Dr. Howard Smith Oncall

EPT can help us curb the epidemic of sexually-transmitted diseases. VidCast: https://youtu.be/dPaeclaRCbE ___________________ https://www.cdc.gov/std/ept/legal/default.htm

Dr. Smith reviews tips for extending your healthy life rather than only the duration of your life. VidCast: https://youtu.be/OUBxRCTfk3k __________________ S. Jay Olshansky. From Lifespan to Healthspan. JAMA, 2018; DOI: 10.1001/jama.2018.12621 https://www.cdc.gov/nchs/data/databriefs/db293.pdf

What do you look for in the ideal doctor? Here’s a checklist assembled by the British Medical Journal and MDLinx that you should use. Vidcast: https://youtu.be/emFPgwnruQ8 https://www.mdlinx.com/internal-medicine/article/2631

Are you a good or a bad boss? Do you have a good or a bad boss. The latest study shows management style definitely affects the bottom line. VidCast: https://youtu.be/xLTvkqWNGVU  ______ An-Chih Wang, Chou-Yu Tsai, Shelley D. Dionne, Francis J. Yammarino, Seth M. Spain, Hsiao-Chi Ling, Min-Ping Huang, Li-Fang Chou, Bor-Shiuan Cheng. Benevolence-dominant, authoritarianism-dominant, and classical paternalistic leadership: Testing their relationships with subordinate performance. The Leadership Quarterly, 2018; DOI: 10.1016/j.leaqua.2018.06.002

Azathioprine can curb IBD and arthritis but the latest study implicates it as a possible cause of skin cancer. Vidcast: https://youtu.be/x1VLkU920Kc _______ Gareth J. Inman, Jun Wang, Ai Nagano, Ludmil B. Alexandrov, Karin J. Purdie, Richard G. Taylor, Victoria Sherwood, Jason Thomson, Sarah Hogan, Lindsay C. Spender, Andrew P. South, Michael Stratton, Claude Chelala, Catherine A. Harwood, Charlotte M. Proby, Irene M. Leigh. The genomic landscape of cutaneous SCC reveals drivers and a novel azathioprine associated mutational signature. Nature Communications, 2018; 9 (1) DOI: 10.1038/s41467-018-06027-1

Learn why some people get colds and others don't. Improve your chances of dodging the common cold bullet. VideoPodcast: https://youtu.be/KSq2867eDAI Valia T. Mihaylova, Yong Kong, Olga Fedorova, Lokesh Sharma, Charles S. Dela Cruz, Anna Marie Pyle, Akiko Iwasaki, Ellen F. Foxman. Regional Differences in Airway Epithelial Cells Reveal Tradeoff between Defense against Oxidative Stress and Defense against Rhinovirus. Cell Reports, September 11, 2018 DOI: 10.1016/j.celrep.2018.08.033

Back. pain in teens is associated with self-destructive and anti-social behavior. VidCast: https://youtu.be/MPiYL1Xvzxc ______________ S J Kamper, Z A Michaleff, P Campbell, K M Dunn, T P Yamato, R K Hodder, J Wiggers, C M Williams. Back pain, mental health and substance use are associated in adolescents. Journal of Public Health, 2018; DOI: 10.1093/pubmed/fdy129

Intro to podcast: Back pain in teenagers is a sign of trouble.

Dr. Smith reveals how you can use a sunscreen’s SPF number to calculate just how long you can safely stay out in the sun.

Common surgery for shoulder pain no more effective than medical and physical therapy. Mika Paavola, Antti Malmivaara, Simo Taimela, Kari Kanto, Jari Inkinen, Juha Kalske, Ilkka Sinisaari, Vesa Savolainen, Jonas Ranstam, Teppo L N Järvinen. Subacromial decompression versus diagnostic arthroscopy for shoulder impingement: randomised, placebo surgery controlled clinical trial. BMJ, 2018; k2860 DOI: 10.1136/bmj.k2860

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