2012年1月31日星期二

Biological Warfare- Fight those Colds Back With Effective Weapons

It seems after the Christmas holiday with all those late nights, rich foods and probably way more sugar than usual, the infamous flu is back wreaking havoc on those taxed immune systems!

So, I thought I would write an article on dealing with potent bacteria that are taking advantage of our neglectful ways.

There are natural compounds as close as the kitchen cupboard that are potent antidotes against biological warfare. These natural antibiotics and anti-oxidants give people who have been exposed to bacteria or viruses, the ability to treat themselves. If the cold/flu lasts more than a week, you need to seek professional care.

The Garlic Information Center in Britain indicates that deadly anthrax is most susceptible to garlic.It is a broad-spectrum antibiotic that even blocks toxin production by germs.

Garlic was found to be a more potent antibiotic than penicillin, ampicillin, doxycycline, streptomycin and cephalexin, some of the same antibiotic drugs used in the treatment of anthrax.

Therefore, whenever you get that first inkling of a cold or flu with a scratchy/sore throat, sinus congestion, runny nose, fever, decreased energy or achey muscles, start adding it to food and buy capsules that are high in allicin. Allicin content should be certified on the bottle. This is the active ingredient that kills the bacteria.   

The anthrax bacterium's toxicity is its’ ability to kill macrophage cells, which are part of the immune system. Studies have shown that sulfur-bearing antioxidants (alpha lipoic acid, N-acetyl cysteine, taurine) and vitamin C, which elevate levels of glutathione, a natural antioxidant within the body, counters the toxicity produced by the bacteria.

Vitamin C should be a neutral form (not ascorbic acid based otherwise it will make the body too acidic) and can be combined with bioflavinoids, which prolong vitamin C's action in the blood circulation.

The powdered form of vitamin C is recommended to achieve optimal dosing. I have people start with  tsp and dose this every hour with the first symptoms of a flu, until you get gassy or loose stools and that is what your body is using up to fight the virus or bacteria.

You can then decrease it by  tsp the next day and continue this until no symptoms of the cold are present.       
         Virtually all bacteria, viruses and fungidepend upon iron as a growth factor. Phytic acid (IP6), derived as an extract from rice bran, is the most potent natural iron chelator (remover of iron) and has strong antibiotic and antioxidant action.

The antibacterial, antiseptic action of plant oils has been described in recent medical literature and may be helpful in fighting biological toxins.  A potent natural antibiotic, more powerful than many prescription antibiotics, is oil of oregano. You can add this to water & use it as a throat gargle before swallowing. 

Natural antibiotics and anti-toxinsare well documented in the medical literature, but often overlooked.

So, these antidotes are readily available and should be the first thing you think of when those symptoms start!

2012年1月30日星期一

Walking the fine line between keeping your sick kids home

Go to your local drug store and check out the shelves in the cold & flu section. They're most likely looking pretty empty right now. The cold & flu season is upon us in full force. Everyone - including my family members - seems to have some sort of ailment at the moment whether it's a cough, a fever or a sore throat. Usually, the best remedy is plenty of rest and fluids. But in this day and age, that's a luxury a lot of people can't afford. A lot of sick kids are sent to school because there is no one available to watch after them while they convalesce at home.

Being a stay-at-home parent, I'm lucky to be able to keep my kids home when they aren't feeling up to par. The only appointments I might have are my own. I can easily rearrange my schedule most of the time to fit in a couch-bound child and some homemade chicken soup. Parents who work usually have a tougher time finding someone to care for their child when he's sick. Keeping the child home sometimes means taking time off work, which might not be possible.

Sick kids need to get better. Going to school doesn't help remedy that situation. Sending sick children into a classroom isn't fair to either the sick child or the healthy ones who might catch whatever the sick child contracted. Some ailments affect different people differently. A touch of the flu might give one child only a small cough, but if an asthmatic child catches the same bug she could end up hospitalized.

In a perfect world, schools would have a "sick wing". Children could go to school with a fever, be cared for by a nurse in their own secluded room, and be a part of their class via television. Wouldn't that be great? With the way schools have been cutting back on expenses, I don't see it happening in the near future.

