Tuesday, August 30, 2016

Burn It Off And Keep It Off: 10 Keys to Lifelong Weight Maintenance

Burn It Off And Keep It Off: 10 Keys to Lifelong Weight Maintenance …by Tom Venuto

It’s always the media and advertising-hyped stories of rapid and massive weight loss that get most of the attention these days (think “Biggest Loser”). It’s easy to look at these dramatic “success stories” and choose them as your role models. But it’s usually not the person who lost the most weight or who lost weight the fastest that you want to emulate. In fact, “losers” are the last people you want to listen to…
When you’re looking for people and methods to model, you should pay attention to maintainers, not losers.

Maintainers are people who have lost weight and held a steady new ideal weight for at least one year. Long term maintainers are people who have kept the weight off for 3 to 5 years, and this is a remarkable achievement, given the statistics about relapse. Any time you meet someone who has achieved their ideal weight and maintained it for 5 years or more, stop everything you’re doing, pay attention and learn from them. As you meet more of them, compare notes about what they have in common.
Most commercial diet programs don’t keep track of their customers over the long term. The testimonials they publish are the most dramatic success stories which have been singled out as their poster children. From a business point of view, you can’t fault them for that, but the results you see in the ads are rarely a true reflection of the usual amount of weight loss or the duration of weight loss maintenance. That’s why the FTC requires disclaimers such as “results not typical” on so many advertisements and before and after photos.

One group dedicated to tracking maintainers is the National Weight Control Registry (NWCR). This joint collaboration of weight loss researchers was founded in 1994 by Dr. James Hill, a clinical nutrition researcher from the University of Colorado and Dr. Rena Wing, a psychologist from Brown University.

The NWCR began as a data base of men and women who had lost 30 pounds or more and maintained the loss for 1 year or more. Since its inception, the average participant has been even more successful than the entry criteria, having lost an average of 65 pounds and maintained the minimum weight loss for an average period of 5.5 years.

Information about this group has been collected through a series of surveys and interviews. Since this isn’t the controlled experimental type of research, it doesn’t prove cause and effect and is subject to flaws such as selection bias and the ever-present underreporting bias. Nevertheless, the NWCR is one of the most valuable sources of success strategies from weight maintainers currently available. Many of the strategies here in my 10 keys to maintenance are based on the findings of this group and other groups like them.

The 10 Major Keys for Successful Lifelong Maintenance

The NWCR found many similarities among successful maintainers plus a few important differences. One difference was the type of program used. Half of the maintainers lost weight on their own, half of them used commercial programs. Maintainers also used various types of nutrition programs with a variety of different macronutrient ratios and they customized their nutrition programs to suit their needs, lifestyles and dispositions.

This shows that it wasn’t a specific formal program that made the difference. It tells us that personal preference and metabolic individuality must be taken into consideration when choosing a program. No one can say that a single program is superior to all the others 100 percent of the time for 100 percent of people.

Despite the differences, the NWCR and similar survey studies reveal that maintainers have far more in common than they do different. It’s these commonalities in long term maintainers you’ll want to learn and emulate, and I have researched and listed them all for you below:

1. Maintainers follow the 7 lifestyle eating habits. The eating habits that help to keep the weight off are almost identical to the nutrition habits that take the fat off. However, in virtually all of the long term studies about weight maintenance, 7 habits in particular show up at the top of the list over and over again.

Successful maintainers:
     Eat consciously. Long term maintainers are not mindless eaters. Even though healthy eating behaviors become habitual after years of repetition, successful maintainers are always vigilant and aware.
     Eat breakfast every day. It’s no surprise that maintainers are breakfast eaters because strong correlations have been found between skipping breakfast and overeating or bingeing later in the day.
     Eat at fast food restaurants 2 or fewer times per week. A report on dietary practices and dining out behavior published by the Center for Disease Control found that adults who ate no more than 2 times per week at fast food restaurants were more successful at maintenance.
     Eat less dietary fat. Most maintainers report eating between 20% and 30% of their total calories from fat, significantly less than the national average of 35%. It’s important to consume enough of the healthy fats, but maintainers are aware that high fat foods are high calorie foods so quantities are controlled.
     Eat at least 5 vegetables & fruits per day. You can never hear this often enough: Eat more fruits and vegetables. They’re great for burning the fat off, great for keeping the fat off.
     Eat a high fiber diet. Successful maintainers report a high fiber intake from their high fruit and vegetable intake as well as from other natural starchy carb and whole grain sources such as beans, oats, legumes, brown rice, sweet potatoes, barley and so on.
-Eat at fast food restaurants 2 or fewer times per week. A report on dietary practices and dining out behavior published by the Center for Disease Control found that adults who ate no more than two times per week at fast food restaurants were more successful at maintenance.
     Eat the same healthy foods all year-round. Maintainers eat a wide variety of foods, but they are consistent all year-round. There’s no dramatic difference between the foods eaten for maintenance because no weird or different foods are eaten for fat loss. To hold their weight steady, maintainers simply eat a little less of the same healthy foods during the fat loss phrase.

