Fears and Phobias Related to the Doctor: How to Conquer your Fears

Meta: Fears and phobias are common. But they should not keep you from getting proper medical help. Read on to find how you can win over your fears.

Do you fear visiting the doctor? Does the sight of blood or injuriesFEARS & PHOBIAS overwhelm you? You are not alone. In fact, many people do not love paying visits to the doctor’s office. These fears and phobias may not cause an immediate harm to your health. Nevertheless, in the long run, avoiding doctor visits can be hazardous. Learn more about the measures to overcome the fear and participate actively in your treatment plan.

Doctor Anxiety: Fears and Phobias That Are Not Rational

No doubt, it is frightening to imagine a doctor piercing your vein with a sharp needle. In this case, the perceived feelings of harm may be natural. But the big question is, would you not take the medicine just to avoid the fear? This is where the fears and phobias differ from a type of anxiety problem called doctor anxiety.

In fact, a small percentage of patients may be too much afraid of the doctor and medical procedures that they may run away from a medical consultation.

From the psychological viewpoint, fear arises when the mind takes some people, conditions or events as a threat to one’s health, security, or even identity. The same applies in the case of doctor anxiety as well.

There are at least two possible ways the mind can connect with the hospitals and doctors. First, it can think them as a savior and provider of relief. Next, as a source of pain, blood injuries, and sickness. Both the perceptions are partially right. But the real problem stems from the fact that in many people, the negative perceptions trump the positive ones.

You should understand that these fears and phobias do not have much relevance when it comes to getting emergency help. However, in the case of preventive approaches, they may increase the risk of many diseases. For example, routine doctor visits and blood glucose tests are essential if you are a diabetic. Such healthy practice helps to keep the blood glucose in check while reducing the risk of complications. But what would you do if the fear of the injections overrides the fear of complications?

What Are Common Fears And Phobias?

Depending on a person’s psychology, past experience, and emotional support system in the family, common fears may include those of:

  • Does the memory of sharp needles raise your heartbeat every time you see a doctor? In fact, the fear seems reasonable, as you do not want to harm yourself. In some cases, it can be so overwhelming that the patients end up losing their consciousness. The needles may also be used to draw blood for a test. For this reason, the fear of injections presents a serious public health issue.
  • Getting a life-threatening diagnosis. Are you afraid what you will do if the test gives a positive HIV result? In this case, you may run away from the test because you cannot accept what the test brings.
  • Blood injuries. The sight of blood injuries or fresh blood can initiate a number of physical as well as psychological symptoms in some patients. For example, excessive sweating, shakiness, and even fainting.
  • Exposure to an uncomfortable situation. For example, mammography could cause problems for some women. Similarly, tests that involve private parts such as colonoscopy and prostate biopsy are more than just uncomfortable. Essentially, it also depends on the socio-cultural background of the patients.

How to Beat the Fears and Phobias

Unfortunately, you cannot expect to overcome your fears with just a single attempt. But when you practice the following measures on a regular basis, they can provide relief.

  • Identify the triggers. “Know what overwhelms you”. At times, people do not exactly know what is making them anxious. Therefore, the first step is to gain insight of the triggers, their frequency, and pattern. If you have a traumatic childhood experience that might be causing problems currently, seek help from a psychologist. Then, you can move to the next step.
  • Do not anticipate. Face the fears rationally. Keep in mind that your fear will only grow if you run away. For example, if you are going for a cancer test, plan what you will do if the test is positive. Remember what would have happened if the cancer was growing insidiously. When you think rationally, everything starts to make sense.
  • Seek help. There is nothing wrong with asking for help when you need it the most. Ask someone you love to join you in the visit. Moreover, you may seek professional help. Talk to your doctor about the fears and phobias. Then, ask if there is any coping strategy that can help. Sedatives that calm down the nerves may provide relief if you fear injections.
  • CBT may help. CBT or cognitive behavioral therapy teaches you different coping techniques to change your thinking about a potential trigger. As a result, you become stronger to face the problems.
  • Consider trying exposure therapy. This treatment approach may be used if the fears are not very intense. In this therapy, you will be exposed to the triggers in a controlled and supportive environment. With every new exposure session, the fears will step down the hierarchy and finally become insignificant.
  • Think of changing the doctor. This is one of the few last things you can do to overcome the fears and phobias. But this may not always successful considering the fear may originate from factors other than the doctor.

