A study from New York University found the nicotine in electronic cigarettes to cause DNA damage similar to cigarette smoking.

Dr. Moon-shong Tang and his colleagues exposed mice to e-cig smoke during a three-month period, 5 days a week for three hours a day.  They found these mice, compared to those breathing filtered air, to have DNA damage to cells in their bladders, lungs and hearts. The amount of nicotine inhaled was approximately 10mg/ml.   That dose would be commonly consumed by many humans who vape.

 

nicotine.jpg

They then looked at human bladder and lung cells and found tumor cells were able to grow more easily once exposed to nicotine and vaping chemicals.

Last May, researchers from Vanderbilt-Ingram Cancer Center in Nashville found e-cig smoke to increase one’s risk of bladder cancer.

In 2015, the University of Minnesota identified chemicals commonly found in e-cig vapor to include:

  • Formaldehyde (human carcinogen)
  • Acetaldehyde (carcinogen related to alcohol drinking)
  • Acrolein (highly irritating and toxic)
  • Toluene (toxic) NNN, NNK (tobacco carcinogens related to nicotine)
  • Metals (possible carcinogens and toxins)

Although electronic cigarette “juice” may appear safe, it could produce harmful chemicals once heated to become a vapor.

A lethal dose of nicotine for an adult ranges from 30-60 mg and varied for children (0.5-1.0 mg/kg can be a lethal dosage for adults, and 0.1 mg/kg for children).  E-cigs, depending on their strengths (0 – 5.4%) could contain up to 54 mg of nicotine per cartridge (a 1.8% e -cig would contain 18mg/ml).

The topic of nicotine increasing one’s vulnerability to cancer is nothing new as decades ago researchers found nicotine to affect the cilia (brush border) along the respiratory tree, preventing mucous production and a sweeping out of carcinogens trying to make their way down to the lungs.

More research needs to be performed but this recent report reminds us that exposing our delicate lung tissue and immune system to vaping chemicals may not be as safe as we think.

 

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Daliah Wachs is a guest contributor to GCN news. 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.

 

Published in News & Information
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Flu increases risk of heart attack

A study published in The New England Journal of Medicine reports the flu increases one’s risk for a heart attack by six within the first week.

Study author Dr. Jeff Kwong, a family physician and epidemiologist from the Institute for Clinical Evaluative Sciences and Public Health Ontario, and his colleagues looked at 20,000 adults who were diagnosed (and lab confirmed) with the flu in Ontario from 2009 – 2014.  Of these adults, 332 had a heart attack, either the year before, after or during the flu.   Heart attack risk was 6 times higher the week of the flu and was elevated in those older than 65.

Many of the individuals had cardiac risk factors (diabetes, high blood pressure, high cholesterol) illustrating if one is at risk for a heart attack, a cardiac event may be more likely to occur if they get the flu.

This isn’t the first time a link between heart attack and flu has been suggested. In 2007, Meade et al found a bout with the flu to double the risk of a heart attack and stroke.

Their theory was the flu dislodged fatty deposits sitting along the arteries, allowing them to travel to the coronary arteries or those in the brain resulting in a heart attack and stroke respectively.

Another theory is the cardiac risk factors may worsen during the flu. Blood sugars are difficult to control, hence fats in the blood will follow, and blood pressure may be affected when one is battling an infection.

Inflammation has been linked to heart attack, thus inflammation resulting from the flu may also be a culprit.

The study authors wrote, “Cardiovascular events triggered by influenza are potentially preventable by vaccination.”  The flu shot this year has been projected to only be 30% effective against this season’s active strains but is still being recommended this season as hospitalizations and deaths from the flu are reaching record numbers.

What causes a heart attack?

 

A heart attack occurs when part of the heart muscle fails to receive the blood and oxygen it needs. This can occur by arteries supplying the heart muscle to become blocked.  Coronary artery disease can be caused by plaque build up from fats, sugars, calcium, fibrin that settle on the blood vessel wall. These plaques can build up and occlude the lumen, obstructing blood flow.

Additionally a heart attack can occur when an unstable plaque rips off, tearing the blood vessel lining causing the body to form an immediate clot. This clot can also be deadly as it obstructs the lumen as well.

Heart disease, however, can be prevented ...

 

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 postmenopausal

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.

Thirdly, reduce your risk by the following:

Maintain a normal blood pressure

Maintain normal blood sugar

Maintain normal cholesterol and lipid levels

Reduce stress

Maintain a balanced diet, rich in potassium-rich foods such as fruits and vegetables

Quit smoking

Stay active

Maintain a healthy weight.

 

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Daliah Wachs is a guest contributor to GCN news. 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.

 

Published in News & Information
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Are many athletes at risk for depression?

POST-ATHLETIC ACTIVITY DEPRESSION (PAAD) MAY AFFECT MULTIPLE ATHLETES WHEN THEIR SEASON ENDS DUE TO THE HIGH HORMONE LEVELS INDUCED BY THEIR PRIOR RIGOROUS EXERCISE REGIMEN SUDDENLY DROPPING.

 

Olympic gold medalist Michael Phelps admitted at the The Kennedy Forum in Chicago last week that he had battled depression for years and contemplated suicide.  With his multiple decade athletic career, the most decorated in history, how could an Olympian find life so unlivable?

Other decorated athletes have suffered from depression as well:   Terry Bradshaw, Darryl Strawberry, Larry Sanders, Dwayne “The Rock” Johnson, and Oscar de la Hoya to name a few.

