You ARE Part Of The Process

Readers of the blog have repeatedly asked me to include reviews of the book and I have repeatedly forgotten.  Ignoring what that might say about me as a person, I’ve included the Amazon reviews today.  We’ll have to wait for another blog to include the B & N reviews or the blog would be more than double the length of the longest one so far. You can order the book on Amazon or B & N in both print and Kindle, but only print at If you’d like a print book, I can mail you one at the discounted price of $10.00 and you can have me personalize it, too.  Enough selling!
Now, about being involved.  The article I’ve included today has to do with  the idea that the patient must have a say in determining which tests (s)he takes and is written from a physician’s point of view.  I discuss this in What Is It And How Did I Get It? Early Stage Chronic Kidney Disease and you’ll notice that some of the reviews mention it, too.  This is your body, your life. Certainly you should seek the advice of medical experts, but the decision whether or not to take (insert name of medical test) is ultimately yours. This post is from  The URL is: As usual, the comments in brackets are my own and not part of that post.
 Shannon Brownlee’s recent post, “Don’t discard shared decision making on the basis of PSA testing,” [that was a previous post on the same blog] couldn’t ring more true. The crux of shared decision making is that the patient must decide, with his or her physician, which tests or procedures make sense, given the various risks, tradeoffs and outcomes. Discarding the construct on the basis of one test (PSA testing) [in that previous posting] is not only poor form in that it is a sample of one, but also what might not seem like much of a choice to some may be the biggest choice of all to someone else.Choice is the operative word in this debate. Patients need to know their options, regardless of physician opinion or what research says would probably happen (i.e. a false positive). It is up to the patient to choose whether the odds are worth it to them. And while PSA testing [again, this post refers to all medical testing, not just PSA]  may not be strong in validity (though the research does conflict), causing some doctors to (erroneously, in my opinion) consider it non-elective, there are certainly other common medical tests that warrant shared decision making, such as colon cancer screening, for example. In addition to the decision of whether or not to be tested there are several choices about how to get tested and then after that several choices about what to do in the event that a polyp is found. When medical evidence supports more than one approach to testing, patients should be informed about their choices and providers should respect their preferences.Shared decision making is not just the right thing to do, it is one of the most effective ways to combat the myriad health issues affecting us today – quality, cost, satisfaction. Shared decision making is not meant to encourage or discourage certain tests or procedures – it is meant to involve and educate each patient so that no medical choice is made without them.  And that makes patients happy – exercising the right to be involved in decisions about their care. Once educated, patients do tend to select less invasive procedures on average, as Shannon notes, and costs thereby go down as does the risk of medical error or unwanted care. A randomized controlled trial in the New England Journal of Medicine also produced these effects: a shared decision making intervention produced 9.8% fewer inpatient and outpatient surgeries and 11.5% fewer hospital admissions.

Shared decision making makes healthcare better. To my fellow physicians trying to determine whether to test or not to test – include the patient first. Is the patient involved? That is the real first question.

Peter Goldbach is Chief Medical Officer, Health Dialog.

So, read the reviews below and then get involved in your own life.  Ask questions, weigh the options and let your medical expert help you make YOUR decision. 


