The South Beach Diet Doctor Is Back.
Well, its a combination of our nutrition and our lack of exercise, which is almost a toxic lifestyle.
Tell me about your new book. How is it different?
In one sense its a celebration of the initial program: good fats, good carbs, lean sources of protein, plenty of fiber. Those principles have not changed. But theres been a continuing march of medical science. Weve learned a lot from a practical point of view about what our millions of readers wanted as well as our Web site, where we get a lot of feedback, as well as from my patients. The exercise program is new and exciting.
Whats that about?
We have a chapter on boomeritis, including some of my stories, the various baby-boomer injuries Ive had. Many days, even though Im a cardiologist, I feel more like an orthopedist in my practice because we always ask about how people are exercising, and they have a lot of complaints.

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What Does A Dog Know?

Dogs know when they are with people who like them.

They know how to make choices that will affect their situation.

Recent studies have shown they have a sense of fair play (Rover got five biscuits and I only got one, Im not doing the trick anymore).

Dogs and other animals can detect fear, or maybe they sense it because of a perceptiveness to changes in our body chemistry. They can sniff out disease and find misplaced items or lost people.

Dogs know when were sad, and they occasionally are mad (What do you mean I cant sleep on the bed anymore?), but then quickly forgive us.

Dogs could survive just fine without human companions, as the marauding coyotes in my neighborhood attest to, yet they choose to stick with us. How infrequently dogs are walked on a leash these days. How is Dog Beach even possible? Quite often when people arrive in our parking lot, they fling open the cars rear door and out jumps Fido, free as a bird. The humans trust that Fido will not wander too far, and will quickly return when called miraculously he does. He listens despite new smells that need to be explored and investigated, despite the little bird sitting on a branch over there that would be fun to chase, despite a pressing obligation to mark every low growing shrub as newly conquered territory.

Dogs know when a person is putting trust in them, and they desperately want to live up to our expectations. (Training and bonding over time go into developing this kind of relationship, and understanding of a dogs distinct personality. It would obviously not be a good idea to let a dog off-leash without reasonable assurance that he or she will come back when called.)

If Mama could talk to us with human words, what else would she tell us that she knows? Instead she communicates with her eyes, with sniffs, with quiet gestures - like her head on your shoulder, or a gentle paw on your wrist. She surely must be wise beyond her years. Could she have tried to make the best of a bad situation, while hoping for something better to turn out for her? What does she dream of? How does she feel about her life today? Hopefully when modern science allows us to more effectively communicate with animals, Mama will still be around, so she can write her memoirs.

Visiting the San Diego County Fair this weekend? Stop by and see Michelle's musical bears exhibit in the Flower Garden Show.

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Heated Debate

Today DOTmed News provides several original reports on events in Washington. Our Health Reform Roundup begins this week with a review of proposals for U.S. medicine. And we spoke to ACR about the latest CMS suggested pay cuts.

Physical therapy and home care/rehab also take center stage in two industry sector reports from DOTmed Business News.

Another pair of features focuses on therapeutic ultrasound. Did you know that your rotator cuff might be treatable with sound waves?

Read these and our ongoing coverage of technology, government, research, people and companies. See you tomorrow.

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When you hear the term clinical depression, it merely means the depression is severe enough to require treatment. When a person is badly depressed during a single severe period, he or she can be said to have had an episode of clinical depression. More severe symptoms mark the period as an episode of major depression (also known as unipolar depression and major depressive disorder). Many mental health experts say the key to judging this gradation lies in the amount of change a person undergoes in his or her normal patterns along with a loss of interest and a lack of pleasure in them. An almost-daily tennis player, for instance, who began to break her court dates frequently, or a regular bridge player who lost interest in weekly games, might be edging into an episode of major depression. The more severe the depression, the more it is likely to affect its sufferer's life.

