Thursday, September 30, 2010

Nursing Tips To Prevent Medical Errors

<a href='http://keep-health-work.blogspot.com/' target='_blank' class='infotextkey'>Health</a> in 30

teamThis post isna??t being written to frighten you or to cause you to mistrust hospitals.


Ita??s to make you aware that medical errors do occur, but there are steps that you can take to help prevent medical errors from happening.


First, some vital information


According to a recent investigation by the Hearst Corporation, a staggering 200,000 Americans will die each year from preventable medical errors and hospital infections.?? This report comes ten years after the highly-publicized report, a??To Err Is Humana?? which found 98,000 Americans were dying each year of medical errors.?? Instead of the number of medical errors decreasing, it nearly doubled.



Despite this recent report, little has been done to prevent further medical errors from happening.


Its authors and patient safety advocates believed that its release would spur a revolution in patient safety.?? But Hearsta??s a??Dead By Mistakea?? reveals that the federal government and most states have made little or no progress in improving patient safety through accountability mechanisms or other measures.?? According to the Hearst investigation, special interests worked to ensure that the key recommendations in the reporta??most notably a mandatory national reporting system for medical errorsa??were never implemented.


A Mothera??s Voice



In this video from USA Today, Sorrel King talks about the death of her daughter who says she died because there was a breakdown in communication.


King says,



a??There was a total complete breakdown in communication, breakdown in communication between me and the nurses, me and the doctors, between the team and the nurses, it was just a huge breakdown.a??



My Top 6 Tips to Help Prevent Medical Mistakes


1.?? Communicate


Communication between patients and health care professionals is critical for positive patient outcomes. Communication is imperative for patient safety and good quality patient care.


In a hospital, which is a very fast-paced environment, where seconds can mean the difference between life and death, ita??s crucial that communication flows consistently and thoroughly between patients, their families and staff. Speaking up and communicating needs to be continuous.?? Communicate in a non-threatening manner.


The Joint Commission, (JCAHO), launched a national campaign in 2002 to urge patients to become active in their health care to help prevent errors. Speak Upa?¢ encourages patients to:


Speak up if you have questions or concerns, and if you dona??t understand, ask againa?|


Any breakdown in communication can result in a breakdown of quality patient care, and the results can be devastating.?? If you dona??t understand something, ask for clarification.?? If you need assistance, ask!


If you find that communication between you and your doctor or nurse is not flowing, and your questions are not being answered, or if you do not feel your needs are met, you ask to speak to the nurse manager. (On evenings, nights, weekends and holidays, it may be the administrative head nurse, assistant director of nursing or nursing supervisor who will help you address any issues.)


2.?? Be Prepared a?? Carry your personal medical history & medication form with you


During your admission assessment, whether you were brought to the ER or directly admitted to the hospital, you will be asked multiple times by multiple staff for a list of your medications, past hospitalizations, if you have any allergies and emergency contact numbers.


If you have any allergies, make sure they are recorded on your chart.


Carry this personal medical history and medication form in your wallet at all times; in case of an emergency or for a scheduled hospital visit; youa??ll be prepared.


(As an expert medical contributor to Real Simple Magazine, a??In an Emergency,a?? this was my number one tip).


3.?? Going for surgery?


If you are scheduled for surgery:



  • Make sure you understand EXACTLY whata??s involved.

  • Make sure you go over with the surgeon the area of your body that is involved.

  • Make sure the appropriate area is clearly marked by the surgeon.

  • Make sure the correct area is visibly marked.


4.?? Know your medications


Understand the medications that are ordered for you in the hospital.?? When the nurse administers your medication, make sure you understand what it is for and its potential side effects. Also, make sure your nurse identifies you as the correct patient before any medications are administered.


Before administering any medications the nurse should perform five checks:?? Right Patient, Right Drug, Right Dose, Right Route, and Right Time.


If you believe you are about to receive the wrong medication let your nurse know immediately.


5.?? Be your own advocate or bring a trusted family member with you


Ask a trusted family member or friend to be your patient advocate. The hospital environment can be very frightening and overwhelming and often answering simple questions can be difficult.


If you have an advocate with you they can speak up on your behalf and answer questions for you.?? Make sure your advocate understands your plan of care and whether there is an advance directive. An advance directive will allow a designated person to make medical decisions for you in case you are unable to.


To print out an advance directive form, go to the American Academy of Family Physicians.


6.?? Ask hospital staff if they washed their hands


Hand washing is the single most effective way to stop the spread of infections.


Dona??t assume that your doctor, nurse or anyone else that comes in contact with you just washed their hands. Ita??s okay to ask them if theya??ve just washed their hands.


Make sure your visitors wash their hands.?? Washing your hands for 30 seconds with warm soapy water will do the trick.?? If a sink isna??t nearby, alcohol based hand sanitizers work great.?? In fact, some hospitals even make hand dispensers available not only by each patienta??s room door, but inside each room.


