9 Things Every Woman Must Know About Her Fertility | Health and Burn Weight

Whether or not you want babies, your fertility can be a window into your overall health. Here's a puberty-to-menopause handbook covering the facts of life every woman needs to know. February 23, 2016 at 02:16AM

The Best Advice From the Happiest People on the Planet | Health and Burn Weight

Looking to boost your mood for the rest of your days? Here's some feel-good advice from some of the happiest people on the planet. February 23, 2016 at 02:16AM

How to Treat 4 Different Kinds of Headaches | Health and Burn Weight

Bad headache? ID what's causing your agony and find the right remedy to treat it. February 23, 2016 at 02:16AM

The Best Sheets to Keep You Cool All Night Long | Health and Burn Weight

Stop waking up sweaty. These cooling sheets will keep you cool and dry until morning. February 23, 2016 at 02:16AM

Sit Less Every Day: Take Our 3-Week Challenge | Health and Burn Weight

Even if you work out, heavy sitting may put you at greater risk of developing diabetes or dying of heart disease or cancer, per a new study in Annals of Internal Medicine. "We haven't cracked the formula for how much light activity versus more traditional exercise we should do," says study co-author David Alter, MD. "But taking the 'move more' mentality more seriously is a good place to start."

The action plan
Give yourself points every time you complete one of that week's tasks. Try to rack up at least 15 points a week.

RELATED: Your Slim and Strong Walking Workout

Week 1
Get on your feet: "Find out what your personal sitting traps or triggers are, and create reminders to stand or move around," suggests Nolan Peterson, a wellness exercise specialist at the Mayo Clinic Healthy Living Program.

Count your steps: Keep your smartphone or tracker on you all day to get a rough idea of how many steps you take. Whatever your personal best is, aim to log 1,000 more steps daily. [1 Point]

Wear comfy shoes to work: "You're not going to stand or walk around more if you don't have the means to do so," says celebrity trainer Harley Pasternak. [1 Point]

Set a timer: "Your computer mesmerizes you and you lose track of time. You need something to remind you when it's a good idea to make a postural change," says Alan Hedge, PhD, an ergonomics professor at Cornell University. Program your phone to vibrate every hour as a cue to stand or do laps for 10 minutes. [2 Points]

Switch to a standing desk: "I've found I'm more likely to move naturally into different positions when I use mine," says Peterson. To DIY your own, check out these standing desk ideas. [3 Points]

RELATED: Walk Off Every Bulge

Week 2
Move it: Make some aspects of life less convenient, recommends Hedge.

Find excuses to move: Do away with the printer at your desk; at home, transfer your mugs to a cabinet away from the coffeemaker. [1 Point]

Pace during calls: Get in the habit of taking extra steps whenever you answer the phone. [1 Point]

Be a mom in motion: Stroll the sidelines instead of sitting on the bleachers at your kid's baseball game, or get out of the car and walk around at school pickup. [2 Points]

Keep the remote out of reach: During TV time, leave the clicker across the room. Hop up to hit mute during commercials. [2 Points]

RELATED: Best Sneakers For Walking

Week 3
Up the burn: It's crucial to pair small pockets of movement with real exercise, says Dr. Alter, who's a cardiologist at the Toronto Rehabilitation Institute.

Climb the stairs: "Going up uses three times the energy as going down," says Hedge. Walk up one to two flights whenever possible this week. [1 Point]

Work out at lunch: Bonus: Exercising during work hours for 2½ hours a week may maintain or boost productivity, per a 2011 study. [2 Points]

Sneak in some action: Schedule a walking, jogging, even SoulCycling meeting instead of settling into conference-room chairs. [3 Points]

February 19, 2016 at 02:16AM

3 Times It's Good to Be a "Bad" Patient | Health and Burn Weight

Several years ago, I had a pregnant patient who did not seem to grasp the significance of her illnesses (uncontrolled hypertension and diabetes). What she did understand is when she didn't approve of her care. She complained about everything from our nursing staff to how our fluorescent lighting "made her blood pressure go up." She was That Patient.

Some months later, my child underwent a small biopsy to investigate an uncomfortable skin problem. Three weeks went by, and I found myself with a still-miserable kid and no results. I called the office multiple times, but "the doctor was out" and could never be reached. One day, I wasn't having it anymore; I asked to speak to the office manager. Those records? Are my property. You? Will fax them over immediately. And I? Will need to speak to your supervisor if this does not happen today.

The doctor called me two hours later with the results and an apology. I realized: I was That Patient. And you know what? It felt good.

The question is, can you be the super-empowered patient who fixes the problem—without being the rude one who makes the situation worse? The answer is yes. Here's the right way to act up to get the best possible care.

RELATED: 5 Myths Even Doctors Believe

Nobody is returning my phone calls!
I once had a patient call to report her symptoms of an impending herpes outbreak; she legitimately wanted to be seen and start her antiviral medication right now. But she called Friday afternoon after my office hours. When she spoke to the secretary, she didn't say what she needed—just that she wanted to talk to the doctor. I didn't work at that office on Mondays, so the first I knew about it was Tuesday morning, when I came in to eight angry messages and a livid patient in my waiting room. She was right to be upset and push—but she didn't know the best way to do it.

