As tasty pastries and sugary holiday cheer is exchanged throughout the workplace in Hawaii, I am reminded that diabetes andobesity are directly and indirectly among the leading causes of illness and reduced productivity.
This Thanksgiving marked the 15th year I felt the heat of the imu as we lifted 500 turkeys onto steaming banana stalks at the Kualoa-Heeia Ecumenical Youth Project. Among my earliest memories as a young child was the sense of awe I felt as many hands worked together amid the savory steam.
To avoid damage to communications from working satellites, the NASA Orbital Debris Program tracks half a million pieces of space junk that orbit Earth. The debris is an accumulation of flotsam and jetsam dating back to the first space programs.
The Great Recession appears to have awoken a sleeping giant: Shriners Hospitals for Children, Honolulu. Prior to 2010, Shriners Hospitals — which is based in Tampa, Fla., and operates 22 medical facilities in the U.S., Canada and Mexico — relied strictly on endowment.
During the last legislative session, Senate Bill 2054 was introduced to require the Insurance Commissioner to analyze the projected costs of providing insurance coverage for screening, diagnosis and treatment of autism spectrum disorders. This column came out in favor of the bill.
Buildings are no longer simply comfortable, functional shelters to live and work in. Empowered by technology and in response to climate change, buildings are increasingly becoming highly adaptable intermediaries between our interior space and the environment at large.
If grandpa complains of chest pain we call an ambulance, but if he complains of leg pain while walking to the mailbox, we tell him he's getting old. Cardiac chest pain, also called angina, typically results from blockage in the coronary vessels that feed the heart muscle.
Why do some people live long healthy lives while others seem to fall ill early and often and then succumb to chronic disease? Dan Buettner, founder of Blue Zones and National Geographic Fellow, traveled across the globe to find the secret behind longevity.
Fracking has rapidly begun to move the United States toward energy independence, but at what price? Given the current state of affairs, in which the Middle East is in tatters, the Cold War with Russia looks to have returned and both India and China boast an accelerating appetite for fuel, this technological breakthrough could not have come at a better time.
To serve as a caregiver for a family member is, for many, an important chance to give back. Yet whether caregiving is offered out of love or obligation, it tends to take its toll. Caregivers often decide to stick it out until the person they care for has passed.
Patients are beginning to share their increasing concerns about the recent spread of Ebola in West Africa. While it is prudent for the people of Hawaii and the Department of Health to remain vigilant about global trends of any infectious disease, there is no imminent cause for alarm.
Gilead Sciences recently brought to market a product called Sovaldi, a breakthrough treatment for the most common form of hepatitis C. The total medication cost is roughly $84,000 per patient, or $1,000 per day for 12 weeks. The new medication works well and cures the disease in about 90 percent of cases.
Imagine if one of the nation's largest fast-food chains merged with a major pharmaceutical company. The alliance would ensure a robust supply chain of high-fructose corn syrup, saturated fat and salt into the stomachs of consumers and optimize sales of medication for obesity, diabetes, high blood pressure and heart disease.
Integrative medicine -- which calls for a patient-centered, culturally sensitive, whole-person, multidisciplinary approach to care -- has the potential to become a cornerstone in the national effort to increase access to quality health care at a reasonable cost.
The sight of a beggar, paralyzed from the waist down by polio, dragging himself through the muddy streets of India is a memory not easily forgotten. Yet, there is a world of difference between an impoverished society and a fractured nation.
As the United States began downsizing its military and Vladimir Putin's Russia swallowed the Crimea with only nominal opposition from the West, China has decidedly toughened its stance in the China Sea.
Rangi was built to test the commercial viability of carrying freight and passengers for short hauls within the Pacific. It is a part of the heritage of the indigenous peoples of Polynesia who sailed across the oceans using noninstrument navigation.
One is totally isolated when sailing across the most remote parts of the deep blue ocean on a traditional-style Polynesian voyaging canoe, unless you have R2D2 on the back of your canoe. Actually, we do.
The quest for cultural harmony on Island Earth is central to malama honua (caring for the earth), the mission of the worldwide voyage of Hokule‘a and Hikianalia, two traditional-style Polynesian voyaging canoes whose navigators use non-instrument, star navigation.
The Ocean Elders variously represent royalty, rock ’n’ roll, private business and academia. Several members have served in high-level government posts. They are the real deal, unlike some others who are trying to capitalize on climate change.
