Disney/Pixar may now include a warning for viewers that some scenes in their latest hit, Incredibles 2, may induce seizures at the request of the National Epilepsy Foundation. Some viewers found the strobe and flashing light scenes to be potential seizure triggers.
Veronica Lewis tweeted the following:
HEALTH ALERT I haven’t seen this mentioned in a lot of places, but the new Incredibles 2 movie (#incredibles2) is filled with tons of strobe/flashing lights that can cause issues for people with epilepsy, migraines, and chronic illness.
A seizure occurs when there is abnormal electrical activity in the brain. If the electricity doesn’t conduct properly, brain function gets disrupted. This could lead to convulsions (involuntary jerking movements), loss of muscle tone, changes in senses such as vision, hearing and smell, loss of bladder control, loss of consciousness and sometimes stroke, brain damage and death.
Epilepsy is a neurological disorder in which a person has recurrent, unprovoked seizures.
Photosensitive epilepsy, in which visual triggers can induce a seizure, occurs in 1 in 4000 of the population.
In December of 1997, a Pokemon cartoon aired in Japan resulting in over 700 children to the hospital with ailments ranging from dizziness to epilepsy. It was determined that the rapidly strobing flashes of red and blue lights induced this “Pokemon Shock.”
A study from Prasad et al in 2012 found no increase risk of seizures with 3D movies than conventional television. They explain why seizures are induced here:
The mechanism in which TV and cinema movies trigger seizures in patients with photosensitive epilepsy is related to several factors including the light intensity, the environment and the frequency of picture frames per second. Normal 2D movies have a frame rate of 24 per second, which may pose a risk for patients with photosensitive epilepsy, but the light intensity in the cinema is very low and there are relatively a few reports of seizures precipitated in cinemas. In contrast, 3D movies project images at 48 frames per second aimed, by the use of colored or polarizing filters, at different eyes and resulting in 24 frames per second per eye. The polarizing effect of 3D films may reduce the light output by around fifty percent leading to a reduced risk to trigger a seizure to people with photosensitive epilepsy. Therefore, the risk of 3D movies to trigger a seizure is around fifty percent less than with conventional 2D movies. However if provocative material such as flashing light is presented the risk can be as high as that for normal 2D movies.
Although there is “insufficient evidence” to connect 3D movies to epilepsy, researchers agree with the need for more study.
Which makes us rely on anecdotal, or testimonial evidence such as the tweet from Veronica Lewis.
The following have been suggested on moviehealthcommunity.tumblr.com to have strobe effects or flashing lights that may affect one’s photosensitivity risk of inducing a seizure:
Although one of my favorite franchises, some of my listeners found the Transformer movies to have similar issues with high speed movements and strobe lights.
Many more movies are listed but the common thread are those with high action, high-speed, strobe lighting, storms, horror, and fast-moving race or fall scenes.
More can be found at moviehealthcommunity.tumblr.com.
For years, men have voiced frustration when their medical providers insisted on a cardiac workup prior to initiating an ED prescription. Some thought it was because they’d have a heart attack during sex. But it’s not. Erectile dysfunction is a vascular issue, and if the vessels of the penis are compromised, how does one know his heart vessels aren’t as well?
Now in a recent study from John Hopkins School of Medicine found an increase risk of stroke, heart attack and cardiac arrests in those men who suffered from erectile dysfunction. Study author, Michael Blaha, professor of Medicine, states, “Our findings suggest that clinicians should perform further targeted screening in men with erectile dysfunction, regardless of other cardiac risk factors and should consider managing any other risk factors — such as high blood pressure or cholesterol — that much more aggressively.”
Last December, a study published in the Journal of Vascular Medicine, found the same risk factors leading to erectile dysfunction are also culprits in heart disease.
Risk factors shared by both erectile dysfunction and heart disease include:
Last year, researchers from Mount Sinai Medical Center, Florida International University and Baptist Health South Florida reviewed multiple studies and found a link between erectile dysfunction and compromised blood vessels whose endothelium (lining) demonstrated impaired vessel relaxation. This is necessary for both erections as well as blood flow to the heart and rest of the body.
Moreover carotid media-intima thickness, a marker of atherosclerosis, appeared to be correlated to erectile dysfunction as well.
Both studies remind us that if one bodily function is impaired, other organs may be quietly suffering the same impairment.
I like to credit the pharmaceutical companies that created erectile dysfunction drugs with saving millions of men’s lives as:
Young men aren’t immune to cardiovascular disease and need to be screened as well if they have issues starting or maintaining erections.
Each year 45,000 Americans take their lives. That averages to 123 people a day. And each suicide affects everyone with whom the person has regular encounters. So why is it so common? Here are six reasons people choose to end their life.
Many of us have been trained to act on a whim. We quickly reply to a text, pop some food in the microwave, flick the controller while playing a video game…and these quick, instinctive acts are becoming a part of our daily behavior. So when one has a fleeting thought of suicide, they may be less likely to slow down and think it through.
When tragedy strikes, whether it be an accident, break up, job loss, missed opportunity, some can’t see “the light at the end of the tunnel.” Many think and navigate through life one step at a time, which may be productive when it comes to tackling tasks, but if they feel the obstacle in front of them is insurmountable they may believe their options are far and few between, with death being the only out.