2. Maintainers get serious about weight training. The types of exercise regimes used by maintainers may vary, but in the majority of studies, maintainers reported that they used weight training to help take the weight off and continued weight training through the maintenance phase. The majority of re-gainers didn’t do weight training during the weight loss phase and most didn’t pick it up in the maintenance phase. 

Years ago, I did my own informal “research” on weight training and fat loss maintenance by looking at the habits and long term results of several hundred of my personal training and coaching program graduates. They all used weight training as a part of their fat loss programs. During maintenance, I noticed that the most successful of my clients were the ones who got extremely serious about their weight training to the point that it almost became like a hobby or recreational sport to them. A few even took up bodybuilding or figure competitions.

I believe the progressive and goal-oriented nature of weight training adds a motivational spark that keeps the fire of enthusiasm burning for years after you achieve your initial weight goal. Contrary to what many believe about exercise and aging, weight training is also a recreation or sport you can enjoy for the rest of your life. There’s no other type of exercise that will do so much for you as you get older to maintain your strength, functionality, mobility, and self-confidence.

Weight lifting isn’t just for bodybuilders! The benefits are incredible, and this type of training is still not getting its proper due in today’s discussions of fat loss and lifelong maintenance.


3. Maintainers have a plan for transitioning into maintenance phase. The worst thing you can do at the time you reach your weight/body fat goal is to abruptly change by eating totally different foods and/or a dramatically different quantity of food. If your calorie reduction and food restrictions were conservative, you won’t need much of a transition period; you should be able to safely manage your calories right up to maintenance without a problem.

Remember that body weight is not the same as body fat, so don’t be alarmed if there is a small weight gain, provided your body fat percentage does not increase significantly. Sometimes you’ll gain 2 to 3 pounds as you raise calories back to maintenance (especially carb calories), but it’s usually lean tissue, water and muscle glycogen, especially if you had reduced your carbs during the fat loss phase. When your weight is stable and you’re neither gaining or losing week-to-week, you know you’re in energy balance and you’ve officially entered the maintenance phase, or if you prefer, the “lifestyle phase.

4. Maintainers have very high levels of physical activity in general. Weight loss experts have argued lately about how important exercise is for weight loss (nutrition is clearly the most important factor). But one thing that almost every expert agrees on is that exercise and high levels of activity are vital for keeping the weight off. It’s difficult. to keep weight off with no activity. It would take very tight control over caloric intake and high levels of dietary restraint to maintain a large weight loss with no training or other physical activity during the maintenance phase.

The reason maintenance is difficult without exercise is that after a large loss of bodyweight, your calorie requirement (metabolism) is lower than before. This is why many people regain—they go back to the way they used to eat. It’s an even worse idea to abruptly stop exercising along with this.

A good general guideline during maintenance is to perform 2-3 days per week of strength training, 2-3 days/week of formal moderate to intense cardio training and keep up an active lifestyle in general (lots of walking and recreational activity). Adjust your training and activity level as needed based on your results just like you did during the fat loss phase. Why be bound by rigid rules or confusing research? Regular progress check-ups for weight, body fat, measurements and visual appearance will tell you without a shred of doubt. And on the flip side of being more physically active…

5. Maintainers decrease sedentary activities. Long term maintainers are much more active than re-gainers, but they also make a conscious effort to cut back on sedentary recreational activities. It’s not just what activities you do that count, it’s what you don’t do. When you stop doing something sedentary, that will create a vacuum that begs to be filled, so to make the change stick, swap out the time you used to spend watching TV, surfing the web, playing video games or just lounging around for some kind of physical activity.

The best part of this strategy is that the new activity could still be recreational and fun, it simply has to burn some calories. Think about all the possibilities. This could be a great opportunity to take up some new activities, hobbies, or sports. These may not take the place of your formal exercise program (including both strength and cardio), but it will make a difference in helping you stay lean if you make it a part of your new lifestyle.

If you’re serious about maintenance, you’re going to need to stay active. But there’s no law that says you have to be indoors on a treadmill seven days a week, unless you want to.

6. Maintainers continue diligent self-monitoring. Research has proven over and over again that people who monitor their progress have a higher chance of succeeding at reaching their body fat goals. What clinches the deal is that self-monitoring of body weight and other measures of progress increases your chances for successful maintenance as well.
Among maintainers, the most 5 common self-monitoring methods include: tracking body weight, tracking calories, planning meals, tracking dietary fat intake, & measuring the amount of food.

Among the NWCR maintainers who lost 65 pounds or more and kept if off for at least 5 years, 75% of them reported weighing themselves at least once a week. Many weighed themselves daily. Once you hit your target weight, don’t put that scale away just yet! Weighing yourself not only helps you take the weight off, it helps you keep it off.


