Let's face it: playing doctor as the most exciting children exposed distinction between boys and girls. But new research has found some less obvious differences between the sexes, in particular, our responses to medicines.
Men and women have changes in every organ of the body, says Marianne Legato, MD, director of Columbia University's Partnership for Gender Specific Medicine. For starters, our liver produces different versions of enzymes (chemicals that break down drugs) which affect how the drug. We've compiled some essential facts of drugs to help you avoid getting treated like one of the boys.
Acetaminophen (Tylenol)
What is the diff?
A woman's liver takes longer to process pain reliever found in many OTC medications, making overdose liver damage and more likely.
What to do about it
Try to limit your intake to four 325-milligram tablets or less per day. Check labels for paracetamol in all OTC medicines.
Antidepressants
What is the diff?
Women have more brain cells that bind to serotonin receptors sense, so are more susceptible to mood effects of growth.
What to do about it
If you're worried you might be depressed, ask your doctor about Paxil, Prozac and other selective serotonin reuptake inhibitors (SSRIs). We meet probably better because SSRIs prolong serotonin while hanging on brain cells. Other drugs such as monoamine oxidase inhibitors (MAOIs) and Marplan Nardil and tricyclic antidepressants such as Elavil, not as effective target serotonin.
Prednisolone
What is the diff?
This treatment with steroids for asthma is less effective when progesterone levels are high, because the hormone drug absorption rate. As a result, output meds and leave the system faster, more vulnerable to attack during the two weeks before your period.
What to do about it
Talk to other medications with your doctor. Sometimes, the pill can regulate the levels of progesterone, a steroid can work different, or prednisolone in the premenstrual increase when you could be an option.
Erythromycin
What is the diff?
High levels of erythromycin, used to treat bacterial infections such as bronchitis and strep can cause irregular heartbeats. Because a woman's heart is normally a fraction of a second longer to return to rest between beats, further disruption can be life threatening.
What to do about it
Ask your doctor if an antibiotic does not affect heart rate would be safer.
Monday, November 15, 2010
Saturday, October 30, 2010
4 Healty Mood Boosting Foods
You began to feel a little down? The mood began to suffer in recent times? If so it could be up to the foods you are eating.
You may not know this, but the foods you eat can have a significant impact on how you feel. That is why today I'm going to provide you with a list of four mood boosting foods.
1) DARK CHOCOLATE: - Most people like to eat chocolate because of its taste, but few are aware of their mood boosting properties. Dark chocolate contains a substance called phenylethylamine, which has a strong influence on mood. Besides all that increases serotonin levels in the body which has a key role in regulating your mood and helps prevent depression.
2) NUTS - Nuts are a fantastic food and healthy snack is high in fiber, healthy fats and proteins. They can also help improve your mood, because they contain high levels of omega 3 fatty acids. Research suggests that eating foods containing omega 3 fatty acids increases the amount of gray matter in the brain linked to mood. Other studies have also suggested that people with low blood levels of omega-3 will have a worse outlook on life.
3) Tea - This popular hot drink is a fantastic way to boost your mood. Do not just sit for a cup of tea to allow you to have a little break and relax the mind, but can also improve your mood. Research suggests that the ingredients in tea may help you recover faster and reduce the stress levels of cortisol (stress hormone) in blood.
4) SALMON - Salmon has a number of health benefits and more sources of health suggests that eating at least two servings of fish per week. However, it is also a great mood booster as being rich in omega 3 fatty acids and vitamin D. As discussed above omega 3 can improve your mood in a number of ways. Vitamin D also helps to control your mood, increasing your serotonin levels.
As you can see the ingredients of the foods you eat can have a major influence on mood. Not only are the healthy foods mentioned in this article, but they can all help improve your mood too. So if you feel you could make your mood a boost, then start adding one or more of the above foods in your diet today.
You may not know this, but the foods you eat can have a significant impact on how you feel. That is why today I'm going to provide you with a list of four mood boosting foods.
1) DARK CHOCOLATE: - Most people like to eat chocolate because of its taste, but few are aware of their mood boosting properties. Dark chocolate contains a substance called phenylethylamine, which has a strong influence on mood. Besides all that increases serotonin levels in the body which has a key role in regulating your mood and helps prevent depression.
