The Health Based Tutorials

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:  https://business.linkedin.com/talent-solutions/blog/trends-and-research/2016/most-indemand-soft-skills 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. References: The ‘Soft Skills’ Employers Are Looking For http://buff.ly/2bC5Qq3 Data R...

Tips for sun protection: ASC u S: A voidance S unscreen C lothing S elf-check Avoidance 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. Sunscreen 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. Clothing Wear tightly woven, loose fitting (cooler) long sleeved clothing, UV-bloc...

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: 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: Related: The Science of Doping: How Testosterone-Boosting Drugs Work http://buff.ly/2bYWulU

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: R.E.D.E stands for: Relationship Establishment Development Engagement

For more information on specific tests and treatments please visit http://genomicsadviser.com/ Check out our new website http://www.evanshealthlab.com/ Follow Dr. Mike for new videos! http://twitter.com/docmikeevans 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

Has Ryan Lochte discovered the next big thing in swimming? Read the story here: http://nyti.ms/2bcQRmR

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 https://www.facebook.com/iangillanofficial/posts/1249494038407833 Drummer Ian Paice has recovered from the TIA he had in June 2016. Here is a brief review of the concert: https://darkerthanblue.wordpress.com/2016/07/17/purple-plays-zappa/ Don't smoke on the water: https://darkerthanblue.wordpress.com/2016/07/16/montreux-50th-anniversary/

David Cameron sings to himself after announcing resignation date - BBC News: As David Cameron announced his resignation date he walked away from the podium singing a song before walking inside number 10 Downing Street.

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: More videos here: IBM Cognitive Era - YouTube http://buff.ly/288DSqd How It Works: IBM Watson:  https://www.youtube.com/watch?v=AtdJ1DGJjXA Disclaimer: I am an allergist/immunologist at Cleveland Clinic Florida.

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. References: Facial recognition will soon end your anonymity http://buff.ly/1TNdLLQ

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. References: FDA Requires Stronger Warnings for Antibiotics’ Side Effects - WSJ http://buff.ly/1qi7xv4 Image source: Wikipedia , GNU Free Documentation License.

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: clevelandclinic.org/clevelandclinicway The video by one of the experts is below: CCF Physician Communication YouTube playlist is below: Related: Adrienne Boissy, MD, MA, Presents Physician Communication http://buff.ly/27jpNpr Physician Communication: Model of Communication in Healthcare http://buff.ly/27jpQ4z Physician Communication Testimonials: Adrienne Boissy, MD, MA http://buff.ly/1TBZMb0 Disclaimer: I am an allergist/immunologist at Cleveland Clinic Florida, and first started working at Cleveland Clinic Ohio in 2005.

"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."

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 Cat...

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 mi...

Earth Day on Google Maps - some great panoramic images here: https://www.google.com/maps/about/treks/#/grid 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: https://en.wikipedia.org/wiki/Earth_Day Coscto Connections magazine had an interesting interview with the founder Denis Hayes in the April 2016 issue: http://www.schuchart.com/wp-content/uploads/2016/04/Costco-Connection-Magazine-Building-the-Future-1.pdf

"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 .

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 t...

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: http://www.ncbi.nlm.nih.gov/pubmed/26210560 http://www.ncbi.nlm.nih.gov/pubmed/26101988 http://www.ncbi.nlm.nih.gov/pubmed/21245476 http://www.ncbi.nlm.nih.gov/pubmed/19606763 Do you have any experience with EMMI? Watch the Dartmouth-Hitchcock video below: Here is the standard "Preparing for a Colonoscopy" video by Dartmouth-Hitchcock: References: http://www.dartmouth-hitchcock.org/news/newsdetail/64940/

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

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:

"Here we are with all the time in the world" is my favorite song from the last Deep Purple album. The band apparently applies the same principle to recording their new album. More info here: Deep Purple Plan January Sessions for New Album http://buff.ly/1mBYXpm Deep Purple – All The Time In The World Lyrics There's still a long way to go And the nights are closing in But if I'd travelled any faster babe Lord knows where I might have been Right from those early days I put my faith in the axle not the wheels Like old Zeno's toytus with Achilles snapping at my heels Don't worry There's no hurry Here we are With all the time in the world I could have been a high-flying dealer But I have no desire for speed I could have been a wild receiver But I've got everything I need And so I watch the world Go racing by tearing up the street I lay back in the long grass Take it easy and rest my feet Don't worry You know, there's no hurry Here we are With all th...