7. Maintainers respond quickly to counteract weight gain. One of the reasons that self-monitoring behaviors help so much is that they give you an early warning system to help put a lid on the weight creep. Putting a stop to creeping bodyweight also requires a certain mindset. The first part is a low level of tolerance for weight gain. Most successful maintainers have a rule for how much weight they’ll allow themselves to gain before they spring into corrective action.
 
Four pounds is a commonly cited figure. This makes perfect sense because most people say their normal weight fluctuation is about two to three pounds. As soon as they exceed that limit, they leap into action. When the early warning alarm goes off, they immediately go back into a caloric deficit by reducing food portions or increasing the number of calories burned through formal exercise.
 
The other side of killing the weight creep monster while it’s small is having high standards for the type of physique you want to maintain or develop. The majority of maintainers believe that it’s not okay to be overweight and it’s dangerous to be obese. Other people, usually those who are struggling with their weight, argue that you have to accept yourself the way you are to be mentally happy and healthy. I don’t think anyone would disagree with that, except that this is “either-or” thinking. Fat and person are separate things so you don’t have to accept them together. Fat is not a person, it’s a temporary physical condition. The person you are is much more than a mass of biological tissue. You can like and accept yourself as a person and at the same time proclaim that high body fat is unacceptable.
 
Unrealistic standards are certainly a possibility, so set yours based on what you really want, not what society says or implies is the ideal. Raising standards doesn’t mean getting skinnier and skinner. High standards include excellent body composition and all the other aspects of fitness including strength, muscularity, endurance, flexibility and aerobic capacity. But almost all of us are so far away from our true physical potential and have so much room for improvement that it’s silly to downsize our goals and dreams because someone else thinks they’re unrealistic.
 
8. Maintainers continue using social support. Ongoing social support is one of the secrets of successful maintenance. Not just casual social support, but professional coaching or support as well. If you choose to continue with coaching, counseling, or membership in some kind of fitness group, you can rest assured it will be one of the best investments you ever make. Not only do maintainers seek support from professionals, they also use their natural social network to help them cope with personal problems. Re-gainers on the other hand, lack coping skills, they try to handle problems alone and they lapse back into using food as a coping mechanism.
 
Whether or not you work with a professional into the maintenance phase is your decision, but if you’ve ever relapsed in the past, give serious consideration to using formal support after you reach your ideal weight. Most of the people who get past the 1-year mark have good prospects for maintaining their new weight for the long term, so having a coach or trainer for that period would be a great idea. 
 
9. Maintainers become coaches and role models. Support is a circle, not a 1-way transaction. Someone gives support, someone receives it and then the receiving party either returns the favor to the same person or “pays it forward” to someone else. One of the best maintenance strategies is becoming a coach and support partner after you achieve your goals. Not only will you be returning the goodwill you received from others when you needed help, you’ll be keeping yourself motivated by taking a leadership position where others are looking up to you. To avoid disappointing them, you have to be congruent and practice what you preach.
 
Being a coach or support friend for others could be as simple as posting your success story on a website or contributing to an online community. You might even become involved in the health and fitness business more formally. I believe that part of our purpose on this Earth is to serve other people. When you serve others, you get an incredible feeling you can’t get any other way. Emotional eaters use food as a way to make themselves feel better, but food wasn’t meant for that purpose. If you want a way to genuinely feel better, try service.
 
Give something back. Do it for selfish reasons if no other, because being a role model for others helps you achieve your own goals. Imagine what would happen if every person who achieved and maintained their ideal weight “paid it forward” by helping three other people reach and maintain their ideal weight. Maybe that’s just a cute idea from a movie. But maybe it’s much more.
 
10. Maintainers have vision. As you may have noticed, I do recommend setting short, mid and long term goals, including 12 week goals. I recommend planning by the 7-day week, and I suggest setting up your training in neatly organized 4 week blocks and 8 week cycles. I also think competitions are a great idea.
 
But fitness is not a 7 week or a 3-month program, it’s a lifestyle. Forgive me the cliché, but there’s no better approach to nutrition, training and health than thinking of fitness as a lifestyle. Programs and goals are just stepping stones, not the journey itself.
 
If the only plans you make are for winning a 12-week transformation contest or for looking good for a trip to the beach in 30 days, what’s going to keep you going after that? Even 5, 10 and 20 year goals have an ending point. What then? That’s where a vision comes into play. A vision is the big picture of what you want for your body and your health, but unlike a goal, a vision has no end point. You don’t arrive there or get it, you live it.
 
Putting a man on the moon before the end of the decade was a goal. The exploration and conquest of space is a vision. If there was no vision, would anyone be talking about going to Mars today? Here’s an example in the context of business: Goal: To own a health club. Vision: To build a national fitness company that inspires thousands of people to achieve their health and fitness goals. Now here are some examples in the area of fitness, sports and weight control.
 
