Obesity is an epidemic in America. Overall, 38 percent of U.S. adults are obese and 17 percent of teenagers are obese, the Center for Disease Control reported in 2016. More than two-thirds of Americans are at least overweight. There is a difference between obese and overweight, though.

The obese are less likely to be physically active or are physically unable to be physically active, which is why this complete nutrition guide is for the immobile. You can lose weight without exercising. Use the following tips to start losing weight without knowingly altering your calorie intake and without exercising.

Week One: Change the Way You Eat

When overcoming obesity, you have to start somewhere, and if you have trouble moving, you have to start with the way you eat. I’m not talking about a diet or counting calories. There are things you can do before, during and after consuming food that will help keep you from overeating.

America’s obesity problem stems from increases in portion size since the 1980s, and those portions continue to grow as body weights increase. It’s corporate food taking advantage of an addiction it created, much like the tobacco industry. Don’t be a pawn in their game.

Know Your Serving Sizes

A serving of meat is three ounces, which is the size of a bar of soap. A hamburger serving is the size of a hockey puck. A serving of pasta is the size of your fist. A serving of vegetables is the size of a baseball, and a serving of fruit is the size of a tennis ball. A serving of peanut butter is the size of a ping pong ball. If you guide your portions based on the recommended serving sizes, chances are you’ll end up consuming less and losing weight. If you use smaller plates, you’ll also end up eating fewer calories, and research shows that people eat less off red plates than white or blue plates.

Plan Your Meals for the Week

Plan what you’ll eat for breakfast, lunch, dinner and snacks for an entire week. Having a plan keeps you from replacing potentially nutritious meals with fast food and puts you in control of your nutrition goals instead of some high school kid inside a drive-thru window. Having a plan will also help you avoid skipping meals, which isn’t good for you either. I log my meals for the next day using the MyPlate app from Livestrong. Logging meals a day in advance gives me an idea of my calorie, fat, sugar and sodium wiggle room for snacks throughout the day. It also helps me save money because I’m less likely to eat out when my meals are already planned.

Make a Grocery List

Impulse buying contributes to the American obesity epidemic. If it never seems like the healthy foods are on sale, it’s because they seldom are. But if you enter the store with a list of foods you know you need, and you don’t waver from that list, you’ll leave having saved some calories and some money.

Drink More Water

Drink a glass of water before every meal and more water in general. Are you drinking half a gallon of water each day? Chances are you’re not. The daily recommended water intake is eight, eight-ounce glasses. With one before every meal that’s just three per day, so be sure to stay hydrated. It’s literally the easiest way to lose weight.

Prepare Your Eating Environment

Eating in the proper environment can help prevent overeating. A study conducted by a Cornell researcher found that people eating in fast food restaurants where the lighting was dimmer and the music more soothing ate 175 fewer calories than those who ate in the same place with the lights brighter and the music louder. And don’t eat in front of the television, as you’ll be more likely to forget how much you’ve eaten.

Eat Slower

It takes 20 minutes for your stomach to send a message to your brain that you’ve eaten enough, so eat slower and you’ll be less likely to overeat. And chew your food thoroughly.

Eat a Big Breakfast

People who eat more in the morning and less at night lose more weight, and starting your day with warm food high in protein helps you feel fuller and less hungry later. Consume 350 to 400 calories and 25 grams of protein every morning and you’ll be on your way to losing weight.

Eggs are my go-to breakfast food because they’re cheap, quick to make, high in protein and are delicious when mixed with vegetables. Non-fat Greek yogurt is also a great breakfast food if you’re on the go. Mix it with granola and fruit for the perfect parfait.

If you have a blender, a plant-based, protein shake is a great way to get a serving of fruits and vegetables along with protein without the fat. I use hemp-based protein because it improves heart health, and BodyBuilding.com put together multiple lists of delicious shake recipes here and here so you never get sick of them. If you can push back your breakfast to later in the day, it lowers the amount of time you’ll have to eat throughout the day, too. This way you’re less likely to consume too much in one day.

Eat More Frequently but Eat Smaller Meals

Another reason obesity is a problem is the amount of time Americans have to actually sit down and eat. It’s very important that you sit down to eat, and that you actually eat more often. You just want to tone down the size of your meals and spread them out throughout the day so your metabolism stays high and you burn fat throughout the night. Eating smaller meals more frequently also keeps your appetite in check so you don’t wake up starving. Try to eat five smaller meals per day instead of three large meals.

