Tuesday, 24 April 2018 15:09

Can diet soda cause diabetes?

Another study suggests artificial sweeteners can increase one’s susceptibility to getting diabetes.

Research led by Dr. Brian Hoffman from the Medical College of Wisconsin and Marquette University, looked at rats who were fed artificial sweeteners and found they had changes in their fat and energy metabolism such that fat levels increased and protein was instead broken down to provide much-needed fuel. Diabetes occurs when people cannot break down and utilize sugar correctly (more discussed below).

This isn’t the first time artificial sweeteners have been linked to a glucose metabolism disorder.  In October 2016, researchers at Karolinska Institute found two diet drinks a day DOUBLES one’s risk of diabetes.

These studies are concerning as many people prone to high blood sugar opt for the “sugar-free” beverages, thinking they are protecting their health, when in fact they could be hurting it.

Why would artificial sweeteners have such an effect? One theory is our mouths and hence minds think something very sugary is coming down the pike.  Artificial sweeteners can be anywhere from 150-500 times sweeter than actual sugar. So the pancreas and other organs may ready the body for this huge anticipated “sugar load.”  When no sugar actually comes down the gullet and into the intestine to be absorbed, the body may eventually take a “boy who cried wolf” stance and not mount appropriate responses later.  Diet soda has been associated with weight gain, maybe due to the body’s metabolism slowing down as a result it feels it is “starving” when real food is not coming down the gut.

Another theory suggests sweeteners may alter the gut microbiome which has been discovered to be instrumental in a variety of physiological processes, including metabolism.  Another suggestion has been that sweeteners may interfere with the pancreas doing its optimal job by enhancing resistance to its main hormone in glucose metabolism, insulin.

A review of Diabetes

 

Diabetes is a disease in which the body doesn’t utilize and metabolize sugar properly. When we consume food, its broken down into proteins, nutrients, fats, water, and sugar. These components are necessary for cell growth and function. They get absorbed in the small intestine and make it to the bloodstream. In order for a cell to utilize sugar, it needs the hormone insulin to help guide it in.  It’s similar to a key that fits in the keyhole of the “door” of the cell, opening it up so sugar can enter.  Insulin is produced in the pancreas, an organ that receives signals when one eats to release insulin in preparation of the sugar load coming down the pike.

Diabetes explained

 

So I imagine our mouth like a waiting room, the blood stream like a hallway, and the cells of the body the rooms along the hallway. Insulin is the key to open the cells’ “doors” allowing sugar to enter.  If the sugar does not get in, it stays in the bloodstream “hallway” and doesn’t feed the cell.  Weight loss occurs, and individuals may become more thirsty as the sugar in the blood makes it fairly osmotic, something the body wants to neutralize, reduce.  The kidneys are going to want dump the excess sugar, so to do so, one would urinate more, again causing thirst.  So when a diabetic loses weight, urinates more frequently and becomes thirsty, you now understand why.

Type I vs. Type II vs. Type IIIc Diabetes

 

Type I Diabetes, previously called insulin dependent or Juvenile diabetes, occurs when the pancreas doesn’t produce insulin, possibly from the immune system destroying the cells that produce the hormone. When this occurs there is rapid weight loss and death could occur if the cells don’t get the sugar they need. Insulin has to be administered regularly.

Type II Diabetes, previously called non-insulin dependent or adult-onset diabetes, occurs in those who began with a fully functioning pancreas but as they age the pancreas produces less insulin, called insulin deficiency, or the insulin produced meets resistance. This is the fastest growing type of diabetes in both children and adults.

Type IIIc diabetes may occur in individuals who suffered damage to their pancreas.  Inflammation/infection of the pancreas (pancreatitis), a pancreatic tumor, or surgery affecting the pancreas may destroy the beta cells that produce insulin.

Complications of Diabetes

 

Cardiovascular disease – Sugar is sticky, so it can easily add to atherosclerotic plaques.

Blindness – high sugar content draws in water to neutralize and small blood vessels in the eye can only take so much fluid before they burst.  Moreover, high blood sugar weakens blood vessels.

Kidney disease – the kidneys work overtime to eliminate the excess sugar. Moreover, sugar laden blood isn’t the healthiest when they themselves need nourishment.