Goal: To win the overall national bodybuilding championship title. Vision: To continuously improve and become the best natural bodybuilder I can be.
Goal: To complete a full triathlon. Vision: To continuously improve my performance and become the best athlete I can be.
Goal: To lose 100 pounds Vision: To easily maintain my ideal weight, improve my health, increase my quality of life and inspire other people with my success story
Each time you achieve a goal, you have to keep asking, what’s next? But if you have no vision, you’ll be at a loss for an answer. If you have a vision, the next step is an obvious and natural progression.
 
What’s your big picture? What’s your vision? Think about it hard and write it down. Then think about it some more and make it clearer and clearer. Vision, the never ending pursuit of new goals and personal improvement will be the driving forces that inspire, motivate and energize you for the rest of your life.
Train hard and expect success!


Saturday, August 27, 2016

'How could our country lie so completely?': meet the North Korean defectors

The article is a bit long, but worth the time if you want to know what a despicable North Korea is.

Meet the North Korean defectors


Monday, August 22, 2016

Foul mouth bird

This is not the cockatoo you want to bring home to give to mom.

Foul mouth bird


Wednesday, August 17, 2016

Dancing dog

I've watched this a dozen times.
This dog is having the time of it's life.
Enjoy.

https://www.youtube.com/watch?v=u-1I1z0Lz0Q

Tuesday, August 16, 2016

Jesus loves the Olympics

This broadcast is about the 2016 Olympic Games, but it's also a series of observations (ok, rants) by Seth Andrews on athletic God-speak, genuflection, glory, and the notion that Jesus cares who wins the gold medal.

Jesus loves the Olympics


Saturday, August 13, 2016

Is this person worthy of being POTUS?

Sorry. Maybe I'm just being realistic.



Friday, August 12, 2016

Wednesday, August 10, 2016

Faith healers and psychics

Flood Myths and Sunken Arks — Who needs to believe in Noah’s Ark and why?




Should the Noah’s Ark story be taken literally?

Readers of Skeptic would probably react with shock that such a question should even be asked in these pages. “You’ve got to be kidding!” might be an appropriate response. For us, today, yes, it is something of a small joke even to pose such a question. Yet, as we all know, there are those who would answer with a resounding “YES!” These are the fundamentalists, Biblical literalists, and creationists. If it is our goal at the Skeptics Society, as noted in our statement of purpose (in the words of Baruch Spinoza) “not to ridicule, not to bewail, not to scorn human actions, but to understand them,” then we must ask this question from a historical point of view.

It may have been the intention of the original authors to convince their readers that these stories are true, in the sense we use the word today. But this in no way means that we should interpret them literally, any more than we would today paint wild animals on cave walls and assume the purpose of such an activity would be the same as it was for Cro-Magnon humans so long ago. Likewise, it would be ahistorical of us to assume these figures are “art” by our usage of the word. Historians know how dangerous it can be to apply modern standards and definitions to historical people, places, and things. Similarly, skeptics know how misleading it can be to adopt historical interpretations of longgone centuries to the modern world. We have, after all, learned a few things about nature in the past 3,500 years!

Those who do take the flood story literally, then, believe they should because they assume that people did back then. Our biblical ancestors may have needed such literal interpretations. Creationists and the like need them today because they are, in this sense, ahistorical. If the Bible contains moral homilies relevant for today, then why not take the rest of it at face value? The argument makes no sense from a modern perspective, but then these folks are living in the past—literally! — Executive Editor

=====================================================

BY GERALD A. LARUE

Questioning the validity of the biblical flood story rests on the findings of a number of different but related fields, including archaeology, the historical-literary analysis of the Bible, and geology, not to mention good old common sense. It is to these, instead of faith, to which we turn for a skeptical analysis of the source and meaning of the flood story—for those who came before, and for us.
From the Sumerian Deluge Story
Archaeology
Archaeological excavation has produced tablets containing the oldest known versions of the Near Eastern flood story that, since they pre-date the Noah story, shed some light on the origins of this all-important myth. In the third millennium B.C.E., in a Sumerian tale, the flood hero is a priest-king named Ziusudra. From the fragmented text we learn that he built a boat and that after the flood he made animal sacrifices to the gods of Sumer.
A more detailed flood myth was included in the Babylonian story (second millennium B.C.E.) of a legendary King of Uruk named Gilgamesh, who learned of the flood from an ancestor named Utnapishtim. Warned by the Babylonian earth-god Ea that the gods were about to destroy all life by a flood, Utnapishtim was instructed to build an ark in the form of a cube, 120 cubits (180 feet) in length, breadth, and depth, with seven floors each divided into nine compartments, and to take aboard one pair of each living creature. After the flood, because Utnapishtim saved the “seed of life,” he was granted immortality. Motifs in the Babylonian account are echoed later in the Noah story:
  1. Both heros are warned of the flood and told to build an ark. Both take aboard living creatures in pairs.
  2. Both send out birds: Utnapishtim sent a raven that did not return; Noah sent a dove.
  3. Both arks landed in mountainous areas: Utnapishtim’s on Mount Nisir (identified as Pir Omar Gudun); Noah’s in “the mountains of Ararat,” not on Mount Ararat.
  4. Both heros offered sacrifices after disembarking.
The Gilgamesh epic circulated for centuries throughout the Near East and was known in Palestine before the coming of the Hebrews. D. G. Wiseman noted that a fragment of the text was found in the 14th-century B.C.E. level during the excavation of Megiddo, Israel. Literary comparisons make it clear that the biblical flood stories are borrowed from older versions of the tale.
Archaeological researchers have suggested that the Near Eastern flood myth may have its origin in the actual flooding by the Tigris and Euphrates rivers. During the excavation of ‘al Ubaid, Sir Leonard Woolley found a deep level of river silt covering habitation, indicating that the site had been completely inundated. Above the silt layer community living began again. Such flood experiences may lie behind the Mesopotamian deluge stories. The myth would not normally develop in Israel where the only river—the Jordan— flows for most of its length below sea level. It would clearly seem that the Hebrew tale is borrowed and has it origin in these mythological models explaining the real actions of nature.



