
Finding Geriatric Doctors for Seniors
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It’s Q&A Day at 10almonds!
Have a question or a request? You can always hit “reply” to any of our emails, or use the feedback widget at the bottom!
In cases where we’ve already covered something, we might link to what we wrote before, but will always be happy to revisit any of our topics again in the future too—there’s always more to say!
As ever: if the question/request can be answered briefly, we’ll do it here in our Q&A Thursday edition. If not, we’ll make a main feature of it shortly afterwards!
So, no question/request too big or small
❝[Can you write about] the availability of geriatric doctors Sometimes I feel my primary isn’t really up on my 70 year old health issues. I would love to find a doctor that understands my issues and is able to explain them to me. Ie; my worsening arthritis in regards to food I eat; in regards to meds vs homeopathic solutions.! Thanks!❞
That’s a great topic, worthy of a main feature! Because in many cases, it’s not just about specialization of skills, but also about empathy, and the gap between studying a condition and living with a condition.
About arthritis, we’re going to do a main feature specifically on that quite soon, but meanwhile, you might like our previous article:
Keep Inflammation At Bay (arthritis being an inflammatory condition)
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Redcurrants vs Cranberries – Which is Healthier?
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Our Verdict
When comparing redcurrants to cranberries, we picked the redcurrants.
Why?
First know: here we’re comparing raw redcurrants to raw cranberries, with no additives in either case. If you buy jelly made from either, or if you buy dried fruits but the ingredients list has a lot of added sugar and often some vegetable oil, then that’s going to be very different. But for now… Let’s look at just the fruits:
In terms of macros, redcurrants are higher in carbs, but also higher in fiber, and have the lower glycemic index as cranberries have nearly 2x the GI.
When it comes to vitamins, redcurrants have more of vitamins B1, B2, B6, B9, C, K, and choline, while cranberries have more of vitamins A, B5, and E. In other words, a clear win for redcurrants.
In the category of minerals, redcurrants sweep even more convincingly with a lot more calcium, copper, iron, magnesium, phosphorus, potassium, selenium, and zinc. On the other hand, cranberries boast a little more manganese; they also have about 2x the sodium.
Both berries have generous amounts of assorted phytochemicals (flavonoids and others), and/but nothing to set one ahead of the other.
As per any berries that aren’t poisonous, both of these are fine choices for most people most of the time, but redcurrants win with room to spare in most categories.
Want to learn more?
You might like to read:
Health Benefits Of Cranberries (But: You’d Better Watch Out)
Take care!
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In Defense of Food – by Michael Pollan
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Eat more like the French. Or the Italians. Or the Japanese. Or…
Somehow, whatever we eat is not good enough, and we should always be doing it differently!
Michael Pollan takes a more down-to-Earth approach.
He kicks off by questioning the wisdom of thinking of our food only in terms of nutritional profiles, and overthinking healthy-eating. He concludes, as many do, that a “common-sense, moderate” approach is needed.
And yet, most people who believe they are taking a “common-sense, moderate” approach to health are in fact over-fed yet under-nourished.
So, how to fix this?
He offers us a reframe: to think of food as a relationship, and health being a product of it:
- If we are constantly stressing about a relationship, it’s probably not good.
- On the other hand, if we are completely thoughtless about it, it’s probably not good either.
- But if we can outline some good, basic principles and celebrate it with a whole heart? It’s probably at the very least decent.
The style is very casual and readable throughout. His conclusions, by the way, can be summed up as “Eat real food, make it mostly plants, and make it not too much”.
However, to summarize it thusly undercuts a lot of the actual value of the book, which is the principles for discerning what is “real food” and what is “not too much”.
Bottom line: if you’re tired of complicated eating plans, this book can help produce something very simple, attainable, and really quite good.
Click here to check out In Defense of Food, for some good, hearty eating.
