Mortality

100 - Tidy Conversations, Sweat, and Grim Reaping- HealthHippieMD Week In Review

In honor of my 100th newsletter, would you please do me a favor and forward this emair to at least one interested friend? Thank you!

Ozempic Your Brain

A recent study in Lancet eClinical Medicine suggests that semaglutide, the active ingredient in Ozempic, might lower the risk of cognitive decline and dementia in type 2 diabetes patients. Analyzing data from over 100,000 patients, researchers found those on semaglutide had lower rates of cognitive issues compared to those on other diabetes medications. While the findings show a significant link, they do not establish causation, prompting calls for further clinical trials. Experts believe Ozempic's neuroprotective effects, anti-inflammatory properties, and enhanced glucose utilization in the brain may contribute to these promising outcomes. Study: Ozempic Could Lower Dementia Risk, Cognitive Decline.

Tidy Conversations

How to talk to aging parents about downsizing and decluttering - The Washington Post (gift article) discusses the delicate process of talking to aging parents about downsizing and decluttering. It emphasizes the importance of approaching the conversation with empathy, respecting parents' autonomy, and setting clear intentions. Experts suggest initiating discussions by posing neutral questions and involving parents in decision-making. The process should be gradual to avoid overwhelming parents and ensure meaningful items aren't discarded. Tips include categorizing items, using sticky notes for organization, and considering the sentimental value of belongings. The article also advises how to navigate unwanted heirlooms and the benefits of donating items to meaningful organizations.

Pancreatic Cancer's Silent Switcheroo

Recent research reveals pancreatic cancer's cunning strategy: it deactivates a crucial gene, HNF4A, via DNA methylation, allowing rapid growth and spread. This aggressive cancer, often detected too late, has a bleak prognosis, with over half of patients dying within three months of diagnosis. Scientists emphasize the urgency of understanding this mechanism to develop better treatments. The study highlights how HNF4A loss contributes to cancer's severity, offering insights that could pave the way for future, more effective, less invasive therapies. Pancreatic Cancer Turns Off a Key Gene In Order to Grow | WIRED.

AI vs. AI

The article discusses a novel method where one AI language model interrogates another to detect inaccuracies, known as hallucinations, in AI responses. These hallucinations range from harmless errors to potentially dangerous mistakes in critical areas like medical advice. Researchers have developed a system where a second AI checks the consistency of multiple answers from the first AI, identifying outliers to spot inaccuracies. This method improves detection accuracy but comes with high energy costs and needs to be foolproof, highlighting the ongoing challenges in AI reliability and accuracy. Can One Chatbot Catch Another's Lies? | Scientific American.

Meat the Future

Researchers are closing the gap between lab-grown and conventional beef by enhancing cultured meat with compounds from the Maillard reaction responsible for cooked meat's savory flavors. This advancement, published in Nature Communications, allows lab-grown meat to release authentic beefy aromas at high temperatures. By integrating furfuryl mercaptan and other Maillard products into a hydrogel scaffold, the team achieved a flavor profile closer to natural beef. This breakthrough could improve public perception and scalability of cultured meat, paving the way for a more sustainable and cruelty-free alternative to traditional meat. Lab-Grown Meat Is Getting Closer to Tasting Like Real Beef | Scientific American.

Sweet and Low-Down

Since their debut in the 1950s, artificial sweeteners have promised to curb the cravings of America's sweet tooth without the calorie count of sugar. These sugar substitutes are now widespread in diet sodas, breads, yogurts, and even coffee. However, their safety has been under scrutiny for decades. Research remains inconclusive and sometimes contradictory, leaving many questions about their health impacts. Despite widespread use, experts like Dr. Dariush Mozaffarian from Tufts University argue that more human studies are needed to understand their benefits and risks fully. Are Artificial Sweeteners Safer Than Sugar? - The New York Times (gift article).

Truth About Sweat

In Stop Feeling Bad About Sweating | TIME, author Sarah Everts delves into the misunderstood world of perspiration. Sweating, often maligned and masked by whole-body deodorants, is a remarkable cooling mechanism that sets humans apart in the animal kingdom. While marketing tactics exploit our insecurities, encouraging the overuse of deodorants can disrupt our skin's microbiome. Beyond its cooling function, sweat plays a role in personal scent identity, which fosters emotional connections. Embracing our natural sweat can shift the narrative from shame to acceptance, recognizing its vital role in survival and social bonds.

