Fatigue

116 - Ailing America, Authenticity, Forbidden Fruit, and Venom - HealthHippieMD Week In Review

Ailing America: Why U.S. Healthcare Misses the Mark

Despite its wealth, technology, and high spending, the U.S. healthcare system ranks last among ten high-income countries across access, outcomes, and efficiency. With persistent insurance gaps, high out-of-pocket costs, and insufficient primary care access, Americans experience lower life expectancy and higher avoidable mortality than their peers. Even the best-performing U.S. states fall short of global standards. While structural issues such as poverty and inequality exacerbate challenges, reforms like broadening coverage, lowering costs, and strengthening primary care could significantly close the gap in healthcare performance. Why the U.S. Healthcare System Is So Much Worse Than Its Peers-Harvard Business Review.

Venom: The Bitter Pill That Heals

Gila monster venom paved the way for groundbreaking weight-loss and diabetes drugs like Ozempic, but its potential is just the tip of the fang. From tarantula venom aiding nerve research to cone snails delivering hypoglycemia-inducing toxins, venoms have evolved from biological weapons to pharmaceutical treasures. They act as nature’s Swiss Army knives, packed with peptides and proteins, offering targeted, potent solutions. Despite challenges like extinction and extraction, venom research reveals our shared molecular blueprints, promising innovations in cancer treatment, pain relief, and more—proving that even the deadliest bites can lead to life-saving breakthroughs. Venom Helped Create Weight-Loss Drugs. What Else Could It Do For Us? - The New York Times (gift article).

True to Self: Authenticity’s Inner Workings

What does authenticity mean? How to be more authentic. - The Washington Post (gift article) explores the profound psychological benefits of authenticity, framing it as a dynamic process of self-determination and alignment with personal values. Researchers argue that authenticity strengthens mental health, fosters meaningful relationships, and provides a deep sense of life purpose. Authenticity involves being truthful and actively choosing actions that resonate with one’s ideals, enhancing self-control, resilience, and decision-making. In contrast, inauthenticity can lead to anxiety and diminished life satisfaction. Individuals can find a more meaningful and fulfilling life path by pursuing goals rooted in personal values and staying open to evolving self-discovery.

Gene Insurance, No Coverage Guaranteed

As genetic testing becomes familiar, a troubling trend emerges: insurers are legally denying coverage based on genetic predispositions, creating a new form of discrimination. Kristen V. Brown highlights cases where individuals like “Bill,” a healthy man with a genetic marker for ALS, are refused policies or face inflated premiums due to perceived health risks. Though the Genetic Information Nondiscrimination Act (GINA) protects against genetic bias in health insurance and employment, life, disability, and long-term-care insurers face no such constraints. This legal gap fuels fears, deterring many from getting genetic tests that could aid in early disease prevention. They Were Denied Insurance After a DNA Test - The Atlantic.

Walk the Walk

Walking isn’t just a leisurely activity; it’s a powerful, accessible way to improve fitness, mental health, and weight management. This article details how adding intentional walking workouts—like intervals, step counting, and strength combos—can help you increase calorie burn and keep walks engaging. Fitness coach Michele Stanten shares top tips, including structuring walks as workouts and turning mundane steps into effective, fun routines. From desk-side walking pads to strolls during phone calls, you’ll find practical ideas to sneak in steps and reap walking’s full health benefits. How You Should Add Walking Workouts to Your Routine - Men's Health.

Pump Up Your Positive Vibes

Want to Feel Happier? Here’s How to Cultivate Positive Emotions. - The New York Times (gift article) delves into “reward sensitivity,” the psychological drive to seek and savor positive emotions. A clinical psychologist, Jenny Taitz outlines research-backed methods to help boost happiness, even for those prone to feeling low or anxious. Techniques include planning daily joyful activities, savoring the moment, expanding vocabulary for positive emotions, and visualizing uplifting outcomes. Taitz emphasizes that growing the habit of noticing and relishing joy strengthens one’s motivation to engage in future pleasurable experiences, transforming life’s small moments into meaningful mental boosts.

+An excellent app by the author of Permission to Feel: Unlocking the Power of Emotions to Help Our Kids, Ourselves, and Our Society to help with one of the suggestions of the article - expanding your feelings vocabulary. How We Feel App.

When Tired Minds Turn Testy

New research reveals that prolonged mental fatigue, or “ego depletion,” triggers changes in the brain’s frontal cortex, leading to increased aggression and diminished cooperation. During tasks requiring self-control, fatigued participants exhibited sleep-like brain activity, indicating localized “brain naps” in regions critical for decision-making. EEG scans confirmed these changes, showing that mental exhaustion disrupts impulse control and decision quality. Through economic games, fatigued individuals were found to be notably less cooperative and more hostile, underscoring the potential impact of mental fatigue on daily interactions, negotiations, and even legal scenarios. Mental Exhaustion Drives Aggressive Behavior - Neuroscience News.

Rat Race Reimagined

In a unique study, neuroscientist Kelly Lambert taught rats to drive mini cars, revealing that anticipation of enjoyable experiences may boost brain health and resilience. Rats that anticipated driving to earn a treat displayed behaviors linked to excitement, like standing with tails high. The study showed that positive experiences, not just stress, shape neuroplasticity and the brain’s ability to adapt. Lambert’s findings suggest that embracing joy and anticipation can transform behavior and mental health in rats and humans, underscoring the value of enjoying life’s journey, not just the destination. I’m a neuroscientist who taught rats to drive − their joy suggests how anticipating fun can enrich human life.

