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ACTIVE_AT_60's Recent Blog Entries

primarily for my marathon, triathletes, cycling friends

Saturday, February 26, 2011

When I was on my bike this morning, I was listening to a podcast, and it dawned on me that some of you guys who run and cycle longer distances, do multi sport event would be interested in in a podcast from www.enduranceplanet.com (you can subscribe through the website to podcast).

This is a variety of interviews, information about endurance athletes, and on a regular basis the host will have s nutrition specialist on the show.

I have to admit some of it is beyond my league (since I am not an Ironman), but I find it interesting to listen to and if the topic does not appeal to me - I just delete it.

Happy listening and let me know what you think.

  
  Member Comments About This Blog Post:

LILPAT3 2/27/2011 1:23AM

    Sounds good! Great info!

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BOBBYD31 2/26/2011 10:51PM

    thanks jan, i will check it out

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DDOORN 2/26/2011 9:17PM

    Thx for the tip...never know what might take hold! :-)

Don

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BILLALEX70 2/26/2011 9:17PM

    I'm amazed that any of it's over your head!

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JILLIANPRNCSS 2/26/2011 2:59PM

    Thanks. I love to listen to podcasts when I run so I can zone out or listen.

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NOELLIEMAE 2/26/2011 10:27AM

    AWESOME!!! I'll look into it for sure... I listen to books and podcasts all the time when I'm out and about ;) Thanks :)

Noel

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ON2VICTORY 2/26/2011 10:13AM

    thanks for sharing, gonna check it out now. have a great day Jan!

** just checked it out, really cool stuff here worth stopping by to check out!

Comment edited on: 2/26/2011 10:24:11 AM

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I have a question for you ...

Wednesday, February 02, 2011

Recently I read a great blog by coach Nancy which was related to health care providers and attitudes towards patients who are obese. If was an interesting blog, and as a healthcare provider an eyeopener in many ways.

So, here is a HYPOTHETICAL question. If I was your health care provider who you were seeing as a part of improving your health. What would your expectations be to me - in addition to being compassionate (goes without saying). If you don't want to post it in public, sparkmail it to me and use the subject line 'health care provider'.

Reason for my question - just curious.

  
  Member Comments About This Blog Post:

2WHEELER 2/24/2011 11:50AM

    I want my health care provider to tell me the truth, to probe and ask questions, and to do it with some compassion. I want them to listen and give their full attention; not rush in and rush out like I'm an interruption to their day (I've only had that happen on a couple of occasions). I'd also like it if I could see one physician, not any one of the team who is available. I'm showing my age, but I recall the good ole' days when you went to a family doctor--he knew you, your parents, your siblings, etc. I've read articles that say for the best health care, develop a "relationship" with your doctor so that you can feel comfortable sharing all pertinent information. It's almost impossible to build a "relationship" these days for routine health care.

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BELLEFAITH42 2/22/2011 10:54AM

    What I want from a health care provider is RESPECT. I want to be treated like I am the one that knows my body, so therefore I know what isn't right - even if I don't know what that is - otherwise I wouldn't be talking to you (the health care provider). I just want to be treated like I am intelligent, and I do actually know something. I don't expect the health care provider to know all the answers, but to try and find the answers, and engage whatever specialists or tests are required to find the answers.
Edit - great question - thanks for asking.

Comment edited on: 2/22/2011 10:57:59 AM

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LUNADRAGON 2/22/2011 9:35AM

    I would want my health care provider to be up front, with the ability to listen and feedback proper information back to me. I am blessed to have a great allergist who probably has helped me more than my primary care, who is still very good at what she does. My orthopedic doctor is awesome! They all maintain a health conversation with me that is not a one way street.

I expect my health care provider to give me answers. When I went to my primary care when I began my fitness journey, she told me just what my limits were regarding what I do and using my heart rate monitor (I have a heart murmur and HBP). This helped me to know just what I could do safely.

It is important to find a doctor that can maintain a health conversation without leaving you in the dark.