Weight a Minute: Rethinking the Obesity-Health Link

Researchers have identified a phenomenon called metabolically healthy obesity (MHO), where individuals classified as obese based on their BMI exhibit no health issues typically associated with obesity, such as high blood pressure or insulin resistance. This condition challenges the traditional notion that obesity inherently leads to poor health. Studies reveal that 6% to 60% of obese adults could be metabolically healthy, suggesting the need to reconsider the stigmatization of larger body sizes and the accuracy of BMI as a sole health metric. Understanding MHO may help destigmatize larger bodies and promote a more nuanced view of weight and health. People Who Are Fat and Healthy May Hold Keys to Understanding Obesity | Scientific American.

Vax to the Future: Shots Lower Long Covid Odds

A new study published in The New England Journal of Medicine confirms that COVID-19 vaccines significantly reduce the risk of developing long-term COVID-19. Researchers analyzed the health records of nearly 450,000 Covid-infected individuals and over 4.7 million non-infected people in the U.S. Veterans Affairs health system. Findings reveal that vaccinated individuals had a much lower incidence of long-term COVID-19 than their unvaccinated counterparts. Despite this, a residual risk remains for vaccinated people, suggesting that while vaccines mitigate long-term COVID-19, they don't eliminate it. Vaccines Significantly Reduce the Risk of Long Covid, Study Finds - The New York Times (gift article).

Grim Reaping the Benefits

Contemplating death, or "memento mori," can enrich our lives by highlighting the importance of living fully. In her book "You Only Die Once," Jodi Wellman argues that acknowledging our mortality can lead to a more meaningful and vital existence. By considering "temporal scarcity," we value our limited time more. This perspective encourages prioritizing what truly matters and helps avoid regrets. Positive psychology supports this duality of appreciating life's joys alongside its inevitable hardships. Embracing death reminders, like counting our remaining Mondays, can inspire us to live more purposefully and joyfully. Memento mori: Why thinking about death enriches your life - Big Think. +see also: "Memento Mori": The Reminder We All Desperately Need.

054 - Cheating Death, Ultralearning, and Harmonious Disputes - HealthHippieMD Week In Review

Cheating Death

In the article How Old Can Humans Get? - Scientific American, scientist João Pedro de Magalhães speculates on extending human lifespans to 1,000 years through genetic alterations. By studying the genomes of long-lived animals, Magalhães envisions reprogramming aging at the cellular level, envisioning a future where humans could defy their genetic "software" to delay or reverse aging. Though practical challenges remain, Magalhães' geroscience insights prompt consideration of profound interventions that might extend human lifespans far beyond the present norm.

Books to Enhance Creativity

The Economist published a list of books on fostering creativity: What to read to become more creative

Ultralearning

On my quest to learn to play the guitar, I came across multiple mentions of the book Ultralearning: Master Hard Skills, Outsmart the Competition, and Accelerate Your Career. Although I bought the book in 2019, I have yet to dig in. Ultralearning is now on top of my "to read" pile.

Scentinel Health

Smell's connection to memory and emotion is being recognized anew, as studies reveal its crucial role in detecting brain diseases early. Loss of smell, or hyposmia, has emerged as an indicator of neurodegenerative disorders such as Parkinson's and Alzheimer's, even including conditions like Huntington's disease and multiple sclerosis. Researchers propose that olfactory bulb neurons, responsible for smell processing, could play a role in the early stages of brain diseases. Beyond disease prediction, smell also correlates with overall health and mortality risk, making the nose a potential health "scentinel." Why Loss of Smell Can Be an Early Sign of Brain Diseases Like Alzheimer's.

Constipation Linked to Cognitive Decline

New research from AAIC 2023 suggests chronic constipation, infrequent bowel movements, may indicate cognitive decline. Individuals facing such constipation exhibit cognitive aging equivalent to three years, with a 73% higher likelihood of subjective cognitive decline. This groundbreaking study highlights the interconnectedness of gut health and brain function, encouraging discussions about constipation and its management to mitigate dementia risks potentially. Studies exploring the relationship between gut bacteria and Alzheimer's biomarkers reveal intriguing connections, paving the way for novel therapeutic avenues. Constipation Associated with Cognitive Aging & Decline | alz.org

Unraveling Traveler's Constipation

Why do trips lead to constipation? The phenomenon is "traveler's constipation," which affects approximately one in three individuals, disrupting regular bathroom habits. Dehydration, immobility during flights, changes in sleep routines, and shifts in eating habits contribute to the issue. Scientists suggest staying hydrated, exercising, and incorporating fiber-rich foods like fruits and vegetables to prevent constipation. Hydrating foods, adjusting sleep schedules, and managing alcohol intake can also help. Why Do I Get Constipated When I Travel? - The New York Times