While the Hearst report reveals shocking statistics, you can do your part to help prevent medical errors.



                       

How To Track Epilepsy Online

ScienceRoll

Ia??ve written about several sites that let users track parameters related to their health management.


Here’s another example, SeizureTracker.com, that tracks seizure activity, appointments, and medication schedules through a simple calendar interface. You can download printable seizure logs or receive customized reports which include graphs comparing seizure activity and medication dosages.


SeizureTracker.com is dedicated to providing people living with epilepsy and their doctors with free comprehensive tools to help understand relationships between seizure activity and anti-epileptic medications.


Our hope is that this website will empower people with epilepsy to become active leaders in their own treatment, working hand-in-hand with doctors.


The reports generated by SeizureTracker.com become a valuable communication aid when meeting with doctors because all the necessary information is in one brief report.



                       

A Helpful Guide For Discharge Planning

ACP Hospitalist

Medicare has a handy guide to help patients??and their caregivers take control of the discharge planning process. It might be good for hospitals to have a stack of these at the ready and a plan to make sure every patient gets one:


Planning for your discharge: A checklist for patients and caregivers preparing to leave a hospital, nursing home, or other health care setting



                       

Internet Addiction Is Real

ScienceRoll

Internet addiction is becoming a major problem, and ita??s less and less surprising when reports focusing on this issue are being published. Lately, the New York Times came up with the analysis of a recent study:


Researchers at the University of Maryland who asked 200 students to give up all media for one full day found that after 24 hours many showed signs of withdrawal, craving and anxiety along with an inability to function well without their media and social links.


Susan Moeller, the studya??s project director and a journalism professor at the university, said many students wrote about how they hated losing their media connections, which some equated to going without friends and family.


I did some research and browsed the website of Microsofta??s??Internet Addiction Recovery Program.??


Here you can find the symptoms, and if you think you should give it a try, keep in mind that: 1) the waiting list is long, and 2) it costs a lot to attend the??28-, 45- or 90-day program ($14 500!):



The mission of this innovative program is to help adults, addicted to video games and the internet, detach from their high-tech distractions, find balance, and reconnect to the real world.??It is structured to include individual and group therapy, life-skills coaching, cooperative living, physical and nutritional education, mindfulness training, work and home-maintenance skill-building, 12-step meetings, and weekly, off-site, high-adventure expeditions.??The facility is located on a beautiful, 5-acre parcel of land in western Washington.



                       

Little Kids Online: When Is It Safe?

Dr. Gwenn Is In

Little Kid OnlineWhen should small kids get online? Is there a magic age? Is there a a??besta?? way to start? What websites should small kids begin their online life with? And, most importantly, is it safe for small kids to be online?


Tune in as Dr. Gwenn talks about helping your youngest kids begin their online safely and smartly with you there as their earliest online guides. Listen to??the??show on BlogTalkRadio??here.



                       

Overmedicating Our Kids

Everything<a href='http://keep-health-work.blogspot.com/' target='_blank' class='infotextkey'>Health</a>

One of the blogs I read by Maggie Mahar pointed out a new study that found??that 26 percent??of kids under age 19 are now taking prescription drugs for a chronic condition. The drugs include asthma medication, anti-psychotics, diabetes drugs, anti-hypertensives, and heartburn medications.


According to the Medco study (the largest pharmacy benefit manager), the incidence of type-2 diabetes increased over 150 percent in children between 2001 and 2009.??This is staggering.??Children are supposed to be healthy and active, not tied to a regimen of pills.


What is our nation doing to care for our most precious citizens??? Why are 17 percent??of adolescents (ages 10-19) now classified as obese???Why have medications used to treat high blood pressure, high cholesterol and diabetes increased 15.2 percent??in children? And why are children being treated for heartburn, a condition that is associated with obesity and should never be part of childhood?


I ask these questions rhetorically.??We know the answers.??The increase in obesity can be directly linked to processed foods with high sugar content, carbohydrates and sugary soft drinks.??Couple that with lack of exercise and you get a fat kid.??Studies show that obesity leads to high blood pressure, insulin abnormalities and diabetes, breathing disorders, gastroesophageal reflux and possibly even behavioral problems.


These figures should be front page news, right up there with the awful BP oil spill and we should be just as outraged.??Most of these medications have not been tested on children and we do not know the long term consequences.??We have a huge problem that cannot be swept under the door with a prescription.??It is not the kid’s fault.??It is society’s fault.


We need to put health first.??The new food labeling laws associated with??healthcare reform??is a tiny start.??We need to get sodas out of schools and out of the nations refrigerators. We need to make physical education a school requirement, not a nice extra “if we can afford it.”??We need to embrace Jamie Oliver’s “Food Revolution” and improve school (and home) lunches.??We need to stop buying candy and pretending that packaged convenience food is “real” food.