2) NUTS - Nuts are a fantastic food and healthy snack is high in fiber, healthy fats and proteins. They can also help improve your mood, because they contain high levels of omega 3 fatty acids. Research suggests that eating foods containing omega 3 fatty acids increases the amount of gray matter in the brain linked to mood. Other studies have also suggested that people with low blood levels of omega-3 will have a worse outlook on life.
3) Tea - This popular hot drink is a fantastic way to boost your mood. Do not just sit for a cup of tea to allow you to have a little break and relax the mind, but can also improve your mood. Research suggests that the ingredients in tea may help you recover faster and reduce the stress levels of cortisol (stress hormone) in blood.
4) SALMON - Salmon has a number of health benefits and more sources of health suggests that eating at least two servings of fish per week. However, it is also a great mood booster as being rich in omega 3 fatty acids and vitamin D. As discussed above omega 3 can improve your mood in a number of ways. Vitamin D also helps to control your mood, increasing your serotonin levels.
As you can see the ingredients of the foods you eat can have a major influence on mood. Not only are the healthy foods mentioned in this article, but they can all help improve your mood too. So if you feel you could make your mood a boost, then start adding one or more of the above foods in your diet today.
Saturday, October 23, 2010
Easy Guide To Dental Health
People begin to learn about oral health from a very young age, when the first teeth start to appear. But despite the early awareness, many people fail to maintain good oral health through their adult life.
Good dental health comprises brushing and flossing every day, and regular visits to the dentist or dental hygienist as well.
Besides, people supplement their services with the use of dental products like mouthwash or advanced mouth care of. You should keep this in mind that the lack of proper dental care will result in decay and gum disease.
In general, we recommend that you use a soft bristle brush in order to protect your gums. Some people, however, prefer to brush energy systems that help break down plaque and bacteria in your mouth.
But it takes more than brushing your teeth to maintain their good health. Some other measures must be taken to ensure that people do not lose their teeth as they become older.
To begin, you must understand their own oral health needs with your oral health depends on your diet, the type and amount of saliva in your mouth, your health and your oral hygiene routine. Try to follow a daily routine, in consultation with your dentist.
How Does Fluoride strengthens developing teeth in children and prevents tooth decay in adults, toothpastes and mouthwashes containing fluoride should be used. You should brush your teeth at least twice a day if possible or three times after each meal. You should also floss at least twice a day. Brushing and flossing removes plaque, a mass of bacteria that constantly forms on teeth.
Limit consumption of snacks and follow a balanced diet plan. Tobacco in any form will increase the risk of oral cancer and cause stains on teeth. Visit your dentist regularly and get your mouth examined.
Good dental health comprises brushing and flossing every day, and regular visits to the dentist or dental hygienist as well.
Besides, people supplement their services with the use of dental products like mouthwash or advanced mouth care of. You should keep this in mind that the lack of proper dental care will result in decay and gum disease.
In general, we recommend that you use a soft bristle brush in order to protect your gums. Some people, however, prefer to brush energy systems that help break down plaque and bacteria in your mouth.
But it takes more than brushing your teeth to maintain their good health. Some other measures must be taken to ensure that people do not lose their teeth as they become older.
To begin, you must understand their own oral health needs with your oral health depends on your diet, the type and amount of saliva in your mouth, your health and your oral hygiene routine. Try to follow a daily routine, in consultation with your dentist.
How Does Fluoride strengthens developing teeth in children and prevents tooth decay in adults, toothpastes and mouthwashes containing fluoride should be used. You should brush your teeth at least twice a day if possible or three times after each meal. You should also floss at least twice a day. Brushing and flossing removes plaque, a mass of bacteria that constantly forms on teeth.
Limit consumption of snacks and follow a balanced diet plan. Tobacco in any form will increase the risk of oral cancer and cause stains on teeth. Visit your dentist regularly and get your mouth examined.
Saturday, October 9, 2010
Should You Kick the Multivitamin Habit? (chapter3)
Buyer Beware: Who's minding the shop's vitamin?
It still shocks people that the FDA does not regulate supplements, including vitamins, minerals and herbs, just as for drugs. Supplements will not need to undergo any safety testing before arriving in stores. Despite 2007 legislation that increased marginally to FDA authority, health and safety Critics say the FDA has sufficient resources to oversee the sector.
