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Health News Updated Daily by Internist and Allergist at Cleveland Clinic

Last Build Date: Thu, 27 Oct 2016 05:30:52 PDT


How to administer "Emotional First Aid"

Wed, 12 Oct 2016 03:30:10 PDT

Do you know that feeling lonely impacts your ability to build up an immunity after getting the flu vaccine?

From the Google Talks lecture series: "Although we have bandages for cuts, chicken soup for colds, and ice packs for bruises, most of us have no idea how to treat day-to-day emotional injuries such as failure, rejection, and loss. But, as Guy Winch, Ph.D., points out, these kinds of emotional injuries often get worse when left untreated and can significantly impact our quality of life. In this fascinating and highly practical book he provides the emotional first aid treatments we have been lacking."

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Have you tried some chair yoga today?

Wed, 14 Sep 2016 06:00:16 PDT

Here is a list of sample exercises from the Costco magazine, which means chair yoga is hitting the mainstream:

Chair yoga is a gentle form of yoga that is practiced sitting on a chair, or standing using a chair for support. The poses, called Asanas, are often adaptations of standard Hatha yoga poses.

Chair yoga is especially suitable for busy people stuck at their desks at work, or those unable to participate in a traditional yoga class due to the effects of aging or disabilities.

Chair Yoga is one of the gentlest forms of yoga available. Complicated maneuvers and complex movements are typically not included.

Related reading:

Chair Yoga - Wikipedia, the free encyclopedia

Drummer Leonard Haze's thoughts on old age and dying

Tue, 13 Sep 2016 04:18:41 PDT

Leonard Haze was a great drummer. He passed away in his sleep last weekend at age 61. I saw him on tour with Ian Gillan in 1992 and the whole band was amazing. He had this humongous Ludwig drum kit and was a powerful drummer. Lenny Haze recorded the Toolbox album with Gillan, one of the songs from the album, Don't hold me back, is linked below:

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Considering the recent deaths of many rock and roll greats, this Facebook post by Lenny from January seems very relevant:

Leonard Haze, thinking about a lot of things.
January 2:

"That's enough. Why is it so hard to get old ? You loose friends as you go. With Bill F rates today that's for me since Christmas a total of 4 people I know passing away. Christmas eve my step daughter Danielle Galvin ' s Aunt & best friend at 36. From something she didn't know about. Lemmy two days after Christmas something he just discovered. Bill Frates today. I heard he was very I'll but still. You add on Mark Weaver & I am sorry but now I know why granny didn't want to play bingo.
I asked her if " you want a ride to the church to play bingo" ?" No " she snapped. Why ? Too many old people was the response. She explained that the last ladies she had become friends with all had died & she had lost all her friends. She was about 92 at the time & an uncle my mom & I took care of her and her older sister my greatest Aunt Mary. I can't explain how funny those two old ladies were. Best thing I ever did was 3 days a week with them.
But now granny I understand why you said more pain comes from loosing others than your body gives you getting old. Now I get it."

Lenny had moderate to severe COPD, according to news reports.


"We'll just go in and do some work."

Fri, 09 Sep 2016 04:00:31 PDT

Angus Young from AC/DC in Rolling Stone:

"Malcolm was always one to battle through. He would look at me in times of crisis and go, "We'll just go in and do some work. We'll sit and write some songs." He had that drive, and I feel obligated to keep it going, maybe because I was there in the beginning with him.

When you sign on and say, "I'm gonna do this and that," it's always good to say at the end of it, "I've done all I said I would do." That was always the idea, especially when we were younger – me, Malcolm, Bon. You had to show up and be on time."

It's a long way to the top if you wanna rock 'n' roll, AC/DC:

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Read more here:

AC/DC's Angus Young Talks Retirement, Malcolm Young Health Update

It Pays to Be Human: communicate clearly, take initiative, problem-solve, get along with people

Thu, 01 Sep 2016 04:00:01 PDT

From WSJ:

It Pays to Be Human - The job market’s most sought-after skills can be tough to spot on a résumé. Companies across the U.S. say it is becoming increasingly difficult to find applicants who can communicate clearly, take initiative, problem-solve and get along with co-workers. Those traits, called soft skills, can make the difference between a standout employee and one who just gets by.

