Control Your B/P And Save Your Life

Control Your Blood Pressure & Save Your Life

Untreated high blood pressure kills at least 400,000 Americans every year.

Control Your Blood Pressure And Save Your Life

Editor: This is an updated version of an article originally published 11/25/2017.

D. S. Mitchell

Silent Killer

I am a retired RN. As a result, I will often blog about health care, and health care news. Today I thought I would draw attention to the ‘silent killer,’ high blood pressure. It is known as the silent killer because there are no warning signs or symptoms  of the condition. Approximately 75 million adult Americans have high blood pressure. In 2016 the CDC (Centers for Disease Control and Prevention) reported high blood pressure as the primary cause for the death of 410,000 Americans.

Causes Of High Blood Pressure

High blood pressure occurs when our arteries become clogged with a waxy substance called plaque. Plaque forms due to a variety of reasons, most particularly these causes are defined as life style causes. There are of course hereditary factors at work, but for most modern adult Americans, high blood pressure is about life style choices.

Ignoring The Diagnosis Will Not Make It Go Away

The American Heart Association indicates that “while the incidence of high Blood pressure is way up from 10 years ago, and 46% of Americans know they have it, most refuse to do anything about it,” says Brion Oaks an AHA spokesman. Americans want to ignore the condition, often refusing to take B/P meds or make lifestyle changes.

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Even Clean People Get Bugs

Even Clean People Can Get Bugs

Numerous health issues are thought to be related to cleanliness when it has nothing to do with hygiene. Examples such as scabies, bedbugs, fleas, ringworm and head lice.

Scabies, Bedbugs, Fleas, Head Lice, Ringworm Have Nothing To Do With Cleanliness

Lax Hygiene Is Not The Cause Of An Infestation

By D.S. Mitchell

Fleas

I’ve always had a dog and sometimes a kitty. If you have pets you have likely dealt with fleas at some point or another, despite flea collars and systemic barriers. Flea eggs fall off our pets and onto our carpet. After a gestation period, larvae hatch from the eggs and develop into pupae, which emerge as adult fleas when stimulated by the scent of a warm blooded animal in close proximity-such as yourself, or your pet. Motivated by the scent of human blood the hungry fleas attack,  leaving small, itchy red bumps.

Cleanliness has nothing to do with the infestation you are experiencing. Fleas are attracted to warm bodies. These little critters over time have developed genetic adaptations to many of the insecticides we use to kill them.  Although flea bites, in themselves, are not harmful, people scratching the bites with dirty hands or fingernails can cause an infection.  OTC anti-itch cream can usually relieve the itch. Vets recommend spot on flea and tick treatments which usually prevent re-infestation. Vacuuming can help, but it is unrealistic to expect to snare every flea pupa with the vacuum.

Head Lice

When I was a young mother I was on constant alert for head lice which cause regular outbreaks in school. When your little tykes come home and hugs you and other family members you have an infected household.  Head lice are parasitic insects known for clinging to hair and feeding on human blood.  When infected, you will have an itchy scalp and neck. Examine your hair, close to the scalp, and if you are infected, you will see tiny tan or grayish bugs or tiny eggs sticking to the hair shaft, close to the scalp and the blood supply. Although itchy and uncomfortable, head lice are not known to be dangerous. Drugstores nationwide carry treatment kits. Some communities even have lice removal centers to take care of the problem.

Ringworm

First of all, ringworm is not a bug or insect, but instead a fungus. The fungus eats keratin, the dead outer layer of skin. Ringworm is highly infectious. It has nothing to do with cleanliness and can be contracted if you come into contact with infected people or pets. In locker rooms contamination often comes via washcloths or clothing. If you notice a red, scaly rash in the shape of rings that grows over time you probably have ringworm. An infected pet may display a circular rash or hair loss. If the infection is on smooth hairless skin an OTC anti-fungal cream should be all you need. However, if the outbreak is on a hairy area of skin, you should visit your doctor and get an oral medication, because the fungus can travel down hair follicles making the topical cream ineffective.

