DUI/DWI for a New Generation

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I am impressed with the ability of some people to injure themselves in creative ways.

Analyzing data from the 2016-2021 National Inpatient Sample, UCLA researchers found that 25% of 7350 patients hospitalized for scooter-related injuries were using substances such as alcohol, opioids, marijuana and cocaine when injured. Published in The American Surgeon, the study also notes that overall scooter-related hospitalizations during the 5-year period jumped more than eight-fold, from 330 to 2705. In addition, the risk of traumatic brain injuries among the substance use group was almost double that of the non-impaired patients. University of California – Los Angeles Health Sciences. “Nearly one-quarter of e-Scooter injuries involved substance impaired riders.” https://www.sciencedaily.com/releases/2025/04/250429195329.htm (accessed May 3, 2025).

AND don’t forget about these things can randomly explode.

“In all of these fires, these lithium-ion fires, it is not a slow burn there’s not a small amount of fire, it literally explodes,” FDNY Commissioner Laura Kavanagh – https://www.statista.com/chart/29472/fires-caused-by-lithium-ion-batteries/

Thinking Styles – What’s Your Style?

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Read this thinking style pyramid and refer back to it as often as needed.

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We are all suckers for click bait. I started with this:

Older Adults Face Higher Cancer Risk From Alcohol, Even at Low or Moderate Levels – https://www.medscape.com/viewarticle/older-adults-face-higher-cancer-risk-alcohol-even-low-or-2025a

Scary stuff if you’re an older adult! I should STOP DRINKING ALCOHOL.

But what if this study is wrong? See pyramid above. Sensing bias in the article I took a look at the comments. Dr. Bradley Fawkes’ comment was noteworthy. In the results section of the study you’ll find this:

“While no associations were found for low- or moderate-risk drinking patterns vs occasional drinking among individuals without socioeconomic or health-related risk factors…” Alcohol Consumption Patterns and Mortality Among Older Adults With Health-Related or Socioeconomic Risk Factors – https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2822215

So in the absence of socioeconomic or health-related risk factors no associations were found.

Cheers!

When People Did Not Have Access to Mobile Internet, they Spent More Time Socializing in Person, Exercising, and Being in Nature.

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https://www.harmonyhit.com/phone-screen-time-statistics/

Our results provide evidence that blocking mobile internet from smartphones for 2 weeks can produce significant improvements for SWB (subjective well being), mental health, and the objectively measured ability to sustain attention. Even those who did not fully comply with the intervention experienced significant, though more modest, improvements. These findings suggest that constant connection to the online world comes at a cost, since psychological functioning improves when this connection is reduced. Blocking mobile internet on smartphones improves sustained attention, mental health, and subjective well-being – PNAS Nexus, Volume 4, Issue 2, February 2025, pgaf017, https://doi.org/10.1093/pnasnexus/pgaf017

Excuse me please, I have to check my phone.

Obesity is Not a Disease

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David L. Katz, MD, MPH, FACPM, FACP, FACLM is a specialist in Internal Medicine, Preventive Medicine/Public Health, and Lifestyle Medicine – globally recognized for expertise in chronic disease prevention, health promotion, and nutrition. The founding director of Yale University’s Prevention Research Center, and past president of the American College of Lifestyle Medicine, Katz is the founder of the non-profit True Health Initiative, founder of Diet ID, and Chief Medical Officer for leading food-as-medicine company, Tangelo. He is a senior science advisor to Blue Zones. He holds multiple US patents, including for advances in dietary assessment. He has roughly 250 peer-reviewed publications, has authored 19 books- including multiple editions of a leading textbooks in nutrition and preventive medicine, and has earned numerous awards for his contributions to public health, including three honorary doctoral degrees.

https://www.vumedi.com/video/obesity-is-not-a-disease-so-what-is-it

Diet until proven otherwise.

Glenmark Pharmaceuticals Recall (check your prescription bottles)

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In February, the FDA found problems with cleaning and testing at the plant in Madhya Pradesh, India, which was the subject of a ProPublica investigation last year. The current recalls, listed in an FDA enforcement report last week, cover a wide range of commonly prescribed medicines, including ones that treat epilepsy, diabetes, multiple sclerosis, heart disease and high blood pressure, among other ailments. ​​A full list of the recalled medications is available here. An Indian Drugmaker, Investigated by ProPublica Last Year, Has Recalled Two Dozen Medications Sold to U.S. Patients https://www.propublica.org/article/glenmark-recalls-two-dozen-drugs

Time to bring the pharma supply chain back onshore.