"Soft skills" are needed in medicine too. It is always great to be human. After all, we can't be anything else.

The top 10 in-demand soft skills are listed by LinkedIn here:

Looking at the top 10 least in-demand skills is an eye opening experience. Apparently, employers are not interested anymore in: "emotional intelligence", and some teams skills such as leadership and team building.


The ‘Soft Skills’ Employers Are Looking For
Data Reveals The Most In-demand Soft Skills Among Candidates

Tips for sun protection

Wed, 31 Aug 2016 05:10:07 PDT

(image) Tips for sun protection: ASC uS:



The best sun protection is sun avoidance. Seek shade if you can, especially between 10 AM to 4 PM, which are the peak sun hours.


Use sunscreen with an SPF (Sun Protection Factor, this is the number on most sunscreen bottles) of 30 to 50, or more, that protects from both Ultraviolet A (UVA) and Ultraviolet B (UVB) wavelength light. Even though the protection is called "broad", it is not complete. Remember: sun avoidance is the best sun protection. Sunscreens with added UVA protection should contain Titanium dioxide, Zinc oxide, or Parsol 1789, also known as Avobenzone.

Use sun protection if spending time outside for 15 minutes or more. Apply 20-30 minutes before going out and remember to reapply every 2 hours. No sunscreen is truly water proof and it will wash away with sweat, swimming and rubbing.


Wear tightly woven, loose fitting (cooler) long sleeved clothing, UV-blocking sun glasses (eyes need sun protection as well) and wide-brimmed hat. Straw hats with holes are not suitable because light still gets through. Wear UV protective "Rash Guard" shirts.


Consider monthly self-skin checks/examinations, where you check for any color/size change in skin spots/moles.

Related reading:

The Skin Cancer Foundation's Guide to Sunscreens
Sunscreen Fact Sheet - British Association of Dermatologists
Image source:, public domain.(image)

The Science of Doping: Gaming Hormones, Asthma Drugs, and More

Mon, 29 Aug 2016 05:00:16 PDT

From WSJ: Doctors often prescribe tamoxifen to breast cancer patients to keep their tumors from growing. But the drug is also used by doping athletes looking to get ahead of the competition. How does it give them an edge, biologically? Watch the video below:

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Earlier this year, British cyclist Simon Yates was caught up in a doping controversy related to terbutaline, a common asthma medication. Athletes can take the inhaled version if they get a doctor's note. But current testing methods can't differentiate between this and other banned versions. Watch the video below:

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The Science of Doping: How Testosterone-Boosting Drugs Work


R.E.D.E. Model of Communication

Mon, 15 Aug 2016 03:30:12 PDT

R.E.D.E. Model of Communication at Cleveland Clinic. Dr. Katie Neuendorf, Medical Director of the Center for Excellence in Healthcare Communication, describes the foundational program her team developed centered on their own R.E.D.E. model of communication:

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R.E.D.E stands for:



Genomic Sequencing: Pros, Cons, and Implications for You and Your Family (DocMikeEvans video)

Thu, 11 Aug 2016 03:44:25 PDT

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For more information on specific tests and treatments please visit

Check out our new website
Follow Dr. Mike for new videos!

Dr. Mike Evans is a staff physician at St. Michael's Hospital and an Associate Professor of Family Medicine. He is a Scientist at the Li Ka Shing Knowledge Institute and has an endowed Chair in Patient Engagement in Child Nutrition at the University of Toronto.

Written, Narrated and Produced by Dr. Mike Evans
Illustrations by Liisa Sorsa
Directed and Photographed and Produced by Nick De Pencier
Editor, David Schmidt
Story/Graphic Facilitator, Disa Kauk
Production Assistant, Chris Niesing
Director of Operations, Mike Heinrich (image)

A new way to swim freestyle?

Tue, 09 Aug 2016 19:10:06 PDT

Has Ryan Lochte discovered the next big thing in swimming?

