuous back then didn't seem to make them any easier to keep. As the Exeter and Plymouth Gazette concluded in its article on resolutions, "The mischief is that this fascination doesn't as a rule last longer than the first twenty-four hours! ... Frail is human nature!"


    






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U.S. News - Health: Moving Outside the Hospital's Four Walls

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Moving Outside the Hospital's Four Walls
Dec 31st 2013, 16:45

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Health : The Atlantic: Ghosts I've Known

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thumbnail Ghosts I've Known
Dec 31st 2013, 16:15, by Adam Cayton-Holland

anolobb@healthyrx/flickr

People used to say that the dorm I lived in my sophomore year of college was haunted, that there was a ghost in Hewitt Hall. The details were unclear, but the general consensus was that sometime, a while back, a student had taken his life there and now that same unfortunate soul haunted the dormitory. People claimed they saw things: the figure of a young man behind you as you brushed your teeth in the mirror, an apparition that always vanished when you turned around to investigate.

Some reported hearing loud crashes at the end of the hall, bottles breaking, garbage cans being hurled about. One student swore that every time she went into the co-ed bathrooms a faucet would inexplicably turn off and on by itself. But I never saw or heard anything. And I haunted that dorm far more than any ghost.

My time in Hewitt coincided with the height of my depression, a period when I couldn't sleep for days on end. I'd spend grueling hours lying on my extra-long twin mattress, tracing the arc of the moon across the sky, unable to turn my brain off. It wasn't a specific affliction that tormented me, so much as a general malaise. In retrospect it seems juvenile, but at the time it was all-consuming.

Eventually I'd grow so frustrated trying to sleep that I would get up from my bed, dress and leave my room. I'd walk around the dorm, daring the ghost to show himself, lingering for long spells at his purported haunts, traipsing silently through the hallways. But he never appeared.

Sometimes I'd sit at the top of the central hill on campus and think about being back home, some two-thousand miles away. Sometimes I'd go for long jogs through the wooded areas that surrounded the school. Mostly I'd go to the nearby Indian Hills cemetery and wander among the old mausoleums and crumbling headstones.

I'd often think about killing myself. Never all that seriously, I suppose, but I did ponder it a lot, with my back propped up against a tombstone. I'd think about how I would do it, who would find me, who would show up to my funeral, who would feel bad for how they treated me, who would remember me, who would forget. How my family would respond. It was childish and aimlessly vindictive. There'd be no doubt about who haunted Hewitt then.

When the sun started to rise over the cemetery, I'd rouse myself, go back to my dorm and shower, preparing for another somnambulant day of classes. I'd wonder what about becoming a ghost appealed to me. And I'd think about Old Man Toad.

Every camp has his equivalent: a spirit that both watches over and haunts the campgrounds. At my summer camp in Conifer, Colorado, it was Old Man Toad, a frog-like creature the size of a small human who was purported to live in the area and served as the camp's mascot of sorts. A large, wooden statue of him greeted you as you pulled through the gates into camp. His face was carved into fence posts and adorned our annual T-shirts. All the kids at the camp were obsessed with him. His occasional appearances sent us into shrieking convulsions.

There you'd be, shooting an arrow into a target draped over a giant hay bale, swimming in the lake, or elbow-deep in pipe cleaners and beads at the arts and craft barn when suddenly someone in the distance would scream, "Old Man Toad!" You would immediately drop whatever you were doing and run toward the yelling. If you were lucky, if you had gotten there in time, you'd catch a glimpse of the old fella: a sheet with holes cut out for eyes darting through camp, hurling candy at the growing cluster of children in his wake. Sometimes he'd rip through camp in a VW van, a trusty accomplice driving while he sat in the back, sliding the van door open, tossing handfuls of his signature candy. We would tear after him as fast as our little elementary-school legs would carry us but we could never catch him.

According to tradition, Old Man Toad lived in an old school bus up near a collection of enormous stones we called the Elephant Rocks, on the far part of the campgrounds. You could hike up there. You weren't technically supposed to, but the counselors looked the other way. They knew what they were doing, the mythos they were cultivating. We'd sneak off in small groups there and dare each other to touch the school bus door, to jiggle it and try and open it. It was always locked, but the mere act of confirming that it was there would send us sprinting back towards camp, squealing in paroxysms of danger and delight.