Tuesday, August 09, 2016

Monday, August 08, 2016

7 Changes to Make if You Want to Lose 20 Pounds or More

When it’s more than those "last five pounds".  By K. Aleisha Fetters

As exciting as it can be to think about slipping back into your favorite summer dress 20 pounds lighter and feeling healthier, the immediate question of “How the hell do I actually lose the weight?” can be straight-up scary. Take a deep breath. You’ve got this. Here, we ID the seven things you need to do to reach your healthy weight—and stay there for good.

1). Strategize a long term plan! “Substantial weight loss is not a sprint. It’s not even a marathon. It’s the rest of your life,” says Janet Hamilton, C.S.C.S., an exercise physiologist with Running Strong in Atlanta. “It is your new normal.” When you're trying to lose a sizeable amount of weight, it’s extra critical to find a weight-loss approach that you can envision yourself using, well, forever. After all, a meta-analysis published in the Journal of the American Medical Association concluded that the best diet is one that you can stick with over the long term. However, it’s true that adopting a “new normal” always feels a bit challenging at first.

2). Master the big stuff.  “I always look at trying to lose a large amount of weight like making a sculpture," says Albert Matheny, R.D., C.S.C.S., a registered dietitian and trainer with SoHo Strength Lab in New York City.  When you sculpt something, you have to build a base before you get into details, he says. Translation: Start with general changes, like integrating more veggies into your meals and eating breakfast every day, as opposed to the nit-picky stuff like switching up the creamer in your coffee. You can work on the finer points after you get the big stuff down pat.

3). Don’t obsess over the scale. The one-to-two pounds of weight loss per week rule applies whether you have five or 50 pounds to lose, says Matheny. (FYI: Cutting 500 calories a day by eating healthier and exercising will get the job done.) But if you're trying to drop a substantial amount, that timeline can seriously delay your goal-weight gratification. Instead of getting hung up on the scale, zone in on other payoffs associated with your new and improved lifestyle. Maybe it’s sleeping better, having more energy, or being able to run a mile, says Baltimore-based trainer Erica Suter, C.S.C.S. These are all signs that you’re making huge progress and getting healthier—which is the point of losing weight in the first place.

4). Start weight-loss boosting habits. The silver lining of having a lot to lose is that you can achieve a healthy caloric deficit with relatively small changes to your overall eating habits and exercise routine. Don’t underestimate the benefits of taking your conference calls standing, parking farther from the supermarket’s entrance, or having a refillable water bottle
 on you at all times. Sure, it's not the same as a solid sweat session or eating salads every day, but it will make a dent in your calorie burn.

5). Progressively cut calories. To lose weight, you need to eat fewer calories than you burn per day. But as you drop pounds, your body doesn't need as many calories to subsist as it did before. Here's why: Calories are energy. And the smaller your body is, the less energy you burn through each day. Plus, through the process of slimming down, you'll probably lose some muscle, the furnace fueling your metabolism. Finally, the more weight you lose, the harder your body works to hold onto every calorie you consume, a phenomenon known as starvation mode, says Hamilton.

“Basically, you require fewer calories to maintain your new weight than someone of the same weight who was never overweight,” she says. This last sucky side effect frequently happens to people who lose 10 percent or more of their body weight. For that reason, staggering the amount of calories you cut as you lose weight can help your body adjust to its new energy intake. Try cutting 500 calories from your daily food intake when you first start out. If a month or two in you start plateauing for two weeks or more, you might need to cut another 100 calories, says Matheny. Still, it's important to make sure you never get below 1,200 calories per day.

