Tag: power

  • The Power of Light and Dark

    The Power of Light and Dark

    You’ll spend the rest of your life in an institution. Which is what the Mayo psychiatrist told me would materialize if I didn’t take his prescription drugs. He was completely wrong.

    I listened to individuals words and phrases over twenty decades ago from the head psychiatrist at the Mayo psychiatric clinic in Rochester, Minnesota. Every single day for the duration of rounds he explained to me that I’d be institutionalized for existence unless I took the prescription drugs he proposed. Each individual day, I refused to just take them. It was terrifying. What if he was ideal?

    light therapy

    In 1984, I was identified with bipolar condition, and the clinical recommendation was that I consider “antidepressants” and lithium indefinitely. I took the prescription drugs just like I was meant to for sixteen years. I imagined myself lucky that I was sort of functional. Perfectly, I was fats I’d gotten diabetic issues from lithium, and I was a zombie. I couldn’t smile, I couldn’t chortle, I could not cry, but hey, I wasn’t locked up! But after a when, I commenced getting issues pondering. I have a PhD and I’m a Fellow of APA and APS, and indeed, an ABPP (boarded). Well, which is lifestyle, but then I commenced to worry that I’d get locked up, falsely identified as a scenario of Alzheimer’s disorder.

    Also, I commenced having strange signs or symptoms and issues breathing. I have Charcot-Marie-Tooth illness, Sort 2, which interacted adversely with the psychiatric medications, influencing my capability to breathe. My regular medical practitioners minimized my issues and would not pay attention to me. Desperate, I went on the road looking for health care assist, and even however I knew I risked a manic psychosis, in concern for my existence, I went off the medicines chilly turkey. Warning: unless of course you completely simply cannot help it, often go off psychiatric medicines slowly but surely.

    In my acquiring madness, I adopted the cockamamie approach to pretend I was psychotic to see how the mentally unwell are handled on the street. Then I would write a reserve about my expertise, a kind of investigative journalism. This strategy did not operate out so well.

    I was involuntarily hospitalized in two unique hospitals in Minnesota. Luckily for us, I experienced carried out lawful exploration about the treatment of the mentally unwell. I discovered that in Minnesota they normally experimented with to provoke sufferers in buy to elicit excessive conduct to use as proof lawfully justifying involuntary treatment and/or determination. This details proved key to my survival.

    At the first healthcare facility, the law enforcement claimed that I threatened them with a knife, a wholly phony allegation. The good thing is, I found out about it and confident them to drop the declare. Or else, I could have been saved locked up, involuntarily medicated, and quite possibly die from the medication, or I could have been uncovered legally incompetent, even dedicated to a point out clinic. A civil rights attorney I talked to in Minnesota instructed me that many institutionalized clients were so cognitively impaired by medicine that they could not cooperate to verify their sanity. I can consider that, understanding what the drugs did to my cognition and judgment.

    When I refused treatment method at this initially healthcare facility, I was summarily discharged with out regard to no matter if I had money or a position to go, which is versus the law. I continued my odyssey. Next, I was locked up at Mayo. There, devoid of examining, they made a decision that my obtaining a PhD was a delusion, that I was a uncommon situation of paranoia. They were being scheduling to dedicate me to a point out clinic. The personnel disapproved of me due to the fact I refused treatment. They didn’t think I experienced reputable complications with the medications. I was just a negative, irresponsible affected person who was attempting to get out of using her medicine.

    Whilst I was at Mayo, a couple incidents occurred that may possibly have been intended to provoke me into out-of-bounds habits that could be utilised as evidence of my need for involuntary determination and medication. For case in point, when I to start with obtained there, the nurse offered to do some laundry for me, but did not return every thing. Was she hoping I would accuse her of shedding my laundry, make me glimpse paranoid? Also, the night time just before I was to go away, my muscular, newly assigned male nurse seemed on as I obtained my dinner. I seemed down to see a large toothmark bite taken from my piece of roast beef. The sight was gross. Nevertheless, acquiring been forewarned, I held my quiet and only questioned for a further evening meal. Have circumstances in Minnesota improved? Are this sort of strategies widespread? Certainly, lots of nonetheless strongly believe in the efficacy of drug therapy and long-phrase remedy. Continue to be on your medication carries on to be a mantra.