Eat More Satisfying Foods

Eating foods that satisfy your hunger is a key to eating fewer calories and overcoming obesity. WebMD put together a chart with examples of satisfying foods, as well as unsatisfying foods. I bet you can guess where Twinkies, Snickers, potato chips, cheese puffs and french fries fell. A turkey sandwich on wheat bread topped the list of satisfying foods, with oatmeal on its heels and bean burrito coming in third. A vegetarian refried bean burrito is an even healthier option.

Don’t Avoid a Midnight Snack

Avoiding food before bedtime can actually keep you from losing weight. Just don’t overeat before going to bed and make sure you’re consuming protein instead of carbohydrates and fat. Your body burns more calories digesting protein than carbs and fat. Another protein shake is perfect before bed because it might boost your metabolism, according to a Florida State study. Adding a cup of rooibos tea could reduce stress hormones that trigger fat storage and hunger. Some of the best midnight snacks are turkey and cottage cheese, because they’re both high in protein and contain tryptophan, the amino acid that puts you to sleep on Thanksgiving. Speaking of sleep…

Get at Least Seven Hours of Sleep

Fitbits wouldn’t monitor sleep quality if it wasn’t important to fitness. It’s incredibly important to get at least seven hours of sleep each night because people who get more sleep have the proper balance of leptin and ghrelin hormones that help control appetite. If you create a routine that you do an hour before sleep each night, like brushing your teeth and then reading for an hour, your body will be better prepared to sleep, and you won’t be counting sheep.

If you can’t fall asleep in 20 minutes, leave the bedroom and do something unstimulating. That doesn’t mean watch television or stare at your phone or tablet. Looking at a screen before bed not only makes it harder to fall asleep, but can make you more tired and less alert in the morning. If you still struggle sleeping or can’t seem to breathe while sleeping, get checked for sleep apnea. Oh, and the colder you can handle the bedroom while sleeping, the more calories you’ll burn in your sleep.

If you’re looking to overcome obesity and aren’t physically able to be physically active, week one of the “Overcoming Obesity” nutrition guide for the immobile can help you become mobile. We still won’t advocate exercise in week two, either, because you don’t need to exercise to lose weight. Week two of the “Overcoming Obesity” program will focus on nutrition -- not a diet.

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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

Three people have died, and nineteen suspected to be infected with Ebola in the Democratic Republic of Congo (DRC).  The World Health Organization (WHO) has confirmed the outbreak of Ebola after receiving reports of a cluster of cases.

The first case occurred April 22nd when a 39 year old symptomatic male traveled a great distance to reach a medical facility who tested him for Ebola.  By the time the results came back he was deceased and had exposed multiple people who assisted him with his travel and then medical care.  According to the CDC, six others had fallen ill in the same village and were taken care of by individuals who most likely did not wear protective gear.

The DRC had not seen any cases since 2014.  The West African Ebola epidemic spanned  from the end of December 2013 to 2016 infecting over 28,000 people and killing over 11,000.  The epidemic was one of the worst in Ebola’s history and its high mortality rate took countries such as Sierra Leone, Guinea, and Liberia by surprise. A vaccine was not available, and medications such as Zmapp were experimental and not in great supply.  Hospitals were not stocked with protective clothing able to prevent the minutest of exposure to the deadly virus.  Travel bans were difficult to institute and top that off with a lack of education on what we were dealing with and it was unfortunately the perfect storm for one of the deadliest outbreaks in recent history.

Ebola however emerged far before this.  Ebola was named after the Ebola River in Zaire and was first recognized in 1976 when it caused two outbreaks affecting 318 and 284 people respectively .  Multiple small outbreaks occurred since then according to the CDC:

1995           Democratic Republic of Congo          infected 315

2000           Uganda                                             infected 425

2007          Democratic Republic of Congo           infected 264

And multiple smaller sporadic cases occurred in the years between.

In January 2016 health officials declared the Ebola outbreak had ended, however cases continued to smolder.

Why this occurs is the virus may not leave the body completely.  Its been found to live in semen up to a year and some survivors can suffer a reinfection months later.  For example, in 2015 Dr. Ian Crozier successfully fought Ebola but two months after discharge, suffered a severe eye infection which turned out to be Ebola lurking in his eye.