Infections – pathogens love sugar. Its food for them.  Moreover blood laden with sugar doesn’t allow immune cells to work in the most opportune environment.

Neuropathy – nerves don’t receive adequate blood supply due to the diabetes-damaged blood flow and vessels, hence they become dull or hypersensitive causing diabetics to have numbness or pain.

Dementia – as with the heart and other organs, the brain needs healthy blood and flow.  Diabetes has been found to increase risk of Alzheimer’s as well.

What is insulin resistance?

 

Insulin resistance, if using our hallway and door analogy, is as if someone is pushing against the door the insulin is trying to unlock. As we know, those with obesity are at higher risk for diabetes, hence fat can increase insulin resistance. It’s also been associated with an increase in heart disease.

Blood sugar numbers

 

If your fasting blood sugar (glucose) is greater than 126 mg/dl, or your non fasting blood sugar is greater than 200 mg/dl, you may be considered diabetic.  Pre-diabetes occurs when the fasting blood sugar is between 100 and 125 mg/dl.  If ignored, and the sugar rises, pre-diabetics may go on to develop diabetes.

 

 

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SOURCE DIABETESMEALPLANS.COM

 

Preventing/Controlling Diabetes

 

1/3 of American adults are currently pre-diabetic. Experts predict 1/3 of US Adults will be diabetic by the year 2050.  Although genetics plays a big role, decreasing ones sugar intake and maintaining an active lifestyle can help ward of diabetes.

Foods high in sugar and carbohydrates increase one’s risk, so a diet rich in vegetables and lean meats is preferred.

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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

Cannabis plants produce cannabinoids, or chemicals that can induce an effect on the body. When cannabinoids are produced by a plant they are called phytocannabinoids. Humans produce their own cannabinoids, called endogenous cannabinoids. Laboratory  or synthetically produced cannabinoids are called synthetic cannabinoids.

The human body has a very intricate endocannabinoid (endogenous cannabinoid) system, with receptors throughout our brain, organs, glands, and immune system. Hence a wide variety of physiological responses, occur when these receptors are stimulated by cannabinoids.  These include responses to sleep, memory, appetite, pain, immune response, mood, and cell damage repair and death, Research is currently investigating what endogenous chemicals the human body produces, but the majority of medical discussions surrounding cannabinoids includes the phytocannabinoids.

Cannabis plants produce many phytocannabinoids, but the most well known and studied include CBD (cannabidiol) and THC (Tetrahydrocannabinol).  The latter is psychoactive, meaning it can give the user a feeling of euphoria.   The former, CBD, in non-psychoactive and researched more than others for its medicinal benefits.

Now plants, just like animals, are classified from Kingdom (Plantae) down to Genus and species.  Cannabis comes in a variety of species, including the major ones:  C. sativa, C. indica and C. ruderalis.

 

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C. ruderalis is less popular as it has a lower THC content. However it has “autoflowering” qualities, making them useful to cultivators, and if bred with C. sativa or C. indica could enhance the new hybrid in its reproduction.

C. sativa has a higher THC/CBD ratio, hence can provide more euphoria.  It reportedly helps decrease anxiety, treat depression and increase appetite.  It’s been touted to increase energy and boost creativity. It's also used to help manage attention deficit disorder. Although not approved yet in the US, an oral spray, nabiximol, has been developed and sold in multiple countries to treat neuropathic cancer pain. Its brand name is sold, by prescription, as Sativex® .

C. indica has a higher CBD content and has been used for its sedative properties.  It's also used to help anxiety and induce appetite, but will additionally be used to treat pain and muscle spasms.

 

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Epidiolex has received FDA approval to treat some seizures. Its high CBD component is credited for its anti-seizure activity.

There are multiple other strains, each touted to have their own unique properties.  420medbook.com provides the below table.

 

 

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The challenge, however, is the lack of medical research in each of the different strains. And when a study does come out discussing the medical advantages or disadvantages to using cannabis medicinally, the specific strain may not be mentioned or easily found in the report.

I believe that various strains do have unique properties and there is an art to the field of medical marijuana but more research needs to be done and quickly to avoid random use of cannabis products for treatment of medical conditions.

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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
Friday, 13 April 2018 16:41

Out of breath when climbing stairs?