Bedbugs

Bedbugs infest beds and upholstered furniture and feed on humans as they sleep or rest. Suspect you have an infestation if you have a cluster or “line” of itchy red bumps like mosquito bites on most any part of the body. Suspect bedbugs if any family member has spent a night outside your home.  Bedbugs have been around since the beginning and they are oblivious to clean sheets and hygienic efforts. Bedbugs are hitchhikers and often ride on luggage and backpacks. The bites are irritating but usually an OTC antihistamine will relieve the discomfort. There are several products on the market for use by the homeowner to eradicate the infestation. If you don’t notice a quick drop in the bites you may need to call an exterminator.

Scabies

Scabies are tiny mites that burrow their way under the top layers of skin, laying eggs and excreting feces, sparking an inflammatory reaction in the skin. The “trails” they leave under your skin will be intensely irritated, red, and itchy. The itching may be especially irritating at night. Be particularly suspicious of an infestation if you have been on vacation or have recently come in contact with a new group of people. Scabies are passed through skin-to-skin contact and is in no way a sign of poor hygiene. You’ll probably be seeing your PCP and getting a prescription for a  topical cream. Everyone in the family should be treated. The cream needs to be applied two times, a week apart to be sure it kills mites when they hatch.

Stretch For Life; From A Chair

Stretch For Life; From A Chair

Stretching is a great way to increase overall fitness and well being. You can stretch anywhere anytime, even from a chair.

Enjoy The Physical Benefits of Stretching 

Stretching Can Be Done Anywhere, Anytime, Even From A Chair. Got tight Muscles? Got Back & Joint Pain? Stretching Can Relieve Chronic Pain. No More Excuses, Str-r-e-etch. 

Stretch For Life

By D. S. Mitchell

Stretching Benefits Young And Old

A regular stretching program will improve your blood flow and make your arteries healthier. Within a couple months of starting a stretching program you could lower your risk of heart attack, stroke, high blood pressure, erectile dysfunction and more. If you stay loose and limber, your muscles respond better to stressors-expected and unexpected-that might otherwise result in injury.  Stretching is not a magic elixir, but if you stretch regularly you will, according to science, feel better and be healthier.

The Benefits Of Starting A Stretching Routine

  1. Improved Flexibility: Essential to overall health. Improved flexibility allows adults, particularly seniors to perform everyday activities with ease and naturally delays reduced mobility issues, common with aging.
  2. Improved Range Of Motion: The ability to move a joint through its full range gives freedom of movement. Essential for healthy aging.
  3. Improved Performance In Physical Activities: Doing dynamic stretches prior to activities is proven to prepare your muscles for the exercise.  It may also improve your performance in the activity.
  4. Increase Blood Flow To Muscles: Improves your circulation, increased blood flow to your muscles, which can shorten your recovery time and reduce muscle soreness or delayed onset muscle soreness (DOMS).
  5. Improved Posture: Poor posture is often the result of muscle imbalances. A combination of strengthening and stretching specific muscle groups can reduce musculoskeletal pain and encourage proper alignment, thus improved posture.
  6. Helps Heal And Prevent Back Pain: Tight muscles can lead to a decrease in your ROM. When this happens you increase the likelihood of straining the muscles in your back. Stretching can help heal an existing back injury by stretching the injured muscles. A regular stretching routine can also prevent future back pain by strengthening your back muscles and reducing your risk of muscle strain.
  7. Stress Relief: Stress leads to tense muscles. Muscles tighten up in response to physical and emotional stress. Focus on areas of your body where you tend to hold your stress, primarily the neck, shoulders, and upper back.
  8. Calm The Mind: A regular stretching routine can calm the mind. While you stretch focus on mindfulness and meditation exercises. Give your mind a break.
  9. Reduce Tension Headaches: Tension and stress headaches can interfere with activities of daily living. Stretching reduces the tension and anxiety you feel from headaches.

The best stretches are ones you can do whenever, wherever — including from the comfort of a couch or chair. If you are having trouble getting down on the floor and then back up again I’ve got 10  popular seated stretches to add some beneficial stretches into your daily routine; you’ll notice very quickly the improvement in both mobility and flexibility.   

Suggested Seated Stretches

I suggest you do each of the suggested stretches only once and see how your body responds. Once comfortable with a stretching move incorporate those chosen poses into your daily routine. If each stretch feels good, do each stretch in the order listed below for an effective full-body session.

