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Breaking the Rules of Aging
by David A. Lipschitz, MD, PhD

CONTENTS

Introduction

Chapter 1. Don’t Lose Weight!
*The Myths About Weight * Blame Disease, Not Extra Pounds * Be Happy with Your Body * Why Thin Isn’t Healthy * The Fallacy of “Low Fat” * Healthy at 70-Plus *When It’s Healthy To Lose Weight * Reversing Weight Loss *When Are You Too Heavy?

Chapter 2. High-Tech Heart Boondoggles
*A Walking Time Bomb? *A Look at Coronary Artery Disease * Unnecessary Surgery? *Angioplasty and Bypass Surgery * The Truth About Treadmill Tests * Save Your Money on CTs * The Best Ways to Evaluate and Treat Coronary Artery Disease
* The Thallium/Treadmill Stress Test * The Echocardiogram * The Angiogram * Triple Vessel Disease and Bypass Surgery * Not All Procedures Are Effective * Devastating for the Elderly * Be True to Your Heart

Chapter 3. When Natural Isn’t Better
*The Alternative Explosion * “Natural” Isn’t Necessarily Better * Big Claims, Doubtful Benefits: St. John’s Wort, Kava, and Ginseng * Preying on the Most Vulnerable * Lessons from Laetrile * False Hope for Cancer Patients * Government Watchdogs *The Plus Side of Nature’s Medicines: Ginkgo, Saw Palmetto, Vitamin E, Vitamin B12 *Using Them Wisely

Chapter 4. The Myth of Age-Related Memory Loss
* What’s Normal, What’s Not * The Alzheimer’s Plague * Protecting Mind and Memory * Use It or Lose It: Lessons from the Nun Study * Reading, Writing, and Arithmetic * Good Health, Good Memory * Should You Have Your Memory Tested?

Chapter 5. You Don’t Need All Those Pills
* Overmedication of the Elderly * The Risks of Polypharmacy * Snowballing Side Effects * Rising Drug Costs
*When New Isn’t Better: Lessons Learned from Vioxx and Celebrex * Drugs To Avoid at All Costs * Don’t Let Drugs Kill You

Chapter 6. Lifesaving Heart Drugs That Aren’t Used Enough
*No Attention to Prevention * The Best Drugs for Preventing Heart Attacks * The Amazing Statins * Aspirin: An Inexpensive Miracle * ACE Inhibitors and Beta-Blockers* Be a Proactive Patient

Chapter 7. The “Softening” of Exercise Advice
* Strolling Won’t Do It * The Push-Hard Payoff * Aging Muscles and Bones* Exercise Won’t Hurt You! * Exercise Excuses * The Aerobic Edge * Resistance Training *Getting Started * Just Do It!

Chapter 8. Have More Sex! You’ll Live Longer!
* Sex Is Forever * Sex Gets Better with Age * More Sex, a Longer Life * Sex and the Changing Body * Dealing with Changes
* Healthy Body, Healthy Sex * Don’t Ignore Sexual Problems! * Medicine’s Sexual Side Effects

Chapter 9. STDs Don’t Discriminate
*A Shameful Silence * HIV and AIDS * Human Papilloma Virus * Hepatitis C * Preventing STDs

Chapter 10. Anti-Aging Hype: Only a Kernel of Truth
*On the Trail to the Fountain of Youth * “Longevity Medicine”: Dubious and Costly * The True Science behind the Snake Oil * Calorie Restriction * Antioxidants * Improved Immunity * Thymosin and Other “Glandulars” * Melatonin * Correcting Hormonal Deficiencies * The Estrogen Question * Growth Hormones * DHEA * Testosterone * Genetic Manipulation * Theories Aren’t Treatments

Chapter 11. When To Refuse the “Miracles of Medicine”
*Pointless Heroic Efforts * Dying a “Good Death” * The Cruelest Care * The Pros and Cons of Chemotherapy * Weighing the Balance: Will Chemo Help? * Dying with Comfort * Hospice and Palliative Care * Physician-Assisted Suicide * The Right to Pain Relief * The Right to Forego Nourishment *Make Your Wishes Known

Chapter 12. Doctor David’s Prescriptions for Life
* Cultivate Creativity * Know When “Age-Related” Disabilities Aren’t * The Side Effects of Self-Esteem *Find Joy in Retirement * Embrace Spirituality * Make the Best of the Best Years

Available October 2002

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