Millions of Americans have, at some point in their life, experienced shortness of breath, or dyspnea. Sometimes it’s a sign of being out of shape, sometimes it’s from being overly excited, but sometimes it’s due to a severe medical condition.

A study performed by the British Lung Foundation, found the following surprising statistics:

3 in 10 adults gasp for air after climbing a flight of stairs

4 in 10 gasp for air when trying to run to catch a bus

2 in 10 suffer from shortness of breath at some point during the day

25% have difficulty breathing during sex

Most adults experience shortness of breath at least 6 times a week

Study participants were given a survey asking about their activity and stamina, and 25% admitted to exercising less than once a week.

So are we out of shape?  Or is shortness of breath a sign of significant disease?

What causes shortness of breath?

 

Being “short of breath” is a response by both the heart and lungs to not enough oxygen getting circulated throughout the body. This could be due to a variety of factors:

Lung disease

 

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Lung disease prevents blood from becoming oxygenated such as:

  • pneumonia (lung infection)
  • pulmonary embolism (blood clot)
  • pneumothorax (collapsed lung)
  • bronchitis (inflammation of the bronchioles)
  • bronchospasm
  • asthma
  • emphysema
  • interstitial lung disease
  • lung cancer
  • choking or obstruction
  • anaphylaxis, severe allergies

and more.

All of these may give the sensation of being “short of breath.” The body then detects the lungs can’t do their job so signals are sent to dilate bronchioles to increase oxygenation, increase respiratory rate and increase heart rate to rush more blood into the lungs.

Heart Disease

 

Heart conditions that can cause shortness of breath include:

  • heart attack
  • congestive heart failure
  • inflammation/infection of the heart or its valves (pericarditis, endocarditis)
  • arrhythmia – abnormal heart rhythm

 

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These above conditions could prevent the heart from doing its job, pumping blood, so if the body detects lack of oxygenated blood, signals get sent to increase heart rate and respiratory rate as well.

Anemia

 

Anemia is a condition where the body lacks enough healthy red blood cells and/or hemoglobin responsible for bringing oxygen to organs and tissues. Suffering from anemia may result in shortness of breath.

 

So when is shortness of breath worrisome?

 

If one is out of shape, as soon as the exercise, or climbing the flight of stairs, ceases, the respiratory rate will normalize within minutes. If it doesn’t or if other symptoms present with the shortness of breath, an underlying medical condition could be the cause.

Concerning co-symptoms include:

  • chest pain
  • wheezing
  • dizziness
  • cough
  • fatigue
  • weakness
  • pain with breathing
  • anxiety
  • sputum production
  • wheezing
  • headache
  • blurry vision

Although current guidelines recommend exercising with moderate intensity 150 minutes a week, any activity that induces shortness of breath or any of the above symptoms should be evaluated by a medical provider.  If one has been inactive for years and wants to start becoming physically fit, its best to discuss a conditioning plan and current heart health with one’s medical provider with protocols on how to address shortness of breath during workouts.

 

Decoding-Physical-Activity-Guidelines

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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

If you’re a cannabis user living in one of the 42 states where cannabis is still illegal without a prescription, you’re probably planning to march down to your capitol building and lobby your representatives to end cannabis prohibition on April 20. To effectively lobby your representatives requires more than just the commitment to get off the couch one day a year to sit down with your representatives, or more likely, representatives of your representatives, and requesting they support legislation to legalize cannabis in your state.

I was lucky enough to win a scholarship from Students for Sensible Drug Policy (SSDP) to lobby my representatives in Washington D.C. in June of 2013 to legalize cannabis federally. It was a most rewarding experience, and I picked up a few things at a lobbying training seminar led by then executive director of SSDP, Aaron Houston. So here’s the cannabis user’s guide to lobbying on 4/20.

1. Don’t be Stoned

You have to understand that your representative isn’t going to appreciate you wasting his or her time or the time of his or her staff with your drug-induced ramblings. Even if you are a capable orator under the influence, just the appearance or odor of being stoned can undo all your good work and that of your sober comrades.