Ear-to-Shoulder Stretch

How you do it: This simple movement will release neck and shoulder tension. Place your feet flat on the floor and sit up straight in a chair. Your arms are hanging at your sides with your shoulders down and relaxed. Without rotating your head, drop your head to the side. Go as far as you can without straining or lifting your shoulder. For the greatest muscle relaxation, breathe deeply throughout. To deepen the stretch you can use your hand to gently pull your head toward the shoulder. Hold for 15 seconds. Remember to take slow, deep breaths. Switch sides and repeat. Do two, each side, each with a 15 second hold time.

Chin-to-Chest Stretch

How you do it: Keep your feet flat on the floor and sit nice and tall in a chair. Interlock your fingers and place behind your head; then gently lower your chin toward your chest, keeping your hands on the back of your head. Hold the pose for 15 seconds, taking slow, deep breaths. Do four 1poses each with a 15-second hold. The key to the chin-to-chest move is being gentle. 

Shoulder Roll Stretch

Rounded Back Stretch

How you do it: Sit straight and tall in a chair with your feet resting flat on the floor. Lean slightly forward and place your hands on your knees with arms extended. The idea is to focus on not just rounding your upper back, but also involving your lower back by tucking your tailbone on the chair’s seat. Now push down on your knees to round your back, now bring your chin toward your chest, tuck your tailbone slightly, imagine your upper body forming the letter C. Take slow, deep breaths, hold for 15 seconds then release. Do four poses, holding each for 15 seconds.

Cross-Chest Stretch

How you do it: If you spend a lot of time hovering over a computer or a book this stretch should help release the tension through the shoulders and upper back.  Sit up straight with your feet flat on the floor. Cross one arm in front of your chest and place your opposite hand on the arm crossing your chest and brace it at the elbow to support. If it feels good, you can gently apply pressure to your arm to increase the stretch. Hold for 15 seconds, then switch sides and repeat. Do four holds per side. 

Overhead Triceps Stretch

How you do it: We carry tension throughout our bodies, one place that might surprise you is the back of our arms. The triceps stretch will relieve the pressure. Sit straight in a chair with your feet flat on the floor. Raise one arm overhead and bend your elbow to lower your palm between your shoulder blades, as far as you comfortably can. Place your opposite hand on your raised elbow for support. If it feels good, gently press on your elbow to increase the stretch. Hold for 15 seconds, then switch sides and repeat. Do four on each side, hold for 15-second holds per side. Be sure not to let your lower back arch.

Behind-the-Back Stretch

How you do it:  This simple movement is quite effective when done gently and consistently, it helps maintain and improve your shoulder mobility. Sit with your back straight in a chair with your feet flat on the floor. Let both arms hang down at your sides. Keeping your shoulders back and down away from your ears, place the back of one hand on the small of your back. Hold for 15 seconds, then switch sides and repeat. Do four per side.

Spinal Twist Stretch

How you do it: Our spines are meant to move in all directions. This simple twisting pose will improve spinal mobility and release hard to reach muscles in your back. Sit with back straight in a chair with your feet flat on the floor. Place one hand on your opposite knee and the other on the seat behind you. Gently rotate your torso toward your hands. If it feels good, you can gently press on your knee to increase the twist. Hold for 15 seconds, taking slow, deep breaths, then switch sides and repeat. Do four times per side.

Figure 4 Stretch

How you do it: This stretch is good for people suffering from sciatica, it targets lower body tightness and subsequent back pain due to long periods of sitting. Sit tall and straight in a chair with your feet flat on the floor. Cross one ankle over your opposite thigh, just above your knee. Gently press the knee of your raised leg down toward the floor, allowing your torso to lean forward slightly as you do. Hold pose for 15 seconds, then switch sides and repeat. Do four per side.

 Shin Stretch

How you do it:  If your shins are tight this simple movement can relieve the tension and ease shin splits and improve ankle mobility. Sit, back straight in a chair with your feet flat on the floor. Slide one foot in until it’s in line with your hips — either bringing it underneath the seat of the chair or beside it. Point your toes and place the top of your foot on the floor. If it feels good, gently apply pressure to the top of your foot to increase the stretch. Hold for 15 seconds, then switch sides and repeat. Do four on each side.