Want To Know More?

To learn more about fears and phobias, visit http://www.FindaTopDoc.com. Also, gain unlimited access to a myriad of other benefits. Readers can find evidence-based health information with just a click. Driven by the aim to provide authentic information about diseases, drugs, supplements, medical procedures, and lifestyle tips to all its visitors, FindaTopDoc.com and CEO Anthony Casimano allow visitors to read about the best doctors locally. Readers can choose the doctor that best meets their unique health needs, and request to schedule an appointment instantly.

 

Doctor’s Retirement Age

In the 1990s, the average American expected to retire at age 60, according to the Gallup polls. In 2012, the same poll found most Americans expect to retire at age 67. Physicians, however, show different retirement patterns related to issues other than age. A family practice doctor in solo practice in a rural town may find it almost impossible to attract a replacement. As a result, he may continue to practice medicine for many years past the usual age of retirement.

Later Retirement

Physicians tend to retire later than other professionals, according to an August 2006 article in “Minnesota Medicine.” The article notes that in 1995, the average age of retirement for physicians was slightly over 67. Specialists may be more likely to retire earlier because they do not have continuous patient contact in the way that a family doctor or internist does, and because they have higher pre-retirementdoctors-retirement-age (1)-1 incomes to help support earlier retirement.

Changing Jobs

Most physicians in 2008 were younger than 45, according to the 2010 edition of the American Medical Association’s “Physician Characteristics and Distribution in the U.S.”– well below retirement age. However, 20 percent of physicians were 65 or older, and only half of these were listed as inactive, indicating retirement. In some cases, a physician may stop providing patient care but move into administrative tasks as a medical director, insurance consultant or other job in which medical expertise is desirable.

Doctors are Older

Although the overall physician population has grown 188 percent between 1970 and 2008, according to the AMA, the physician population over age 65 has grown by 408 percent in the same period. Economic factors may be keeping many physicians on the job longer, according to data from The Doctors Company, a medical malpractice insurance firm. The company found that the portion of physicians reporting satisfaction with retirement plans has dropped 18 percent since 2006, and the average age at which an internist retired had increased from 62 in 2002 to 70 in 2009.

Expected Work Life

Once a physician finishes residency, his expected work life is about 35 years, according to an October 2004 article in “Health Services Research.” The 11 years or more of education for a physician from college to the end of residency means few begin to practice before the age of 28 or 29. Female physicians tend to retire earlier than males, according to the Health Resources and Services Administration. It also found that 50 percent of male physicians have retired by age 65 and 80 percent have retired by age 75.

As we age, our strength and vitality decrease; it is simply the order of things. An older person cannot run as fast or jump as high and does not have the same level of energy he or she had 20 or 25 years earlier. So the same must be true for higher mental functions, memory, the ability to learn, and clinical reasoning. Some believe that the experience that we acquire over the years makes up for everything.  Several studies have demonstrated that a decline in cognitive ability is associated with aging. Unfortunately, the rate of participation in continuing medical education activities decreases with age.

Doctor’s Retirement Age: Should There Be a Limit?

doctors-retirement-age (1)-1Meta: What do you see when you visit a doctor? Age or competency? Read this article to understand if it’s rational to regulate the doctor’s retirement age.

The doctor’s retirement age is a debatable issue even among veteran professionals and policymakers. Aging is inevitable and so is retirement from duty. Once a health professional steps into old age, they are required to leave their office. Of many reasons that necessitate the departure, sliding mental function with possible impact on service quality holds the greatest relevance. However, one cannot ignore the fact that aging does not necessarily cause cognitive decline.

Another thing to consider is that public health is a very sensitive issue. Even a slight misjudgment can lead to a serious consequence. In this way, setting the doctor’s retirement age limit seems rational.