This book includes TONS of definitions and images and is a good read for anyone looking to learn more about kidney disease — whether your a doctor or a recently diagnosed patient. Her perspective is real and her stories will relate with many. The book touches on many topics from related health complications to dealing with nephrologists and maintaining a kidney-friendly diet. If you or someone you know is facing CKD, I highly recommend reading this book. Take experiences from those who have already gone through it and are looking to help.
Gail Rae’s story and book are a terrific resource for anyone facing the challenges of CKD.  “What Is It and How Did I Get It?” is an honest, personal, forthcoming account of what it takes to stay on top of your own health. It’s great that Gail empowered herself by education and learning — resulting in trusting herself.  Hopefully, her story will teach others to take control of their own health by eating the right diet, exercising, and taking the time to understand the myriad of information that comes from the medical world.  She does an excellent job of explaining what happens once someone learns they have kidney disease.  From what happens with every medical exam, test, visit to a doctor, researching medicines, nutrients, causes, body functions, physiology, etc…touching on every aspect in a very helpful way.  This book is a must read for anyone who has any questions about kidney disease, whether it’s personal or for a loved one.
This is a must read for anyone who has kidney disease. I had the privilege of reading Gail’s book and  interviewing her on the radio. For anyone with kidney disease, this is one of the best books around written by someone who has kidney disease. I recommend this book highly!!!!!!!
Gail Rae’s book, What Is it and How Did I Get it?: Early Chronic Kidney Disease provides information about this disease from the patient’s viewpoint. Having dealt with many doctors while dealing with a different health issue, I have learned how important it is to understand what all the tests and procedures mean. From my viewpoint, it’s also important to know how to talk with your doctor and even more importantly in my opinion to know how to get the doctor to talk with you about prognosis, treatments, and any questions you have. Her book gives you the basic understanding about chronic kidney disease and addresses issues that can puzzle and frighten patients. She gives you her experience as a patient as well as information she’s researched trying to find her own answers. A useful resource for anyone dealing with Chronic Kidney Disease.
 This book is wonderful because it explains all you need to know for early stages of ckd and not in medical terms, but in terms that everyone can understand. The author was so passionate about getting the information to others who are going through what she went through as this information was not avaialble to her. Her altruistic motive for this book is also what makes it wonderful. I would definately buy a copy if I were you.
Having lived with autoimmune diseases since my late 20’s, and I know first hand what it’s like to get a new diagnosis.  Even with the internet, it’s hard to get solid, reliable and empathic information.  This book does it all in an easy to read format.  I think this is useful for a person with any new diagnosis because it highlights the issues people wonder and worry about.
 As the daughter of a mother who has early stage CKD, I have to admit at first I panicked at the diagnosis. What exactly did it mean? I was relieved to find this book and even more so relieved to find that it was written in plain English and not Medical-ese. Author Gail Rae has written an easy to follow book not just for the newly diagnosed early stage CKD patient, but, also for their family members and friends. There’s even an entire chapter dedicated to questions raised by friends and family. I highly recommend this book for both the newly diagnosed early CKD AND their family/friends.
 This is an incredibly well-researched, well-written book written by a woman who herself developed kidney disease. Her book provides clear and comprehensive information for all about the care patients need to have, and responds to the fears and concerns of all involved with coping with kidney disease. It is an honest, very personal accounting of her experience, and I found it to be written clearly, providing tons of pertinent information about every facet of how to cope with this illness.
I think Ms. Rae wrote this book for the ordinary person who learns that they will be living with kidney disease from the moment of diagnosis, on. But after reading, I believe that it is also a book that every family member, every friend of someone who has developed kidney disease ought to read as well, in order to better understand what their loved ones are going through. I also believe that this book will benefit every professional in the medical community who deals with patients coping with Kidney Disease. It has helped me, and will help everyone involved with the patient on any level to be better able to understand their patient’s concerns, anxieties, needs and limitations.  For these reasons I think it is a great guide for the medical community as well as for the patient/family/friends, as it can help professionals understand the kind of information their patients need to have in order to take good care of themselves. Don’t pass this book up!
This book is especially good for the newly diagnosed with CKD. So much information in a well written format. The author, a teacher and a writer uses her excellent skills to make this disease easier to understand and “navigate”. Highly recommended. Medical specialists should give this to all of their kidney disease patients.
Thanks for the chance to let you know how others view the book.
Until next week,
Keep living your life!

Let’s Hear It From The Other Side

What a weekend!  We went up to Prescott, Arizona, to donate some copies of What Is It And How Did I Get It? Early Stage Chronic Kidney Disease to doctors up there and drove right into – are you ready? – SNOW.  We were not prepared, but were absolutely delighted.  This called for an unscheduled stop to feel it on our faces again.  You’ve got to remember I’ve been out of NY for a decade. Above is what we usually see on road trips.  Notice, no snow.

We didn’t just work, either.  I heartily recommend the 1912 Hotel Vendome which is a very homey bed and breakfast with the best home made waffles (home made – low phosphorous, something we can eat!) If you get up there, speak to Eric, the owner, about connecting with Darlene for  a ghost tour which includes as much history as it does spectral information.  Drive over to the Heritage Park Zoo which houses ONLY rescued and rehabilitated animals.

If you’re still feeling zooish, go to Bearizona near Williams which is a drive through.  You better keep those windows tightly closed and keep moving through because those bears are not shy of humans as a swipe at our bumper that set the car rocking let us know. This zoo is 55% rescues and rehabilitated animals.  I don’t think I’ve ever enjoying a working weekend more.

