Wednesday, 06 December 2017 19:40

IUDs May Cut Cervical Cancer by 30%

A new study suggests intrauterine contraceptive devices (IUDs) may fight off the virus that causes cervical cancer.

Researchers from the University of Southern California’s Keck School of Medicine found the small T-shaped device may stimulate an immune response against the sexually transmitted Human Papilloma Virus (HPV) virus which causes cervical cancer.

 

 

iud.jpg

T-SHAPED IUD SITTING WITHIN THE UTERUS

 

IUDs are a favorite among women as they do not involve taking a daily hormone pill and can provide contraceptive protection for years.  There are two main types:

The ParaGard IUD is a non hormonal implant made of copper. The copper wards of sperm allowing contraception up to 12 years.

Hormonal IUDs, such as Mirena, release progestin, a hormone similar to progesterone, to the local environment, thickening the cervical mucous to prevent sperm from reaching the egg.  Hormonal IUDs may also prevent ovulation. Additionally, IUDs can alter the lining of the uterus such that if a fertilized egg does occur, it may not be able to nest in the uterus without proper lining.

But both IUDs can stimulate an immune response that is both a deterrent to sperm and now suggested to viruses such as HPV.

Vaccines against the HPV virus exist and are given to 11-12 year old girls with the maximum age at which one could receive the vaccine, 26 years old.

If more research confirms this is the case, then those women who have not been vaccinated or are too old to receive the vaccine against cervical cancer may benefit from using an IUD.

What is the cervix and what is cervical cancer?

 

The uterus looks similar to a light bulb. The larger top portion being where the fetus develops, and the bottom, narrower area, the cervix. The cervix thins and dilates during childbirth, as you’ve heard in the movies “she’s only 7 cm!” and then after childbirth becomes narrow again.  It affects nearly 12,000 and kills 4,000 women each year. It can affect women of any age but is more common between 20 and 50.

 

375x321_cervix

HTTP://WWW.WEBMD.COM/WOMEN

 

What causes cervical cancer?

 

The most common cause is HPV (Human Papillomavirus), especially HPV-16 and HPV-18.  This is acquired through unprotected sex, so condom use is encouraged. Thus its one of the most preventable causes of cancer.  Additionally, there are 3 vaccines for HPV currently approved by the FDA, Gardasil, Gardasil 9, and Cervarix.

What are the symptoms of cervical cancer?

 

Early cervical cancer may not be symptomatic but as it develops it may cause an odor, pain with urination, pelvic pain and bleeding. This bleeding may occur after sex, a pelvic exam, or intermittent bleeding not associated with a menstrual cycle.

Is cervical cancer treatable?

 

Yes.  Early detection is key and can be done by a Pap Smear, explained below.  Multiple treatments are available including surgery, chemotherapy,  radiation therapy, and targeted therapy such as Bevacizumab (Avastin®) which prevents new blood vessel growth that can feed a tumor.

Who should get screened for Cervical Cancer?

The USPSTF (United States Preventive Services Task Force) recommends the following:

Screening for cervical cancer in women age 21 to 65 years with cytology (Pap smear) every 3 years or, for women age 30 to 65 years who want to lengthen the screening interval, screening with a combination of cytology and human papillomavirus (HPV) testing every 5 years.

What is a Pap Smear?

 

It is the cytology (cell analysis) of the cervix. Years ago, a cytobrush would collect the cells and the medical provider would “smear” it onto a slide, place fixative, and then send it to the laboratory for the pathologist to analyze it. Now ThinPrep® Pap tests are used more commonly as the cells from the brush are placed into a container with fixative, and this vial is sent to the pathologist to spin down and analyze.