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Your Science-Based Guide To Losing Fat & Toning Up
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This health coach researched the science and crunched the numbers so that you don’t have to:
Body by the numbers
Let’s get mathematical:
Total Daily Energy Expenditure (TDEE) consists of:
- Basal Metabolic Rate (BMR): 70% of daily calorie burn (basic body functions, of which the brain is the single biggest calorie-burner)
- Non-Exercise Activity Thermogenesis (NEAT): 15% (the normal movements that occur as you go about your daily life)
- Exercise Activity: 5% (actual workouts, often overestimated)
- Thermic Effect of Food (TEF): 10% (energy needed for digestion)
Basic BMR estimate:
- Women: body weight (kg) × 0.9 × 24
- Men: body weight (kg) × 24
But yours may differ, so if you have a fitness tracker or other gadget that estimates it for you, go with that!
Note: muscle burns calories just to maintain it, making muscle mass crucial to increasing one’s BMR.
And now some notes about running a caloric deficit:
- Safe caloric deficit: no more than 500 calories/day.
- Absolute minimum daily intake: 1,200 calories (women), 1,500 calories (men) (not sustainable long-term).
- Tracking calories is useful but not always accurate.
- Extreme calorie restriction slows metabolism and can lead to binge-eating.
- Your body will adjust to calorie deficits over time, making long-term drastic deficits ineffective.
Diet for fat loss & muscle gain:
- Protein Intake: 1.5–2g per pound of body weight.
- Aim for 30g of protein per meal (supports muscle & satiety).
- Protein has a higher thermic effect (20-30%) than carbs (5-10%) & fats (2-4%), meaning more calories are burned digesting protein.
- Fats are essential for hormone health & satiety (0.5–1g per kg of body weight).
- Carbs should be complex (whole grains, vegetables, fruits, etc.).
- Avoid excessive simple carbs (sugar, white bread, white pasta, etc) to maintain stable hunger signals.
- Hydration is key for appetite control & metabolism (often mistaken for hunger).
Exercise for fat loss & muscle gain:
- Resistance training (3-5x per week) is essential for toning & metabolism.
- Cardio is NOT necessary for fat loss but good for overall health.
- NEAT (non-exercise movement) burns significant calories (walking, taking stairs, fidgeting, etc.).
- “Hot girl walks” & daily movement can significantly aid weight loss.
- Women won’t get “bulky” from weight training unless they eat like a bodybuilder (i.e. several times the daily caloric requirement).
Some closing words in addition:
Poor sleep reduces fat loss by 50% and increases hunger. High stress levels lead to fat retention and cravings for unhealthy foods. Thus, managing stress & sleep is as important as diet & exercise for body transformation!
For more on all of this (plus the sources for the science), enjoy:
Click Here If The Embedded Video Doesn’t Load Automatically!
Want to learn more?
You might also like to read:
How To Lose Weight (Healthily) ← our own main feature about such; we took a less numbers-based, more principles-based, approach. Both approaches work, so go with whichever suits your personal preference more!
Take care!
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Toxic Gas That Sterilizes Medical Devices Prompts Safety Rule Update
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Over the past two years, Madeline Beal has heard frustration and even bewilderment during public meetings about ethylene oxide, a cancer-causing gas that is used to sterilize half of the medical devices in the U.S.
Beal, senior risk communication adviser for the Environmental Protection Agency, has fielded questions about why the agency took so long to alert people who live near facilities that emit the chemical about unusually high amounts of the carcinogenic gas in their neighborhoods. Residents asked why the EPA couldn’t close those facilities, and they wanted to know how many people had developed cancer from their exposure.
“If you’re upset by the information you’re hearing tonight, if you’re angry, if it scares you to think about risk to your family, those are totally reasonable responses,” Beal told an audience in Laredo, Texas, in September 2022. “We think the risk levels near this facility are too high.”
There are about 90 sterilizing plants in the U.S. that use ethylene oxide, and for decades companies used the chemical to sterilize medical products without drawing much attention. Many medical device-makers send their products to the plants to be sterilized before they are shipped, typically to medical distribution companies.
But people living around these facilities have been jolted in recent years by a succession of warnings about cancer risk from the federal government and media reports, an awareness that has also spawned protests and lawsuits alleging medical harm.
The EPA is expected to meet a March 1 court-ordered deadline to finalize tighter safety rules around how the toxic gas is used. The proposed changes come in the wake of a 2016 agency report that found that long-term exposure to ethylene oxide is more dangerous than was previously thought.