Working… ah, the book.  Remember you can email me at: for a personalized book at the discount price of $10.00.  You can buy it in either the digital or print form at or B&  It’s also available, but in print only,  at

A while ago, Dr. Kevin Pho had me guest blog on his  Recently, I wrote a blog about being in charge of your own treatment.  Somehow, somewhere I realized that I’d never advocated for the physician.  As a patient advocate, that makes sense; but is it fair?  Then I came across this book excerpt on Dr. Pho’s site and I had my answer.  I had to give the other side the opportunity to be heard.

I need to advise you that I have not read this book, simply the excerpt on Dr. Pho’s site.  However, I do like what the author has to say for the most part.  My concern here is if we do attempt to become this friendly and human with the physician, will she (or he) have the time?

It’s been clear to me – no matter what kind of doctor I see – that the physician is very carefully watching the amount of time spent with me.  Other patients I’ve spoken with about this have agreed: our beleaguered physicians have only so much time for each patient.  I would suggest keeping that in mind as you read the excerpt.

An excerpt from The Take-Charge Patient: How You Can Get The Best Medical Care (Lemon Grove Press) which will be released May 15, 2012. 

Here are a few suggestions that will help you make the most of your relationship with your doctor. They are for your benefit as a patient, because the more you know, the more empowered you will feel.

Remember That Doctors Are Human Beings

Almost every health care professional emphasized that we all must realize that doctors are people just like us. They have personalities, feelings, good days, bad days, families and social lives.

Sometimes doctors are forced to sacrifice important events to tend to their patients. They miss their kids’ soccer games, medical appointments, school meetings and social events. Sure, they chose their profession, but the demands and sacrifices are great. I never realized just how much they sacrifice for their patients until I interviewed the physicians for this book.

Humanize Yourself to Your Doctor

It’s easy for us to feel the urgency to get right to the point of why we are seeing the doctor. We begin listing symptoms, talk about how we aren’t feeling well, and ask for help.

I happen to believe that if we jump right into our symptoms, that is how the doctor will view us—as a set of symptoms she needs to diagnose and treat. I want my doctor to see me as a human being, just as I see her. If she sees me as a human being, then more than likely she will connect to me personally, and that can enhance her willingness to help me. This may not always be possible as some doctors simply are not interested in connecting personally to their patients.

Use Your People Skills

If someone likes you, they are more willing to go the extra mile for you. This is where your people skills are useful because your doctor will respond to you more positively if you are friendly. That isn’t always easy if you aren’t feeling well, but I’ve heard from many doctors that a patient who is angry, bitter, belligerent or has a bad attitude is not well liked. Being a likeable patient is being a smart patient.

Being a smart patient doesn’t mean you are faking or being disingenuous. It means you implement strategies to maximize your interaction with the doctor and her staff. You don’t have to put up with bad treatment or allow anyone to treat you disrespectfully—I’m not suggesting that you be a doormat. I’m suggesting that being a nice person will get you more of what you want.

Be Nice to Your Doctor

Be nice, polite and appreciative. Many doctors shared experiences with me about patients who were not nice to them. If you aren’t nice to your doctor, you are not going to get what you want.

Your doctor has something you want that you cannot give to yourself. Do your best to elicit a positive response from your doctor. It’s just common sense.

We’ve all had experiences with doctors who have made us wait forever when we weren’t feeling well or whose staff ignored us or were rude or unhelpful. I’m not asking you not to stick up for yourself; I’m asking you to express yourself diplomatically because you need what this doctor has to offer.

I try to show goodwill and appreciation toward my doctors not just from a public relations perspective (although that does factor in), but also because I do truly appreciate what my doctors do for me. I am mindful of how far a simple verbal thank you or thank-you note goes.

The goal is to let your doctor know that you value the good care she gives you. If your doctor goes the extra mile for you, express gratitude. We all like to hear that we have done well or that we have done something to improve someone else’s life. Doctors need that too.

If you complain a lot or approach the doctor and staff with a bad attitude or a sense of entitlement, you are simply not going to get what you want. If there has been a serious error or act of obvious neglect, channel your anger so you don’t come across as out of control. Remember—be firm but respectful. No name-calling or yelling. You only discredit yourself if you yell at doctors and their staff. You look like the villain if you lose control.

Be Nice to the Doctor’s Staff

Befriend the doctor’s staff. This will help you in a multitude of ways. For example, if you have an urgent message for the doctor, need to see the doctor the same day, need a prescription refill sooner rather than later, or need a procedure scheduled immediately, most of the time you’ll get your needs met much sooner if you are friendly and appreciative of the doctor’s staff.

