Monday, April 16, 2018

Beyond the Pill Box

When a medication is prescribed,  its effectiveness in treating or improving the condition for which it was given can only be measured if taken consistently and as prescribed. For many, medication compliance is a challenge.This is especially true for those who take multiple medications, senior citizens, individuals with mental illness and those who are visually impaired.
Over the years several medication adherence aides have had some positive impact on compliance. However, even with the various devices available, non-compliance continues to have a negative impact in healthcare, inhibiting practitioners ability to improve a patients' health and their quality of life. This behavior ultimately leads to frequent hospitalizations and for some premature death.
Data suggest that 60 percent of individuals with depression, one half asthmatics and two thirds of individuals with HIV fail to take medications as prescribed.The cost of non-compliance in the United States is skyrocketing estimated  to be between $100 - $300 billion annually in the US alone. It is apparent a solution to this problem is needed.
In November 2017, the FDA approved the use of digital pills. This new technology will allow the tracking of a medication when taken. The patient receives a motivational message when a medication is taken or an alert if it is missed. The physician and designated family members also gets a readout on the patients' medication activity. The digital pill has several hurdles to overcome, especially those related to privacy but early data suggest a 99% compliance rate in a study of a small group of individuals being treated for Hepatitis C leading to a 100% cure rate. It is believed that with time the digital pill will be widely accepted not only by the medical community but also by the consumers of health. Learn more "What is a digital pill"?




Saturday, April 7, 2018

What Lurks Inside

Hippocrates considered to be the "Father of medicine" has been reported to have said "all disease begins in the gut". When the general belief was that illness and disease were the result of demonic possession or disfavor of the gods, Hippocrates approach was to separate illness from superstition and treat the whole person (holistic medicine). He understood the connection between well being and the healing powers in nature (plants & herbs), diet, exercise, rest, and fresh air (environment). Hippocrates believed in the correlation of ill health and vapors that entered the body from residues that were formulated from eating a poor diet.
Today more and more practitioners believe that nutrition, along with proper digestion, assimilation and absorption of nutrients, is fundamental to overall well-being. The manner in which we treat our body's ecosystem will largely determine our overall health.  Eating healthy foods, managing stress levels, and maintaining an active lifestyle all contribute to the maintenance of a healthy gut microbiome.
Bearing this in mind, one cannot begin an effective wellness journey unless you address what is going on inside of your belly. Read more "Ten Ways To Improve Your Gut Bacteria, Based on Science".

N.B. Working with a knowledgeable nutritionist or physician is advisable when working to attain/maintain your wellness goals.

Friday, March 30, 2018

The Painful Muscle Cramp

From time to time all of us will experience an involuntarily contraction of a muscle that does not relax...also know as a muscle cramp. Muscle cramps can occur at any time for several different reasons. Some common reasons for muscle cramps are dehydration, lack or depletion of specific nutrients in the diet (calcium, magnesium or potassium), compression of a spinal nerve,  improper or inadequate stretching before exercise and certain medications. As one ages, they tend to experience muscle cramps more frequently due to the lack of muscle mass which can cause the muscles to become over-stressed more easily.
Most muscle cramps will resolve on their own but there are some instances where you may want to consult with your physician. These include
  • The cramp causes severe discomfort
  • The cramp is associated with leg swelling, redness or skin changes
  • If you are experiencing muscle weakness
  • Cramps occur frequently
  • You have no improvement with self-care
  • Cramps are not associated with an obvious cause
Several home remedies have been found to be very effective in relieving occasional muscle cramps. Start with stretching and massaging the affected muscle followed by the application of heat.
Always try to remain well hydrated, especially during exercise and warm weather.  Read more about Home Remedies for Muscle Cramps.
As always if you are under the care of a physician for a chronic medical condition or are taking medications, confer with him/her before using any of the above home remedies.

 

Monday, March 26, 2018

It's June....Do I Really Have the Flu

So...we're finally reaching the end of the flu season, which this year was especially brutal. Did you know that as the flu season ushers out, there is another virus that we have to be on guard for...the adenoviruses, which can be lurking year round. Adenoviruses are a group of viruses, causing several illness, which have been identified since the 1950s.  Recent reports indicate they are causing more flu like illnesses than have been previously recognized.
Though most cases of adenoviruses are usually mild and resolve themselves generally within 10 days with over-the-counter and/or natural remedies, plenty hydration and rest, they are of greater concern in individuals with existing respiratory disease or who are immune compromised.
You may wonder if I am feeling bad does it really make a difference whether I have the flu or an adenovirus. Yes, especially in the instance where one develops pneumonia or if you are immune compromised.  The treatment approach is different for the flu vs. the adenovirus.
Tamiflu which is the antiviral given for the flu is not effective for the adenovirus.  The antiviral cidofovir can be used to treat immune compromised individuals and ribavirin for those who develop an adenovirus-related pneumonia.   
As with the flu, practicing good hand washing technique is the best defense in preventing illness from the adenoviruses. To learn more about adenoviruses read "What are Adenoviruses Infection".

Wednesday, January 17, 2018

Shivering Cold

It's been some time since I can remember the bitterly frigid temperatures we have been experiencing this winter. As the temperatures plummet it is very important to take special care to protect yourself when you are going to be outside even for only a short period of time.  When temperatures drop and wind speed increases, heat leaves your body more rapidly. The body's natural response to cold exposure  is to use energy  to protect its' core. The body will shift its' blood flow from your extremities (hand, arms, feet and legs) and outer skin to try to maintain the body's core (chest/abdomen) temperature. It is that shift that allows your exposed skin and extremities to cool rapidly.
Most people, especially individuals who work outside, have learned to properly layer to provide protection but even the slightest lowering of temperature can lead to a condition known as cold stress. Cold stress can occur without initially being noticed. Cold stress is an umbrella term that describes those various cold related illness (hypothermia, frostbite trench foot, and chilblain)  hat occur when working in cold/wet conditions.
Learn more about the symptoms, treatments and prevention of cold stress conditions "Cold Weather Casualties and Injuries Chart".


Sunday, January 7, 2018

Time for Recharging Daily

As the old year goes out and the new one rings in many of us make those "New Year's Resolution". For me the more common resolution of vowing to exercise regularly or weight loss are always short lived. By the end of February even those with the most serious of intent get swept up into LIFE and the daily routine of exercise and healthier eating get loss in the one thing many seem to have no problem in maintaining...a life of busyness. Our lives so easily become an endless list of daily to-dos and before we even realize there seems to never be time for self. This routine not only can lead to physical dis-ease but can be detrimental to your mental well-being as well.  
In order to remain healthy, happy and productive, it is imperative to care for self first. Envision the body as a battery...in order for it to operate at peak performance it must be recharged. We need to be refreshed on a daily basis to continue to be at an optimal state. It is not a matter of not having time to consider our own needs first but more making it a priority without the burden of feeling guilty for doing so. 
Me-time is time to be with and celebrate self and is different things for different people. It can be something as simple as 15 minutes of daily reflection as you enjoy a cup of coffee or a brisk morning nature walk. Me time are those things which bring a sense of peace and serenity to your soul.
Whatever Me-Time is to you...vow in 2018 to make that time for yourself. Stop putting yourself at the bottom of your to-do list and rise to the top. Take a few minutes to give some feedback of what your Me-Time looks like.