The People's Pharmacy

You may think your home is sparkling clean. But even a clean house harbors a host of small creatures that have a fascinating web of interactions with each other and with the humans who live there. What do you know about the ecology of your home? How does the dust that accumulates in the corners before you vacuum affect your health? Are there any advantages to cleaning less often?  If you have...

If you watch television, you can’t avoid TV drug commercials for maladies from type 2 diabetes to auto-immune diseases like psoriasis or rheumatoid arthritis to refractory cancers. Do you see these ads as providing the information you need about your medicines? Or do you perceive them as pushing viewers to request drugs that they may not really need? How do you find out what you need to know about...

Have you ever thought about how a bad habit gets started? You can blame the neural wiring and chemistry we share with all animals. When we do something that feels good in the moment, we remember it and are likely to repeat that action. But “feels good” doesn’t always translate into “good for you.” How can you conquer your cravings? Addiction can be defined as “continued use despite adverse consequ...

Back at the turn of the 20th century, the only treatment for most types of cancer was surgery. When a young New York doctor lost his first patient to sarcoma despite treating her by the book, he began to look for other approaches. What he came up with was actually the first immunotherapy for cancer. Dr. William Coley discovered that some cancer patients with strep infections developed high fevers...

Decades ago, the relationship between a patient and a doctor was often asymmetrical. The doctor decided what treatment was needed and issued “doctor’s orders.” Patients were expected to follow through, no questions. In most cases, they couldn’t ask questions because they didn’t have access to enough information to formulate reasonable queries. How 20th century! Today, patients have far more inform...

The diet wars have been raging for years. Each side has ardent proponents–those who insist that a low-fat diet is the best way to control weight and those who are convinced that a low-carb diet is better have had a hard time finding common ground. Even those who endorse a more moderate approach can be emphatic about pushing their perspective, particularly those who insist that the only route is cu...

What causes heart disease? There are a number of risk factors, including cigarette smoking, sedentary lifestyle, high blood pressure, diabetes and others. One well-known risk is high cholesterol. Has your doctor told you that you need to control your cholesterol? New Guidelines for Cholesterol Control: The principal cardiologists’ organizations in the US recently updated their guidelines on treati...

Life is never completely smooth and easy. Along with bruised shins and skinned knees, we all experience hurt feelings from time to time. Perhaps we got left out of the game, or our best friend decided to hang out with somebody else. What do you do in a situation like this? How can you learn to be emotionally resilient? Your Emotional First Aid Kit: Just as children learn how to apply first aid for...

Millions of people take medicines like Prevacid , Prilosec or Nexium every day. But while such proton pump inhibitors may ease symptoms of heartburn, they can also lead to serious side effects. Dr. Philip Gorelick, spokesperson for the American Heart Association, describes the research linking these heartburn drugs to an increased risk of stroke. Alternatives to PPIs? What is the solution? Many ex...

Facts are essential for scientific understanding. Stories are critical for wisdom, understanding the arc and meaning of our lives. Dr. Rachel Naomi Remen, author of two wonderful books about stories, describes how some stories can diminish us and our view of ourselves. Others give us strength and hope. Stories can reveal deep meaning in our ordinary lives and relationships. How can we change a sto...

Heartburn is a common problem. Many people take powerful acid-suppressing drugs like Nexium or Prilosec every day to treat gastro-esophageal reflux disease or GERD. If untreated, chronic irritation of the swallowing tube can lead to Barrett’s esophagus. Do you have to take medications forever to treat this condition? Are there better ways to heal your digestive tract? How Often Do You Need Colonos...

In a cruel world, compassion might seem like a frivolous pursuit. But our guest expert argues convincingly that we need this emotion now more than ever, if only to keep from falling into despair. What is compassion, and what does science have to do with it? The Science of Compassion: Compassion is a response to perceiving the suffering of another being with an urge to mitigate that suffering. Ther...