So what's the solution? How do we keep our kids healthy when the school is just one big Petri dish? It's very easy for me to say keep your sick kids home, but I know that's much easier said than done. Do you have any ideas that have worked for you?

2012年1月29日星期日

Tony Vagneur: Saddle Sore

It's always been about staying warm in the winter, I reckon. We don't think about it much what with thermostats, natural gas, electricity and solar energy taking care of us, almost behind our backs, but it is a concern.

In the summer of 1879, a total of 23 men arrived in Aspen, at various times and from over Hunter's (Independence) and Taylor passes. A lot of prospecting occurred, but also a lot of time was spent preparing a winter camp and collecting firewood. They knew it would get cold. Ironically, only two stayed through the early winter; irrational fear of the Utes thinned them out, it seems.

In those days, wood was the only fuel of choice, until the coal mines at Marion began to make coke for processing ore. Such coke was an excellent heating fuel for homes and businesses, but the expense kept such use to a minimum. No doubt, some of that same, smoky bituminous coal that was being coked got freighted to Aspen by mule team, but until the railroads arrived, wood remained the main source of heat.

Almost every house had a coal or wood bin, either attached to the house or located in a shed or carriage house along the alley. Depending on when you lived in Aspen, your coal storage might have been filled by Judge William R. Shaw's father, or by the judge himself. Other coal dealers were Ed Teideman, who kept a ready stash in the West End and who also ran a general store on what is now the Hyman Avenue mall. Pat Hemann, proprietor of the gravel pit alongside Stillwater, delivered coal in the winter, and United Lumber and Mercantile, a long-ago Aspen institution, could be counted on to supply the necessary fossil fuel.

It takes a lot of work, and money, to heat an entire house with coal or wood, and since the beginning in Aspen, frugal folks saw the sense in closing off portions of their houses during the winter months. They quickly learned to live around the kitchen stove during the day and to make a mad dash for the bed covers at night. The comfort zone of indoor bathrooms, if there were any, always seemed to be kept at a level just above freezing.

Unlike heating systems of today, coal (or wood) stoves needed to be manually stoked or replenished on a regular basis to keep the fire alive. During long winter nights, such stoves would generally be allowed to burn themselves cold, making early morning a rush to get the stove burning again.

Some of the fancier homes had thermostatically-controlled basement coal furnaces which generated steam heat, distributed throughout by the ever entrancing, always hissing heat radiators. The Red Brick School was warmed by such a system and it was always a thought, as the registers hissed and clanged into action, that perhaps an explosion might let us out of school for a day or two. It should be noted that directly inside the door of the “old” Red Onion, there was a working heat register, coveted by beer-addled raconteurs on cold nights.

Even at age 85, my great-aunt Mary Stapleton, severely stooped with age and genetics, who lived in a Bleeker Street Victorian with her two sisters and one brother, had a great knack for heating river rocks in the oven of their coal cook stove, to be wrapped in a towel and gently placed under the blankets at the foot of a freezing bed. The trick was to wait until the coal stove had died down enough that the rocks didn't overheat and split apart, making them worthless. She would walk the precious cargo the entire length of the large house, one large gem at a time, from the kitchen to the huge north bedroom, being very careful not to drop them or burn herself.

2012年1月19日星期四

Mitt Romney's 'Authenticity' 'Problem'

Jonah Goldberg's syndicated Tribune column "Romney's Authenticity Problem" has stuck in my craw for a few days, like a cold sore that I can't take care of but can't ignore. I think it's this:

Romney's claim that he's just a businessman called to serve -- Cincinnatus laying down his PowerPoint -- is nonsense. Romney, the son of a politician, has been running for office, holding office or thinking about running for office for more than two decades. "Just level with the American people," Gingrich growled. "You've been running ... at least since the 1990s."

For some reason Romney can't do that. Or at least it seems like he can't. His authentic inauthenticity problem isn't going away.