 

cervical-smear-test-equipment-97358274-575db1493df78c98dc633c53

TEK IMAGE/SPL / GETTY IMAGES

 

In order to obtain the cells from the cervix, the medical provider needs to use a speculum to open the vaginal canal and allow access to the uterus. A woman may be in the lithotomy position…lying on one’s back on the exam table with her feet in stirrups and knees bent. During the speculum exam, the medical provider may take cultures to test for common vaginal infections such as yeast, bacteria vaginosis, or sexually transmitted illnesses such as gonorrhea and chlamydia. After the speculum exam, the provider may perform a pelvic exam with her gloved hand to examine the uterus and ovaries, evaluating for tenderness, shape, size and masses.

How is an HPV test done?

 

An HPV test can be done with the cells obtained during the Pap Smear. The laboratory evaluates the cells to see if the HPV virus that causes cervical cancer is present.

In summary the thousands of deaths that occur each year to cervical cancer can be prevented with simple testing, such as the Pap Smear. Discuss with your medical provider when cervical cancer screening is best for you.

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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 new study out of India suggests both premature balding and graying are linked to heart disease.

Researchers from the UN Mehta Institute of Cardiology in Gujarat, India evaluated 2000 men (1200 healthy and 790 with heart disease) and found those who began to lose their hair and hair color before the age of 40 had the following risk elevation when it came to heart disease:

  • Premature balding 5.6 X risk

  • Premature graying 5.3 X risk

To put this into perspective, obesity was associated with a 4.1 greater risk. So alopecia (hair loss) and canities (graying/whitening of the hair) appeared to be more of a culprit than one of the most infamous risk factors there is.

This study therefore suggests those before age 40, showing early receding hair lines and gray hair, may want to be evaluated for cardiac risk factors.

In April, a study was presented at the EuroPrevent 2017 conference of the European Society of Cardiology suggested a link between how much a man grays or whitens when he ages and plaque buildup within the coronary arteries, the main arteries that supply the heart muscle.

Those researchers looked at 545 men and evaluated them by the degree of hair whitening where a 1 was given to those with all black hair, up to a 3 with equal amounts of black and gray/white hair, to a 5 where they had all gray/white hair. Computed tomography coronary angiography was used to evaluate the amount of atherosclerosis (plaque build up) in the coronary arteries.

Those men who scored 3 or more appeared to have higher risk of plaque build up. These findings were independent of cardiac risk factors such as age, diabetes, high blood pressure, high cholesterol, smoking and family history of heart disease.

According to lead author in this earlier study, Dr. Irini Samuel, a cardiologist at Cairo University in Egypt stated,

“Atherosclerosis and hair graying occur through similar biological pathways and the incidence of both increases with age. Our findings suggest that, irrespective of chronological age, hair graying indicates biological age and could be a warning sign of increased cardiovascular risk.

More research is needed on cutaneous signs of risk that would enable us to intervene earlier in the cardiovascular disease process.”

She continued, “If our findings are confirmed, standardization of the scoring system for evaluation of hair graying could be used as a predictor for coronary artery disease.”

17c6f174268e3a6897d4447185851c37.jpg

Why does our hair turn gray with age?

Our hair color is determined by our melanin production, a combination of pigments (eumelanin and pheomelanin) that can vary, with less eumelanin giving rise to blond hair, more giving rise to brunette hair and pheomelanin responsible for the red, auburn hues.

Melanocytes inject their pigment into the keratin cells that produce hair.  As we age these may slow down.  Another cause of “going gray” is hydrogen peroxide builds up in the hair follicle, causing oxidative stress, which in turn prevents rich colors from being displayed. The lack of pigment will cause hair to appear white.

 

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IMAGE FROM MADSCI NETWORK

 

What can cause premature graying?

 

Many of us begin to see gray hair in our 30’s. Some in our 20’s. Different ethnicities gray at different ages. If one is gray by age 20 that would be considered very premature.

We’ve heard about stress, hormones, and nutritional deficiencies being linked to loss of hair color, but studies have not been able to prove this definitively.

Researchers are still trying to determine why one would gray faster and what significance it has on our health.

Now one might say “If everyone grays then everyone is at risk for heart disease.”  Heart disease is common and the number one killer and graying is almost ubiquitous in the older population. But this study starts to make one wonder if the amount, accelerating of….even the pattern of graying are significant, then this could clue us in on who is at risk for early, preventable, heart disease.