6). Lift something heavy. We beat this drum a lot around here because, hey, strong is the new sexy. And when it comes to weight loss, more strength training = more fat loss
. Like we said, as you lose weight, your basal metabolic rate (the number of calories you burn just breathing) drops, along with your lean muscle mass. Strength training is your best bet to combat both issues, says Suter. Aim to hit the weight room 2 or 3 days each week, depending on your resistance training experience and how hard you’re able to work out during each session.

7). Love your body.  Getting down on yourself does absolutely zero to fuel your weight-loss results. “Confidence in yourself is critical for staying motivated in your pursuit to drop pounds,” says Suter. Focus on nurturing your body and giving yourself props for all of the strong, awesome things you can do. Simply looking in the mirror and saying, “I am loving my body toward a healthier weight,” is a good place to start, she says.

The Truth About Hillary's Bizarre Behavior

Make your own judgement.


The Truth About Hillary's Bizarre Behavior



Sunday, August 07, 2016

Bill Clinton's loving wife - fact check

By
Richard Morris, former political adviser to President Bill Clinton

If you happen to see the Bill Clinton 5-minute TV ad for Hillary in which he introduces the commercial by saying he wants to share some things we may not know about Hillary's background, beware. As I was there for most of their presidency and know them better than just about anyone, I offer a few corrections.

Bill says: "In law school, Hillary worked on legal services for the poor."
The facts are: Hillary's main extra-curricular activity in law school was helping the Black Panthers, on trial in 
Connecticut for torturing and killing a federal agent. She went to court every day as part of a law student monitoring committee trying to spot civil rights violations and develop grounds for appeal.

Bill says: "Hillary spent a year after graduation working on a children's rights project for poor kids."
The facts are: Hillary interned with Bob Truehaft, the head of the California Communist Party. She met Bob when he represented the Panthers and traveled all the way to San Francisco to take an internship with him.

Bill says: "Hillary could have written her own job ticket, but she turned down all the lucrative job offers."
The facts are: She flunked the DC bar exam; yes, flunked. It is a matter of record, and only passed the Arkansas bar. She had no job offers in Arkansas - none - and only got hired by the University of Arkansas Law School at Fayetteville because Bill was already teaching there. She did not join the prestigious Rose Law Firm until Bill became Arkansas Attorney General and was made a partner only after he was elected Arkansas Governor.

Bill says: "President Carter appointed Hillary to the Legal Services Board of Directors and she became its chairman."
The facts are: The appointment was in exchange for Bill's support for Carter in his 1980 primary against Ted Kennedy. Hillary then became chairman in a coup in which she won a majority away from Carter's choice to be chairman.

Bill says: "She served on the board of the Arkansas Children's Hospital."
The facts are: Yes, she did. But her main board activity, not mentioned by Bill, was to sit on the Walmart board of directors for a substantial fee. She was silent about their labor and health care practices.

Bill says: "Hillary didn't succeed at getting health care for all Americans in 1994, but she kept working at it and helped to create the Children's Health Insurance Program (CHIP) that provides five million children with health insurance."
The facts are: Hillary had nothing to do with creating CHIP. It was included in the budget deal between Clinton and Republican Majority Leader Senator Trent Lott. I know; I helped negotiate the deal. The money came half from the budget deal and half from the Attorney Generals' tobacco settlement. Hillary had nothing to do with either source of funds.

Bill says: "Hillary was the face of America all over the world."
The facts are: Her visits were part of a program to get her out of town so that Bill would not appear weak by feeding stories that Hillary was running the White House. Her visits abroad were entirely touristic and symbolic and there was no substantive diplomacy on any of them.

Bill says: "Hillary was an excellent Senator who kept fighting for children's and women's issues."
The facts are: Other than totally meaningless legislation like changing the names on courthouses and post offices, she has passed only four substantive pieces of legislation. One set up a national park in Puerto Rico. A second provided respite care for family members helping their relatives through Alzheimer's or other conditions. And two were routine bills to aid 911 victims and responders which were sponsored by the entire NY delegation. Presently she is trying to have the US memorialize the Woodstock fiasco of 40 years ago.



Saturday, August 06, 2016

The 7 Most Toxic Materials in Your Home -- And the Best Alternatives


by  
To optimize your health, take a look at what's in your home.
To optimize your health, take a look at what's in your home. Photo Credit Twenty20/chrispoops
Is there anything out there that is safe to use?
Over recent years, there's been an uptick in research and conversation around toxins, and while consumer education should leave us empowered, it seems like we're left walking around with a laundry list of chemicals to avoid.
And though there's been over 25 years of groundbreaking studies, rising public awareness and new government regulations, we've still got a lot to learn. What we do know is that there are a few substances — many of which you have in your home right now — that are more dangerous than you think.
Thankfully, we've uncovered some simple alternatives to these home toxins so you can safeguard your health and home sanctuary, and improve your local environment to boot!
Plus, we all need a great excuse for redecorating.

