Dr. Howard Smith Oncall

Most hip fracture patients are not receiving the proper aftercare to prevent recurrences including osteoporosis screening. JAMA Network Open. 2018;1(3):e180826. doi:10.1001/jamanetworkopen.2018.0826

Eating at least 5 servings of fruits and vegetables reduces the risk of breast cancer. ——— Maryam S. Farvid, Wendy Y. Chen, Bernard A. Rosner, Rulla M. Tamimi, Walter C. Willett, A. Heather Eliassen. Fruit and vegetable consumption and breast cancer incidence: Repeated measures over 30 years of follow-up. International Journal of Cancer, 2018; DOI: 10.1002/ijc.31653

Scoped show originally broadcast on WBZ-AM on 09/08/1991. First Hour — Open Lines Mike- Hives; ? Reaction to citrus. Fran - Joint pain from menopause?; pros and cons of estrogen replacement therapy following menopause. James - Seizures TOPS - taking off pounds sensibly Christy - having twins —) book winner Second Hour. — Doctor Your Eyes Guest: Ann Bajart MD, Cornea Specialist, Mass. Eye and Ear Infirmary, Harvard Medical School Mass. Eye and Ear Info Line:617-573-3340 Myths about Eyes 1. Kids will outgrow crossed eye: FALSE—treatment is necessary to reprogram the child’s brain circuitry to move the eye properly and permit normal development of visual pathways. 2. Sitting too close to the TV will harm the eyes: FALSE but sitting too close can expose the brain to radiation from old style CRT tubes rather than LED or LCD models. 3. Computer terminals cause miscarriages: FALSE but they can cause dry eye from staring. 4. Cataracts can grow back: FALSE. They do not reform. Ellen — conjunctivitis Alison — 8 year ol

There is a significant association between adult chronic respiratory disease and childhood lung illness including asthma and bronchitis. The good news is that there are ways to prevent both. ---------- DINH S BUI ET AL. CHILDHOOD PREDICTORS OF LUNG FUNCTION TRAJECTORIES AND FUTURE COPD RISK: A PROSPECTIVE COHORT STUDY FROM THE FIRST TO THE SIXTH DECADE OF LIFE. THE LANCET RESPIRATORY MEDICINE, APRIL 5, 2018 DOI: 10.1016/S2213-2600(18)30100-0 DANIELLE C M BELGRAV, ET AL. LUNG FUNCTION TRAJECTORIES FROM PRE-SCHOOL AGE TO ADULTHOOD THEIR ASSOCIATIONS WITH EARLY LIFE FACTORS: A RETROSPECTIVE ANALYSIS OF THREE POPULATION-BASED BIRTH COHORT STUDIES. THE LANCET RESPIRATORY MEDICINE, APRIL 5, 2018 DOI: 10.1016/ S2213-2600(18)30099-7. YouTube: https://youtu.be/Aj8lvyNDOxE

SYNOPSIS: 010390: Fill-in host for the late David Brudnoy Hour 1: The late Vernon Mark MD, d. 2014: author “Brain Power” with son Jeffrey Mark -Alzheimer’s disease: aluminum toxicity?; over- diagnosed: confused with depression. Call: benign brain tumor. Call: Xanax. Call: sugar as brain food. Call: safely stopping Xanax and other medications. Call: recreational drug effect on memory via limbic system: alcohol, cocaine. Call: lightheadedness. Why helped by antihistamines: sedative effect that slows breathing. Adverse drug interactions. Call: brain development in under nourished children. Subdural hematoma: great imitator. drhowardsmith.reports@gmail.com www.drhowardsmith.com Dr. Howard Smith OnCall WBZ-AM Audio Archive Page 2 of 2 Hour 2: Brain poisons: any drug that alters consciousness can be problematic; bad batches of designer drugs produced Parkinson’s disease.; excess anti- hypertensive drugs. Carbon monoxide. Emboli clots. Brain enhancers: writing, other activities with non- dominant hand. Call: generi

Regular vigorous exercise produces happiness for folks at any age. Add this to the other health benefits for your heart, bones, and immune system. You tube: https://youtu.be/CnVx895bPLE

Tai Chi is as good, maybe better, and cheaper than conventional physical therapy for Chronic Obstructive Lung Disease (COPD).   YouTube: https://youtu.be/_0ZZAUNRtCk  

Hot off the wire. New studies presented at the Endocrine Society meeting March 16-20 in Chicago Headlines Pregnant women should steer clear of plastic cups and containers. Lavender and tea tree oils may produce unwanted breast growth in boys and men. Estrogen supplements may help resolve eating disorders in female athletes. Are men using too much testosterone therapy? Low sperm count may be the tip of the iceberg. Splenda could predispose you to diabetes.  