Post-athletic activity depression (PADD) may ensue when the high levels of exercise aren’t maintained and the mind isn’t prepared for losing or being surpassed by another athlete.  As you will see biology as well as psychology play huge factors in the mental health of an athlete.

Exercise wards off depression

 

Michael Phelps admitted to going into a depression after each Olympics.  His workouts leading up to each of the 2004, 2008, 2012 and 2016 Olympics were illustrated by Arizona State coach Bob Bowman at the American Swimming Coaches Association, and demonstrated thousands of hours and yards swum each week.

Multiple studies have proven that exercise wards off depression. This is in part due to multiple mood enhancing hormones being released during athletic activity such as:

  • endorphins
  • norepinephrine
  • dopamine
  • serotonin

So if after a meet, marathon, playoff or Olympic race ends, does the average athlete keep their rigorous training schedule? Probably not.  Hence these hormones that the body has become accustomed to seeing aren’t there at their previous levels, inducing a depression.  If someone is at risk for depression, the drop in these hormone levels could, in theory, depress one to the point that they contemplate suicide.

Being the best puts you psychologically at risk

 

They say winning is addictive and from a psychological standpoint, that’s correct.  Once you win you reform a new identity.  Those psychologically mature and stable will not find their win their only identifying factor and additionally will understand that you “win some, lose some”.  However those who struggled for years to win, especially if the prize is an Olympic medal, may not deal with “lose some” so easily.

Once you own that Superbowl ring, first place blue ribbon or gold medal others look at you as “one of the best”.  How much higher can you go?  Usually an athlete only has two choices. Maintain their “top” status, difficult to do with aging and younger up and comers vying for their spot, or start losing. Most athletes aren’t preparing for how to lose.  They can’t. They use all their waking hours preparing on how to win.  So when the loss does come, they’re unprepared.

 

loss

 

Could some CTE symptoms be related to post-athletic activity depression?

 

I believe so. Chronic Traumatic Encephalopathy (CTE) is a progressive degeneration of brain tissue and function from multiple hits to the head.  Many who suffer from CTE have mood changes, anxiety, anger and impulsivity.  CTE tau protein build up in the brain contributes to this but hormones can play a role as well.

What needs to be studied are the mood changes incurred by athletes after each season or race to see if a “funk” sets in because their exercise regimen is not being maintained.

Moreover all athletes should have access to counseling to thwart depression and suicidality because losing is inevitable for everyone.

 

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Daliah Wachs is a guest contributor to GCN news. 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.

 

Published in News & Information

White House Physician, Navy Rear Adm. Dr. Ronny Jackson, performed President Donald Trump’s annual physical last week are released the following results:

From Politico:

President Donald J. Trump has completed his first periodic physical examination as President of the United States. I performed and supervised the examination with appropriate specialty consultations and diagnostic testing. The exam was conducted January 12, 2018 at the Walter Reed National Military Medical Center.

The purpose of this exam was to provide the public with an update of the President’s current health status and to ensure the President continues to enjoy all the benefits of good health. This examination focused on evidence-based health screening and disease prevention.

With President Trump's consent, I release the following health information:

Vital Statistics

Age: 71 years, 7 months

Height: 75 inches

Weight: 239 pounds

Resting heart rate: 68 bpm

Blood pressure: 122/74 mm

Hg Pulse-oximetry: 99% room air

Temperature: 98.4 degrees F

Physical Examination by System (to include studies)

Eyes: Uncorrected visual acuity was 20/30 bilaterally, with corrected visual acuity of 20/20 bilaterally. Visual fields were normal. Fundoscopic exam was normal bilaterally. Intraocular pressures were normal bilaterally. No ocular pathology was discovered.

Head/Ears/Nose/Throat: Normal exam of the head, ears, nose, mouth, and throat.

Dental: Healthy teeth and gums.

Neck: Normal thyroid exam. No noted lymphadenopathy. Auscultation of the carotid arteries normal.

Pulmonary: Lungs clear to auscultation. A screening Low Dose CT of the chest demonstrated no pulmonary pathology.

Cardiac: Heart exam normal. Regular rhythm. No murmurs or other abnormal heart sounds noted. ECG with normal sinus rhythm, rate of 71, normal axis, and no other significant findings. Transthoracic Echocardiogram demonstrated normal LV systolic function, EF 60-65%, normal LV chamber size and wall thickness, no wall motion abnormalities. RV normal, atria grossly normal, all valves normal. Exercise Stress Echocardiogram demonstrated above average exercise capacity based on age and sex, and normal heart rate, blood pressure, and cardiac output response to exercise. No evidence of ischemia noted and wall motion was normal in all images.

Gastrointestinal: Normal exam. No masses, hepatomegaly or splenomegaly noted. Normal optical colonoscopy with no polyps or abnormal findings completed June 2013. Repeat colonoscopy not indicated and was deferred until next periodic physical exam.

Genitourinary: Normal exam.

Extremities/Musculoskeletal: Normal throughout. Full range of motion in all joints. Strong distal pulses and good capillary refill in all extremities. No swelling or edema noted.

Neurological: Examination of cranial nerves, cerebellar function, deep tendon reflexes, motor function, and sensory system all normal. Cognitive Screening Exam using the Montreal Cognitive Assessment was normal with a score of 30/30.