"He was in there! I swear to God he was in there!"

"Well go back there tonight! We'll see him at night!"

But we never did. We were too afraid or too enchanted with the legend. Old Man Toad represented the unknown, the mysterious. Scary, but never dangerous. He was our first window into the abyss.

One afternoon, the whole camp was gathered for some sort of presentation near the main cabin when suddenly Old Man Toad came darting through the crowd, a white blur, close enough to touch. We jumped up and scurried after him as he charged towards the lake and launched himself off the dock. Then, something amazing happened. Within seconds he was on the far side of the enormous lake, clambering through the reeds and sprinting into the forest beyond, up towards the fabled Elephant Rocks.

The older campers always suspected it was the counselors masquerading as Old Man Toad the whole time, a cynical theory that trickled all the way down to the youngest campers. But if that was true, how could they explain what we just saw? The creature that had just been so close to us, so tantalizingly within reach, was now separated by an entire lake, some three hundred yards away, at least. It had been only a few seconds.

No, to swim through a lake that fast you'd have to be part … toad.

Many years later, after a brief stint as a counselor in training, I realized that one counselor, wearing the signature Old Man Toad sheet, must have jumped into the lake and then swam underwater back beneath the dock. Meanwhile another counselor, clad in the same sheet, waited on the far side of the lake, ready to pop up out of the reeds and sprint for the hills. It was high camp theater, executed perfectly to leave a generation of Colorado campers in awe of that bogeyman, Old Man Toad.

But that day, when I looked through the kids down by the dock at my little sister Lydia. Her mouth was actually agape.

I saved Lydia's life by that same dock that same summer. I was up by the main cabin and I looked down towards the dock to see my sister standing on the far edge with another little girl, a girl who I knew used to bully her. I watched as that girl pushed her off. It was only a few feet of water. Odds are she would have been fine. Somewhere nearby a teenage lifeguard no doubt sat on duty. But Lydia was never a strong swimmer.

I didn't think. I sprinted down to the water, even faster than I'd sprinted after Old Man Toad. I jumped off the dock, pulled Lydia up into my arms and walked out of the lake with her. She was sputtering but fine. I deposited Lydia safely on the sandy shore. The little bully who pushed her stammered something about it being an accident, but I didn't even let her get the words out of her mouth before I shoved her backwards off the dock. Then I took Lydia up to the changing cabins to dry off.

When Lydia was a baby, I'd nearly let her drown. I was barely more than a baby myself, seven, eight years old maybe. Lydia was four years younger than me. My older sister, Anna, and I were swimming in a pool. Lydia was nearby in an inner tube, my mom, another sorry swimmer, reading poolside. Lydia was my responsibility. Anna and I were supposed to take turns watching her. It was my turn. I knew it was my turn. But I got distracted. I started playing with Anna, I think, I can't really remember. When I looked over and the inner tube was empty. No Lydia.

Beneath it was the dark figure of a baby flailing at the bottom of the pool. Before I could even act, my mom was in the water, swimming ability be damned, pulling Lydia up from the bottom and shaking her off. She laid her out on the hot concrete stomach-down, and violently smacked her little back so she'd cough the chlorinated water out. She was fine. Shaken, but alive. But it had been a close call, and I harbored that guilt for years.

Lydia visited me when I lived in Hewitt my sophomore year, at the height of my depression. She was 15 or 16, a curious high schooler. Anna was a senior at the same school, so we took turns with Lydia for a couple of days, the three Cayton-Holland children all together away from our parents. Lydia had dyed a thick, blue streak in her hair at the time. I asked her if she smoked weed and when she told me that she did, I proceeded to take her to a party and get her higher than she'd ever been in her life, an elder sibling's responsibility. When we left that party she told me that she could see people moving their lips at her but she couldn't hear a single word anyone was saying.

She told me she was getting sick of her high school newspaper, the newspaper that I had been editor-in-chief of. She said it like a confession, like she didn't want me to be disappointed in her. Lydia was thinking about starting her own paper, and she asked me if I would contribute a guest column. Of course I would, I told her. And she didn't need to worry about disappointing me. The newspaper had been my thing. It didn't have to be hers. She eventually did start her own paper, The Clocktower, and I kept good on my promise. That column read like a love-letter to my past life.