A study in 2015 found Ebola be able to survive outside a human body for days and longer if within a liquid such as water or blood.   Mosquitoes are not known to transmit the virus however it can live in bats as well as monkeys and apes.  Pets have not been known to contract Ebola from  their sick owners put its been postulated that pigs could if in contact with a victim.

Ebola is a virus from the Flavivirus family that causes a hemorrhagic fever with symptoms of sudden fever, myalgias, headache and sore throat and then progressing to nausea and vomiting, liver and kidney issues and internal and external bleeding.

 

LearnHealthSpanish.com / Medical Spanish made easy.

Daliah Wachs, MD, FAAFP is a Board Certified Family Physician. The Dr. Daliah Show , is nationally syndicated M-F from 11:00am-2:00pm and Saturday from Noon-1:00pm (Central) at GCN.

 

 

Published in News & Information

In a study published in the journal Nature Medicine, researchers from Hebrew University and the University of Bonn discovered that daily marijuana use could help prevent the “slowdown” that occurs in our brains as we age.

 

THC, tetrahydrocannabinol, the main psychoactive ingredient in cannabis, was found to boost memory and learning, cognitive function, in older mice.

 

In the study, researchers gave THC daily to groups of mice who were 2 months old, one year old and 18 months old. Then the mice solved a water maze.  The older mice who were not given the THC  had difficulty recognizing familiar objects and navigating  the maze. But those who were given THC scored similarly to younger vibrant mice, and did so for a month after the dosing stopped.

 

Now the younger mice given the THC appeared to score poorly compared to younger mice not given the THC. The study authors believe the THC is stimulating the brain’s endocannabinoid system, which is a biochemical pathway that slows down with aging.

What is the Endocannabinoid System?

 

It’s a system within the brain and spinal cord and peripheral nervous system with receptors that help regulate a variety of actions including memory, mood, appetite, and pain.  The body makes its own “cannabinoids” which work at the synapse where neurotransmitters are released.  Our own cannabinoids (endogenous cannabinoids, hence endocannabinoids) help regulate what is being neurotransmitted.  Exogenous (outside) THC that is inhaled/ingested competes with a body’s own cannabinoids for these receptors causing changes in what signals get released.



This isn’t the first time marijuana has been found  to improve brain health.

 

Previous studies found cannabis to increase brain-derived neurotrophic factor (BDNF) protecting brain cells and stimulating new cell growth. In 2008 a study in mice found THC to improve memory in older rats as well as decrease brain inflammation.

 

However in 2016 a study published in Nature found cannabinoids to activate CB1 receptors within the mitochondria of hippocampal neurons, which resulted in memory loss.  Their study suggested that chronic use of marijuana permanently affected the brain cell’s mitochondria, thereby causing long term memory loss.

 

So is marijuana good for the brain or not?  Studies in mice conflict however, researchers are slowly narrowing down why it helps and why it hurts.  Give it more time before placing any bets….

 

LearnHealthSpanish.com / Medical Spanish made easy.

Daliah Wachs, MD, FAAFP is a Board Certified Family Physician. The Dr. Daliah Show , is nationally syndicated M-F from 11:00am-2:00pm and Saturday from Noon-1:00pm (Central) at GCN.

 

Published in News & Information

How clean is the air in your home?  Noxious chemicals build up very quickly in one’s house.  These include:

 

Carbon monoxide (from heaters, fireplaces).

 

Radon (from soil, drains, pipes).

 

Formaldehyde (from tobacco smoke, new wood furniture, flooring and cabinets, and glue, cosmetics and detergents).

 

Volatile Organic Compounds/benzene/trichloroethylene, (from plastics, rubber, detergents, degreasers).

 

Ammonia (from detergents, cleaners).

 

Xylene (from cigarettes, paint and car exhaust).

 

These chemicals have been linked to a variety of illnesses from “sick building syndrome” which includes fatigue, myalgias, asthma, headache, palpitations and possible nosebleeds to cancer and possibly death.

Household plants can help eliminate these from the air that you and your family breathe.

 

The following 12 household plants may come in handy:

 

Aloe Vera -- helps reduce benzene and formaldehyde.

 

Spider Plant -- reduces carbon monoxide and formaldehyde.

 

Boston Fern -- removes formaldehyde.

 

Snake Plant -- removes benzene and formaldehyde.

 

Areca Palm -- removes most of the above mentioned chemicals and has been rated, “Most efficient air purifying plant” by NASA and the Associated Landscape Contractors of America. (Pictured above).