Most medical professionals suggested trying to talk with the same person each time you call the office to establish a relationship with that person. This will be your go-to person if you ever have an important need to be addressed.

If the front desk person fits you in for an urgent appointment, thank her. This person did you a favor.

Be Nice to the Doctor on Call

Several doctors mentioned the importance of being polite and respectful to the doctor on call—the physician who is covering for your doctor. If you are not, word gets around. This affects how the doctor and her staff perceive you, and it can affect the quality of your medical care.

Act Involved in Your Health

Who knows your body better than you do? You are the expert on you—share with your doctor what you know so she can do her job.

Most doctors said that patients who are involved and invested in their health cause them to be more involved and invested in the patient’s health. Many physicians said that if a patient doesn’t care, it makes their job much more difficult. Many said that patients who don’t care aren’t going to follow their instructions to get better.

If you think about it, what is your doctor’s motivation to go out of her way for you if you give the impression you don’t care about your health and medical care?

You can find the original of this at

This seems like simple common sense to me, but when you get sick, sometimes that just goes right out the window.  I’m not proud of it, but I clearly remember leaving screaming messages on a former nephrologist’s answering machine when he would not call me back about surgery I was having in just two days.  (I finally had the surgeon call him.)  Yes, he was an incredibly arrogant person who had no respect for me, but did it help that I treated him – shall we say – less than respectfully, too?  Answer: Nope, it just helped my self- respect fly out the window.

Until next week,

Keep living your life!

A Doctor’s Advice To Other Doctors

I’ve got to start off with my commercial, of course.  Not being a business person, I have no clue how to let the public know about the book or any sales so I mention it here to give you the first shot and to allow you to show it to those who might be interested.  To be honest, I really don’t care for this part of being the author but can’t figure out how else to get the book in the hands of those who need it.  (Hint: suggestions welcome.)Okay then, if you email me at, I will send you as many copies of the book as you’d like for $10.00/copy instead of the usual $12.95.  We can handle the payment via PayPal.  It’s a simple process and they are trustworthy.  Oh, is that the sound of orders rushing into my mailbox?

Now on to the reason you read the blog:
I’ve had this article from in my file for months while I decided if it were relevant or not.  Obviously, I decided it is.  Why?  Because I just had one of these frustrating experiences with one of  my own doctors.  She raced in, raced out, paid no attention to what I was saying and didn’t look at my face once.She is no longer my doctor despite being listed as one of Phoenix’s best doctors in Phoenix Magazine’s 2012 Top Doctors of The Valley issue.  She IS one of the best doctors here, but I cannot let her just do what she wants with my body when she wants without explaining it to me.  Maybe I’m wrong, but one procedure I did allow her to do caused nothing but unnecessary pain without rectifying the condition.  And then I discovered  she did not give me the proper after care instructions!

I don’t think doctors often listen to their patients’ suggestions, nor do I think we often give the suggestions.  We just get angry and change doctors.  That is why I was happy to see that Dr. Carone chose to give this advice to her colleagues.

10 ways doctors can lose their patients


As a neuropsychologist, I have the chance to talk to patients throughout the week in detail about their medical histories, supplemented by a comprehensive medical records review. Part of this involves discussing which provider the patient has seen and if the provider was changed, why. Sometimes, a provider is changed for a benign reason, such as a move or an insurance change but other times there are significant complaints. Granted, there are always two sides to every story but when I consistently hear the same or similar story from different patients year after year, the stories gain credibility.

Then, when I start to notice the same problems during my own doctor visits, I know there are some serious problems that can be fixed. So, listed below are my top 10 ways for doctors to lose patients from their practice. If you have others to add to the list, please do so.

10. Not accepting lists of symptoms or timelines from patients. If you see patients, you know they range on a continuum from poor historians who have no idea why they are there to see you and those who arrive with carefully constructed histories that they are eager to give you as soon as you walk in. Just about the worst thing you can do when this happens is to tell the patient that you don’t want the list and do not even want to look at it. That connotes a dismissive attitude to the patient and it makes them feel like all of their work was for nothing – work that was done in the hopes it would help you figure out what was wrong. You may have very good reason at the time not to look at the list such as time pressure, but at least take the list and say you will later take a look at it. It will likely provide you some useful information.

9. Asking patients to choose what type of medication they want to take. When a patient has a medical condition in need of medical treatment, the physician is looked to provide their advice as to what medication to take. They don’t want to be given a list of three possible medications, told to research them at home, and come back with a decision. From a patient’s perspective, this is why the doctor went to medical school, not me.