Lydia got that. She remembered me for who I was. She believed in me. She appreciated what I had to offer. In that dark period of my life, she reminded me that she was my little sister, that as bad as things got, I was still an older brother. I may have felt low or undervalued, I may have been kicking myself too hard while I was down, but Lydia loved me; Lydia looked up to me. She made me feel worthwhile.

The day she left, she had an early morning flight. I'd prepared a little pallet on the floor of my dorm room for her; a nest made of blankets and comforters and pillows. Neither one of us could sleep, so eventually we just gave up. I climbed down into the little floor fort with her and we watched movies all night together until it was time to go. I had an early class, so Anna drove her to the airport. Lydia waved at me as they drove off. I can still see her through the rear windshield.

I had a test that day. After Lydia left I trudged off to that class and realized that I had not studied for it at all. I sat down next to a friend of mine who asked me if I was prepared. When I told her I was not in the least, she told me I could just cheat off of her. She angled her test toward me. I sat there for a moment and then I just gave up. I put my pencil down, slid the exam away from me and left. I might be a nobody at that school; I might be depressed, maybe even suicidal, stalking the campus at night wishing I was a ghost, I might be an angry child howling at the moon, but at the very least I was no fucking cheater. Lydia did that for me. Lydia gave me self-worth at that moment when I so crucially needed it.

Leaving the test that day, in a way, began the long and convoluted road to pulling myself out of my depression. There would be vandalism and alcohol and a near-expulsion, but pushing that test away from me and heading back to my dorm room for a few hours of so desperately needed sleep was the first act of many in making myself better. And Lydia gave me that.

In the end, I wasn't able to return the favor. I tried. I caught her that first time, a little skeleton in her bed, strung out on way too many pills. I drove her to the hospital and called my family. We checked her into the psych ward and tried so hard to convince her of her self-worth. But Lydia was too busy becoming a ghost. Lydia wanted to take her life and she did, some 12 years after she visited Anna and me at our college. She was 28 and her depression was realer than mine had been, less childish; not self-inflicted, but real and deep and hard-wired and inescapable, and ultimately we were powerless to stop her. We loved her and we tried but we couldn't help her. She was strong-willed and stubborn and lost, and she'd made up her mind to become the ghost that would haunt the halls of her choosing, the ghost that will haunt me until I join her on the other side.

For a while, after Lydia died, it was like I wasn't really even able to remember her. I talked to her every single day on the phone up until her final breath. We visited in person on average four to five times a week. She was so much a part of my life, I didn't even have to think about what she was like; she was just there. But after she was gone that tangible feeling of her vanished too. I couldn't remember what it was like to be with her, to be around her—to touch her and smell her and experience her. All I could remember of my little sister were these snapshots from the 28 years we had spent together. Literal photos from family albums: Lydia in St. Mark's Square in Venice, a pigeon on her arm; Lydia in the Galapagos Islands with her long hair in a band; Lydia on the beach in Cape Cod; Lydia standing directly on top of second base in City Park. They were like borrowed memories, and they felt cold and distant. Beyond the snapshots there was nothing, no visceral feeling of being with my sister, no physical recollection of what it was like to be in her presence.

I recently underwent some pretty extensive therapy. I had no real goal for putting myself through this treatment; I just knew I wasn't right. That something had to change. The end result of this, I suppose, is that I've started to get little pieces of my sister back. I've started to feel her again. Waves of memories and emotions have flooded back to me and I can remember Lydia and feel her richly and deeply again, far beyond the meager two-dimensional snapshots I was allowing myself in my grief. It's been bittersweet. Because now that I can see and feel her so clearly again, it makes me miss her that much more.

But I'll take it, one hundred percent. Now I can see Lydia for what she was again, a person, more than those dark final few months. I see her as my little sister, visiting her older siblings on their college campus, learning from them, checking in on them, helping them. I see her there with all the other kids at the camp, chasing Old Man Toad down towards the dock, running away from the bogeyman, running towards him. 


    






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