AI Enabled (Travel) Lists? Yes, Please

A new app, Soka, caught my attention. I spent the morning generating automated local and international lists of things I'd like to do, see, and eat. Söka: An AI Assisted App to Track Your Bucket Lists

Obesity Drug Reduces Heart Risks

The obesity drug Wegovy has demonstrated a 20% reduction in serious heart problems in a recent clinical trial, potentially pressuring insurers to cover the treatment. This trial marks the first to reveal that obesity drugs like Wegovy can enhance heart health, reinforcing the link between obesity and medical risks. The findings, as yet unpublished in a peer-reviewed journal, may encourage insurers to support the treatment, despite its high cost. Wegovy's capacity to improve patients' lives and medical outcomes could change the perspective on treating obesity, emphasizing aggressive intervention. Wegovy Cuts Risk of Heart Problems, Novo Nordisk Trial Says - The New York Times

The Healthy Info Pitfall

While HIPAA (Health Insurance Portability and Accountability Act) covers medical institutions' data security, personal health data collected at home isn't protected. Wearable trackers and health-related apps fall outside HIPAA's umbrella, putting users at risk. Patients must remember that individual-generated data isn't secure under HIPAA. What Doctors Wish You Knew About HIPAA and Data Security | WIRED

Grain Brain (mice)

A study by University of Otago researchers reveals that wheat gluten consumption triggers brain inflammation in mice, with potential implications for humans. While prior research linked gluten to weight gain and inflammation in the digestive system, this study identifies the first-ever connection between gluten and brain inflammation in the hypothalamic region, which regulates metabolism. Though the exact mechanism remains uncertain, this discovery raises concerns about long-term effects, including weight gain, blood sugar disruption, and memory impairment. While not advocating a blanket gluten-free diet, the findings suggest avenues for future research in human health. Wheat Gluten Spurs Brain Inflammation - Neuroscience News

Colonic Sensation (mice)

In a groundbreaking study, Harvard researchers have distinguished five distinct sensory neuron types in the colon, shedding light on the gut-brain connection. These neurons transmit diverse signals to the brain, with some responding to gentle movements and others to intense sensations like pain. Mimicking neurons found in the skin, this discovery in mice suggests potential cross-organ function conservation. If confirmed in humans, the findings could revolutionize gastrointestinal treatments by targeting specific neurons and understanding how mechanical forces translate into nervous system signals. Untangling Gut Feelings: Revealing the Colon's Sensory Neurons - Neuroscience News

Harmonious Disputes

When disagreements arise between partners, unfounded assumptions can intensify arguments. Termed "unconscious storytelling," this phenomenon involves imagining what the other person is thinking or feeling. Instead, renowned family therapist Terrence Real suggests using "the feedback wheel," a concise four-sentence method for sharing perceived slights. The phrases include describing facts of the situation, sharing your perspective, expressing emotions, and stating what would help. Shifting from anger to vulnerability fosters effective communication and promotes relationship repair. Fighting With Your Partner? Use These 4 Phrases - The New York Times

What Are Functional Foods

Here is an excellent article on functional foods: Does an apple a day keep the doctor away? A nutritionist explains the science behind 'functional' foods

046 - Holobionts, Embracing Death, and the Moral Crisis of Physicians - HealthHippieMD Week In Review

Embrace Death for a Happier Life

Contemplating mortality may seem grim, but it is critical to a fulfilling existence. Drawing inspiration from Randy Pausch's remarkable Last Lecture, experts argue that acknowledging our finite existence enhances happiness. Avoiding thoughts of death leads to regret and postponing meaningful experiences. By embracing the reality of death, we make wiser choices, cherish relationships, and appreciate life's fleeting moments. Deliberately confronting mortality cultivates positive thinking and clarity, enabling us to live each day to the fullest. Think About Your Death and Live Better - The Atlantic

Taurine: a Longer Life or Just Bull?

A recent study in the journal Science suggests that taurine, a common amino acid, may be essential to anti-aging and longevity. Researchers discovered that taurine levels decline as organisms age, leading to tissue damage. However, supplementing taurine in the diets of worms, mice, and monkeys extended their lifespans and reversed age-related damage in their muscles, bones, and brains. More research is needed.Can Taurine, Found in Energy Drinks, Slow Down Aging? - The New York Times

Bots with Bedside Manner

In the article, Doctors Are Using ChatGPT to Improve How They Talk to Patients - The New York Times (gift article) the unexpected use of artificial intelligence (AI) chatbot ChatGPT by doctors is explored. While AI models like ChatGPT have the potential to assist with mundane tasks and improve efficiency, doctors have discovered their value in enhancing compassionate communication with patients. (Thanks, NextDraft)