Type 2 diabetes has reached epidemic levels in the US and around the world. Although endocrinologists consider it a chronic, progressive disorder, some experts have seen that it is potentially reversible and may be preventable. What approaches are helpful? What role could fasting play? Nephrologist Jason Fung, MD, says that you can’t manage a dietary disease without considering diet. There are two...

Over the years, we have heard about scores upon scores of home remedies for everything from arthritis to warts. Some make sense intuitively, while others seem silly. Most have never been subjected to scientific scrutiny. Is there any science behind home remedies? We may never know the full answer to that question, but occasionally we learn years later that there are scientific explanations. Severa...

Do you enjoy a glass of wine from time to time? If so, were you alarmed to read headlines last fall announcing that ANY amount of alcohol is problematic? Here’s how those headlines came about. The researchers wrote in The Lancet (Sept. 22, 2018) , in their interpretation of their meta-analysis of the health risks, world-wide, of alcohol consumption: “the level of consumption that minimises health...

More than 50 million adult Americans have been diagnosed with arthritis. While osteoarthritis is the most common form, there are many others, including rheumatoid arthritis, gout, psoriatic arthritis and even fibromyalgia. What are the similarities and differences between these various inflammatory conditions? What are the best ways to manage arthritis pain? How Does Arthritis Affect the Body? We...

For years, people were urged to take calcium supplements to avoid losing bone density. This advice was aimed particularly at menopausal and postmenopausal women because they are especially susceptible to bone fragility and fractures. All the same, calcium supplements were often recommended to all older adults. Will taking calcium pills really keep your bones strong? Seniors were also supposed to t...

Yoga has become extremely popular over the last few decades. You have probably seen photographs of fit-looking young people in stretchy clothing and improbable poses and wondered why they are so enthusiastic about this practice. However, yoga is not about extreme poses or looking good. Practicing yoga is a path to good health. What exactly are the health benefits of yoga? What Are the Health Benef...

Viagra became a household name almost as soon as the drug was introduced. Before that, though, few men were willing to talk about erectile dysfunction. When it comes to women’s sexual health, we seem to still be in the whispering stage. The only drug to have been approved for women’s sexual function, Addyi , is largely unknown. What could account for a lack of sexual desire? How can low libido be...

Americans take a lot of medications. We appear to have adopted the advertising-based attitude that there is a pill for every ill. But while some medicines may be helpful or even essential in some circumstances, a lot of people end up taking too many of them. Sometimes doctors end up prescribing one drug to counteract the side effect of another. This prescribing cascade can really add up, especiall...

Doctors have been advocating evidence-based medicine for a few decades, but a surprising amount of medical practice is based on tradition. How can you sort out the value of evidence-based medicine from eminence-based medicine? (That is, what the most influential experts recommend, based on their own experience or beliefs.) The Fate of Medical Mythbusters: Collecting medical evidence may uncover pr...

Nails rarely get much medical attention. They just don’t seem as urgent as high blood pressure or diabetes. Despite this, nails are part of the way we present ourselves socially. Consequently, most people are quite concerned about the appearance of their nails. What should you know about keeping them healthy? Nail Problems as Red Flags: Although brittle nails that flake or split are distressing, m...

High blood pressure is an important risk factor for heart attacks and strokes. A recent change in guidelines urges doctors to treat people whose blood pressure would not have been considered particularly high a few years ago. (Here is a link to the guidelines , published in March 2018.) Most of the time, that treatment consists of prescription medications, all of which have some potential side eff...

Plant-based oils often carry the scent of the plant. Plants may use them to attract insects, but people have found numerous uses for them as well. Some can be used in skin care, while others may be used for relaxation or to improve digestion. What Are Essential Oils? The volatile aromatic compounds found in plants have been used in healing traditions that reach back thousands of years. Frankincens...

At one time, doctors believed that celiac disease was extremely rare, that the few children who had it would outgrow it and that the symptoms were primarily digestive. We now know that none of these axioms are true and the story on celiac disease is different. What is it now, and why does it matter? What Is the Story on Celiac Disease? Celiac disease is an autoimmune condition in which the body’s...