    At Mayo, making use of my awareness that quiet and darkness calms mania, I stayed in the dim in my space the mania subsided. Just after a number of times, I had the legally essential sanity hearing and was produced from the hospital. Nonetheless, I however had the adverse consequences of the psychiatric medication. It took three decades for them to obvious my process. Some ill effects continue being.

    I am now 88 decades previous and I have not had another temper swing since I bought off the medicines. How have I stayed nicely all these a long time? Ahead of these incidents happened, I had been making use of dazzling light-weight treatment for despair, and studying bipolar condition. Afterward, I intensified my perform, avidly examining scientific articles or blog posts about bipolar condition striving to comprehend its cause. Why was mild and dim so essential to temper, at minimum for some persons?

    The function of Thomas Wehr at NIMH was vital. I ultimately figured out that bipolar disorder is a remnant of the Ice Age that we inherited from Neanderthal. Perhaps it appears mad, but maybe mad enough to be accurate.

    Simply just, the concept is that bipolar ailment progressed among the the Neanderthal as an adaptation to the Ice Age local climate. Depression, brought on by autumnal diminution of gentle, conserved electrical power through the extensive serious winters, in particular for women. The speeded behaviors of hypomania and mania allowed the Neanderthal to make up for shed time throughout truthful weather conditions. The theory finds confirmation in the exploration of Danneman and Kelso and Simonti et al. Both teams independently located that our genes for melancholy and mood swings appear from Neanderthal. Scientists Bartsiokas and Arsuaga observed proof that the Neanderthal did in truth “hibernate,” the inactive point out we simply call depression. These details also aid the idea, which I later explored in my individual publications.

    It is probable to avoid and alleviate equally despair and mania by taking care of the timing and depth of exposure to mild (and darkish). Amazingly, it is even feasible to deliver a man or woman out of a suicidal melancholy in a several weeks with out medicine or other intense steps. House doesn’t permit me to go into detail listed here, but I use vibrant gentle therapy in the dark months to avert despair, and 7-8 hours asleep or resting in the darkish at night time to steer clear of manic temper swings. Darkness deactivates and gentle activates!

    I was not absolutely sure these actions would do the job, but I did not consider I had a preference, and they did function. These chronobiological techniques are inexpensive, safe and sound and productive. These are not “alternative” treatment options, but cutting-edge science. This knowledge is out there, but you have to glance for it. For people of you interested in a lot more information and facts, a lot of of my publications are accessible on the Internet, like my e book, Beating Despair and Bipolar Problem without the need of Medicine: A Memoir of Survival in a Male-Dominated Environment.

    I 1st received prominence in the 1970s because of my book On the Psychology of Gals: A Survey of Empirical Studies, the 1st scientific book on the psychology of females. I’ve been a lifelong feminist, and did seminal research that aided explode the myth that ladies couldn’t do arithmetic and ended up unfit for medicine, law, engineering, and scientific exploration professions.

    We will need to seek out truth of the matter in facts, and the actuality is that some people today, particularly women of all ages, are really frustrated by a deficiency of ambient light-weight. Depression is a feminist situation. Ladies and their infants are continuing to be harmed by pointless, revenue-producing psychiatric medicines. But I really feel like I’m spitting in the wind.

    It is winter. If you are depressed, get a brilliant light.

    ***

    Mad in The usa hosts weblogs by a numerous group of writers. These posts are created to serve as a public forum for a discussion—broadly speaking—of psychiatry and its therapies. The opinions expressed are the writers’ have.