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UROPA40 2/22/2011 6:02AM

    I want my health care provider to be competent and honest. Do not care if they are compassionate or have empathy. If they do not have the answer then send me to someone who can find the answer and if there is no answer let me know. I have a PCP who is all these things and since he is overweight he asks me for advise. I am also a health care provider and while I do not feel I have a bias when treating overweight patients I do have a problem with patients not willing to be compliant with medications and behavior changes. There is no magic pill for weight loss and good health and even when you do eat well and exercise it does not guarantee anything. FYI I am a physician assistant and have worked in a pediatric urology practice for the past 19 years. I do look forward to meeting you at JASR. Suzy

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JIBBIE49 2/22/2011 2:02AM

    emoticon

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DAVEINSEOUL 2/14/2011 7:56PM

    I want to feel that my health care provider is compassionate, but also truthful and competent.

About two years ago, when I was at my heaviest weight, I had to go to the ER for what ended up being "walking pnemonia". Not only did I have to force the issue on a chest x-ray, but the health care profession decided 1) That I had asthma (even though I have been symptom free for 30+ years), and 2) that my weight was not a health issue (even though I knew better). He kept telling me that everyone has a 'set point weight' that their bodies will try and find, and there was not much we could do to fight that. He told me that when I weighed over 300 pounds - and I could tell that he was quite overweight himself.

When I found out that I did have pnemonia (because of my insistance that they do a chest x-ray work up), this same health care provider came back an apologized for the mis-diagnosis. While I give him some credit for being honest about the mistake, it didn't do anything about my perceptions as to his competence. I certainly also don't belive in his theory of 'set point weight' either.

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SEEHOLZ 2/11/2011 5:16PM

    I think advice is good if it is motivating! So, if you can tell me some story of how you can relate to my story... not necessarily through you, but other people and you take me seriously.
I would also love for you to share little tricks that work for people-- or you!

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BARBIETEC 2/9/2011 6:10AM

    Supportive, understanding, tell the truth, encourage me and tell me NOT TO QUIT! KEEP GOING! :)

My doctor once told me that I had two choices when I was feeling a bit tired of this weight battle.

"You have two choices
1. Quit and live your life as you did
2. Keep going on even though it is going slow (the weight loss)" then he added "You know what will happen if you quit" and gave me this look :) heheheh..

I often think about this conversation..

He was truthful and told me like it is and made me realize that I must keep going :)

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SYNCHRODAD 2/5/2011 11:20PM

    I want the doctor to be truthful. Compassion is secondary. I want a smart doctor. I don't care if I get eye contact, but it is nice. Empathy where possible works too. I have probably seen my primary care physician (I am in an HMO), for a total of a couple hours over the last 5 years, thank goodness. He is quick thinking, sharp, but also know there is another patient waiting and I try to honor that. Regarding obesity, I was on the edge, and my blood pressure was elevated. He asked if I'd consider medication. I told him I was planning on losing weight and he said "good, but until you do..." He is supportive.

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ETTEZEUS 2/5/2011 10:24PM

    I want you to look at me when you talk to me. I've gone to too many providers who stick their noses in their charts or computers while taking notes and NEVER look at me. If you can't look at me, it just tells me your not concerned. How can you tell what I'm actually feeling if you don't look at me and see my expressions, fears, etc.

My DH is in the health care field and we've had discussions like this many times.

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BOBBYD31 2/5/2011 10:02PM

    be honest and don't run out the door.

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DDOORN 2/5/2011 8:49PM

    Although you say compassion goes without saying...that is the crux of the whole matter!

If I as a patient don't feel that my health care provider has compassion? Game over...I'm not going to get very much from dealing with such a provider.

My preference is for a provider to be straight up with me, use minimal technical jargon or at least explain it to me, and tell it like it is. *IF* I'm feeling like the compassion is there I can "hear" any message better when it's delivered in such a manner.

Don

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CLEANARMYMEDIC 2/5/2011 6:45AM

  Some people want advice, some don't. Its hard to tell which ones do and which ones dont especially in the ER. If they ask or bring it up, or the condition that brings them in is obviously weight related, most of our providers will very briefly address it.