But can we decide a doctor’s competency by the numbers on their birth certificates? Or isn’t it true that older doctors have more experience than a fresher graduate? Many such questions spark a debate and, looking at the current trend, we can only expect to see more in the future. Statistics show between 1975 and 2013, the number of US physicians aged 65 or above has multiplied four times. Similarly, 25% of US doctors are 65 or above. Nonetheless, not all of them are practicing.

With all things considered, the issue is just getting more complicated with every passing day. This article will explore the pros and cons of determining a doctor’s retirement age. Also, you will learn its impacts on public health.

Current Guidelines on Doctor’s Retirement Age

There is no standard guideline that forbids a doctor from practicing solely based on age. Nevertheless, they must meet the licensing criteria set forth by the state. Moreover, many hospitals may screen for age before recruiting. In a nutshell, we can say doctors are free to practice as long as patient-health is not compromised.

The American Medical Association’s Council on Medical Education also supports this. Even so, the AMA urges all older physicians to develop a set of standards on their own and monitor it regularly.

Why Setting Age Limit May Be a Good Idea, or Maybe Not!

The Good

Who does not get old? Everyone does and no one is immune to the effect of time.

By the same token, doctors also age and get health problems just like the general population. For example, impaired hearing, weak vision, and memory problems. Other conditions include anage-related decline in decision-making, decreased concentration, and slowed response. All these could possibly dent their competency.

Moreover, many older doctors who have been practicing for decades do not easily accept that their time is gone. They may work even if they have clear signs of age-related impairment.

For the proponents of age-based competency testing, these reasons are enough to raise their voice.

The Bad

Now there is the other side of the story.

The critics strongly believe cognitive impairment is not exclusive to the older doctors. Even a fresher mind could have any of these problems. To further support their view, they assert that the wealth of experience senior doctors have cannot be ignored.

Many senior doctors see fewer patients as they age. Consequently, they have a lower workload,therefore helping them work more efficiently and effectively. This also ensures that more doctors are available to serve.

The University of Virginia Health System and Stanford Health Care conduct special screenings for doctors above 70 and 75 respectively. To everyone’s surprise, most of them secure good scores. This clearly raises a question if examinations are only the way to assess a doctor’s competency. After all, life is more than just a pass-fail examination.

The Bottom Line

From the doctor’s viewpoint, age should not bar them from practicing as long as they fulfill the requirements and provide an effective care. Nevertheless, they may work for fewer hours and appear in cognitive tests whenever the authorities demand.

The decline in motor skills and mental functions, in general, does not occur overnight. For this reason, preventing a competent but old doctor from seeing patients does not seem too logical. If the decline is very serious, this will naturally show up in the form of a critical issue.

Senior doctors should also update their knowledge periodically to keep up with the rapidly changing health technologies. Also, they should be aware of their time of retirement and not associate retirement with a loss of self-respect.

Increasing age might be a problem for surgeons but it is less likely to leave any considerable impact on the performance of general duty medical officers

What You Can Do as A Patient

You have to understand that this is more of a tussle between skill and experience rather than young and old doctors. If something can compensate for skills and experience, you would not mind getting checked by a 90-year old or a 25-year old doctor.

At the end, it all comes down to your personal preferences. In any case, make sure to seek professional help only from a competent doctor. Before scheduling an appointment, here are some tips to follow.

  • Prepare a list of potential candidates based on which services you are looking for.
  • Streamline your search by eliminating the ones who do not fit your criteria.
  • Check the doctor’s profile using innovative online tools like findatopdoc.com. You may also go through reviews by other patients.
  • Request to schedule the appointment and, before that, be clear about what to ask during the visit.

Want To Know More?

To learn more about the potential advantages and disadvantages of setting the doctor’s retirement age, visit http://www.FindaTopDoc.com. Also, gain unlimited access to a myriad of other benefits. Readers can find evidence-based health information with just a click. Driven by the aim to provide authentic information about diseases, drugs, supplements, medical procedures, and lifestyle tips to all its visitors, FindaTopDoc.com and CEO Anthony Casimano allow visitors to read about the best doctors locally. Readers can choose the doctor that best meets their unique health needs, and request to schedule an appointment instantly.