Keen awareness of environmental challenges faced by our blue planet must be combined with creative and practical solutions that bring prosperity. The greatest obstacle to sustainability is immediate self-interest.
The resurgence in Polynesian voyaging throughout the Pacific was made possible by the rediscovery of the ancient skills of the navigator. It created the opportunity to revive the traditional role of the kauka (doctor) on board.
Among the health professions, occupational therapists are poised to be highly impactful allies for families, workers and employers. They are trained to help people achieve the highest potential possible by playing to their unique strengths as they relate to specific environments and desired activities.
Despite the surge in attractive, high-quality assisted-living facilities, most people would much prefer to live independently and remain in their own homes as long as possible. The houses in which we have raised our children, however great or modest, are our palaces.
It seems there is no end to ambitions for more high-rises built with capital organized from some of Hawaii's largest stakeholders. Is Honolulu destined to become like Singapore, which has a land mass half the size of Oahu but more than five times the population?
Patients with autism spectrum disorder are fragile and vulnerable members of our society and should have access to necessary medical care. In recent years, the majority of American states have passed legislation which ensures that this population receives basic mental health services.
About $3.6 trillion is what the United States spent on health care in 2013, 3.7 percent more than 2012. Projections for 2014 anticipate a further increase of 6.1 percent. This expanded insurance coverage is made possible by the Affordable Care Act.
Today the ideal home is far more than a convenient layout of bricks and mortar. Prospective buyers have begun to look at the place they live as an opportunity to create a healthy, environmentally friendly, sustainable lifestyle for the family from cradle to grave.
Imagine an electronic device that knows whether you've taken important medication and reports that to your health provider. Although our soon-to-be elderly are healthier, more active and better educated than the previous generations, aging still comes with disabilities.
This is the third of three columns I've devoted to health care in Myanmar. The previous two articles covered the dire state of health care in Myanmar and described one hospital that survives on donated resources.
Chelating agents were originally used to treat heavy metal poisoning from chemical warfare during World War I. Since then these treatments have been found useful to manage elevated levels of heavy metals from other causes.
How are those New Year's resolutions holding up? Tips: The first ingredient to success is to set goals that are realistic and achievable. They must be not only humanly possible, but also logistically feasible. Does it fit in the schedule? How long is the drive?
Socioeconomic inequality is among the greatest ills of modern society. Disparities in health, education and crime share a common root. Our collective ability to close this great divide is a prerequisite to peace on earth.
It's hard to imagine a more tumultuous year for the Wealth of Health in Hawaii than the one about to end. This column highlights the hottest stories of 2013 based on the volume and intensity of comments from our readers on both sides of key issues.
Nearly 1 in 5 high school boys and 11 percent of all schoolchildren have been diagnosed with attention-deficit/hyperactivity disorder, or ADHD, according to The New York Times. This represents a 16 percent increase since 2007 and a 41 percent rise in the past decade.
Ten thousand dollars was raised by the KEY Project this year to send a local high school student to nursing school. The 500 imu turkeys that generated these scholarship funds also made a profound contribution to the many hands that prepared them and the many mouths that enjoyed them.
Accountants are sometimes disparagingly called "bean counters," but the truth is that counting beans is much like counting money. Body weight is the result of calories consumed minus calories burned just as net income is revenue less expenses.
Ira Zunin has turned today's column over to his son Brandon Zunin. Brandon, a junior at Punahou School, is opinions editor of Punahou's student-generated newspaper, Ka Punahou, and editor of Ka Wai Ola student magazine.
The most dangerous drug-drug interaction, joked an old professor during a med school pharmacology lecture, is testosterone and ethanol. The class cracked up as he conjured up images of young men binge-drinking and doing crazy things.
Robotics has the potential to revolutionize the art of medicine. Today at the nation’s elite universities, teams of students are harnessing the emerging science of robotics to create prototype designs that could solve some of today’s most baffling medical problems.
Hawaiian Electric Co. continues to be under fire for its Sept. 6 procedural changes for new solar installations. Two weeks ago, this column covered concerns on the part of consumers that had contracted to install solar systems and on the part of industry leadership.
Last week a woman waiting to check out at a local health food store observed a buff figure in front of her making a hard sell to the cashier. "If I give you this coupon, would you come to my yoga class?"