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B-N-ME 2/3/2011 11:09AM

    Open honest conversation about their concerns from a medical perspective without being judgemental. I think sometimes (I haven't experience but have heard) people assume because a person is overweight, they are lazy, don't take care of thiemselves, etc when sometimes that isn't the case.
A healthcare provider shold be able and willing to suggest resources, not put the person off by just saying you know what to do...obviously the patient may not! One who is willing to listen to feelings, and work with the person to try different measure to address the issues brings a positive light and helps the patient feel there is hope.

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FUNFROG79 2/3/2011 8:14AM

    I would want them to be direct and honest. I know that I'm overweight and so does the doctor. I know I"m in danger of a lot of diseases and need to take care of myself, no need to sugarcoat it for me!

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LILPAT3 2/2/2011 10:56PM

    I would want you to be open and share some diet and exercise information. My PA-C is an ironman competitor and she used to talk to me about her marathons and then about her triathlons and then cycling and finally she pushed me to learn to swim. It worked!

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DJS-DEBBIE 2/2/2011 9:40PM

    I would want my provider to address my obesity in a caring way. For many years, no one said anything to me and it is easy to convince yourself that 'it can't be too bad' because the doctor didn't say anything. I definitely don't want a somewhat overweight person telling me 'you have to lose weight' and that's it.

Last year when I went for a blood pressure check, I saw a different doctor in the practice. He praised my weight loss several times, asked how I lost weight, and took the info about SparkPeople to pass along to others. That is the kind of provider I want to see.

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EDWINA172 2/2/2011 9:31PM

    When I was "obese", my primary doctor asked me, in a very nice way, if I was doing Pilates or any aerobics. He also planted little seeds, in my mind, of things that I could accomplish if I continued with my healthy habits.
If you were my health care provider, I'd want you to be THE example for me to look up to. I'd want you to break things down into easy managable steps. Cheer me on when I achieve a goal. I suppose that is too much to ask from a health care provider.
My doctor did confide in me that he was being sued by a previous patient because he told her she was obsese. Its such a tricky area for physicians. Damned if you do, damned if you don't.

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IRISHLASS117 2/2/2011 9:20PM

    The weight issue needs to be addressed and when done in a supportive manner with a concrete plan I'd be good with it. I don't like to be told I need to improve then shown the door. It would be a grand office visit if you were my practioner, I'm just saying.

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JEN-LOVES-LIFE 2/2/2011 9:12PM

    I would want a cheerleader (which my doctor turned out to be). To know that my doctor is excited for me to lose meant a lot. I am actually looking forward to my follow up appointment in May.

Another thing I would like to know is how have I extended my expectancy and the quality of my life by losing weight. Had I not lost it, would my risks for different diseases be higher? Things like that. Reading and learning those things help, but to hear it from a health care professional would have a greater impact, at least for me.

As I am traveling on this journey, I have time to think back about different doctors and nurses I have encountered in the past. I never realized how many in the medical field are unhealthy. That is kind of shocking to me now. I would hope that more would lead by example.

Those are the first things that popped in my head as I was reading this.

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ANDERSONH98 2/2/2011 9:08PM

  I guess it really depends on the person. My bestfriend and I are completely different. We are both obese. When she visits the doctor and he mentions that she needs to loose weight she if embarassed. The word obese offends her. I on the other hand know that I am and try not to fool myself. If my doctor didn't mention the fact that I needed to loose weight I probably would have thought that 1. he didn't care or 2. he didn't think I could. One of the best feelings I got is when my doc praised me for loosing 10lbs. It was nice that he noticed, cared, and commented.

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An interesting read (medical article)

Wednesday, January 26, 2011

I came acrosss this link on Pubmed www.ncbi.nlm.nih.gov/pubmed/18987274 . It is an article published in the Journal of Clinical Endocrinology and Metabolism. What I found interesting was the conclusion 'Weight loss can be achieved by many methods, but the surgical procedures appear to be the most durable.'

Although I am not a researcher, but I would love to see a study comparing a group of patients who had metabolic surgery vs. a group of people who are on a voluntary lifestyle changing program (i.e. Sparkpeople) over time. My 'beef' with the study published is it is based on evidence from a textbook, and not a clinical study.

