Sat04192014

News

City chips in $7,000 for SFMOMA installation

City chips in $7,000 for SFMOMA installation


Town Crier File Photo
The Los Altos City Council earmarked $7,000 for the purchase of Chris Johanson’s artwork.

The city of Los Altos will contribute $7,000 toward the purchase of a $28,000 art installation featured in the San Francisco Museum...

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Schools

LASD students celebrate service learning

LASD students celebrate service learning


Courtesy of Sandra McGonagle
We Day, held March 26 at Oracle Arena in Oakland, exhorts students in the Los Altos School District to effect positive change.

More than 150 Los Altos School District student leaders joined 16,000 Bay Area students to ce...

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Community

Film career launches with Cannes screening

Film career launches with Cannes screening


Courtesy of Zachary Ready
Los Altos native Zachary Ready, front left, and co-director Andrew Cathey, right, celebrate their Campus MovieFest awards.

After learning the art of filmmaking as a child in the front yard of his family’s Los Altos home...

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Sports

Sports on the Side

Pathways Run/Walk slated May 10 in Hills

The 13th annual Pathways Run/Walk is scheduled 9 a.m. May 10 at Westwind Community Barn, 27210 Altamont Road, Los Altos Hills. The course wends through Byrne Preserve and onto the Los Altos Hills Pathways sys...

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Comment

Now is the time to expand parking: Editorial

Just a few short years ago, vacancies dotted downtown Los Altos. Property owners had a hard time attracting businesses because there was a shortage of customers. That is no longer true. Now, the cry is: Where are my customers going to park?

The city...

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Special Sections

Epicurean's Mary Clark Bartlett: Serving sustainability

Epicurean's Mary Clark Bartlett: Serving sustainability


Courtesy of Michael McTighe
Mary Clark Bartlett is founder and CEO of Los Altos-based Epicurean Group.

Labels such as “healthy,” “organic” and “green” are rarely used to describe the meals served in most corporate cafes in Silicon Valley. But on...

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Business

Local realtor honored for volunteer efforts

Local realtor honored for volunteer efforts


Ellie Van Houtte/Town Crier
Coldwell Banker recently recognized realtor Kim Copher, right, for her philanthropic efforts. Copher and colleague Alan Russell, left, volunteer at Reach Potential Movement, where they collect books for its Bookshelf in ...

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Books

Local Author Spotlight

In an effort to support authors from Los Altos, Los Altos Hills and Mountain View, many self-published, Book Buzz periodically spotlights their books and offers information on where to purchase them. Local authors are encouraged to submit brief summa...

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People

Noteworthy

RotaCare honors local volunteer

RotaCare Bay Area honored Jim Cochran of the RotaCare Mountain View Free Medical Clinic with the Outstanding Clinic Volunteer Award April 10 for his commitment to RotaCare’s mission of providing free medical care to t...

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Travel

Sausalito: Explore the historical city with world-class views

Sausalito: Explore the historical city with world-class views


Eren Göknar/ Special to the Town Crier
Sausalito offers panoramic views of the San Francisco Bay. A number of companies schedule boat tours that sail past Angel Island and Alcatraz.

On a clear day, Sausalito offers spectacular views of the San Franc...

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Stepping Out

Western Ballet performs this weekend  at Smithwick Theatre in Los Altos Hills

Western Ballet performs this weekend at Smithwick Theatre in Los Altos Hills


Courtesy of Alexi Zubiria
Western Ballet’s “La Fille Mal Gardée” features Alison Share and Maykel Solas. The production runs Friday and Saturday at Foothill College

Western Ballet is slated to perform “La Fille Mal GardéeR...

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Spiritual Life

Magazine

A yoga class a day keeps the stress away

A yoga class a day keeps the stress away


Van Houtte/Town Crier Yoga of Los Altos hosts a variety of classes, including Strong Flow Vinyasa, above, taught by Doron Hanoch. Yin Yoga instructor Janya Wongsopa guides a student in the practice, below.

It’s nearly 9 a.m. on a Monday mornin...

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Books untangle complex health-care questions

As the election looms, the debate over health care rages on. Questions about our right to health care, access, costs, fairness and quality fuel the fire.