Part of being proactive is knowing how your doctor's office works. What—and who—are between you and what you need, and how can you get through? Most offices must have someone to cover when their primary provider is not available. So get specific: You need someone who can write a prescription or see you today. Be prepared to give the front desk staff some details about your situation. Once they know that you have a medically urgent problem, they can be your greatest ally in getting a provider to help you.

It's also smart to investigate ahead of time what options your office has—an affiliated clinic? A nurse practitioner who can assess your need today? An electronic portal that can be used to contact your doctor? That way, you're ready to go to the backup plan if you have to.

In my patient's case, instead of leaving increasingly angry messages with a secretary, I wish she had known to utter the magic words "Is there another provider I could speak to?" (I also wish my clinic had had a culture that encouraged the secretary to let patients through more easily; that's something we worked on as a result.)

I've been in this waiting room so long that I'm getting mail here!
Endless wait times make me madder than almost anything else—even as I cause plenty of them. Although my goal as a physician is to see a patient within 15 minutes of the appointment time, that doesn't always happen. Thirty minutes is reasonable for most practices. If you haven't been called in by then, check with the folks at the front desk. Remember: They're probably having a crappy day, too, so demand attention firmly but constructively: "Unfortunately, I can't wait much longer, and I need to decide whether to reschedule. Can you give me an estimated time for when I will be seen?"

There are emergencies and snafus that put even the best-run office out of whack. But if you know where things are heading, you can decide if waiting longer is worth it to you. And if the answer you get is that this is "just how they always run," well, that's important to know, too. For me, that kind of attitude toward my time is a deal breaker. An office that always runs drastically late can be an honest threat to our health, because if doctor's visits take the whole day, most of us are much less likely to seek care when we need it.

Even better is knowing how to avoid delays in the first place. Try to snag the first appointment in the morning (when the doctor isn't yet running behind). There's usually a break between the morning and afternoon sessions, so nabbing the first slot in the afternoon might also help (since, by then, she's hopefully all caught up).

RELATED: 15 Diseases Doctors Often Get Wrong

I didn't get a call about my test results!
When you don't hear about your lab results for a week, does that mean everything is fine? Or did they forget you? Sometimes the lab is still cooking. Depending on the test, it can take anywhere from a few days to a few weeks for the results to come back.

That said, I know that any amount of time feels like forever when it comes to your health (or your child's!). So every time you get a test, ask when and how you'll receive a result. Unfortunately, many offices only call to tell you about "concerning" results. Even (or especially) if this is their policy, it's wise to push: Find out when you can call to hear the boring good news.

This is important because no news sometimes means that no one has looked at the lab report—and that can be dangerous. It may lead to delayed treatment or a missed diagnosis, neither of which is ever OK.

In the case of my kid's biopsy, when the doctor apologized and explained that she had put off telling me the result because she wanted to call me herself, I was mollified. For what it's worth, I've never had to throw a fit at that practice again.

How to get what you want (nicely!)

DO: Try to call for appointments or to ask clinical questions long before the end of business hours; morning is often best so the staff has a chance to grab the doctor before she gets behind or needs to leave.

DO: Politely ask for a call back from someone higher up on the ladder if you're not getting what you need. For medical issues, you might ask for a nurse or a doctor; for procedural stuff (appointments or forms you need filled out), you'll want a nursing supervisor or office manager.

DO: Be aware that the provider you love—the doctor or midwife or nurse practitioner—may have no idea how difficult it is to reach her. Let her know (gently) so she can assess and try to adjust how her staff works. These days, many practices are owned by a hospital, which employs the physician, and so the doctor may not have as much power to change things quickly (the way she would if she ran a private practice). But talking to your doctor can at least start moving your complaint up the chain of command. If she's defensive, or if the office can't seem to get a handle on the problem, you may want to move on.

DON'T: Start out sounding angry (even if you are). Obvious but always worth repeating: Acting as if people are doing their best is a lot more effective in rallying them to your cause than yelling or being condescending. Open with a smile and, if you can, some sympathy—that's more likely to score you that secretly available appointment with the nice doctor and the gowns that close all the way.

RELATED: 19 Medical Tests Everyone Needs

Chavi Eve Karkowsky, MD, is an assistant professor in the Division of Maternal-Fetal Medicine and Department of Obstetrics & Gynecology and Women's Health Services at Montefiore Medical Center and Albert Einstein College of Medicine in New York City.