It's not the sentiment; Romney has been flopsweating presidential ambition since he stepped down as governor and national office for long before that. It's that word "authenticity." Luckily, the great local historian of the conservative movement, Rick Perlstein, just kicked off his new Rolling Stone series with a short, compelling psychobiography of Mitt Romney in relationship to his famous father that helps put it in context:

The truth was a dull weapon to take into a knife fight with Richard Nixon – who kicked Romney's ass with 79 percent of the vote. When people call his son the "Rombot," think about that: Mitt learned at an impressionable age that in politics, authenticity kills. Heeding the lesson of his father's fall, he became a virtual parody of an inauthentic politician. In 1994 he ran for senate to Ted Kennedy's left on gay rights; as governor, of course, he installed the dreaded individual mandate into Massachusetts' healthcare system. Then he raced to the right to run for president.

He's still inauthentic – but with, I think, an exception. Every time he opens his mouth on the subject of capitalism, he says what he sincerely believes, which happens to fit neatly with present-day Republican ideology: that rich people deserve every penny they have, and if people complain about anything rich people do, it's only because they're envious.

Perlstein uses the word to describe Romney's conscientious-capitalist father and his devotion to unwavering political principles, in contrast with his son's, um, fluid ones. This sheds some light on why Romney's authenticity problem may not be a problem, per se, in the context of the current GOP field. Jon Huntsman got killed, in part, because of his open, unwavering moderation; Santorum and Paul, Romney's most serious opponents, face something of a ceiling because of their open, unwavering immoderation. Romney's teflon ideology may not be a strength, but it's not exactly a liability in a divided party.

Even still, Perlstein's use of the word authentic trips me up. It's appropriate in the sense of authenticity representing a devotion to a set of moral or ideological principles, but another way of reading the word is this:

In keeping my promise I act in accord with duty; and if I keep it because it is my duty, I also act morally (according to Kant) because I am acting for the sake of duty. But existentially there is still a further evaluation to be made. My moral act is inauthentic if, in keeping my promise for the sake of duty, I do so because that is what “one” does (what “moral people” do).

By Perlstein's reading, Romney's chameleon-like political persona was forged early in his life: "Then, just over a year later, [George Romney] was humiliated with a suddenness and intensity unprecedented in modern American political history (of which more below). His son was 19 years old. What makes Mitt – né Willard – Romney, run? Much, I think, can be understood via that specific trauma." Further, it forged a man whose ideology was winning. And that happened to coincide with a shift in the business world from postwar American capitalism to contemporary American capitalism: "his vision of how capitalism should work was in every particular the exact opposite of the one pushed by the vulture capitalist he sired."

2012年1月18日星期三

It's only natural that mother knows best

If I ever needed evidence to support the claim that "mother knows best", I certainly got it this week. Having suffered from a lingering sore throat and unsuccessfully self-medicated a cold for the past 10 days - it was somewhat fortuitous that I should be commissioned to write a piece about alternative flu remedies.

Interviewee after interviewee extolled the virtues of herbal medicine, an organic diet and plenty of exercise for a long and healthy life. They also claimed an abstinence from antibiotics ensured their swift recovery from illness and maintained a robust immune system.

I remained a sceptic, struggling to rationalise how a gnarled root of ginger and diced onion were able to trump the mighty force of Amoxycillin. Nevertheless, in the name of research, I gave it a go and duly stocked up on honey, herbal teas, probiotics, local veggies and an entire alphabet of supplements.

With my regime underway and my morning kick-started with a mug of hot water and lemon, the dots started to connect. Long have female members of my family been drinking this breakfast brew and raising eyebrows in restaurants by ordering fresh mint tea rather than coffee after a meal. Could there really be something in it?

More pennies dropped throughout the week as updating my food diary became something of a 20km run down memory lane. And tucking into a packets of nuts and dried fruit (instead of my habitual afternoon chocolate bar) suddenly took me back to prep-school.

Lunch time was never something I looked forward to as a child, for I knew only too well what my bright yellow tuck box contained. Precisely no tuck at all.

Lentils, rice and brown bread sandwiches made up the weekly menu and, "as a treat", sachets of sunflower seed and raisins would often be hiding inside a piece of kitchen roll. Far from taste being the problem, it was the giggles from my fellow diners who chomped merrily on Cheesy Wotsits and ruler-long Curly Wurly bars that made my cheeks flush.