Dermatologic: Normal exam. No evidence of melanoma , basal cell carcinoma, squamous cell carcinoma, or any other significant dermatologic disease.

Laboratory Results

Lipid Panel:

Total cholesterol: 223 (mg/dL)

Triglycerides: 129 (mg/dL)

HDL cholesterol: 67 (mg/dL)

LDL cholesterol: 143 (mg/dL)

Cholesterol to HDL ratio: 3.3\

Complete Blood Count:

WBC: 5.5 (K/UL)

HGB: 16.1 (g/dL)

HCT: 48.7 (%)

PLT: 241 (K/UL)

Extended Metabolic Panel:

Fasting Blood Glucose: 89 (mg/dL)

BUN: 19.0 (mg/dL)

CREAT: 0.98 (mg/dL)

ALT: 27 (U/L)

AST: 19 (U/L)

Hemoglobin AlC: 5.0 (%)

Vitamin D: 20.0 (ng/ml)

PSA: 0.12 (ng/ml)

TSH: 1.76 (ulU/ml)

Urinalysis:

Appearance: Clear

Protein: Negative

Ketones: Negative

Glucose: Negative

Blood: Negative

Past Medical History

• Hypercholesterolemia

• Rosacea

Past Surgical History

Appendectomy (age 11)

Social History

• No past or present use of alcohol.

• No past or present use of tobacco.

Medications

Rosuvastatin (Crestor), 10 mg daily to lower cholesterol.

Acetylsalicylic Acid (Aspirin), 81mg daily for cardiac health.

Finasteride (Propecia), 1 mg daily for prevention of male pattern hair loss.

Ivermectin Cream (Soolantra), As needed for treatment of Rosacea

Multivitamin (Centrum Silver), Daily for overall health maintenance.

Immunizations

  • • Prevnar 13 (to prevent pneumococcal pneumonia) and Twinrix (to prevent hepatitis A/B) given.
  • • Routine vaccinations, to include seasonal influenza, all up to date.
  • • All indicated travel vaccinations up to date.

Summary

The President’s overall health is excellent. His cardiac performance during his physical exam was very good. He continues to enjoy the significant long term cardiac and overall health benefits that come from a lifetime of abstinence from tobacco and alcohol. We discussed diet, exercise and weight loss. He would benefit from a diet that is lower in fat and carbohydrates and from a routine exercise regimen. He has a history of elevated cholesterol and is currently on a low dose of Rosuvastatin. In order to further reduce his cholesterol level and further decrease his cardiac risk, we will increase the dose of this particular medication. The President is currently up to date on all recommended preventive medicine screening tests and exams.

All clinical data indicates that the President is currently very healthy and that he will remain so for the duration of his Presidency.

President Trump is in “excellent health.”

 

At the above height and weight, Donald Trump’s BMI is 29.9 placing him in the overweight category just shy of the 30 BMI cut off for obesity.

His blood pressure and heart rate are excellent for his age, especially in the absence of a blood pressure medication.

His pulse oximetry demonstrating the oxygenation of his blood is excellent as well.

An uncorrected vision test of 20/30 means that without glasses, the president has near perfect vision.

A low dose CT of the chest is not routine during annual physicals in non-smokers, but is reassuring that he most likely doesn’t suffer from lung cancer, the number one cancer killer in America.

His EKG, which evaluates electrical abnormalities of the heart secondary to disease or heart attack, confirmed the ideal heart rate.

His echocardiogram, and ultrasound evaluating heart structures and pump activity, demonstrated no heart failure or issues with the filling or pumping of blood, as well as confirming normal anatomy (valves, wall thickness, etc).

A stress test evaluates for cardiac ischemia, or loss of blood flow to heart muscle during rest and exercise, and was normal as well.

A normal colonoscopy in 2013 suggests his next screening colonoscopy wouldn’t be performed until 2023 unless he had pain, rectal bleed, changes in his stool, or any risk factors for colon cancer.

The Montreal Cognitive Assessment was given to evaluate cognitive function and is not routinely done during annual physicals.  This was performed and passed with a 30/30 score.  The test evaluates memory, orientation, visuospatial and executive brain function, recall, concentration and language fluency.  An example is shown here.

His cholesterol is elevated but his good cholesterol is strong and his ratio of cholesterol to HDL is well within goal.

cholesterol-levels-chart

 

The remaining blood tests looked very good, especially his HBA1C and blood glucose evaluating for diabetes.

Of note is his Vitamin D level which appears low-normal and could put him at risk for osteoporosis.  It does not appear a bone density test, Dexa scan, was performed.

A PSA of 0.12 is reassuring as well although is not recommended as a screening test for prostate cancer.

It's been suggested that President Trump loses 10-15 lbs and increases his exercise activity.

My opinion, for a 71-year-old man with high cholesterol, President Trump is way ahead of the curve.  I’m a fan of Crestor, his cholesterol lowering medication, and credit his lipid profile numbers to his use of the statin.  His weight is an issue but I think the White House has a bowling alley, chefs who could make asparagus taste like meat, and secret service who wear fitbits.  I think he’ll be just fine.

This is a developing story.

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Daliah Wachs is a guest contributor to GCN news. 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.

 

Published in News & Information
%PM, %18 %846 %2018 %19:%Jan

How to weigh yourself properly

Using a baseball analogy, counting your pounds of body weight is like counting runs batted in (RBI). The old-school baseball statistic is dependent on a multitude of factors, like whether your teammates get on base in front of you. It's outdated, just like body weight. So if body weight is RBI, body fat percentage is wins above replacement (WAR), which is how many wins a player contributes to his team above the replacement-level player at his position.  