If you think you would like to try a stretching program go to YouTube and check out the myriad of stretching programs that you can visualize and get your technique perfected. Thank you, Silver Sneakers for this series of suggested exercises. Happy stretching!!

 

 

 

 

 

 

 

 

 

Transplant Patients Get New Hope

New Hope For Transplant Patients

In a history making surgery and an amazing 61 days a pig kidney works normally inside a donated cadaver, raising hope for animal to human transplants

Pig Kidney Offers Hope For Dying Patients

A brain dead patient receives a pig’s kidney 

By D. S. Mitchell 

 

OHSU Transplant

As a young RN I worked at University Hospital, in Portland, Oregon. My first assignment was on the Transplant floor. Although it was many years ago, now, it was a great experience, helping those who would die without a donated organ. At that time we did kidney, liver, pancreas, and hearts. It is an amazing program extending life for 1,000’s of patients over the years. One of the hardest things for patient is the seemingly interminable wait if they don’t have a genetic match with a potential family donor. At least a 100,000  people are on the national waiting list, the majority need a kidney, and sadly thousands will die waiting for a donor.

New Hope On The Way

A history making experiment has been underway for the last two months in a New York hospital that offers promise to those waiting for a kidney donation. Xenotransplantation has for decades been nothing more than a dream. The problem is the human immune system, which immediately goes to work to kill the foreign animal tissue. With a new approach scientists are working with genetically modified pigs, so the pigs organs are more humanlike. Some research teams insist on pigs that have up to 10 genetic changes.  The transplant team led by Dr. Robert Montgomery, a heart transplant recipient himself, used in this study, is a pig kidney with only one genetic modification. Importantly, the single gene modification is the removal of a gene that triggers an immediate immune attack.

Maurice “Mo” Miller 

The human recipient, Maurice “Mo” Miller, had collapsed and was declared brain-dead, his family was unable to donate his organs because of cancer. His sister after much consideration chose to donate the the man’s body to the pig experiment. Dr. Montgomery gambled that he could keep Miller’s body on a ventilator for two months to test the transplanted pig kidney. On July 14, 2023, surgeons replaced Miller’s two kidneys with one pig kidney and the pig’s thymus. The thymus is a gland that “trains” immune cells. Two months later at the termination of the experiment, Miller was taken off the ventilator and prepared for cremation. The kidney was still performing perfectly.

The Future

The information gained from this study will be provided to the FDA in the hopes that xenotransplantation may soon be attempted on living humans. Experiments on the dead cannot be predictors of organ transplant success with living subjects. I see years of testing, but this amazing case gives us all hope that someday we will be able to transplant modified animal organs into living humans, saving lives, that would have ended too soon.

 

12 EZ Tips To Lose 20 Pounds in Three Months

12 Tips To Lose 20 Pounds in 3 Months

Take a few minutes and review 12 tips to help you lose 20 lbs in 3 months

12 EZ Tips To Lose 20 Pounds By Christmas

No Dieting Required, Just Wokeness

 

By D. S. Mitchell

Out of the File

I’m always cutting out articles or writing down tips I hear about weight loss, with the hope that I will eventually put one or two of the tips to some valuable use. LOL. Anyway, as I was cleaning out a storage box I found a file labeled “Weight Loss Tricks”.  I took  a few minutes and sorted through the notes, clippings, and articles in the file.  After sifting through at least 10 years of information I came away with a dozen super suggestions to help us drop 20 pounds by Christmas. I am writing this tips list on September 10, 2023. That’s 106 days, give or take, approximately 3 and 1/2 months, or 14 weeks. No matter how you look at it, the following suggestions should help you to lose an easy 1.5 pounds a week with just about zero effort. Several of the tips you’ve heard before, but the trick here is to wake up, pay attention to what you are putting in your mouth. I call it “woked” eating. Easy Peasy. Let’s get started.

Sit Down When You Eat  

This information has been confirmed in study after study, for at least the last two decades. People eat an incredible 5 times more when they are standing or on the go, such as eating in the car. Your brain does not register food you eat while moving. So, folks take a few minutes to sit down and engage with your food. Sitting down will allow you to be more conscious of flavor and aroma and the slow down will allow you time to experience the sensation of fullness.

