Sunday, April 12, 2015

Spring and Seasonal Allergies

The trees are blooming, you can hear the grass growing, and the flowers are poking their heads out of the ground in Northeast Arkansas – this means some people are sneezing, they have runny noses, and itchy eyes.

Each spring, summer, and fall, tiny particles are released from trees, weeds, and grasses. These particles, known as pollen, hitch rides on currents of air. Although their mission is to fertilize parts of other plants, many never reach their targets. Instead, they enter human noses and throats, triggering a type of seasonal allergic rhinitis called pollen allergy, which many people know as hay fever.

Short of staying indoors when the pollen count is high--and even that may not help--there is no easy way to evade windborne pollen.

The types of pollen that most commonly cause allergic reactions are produced by the plain-looking plants (trees, grasses, and weeds) that do not have showy flowers. These plants manufacture small, light, dry pollen granules that are custom-made for wind transport. Samples of ragweed pollen have been collected 400 miles out at sea and two miles high in the air. Because airborne pollen is carried for long distances, it does little good to rid an area of an offending plant--the pollen can drift in from many miles away. In addition, most allergenic pollen comes from plants that produce it in huge quantities. A single ragweed plant can generate a million grains of pollen a day.

 

A pollen count, which is familiar to many people from local weather reports, is a measure of how much pollen is in the air. This count represents the concentration of all the pollen (or of one particular type, like ragweed) in the air in a certain area at a specific time. It is expressed in grains of pollen per square meter of air collected over 24 hours. Pollen counts tend to be highest early in the morning on warm, dry, breezy days and lowest during chilly, wet periods. Although a pollen count is an approximate and fluctuating measure, it is useful as a general guide for when it is advisable to stay indoors and avoid contact with the pollen.

You can track pollen counts via your smart phone.


The Weather Channel App will allow you to setup notifications on pollen counts.

There is an app called Pollen.Com


How to Treat Seasonal Allergies (aka Hay Fever)

Anti-Inflammatory Nasal Spray - works directly at the source to relieve your symptoms and won't cause drowsiness.
Antihistamines - Block only one of the many inflammatory substances (histamine) that produce symptoms.

Eye drops - Helps treat itchy, watery eyes associated with allergies, but not the stuffy nose or sneezing

Nasal Decongestants - Clears nasal passages but can, after 3 days of use, cause a “rebound effect,” which makes a stuffy nose worse. 

Home Remedies - Some, like saline rinses, may provide decongestant relief for some people. 

Allergen Avoidance -This means to simply avoid—if possible—your allergy triggers.

If you seasonal allergies are impacting your life - make an appointment to see your local physician. 
~ Connie Ash, MSN, FNP, APRN ~
Family Medicine Associates
Blytheville AR.
870-762-5360


Sunday, March 29, 2015

Mc Donalds is Planning to Make Us Healthier


Lately I have been thinking a lot about what I eat. As I was reading a few blogs today I ran across a great post by Ashley at Manic Mom -  Ashley takes the time on her blog to explain McDonalds recent announcement.

" McDonald’s announced that they would stop purchasing poultry that had been exposed to any type of human antibiotics by March 2017." This is a great step towards improving the health of those who eat at McDonalds!!!!!  I am super excited!!!!

Here is Why We Don't Need the Antibiotics
Did you know that food animals (animals raised solely for human consumption) get 80% of the antibiotics used in the U.S. -- mostly in ways that can lead to the growth of drug-resistant superbugs.

Emerging drug resistance in bacteria is one of the world's greatest health threats, according to the CDC, the FDA, the World Health Organization, and a wide range of medical professional societies.
The FDA has no problem with the antibiotics used to treat disease in animals. And it has no problem with antibiotics used under the direct supervision of a veterinarian who is treating specific animals. Beside the shortage of antibiotics that occasionally occurs, when animals are feed low dose steroids over long periods of time, it is a recipe for growing drug resistant bacteria in food animals.

So Why Are We Being Fed Antibiotics?
Over 80% of antibiotics used in food animals is put into their feed or water by livestock producers, almost always on a herd-wide basis. This makes animals put on weight faster even if they don't eat more food.

What is Changing?
Take a look at Ashley's blog - at Manic Mom  she does a great job of explaining what McDonalds plans to do to cut the use of  poultry fed antibiotics.