Some new bills proposed in Congress would give FDA more oversight and execution of the muscle, but in the meantime, these corridors are truly buyer beware areas. Protect yourself: Choose products with seals of quality-testing companies such as United States Pharmacopeia (USP) and NSF. Supplement companies pay to have their products evaluated according to the strictest protocols that check for contaminants and to ensure that the products contain exactly what their labels say. You can also subscribe to ConsumerLab.com, an independent testing organization, for reports on groups of specific supplement such as omega-3. Finally, do not take supplements without talking to your doctor. Many interact with medications or can worsen health conditions.
Are you eating more vitamins than you think
You will find that many of the same vitamins and minerals in their multiples also are plentiful in fortified foods like orange juice, cereals, yogurt, juice, bread, pasta, and more. Check food labels to see how many nutrients you consume from these popular choices and integrate these in your supplementation.
Supplement
Vitamin D
Over 50% of U.S. adults are deficient in D-no wonder, considering that it is virtually impossible to get enough food and most of us do not spend time outdoors enough for our body to synthesize this nutrient from the light solar. Vitamin D can prevent bone fractures is well documented, and a series of new research shows it may also protect against heart disease by improving levels of immunity and fight weight gain.
Omega-3
Best known for benefits to heart health (doctors prescribe high doses of pills for treating high triglycerides / low HDL cholesterol), these unsaturated fatty acids, which most of our diets lack, you can also improve skin and protect against depression and dementia. Get those with combined DHA / EPA.
Calcium
Deficiencies are linked to osteoporosis and bone fractures, and most women are up to 33% below recommended levels. However, vitamin D is essential for proper absorption of calcium, and getting plenty of calcium without enough vitamin D can cause health problems, including an increased risk of heart attack, according to the results of a new British study Medical Journal. Your doctor can help you determine whether a calcium supplement is right for you based on your diet and other risk factors for osteoporosis.
It still shocks people that the FDA does not regulate supplements, including vitamins, minerals and herbs, just as for drugs. Supplements will not need to undergo any safety testing before arriving in stores. Despite 2007 legislation that increased marginally to FDA authority, health and safety Critics say the FDA has sufficient resources to oversee the sector.
Some new bills proposed in Congress would give FDA more oversight and execution of the muscle, but in the meantime, these corridors are truly buyer beware areas. Protect yourself: Choose products with seals of quality-testing companies such as United States Pharmacopeia (USP) and NSF. Supplement companies pay to have their products evaluated according to the strictest protocols that check for contaminants and to ensure that the products contain exactly what their labels say. You can also subscribe to ConsumerLab.com, an independent testing organization, for reports on groups of specific supplement such as omega-3. Finally, do not take supplements without talking to your doctor. Many interact with medications or can worsen health conditions.
Are you eating more vitamins than you think
You will find that many of the same vitamins and minerals in their multiples also are plentiful in fortified foods like orange juice, cereals, yogurt, juice, bread, pasta, and more. Check food labels to see how many nutrients you consume from these popular choices and integrate these in your supplementation.
Supplement
Vitamin D
Over 50% of U.S. adults are deficient in D-no wonder, considering that it is virtually impossible to get enough food and most of us do not spend time outdoors enough for our body to synthesize this nutrient from the light solar. Vitamin D can prevent bone fractures is well documented, and a series of new research shows it may also protect against heart disease by improving levels of immunity and fight weight gain.
Omega-3
Best known for benefits to heart health (doctors prescribe high doses of pills for treating high triglycerides / low HDL cholesterol), these unsaturated fatty acids, which most of our diets lack, you can also improve skin and protect against depression and dementia. Get those with combined DHA / EPA.
Calcium
Deficiencies are linked to osteoporosis and bone fractures, and most women are up to 33% below recommended levels. However, vitamin D is essential for proper absorption of calcium, and getting plenty of calcium without enough vitamin D can cause health problems, including an increased risk of heart attack, according to the results of a new British study Medical Journal. Your doctor can help you determine whether a calcium supplement is right for you based on your diet and other risk factors for osteoporosis.
Tuesday, September 28, 2010
Should You Kick the Multivitamin Habit? (chapter2)
Moreover, the very concept of a multivitamin as a system of nutrient supply is limited. We now have a much better understanding of how whole foods deliver their nutritional benefits. A typical multi contains 10-25 isolated nutrients, but fruits and vegetables have hundreds of active compounds with a long list of health properties. "Vitamin C in a multivitamin is probably just not as effective as vitamin C in citrus fruits, which is also surrounded by fiber and flavonoids and carotenoids. All these nutrients work together is what really keeps you healthy," explains Dr. Neuhouser.