Getting arrested for smoking a joint at your capitol doesn’t look good, either, so if you must smoke, stay at home on 4/20, where you can still submit a comment to the Food and Drug Administration to remove cannabis from the list of Schedule I drugs. The FDA is requesting interested persons to submit comments concerning abuse potential, actual abuse, medical usefulness, trafficking, and impact of scheduling changes on availability for medical use of five drug substances: the cannabis plant and resin, extracts and tinctures of cannabis, delta-9-tetrahydrocannabinol, stereoisomers of tetrahydrocannabinol and Cannabidiol. Comments are due by April 23.

2. Dress to Impress

If you wish to be treated as an equal by your representatives or their representatives, dressing as they do is a good place to start. You can’t expect your representatives to thoughtfully consider your recommendations if you’re wearing sweatpants and tennis shoes and look like you just rolled out of bed.

The dress code for members of state congress is business professional, which is exactly what you should be wearing while working in their arena. That’s either a suit or a collared shirt, slacks, a tie and dress shoes for men, and a business suit or an appropriate blouse and skirt or dress for women. “Appropriate,” in this case, refers to an appropriate amount of naked skin displayed, which should never be used as a means to your end. You want your representative to respect you, not covet you.

3. Sell Yourself

You’re not just selling your stance; you’re selling yourself. There’s hardly an instance you’re not selling yourself, but in this case, it’s especially important to approach the lobbying of your representatives as you would a job interview. Your interviewers should want to have you back when you leave.

Your representatives can’t dislike you and like your stance. They have to like you before they will even consider your stance. The old saying “you’ll catch more flies with honey than vinegar” is never more true than when lobbying your representatives. Turn up the charm to 11. Smile, and if you can make your representative laugh, you’ll be well on your way to achieving your first goal in lobbying your representatives: being liked.

4. Appeal to the Heart, Not the Head

It might not seem like it at times, but politicians are people, too. They have family and friends they love just like you, and appealing to their feelings will force them to empathize with you. Tell them a personal story of why you use cannabis and how it has helped you. Make yourself the hero of your story and make it easily relatable.

For example: “I suffer from degenerative disc disease that causes chronic lower back pain. Upon being diagnosed at 23 years old, I was immediately prescribed opioids to manage the pain. The plan was to manage the pain until it became surgical, which is when the pain travels down the back of a leg and past the knee. It took a year for my pain to become surgical, and had I not applied for and received a medical marijuana prescription in Montana during that time, I’d either be addicted to opioids or dead.

Once I received my medical marijuana prescription I had no need for the opioids, the dosage of which had increased almost every time I needed a refill. Cannabis is a safer and healthier means of managing chronic pain than opioids, and research has shown that medical marijuana laws may reduce deaths from opioid overdoses.

But people are struggling with ailments and diseases for which medical marijuana prescriptions aren’t allowed, too. I am also an alcoholic, and I’ve been alcohol-free since October 4, 2017. But I couldn’t imagine kicking alcohol without cannabis, and I and thousands of other alcoholics don’t qualify for medical marijuana prescriptions to treat our disease. Instead, we’re called criminals for treating our disease in a safe and healthy manner. So cannabis, a drug that’s never killed a single soul, remains illegal while more than 1,000 Minnesotans die annually from alcohol.”

A cannabis prohibitionist needs a reason to change their mind on cannabis legalization. If they find out their alcoholic family member could quit drinking with the help of cannabis, they’d be more likely to adopt your stance than if you were to feed them a bunch of statistics about fewer fewer deaths in states where medical marijuana is legal.

5. Remember, You’re the Expert, Not Them

Your representatives are overwhelmed with legislation spanning a multitude of topics, so it’s unlikely they have a firm grasp on a specific topic unless it’s one of their campaign talking points. Given the reluctance of just about every politician to openly discuss cannabis, in almost every instance, you will know more about cannabis and the effects of cannabis prohibition than your representatives.

You are not lobbying your representatives because of your good looks. You’re lobbying your representatives because you know something they don’t that will help inform their eventual decisions on the matter. Deliver your message knowing you are an authority on the subject, and the confidence you exude will go a long way in persuading your representatives.


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, Drew Pearson Live, Good Day Health, Health Hunters, Herb Talk, Cannabis A to Z

Published in News & Information

Once hailed as a hero to curbing our deadly tobacco epidemic, vaping has now become more popular than smoking cigarettes among middle and high school students.

