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A bummer for kids: Nasal flu vaccine not effective

For years, many kids could skip the traditional flu “shot” — along with the tears — and still be protected by the nasal spray vaccine also known as the LAIV (live attenuated influenza vaccine). But not this year. Studies now show that the nasal vaccine is quite ineffective, and pediatricians are starting to change their flu recommendations from a nose squirt to a shot.

Can super-sizing start with baby bottles?

Research suggests that super-sizing our meals doesn’t just create problems for adults–– when we increase the amount of food that infants and children eat, they gain weight. This weight gain during infancy can lead to over-weight children, and over-weight children are more likely to become over-weight adults. In order to make sure infants and children are a healthy weight, keeping the portion sizes kid-friendly is key.

Is an underlying condition causing your fuzzy thinking?

The top five causes you may be overlooking.


 Image: the-lightwriter/iStock

You know the feeling: you can't find a particular word, remember someone's name, or concentrate the way you once did. Is it just aging, or is something else to blame? "It's easy to underestimate how underlying conditions affect memory and thinking, and they are often overlooked," says Dr. Shreya Raj, a neuropsychiatrist with the Center for Brain/Mind Medicine at Harvard-affiliated Brigham and Women's Hospital.

Common causes

What you should do

When trouble with concentration or memory interferes with your day, it's probably time to talk to your primary care doctor. Report any additional symptoms you may be having, such as fatigue, muscle weakness, sadness, daytime sleepiness, or anxiety. You might need some blood tests to check your thyroid hormones or B12 levels (neither test is ordered routinely), or a sleep test if you have sleep apnea symptoms.

Often, treating an underlying condition can restore your clarity of thinking. "When we treat depression or sleep apnea, for example, we see a sudden improvement in memory and focus," says Dr. Raj. "And if a medication side effect is the problem, changing the dose or type of drug may resolve the problem."

If treating an underlying condition doesn't sharpen thinking skills, your doctor may refer you to a neuropsychologist for formal tests of your thinking ability, particularly signs of dementia. Most of the time, however, people with fuzzy thinking do not have dementia.

Fuzz busters

When you're struggling with fuzzy thinking, lifestyle changes like these can bring more clarity.

Get more sleep. Aim for seven to eight hours of sleep per night. "Older adults to tend to sleep less, but if you're getting too little sleep, you won't think as sharply as you could," says Dr. Shreya Raj. Boost your Z's by going to sleep and waking at the same time each day, and avoiding caffeine, particularly after noon.

Exercise more. Try to get 150 minutes of moderate-intensity activity per week, such as brisk walking. You'll get more sleep and boost blood flow to the brain. Many studies have shown that aerobic exercise in particular improves thinking skills.

Change your diet. "Not eating healthfully makes you more sluggish, even in thinking. Studies have shown the Mediterranean diet may improve cognitive function," says Dr. Raj. The diet includes fresh vegetables and fruits; whole grains; olive oil; nuts; legumes; fish; moderate amounts of poultry, eggs, and dairy; moderate amounts of red wine; and red meat only sparingly.

Image: JackF/Thinkstock

 

Loneliness and isolation raise risk for stroke and heart disease, study suggests

Loneliness and isolation are associated with an increased risk for developing coronary artery disease (CAD) and stroke.

What a therapist can do for you

Many men resist talking about their problems, but there are times when it's necessary.


Image: ArtemSam/Thinkstock

Men often like to think of themselves as the strong, problem-solver type who never needs help, especially when it comes to their emotional and mental issues. But men should never bottle up their feelings and tough it out, according to Dr. Darshan Mehta, medical director of the Benson-Henry Institute for Mind Body Medicine at Harvard-affiliated Massachusetts General Hospital.

"Your mental health is equally as important as your physical health and proper nutrition. Not addressing negative feelings can carry over to all aspects of your life and have a profound impact," he says.

Over-the-counter drugs may be linked to memory decline

A class of drugs commonly used in over-the-counter and prescription drugs to treat such problems as insomnia, diarrhea, high blood pressure, depression, and urinary incontinence may be linked to cognitive impairment. Scientists believe the drugs block the neurotransmitter acetylcholine that helps process information, which scientists believe is responsible for the effect. 

Lung disease in smokers who don’t have COPD

You probably know that smoking has enormous consequences for your health. One of the most common is chronic obstructive pulmonary disease (COPD), a disorder involving damage to the lungs. If you smoke, but you don’t have COPD, you may be tempted to think your lungs are relatively unharmed — but a recent study suggests that some smokers without COPD might still suffer lung damage.

The opioid crisis and physician burnout: A tale of two epidemics

Like many of us these days, doctors are feeling the pressure of being asked to do more work in less time. This burnout is a big problem for both doctors and their patients, and it has big consequences — some obvious, some less so. In this post, Dr. Adelman explores the relationship between physician burnout and another big problem facing the country — the opioid epidemic.

Opioid crisis: The difference between sympathy and empathy

When a patient calls a new doctor begging for a refill on their pain medication, what should the doctor do? Denying medication to someone in significant pain seems unethical — but denying it to someone who’s suspected to be reselling it is a whole different story. Doctors now have systems in place to help them make the right call. But even these systems can’t replace the most critical piece of the puzzle — empathy.

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