But the anticipated final rules — the agency’s first regulatory update on ethylene oxide emissions in more than a decade — are expected to face pushback. Medical device-makers worry stricter regulation will increase costs and may put patients at higher risk of infection from devices, ranging from surgical kits to catheters, due to deficient sterilization. The new rules are also not likely to satisfy the concerns of environmentalists or members of the public, who already have expressed frustration about how long it took the federal government to sound the alarm.
“We have been breathing this air for 40 years,” said Connie Waller, 70, who lives with her husband, David, 75, within two miles of such a sterilizing plant in Covington, Georgia, east of Atlanta. “The only way to stop these chemicals is to hit them in their pocketbook, to get their attention.”
The EPA says data shows that long-term exposure to ethylene oxide can increase the risk of breast cancer and cancers of the white blood cells, such as non-Hodgkin lymphoma, myeloma, and lymphocytic leukemia. It can irritate the eyes, nose, throat, and lungs, and has been linked to damage to the brain and nervous and reproductive systems. Children are potentially more vulnerable, as are workers routinely exposed to the chemical, EPA officials say. The agency calculates the risk based on how much of the gas is in the air or near the sterilizing facility, the distance a person is from the plant, and how long the person is exposed.
Waller said she was diagnosed with breast cancer in 2004 and that her husband was found to have non-Hodgkin lymphoma eight years later.
A 2022 study of communities living near a sterilization facility in Laredo found the rates of acute lymphocytic leukemia and breast cancer were greater than expected based on statewide rates, a difference that was statistically significant.
Beal, the EPA risk adviser, who regularly meets with community members, acknowledges the public’s concerns. “We don’t think it’s OK for you to be at increased risk from something that you have no control over, that’s near your house,” she said. “We are working as fast as we can to get that risk reduced with the powers that we have available to us.”
In the meantime, local and state governments and industry groups have scrambled to defuse public outcry.
Hundreds of personal injury cases have been filed in communities near sterilizing plants. In 2020, New Mexico’s then-attorney general filed a lawsuit against a plant in Santa Teresa, and that case is ongoing. In a case that settled last year in suburban Atlanta, a company agreed to pay $35 million to 79 people who alleged ethylene oxide used at the plant caused cancer and other injuries.
In Cook County, Illinois, a jury in 2022 awarded $363 million to a woman who alleged exposure to ethylene oxide gas led to her breast cancer diagnosis. But, in another Illinois case, a jury ruled that the sterilizing company was not liable for a woman’s blood cancer claim.
Greg Crist, chief advocacy officer for the Advanced Medical Technology Association, a medical device trade group that says ethylene oxide is an effective and reliable sterilant, attributes the spate of lawsuits to the litigious nature of trial attorneys.
“If they smell blood in the water, they’ll go after it,” Crist said.
Most states have at least one sterilizing plant. According to the EPA, a handful, like California and North Carolina, have gone further than the agency and the federal Clean Air Act to regulate ethylene oxide emissions. After a media and political firestorm raised awareness about the metro Atlanta facilities, Georgia started requiring sterilizing plants that use the gas to report all leaks.
The proposed rules the EPA is set to finalize would set lower emissions limits for chemical plants and commercial sterilizers and increase some safety requirements for workers within these facilities. The agency is expected to set an 18-month deadline for commercial sterilizers to come into compliance with the emissions rules.
That would help at facilities that “cut corners,” with lax pollution controls that allow emissions of the gas into nearby communities, said Richard Peltier, a professor of environmental health sciences at the University of Massachusetts-Amherst. Stronger regulation also prevents the plants from remaining under the radar. “One of the dirty secrets is that a lot of it is self-regulated or self-policed,” Peltier added.
But the proposed rules did not include protections for workers at off-site warehouses that store sterilized products, which can continue to emit ethylene oxide. They also did not require air testing around the facilities, prompting debate about how effective they would be in protecting the health of nearby residents.
