Health

Health (115)

Editor’s note: Technically, National Blood Donation Day is September 5th, as Doc D. notes. BUT National Blood Donation week continues through the week ending on the 9th, so here you go.

This year September 5th is National Blood Donation Day.  Blood banks all across America are holding drives to increase our nation’s blood supply.

Governors from nearly all states have proclaimed State Blood Donation Days to show their support.

Every two seconds, someone needs blood.

The American Red Cross provides these startling statistics:

  • Approximately 36,000 units of red blood cells are needed every day in the U.S.
  • Nearly 7,000 units of platelets and 10,000 units of plasma are needed daily in the U.S.
  • Nearly 21 million blood components are transfused each year in the U.S.
  • The average red blood cell transfusion is approximately 3 pints.
  • The blood type most often requested by hospitals is type O.
  • Sickle cell disease affects 90,000 to 100,000 people in the U.S. About 1,000 babies are born with the disease each year. Sickle Cell patients can require blood transfusions throughout their lives.
  • According to the American Cancer Society, about 1.7 million people are expected to be diagnosed with cancer in 2017. Many of them will need blood, sometimes daily, during their chemotherapy treatment.
  • A single car accident victim can require as many as 100 pints of blood.

We wear red today to show our support.

To donate blood visit the following sites:

United Blood Services/BloodHero.com

American Red Cross Blood Drive Locator

Donating blood is a simple process that takes less than 45 minutes.  For those who cannot donate blood, hosting a drive can be just as life saving and easy to do.  Blood banks can host a drive at work on site or through a bloodmobile in the parking lot, with no cost to the host.

UBS-Mobile-Unit.jpg

 

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National Blood Donation Week

Almost all of the United States have declared State Blood Donation Days to help combat our nation’s blood shortage as part of National Blood Donation Week (NBDW).

This year National Blood Donation Week is September 2nd-0th with September 5th being National Blood Donation Day.

The movement began in 2015 when Nationally Syndicated Radio Host Dr. Daliah Wachs, asked Governor Brian Sandoval to proclaim Nevada Blood Donation Day to help fight the state’s blood shortage. The next year she took this movement national asking all governors to proclaim state blood donation days.

From our September 4th post:

Governors in just about every state have already proclaimed September 5th to be their state Blood Donation Day for 2018.

Oklahoma has proclaimed the month of September - Blood Donation Month.

Alaska proclaimed the month of July - Blood Donation Month.

“Blood and platelet donations are currently being distributed to hospitals as fast as donations are coming in, and more donations are needed, especially type O, to replenish the blood supply,” said Laurie Nehring, communications director for the American Red Cross. “We appreciate Dr. Daliah’s efforts to educate the public about the importance of regular blood donations.”

Emergency rooms treating trauma victims, hospitals treating anemic patients, and medical clinics replenishing low blood levels in cancer patients require a steady supply of blood products.

38% of the U.S. population is eligible to donate blood but less than 10% actually do.

“The unified effort across America to proclaim state blood donation days around the Labor Day holiday comes at an important time for patients,” said Mitzy Edgecomb, Blood Systems Vice President, Donor Marketing & Communication. “Blood donations often drop dramatically during the summer months and over holiday weeks when regular donors take time away to enjoy family vacations.  We appreciate and applaud the governors from the multiple states who have called attention to the ongoing need for blood donations and thank those who step forward to make a life-transforming impact on others by giving blood.”

Donating blood is easy and takes less than one hour.  Many places of work can hold blood drives so employees don’t have to take off work (plus you get yummy cookies).

Inconsistent donation patterns during the year result in unpredictable and reliable blood supply numbers, hence donation is requested year round.

United Blood Services suggests donating three times a year.The summer and holiday season appear to be the “driest” in terms of donations.  States and regions frequently need to ship blood to areas who are in need. Blood supplies have been critical in many parts of the country due to natural disasters such as storms and wildfires.

What makes NBDW so unique is that both Republican and Democratic governors are uniting and coming together for a common cause. One pint of blood has the potential to save three lives.  Imagine what the whole country can do!

blood bags

For a list of Governor Proclamations visit here.

