Yesterday I pressed the snooze button for 45 minutes but I finally peeled myself out of my warm, comfortable bed, and made it to spinning class. My gym has 45 minute and 1 hour spin classes and I usually do the 45 minute classes because those are the morning ones. This past weekend, Kyle and I did the 1 hour class and man! Those extra 15 minutes are enough to kill you! I was so shocked by how much harder an hour class is compared to the 45 minute.
It’s okay though, because both classes played this song- one of my favorites:
After spinning I made myself a breakfast of 1 egg and 2 egg whites scrambled with zucchini, seitan, sprouts, a clementine, and green juice. Breakfast was consumed while I watched the new episode of Revenge of course
I had the morning off and didn’t have to be in clinic until 12:30 so I got a little studying done, went to the Bank, and inhaled greek yogurt with blueberries and PB2 for lunch while I drove downtown.
The afternoon was spent in a pediatric urgent care clinic. I saw quite a few kids- all with fevers/ cough/ ear ache/ flu-like symptoms.
So if you don’t want your kid to come see me… get a flu shot! I was shocked at how many kids yesterday hadn’t had a flu shot.
I did see a couple pretty cool things: one was a pyogenic granuloma which is a skin growth that bleeds and looks pretty scary. It’s benign but I wouldn’t want one of these on my finger!
(Image courtesy of wikipedia)
I also saw a crazy skin infection that could be just a regular skin infection that the kid has picked at and made worse, but there were a few other issues about the skin lesion (mainly the fact that the patient was from a foreign country) that could make it a lesion from a parasite that we RARELY see here in the US. I’ve learned about it, but NEVER seen it- so that was pretty cool!! (For anonymity sake, I won’t explain further or show pictures- just close your eyes and imagine a really gross skin infection and then pretend like it’s a crazy parasite you learned about but thought you would never see).
After I left clinic I came home and microwaved a gigantic bowl of broccoli. I topped with with sriracha, avocado, and sprouts and that was dinner. Creative right?
I ended the night with 6 miles on the treadmill (I kept walking after I took this pic).
I was studying and doing school work while I walked which made the time fly.
I also took a 30 minute break to run and watch the Biggest Loser. Does anyone else think Jillian is way too mean this season?
My medical school sends out emails with some news articles and such and one of the articles I happened to read yesterday was this one:
I have a great deal of respect for Dr. Oz; he has taken medicine and made it mainstream. He has amassed an enormous following of people who seem to care about their health. He has so much influence in this country that if he tells you to go out and buy a certain type of bandaid, because it will surely cure cancer, that bandaid brand will be sold out in 5 minutes nationwide.
But with his power to influence non-science folk comes a big responsibility! How much can he say about something and how science-directed should he be? I generally think that he should be completely science directed. If research shows that raspberry ketones don’t help you lose weight and prevent cancer, he shouldn’t recommend taking them.
But this is a FINE FINE line. Here is what I mean:
If Dr. Oz tells America to take some dietary supplement that is virtually harmless (to our knowledge) and may have some health benefits (probably not, but maybe), he could be doing some good. Because you might go down to the health food store and spend $30 on crap that won’t do anything for you (but won’t hurt you). Since you just invested in your health (or so you think) maybe you won’t go eat a burger. Maybe you will go for a walk. Hey- those raspberry ketones might placebo effect you into feeling so great that you join a gym!
See what I mean?
But the problem is when Dr. Oz starts recommending things that really could harm you. Check this out:
|DR. OZ’S RECOMMENDATION||BEST AVAILABLE RESEARCH EVIDENCE||DO THEY MATCH?|
|Take zinc (12-15 mg) daily for weight loss because it reduces hunger by increasing levels of leptin, a key hormone that alerts the body when it is full.||- A randomized controlled trial of 56 obese women found zinc supplements caused no significant changes in weight, body mass index, body fat percentage, waist circumference, or leptin levels (Marreiro et al. 2006).
- A randomized controlled trial of 40 obese women found zinc supplements had no effects on body mass index or waist circumference; the only effects found were increased zinc in blood serum and urine (Kim & Lee 2012).
- A retrospective cross-sectional study of 580 women found zinc was not associated with obesity or leptin levels in the overall population; in obese women, zinc was associated with lower leptin levels (Garcia et al. 2012).
|Take omega-3 fatty acid DHA (600-1000 mg) daily from fish oil supplements for many health benefits, including better cardiovascular health.||- Multiple systematic reviews found supplements and dietary sources of omega-3 fatty acid did not prevent cardiovascular problems, including stroke, heart attacks, and death; one review found a higher risk of adverse events with omega-3 fatty acid supplements because of gastrointestinal side effects (Kotwal et al. 2012; Kwak et al. 2012;Rizos et al. 2012).|
|Take vitamin D (400-1000 IU) daily to prevent various cancers, fight off colds, and slow down aging, along with a variety of other health benefits.||- Multiple systematic reviews found inconclusive evidence on whether vitamin D supplements prevent cardiovascular outcomes, cancer and mortality (Pittas et al. 2010; Elamin et al. 2011; Holick et al. 2011).
- A systematic review by the U.S. Preventive Services Task Force found vitamin D supplements had no effect on cancer risk; the Task Force recommended against daily supplementation with vitamin D at doses of up to 400 IU unless the individual is vitamin D deficient (Chung et al. 2011; Kuehn 2012).
|Take probiotic supplements or fortified foods to regulate the amount of beneficial bacteria in the body, promote digestive health, and normalize bowel movements.||- A systematic review of 82 randomized controlled trials found probiotics reduced the risk of certain types of diarrhea, but the results of the trials varied widely (Hempel et al. 2012).
- Multiple systematic reviews found probiotics may help alleviate symptoms of irritable bowel syndrome, but positive effects are limited to certain strains and included trials that have methodological limitations (McFarland & Dublin 2008; Brenner et al. 2009; Hoveyda et al. 2009; Moayyedi et al. 2010).
- Multiple systematic reviews found conflicting results on the effect of probiotics on colitis (Dendukuri et al. 2005; McFarland 2006; Pillai & Nelson 2008).
|Take a multivitamin daily to ensure getting enough essential vitamins and to prevent heart disease, breast cancer and colon cancer.||- Multiple systematic reviews found no meaningful benefits from taking multivitamins to reduce the risk of death and prevent various diseases, including cancers, cardiovascular diseases, cataracts, macular degeneration, and hypertension (Huang et al. 2006; Chan et al. 2011; Macpherson et al. 2012).
- A randomized controlled trial of 14,641 men found taking daily multivitamins very slightly reduced cancer risk but did not reduce cardiovascular events and death from cardiovascular causes or cancer (Gaziano et al. 2012; Sesso et al. 2012).
- A prospective cohort study of 182,099 participants found no significant associations between multivitamins and cardiovascular disease, cancer, or death from any cause (Park et al. 2011).
- A retrospective cross-sectional study of 38,772 postmenopausal women found a strong association between multivitamin supplements and increased risk of death (Mursu et al. 2011).