After relocating to New Hampshire I'm finally bidding farewell, officially, to beloved Kauai. It was a wonderful 10 years of living in paradise, enjoying beautiful scenery, weather, fresh local foods and of course the company of so many wonderful people that make up this very special island community. Thanks to Malama Kauai, Unity Church, Borders Books and Music, and to everyone I befriended during a decade of aloha—and especially to West Kauai Medical Centers who have been so good to me and to now (semi-) retired Drs. Robert and Linda Weiner who first hired me way back in Sept 2000!…
A new study suggests Dr. Atkins was right: A high carb diet is not a healthy diet, and cutting carbs trims more than just your waistline. While both low-carb and low-fat diets can help you loose weight, Duke University's well-designed study makes it pretty clear that if you want to reduce your weight and your pressure, a low-carb diet is a better choice. From Today's Medscape Family Medicine: "January 25, 2010 (Durham, North Carolina) — A new randomized trial comparing a low-carbohydrate diet with a low-fat diet in combination with the weight-loss drug orlistat has found that both strategies produced meaningful weight…
Imagine a world where everyone is on powerful cholesterol-lowering drugs. Not just sick people. Everyone. Astra Zeneca has imagined it, and now they're going to see their dream come true. On December 16, the FDA announced their approval of Astra Zeneca's cholesterol-lowering drug Crestor for use in people without high cholesterol despite the fact that a new study showed conclusively that the drug causes diabetes. By a vote of 12 to 4, the panel judged that even people at very low risk of heart disease should take the cholesterol medication anyway. "I do think the diabetes problem is real, but…
Tiger Woods recently had a single car accident--a nasty one. Reports say he was out for as long as six minutes when his wife found him. When a doctor hears that a patient has suffered a brain injury severe enough to alter consciousness, they get concerned. Loosing consciousness altogether suggests a significant insult to the brain. With an injury like that, I would tell a patient to expect between six weeks and six months of after effects, including headaches, irritability, and concentration deficits. This can be frightening and frustrating for both patient and the people they live and work with.…
The two big questions I've been getting about the flu this year are, Should I get the H1N1 vaccine? and Is the H1N1 flu as scary as people seem to be saying? Let's start with the second question first. Is the N1H1 flu especially dangerous? The N1H1 swine flu virus is, like any other flu virus, potentially deadly -- particularly to very young children, the elderly, pregnant women, and people with certain chronic diseases, like diabetes. But this particular flu has the potential to pack a little more punch than other flu viruses because, to put it simply, our immune…
