Like many others, I am of the type who has been made to feel less. Less than healthy, less than human; whatever, the kind of feeling that sells diet food and diet plans. Read more on A Few Extra Pounds Might Not Be So Bad…
Filed under eating disorders, Nutrition, Psychotherapy, Self-esteem, weight by on Jan 17th, 2013. Comment. 
I read a joke once about a husband’s preemptive strike in the bedroom. He walks in holding two aspirin and a glass of water. When his wife asks what it’s for he says it’s for her headache. She replies “But I don’t have a headache.” “Gotcha!”
Headaches are no fun, so we might as well get a little chuckle at their expense. And if you suffer from sinus headaches, there might be quick and inexpensive relief your doctor hasn’t shared with you.
Listen, I have had allergies since I was small but sinus headaches have been rare. That is, until I got my complete dental implants. They have wildly improved my quality of life, but I have had more intense and regular sinus headaches as a result. My surgeon had removed teeth prior to the implants and freely admitted he had been up in my sinus area. He said I could see an ear nose and throat specialist if the sinus headaches became too much of a problem. He tried to ignore my laughter as I told him I could fix this myself. Read more on What Your Doctor May Not Tell You About Sinus Headaches…
Filed under Alternative Medicine, Diagnosis, medicine by on Sep 3rd, 2012. 1 Comment.
“Concordance.” That means doctor and patient wanting the same thing. In psychiatry we call it a “therapeutic alliance.” We work for it — assuming we have the time. But if the time is not there, on some level we all know that nothing will happen.
Leave it to the pharmacists to at least touch on a reason for “lack of concordance” that nobody seems to discuss. “With increasing numbers of medications shown to do more good than harm when taken as prescribed, low compliance is a major problem in health care,” reads an unpretentious sentence in the abstract.
And people wonder why there is no “trust” between patient and doctor. Read more on Trusting Your Doctor…
I am not the sort of woman who runs around saying “I told you so,” or trying to impress people with how clever I am.
However, I am clever.
It’s no secret – a lot of people know it. Read more on The Worst Family To Get Involved With…
Filed under Nutrition, weight by on May 4th, 2012. Comment.
To paraphrase some recent political campaigns, the FDA was against Qnexa before they were for it.
I’ve written about this diet drug compound before — HERE And HERE.
Last time I wrote about this “drug,” I thought it was down for the count. Aauugghh!!!!
Like a scene from “Night Of The Living Diet Drugs” – it is back from the grave.
You bet your life! (Literally if you take this) – our protective government watchdogs at the FDA originally said this was too dangerous to unleash on the public. Then – as the politicians say – they did a “Flip Flop.” This No-Vowel remedy QNEXA (ok, it has a couple of vowels, but not enough) is not actually a drug — it is a combination of two drugs.
This is of course, the cheapest way to get a new product on the market and eliminate R&D costs as well as testing for safety and efficacy. The company takes two separate FDA-approved agents and combines – kind of like making Frankenstein out of left-over body parts.
(This is turning into a Halloween column, isn’t it? Sorry.) Read more on They’re Ba-a-a-a-ck!!! Zombie Diet Drugs!!!…
Filed under eating disorders, medicine, News, Nutrition, prescription drugs, weight by on Feb 28th, 2012. Comment.
When I was little, my Grandfather-of-Blessed-Memory (maternal) came to visit us at 6 am every Sunday morning, arising very early to drive about two hours from Springfield to our Boston suburb of Chelsea.
Springfield would be considered “way out west” as compared to civilized and urbanized Boston, so it is like the country mouse coming to the big city.
He said the road was not busy and drive was relaxing and pleasant for him. But his visits were anything but relaxing and pleasant for us, who would much rather have tried to sleep in on Sunday.
The exception was my paternal Grandmother-of-Blessed-Memory – who was also an early riser. Older folks often seem to get up early.
(That’s how I know I’m not old yet – I still love to sleep late). These two senior members of our family seemed to get along well. Grandfather called her “Mother Goldstein,” and even brought her a nice bottle of (coincidentally named) “Mother Goldstein” brand kosher wine. There was one incident that I recall that upset a peaceful Sunday morning when I was about five. I came downstairs in my best baby blue lace dress to hear Grandfather yelling at Grandmother never to serve him that “horrible drink” again. Read more on Chicory, Belgian Endives And Me…
Filed under medicine, News, weight by on Feb 8th, 2012. Comment.