Cut Out the Booze

I suggest you stop drinking anything but unsweetened coffee or tea, or water (flavored is fine). Quite seriously, alcohol can add a whole lot of sneaky calories. I call it the 5:00 o’clock sabotage. Stay clear of the sugary girlie cocktails. Here’s where size does matter, stick to the standard serving sizes: 12 oz for beer, 5 oz for wine and 1.5 oz for hard liquor.  No more than two drinks two times a week! Otherwise you are going to undermine your other valiant efforts.

Take a Walk, Take a Breath

The last thing you need when you are working on yourself (your weight loss in this case), is a whole lot of stress. Take it easy. Take those long slow breaths, drop that load you are carrying and “just breathe”. One of the things that let’s me drop the stress and take those deep relaxing breaths is to take a walk. Wow. Walking is your best friend, whether trying to lose weight or relieve the stress, take a hike; or at least a stroll around the neighborhood. Smile and greet other walkers. There is a real community out there, get off the couch and join the sneakers crowd. Smiling makes you feel good. The calorie burn is dependent on you; speed and distance the basic determinant. The average person burns somewhere between  200 and 350 calories per hour at a moderate pace. At an easy pace that’s about 3 miles an hour. To lose one pound, you need to cut 3,500 calories. If you want to lose one pound a week divide 3,500 calories by seven to get 500; that means you need to cut 500 calories a day overall.  If you walk for an hour, 5 days a week, you will burn  1,000 to 1,800 calories.  If you are like me, you knew all that, but had forgotten it.

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Hints To Cure Motion Sickness

Hints To Cure Motion Sickness

If you have motion sickness you spend a lot of time with your head in a paper bag

Car Sick? Air Sick? Sea Sick?

Hints to Cure Motion Sickness

By D. S. Mitchell

Childhood Memories

OMG. When I was a kid, the worst words I could hear were, “Let’s go for a ride!” Don’t get me wrong, I loved going; going anywhere, it didn’t matter, I was a young adventurer. HOWEVER, I was also a kid with  motion sickness. It didn’t happen all the time, I think that was the worst part, never knowing whether I’d be happy and giggly, or a kid with her head in a paper bag.  My mom did not like me vomiting out the car window. It wasn’t just the car, sometimes it was on the deck of daddy’s boat, or there was that incredibly long plane ride to Hawaii. Oh, dear, the nice lady sitting next to me was very kind, and understanding. And, those damn 3D movies, there should be a warning label.

What Is Motion Sickness?

Motion sickness occurs when your brain gets conflicting messages: your eyes perceive forward motion but your inner ear feels the up and down motion of the car, plane, or boat. The experts say the brain then races to reset itself and that action causes the sick feeling. The nausea triggers the vagus nerve, which connects to the GI system, stimulating anything in the gut to come up.  Paper bag, please.

It Was All About The Ginger

Ginger is an herb that has been used for thousands of years for its many natural medicinal properties,  particularly its antiemetic qualities. When I was a kid that was about all there was, other than stopping the motion, and that wasn’t happening. What I seem to remember is mom grating up the herb and putting it in tea and having me drink it before we went on any road trips. Current studies indicate that ginger is an effective and inexpensive treatment for nausea and vomiting. Some studies suggest ginger works better on vomiting than the underlying nausea. Now days, ginger can be found in capsules and gummies and even tea.

Antihistamines

The same antihistamines used to treat allergies also reduce the symptoms of motion sickness. Numerous rounds of studies have shown that antihistamines can effectively alleviate motion sickness.  Recommendations include taking the medication 30 to 60 minutes prior to boarding the plane or boat, so you’ll have it in your system to squelch the vagal response. BUT they cause drowsiness. If sleep walking doesn’t bother you this may be your solution. I on the other hand cannot function in a “drugged” state. Benadryl and Dramamine are inexpensive and may work for you. Give it a try, the worst thing that will happen is you will take a nap.

It Works For Me

Acupressure wristbands are what I use. I am a great fan of acupuncture and acupressure is a variation of that ancient Chinese art.  When pressure is applied to certain points on the wrist and ear it alleviates stomach upset. Acupressure wristbands are available in most pharmacies and on Amazon. I’ve used them for years and they are fabulous. No unwanted sleepiness. The package will contain two bracelets, just slip them on your wrists and position the little plastic thing-a-bobs over the recommended points on your wrist per the directions.

