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Is There Actually a Doctor in the House?

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It’s a stock situation in movies and TV shows: Someone collapses, and a crowd gathers around them trying to help or wondering what to do. Inevitably, two things will happen. Someone will tell everyone to step back and give the victim some room to breathe, and someone will shout out to no one in particular, “Is there a doctor in the house!?”

Usually there is, and they save the day. If this ever happened to you in real life, though, how likely is it that there would be someone around who could save you?

Well, if you’re in an airplane, you should be OK. Christian Martin-Gill, a physician and assistant professor of emergency medicine at the University of Pittsburgh, recently combed through the in-flight communications of five different airlines covering a period of almost three years. In them, he found almost 12,000 calls to the University of Pittsburgh Medical Center’s STAT-MD Communications Center, an always-open medical command center that some airlines use to consult with doctors during flight emergencies. 

Going through these calls, Martin-Gill found that a medical emergency happens on one out of every 604 commercial flights. The most common problems are people fainting, experiencing severe air or motion sickness, or experiencing respiratory or cardiac distress.

Physicians who happened to be passengers on the flight were able to treat the victims in about half of the emergencies that Martin-Gill examined. In more than a quarter of the other instances, a nurse or EMT who was on the plane stepped in to help. 

So, the next time you get sick midair, there’s a good chance that shouting “Is there a doctor on the plane?” will actually get you some help.

Martin-Gill also discovered that the passengers treated in these emergencies generally came out of things OK. Of the almost 12,000 cases covered in the study, only 36 deaths occurred, 30 of those during the flight. Of the patients who made it to their original destinations (only 7 percent of the flights had to be diverted because of medical emergency), only a quarter had to be taken to the hospital upon landing, and only 8 percent of those actually had to be admitted. 

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Live Smarter
Researchers Say You’re Exercising More Than You Think
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They say a journey of a thousand miles starts with a single step. If the thought of a thousand-mile journey makes you tired, we've got some great news for you: You've probably already completed one.* A new study published in the journal Health Psychology [PDF] finds that people underestimate the amount of exercise they're getting—and that this underestimation could be harmful.

Psychologists at Stanford University pulled data on 61,141 American adults from two huge studies conducted in the 1990s and the early 2000s: the National Health Interview Survey and the National Health and Nutrition Examination Survey. Participants answered questionnaires about their lifestyles, health, and exercise habits, and some wore accelerometers to track their movement. Everybody was asked one key question: "Would you say that you are physically more active, less active, or about as active as other persons your age?"

The researchers then tapped into the National Death Index through 2011 to find out which of the participants were still alive 10 to 20 years later.

Combining these three studies yielded two interesting facts. First, that many participants believed themselves to be less active than they actually were. Second, and more surprisingly, they found that people who rated themselves as "less active" were more likely to die—even when their actual activity rates told a different story. The reverse was also true: People who overestimated their exercise had lower mortality rates.

There are many reasons this could be the case. Depression and other mental illnesses can certainly influence both our self-perception and our overall health. The researchers attempted to control for this variable by checking participants' stress levels and asking if they'd seen a mental health professional in the last year. But not everybody who needs help can get it, and many people could have slipped through the cracks.

Paper authors Octavia Zahrt and Alia Crum have a different hypothesis. They say our beliefs about exercise could actually affect our risk of death. "Placebo effects are very robust in medicine," Crum said in a statement. "It is only logical to expect that they would play a role in shaping the benefits of behavioral health as well."

The data suggest that our ideas about exercise and exercise itself are two very different things. If all your friends are marathoners and mountain climbers, you might feel like a sloth—even if you regularly spend your lunch hour in yoga class.

Crum and Zahrt say we could all benefit from relaxing our definition of "exercise."

"Many people think that the only healthy physical activity is vigorous exercise in a gym or on a track," Zahrt told Mental Floss in an email. "They underestimate the importance of just walking to the store, taking the stairs, cleaning the house, or carrying the kids."
 
*The average American takes about 5000 steps per day, or roughly 2.5 miles. At that pace, it would take just a little over a year to walk 1000 miles.

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Medicine
Scientists Are Working on a Way to Treat Eye Floaters With Lasers
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Even people with 20/20 eyesight should be familiar with this scenario: You're enjoying a clear view when a faint doodle shape drifts into your peripheral vision like an organism under a microscope. Floaters affect almost everyone, but there's currently no medically accepted, non-invasive way to treat them. Two doctors with Ophthalmic Consultants of Boston are working to change that. As IFLScience reports, the team believes that lasers may be the solution to bothersome eye squiggles.

As Chirag Shah and Jeffrey Heier write in their study in the journal JAMA Ophthalmology, lasers can be used to safely combat the underlying causes of floaters. Also known as muscae volitantes, Latin for “hovering flies,” the condition comes from physical debris leaking into your eyeball. The front of your eyes is filled with a liquid called vitreous humor, and when drops of that gelatinous substance break off from the whole, the bits cast shadows on your retinas that look like gray blobs. Because floaters literally float inside your eyes, trying to focus on one is almost impossible.

These spots aren't typically a problem for young people, but as you get older your vitreous humor becomes more watery, which increases the chance of it slipping out and clouding your vision. Retinal detachment and retinal tears are also rare but serious causes of symptomatic floaters.

Shah and Heier tested a new method of pinpointing and eliminating floaters with a YAG laser (a type of laser often used in cataract surgery) on 36 patients. An additional 16 test subjects were treated with a sham laser as a placebo. They found that 54 percent of the treated participants saw their floaters decrease over six months, compared to just 9 percent of the control group. So far, the procedure appears be safe and free of side effects, but researchers noted that more follow-up time is needed to determine if those results are long-term.

At the moment, people with symptomatic floaters can choose between surgery or living with the ailment for the rest of their lives. YAG laser treatment may one day offer a safe and easy alternative, but the researchers say they will need to expand the size of future studies before the treatment is ready to go public.

[h/t IFLScience]

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