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Laurie Essig gives an account of the California financial crisis. With all due respect to Laurie, I found the perspective to be misleading and often inaccurate. Thus, I could not help but feel the need to set the record straight.
Laurie lays much of the Golden State financial crisis at the feet of Ronald Reagan. While I’m normally as ready as the next liberal to participate in a good Reagan bashing, in this instance, I’m afraid it just doesn’t make sense.
When Reagan took office as the governor of California, he inherited a significant budget deficit. Acting as we would expect him to, Reagan immediately instituted a 10% across the board cut in state spending. But it didnt work. Within a year, Reagan realized that he had starved state government to the point where it wasn’t functioning.
In response, Reagan pushed a tax increase through the California legislature, resulting in Californias current highly progressive tax and producing one of the highest tax rates of any state in the nation. Hardly the fulfillment of Reaganomics that Laurie seems to blame for California’s financial woes. In reality, with the exception of the tax increase, Ronald Reagan is barely a footnote in California history. Had he not gone on to be the only California governor to become president, Reagan would not be remembered for having any impact whatsoever on the future of the state beyond having raised the income tax rates.
Laurie goes on to attack the unregulated greed, an alleged byproduct of Reaganomics, as the heart of the problem. In so doing, Laurie cites a 2007 UCLA study which reveals that poor and working class Californians had roughly the same wealth as other Americans in their circumstances, but that more of it was concentrated in home equity. This being the case, it isn’t particularly shocking that the study points out that California’s poor, working class and middle class carry more debt than other Americans. It is fair to expect that where there is home equity, there is a mortgage. And where there is a mortgage, there is debt.
But what this has to do with the current state financial crisis completely baffles me. Of course Californians, of all social stripes, carry more mortgage debt. California is the most expensive real estate market in America. If houses cost more than mortgage numbers are obviously going to be higher, thus debt is higher. Im not quite sure how Laurie proposes we regulate this short of moving the Pacific Ocean out some thousand miles to reduce the value of all that ocean front real estate.
Like most everyone else, I decry the sub-prime mortgage scenario that led to such disastrous results for so many. Would we have liked California to have had the foresight to better regulate the mortgage market? Of course- but its not like California is the only state to have failed to do so. In fact, not one  state engaged in regulation impacting on sub-prime mortgages and clearly the federal government failed to do so. So why is California singled out as being somehow more deserving of the “greed” tag because it failed to provide more regulation of the mortgage practices?
In point of fact, more than any other state in the Union, California’s wealthy pay a disproportionate share of the taxes that keep the state operating (ironically, the result of Reagan’s progressive tax increase.)
 California’s budget shortage is the direct result of (a) the reduced income and capital gains taxes being received from the upper end of the earning class as the economy has deteriorated and (b) the continuance of important state programs designed to aid pretty much everyone but the wealthy class.  This is not a subjective point of view - this is a well recognized fact.  Because of a constitutional requirement that the state spend 40% of its general budget on education, the state has struggled to continue other vital services in the face of dramatically shrinking revenues. Sooner or later, that must have an unhappy ending. 
Income tax receipts are not down as a result of accounting tricks or tax loopholes in the state law. People just arent making as much money as they were before so they are paying less taxes. To the extend that capital gains are not flowing into the state coffers, this is largely the result of the upper class no longer paying taxes on big stock market profits because there are no big stock market profits. And if we want to review the loss of capital gains taxes tied to real estate, who do you think were the largest contributors to state receipts on that score?
I am not suggesting that the middle and lower classes are not suffering because they so clearly are. And the looming budget cuts in the state will only make their pain worse. But you couldn’t pick a worse state when attempting to make an argument that state government is failing because of the greed of rich people and the government’s support of the same. For those who may doubt this, you need only have a look at the state of California’s finances during the boom years. The state was flush with cash and huge budget surpluses. Why? The wealthy, who pay income taxes based on a progressive system,  were pouring tons of money into the state coffers. Capital gains were huge and the state got their share.
As for the IOU thing, it would be good to understand just who it is that will be on the receiving end of these IOUs. Primarily, it will be those who do business with the state, not the “average” citizen. It will be those who own the office buildings who rent space for state offices, vendors of other services, etc. In other words, with some exceptions, the IOUs will be issued to those who Laurie defines as “the rich who get richer.”
If you truly want to find the crime behind the crisis, take a look at California’s legendary Prop 13- the amendment to the state constitution in 1978. While Prop 13 is best known for limiting the property taxes Californians pay on our previously over-valued homes, it is another part of the law that has resulted in California becoming an ungovernable state, incapable of intelligently managing its budgets.

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The mission of this website is to help ensure the rights of the residents, Marines/Naval personnel, dependent family members and civilians who resided in military base housing aboard Marine Corps Base, Camp Lejeune, North Carolina, that were exposed to long term chemical release of volatile organic compounds into the drinking water of their homes from 1957 until 1987.

“As you may already know, breast cancer is rare in men and even rarer in men under 60.Male breast cancer accounts for less than 1% of all diagnosed breast cancers. In July of 2007, I underwent genetic testing for the hereditary breast cancer mutations
CA 1 and 2.

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