 

Lady Palm -- removes formaldehyde and ammonia.

 

Bamboo Palm -- removes benzene, trichloroethylene and formaldehyde.

 

Peace Lily -- removes benzene, ammonia and formaldehyde.

 

Golden Pothos -- removes most of the above chemicals.

 

Dragon Tree -- removes xylene.

 

English Ivy -- removes formaldehyde and mold.

 

Chinese Evergreen -- multi-talented as well eliminating much of the above chemicals.

 

LearnHealthSpanish.com / Medical Spanish made easy.

Daliah Wachs, MD, FAAFP is a Board Certified Family Physician. The Dr. Daliah Show , is nationally syndicated M-F from 11:00am-2:00pm and Saturday from Noon-1:00pm (Central) at GCN.

 

 

Published in News & Information
Wednesday, 03 May 2017 19:42

10 ways to enjoy losing weight

Most people think losing weight has to be a drag, but there is a way you can enjoy losing weight and keep it off. You don’t even have to commit an hour per day to exercising, which is another myth about losing weight. You don’t have to join a gym. You don’t have to leave your home. You can even lose weight at the office with some simple changes to your furniture and habits. So here’s how to enjoy losing weight and keep it off.

  1. Get in the Right Mindset

How to enjoy losing weight starts with the proper mindset, as do all things worth doing. You have to really want to lose weight. If you don’t really care to lose weight, you’re more likely to give up after a few weeks or be discouraged when the scale gives bad news. Understanding that sculpting a body comes with peaks and valleys will make losing weight more enjoyable. There will come a time when you “plateau,” and it will seem like you can’t lose anymore weight. The best thing you can do is prepare for the plateau. It’s going to happen. Accept it. If we all lost two pounds per week forever there’d be no weight left to lose eventually.  

Dr. Daliah Wachs says keeping before-and-after photos of yourself can provide motivation to continue pursuing your weight loss goals. She advises to keep the before photo in places you frequent, like the office, the bathroom mirror, in a gym bag or on the refrigerator.

  1. Get to Know your Body

It is imperative to know your body and what you’re putting in it if you’re going to enjoy losing weight. This is a great activity for the first week of your weight loss program. Download the free MyPlate app from Livestrong on your Apple or Android device and start logging everything you eat and drink for a week. This food diary is your first step to losing weight, because eating nutritious meals is more important than exercise. The free version of the MyPlate app logs your calories, carbs, fat, protein, sodium, cholesterol, dietary fiber and sugars, and it will set goals for each given your current weight, height, gender, daily activity and weight loss goals. I’m five-foot, 10-inches, around 185 pounds and a moderately active male looking to lose 1.5 pounds per day.

You’ll immediately notice your problem areas, and if you’re in tune with what you eat currently, you probably already know. I knew my problem was empty carbs. I enjoy craft beers and Animal Crackers dipped in tea, so getting six-pack abs for the first time will obviously require giving up six-packs of microbrews. (I’ll never give up my Animal Crackers. In fact, I’ve given up bread because I’m poor and eat a lot of pasta.) But by monitoring my food intake (I refuse to call it a diet, because it’s not) I know exactly what I should consume throughout the day.

For instance, given my age, height, weight, gender and goals, the MyPlate app sets my daily calorie goal at 1,725 calories and my carbohydrate goal at 173 grams. I was around my calorie goal yesterday (1,783 calories) but way over my carbohydrate goal (248 g). My protein intake was also well below the recommended level of 129 grams per day, which means I’ll be picking up protein powder at GNC today and replacing my breakfast of cold pizza with a protein shake full of fruit. Protein shakes don’t have to be chalky and terrible, either. Here are some delicious recipes that will make you enjoy losing weight. (Hint: cottage cheese is key.)

The MyPlate app also links to the Health app on Apple devices and Google Fit on Android devices, so it will count your steps and calculate your calories burned. It also allows you to track your water consumption. Two-thirds of us don’t drink enough water, and it’s a key to losing weight Wachs informs.

“Drink a glass of water before you eat your meal. That works,” she said, adding later that eating the vegetables of your meal first, which are mostly water, also fulfills your appetite while providing proper nutrition. Wachs thinks this a great tactic to keep kids healthy, too.