 

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

A case report in Annals of Internal Medicine describes a teen who went “blind” from a junk food diet.

A 14 year-old boy described as a “fussy eater” presented to his doctor with fatigue after years of eating meals rich in fries, white bread, chips and processed meat.  He was told to take supplements when they found him to be iron and B12 deficient but progressively over the next 3 years he began to suffer from vision loss.  Upon lab testing he was found to be deficient in iron, copper, selenium, Vitamin D and Vitamin B 12. And upon further testing was found to suffer from optic neuropathy.

He was further treated with supplements and now is under the care of specialists including nutritionists and eating disorder specialists.

His condition stabilized but reportedly he still has deficits such as blind spots  in the middle of his vision (central scotoma), rendering him “legally blind.”

This wasn’t the first case of nutritional optic neuropathy.

optic neuropathy.jpg

 

Above is a picture of the fundi of a 28 year-old male who suffered from central vision loss as a result of his diet which consisted of heavy alcohol use.  The progression of his disease has stabilized with intervention but he too has had to learn to adapt to his central scotoma.

Our eyes need vitamins such as A, a variety of B’s, C, E, and omega-3 fatty acids to name a few. Vitamin D is crucial for bone health and for protection against diabetes and cancer.

Most fast food is rich in carbohydrates, fats, salt and preservatives, and lacking in rich nutrients and amino acids.

So comes the question, are the majority of our youth “malnourished?”

Unless our children are eating diets rich is fruit, vegetables, whole grains, protein, dairy and health fats, they could be at risk of not receiving vital nutrition.

vitamins.png

 

Vitamin supplementation helps but may not satisfy all the nutritional needs of a growing child. Hence in addition to the millions of children who suffer from malnourishment due to poverty, millions more are expected to suffer similarly as a result of poor diet choices.

This is a developing story.

 

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

70 year-old music legend, Edward Mahoney “Eddie Money,” revealed in a video released by his realty TV series “Real Money” that he has stage 4 esophageal cancer.

The episode airs on AXS TV on September 12 and discusses how he went in for a routine screen when he was diagnosed.

He recently underwent heart valve surgery and reports say he also battled pneumonia.

Despite the cancer having spread to his liver, lymph nodes and stomach, he appears optimistic saying cancer has come a long way since the 1950’s and 60’s and “everyday above ground is a good day.”

What is esophageal cancer?

Esophageal cancer can occur anywhere along the gullet/food pipe.  There are different types such as adenocarcinoma (lower portion near the stomach), more commonly seen in Caucasians, and squamous cell carcinoma (middle to upper esophagus) more commonly seen in African Americans.  It’s the 6th common cause of cancer death worldwide and comprises 1% of all cancers diagnosed in the US.

According to the American Cancer Society, estimates for 2019 include:

  • ABOUT 17,650 NEW ESOPHAGEAL CANCER CASES DIAGNOSED (13,750 IN MEN AND 3,900 IN WOMEN)
  • ABOUT 16,080 DEATHS FROM ESOPHAGEAL CANCER (13,020 IN MEN AND 3,060 IN WOMEN)

a-medical-illustration-of-esophageal-cancer-original.jpg

 

What are the symptoms of esophageal cancer?

Early esophageal cancer may not exhibit any signs. However if it progresses, symptoms may include any of the following:

  • abdominal pain
  • heartburn
  • feeling full despite not eating
  • nausea
  • vomiting blood
  • weight loss
  • loss of appetite
  • chest pain
  • cough 

What are the risk factors for esophageal cancer?

Although esophageal cancer appears to afflict men more than women, risk factors  include:

  • Smoking
  • Alcohol use
  • Frequent imbibing of hot liquids
  • Obesity
  • Chronic GERD or heartburn that may have led to esophagus lining changes such as Barrett’s Esophagus disease
  • Vitamin deficiency
  • Drinking liquids that contain lye, an alkaline  chemical present in many soaps
  • Prior radiation to the chest 

What is the prognosis of esophageal cancer?

