A physician's commentary on current issues in medicine, clinical research, health and wellness.
Category Commons Cookbook Food portal, Health and fitness portal. The nutritional conceptualization of the DASH meal plans was based in part on this research. Translated into , this section might best implore physicians to be lifelong learners themselves, and to be teachers as well as clinicians for their patients. Alternative medicine practitioners who have promoted the alkaline diet have advocated its use in the treatment of various medical conditions including cancer. However, ketones become harmful when too many are produced by people who have type 1 diabetes. It allows you to reintroduce your favorite high carb fruits, veggies, whole grains, etc. With Twitter representing the most recent evolution in our means of communication, it makes me wonder if an oath could be crafted in characters or less for the modern era.
Together we will beat cancer
Wade decision which has made the lethal back alley abortion rare. I doubt the abortion issue can be satisfactorily codified in current times, but in ancient Greece abortion was legal.
Whatever houses I may visit, I will come for the benefit of the sick, remaining free of all intentional injustice, of all mischief and in particular of sexual relations with both female and male persons, be they free or slaves.
Practicing medicine for the benefit of the sick precludes any personal, political, or moral judgment as to the worthiness of the patient to be healed, and is therefore timelessly relevant. What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep to myself, holding such things shameful to be spoken about. It speaks to the fundamental importance of patient confidentiality, most recently codified in the HIPAA regulations and patient bills of rights.
While the exchange of information, stories, vignettes, and medical knowledge is crucial to the betterment of medical practice, avoiding the disclosure of identifiable details has never changed.
If I fulfill this oath and do not violate it, may it be granted to me to enjoy life and art, being honored with fame among all men for all time to come; if I transgress it and swear falsely, may the opposite of all this be my lot. We are all human and imperfect, and forgiveness and redemption are as important for physicians as for anyone else. At least one half of us break our marriage vows.
Here is the opposite statement as I see it: From The Hippocratic Oath: Text, Translation, and Interpretation, by Ludwig Edelstein. Johns Hopkins Press, ]. Even though the Hippocratic Oath contains multiple anachronistic pledges, ranging from extinct gods to outlawed slavery, many of its underlying ideals have persisted in importance today.
It is neither comprehensive nor sufficient as an oath for modern physicians, and some would question the very utility of taking vows at all. At weddings and white coat ceremonies I am able to renew my marital and professional vows, and it offers a chance for refocusing, recommitting, and reflecting on what I want to make of my life and work.
I realize that this post is getting way too long, especially in the era of Twitter and texting. Perhaps the Hippocratic Oath and its offshoots are too lengthy to be relevant outside of ceremonial proceedings. With Twitter representing the most recent evolution in our means of communication, it makes me wonder if an oath could be crafted in characters or less for the modern era. The Hippocratic Tweet might be a public affirmation of purpose and intent, suitable even for Generation Y aka the millenials , with the forced cogency and terseness of haiku.
This would be my distilled version:. I pledge service to humanity, conscience, and dignity; I will endeavor to heal, protect, learn, resist cynicism, and inspire with this art. What would be your oath to family, to life, to your career, or to your world if you only had characters? Magnesium and Potassium levels were close to the 75th percentile of U. The DASH diet was designed to provide liberal amounts of key nutrients thought to play a part in lowering blood pressure, based on past epidemiologic studies.
One of the unique features of the DASH study was that dietary patterns rather than single nutrients were being tested.
Researchers have also found that the DASH diet is more effective than a low oxalate diet in the prevention and treatment of kidney stones, specifically calcium oxalate kidney stones the most common type. Participants ate one of the three aforementioned dietary patterns in 3 separate phases of the trial, including 1 Screening, 2 , Run-in and 3 Intervention.
In the screening phase, participants were screened for eligibility based on the combined results of blood pressure readings. In the 3 week run-in phase, each subject was given the control diet for 3 weeks, had their blood pressure measurements taken on each of five separate days, gave one hour urine sample and completed a questionnaire on symptoms.
At this point, subjects who were compliant with the feeding program during the screening phase were each randomly assigned to one of the three diets outlined above, to begin at the start of the 4th week.
The intervention phase followed next; this was an 8-week period in which the subjects were provided the diet to which they had been randomly assigned. The first group of study subjects began the run-in phase of the trial in September while the fifth and final group began in January Alcohol was limited to no more than two beverages per day, and caffeine intake was limited to no more than three caffeinated beverages.
The minority portion of the study sample and the hypertensive portion both showed the largest reductions in blood pressure from the combination diet against the control diet. The hypertensive subjects experienced a drop of At the end of the intervention phase, Apart from only one subject on the control diet who was suffering from cholecystitis, other gastrointestinal symptoms had a low rate of incidence.
Like the previous study, it was based on a large sample participants and was a multi-center, randomized, outpatient feeding study where the subjects were given all their food.
The day intervention phase followed, in which subjects ate their assigned diets at each of the aforementioned sodium levels high, intermediate and low in random order, in a crossover design. The primary outcome of the DASH-Sodium study was systolic blood pressure at the end of the day dietary intervention periods. The secondary outcome was diastolic blood pressure. Study results indicate that the quantity of dietary sodium in the control diet was twice as powerful in its effect on blood pressure as it was in the DASH diet.
As stated by Sacks, F. The DASH diet and the control diet at the lower salt levels were both successful in lowering blood pressure, but the largest reductions in blood pressure were obtained by eating a combination of these two i. The hypertensive subjects experienced an average reduction of From Wikipedia, the free encyclopedia. This article needs more medical references for verification or relies too heavily on primary sources. Please review the contents of the article and add the appropriate references if you can.
Unsourced or poorly sourced material may be challenged and removed. Department of Agriculture and U. Department of Health and Human Services Retrieved December 15, Department of Health and Human Services. News Reveals Best Diets Rankings for ".
The New England Journal of Medicine. A meta-analysis of individual data for one million adults in 61 prospective studies".