 

8 Reasons To Keep Working After Retirement

Working After Retirement

Research shows that working after retirement is good for the mind, the body, and the pocketbook.

Research shows that working during retirement is good for the mind, the body, and the pocketbook

Keep Working After Retirement

Here are 8 Reasons to get a job after retiring

D. S. Mitchell

Measurable Benefits

Working after retirement, seems like an oxymoron, but that isn’t necessarily true. Just because you are no longer practicing your primary career doesn’t mean you should walk away from all money making endeavors. Part-time, free lance or consulting work, volunteering- doing that something you always wanted to do. A friend of mine, who worked for UPS for years, does wedding and anniversary photos as his new side hustle. Another friend works for a home health care company and does light housekeeping chores for several elder clients. I write freelance articles. I always wanted to be a writer; well now I am. Working can add to your retirement satisfaction and give your  life structure. And there are of course, the financial benefits of a paycheck. After a bit of thought and research I’ve come up with eight specific reasons a retired person may want to consider re-entering the job market.

  1. Researchers have concluded that working helps maintain good mental health.  Do not presume this is just because those with better cognitive health are better able to work. There is a particular benefit noted by researchers when the retiree switches to a different type of job than the one held prior to retirement. That benefit comes from learning new things-known as “novelty processing.” Novelty processing appears to slow cognitive decline. Who doesn’t want to stay sharp?
  2. Having a regular paycheck is a powerful means to increase the money available in retirement, without drawing down your savings, and it gives you an extended opportunity to save. Remember, you are not out searching for some high power position, with a six figure salary and every benefit ever imagined. Earning just a small portion of your previous salary will make a significant difference and substantially improve retirement security.
  3. Transitioning to part-time or even volunteer work, doing work unrelated to your prior career appears to be associated with fewer physical disabilities and declines and overall better cognitive health. University of Maryland researchers linked a post career job with fewer major diseases and functional limitations.
  4. A recent Harvard study found that retirement well-being depends on having good quality relationships. Folks who seem to enjoy retirement the most are those who replaced old work relationships with new ones. Working, whether full-time, part-time, or as a volunteer creates an environment for new interactions that can potentially develop into those new quality relationships.
  5. Finding a sense of purpose for living after retirement is critically important. A ‘little job’ can be a motivator to get you out of bed everyday. A common theme researchers hear is the need to find meaning and purpose-continuing to work in some capacity is a great way to achieve that sense of purpose, which in turn makes the retiree feel younger and more connected.
  6. Retirement allows the retiree the time and opportunity to help others. Volunteerism is one great way to ward off depression and provide inner satisfaction. That sense of well-being disappears quickly once volunteering stopped, according to recent studies from the UK.
  7. Work at what you like. Often our careers don’t match our passions. So as you think about re-entering the labor force, focus on fun and challenge. If you love to garden, how about a part-time position at the local nursery? Make sure you are spending time with people you like; in an environment that matches your hobbies or interests. Getting involved in activities you enjoy and care about can bring you in contact with new people you have things in common with.
  8. Every store in my little town has a “HIRING” sign in the front window. According to the Labor Department, there are 9.6 million job openings today in the United States. With such a severe worker shortage finding a job to better your life should be relatively easy, plus you would be helping a local business (and thus your community) that is struggling with staffing issues.

Summer Heat Related Illnesses

Summer Heat Related Illnesses

Heat is dangerous to human health. Here are a few tips to stay safe in high temperatures

Summer Heat Related Illnesses

How to Prevent and Treat

According to researchers, 65% of heat related deaths in the United States occur in July and August. The summer of 2023 is one of the hottest on record. Please read these tips and stay safe in the summer heat.

By D. S. Mitchell

Doing What Comes Naturally

Sweating is the principle means of cooling the human body. But temperatures as extreme as we are seeing in the summer of 2023 can quickly overwhelm our natural cooling system. Chronic health conditions, age, and medications, can impair the bodies effort to cool down naturally. For many experiencing  extreme heat a spectrum of problems can become progressively more serious and potentially life-threatening.