  
  Member Comments About This Blog Post:

LILPAT3 1/26/2011 11:18PM

    I would think that the surgical method is only as "good" as the patient that receives it. If a person does not follow life-changing events in regards to eating and exercise...the surgery will be for nought.

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DDOORN 1/26/2011 6:10PM

    I've seen both sides of this myself...had stomach-stapling back in the late 1980's. Lost a 100, thought I was "cured"...then gained it all back!

This time it's been lifestyle change all the way!

Everybody has to find their own path, however and I don't mean to diminish WLS...have known some folks who've really taken full advantage of the opportunity PLUS made the lifestyle change so that they've been able to hold onto their improved way of living. Being psychologically ready to make that lifestyle change is the key. Magical thinking and WLS...? Terrible combo...take it from one who learned the hard way!

Don

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BILLALEX70 1/26/2011 4:19PM

    I view the surgical methods as a 'quick fix' and as such you can fall back into old habits. I have several people in my life that Have had the surgery and that's fne for them. One of these people, a man, has regained enough to put him back into the obese category. Without exercise you just can't maintain the loss.

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AMCG2002 1/26/2011 1:20PM

    I have seen both sides of the Sx argument. I had an aunt who had the surgery, and after the initial weight loss, has not lost anything additional in several years. She never embraced better nutrtion or added any type of activity to her life. On the other hand, a friend of the family had the surgery, has lost almost 100lbs and is now off all of his meds (diabetes, hypertension and the list goes on...). When I run at my parents I see him out walking almost every morning.

I do think there needs to be more studying of the subject, like you suggested. However, there is plenty out there to document the long-term success of the old-fashioned eat better, move more position.

Hope you are doing well, my friend!

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IRISHLASS117 1/26/2011 12:26PM

    If the surgical patient does not embrace the lifestyle change that must accompany the surgery then they end up right where they started, overweight and unhealthy. I've seen it more often than I'd like to.

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TRIGFROST 1/26/2011 12:17PM

    I rather stay w/ emoticon

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MEOUTE 1/26/2011 11:34AM

    Good question....my opinion the lifestyle change is better. Surgery is only a tool that may produce a quick result at first but over time if you do not follow a healthy lifestyle the surgery no longer works. I am talking from experience and after surgery....her I am on Spark prople having better results than ever before!

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The book I am reading right now is ...

Sunday, January 23, 2011

'Fit soul - fit body'

The book is written by six time Ironman champion Mark Allen and Brant Secunda, a Huichol shaman and I heard about it for the first time not too long ago on a podcast (endurance planet).

'true health and happiness is about developing a sustainable lifestyle where youn not only achieve long term physical health, but also long term emotional and spiritual health'.

In this book Allen and Secunda manages help the reader with developing ways to create the balance of physical, emotional, and spiritual balance, and I can highly recommend it.

Addendum: perhaps you can get it through your local library.

  
  Member Comments About This Blog Post:

LIGHTNINGRUNNER 1/24/2011 11:03AM

    I will go look for it.

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FUNFROG79 1/24/2011 8:10AM

    Thanks for the tip! I love reading! emoticon

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DDOORN 1/23/2011 9:27PM

    Pursuing balance...always so important...! Hope to check it out!

Don

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LAGREBE 1/23/2011 8:16PM

    Will check it out. Thanks!

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LAURIE5658 1/23/2011 8:14PM

    At the tender age of 53 I have a looong way to go with this very topic with plenty of time to learn LOL. I just may have to check this out. Thank you, my friend.

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CALIDREAMER76 1/23/2011 7:39PM

    I need to work on the emotionally healthy - esp. now that I got a handle on the physically and I work every day on the spiritual - thanks for the recommendation.

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IRISHLASS117 1/23/2011 7:31PM

    Sounds like a winner Jan. I'll look for it. Thanks.

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MOXIE-IN-MOTION 1/23/2011 6:59PM

    That sounds very interesting. Being emotionally/spiritually healthy is every bit important as being physically healthy.

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JEN-LOVES-LIFE 1/23/2011 6:54PM

    Sounds good! Thanks. It's on my list.