This is one of the least discussed reasons people commit suicide, but unfortunately more common than we think. Although most of us fear death and dying, some pathologically can’t handle the thought of it happening out of the blue. Those who need control and need to plan ahead, may find solace in the fact that they are planning their own death. They can’t control their birth but they can control their death, they believe, and for those who feel they have lost control of their life may find this tragic option welcoming.
Hollywood stereotypes depression as a woman sitting on a couch eating ice cream to combat the tears and loneliness of a breakup. But many have symptoms of severe depression and don’t know it.
So many self medicate either by overeating, drinking alcohol, smoking weed, or taking pills, which when wears off, can sink one into a lower funk. Without psychological or medical intervention, one struggles to recover.
Since so many people are undiagnosed when it comes to depression, family members and friends are unaware their loved one is struggling. Going about one’s business may be inferred as indifference by someone suffering from a mood disorder. “They won’t even notice I’m gone,” pervades their thoughts and worsens their loneliness.
If one feels they’ve been ignored, unheard or wronged, this could incite an “I’ll show ’em” attitude in which their suicide is plotted to be a form of psychological revenge.
Sadly many out there secretly hope they get help but don’t know how to ask for it. It’s up to us to seek them out and guide them to a medical professional who can listen, understand, and work with them.
I’ve been in pursuit of six-pack abs since the start of 2018, but a broken bone in my foot limited my ability to do cardiovascular exercises to cut the belly fat that covers up my abs. During that time I was doing the 10-minute abs workout on Livestrong’s MyPlate app, but have since purchased a Fitbit Alta and begun using the Fitbit app to log my caloric consumption and exertion.
While I have been doing some of the workouts available for free by Fitbit Coach, and I still do the 10-minute abs workout on the MyPlate app occasionally, Runtastic’s Six Pack app is my new go-to exercise app since acquiring promotional access to their workouts membership. Here’s why:
I used to do the 10-minute abs workout on MyPlate two or three times because the exercises were so easy. I’ve since added more time and more repetitions to make the workout more difficult as I’ve become more fit.
Runtastic’s Six Pack app is far from easy. Sure, at level one you’ll wonder how this app will ever shred your abs, but once you get to level two, you’ll be in a world of hurt, which is good. I burn more calories and build more muscle in the 17 minutes I spend doing Runtastic’s Six Pack exercises than I did in the 20 minutes it took to complete the MyPlate abs workout twice. How do I know? Because I sweat way more and am way more exhausted after the Runtastic workout than I am after the MyPlate workout. And each workout gets more and more difficult.
Despite asking how well you performed the exercises included in the Fitbit Coach workouts, that information doesn’t personalize the workout for you. Runtastic doesn’t bother asking whether you were able to complete all the repetitions of specific exercises. It just expects you to complete all the repetitions and asks you if you “want to go the extra mile,” adding another set of a surprise exercise. Runtastic then adds a few more repetitions to your next workout, and I like that. Progressively increasing exercise intensity is what builds muscle and burns fat. Pushing yourself a little harder each time you workout is how six-pack abs start showing through, and I can actually tell that my ab muscles are growing thanks to Runtastic’s Six Pack app.
No Runtastic Six Pack abs exercise is the same as one you’ve done previously because Runtastic alternates the order of your workouts’ exercises. Doing the same exercises in the same order makes each exercise easier to complete each time you workout. You’ll create muscle memory in the most literal sense. Back when I was a bodybuilding, gym rat, I would do the exercises in my workout in a different order to shock my body. If you’ve ever done bench press at the beginning of your workout and then at the end the next time, you know the struggle of completing all your bench repetitions at the end of your workout as opposed to the beginning. The same is true of your abs. Leg lifts are pretty easy when they’re the first exercise of your workout, but put them at the end and you’ll be reaching deep into your core for all the strength it can muster. You’ll actually be able to feel your six-pack abs developing.
I’m pretty dedicated when it comes to my health, but I’m probably just like you: I don’t love to exercise unless that exercise is playing some sort of sport. I don’t need much motivation to play baseball, tennis or go for a bike ride, but I’m not thinking about exercising while at home watching the game. That’s why I love that Runtastic reminds me when my next exercise is due. I don’t always do it right that second, but I don’t often forget that it must be done that day.
Before I turned on the reminders I managed to ignore the Six Pack app for quite some time. It took me weeks to get through level one because I didn’t do an exercise for a week. I immediately realized my mistake upon attempting my first workout after the week off. It shouldn’t have been as hard as it was, and I don’t know how I discovered the Runtastic reminders, but it could have been one of the helpful tips Runtastic gives when you complete your workout.
I still don’t have six-pack abs, but I’m more confident than I’ve ever been since starting the Runtastic Six Pack app workouts.
If you like this, you might like these Genesis Communications Network talk shows: America’s Healthcare Advocate, The Bright Side, The Dr. Daliah Show, Dr. Asa On Call, Dr. Coldwell Opinion Radio, Good Day Health, Health Hunters, Free Talk Live
We commonly think of DUI’s, or Driving Under the Influence, a result of drinking alcohol and driving while intoxicated. However what many people fail to realize is drugs, including prescriptions, could decrease your ability to drive safely, hence putting you at risk for a DUI when alcohol wasn’t even ingested.
