Geridoc

Geriatrician, Hospitalist, Patient Advocate, Healthcare Educator

Does a Soda Tax Work?

Per Steven Ross Johnson in US News “How ‘Soda Taxes’ Could Fuel Better Health”.

“In an analysis published in JAMA Health Forum, researchers examined changes in the prices and purchases of sugary drinks sold in retail stores in Boulder, Colorado; Philadelphia; Oakland, California; San Francisco; and Seattle from 2012 to 2020. Excise taxes on sugar-sweetened beverages were implemented in Boulder, Oakland and Philadelphia in 2017, according to the study, and in San Francisco and Seattle in 2018, with amounts ranging from 1 cent to 2 cents per ounce.

Researchers calculated that the prices of these drinks rose by an overall average of 33% in those cities in the two years after the taxes went into effect, or by 1.3 cents per ounce. Meanwhile, the volume in ounces of sugary drinks purchased during the same period decreased by 33%."



This study showed that with the soda tax, prices went up by 33% and sales dropped by the same….33%. The ill effects of sugar is well known and it shows tht the tax did have some effect in reducing consumption of these sugary drinks.

Make It Past Quitters Day

Most of our new year resolutions are over-ambitious. And then LIFE happens.

in 2019, Strava, a social network for athletes, discovered that 80% of resolution-makers give up on their new year resolutions on the second Friday of January, a day known as “Quitters day”.

So, how to prevent falling off the wagon?

  • Don’t give up
  • Revisit your goals-sometimes we make too many and over do it. Prioritize what is important.
  • Revise your resolutions-for example, if the plan was a work out for an hour a day, decrease it to 30 minutes a day
  • Work on making small consistent changes instead of a big change
  • Accept support from friends and family to stay focused on your goals
  • Celebrate your small achievements to stay motivated
  • Acknowledge your slip-ups-if you skip a work out or eat an unhealthy meal, acknowledge it and work on doing better in the future

Remember that your new year resolutions are not just for January but for the whole year. Work on making small changes to build better habits for the long run.

Encourage Your Loved Ones to Do Better



With the beginning of the New Year and all those New Year Resolutions that we have been working on…it is important to stay motivated, encourage yourself and your loved ones to keep at it. Small steps can make a big difference over time.

The Importance of Vitamin D

Photo by Ales Krivec

It’s winter and most of us are not getting enough sun! The sun provides us with a very important vitamin….vitamin D. Vitamin D is a fat-soluble vitamin which is needed so the body can use calcium and phosphorus to build bones and support healthy tissues. Vitamin D is important for immunity and bone health. It has been shown to prevent bone loss, depression, heart disease, and type 2 diabetes mellitus. About half of the popuation in the world have vitamin D deficiency which highlights the importance of awareness of this condition.

Sources of vitamin D

  • Sunlight is a natural source of vitamin D-spend more time outdoors(but remember to use sunscreen)
  • Eat vitamin D rich foods-yogurt, egg yolks, fatty fish, fortified cereals, fortified milk and juice
  • Dietary supplements for those with low levels. There is also prescription medications available for those with severe deficiency which your doctor can order if needed.
    • Vitamin D deficiency is diagnosed by a blood test of 25 hydroxy vitamin D level
      • Levels of 50 nmol/L (20 ng/mL) or above are adequate for most people for bone and overall health.
      • Levels below 30 nmol/L (12 ng/mL) are too low and might weaken your bones and affect your health.
      • Levels above 125 nmol/L (50 ng/mL) are too high and might cause health problems.

Symptoms of vitamin D deficiency

  • fatigue
  • muscle weakness
  • bone pain
  • depression
  • hair loss
  • loss of appetite
  • sleeping difficulty

Who is at risk for Vitamin D deficiency?

  • breastfed infants as vitamin D content of human milk is low
  • older adults-age causes a decline in the skin’s ability to make vitamin D when exposed to sunlight
  • people who seldom go outside to get sunlight such as nursing home residents
  • darker skin-the darker your skin, the less vitamin D you make from sunlight
  • Conditions that limit fat absorption-celiac disease, Crohn’s disease, ulcerative colits

No One Is Coming



It is up to you to make your life the way you want it to be. Tough love on yourself!

Health Benefits of Pears

Photo by Mateusz Feliksik

The first weekend of December marks World Pear Day which kicks off National Pear Month and gives us all of December to honor those pears!

Nutritional facts of 1 medium-sized pear:

  • Calories- 101 calories
  • Protein-1 gram
  • Cholesterol-0 gram
  • Fat-0.2 gram
  • Fiber-6 grams(about 22% of the fiber you need daily)
  • Carobohydrates-27 grams
  • Sugar-17 grams
  • Vitamin C- 12% of recommended daily value
  • Copper-16% of recommended daily value
  • Potassium-4% of recommended daily value
  • Vitamin K-6% of recommended daily value

So how do these nutritional facts translate to benefits for you?