Remember that we are what we eat - II can only say one thing - I wish more restaurants would take the same step McDonalds is taking - Thank you McDonalds!!!!!!
Thank you Ashly at Manic Mom for allowing me to share this awesome good news.
~ Connie ~




 

Friday, December 5, 2014

Flu Season


The Flu Season is here - according to the Centers for Disease Control and Prevention (CDC) this flu season could be worse than usual, due to an aggressive strain of influenza virus. 
Why is this Flu Season Worse? 
A strain of influenza called H3N2 appears to be circulating. This strain has appeared during the 2012-13, 2007-08, and 2003-04 flu season, the three seasons with the highest death rates in the past decade, according to the CDC. 
"We know that in seasons when H3 viruses predominate, we tend to have seasons that are worse flu years, with more hospitalizations from flu and more deaths from influenza," CDC Director Dr. Tom Frieden said during a news briefing.
To make matters more difficult, about half of the H3N2 viruses detected by CDC researchers so far appear to have mutated, and have genetically "drifted" away from the virus strain included in this year's flu vaccine.
"They're different enough that we're concerned that protection from vaccination against these 'drifted' H3N2 viruses may be lower than we usually see," Frieden said.
Three of the five children had the H3 flu virus, although doctors don't know if they had the mutated form of the virus, Bresee said.
What Should My Healthcare Provider Do? 
Because vaccine protection is likely to be shakier than usual this season, CDC officials are urging doctors to use antiviral drugs as soon as possible for any suspected flu cases.
Drugs like Tamiflu and Relenza can't prevent flu, but will reduce the amount of time people are sick, Frieden said.
"Antivirals aren't a substitute for vaccination," Frieden said. "Vaccination prevents flu. But antivirals are an important second line of defense to treat the flu. And this year treatment with antiviral drugs is especially important, particularly for people who are at high risk for serious flu complications or for people who are very sick with flu."
The CDC is recommending that doctors not wait for the results of a flu test before starting patients on antiviral drugs, he said. Antivirals are most effective when given within two days of the onset of symptoms.
A CDC health advisory issued Wednesday urges doctors to aggressively use antiviral drugs in suspected flu patients who are:
  • younger than 2 years old,
  • 65 or older,
  • suffering from chronic disease -- such as asthma, diabetes, heart or lung disease -- or have a suppressed immune system,
  • pregnant,
  • morbidly obese,
  • residents of nursing homes or chronic-care facilities.
Will this year's flu vaccine protect me? 
It takes about four months to make flu vaccine and ramp up production, Frieden said. This lag means that every year, immunologists have to take an educated guess as to which flu strains should be included in the vaccine.
Even though this year's vaccine does not directly protect against this particular H3N2 strain, Frieden still recommends that people get their annual flu shot.
The vaccine will protect against several active strains of flu, and could even provide some protection against mutated flu viruses, he said.
"If we have a severe season, getting a vaccine that provides even partial protection may be more important than ever," he added.
Reference:
Consumer Health (2014) Flu Shot May Offer Less Protection This Winter. http://consumer.healthday.com/infectious-disease-information-21/flu-news-314/flu-694358.html

Sunday, November 2, 2014

Good Morning Let The Stress Begin


Do you feel stressed? Do you know when you get up in the morning you are going to spend the majority of your day multitasking or feeling out of control?
Many things have an impact on our health - diet, exercise, sleep, social patterns, environmental exposure, work, and stress play a crucial role in our health.  Over the last two weeks I have seen several patients in my clinic who are physically ill from stress.  Stress can cause, headaches, stomachaches, memory loss, and obesity, just to name a few common symptoms associated with stress. Today I want to try explain how stress impacts your health.
What is stress?
Stress is something we cannot put our finger on, we cannot measure it, and often we dismiss stress as not being real. But, in reality our bodies are driven by the nervous system which tries to maintain a perfect balance.  The body is a miraculous creation, we have many built-in options to try to keep us healthy and safe.  But, just like an automobile if we do not take care of our bodies, the options wear out, switches get broken, and safety features fail.

For instance: Your central nervous system has two branches, the parasympathetic (think: peace) nervous system and the sympathetic (think: stress) nervous system. The two work like a switch — when one is turned on, the other is off.


The sympathetic nervous system is associated with the rapid release of stress hormones, slowed digestion, and faster breathing and heart rate. This is the state you are in when you are speeding through your day stressed out and multitasking like crazy to get everything on your to-do list done. I know this feeling, for many years this is how I l have functioned every day.
What happens when we are stressed?
1. Stress changes gene expression.

The chemicals your body produces when you are under stress turn on or off of genes that change everything from how much fat you store, to how well your immune system works, to how fast you age, to whether or not you will develop cancer.

2. Stress causes brain damage.

High levels of stress hormones damage critical parts of the brain, such as the hippocampus, the area responsible for memory. One reason people experience “adrenal burnout” after long term chronic stress, is because the brain, in order to save itself, turns off the adrenals.