1. Antibacterial Soap

Just by washing your hands you could be wreaking havoc on your hormones. The antimicrobial chemical triclosan found in many antibacterial soaps, body washes, toothpastes and some cosmetics may disrupt your thyroid function and hormone levels. Additionally, many health experts believe that overuse of antibacterial chemicals promotes the growth of bacteria that are resistant to antibacterial treatment.
For a better alternative, just use simple soap and water. If you like to use hand sanitizer, look for one that is alcohol-based and doesn’t list triclosan (or triclocarban) or other antimicrobial or antibacterial ingredients.

2. Flame Retardants

As a clever solution to avoid home fires, flame retardants were added to furniture in the early 1970s. The most harmful of them are polybrominated diphenyl ethers (PBDEs, commonly found in household plastics as well as furniture cushioning), which have been shown to contribute to lowered cognitive functioning, according to the Washington Post.
PBDEs are also linked to fertility problems and lower birth weights. So how in the world do PBDEs get into your body? They are constantly being expelled as sneaky little dust particles that end up on the floor (where children play) or on your hands. Then, when you eat something they are easily transmitted into your body.
In addition to upholstered furniture, flame retardants are found in 80 percent of children’s products, such as changing pads, nursing pillows and car seats. The most commonly used is chlorinated tris, which may contribute to increased tumor rates in kidneys and testes, some of which are cancerous.
While it may not be the smartest idea to avoid flame retardants altogether, there are ways to minimize their impact. Dust and vacuum your home frequently — dust can bind to flame-retardant particles, making them more potent.

3. Teflon Pans

While nonstick cookware can be a real lifesaver for cleanup, the toxic fumes released from Teflon pots and pans at high temperatures can kill pet birds (the fumes from an overheated pan can kill a bird in just a few seconds) and cause humans to develop flu-like symptoms. And according to an EWG-commissioned test, cooking for just two to five minutes on a conventional stovetop was enough time for Teflon coating to break apart and emit toxic particles and gases.
Cast iron pans are a safe alternative to Teflon.
Cast iron pans are a safe alternative to Teflon. Photo Credit sergio_kumer/iStock/Getty Images
Perfluorinated chemicals (PFCs) are found in supercharged doses in Teflon-coated pots and pans. These chemicals have a very long half-life, making the true level of their damage hard to pinpoint; however, initial studies show that they may cause infertility, low birth weight, elevated cholesterol, abnormal thyroid hormone levels, liver inflammation and a weakened immune system.
So here’s what you buy instead: Look for pots and pans that don’t have the words “Gore-Tex” or “Teflon” (like cast iron or copper cookware). These safer pans may be more difficult to clean, but what’s the cost of your health? If it’s outside your budget to ditch your Teflon pans right now, you can minimize your risk by using an exhaust fan over the stove and by heating your pans at temperatures lower than 500 degrees Fahrenheit. And, of course, always keep pet birds out of the kitchen!

4. BPA

For the past 40 years the chemical BPA has been used to harden plastic, so these suckers are tough to avoid. According to research, more than 90 percent of us have BPA in our bodies right now (yikes).
The main culprits? We’re most exposed to the chemical from eating food that has been stored in containers made with BPA. And while there has been a large movement to switch to BPA-free water bottles and baby bottles, BPA is lurking in your canned goods as well.
The FDA used to say that BPA was safe at current low levels, but with new research, there is now “some concern” about BPA’s potential effects on the brain, behavior and prostate glands in fetuses, infants and young children.
Buy buying dry beans from your local market you avoid the risk of BPA exposure.
Buy buying dry beans from your local market you avoid the risk of BPA exposure. Photo Credit Pedro_Turrini/iStock/Getty Images
To protect yourself against BPA, opt for glass-jarred fruits and vegetables instead of cans, especially for tomatoes and tomato paste (acids in the tomatoes can leach BPA out of canned linings and into your food). You should also only use glass or ceramic dishes in the microwave. Microwaving plastic (even if it says it is “microwave safe”) can leach chemicals into food while heating, so heat your food on a stovetop whenever possible.
Also consider alternative ways to prepare foods that you may traditionally get from a can. Soak beans overnight before cooking them or simply use a pressure cooker for dried beans to enjoy them in about an hour.

5. Vinyl Shower Curtains

You know that new-shower-curtain smell? Well, according to a study by the Center for Health, Environment & Justice (CHEJ), the Washington Toxics Coalition, People for Puget Sound and the Toxic-Free Legacy Coalition, what you’re smelling is as many as 100 toxic chemicals released into the air from PVC vinyl shower curtains.
Vinyl shower curtains contain many harmful chemicals, including volatile organic compounds (VOCs), phthalates and organotins. Vinyl curtains often contain high levels of phthalates, which are used to soften the material.
While the full effects of this chemical remain unknown, certain kinds are considered by the National Toxicology Program as “reasonably anticipated to be a human carcinogen.” Additionally, toxic chemical off-gassing from PVC shower curtains may contribute to respiratory irritation, damage to the central nervous system, liver and kidneys, nausea, headaches and loss of coordination.
But there’s good news! It’s easy to avoid these risks by simply choosing curtains made of cotton, polyester or nylon.