 

Feeling stressed during the workday? Research says playing video games may help

videogameMore than half of Americans regularly experience cognitive fatigue related to stress, frustration, and anxiety while at work. Those in safety-critical fields, such as air traffic control and health care, are at an even greater risk for cognitive fatigue, which could lead to errors. Given the amount of time that people spend playing games on their smartphones and tablets, a team of human factors/ergonomics researchers decided to evaluate whether casual video game play is an effective way to combat workplace stress during rest breaks.

Read more at: https://medicalxpress.com/news/2017-07-stressed-workday-video-games.html

Winter Skin Care: How To Get Glowing And Healthy Skin

Meta: Dry, cracked skin during the winter is a nightmare for many of us. Use these doctor-recommended tips for an effective winter skin care regimen.

Winter may be good for those who enjoy cold temperatures and hot soups. But for most people who face problems with dry skin, winter does not provide relief. In fact, dry skin is just one of the many problems that winter causes. Flakes, cracks, and in the worst case, inflammation is also not uncommon. While there is not much we can do to change the course of the weather, following a winter skin care regimen can keep things in control.

These Winter Skin Care Tips Can Work Wonders

  • Moisturize more. It’s a well-known fact that your skin loses its moisture faster during the cold days because the air outside is dry. Moreover, staying indoors using a heater can further worsen the condition. As a result, your skin becomes dry and feels tight. If you fail to replenish the lost moisture, it might even develop cracks that are often painful. Remember to use an oil-based cream instead of a water-based cream because winter skin demands extra care.

 

Pro-tip

There are many oil-based moisturizers but not each of them suits you. Some can be really greasy or may even clog the pores. Choosing the best cream is a critical step. Opt for products that contain avocado oil, mineral oil, primrose oil, or almond oil. These oils are light and mostly plant-based, and do not clog the pores.

If you do not prefer to use oil, consider using glycerin or lotions that contain alpha-hydroxy acids. These compounds known as “humectants” prevent the loss of moisture from the skin to the environment.

  • It is not only for summer. In fact, the sun emits UV rays no matter if it is summer or winter. For this reason, use a sunscreen product from a trusted manufacturer. Make sure to apply it over exposed parts at least 30 minutes before getting out. If you stay outside for a long time, repeat every 3 to 4 hours.

Pro-tip

There is a common myth that the sunscreen products prevent Vitamin D synthesis. This is not relevant considering you don’t apply it 24 hours a day.

The US FDA recommends using a product with an SPF 15 or higher. Your needs may vary. Consult a skincare professional if this concerns you.

  • Avoid wet gloves and socks. No doubt, moisture is good for the skin, especially during the winter. But this, in no way, means the water in your gloves and socks will benefit. If you continue wearing wet gloves and socks, it may lead to other skin infections, most notably, a fungal infection. Therefore, it is very important that you change wet clothing as early as possible.

Pro-tip

Once you take off wet clothing, clean the area with clean water and pat dry with a clean cloth. Then, apply a moisturizer. If itching and sores develop, consult your doctor.

  • Superhot bath. There is no doubt that a superhot bath after long hours in the chilling cold is a treat. But your skin will suffer. This is because the hot water can cause further loss of moisture. Instead, consider soaking in a lukewarm bath and that too, only for a brief period.

Pro-tip

Add baking soda in the lukewarm bath before soaking.

Apply moisturizer after getting out of the bath.

