Dr.Paddy Barrett – The Truth About Alcohol and Health

Why the idea that โ€œa little red wine is good for your heartโ€ doesnโ€™t hold up anymore.

I used to drink.

A lot more than I should have.

And while I had some seriously good times when I was drinking, it came at a huge cost.

Brutal hangovers. Terrible sleep. Wrecked weekends.

Even a broken back.

(But thatโ€™s a story for another day.)

I still drink.

But just very little these days.

As a cardiologist, I am asked almost every day if โ€˜Alcohol is good or bad for your health?โ€™.

Letโ€™s find out.

Alcohol Is A Toxin.

There is no getting away from the fact that, at its most basic chemical foundation, alcohol is a toxin.

Globally, alcohol is responsible for 3 million deaths per year; in the United States, it is the third leading cause of preventable deathยนยฒ.

Alcohol is a factor inยณ:

  • 30% of suicides
  • 40% of fatal burn injuries
  • 50% of fatal drownings
  • 50% of homicides
  • 65% of fatal falls
  • 29% of fatal road traffic accidents

Alcohol is a factor in 1 in 5 emergency department presentationsโด.

No pun intended, but these statistics make for some sober reading.

โ€˜Red Wine Is Good For Your Heart.โ€™

Now come on.

Did you really think that was true?

I have heard this phrase over and over again in my clinical practice.

High levels of exercise are good for your heart, but oddly enough, most people seem to be far less enthusiastic about this approach than regular alcohol consumption.

Letโ€™s see what the data says.

Up until very recently, it was believed that drinking 1-2 drinks per day was actually protective when it came to dying prematurelyโต.

This data was based on observational studies that cannot fully control for all confounders and can therefore not infer causality.

When you examine the people who drink only 1 to 2 drinks per day, you consistently find that they are much less likely to smoke, be overweight or engage in any other risky health behaviours.

So in truth, it probably wasnโ€™t the alcohol that was driving the effect.

More recent studies have attempted to control for this variable more carefully, and the relationship is clear.

The more you drink.

The higher the risk.

Take coronary artery disease. Higher alcohol intake equates to a higher risk.

The same applies to high blood pressureโถ.

The same applies to strokeโท.

The list goes onโธ:

  • Atrial fibrillation – Higher risk.
  • Sudden death – Higher risk.
  • Heart failure – Higher risk.
  • Liver, Breast, Colorectal, Oropharyngeal Cancer – Higher Riskโน.

You get the point.

With all this information to hand, why is it then that I and billions of others continue to drink alcohol?…

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Recipe: Perfect Chocolate Chia Pudding. ๐Ÿฅฐ Sweet mix of coconut, cherries and chocolate @ClevelandClinic

A top-down view of a chocolate smoothie bowl (thick smoothie served in a bowl with a spoon) garnished with chia seeds, large coconut flakes and cacao nibs. Healthy vegan breakfast. The smoothie portion contains banana, chocolate, almond milk and ice.

This pudding is packed with health-promoting chia seeds, almond milk, cinnamon, cocoa, coconut flakes and dried fruit. Itโ€™s the perfect chocolate treat.

Ingredients

ยฝ cup Chia seeds
1 cup vanilla almond milk, unsweetened
1 cup 2% milk (may use all almond for non-dairy option)
1ยฝ tablespoons honey
1 tablespoon cocoa powder, unsweetened
1 teaspoon cinnamon
1 teaspoon vanilla extract
2 tablespoons coconut flakes, unsweetened
2 tablespoons dried tart cherries, or other unsweetened dried fruit

Directions

  1. Place chia seeds, milks, honey, cocoa, cinnamon and vanilla in a glass container with a tight lid.
  2. Seal and shake well to combine. Refrigerate for at least 5 hours or overnight.
  3. Serve topped with coconut flakes and dried fruit to garnish.

Note: For a smoother texture, blend pudding in a high power blender before refrigerating. Be sure to blend well to avoid a gritty texture.

Nutrition information

Makes 6 servings

Each 1/2 cup serving contains:

Calories 140
Total fat 7g
Saturated fat 2g
Trans fat 0g
Protein 4g
Total carbohydrate 16g
Fiber 6g
Sugar 7g
Cholesterol 5mg
Sodium 150mg

https://health.clevelandclinic.org/2017/09/recipe-perfect-chocolate-chia-pudding/

Start your day with a hearty and nutritious 6-grain hot cereal that will keep you energized and satisfied. Prepare a big batch over the weekend and enjoy a warm, comforting breakfast all week long. @MayoClinic

6-grain hot cereal

Start your day with a hearty and nutritious 6-grain hot cereal that will keep you energized and satisfied. Prepare a big batch over the weekend and enjoy a warm, comforting breakfast all week long. Top it with your favorite fruits or a dollop of yogurt for added natural sweetness.

