Primary care needs more than 15 minutes for patients, KevinMD.com

Psychotherapy appointments have traditionally lasted 50 minutes with 10 minutes for paperwork. This has lead to the expression, “the 50-minute hour”.

More recently there has been talk of incorporating psychotherapy techniques in brief visits in primary care. The provoking title “The Fifteen Minute Hour” is from a book about addressing the emotional aspects of disease in primary care during brief appointments. The title and the concept seem relevant to much of what we do in my specialty.

In primary care we seldom spend more than 15 minutes at a time with an established patient. Yet we are required to cover infinitely more details and consider more outside authorities in every visit today than when I first started practicing medicine. Between health insurance and office administration, there are now many more mouths to feed from the office charges than there were then. Sometimes it feels like we are not alone in the exam room even for the short time we do have.

Except for doctors in concierge medicine or micropactices, most of us cannot change the amount of time we have with each patient. Even if we hope to change the system, the patients we see today deserve the best we can give them in today’s 15-minute visits.

via kevinmd.com

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25 Surprisingly Salty Processed Foods - Health.com

The average person in the U.S. consumes 3,500 milligrams of sodium a day. That’s equivalent to almost 9 grams of salt, or nearly 2 teaspoonfuls—way more than the 2,300 milligrams per day suggested by the Dietary Guidelines for Americans.

But the majority of excess salt, or 77%, isn’t spooned into your food—it comes from processed foods.

The FDA recently announced a plan to gradually scale back on salt in processed foods, which may be the end of the line for super salty products.

In the meantime, keep an eye out for excess sodium and adjust your intake accordingly. Check out these 25 hidden salt traps you can find lurking in the grocery store.

via health.com

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Beauty and Sleep Deprivation: The Science Behind Beauty Rest - ABC News

Swedish researchers say there's an important link between sleep and your physical appearance. In a study published today in the British Medical Journal, researcher John Axelsson and his team at the Karolinska Institute in Stockholm found that sleep-deprived individuals appear less healthy, more tired, and less attractive than those who have received a full night's worth of sleep.

"Sleep is the body's natural beauty treatment," Axelsson said. "It's probably more effective than any other treatment you could buy."

Subjects Photographed Before and After Sleep Deprivation

In the study, 23 healthy adults from ages 18 to 31 were first photographed after eight hours of sleep, wearing no makeup. The same adults were photographed again after sleeping only five hours and being kept awake for a full 31 hours, with the same lighting and camera settings.

via abcnews.go.com

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