Things To Know About Winter Skin Care

  • Skin care regimens in the winter and summer are different. Cold dry days cause more rapid loss of moisture, thus causing excessively dry skin. In the summer, sweating and high temperatures are the main culprits for dryness.
  • Choose skincare products based on your skin type and the effects they produce after a few days of use.
  • Avoid over-exposing parts of your body as often as possible.
  • Drink water and fluids to hydrate your body as well as your skin. But remember, dry skin does not always mean you are drinking less water.
  • Avoid using harsh soaps. Instead, you may use a mild body wash or moisturizer-containing soaps that are free from fragrances and specific antibacterial agents.
  • Lotion is a better choice if you are looking to apply over larger areas. They are light and spread more readily.
  • On the other hand, creams can be applied over a small area like the face and neck.
  • Use an exfoliating cream once or twice a week. It helps to clear off the dead skin cells from the surface and thus enhances the appearance. Also, it may promote the absorption of other ingredients deeper into the skin. Choose products that contain salicylic acid and lactic acid.

When To See A Doctor

In most cases, the severity of the problems does not warrant a doctor visit. In essence, when you apply these winter skin care tips, you will likely find expected relief.

Nonetheless, if you have any of the following symptoms, consult your doctor right away. These could be indicative of a more serious condition.

  • Severe itching that does not go away
  • A rash
  • Extremely painful cracks or scales
  • Sores or signs of an infection like fever, oozing sores, pain, and hotness at the site
  • Red, itchy, fluid-filled bumps
  • Swelling and sensitive skin

Want To Know More?

To learn more about winter skin care tips, visit http://www.FindaTopDoc.com. Also, gain unlimited access to a myriad of other benefits. Readers can find evidence-based health information with just a click. Driven by the aim to provide authentic information about diseases, drugs, supplements, medical procedures, and lifestyle tips to all its visitors, FindaTopDoc.com and CEO Anthony Casimano allow visitors to read about the best doctors locally. Readers can choose the doctor that best meets their unique health needs, and request to schedule an appointment instantly.

 

 

Winter Skin Care

It’s everyone’s dream in the dead of winter: to have dewy skin that’s immune to the effects of icy temps, whipping winds, and Sahara-like heating. Good luck with that, right? “The air is frigid and dry outside, and any kind of indoor heat leaves it even more parched. Your skin’s protective barrier cracks, making it less able to repair itself,” says San Francisco dermatologist Katie Rodan, MD. “It becomes a vicious cycle unless you do something to prevent it—or treat it fast.” Here is the guide to protecting your most moisture-starved parts so you can stay soft and smooth all season long.

  1. Cool your jets 

Reduce that steamy shower temperature – no matter how good it feels. Hot water + cleanser washes away your skin’s natural oils as thoroughly as hot water + detergent washes grease from your dinner plates. Squeaky clean is great for dishware, not so great for skin in winter.

  1. Face facts 

Moisturizer does not moisturize. Most formulas are a blend of water and emollients, but their role is really to prevent or slow moisture’s escape from the skin’s surface.

  1. Buff up 

Exfoliate regularly to help lagging cells get out of the way so skin can soak up moisture more easily. A scrubby glove or plain white granulated sugar in the shower will do the trick body-wise. On the face, a mild scrub is great every few days to get rid of surface flakes. Gentle chemical-exfoliant skincare such as Nip + Fab Glycolic Fix Extreme Night Pads or Indeed Retinol Reface will keep flaky skin at bay and soften fine lines as well.

  1. Pat down 

Don’t rub the water away after your shower – you want to dab or pat off the excess instead, so you leave a little extra moisture on the skin. Then lock it in with lotion right away. (Skin’s hydration boost from your shower lasts only about three minutes without lotion, fyi.)

  1. Layer layer 

If you can’t take heavy textures on your face, consider a serum followed by a lighter-weight cream. The most potent part of any skincare ritual, serums consist of small molecules that the top layer of skin can absorb. Apply first, so your face cream can then serve as a protective barrier to trap the serum molecules against your skin.

  1. Put oil on water 

Oil doesn’t “moisturize” any better than cream does. But applied over dampness, it helps keep some of that extra water in the top layer of the epidermis. It’s also a great layering option especially for dry complexions desperate for oil as well as water.

  1. Skip fragrance 

Skin prone to dryness tends to be sensitive, and can react negatively to skincare scent, whether synthetic or natural. In the slideshow above, if the product is fragrance-free, I’ve said so.