What causes baldness?

 

Hair is made in follicles within the skin and grows for about three years until it sheds and new hair grows. Hair loss (alopecia) occurs when hair follicles shrink and smaller, thinner hairs grow, lasting shorter and shorter times.

Genetics play a huge factor, with the most influential genes coming from mother’s X chromosome, which came from her father. So maternal and paternal genes can both be responsible for baldness.

Sex hormones, androgens, can cause male pattern baldness.  Medications (such as anabolic steroids), illness such as low thyroid and diabetes, and cancer can cause hair loss as well.  A recent study found Prostaglandin D2 protein may block hair growth in those who suffer male pattern baldness. It’s believed 80% of men under 70 will have some receding hairline.

How can we prevent heart disease?

 

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

  • Family history of heart disease

  • Personal history of heart disease

  • High Blood Pressure

  • High Cholesterol

  • Diabetes

  • Smoking

  • Obesity

  • Inactivity

  • Males over 40

  • Females who are post menopausal

  • High stress

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

As you can see, many of us can be at risk for heart disease.

Therefore secondly, we should be evaluated with an EKG, echocardiogram and any other exams our medical provider and/or cardiologist deem necessary.

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

A study finds many Vietnam veterans may have contracted liver flukes decades ago that could now cause pancreatitis, liver disease and/or bile duct cancer.

The Department of Veterans Affairs commissioned a study that looked at bile duct cancer and liver flukes that may have been ingested by veterans while on tour in Southeast Asia during the Vietnam War.

This was in response to a story reported by the Associated Press in which 700 cases, of cholangiocarcinoma, bile duct cancer, were seen in VA facilities over the last 15 years.

The current small study looked at 50 blood samples, finding 20% of which to be positive for liver flukes.  Most participants were not aware they were infected.  If infection did later lead to cancer, symptoms would come late in the diagnosis.

Tropical medicine specialist, Sung-Tae Hong, from Seoul National University in South Korea, stated he was “surprised” by the results and admits to more research needing to be done.

Cholangiocarcinoma is still rare, however if Vietnam veterans are at increased risk due to their fish consumption while on duty, they need to be followed closely by their medical provider. Stool tests could be done to look for parasite eggs, and blood tests may look for antibodies fighting the infection.

What is a liver fluke?

 

Liver flukes are parasites that infect the liver and bile duct.  There are multiple species.  The disease Fasciola hepatica and Fasciola gigantica cause is called fascioliasis. Symptoms may range from none to severe liver disease.  But the liver flukes associated with bile duct cancer include Opisthorchis viverrini, O. felineus, and Clonorchis sinensis.  According to the US Department of Veterans Affairs:

The irritation and scarring caused by liver fluke infection can lead to bile duct cancer.

Two parasites are commonly involved. One is Opisthorchis verrini, which is found in Southeast Asian countries, including Thailand, Lao People’s Democratic Republic, Vietnam, and Cambodia. The other is Clonorchis sinensis, which is common in rural areas of Korea and China.

Eating raw or undercooked fish infected with these parasites introduces the pathogen into the GI system where it can hide out in the liver and bile ducts for decades.

In 2007, Sripa et al discussed how close to 600 million people were at risk of being infected with liver flukes.

In 2011, Lim et al wrote, “More than 35 million people worldwide are infected. The exceptionally high incidence of cholangiocarcinoma in Thailand and Korea is attributed to the high prevalence of liver fluke infection in these areas.”

How does one get contract liver flukes?

 

In addition to ingesting undercooked contaminated fish, liver flukes can infect multiple mammals, such that eating infected cattle or sheep liver (if undercooked) could transmit the parasite.  Ingesting vegetables washed with contaminated water could introduce the fluke into a person as well.

Medical News Today recommends boiling all untreated water and to avoid water from a stream near where cattle and sheep live.

What are the symptoms of infection with liver flukes?