  1. Dedicate Yourself to Your Body

While I’m trying to help you enjoy losing weight, there is a lot of dedication involved in achieving your weight loss goals. Your body is the only thing you take to the grave, so you should be dedicated to it. Take care of it, and it will take care of you.

You must continue logging every food you eat, every drink you drink and every rep of exercise you complete. This is your body diary, and it is as important to your physical health as an actual diary is to your mental health. Once you stop logging that information on paper or in the MyPlate app, you’re starting to accept your body as it is. Don’t do that. Every time you don’t want to log a meal or even a beverage, just think of your weight loss goals. Envision your body as you’d like to see it, and pick up your phone or notebook and log that meal or drink. Speaking of drinking...

  1. If You Take a Drink, Drink Liquor

I told you that you’d enjoy losing weight. Even light beers don’t come close to beating the caloric content of most liquors, and the carbs are killers. Jose Cuervo tequila consists of just 96 calories per shot and has no carbohydrates. While Miller Lite also has 96 calories, you have to drink three of them to get the same effect as the shot of tequila. Every 12 ounces of Miller Lite comes with 3.2 grams of carbs, too. If you’re into microbrews like me, giving those up sounds difficult and certainly not enjoyable, but I assure you, you’ll not only shed pounds drinking liquor, you’ll save money, too.

If you’re a whiskey drinker like me, Crown Royal Special Reserve has just 96 calories per serving, as does Pendleton. Most gins and vodkas will also have 96 calories or so. Rum and bourbon will have a few more calories, but are still better for you than beer despite having trace carbs. I suggest you drink all liquor straight, on the rocks or with 100-percent juice. Soda, even diet soda, provides no nutritional value whatsoever. It is literally empty calories and sugar and doesn’t even quench your thirst. That’s why I’ve mostly given it up since 2004, but I’m committed to never letting soda touch another ounce of alcohol for the rest of my life.

  1. Exercise at Work

When your coworkers go out for a 15-minute smoke break, that doesn’t mean you have to keep working. (Oh yeah, if you want to look good quit smoking. It’ll make exercising easier.) While just nine states require rest breaks by law, the 15-minute smoke break happens almost everywhere. Most employers understand that their employees will be more productive if they get away from their desk or work space every few hours.

The best thing about the MyPlate app is that it provides exercises you can do at home, at the office or in the gym, with videos of proper form and even a timer and voice letting you know when to start and stop each exercise.

I did MyPlate’s seven-minute, cardio sculpting workout for the first time, and I can tell you it works. Not only is my body telling me what muscles I haven’t been using enough, but the app says I likely burned 235 calories in just seven minutes.

If you don’t have enough room at work to do the MyPlate exercises, there are still a couple of ways you can burn calories. The simplest thing you can do, whether you sit or stand all day, is work your core muscles. It’s as easy as crunching up your abs and breathing deeply.

Replacing your desk chair with a stability ball makes your entire day a core workout that can burn up to 350 calories. The Varidesk is also a nice contraption because sitting all day is still not good for you, regardless of your seat. The more you can get up and move around during your workday the better, and the more you’ll enjoy your work, too.

  1. Exercise at Home

One of the reasons people don’t enjoy losing weight is the daily trip to the gym, where they’re judged by those around them or, if you’re a woman, hit on incessantly by bros and former frat boys. The internet has totally changed the way people workout, though. More and more fat-burning exercises can be streamed to your television, computer, tablet or phone, either for free or for a nominal fee.

  1. Get Paid to Lose Weight

You can even get paid to meet your fitness goals! Pact pays those who meet their weight loss goals with the money of those who don’t, and HealthWage allows you and a team to collectively work toward weight loss goals. I told you that you could enjoy losing weight. Now you can enjoy the money that comes along with it!

  1. Do More of the Physical Activities You Already Love

I catch just about every home Minnesota Twins game, and I take public transit to get there and do at least one lap around Target Field while I’m there (150 calories burned). If I go out for trivia or a freeroll poker tournament near my home, I ride my bike (650 calories burned per hour). I’m surrounded by lakes in the land of 10,000 lakes, which works out great for me because I love to swim (around 585 calories burned per hour swimming breaststroke, depending on weight). There’s a yoga studio by my house I’m considering joining (between 135 and 550 calories burned per hour plus improved flexibility).

  1. Eat More Lean Meats

Lean meats and seafood have just 45 calories per ounce. Fish has significantly less saturated fat than other meats, though. The American Heart Association recommends you eat fish at least twice weekly, especially fish containing omega-3 fatty acids like salmon, trout and herring.