How I longed for an additive-packed box of Um Bungo juice or a humble Proustian madeleine. But alas, it was not to be. Now, of course, I think my mother was light years ahead of her time and I can't thank her enough for force feeding me all the goodness the health-food chain Holland & Barrett had to offer. She's rarely ill so I guess there's a lot to be said for feeding your body the right fuel. Shame it took me 30 years to come around to her way of thinking. So look out for me in the organic section of your local supermarket. I'll be the flu-free evangelist eager to compare notes on the perfect sprouted adzuki-bean and kale salad. Sounds delicious, doesn't it?

2012年1月17日星期二

Want to avoid getting the flu or a cold? Wash your hands

Even though people tend to associate the common cold and influenza with the literally cold season of winter, Susan Harp, the infection control coordinator for Columbus Regional Healthcare Systems, said that catching one of these respiratory illnesses has less to do with the weather and more to do with how humans behave during colder seasons.

“I think probably the cold weather tends to make people congregate more, stay inside more, and that probably is really what’s attributed to illnesses and transmission rather than an actual temperature that happens outside,” Harp said.

Cold and flu seasons usually begin around the end of September or early October and this is when Harp recommends taking the number one preventative measure: getting a flu shot.

The availability of the shot varies from year to year, she said, depending on whether any new strains of influenza have popped up. And while Harp admits that it’s not perfect, getting the vaccination is better than not getting it.

As far as other ways to protect oneself during this increasingly illness-prone season, Harp recommends increased hand hygiene and staying away from infected individuals.

“(The flu shot) is the number one (preventive measure), but number two is you try to avoid sick people if you can,” she said. “But that’s kind of hard to do especially if they’re your children. And I think that’s probably one of the toughest ones if you are caring for somebody who’s sick you want to be very careful, you want to wash your hands, be careful if you’re handling tissues that they’ve used, if you’re picking up after them.”

According to the Centers for Disease Control and Prevention, a person can be contagious up to one day before symptoms show and for five to seven days after.

While it’s hard to isolate yourself if you don’t know you’ve contracted an illness, Harp said it’s important to stay home from work or school if you’re sick to help stop the spread of germs and to help yourself get better faster.

“Stay away long enough when you’re sick. That’s hard to say in this competitive job market that we have and people are afraid of not looking like a good performer,” she said. “But you do want to stay at home. Usually the rule of thumb is you want to be home and fever-free for 24-hours without using a fever-reducing medicine like Tylenol or something.”

Colds are generally less severe than the flu and the symptoms are manageable with over-the-counter medications. Harp said most people won’t miss work because of a cold, making it even more important to wash hands frequently and wipe down any equipment used in the office, including keyboards and telephones.

During cold and flu seasons, Harp said it’s also important to be aware of what you touch when you’re out running everyday errands. She recommends wiping down shopping carts with antibacterial wipes and using hand sanitizer often.

“Hand washing, hand washing, hand washing,” Harp said. “That’s really the key. I think people just don’t really think about how often they touch stuff.”

Flu symptoms, which include fever, body aches, extreme tiredness and dry cough, are more severe than cold symptoms, which include running or stuffy nose, sneezing, sore throat, watery eyes and mild head and body aches.

2012年1月16日星期一

Winter Health: Stretching for Mind and Body

This winter, like the many others that have come before, is the time when millions of Americans have sworn to start exercising more, being more active, and making healthier choices.

There’s just one small, intimidating and possibly hazardous factor for those of us who either don’t have a gym membership, or quickly get tired of exercising in place. The culprit: chilly weather.

Well unfortunately, only time will relieve us of cold weather. However, whether we want to exercise outside or simply stay on our toes this winter, stretching is an important activity.

Although stretching should always go hand in hand with exercise, it is also an important activity in the winter, when the cold weather can affect our joints and mobility.

Many people report feeling physically stiff during the winter, and with stiffness comes injury and discomfort.

I can personally report more easily injuring myself during the winter -- during very non-strenuous activities, might I add.

There are many benefits to stretching:

It isn’t rocket science that stretching before exercising can reduce the risk of injury. Because cold weather causes stiffness, it’s that much more important during the winter.