Controlled Substance Prescribing Patterns – Pennsylvania

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Rates of psychostimulant (stimulant)-related overdose deaths in the United States have increased substantially since 2010; in 2022, 32% of all overdose deaths involved stimulants. Citation: Hayden S, Murzynski SM, Bolton A, Goetz CT. Controlled Substance Prescribing Patterns Among Fatal Overdose Decedents with an Opioid, Stimulant, or Both Contributing to Death — Pennsylvania, 2017–2022. MMWR Morb Mortal Wkly Rep 2025;74:205–209. DOI: http://dx.doi.org/10.15585/mmwr.mm7412a2

Prescribed stimulants. Read more here – https://www.dea.gov/factsheets/stimulants

Happy Friday!

(Not) Random Thoughts on Retirement and THE SCARY CHART of the Year So Far

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How Bad Could This Get? https://awealthofcommonsense.com/2025/04/how-bad-could-this-get/. I’ve lived through several stock market crashes. And to think I started the day reading up on the latest U of Michigan healthy aging poll.

National Poll on Healthy Aging home

Working adults age 50 and older commonly reported these reasons for working as being very important:

  • Have financial stability (78%)
  • Save for retirement (65%)
  • Get access to health insurance (59%)
  • Support family members financially (52%)
  • Maximize Social Security benefits (46%)

Link: https://www.healthyagingpoll.org/

How about adding these bullet points to the list:

  • Working past age 50 enables you to weather stock market volatility better
  • Working past age 60 enables you to have financial stability when the stock portion of your retirement portfolio loses value
  • Working past age 70 enables you to say I’m glad to be still working when the stock portion of my retirement portfolio loses value.

Disclaimer: the additional bullet points are fictional and not related to the real poll questions or answers.

Monday should be a very interesting day in the stock market. Stocks appear to be headed towards a fire sale. Time to buy!

ASCOT-Legacy 20-year follow-up – Long-term Benefits of Atorvastatin

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Patients allocated to atorvastatin had a significant reduction in non-fatal myocardial infarction (MI) and fatal coronary heart disease (CHD) events (HR (95% CI) 0.81 (0.69 to 0.94, p=0.006)), total coronary events (0.88 (0.80 to 0.98, p=0.017)) and CV deaths (0.86 (0.74 to 0.99, p=0.048)). No significant reduction in heart failure (HF), strokes, total CV events and all-cause mortality was observed. Long-term benefits of atorvastatin on the incidence of cardiovascular events: the ASCOT-Legacy 20-year follow-up – https://heart.bmj.com/content/early/2025/03/25/heartjnl-2024-325104

Dr. M. Zann McMahan, thank you.

Diet and Healthy Aging

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In the journal Nature Medicine this week there was an important open-access publication about a large combined cohort of over 105,000 health professionals prospectively followed for 30 years. Only 9.3% reached the age of 70 years with “healthy aging” —without 11 major chronic diseases and no impairment of cognitive or physical function or mental health. Our Diet and Healthy Aging Eric Topol, MD – https://erictopol.substack.com/p/our-diet-and-healthy-aging

Dr. Eric Topol’s assessment of this study is well balanced and thoughtfully written. His bio is here: https://www.scripps.edu/faculty/topol/

Healthy aging in this study is described as reaching age 70 without developing any of 11 major diseases: cancer (except for non-melanoma skin cancers), diabetes, heart attack, coronary artery disease, congestive heart failure, stroke, kidney failure, chronic obstructive pulmonary disease, Parkinson disease, multiple sclerosis and amyotrophic lateral sclerosis.

My Half-Birthday is coming up soon. I’ll be 70.5 years young. The biggest take home lesson for me is this:

Beer is better for you than pizza.

OK, I’ll Stop Complaining About the Price of Eggs (more Scary Charts)

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Horror stories of inflation in Argentina

These problems have existed for decades. Rampant government spending and massive government borrowing are two important factors. The government has defaulted on its debt nine times. Argentina’s currency was devalued by 30% in 2015, and then again in 2016. Soon after taking office in December 2023, Milei devalued the peso by more than 50%. https://tipswatch.com/2025/03/23/horror-stories-of-inflation-in-argentina/

Who Holds the Ballooning US Government Debt, even as the Fed and Foreign Holders Unloaded Treasury Securities in Q4? — https://wolfstreet.com/2025/03/18/who-holds-the-ballooning-us-government-debt-even-as-the-fed-and-foreign-holders-unloaded-treasury-securities-in-q4/

Maybe one day I’ll add my personal thoughts when I post stuff but for now I’ll let Scary Charts speak for themselves.