 

Although some people with liver flukes may exhibit no symptoms at all, some may incur:

  • Fatigue

  • Abdominal Pain

  • Fever

  • Nausea

  • Vomiting

  • Diarrhea

  • Jaundice – yellowing of the skin and whites of eyes

  • Itchy skin

  • Weight loss

What is the prognosis of cholangiocarcinoma (bile duct cancer)?

 

According to cancer.net, the 5 year survival, meaning living 5 years past diagnosis, is 30%, assuming the cancer stays locally.  If the cancer spreads to regional lymph nodes prognosis  for 5 year survival drops to 24%. Distant spread of the cancer reduces the 5 year survival rate to 2%.

 

gallbladder image.jpg

 

What is the treatment for liver flukes?

 

Anti-Parasitic medications, such as triclabendazole, have proven effective against Fasciola. Praziquantel has been effective in fighting Opisthorchis infections.

 

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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

Thanksgiving (and the in-laws) has come and gone. And now we have lots of leftovers. And lots of pets. Can pets eat Thanksgiving table scraps and leftovers?

Let’s look at what they can and cannot eat.

Dogs

 

dog

 

According to the American Kennel Club, dogs can eat the following (in moderate amounts):

  • Turkey, Chicken, Beef (remove all bones so they don’t get swallowed and perforate the gut)

  • Ham

  • Shrimp

  • Salmon

  • Eggs

  • Cheese

  • Peanut Butter

  • Bread (without raisins)

  • Popcorn

  • Corn

  • Honey

  • Coconut

Avoid the following in dogs:

May be toxic; cause nausea, vomiting and diarrhea; kidney damage; pancreatitis due to high fat content, or intestinal obstruction.

  • Onions

  • Garlic

  • Avocado

  • Raisins

  • Grapes

  • Chocolate

  • Cinnamon

  • Ice cream

  • Almonds

  • Macadamia nuts

  • Alcohol

  • Nutmeg

  • Mushrooms

  • Energy drinks

  • Fatty/fried foods

 

In addition to my dog Apollo, I have 4 cats.  So they’re begging for Thanksgiving leftovers as well.

Cats

 

cat-1

 

Fluffy can eat – but again only in moderation:

  • Meat

  • Fish

  • Grains

  • Vegetables (though many stick their nose up at it)

  • Eggs

  • Cheese

  • Butter

Avoid similar foods as with dogs due to toxicity and also (according to Vetsnow)

  • Alcohol

  • Artificial Sweeteners

  • Raw fish and eggs

  • Coffee, tea and energy drinks

Fish

 

fish

 

Yes, even Nemo can join in for Thanksgiving leftovers.

It appears fish can eat many types of meat and vegetables and even cooked rice but be careful of toxins and cooking oils.

Parakeet

 

parakeet

I don’t have any of these and if I did, I doubt I’d share my turkey with it. But according to pethelpful.com, many fruits, vegetables, breads and nuts (chopped up without shell) can be eaten by birdie.

I hope everyone had a healthy and wonderful Thanksgiving!!!

 

 

 

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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

Thanksgiving is here!! Good food, no school, no work, and most of all….. family!!

For many this is one of the best holidays ever!!

For some…..the most dreaded all year.

This is your very rare and valuable time off, and you have to spend all of it with people who don’t like you and you’re not particularly fond of. Four days of staying with family, (especially if they don’t let you stay a hotel and insist you stay with them), can be more than many can bear.

So here are some steps you can take to make the holidays easier.

1. Huddle up

 

huddle

Usually your spouse wants to avoid controversy just as much as you do.  Before the encounter, huddle up and create a strategy for:

a.  How to deal with insults

b.  How to take a break – take the car to go grab some last-minute Thanksgiving necessities

c.  Where you get to sit at the table

d.  Potential arguments regarding the children and their upbringing

2.  Try to get a hotel room

 

hotel

This gives you the much-needed reprieve at the end of the day. However, if the family insists you stay with them and 4 nights at Hotel Hell are just too much to bear, plan a “sneak away” for an evening with your wife and tell the Grandparents they will host the kid’s slumber party.  Remember to thank them for the huge favor they are doing allowing you and the wife a much needed night away “from the kids” …wink…wink…..