Skinless chicken is also a great way to lower your fat and caloric consumption while keeping protein levels up, so chicken wings are perfectly okay to eat on football Sundays as long as they’re eaten in moderation and prepared without a bunch of hydrogenated oils or butter.

I’m not advocating you stop eating red meat. I could never do it myself, but you should find the leanest cut of beef, pork or lamb available and prepare it without adding oils, butter or salt. In fact, 75 percent of the sodium you consume is already in processed foods or from restaurants. You shouldn’t be adding salt to anything. Most foods come with more than enough salt as it is.

  1. Eat More Salad

Eating salad might not sound enjoyable, but I assure you, a good salad can be a great way to enjoy losing weight. You can’t tell me poached salmon and watercress salad with dill-yogurt dressing doesn’t sound delicious, or that shrimp with feta, radish, watercress and mint salad wouldn’t be delightful. Grilled panzanella with arugula, burrata, summer squash and olives makes me want to eat bread again, and I might make Moroccan lamb salad with carrots and mint when I get off work.

So there’s 10 ways to enjoy losing weight, and hopefully, you enjoy it so much the weight stays off. I’ll be checking in to update you on my pursuit of six-pack abs in the future.

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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

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 37% of fatal crashes, prescriptions and illegal drugs were responsible for 43% of driver- related deaths. Looking deeper into data available from the National Highway Transportation Safety Administration (NHTSA), they found 36.5 % of drug related fatal car crashes were the result of marijuana use.

 

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.

 

LearnHealthSpanish.com / Medical Spanish made easy.

 

Daliah Wachs, MD, FAAFP is a Board Certified Family Physician. The Dr. Daliah Show , is nationally syndicated M-F from 11:00am-2:00pm and Saturday from Noon-1:00pm (Central) at GCN.

 

 

Published in News & Information

The 56 year old actress was receiving chemotherapy and radiation treatment for throat cancer.

A statement released by her husband, Steve Fleischmann, revealed she had back in 2016 woke up noticing a small amount of blood on her pillow case thinking she had bitten her tongue.  A biopsy later revealed she had squamous cell carcinoma on her left tonsil. The cancer eventually spread not allowing her to eat or drink and she required a feeding tube.  This week she died peacefully at home in bed next to her husband and the coroner revealed the cancer had spread to her spleen and brain.

 

According to Erin Moran’s costar, Anson Williams who played Potsie, “She kept very quiet”……”We all kept quiet too, out of respect for Erin. She couldn’t speak, but her texts were very [positive].”

What is “Throat Cancer?”

The throat, pharynx, is divided into three parts.

Nasopharynx – above the soft palate, the upper part of the throat behind the nose

Oropharynx – between the soft palate and the epiglottis, the middle part of the throat including the back wall, sides, tonsils and posterior 1/3 (back) of the tongue.

Hypopharynx – the lowest part that leads to the esophagus and larynx (voice box)

Cancer in any of these anatomical sections can be considered “throat cancer”.  Cancer of the larynx (voice box) is called laryngeal cancer and is considered separate from hypopharyngeal cancer.

Esophageal cancer is cancer of the esophagus (gullet) and is considered separate from “throat cancer” as well.

 

What are the symptoms of throat cancer?

Symptoms of throat cancer include:

  • Chronic sore throat

  • Hoarseness

  • Voice changes

  • Chronic cough

  • Difficulty swallowing

  • Painless lump in the neck

  • Neck Pain

  • Ear Pain

  • Weight loss

 

to name a few.

What are the risk factors?

Risk factors for throat cancer include:

  • HPV (Human Papillomavirus) – causing rising rates of especially oropharyngeal cancer

  • Epstein Barr Virus – related to increased risk of nasopharyngeal cancer

  • Tobacco Use

  • Alcohol use

  • Gastroesophageal reflux disease (heartburn)

  • Poor diet, especially lack of fruits and vegetables

How is throat cancer treated?

 

As one can see by the list of symptoms, throat cancer often gets mistaken for common cold symptoms.  Unfortunately, by the time throat cancer is diagnosed, it has reached a more advanced stage.  Depending on where the cancer is located, various treatments can be instituted including surgery, chemotherapy, radiation, and targeted drug therapy.

Which famous people battled throat cancer?