Thus, even when you're not eating a healthy diet, there is no evidence that a multivitamin is the right tool to fill the gaps. "And do not offset the major nutrients to combat the disease of average American woman is missing, such as fiber, omega-3 and vitamin D," says Dr. Katz.
For his part, Dr. Katz does not recommend multis most of their patients, nor take them yourself. Neither Kathleen Fairfield, MD, associate chief of medicine at Maine Medical Center and co-author of the JAMA article of 2002, which recommended multivitamins as prudent health measure. Many advisors who specialize in cancer prevention and nutrition research recently told us that they stopped taking and recommend multis too.
Therefore, you should quit cold turkey? It is true that the average American woman is a healthy eater or not, probably will not benefit from a multivitamin. But the supplements are still recommended for certain groups based on dietary habits or lifestyle. And most women still need some supplements to compensate for certain strategic gaps in the diet.
Can not give up your Multi?
If you still can not bear to part with his security blanket multivitamin or if you need a base in the chart below, make sure you choose the right path. In an ordinary pharmacy, you will find about 50 different versions for adults, with very different formulations and add-on ingredients. Some guidelines:
First, avoid "overstuffed" brands. Pay attention to the words tip-off, as an advantage, ultra, mega and / or formulas for specific health needs, such as menopause or energy. These are likely to contain higher doses than you need or questionable herbal ingredients.
Second, read the label so you never OD on your multivitamin is best to get to the most pared-down you can find. Avoid those with 100% or more of the Daily Value of vitamins A, E and K (unless you're pregnant), folic acid, many of these can cause health problems. Higher levels than are good for some nutrients such as vitamins B complex
Thus, even when you're not eating a healthy diet, there is no evidence that a multivitamin is the right tool to fill the gaps. "And do not offset the major nutrients to combat the disease of average American woman is missing, such as fiber, omega-3 and vitamin D," says Dr. Katz.
For his part, Dr. Katz does not recommend multis most of their patients, nor take them yourself. Neither Kathleen Fairfield, MD, associate chief of medicine at Maine Medical Center and co-author of the JAMA article of 2002, which recommended multivitamins as prudent health measure. Many advisors who specialize in cancer prevention and nutrition research recently told us that they stopped taking and recommend multis too.
Therefore, you should quit cold turkey? It is true that the average American woman is a healthy eater or not, probably will not benefit from a multivitamin. But the supplements are still recommended for certain groups based on dietary habits or lifestyle. And most women still need some supplements to compensate for certain strategic gaps in the diet.
Can not give up your Multi?
If you still can not bear to part with his security blanket multivitamin or if you need a base in the chart below, make sure you choose the right path. In an ordinary pharmacy, you will find about 50 different versions for adults, with very different formulations and add-on ingredients. Some guidelines:
First, avoid "overstuffed" brands. Pay attention to the words tip-off, as an advantage, ultra, mega and / or formulas for specific health needs, such as menopause or energy. These are likely to contain higher doses than you need or questionable herbal ingredients.
Second, read the label so you never OD on your multivitamin is best to get to the most pared-down you can find. Avoid those with 100% or more of the Daily Value of vitamins A, E and K (unless you're pregnant), folic acid, many of these can cause health problems. Higher levels than are good for some nutrients such as vitamins B complex
Sunday, September 19, 2010
Should You Kick the Multivitamin Habit? (chapter1)
If you are like many readers, Prevention multivitamins were an essential part of your daily routine since ... well, forever.
As recently as 2002, no less an authority than the Journal of American Medical Association recommends that "all adults take a multivitamin daily." We at Prevention have suggested you dozens of times over the years as well. And many doctors and nutritionists also encourage a multivitamin for any "eater of less-than-perfect" to compensate for dietary deficiencies.
But today, a tsunami of scientific data that resulted in a reversal in the thinking of many experts, including community health and nutrition, including Miriam Nelson, PhD, director of the John Hancock Center for Research in Physical Activity, Obesity and Nutrition at Tufts University . "The multivitamin as an insurance policy is a fairy tale," and we need to demystify it, "she says.