Resolution Solutions: Dr Roizen suggests 4 simple resolutions that can leave you feeling younger, healthier, and more energetic in the new year:

Featuring Dr Lang: Cleveland Clinic Executive Health Program provides patients with a wide array of personalized options to enhance their health and well-being. The program is tailored to meet the needs of busy professionals and supports companies by optimizing the health of their executive teams.

The hepatitis C virus (HCV), a single-stranded RNA virus of the family Flaviviridae with six major genotypes, infects up to 150 million people worldwide. Chronic hepatitis C virus infection causes progressive liver fibrosis, which can lead to cirrhosis and hepatocellular carcinoma. There is now an e ffective oral regimen . New research findings are summarized in this short video from NEJM: This is a ribavirin-free single-tablet regimen. There 2 medications in the single tablet: - Sofosbuvir is a nucleotide analogue inhibitor of the HCV NS5B polymerase approved for the treatment of HCV in combination with a variety of other agents, including NS5A inhibitors, ribavirin, and peginterferon–ribavirin. - Velpatasvir is a new pangenotypic HCV NS5A inhibitor with antiviral activity against HCV replicons in genotypes 1 through 6. The rate of sustained virologic response among patients receiving sofosbuvir–velpatasvir was 99%. See the NEJM article, "Sofosbuvir and Velpatasvir for HCV Geno...

There is a good explanation in the video below, by Dr. Greger: Regarding lead contamination of tea from China, his recommendation is to drink no more than 3 cups of black tea per day.

NHS Choices : Malaria is a parasitic infection spread by mosquitoes. This video explains how malaria is treated and what can be done to help prevent contracting the disease.

From OHCM and Thomas Browne, Religio Medici, 1642: "We all labor against our own cure; for death is the cure of all diseases." Most patients are told less than they want. Yet nothing you can say to your patient can ever be relied upon to tame death's mystery. Death is nature's master stroke, albeit a cruel one, because it allows genotypes space to try on new phenotypes. Our bodies and minds are these perishable phenotypes. The genes are not really our genes. It is we who belong to them for a few decades. These are excerpts from the Oxford Handbook of Clinical Medicine. Read more on page 6-7: The OHCM mentions JS Bach's cantata in contemplation of death Ich habe genug (I've had enough):

NHSChoices: Carbon monoxide poisoning kills around 50 people a year in the UK. An expert explains how the gas affects the body, the symptoms it causes and how to treat it. http://www.youtube.com/watch?v=Wh8tqEV9E2A

From Rock Hall in Cleveland , Ohio: If there were a “Mount Rushmore Of Hard Rock” it would only have three heads: Led Zeppelin, Black Sabbath and Deep Purple. Deep Purple combined outstanding musicianship with dozens of FM radio smashes. Three separate incarnations of the band have made spectacular albums culminating with Deep Purple In Rock, which along with Led Zeppelin II and Black Sabbath’s Paranoid created the genre of hard rock music. Deep Purple have sold over 100 million albums and their flagship track “Smoke On The Water” eclipses “Satisfaction,” “Born To Run” and “Smells Like Teen Spirit” as the Number One Greatest Guitar Riff Of All Time. It is the riff that inspired tens of millions of guitarists to pick up the instrument and only Beethoven’s Fifth Symphony gives it a run for the money as far as recognizability and badassed-ness. The wait is over! Meet the #RockHall2016 Inductees: @cheaptrick , @chicagotheband , @_DeepPurple , @SMBofficial + #NWA ! pic.twitter.com/50Lg8xn...