The call from his medical director came as we touched down in New York in April 2003. My consulting firm, Global Advisory Services, had been contracted by the largest manufacturer of Chinese herbs outside of China to help the company establish four integrative clinics in Australia and two in Singapore.
This time last year, I was on the open ocean serving as medical officer on a traditional-style Polynesian voyaging canoe sailing from New Zealand to Tahiti. Our stalwart captain charted a southern route to capture the most reliable yet fierce winds.
My father suffers from end-stage Parkinson's disease and associated dementia. Several weeks ago he was admitted to the hospital with a severe case of pneumonia. One week after discharge my family elected to withdraw his remaining IV and initiate him in home hospice.
In recent years, the state Legislature has been party to several failed attempts at passing a soda tax despite well-constructed bills and, most recently, a priority commitment on the part of Gov. Neil Abercrombie to get it done.
In the United States, treatment for the mentally ill is underfunded and resources are poorly allocated. Misguided policies at the state and national level result in tremendous human suffering and increased homelessness at a high cost to society.
Truth be known, I was raised by a psychiatrist. My father, Leonard Zunin, author of two books, had an illustrious career. Some of my fondest memories of childhood were when I would accompany him on his speaking engagements around the country.
After years of encouragement, investment and incentives, hospitals and more recently a critical mass of community physicians have made the transition from paper charts to electronic health records (EHR).
In the days before insurance, doctors were far more connected to the community. During times of emergency, a neighbor would run to the doctor's house for help: "Come quick, Mom is in labor again!" or "Old man Sasaki fell off his tractor.
It used to be that when children wanted to play a game of kickball, they would walk around the neighborhood, knocking on doors and asking their friends if they wished to play. This simple act took initiative and leadership.
In 1972 President Richard Nixon traveled to the People’s Republic of China to initiate detente and successfully changed the course of the Cold War. In advance of this visit, American journalist James Reston also visited China and, while there, had appendicitis. His postoperative pain was successfully treated with acupuncture.
As hunter-gatherers over the millennia, our movements and life rhythms were guided by the seasons, the sun and moon. In the transition to agrarian society, our daily activities continued to follow the pace of the natural environment and demands of the farm.
The Affordable Care Act is the primary manifesto of health care reform. While its primary focus is to facilitate increased access to the underserved, it is also designed to reduce the cost of health care and improve delivery.
The state Hawaii Department of Health recently announced that it will begin to link deaths from prescription drugs to the physicians who prescribed them ("Doctors targeted amid rise in painkiller deaths," Star-Advertiser, May 5).
Genuine success in business depends on knowing not only another's intentions, but also understanding one's own motivations, combined with the ability to appreciate the ramifications of an action over time.
Last week I had the pleasure of speaking at the 2013 Hawaii Health Workforce Summit focused on improving provider satisfaction and practice sustainability. A 2010 assessment performed by the John A. Burns School of Medicine revealed a shortage of more than 600 practicing physicians, 60 physician assistants and 180 nurse practitioners.
In recent years the mass market has seen a remarkable proliferation of services aimed at conditioning, weight loss and wellness. Curves is a streamlined women's fitness club franchise that popularized the 30-minute circuit training workout.
Family Health Hawaii, the newest insurance company to enter the local market, will offer both lower premiums and superior benefits compared with existing carriers, according to Hawaii’s former insurance commissioner J.P. Schmidt.
As a result of protracted partisanship in Washington, our country is now unexpectedly undergoing a sequester. What exactly is a sequester? It is an automatic reduction to federal spending for a given fiscal year, made possible when Congress passed the Balanced Budget and Emergency Deficit Control Act of 1985.
It's official. The impact of environmental pollution on the health of its people is now China's leading political problem. Outgoing Prime Minister Wen Jiabao delivered his Government Work Report to the National People's Congress on Tuesday.
Some years ago I had the opportunity to consult for a publicly traded firm in Japan. Their core business was a large chain that carried men's apparel, but they planned to establish a second business line focused on vitamin supplements and herbal remedies.
Prescribe one pain medicine to a patient with a broken leg and it will work fine. Try that medicine at the same dose on another patient and it's not enough, while a third person complains of nausea and vomiting.
Perusing through myriad responses to the 52 columns written last year, one gains a sense of which issues matter most to readers and which ones stir up the greatest controversy. Together they point to those topics sure to capture attention in the coming year.