  1. Consider ingredients 

Ceramides, glycerin, mineral oil (aka paraffinum liquidum), colloidal oatmeal, and petrolatum are all excellent for tempering extreme dryness in winter. See ingredient details in the slideshow above.

To protect your body from the cold, you stocked up on pom-pom hats, Muppet furs, and parkas. But what should you be doing to protect your skin? These tips offer the best solutions to transition your skin care from fall to winter. Remember the truth about face oils, the trick to picking the right winter moisturizer, and the reason you need a pan of water in your apartment and you’ll have a perfect winter skin.proper-winter-skin-care.png

Lower Your Blood Pressure

If you’ve been diagnosed with high blood pressure, you might be worried about taking medication to bring your numbers down. Lifestyle plays an important role in treating your high blood pressure. If you successfully control your blood pressure with a healthy lifestyle, you might avoid, delay or reduce the need for medication. Here are some lifestyle changes you can make to lower your blood pressure and keep it down.

  1. Lose extra pounds and watch your waistline

Blood pressure often increases as weight increases. Being overweight also can cause disrupted breathing while you sleep (sleep apnea), which further raises your blood pressure. Weight loss is one of the most effective lifestyle changes for controlling blood pressure. Losing just 10 pounds (4.5 kilograms) can help reduce your blood pressure. Besides shedding pounds, you generally should also keep an eye on your waistline. Carrying too much weight around your waist can put you at greater risk of high blood pressure.

  1. Exercise regularly

Regular physical activity — at least 30 minutes most days of the week — can lower your blood pressure by 4 to 9 millimeters of mercury (mm Hg). It’s important to be consistent because if you stop exercising, your blood pressure can rise again. If you have slightly high blood pressure (prehypertension), exercise can help you avoid developing full-blown hypertension. If you already have hypertension, regular physical activity can bring your blood pressure down to safer levels.

  1. Eat a healthy diet

Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol can lower your blood pressure by up to 14 mm Hg. This eating plan is known as the Dietary Approaches to Stop Hypertension (DASH) diet.

  1. Reduce sodium intake

Even a small reduction in the sodium in your diet can reduce blood pressure by 2 to 8 mm Hg.The effect of sodium intake on blood pressure varies among groups of people. In general, limit sodium to less than 2,300 milligrams (mg) a day or less. However, a lower sodium intake — 1,500 mg a day or less — is appropriate for people with greater salt sensitivity, including:

  • African-Americans
  • Anyone age 51 or older
  • Anyone diagnosed with high blood pressure, diabetes or chronic kidney disease
  1. Limit the amount of alcohol you drink

Alcohol can be both good and bad for your health. In small amounts, it can potentially lower your blood pressure by 2 to 4 mm Hg. But that protective effect is lost if you drink too much alcohol — generally more than one drink a day for women and for men older than age 65, or more than two a day for men age 65 and younger. One drink equals 12 ounces of beer, five ounces of wine or 1.5 ounces of 80-proof liquor. Drinking more than moderate amounts of alcohol can actually raise blood pressure by several points. It can also reduce the effectiveness of blood pressure medications.

  1. Quit smoking

Each cigarette you smoke increases your blood pressure for many minutes after you finish. Quitting smoking helps your blood pressure return to normal. People who quit smoking, regardless of age, have substantial increases in life expectancy.

  1. Reduce your stress

Chronic stress is an important contributor to high blood pressure. Occasional stress also can contribute to high blood pressure if you react to stress by eating unhealthy food, drinking alcohol or smoking. Take some time to think about what causes you to feel stressed, such as work, family, finances or illness. Once you know what’s causing your stress, consider how you can eliminate or reduce stress.

Supportive family and friends can help improve your health. They may encourage you to take care of yourself, drive you to the doctor’s office or embark on an exercise program with you to keep your blood pressure low. If you find you need support beyond your family and friends, consider joining a support group. This may put you in touch with people who can give you an emotional or morale boost and who can offer practical tips to cope with your condition.ways to lower your blood pressure