Counting steps with wearable devices leads to more vigorous short term exercise and longer term maintenance of exercise program. —- Tess Harris, Sally M. Kerry, Elizabeth S. Limb, Cheryl Furness, etal. Physical activity levels in adults and older adults 3–4 years after pedometer-based walking interventions: Long-term follow-up of participants from two randomised controlled trials in UK primary care. PLOS Medicine, 2018; 15 (3): e1002526 DOI: 10.1371/journal.pmed.1002526

Soy milk contains estrogens that may harm female infants reproductive tissues. —— A longitudinal study of estrogen-responsive tissues and hormone concentrations in infants fed soy formula Margaret A Adgent, Ph.D David M Umbach, Ph.D Babette S Zemel, Ph.D , metal. The Journal of Clinical Endocrinology & Metabolism, jc.2017-02249, https://doi.org/10.1210/jc.2017-02249

Higher altitude living associated with depression and higher rate of suicide. —- Brent M. Kious, Douglas G. Kondo, Perry F. Renshaw. Living High and Feeling Low. Harvard Review of Psychiatry, 2018; 26 (2): 43 DOI: 10.1097/HRP.0000000000000158 https://www.webmd.com/depression/guide/depression-recognizing-signs-of-suicide#2

Many heart attack victims do better when stent-placing cardiologists are away at convention. —- Anupam B. Jena, Andrew Olenski, Daniel M. Blumenthal, Robert W. Yeh, Dana P. Goldman, John Romley. Acute Myocardial Infarction Mortality During Dates of National Interventional Cardiology Meetings. Journal of the American Heart Association, 2018; 7 (6): e008230 DOI: 10.1161/JAHA.117.008230

Regular, vigorous exercise can block the aging process. —- University of Birmingham. "A lifetime of regular exercise slows down aging, study finds." ScienceDaily. ScienceDaily, 8 March 2018. .

Even though new study reveals that a rectal exam of the prostate alone cannot reliably detect prostate cancer, the exam should not be omitted. —- Leen Naji, MD1, Harkanwal Randhawa, BHSc2, Zahra Sohani, MSc, PhD3, etal. Digital Rectal Examination for Prostate Cancer Screening in Primary Care: A Systematic Review and Meta-Analysis; Ann Fam Med. 2018;16:149-154.

First portion of program omitted due to file size.  Entire program on YouTube: https://youtu.be/FUpUMmrG-bU •Harriet: aortic stenosis surgery; rheumatic heart disease •Frank: coronary artery surgery; balloon versus laser versus bypass graft   PART TWO Charles Hennekins MD, Brigham & Women’s Hospital, Boston, MA; Professor Harvard Medical School •10 commandments of heart disease prevention •Ruth: Post-menopausal estrogen;  •Prophylactic aspirin •Smoking cessation •Weight control: direct impact, impact on lipids, diabetes •Alcohol: heavy consumption is bad; some (1-2 drinks/day) is good •Active lifestyle

Ten medical myths explained and debunked.

Reading a significant other's subtle emotions is challenging for most couples. --- Chrystyna D. Kouros, Lauren M. Papp. Couples'Perceptions of Each Other's Daily Affect: Empathic Accuracy, Assumed Similarity, and Indirect Accuracy. Family Process, 2018; DOI: 10.1111/famp.12344

Wolfing down junk food and convenience store ultra-processed goodies is associated with a higher risk of cancer. --- Consumption of ultra-processed foods and cancer risk: results from NutriNet-Santé prospective cohort; BMJ 2018; 360 doi: https://doi.org/10.1136/bmj.k322  

Eating fish with abundant omega-3 fatty acids is associated with a lower risk of developing multiple sclerosis. --- American Academy of Neurology. "Eating fish may betied to a reduced risk of MS: Study recommends justhow much fish may be beneficial." ScienceDaily.  ScienceDaily, 1 March 2018.

Premies thrive on parent-delivered care versus that from nurse teams. ---- O'Brien, KarelO'Brien, Karel et al.  Effectiveness of Family Integrated Care in neonatal intensive care units on infant and parent outcomes: a multicentre, multinational, cluster-randomised controlled trials The Lancet Child & Adolescent Health; https://doi.org/10.1016/S2352-4642(18)30039-7