3.  Football

 

prescott

Thank Heavens the Cowboys are playing this Thanksgiving.  Usually there is someone else in the family just as sane as you are when it comes to football, so you can immediately partner with him to get the television on and the game playing.  Although this may only give you a 15 minute “out” of the family festivities, it’s 15 minutes of pure euphoria.

4.  Remember you have sciatica

 

sciatica

The most difficult part of Thanksgiving/Christmas is sitting at a table for hours and usually trapped, physically, because the chairs are pushed together so tight that you can’t push out the chair. If you ever, ever, ever had an issue with your back, knee, leg, muscle, or even pinky toe, use this as an excuse to heave the table forward so you can get up and stretch your legs.  Slowly limp over to the living room where hopefully you left the football game on……

5.  Get called to work

 

work

No in-law can or wants to take on your boss. So during the 7 day stent, politely excuse yourself if you need to go onto a computer, make a phone call, or drive 60 miles away for “work”.  Make sure your spouse is on board with this one……

6.  Have “diarrhea”

 

toilet

You get to leave the room and no one wants to be near you. You just gained escaping 3-5 times/hour since you need to “run” to the bathroom.

7.  Inform the family you feel a cold coming on

 

cold

Don’t jinx yourself but this gets you out of hugs, and sloppy lipstick kisses…..

Ok this gives you a well-coordinated exit plan but what happens if they are on to you?  How do you deal with the remaining, 3 days, 23 hours and 45 minutes?

1.  Don’t take it personally

 

When the insults and digs come, don’t feel like these personal attacks need to stick. You have enough people in your life telling you your shortcomings. The in-laws are either being redundant or telling you something that doesn’t hold true.

2.  You’re not alone

 

Millions of adults are in the exact same position as you at the same moment in time.  You’re not alone.  Just sneak a peek on facebook and you’ll scroll through hundreds of “Ugh!!!!”s………..

3.  Make a game of it

 

Bet your wife or coworker that you will get the most insults over the holiday than they will and write down or note every time it happens. The more it occurs, you win. Compare notes or use it as a “get out jail free card” with your spouse.

4.  Have a happy place

 

Negotiate with your spouse prior to the holiday a “free day” or “free weekend” that you will earn upon completion of a 7 day holiday with the in-laws.  Plan and fantasize about this reward throughout your tour of duty to make the path easier

5.  Bring the pets

 

cat-1

 

Since you are usually outnumbered during these family events, why not have non humans come to your aid. Dogs need to be walked, cats need to be chased, so this gives you an out and gives you a much-needed buddy during the hard times.

Look, it’s not easy, but remember why you’re there.  For YOUR family.  Your spouse and kids need to spend the holidays with you so grin and bear it.  And remember you may be luckier than the average guy.  He could be spending the WHOLE WEEK!  Ahhh, you DO have something to be thankful for.  

Happy Thanksgiving!!!!

 

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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

Civil rights activist, Jesse Jackson, revealed Friday that he’s been diagnosed with Parkinson’s disease.

The 76-year-old two-time Democratic presidential candidate stated he and his family noticed changes three years ago and, “after a battery of tests, my physicians identified the issue as Parkinson’s disease, a disease that bested my father.”

His father, Noah L. Robinson, died in 1997 at the age of 88 of a heart attack and complications of Parkinson’s.

What is Parkinson’s Disease?

 

Parkinson’s disease is the second most common neurodegenerative disorder, next to Alzheimer’s, and the most common movement disorder that affects 1% of the world’s population over 60 years old. In the US, 60,000 new cases are diagnosed each year.  It affects several areas of the brain, primarily the substantia nigra, altering balance and movement by affecting dopamine producing cells.

 

substantia nigra

Image from the Science of Parkinson’s Disease

 

It was first described in 1817 by James Parkinson as a “shaking palsy.”