We Are Multitudes: The Rise of Holobionts in Biology

In a paradigm shift for biology, the concept of "holobionts" is gaining recognition, emphasizing the interconnectedness of animals, plants, and their microbiota. The Leverhulme Centre for the Holobiont studies insects, amphibians, and plants to understand the symbiotic relationships within these organisms. Holobionts challenge the notion of a monogenic individual, highlighting the importance of the microbiome in evolution, health, and even agriculture. By unraveling the intricacies of holobionts, scientists are uncovering new insights into the world of multi-organismal biology. The idea of "holobionts" represents a paradigm shift in biology.

A New Beatles Song, Thanks to AI

The Beatles are going to release a new song later this year. Paul McCartney said he used technology to 'extricate' John Lennon's voice from an old demo and complete a decades-old piece. I can't wait. AI used to create new and final Beatles song, says Paul McCartney | The Guardian

The Military Method for Falling Asleep Quickly

A brief article with a method used by the U.S. Army to promote sleep in the worst conditions: The 5-step "military method" for falling asleep in minutes.

Sound Check: Noise and Health

"Chronic noise exposure is not just a nuisance, scientists say. It's a health risk." The article Are You Exposed to Too Much Noise? Here's How to Check. - The New York Times (gift article) explores the detrimental effects of chronic noise exposure on both hearing and cardiovascular health. As noise levels continue to rise, the risks of cardiovascular disease increase. The article provides resources for measuring noise exposure, such as an online noise map and the NIOSH Sound Level Meter app. It also offers tips for protecting oneself. By understanding and managing noise exposure, individuals can safeguard their well-being.

The Moral Crisis of American Doctors

The article, The Moral Crisis of America's Doctors - The New York Times (gift article), about the corporatization of medicine, spoke deeply to me. A must read.....

Distract to Connect

New research suggests that shared distraction can be a more effective way to foster genuine connections in a world obsessed with constant attention. Engaging in activities that divert focus from ourselves, such as physical exercise or exploring the environment, enhances social connectedness and creative thinking. By embracing distractions and incorporating them into our interactions, whether online or in person, we can strengthen relationships and enjoy more enriching conversations. Embrace Distraction. Your Friends Will Thank You. - The Atlantic

NCCIH Free Online Education

The National Center for Complementary and Integrative Medicine (NCCIH) has an expanding library of free educational seminars on the science behind complementary and integrative approaches: NCCIH Online Continuing Education Series.

Going the Extra Mile

In the article, Overtraining syndrome: How much exercise is too much,, Slate explores the dark side of endurance running and the potential for it to become a form of self-harm. While exercise is widely recognized for its physical and mental health benefits, pushing the boundaries can have detrimental effects. The article delves into personal stories of individuals addicted to pain and extreme physical challenges, highlighting the need to recognize one's limits and prioritize overall well-being. The author emphasizes the importance of finding a balance between perseverance and excess in the pursuit of athletic achievements.

How To Exercise When It's Humid

Humidity is ratcheting up here in North Carolina. The New York Times had a piece on exercising in humid weather: Tips for Exercising in Humidity.

003 - Mad Honey, Frisson, and Psychedelic Capitalism - HealthHippie Week In Review - July 31, 2022

1. High on Honey

I had never heard of "Mad Honey." The article Can mad honey get you high? A bee expert reveals the answer. The psychoactive ingredient in Mad Honey is Grayanotoxin, a neurotoxin that works by changing sodium-gating in cells. Mad Honey is produced in Nepal and Turkey, but Mad Honey Disease (intoxication with Mad Honey) is seen worldwide thanks to the Dark Web. Mad Honey is used as an aphrodisiac to treat various GI ailments and hypertension.

2. A Walk in the Park

I came across an article from 2018, The Secret to Good Health May Be a Walk in the Park - The New York Times The connection between parks and health is well established, but I learned quite a few things. The rankings have changed since the article was written in 2018. This year, Washington, D.C was rated #1. North Carolina does not fare well for its beauty and open space. Raleigh, NC's top park city, is #50 in the top 100 metropolitan areas. Explore your city's rank with the ParkScore Index.

3. Umami

A brief overview of the fifth taste, Umami: Umami: You never say its name, yet you taste it every day - Big Think

4. The Microbiome and Longevity

I found an interesting press release from 2017, Gut bacteria might one day help slow down aging process, and I had to learn more. So I downloaded the paper, 'Inside Out'- a dialogue between mitochondria and bacteria - PubMed. Most of the work focused on observing the role of Colanic Acid, an E. Coli derivative, in the aging process of worms. The longevity boost appeared mediated through the mitochondria (the powerhouses of each cell). The authors were hopeful the finding would translate into humans as Colanic Acids work similarly in worms, fruit flies, and cultured mammalian cells.

