Add to Google




http://www.wikio.com

BLN RSS

Twitter



Alternative News,
Information, and Analysis

Rogue Government
What Really Happened
Cryptogon
Raw Story
Citizens for Legit Gov.
Information Clearing House
American Free Press
Global Research
The Peoples Voice
Tom Burghardt
Uncover The News
All Gov.
Media Monarchy
Information Liberation
TPM Muckraker
F. William Engdahl
Cryptome
Narco News
Media Matters
Uruknet
Corbett Report
Common Dreams
Alternet
Antiwar
Aftermath News
Steve Quayle
Wayne Madsen
Truth Out
Etherzone
Online Journal
Lew Rockwell
Dissident Voice
News With Views
Jeff Rense
Strike The Root
Peter Chamberlin
Dprogram
12160
Old Thinker News
Common Dreams
Empire Burlesque
American Exile
CNS News
IntelliBreifs
Electric Politics
Stop The Lie
Amy de Miceli
Crooks and Liars
Rumor Mill News
The Resident
Aangirfan
OpEDNews
The Brad Blog
Conspiracy Archive
Foreign Policy Journal
Counter Punch
August Review
Buzzflash
Truth Is Treason
NewsWires
News Now
My Way News
Reuters Alert Net
1st Headlines
Yahoo News
Ananova
Excite AP
Knight Ridder
Newsday AP
Google News
Swiss Info
ABC Wire
News Interactive
US Newswire
World News Network
United Press Int.
Associated Press
Excite News
MSN News
PR Newswire
Reuters
Scripps Howard
Xinhua
ZD Net
Online Only
Natural News
Real News Network
VOA News
Huffington Post
World Net Daily
Drudge Report
Newsmax
Boing Boing
Short News
Small Government Times
Capitol Hill Blue
Global Post
Business / Economics
Seeking Alpha
Market Watch
Bloomberg
Wall Street Journal
RTT News
CNN Money
Forbes
Business Week
Funny Money Report
Market Oracle
Money Morning
The Street
Shadow Stats
Economist
Financial Times
Fortune Magazine
Kitco
Gold Eagle
Max Keiser
321 Gold
Stock Charts
Zero Hedge
Washingtons's Blog
The Daily Reckoning
Energy Business Review
Milplex / Intel / Defense
Danger Room
Washington Technology
Defense Industry Daily
Global Security
Geopolitical Monitor
Defense Link
Stratfor
Space War
Jane's
Defense Tech
Strategy Page
Military Info Tech
Major US Newspapers
New York Times
New York Post
New York Daily News
Washington Post
Washington Times
L.A. Times
USA Today
Science / Tech News
Wired
Blast Magazine
PHYSorg
Science Daily
Popular Science
Engadget
New Scientist
Technovelgy
Singularity Hub
H+ Magazine
Science Magazine
Seed Magazine
CBR Online
Science News
SlashDot
Scientific American
Spectrum IEEE
Technology Review
io9
ZD Net
Technology News
The Register
Tech News World
VNU Net
Satire & Animation
Onion YouTube
Reptile God
Wahoos Mopar Grave Yard
Royal Canadian Air Farce
The Daily Show
The Colbert Report
Mark Fiore
All Hat No Cattle
Mack White
Propaganda Remix Project
Internet Weekly Report
Kontraband
Holy Lemon


oracle broadcasting









AddThis Feed Button
FKN NEWZ Texas Team Speak
Add to Technorati Favorites
Valid XHTML 1.0 Transitional






Health-Environment

The ailing economy is making people sicker: Doctors see rise in stress, drop in healthy habits
Published on 01-27-2009Email To Friend    Print Version
AddThis Social Bookmark Button
Source: Boston Globe

At Massachusetts General Hospital, patients whose blood pressure was in check just weeks ago now find it rocketing out of control. They blame the economy.

At Boston Medical Center, obese patients who had been shedding weight are packing on pounds again as they resort to cheaper, high-calorie food and abandon gym memberships. They blame the economy.

At a Framingham doctor's office, patients forgo screening tests such as colonoscopies because they don't want to spend scarce dollars on copayments. They blame the economy.

In hospital wards and medical clinics across Massachusetts, doctors see growing evidence that the ill economy is making patients sick, spawning headaches and churning stomachs, and even causing bouts of anxiety and depression among people who never before sought psychiatric help.