Sun Burn To Sun Poisoning

Bright sunshine can lead to sun poisoning, which is a severe sunburn that makes the individual feel sick and generally unwell. Excessive sweating under tight clothing can lead to heat rash, dehydration (the loss of fluid and electrolytes) can cause muscle cramps. Dehydration plus a rising body temperature can lead to heat exhaustion. Heat exhaustion is characterized by fatigue, dizziness, nausea, headache, chills, and sometimes a racing heart. Ignoring these symptoms can be  extremely dangerous. There is always the danger of heat stroke which can lead to brain damage and even death.

PREVENTION

Protect Your Skin

Sunburns are both painful and they create havoc with the body’s ability to sweat. The body’s failure to sweat increases the risk of heat exhaustion and/or heat stroke. Apply sunscreen SPF 30 before going outside. Be sure to reapply the sunscreen at least every two hours. To prevent itchy, splotchy heat rash wear loose fitting clothes made from cotton or moisture wicking fabrics.

Sip Frequently

The fluid requirements vary from one individual to the next, by climate, and by activity. The CDC&P recommend when physically active in hot conditions individuals should drink one cup of water every 15 to 20 minutes. Out in the heat for more than an hour, it is suggested that you switch to a sports drink, because its sodium helps replenish electrolytes.

Start Slow

The human body gradually builds exercise heat tolerance, which helps your body handle exercise in the hot, humid weather. This does not mean you should overdo. Be smart; stay hydrated and seek shade when you need to rest.

TREATMENT

Cool Off

If you suspect a person may be suffering from heat exhaustion, immediately get them into an air conditioned or shady location. Quickly cover as much of the skin surface as possible with ice or cold wet towels. If the person is able to co-operate help them get into an ice bath or a cold shower. Call 911 immediately if  the person is confused or vomiting. These could be signs of heat stroke.

Twitching Muscles

Cramping and twitching muscles can signal that a full-blown heat cramp is imminent.  Gentle stretching and massaging along with sips of a sports drink to restore needed electrolytes will reverse the cramping.

Meds Can Help

Over the counter Ibuprofen can help relieve the pain from heat rash, muscle cramps, and sunburn, as well as reduce inflammation and help lower the body temperature.

3 Gremlins Facing Health Care In The U.S.

3 Gremlins Facing Health Care In The U.S.

Americans are taking too many prescription meds

3 Gremlins Facing Health Care In The U.S.

By D. S. Mitchell

On The Front Line

Writing for www.CalamityPolitics.com allows me a grass root platform to discuss health care, and every other area of our political spectrum, for that matter. It does not give me the right to say anything I want about the issues. With that said, I have ground level experience in health care. Because of that experience and exposure to trench warfare in hospital health care I have strong opinions. Client care and results need to be discussed and evaluated for effectiveness. I have a passionate interest in health care, and in this area, I believe my street level experience gives me the right to discuss the issues. Bringing common sense thinking to health care should always be welcomed. I am an RN, and have worked for 38 years in hospitals in Oregon, Washington, California and Nevada.

The Sickest

My two primary areas of specialty are Crisis Psychiatry and Cardiac Intensive Care. Whether the issues are mental, behavioral, or cardiac emergency, many of the issues facing the caregiver, and the client are the same. Despite the obvious differences in the front line needs of the clients, both of these populations are often the sickest in the hospital. One thing I know, is that the health of the American citizen should not be decided by a politician in Washington, D.C. Sadly, that’s where this battle always shows its ugly underbelly.

Gremlin 1: Big Pharma

Suitcases Of Medications

For the first twenty-five years of my career, when I admitted a patient that came to the unit with a suitcase of medications, I believed it was because they were incredibly ill. Like physicians I had been trained to believe in  pharmaceuticals.  Once I was an old nurse, my thinking transformed into, the patient is sick because they are taking so many prescribed medications. I can hear the protests from the audience now. Don’t believe me, just read the labels. These are chemicals and they are toxic and poisonous.

Side Effects

Truthfully, every pill has the potential to cause side effects, some known and some unknown.   When a person complains to his doctor that he is uncomfortable due to the side effects of the medication he is taking, his doctor writes him another prescription to help deal with the side effects.  The patient has pain so his doctor writes him a prescription for an analgesic. When he complains that the pain medication makes him constipated, he is given a prescription.  You can see where this is headed, right?

