Ketamine was once used mainly as an anesthetic on battlefields and in operating rooms. Now this medication is gaining ground as a promising treatment for some cases of major depression, which is the leading cause of disability worldwide. In the US, recent estimates show 16 million adults had an episode of major depression in the course of a year. Suicide rates rose substantially between 1999 and 2016, increasing by more than 30% in 25 states. Because of its rapid action, ketamine could have a role to play in helping to prevent suicide. Why is ketamine exciting for treating depression? If a person responds to ketamine, it can rapidly reduce suicidality (life-threatening thoughts and acts) and relieve other serious symptoms of depression. Ketamine also can be effective for trea...
As a medical student, the place I dreaded most was the ward at the children’s hospital where they kept the chronic ventilator patients. Unlike the other floors, where there was shouting and laughter and tears, and all the commotion and turbulence of youth, here it was dark and lifeless and eerie, with no sound except the hum of the ventilators, and the rattle of air being forced through plastic tubes. It was a place of failure and defeat, the desolate aftermath of some vast and tragic battle. An unexpected aftermath of measles My patient was a teenager who had been in a coma for years. His limbs had stubbornly twisted up in the contortions that a damaged brain inflicts on a body, despite operations to keep them straight. The expectations for my care were low. I was to try to
Even amid the rush of final exams and graduation celebrations at this time of year, college beckons with the chance to live on your own, find new friends, and explore interesting ideas. Yet for college students — as well as high school students and parents craning for a glimpse down the road — these changes can also be stressful. Overnight, college students separate from their traditional support system of family and friends. They also face many new challenges, such as living with roommates, managing heavy workloads, and developing an independent identity. It’s no surprise that anxiety often spikes during college. So, what do we know about anxiety during the college years? How can you cope if you’re facing it? And can you take steps this summer to help you handle anxiety when y
Most people consume many different types of sugars from a variety of foods and beverages in their diet. A high intake of sugar is linked to an increased risk of obesity, type 2 diabetes, cardiovascular disease, and certain cancers. But whether some sugars are healthier (or worse) than others remains a question of interest to many. Sugar basics Sugar provides energy that our cells need to survive. Sugar is a type of carbohydrate, a macronutrient that provides energy (in the form of calories) from foods and beverages we consume. Carbohydrates are classified into two subtypes of sugar: monosaccharides, or “simple sugars” (consisting of one molecule) and disaccharides (two molecules). The monosaccharides include glucose, fructose, and galactose. The major disaccharides include su
Actinic keratoses are small, red, scaly spots that can feel like dry, sandpapery skin. They are a direct result of ultraviolet radiation, which is why they most commonly occur in sun-exposed areas, such as the face, forearms, and hands. Why are actinic keratoses a concern? If left untreated, some actinic keratoses can develop into squamous cell skin cancers. Actinic keratosis can develop in almost 40% of white patients older than 50, making it the most common precancerous skin condition in this population. It is also one of the most common reasons for which people visit a dermatologist. Field-directed treatments for multiple actinic keratoses Cryotherapy, or the targeted use of liquid nitrogen, is commonly used to treat individual lesions. But what if there are many actini...
I must have seen the commercial for Prevagen 50 times. Perhaps you’ve seen it, too: “You might take something for your heart… your joints… your digestion. So why wouldn’t you take something for the most important part of you… your brain? With an ingredient originally found in jellyfish! Healthier brain, better life!” Like many heavily-advertised supplements, this one makes many claims. The bottle promises it “improves memory” and “supports: healthy brain function, sharper mind, clearer thinking.” Never mind that the main ingredient in jellyfish (apoaequorin) has no known role in human memory, or that many experts believe supplements like this would most likely be digested in the stomach and never wind up anywhere near the brain. Oh, and the commercial doesn’t mention any ris
Of the estimated 23 million people in the US who have been diagnosed with diabetes, more than 30% take daily insulin injections to control their blood sugar (glucose) levels. Chances are good that someone you know has been startled by the high cost of this medication. The high price of insulin Prices for this essential medication have been rising faster than overall health care costs. From 2002 to 2013 prices tripled, doubling again from 2012 to 2016 and continuing upward since. Patients can be charged hundreds or even thousands of dollars for insulin at the pharmacy. And insulin costs can vary depending on type and amount of insulin, insurance details, and even time of year for some. According to recent news stories, people with diabetes have rationed insulin to save mone...
block.Click edit button to change this html Chocolate-Peanut Butter 2 chopped, frozen bananas 3 scoops Women’s Best Whey Protein or Slim Body Shake Chocolate 3 teaspoons unsweetened peanut butter 100 ml almond milk Add all the ingredients to a blender or food processor and blend until smooth. Pulse for a few seconds at a time, stirring in between, until you get a creamy consistency. Serve it immediately and add your favorite topping. Optional toppings: chia Seeds, berries, coconut flakes, nuts, granola Pina-Colada 2 chopped, frozen bananas 3 scoops Women’s Best Slim Body Shake Coconut 2 cups of pineapple Coconut Flakes 100 ml coconut milk Add all the ingredients to a blender or food processor and blend until smooth. Pulse for a few seconds at a time, stirri
Diet is key! As we know, abs are made in the kitchen and your diet is making the biggest impact. Ditch all kinds of sugar, alcohol and saturated fats. Go high-protein, low-carb, choose healthy fats (also in moderation), drink more green tea and as much water as possible. That’s it. Cut out sodium When it comes to water retention and bloating, salt is your enemy #1. Try to reduce your salt intake and replace processed foods with fresh foods, as they contain a lot of sodium. Avoid (simple) carbs The less time you have to get in shape, the less carbs you should eat. Try to stay away from simple carbohydrates such as white bread, pasta, rice or potatoes and replace them with greens, vegetables, legumes, whole grains, oats or quinoa, as they can help you feel full for longer. Also, don
Feeling puffy and bloated after a meal, is usually caused by gas or other digestive issues. About 30% of people say they experience it regularly. Fortunately, there is a lot you can do to get rid of that bloated belly. Avoiding certain foods, for instance. Here are 13 foods that can cause bloating: #1 Beans Beans are a type of legume, high in protein and also very rich in fiber, as well as several vitamins and minerals. However, beans have indigestible sugars called oligosaccharides. Oligosaccharides are short-chain carbohydrates that escape digestion and are then fermented by gut bacteria in the colon. Gas is a byproduct of this process. For healthy people, they should not cause any problems, but for individuals with a sensitive gut, another type of gas is formed during the fe