RBI isn’t indicative of a player’s performance like WAR, and your weight isn’t truly indicative of your health. But your body fat percentage is. If you’re a man, a body fat percentage between six and 13 percent is on par with athletes. For women, that range is 14 to 20 percent. A fit body fat percentage for men would be between 14 and 17 percent, and for women, between 21 and 24 percent. Average body fat percentages for men range from 18 to 24 percent and 25 to 31 percent for women.

Your body weight can fluctuate between one and five pounds everyday. I have personally seen my weight fluctuate by eight pounds in one day over the holidays. And now I have a new scale that estimates my body fat percentage, body mass index, water weight and even the percentages of my weight that is muscle and bone. (The company that produces it also donates a part of profits to end child trafficking and provide support services for victims.)

Using a scale isn’t as simple as stepping onto it, and determining our health isn’t as easy as reading the number on the scale. Knowing when to weigh yourself is the first step to ensuring the data you’re collecting is accurate.

When to Weigh Yourself

First of all, you don’t need to weigh yourself everyday. Since your weight fluctuates so much in a single day, collecting that data daily can actually be detrimental to your health. If you weigh yourself daily and find you’re not losing weight, it could affect you psychologically. You could lose interest in managing your diet before it even goes to work on your body. Dr. Daliah Wachs explains:

“Your body likes everything really rhythmic and predictable, and when it gets out of rhythm your metabolism slows as a protective defense...It will relearn what your new norm is, but that could take weeks.”

Wachs suggests you weigh yourself weekly, and my research supports that suggestion. But there is research out there supporting daily weigh-ins. If you struggle to remain dedicated to your weight loss goals, weigh yourself everyday to hold yourself accountable. It resulted in more weight loss amongst women in the study cited above.  

I weigh myself daily out of curiosity, but I only log my weight in the MyPlate app by Livestrong every five days. But how often you weigh yourself isn’t the only factor to consider when collecting your weight data. When you weigh yourself during the day will also skew your data.

My research indicates you should weigh yourself upon waking and after using the bathroom for the first time. You don’t necessarily have to poop, but if you do, your weight data will be a pound on the light side on average. After my movement this morning, I weighed 161.6 pounds, but I’m probably closer to 162.6 pounds.

Don’t Get Down If Your Weight Doesn’t Go Down

As stated earlier, weighing yourself daily can get you down, especially when you’re starting a new diet that doesn’t seem to be working. But you need not worry if your weight doesn’t go down for a few weeks.

“Most diets include a lot of water, which also keeps your appetite down,” Wachs said, adding later that “you will notice an increase in water weight gain...by the couple-week mark you’ll start to notice it go down.”

Water makes up between 57 and 60 percent of your body weight on average, and if you make a point of drinking more water as a part of your diet, your weight will increase due to water retained. You can find out exactly how much of your weight is water by using a scale that measures body fat by sending a harmless electric current through your body. So don’t get down if your weight goes unchanged or even increases in the first few weeks of your new diet. And if you’re using a scale that measures body fat, don’t try to lower your weight by drinking less water. That’s just dangerous.

So how to weigh yourself properly starts with weighing yourself at the proper time of day and at the right interval for you, but ends with you not reading your weight at all and reading your body fat percentage instead.


 

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, Free Talk Live

Published in News & Information
%PM, %16 %778 %2018 %17:%Jan

What to do in case of a nuclear attack

When Hawaii residents Saturday morning received this alert (later retracted):

 

false-alert-message.jpg

the rest of the country asked themselves, “What would I have done if I received this alert?”

So I think we can all agree we’re unprepared. Some scoff by saying, “Well we wouldn’t survive anyway!”  Actually, you can survive a nuclear attack.  Here’s how…

It’s never too early to prepare

Firstly, know your shelters. There are two types:

Blast shelters offer some protection against the blast, heat, fire and initial radiation.

Fallout shelters offer some protection against the radiation from the fallout products.

Many public buildings in your city can act as fallout shelters.  These may be schools, hotels, subway tunnels, or below ground pubs.  However if your city doesn’t post or have either, you are more likely to be urged to “Shelter in Place”, which we’ll discuss later.

Secondly, make an “Emergency Kit” that has all your important papers, passports, medications, first aid, pet supplies, food and water.

Ready.gov suggests the following:

 

  • Water – one gallon of water per person per day for at least three days, for drinking and sanitation
  • Food – at least a three-day supply of non-perishable food
  • Battery-powered or hand crank radio and a NOAA Weather Radio with tone alert
  • Flashlight
  • First aid kit
  • Extra batteries
  • Whistle to signal for help
  • Dust mask to help filter contaminated air and plastic sheeting and duct tape to shelter-in-place
  • Moist towelettes, garbage bags and plastic ties for personal sanitation
  • Wrench or pliers to turn off utilities
  • Manual can opener for food
  • Local maps
  • Cell phone with chargers and a backup battery
  • Radio (battery operated) so you can be up to date with what is occurring and be told when it's safe to exit your shelter

Consider adding the following items to your emergency supply kit based on your individual needs:

  • Prescription medications
  • Non-prescription medications such as pain relievers, anti-diarrhea medication, antacids or laxatives
  • Glasses and contact lense solution
  • Infant formula, bottles, diapers, wipes, diaper rash cream
  • Pet food and extra water for your pet
  • Cash or traveler’s checks
  • Important family documents such as copies of insurance policies, identification and bank account records saved electronically or in a waterproof, portable container
  • Sleeping bag or warm blanket for each person
  • Complete change of clothing appropriate for your climate and sturdy shoes
  • Household chlorine bleach and medicine dropper to disinfect water
  • Fire extinguisher
  • Matches in a waterproof container
  • Feminine supplies and personal hygiene items
  • Mess kits, paper cups, plates, paper towels and plastic utensils
  • Paper and pencil
  • Books, games, puzzles or other activities for children

Where do I find shelter?