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An interesting read

Saturday, January 15, 2011

In one of my many mailings I get at work, there is a summary of news clippings, and one caught my eye. A report from the society of actuaries "Obesity and its Relation to Mortality and Morbidity Costs' All statistics based on research (not surprising when you know who published the report). One statement in the summary was an eye opener:

'We estimate that total annual economic cost of overweight and obesity in the United States and Canada caused by medical costs, excess mortality and disability is approximately $300 billion in 2009.'

A pretty staggering number isn't it? Should you want to read the entire report ... www.soa.org/files/pdf/research-2011-
obesity-relation-mortality.pdf

  
  Member Comments About This Blog Post:

DAVEINSEOUL 1/22/2011 8:29AM

    Punishing the food industry might not be the right approach, but it sure would help if they would take some responsibility for trying to come up with good tasting food that is healthy for you. I have really worked hard at changing my eating habits to include a lot more nutritional food, but with so many bad choices out there fostered upon us by the food industry, it doesn't make it easy. Since I have started Sparking, I rarely go out to eat in restaurants anymore because it is soooo hard to eat healthy in restaurants, and the portions are soooo huge.


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CHERYLD02 1/16/2011 12:10PM

    You are what you eat and you become what you are because of your actions.

That report has some really staggering information and all I did was skim a portion of it.

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FUNFROG79 1/16/2011 10:46AM

    Bottom line: Only YOU are responsible for YOU. You choose to walk into Mickey D's. You choose not to eat a balanced diet. You choose to eat more than one serving. If you choose to be lead by the corporations that's YOUR choice. Great read and totally eye opening!

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LAURIE5658 1/15/2011 10:02PM

    Don, I have to agree with Jan. Individuals are ultimately responsible for their own actions. The business community is punished enough by government but that topic can be debated elsewhere. Our citizens need to simply stop shoving food into their face AND get off the couch and MOVE.

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ACTIVE_AT_60 1/15/2011 9:25PM

    Don (DDOORN) I am not sure I agree with you that it will help punishing the food industry. I think, as Dr. Roizen is advocating, people like you and me who are actively improving their health should be rewarded.

I know Bobby (BOBBYD31) and his wife Anne did something recently with the American Diabetes Association (am I right?). I think it would be interesting if some of us could form groups and perhaps work with hospitals, professional groups (physicians, nurse practitioners, physicians assistants) to have some public seminars. Just a thought.

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CALIDREAMER76 1/15/2011 9:15PM

    Wow,
That's amazing - thanks for sharing!

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LAURIE5658 1/15/2011 9:13PM

    Wow Jan, THAT is a true eye opener. Jim and I went out to eat tonight and there was a guy that is obviously MORBIDLY obese that barely fit in his seat. i will not even begin to tell you what he ate. Our society has serious issues.

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DDOORN 1/15/2011 9:10PM

    I agree with BobbyD!

Although we each are responsible for what we put into our bodies, I still can't help but feel that the CEO's and corporations of these food conglomerates should be held at least somewhat responsible, just as cigarette manufacturers were once upon a time.

Those of us choosing a healthier lifestyle are truly swimming against some mighty powerful currents and it shouldn't have to be this way!

Don

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BOBBYD31 1/15/2011 8:33PM

    that is an understatement

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JEM0622 1/15/2011 7:49PM

    Wow. Thanks for the read. You know, since I have adopted healthier choices...I am at the doctor less. I don't want to just accept family issues (high BP, diabetes). I want to avoid it at all costs. I want to continue in this way.

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HEALTHYCHIC 1/15/2011 7:38PM

    whoa!

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LYNNANN43 1/15/2011 6:59PM

    Totally staggering!

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DREMARGRL 1/15/2011 6:00PM

    I totally agree with Catherine! Such a tragedy.....Such a drain on the person, family, society and health care system....especially when there is a remedy (cure) for it that doesn't cost a dime.



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DEBBIEDAY 1/15/2011 3:41PM

    Stunned for sure....Still I doubt many of us really stop to consider that impact alone on future generations. Even 'personal wake-up calls' don't do it for some.


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LIVE2RUN4LIFE 1/15/2011 3:39PM

    Sobering. Especially when you add in the pain, suffering, and reduced quality of life.

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