Radical change is supported by two massive studies. The first, a review of 63 randomized, controlled studies (the gold standard research method) in multivitamins, published by the Agency for Healthcare Research and Quality, found that multis did nothing to prevent cancer or heart disease in most populations ( with the exception of developing countries where nutritional deficiencies are common). In the second article, published last year, scientists at the Fred Hutchinson Cancer Research Center followed 160,000 postmenopausal women for nearly 10 years. The researchers' conclusion: ". Multivitamins could not prevent cancer, heart disease and all causes of death for all women whether the women were healthy eaters or eat fewer fruits and vegetables, the results were the same," says author Marian Neuhouser, PhD
Maybe you never expect the Multi to prevent breast cancer or head of a heart attack. Maybe you just felt that it would take a make it healthier by increasing their immunity or energy level. But research on the benefits is also disappointing, especially in groups that specialize in what you would expect them to have an impact. For example, a British review of eight studies found no evidence that multis reduction of infections in older adults. Another study found that the vitamins did not improve fatigue in patients with breast cancer undergoing radiotherapy. And the inner city school that had a cross made no better on tests and have fewer sick days than those students who do not have one.
"There is still a small body of evidence that may suggest damage of a cross," says David Katz, MD, MPH, director of the Prevention Research Center Yale University School of Medicine. A study of 2010 Swedish women found that those who took multivitamins were 19% more likely to be diagnosed with breast cancer over a period of 10 years than those who did not. A document dated 2007 in the Journal of National Cancer Institute found that men who took multivitamins along with other supplements were at increased risk of prostate cancer. And other research related to excessive intake of folic acid with an increased risk of colon cancer in people who are predisposed. "In terms of a risk-benefit ratio," says Dr. Katz, "Why would you take even a small risk, if you're not getting any benefit?"
So why previous researchers so wrong? One reason is that they were studying the wrong people. It is now known that people who take vitamins tend to be healthier than some of the planet to begin. Researchers have shown that vitamins tend to be thinner, richer and more educated. They smoke and drink less because they exercise more and go to the doctor. In other words, they are healthy, despite their use of multis.
As recently as 2002, no less an authority than the Journal of American Medical Association recommends that "all adults take a multivitamin daily." We at Prevention have suggested you dozens of times over the years as well. And many doctors and nutritionists also encourage a multivitamin for any "eater of less-than-perfect" to compensate for dietary deficiencies.
But today, a tsunami of scientific data that resulted in a reversal in the thinking of many experts, including community health and nutrition, including Miriam Nelson, PhD, director of the John Hancock Center for Research in Physical Activity, Obesity and Nutrition at Tufts University . "The multivitamin as an insurance policy is a fairy tale," and we need to demystify it, "she says.
Radical change is supported by two massive studies. The first, a review of 63 randomized, controlled studies (the gold standard research method) in multivitamins, published by the Agency for Healthcare Research and Quality, found that multis did nothing to prevent cancer or heart disease in most populations ( with the exception of developing countries where nutritional deficiencies are common). In the second article, published last year, scientists at the Fred Hutchinson Cancer Research Center followed 160,000 postmenopausal women for nearly 10 years. The researchers' conclusion: ". Multivitamins could not prevent cancer, heart disease and all causes of death for all women whether the women were healthy eaters or eat fewer fruits and vegetables, the results were the same," says author Marian Neuhouser, PhD
Maybe you never expect the Multi to prevent breast cancer or head of a heart attack. Maybe you just felt that it would take a make it healthier by increasing their immunity or energy level. But research on the benefits is also disappointing, especially in groups that specialize in what you would expect them to have an impact. For example, a British review of eight studies found no evidence that multis reduction of infections in older adults. Another study found that the vitamins did not improve fatigue in patients with breast cancer undergoing radiotherapy. And the inner city school that had a cross made no better on tests and have fewer sick days than those students who do not have one.
"There is still a small body of evidence that may suggest damage of a cross," says David Katz, MD, MPH, director of the Prevention Research Center Yale University School of Medicine. A study of 2010 Swedish women found that those who took multivitamins were 19% more likely to be diagnosed with breast cancer over a period of 10 years than those who did not. A document dated 2007 in the Journal of National Cancer Institute found that men who took multivitamins along with other supplements were at increased risk of prostate cancer. And other research related to excessive intake of folic acid with an increased risk of colon cancer in people who are predisposed. "In terms of a risk-benefit ratio," says Dr. Katz, "Why would you take even a small risk, if you're not getting any benefit?"