It’s best to get to a building that has a basement. Below ground is obviously safer than above ground. Moreover being surrounded by concrete or even brick is better than stucco.

Mic.com also suggests that the center of a building offers more protection than other rooms as illustrated below:

NTVhNGZjZTExMiMvVGdsSTY0MFlLZ0dxczdRTHI4bE9oYXlyaTFnPS83OHgwOjg4N3g3NjYvZml0LWluLzc2MHgwL2ZpbHRlcnM6Zm9ybWF0KGpwZWcpOnF1YWxpdHkoODApOm5vX3Vwc2NhbGUoKTpmb3JtYXQoanBlZykvaHR0cDovL3MzLmFtYXpvbmF3cy5jb20vcG9saWN5bWljLW.jpg

The farther away you are from the blast the safer, however, you do not want to be in your car in bumper to bumper traffic during an attack either.

Shelter in Place

If you don’t know where to go, than bunker down. If you have a basement go there. If not find an interior room with no windows and start praying.

What if I’m outside?

There is always the possibility that someone may be in the middle of a picnic when a nuclear attack hits.  If that’s the case, and you can’t get indoors, Ready.gov suggests the following:Do not look at the flash or fireball – it can blind you.

 

  • Take cover behind anything that might offer protection.
  • Lie flat on the ground and cover your head. If the explosion is some distance away, it could take 30 seconds or more for the blast wave to hit.
  • Take shelter as soon as you can, even if you are many miles from ground zero where the attack occurred – radioactive fallout can be carried by the winds for hundreds of miles.
  • If you were outside during or after the blast, get clean as soon as possible, to remove radioactive material that may have settled on your body.
  • Remove your clothing to keep radioactive material from spreading. Removing the outer layer of clothing can remove up to 90% of radioactive material.
  • If practical, place your contaminated clothing in a plastic bag and seal or tie the bag. Place the bag as far away as possible from humans and animals so that the radiation it gives off does not affect others.
  • When possible, take a shower with lots of soap and water to help remove radioactive contamination. Do not scrub or scratch the skin.
  • Wash your hair with shampoo or soap and water. Do not use conditioner in your hair because it will bind radioactive material to your hair, keeping it from rinsing out easily.
  • Gently blow your nose and wipe your eyelids and eyelashes with a clean wet cloth. Gently wipe your ears.
  • If you cannot shower, use a wipe or clean wet cloth to wipe your skin that was not covered by clothing.

What about potassium iodide tablets?

These tablets help protect your thyroid from taking up radioactive iodine, as they saturate the organ. It’s an inexpensive pill that will protect one against thyroid cancer but not the other medical sequelae of nuclear exposure such as bone marrow injury and skin irritation.

The false nuclear attack alert Hawaii residents received enlightened the rest of the country on how unprepared the average American is. It’s about time we have a game plan and cities educate their citizens on where and how to protect themselves.

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Daliah Wachs is a guest contributor to GCN news. 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.

 

Published in News & Information

A recent study out of Denmark finds frequent and prolonged use of ibuprofen to affect men’s fertility and sex drive.

Researchers out of the University of Copenhagen in Denmark found 600 mg of ibuprofen (three 200mg over the counter tablets) twice a day for 6 weeks could have an anti-androgenic effect, meaning decrease the effect of man’s testosterone.

The “compensated hypogonadism” reported, caused by a depletion of sex hormones, was seen within two weeks of the ibuprofen use. This can result in loss of libido and a decrease in sperm production. Long term sequelae could include hair loss and decrease in muscle mass.

Fortunately, this effect was reversible once medication use ceased.

According to the study of 31 males between the ages of 18 and 35, published in Proceedings of the National Academy of Sciences of the United States of America, the following was reported:

In the men, luteinizing hormone (LH) and ibuprofen plasma levels were positively correlated, and the testosterone/LH ratio decreased. Using adult testis explants exposed or not exposed to ibuprofen, we demonstrate that the endocrine capabilities from testicular Leydig and Sertoli cells, including testosterone production, were suppressed through transcriptional repression. This effect was also observed in a human steroidogenic cell line. Our data demonstrate that ibuprofen alters the endocrine system via selective transcriptional repression in the human testes, thereby inducing compensated hypogonadism.

LH stimulates the testicles to secrete testosterone.  Since LH is a hormone produced by the pituitary, low testosterone levels mean the inhibitory effect of the ibuprofen occurred at the testicular level.

test and lh.jpg

IMAGE ABOVE FROM TASEERLABS.COM

 

Ibuprofen is a medication known as an NSAID (non steroidal anti-inflammatory), used as an analgesic, antipyretic (fever reducer) and anti inflammatory and used for a variety of conditions.  If an athlete suffers a sprain or fracture, for example, he may take 800 mg of ibuprofen three times a day for weeks at a time.