If caught early and localized, the 5-year survival rate is over 45%. However, if it has spread, the 5 year survival rate can range any where from 5-20%.

How is esophageal cancer treated?

There are a variety of treatments for esophageal cancer including surgery, chemotherapy and radiation.

 

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

Super Bowl Champion Quarterback and Bronco’s General Manager John Elway revealed  to TODAY that he was diagnosed with a debilitating hand condition 15 years ago.  After he retired in 1999 he developed contractures, or permanent bending of his fingers.  It affected both his ring fingers such he couldn’t straighten them out and subsequently couldn’t hold a football.

In the interview he states,

“IT IS HEREDITARY AND IT ALSO CALLED THE ‘VIKING’S DISEASE.’
“IF YOU HAVE A NORWEGIAN BACKGROUND, YOU HAVE A HIGHER CHANCE OF DEVELOPING IT. THAT’S A POSSIBILITY FOR ME, BUT NOBODY ELSE IN MY FAMILY HAS HAD IT. I’M NOT SURE IF ME PLAYING FOOTBALL HAS PLAYED A PART TOO.”

“Viking’s Disease”, or Dupuytren’s Disease, is thought to have originated in the Viking population and spread throughout Northern Europe during the 9th and 10th Century.  It wasn’t until French physician, Baron Guillaume Dupuytren, described the flexion of the fingers and hand contortion that it received its modern name of “Dupuytren’s Contracture.”

In Dupuytren’s disease, the fascia, or fibrous layer that surrounds the muscles and tendons underneath the skin in the hand becomes thickened and tents, or tightens around the local area.  This can cause a contracture, or pulling of the finger to a position in which they can’t extend or straighten back out.

 

 

Risk factors for Dupuytren’s disease with resulting contractures include:

  • Diabetes
  • Genetics
  • Northern European ancestry
  • Older age
  • Male
  • Alcohol use

Treatments include conservative measures such as steroid injections, enzyme injections and therapy and in more severe cases surgical options are available.

John Elway states he chose to go the conservative route and forewent surgery.  It was successful and he now has normal movement of his fingers but the condition can return.  The football legend is currently a spokesperson for the Facts On Hand Campaign, raising awareness of this common condition.

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

 

The start of the school year may be the most exciting time of the year (well maybe just for parents…) However going back to school can bring on a slew of health issues, so let’s look at how we can prevent them.

Good hand-washing

The most basic and easiest thing we can teach our children is to wash their hands whenever they touch something dirty, use the restroom or before they eat. True we need to be exposed to germs to increase our immunity, but some of these germs aren’t friendly and bring on colds, flu, rashes and intestinal bugs when we’re not expecting it.

 

Good nutrition

If a child skips breakfast or eats primarily sugar and carbohydrates, they not only face immune system weaknesses but also poor attention, concentration and ability to do well in school. Make sure your kids eat a good breakfast with protein and Vitamin C-packed fruits before heading for the school bus.

Good sleep

If the kids were accustomed to staying up late and now have to wake up at 5:30 in the morning, they might spend much of their school day nodding off.  Insufficient sleep has been linked to obesity as well as poor immunity so get them on a regular schedule of a bedtime that will allow 8-10 hours of sleep a night.

 

 

Proper clothing

Chances are your child grew an inch this summer, so shoes and clothing may be a little tight.  Use the finger tip rule for pants and shoes to make sure there is room to grow. And avoid accessories that your kids can chew on, swallow or can lose as they will concentrate more on the lost earring than what the teacher is saying.

Talk to them, often

Back to school can bring on anxiety in many children and make sure you have open conversations to allow them to share their fears.  Bullies make themselves apparent the first few days of school, and your child may be getting wet willies, wedgies or their lunch stolen right under the teacher’s nose.

Be aware of what’s going around the school

If joining the PTA doesn’t appeal to you, at least make buddies with parents of children in your kid’s class as they will be the first to notify you if lice, pink eye or sore throat is making the rounds before a school may.