  • Strong legs help power summer activities: Hiking, biking, swimming, and more

    Strong legs help power summer activities: Hiking, biking, swimming, and more

    Older woman wearing black cycling clothes and a blue helmet riding a bicycle on a roadway with flowering trees bushes and tress lining the roadside

    My preferred summer time pursuits formally kick in when the calendar flips to May perhaps. It truly is key time for open up h2o swimming, jogging, biking, mountaineering, and anything at all else that receives me outside the house and going. Nevertheless, my first phase is to get my legs in form.

    “Legs are the foundation for most pursuits,” says Vijay Daryanani, a physical therapist at Harvard-affiliated Spaulding Rehabilitation Medical center. “They are household to some of the body’s biggest muscle groups, and building balanced legs can strengthen one’s overall performance, lower injury, and improve stamina.”

    Four leg muscle mass groups to create for summer time things to do

    4 muscle tissues do the most leg perform: quadriceps, gluteus maximus (glutes), hamstrings, and calves. Right here is a appear at just about every.

    Quadriceps (quads). Also recognised as the thigh muscle tissue, the quads are a team of four muscle tissue (consequently the prefix “quad’). They extend your leg at the knee and ability each individual leg action: stand, stroll, run, kick, and climb.

    Glutes. The body’s major muscle groups, the glutes (your buttock muscle mass) continue to keep you upright and help the hips and thighs propel your human body forward.

    Hamstrings. The hamstrings are a group of three muscle tissue that operate alongside the back again of your thighs from the hip to just under the knee. They let you to extend your leg straight behind your human body and aid hip and knee actions.

    Calves. A few muscle tissue make up the calf, which sits in the back again of the decrease leg, starting beneath the knee and extending to the ankle. They get the job done jointly to move your foot and reduce leg and push you ahead when you stroll or run.

    Spotlight muscle mass energy and length

    Strength and length are the most critical aim for making summer-all set legs, states Daryanani. “Strengthening leg muscle tissues increases electric power and endurance, and lengthening them increases adaptability to protect in opposition to damage.”

    If you are new to training or returning to it just after time off, first get your legs accustomed to everyday movement. “Start basically by strolling about your residence nonstop for several minutes every single working day, or climbing up and down stairs,” states Daryanani.

    After that, adopt a strolling plan. Each and every day, walk at a average tempo for 20 to 30 minutes. You can aim on masking a distinct distance (like a single or two miles) or getting a selected selection of techniques by tracking them on your smartphone or conditioning tracker. You will not just make leg energy — you’ll experience a vast assortment of wellness added benefits.

    There are several distinct leg muscle mass-setting up exercise routines, some centered on certain things to do or sports. Beneath is a a few-go schedule that targets the 4 important leg muscle tissues. Insert them to your typical exercise or do them as a leg-only routine several instances a week. (If you have any mobility concerns, in particular knee or ankle complications, look at with your medical doctor prior to starting off.)

    To assist lengthen your leg muscle tissues and raise flexibility, try out this every day stretching regimen that incorporates various decreased-physique stretches.

    Dumbbell squats

    Muscles worked: glutes and quads

    Reps: 8-12

    Sets: 1-2

    Rest: 30-90 seconds involving sets

    Setting up place: Stand with your ft apart. Hold a fat in each hand with your arms at your sides and palms facing inward.

    Movement: Little by little bend your hips and knees, leaning ahead no more than 45 degrees and reducing your buttocks down and back again about 8 inches. Pause. Slowly but surely increase to an upright position.

    Ideas and techniques:

    • Really don’t round or excessively arch your again

    Make it simpler: Do the go devoid of keeping weights.

    Make it more difficult: Reduced oneself at a ordinary rate. Maintain briefly. Stand up speedily.

    Reverse lunge

    Muscle tissues labored: quads, glutes, hamstrings

    Reps: 8-12

    Sets: 1-3

    Rest: 30-90 seconds between sets

    Starting situation: Stand straight with your ft collectively and your arms at your sides, holding dumbbells.