A report from the Governors Highway Safety Association (GHSA) and the Foundation for Advancing Alcohol Responsibility found that more fatal crashes were the result of drug use as opposed to alcohol use.
These findings showed that although alcohol was involved in 38% of fatal crashes, prescriptions and illegal drugs were responsible for 44% of driver- related deaths (similar to last year’s findings of 37% and 43% respectively).
Looking deeper they found 58 % of drug related fatal car crashes were the result of marijuana, opioids or both being on board.
According to their report, entitled, Drug-Impaired Driving: Marijuana and Opioids Raise Critical Issues for States, “44% of fatally-injured drivers with known results tested positive for drugs, up from 28% just 10 years prior.”
Opioid overdose is currently responsible for 115 deaths per day. And as marijuana becomes legalized throughout the country, more people run the risk of being on a combination of the two, which can be deadly if they get behind the wheel.
“Drugged driving” manifests in less reaction time, poor coordination, memory loss, and distortion of one’s reality or surroundings.
Now what about prescription drugs? California Vehicle Code 23152(e) states, “It is unlawful for a person who is under the influence of any drug to drive a vehicle.”
So what prescription drugs could impair one’s driving?
The obvious ones include the following:
Narcotics such as hydrocodone, oxycodone, morphine, codeine…to name a few
Muscle relaxants such as carisoprodol, cyclobenzaprine, methocarbamol……
Sleep aids such as zolpidem, eszopiclone….
Anti-anxiety medications such as diazepam, lorazepam, alprazolam, clonazepam…..
However surprisingly, these next groups of medications can also cause sedation:
Cholesterol medications such as statins: lovastatin, atorvastatin, etc. may cause fatigue and recent studies have found them to cause “excessive tiredness”.
Stomach acid suppressants such as proton pump inhibitors: omeprazole, lansoprazole have been reported to cause vitamin deficiencies such as B12 and magnesium which in turn can cause fatigue.
Antibiotics that treat many common infections: Amoxicillin, azithromycin, ciprofloxacin have been known to cause fatigue.
Diuretics for blood pressure and water retention: hydrochlorothiazide, furosemide cause potassium loss in the urine which may contribute to fatigue
Antihistamines: anti-allergy medications such as diphenhydramine (Benadryl) are very sedating, which is why they are used in some over the counter sleep aids. There are some reports that the younger generation of medications such as Zyrtec can cause drowsiness as well.
Blood pressure medications: these can include the ACE inhibitors such as captopril, enalapril; calcium channel blockers such as amlodipine; beta blockers such as metoprolol as well as the diuretic family mentioned previously.
Antidepressants: many antidepressants additionally help with anxiety through their sedating effects such as trazodone, paroxetine, and escitalopram to name a few.
Mood stabilizers, anti-seizure medications, and antipsychotics can cause fatigue as well.
Despite the rarity of these types of cases, the potential is still there for one to not only receive a DUI but injure himself or others if the prescription makes him less alert, i.e. decreases his “sobriety.” Discuss with your medical provider if you feel drowsy after you take your medication and if there are less sedating options.
Roseanne Barr in, an apology for a tweet in which she alluded to ex-Obama aide, Valerie Jarret, looking as if the “muslim brotherhood & planet of the apes had a baby=vj” cited Ambien as the cause.
ABC News cancelled her hit show Roseanne on Tuesday.
In an apology, the actress tweeted, “I apologize to Valerie Jarrett and to all Americans. I am truly sorry for making a bad joke about her politics and her looks. I should have known better. Forgive me-my joke was in bad taste.”
She later tweeted, “I did something unforgivable so do not defend me. It was 2 in the morning and I was ambien tweeting — it was memorial day too — i went 2 far & do not want it defended — it was egregious Indefensible. I made a mistake I wish I hadn’t but…don’t defend it please.” CNN reports she also tweeted the following, “Not giving excuses for what I did(tweeted) but I’ve done weird stuff while on ambien — cracked eggs on the wall at 2am, etc.”
The makers of Ambien, Sanofi, tweeted the following response, “While all pharmaceutical treatments have side effects, racism is not a known side effect of any Sanofi medication.”
Millions of people use Ambien (zolpidem tartrate), a sedative hypnotic, in a 5 mg or 10 mg tablet form, that is used for fast-acting sleep initiation and is famous for not inducing a drowsy feeling the next morning.
Unfortunately multiple users have cited odd side effects such as driving to work in the middle of the night, or cooking breakfast.
According to rxlist.com, side effects of Ambien may include:
The medication is a gamma-aminobutyric acid (GABA) A agonist, inciting a neurotransmitter cascade that can inhibit activity between neurons, nerve cells. Lower levels of GABA are linked to sleep disorders, so inciting the GABA receptor as Ambien (zolpidem tartrate) does, can induce sleep. But once we’re affecting nerve signals other side effects may ensue since the GABA inhibitory neurotransmitter affects the central nervous system.