Discuss stranger safety with your children

If you child walks to or from school or a bus stop, educate them on how to avoid strangers and what to do if approached by one.  Consider driving your child if you think they are at risk.

Teachers face health risks

In 2006, a study published in BMC Public Health, found teachers to suffer more from ENT (ear, nose and throat) ailments, dermatitis, bladder infections, bronchitis, conjunctivitis and varicose veins than those who work in other professions.  Teachers are on the front lines when it comes to cough and cold season as they come into contact with hundreds of children a day, many of whom are contagious prior to knowing they are symptomatic. Once the fever shows itself, parents may keep the child home but the student already exposed others earlier in the day.

Standing on one’s feet for extended hours does a number on the peripheral vascular system, manifesting in leg swelling and at times, varicose veins.  And when breaks are infrequent, bladder infections brew since one can’t visit the bathroom when they need.

Long work hours during the week prevent many educators from seeing a health care provider and many health plans don’t have providers who work on the weekends.  Teachers can very easily put their own health care needs on the back burner during a long school year.

Taking care of school business is paramount during the school year but parents, teachers and kids need to still put health and safety.

 

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

A 6th case of West Nile virus has been confirmed in Clark County, Nevada. The Southern Nevada Health District has declared an “outbreak of mosquito-borne diseases” following new cases of the virus being reported.

This summer has been a wetter season in the Southwest, most likely causing an uptick in mosquito activity.

States throughout the country have been reporting cases of West Nile virus as well, with the highest occurring in Arizona (42 cases as of 7/23/19 per CDC).

 

wnv-activity-07092019.jpg

 

West Nile Virus Disease Cases* and Presumptive Viremic Blood Donors by State – United States, 2019 (as of July 23, 2019)

State

Neuroinvasive

Disease Cases†

Non–neuroinvasive

Disease Cases

Total

cases

Deaths

Presumptive viremic

blood donors‡

Arizona

42

15

57

1

16

Arkansas

1

0

1

1

0

California

2

0

2

1

1

Colorado

0

1

1

0

0

Iowa

0

2

2

0

0

Kentucky

1

0

1

0

0

Maryland

0

1

1

0

0

Missouri

1

0

1

0

0

Nebraska

1

0

1

1

0

Nevada

1

0

1

0

0

New Jersey

1

0

1

0

0

North Dakota

1

0

1

0

0

Oklahoma

1

2

3

0

0

South Dakota

0

1

1

0

0

Virginia

0

1

1

0

0

Wyoming

1

0

1

0

0

Totals

53

23

76

4

17

*INCLUDES CONFIRMED AND PROBABLE CASES.
†INCLUDES CASES REPORTED AS MENINGITIS, ENCEPHALITIS, OR ACUTE FLACCID PARALYSIS.
‡PRESUMPTIVE VIREMIC BLOOD DONORS (PVDS) ARE PEOPLE WHO HAD NO SYMPTOMS AT THE TIME OF DONATING BLOOD THROUGH A BLOOD COLLECTION AGENCY, BUT WHOSE BLOOD TESTED POSITIVE WHEN SCREENED FOR THE PRESENCE OF WEST NILE VIRUS. SOME PVDS DEVELOP SYMPTOMS AFTER DONATION.
PLEASE REFER TO STATE HEALTH DEPARTMENT WEB SITES FOR FURTHER DETAILS REGARDING STATE CASE TOTALS.

What is West Nile virus?

West Nile virus was originally discovered in the 1930’s in the West Nile district of Uganda.  It is believed to have reached the United States in the late 1990’s.

It’s in the family of Flaviviridae in which the disease is vector transmitted, such as by ticks, or mosquitoes, and can infect mammals as hosts. West Nile is in the same family as Zika, Yellow Fever, Dengue Fever, and Japanese Encephalitis.

Culex genus/species of mosquitoes are the usual culprit.  They feed from evening to morning, hence are more active during those times.

How is West Nile transmitted?