    Movement: Step again onto the ball of your remaining foot, bend your knees, and decrease into a lunge. Your suitable knee must align over your proper ankle, and your remaining knee must position toward (but not contact) the ground. Press off your still left foot to stand and return to the beginning position. Repeat, stepping back with your appropriate foot to do the lunge on the reverse aspect. This is one rep.

    Recommendations and techniques:

    • Continue to keep your spine neutral when lowering into the lunge.
    • Do not lean forward or back again.
    • As you bend your knees, decreased the back knee right down towards the ground with the thigh perpendicular to the flooring.

    Make it easier: Do lunges without the need of weights.

    Make it tougher: Stage forward into the lunges, or use heavier weights.

    Calf raises

    Muscle mass worked: calves

    Reps: 8-12

    Sets: 1-2

    Rest: 30 seconds involving sets

    Starting up position: Stand with your feet flat on the floor. Maintain on to the back of a chair for balance.

    Motion: Raise by yourself up on the balls of your feet as higher as attainable. Hold briefly, then lower you.

    Make it simpler: Lift your heels fewer superior off the ground.

    Make it harder: Do a person-leg calf raises. Tuck just one foot behind the other calf ahead of growing on the ball of your foot do sets for each individual leg. Or consider performing calf raises with no keeping on to a chair.

  • Olympian Nadia Power shares top stretching tips to prepare us to be workout ready in 2022

    Olympian Nadia Power shares top stretching tips to prepare us to be workout ready in 2022

    Olympian Nadia Electricity is generating guaranteed we all get 2022 commenced off on the correct foot as she shares her top stretching tips, giving us the required tools to prepare each pre and publish our exercises, ensuring we remain adaptable and our muscle mass are guarded all yr extensive.

    Be it seeking to obtain your New Year’s Resolutions, maximize your serotonin ranges or basically get a start on reaching some personalized or conditioning milestones – it is critical we prep appropriately when leaping into any variety of exercising. With the assistance of a selection of skilled necessities from McSport, Ireland’s top conditioning brand , Manufacturer Ambassador Nadia shares her holy grail, professional permitted strategies certain to be a important addition to all of our energetic life this yr.

    From own trainers to online routines and Instagram lives, we are surrounded with selections to get us all started out on a fitness journey, having said that, we have to have to recall the core factors of prepping and cooling down when embarking on any type of workout.

    As the aged adage goes – Fall short To Put together, Put together To Are unsuccessful – and that stands correct when doing work out, and in distinct when it comes to appropriately stretching. Much too several of us dive headfirst into new routines and overexert our muscle groups with out thoroughly making ready initial, primarily if some have taken a well-attained split over the festive period. This can lead to unnecessary suffering, and in some situations avoidable injuries.

    Olympian and McSport Ambassador Nadia Ability appreciates this all much too effectively. As a record-breaking athlete, specialising in the 800m, Nadia is aware the great importance of stretching out her muscle tissue equally pre and put up having to her traveling laps. The just one component that a lot of tend to gloss more than, stretching is an essential element of caring for our bodily health and fitness, ahead of and following doing the job out, or incorporated into our routines. The rewards of this sort of are definitely unlimited, from improving flexibility, getting ready our human body, therapeutic muscle tissues right after physically demanding exercise routines, calming the entire body, strengthening achiness, recruiting our muscle groups when working out, and most importantly lowering the chance of injury.

    When talking about the worth of stretching as an athlete, and also for the regular joe of all exercise levels, Nadia states: “Stretching and mobility are significant pieces of my daily regimen to support me stay personal injury-absolutely free and get better from each individual coaching session. A whole lot of people who are new to managing may possibly not imagine to stretch before or after a operate, and quickly locate as they build up mileage they come to feel rigid or choose up niggles. It does not have to have to just take up also a lot time, I generally come across about 10 minutes prior to and right after each individual run is enough. Usually, ahead of I operate I’ll do some resistance band exercise routines, foam rolling and mobility exercise routines to heat up my calves, hamstrings and hips. Then when I get property I’ll do a quick stretching program and foam roll nearly anything that felt tight on the run.”