8. Long wait times and no apology and/or rushing the patient once coming in. While no patients want to wait long, they will generally accept the wait time if they are pleased with the care you provide, or if it the initial visit, know that you have a good reputation. However, if the patient waits long and you then walk in and do not acknowledge the wait, explain why there was a wait, and apologize for the wait, it will significantly aggravate the patient. Rush the patient after a long wait and no apology and it will worsen the situation further.

7. Poor bedside manner. This is an easy one and has been addressed extensively by others, but don’t do things such as repeatedly looking at the clock, repeatedly interrupting patients, focusing more on you than the patient, talking rudely, making poor eye contact, etc. Follow the Golden Rule and you will easily establish rapport the majority of the time.

6. Not being responsive to challenging questions. Provided that a patient is being respectful, there is no reason to become upset when a patient asks questions challenging a diagnosis or course of treatment. Most patients are generally accepting of your expertise but they may have heard or read something that has given them legitimate questions. Your answers can help reassure the patient that your diagnosis and treatment is correct. Patients are also usually more impressed when you tell them you have no problem with them seeking a second opinion rather than demanding they only accept one point of view and/or becoming overly defensive. Also, patients (or families) sometimes come up with questions that can lead you to entertain an idea you did not previously think of that can improve care. Don’t shy away from this. Embrace it.

5. Disrespectful staff. While the patient may like the care you provide, there are a host of other people they need to interact with before and after the appointment. This includes the receptionist, billing staff, nurses, and others. If these individuals are rude and disrespectful, the patient will likely switch to another provider whose friends and family say have better ancillary staff. It is like owning a restaurant with good food but a terrible hostess and waitress. Many people will just choose a different restaurant. Train your staff to treat your patients they way they would want to be treated (and teach them how to manage patients who are rude) and you will have a happy client base.

4. Drab and dreary office space. No one likes to go to the doctor. Take some time to make it a more enjoyable experience. Have comfortable seats in the waiting area and waiting room, put some nice art up on the walls (geared towards children if it is a pediatric office), have a TV on with cable (with cartoon options for children), soft music, etc. Whether right or wrong, offices that are bare, uncomfortable, and cold looking convey a message that the patient perspective is not being considered.

3. Being unavailable when needed during routine business hours. When the answering service repeatedly picks up the phone during normal business hours, it is extremely frustrating for patients. Same with staff not returning phone calls or being absent for 1.5 hours during lunch time. Patients need to have access to staff during normal office hours to make appointments and ask questions.

2. Cancelling/rescheduling appointments too often. Patients are understanding when a doctor needs to cancel or reschedule but not if it happens too often. This was highlighted in the recent trial of Dr. Conrad Murray, whose former patient testified that after two follow-up appointments were cancelled he felt that the doctor blew him off. The patient never followed up with Dr. Murray again.

1. Making decisions that cause patient harm that were easily avoidable. While patients will sometimes give doctors a second chance, they won’t be inclined to do this if harm occurred to the patient or a family member that could have easily been avoidable. This is especially true if the harm happened to a child. As a personal example, I recall repeatedly explaining to my pediatrician that my child’s cough and wheezing was persistent and affecting her breathing, only to be repeatedly told that it was only allergies, despite the fact that she was cleared by an allergist and was not improving with allergy medications or a nebulizer. Finally, and only by pressuring the physician to do more, was a chest x-ray ordered. Diagnosis: double pneumonia and a week long hospital stay. Totally avoidable. The new pediatrician is very responsive and we have been very pleased for many years.

Dominic A. Carone is a neuropsychologist who blogs at

 Until next week,

Keep living your life!


Bedtime is Best

This is what early stage CKD looks like

Ladies and Gentlemen, welcome to the first post of 2012.  Here’s hoping you have the very best year you’ve had to date.

Dr. Kevin Pho started my new year right by posting an except from the book at which is the address for his blog.  I am constantly overwhelmed by the kindess of the medical professionals in helping me with my quest to get the book into the hands of every newly diagnosed CKD patient.

I’ve posted about taking cholesterol medication at night and am doing so myself.  Then I ran across this article from and will explore whether or not to also take hypertension medication at night.  It all makes sense to me, but I would suggest you talk it over with your nephrologist before you make any changes in your medication taking regiment.


