Popping Pills: A Drugged Nation

 pill-bottle-bannerBernadette Keefe MD

Excerpts from ‘Limitless’ The Movie (Trailer)

You (can) access 100 % your brain

A tablet a day and I was limitless

What’s your secret? Medication

A perfect version of ourselves…..power…..

What would you do???


The ‘Limitless” Trailer  

Introduction: A pill for every ill.

From teenagers to granny, to the pro-athlete, and everyone in between, the United States is the most drugged nation in the world. A staggering:

70 Million Americans are taking legal mind-altering drugs

Nearly 70% of all Americans are on at least one prescription drug and 20% are on at least five prescription drugs Continue reading

Aging: It’s A Good Thing!

adventure-is-out-there

 Honoring Active Aging Week 2015, September 27th– October 3rd.

From Active Aging Week website,

“This year’s Theme: Live Your Adventure!  Led by the International Council on Active Aging, Active Aging Week celebrates aging and active living. Each year event organizers engage participants in wellness activities in a safe, friendly and fun atmosphere.”

             my-adventure-book

 

Each day of active aging week has a corresponding theme, thus the “adventure book” has 7 Chapters, each devoted to a specific aspect of wellness in aging. Chapter details follow:

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Boomers, Got Fit (bit)?

Boomers – Got Fit (bit)?

Best-activity-trackers_banner-r1

Bernadette Keefe MD

“You can’t manage what you don’t measure.”                              

 (credited to by not said by W. Edwards Deming)

 Introduction

If you are 50 years of age or older you are a baby boomer, that means by 2030, there will be 77 Million people over the age of 65 in the U.S. alone. The U.S. National Institute of Aging has designated September as a Go-4-Life month: a national exercise and physical activity campaign for people 50+. The goal is to empower older adults to become more physically active. The last week in September marks the beginning of Active Aging Week (September 27 – October 3) for the United States, Canada and Australia. Each day is devoted to a specific healthy life habit: from walking to nutrition to social connection.

The importance of our lifestyle/behaviors, to overall health is now undeniable. It is thought that 70% of chronic disease is caused directly or indirectly by the poor lifestyle choices we make. Now we can seamlessly measure our daily behaviors through fitness trackers. Continue reading

Falls Prevention Day 2015: Will the real ______________, please stand up!

              National Falls Prevention Awareness Day ~ September 23, 2015

                                        “Take a Stand to Prevent Falls” 
fallPrevention

 Bernadette Keefe MD

 “One of every three older adults falls each year, but less than half talk to their healthcare providers about it.” – Lawrence Z. Rubenstein MD, MPH Chair Geriatrics – U. of Oklahoma Health Sciences Center

 Introduction

Tomorrow, September 23, 2015, the U.S. will celebrate the 8th Annual Falls Prevention Awareness Day. The announcement on the National Council for Aging (NCOA) Falls Prevention Day website reads:

“The 8th annual Falls Prevention Awareness Day (FPAD) will be observed on September 23, 2015 – the first day of fall. The event seeks to raise awareness about how to prevent fall – related injuries among older adults. The 2015 theme is Take A Stand to Prevent Falls and the official twitter hashtag for this year’s event is #FPAD15 Continue reading

The Radiologist – Clinician Relationship

 Fluoroscopy_procedure_1909Image: Thoracic Flouroscopy Using Handheld Screen ~ Circa 1909 via @Wikipedia

Bernadette Keefe MD

 

Classically, the radiologist was known as the doctor’s doctor, and many consultations were carried out in person. Radiology reading rooms of the past were vibrant hubs, where radiologists received in depth and nuanced patient histories from the clinicians, then reviewed /discussed the images and finally the two physicians would reach agreement about next treatment steps. Continue reading

Population Health: Our lives, Our data

Population Health Blog pic

By Bernadette Keefe MD

On July 16th 2015 I had the pleasure of being on a panel discussing Population Health Management with eloquent, smart colleagues: Dan Munro (@danmunro) Janice McCallum (@janicemccallum), Deryk Van Brunt (@HCI_Solutions) and Justin Lanning (@LanningHlthcare). It was a fascinating wide ranging discussion covering the definition of population health, the mechanisms and strategies of population health management (including the overriding importance of data collection/analysis and practicing medicine/providing healthcare in teams), the value of universal medical coverage (despite ACA still too many uncovered), issues around security and privacy of data and the lack of health information technology standards and EHR interoperability (need for a patient identifier), patient empowerment and access to records and relevant health data to enable better self care, issues regarding the social determinants of health and examples of strategy/success stories, incentives and tools for value based care and optimal outcomes, the challenges of behavioral/ lifestyle change, health literacy and patient engagement, the importance of context to better treat patients and obtain improved outcomes, the role of community in population health and the utterly unsustainable level of cost of healthcare in the U.S., among other topics.

 

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losing our marbles – the dementia epidemic

The marble saga continues! This shot was taken in our back yard. I must say the marble is a remarkably patient model...

I think my favorite part of this one is how the lines from the tall grass in the background seem to echo the swirls inside the marble.

By Bernadette Keefe MD

All of us have personally known or heard the familiar drill. Dad couldnʼt find his way home. Mom didnʼt recognize her best friend. More and more memory lapses are occurring. Thereʼs a kitchen mishap. Finally the trip to family doc with the dreaded questions: Is It Alzheimerʼs? Is It Dementia?

The answer is yes, and they have a lot of company.

4.5 Million in the US are currently living with Dementia. The estimated prevalence of dementia among persons older than 70 years in US was nearly 15% in 2010. It is estimated that by 2050 there will be 13 Million people in the US living with dementia. There was hope that the incidence might be tapering off and even declining (from data comparing 1993 to 2002), however with the recent sharp increases in prevalence of diabetes and obesity over the past decade, it is feared that the numbers may rise precipitously.

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