So odd behavior could be a side effect. However, as with alcohol-induced behavior, exacerbations of feelings or tendencies may occur. Forming new opinions, which may be racist, would not be a side effect of this medication.
Medical providers warn users to hide car keys, lock of refrigerators and put child locks on stoves and ovens as “sleep walking” behavior could put them and their families at risk. This also includes posting on social media… so keep phones away from the bed and computers off.
The University College London Hospital (UCLH) in Bloomsbury London is launching a pilot program replacing some A&E (Emergency Room) physicians with robots.
In response to staff shortages and long wait times, the initiative launched by UCLH and Alan Turing will utilize artificial intelligence to triage patients and reduce wait times.
Robotic technology is already being used in the operating room, rehabilitation centers and for pharmaceutical dispensing. It’s just a matter of time that they become our main caregiver.
But will patients be pleased?
Where’s there’s demand, there’s supply. Patients tired of wait times, crowded waiting rooms, loss of sick leave hours to sit around a medical office or emergency room for half a day will want speed and efficiency. Kiosks may replace front desk clerks, taking your initial information (chief complaint, name, insurance info.), scanning it and offering you a number, like one given at a bakery.
Those embarrassed by having symptoms suggestive of having an STD will have less of an issue conveying this information to a machine than a human being. Gas, discharge, odors may be easier to discuss with someone or something that won’t wince.
Many patients cite seeing a medical provider and not being examined or asked to undress before an exam. Time constraints, or avoidance of being accused of wrongdoing, have caused some providers to refer out for heart, gynecological, and rectal examinations. Primary care providers who enter the room, say a few words and then promptly leave saying they will “bring in the nurse to review instructions” may not be missed by the patient receiving similar service from a robot.
We use Google, Wikipedia and Siri to answer our health questions currently. No wait time, no office visit, no cost….so a robot answering our questions in layman’s terms will be an easy task.
However, and this is the kicker……
There is no way to replicate the sixth sense humans have when it comes to something being wrong with you. Artificial intelligence cannot provide a “gut feeling.”
Let’s take a urinary tract infection, for example. I have had patients who were new to my office complaining something “felt funny” when they urinated and cited blood in their urine. A urinalysis may show inflammatory cells, and a robot may correctly diagnose the patient with a bladder infection. But I as a clinician may be suspicious that this new patient has something that is leaking blood into the urine, from the gynecologic tract maybe? And I’ve diagnosed endometrial and cervical cancer in cases where patients thought they were merely having bladder infections.
One patient presented to me in the emergency room feeling “odd” and suspecting a “UTI.” She was in her 60’s and started to complain of nausea. Her urine had inflammatory cells so while a culture takes 3 days to complete, I gave her a prescription for antibiotics in case the infection would spread during that time. But her nausea was concerning. The patient requested an injection of nausea medication prior to leaving so I obliged, giving her Compazine. While observing her for a few minutes, post injection, she began to have shortness of breath. We decided to look at her heart and came to the conclusion after more testing that she had suffered a heart attack in her sleep the night before and the “odd feeling” she felt the next day wasn’t due to her UTI (which she coincidentally had) but was from a heart attack. She was treated immediately and recovered nicely.
Would a robot have picked up on that? Multiple web resources include nausea in the list of symptoms associated with a UTI, so could be “blown off” by a robot bundling it with the patient’s urinary complaints. But I learned that nausea could be the first sign of a heart attack, especially in women.
Another case I had as an urgent care physician was the following:
A gentlemen came in saying he “felt fine” but his wife made him come in because he was burping the night before. Multiple bouts of eructation jogged an ancient memory of mine…..when as a little girl I saw a movie where the pilot was burping multiple times before he passed out and died. So I came to learn that chronic bouts of burps, or hiccups for that matter, could be a sign of an inferior MI (heart attack). I ran an EKG and blood work, and my instinct was right. Again I was looking at a patient who unknowingly had a heart attack the night before but thought he had something benign the next day.
So gut instinct, thinking laterally, tapping in on past experience, and acting on hunches is not something a robot can do. Humans may be satisfied with shorter wait times and receiving antibiotics when they demand them, but the education and intervention a medical provider can provide is priceless. Too bad cost gets in the way of real medicine.
The National Weather Service will soon issue an “excessive heat warning” for many parts of the Southwest United States. Phoenix received their first warning two weeks ago when their temperatures rose to 108 degrees.
This occurs “within 12 hours of the onset of extremely dangerous heat conditions”. This means that the heat index (air temperature and humidity) will be greater than 105 degrees for more than three hours a day for at least two days in a row and the night-time temperatures will not drop below 75 degrees. Although many of us may live in areas where this occurs each year, the onset can be one of the most dangerous times. Symptoms such as heat cramps, heat exhaustion and heat stroke must be identified.
At first when one feels symptoms, it may come in the form of heat cramps. Heat cramps are painful spasms that occur in the muscles of the arms and legs and even abdomen. We believe that when one loses fluids and salts from excessive sweating, cramps ensue. It's important in these cases to get the person out of the heat, hydrate them with sips of fluid and electrolytes and massage the body parts affected.