Blood Pressure Drugs at Bedtime May Cut Heart Risk

                View the High Blood Pressure (Hypertension) Slideshow Pictures

Latest High Blood Pressure News

Study Suggests Benefits to Taking Blood Pressure Drugs Before Going to Sleep

By Kathleen Doheny WebMD Health News

Reviewed by Laura J. Martin, MD

Oct. 27, 2011 — Taking at least one blood pressure medicine at bedtime cuts the risk of heart problems, according to new research.

The study also shows that participants taking at least one blood pressure pill at bedtime had lower blood pressure while asleep.

Earlier studies have suggested that bedtime dosing of at least one blood pressure medication may help control blood pressure. But the new study is believed to be the first to look at whether the timing makes a difference in terms of heart attacks, strokes, and death.

Ramon C. Hermida, PhD, director of the bioengineering and chronobiology labs at the University of Vigo in Spain, studied 661 people with both high blood pressure and chronic kidney disease.

“Taking blood-pressure-lowering medication at bedtime, compared to [taking] all medication upon awakening, not only improved blood pressure control, but significantly reduced the risk of cardiovascular events,” Hermida says in a news release.

The research appears in the Journal of the American Society of Nephrology.

Timing of Blood Pressure Medicines

Hermida’s team asked half of the men and women to take all their blood pressure medicine when they got up in the morning. On average, each person took two medicines. Many took more than three.

The researchers asked the other half to take at least one of their blood pressure medicines at bedtime.

They measured blood pressure by using 48-hour ambulatory monitoring at the start of the study — not just a single daytime measurement used in most earlier studies. They also measured blood pressure three months after any treatment changes or, at the least, every year.

The researchers followed the men and women for about five and a half years. They looked to see which heart problems developed. They tracked death from any cause and from heart disease or stroke.They also tracked heart attack, angina, heart failure, and other problems.

More than half of those with chronic kidney disease also have high blood pressure, according to the National Kidney Foundation. High blood pressure increases the risk of the kidney disease worsening. Overall, one in three U.S. adults has high blood pressure, according to the researchers.

Bedtime Dosing of Blood Pressure Medicine

Those who took at least one blood pressure medicine at bedtime had lower nighttime blood pressure while asleep. They were also more likely to have overall good control of their blood pressure.

The bedtime group was one-third as likely to have heart and blood vessel problems such as heart attack, stroke, or heart failure, the researchers found.

Improved overnight blood pressure with bedtime dosing had a real benefit. Each 5-point drop in sleep-time blood pressure was linked with a 14% reduction in risk for heart attack, stroke, or heart failure.

“Cardiovascular event rates in patients with hypertension can be reduced by more than 50% with a zero-cost strategy of administering blood pressure-lowering medications at bedtime rather than in the morning,” Hermida says in a news release.

Why Blood Pressure Drugs Work Best at Bedtime

Hermida tells WebMD that some of the body’s blood pressure control systems are most active while we sleep. So medicines designed to control those systems work better when taken close to the time when the systems are activated most fully.

The study results ”make absolute sense to me,” says Robert Graham, MD, MPH, an internist and director of residency research at Lenox Hill Hospital. Graham, an assistant professor of medicine at New York University, reviewed the study findings for WebMD.

”Certain medications have the greatest effect on the body while we sleep,” he says. Indeed, bedtime dosing of blood pressure medications recently has been a hot topic among experts.

Graham has been prescribing blood pressure medicines to be taken at bedtime for years, he says, as it seems to help with the top side effects of blood pressure medicine: fatigue and drowsiness.

“If you do have high blood pressure, and have a hard time getting it [down to your] goal, maybe you should talk with your doctor about changing the time [you take the medicine],” he says.

SOURCES: Journal of the American Society of Nephrology, published online Oct. 24, 2011.Ramon Hermida, PhD, director, bioengineering and chronobiology labs, University of Vigo, Pontevedra, Spain.Robert Graham, MD, MPH, director of residency research, Lenox Hill Hospital; assistant professor of medicine, New York University. ©2011 WebMD, LLC. All Rights Reserved.

You can find the original article at:

Many, many hopes for a happy new year.  Join us for the upcoming TwitterChat on Jan. 9 from 8-9 EST at #LibreChat.  If you’re local, schedule in the book signing at Bookman’s in Mesa on Saturday, Jan. 14 from 1-3.  I really enjoy meeting my readers and their friends and family.  One person seems even more interesting than the other!

Until next week,

Keep living your life!