I know readers of EverythingHealth probably already do the right things for their kids.??It will take a village approach to turn this around for our nation.



                       

How Cellphones Kill

Saving Money and Surviving the <a href='http://keep-health-work.blogspot.com/' target='_blank' class='infotextkey'>Health</a>care Crisis

San Francisco recently passed a law requiring disclosure to consumers of the amount of radiation emitted by cellphones at the point of sale. Research has been inconclusive on whether there is a link between cellphone usage and cancer. More definitive findings could be years away.


Understandably the law addresses a universal concern that we all have. We are more fearful of threats we can’t see, smell, hear, taste, or touch. Radon, carbon monoxide, and radiation fit these criteria.


Yet, cellphones kill in other ways which are far more immediate, equally as subtle, and just as concerning. This silent epidemic is increasing at an alarming rate. Everyone sees it, but does nothing about it.


Cellphones and driving don’t mix. Cellphones and walking probably isn’t a good idea either.


When talking on a cellphone or even a telephone, the user is completely engaged, hooked, and oblivious to any other information or sensory input. Although as a nation we pride ourselves on our productivity, our technology, our lack of sleep, and our ability to multitask, the truth is no one can multitask even though we think we can. Walk up to someone talking on the phone and ask them a question. What do they do? Typically he gestures you to hold on to your question with a raised hand as he focuses on the telephone conversation.


If he can’t talk to you at the same time while standing still, then is it safe talking on the cellphone and driving or even crossing the street? Not surprisingly the answer is “no.”


A report by the Pew Internet and American Life Project found that 6 in 10 adults talked on cellphones while driving, nearly half of adults were riding in a car when the driver was either talking on the cellphone or text messaging, and 44 percent felt unsafe when riding in the car. Aside from driving, 1 in 6 adults actually bumped into something or someone when talking or texting on a cellphone.


It is clear from the study that more people are putting their lives and yours at risk. Although I rarely use my cellphone, I’m not immune from this epidemic.


Just the other day when driving my daughter to her reading class as I was making a left turn from the designated turn lane, a bright yellow pickup truck at a high rate of speed ran the red light which had been up for a couple of seconds.


Fortunately, I had stopped before entering the intersection and slammed on my horn to alert the driver of the near miss. She was on her cellphone. Fully engaged. Completely oblivious to what could have happened. No flicker of acknowledgement that she even heard my car horn.


In other words, it is very likely my small sedan would have been unable to withstand a head-on or side-impact collision from a pickup truck. I shutter to think what might have happened that Sunday morning on Father Day’s.


Had police officers responded to the accident scene, the driver invariably would have said: “I don’t remember seeing a red light. I don’t remember seeing a car in the intersection.” The irony is that she would have been completely right. She would have walked away unharmed, very likely clueless that her simple act of talking killed two people, free to repeat the behavior again.


Do yourself a favor and make sure you are not someone who is a dangerous driver. Make your car a cellphone free zone. Turn it off before entering the vehicle. If you must take a call, then pull off the lane like you would when allowing fire trucks and ambulances the right of way. Even more importantly be very alert for distracted drivers on cellphones. Sixty percent of drivers may be in this group and unfortunately the number will only increase. Hands-free devices make no difference in improving safety. The brain and user is fully hooked to the conversation and unable to see beyond the call.


Look both ways before crossing the street when walking or driving into an intersection. Boring, basic, and even more necessary.


As for me, I think I might be able to find a Hummer for cheap.



                       

The Health Hive: Is It Ready For Primetime?

33 Charts

Maybe not according to this report from the CDC.??They studied Internet use with respect to adherence behavior and a number of health-related outcomes.??It suggests that folks who diss the doc in favor of the Internet may not do as well as we think.


This quote caught me:


The data also revealed that personal determinants such as neuroticism (reflects anxiety and emotionality) and health-related poorer quality of life differentiated internet-instigated non-adherent respondents from their counterparts.


More plainly put:??If you trust your life to an anonymous guy on Twitter with the handle @YourHealthGuru, you might not do as well as if you partnered with a trained professional. Or perhaps Ia??m reading too much into the study.


While this would appear to be a turd in the social health punchbowl, we have to be careful about drawing firm conclusions from isolated studies.??Therea??s a lot to be said for the benefits of community.??But just keep in mind that therea??s a chance that it may not be all that we make of it here in our shiny social bubble.


The authors conclude by offering a few tips for health marketing professionals.??Among them:?? Avoid fear appeals and message styles that stimulate psychological reactance.


I continue to be really impressed by the work of the CDC.??This study was conducted by the Strategic and Proactive Communication Branch in the Division of Communication Services.??Didna??t even know we had one.