What are the Symptoms of Parkinson’s?

 

Common symptoms of Parkinson’s include:

  • Stiffness and rigidity

  • Poor balance

  • Tremor at rest, especially a pill-rolling tremor

  • Slow movement

  • Inability to move

  • Shuffling steps, gait

and patients may later develop…

  • Depression

  • Anxiety

  • Memory loss

  • Constipation

  • Decrease ability to smell

  • Difficulty swallowing

  • Erectile dysfunction

  • Pneumonia

  • Fractures from falling

  • Hallucinations

  • Delusions

  • Dementia

Who is at Risk for Parkinson’s?

 

Most cases are idiopathic, meaning the disease arises with no specific cause.  However some cases are genetic and multiple genes have been identified that are associated with the disease.

The average age of onset is 60, but some cases may occur as “early onset”, before the age of 50, and if before the age of 20, it is known as juvenile-onset Parkinson’s.

Men appear to be more affected than women at twice the rate.

Risk may be enhanced with a history of head trauma.

Exposure to herbicides and pesticides has been linked to an increased risk of Parkinson’s as well.

How Quickly do Parkinson’s Symptoms Progress?

 

Average progression rates can last years to decades, however, earlier onset disease may manifest much quicker.

The stages of Parkinson’s are illustrated below:

What-Are-the-Stages-of-Parkinson_s-Disease

How is Parkinson’s treated?

 

Although there is no cure for Parkinson’s, symptoms can be treated by a variety of measures.

  • Levodopa – converts to dopamine in the brain, helping replace the deficient hormone.

  • Carbidopa (Sinemet) – if given with levodopa prevents the latter from being broken down before it reaches the brain.

  • Dopamine agonists – mimic dopamine

  • MAO-B inhibitors – helps block the enzyme MAO-B, which breaks down natural dopamine

  • Other medications including COMT inhibitors, amantadine and anticholinergics

  • Medications to treat anxiety and depression

  • Deep brain stimulation – a surgeon implants electrodes into the brain, allowing stimulation of parts that help regulate movement.

  • Stem cell therapy – being investigated as a means to create dopamine-producing cells

  • Physical and occupational therapy

Famous People Diagnosed with Parkinson’s

  • Michael J. Fox

  • Janet Reno

  • Robin Williams

  • Muhammad Ali

  • Casey Kasem

  • Johnny Cash

  • Linda Ronstadt

  • Pope John Paul II

  • Peanuts creator Charles Schulz

It’s been postulated Adolf Hitler suffered from Parkinson’s as well.

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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 report released Monday revealed the 41 year old pro-golfer had the following in his system when he was found asleep in his car on the side of the road while the lights were on and turning signal was flashing:  Ambien, Xanax, Dilaudid, Vicodin and Delta-9 carboxy THC (tetrahydrocannabinol).

Woods had undergone spinal fusion surgery weeks prior.

Vicodin is a narcotic made of hydrocodone and acetaminophen.  It is used for pain and most commonly prescribed post-operatively.

Dilaudid is hydromorphone, a stronger narcotic.

Xanax is a benzodiazepine used for sedation, relaxation and to lower anxiety.

Ambien is a hypnotic type of sedative used for sleep and works within 15 minutes of ingestion.

Delta-9 carboxy THC (tetrahydrocannabinol) is the psychoactive ingredient in marijuana.

None of these medications are to be used while driving. Additionally none should ever be used in combination. The respiratory depression of one narcotic combined with the sedative effect of the benzodiazepine or hypnotic could cause death.

Woods entered a plea of not guilty to DUI, as alcohol was not involved and a mixture of medications was to blame, but it's been reported a deal was made among prosecutors including a lesser charge of reckless driving and a stint in a “diversion program.”

Last month Woods stated he completed a private intensive program on his own. On Monday he stated, “Recently, I had been trying on my own to treat my back pain and a sleep disorder, including insomnia, but I realize now it was a mistake to do this without medical assistance.”