Servings: 14
Serving Size:
ยฝ cup

Nutritional Information Per Serving

  • 114 caloriesย 
  • 1 g total fat
  • 0 g saturated fatย 
  • 0 g transfat
  • 0 g monounsaturated fatย 
  • 0 mg cholesterolย 
  • 74 mg sodium
  • 21 g total carbohydrateย 
  • 3 g dietary fiberย 
  • 0 g total sugarsย 
  • 4 g protein

Ingredients 

  • ยฝ cup uncooked pearl barley
  • ยฝ cup uncooked red wheat berries
  • ยฝ cup uncooked brown rice
  • ยผ cup uncooked steel cut oats
  • 3 tablespoons uncooked quinoa
  • 2 tablespoons of flaxseed
  • ยฝ teaspoon kosher salt
  • 1 ยฝ quarts water

Directions   

  1. In a large saucepan, combine the barley, wheat berries, rice, oats, quinoa, flaxseed and salt.
  2. Pour water over ingredients, stir and bring to a boil over medium heat.
  3. Reduce heat to low and simmer for 45 minutes, stirring occasionally.

Dietitianโ€™s tip:

Make a big batch of this cereal on the weekend and reheat all week. Top with fruit or yogurt to add natural sweetness.

Created by the executive wellness chef and registered dietitians at the Mayo Clinic Healthy Living Program.

Good Sleep – Sound Health

Cleveland Clinic

@ClevelandClinic

ยท

A baby who can self-soothe will fall asleep on their own and play calmly without your intervention. Itโ€™s a process, and a skill, that will help throughout their lives. Follow these tips to get started.

Itโ€™s naptime โ€” thank goodness. But your baby isnโ€™t having it. They cry. They fuss. So, you bounce them, rock them or even drive around town until they fall asleep.

Itโ€™s the question on the top of your mind (and youโ€™re not alone): When โ€” and how โ€” will my baby learn to self-soothe and calm down without so much effort?

Pediatrician Matthew Badgett, MD, answers this important question, and shares ways to help your baby learn to self-soothe. 

Why is self-soothing important? 

When your baby self-soothes, they can calm down on their own and they:  

  • Fall asleep without your help. 
  • Fall back asleep if they wake up in the middle of a nap or during the night. 
  • Sit or play calmly by themselves.  

But self-soothing isnโ€™t just for little ones. Itโ€™s an important skill throughout your life. Whether you realize it or not, you use your own self-soothing methods to feel better when youโ€™re stressed or anxious. 

โ€œSelf-soothing is a way of regulating your emotions,โ€ Dr. Badgett explains. โ€œBabies might suck their thumb or hold a stuffed animal. Adults might listen to music, take a walk or do yoga. The type of self-soothing you use changes throughout your life, but itโ€™s a key part of your emotional health.โ€ 

When can my baby learn to self-soothe? 

Every exhausted parent wants to know: When will my baby lie in their crib and drift off to sleep without my help? Or When can I put them in their bouncy seat for five minutes without screams of protest? 

โ€œIn general, donโ€™t try to teach your baby to self-soothe before they are 3 months old,โ€ advises Dr. Badgett. โ€œNewborns need you to help soothe them because they donโ€™t have the ability to control their emotions. Learning emotional control is a process that takes years, so donโ€™t expect too much from an infant or toddler.โ€  

And self-soothing is a gradual process โ€” not a switch you can flip. โ€œSelf-soothing is really co-soothing because the parent is still involved,โ€ says Dr. Badgett. โ€œYour baby plays a more active role in soothing, but you set them up for success. You figure out how your baby can calm down with less of your help.โ€ 

Self-soothing tips and techniques 

If your baby is past the newborn stage but still cries relentlessly when you put them down, there is hope. These tips can help your baby gain self-soothing skills: 

1. Meet your babyโ€™s needs first 

Before you assume that your baby is just cranky, review their list of needs. Your baby wonโ€™t be able to self-soothe if: 

  • Their diaper is wet or soiled. 
  • Their clothing is too hot or too cold for the environment. 
  • There are too many distractions in the room, like a noisy TV or other children. 
  • They have gas or need to be burped. 
  • Theyโ€™re hungry or thirsty. 
  • Theyโ€™re overtired.  

