Today's lesson: What is the difference between Interpretation and Translation?
Ahh, good question grasshopper.
Interpretation is the process of understanding and analyzing a spoken or signed message and re-expressing that message faithfully, accurately, and objectively in another language, taking the cultural and social context into account.
The purpose of interpreting is to enable communication between two or more individuals who do not speak each other’s language.
Interpretation is not the same as translation. Translation is used with the written word, whereas interpretation is used with the spoken word.
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Tuesday, February 23, 2010
Sunday, February 21, 2010
Today's Topic: Interesting Statistics Regarding Unified Health Communication
Statistic #1, Health Literacy's Impact on Health Care Costs
In a study entitled Illiteracy Among Medicaid Recipients and Its Relationship to Health Care Costs, it is stated that the average annual health care costs for all Medicaid enrollees in one state were $3,000 per enrollee, but the annual cost for enrollees with limited literacy skills averaged $13,000.
That means that patients with limited health literacy are costing the health care system four times more than the average Medicaid enrollee.
A patient's health literacy affects his or her ability to:
-Navigate the health care system, including locating providers and services and filling out forms
-Share personal and health information with providers
-Actively participate in managing his/her health care, including asking questions about diagnoses, prescribed medications, and procedures
-Engage in self-care and chronic disease management
-Adopt health-promoting behaviors, such as exercising and eating a healthy diet
-Act on health-related news and announcements
Statistic #2, According to the American Medical Association, poor health literacy is “a stronger predictor of a person’s health than age, income, employment status, education level, and race”
As a physician, I'm concerned about health literacy with regard to a patient's understanding of health and treatment, a patient's ability to follow treatment instructions, my role in providing information, and medication safety.
Statistic #1, Health Literacy's Impact on Health Care Costs
In a study entitled Illiteracy Among Medicaid Recipients and Its Relationship to Health Care Costs, it is stated that the average annual health care costs for all Medicaid enrollees in one state were $3,000 per enrollee, but the annual cost for enrollees with limited literacy skills averaged $13,000.
That means that patients with limited health literacy are costing the health care system four times more than the average Medicaid enrollee.
A patient's health literacy affects his or her ability to:
-Navigate the health care system, including locating providers and services and filling out forms
-Share personal and health information with providers
-Actively participate in managing his/her health care, including asking questions about diagnoses, prescribed medications, and procedures
-Engage in self-care and chronic disease management
-Adopt health-promoting behaviors, such as exercising and eating a healthy diet
-Act on health-related news and announcements
Statistic #2, According to the American Medical Association, poor health literacy is “a stronger predictor of a person’s health than age, income, employment status, education level, and race”
As a physician, I'm concerned about health literacy with regard to a patient's understanding of health and treatment, a patient's ability to follow treatment instructions, my role in providing information, and medication safety.
Saturday, February 20, 2010
Question: Dr. J, I have heard so much about products such as Cell Tech (Muscle Tech), Amped (Met-Rx), and others like it. In fact, I hear so many things that I am very confused as to what to drink immediately post-workout. What do you recommend?
Answer: After an intense workout you want a fast absorbing protein, such as whey, to repair damaged muscle. In addition, you want enough glycogen from fast carbohydrates, such as maldextrin, to refill spent energy stores and spike insulin. And because your muscles are so receptive at this critical time (the notorious anabolic window) you want to add creatine for ATP regeneration to fuel future muscle contractions. Do not forget 5 grams of L-glutamine and you have the best post-workout cocktail for muscle growth!
Answer: After an intense workout you want a fast absorbing protein, such as whey, to repair damaged muscle. In addition, you want enough glycogen from fast carbohydrates, such as maldextrin, to refill spent energy stores and spike insulin. And because your muscles are so receptive at this critical time (the notorious anabolic window) you want to add creatine for ATP regeneration to fuel future muscle contractions. Do not forget 5 grams of L-glutamine and you have the best post-workout cocktail for muscle growth!
Thursday, February 18, 2010
Time to talk thyroid with my blogger buds. Here's the symptoms of hypothyroid (low thyroid):
-fatigue
-weakness
-weight gain
-difficulty losing weight
-coarse, dry hair,
-dry skin
-hair loss
-cold intolerance (you can’t tolerate cold temperatures like those around you)
-muscle cramps and frequent muscle aches
-constipation
-depression
-irritability
-memory loss
-abnormal menstrual cycles
-decreased libido
Here are some reasons why your thyroid might be low:
Defect #1 – Pituitary
If the pituitary is not functioning correctly, it cannot produce adequate amounts of TSH to stimulate their thyroid. This is most often due to suppression of the pituitary by cortisol.
Defect #2 – Thyroid
This defect is medically referred to as primary hypothyroidism, which is the one dysfunction doctors actually look for. However, the reference range for TSH is so wide, many people with this defect will be missed. Also, many people with this defect have an autoimmune thyroid condition (see Bonus Defect below).