With the rising opioid epidemic and restrictive prescribing rules many states are implementing, many medical providers are switching to NSAIDS for pain control of their patients.

Other risks associated with NSAIDS include GI bleed, renal and liver issues and heart disease.

For more on this study read here.

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Daliah Wachs is a guest contributor to GCN news. 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.

 

 

Published in News & Information

The California Department of Public Health (CDPH) has issued guidelines on how to limit radiation from cell phone use which may cause cancer.

For years we’ve contemplated over cell phones causing cancer, specifically brain cancer.  Each year a study debunks this theory, but months later a report surfaces that reignite the debate.  And no matter how many studies disprove a cancer link, we worry because we are 24/7 glued to our phones, or the phones are glued to us.  Many of us don’t even own a landline anymore as we find it financially obtuse to pay monthly fees for a wall jack we don’t use.  We take our phones with us to school, work, the dinner table, and even the toilet.  If it wasn’t for the lack of waterproofing, many of us would take our phones with us into the shower.  We are geographically closer to our phones than own children. Something’s got to bite us in the butt……

Earlier this year a Superior Court Judge in California ordered the state to release papers discussing the risk of long-term cell phone use.  According to sanfrancisco.cbslocal.com, “The documents were written by the state’s Environmental Health Investigations branch and are believed to contain cell phone radiation warnings and recommendations for public use.  But the state refused to hand them over when requested by a director at University of California, Berkeley School of Public Health.”  Joel Moskowitz, Ph.D in turn sued the state saying this data should be public record and won. He’s been researching the subject and cited an increased brain cancer risk with cell phone use over 10 years.

Children are the most susceptible with their developing brains.  The following recommendations were recommended for both adults and children:

  • Keeping the phone away from the body

  • Reducing cell phone use when the signal is weak

  • Reducing the use of cell phones to stream audio or video, or to download or upload large files

  • Keeping the phone away from the bed at night

  • Removing headsets when not on a call

  • Avoiding products that claim to block radio frequency energy. These products may actually increase your exposure.

What do cell phones emit?

Cell phones emit radio waves. These are a form of non-ionizing radiation that provides an energy source through radio frequency.  Ionizing radiation is emitted by x rays, cosmic rays, and radon, and have been linked to cancer as it is a high frequency, high energy form of electromagnetic radiation. Non-ionizing radiation include radio waves, microwaves, visible light, UV light, infrared, and lasers. Although UV radiation may cause skin cancer, the other sources are deemed less dangerous than their ionizing radiation counterparts.

Can cell phone use cause cancer?

One of the more recent studies unveiled in May of 2016 reported cell phone radiation caused brain tumors in mice.  Rats exposed to the radiofrequency radiation for 7-9 hours a day, seven days a week, were more prone to develop the malignant gliomas as well has tumors in the heart.  This study was not intended to be translated to human risk, but of course it made headlines and scared us silly.

Prior to this, in 2011, the World Health Organization’s International Agency for Research on Cancer (IARC) classified cell phone use and other radiofrequency electromagnetic fields as “possibly carcinogenic to humans.”

However, multiple studies have been done, as descriptively outlined by the National Cancer Institute, and are assuring us that there is no imminent danger by our daily use of cell phones.  The NCI also provides recommendations from the CDC, FDA, and FCC stating not enough evidence exists to establish a link between cell phones and cancer.

Can cell phone radiation injure our body’s cells?

Although arguments continue over cell phone radiation causing cancer, it has been proven that heat is given off.  Many people complain their ear gets hot after lengthy cell phone use and studies have yet to determine if cell  phone heat can cause oncogenic changes in cells.  They’ve studied if the radiation affects metabolic activity, and a team led by Dr. Nora Volkow, head of the National Institute on Drug Abuse, found visible brain activity changes on the side the cell phone was being used.  They recommended after this study keeping the cell phone away from the body and using a lower radiation emitting phone.

So now what?

We wait and see.  My suggestion is to not overdo it with our phones.  Use the speaker setting when practical so as to not consistently hug the phone to your skull.  Take breaks in between lengthy calls.  Text when appropriate to minimize exposure as well.

Or do what I do when I talk to my mother, hold the phone 3 feet away from my head.  I can still hear her…..just fine……

Published in News & Information

Even those who live in desert states such as Nevada and Arizona run the risk of hypothermia this New Year’s Eve.

 

nye

 

The holidays flew by us way too quickly and left the wind chill in its wake. Unfortunately with all the hustle and bustle this time of year, we tend to forget how dangerous the weather can be.  It would make sense to stay indoors, and for the most part we do….except for New Years.  All rules go out the door with this party. The most exciting night of the year can sometimes be the coldest night of the year.  And the party ends up outside.  And do we don a ski mask, goggles, gloves, galoshes, thermal underwear, winter coat and earmuffs?  No. That would make the most unsexy New Year’s outfit.

Throw some alcohol into the mix and this can be a deadly combination. The CDC estimates that 1300 deaths occur each year due to hypothermia. So what is hypothermia?

What is hypothermia?