Last month the CDC reported that 4.3 percent of middle school students and 11.3 percent of high school students vape e-cigarettes. This week, results from a 2016 National Youth Tobacco Survey cite a 900% jump in use among teens from the years 2011-2015, with half a million middle school students and 1.7 million high schoolers having vaped within the last 30 days.

As more studies finalize, we’re anticipating these numbers to rise even higher.

Although electronic cigarette products are not to be purchased or used by those under 18, teen use of Juul and other vaping products have gone viral.

“RJ,” who asked to remain anonymous, is a senior at a local Las Vegas high school and states, “Almost everyone vapes.  No one smokes anymore due to the health risks. They think vaping is safer and cooler. Smoking’s out, vaping - definitely in.”

Students who were never destined to pick up a stick of tobacco have become new recruits to the inhaling industry, being duped by the flavors and image of a “safe way to look cool.”

The Juul casing is particularly attractive. It looks like a flash drive so it/s sleek, smooth and easy to hide.

juul.png

 

The flavored nicotine & e-juices, are a huge draw to those who would never tolerate the smoky taste of tobacco. These can include almost any taste preference such as chocolate, vanilla custard, strawberry, bananas foster and even margarita flavor.

 

 

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IMAGE FROM  NOVELECIG.COM

 

Vaping is Addictive

 

At the start of the year a landmark study found teens who start vaping were 2.5 times likely to become tobacco smokers within a year, suggesting vaping is a gateway drug to later smoking cigarettes. The nicotine introduced in the e-cig can get children hooked fairly quickly such that they may be drawn to unfiltered cigarettes when vaping isn’t enough.

 

Vaping is Risky

 

Vaping is not without its risks. Last month a study from Johns Hopkins Bloomberg School of Public Health revealed toxic levels of lead from the heating coil element leak into the vaporized fluid that is inhaled.  The month before, a study from New York University found vaping to increase risk of heart disease and cancer. In 2015 a University of Minnesota study found e-cig vapor to include chemicals such as formaldehyde and various metals that are linked to bladder cancer. For more on these studies read  here.

Even handling the e-juice has its risks. In March, John Conway, Assistant Principal of Jamestown High School in North Dakota, fell ill after confiscating a device and it’s juice from two high school students. He became nauseous, dizzy, had huge emotional swings and suffered from an intense headache, highlighting the danger e-juice could pose to young kids and pets.

As parents and schools try to combat the growing vaping epidemic, care needs to be taken with the handling and disposing of the concentrated nicotine liquid.

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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

June 1st marks the official start of Hurricane season and runs until November 30th.  September is usually the most active month. Hurricanes are categorized by their wind speed as designated as the following:

 

Category I have sustained winds of 74 to 95 mph

Category II have sustained winds of 96 to 110 mph

Category III have sustained winds of 111 to 130 mph

Category IV have sustained winds of 131 to 155 mph

Category V have sustained  winds of over 155 mph.

In a given year, the Atlantic Ocean averages 12 hurricanes with 2 becoming “major” meaning a Category III or greater.  Hurricane Katrina in 2005 was at one point a Category V and when it hit landfall it was a Category 3-4 (depending on the source), tragically killing over 1800 people and causing $108 billion in damage.  The deadliest hurricane to ever hit US soil was the Great Galveston Hurricane of 1900 in which over 10,000 people died.

According to the National Oceanic Atmospheric Administration, The Weather Company and Colorado State University, the 2018 Hurricane season will be above average in activity, with possibly 14 named storms, 7 of which are expected to become hurricanes, 3 of which could become major hurricanes.

2017 was a particularly active hurricane season with three major hurricanes hitting the US.  Dr. Phil Klotzbach, of the Colorado State University Tropical Meteorological Project, stated in 2017, “While the tropical Atlantic is warmer than normal, the far North Atlantic remains colder than normal, potentially indicative of a negative phase of the Atlantic Multidecadal Oscillation (AMO). Negative phases of the AMO tend to be associated with overall less conducive conditions for Atlantic hurricane activity due to higher tropical Atlantic surface pressures, drier middle levels of the atmosphere and increased levels of sinking motion.”