A mosquito contracts the disease while feeding on an infected bird and then can transmit it to humans.

 

WNV-transmission-cycle.jpg

 

What are the symptoms of West Nile virus infections?

80% of those infected do not exhibit symptoms.  Some however, may elicit the following if they have mild illness:

  • Fever
  • Body aches
  • Fatigue
  • Nausea
  • Vomiting
  • Joint  pains
  • Weakness
  • Rash

Rarely (1 in 150 people) may become seriously ill with neuroinvasive symptoms.  These include:

  • Headache
  • Neck pain/Stiff neck
  • High fever
  • Sensitivity to light (photophobia)
  • Tremors
  • Weakness
  • Paralysis
  • Confusion
  • Disorientation
  • Seizures
  • Coma
  • Death

Since mosquitoes are the primary vector, avoiding them is paramount to limiting infection.  We recommend the following:

Clean up areas of standing water around the house such as kiddie pools, puddles, buckets as they provide a breeding ground for mosquitoes.

Wear light long sleeve clothing, pants tucked into socks/shoes when outside.

Use DEET or insect repellant that can also be sprayed onto clothes when planning to be outdoors.

Be aware that many mosquitoes are active from dusk till dawn.

If bitten by a mosquito, contact your local medical provider if you have any of the aforementioned symptoms.

 

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

Thursday, 25 July 2019 22:06

"Superfungus" cases continue to rise

Written by

The CDC is now reporting 685 confirmed clinical cases of the fungal infection, Candida auris (C. auris), that unfortunately is resistant to multiple types of antifungal drugs. Moreover another 30 cases are being monitored who were in contact with those infected.  This spike is very worrisome.

 

map

 

States reporting C. auris infections include:

  • New York
  • New Jersey
  • Indiana
  • Illinois
  • Massachusetts
  • Maryland
  • Oklahoma
  • California
  • Connecticut
  • Florida
  • Texas
  • Virginia

The majority of the cases are in New York, Illinois and New Jersey.  Many of those infected have died but they did have other comorbid conditions, which could have also contributed to their becoming infected with C. auris to begin with.

Please note that this fungus is different from  the species, Candida albicans, which causes common yeast infections.

When investigators first analyzed facilities reporting outbreaks, they found C. auris had colonized mattresses, beds, chairs, counter surfaces, infusion pumps, and window sills.  By this, the superbug demonstrates its resilience outside a human host.

The super fungus still has some vulnerability to antifungal medication but its resistance is increasing.

  1. auris can cause a variety of infections involving the skin and ear, but most concerning, is sepsis (infection of the bloodstream).  C.  auris was first identified in Japan back in 2009, but upon retrospective review, the CDC states the earliest known strain dates back to 1996. Since then it has been reported in multiple countries including the UK, Israel, South Africa, South Korea, Columbia, Pakistan, Kuwait and Venezuela.

Most hospital disinfectants are currently designed to be antifungal, antibacterial and antiviral.  The CDC has urged healthcare facilities to be diligent in their cleaning practices and to be aware of this “super fungus.”

 

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

Harvard researchers warn that 30 million Americans are taking aspirin for prevention of heart disease when they could be putting themselves at risk for other serious diseases.

They estimate that 1/5 of these individuals took aspirin on their own without a doctor’s order.

Although aspirin use is recommended for secondary prevention of future heart attacks and ischemic stroke in those at risk of having a future episode, primary prevention (in those who have never had an attack) is still debated.

One study last year found minimal benefit if at all for primary prevention in low risk individuals.  Many experts say the risk of gastrointestinal bleeding, heart disease, hemorrhagic stroke and kidney disease outweigh the benefits.