After youโ€™ve ruled out those issues, move on to the next steps.

2. Set a schedule 

Babies love routine. Try to put your baby to bed at the same time every day. Donโ€™t skip naps or keep your baby up late. A schedule keeps them from becoming overtired โ€” thatโ€™s when any hope of self-soothing goes out the window.  

โ€œIf your baby goes to bed at the same times each day, their body clock will get used to it,โ€ Dr. Badgett notes. โ€œThen, they will start to feel sleepy right at naptime or bedtime. Babies that are drowsy, but not exhausted, are better able to fall asleep on their own.โ€ 

3. Use white noise 

The sound of a fan or a white noise machine can be music to your babyโ€™s ears. โ€œMany babies prefer a steady sound over a perfectly quiet room,โ€ Dr. Badgett says. โ€œIt helps drown out other sounds that could startle them, and it has a calming effect.โ€ 

Turn on the white noise machine when itโ€™s bedtime. This can serve as a cue for your baby to learn when itโ€™s time for dreamland. 

4. Stay close without picking them up 

After you place your baby in their crib or seat, donโ€™t leave right away.  

โ€œIf you give your baby some attention without holding them, they learn that being put down isnโ€™t a bad thing,โ€ Dr. Badgett explains. โ€œTalk to them, or gently put your hand on their belly. After a few minutes, calmly leave the room.โ€ 

5. Try a pacifier  

Pacifiers are a useful tool for babies under the age of 1. But use caution. It can be hard to take the paci away from a baby who canโ€™t calm down without it.  

โ€œPacifiers help young babies learn to self-soothe before they learn other techniques,โ€ Dr. Badgett says. โ€œBut limit pacifier use to naptime and bedtime. Use them with other methods, like white noise and a consistent routine. That way, your baby wonโ€™t learn to rely on the pacifier alone.โ€ 

6. Wean them off feeding to sleep 

Itโ€™s normal for young babies to fall asleep at the bottle or breast. But as your baby grows, they need to learn other ways to drift off. 

โ€œDonโ€™t feed your older baby right at naptime with the sole purpose of getting them to sleep,โ€ Dr. Badgett suggests. โ€œThey might end up overeating or relying on the nipple even when theyโ€™re already full.โ€  

You can avoid the feed-to-sleep method if you: 

  • Stop feeding if you see your baby getting sleepy. 
  • Gently burp your baby to wake them up a little if they fell asleep feeding. Then, use the other self-soothing techniques to help them calm back down. 

With a little persistence, perseverance and patience on your end, your little one could be self-soothing to sleep in no time.

Go inside the operating room for open-heart surgery. Dr. Eric Roselli gives us a behind-the-scenes look at a complex procedure.

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Cleveland Clinic

@ClevelandClinic

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Go inside the operating room for open-heart surgery. Dr. Eric Roselli gives us a behind-the-scenes look at a complex procedure.

Physiotherapists allowed to refer patients for medical radiological procedures for the first time @RCSI_Irl

RCSI welcomes progress in physiotherapist referral for medical radiological procedures

RCSI University of Medicine and Health Sciences has welcomed the policy decision to permit physiotherapists to refer patients for medical radiological procedures, and the progress made in implementing this important new measure which will make it quicker for patients to access a diagnosis and begin their treatment.

Physiotherapist referral for medical radiological procedures results in fewer health professionals being involved in the patient pathway. At present, physiotherapists with advanced training can refer their patients for radiological investigations, such as X-ray, in several jurisdictions including England, Sweden, Canada and New Zealand. 

Physiotherapists in Ireland will soon be invited to undertake advanced training which will allow them to refer their patients for radiological procedures. Initially, clinical specialist physiotherapists working in roles in specific clinical areas in the HSE are being invited to train for the authority to refer. In early 2025, application to the training programmes will then be opened more widely.

Professor Suzanne McDonough, Head of the RCSI School of Physiotherapy, said: โ€œThis is an important development which will lead to efficiencies in the patient pathway and reduce barriers to effective treatment for a range of musco-skeletal conditions.

โ€œThe evidence from the countries which already permit physiotherapist referral for radiological procedures is positive, with no serious adverse events reported and with many advantages for the patient and the health system,โ€ added Professor McDonough. 

An Expert Working Group was established in March 2024 to support the development and implementation of this policy. The group includes representation from Department of Health, Health Service Executive, CORU, UCD and the Irish Society of Chartered Physiotherapists.

Established in 1999, the RCSI School of Physiotherapy aims to educate professionally safe, competent, reflective and analytical physiotherapists.