    Work out 1 Hamstring extend:

    Sit with one leg out straight and the other bent.

    Guarantee the sole of your foot is touching the within of your thigh.

    On the aspect of your straight leg, access for your foot, keeping until finally you can experience a extend in your hamstring.

    Repeat on the pursuing side.

    Exercise 2 — Glute stretch:

    Sit with a person leg straight and cross the other leg around the straight leg.

    Inserting the sole of your foot flat on the ground.

    On the side of the bent leg, rotate to glance above your shoulder till you truly feel a stretch in your glute and hip.

    Repeat on the next side.

    Exercising 3 — Foam Rolling:

    Place the foam roller under any muscle mass on your leg, or any part of the entire body you want to relieve stress on.

    Change your bodyweight so as considerably as feels at ease sits on the foam roller.

    Roll it up and down the muscle until eventually it feels looser.

    If you uncover a notably tight place you can keep the roller specifically less than it until the stress slowly releases.

    Work out 4 — Hamstring and Calf Extend:

    Arrive at a person leg ahead with your toe pointing up.

    Lean down and arrive at towards your toes till you truly feel a stretch down as a result of the again of your hamstring and calf.

    Repeat on the following aspect.

    Workout 5 — Clamshells with Resistance Band:

    Put band just previously mentioned your knees.

    Lie on one side with your hips stacked and knees bent at a 90-diploma angle.

    Lift your increased leg up and down for 6-8 reps – This activates the glutes and hips so that they are ready for additional extreme workout.

    Repeat on the subsequent aspect.

    Workout 6 — Crab walks with resistance band:

    Area band just above your ankles.

    Stroll aspect to aspect in a quarter squat placement – Make confident to keep pressure in the band.

    Do this for 6-8 steps each individual way – This activates the glutes and hips so that they are completely ready for a lot more rigorous work out.

  • How to follow Blue Zone Power 9 rules for a long, healthy life

    How to follow Blue Zone Power 9 rules for a long, healthy life

    In a modern column, I wrote about the benefits of a study of 70-12 months-old folks asking them if they required to are living to be 100. Outcomes ended up surprising since the huge the greater part stated no.

    Why? They seen their quality of daily life as bad, living with long-term aches and pains, taking all sorts of prescription prescription drugs, suffering with a decline of mobility, etcetera., and lifestyle was specific to get even worse with advancing decades.

    Although the above angle is easy to understand, there are destinations all-around the globe where by individuals would reply rather differently to this survey. These folks are healthy and physically lively in their innovative several years, and quite a few stay to be 100. This sort of locations are referred to as Blue Zones, and involve distinct areas of Greece, Costa Rica, Japan, and Sardinia, furthermore one particular in the U.S., a community in Loma Linda, California with a significant focus of Seventh-Working day Adventists.

  • At Sweet Birch Herbals in Ashfield, the focus in on the power of nature for good

    At Sweet Birch Herbals in Ashfield, the focus in on the power of nature for good

    ‘People have advanced with plants for hundreds of yrs,” Hannah Jacobson-Hardy of Sweet Birch Herbals in Ashfield reminds us. “And organic medication is nonetheless the most utilized therapeutic observe in the globe.”

    As a result of Sweet Birch Herbals, Jacobson-Hardy aims to preserve her community rooted to the teaching, healing and all-about properly-getting that nearby plants and herbs can give.

    “I expand medicinal herbs and make goods from them,” she describes, “and I educate courses about gardening, foraging, and producing herbal items so you can have your possess apothecary.”