Defect #3 – Thyroid Binding Globulin (TBG)
If there is too much thyroid binding globulin, thyroid hormone would be bound and unable to get into the cell. Thyroid function may be perfect, but if it’s all bound, it can’t get into the cells. This is most commonly caused by elevated estrogen in both men and women.
Defect #4 – Thyroid Binding Globulin (TBG)
If there is not enough thyroid binding globulin, there can be too much free thyroid hormone available for cells. While this doesn’t sound like a problem, elevated free thyroid hormone shuts down receptor sites and can therefore cause hypothyroid symptoms, despite high free thyroid hormone levels. The most common cause of this is elevated testosterone in both men and women.
Defect #5 – Conversion
If inactive T4 cannot be converted to T3, there will not be enough active thyroid hormone for cells. This can be due to a number of issues including certain mineral deficiencies (i.e. selenium), elevated cortisol or excessive oxidative stress.
Defect #6 – Dysbiosis
It is difficult to know the degree that dysbiosis can cause thyroid physiology issues. Because twenty percent of thyroid hormone is converted to active T3, if there is significant gut issues, or lack of healthy gut bacteria, there may be low thyroid symptoms.
Defect #7 – Thyroid Receptor
If thyroid hormone cannot get into the cell there will be low thyroid symptoms despite thyroid hormone levels in the body. Receptor site defects can be caused by elevations in cortisol, homocysteine or vitamin A deficiency.
Defect #8 – Autoimmune Thyroid
In industrialized countries, the vast majority of primary hypothyroidism issues (Defect #2) are due to an autoimmune condition called Hashimoto’s syndrome. If this is the case, it is no longer a thyroid issue, but rather an immune system issue and must be managed as such.
-fatigue
-weakness
-weight gain
-difficulty losing weight
-coarse, dry hair,
-dry skin
-hair loss
-cold intolerance (you can’t tolerate cold temperatures like those around you)
-muscle cramps and frequent muscle aches
-constipation
-depression
-irritability
-memory loss
-abnormal menstrual cycles
-decreased libido
Here are some reasons why your thyroid might be low:
Defect #1 – Pituitary
If the pituitary is not functioning correctly, it cannot produce adequate amounts of TSH to stimulate their thyroid. This is most often due to suppression of the pituitary by cortisol.
Defect #2 – Thyroid
This defect is medically referred to as primary hypothyroidism, which is the one dysfunction doctors actually look for. However, the reference range for TSH is so wide, many people with this defect will be missed. Also, many people with this defect have an autoimmune thyroid condition (see Bonus Defect below).
Defect #3 – Thyroid Binding Globulin (TBG)
If there is too much thyroid binding globulin, thyroid hormone would be bound and unable to get into the cell. Thyroid function may be perfect, but if it’s all bound, it can’t get into the cells. This is most commonly caused by elevated estrogen in both men and women.
Defect #4 – Thyroid Binding Globulin (TBG)
If there is not enough thyroid binding globulin, there can be too much free thyroid hormone available for cells. While this doesn’t sound like a problem, elevated free thyroid hormone shuts down receptor sites and can therefore cause hypothyroid symptoms, despite high free thyroid hormone levels. The most common cause of this is elevated testosterone in both men and women.
Defect #5 – Conversion
If inactive T4 cannot be converted to T3, there will not be enough active thyroid hormone for cells. This can be due to a number of issues including certain mineral deficiencies (i.e. selenium), elevated cortisol or excessive oxidative stress.
Defect #6 – Dysbiosis
It is difficult to know the degree that dysbiosis can cause thyroid physiology issues. Because twenty percent of thyroid hormone is converted to active T3, if there is significant gut issues, or lack of healthy gut bacteria, there may be low thyroid symptoms.
Defect #7 – Thyroid Receptor
If thyroid hormone cannot get into the cell there will be low thyroid symptoms despite thyroid hormone levels in the body. Receptor site defects can be caused by elevations in cortisol, homocysteine or vitamin A deficiency.
Defect #8 – Autoimmune Thyroid
In industrialized countries, the vast majority of primary hypothyroidism issues (Defect #2) are due to an autoimmune condition called Hashimoto’s syndrome. If this is the case, it is no longer a thyroid issue, but rather an immune system issue and must be managed as such.
Wednesday, February 17, 2010
UPCOMING EVENTS
When: Saturday FEB 27th 830-930
What: Lecture by Dr. J
Where: Fitness World 24 on Douglas
Cost: $5
Topic: Asking Questions, Getting Answers (health and fitness)
Thursday March 4 8am-NOON
What: Lipid (cholesterol) Screening
Where: DoctorsNow West Des Moines
Cost: $20
No appt needed
No insurance needed as this is cash only.