3. Stress shuts down the immune system and increases inflammation.

From slowing wound healing, to diminishing the protective effects of vaccines, to increasing your susceptibility to infections, stress is the ultimate immune-modulator. Stress can also reactivate latent infections — people who get cold sores know this from experience.

4. Chronic stress damages the energy powerhouses of your body, your mitochondria.

These energy factories produce ATP, the currency through which all cells and organs in your body do their work. The good news is this damage is reversible over time, as stress goes away.

5. Stress reduces your ability to metabolize and detoxify.

Studies have shown that the activity of hundreds of genes responsible for enzymes that break down fats and detoxify prescription drugs, are negatively impacted by stress. Stress can also increase your toxin burden by increasing your desire for high fat, high sugar foods.

6. Your cardiovascular system responds to stress, increasing cardiac output if you have to run away from a tiger.

But chronic stress has been shown to increase the thickness of the artery walls, leading to high blood pressure and heart disease.
                                                
     
7. Stress messes with your sex hormones.

Stress increases the amount of something called sex hormone binding globulin, the school bus that ferries testosterone and estrogen around your body, meaning fewer of these hormones are available to your cells. Chronic stress also increases the production of cortisol, leading to something called “cortisol steal,” where fewer sex hormones are produced.

8. Stress is bad for your bones and muscles.

There is evidence that higher stress levels are associated with lower bone mineral density, and many studies show that people under chronic stress experience more physical pain.

9. The gut and stress are intimately intertwined.

You may have heard that 95% of your serotonin is in your gut, and you may remember a time when you were nervous or sad, and your belly was in knots.

But more research is showing how stress impacts the function of your gut every day. It slows transit, leading to constipation and the re-circulation of hormones like estrogen through your liver. It increases the overgrowth of bad bacteria. And it loosens the barriers between the cells that line the intestines, creating something called leaky gut, which then leads to inflammation, food sensitivities and even autoimmune disease.

Next week I will start a series on how to help minimize the effects of stress on your health.

~ Connie ~

Thursday, September 18, 2014

Dehydration

Dehydration can occur quickly - Jamie at Jamie's Thots does an excellent job of explaining how quickly dehydration can occur.  
                                                   
 She also gives you a great outline of signs and symptoms of dehydration.   Please take a moment to visit her site so that you can be more productive and prevent health problems.

~ Connie ~



Wednesday, August 20, 2014

When Should I Get the Flu Vaccine?

When Should I Get the Flu Vaccine?


It is hard to believe television commercials are already advertising the flu vaccine.   This must mean that fall is right around the corner, followed by winter.   So, should you be pressured to get your flu vaccine now?  No, since the peak of flu season usually begins in December, it is optimal to receive the flu vaccine in October or November.

“Flu vaccination should begin soon after vaccine becomes available, ideally by October. However, as long as flu viruses are circulating, vaccination should continue to be offered throughout the flu season, even in January or later. While seasonal influenza outbreaks can happen as early as October, most of the time influenza activity peaks in January or later. Since it takes about two weeks after vaccination for antibodies to develop in the body that protect against influenza virus infection, it is best that people get vaccinated so they are protected before influenza begins spreading in their community” (CDC, 2014).
Who should get a flu vaccine?
While everyone should get a flu vaccine this season, it’s especially important for some people to get vaccinated.

Those people include the following:
·         People who are at high risk of developing serious complications (like pneumonia) if they get sick with the flu.
o    People who have certain medical conditions including asthma, diabetes, and chronic lung disease.
o    Pregnant women.
o    People younger than 5 years (and especially those younger than 2), and people 65 years and older.
·         People who live with or care for others who are at high risk of developing serious complications (see list above).

o    Household contacts and caregivers of people with certain medical conditions including asthma, diabetes, and chronic lung disease.
o    Household contacts and caregivers of infants younger than 6 months old.
o    Health care personnel.

Where can I get the flu vaccine?
Our office, Family Medicine Associates will have flu vaccines available after September 1.  Please call 870-762-5360 or stop by. 
Tell them Connie sent you.