Hypothermia is a dangerous drop in body temperature and can occur in minutes. Human body temperature averages around 98.6 degrees F.  But hypothermia starts setting in at 95 degrees F with shivering, increase respiratory and heart rate, and even confusion.  We forget that glucose stores get used up quickly so hypoglycemia can ensue as well, making matters worse, especially in someone who is intoxicated.  Frostbite can occur as blood flow decreases to the tips of the ears, fingers, nose and toes. As hypothermia progresses,  the shivering and muscle contractions strengthen, skin and lips become pale, and confusion worsens. This can lead to severe hypothermia, eventually causing heart failure and/or respiratory failure, leading to a coma and if not reversed, death.

 

Hypothermia can mimic looking drunk.

 

Someone who is hypothermic may slur their speech, stammer around and appear uncoordinated.  This sounds identical to your drunk buddy on New Year’s Eve. Unfortunately, this can be deadly as many hypothermic partiers get written off as being drunk.

So if you suspect hypothermia, call for medical assistance.  Anyone you think is eliciting signs of hypothermia should be brought indoors, put in dry clothes, covered in warm blankets, and then wait for paramedics to arrive.  It’s important to try to warm the central parts of the body such as head, neck, chest, and groin,  but avoid direct electric blanket contact with the skin and active rubbing if the skin is showing signs of frostbite.

 

Why not use hot water to warm up a hypothermic individual?

 

Hot water will be too caustic and can cause burns. Remember, the body is shunting blood away from the ears, fingers, toes, hands and feet to warm the heart, brain and other vital organs.  The skin will be in a vulnerable state during hypothermia and frostbite and will burn the under perfused skin.

 

Alcohol increases the risk of hypothermia!

 

We’re outside in the cold, not bundling up, dancing, sweating, becoming dehydrated. Add alcohol to the mix, and its deadly.  Here’s the scoop on alcohol toxicity.

https://doctordaliah.wordpress.com/2016/12/30/alcohol-poisoning-sadly-a-new-years-eve-tradition-for-some/

 

Preventing hypothermia

When it comes to hypothermia, the best thing you can do is prevention.   It’s the biggest party of the year so prepare yourself by doing the following:

  • Wear multiple layers of clothing

  • Bring an extra pair of dry socks

  • Avoid getting wet (i.e. falling off a boat, getting splashed with champagne)

  • Change your clothes if you worked up a sweat dancing

  • Check with your medical provider if some of your medical conditions (i.e. hypothyroid) or medications (i.e. narcotics, and sedatives)  put you at risk for hypothermia

  • Avoid alcohol intoxication

  • Keep an eye on your more vulnerable buddies who include children, older individuals, and those with intellectual disabilities.

A Happy New Year should also be a Healthy New Year. So be warm, dry, safe and have fun!!

----

 

 

Daliah Wachs is a guest contributor to GCN news. 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.

 

Published in News & Information

I was surprised when I stepped on a scale the day after Thanksgiving to find I had lost almost five pounds in five months. I shouldn’t have been surprised, however, because I had set my weekly target to lose a half pound per week on my MyPlate app by Livestrong. So had it not been for the constant grazing and then gorging of Thanksgiving, I probably would have met my goal of losing a half pound per week, or 10 pounds over five months, because I weighed myself again a week before Christmas and was shocked to see I had lost another eight pounds. (I’ve put five of it back on thanks to Christmas cookies.)

I’ve been monitoring my diet with the MyPlate app for six months now, hardly changing any of my exercise habits. Over that time, I’ve gone from 185 pounds to 165 pounds, and my waist has shrunk from 35 inches to 33 inches. I am a 31-year-old male standing five feet, 11 inches tall. My goal: to have six-pack abs by spring. It is the day after Christmas as of this writing.

Why Six-Pack Abs?

I’ve never had six-pack abs despite being a gym rat in college. My goal in college was “the Rocky body.” I wanted to be 200 pounds like Rocky Balboa. I graduated high school at 150 pounds.

I worked at the University of Washington fitness center as a freshman in college, so if I wasn’t in class, studying, eating or sleeping, I was probably pumping iron. I started eating a 3,000-calorie diet -- then a 4,000-calorie diet. I was drinking a gallon of milk every two days or so, and burning through more whey protein than any broke 18-year-old should. Most of my money in those days went for protein and movies. I would do handstand pushups in my dorm hallway in the evenings and even stole some exercises from Rocky training montages, like medicine ball, decline sit ups (which probably contributed to my back problems later in life. I don’t do sit ups or crunches anymore, and neither should you.)

I put on 30 pounds of muscle as a freshman in college. People from my high school didn’t even recognize me, but despite eating a diet consisting almost entirely of protein and fats, I could never get my weight above 180 pounds. I had plateaued, which made me give up on my dream of achieving “the Rocky body.”

Once I turned 30, though, I didn’t have any problem putting on weight. My metabolism slowed noticeably, and I found myself buying jeans in a larger size for the first time in my life. I’ve had a 34-inch waist since middle school and was even wearing some of my high school jeans right up until I was 28 or so. Now I have the smallest waist I’ve ever had in my adult and adolescent life.

Now that I have degenerative disc disease that has resulted in one surgery already, “the Rocky body” isn’t a likely or healthy goal for me. Supporting 200 pounds on a five-foot, 11-inch frame would likely result in more lower back pain, especially given the upper body, weight-lifting required. But when I saw a 50-year-old man carrying a glass of wine and his six-pack abs around a pool in Las Vegas this year, I knew what I wanted for my body. I want to be the fittest old man around, and nothing says fitness like six-pack abs.