The more flexible you are, the better workout you’re going to have. A better workout equals a better bod, and a more confident, empowhered woman. Stretch.

Stretching before and after exercising will decrease any soreness you may feel later on. That way, your “I’m too sore to exercise today” excuse won’t hold up the next day!

Stretching seems easy enough, but there are some things you should keep in mind:

Before stretching, make sure you're not too cold or too stiff, as this can cause greater injury. To get the most preventative care, move your joints a bit and go for a short walk to warm your body.

Don’t stretch in a hurry. An impatient stretch sesh can lead to aggressive and harmful stretching. Relax and take deep breaths.

Stretch gradually and gently. Instead of feeling pain while stretching, you should slowly ease into your stretches and have patience with your progress.

Remember not to bounce while you stretch. According to fitsugar, “Bouncing can cause microtrauma in the muscle, which must heal itself with scar tissue. The scar tissue tightens the muscle, making you less flexible, and more prone to pain.”

Stretching is a great way to start the morning, allowing you to ease into the day while waking up. Stretching can even be your own little morning meditation, if you can quiet your mind and get in tune with your body.

This winter, try to incorporate daily stretching to avoid injuries and increase your flexibility!

2012年1月15日星期日

Got a cold sore? Don't kiss baby!

Fever blisters - also called cold sores - are fairly common, but they have nothing to do with a cold.

These sores typically appear on the outside of the mouth, on the lips. The majority (about 95 per cent) of fever blisters are due to a virus, typically herpes type 1. Because the sores are due to a virus, they're contagious and most people will be exposed to the virus during their lifetime.

Children are typically exposed via contact with an adult, sibling or relative who has a fever blister, or with other children who've mouthed toys or other objects that may have been contaminated with the virus.

In many cases, exposure is asymptomatic, while other children will develop painful vesicles appearing both inside the mouth, on the tongue and gums, as well as on the lips 3-5 days after exposure.

This initial illness is called herpetic gingi-vostomatitis. The initial infection tends to be more uncomfortable and may take up to two weeks to resolve. The most difficult aspect is oral discomfort, so it's important to make sure infected youngsters stay hydrated. Popsicles are often helpful for this.

Once you've been exposed to the herpes virus, it remains in your nerve endings, where it may be dormant and asymptomatic for years. About 60 per cent of children are positive for HSV-1 by adolescence. At times of stress, sun exposure, fever, or menstrual periods, the virus may become active again, and result in a fever blister.

Children who develop a fever blister are also contagious and may spread the virus to others by touching them, or picking at the lesion and then touching other people or objects with their mouths.

Fever blisters may be treated in most cases with a topical antiviral applied directly to the lesion. Prescription medications are available that may shorten the duration of a fever blister by a day or two, especially if started early and applied frequently. If you child experiences recurrent core sores, speak with your pediatrician about the use of oral antiviral medications.

Remember, if you have a fever blister, don't kiss your baby! Although the most viral shedding occurs after the initial HSV infection, you remain contagious with each fever blister, so it is best to take precautions for a few days after an outbreak.

2012年1月12日星期四

When not to ignore a sore throat

Although the recent weather here in Elk Grove may have us believing otherwise, we are firmly in the winter season.

And there is no time of the year that more people deal with cold and flu symptoms than the winter; the reason why it is often referred to as the “cold and flu season.”

With or without a full-blown cold, a sore throat is an annoyance that many people experience often – and one that is often ignored in hopes that it will just go away after a few days.

It may start off as just a bit scratchy; something you can handle.

Then you may notice an excess amount of mucous in the throat area; additional irritation, but you still can bear it.

Then the soreness may even go on to include swollen lymph nodes.

Before you know it, this “annoyance” that you thought would go away soon has turned into a full blown infection that cannot be cured by simply taking cold medicine or gargling with salt water.

So when is it important to visit a doctor and have a sore throat checked out?

The Citizen spoke with Dr. Michael Sotak, lead physician at the newly opened Sutter Urgent Care center in Elk Grove.

Sotak specializes in emergency medicine and mentioned that although most sore throats do go away by themselves, there are crucial times when one should visit a doctor to have it checked for a more serious condition.