5. Circadian Rhythms and Exercise

There is an age-old debate about the best time of day to exercise. Your body has an internal clock that dictates when you eat, sleep, and might have a heart attack – all based on time of day describes some pre-clinical work to answer this decades-long debate.

6. Psychedelic Capitalism

There is a gold rush when a paradigm-shifting discovery arrives in medicine. So it is with the (re)emerging domain of psychedelics. The article The High-Stakes Race to Engineer New Psychedelic Drugs, focuses on one of the prominent (controversial) companies in the new psychedelic race, Compass Pathways, and its star chemist, Jason Wallach.

7. Music and Pain Relief (Music-Induced Analgesia)

Anything that mentions music and medicine catches my eye. I read Why does music numb physical pain? Scientists uncover clues . The article summarizes the findings in Sound induces analgesia through corticothalamic circuits recently published in Science. In mice, several types of Sound, pleasing (at least to humans, unknown in mice), discordant, and white noise, all seemed to influence pain perception similarly through modulation of thalamic circuitry. I plan to pay close attention to the emerging studies of music-induced analgesia.

8. Oura adds Blood Oxygen Sensing

I wrote about my love for my Oura Ring. This week, Oura is rolling out night-time oxygen sensing. Third-generation rings will measure blood oxygen and breathing regularity, both impaired with serious health problems such as sleep apnea and/or lifestyle choices such as alcohol before bedtime. The addition of the new variables "provide a more comprehensive assessment of sleep health and physiology." I'm a fan, except the new feature significantly impacts how often I have to recharge my ring.

9. How to Read Effectively

I love the Farnum Street newsletter, blog, and podcast. The host, Shane Parrish, never disappoints in his thoughtfulness and approach to topics. It is a rare week I don't learn something from him. I found this video on YouTube, How to Become a Better Reader (read less, learn more). The video is a brief overview of HOW to read. Here is the FS blog entry on the same topic. If you'd like to learn more about extracting and retaining knowledge, the book How to Take Smart Notes: One Simple Technique to Boost Writing, Learning, and Thinking is a classic. I've always been more digital than analog and am enamored with Personal Knowledge Management (PKM) software to keep track of notes. I'm especially fond of Obsidian and DEVONthink. For more on idea generation and knowledge management, please see Zettelkasten Management 2022 using Obsidian, Drafts, and Devonthink and my other entries at wippp.com.

10. Rethinking Alzheimer's

For as long as I remember, toxic proteins have been thought to cause Alzheimer's Disease. But recently, scientists contend our understanding of the disease is at best incomplete and at worst wrong: We might have Alzheimer's all wrong.

11. Follow the White Light

The article, After death, you're aware that you've died, say scientists, was the strangest I read this week. Scientists studying Near-Death Experiences (NDE) try to explain the common phenomenon reported by those that die and are resuscitated. Although the mechanisms are unclear, these scientists believe we remain conscious for up to 20 seconds after our breathing and hearts stop. The article also mentions a study in rats that showed a surge of electrical signals moments before brain death. I saw something similar in a case in the OR. Our original observation during organ donation prompted this case study: Processed Electroencephalogram During Donation After Cardiac Arrest.

12. This Playlist is Scientifically Verified to Give you Chills

Most of us have had a feeling of "frisson" (the sense of hair raising on the back of the neck) when listening to music, observing beautiful art, hearing poetry, or viewing brilliant scenes in nature. The article Frisson: This playlist is scientifically verified to give you chills, discusses the phenomenon in depth and includes a link 715 Songs to Give you Frisson I'm slowly working my way through.

+This band consistently gives me Frisson-Echo Sessions 63 - Dirtwire - Full Show

+Another fascinating article discussing how personality type influences musical preference: Your music preferences reveal your personality traits.

13. Akkermansia Muciniphilia

For the duration of my almost 20-year fascination with the microbiome, certain bacteria keep popping up. One of the bacteria that seem to be continually in the literature is Akkermansia muciniphilia. A. mucinophilia appears to play a critical role in immunity and immunity homeostasis. It has purported roles in obesity, inflammatory bowel disease, diabetes, and cancer immunotherapy efficacy. The manuscript, Akkermansia muciniphila phospholipid induces homeostatic immune responses is the latest article I've read on the biochemistry involved in immune regulation.