  • Good source of fiber will promotes digestive health. High fiber levels can also slow down absorption of food so that the rise in blood sugar is controlled. A great amount of the fiber is in the pear skin, so don’t skip the skin!
  • Contains pectin which is an essential water-soluble fiber that helps bind to cholesterol and remove it from the body
  • Contains copper which is useful for maintaining the health of nerve cells
  • Contain flavonoid antioxidants that fight chronic inflammation and improve immunity
  • Contain anthocyanin and cinnamic acid which has anti-cancer properties
  • Contains potassium which supports muscle function and nervous tissue communication
  • Helps maintain heart health as potassium works in lowering blood pressure which improves body blood flow and also has high flavonoid with anti-inflammatory properties.
  • Help to maintain weight as pears are high in fiber and water and low in calories

We often don’t think about the nutrition we are getting when we eat something. Part of intentional eating is putting thought into your meals to get the most nutritional punch while also savoring your meals. When it comes to pears, there are so many ways to incorporate this juicy sweet fruit into your diet…..eat them sliced raw, in salads, baked in pies, in smoothies or cocktails, roasted/grilled with your veggies…..or something else.

What Is Movember?

Photo by Alan Hardman

Movember or No-Shave November was initially started by Australians combining the terms “moustache” and “November” together. Movember is when men around the world grow a moustache in the month of November to bring awareness to men’s health issues such as prostate cancer, testicular cancer, mental health, etc.

On an average, women live about 6 years longer than men, making it important for men to make their health a priority and for women to support this.

It is a good time to reflect on some aspects of your life that you need to change for the betterment of your health. There are daily steps you can make to lead a healthy lifestyle:

  • Eat healthy-lots of vegetables, fruits, whole grain, home cooked meals, limit the two vices(sugar and salt)
  • Regular exercise-come up with a plan to start incorporating activity/exercise into your day
  • Keep up with your medical appointments and take your medications as prescribed
  • Be aware of your numbers-be it blood pressure, cholesterol, BMI, glucose, so you know what you need to work at
  • Maintain a healthy weight-remember being overweight will increase your risk of chronic diseases such as diabetes, heart disease, stroke
  • Work on stress management
  • Get enough sleep
  • Stay safe-seatbelts, helmets, smoke detectors, carbon monoxide detectors
  • Self care-make sure you do things to take care of yourself, getting “me” time in, reading, using sunscreen, etc

22 Minutes of Exercise Can Combat Sitting Disease

Per Linda Carroll in NBC News “Around 20 minutes of exercise a day may balance out the harms of sitting, study finds”.

“Research published in the British Journal of Sports Medicine, finds that about 22 minutes a day of moderate to vigorous activity may provide an antidote to the ills of prolonged sitting. What’s more, the researchers found that, as a person’s activity level increases, the risk of dying prematurely from any cause goes down.

In the study, researchers looked at information from nearly 12,000 people ages 50 and older in four datasets from Norway, Sweden and the United States. In those datasets, the participants wore movement detection devices on their hips for 10 hours a day for at least four days. All of the individuals included in the new study were tracked for at least two years.

Sitting for more than 12 hours a day, the researchers found, was associated with a 38% increased risk of death as compared to eight hours, but only among those who managed to get less than 22 minutes of moderate to vigorous activity a day.

The risk of death went down with increasing amounts of physical activity. An extra 10 minutes a day translated into a 15% lower risk of death among those spending fewer than 10 ½ hours seated and a 35% lower risk among those who spent more than 10 ½ hours sedentary each day."



In this study, the group was split equally between men and women. It was found that daily exercise can be carried out all at once or in exercise “snacks” throughout the day. However you choose, just remember to move around. WHO recommends 150-300 minutes of moderate-to-vigorous exercise per week or at least of 75 minutes of vigorous exercise, or a combination of both.

Sitting disease is associated with many health ailments. This study reiterates the fact that a little bit of activity can go a long way.

Micro Acts of Kindness Can Bring Joy and Increase Well-being

Per Richard Pretorius in Wealth of Geeks, “Scientists Find That Daily ‘Micro Acts’ of Kindness Increase Joy, Well-Being”.

“Who benefits from your little acts of kindness? Obviously, the person on the receiving end. But you, the giver, do, too, research shows.

An analysis of a study called the BIG JOY Project finds that people who commit daily “micro-acts” of joy experience about a 25% increase in emotional well-being over the course of a week.

The BIG JOY Project is a collaboration between the Greater Good Science Center and other research institutions. Researchers say they have the preliminary results of their study from more than 70,000 participants in over 200 countries."



The analysis of the BIG JOY Project not only showed an increase in emotional well-being, but also an increase in positive emotions(hope,optimism), feeling happier, improvement in relationships, and better sleep. The BIG JOY project is ongoing, free, and still available to sign up for.

There are health benefits of being thoughtful and kind and small acts are not hard to do. Micro-acts included being kind, making a gratitude list, listening/reading a book about contributing good into the world, watching an awe-inspiring video, celebrating another’s joy, helping an elderly neighbor, etc.