So why previous researchers so wrong? One reason is that they were studying the wrong people. It is now known that people who take vitamins tend to be healthier than some of the planet to begin. Researchers have shown that vitamins tend to be thinner, richer and more educated. They smoke and drink less because they exercise more and go to the doctor. In other words, they are healthy, despite their use of multis.
Saturday, August 7, 2010
Five Signs It May Be Time to Break Up With Your Doctor
Recently an interesting discussion has been taking place at Caring.com. The subject? What to do when the doctor isn't listening to you or the person you're caring for, not carrying out your wishes when it comes to treatment and medication choices, or recommending drugs or treatments that seem inappropriate for much older patients. Here are a few examples:
• LindaSD says her mom's doctor tries to make her feel guilty when she asks to remove a medication from her mom's regimen or refuses a procedure. Her mom, who is 90, is in late-stage Alzheimer's, so she decided not to give Aricept and to refuse a colonoscopy, but had to fight those battles with the doctor who disagreed.
• Grannylove2 feels it's important to honor her mom's decision not to take Aricept for her advancing Alzheimer's, and told a story of her mom being admitted to the ER for a cracked ankle, then falling off the bed while having X-rays and shattering her heel and arm.
• Anonymous says it's important to find a doctor with geriatric experience, and you may need to change doctors if the relationship isn't working. If you don't know any doctors in your area with geriatric experience, you might try asking someone at a local senior center or assisted living facility; they usually have experience working with local doctors with expertise in aging.
• Oldylocks reminds everyone to get an irrevocable POA for medical decisions and make sure you or someone else attends all medical appointments to advocate for the elderly patient.
Here are five signs it may be time to "break up" with your doctor:
1. You feel the doctor blames, ignores, or criticizes you or the person in your care
2. The doctor doesn't respond to your feedback, or becomes defensive or unpleasant
3. It seems the doctor isn't taking your family member's pain or other symptoms seriously enough
4. You find out about treatments that can help that the doctor hasn't told you about
5. The doctor doesn't explain treatment options clearly, resulting in mistakes
In this case, your best bet is to change doctors, and find one you can work with to provide the best care. Doctors often say that if a patient is going to change doctors, they'd appreciate hearing it directly rather than suddenly receiving a "sneak" request for medical records to be sent to another doctor. In general, I think they're right; honesty is the best policy. But if you've had a truly unpleasant exchange with your doctor, I believe it's your prerogative to find a new doctor and ask the staff to fax over the request for records. You're not obligated to engage in another confrontation.
• LindaSD says her mom's doctor tries to make her feel guilty when she asks to remove a medication from her mom's regimen or refuses a procedure. Her mom, who is 90, is in late-stage Alzheimer's, so she decided not to give Aricept and to refuse a colonoscopy, but had to fight those battles with the doctor who disagreed.
• Grannylove2 feels it's important to honor her mom's decision not to take Aricept for her advancing Alzheimer's, and told a story of her mom being admitted to the ER for a cracked ankle, then falling off the bed while having X-rays and shattering her heel and arm.
• Anonymous says it's important to find a doctor with geriatric experience, and you may need to change doctors if the relationship isn't working. If you don't know any doctors in your area with geriatric experience, you might try asking someone at a local senior center or assisted living facility; they usually have experience working with local doctors with expertise in aging.
• Oldylocks reminds everyone to get an irrevocable POA for medical decisions and make sure you or someone else attends all medical appointments to advocate for the elderly patient.
Here are five signs it may be time to "break up" with your doctor:
1. You feel the doctor blames, ignores, or criticizes you or the person in your care
2. The doctor doesn't respond to your feedback, or becomes defensive or unpleasant
3. It seems the doctor isn't taking your family member's pain or other symptoms seriously enough
4. You find out about treatments that can help that the doctor hasn't told you about
5. The doctor doesn't explain treatment options clearly, resulting in mistakes
In this case, your best bet is to change doctors, and find one you can work with to provide the best care. Doctors often say that if a patient is going to change doctors, they'd appreciate hearing it directly rather than suddenly receiving a "sneak" request for medical records to be sent to another doctor. In general, I think they're right; honesty is the best policy. But if you've had a truly unpleasant exchange with your doctor, I believe it's your prerogative to find a new doctor and ask the staff to fax over the request for records. You're not obligated to engage in another confrontation.
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