I recently initiated what I call “The Renegade Doctor’s Massive Weight Loss” support group for people who must lose 100 lbs or more for health reasons.
Registration is free and I will be sending regular messages by email about how I achieved my 160-lb weight loss withough diet, exercise, drugs or surgery, as well as recent research, myth-busting facts, nutritional supplement news,and general encouragement and support for those who are undertaking a major weight loss.
Most diet articles, books and programs are for people who want to lose ten or twenty or maybe as much as 50 lbs. However, the majority of obese Americans are well over that. Carrying around 100 lbs or more of extra weight is often called “The American Disease,” and foreigners make jokes about fat Americans and their cheeseburger-culture of overeating and obesity.
It’s terrible to be shamed and made to feel guilty because of your weight. It’s not only cruel strangers, but family members and even doctors who perpetrate such behavior.
Nothing is simple if you do it alone, and massive weight loss is a difficult project. In fact, it’s generally considered hopeless and overweight people are advised to get surgery or take drugs that have harmful side effects.
I’m making my support group available to anyone who is interested, and to make sure that you aren’t getting spammed, I’m making it by subscription only.
Of course, like my subscription newsletter, it is free to sign-up and you can discontinue at any time.
With so much focus on weight and body image in our culture, it is no wonder that people who are heavy get depressed and develop all kinds of physical and emotional symptoms.
Here is the web page where you can read what the support group is all about and sign up for the mailing list.
There will also be free phone conferences, brochures and other support material to help you.
I know how difficult it is — I know how painful living as an obese person can be. And I know the solution.
Take care and be happy — and healthy.
Estelle Toby Goldstein, MD
The Renegade Doctor
Filed under weight by on Jul 20th, 2011. 1 Comment.
I had a patient once, long ago and far away, who was the worst “Caffeine Fiend” – properly known as “caffeinism” in medical lingo — I had ever heard of.
He was only 27 but depression and obesity added ten or fifteen years to his appearance. He was single and did not have much of a social life, but he did not much care. He was one of the earlier generation of people to build himself a career doing something with computers, with some sort of techie abilities which I could not understand at all. That enabled him to work from home at least part of the time, and only occasionally would he have to make a mad run to and from his employers’ office. This was in rural northern California, somewhat removed from the Silicon Valley mainstream of this type of activity.
The “from” part was important, as he did not much like to hang around with other humans, much preferring the company of his computer. Read more on Tale Of A Caffeine Fiend…
Filed under depression, Diagnosis, eating disorders, Stimulants, weight by on Jun 16th, 2011. Comment.
I remember the pain of being the fat person on an airplane, waiting for the stewardess to finish demonstrating how the seat belt had to be buckled. Was there really someone on the plane who had never buckled an automobile seat belt, who did not know how this apparatus was supposed to work? Sitting dutifully through the safety procedures description was a reason to squint, to ignore while seeming to listen. Then, the stewardess would hand off the seat belt example, which was really an extender. Suddenly, the fat woman could feel safe, and ignore her extender, as the belt fastened low on the hips, just like everyone else.
The “growing problem” (pardon my attempt at humor) of larger-size people is not a reason for guilt, but it is an obvious factor in the safety of transports. Obesity in America is the function of an over-processed food supply that addicts people to foods. Of this I am sure, having seen too many examples, including myself. Personal responsibility, detailed descriptions of the determinants of leptin secretion, none of these helped this morose fatty when there were only one or two in sight in any group.
Now there are more – scads more. Every time you walk into a room there are so many heavy-weights that there seems to be nothing else.
If these people are anything like I was nearly 200 lbs. ago, they want mutual support instead of guilt trips. Read more on Don’t Pick On The Heavyweights…
Filed under eating disorders, weight by on Mar 24th, 2011. Comment.
There must be magic in African Mango extract, if you believe all you see on the internet.
Of course, believing all you see on the internet is grounds for commitment to psychiatric treatment in some jurisdictions – or at least, it should be.
This is not the first weight loss “marvel” I have seen for sale on the internet. However, it is the first one that claims to be endorsed by Dr. Mehmet Oz. Read more on Magic Mangos from Oz (Dr. Oz that is)…
Filed under News, weight by on Dec 1st, 2010. 6 Comments.