Medical tourism diaries: Korea –new posts

November 30th, 2007 by David E. Williams of the Health business blog

I’m just back from my medical tourism trip to Korea. It’s been a very long day. I’m starting to post some more of my diary entries. So far I have:

I also did a podcast interview with James Bae of the Council for Korea Medicine Overseas Promotion, which I posted on the Health Business Blog as well.


Posted in Medical travel/medical tourism | No Comments »

Change of Shift is up at Dr. Anonymous

November 30th, 2007 by David E. Williams of the Health business blog

Change of Shift, the nursing blog carnival, is up at Dr. Anonymous.


Posted in Announcements, Blogs | 1 Comment »

Medical tourism interview: James Bae of the Council for Korea Medicine Overseas Promotion

November 29th, 2007 by David E. Williams of the Health business blog

I’m nearing the end of my medical tourism trip to Korea, which you can read more about at MedTripInfo.com. Most of the week has been spent in Seoul, but we took a side trip to Busan to see a couple of hospitals there. On the way back I interviewed James Bae, who organized the trip on behalf of the Council for Korea Medicine Overseas Promotion. We were traveling at almost 300 kilometers per hour while making this recording. I think you’ll be impressed with how little background noise there is.

David Williams interviews James Bae


Posted in Medical travel/medical tourism, Podcast | 3 Comments »

Fidgeting and puttering to lose weight

November 28th, 2007 by David E. Williams of the Health business blog

Earlier this week Mickey suggested why fidgeting could be a key to weight loss. Now researchers are suggesting much the same thing: puttering. From ABC News:

Scientists have found intriguing evidence that one major reason so many  people are overweight these days may be as close as the seat of their pants.  Literally. According to the researchers, most of us sit too much.

In most cases, exercise alone, according to a team of scientists at the  University of Missouri, isn’t enough to take off those added pounds. The  problem, they say, is that all the stuff we’ve heard the last few years about  weight control left one key factor out of the equation. When we sit, the  researchers found, the enzymes that are responsible for burning fat just shut  down.

“It was hard to believe at first,” said Marc Hamilton, associate professor  of biomedical sciences at the University of Missouri-Columbia and leader of  the research team. He said the team didn’t expect to find a strong signal when  they began researching what happens to fat when we remain seated. But the  effect, both in laboratory animals and humans, turned out to be huge.

The solution, Hamilton said, is to stand up and “putter.”

The treadmill desk could be a solution, too.

It goes without saying that puttering around the kitchen making and eating endless snacks will probably cancel out the benefits.


Posted in Research | 4 Comments »

Health Wonk Review is up at Health Care Renewal

November 28th, 2007 by David E. Williams of the Health business blog

Check out the latest edition of the Health Wonk Review at Health Care Renewal.


Posted in Announcements, Blogs | No Comments »

Medical tourism diaries: Korea

November 28th, 2007 by David E. Williams of the Health business blog

I’ve posted a couple of items about my trip to visit Korean hospitals on MedTripInfo:

I’m working on several more so stay tuned.


Posted in Announcements, Hospitals, Medical travel/medical tourism | No Comments »

Grand Rounds is up at Prudence, MD

November 27th, 2007 by David E. Williams of the Health business blog

Check out the latest edition of Grand Rounds at Prudence, MD.


Posted in Announcements, Blogs | 1 Comment »

Could this be the mechanism for weight loss from fidgeting?

November 27th, 2007 by David E. Williams of the Health business blog

In 1999 it was demonstrated that those who fidget are thinner:

Some people seem to be able to fidget away fat, according to a Mayo Clinic  study aimed at finding out why some stay slim when overeating, while others  gain weight.

The study, published Friday in the journal Science, involved 16 volunteers  fed 1,000 extra calories a day for eight weeks as instruments measured their  energy use.

At the end, some of the subjects gained as much as 16 pounds, others as  little as two.

The difference, says Dr. Michael Jensen of the Mayo Clinic in Rochester,  Minnesota, was the “fidget factor.”

The result showed that it was not the gross movements, such as walking or  climbing stairs, that made the difference. It was the small, fidgeting-like  movements that separated the fast gainers from those who stayed slim.

Now it looks like there may be a mechanism for weight loss being produced by such tiny movements:

All he does is put mice on a platform that buzzes at such a low  frequency that some people cannot even feel it. The mice stand there for 15  minutes a day, five days a week. Afterward, they have 27 percent less fat than  mice that did not stand on the platform — and correspondingly more bone.