If one does not leave the heat and come indoors, the next risky event that can occur is heat exhaustion. This worsens as the victim sweats profusely becoming more and more dehydrated. They could also have cramps but nausea may ensue, they may look pale and clammy and their heart rate will increase to try to compensate for the lost fluid. These individuals may become dizzy, weak and even faint. Immediately bring the person indoors, lie them down, elevate the feet, give sips of fluid, cool down the body applying cool and wet cloths to the underarms and body, and contact medical authorities if symptoms continue or worsen.
Heat stroke will occur if a vulnerable person does not get out of the heat in time. It is a medical emergency and can be fatal. If an individual has heat stroke 9-1-1 must be called immediately. Bring the victim indoors away from sunlight, lie them down, remove unnecessary clothing, cool their body with cold compresses and watch for signs of rapidly progressive heat stroke in which they have difficulty breathing, seize or lose consciousness. If they are unconscious you cannot give them fluids. Only if they are alert, awake and able to swallow will you be able to give fluids. Do not give medications to reduce the fever such as aspirin or acetaminophen since their body may not be able to metabolize them properly and this could make matters worse.
Young children and elderly individuals may have issues adjusting to the outside environment and may be more prone to dehydration. Those with medical conditions such as heart, lung, thyroid disease can be at risk as well. If you’ve ever suffered from heat stroke you can be vulnerable again. And many medications could make you susceptible such as diuretics, vasodilators and beta-blockers for blood pressure and antidepressants.
The biggest risk comes when we are unprepared. Having an unusual cool week prior to a heat warning could preclude many from taking proper precautions. Staying indoors, checking air conditioning and fan devices to make sure they work properly, wearing cooler clothing is just the beginning. Stocking up and planning to hydrate frequently is paramount because when death occurs to excessive heat, dehydration is the main culprit.
Bring your pets indoors, and watch your kids, friends and family members frequently. If they are beginning to succumb to the heat, they may be quiet and not be able to voice it.
Avoid drinking alcohol in the heat. It can dehydrate you more and worsen the situation.
Avoid excessive exercise when outdoors and make sure to make use of shady areas.
The summer and early fall offer exciting and fun ways to enjoy nature. Don’t let the heat get to you. Remember….if you can’t take the heat, get out of the…..well heat…….
Thursday morning Hawaii’s Kilauea shot ash and smoke into the air and blew a volcanic cloud that could reach 30,000 feet into the sky. The volcano has been spewing lava for weeks, prompting thousands of nearby residents to evacuate. Volcanic ash can prompt a multitude of health risks…not only from a particulate standpoint but also from the sulfur dioxide levels. Sulfur dioxide is a colorless, though stinky gas that can cause irritation to skin, eyes, and respiratory system linings.
Let’s break these health risks down:
Volcanic ash can irritate the respiratory passages causing the following symptoms:
Those with asthma, COPD, chronic bronchitis or other respiratory ailments may find themselves having exacerbations of their symptoms. Oxygen requirements will increase. Those requiring oxygen or inhalers will need to have extra supply during this time (medical offices may be closed during ash clean up so don’t wait until the last minute.)
Volcanic ash has large and small particles that can irritate the eyes increasing their sensitivity to light and making vision difficult. Moreover ash can irritate the cornea and conjunctiva causing redness, discharge and itching.
Skin may become irritated during these times and those with skin allergies or eczema may find themselves having flare-ups.
During a volcanic eruption, smoke plumes not only change the air quality but also visibility. During times of day when there is less light, road visibility obscures pedestrians and nearby cars. Drivers are urged to avoid the road during these smoky times.
Water quality can become affected by the ash or pH changes if supply becomes contaminated. Moreover, water use increases for cleanup so shortages may ensue.
Those who donate blood in nearby areas may be less likely to donate during this difficult time leading to local blood shortages. Those who can donate blood are urged to contact the American Red Cross, United Blood Services, or Blood Bank of Hawaii.
May is Skin Cancer Awareness Month as 5 million cases of skin cancer are diagnosed each year in the United States. This week, Consumer Reports released its 2018 Annual Sunscreen Guide on the best sunscreens to offer protection against UV (ultraviolet) rays. They looked at 73 various sunscreen lotions, sprays and sticks, which touted 80 minutes water resistance and an SPF of 30.
The top 5 sunscreens reported are:
La Roche-Posay Anthelios 60 Melt-In Sunscreen Milk, $36 (lotion)
Equate (Walmart) Sport Lotion SPF 50, $5.00 (lotion)
BullFrog Land Sport Quik Gel SPF 50, $8.50 (lotion)
Coppertone WaterBabies SPF 50 Lotion, $9 (lotion)
Trader Joe’s SPF 50+, $6 (spray)
Sunscreens use chemicals to disperse or absorb UV rays. Inorganic compounds in sunscreen such a titanium dioxide or zinc oxide attempt to scatter the UV rays. Organic compounds such as PABA and oxybenzone attempt to absorb UV rays so they can’t damage the skin.
UVA rays penetrate deeply into both the epidermis and dermis. They can cause premature aging of the skin, wrinkles, and skin cancer.
