I met recently with Jennifer Loving, the CEO of Destination: Home. They are a great Silicon Valley agency working to end chronic homelessness, and I’m inspired by their effort.

I’ll admit something to you: There are times when I’ve turned away at seeing a homeless person or family, as it’s just too painful. But let’s take the emotion out of the issue for a minute: Our community spends tens of millions annually (yes, right here in Silicon Valley) without addressing the core issue that people need a home.

Because if they had one, we ALL would benefit. Several studies show that a person that is chronically homeless costs $60,000 a year…in shelters, food assistance, law enforcement – but mostly, medical care. In our community, that means Valley Medical Center.

You may know that Jennifer Loving’s team surveyed some of our county’s homeless a couple of months ago. Here’s some of what they learned from the 943 people they met:

• 100 were 60 years old or more
• More than half visited the emergency department in the last 3 months, resulting in
• 644 hospitalizations in a year.
• Half reported a serious medical condition like heart disease, hepatitis or liver disease.
• 144 were veterans (this, IMHO, is a national disgrace).
• Almost all reported a behavioral health issue or mental illness.

There is a ton more data at http://www.housing1000sv.org/ but you get my point: Even if I didn’t care about the homeless (I do), I’d sure care about the money they cost us all. And I won’t live in a society that just lets them die. I’ll leave. Goodbye.

While Destination Home works on longer-term solutions, Valley Medical Center meets short-term needs with an award-winning program called New Directions. VMC staff see frequent users of our county’s Emergency Department and provide housing, transportation and specialized assistance…the goal being to keep them healthier and out of the hospital.

The VMC Foundation raises money to support New Directions, but funds have run dry. If you would like to help, please click here and give as generously as you can.

There are more than 7,000 homeless people in Santa Clara County on any given night. Help us help them, with my thanks.

It’s a pretty rare thing that I reference Men’s Health, a publication that spends a lot of time trying to improve one’s sex life. But, on occasion, they actually focus on – yes – men’s health…which oddly is often the same thing as women’s health, and kids’ health!

Who would have thought?

Anyway, as the VMC Foundation launches another year of our Public Health Department’s Soda-Free Summer campaign, it’s important to remember that you can ingest a lot of unhealthy drinks without guzzling Dr. Pepper or Jack Daniels – often without thinking about it, or worse, thinking you’re doing the right thing.

Here, then, is a great article from Men’s Health that should raise your eyebrows…and hopefully, your water glass. Cheers.

Dr. Gary Lee (that’s him at the keyboard) came up to me a couple days ago and asked me this:

“Chris, if you had a terminal disease, and you knew there was a drug that would not only make you feel a lot better but also give you three more months with your family and friends, how much would you pay for it?”

The obvious answer is “Everything I’ve got!” Gary’s next sentence was less obvious:
“There already is a treatment like that. We give it away to our patients, and now we can prove it works.”

Gary then shared with me the study in the New England Journal of Medicine that demonstrates the value of palliative care. That’s what Dr. Lee does at VMC, along with Dr. Shoshana Helman and their team. Palliative care, as just reported in the NY Times, “… typically begins with a long conversation about what the patient with a terminal diagnosis wants out of his remaining life. It includes the options any oncologist addresses: surgery, chemotherapy and radiation and their side effects. But it also includes how much suffering a patient wishes to bear, effects on the family, and legal, insurance and religious issues. Teams focus on controlling pain, nausea, swelling, shortness of breath and other side effects; they also address patients’ worries and make sure they have help with making meals, dressing and bathing when not hospitalized.”

So, palliative care isn’t actually a drug or procedure, but rather a better way of thinking about how a patient’s end of life will be for them and those they love. Yes—better, as proven by the study; Patients with lung cancer who received palliative care lived more happily, and actually lived longer.

Doctors Helman and Lee were obviously thrilled at the study’s results, but they weren’t surprised. They’ve been demonstrating it at Valley Medical Center for years, and the VMC Foundation has assisted with grants to expand their palliative care program. Gary and Shoshana are already leading experts in this relatively new field…and now, we’ve got a scientific study to support what they do.

The next step is to ensure palliative care remains in the health care overhaul happening at the federal level. The cries of “death panels” absolutely need to be silenced, and science seems to be the best way to do that.

…not that scientific proof ever throws ideologues off their game. Spread the word about palliative care, because it’s a proven way to improve life and stop thinking of patients as a bunch of symptoms. We’re proud at VMC that our team thinks of patients’ whole lives.

If you haven’t figured it out yet, there’s a reason I posted the photo of Dr. Lee rocking out in our band, Idol Hands. It’s a perfect example of how our MD’s are creative, well-rounded idealists, not just academics in white coats. In fact, it was while setting up for this performance last week that Gary told me about the study. Then we went on to rock the party.

My job? I think I’ll keep it.

Yesterday was it. I’m quitting Diet Pepsi.

I’m doing this in support of our “Soda Free Summer” campaign, and also in light of some new information about what sweet sodas actually do to you…and by “you”, I mean “me.”

First, you may have heard recently on the news about Santa Clara County’s ongoing effort to convince more families to go soda-free this summer. What you may not know is that the VMC Foundation is the fiscal agent of this campaign, working with Kaiser, our public health department and the Bay Area Nutrition and Physical Activity Collaborative.

The plan is simple: Educate folks about how sodas fuel the raging childhood obesity epidemic, can lead to diabetes and oh-by-the-way, have no nutritional value. A 20-oz bottle of Coke has 17 teaspoons of sugar! As Santa Clara County Board President Ken Yeager said on the news earlier this week, “It’s like opening your mouth and spooning in 17 teaspoons of sugar. Nobody in their right mind is going to do that.”

No, of course they wouldn’t (but they do). “But Chris,” I hear you saying, “You said you were giving up DIET sodas…they have no calories and no sugar!”

A Fair point. HOWEVER…it turns out that diet sodas have their own problems, beyond not really knowing what the artificial sweeteners do long-term. “When you drink that much ultra-sweet soda,” explains Dr. Rami Keisari, VMC pediatrician, “it seems your body gets used to and craves more sweets…and not just desserts, but also starches. They can make it very hard to lose weight.”

Now THAT is a problem I understand! And I know it’s true for me – I practically live on carbohydrates, and I can’t seem to stop.

So I’m putting down the diet sodas, which I’ve guzzled since High School. I’ll let you know if it helps me lose weight, and if you care to come along with me on this journey, let me know if it works for you. Together, let’s make it a SODA-FREE SUMMER!