    Jacobson-Hardy is also the girl powering one more neighborhood item, Comprehensive Moon Ghee, a line of various kinds of ghee (clarified butter) she will make with grass-fed milk from regional cows.

    For Sweet Birch Herbals, the centre of exercise is Jacobson-Hardy’s homestead and farm on Creamery Highway in Ashfield.

    “My home is about 3 acres, so it’s compact, but a good deal of house for growing herbs,” she says. “Right by the highway there is a minor barn with a farm retail store and animals, a greenhouse where by I’ll grow ginger and turmeric next 12 months, and then a massive discipline planted with elderberries, flowers and garlic.” Up the hill are a lot more gardens, properly mulched and fertilized with manure from her animals to develop healthful soil without tilling.

    “The apothecary (where by herbs and solutions are saved) is in the basement of the property in which it is cooler,” she says, “and we have a small kitchen area down there for earning solutions.”

    Teas and tinctures, lotions and salves, syrups and ciders — these are most of what Sweet Birch Herbals helps make and sells. The potency of new herbs is fleeting, but preserving an herb in 1 of these kinds captures its essence and usefulness in something that’s shelf-steady.

    “I test to mature every thing I can listed here for generating these,” Jacobson-Hardy claims, “but from time to time which is not achievable. Like this calendar year I purchased ginger and turmeric from Outdated Close friends Farm in Amherst. I love connecting with and obtain a lot from other neighborhood farms.”

    On the schooling aspect, Sweet Birch Herbal’s core providing is a yearlong apprenticeship led by Jacobson-Hardy. Contributors join both a starting, intermediate or superior cohort of 10 other people to deepen their understanding of herbs and takes advantage of.

    “We satisfy when a month for a complete day, March by November,” Jacobson-Hardy points out. “It’s a ton of fingers-on finding out — harvesting from the gardens and forest, cooking factors, creating ferments, creating your possess herbal medications.”

    Although apprenticeships are entire for subsequent year, Jacobson-Hardy also teaches a person-working day workshops in the course of the 12 months, at the farm in Ashfield and by request at other destinations throughout the area.

    Jacobson-Hardy’s very own journey in herbal schooling draws broadly from her earlier. She credits her mother and father and grandparents, who taught her to mature, locate, cook and maintain foodstuff and herbs from a youthful age, for instilling an comprehension that “health arrives from what we place in our bodies.” Later, a diploma in plant and soil science from UMass Amherst and time learning with other community herbalists helped tune her recognition of how plants help persons.

    Still finally, Jacobson-Hardy suggests it’s the crops by themselves that are the greatest teachers, as men and women have just scratched the area in comprehending their array of features, properties and employs.

    “There’s a degree of humility that comes from doing work with crops and herbalism,” she claims, “because no particular person is definitely a learn. There is always a lot more to study.”

    The thought that everyone’s a amateur to some diploma can make exploring herbalism for the to start with time a lot less overwhelming. “A great way to integrate herbs into your each day existence is by means of your typical cooking schedule,” Jacobson-Hardy states. Plenty of culinary herbs have medicinal benefits, these types of as aiding digestion or getting antibacterial.

    She also indicates familiarizing yourself with natural teas to fully grasp the outcomes of different plants. (Constantly consult a health-related specialist right before experimenting with much more potent natural medications.)

    For those people who’d rather use herbs in pre-created products and solutions like tinctures, teas, oils and so on, Sweet Birch Herbals is one of many local organizations making them with nearby ingredients.

    “Elderberry syrups are a single of the most well-known issues this time of calendar year,” Jacobson-Hardy says. “They raise the immune method, are antiviral, and style truly great blended into seltzer drinking water or tea. We also make a rose product and a lavender cream, both of which are great for hydrating the skin as the air dries out. And teas are always common.”

    For these looking ahead to the vacations on today’s Small Enterprise Saturday, they also have gift bins that incorporate a handful of merchandise. And from Entire Moon Ghee, “chocolate and maple ghee are actually well known stocking stuffers,” Jacobson-Hardy claims.