UVB rays are shorter and primarily affect the epidermis. They are responsible for causing sunburns as well as skin cancer.
SPF stands for Sun Protection Factor. The higher the SPF, the less sun photons enter the skin and cause damage. SPF primarily measures the protection against UVB rays. We multiply the SPF factor by how long it takes one’s skin to burn by the SPF number to determine the protection factor.
In theory, an SPF of 30 suggests your skin, if it burns within 10 minutes without protection, will not burn until 300 minutes has lapsed (30 times 10). However, we find this isn’t always the case. People sweat or swim and the sunscreen dissipates. Moreover many don’t put on the proper amounts (see below.)
So instead we use SPF as a grade to how much protection the product can offer.
An SPF of 15 blocks 93% of UVB rays
An SPF of 30 blocks 97% of UVB rays
An SPF of 50 blocks 98% of UVB rays
As we see, the relationship is not linear, however the higher the SPF, the more protection we have against UV rays.
Although the SPF alludes to protection against burning, hence UVB rays, a sunscreen may still protect against both UVA rays and UVB rays if it’s a broad spectrum sunscreen.
At least one in three adults has high blood pressure and strokes are the 5th leading cause of death in the United States.
In May we raise awareness of both these conditions during American Stroke Monthand National High Blood Pressure Education Month.
Every 40 seconds, someone in the United States suffers a stroke. And high blood pressure puts one at risk of a stroke, as well as heart disease.
Here are your questions answered.
The top number, or systolic pressure, is the pressure the heart exudes during a beat or pumping of the blood.
Diastolic pressure is the pressure in your arteries between beats while the heart is “filling.”
Both numbers are equally important as elevation of either can increase one’s risk of cardiovascular disease.
High blood pressure has now been redefined as being greater than 130/80 mmHg, down from 140/90 mmHg. Last year it was guestimated that 42% of Americans would soon be considered “hypertensive.”
Chronic high blood pressure can be dangerous. It may cause:
The stages of blood pressure are defined in the chart above. At the elevated or early stages of high blood pressure the following lifestyle changes will be recommended:
As a family physician I would also screen for diabetes, high cholesterol, low thyroid, kidney disease and sleep apnea.
If blood pressure cannot be controlled and continues to rise, medications may be prescribed to decrease blood volume, or lower the heart rate, or relax the blood vessels.
A stroke occurs when an area of the brain does not get the proper oxygen and blood flow it needs. There are two major types of stroke: ischemic and hemorrhagic.
Ischemic strokes are more common than the latter and occur when a clot prevents blood flow to part of the brain. 80% of all strokes fall under ischemic. It is a likened to a heart attack, except the brain tissue is being deprived of blood and nutrients. Plaques commonly arise from arteriosclerosis that break off travel to the smaller vessels of the brain.
Hemorrhagic strokes are less common and occur when there is a bleed of one of the brain vessels. The bleed prevents blood flow into the brain since it is seeping outside the brain tissue, causing damage to nearby cells. The bleeds could occur from high blood pressure or aneurysms that rupture.
What are the signs of a stroke?
Since a clot or bleed usually affect one area of the brain, we see symptoms on one side of the body, many times its contralateral (opposite) side. We can also see central effects. The symptoms of stroke include the following:
If the stroke was caused by a clot (ischemic) immediate treatment includes dissolving/removing the clot. Aspirin is used initially and if within the proper time frame, tissue plasminogen activator (TPA). These clots can also be surgically removed and arteries widened to bring blood flow to the brain.
With a hemorrhagic stroke, we need to stop the bleed and improve flow to the brain. Controlling the bleed, bypassing the vessel, “clogging” the aneurysm with techniques such as “coiling” (endovascular embolization) are sometimes utilized.
Time is of the essence, so it's crucial to identify the warning signs and call 911 immediately. The American Stroke Association uses the acronym “FAST” (Facial drooping, Arm weakness, Speech difficulty, and Time to call 911). The sooner a stroke victim receives medical attention the better the prognosis.
The following put us at risk of having a stroke.
Avoid the following:
When my realtor handed over the keys to my first home in late September, I didn’t feel like I had realized the American Dream. I even had a car in the lot (well, on the street) and a chicken in the pot. But there was still something missing.
I felt closer to realizing the American Dream while doing drugs with friends in the Escalante National Monument. That national treasure in Utah is being gutted to exploit energy sources by Secretary of the Interior Ryan Zinke and President Donald Trump, but they can’t touch the memories I have of that place or the feelings they invoke.
As we pulled away from a National Park Ranger checkpoint with so much drugs and alcohol the four of us couldn’t finish it all in a week, I watched as unlucky hippies leaned against cop cars on the side of the road with their hands cuffed behind them. It made us all realize how lucky we were. Hell, I wasn’t even supposed to be out of the county without my probation officer’s permission, so staying my ass out of federal prison and going on to have the time of my life made it feel like the new American Dream was to do drugs in beautiful places with lovely people and not get caught. But that’s just part of the new American Dream. The new American Dream is to do all those drugs and then recover from whatever addictions you acquire.