The latest guidelines from the American College of Cardiology states the following in terms of aspirin for prevention of heart disease:

FOR DECADES, LOW-DOSE ASPIRIN (75-100 MG WITH US 81 MG/DAY) HAS BEEN WIDELY ADMINISTERED FOR ASCVD PREVENTION. BY IRREVERSIBLY INHIBITING PLATELET FUNCTION, ASPIRIN REDUCES RISK OF ATHEROTHROMBOSIS BUT AT THE RISK OF BLEEDING, PARTICULARLY IN THE GASTROINTESTINAL (GI) TRACT. ASPIRIN IS WELL ESTABLISHED FOR SECONDARY PREVENTION OF ASCVD AND IS WIDELY RECOMMENDED FOR THIS INDICATION, BUT RECENT STUDIES HAVE SHOWN THAT IN THE MODERN ERA, ASPIRIN SHOULD NOT BE USED IN THE ROUTINE PRIMARY PREVENTION OF ASCVD DUE TO LACK OF NET BENEFIT. MOST IMPORTANT IS TO AVOID ASPIRIN IN PERSONS WITH INCREASED RISK OF BLEEDING INCLUDING A HISTORY OF GI BLEEDING OR PEPTIC ULCER DISEASE, BLEEDING FROM OTHER SITES, AGE >70 YEARS, THROMBOCYTOPENIA, COAGULOPATHY, CHRONIC KIDNEY DISEASE, AND CONCURRENT USE OF NONSTEROIDAL ANTI-INFLAMMATORY DRUGS, STEROIDS, AND ANTICOAGULANTS. THE FOLLOWING ARE RECOMMENDATIONS BASED ON META-ANALYSIS AND THREE RECENT TRIALS:
  • LOW-DOSE ASPIRIN MIGHT BE CONSIDERED FOR PRIMARY PREVENTION OF ASCVD IN SELECT HIGHER ASCVD ADULTS AGED 40-70 YEARS WHO ARE NOT AT INCREASED BLEEDING RISK.
  • LOW-DOSE ASPIRIN SHOULD NOT BE ADMINISTERED ON A ROUTINE BASIS FOR PRIMARY PREVENTION OF ASCVD AMONG ADULTS >70 YEARS.
  • LOW-DOSE ASPIRIN SHOULD NOT BE ADMINISTERED FOR PRIMARY PREVENTION AMONG ADULTS AT ANY AGE WHO ARE AT INCREASED BLEEDING RISK.

A report published in the American Heart Association’s Heart and Stroke Statistics annual report cited 48% of US adults have some type of cardiovascular disease.

The uptick could be due to rising obesity, and lowering thresholds for diagnosing guidelines such as high blood pressure (now considered high if over 130/80).

Although smoking rates have declined over the years, many still use tobacco and recent research has found E-cigs to increase risk of heart attack and stroke by 70%.

 What is a stroke?

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 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:

  • Weakness of one side of the body
  • Loss of balance
  • Numbness on one side of the body
  • Slurred speech
  • Vision issues
  • Headache
  • Facial droop

and more…..

 How are strokes treated?

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 bleeding 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.

What are the risk factors for stroke?

The following put us at risk of having a stroke.

  • High blood pressure
  • Family history of stroke
  • Diabetes
  • Cardiovascular disease (artery clogging, such as the heart and carotid arteries)
  • Abnormal heart rhythms, such as atrial fibrillation
  • Smoking
  • Drugs
  • Obesity
  • Inactivity
  • Clotting disorder
  • Sleep apnea
  • Being older (greater than 55)
  • African-Americans appear to be more at risk than Caucasians and Hispanics
  • Men seem to be more affected than women

 How do we prevent strokes?

Avoid the following:

  • Excessive drinking
  • Drug use
  • Tobacco products
  • Control blood pressure, sugar and cholesterol
  • Get evaluated by a medical provider if at risk for heart disease or stroke. 

Preventing Heart Disease

Firstly, we must know our risk factors. These include:

  • Family history of heart disease
  • Personal history of heart disease
  • High Blood Pressure
  • High Cholesterol
  • Diabetes
  • Smoking
  • Obesity
  • Inactivity
  • Males over 40
  • Females who are post menopausal
  • High stress

and even short stature has been cited as a potential risk factor.

As you can see, many of us can be at risk for heart disease.  Therefore, secondly, we should be evaluated with an EKG, echocardiogram and any other exams our medical provider and/or cardiologist deem necessary.