February 19, 2016 at 02:16AM

5 Ways to Prevent Type 2 Diabetes | Health and Burn Weight

Type 2 diabetes is a serious condition, but the good news is that lifestyle changes can help prevent or delay a diagnosis. Watch this video to see five changes that you can make to help avoid type 2 diabetes. January 21, 2016 at 02:16AM

7 Foods That Help You Sleep | Health and Burn Weight

Can't sleep? Try adjusting your food intake before you hit the sheets. Watch this video to see seven foods you should consider eating to have a great night's sleep. January 21, 2016 at 02:16AM

6 Serious Health Risks Lurking in Your Office | Health and Burn Weight

Next time you plop down at your desk, consider the ways your office space—where you'll be spending the next eight-plus hours—might impact your body. "When you think about it, it's frightening how little we know about how our work environments affect us," says Carolyn Rickard-Brideau, an architect in Arlington, Va., who studies the link between design and human health. Everything from energy-efficient lighting to open floor plans has the potential to mess with your well-being. Here, leading experts highlight six dangers of the 21st-century office job and pitch their best tips to help you work smarter and feel better at the end of a (very) long day.

The hazard: Fluorescent lighting
As incandescent bulbs go the way of the fax machine, CFLs are becoming an office fixture. Although they're certainly greener, they can be meaner when it comes to your skin: A study done at the State University of New York at Stony Brook found that tiny cracks in CFL coatings allow the bulbs to emit UVC rays, which can damage epidermal cells at close range. In other words, overhead fluorescents are A-OK, but you should rethink your desk lamp. "Sitting within 2 feet of this type of bulb for lengthy periods could be harmful," says lead study author Miriam Rafailovich, PhD.

Work well: Brighten your space with an LED light, which poses no health risk, says Rafailovich.

The hazard: Working nonstop
While budget-cutting corporations squeeze more and more from their employees, it's not surprising that nine-to-fivers (read: nine-to-niners) are more stressed than ever. But women seem to have it worse. Twenty percent of us report that our stress level is above an 8 (out of 10), compared with 16 percent of men, according to the American Psychological Association. And 43 percent of women say their stress is on the rise. That kind of chronic stress raises heart rate, blood pressure and levels of inflammation—all risk factors for heart disease, says Suzanne Steinbaum, DO, director of women's heart health at Lenox Hill Hospital in New York City.

Work well: Hit the water cooler. Walk a lap around the floor. Pee often! Worker bees who take short, frequent breaks experience less emotional exhaustion, more job satisfaction and fewer aches and pains than those who don't, according to 2015 research from Baylor University in Waco, Texas. Can't find time to press pause? Suggest moving one of your meetings outdoors. Studies have shown that simply being in nature lowers blood pressure and levels of fight-or-flight hormones.

The hazard: Lack of privacy
Silicon Valley-inspired open floor plans are meant to encourage collaboration. But they also tend to generate a steady hum of distractions, as chatter, rings and pings travel freely through the airy space. One 2014 study found that workers lost up to 86 minutes of productivity a day due to various interruptions. "Every time you're disturbed, you must not only let go of the distraction but then reconnect with the original subject of attention," explains John Weaver, PsyD, a psychologist in Waukesha, Wis. This process just adds extra stress to your day.

Work well: See if you can expense some noise-cancelling headphones. Bose's QuietComfort 20 model ($300; amazon.com) has an in-ear design, so you can drown out the din without messing up your perfectly tousled bun. No dice? Take a breather in a quiet spot with a pretty view whenever you hit a wall, suggests Rickard-Brideau. "Thanks to a phenomenon called unconscious processing, your brain will keep working on a problem even though it's no longer in front of you," she explains. Expect a breakthrough on the way back to your chair.

The hazard: Beaucoup screen time
On average, we spend more than half our waking hours staring at electronic devices—a habit that can affect more than your neck. A 2014 Japanese study found that office workers who were parked in front of a computer for most of the day experienced a reduction in their tear fluid, a typical symptom of dry eye. (Ouch.) This is partly because we tend to blink less when we gaze at a screen. Poorly lubricated peepers can lead to strain, irritation and blurry vision.

Work well: Optometrists recommend giving your eyes regular breaks—which allows them to recoup that natural lubrication—by following the 20-20-20 rule: Every 20 minutes, gaze at something 20 feet away for 20 seconds.



The hazard: Slouching
American workers maintain good posture for a little more than a third of their workday, studies show. The rest of the time, let's just say we're not sitting pretty. "Aside from back pain, slouching causes a slowdown in digestion and circulation," says Brad Thomas, MD, founding partner of Beach Cities Orthopedics in Manhattan Beach, Calif. It can even affect your mental state. A study in Health Psychology found that people who slumped while working under pressure had more negative thoughts than those who sat up straight.

Work well: Check yourself. Is your butt in the back of your chair? Feet on the floor? (A lumbar support or foot stool might help.) Can you type without changing your posture? Good. If you'll need reminders to stay this way, try the Lumo Lift ($80, amazon.com), a personal tracker that vibrates every time you hunch.

The hazard: The kitchen
When you grab a juice from the pantry, you may pick up more than kale-beet. Researchers at the University of Arizona found that an employee sick with a cold, the flu or a stomach bug will likely contaminate the fridge door, microwave and coffeepot within two hours!

Work well: Alcohol-based hand sanitizers can quickly kill a lot of bacteria, but they aren't as effective as good old soap and water when it comes to knocking out viruses. And when you wash your hands, don't rush it: A thorough job—including rubbing hands together vigorously to jar all those germs loose—should take a solid 20 to 30 seconds. January 06, 2016 at 02:16AM