 

Celebrities who succumbed to throat cancer include:

 

Sammy Davis Jr., age 64

Michael Crichton, suspected throat cancer, age 66

President Ulysses S. Grant, suspected throat vs. esophageal cancer, age 63

Bob Denver (Gilligan’s Island), age 70

Carl Perkins, age 75

 

to name a few.

 

In 2010, Actor Michael Douglas successfully battled “throat cancer” that originated from a tumor at the base of his tongue.

 

LearnHealthSpanish.com / Medical Spanish made easy.

 

Daliah Wachs, MD, FAAFP is a Board Certified Family Physician. The Dr. Daliah Show , is nationally syndicated M-F from 11:00am-2:00pm and Saturday from Noon-1:00pm (Central) at GCN.

 

Published in News & Information

Republicans are again trying to repeal and replace Obamacare, but what they’re really doing is attempting to alter the Affordable Care Act just enough so they hold onto their jobs and fulfill a promise made by Donald Trump to repeal and replace Obamacare “one Day 1.” We are nearing Day 100, and the House Republicans can’t even agree amongst themselves let alone get enough votes in the Senate to pass their American Health Care Act.

The best thing that could have happened for Republicans with regard to the Affordable Care Act would have been to accomplish the goal announced by House Majority Leader Mitch McConnell just after Barack Obama was elected president. "The single most important thing we want to achieve is for President Obama to be a one-term president,” he said. They failed, and so will their attempt to repeal and replace Obamacare.

The problem for Republicans, and specifically Southern Republicans, is that Obamacare is working for some and would work for most of their constituents. In fact, the South had the highest rate of uninsured people in 2012 at 18.6 percent. And it’s not all Hispanics. Over 68 million of them are white.

Southerners are also the least healthy of all Americans, with 20 percent reporting fair or poor health in 2014. Southerners are also the most impoverished Americans, with 17 percent of Southerners living below the poverty level in 2014. The South also has the highest rates for diabetes, obesity and infant mortality in the nation. The South accounts for nearly as many uninsured people as the rest of America combined, and 17 percent of the uninsured fall into the coverage gap for Medicaid expansion.

Yet Southerners have taken advantage of, or actually, been disadvantaged by the Supreme Court decision to not force Medicaid expansion upon all states. Had all states been required to expand Medicaid, 7 million people would gain coverage, 4.3 million fewer people would be uninsured and states would see between $5 and $10 billion in uncompensated care savings over the next 10 years, which would offset increased state spending by between 13 and 25 percent.

Of the 19 states resisting Medicaid expansion, 14 are in the South. The states with the most people who stand to gain insurance through expansion are Florida (1.253 million), Texas (1.186 million) and Georgia (.682 million). Georgia nearly elected a Democrat to the house just a few days ago, Texas is turning blue, and two Republican incumbents lost House seats to Democrats in Florida last November, while Democratic incumbents retained all six of their seats.

In short, Southerners need Obamacare and the subsidies that come along with it. They’re just starting to realize it. Now, if America adopted a Medicare-for-all system that Bernie Sanders has proposed, maybe we could stop spending nearly $3 quadrillion on health care as a nation.

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Published in News & Information
 

Multiple countries use vending machines that offer free syringes and needles to drug users, but this resource will be the first in the United States to help curb the spread of disease in IV drug users.

The machines will be offered and run by the Southern Nevada Health District, Nevada AIDS Research and Education Society and Trac-B Exchange.  Dr. Jerry Cade, who co-founded University Medical Center of Southern Nevada’s HIV clinic, said, “There’s zero downside and lots of pluses.”

Many health agencies, including the World Health Organization (WHO) recommend offering clean needles to users (200 sterile needles and syringes per drug injector per year).  Offering free needles has not been proven to incite or increase drug use, and “clean needles” will allow users, victim to their addictions, a safer way to inject without being exposed to HIV, hepatitis C and other blood borne pathogens.

Each kit is free and users can receive one twice a week.  Each kit contains the following:

  • 10 syringes

  • a tourniquet

  • a disposal container for used syringes

  • alcohol swabs to clean the skin prior to use

  • Bandages

  • an information sheet about where one could go for addiction treatment.

In order to use the machine, users must “register” without the requirement of giving personal information.  Once registered a card with a code is given that allows access to the machine.

The machines will be located at AFAN (Aid for AIDS of Nevada), the Community Counseling Center and Trac-B on West Charleston Blvd.

