Sat10252014

News

Election flyer mimics newspaper coverage

Election flyer mimics newspaper coverage

A flyer is being distributed across Los Altos that looks like it is from the Los Altos Town Crier but was neither created nor distributed by the community’s weekly newspaper. The flyer, pictured at right, is being distributed by workers from Pyrami...

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Schools

LAHS Science and Technology Week features medical examiner

LAHS Science and Technology Week features medical examiner


Ellie Van Houtte/Town Crier
A Los Altos High School student learns how to use robotic surgical equipment at the school’s Science and Technology Week event last year. Students can also attend hands-on presentations at this year’s event, w...

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Community

Ahoy, matey: Pirate Manor ramps up Halloween display

Ahoy, matey: Pirate Manor ramps up Halloween display


Town Crier File Photo
Pirate Manor is once again scheduled to arrive in the front yard of Dane and Jill Glasgow’s home on Manor Way in Los Altos, just in time for Halloween.

Although not the Walking Dead, pirate skeletons have been brought to li...

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Sports

Lancers rule the pool against Spartans

Lancers rule the pool against Spartans


Ellie Van Houtte/Town Crier
St. Francis High’s Eric Reitmeir launches the ball over Mountain View High driver David Niehaus (2) and goalie Kenny Tang. The host Lancers won Friday’s non-league game 9-3.

There wasn’t a lot on the line Friday when ...

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Comment

Reeder, Fung for El Camino HCD: Editorial

The good news for the El Camino Healthcare District (formerly the El Camino Hospital District, for those still getting used to the new name) is that there is a contested election Nov. 4 for the district’s board of directors. Three candidates are runn...

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Special Sections

Plant-based diet offers benefits

Plant-based diet offers benefits


Photo by Ramya Krishna
Los Altos resident Nandini Krishna prepares a meat-free dish According to author Caldwell B. Esselstyn Jr., M.D., a plant-based diet can help prevent cancer.

Shirley Okita of Los Altos has found that adhering to a mostly plant...

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Business

New shop offers haute couture for girls

New shop offers haute couture for girls


Ellie Van Houtte/Town Crier
The Girls @ Los Altos at 239 State St. offers clothing lines such as Nellystella as well as toys and other items for girls.

Cecilia Chen opened The Girls @ Los Altos as a tribute to the party dress. Whether it’s for...

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Books

Helping kids catch a few Zs: Local dental hygienist pens meditative bedtime book

Helping kids catch a few Zs: Local dental hygienist pens meditative bedtime book


Ellie Van Houtte/Town Crier
Mimi Sommers, who works at a Los Altos dentist’s office, recently wrote a children’s book.

A local dental hygienist recently published a book that aims to ease parents and children during a sometimes anxious e...

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People

BARBARA DARLING MERIDETH

1946-2014

Born in Palo Alto, raised in Los Altos, retired in southern Oregon. Survived by Peter James Merideth, sons Matthew, Jacob and John Merideth, the loves of her life.

She was a housewife who took great pride in her home, her surroundings and...

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Travel

Falling leaves: Four places in California to see autumn colors

Falling leaves: Four places in California to see autumn colors


Courtesy of Castello di Amorosa
Castello di Amorosa in Calistoga, above, boasts a beautiful setting for viewing fall’s colors – and sampling the vineyard’s wines.

Yes, Virginia, there is fall in California.

The colors pop out in...

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Stepping Out

'Sleepy Hollow' awakens at Bus Barn

'Sleepy Hollow' awakens at Bus Barn



Los Altos Youth Theatre’s production of “The Legend of Sleepy Hollow,” a musical based on Washington Irving’s classic story, is set to run through Nov. 2 at Bus Barn Theater. The cast comprises 27 young actors, directed by Cindy Powell. Courtesy o...

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Spiritual Life

Magazine

Local events add color to autumn calendar

Local events add color to autumn calendar


Van Houtte/town crier Visitors make their way through the Children’s Alley.

As Los Altos’ signature Chinese Pistache trees exchange their summer green for vibrant hues of yellow, orange and red in the fall, an abundance of local events also ad...

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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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