Steps Taken Thus Far: Diet, Exercise (sort of)

I’ve changed my diet dramatically. Calorie counting is a lifestyle, not a diet. While other people play games on their phones, I play with my body chemistry using the MyPlate app. I log my meals a day in advance, chasing the perfect day of macronutrient consumption (40 percent of calories from carbs, 30 percent from protein, 30 percent from fats) with what I have in the fridge and cupboards. It’s not easy, and it’s even harder if you’re poor. I typically only get my protein from whey and casein protein powders and eggs. If I’m lucky I’ll have chicken, or in this case, turkey due to Thanksgiving. Very rarely can I afford to eat steak or fish.

I’ve also quit drinking alcohol. Cutting carbs out of my diet proved difficult back when I was boozing. To think that a single pint of India Pale Ale could have up to 280 calories, all of which are calories from carbohydrates, made me move off microbrews immediately. Switching to 110-calorie light beer didn’t help. I just ended up drinking twice as many light beers to compensate for the lack of alcohol.

Then I tried doing 100-calorie shots of whiskey on the rocks or in soda water, but I still struggled meeting my caloric and nutrition goals despite dumping the empty carbs. Finally, I started drinking the lowest-calorie liquor out there: vodka. At 97 calories per shot, vodka allowed me to meet my caloric goals more easily, but I struggled finding a mixer that was low in carbs and sugars. Vodka and soda water isn’t any good, orange juice adds 112 calories from 21 grams of sugars and 26 grams of carbs, and cranberry juice is even worse.

I’ve found a couple of workouts I like on the MyPlate app thanks to Livestrong granting me gold membership status in exchange for me writing these editorials. I do a seven-minute, cardio sculpting workout that burns roughly 141 calories. I try to do that thrice weekly, and fail more often than I succeed.

I’ve also started doing MyPlate’s 10-minute abs workout, which burns just 76 calories, but shreds the abs. I use an ab wheel instead of doing the weighted crunches, though. This obviously isn’t enough exercise to burn my belly fat and reveal my six-pack abs, but my New Year’s resolution is to increase my training and have six-pack abs by March 13 (for another trip to Vegas).

Steps Yet to Take: Interval Cardio Training

Long-distance cardio isn’t the answer if your goal is six-pack abs. Exhausting yourself running miles upon miles is completely unnecessary and ineffective. You’d be better off running a 100 meters at full speed, resting for 30 seconds, and running another 100 meter dash. That’s why I’m starting an interval cardio training program.

Interval cardio training is a lot like weight lifting -- but for cardio. When I was seeking “the Rocky body” back in college, all I did was interval weight training. Interval training is simply doing an intense exercise for a short period and then resting for a short period.

For instance, on a chest day, I would start doing eight repetitions of bench press, then rest for a minute. Then I’d increase the weight and do six reps. Then I’d increase the weight and do four reps, maxing out on my last set doing two reps of the most weight I could lift. I’d do this for every exercise, eventually turning my weight training into a cardio workout as well. On arms and abs days, I wouldn’t even rest between sets. I’d go straight from bicep curls to weighted, decline sit ups and back to curls. On chest and back days, I’d go from bench press to the weighted row back to bench press. It was exhausting, effective and efficient.

Interval cardio training is exactly like interval weight training minus the weights, and when it comes to effective interval cardio training, nothing compares to the effectiveness of jumping rope. Just ask Mark Wahlberg, whose goal at 46 years of age is to cut his body fat to six percent.

Taking Inventory

After the filming of his last movie, Wahlberg reportedly had 16 percent body fat, which still allowed his six-pack abs to show. But it gives you an idea of how far Wahlberg has to go. Google says you can safely shed one percent of body fat per month, but something tells me Wahlberg will do it in less than 10 months given his trainer, personal chef and cryotherapy.

I am starting with 18 percent body fat, which has me at the bottom of the average body fat range for men. That’s a good start. Men with 14 to 17 percent body fat are considered “fit.” Since my goal is six-pack abs by spring, I have roughly three months to lower my body fat anywhere from two to four percent. That’s plenty of time if I focus my “weight lifting” on my abs. After all, you don’t need a dangerously low body fat percentage to show off six-pack abs if you build your ab muscles like bodybuilders build biceps.

Building Abs like Biceps

The key to six-pack abs is constantly using your abs. You can do ab exercises sitting at your desk at work. Just crunch your abs together and hold it for a while. Then release, focusing on your breathing. These core exercises will shred your abs without going to the gym or even exercising.

You can’t just expect your abs to grow if you don’t feed them properly, though. At least 30 percent of your calories should come from protein. Fat isn’t as bad as once thought, either. It’s carbs that are toughest for the body to burn. You can burn fat in your sleep if you consume casein protein before bed. Just have a bit of Greek yogurt, cottage cheese or a casein protein milk shake prior to bedtime, and you’ll burn fat all night. Avoid the carbs at all times except after a workout. It’s important to carb load after workouts, but try to eat healthy carbs like fruits and vegetables. A little sugar after a workout isn’t terrible, either.

The most important thing you can do to achieve your New Year’s resolution of six-pack abs by spring is to commit to an interval cardio training regiment. I’m purchasing a Cyclone Speed Rope -- a jump rope with comfortable hand grips cut at a custom length that makes double-unders easier to perform. Cyclone can even design a jump rope for amputees who’ve lost an arm.

So if you’re determined and dedicated to your body, make six-pack abs by spring your New Year’s resolution, and shock all your friends at the pool this summer.


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, Free Talk Live

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