It wasn’t until I quit drinking that I felt I had realized the American Dream. I’ve tried just about everything when it comes to stimulants and depressants, but it was alcohol that brought me the most trouble in my life. Sure I was on probation for possessing a pound or so of pot, but I spent more days in jail during that probation because of alcohol than I did for using cannabis, and I still managed to use cannabis pretty regularly. But I drank daily.
First I decided I’d “slow down” for my body’s sake. You know, drink fewer days during the week. And I did, too. I had just become really intrigued by body chemistry and nutrition, so when I started counting my calories, I got a good look at my problem. I drank less often, sure, but did I ever make up for it on the weekends.
When I found it difficult to meet my caloric goals because of my drinking, I drank faster so I could drink less, or I did more exercise so I could drink more. My weekly cheat day became my opportunity to get super drunk.
When I visited my hometown in Eastern Montana and was assaulted while drunk for saying I was a Socialist, I realized I was incapable of drinking responsibly. I drank for more than 12 hours that day and blacked out en route to a house party. The only thing I remember is saying “I’m a Socialist” and someone immediately suplexing me. Sure, it was a hate crime, but since I couldn’t remember a name, face or much of anything, I wasn’t about to make a big deal of it. I figure those people living with themselves has to be punishment enough.
It took a few more weeks before I actually quit alcohol for good. It was October 3rd, and the Minnesota Twins had lost to the Yankees in the playoffs, again. I drunkenly rode my bike home from O’Donovan’s Pub, where a bartender informed me that Twins’ third baseman Miguel Sano frequented the place, and one time, drank “16 beers” with his arms wrapped around two women while on the disabled list with a stress fracture in his leg. (Just under three months later, Sano was alleged to have committed sexual assault.)
I haven’t had a drink since I heard that story. The next day hurt worse than any hangover I’ve had, including the morning after the Socialist suplexing. I stayed home from work and chased Ibuprofen with soup and water. I had no alcohol in the house because I had finished it all when I got home the night before. Usually I would have handled that hangover with a Bloody Mary or Screwdriver, but I just couldn’t bring myself to leave the house to get alcohol. When I checked my receipts (apparently after I had closed my tab I opened another) and found I had spent $70 -- my average monthly booze budget -- in one night, I knew I was done drinking. I didn’t need an intervention or treatment to stop drinking because I knew if I drank again, I could drink myself to death.
That doesn’t mean alcoholics don’t need help. In fact, 95 percent of alcoholics who need treatment don’t think they need it. Maybe I’m just a member of that majority, and it’ll take a relapse for me to realize it. At least I could get treatment if I wanted it, and my insurance would even cover it. That’s not the case for every addict.
A 2016 report by the U.S. Surgeon General found that one in seven Americans will face some sort of substance addiction. The economic impact of those collective addictions amounts to $442 billion each year, which rises as healthcare premiums rise. And America has the highest drug-death rate in the world.
Worse yet, we’re not even addressing the problem properly. Instead of providing the treatment addicts need, money is funneled by politicians to for-profit prisons instead of treatment facilities, leaving addicts without the treatment and supportive community necessary to keep them clean. The number of substance abuse treatment facilities in the U.S., which focus on drug and alcohol abuse, was reported to be 13,873 in 2014, a decrease from the 14,152 facilities reported in the previous year.
“Former inmates return to environments that strongly trigger relapse to drug use and put them at risk for overdose,” according to a 2012 study published in Addiction Science & Clinical Practice. Of the more than 21 million addicts in America, only 10 percent receive treatment, mostly due to a lack of healthcare coverage or lack of treatment centers in their area. According to the Journal of the American Medical Association, 80 percent of opioid addicts don’t get treatment, and a similar 2015 study found a million opioid addicts couldn’t get treatment for their addictions if they wanted it.
That leaves a lot of Americans on our own to struggle through our addictions. I’ve resisted to commit to Alcoholics Anonymous or the 12-Step Program because I wasn’t convinced I had a problem. Now that I am convinced, I realize the importance of having a community to support you and your decision, but I still haven’t attended an AA meeting because the 12-Step Program utilized by AA most often relies on a commitment to religion. Giving oneself up to “a higher power” is the first step, and it wasn’t until I read Russell Brand’s Recovery: Freedom from Our Addictions that I found a non-religious means to put the 12-Step Program to work for me, an atheist.
Since publicly announcing my problem with alcohol on Facebook on Oct. 12, 2017, I found I did have a community in place to help me through my problem with alcohol. Friends of mine who’ve long been out of touch and also quit drinking offered their support, as did my family. Not every alcoholic has friends and family with experience overcoming addiction, however. I guess I’m lucky to have excessively drunk alcohol and done drugs with people willing and capable of realizing and accepting their powerlessness over substances.
Prisoners aren’t leaving prisons with that community in place. They’re reentering communities where they’ll be tempted around every corner. So until we stop putting nonviolent, drug offenders behind bars and instead put them in treatment centers to get the help they truly need, we’ll be inching ever closer to making the new American Dream overcoming addiction.
If you like this, you might like these Genesis Communications Network talk shows: America’s Healthcare Advocate, The Bright Side, The Dr. Daliah Show, Dr. Asa On Call, Dr. Coldwell Opinion Radio, Good Day Health, Health Hunters, Herb Talk
Experts report allergy season will worsen each year due to environmental changes.