 

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

In 2017, a 25-year-old mother of two died after over consuming protein supplements in preparation for a bodybuilding competition, and her mother is speaking out on the potential dangers that many athletes face.

Meegan Hefford was found unconscious in her West Australia apartment and was declared brain-dead, passing two days later.

Unbeknownst to her, she suffered from Urea Cycle Disorder (UCD), such that when she consumed protein shakes and supplements she overproduced a toxic byproduct.

What is Urea Cycle Disorder?

People with Urea Cycle Disorder (UCD) have a mutation that causes them to lack an enzyme that helps break down ammonia.  The urea cycle is responsible for removing ammonia from the bloodstream. Ammonia is made by cells, when they breakdown the nitrogen in proteins.  Ammonia needs to be eliminated, and through this cycle turns in to urea which can be excreted in the urine.  If a step is missing, ammonia and nitrogen products build up causing hyperammonemia.  This can cause liver and brain damage and eventually death.

What are the symptoms of Urea Cycle Disorder?

If one suffers from hyperammonemia, a result of UCD, the following symptoms may manifest:

  • Fatigue
  • Lethargy
  • Vomiting
  • Respiratory issues
  • Seizures
  • Behavior issues
  • Gait abnormalities
  • Cognitive issues
  • Headaches

UCD cases are rare with 1 UCD patient per 35,000 births. According to the National Urea Cycle Disorders Foundation, “Because many cases of urea cycle disorders remain undiagnosed and/or infants born with the disorders die without a definitive diagnosis, the exact incidence of these cases is unknown and underestimated. It is believed that up to 20% of Sudden Infant Death Syndrome (SIDS) cases may be attributed to an undiagnosed inborn error of metabolism such a urea cycle disorder. Some children with autism spectrum and behavioral disorders may have undiagnosed urea cycle disorders.” Treatment includes stopping the excess protein/nitrogen intake, fluids, medications, dialysis and at times, liver transplantation.

So do we need to fear protein supplements?

No.  But what we need to remember is if we are increasing our protein, and many times accurately, for bodybuilding, we need to realize that our bodies, including our kidneys, may not be on the same page.  When this happens, protein supplements can be dangerous so competitive athletes, or others using protein supplements, should be supervised by their health provider.

 

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

Thursday, 18 July 2019 15:25

The latest trend in getting high: Bug spray

Written by

Multiple states are reporting an alarming increase in people overdosing on…..bug spray.

Bug spray, such as RAID contain pyrethroids, man-made versions of pyrethrin, a compound made by flowers to repel insects. The compound acts as a neurotoxin, overly exciting the nervous system leading to paralysis and death of the critter that gets exposed.

But humans are spraying the insecticide on their marijuana, tobacco, or spice before smoking it, in an attempt to increase the high. These bug spray-laced drugs, called KD, could cause serious illness.

In December, a Tennessee man went on a violent bender and was arrested after he smoked a mixture of  methamphetamine and bug spray to make “wasp“.

“Hot Shots” are even crazier.  The DenverChannel.com reports one takes a screen, sprays bug spray on it, hooks up a battery charger to  heat it, and once the solution crystallizes, melts it and injects the liquid into their veins.

Health officials are warning using any of the above drug mixtures can produce various symptoms including:

  • nausea
  • vomiting
  • headache
  • dizziness
  • fatigue
  • aggression
  • tremors
  • seizures
  • respiratory failure
  • cardiac arrest
  • coma
  • death

Because of the ubiquity of bug spray, anyone, including a child, can become exposed to toxic doses using it by itself or mixing it with other chemicals and drugs.

As a kid we used to collect bugs and play with them.  Now kids are getting high on bug spray.  What could possibly be next……

 

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Daliah Wachs is a guest contributor to GCN news, her views and opinions, medical or otherwise, are her own. Doctor Wachs is an MD,  FAAFP and a Board Certified Family Physician.  The Dr. Daliah Show , is nationally syndicated M-F from 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

 

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