I don't want to overgeneralize, but when it comes to patients, all old women love me.
Partially because I really try to relate to them. I ask them about their kids and their grandkids. Again, I don't want to overgeneralize, but all old women love to talk about their grandkids. Although I do pretty well with the ones who don't have grandkids too. Like, we talk about bridge. I think deep down, I'm actually a 70-year-old woman.
The only problem is that once I get them talking, it's hard to stop. I find it very easy to do a directed history on a chatty patient, but I feel bad interrupting someone in the middle of a story about their grandchild. But if I let them, each of these patients would go on for hours and I'd get home sometime after midnight.
Any advice on how to cut these conversations short after a respectable amount of time?
Monday, May 21, 2018
Thursday, May 10, 2018
Vitamin D
Vitamin D seems to be the new big thing. I've had multiple friends tell me they were feeling tired, then they were diagnosed with Vitamin D deficiency and started feeling better after taking supplements. We check Vit D levels all the time on patients. I myself have been a believer in the Vit D hype, and even take supplements myself.
But now this review has come out, stating that "Routine vitamin D supplementation does not prolong life, decrease the incidence of cancer or cardiovascular disease, or decrease fracture rates... Randomized controlled trials of vitamin D supplementation in the treatment of depression, fatigue, osteoarthritis, and chronic pain show no benefit, even in persons with low levels at baseline."
Interesting. I have to admit, it gives me pause. Is all the Vit D hype over nothing? Is this like when I used to take zinc when I thought I was getting sick?
But now this review has come out, stating that "Routine vitamin D supplementation does not prolong life, decrease the incidence of cancer or cardiovascular disease, or decrease fracture rates... Randomized controlled trials of vitamin D supplementation in the treatment of depression, fatigue, osteoarthritis, and chronic pain show no benefit, even in persons with low levels at baseline."
Interesting. I have to admit, it gives me pause. Is all the Vit D hype over nothing? Is this like when I used to take zinc when I thought I was getting sick?
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