Sat04252015

News

LAH resident killed in cycling accident

LAH resident killed in cycling accident

A longtime Los Altos Hills resident and philanthropist struck by a bicyclist Monday (April 20) while walking along Page Mill Road has died from the injuries she sustained.

Kathryn Green, 61, died a day after the accident, according to the Santa Clar...

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Schools

LASD Junior Olympics scheduled Saturday

LASD Junior Olympics scheduled Saturday


Town Crier File Photo
The Los Altos School District Junior Olympics are slated Saturday at Mountain View High School. District officials say the opening ceremonies, above, are always memorable.

Los Altos School District fourth- through sixth-grader...

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Community

Altruism, adventure in Africa: Los Altos couple relates experiences in new book

Altruism, adventure in Africa: Los Altos couple relates experiences in new book


Courtesy of Wendy Walleigh
Rick and Wendy Walleigh spent a year and a half in Swaziland and Kenya.

Los Altos residents Rick and Wendy Walleigh experienced long, successful high-tech careers. But retirement? No, it was time for an encore.

Leavin...

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Sports

Workout warriors

Workout warriors


Megan V. Winslow/Town Crier
Los Altos High gymnast Jessica Nelson soars by coach Youlee Lee during practice last week. Lee is a 2005 Los Altos High grad.

Some coaches would like to see their athletes work harder. Youlee Lee has the opposite problem ...

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Comment

Ending the debate: No Shoes, Please

In a general sense, everything is up for debate with me: What do I cook for dinner? Did I do the right thing? What color paint for the bedroom? Do I really want to go? Has the team improved? What difference does it make? Should I give him a call? Is...

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Special Sections

Fitness focus: No holds barred for Los Altos sisters

Fitness focus: No holds barred for Los Altos sisters


Photos Courtesy of Barre 3
Gillian Brotherson, kneeling at left, guides studio instructors through a workout at barre3 Los Altos.

Health is all about balance. That’s what two Los Altos natives learned as they navigated work, motherhood and welln...

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Business

Physical therapist brings business background to new Los Altos clinic

Physical therapist brings business background to new Los Altos clinic

Courtesy of Eliza Snow
Strive owner Robert Abrams, kneeling, runs a balance test.

With more than a dozen physical therapy clinics in Los Altos, one new business owner streamlined his approach in an effort to set his practice apart.

“I always wan...

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Books

People

CAPTAIN: CHARLES THOMAS MINOR

CAPTAIN: CHARLES THOMAS MINOR

Age 96

December 7, 1918  - March 28, 2015 

Chuck passed away peacefully in the home he built in Los Altos surrounded by his beautiful wife of 69 years, Bonnie, his two sons and their spouses, David Minor & Caryn Joe Pulliam; Steve &...

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Travel

Cuba libre: Local residents join mad rush of travelers

Cuba libre: Local residents join mad rush of travelers


Natalie Elefant/Special to the Town Crier
Los Altos resident Natalie Elefant noted the vibrant street performances as a traveler in Cuba.

The U.S. restored diplomatic relations with Cuba late last year, enabling Americans to import $100 worth of cig...

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Stepping Out

Stage fright

Stage fright


Joyce Goldschmid/Special to the Town Crier
“The Addams Family” stars, from left, Betsy Kruse Craig (as Morticia), Joey McDaniel (Uncle Fester) and Doug Santana (Gomez).

The Palo Alto Players production of “The Addams Family”...

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Spiritual Life

Magazine

Food for thought: Hidden Villa programs offer teens training in sustainability on the farm

Food for thought: Hidden Villa programs offer teens training in sustainability on the farm


/Town Crier It’s not all cute and cuddly for teens participating in the eight-week Animal Husbandry Apprenticeship program at Hidden Villa in Los Altos Hills. Mia Mosing of Palo Alto, left, and Sophia Jackson of Los Altos clean the pigpens – one of...

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Inside Mountain View

Up to the challenge: Local leaders unite to help at-risk youth

Up to the challenge: Local leaders unite to help at-risk youth


Courtesy of Challenge Team
Jeanette Freiberg, bottom of pile, has fun with family members. The Challenge Team named Freiberg, a student at Mountain View High School, its 2015 Youth Champion.

There’s an ongoing joke among members of the Challenge...

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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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