                       

Toxins: Can You Sweat Them Out?

The Dermatology Blog

Can you sweat out toxins?


The guy next to me on the bike yesterday morning was working like Lance Armstrong in training: He had laid towels on the floor to absorb the impressive perspiration he was generating.


He shouted over to me: a??Ia??m hitting it hard to cleanse out the toxins from last night. Too much Captain Morgan and buffalo wings, ya know?a??


a??Really,a?? I said.


a??Actually, Ia??m a dermatologist, and sweat does not contain any toxins,a?? I said to myself so that he could not hear. (Gym decorum dictates men do not correct men in the middle of a workout a?? especially if prefaced by a??Actually, Ia??m a dermatologist.a??) I left him to his aerobics and wrote this post in my head while I finished mine.


You might not want to believe me, but ita??s fact: You cannot sweat out toxins. Sweat is composed of 99 percent??water and a tiny percent of salt, urea, proteins??and carbohydrates. Salt, proteins and carbohydrates are natural. Urea is a by-product of protein metabolism and is non-toxic. Ita??s regulated to keep your blood at a healthy pH. Most excess urea is eliminated in urine (hence the name) and a small amount is in sweat.


Toxins like mercury, chemicals, alcohol, drugs, and spicy BBQ sauce are eliminated by your liver and intestines. Sweat glands, all 2.6 million of them, regulate your temperature a?? theya??re not designed to expel toxins.


The primary ingredient in sweat is pure water. The water evaporates from your skin, cooling you. Excess sweating doesna??t eliminate excess salt or help hangovers. By forcing your body to copiously perspire, youa??re only forcing your kidneys to save water (and ironically actual toxins) elsewhere. The water that ends up in the towel on the floor is the precious water you needed to stay hydrated, not a puddle of poison.


In some ways sweat is the opposite of toxic, ita??s a vital fluid. When you are working out hard, replace it. I recommend water, not Captain Morgan rum.



                       

Wednesday, September 29, 2010

Pouring on the Pounds: NYC’s New Anti-Obesity Campaign

The Diet Dish



The city of New York is at it again…they were the first to ban trans fat and lead the fight for restaurant labeling of calories on menus.  Now they have an ad campaign that is grossing some people out.


The picture above is of a glass of soda being poured into a glass filled with thick, yellow human fat marbled with blood vessels.  Cathy Nonas, director of the New York City Health Department’s Physical Activity and Nutrition Programs said they wanted to make a statement and grab people’s attention.  I think they achieved their goal.


Experts estimate that Americans take in 200-300 more calories than we did 30 years ago.  Liquid calories are one of the many culprits and the subject of this advertising blitz.  The goal is to increase awareness of how many calories and how much sugar is in some of our commonly consumed beverages.  The advertisements can be found in New York’s subways.


What do you think?  Do these images and advertisements motivate you to reduce sugar or would you rather not look at the gruesome image?




                       
                       

This post, Pouring on the Pounds: NYC’s New Anti-Obesity Campaign, was originally published on
                        Healthine.com by Brian Westphal.

Liquid Calories And School Lunches

Dr. Gwenn Is In

Bloomberg recently posted that the New York school system is going to eliminate whole milk from their cafeterias to cut calories. 4.6 billion calories and 422 billion grams of fat will be eliminated from the menu by this plan. A good plan for the kids involved. Well, at least a good start.


As the post notes, schools nationwide are working diligently to tweak menus and offer healthier alternatives for kids in all grades from elementary school to high school. Some schools, such as the school district my kids attend, use electronic payment systems where parents can log-on to see what their kids have purchased. Wea??ve found this helpful at times to remind our kids about healthy alternatives and how to order a healthy lunch, especially on days when they find them selves either completely ravenous or with little time, which can easily happen in a typical school day.


Other schools go a step further and give parents controls electronically over the types of foods their kids can purchase.


The issue, though, is not so much what control you have as a parent but what the school is offering for food and for beverages. The milk offerings are only the tip of the iceberg. Ita??s truly a step in the right direction to offer the lowest calorie, lowest fat milk alternative. But, kids tend to gravitate towards other beverages at schools who offer choice, and thata??s where the calories come from.


In my kidsa?? schools, middle school and high school, a drink called Izze emerged a while back. My kids thought it was a??healthya??, like a juice, because it was billed to them that way. A little investigation and we discovered it had more calories than a can of true Coca-Cola.


Herea??s the breakdown:


A standard, 12oz bottle of Izze has 120-130 calories per bottle with 30 grams of carbohydrates. It also has some salt in the form of sodium. ??You can find all the nutritional information in Izze drinks here.