Read the story here:

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Longevity: it's truly amazing Deep Purple are still on stage in full force 45 years later at the same place where Smoke on Water was written and recorded

Sun, 17 Jul 2016 08:28:49 PDT

Photos from the concert of Deep Purple, Montreux, 2016-07-16. A great example of vitality and longevity: it's truly amazing Deep Purple are still on stage in full force 45 years later at the same place where Smoke on Water was written and recorded (1971 in Montreux).

Smoke On The Water lyrics - Deep Purple:

We all came out to Montreux
On the Lake Geneva shoreline
To make records with a mobile
We didn't have much time
Frank Zappa and the Mothers
Were at the best place around
But some stupid with a flare gun
Burned the place to the ground

Smoke on the water, a fire in the sky
Smoke on the water

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Drummer Ian Paice has recovered from the TIA he had in June 2016.

Here is a brief review of the concert:

Don't smoke on the water:

There's Always Another Day

Tue, 12 Jul 2016 18:04:21 PDT

David Cameron sings to himself after announcing resignation date - BBC News:

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As David Cameron announced his resignation date he walked away from the podium singing a song before walking inside number 10 Downing Street.(image)

A Cleveland Clinic doctor is an IBM Watson ad about healthcare applications

Mon, 06 Jun 2016 07:24:00 PDT

Dr Sikon highlights how Watson can help Cleveland Clinic doctors manage data overload, giving them more time to plan the best treatments for patients. "IBM Watson helps hospitals outthink data overload."

Here’s the ad featuring Dr Sikon:

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More videos here:

IBM Cognitive Era - YouTube

How It Works: IBM Watson:

Disclaimer: I am an allergist/immunologist at Cleveland Clinic Florida.(image)

App allows anybody to snap a photo of a passerby and discover their real name — with 70% reliability

Fri, 03 Jun 2016 06:27:20 PDT

(image) From MarketWatch:

250 million video surveillance cameras have been installed throughout the world, and chances are you’ve been seen by several of them today. We leave our “faceprints” everywhere we go.

FindFace app allows anybody to snap a photo of a passerby and discover their real name — with 70% reliability. What’s particularly unsettling are the use cases the app creators advocate: identifying strangers to send them dating requests, helping government security agencies to determine the identities of dissenters, and allowing retailers to bombard you with advertisements based on what you look at in stores.


Facial recognition will soon end your anonymity

FDA warns that fluoroquinolone antibiotics can cause damage to muscles and nerves

Sat, 14 May 2016 06:20:05 PDT

(image) The FDA updated boxed warning will inform patients that the serious side effects of the drugs generally outweigh the benefits for patients with sinusitis, bronchitis and uncomplicated urinary tract infections - if patients have other treatment options. However, why would you prescribe these antibiotics if there are other treatment options? The practical implication of this recommendation is somewhat unclear.

The side effects can involve damage to tendons, muscles, joints, nerves and the central nervous system (CNS). There was an association between fluoroquinolone antibiotic use and disabling peripheral neuropathy in a 2013 study.

Symptoms reported by patients included weakness, numbness, pain, discomfort, burning and tingling. There is also reported risk of cardiovascular disease and tendon rupture.


FDA Requires Stronger Warnings for Antibiotics’ Side Effects - WSJ

Image source: Wikipedia, GNU Free Documentation License.(image)

Communication, The Cleveland Clinic Way

Fri, 13 May 2016 05:18:12 PDT

Clinicians and patient experience experts at Cleveland Clinic have developed a communication program that could help optimize relationships, engage clinicians, decrease burnout, and boost increase satisfaction. To learn more visit:

The video by one of the experts is below:

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CCF Physician Communication YouTube playlist is below:

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Adrienne Boissy, MD, MA, Presents Physician Communication
Physician Communication: Model of Communication in Healthcare
Physician Communication Testimonials: Adrienne Boissy, MD, MA

Disclaimer: I am an allergist/immunologist at Cleveland Clinic Florida, and first started working at Cleveland Clinic Ohio in 2005.


How to Reduce Stress and Create a Work-Life Balanced Lifestyle - Cleveland Clinic video

Mon, 02 May 2016 04:00:20 PDT

"Along with providing a source of income, careers help us fulfill our personal goals, build our networks and serve our communitites. However, jobs can also be a major source of emotional stress. Cleveland Clinic psychologist, Dr. Joe Rock, says our bodies create stress and anxiety when we start to worry too much about what might happen, before it does."