Advertising Medications

In America, television is the best friend of the pharmaceutical industry.  Constant television marketing has convinced viewers that there is a pill that will fix anything and everything. Unfortunately, many Americans now believe that there is a pill that will make everything in their life better.  Health care policy makers need to take this issue very seriously. I realize drug manufacturers want to make a profit, but I also believe constant repetition creates a need that previously did not exist.

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Atrial Fibrillation and Stroke Risk

ATRIAL FIBRILLATION AND STROKE RISK

 Assessing stroke risk in patients is an important part of managing Atrial Fibrillation.

Atrial Fibrillation and Stroke Risk

A-fib can lead to blood clots in the upper chambers of the heart increasing the risk of having a stroke fivefold.

 

By D.S. Mitchell

Costco Connection

I am a Costco member and as such I get a copy of the Costco Connection magazine every month. The publication is full of useful information. In the February 2023 issue, I found a great article by Andrea Downing Peck, on the dangers of atrial fibrillation, a very dangerous heart rhythm disorder. I’m a retired RN and I’m always looking for information that will help people recognize symptoms of dangerous health conditions.

Kareem Abdul-Jabbar

Recently, I have seen numerous public service announcements made by NBA basketball legend Kareem Abdul-Jabbar who tells us that he suffers from atrial fibrillation. Well Kareem is not alone; an estimated 2.7 million American live with atrial fibrillation (a-fib). A-fib is the most common sustained heart rhythm disorder seen by doctors.

What Is A-Fib?

A-fib is an irregular, disorganized heart rhythm where the heart’s upper chambers (the atria) no longer beat in coordination with the lower chambers (the ventricles). The rate is usually more rapid than would normally be expected for the level of activity being engaged in.  A-fib is extremely dangerous because the rhythm commonly causes blood clots and blood clots cause strokes. Patients may experience a-fib without symptoms, but when symptoms do appear they may include chest discomfort, light-headedness, palpitations, shortness of breath, and fatigue. If left untreated it can be deadly.

Common Victims

The risk for a-fib increases after age 65. Several medical conditions also increase the risk of developing a-fib whether you are young or old: High blood pressure, Sleep apnea, Obesity, Heart failure, Diabetes, Overactive thyroid, Pericarditis, and coronary artery disease.

Triggers

Lots of studies and research have been done over the last fifty years to discover how to prevent heart disease. Researchers have known that the risk of coronary disease increases with predictable lifestyle factors. Now much of that research is telling us that those same factors and prevention strategies are most likely relevant to heart rhythm disturbances such as a-fib.

Alcohol vs Caffeine

Caffeine has been suspected as a trigger in patients who experience intermittent a-fib. Intermittent a-fib is defined as a temporary episode of the disorder that starts suddenly but resolves quickly without medical interventions, usually within 24 hours. The studies clearly indicate that caffeine does not appear to increase episodes of a-fib, but alcohol did frequently act as a trigger. Drinking more than one alcoholic beverage per day is clearly a trigger for the disorder.

More Than One Trigger

Smoking, sleeplessness, dehydration, stress, obesity, high blood pressure, and sedentary lifestyle are factors that seem to trigger a-fib events. The caveat here, as with many things, it is often a combination of several factors that trigger the event. Over the next several decades the prevalence of a-fib is expected to increase significantly. It’s the combination of these co-morbidities that increase the risk of a-fib.

The Answer

There’s an epidemic of obesity, Type 2 diabetes, inactivity, and alcohol abuse, in the United States. According to experts, we need the population to move, lose weight, drink less alcohol, and as practitioners, doctors need to aggressively treat diabetes and high blood pressure.

Treatment

 Treatments can vary. Medication or surgical intervention, in some cases, may be required. Medications are used to control heart rate and rhythm. Anti-coagulants are used to prevent clotting. A cardioversion is sometimes used as an emergency intervention. A catheter ablation is a procedure used to permanently restore the heart’s proper electrical currents.  There is also for some patients an implant called the Watchman that offers an alternative to blood thinners.

Outcomes

It is important to educate the public about a-fib and other heart rhythm disorders. It is important that if an individual is experiencing symptoms, they should contact their physician as soon as possible to diagnose the problem and above all prevent stroke.