Polypharmacy, or taking multiple medications at the same time, can increase the risk of serious adverse events if the drugs act synergistically or mask side effects of one another.

Many overdoses occurring with pain pills may not always be a quantity issue with the narcotic but rather a mixture of the narcotic with another medication such as those taken by Tiger Woods.  He was lucky to still be alive when found as were those pedestrians or drivers on the street that evening.

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 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

Published in News & Information
Wednesday, 02 August 2017 17:29

Eating too FAST makes you FAT

Fast food has become the staple of many American and European diets and we’ve seen obesity rise.  True more people take public or private transportation to work over walking, and many have given up smoking every time they had a hunger itch, but the most popular reason for our waistline increase is fast food. But is it the caloric content of the fast food that’s fueling the obesity epidemic, or the speed at which its ingested?

 

What is Fast Food?

 

According to the Merriam-Webster dictionary, Fast Food is “food that can be prepared and served quickly”.  A burger, shake and fries is considered fast food but so is a take away salad or sandwich.  It’s implied that fast food is a meal that is not made fresh but made previously and preserved such that it can taste fresh when needed to be served.

How Caloric is Fast Food?

 

According to CalorieKing, a McDonald’s Big Mac is 540 calories.  A large order of fries is 510 calories.  So a meal over 1000 calories is obviously not the healthiest choice.

 

But let’s return back to the sandwich alone. While a Big Mac is 540 calories, CalorieKing finds Chick-Fil-A’s Cobb Salad (without dressing) 500 calories.  Bob Evans Restaurant’s Cobb Salad is 516 calories.




fast food.jpg

 

Now on the same site a Tuna Salad Sandwich (5 oz) w. mayo, 3 oz Bread is 679 calories.

So are we becoming obese eating cobb salads and tuna salad for lunch just as one would eat a Big Mac?  We don’t know since people don’t study cobb and tuna salad eating consumers. My guess is no.

 

Are we eating too fast?

 

Yes, and so fast that I believe it could be messing with our metabolism.

 

Think back to caveman days.  We had to chew.  And not on a soft sesame seed bun, but chew our meat.  Nuts and vegetables took a chewing as well.  Food was more scarce so it was savored and meals weren’t on the run while on a subway or at a stop light in one’s car.

 

Previous studies have shown that eating slowly and chewing it multiple times allow the body’s signals to trigger the satiety sensation sooner, hence one would eat less.

So gulping down a burger in 5 bites could be accomplished prior to the brain receiving the signal that it should be satisfied.

 

Now the metabolism issue.  Fast food could contain sugars, fats and preservatives that alter metabolism.  But eating on the run could cause metabolism issues in and of itself.

 

When a body senses that the food source is short-lived, unpredictable, and coming at a speed preventing proper absorption of nutrients, it may slow down metabolism to allow the body to make the most of what it has.  Eating a meal slow and methodical may be the most successful way to not only feel full but to eat less and lose weight.

 

I suggest a study be done looking at two groups of people eating the same food with the same caloric content but differing on the speed at which they eat it.

 

I suggest to you all to take an extra 15 minutes to complete your meal than what you’re accustomed to and determine if you see results after a few weeks.

 

Of course avoiding fast food would be the most beneficial for our weight but if you must eat fast food, eat it slowly.

 

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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 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

Published in News & Information
Saturday, 29 July 2017 22:09

Men: How to Salvage Your Sperm Count

A study this week, reported in BBC, found men’s sperm count to drop 50% over the last 40 years.  This sparked rumors that humans could eventually become “extinct”.

Researchers from Hebrew University in Jerusalem and Icahn School of Medicine in New York analyzed 42,000 male participants involved in 185 studies from the period 1973 to 2011, looking at men from North America, Australia, New Zealand and Europe and found close to a 60% drop in sperm count, although semen volume remained stable.  Men from South Africa, Africa and Asia appeared to retain their sperm numbers.

So let’s break this down….

 

What’s in a sperm count/semen analysis?