The Brain Isn’t the Only Keeper of Memories

Traditionally, memories are believed to reside solely in the brain, but a new study reveals that non-neural cells in the body also hold a memory function. Scientists at NYU found that cells outside the brain can “learn” and activate a memory gene in response to specific patterns of chemical signals, similar to how brain cells respond during spaced learning. This discovery suggests memory might be a cellular feature beyond the brain, potentially impacting future treatments for memory-related conditions and enhancing learning by targeting body-wide cellular responses. Memories are not only in the brain, human cell study finds (thanks, Amy!).

Forbidden Fruit Loophole: Why Some Banned Foods Make It to U.S. Plates

The U.S. food approval system allows certain additives banned in other countries to remain on American grocery shelves. Unlike Europe, which adopts a precautionary stance, the U.S. regulatory process is constrained by funding, industry influence, and a significant loophole: the “Generally Recognized as Safe” (GRAS) exemption. This GRAS policy lets companies self-determine safety without FDA review, leading to chemicals like titanium dioxide in foods despite potential risks. While some states are moving to ban specific additives, federal change remains slow, hindered by resource limitations and competing priorities within the FDA.Why US foods, including Halloween candy, have additives and chemicals banned in other countries | Vox.

036 - Xenopharmacology, Serious Play, and the Happiest Country on Earth - HealthHippieMD Week In Review

Phages and Multi-Resistant Bacteria

What will we use when traditional antibiotics are no longer effective? Many believe we will use phages: In the War on Bacteria, It's Time to Call in the Phages

Prebiotics > Probiotics

Probiotics are not the panacea the industry would lead you to believe: Probiotic supplements claim to boost gut health, but may do opposite (gift article). See also Are Probiotics Making You Fat? probiotics, prebiotics, and fermented food — HealthHippieMD

Telehealth Facility Fees. Really?

I read an interesting story about facility fees. It doesn't seem right patients are charged a facility fee, even if they don't visit the facility. Making a telehealth appointment? You might still pay a facility fee. (gift article)

Hiccups and Cancer

Here is an article with everything you'd like to know about hiccups and a few things you might not: Hiccups have a curious connection to cancer

The Neuroscience of Spiritual Experiences

What is the science behind spiritual experiences, and how do they work from a neuroscientific standpoint? I learned quite a bit from the video: The neuroscience of spiritual experiences +More on mysticism and spirituality: The psychedelic origins of ancient mystical rites

Dad Jokes

Ever wonder why dads are singled out for their groan-worthy humor? This article is for you: What Makes a 'Dad Joke'?

Humor's Impact on Happiness

Here are some valuable hints on humor and happiness from the "How to Build a Life" Series: You Can Tell Bad Jokes and Have a Great Sense of Humor

You Could Care Less

"Humans, by nature, are social beings who crave connection, intimacy, and relationships. Caring about what others think of us is part of that desire to make connections and feel accepted." But what if you put too much weight on what others think? How to Not Care What People Think: 15 Expert Tips. See also: Why You Should Stop Caring What Other People Think (Taming the Mammoth) - Wait But Why

Tofu

The New York Times tackles tofu. Is it healthy or not? Is Tofu Good for You?

How Psychedelics Influence Depression

Psychedelic psychotherapy is all the rage now. What is the science behind psychedelics' potentially beneficial effects on mental health? How psychedelic drugs may help with depression | National Institutes of Health (NIH)

Xenopharmacology

I'm fascinated by this topic, especially for pharmaceutical-dependent areas of medicine such as anesthesiology. As always, Scientific American publishes scientific ideas on the cutting edge. Further kudos to SI for featuring a neighbor (Matt Redinbo) in their article: How Gut Microbes Shape Our Response to Drugs

Animals and Childhood Allergies

An article in the Economist summarized a recent study published in PLOS One. "Children in households with dogs, the researchers found, had lower rates than average of allergies to eggs, milk, and nuts. Those cohabiting with cats seemed more tolerant of eggs, wheat, and soybeans. However, children whose parents kept "turtles" (terrapins, in particular, are popular pets in Japan) appeared unaffected. And, curiously, those exposed to hamsters appeared more likely than average to be allergic to nuts." More evidence that animals reduce childhood allergies

FDA's Dietary Supplement Ingredient Database

"To help manufacturers, retailers, and consumers of dietary supplements stay informed about recent developments and locate information on FDA's website quickly, we have put together an "ingredient directory" with links to FDA's actions and communications concerning particular dietary ingredients and other ingredients used in products marketed as dietary supplements." Dietary Supplement Ingredient Directory

Tripping in the Bronze Age

"A new study based on strands of hair found in a Spanish burial cave reveals that humans living about 3,000 years ago used hallucinogens, likely derived from local plants, as part of their rituals." Tripping in the Bronze Age

On the Topic of Earworms

Everything you'd like to know about the musical phenomenon of Earworms: Song Stuck in Your Head? What Earworms Reveal About Health

Pet Head-Tilts

Dogs have many endearing behaviors. One of my favorites is the head-tilt: Why do dogs tilt their heads? It may signal intelligence.

Finland: The Happiest Country on Earth?

Finland once again led the list of the world's happiest countries. The why is far from cut and dry: "It turns out even the happiest people in the world aren't that happy. But they are something more like the content." Why Is Finland the Happiest Country on Earth? The Answer Is Complicated.

Getting to the Bottom of Fatigue

Fatigue is an important sign. Here is what to pay attention to Fatigue can have many causes. There are ways to ease it. (gift article)

Spring Cleaning (Your Brain)

Here are some tips from WaPo on using the Spring to revamp your life: How to spring clean your brain (gift article)

Play, Video Games, and Learning

Much of my research over my last years at Duke had to do with the use of video games in education and patient care. Here is a look at state of the art in the field: To Supercharge Learning, Look to Play [^1] See also Education is Broken and my other lectures at Presentations on my ePortfolio.


[^1]: I own shares of Akili Interactive whose EndeavorRx is mentioned in the article.