Coca-Cola and Sprite both have 97 calories in a standard 80z can with 27 grams of carbohydrates and also some salt, sodium. ??If a child drinks a 12 oz bottle or a 16-20 oz large size drink at a fast food restuarant, the calorie amount will quickly increase to the 120-200 calorie range. Thata??s the amount in a candy bar! You can find all the nutritional information of Coke products here.


Just for comparison, 100% fruit juice, for example Motta??s Apple juice, has 120 calories and a tad of salt, also sodium, in an 8 oz size drink. So, ita??s not calorie free, either. Click here to learn more.


The take home message is all of these drinks are empty calories and contribute to the obesity issue wea??re seeing today. I dona??t feel any of these drinks should be offered in schools. What kids need is water, and plenty of it. If kids were not getting so many calories over all, juice with lunch wouldna??t be an issue but it becomes an issue because kids are not eating and exercising well in general. The best ways for schools to help with the obesity issue is to offer bottled water and as much of it as our kids need. Theya??ll feel better and learn better if they are well hydrated.


BTW, for drinks like Izze drinks, you dona??t have to actually ban them from your kids diets. The goal is to teach kids that drinks that that are treats and meant to be consumed as you would a candy bar or cup cake, thoughtfully and perhaps on special occasions. ??Ita??s all about balance and moderation. If we talk openly with our kids about this stuff now and help them learn how to not only health healthy 90% of the time but have treats 10% of the time without going overboard, theya??ll grow up knowing how to lead a healthy life without all the weight issues that have plagued so many adults in our lifetime and so many kids today.



                       

4 Super-Healthy Foods

<a href='http://keep-health-work.blogspot.com/' target='_blank' class='infotextkey'>Health</a> in 30

Healthy shoppingRaise your hand if you want to eat healthy.


Healthy eating isna??t just good for cinching your waistline — ita??s great for overall health.


From glowing skin, to heart health, to maintaining healthy teeth and bones; eating foods packed with certain nutrients can also protect your immune system and fight infections.?? It can boost your libido and decrease that lousy (LDL) cholesterol and boost your good (HDL) cholesterol.


Healthy eating shouldna??t be a struggle. Ita??s easy to get sucked into the marketing trap when youa??re food shopping and you encounter all those in-store specials. Sometimes, those specials are just bad for your health.


Whenever possible, hit the local farmers market.??Organic and whole foods stores are also good choices.??If thata??s not possible, when entering your local food store, arm yourself with a shopping list to keep yourself on track.


Remember, reading the front food label isna??t enough since labels can be misleading.??Ita??s important to read the ingredients.


Creating Healthy Foods


My friend, ChefMD, John La Puma, M.D.,??is a master at creating healthy foods.??(BTW, note to John, Ia??m still waiting for you to put down your stethoscope and make house-calls as ChefMD, and dona??t forget, Ia??m first on your list.)


With help from John La Puma, M.D., New York Times bestselling author of A Food Lovera??s Road Map to Losing Weight, Preventing Disease, and Getting Really Healthy, here are??four super foods.?? [Source:??ChefMD]


The 4 Super Foods for Spectacular Health include:



  1. Walnuts - Walnuts are an excellent source of Omega 3 fatty acids, which are beneficial for your skin, blood pressure and weight.

  2. Oatmeal a?? Eating oatmeal is a wonderful way to feel full, and well-nourished. Ita??s especially beneficial for people who have high cholesterol, because oatmeal contains beta-glucan, a fiber proven to lower cholesterol by as much as 23 percent.

  3. Avocados a?? Contain mono-unsaturated fats a?? the good kind. One of the fats, oleic acid, has been shown to significantly decrease your LDL (a??lousya??) cholesterol while promoting the healthier HDL cholesterol.

  4. Salmon a?? Dose of Vitamin D, Heart Healthy Omega-3 Fatty Acids a??Omega 3 fatty acids in salmon make it a real brain food.?? Vitamin D protects the immune system and helps you fight infection, including less bacterial vaginosis.


Herea??s a super spectacular recipe for Sesame Salmon with Mango-Avocado Salsa. The salmon gives you a good dose of vitamin D, not to mention heart healthy omega-3 fatty acids. And the mango gives this dish a sweet, fresh, tangy flavor.


Sesame Salmon with Mango-Avocado Salsa


Preparation Time: 15 minutes

Cooking Time: 6 minutes

Servings: 4

Calories: 319 per serving


Culinary Technique Tip


The easiest way to remove attractive mango cubes from the mango itself is to slice the mango at an angle and cut cross-hatches. Then, scoop them out with a spoon.



Ingredients



  • One-quarter cup plus 2 tablespoons hot mango chutney, such as Crosse & Blackwell brand

  • One mango chopped

  • 4 (5- to 6-ounce) salmon fillets with skin

  • Three-quarter teaspoon salt, divided into one-half and one-quarter teaspoons of salt

  • 1 tablespoon mixed white and black sesame seeds

  • 1 tablespoon seasoned rice wine vinegar

  • 1 cup diced ripe fresh mango

  • One-half ripe medium avocado, diced

  • 2 tablespoons chopped fresh cilantro


Preparation



  • Preheat broiler.

