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26 Iyar 5762 - May 8, 2002 | Mordecai Plaut, director Published Weekly
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Home and Family
Your Medical Questions Answered!
by Joseph B. Leibman, MD

Diplomate, Board Certification of Emergency Medicine

Chairman, Department of Emergency Medicine Ma'ayenei Hayeshua Hospital

We like to think that the things that I am about to discuss do not exist in our community, but once we realize that habits are hard to break, we will become more sympathetic. Our subject, therefore, is "bad habits."

Probably, the most common bad habit is obesity. Being overweight is very dangerous, and increases the incidence of heart disease, diabetes, uterine and chest cancer, and gall bladder disorders. Dieting is the usual answer, but the results are disconcerting. Most people who do succeed have regained their previous weight within two years. Most of this is due to poor eating habits as a child -- a fat kid at age eight will remain this way for life.

What helps? Nursing a child will result in a slimmer kid because the amount he eats is controlled by the work he expends at nursing -- something that doesn't happen with a bottle. It also helps Mommy lose weight.

Simply not buying snacks for the house helps -- keep a salad ready at all times. Eat frequent small meals and put the fork down between each bite. Still, there may be a genetic basis for being overweight, and this is a losing battle. Surgery has been the most successful technique of late and does work to a degree. Exercise is very important.

Smoking is a bad habit, and increases the incidence of heart disease, birth defects, lung disease and many cancers. It may also have a basis in genetics, but mostly kids who smoke had parents who smoked. Smoke from smokers can damage also the nonsmokers in the house, especially children.

Now all Kupot have programs to help. Zyban, our sponsor Glaxo's drug, is very effective, and I have mentioned many times how happy I am that this has come to this country. Combining it with patches on the gum may make it even more effective. Psychological programs help this as well as all our bad habits. Best bet: don't start.

Alcohol abuse is rarely recognized but is a danger for birth defects, cancer, heart disease, and liver and pancreas problems. This is most definitely genetic, but psychological help and some medications do help. Alcohol, smoking and drug abuse all pretty much are the same pattern of addiction and require serious counselling, with low but not negligible success rates.

Caffeine abuse is very common, but safer than all of the above. It is also easier to break this habit but it requires motivation.

Any abuse of a child or a spouse -- physical or emotional, or even neglect -- is a horrible habit that requires help immediately. This does not get better by itself no matter how bad the batterer feels about it afterward. Help is available in the frum community and it can save lives that would be ruined otherwise.

Breaking all bad habits take much will power. Success is difficult, but you can succeed. The first step is always realizing you have a problem and getting help. Do not let bad habits ruin your life or the life of those who are close to you. Write me in care of the Yated.

 

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