    “Plus I just manufactured a batch of balsam fir essential oil with balsam boughs from Pieropan Xmas Tree Farm listed here in Ashfield,” she claims, “and it’s so pleasant. It makes the complete home scent like the holidays.”

    Sweet Birch Herbals has a self-serve farm stand open from dawn to dusk on internet site in Ashfield. They also provide on the web by means of their web-site, in individual at the Northampton Winter Farmers Marketplace, and as a result of several nearby merchants in the Valley (their site, sweetbirchherbals.com, has a comprehensive listing).

    Many persons use herbal medicine as portion of a program of self-treatment. Jacobson-Hardy sees a true comprehension as encompassing that, as effectively as treatment for issues a great deal better.

    “Ever given that I was a very little woman, I’ve loved character,” she states. “It’s my content put, the place I sense entire and protected. Seeing it degraded, I felt the way I could depart the earth a superior put was by education and learning. Connecting persons to the earth, nature and vegetation, and educating that we are not individual. Then it’s tougher to damage the earth. Simply because we see it’s portion of us.”

    Jacob Nelson is communications coordinator for CISA (Community Associated in Sustaining Agriculture). For much more ideas about locally grown and produced items this vacation period, check out buylocalfood.org/discover-it-regionally.

  • Checkup Finds Biden ‘Vigorous’; Harris Briefly in Power | Health News

    Checkup Finds Biden ‘Vigorous’; Harris Briefly in Power | Health News

    By ZEKE MILLER, Associated Press

    BETHESDA, Md. (AP) — President Joe Biden remains “healthy” and “vigorous” and fit for duty, but is showing some signs of aging, his doctor said Friday after the oldest president in American history underwent his first routine physical in office and — in a history-making moment — briefly transferred power to Vice President Kamala Harris while he underwent a colonoscopy.

    Harris, the first woman, first Black person and first person of South Asian descent to be vice president, was — for one hour and 25 minutes — acting president while Biden was under anesthesia.

    Over more than five hours Friday at Walter Reed National Military Medical Center, the president underwent a battery of blood, physical, gastrointestinal, dental, vision and neurological examinations. Dr. Kevin O’Connor, who has been Biden’s primary care physician since 2009, wrote in a six-page memo released by the White House that Biden, who turns 79 on Saturday, “remains a healthy, vigorous, 78-year-old male, who is fit to successfully execute the duties of the Presidency.”

    O’Connor, however, revealed that he investigated Biden for increased instances of “throat clearing” during public remarks and a stiffening of his gait. O’Connor reported that Biden’s coughing was the result of gastrointestinal reflux and that the stiffened gait was the result of a new diagnosis of “mild peripheral neuropathy,” spinal arthritis and compensation for a broken foot sustained a year ago.

    Political Cartoons

    Interest in Biden’s health has been high ever since he declared his candidacy for the White House in 2019 and remains intense as speculation about a 2024 reelection bid swirls. The visit to the medical center in the Washington suburbs was for his first routine physical exam as president — and his first since December 2019.

    As part of the screening, Biden underwent an “extremely detailed neurological exam” that ruled out stroke, multiple sclerosis, Parkinson’s and amyotrophic lateral sclerosis, but caught the neuropathy, which is nerve damage in the hands and feet. O’Connor said the most common cause of the condition is diabetes, but Biden is not diabetic. Biden, he said, would soon try custom orthotics to improve his gait.

    During the course of Biden’s colonoscopy a “benign-appearing polyp” of about 3 millimeters was identified and removed and would be studied over the coming week. O’Connor said Biden has never had colon cancer.

    Biden’s reported body mass index classified him as slightly overweight, but his cholesterol was under control. Biden, O’Connor said, is prescribed the anticoagulant Eliquis, the statin Crestor and the seasonal allergy spray Dymista, and regularly takes the over-the-counter allergy pill Allegra and the antacid Pepcid.