The chief of outpatient medicine at Boston Medical estimates that financial turmoil figures into at least half of all patient visits, and at one of the nation's premier psychiatric hospitals, McLean in Belmont, 31 percent more patients were admitted last month than in December 2007.

"I've been stunned by how pervasive the impact of the current economic downturn is on the health of my brood," said Dr. Stephen Hoffmann, whose medical practice in Framingham has nearly 3,000 patients.

The economic crisis is far too fresh for any government agency or professional organization to have quantified the health consequences. But during previous recessions, researchers linked spikes in unemployment in the United States and Europe to increases in deaths from heart disease, cancer, and psychiatric disorders.

In interviews this month with a dozen doctors, family physicians as well as specialists, nearly all said they had encountered patients suffering ailments tied to the financial collapse, with the damage wrought in sore arms, troubled minds, and neglected prescriptions.

At a Somerville clinic run by the Cambridge Health Alliance, the flagging economy, "touches us every day," said Dr. Laura Obbard. She sees it in the weary faces of her patients, such as Jorge Cardoza, a 52-year-old diabetic who lost his construction job in late October.

"That was like a knockout for me," Cardoza said.

While he was working, his blood sugar level, a key indicator of how well diabetics are faring, remained safely low. "Now," he said, "I see my sugar level is very high. That never happened before. That worries me a lot."

In part, that could be because he's not getting as much physical activity. His job was strenuous, and he used to exercise at a gym, until financial pressures forced him to cancel his membership. Research has shown that regular exercise can dramatically improve diabetes symptoms. And stress can make them worse.

During the past few months, Dr. Randall Zusman has noticed something disturbing in his practice at Mass. General, where he tends to adults with recalcitrant high blood pressure. About a dozen patients who had been doing well suddenly had elevated readings.

The patients insisted they were not skimping on their medication and attributed "the loss of blood pressure control to increased stress due to economic conditions," said Zusman, director of the hospital's hypertension section.

It might not be stress that's spawning blood pressure problems, he said. Instead, it's plausible that anxious patients are not eating as many fruits and vegetables, opting for saltier processed food that can raise blood pressure. Another possibility, Zusman said, is that stress-related headaches might be leading patients to take anti-inflammatory pills that increase water and salt retention, exacerbating their condition.

In her practice treating obese patients at Boston Medical, Dr. Caroline Apovian recently saw a woman who had been dutifully following advice to eat less and exercise more. She had joined a gym and moved to a safer neighborhood.

But then the economy tanked.

"She suddenly couldn't afford the YMCA, and she couldn't afford the area where she moved," Apovian said. "Now, she is regaining the weight."

At hospitals and clinics that treat psychiatric disorders, requests for help surged markedly in recent months, with some patients indicating they had cut back on medication to save money.

At McLean, the recent increase in admissions followed an unusually slow stretch in October and November - just as financial woes were beginning to accelerate.

Dr. Joseph Gold, chief medical officer at McLean, said that as he and his staff counseled patients, a portrait of pent-up demand emerged.

Early in the crisis, "some people were feeling frozen or immobilized," Gold said.

They dreaded going to the emergency room, fearful they would be socked with a bill they couldn't pay. And if they were hospitalized, Gold said, they worried they might lose their job.

But as weeks passed, the economic deterioration deepened - and with it, patients' despair.

"Then what we saw in December and January was the volume in the psychiatric emergency rooms and in our hospital was actually much higher than we expected," Gold said, "which seems to confirm there was some element of people postponing their care until they could not defer it any longer."

For some people, the harsh economy has meant a retreat to harmful habits, said Dr. Steven Adelman.

"People tend to drink more when they're stressed out," said Adelman, director of behavioral health and addiction medicine at Harvard Vanguard Medical Associates, a group practice that treats about 30,000 patients for mental health conditions. "I'm seeing more people falling off the wagon who have been relatively sober for quite a while. The addiction business is booming."

Sometimes, the signs of suffering are subtle.

A few weeks back, a young woman showed up in the office of Dr. Raj Krishnamurthy, outpatient medical director at Boston Medical.

The woman, a student, complained of arm pain. The physician could sense a deeper ache.

It turned out that the patient had taken a nighttime cleaning job so that she could cover expenses.

As they talked, Krishnamurthy recalled, the woman kept massaging her arm.

"She just seemed a little more distressed than what I would expect from arm pain," the doctor said. "When I asked, she said she was just extremely stressed about taking on this job. She hasn't been sleeping, she hasn't been eating right, she hasn't been exercising. She's just been feeling lousy. And she broke down in tears."