This year he states, “Last season had near-record warm sea surface temperatures in the tropical Atlantic.”  He continues, “If El Niño were to suddenly develop, that would certainly knock down our forecast.”

El Nino is refers to a ocean-atmospheric interaction where sea surface temperatures rise near the equatorial Pacific, causing increase wind shear in the Atlantic equatorial region and has been linked to highly active hurricane seasons.

This year’s names for the 2018 Hurricane Season are the following

Atlantic

Alberto

Beryl

Chris

Debby

Ernesto

Florence

Gordon

Helene

Isaac

Joyce

Kirk

Leslie

Michael

Nadine

Oscar

Patty

Rafael

Sara

Tony

Valerie

William

 

Pacific

Aletta

Bud

Carlotta

Daniel

Emilia

Fabio

Gilma

Hector

Ileana

John

Kristy

Lane

Miriam

Norman

Olivia

Paul

Rosa

Sergio

Tara

Vicente

Willa

Xavier

Yolanda

Zeke

If I was going to predict on names alone, I’d forecast Helene, Isaac and Kirk to be doozies.

Hurricane Kate 300px.jpg

How to prepare for the hurricane season

Preparation means starting early.

Make sure you keep informed of the latest alerts and official recommendations.

Evacuate when told to do so by city officials.

Many people will try to tough it out and unfortunately get walled up in their homes.  So make sure you have adequate water (1 gallon per day/person for at least three days) and 1/4 – 1/2 gallon/water/ per pet, except the fish obviously.

Canned foods, flashlights, medical supply kit, batteries, blankets, cash, medications in water proof containers should be set aside for disasters, and put important papers in waterproof/fireproof casings.

According to ready.gov, its recommended to do the following:

  • Hurricane winds can cause trees and branches to fall, so before hurricane season trim or remove damaged trees and limbs to keep you and your property safe.
  • Secure loose rain gutters and downspouts and clear any clogged areas or debris to prevent water damage to your property.
  • Reduce property damage by retrofitting to secure and reinforce the roof, windows and doors, including the garage doors.
  • Purchase a portable generator or install a generator for use during power outages. Remember to keep generators and other alternate power/heat sources outside, at least 20 feet away from windows and doors and protected from moisture; and NEVER try to power the house wiring by plugging a generator into a wall outlet.
  • Consider building a FEMA safe room or ICC 500 storm shelter designed for protection from high-winds and in locations above flooding levels.  

Always have an emergency plan, practice it with family members, discuss with distantly located relatives how you will notify each other of your safety, and stay tuned to your radio, TV, wireless emergency alerts encase evacuations are ordered.

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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 EpiPen® auto-injector contains epinephrine, used during an emergency to treat severe allergic reactions, or anaphylaxis.

If one is allergic to an insect or food, a severe allergic reaction may ensue upon exposure, in which the immune system releases a flood of chemicals that can cause throat tightness, hives, lip and facial swelling, difficulty breathing, nausea, vomiting, low blood pressure, rapid heart rate, cardiac arrest and possibly death.

Epinephrine stimulates the heart to increase cardiac muscle contractility, cardiac output, subsequently raising the blood pressure. Additionally it relaxes the muscles surrounding the airways, allowing one to breathe easier and take in more oxygen. Moreover it helps to stop the release of additional immune chemicals.

The EpiPen® is manufactured by Mylan. Its cost made headlines when the EpiPen two-pack recently stickered for close to $600. Now generic forms are available costing anywhere from $109-$300 for a dual pack.

The disposable auto-injector, for an adult, delivers 0.3 mg of epinephrine, while the EpiPen Jr., used in pediatric populations, delivers 0.15mg of the medication.  It can be self-administered, through clothing if necessary, into the thigh muscle in one smooth movement once the safety release is removed.

 

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After 0.3 ml is administered during the single adult dose, the EpiPen® unit is discarded.

However many are not aware that 1.7 ml of solution remains within the cartridge.  This could, in theory, be used for an additional 5 doses if in a remote, “wilderness” setting.

Dr. Arthur (Tony) Islas, Fellow of the Academy of Wilderness Medicine, and professor at the University of Nevada, Reno School of Medicine’s Department of Family Medicine, demonstrated how to extract the remaining doses from the autoinjector at the January Nevada Academy of Family Physicians meeting in Lake Tahoe.