The initial steps could deter some from coming forward to use the machines, but many who use IV drugs WANT to get help and prevent further medical complications.  The outreach this provides, offering help to those who are addicted, is a huge step in our fight against heroin overdose and infectious disease spread.

LearnHealthSpanish.com / Medical Spanish made easy

 

Daliah Wachs, MD, FAAFP is a Board Certified Family Physician. The Dr. Daliah Show , is nationally syndicated M-F from 11:00am-2:00pm and Saturday from Noon-1:00pm (Central) at GCN.

Published in News & Information

This year, nine confirmed cases of rat lungworm disease have surfaced in Hawaii (Maui and the Big Island), and a couple in California who recently traveled to the Aloha State  came down with symptoms after they returned home from their honeymoon. Four additional cases have been suspected since the start of the year and fortunately no deaths have been reported. The Hawaii Department of Health confirmed 11 cases in 2016, and between 2007 and 2015, 42 cases were reported.  Here are your questions answered.

What is Rat Lungworm?

 

Rat lungworm is in the family of roundworms (nematodes), named Angiostrongylus.   Angiostrongylus cantonensis is a parasite that can cause neurological infections such as meningitis, and its sister species, Angiostrongylus costaricensis, can cause severe gastrointestinal illness.  The specific meningitis, or inflammation of the brain, caused by A. cantonensis is an eosinophilic meningitis, where the main blood cell involved is an eosinophil, prevalent in parasitic infections as opposed to a bacterial or viral meningitis.

 

It's found primarily in Southeast Asia and the Pacific Basin but up until recently it's been extremely rare in the United States.  In 2015 a study published in the Journal of Parasitology cited cases had been reported in Florida, Alabama, California, Louisiana, and Hawaii.

 

It primarily lives in rodents but the larvae can be passed to other species through rat feces.  Adult nematodes live in the pulmonary arteries of rats.  The females lay eggs and these, once they hatch and become first stage larvae, may migrate to the rat’s throat and then enter the GI system, eventually exiting through feces.

What are the symptoms of Rat Lungworm?

 

Symptoms include severe headache, fever, neck stiffness, visual disturbances, difficulty looking at light (photophobia), nausea, vomiting, numbness, temporary paralysis of the face and possibly coma and death.

The incubation period, on average, can be anywhere from a week to three weeks and symptoms could start within that time and possibly last for months.  Neurological sequelae of the survivors can last for extended periods of time.

How does one contract Rat Lungworm?

 

An individual could become exposed to A. cantonensis when one eats undercooked slugs, snails, frogs, shrimp, mollusks and contaminated fruits and vegetables.  Slime from slugs may also be a source of contamination of the deadly parasite.

 

 

How do we know Rat Lungworm is the cause of one’s symptoms?

 

If a person presents with symptoms of meningitis, the cerebrospinal fluid, or fluid surrounding the brain and spinal cord is able to be sampled during a lumbar puncture. The needle entering through the back could aspirate enough of a sample for laboratory technicians to determine if the meningitis is caused by bacteria, virus or parasites, the latter of which causing a higher concentration of eosinophils to be demonstrated in the CSF fluid as well as the blood.

 

What is the treatment for Rat Lungworm?

 

Currently there is no official treatment of the parasite.  The parasite will die on its own but can do so in a relatively short amount of time such as days, or become latent for months.  Dead worms could also cause severe neurological symptoms. Symptomatic measures of the patient are instituted to help with pain, although some have been treated with steroids and antiparasitic medications.

 

How do we avoid Rat Lungworm?

 

Make sure all raw vegetables are washed thoroughly,  Handle slugs and snails with gloves and wash hands diligently.  The University of Hawaii recommends boiling snails for at least 3-5 minutes prior to preparing for consumption.  And keep rodents, snails and slugs away from your food and kitchen counters.

 

For more on prevention of Rat Lungworm infections, read: Avoid Contracting Angiostrongyliasis (Rat Lungworm Infection): Wash Fresh Fruits and Vegetables Before Eating!

 

 

LearnHealthSpanish.com / Medical Spanish made easy

Daliah Wachs, MD, FAAFP is a Board Certified Family Physician. The Dr. Daliah Show , is nationally syndicated M-F from 11:00am-2:00pm and Saturday from Noon-1:00pm (Central) at GCN.

 

 

Published in News & Information

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