 

Let’s review some anatomy.  Sperm is produced in the seminiferous tubules within the testes.  Once formed they travel to the epididymis, where they mature and are stored.  During ejaculation, the mature sperm travel from the epididymis through the vas deferens to the ampulla, meeting with seminal fluid (produced by the seminal vesicles, prostate and bulbourethral glands) to become semen.

 

When a couple is having fertility issues, a semen analysis will be ordered.  This looks at a variety of factors.

 

Volume – Sperm can’t dry up and need a medium in which to travel.  Seminal fluid can amount to 1.5-5 ml (1/4-1 teaspoon).  A decrease in this amount could imply issues with any of the above organs or a blockage.

 

Concentration – Sparse sperm in an ejaculate makes it more difficult to fertilize an egg, hence concentration of sperm should be close to 20 million sperm/ml of semen.

 

Motility – Sperm need to swim and compete with others, hence sluggish sperm don’t have a chance in …..well….the Fallopian tube.  Close to half of the sperm analyzed should be moving.

 

Shape/Morphology – sperm need to be the appropriate shape to maximize success in fertilization. At least half of the sperm in each sample should be of normal shape.

 

Liquefaction – initial ejaculate is thick to enable an easier passage of the package of sperm. Then it needs to thin, liquefy, to allow the sperm to travel and swim.  Normal liquefaction time is 15-30 minutes.

 

Color – semen color is usually whitish-gray but brown could signify blood, green could mean infection, yellow could signify a change due to medications, chemicals and sometimes age.

Other factors are noted such as the acidity (pH), white blood cell composition, and fructose.

 

What causes low sperm count

Multiple issues could account for a drop in sperm count.  These include:

  • Hormones in our food

  • Endocrine disruptors in our cosmetics

  • Chemical exposure such as solvents, herbicides, pesticides and benzenes

  • Obesity

  • Electronics sitting on our lap

  • Antibodies attacking our sperm

  • Heavy metal exposure

  • Radiation

  • High Stress

  • Anabolic steroid use and some medications

  • Varicoceles – swelling of the veins in the testicle disrupting transport of sperm

  • Infection

  • Tumors

 

and the list goes on.

 

How to protect your sperm count

So to protect your sperm count, we recommend the following:

 

  • Keep it cool – Testicles that overheat produce less sperm, so avoid laptops or anything that could heat up the groin.

  • Avoid tight fitting underwear – same issue.  Testicles closer to the body heat up so let them hang low and away keeps things cool.

  • Avoid tobacco products

  • Avoid alcohol

  • Decrease caffeine consumption

  • Avoid pesticides and chemicals

  • Avoid hot tubs

  • Decrease stress



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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 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

 

Published in News & Information

Ice used for soft drinks at leading fast food chains in the UK were found to contain bacteria usually seen in fecal matter.  This comes weeks after the same BBC investigation found similar contaminated ice at Starbuck’s, Caffe Nero, and Costa Coffee.

 

On the TV Show Watchdog, BBC reported more than half the samples tested at food chains including Burger King, McDonald’s and Kentucky Fried Chicken (KFC) contained coliform bacteria, or bacteria that colonize intestines.  Harmful bacteria, such E. coli, however was NOT found according to a spokesperson for McDonald's.

 

So even though the bacteria discovered would not harm humans if ingested, the potential for a dangerous pathogen exposure is there.

 

Samples were taken from 10 random store locations for each of the fast food chains.

 

Of the samples tested on McDonald’s ice machines, 3 out of 10 samples were contaminated.  At Burger King, 6 out of 10 samples tested positive for coliform bacteria and at KFC, 7 out of 10 tested positive.

One theory is the cleaning of the machines and/or handling of the ice is done with direct human hand contact which could have fecal contamination from poor hand washing after bathroom use.

 

The contamination issues hopefully prompted chains in other countries, such as the US, to reevaluate their procedures on ice and cup handling.

 

 

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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 11:00 am - 2:00 pm and Saturday from Noon-1:00 pm (all central times) at GCN.

Published in News & Information
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