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Human psychology: Why do we have equivalents of bogeyman in so many countries around the world?

Tue, 26 Apr 2016 04:30:22 PDT

Bogeyman (also spelled bogieman, boogeyman, or boogie man) is a common allusion to a mythical creature in many cultures used by adults to frighten children into good behavior. This monster has no specific appearance, and conceptions about it can vary drastically from household to household within the same community. Parents may tell their children that if they misbehave, the bogeyman will get them. Bogeymen may target a specific mischief—for instance, a bogeyman that punishes children who suck their thumbs—or general misbehavior, depending on what purpose needs serving. Source: Wikipedia.Examples - by country - listed in alphabetical order:Afghanistan – Bala or Newanay Mama, which means "The Monster or Crazy person", is used to scare children when they don't want to sleep or when they don't want to take their medicine.Albania – There are two similar creatures that are used to frighten children. In the South (Vlore area), there is Katallani, that means "the Catalan." This is a collective memory of the Catalan occupation many centuries ago, from South Italy; then in the whole country, there is Gogoli, that indeed means "the Mongol" and is a collective memory of the Golden horde.Algeria – A monster made up of various animal parts called H'awouahoua. It has eyes that are blobs of flaming spit,horns,snakes entwined in its hair and a coat made of the clothes of the children it eats.Azerbaijan – A bogeyman-like creature parents refer to make children behave is called khokhan ("xoxan").Bahamas – "Small man" is the name given to a man who rides in a cart drawn by itself and picks up any child seen outside after sundown, the term "rollin' cart" was used to scare children who misbehaved. Anyone taken by the small man becomes a small person and has to ride on the back of his cart with him forever.Belgium – A faceless bogeyman called "Oude Rode Ogen" (Old Red Eyes) was known throughout the Flanders region and said to originate in Mechelen. It is said to have been a cannibalistic shapeshifter that was able to change between human form to that of a black dog. It later became a children's story in the early 1900s called "The Nikker", known to devour young children who stayed up past their bedtime.Belize – Tata Duende is a mythical goblin described as being of small stature, has a beard, is wrinkled, lacks thumbs, has his feet backwards, and wears a large brimmed hat. It is a protector of the forests and animals and was used to scare children from going out to play at night or going into the jungle.In Bosnia and Herzegovina, Croatia, Serbia and Macedonia, the Bogeyman is called Babaroga, baba meaning old woman and rogovi meaning horns, literally meaning old woman with horns. The details vary from one household to another. In one household, babaroga takes children, puts them in a sack and then, when it comes to its cave, eats them. In another household, it takes children and pulls them up through tiny holes in the ceiling.Brazil and Portugal – A monster more akin to the Bogeyman is called Bicho Papão (Eating Beast) or Sarronco (Deep-Voiced Man). A notable difference between it and the homem do saco is that the latter is a daytime menace and "Bicho Papão" is a night-time menace.Bulgaria – In some villages, people used to believe that a hairy, dark, ghost-like creature called a talasam (Ta-lah-SUMM) lived in the shadows of the barn or in the attic and came out at night to scare little children. In addition, there is a city-folklore creature called Torbalan (the Bag-man) who raids during the night kidnapping children that have misbehaved.Canada:Quebec – in thi[...]

Rock music and hearing loss - to quote Who singer Roger Daltrey: "We’re all going deaf. We’re all wearing hearing aids"

Mon, 25 Apr 2016 04:00:24 PDT

From the interview:

How’s your hearing?

My hearing’s dreadful. We’re all going deaf. We’re all wearing hearing aids. No it’s true. I suggest to everybody over the age of 50 that have been going to loud concerts for years and years and years, go and have your hearing tested. You’d be surprised what you’re missing. It’s unbelievable. Most people over the age of 60 are lip-reading. (Jokes) And it’s all our fault!

How do you keep your voice in shape?