Industry officials also don’t expect an alternative that is as broadly effective as ethylene oxide to be developed anytime soon, though they support researching other methods. Current alternatives include steam, radiation, and hydrogen peroxide vapor.
Increasing the use of alternatives can reduce industry dependence on “the crutch of ethylene oxide,” said Darya Minovi, senior analyst with the Union of Concerned Scientists, an advocacy group.
But meeting the new guidelines will be disruptive to the industry, Crist said. He estimates companies will spend upward of $500 million to comply with the new EPA rules and could struggle to meet the agency’s 18-month timetable. Sterilization companies will also have difficulty adjusting to new rules on how workers handle the gas without a dip in efficiency, Crist said.
The Food and Drug Administration, which regulates drugs and medical devices, is also watching the regulatory moves closely and worries the updated emissions rule could “present some unique challenges” if implemented as proposed, said Audra Harrison, an FDA spokesperson. “The FDA is concerned about the rule’s effects on the availability of medical devices,” she added.
Other groups, like the American Chemistry Council and the Texas Commission on Environmental Quality, the state’s environmental agency, assert that ethylene oxide use isn’t as dangerous as the EPA says. The EPA’s toxicity assessment has “severe flaws” and is “overly conservative,” the council said in an emailed statement. Texas, which has several sterilizing plants, has said ethylene oxide isn’t as high a cancer risk as the agency claims, an assessment that the EPA has rejected.
Tracey Woodruff, a researcher at the University of California-San Francisco who previously worked at the EPA, said it can be hard for the agency to keep up with regulating chemicals like ethylene oxide because of constrained resources, the technical complications of rulemaking, and industry lobbying.
But she’s hopeful the EPA can strike a balance between its desire to reduce exposure and the desire of the FDA not to disrupt medical device sterilization. And scrutiny can also help the device sterilization industry think outside the box.
“We continue to discover these chemicals that we’ve already been exposed to were toxic, and we have high exposures,” she said. “Regulation is an innovation forcer.”
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.
Subscribe to KFF Health News’ free Morning Briefing.
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Beetroot vs Pumpkin – Which is Healthier?
10almonds is reader-supported. We may, at no cost to you, receive a portion of sales if you purchase a product through a link in this article.
Our Verdict
When comparing beetroot to pumpkin, we picked the beetroot.
Why?
It was close! And an argument could be made for either.
In terms of macros, beetroot has about 3x more protein and about 3x more fiber, as well as about 2x more carbs, making it the “more food per food” option. While both have a low glycemic index, we picked the beetroot here for its better numbers overall.
In the category of vitamins, beetroot has more of vitamins B6 and B9, while pumpkin has more of vitamins A, B2, B3, B5, E, and K. So, a fair win for pumpkin this time.
When it comes to minerals, though, beetroot has more calcium, iron, magnesium, manganese, phosphorus, potassium, selenium, and zinc, while pumpkin has a tiny bit more copper. An easy win for beetroot here.
In short, both are great, and although pumpkin shines in the vitamin category, beetroot wins on overall nutritional density.
Want to learn more?
You might like to read:
No, beetroot isn’t vegetable Viagra. But here’s what it can do
Take care!
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Superfood Kale & Dill Pâté
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Most of us could do with eating more greens a lot of the time, but it’s not always easy to include them. This kale and dill pâté brings a healthy dose of green in luxurious style, along with abundant phytochemicals and more!
You will need
- 2 handfuls kale, stalks removed
- 1 cup soft cheese (you can use our Healthy Plant-Based Cream Cheese recipe if you like)
- 2 tbsp fresh dill, chopped
- 1 tsp capers
- 1 tsp black pepper, coarse ground
- ½ tsp MSG, or 1 tsp low-sodium salt
Method
(we suggest you read everything at least once before doing anything)
1) Steam the kale for about 5 minutes or until wilted and soft. Run under cold water to halt the cooking process.
2) Combine all the ingredients, including the kale you just blanched, in a food processor and blitz to make a smooth pâté.
3) Serve with oatcakes or vegetable sticks, or keep in the fridge to enjoy it later:
Enjoy!
Want to learn more?
For those interested in some of the science of what we have going on today:
Take care!
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