  • Spread 2 tablespoons chutney over skinless side of fish.

  • Sprinkle one-half teaspoon salt and the sesame seeds over fish, patting to coat.

  • Place salmon on rack of broiler pan, skin side down.

  • Broil 4 to 5 inches from heat for 5 to 6 minutes, or until fish is opaque in the center.

  • Meanwhile, combine remaining one-quarter cup chutney with vinegar and one-quarter teaspoon salt. Stir in mango, avocado, and cilantro. Serve salsa over fish.


This recipe also would work well with halibut fillets.


Tips


Chutney and other thick, sweet toppings are great glazes for fish. The fish doesna??t need to marinate, because the flavor is baked right on. Try orange marmalade or whole raspberry preserves. Experimenting in the kitchen is a very good thing.



Nutritional Analysis


Total fat (g) 13.6, Fat calories (kc) 123, Cholesterol (mg) 100, Saturated fat (g) 1.1, Polyunsaturated fat (g) 3.7, Monounsaturated fat (g) 5.4, Fiber (g) 4.0, Carbohydrates (g) 44.4, Sugar (g) 6.2, Protein (g) 25.7, Sodium (mg) 580, Calcium (mg) 157, Magnesium (mg) 76, Zinc (mg) 1.6, Selenium (mcg) 0 , Potassium (mg) 386, Flavonoids (mg) 0, Lycopene (mg) 0, Fish (oz) 5.5, Nuts (oz) 0, Vitamin A (RE) 209, Beta-carotene (RE) 272, Vitamin C (mg) 22, Vitamin E (mg) 4.4, Thiamin B1 (mg) 0.3, Riboflavin B2 (mg) 0.4, Niacin B3 (mg) 7.2, Vitamin B6 (mg) 0.3, Folic acid (mcg) 49, Vitamin B12 (mcg) 5.


For more info on this recipe,??click here. Listen to ChefMD on the Health in 30?? Radio Show. For more spectacular recipes from John La Puma, M.D., check out ChefMD.



                       

How To Lower Your Cholesterol

Everything<a href='http://keep-health-work.blogspot.com/' target='_blank' class='infotextkey'>Health</a>

Your doctor has just informed you that you have “hyperlipidemia”??– or high cholesterol.??She’s mentioning lipid-lowering drugs (statins), but you said you want to try some things on your own first. She agrees and will recheck??your blood levels in??three months. What are you going to do?


The advice is all over the??map and your Google searches come up with various supplements and diets that are confusing and overwhelming. Here are some specific recommendations, based on evidence,??that??can help you lower your cholesterol.



  1. Decrease saturated fats in your diet to less than 7% of your calories and increase your polyunsaturated and monounsaturated fats instead.?? Start reading labels. Teach your kids to read labels.

  2. Eat more fiber, for instance 3oz of oats a day or use a psyllium supplement.

  3. Eat almonds, walnuts or pecans every day. (only 1-2 oz which is about 10-12 nuts)

  4. Increase your soy protein like tofu or soy foods to replace meat.

  5. Limit alcohol drinks to 1-2 a day.

  6. Increase consumption of plant stanols and sterols by substituting?? (1 oz) buttery spreads for butter or margarine in your diet.

  7. Follow a Mediterranean diet where the main dietary fat is olive oil. The mainstay of Mediterranean is vegetables, whole grains, fish and tree nuts with small amounts of red meat, dairy, eggs and poultry.??Look at your plate.?? If meat or poultry is the largest item, it is not Mediterranean.

  8. Increase Omega-3 fatty acids in the diet by eating salmon or tuna twice a week or using a supplement on other days.?? Why? Go here and here for details and evidence on the heart healthy benefits of Omega-3.

  9. Do aerobic (sweating, heart pumping) exercise for 120 minutes a week or more.?? (that’s 17 minutes a day or divide it up into several longer exercise segments)


There it is.??When you doctor says the key to health is “diet and exercise,” this is what she means.



                       

An Eater’s Guide To Food

eDocAmerica

Food Rules: An Eater's ManualMichael Pollan has become one of our most important writers about human nutrition. His book, The Omnivore’s Dilemma (2006), spelled out why the almost??eight billion humans on this planet had better balance what we eat –??for our own health and the health of the planet.


He published a small book in 2009 (Penguin Books) called Food Rules: An Eater’s Manual. His rules are around??seven words in??three brief statements: “Eat Food, Not Too Much, Mostly Plants.” How simple and wise is that?


These three statements make up the three parts of this small book, with lots of practical “rules.”