If you don’t use it, you lose it, simple as that. And too many of our generation they think they’ve made it and they come off the road for four or five years and don’t sing and before they know it the muscles that you need to be there for you, to hit the notes, have disappeared. And you can get them back. But sometimes you leave it too long and it’s gone forever.

How do you keep your famous body in shape?

I do about 20 minutes in the gym these days. Hardly anything. I’m getting lazier and lazier. I do a lot of walking. I love to walk. Five miles a day I average.

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Daltrey happy to be on the road again

Earth Day on Google Maps

Fri, 22 Apr 2016 08:30:44 PDT

Earth Day on Google Maps - some great panoramic images here:

Earth Day is an annual event, celebrated on April 22, on which day events worldwide are held to demonstrate support for environmental protection. It was first celebrated in 1970, and is now coordinated globally by the Earth Day Network and celebrated in more than 193 countries each year. Source:

Coscto Connections magazine had an interesting interview with the founder Denis Hayes in the April 2016 issue:

Media Files:

Prince, June 7, 1958 – April 21, 2016

Thu, 21 Apr 2016 14:11:12 PDT

"Prince recorded the great majority of his music entirely on his own, playing every instrument and singing every vocal line." - NYTimes.

"Musicians who worked with Prince came away stunned by his near-maniacal work ethic and rare energy. He was known for only needing about three hours of sleep a night. After finishing multi-hour shows on tour, he would peel off to a local club and continue playing until nearly dawn. It’s one reason, he said, that he handled so many of the instruments on so many of his albums — he’s the only guy up at 5 a.m. recording.

“The curse part of it is that it physically drains you,” Prince told The Post in 2004, “when you try to do everything that comes into your head. Like right now, I could write a song. If I go over there,” he said, gesturing toward the instruments, “and start noodling around, I’ll write a song. Because I hear stuff all the time. I can make something out of nothing.”- Wash Post. (image)

Savanna theory of happiness and Urban-rural happiness gradient

Tue, 22 Mar 2016 08:08:08 PDT

(image) From The Washington Post:

"Savanna theory of happiness" - people who live in more densely populated areas tend to report less satisfaction with their life overall.

"Our ancestors lived as hunter–gatherers in small bands of about 150 individuals". Take a brain evolved for that environment, plop it into today's Manhattan, and you can see how you'd get some evolutionary friction.

"The higher the population density of the immediate environment, the less happy" the survey respondents said they were. Second, they find that the more social interactions with close friends a person has, the greater their self-reported happiness.

But there was one big exception. For more intelligent people, these correlations were diminished or even reversed.

Survey: "When high-IQ individuals spend more time with their friends, it makes them less happy."

"Urban-rural happiness gradient" - "Residents of rural areas and small towns are happier than those in suburbs, who in turn are happier than those in small central cities, who in turn are happier than those in large central cities."


Why smart people are better off with fewer friends
Why smart people tend to be loners
Image source:, public domain.(image)

Overcoming Colonoscopy Fears with Educational Videos by EMMI

Tue, 16 Feb 2016 13:26:05 PST

From Dartmouth-Hitchcock: patient education and engagement video by EMMI Solutions can decrease anxiety before a colonoscopy, decrease dosage of sedatives during the procedure and shorten recovery time after the procedure.

Emmi(TM), stands for Expectation Management and Medical Information, and was originally developed by physicians with the goal to educate patients and decrease malpractice risk specifically in surgical patients. As of February 2016, there are 4 published studies about EMMI in PubMed:

Do you have any experience with EMMI?

Watch the Dartmouth-Hitchcock video below:

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Here is the standard "Preparing for a Colonoscopy" video by Dartmouth-Hitchcock:

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Knee Pain 101

Mon, 11 Jan 2016 05:00:02 PST

CNN interviews an orthopedic surgeon at Emory: Mild injury as a child leads to chronic changes as we get older:

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Myeloma Patients Have New Hope Thanks to New Treatments - WSJ video

Fri, 08 Jan 2016 05:30:15 PST

Medical scientists have made major advances in treating different types of cancer in the past decade, but perhaps none more so than the blood cancer known as myeloma. WSJ's Ron Winslow explains on Lunch Break with Tanya Rivero:

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