6. Formaldehyde

Formaldehyde is used in many manufacturing processes. When an item gives off formaldehyde, it is released into the air (it has a pickle-like odor) through a process called off-gassing, making it part of the VOC chemical group. A known toxin, formaldehyde is commonly found in pressed-wood products, (such as plywood, particle board, paneling) foam insulation, wallpaper and paints, some synthetic fabrics and some cosmetics and personal products.
According to the National Cancer Institute, short-term exposure to formaldehyde may result in immediate symptoms, including eye, nose and throat irritation, coughing, headaches, dizziness and nausea. Long-term exposure to formaldehyde may cause some types of cancer.
To reduce your exposure to formaldehyde, opt for furniture that is 100 percent hardwood, and ask about the formaldehyde testing reports for the product before purchasing. You should be able to obtain this material from the manufacturer.
Also, consider adding plants that can remove formaldehyde from your home and elevate your decor! Bamboo palm, Chinese evergreen, English ivy, gerbera daisy and peace lily are examples of plants particularly good at removing formaldehyde, as well as other airborne toxins, from indoors.
Gerbera daisies will add color to your home,and rid airborne toxins.
Gerbera daisies will add color to your home,and rid airborne toxins. Photo Credit tesdei/iStock/Getty Images

7. Synthetic Pesticides

If it can harm a pest, chances are it’s not that great for you. More research needs to go into testing synthetic pesticides to determine which ones are safe and which are not, but for now it’s best to avoid them as much as possible. Researchers have linked these pesticides to various forms of cancer, including Non-Hodgkin lymphoma. Insecticides have also been connected to brain damage in children.
Sometimes you can’t get around using a pesticide in your home, but you can avoid pests by cleaning up crumbs. If you still struggle with pests, experiment with natural pest repellents like cedar, which repels moths, citrus peels, which keeps spiders at bay, and lemon eucalyptus oil which is just as effective as DEET at repelling mosquitoes..


Wednesday, August 03, 2016

Monday, August 01, 2016

Uncertainty in Medicine

BY HARRIET HALL, M.D.

One of the reasons I went into medicine was the naïve idea that doctors always know what to do. I was wrong. Marya Zilberberg got it right when she said, “The only certain thing about medicine is uncertainty.” Patient histories are uncertain, physical exams are uncertain, tests are uncertain, diagnoses are uncertain, treatments are uncertain, even human anatomy is uncertain. Doctors are not scientists; they are practical users of science who apply scientific evidence to patient care. 

Medicine deals in probabilities and informed guesses, not certainties. Symptoms can mean many things. They can be a sign of serious illness requiring treatment, an illness we don’t yet know how to identify and treat, a benign condition that will resolve without treatment, a hyper-awareness of normal bodily functions, depression, somatization disorder, malingering, or a cry for help. It’s called electromagnetic hypersensitivity or EHS. 

The patient’s account of his symptoms and medical history is uncertain. Memory is unreliable. We forget, we distort, and we remember things that never happened. Patients want to present themselves in a good light; they tend to underestimate their alcohol and tobacco use and hesitate to mention sexual indiscretions and foolish use of nonsensical remedies. Their answers to “how much pain on a scale of 1 to 10” depend on variables such as their current mood and their degree of stoicism.

Doctors do a “review of systems” (often by a printed questionnaire) asking about symptoms in different body systems (respiratory, gastrointestinal, etc.). Answers will depend on how significant the patient thinks the symptoms are. One patient may answer “no” to heartburn because he thinks his heartburn is not worth mentioning; another may say “yes” because he remembers he had a mild burning sensation for about 2 minutes once last month. 

Physical exams are uncertain. It’s easy to miss an abnormality like an enlarged spleen unless you suspect it and try hard to find it. Even anatomy is uncertain. Some people have reversed organs (situs inversus), where the heart is on the right and the appendix on the left. Some are missing a kidney. The location of blood vessels and nerves is variable. Look at the veins on the back of your hands; they’re not in exactly the same place on each hand. 

Even something as apparently straightforward as the obstetrician’s announcement “It’s a boy!” can be wrong. In my recent article on gender differences (“Gender Differences: What Science Says and Why It’s Mostly Wrong” in Skeptic 18.2) I listed five determinants of biological sex in a newborn (sex chromosomes, gonads, hormones, internal genitalia, and external genitalia) and the many ways in which each of these can go wrong. Other factors later in life contribute to classification of sex and gender: development of secondary sexual characteristics at puberty, the sex the person was reared as, gender self-identification, object of desire, behavior, dress, role in society, and legal gender. […]