References:
Centers for Disease Control (2014). Seasonal Influenza (Flu). Retrieved from: http://www.cdc.gov/flu/protect/keyfacts.htm

Wednesday, May 28, 2014

Minimizing Your Risk of Skin Cancer


Summer is officially here!  I want each of you to be proactive about your health this summer.  Over the next few weeks I will be providing you with information on how to be healthy during the summer.  Today we are going to talk about minimizing your risk of skin cancer.
Can you minimize the risk of skin cancer?  Yes, most skin cancers are related to sun exposure.  Melanoma diagnoses have risen nearly 2 percent a year since 2000.   Minimizing your risk involves refraining from sun exposure during certain times of the day and using an appropriate sunscreen.
Some experts blame inappropriate use of sunscreen for the increase in skin cancers, saying the people do not apply enough lotion or do not reapply the sunscreen every two hours as instructed.  But, until this year sunscreens were misleading the consumer – sunscreens were designed primarily to protect people from ultraviolet B rays (UVB), the main cause of sunburn.  Sunscreens allowed us to stay outside longer without getting a sunburn, but did not protect against ultraviolet A rays (UVA).  Ultraviolet A rays are associated with aging and skin damage, the cause of skin cancers.

In 2013 the Food and Drug Administration increased the requirements for sunscreen labeling. The new rule requires sunscreens be labeled accurately to depict which Ultraviolet rays are blocked by the sunscreen.   You may see the term “broad spectrum protection” – this now means the sunscreen has been approved to protect against both UVA and UVB rays.   Sunscreens cannot claim to be waterproof, only water-resistant, and labels must note a time limit of either 40 or 80 minutes before the sunscreen is ineffective. 
What can you do to protect yourself against skin cancer?
  • Look for products with an SPF of 15 to 50, that are labeled “broad spectrum protection” meaning they protect against both UVA and UVB rays. 
  • Keep babies younger than 6 months out of the sun, as their skin is especially sensitive.  Sunscreens should not be used on infants. According the U.S. Food and Drug Administration, combination sunscreens containing insect repellants like DEET should be avoided with young children. Young children may lick their hands or put them in their mouths. 
  • Try to keep older children inside when the sun is harshest, from 10 a.m. to 2 p.m.  A bad sunburn in childhood or adolescence doubles the risk of melanoma later in life, according to the Skin Cancer Foundation.
  • Avoid sunscreen sprays.  The U.S. Food and Drug Administration has banned sunscreen powders (though some products may be available).  The spray may be inhaled into the lungs causing respiratory issues.
  • Products containing Vitamin A, retinol or its derivatives, such as retinyl palmitate and retinyl acetate.  The U.S. Food and Drug Administration has not banned these products, but they are concerned that the additives increase sun sensitivity. 
  • According to the New York Times, consumers should take endorsements and seals of approval with a grain of salt.  The Skin Cancer Foundation gives a “seal of recommendation” to sunscreens, but only if their manufacturer has donated $10,000 to become a member of the organization.
  • Use the ABCD rules for identifying skin lesions that need immediate attention.  
A - Asymmetry: Normal moles or freckles are completely symmetrical. If you were to draw a line through a normal spot, you would have two symmetrical halves. In cases of skin cancer, spots don't look the same on both sides.
B - Border: A mole or spot with blurry and/or jagged edges.
C - Color: A mole that is more than one hue is suspicious and needs to be evaluated by a doctor. Normal spots are usually one color. This can include lightening or darkening of the mole. Melanoma cells usually continue to produce melanin, which accounts for the cancers appearing in mixed shades of tan, brown and black.
D - Diameter: If it is larger than a pencil eraser (about 1/4 inch or 6mm), it needs to be examined by a doctor. This is includes areas that do not have any other abnormalities (color, border, asymmetry). But, don't be fooled by size alone - it can be smaller.
E - Elevation/Evolving: Elevation means the mole is raised above the surface and has an uneven surface. Looks different from the rest or changing in size, shape, color.

ABCD Mole Recognition
 
 
Remember - if you are not sure about a mole or lesion, see your healthcare provider.  Healthcare providers would rather tell you, all is good, instead of having to deliver bad news.


 
                                                    Happy Summer
                                                    ~  Connie ~


References:
 
The New York Times (2013). The New Rules for Sunscreen. Retrieved from:
http://well.blogs.nytimes.com/2013/05/27/the-new-rules-for-sunscreen/?_php=true&_type=blogs&_r=0
U.S. Food and Drug Administration (2013). Should You Put Sunscreen on Infants? Not Usually Not. Retrieved from: http://www.fda.gov/forconsumers/consumerupdates/ucm309136.htm


Any information received on this site is not intended to diagnose, treat, or cure skin cancer. This site is for informational purposes only and is not intended to replace proper medical care. Always seek the advice of a trained health professional with any questions you may have regarding a medical condition and before seeking any treatment. Proper medical attention should always be sought for specific ailments. Never disregard professional medical advice or delay in seeking medical treatment due to information obtained on sun-protection-and-products-guide.com.