 

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Although it's recommended that all users follow the manufacturer’s labels, those trained in emergency and wilderness medicine may take the used cartridge, cut off the top plastic, and extract the syringe with the remaining fluid.

 

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Dr. Islas states the initial 0.3 mg dose of epinephrine lasts for 20 minutes.  For most people this allows plenty of time for emergency responders to come to the site of the victim.  However, in a “wilderness” or remote setting, another dose may need to be administered during a very severe case of anaphylaxis.

PLEASE NOTE MANIPULATION, DESTRUCTION, AND OFF-LABEL USE OF AN EPIPEN CARTRIDGE COULD BE DANGEROUS AND SHOULD ONLY BE PERFORMED BY A TRAINED PROFESSIONAL.

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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
Wednesday, 28 March 2018 23:05

Can daily Ibuprofen prevent Alzheimer’s?

Canadian neuroscientists suggest taking Ibuprofen daily may prevent the onset of Alzheimer’s.

 

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IMAGE FROM ALZHEIMER’S ASSOCIATION

Researchers from the University of British Columbia believe those who take daily ibuprofen, a non-steroidal anti-inflammatory (NSAID), can decrease inflammation of the brain caused by the abnormal proteins that cause Alzheimer’s.

In 2004, Dokmeci et al suggested ibuprofen could delay Alzheimer’s onset as it protects neurons (nerve cells) and decreases inflammation of the brain.

In this study, Dr. Patrick McGreer and his team believe they can identify those early on who could benefit from the inexpensive, over the counter treatment.

McGreer is President and CEO of Vancouver-based Aurin Biotech.  He and his team developed a saliva test that measures the protein Abeta42 (amyloid beta protein 42).  In patients at risk of Alzheimer’s, they found levels of Abeta42 to be two to three times higher than normal.  Abeta42 accumulates in the brain, causing inflammation and destroying nerve cells.  Though previously believed Abeta42 is made exclusively in the brain, the saliva test suggests Abeta42 is made elsewhere in the body and can be detected years earlier. If the protein/peptide is found earlier and known to cause inflammation, McGreer and his team believe preventing the inflammation with ibuprofen could essentially prevent Alzheimer’s onset.

He states, “What we’ve learned through our research is that people who are at risk of developing Alzheimer’s exhibit the same elevated Abeta42 levels as people who already have it; moreover, they exhibit those elevated levels throughout their lifetime so, theoretically, they could get tested anytime. Knowing that the prevalence of clinical Alzheimer’s Disease commences at age 65, we recommend that people get tested ten years before, at age 55, when the onset of Alzheimer’s would typically begin. If they exhibit elevated Abeta42 levels then, that is the time to begin taking daily ibuprofen to ward off the disease.”

Daily ibuprofen would not, however, be without its risks.  Gastric upset, ulcers, kidney disease and heart disease could occur with excessive NSAID use. The authors suggest a “low dose” but did not specify an exact milligram quantity.

Advances in Alzheimer’s treatment have met multiple obstacles as the neurodegenerative disease is difficult to detect early and the few treatments we do have are not very effective at slowing and reversing pathology.  If protein deposition in the brain can be prevented early, we could potentially save the millions of people destined to get the disease. Currently 5.5 million people in the US have Alzheimer’s, and 44 million people are affected worldwide.

 

alzhemiers

 

For more on the 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
Tuesday, 27 March 2018 15:44

Flu season: A second wave might hit

Although flu cases have started to decrease since its peak early this winter, flu season may continue well into late Spring. The CDC warns a second wave of flu may be upon us as Influenza B is making the rounds.

Although first bombarded with H3N2 “A” strain influenza, Americans appear to be reporting more “B” flu cases this time of year, comprising more than 58% of cases lab-identified.

And young children are especially susceptible to B strain viruses.

 

kid sneeze.jpg

 

5 pediatric flu-related deaths have been reported this week. The CDC cites 133 influenza-related pediatric deaths for the current 2017-2018 season.

According to the CDC:

Overall, influenza A(H3) viruses have predominated this season. However, in recent weeks the proportion of influenza A viruses has declined, and during week 11, influenza B viruses were more frequently reported than influenza A viruses.