When: Saturday FEB 27th 830-930
What: Lecture by Dr. J
Where: Fitness World 24 on Douglas
Cost: $5
Topic: Asking Questions, Getting Answers (health and fitness)
Thursday March 4 8am-NOON
What: Lipid (cholesterol) Screening
Where: DoctorsNow West Des Moines
Cost: $20
No appt needed
No insurance needed as this is cash only.
Friday, February 12, 2010
One of the most common questions I get is.......How much protein do I need to consume each day?
How many times have you heard the statement, "you can get all the protein you need from a normal diet?"
I would ask this question in response........"need for what?"
There's quite a difference between the need to sustain life and the need to achieve a muscular body. To sustain life you need about 36 grams of protein per 100 lb. of body weight.
Recent research has shown five times this amount may be required to obtain maximum increases in strength and lean mass.
So, now that you know how much protein you need, let me explain why. Did you know that protein can actually influence your body's ability to build muscle, burn fat, or gain weight? Increasing your protein intake almost always results in greater muscularity if you are doing resistance exercises. An increase in muscle mass results in a higher metabolism and thus more calorie/fat burning. Protein in large amounts, 1.5 to 2grams per pound of body weight is what is recommended.
Do not skimp on your protein!
Until next time, train hard and eat smart!
How many times have you heard the statement, "you can get all the protein you need from a normal diet?"
I would ask this question in response........"need for what?"
There's quite a difference between the need to sustain life and the need to achieve a muscular body. To sustain life you need about 36 grams of protein per 100 lb. of body weight.
Recent research has shown five times this amount may be required to obtain maximum increases in strength and lean mass.
So, now that you know how much protein you need, let me explain why. Did you know that protein can actually influence your body's ability to build muscle, burn fat, or gain weight? Increasing your protein intake almost always results in greater muscularity if you are doing resistance exercises. An increase in muscle mass results in a higher metabolism and thus more calorie/fat burning. Protein in large amounts, 1.5 to 2grams per pound of body weight is what is recommended.
Do not skimp on your protein!
Until next time, train hard and eat smart!
Friday, February 05, 2010
God's gifts are many and varied, but usually, one primary gift functions through each of us and when we know what gifts we have, it can be very liberating. As time passes we actually grow in our gifts--we learn our strengths and we learn our weaknesses.
One of the biggest mistakes we can make, however, is comparing ourselves with someone else and our gifts with their gifts. You see, God is not going to help me be anyone but ME, and God is not going to help you be anyone but you. In sport, we lose this focus many times. WE try to compete against someone else or become jealous of another's gifts. If you understand the nature of the almighty, you will come to realize that He is not calling us to compete with others, but to love and help one another. It is ironic, but God gave us each our gifts so that we could enhance other people's gifts, never allowing us to fall prey to the spirit of jealousy that is so prevalent in our society.
Think about this.............we think that first is best, but really what is best is where God wants us to be. Some people are intended to be number two, but they never become number one at being number two because they are spending their whole life wishing to be like number one and resenting them for it.
I cannot tell you how much I respect people who are honest with their evaluation of their gifts and talents. They share them so freely in order to enhance someone else and their gifts. On the other hand, I feel empathy for the person who tries to be something they are not. You see, when we are jealous of someone else, that jealousy actually prevents us from knowing what our gifts are from above. Picture this, God put gifts in us for the enjoyment of others, and God places gifts in others for our enjoyment.
Remember this, when we fight against our calling or are dissatisfied with what we have been given, we fight against the work of the Holy Spirit within us. Let us submit to Him, develop the gifts He gave to us with His help, and live for the glory of God.......not our own glory!
One of the biggest mistakes we can make, however, is comparing ourselves with someone else and our gifts with their gifts. You see, God is not going to help me be anyone but ME, and God is not going to help you be anyone but you. In sport, we lose this focus many times. WE try to compete against someone else or become jealous of another's gifts. If you understand the nature of the almighty, you will come to realize that He is not calling us to compete with others, but to love and help one another. It is ironic, but God gave us each our gifts so that we could enhance other people's gifts, never allowing us to fall prey to the spirit of jealousy that is so prevalent in our society.
Think about this.............we think that first is best, but really what is best is where God wants us to be. Some people are intended to be number two, but they never become number one at being number two because they are spending their whole life wishing to be like number one and resenting them for it.
I cannot tell you how much I respect people who are honest with their evaluation of their gifts and talents. They share them so freely in order to enhance someone else and their gifts. On the other hand, I feel empathy for the person who tries to be something they are not. You see, when we are jealous of someone else, that jealousy actually prevents us from knowing what our gifts are from above. Picture this, God put gifts in us for the enjoyment of others, and God places gifts in others for our enjoyment.
Remember this, when we fight against our calling or are dissatisfied with what we have been given, we fight against the work of the Holy Spirit within us. Let us submit to Him, develop the gifts He gave to us with His help, and live for the glory of God.......not our own glory!
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