At first, he assumed that the exercise effect came from a forceful impact —  the pounding on the leg bones as a runner’s feet hit the ground or the blow to  the bones in a tennis player’s arm with every strike of the ball.

Over the years, he and his colleagues discovered that high-magnitude  signals, like the ones created by the impact as foot hits pavement, were not  the predominant signals affecting bone. Instead, bone responded to signals  that were high in frequency but low in magnitude, more like a buzzing than a  pounding.

That makes sense, he went on, because muscles quiver when they contract,  and that quivering is the predominant signal to bones. It occurs when people  stand still, for example, and their muscles contract to keep them upright. As  people age, they lose many of those postural muscles, making them less able to  balance, more apt to fall and, perhaps, prone to loss of bone.

“Bone is bombarded with little, teeny signals from muscle contractions,”  Dr. Rubin said.

These small contractions are reminiscent of the fidgeting effect.  Recently people have been figuring out that bones play a role in glucose metabolism:

Last summer, researchers at Columbia University Medical Center published  startling results showing that a hormone released from bone may help regulate  blood glucose.

When the lead researcher, Dr. Gerard Karsenty, first described the findings  at a conference, the assembled scientists “were overwhelmed by the potential  implications,” said Dr. Saul Malozowski, senior adviser for endocrine  physiology research at the National Institute of Diabetes and Digestive and  Kidney Diseases, who was not involved in the research. “It was coming from  left field. People thought, ‘Oof, this is really new.’

The signals produced by buzzing the bones fom fidgeting and other reasons seem to have an important effect on bone density and fat storage.

Thanks to Mickey for this one!


Posted in Research | 2 Comments »

Greetings from Korea

November 26th, 2007 by David E. Williams of the Health business blog

I arrived in Korea this evening after a ~24 hour trip from Boston. I’ll be touring hotels here this week and look forward to sharing my impressions of the country.

I’m in a nice hotel (the Shilla in Seoul) and have shown my faith in their service quality by taking the only pair of shoes I brought and setting them out in a box outside my door to be shined. A colleague once did the same thing at the Four Seasons in NYC and it did not work out well for him!

PS — It worked out fine for me. My shoes came back at 4 am.


Posted in Medical travel/medical tourism | 1 Comment »

Thank you for smoking?

November 26th, 2007 by David E. Williams of the Health business blog

Quit by Choice, a smoking cessation blog, took issue with my post on mental illness and smoking.

Could Mr. Williams’s own omissions be due to the fact that his company, MedPharma Partners LLC “provides management consulting and business development services to pharmaceutical, biotechnology, medical device, and technology enabled healthcare service organizations of all sizes”? After all, fewer cancer, heart, and COPD patients would mean less business for “pharmaceutical, biotechnology, medical device, and technology enabled healthcare service organizations of all sizes”, and less business for those entities would presumably mean less clients for Mr. Williams’s company, wouldn’t it?

Besides, they’re only “crazy” people anyway…

Right, Mr. Williams?

I’ve replied in his comments section as follows:

In my post I make two points:

1. High cigarette taxes are unfair to the mentally ill. If they smoke almost half the cigarettes then they probably pay almost half the cigarette taxes, too. Social programs are often funded by increasing cigarette taxes, with the idea that this is just taking money from smokers who deserve to be punished anyway. If it were widely understood that such a policy placed a disproportionate burden on the mentally ill, support might be less widespread.

2. Schroeder advocates a blanket ban on smoking in mental health facilities without acknowledging that –at least for some patients such as schizophrenics—smoking provides therapeutic benefits as well as causing harm. In general the bad outweigh the good but Schroeder does readers a disservice by failing to mention that mentally ill smokers aren’t the same as those without mental illness.

It was amusing to read that my opinions are influenced by my consulting business interests. My post looks more like something the Tobacco Institute would want someone to say, don’t you think?

Regular readers of the Health Business Blog know that I write what I think, regardless of whose ox is gored. Often it’s pharma companies and health insurers.

For a more comprehensive view on the relationship of smoking and schizophrenia, see this special report from schizophrenia.com.

Finally, I take exception to your comment about “crazy” people. That may be your opinion. It definitely isn’t mine.


Posted in Blogs, Policy and politics | 5 Comments »

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