Getting the right diagnosis

Nearly one in five hospitalized adults is harmed or dies each year due to a diagnostic error. Diagnostic errors include a delay in diagnosis, a wrong diagnosis, or unclear communication about a diagnosis. Tricky-to-diagnose conditions include pneumonia, heart attack, stroke, sepsis, blood clots, and lung cancer. Women, minorities, and older adults may be more vulnerable to diagnostic mistakes. People can lower their risks of diagnostic errors by telling the doctor about their medications, taking a trusted companion to appointments, and seeking second opinions in cases of doubt.

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Is your walking up to speed?

Walking is one of the best ways for older adults to get the recommended 150 minutes of moderate-intensity aerobic exercise per week. But to ensure people get the most from their walking workouts, they need to focus on intensity. One way to do this is with target heart rate. A typical target heart rate for moderate-intensity exercise is between 65% and 75% of a person’s calculated maximum heart rate. Improving walking form and doing interval workouts can help increase speed and thus intensity.

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Do you really need bunion surgery?

Surgery is usually warranted when bunion pain becomes disabling, a skin ulcer develops, or it’s necessary to prevent a bunion from dislocating the second toe. However, recovery can be long and painful, and there’s no guarantee that bunions won’t come back. Prior to surgery, it might help to use strategies that reduce bunion pain, such as adding cushioning to shoes, stretching shoes where a bunion rubs against them, getting roomier shoes or shoes made with stretchy fabrics, and using toe spacers.

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