The United States may be the world leader in health technology, but we also spend more on health care per capita ($7,146), and more on health care as a percentage of gross domestic product (15.2 percent), than any other nation (World Health Organization, 2008).

According to the Centers for Disease Control and Prevention, the U.S. also trails other wealthy nations in important measures, including infant mortality and life expectancy. And as many as 50 million Americans are without any kind of health insurance.

Health-care reform is clearly a controversial and highly complex subject. Opinions about how to fix our problems are not in short supply, but real solutions are hard to find. It behooves us to learn as much as we can about the topic, not only before we cast our votes in November, but also to know how best to advocate for the health of our families and ourselves.

Three provocative books that attempt to explain health-care system woes have similar names and premises: “Overdiagnosed: Making People Sick in the Pursuit of Health” (Beacon Press, 2011); “Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer” (Bloomsbury, 2007); and “Worried Sick: A Prescription for Health in an Overtreated America” (University of North Carolina Press, 2012).

“Overdiagnosed” protests the current system’s focus on disease rather than health. Author H. Gilbert Welch, M.D., a professor of medicine at Dartmouth Medical School, believes that our ability to detect abnormalities has become almost too good, that there are too many tests on people who have no symptoms, leading to too much treatment. People used to go to the doctor only when they were sick. Now we go for annual checkups, even when we are healthy. We just want to be sure that nothing is wrong.

Arguments can be made that early screening can prevent or aid control of many conditions, including cancer, diabetes and hypertension, and that advances in technology have saved many lives. Welch, however, believes that overdiagnosis is the “biggest problem caused by modern medicine,” adding “staggering costs to our already overburdened health care system.”

Whether you agree with the premise of this book or not, Welch provides a thought-provoking case, worthy of a reader’s consideration. He is able to make complex scientific concepts understandable and weaves them into well-told patient stories. Readers will learn how to make their own risk-benefit decisions to determine just how much health care is right for them.

“Overtreated” attempts to explain, from an economic viewpoint, how and why American medicine is out of control. Author Shannon Brownlee offers a simple premise: the health-care system in this country delivers a lot of care that we don’t need. In fact, she asserts that as much as one-third of the care people receive may actually be unnecessary.

Brownlee blames backward economic incentives in what she calls the “medical-industrial complex.” More spending, drugs and technology do not equal better care, according to Brownlee. Nor does increasing specialization, where it has become commonplace for a patient to have a number of physicians, none of whom talk to each other.

Brownlee, an economist and senior fellow at the New America Foundation, makes an argument for coordination of care among providers and for patients to advocate for themselves. As a culture, we have come to believe that we deserve, even need, more health care. Brownlee makes a convincing argument for careful, considerate, but limited care, with decisions based on knowledge and understanding of personal values.

In “Worried Sick,” author Nortin M. Hadler, M.D., presents a carefully reasoned case to help health-care providers assess the value and benefit of potential therapies to better treat their patients. He also calls for consumers to learn more about their own health so that they can differentiate between evidence and hype to make better decisions about their care.

Hadler clearly believes that there are many important medical developments, including diagnostic tests, drugs, surgeries and more, that can improve the quality of life and extend longevity for many people. He advocates judicious use of such services, believing that not everyone needs to become a patient.

Many of us are conditioned to view every unusual symptom we experience as a harbinger of an insidious disease. Hadler, a professor of medicine at the University of North Carolina, urges readers to relax and worry less about the disease lurking around the corner. His solution to health care is not in more care, but in better, more considered care for those who are truly sick and suffering.

All three books are available at Stanford Health Library, along with others that examine American health care and health-care reform.

Research help is free at Stanford Health Library. Phone, email or visit one of the library’s branches for evidence-based answers to health-related questions. Admission to the library, for 23 years a community service of Stanford Hospital, is free and open to the public.

The library is open in four locations: Stanford Shopping Center near Bloomingdale’s; the Stanford Cancer Center; Stanford Hospital (third-floor lobby); and the Ravenswood Family Health Center, 1807 Bay Road in East Palo Alto.

Nancy Dickenson is head librarian at Stanford Health Library. For more information, call 725-8400 or email This email address is being protected from spambots. You need JavaScript enabled to view it. .

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