Allergy season usually begins in March with the start of Spring and can extend to the Fall even leading to new Fall allergies.
Each year we find allergy season starting a few weeks earlier as temperature changes prompt early blooms.
Tree pollens start first in January and then taper off in April. Grass pollen starts to rise in February and March. Finally weed pollens join the party by the Spring and extends through the Summer and Fall.
Dr. Jeffrey Demain, Board Certified Allergist and Immunologist reported at the March meeting of the American Academy of Allergy, Asthma and Immunology the following, “We have higher temperatures and expanding levels of carbon dioxide.
“When you look at a pollen grain, there are certain proteins that cause the allergy, they are the allergenic peptides,” he said. “It’s been shown that in rising carbon dioxide, the allergenic peptide of each pollen grain goes up.”
Plants utilize carbon dioxide for respiration as humans use oxygen. The higher carbon dioxide levels, the higher the pollen counts and proteins in pollens that contribute to allergies.
The increase in storms may contribute to allergy season as well as moisture in the air causes pollen to swell and “explode” into multiple little pollen particles, smaller and easier to breathe in.
Moreover stagnant flood water may cause fungi, mold and spores to grow, also leading to allergies.
The Allergy Capitals Spring 2018 report found many cities are worse off this year than they were in previous seasons. McAllen, TX , Louisville, KY, Jackson, MS, Memphis, TN and San Antonio, TX ranked in the top 5 in “Most Challenging Places to Live With Spring Allergies.” The copy of the report is below:
Let’s review allergies…..
Allergies are the result of the immune response to a foreign particulate that our body senses. One could be allergic to pollen, dust, dander, food, insects, mold, metals, transfused blood, grafts, medicine and anything the body senses as a foreign intruder. Even though these may be individually harmless, a hypersensitivity reaction occurs as a result of their intrusion into the body. IgE antibodies find the allergen (intruder) and activate mast cells in the tissue and basophils in the blood. When these cells get activated, they release substances to help protect the body, including histamines, leukotrienes, and cytokines. These help the body attempt to sneeze and cough the allergen out, wall off the antigen, signal more antibodies, or produce tears and nasal secretions to flush it out.
Symptoms of allergies could include any or a combination of the following:
Colds may have very similar symptoms to allergies. However they are different. The common cold is caused by a virus. When one gets infected by the virus they may feel malaise, fever, and achy. This does not occur with allergies. Moreover, nasal secretions from allergies are usually clear. In a cold, the mucous could be thicker and with color. The same holds true with sputum. During an allergy the cough may have little to no mucous and if so, be light colored. Thick mucus could be a sign of an infection. An allergic sore throat will seem more dry and scratchy. A sore throat from a cold is more uncomfortable and less easy to soothe. Allergies may persist or be cyclical. Cold symptoms will usually subside after a few days and rarely persist longer than 10 days.
Yes and no. Allergies should not in and of themselves cause an infection. However they may make one more vulnerable for a virus or bacteria to take over. Hence a bronchitis, sinus infection, or pneumonia could uncommonly follow an asthma attack.
As stated previously, if one is susceptible to colds, an allergic attack could make them vulnerable. Moreover if one suffers from asthma, an allergy attack could incite an asthma attack. Very rarely would we see a life threatening anaphylaxis to an allergen such as pollen.
Avoiding, or decreasing exposure to the allergen is key. We suggest the following:
Local tree, ragweed and grass pollen counts can be obtained here.
A study out of Harvard’s TH Chan School of Public Health finds 5 simple lifestyle changes that can add 1-2 decades onto one’s life.
Researchers looked at lifestyle and diet of over 100,000 men and women apart of the Nurses’ Health Study and the Health Professionals Follow-up Study. They found sticking to these lifestyle changes at the age of 50 could give the average woman 14 extra years of life and the average man, 12.
Since cancer and heart disease contribute to hundreds of thousands of deaths a year, study authors suggest the following:
Since smoking has been long linked to early death, due to increase risk of arteriosclerosis and multiple types of cancer, avoiding tobacco products have been found to increase life expectancy.
Researchers encourage a healthy body weight, more specifically a BMI of 18.5 to 24.9 kg/m2.
Obesity has been linked to diabetes, heart disease and multiple cancers, so a healthy diet is paramount.
Diets rich in vegetables, low sugar fruits, whole grains, fish and healthy fish oils have been found to decrease risk of diabetes, obesity, heart issues and various cancers.
Avoiding excess salt, sugar, and saturated fats are key.
30 minutes a day of moderate to vigorous activity daily has been recommended by multiple medical associations. I would encourage making sure one’s medical provider evaluates heart health before engaging in vigorous activity. But walking, swimming, household chores, dancing, and many other activities fall under “moderate activity” that can be safe and provide multiple health benefits.
Moderate drinking is defined as no more than one drink a day for women, two drinks a day for men.
Image above from CDC
However, the health benefits of alcohol consumption are controversial, as many studies have linked alcohol consumption to cancer. Moreover, the sugar levels in alcohol can contribute to diabetes and obesity.