Here are some of the best:


- Don’t eat anything your great-grandmother wouldn’t recognize as food.

- Avoid food products containing ingredients that no ordinary human would keep in the pantry.

- Avoid foods that are pretending to be something they aren’t (like imitation butter).

- Shop the peripheries of the supermarket and stay out of the middle.

- Treat meat as a flavoring or special occasion food.

- Eat animals that have eaten well themselves.

- Don’t overlook the oily little fishes.

- The whiter the bread, the sooner you’ll be dead.

- Be the kind of person who takes supplements, then skip the supplements.

- Eat more like the French, or the Japanese, or the Italians, or the Greeks.

- Have a glass of wine with dinner.

- Stop eating before you’re full.

- Eat when you’re hungry, not when you’re bored.

- Eat slowly.

- Spend as much time enjoying the meal as it took to prepare it.

- Buy smaller plates and glasses.

- Serve a proper portion and don’t go back for seconds.

- Breakfast like a king, lunch like a prince, dinner like a pauper.


And the last one:


- Break the rules once in awhile.



                       

Match Devan Tatlow’s Bone Marrow, Save His Life

CBS DOC DOT COM

Four-year-old Devan Tatlow’s struggle with leukemia has caused quite a stir on the Internet, prompting celebs like Paris Hilton and Kim Kardashian to encourage people to donate their bone marrow. Dr. Jon LaPook talks with Devan’s family about their search for a match.




Watch CBS News Videos Online


Umbilical Cord Blood: Save It and Save Lives

By Jon LaPook, M.D.


Imagine throwing a lifesaving treatment in the garbage.??That’s exactly what happens in the United States over ten thousand times a day because we do not routinely offer to collect precious umbilical cord blood at the time of birth.??Thousands of Americans — many of them children — needlessly die annually because they cannot find either a bone marrow or umbilical cord blood match to help treat conditions like lymphoma and leukemia. Yet umbilical blood is discarded as medical waste in the vast majority of the more than four million births occurring each year.


Bone marrow and umbilical cord blood both contain stem cells that can replace diseased bone marrow.??Umbilical cord blood can be collected painlessly and with no risk in a few minutes at the time of birth.??I witnessed its value first-hand in a segment I did for the CBS Evening News about a 4-year-old boy, Devan Tatlow, whose parents recently launched a desperate search for a bone marrow donor to treat his leukemia. There was no adequate genetic match for Devan among the 14 million potential bone marrow donors in registries around the world.??But a near-match was found among only 175,000 cord blood units that reside in public blood banks in the United States.??Though finding the match doesn’t guarantee a cure for Devan, his doctors say he now has a good chance at a successful transplant later this summer.


Devan’s situation perfectly illustrates the current state of the art. Before cord blood use began in the 1990’s, taking bone marrow from a healthy donor was the only way to replace diseased blood cells.??Over the years, registries such as the one run in the U.S. by the National Marrow Donor Program have helped save thousands of lives by matching donors willing to give their bone marrow cells to patients in need.??But as Devan’s parents discovered, finding a bone marrow match can be very difficult because the genetic match has to be very close.??Fortunately for Devan and many others, umbilical cord blood matches don’t have to be quite as close as bone marrow matches.??But many patients are not lucky enough to find a match in either the bone marrow or umbilical cord blood registry.


According to Dr. Joanne Kurtzberg, Director of the Blood and Marrow Transplant Program at Duke University Medical Center, the public cord blood supply is way too small.??She and other experts are looking to increase U.S. stores to 400,000 to 500,000 units — about 2 to 3 times the current level.??”It would be fantastic if hospitals were equipped and staffed to collect cord blood for public donations if mothers wanted to donate, but right now that’s not the situation in the United States.”


Donating cord blood to a public cord blood bank costs a family nothing. But because of lack of funding, only 170 of the nation’s 5,815 hospitals — just three percent — are set up to collect it.??In 2005, government legislation created support for National Cord Blood Inventory (NCBI) cord blood banks.


However, Dr. Kurtzberg says the effort has been underfunded.??She was in Washington last month lobbying members of Congress to appropriate authorize the appropriation of $30 million annually for the next five years to support public cord banking.??From hospital bed to bank, it costs about $2,400 to collect, transport, freeze, and store each cord blood unit.??Private cord blood banking is available (and costly) but is only for use within a family and therefore doesn’t help the vast majority of people in need. Because of collection standards, cord blood collected for private use cannot subsequently be donated for public use.??So it can’t help patients like Devan.