Week 11 (March 11-17, 2018) has seen the following:

The proportion of outpatient visits for influenza-like illness (ILI) was 2.7%, which is above the national baseline of 2.2%. Nine of 10 regions reported ILI at or above region-specific baseline levels. Six states experienced high ILI activity; nine states experienced moderate ILI activity; New York City, Puerto Rico, the District of Columbia, and 17 states experienced low ILI activity; and 18 states experienced minimal ILI activity.

The trivalent and quadrivalent flu vaccines both protected against Influenza B as well as the A strains of H1N1 and H3N2 this year. However, flu shot efficacy proved poor for the 2017-18 season, being approximately 30% effective. Moreover, flu viruses can mutate as the season progresses.

It is not uncommon for one to be infected with the flu twice by two different strains circulating during the season.

What’s concerning is allergy season is beginning to overlap with flu season. Those with allergies may have a temporary weakness in their immune system, making them more susceptible to catching a cold or flu.

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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

One of the most embarrassing, untalked about faux pas that occurs in families is the accidental witness of two parent figures having sex.

Our children see us make dinner, watch TV, argue about the in-laws, blame each other for the last cookie being eaten, drop each other’s toothbrush in the toilet (Ok I did that once!), so seeing, and hearing, two adults be intimate could potentially leave a mental scar for life.

And the moment the child is being visually and audibly traumatized, what do we do?  We scream…..”GET OUT,” or “YOU’RE NOT SUPPOSED TO BE HERE!”

Then once dressed, or finished, we hunt down the child, who’s probably hiding in their room, to try to urgently rectify the situation. My guess is many of us fail at this as well.

Telling them “Mommy and Daddy were just having a conversation,” adulterates any competency in communication skills they might have developed over the past few years.

“Mommy and Daddy were having sex” might work, but the average child who just witnessed it may choose a life of celibacy that instant.

So what should we do?

Assure the child they did NOTHING wrong

 

I don’t care if you told them a million times not to enter your room, it’s YOUR fault the door was unlocked.  Blaming the child makes the situation worse and traumatizes them more. Let them know you’re not mad and want to discuss what happened.

 

discipline-boy.jpg

 

 

Understand the child’s point of view

 

Children of all ages learn by mimicry.  Watching parents have sex may startle not so much because of the sexual nature, but because it’s an act they don’t want to mimic.

In a child’s mind they think that the act they just witnessed is one they need to engage in later if they want to be a grown up like you…..and it scares them. Reassure them that they do not have to do “everything Mommy and Daddy do.”

 

Don’t generalize

 

If the child thinks “all adults” do what they just witnessed (position, sounds, tools, etc.) they will extrapolate and think their teachers, clergy, and grandparents do the exact same thing. This could be traumatizing as well.  Let them know that you and your partner were experimenting and having fun and sex is different for everybody. Which brings us to….

It’s OK to call it “Mommy and Daddy time”

 

Rather than labeling it sex, calling it Mommy and Daddy time is fine.  Let them know that adults need private time and some things or acts may feel good and make them happy.

Set boundaries right away

 

The child may be more concerned about being yelled at or caught doing something they shouldn’t than actually seeing you have sex. So their first priority is making sure this doesn’t happen again. Set boundaries such as, “When our door is closed, knock first,” will give them a concrete instruction to follow.  They may then ask, “But, what happens if there is a fire?” - so let them know in an emergency, getting your attention is OK.

You don’t have to fix it all right away

 

If your child says “I got it, I got it, yeah I understand,” that doesn’t necessarily mean he/she understands. It means they want to leave the conversation. That’s fine. You can always revisit it later.  Sometimes during a drive in the car, topics such as this may be easier to discuss than at home with baby brother/sister giggling nearby. They’re a captive audience (unless they choose to jump out of the car), and you can smoothly transition to the subject by asking for permission to have a “big boy/big girl” talk.

Kids like two things, being asked permission by a parent and not being talked to like a little kid.  Capturing their attention this way may allow you to then discuss what needs to be discussed.

One more bit of advice …..when the kids are home and you can’t control yourselves, keep it down, avoid loud machinery, and keep it under the covers……

 

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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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