    O’Connor reported that Biden does not use tobacco products or drink alcohol and that he exercises at least five days per week.

    Press secretary Jen Psaki said he resumed his duties after speaking with Harris and White House chief of staff Ron Klain at approximately 11:35 a.m.

    As Biden left the medical center in the afternoon, he said he was feeling “Great!”

    “Great physical and a great House of Representatives vote,” he said, referring to the House passage of his roughly $2 trillion social and environmental agenda.

    After arriving back at the White House, he said “Nothing’s changed” with his health, joking, “We’re in great shape, and I’m looking forward to celebrating my 58th birthday.”

    While serving as acting president Harris was working from her office in the West Wing, Psaki said. She later traveled to Ohio once Biden awoke from the procedure.

    Biden was keenly aware of the history he was making when he selected Harris to be his running mate, Psaki said, adding that she made “history every day” in the job.

    “Today was certainly another chapter in that history I think that will be noted for women, young girls across the country,” she added.

    During Biden’s last physical exam, doctors found the former vice president to be “healthy, vigorous” and “fit to successfully execute the duties of the Presidency,” according to a doctor’s report at the time.

    In that report, O’Connor said that since 2003, Biden has had episodes of atrial fibrillation, a type of irregular heartbeat that’s potentially serious but treatable. At the time, O’Connor cited a list of tests that showed Biden’s heart was functioning normally and his only needed care was a blood thinner to prevent the most worrisome risk, blood clots or stroke.

    Biden had a brush with death in 1988, requiring surgery to repair two brain aneurysms, weak bulges in arteries, one of them leaking. Biden has never had a recurrence, his doctor said, citing a test in 2014 that examined his arteries.

    Dr. Jeffrey Linder, chief of general internal medicine and geriatrics at Northwestern University’s Feinberg School of Medicine, read the White House report and said it contained nothing that’s particularly worrisome.

    “All in all, according to this report it seems like he’s in pretty good shape, with very common age-related illness,’’ including atrial fibrillation and stiff gait, Linder said.

    While the cause of Biden’s mild neuropathy is unknown, Linder said it is not an unusual problem and not a cause for concern unless it’s bothersome for the president. He added that there is no reason to think the small polyp that was removed was cancerous, given Biden’s previous medical history.

    “I would encourage him to continue to get exercise and eat right and take his medications,’’ Linder said.

    Pursuant to the 25th Amendment to the Constitution, Biden signed letters to Sen. Patrick Leahy, who’s president pro tempore of the Senate, and to House Speaker Nancy Pelosi at 10:10 a.m., saying he would be unable to discharge his duties while under anesthesia, making Harris the acting president. Biden sent them each another letter upon the conclusion of the procedure to resume his duties at 11:35 a.m.

    “As was the case when President George W. Bush had the same procedure in 2002 and 2007, and following the process set out in the Constitution, President Biden will transfer power to the Vice President for the brief period of time when he is under anesthesia,” Psaki said before Biden’s colonoscopy.

    On Friday afternoon, Biden took part in the annual pardoning of the national Thanksgiving turkey.

    When Biden took office he brought O’Connor back to the White House to continue serving as his doctor, and O’Connor led a team of experts in conducting Biden’s physical exam Friday.

    Once the COVID-19 pandemic emerged in early 2020, Biden’s team took intense steps to keep the then-candidate and now-president healthy as the virus raged and took a disproportionate toll among older populations. Biden received his first dose of the COVID-19 vaccine in December 2020 and his second dose just two weeks before taking office. He received a booster dose, which regulators say provides more enduring protection, in late September.

    Former President Donald Trump, 75, was sharply criticized for releasing only cursory details on his health while running and serving in the White House, including concealing the seriousness of his COVID-19 illness a month before the 2020 presidential election.

    AP Medical Writer Lindsey Tanner contributed to this report.

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