The bottom line is that we need to increase the supply both of potential bone marrow donors and of umbilical cord blood stored in public banks. Becoming a potential bone marrow donor could not be easier.??You simply swab the inside of your cheek or lip for 20 to 30 seconds with a small, padded stick to collect cells for genetic analysis, send the specimen off to a lab, and you’re done.??If a match is subsequently found, you can always change your mind and decide not to be a donor.??But giving bone marrow cells involves only minimal discomfort — whether by having a small amount of bone marrow withdrawn from your hip bone under general anesthesia or by having blood taken from veins in your arms after you take 3 to 4 days of injections to bring cells from your bone marrow into your blood.


Because it’s not routinely offered at the time of birth, donating umbilical cord blood to a public bank requires some initiative.??But if umbilical cord blood were donated in only five percent of all births, the goal of 500,000 units would be reached within two years.??And since the blood can be frozen and stored for at least twenty years, we would soon have a plentiful and growing supply that would provide a match for nearly everybody.


Adults wanting to volunteer as bone marrow donors can go to their local American Red Cross or blood center, or can enroll online at the “Be The Match” registry of the National Marrow Donor Program.??Just go to www.marrow.org and click “Join the Registry.”


Mothers who would like to donate their baby’s cord blood click here: “Donate Cord Blood.” Dr. Kurtzberg told me “they can also talk with their obstetrician or midwife about whether their local hospital is a collection site for a public bank.??Finally, if their hospital is not a collection site (the case in most instances), they can contact Duke, MD Anderson, or South Texas Blood & Tissue Center and donate through a kit program public cord blood donation that is being piloted through the National Marrow Donor Program.”


Herbal Remedy For UTI? If You’re A Lab Rat, Maybe

The Blog that Ate Manhattan

Lab ratA patient came into the office the other day carrying a small clipping from a reputable women’s health newsletter touting new research on an herbal remedy for urinary tract infection. Having recurrent bladder infections, my patient naturally was wondering if this was something she should try.


The article was entitled “Herbal Remedy Effective for Urinary Tract Infections” and began with this startling revelation:


The common herbal extract forskolin can greatly reduce urinary tract infections and could potentially help antibiotics kill the bacteria that cause most bladder infections.??


But the article??advised that the “popular” remedy was not FDA approved for this indication, so you should “ask your doctor.”


Googling it, I quickly discovered the research study being touted in the article — a small pilot study from 2007, in which researchers instilled a solution containing the herb forskolin??into the bladders of lab rats previously infected with??E. coli, then sacrificed the rats and compared their bladders to those instilled with saline solution. Their findings? Less bacteria in the forskolin-irrigated rat bladders.


Needless to say, once I simply explained the research findings to my patient, she had absolutely no desire to try this untested herbal remedy. “I’m no rat and I’m no guinea pig,” she said. Smart woman.



                       

Paramedic Rap

Medgadget

The Sudden Cardiac Arrest Foundation has held a “You Can Save a Life” video awareness contest, in which participants were invited to submit videos that raise awareness of cardiopulmonary resuscitation (CPR) and automated external defibrillators (AEDs). The??2010 grand??prize winner is??”Paramedic Rap” by 911 Emergency ROCKsponse, a college team that uses humor to get your attention about sudden cardiac arrest:



For more videos of contestants and previous competition winners, head over to the foundation’s YouTube channel.



                       

Be Aware Of Heat Dangers In Young Athletes

ACP Internist

Young athleteWith back-to-school time around the corner, the Centers for Disease Control and Prevention has issued a warning about the risk for heat-related illness in young athletes, especially football players, the Los Angeles Times reports.


Coaches and parents should be aware of the signs and symptoms of heat stroke, dehydration and other problems, and fluid replacement formulas should be used during practices and workouts, among other precautions, the LA Times said.



                       

When Adults Get Chickenpox

Everything<a href='http://keep-health-work.blogspot.com/' target='_blank' class='infotextkey'>Health</a>

We think of chickenpox as a childhood disease, but there are adult cases and they tend to lead to more serious complications.


Chickenpox is caused by the varicella virus and it is extremely contagious. Most people are exposed in childhood (or they receive the chicken pox vaccine), and so adults rarely contract it.??It is especially dangerous for pregnant women because the fetus can become infected.??The latency period from infection exposure to disease is 10 to 21 days.


Some people call shingles “adult chickenpox.”??Shingles (varicella zoster) is caused by a latent chickenpox virus that has laid dormant for years in the nerve root and rears it’s ugly head later.??The cause of the reactivation of the virus is usually never found, and it occurs most commonly in people over age 60.??Shingles does not spread over the skin like chickenpox and stays in one discrete nerve dermatome area.??It can be extremely painful, causing burning pain and skin sensitivity.



Shingles can be contagious to people who have never had chickenpox, and exposure will cause a chickenpox — not shingles — outbreak.


Treatment for both adult chickenpox and shingles is acyclovir or Famvir or Valtrex. The sooner these anti-viral medications are started, the better they work to shorten pain and time of the infection.??For information on the shingles vaccine, click HERE.