“I’d recommend getting an exam if you notice a fever over 102 degrees, that there is puss at the back of the tonsils, the glands at the front of your throat are swollen, or you are not having a cough along with your sore throat,” he said. “If you have at least two of these symptoms, it is best to get checked out as soon as possible.”

Although many people may be quick to assume that a noticed lump on the throat during soreness may be the sign of cancer, Sotak said that it is rarely the case.

But he mentioned that strep throat could lead to serious issues if left without treatment beyond seven days.

The painful, contagious infection of the pharynx can cause peritonssillar cellulites if left untreated too long.

This inflammatory reaction of the tissue between the capsule of the palatine tonsil can then lead to a peritonssilar abscess in its later stages.

“With these types of abscesses, I look for puss located right next to the tonsils and whether it is worse on the right or left side causing the uvula to be pushed over to the opposite side,” Sotak said. “If left untreated, it will be extremely painful to swallow and the airway may close up.”

Sotak said that in some cases the abscess will get worse and worse until it ruptures, but it is often treated by being drained before this occurs.

These are obviously the more serious conditions of leaving a sore throat untreated for too long, yet they indicate why a rapid strep test should be done if soreness lasts for more thana week.

Sotak said that the test lasts for about five to eight minutes and includes the rubbing of a swab on both tonsils. A color-coded result signals a negative or positive outcome and it appears in about 10 minutes after the test is done.

“Nine out of 10 times you will just need to get treated with antibiotics,” Sotak said.

In treating the first few days of a sore throat at home, and for those who may be allergic to antibiotics, other remedies are recommended.

“Chloraseptic spray, gargling salt water with a quarter teaspoon of salt, Motrin, or Tylenol can all help,” he said.

2012年1月11日星期三

We don't want to worry you, but ...

Cholesterol levels, toxins in food, low-carb vs. low-fat -- as if there weren't already enough health issues to worry about! We hate to be the bearers of bad news, but here are a couple more, particularly prevalent in winter, that may not have crossed your radar yet.

Sitting. A new line of research suggests that just sitting there for long periods endangers your health -- even if you also exercise regularly.

"The person who exercises an hour a day might be better suited to run a 5K, but the person who's been standing and up and around all day may actually be healthier," said Mark Blegen, an associate professor in the Department of Exercise and Sport Science at St. Catherine University.

When you're sedentary, researchers have found, your metabolism plunges, increasing the risk of obesity and diabetes.

What if you have a desk job? One option is to follow Blegen's example: he has used a stand-up desk for two years. Standing for meetings and while talking to students requires "a little bit of a cultural shift," he acknowledged. If you're not ready for that, make a point of taking regular breaks to get up and walk around. While at your desk, maintain good posture, which Blegen said activates more muscles than slouching. And if you watch TV at home, don't just sit there, do something -- stand, exercise, fold laundry.

Shoveling. Minnesotans are practically hardwired to believe in the physical fitness benefits of shoveling snow. Surely venturing out into the cold and doing all that work must be good for us. Otherwise, wouldn't we just use a snowblower?

Indeed, shoveling can provide a great workout, Blegen said. But if you're not in shape, the unfamiliar weight-lifting can leave you with sore muscles. Worse, sudden heavy exertion, combined with the cold's constricting effect on blood vessels, can stress the heart. A 1993 study in the New England Journal of Medicine suggested an increased risk of heart attack while shoveling -- albeit a very small one.

The main problem is that people tend to hold their breath to stabilize themselves while they lift the filled shovel, Blegen said. "That can cause your blood pressure to skyrocket and can potentially be very dangerous," he said.

So go ahead, work those deltoids and burn some calories while clearing the driveway. But warm up gradually and don't overdo it. Most importantly, don't forget to breathe.

2012年1月10日星期二

Respiratory tract infections on a rise, thanks to cold, smog

All of 10 years, little Asma Kabir is learning to use the asthma spacer — the add-on device used to increase the ease of administering aerosolised medication from an inhaler. She was prescribed the inhaler this December, as excessive cold and cough left her panting for breath. “Asma was down with acute cold, combined with sore throat. When none of the regular cough medicines and gargles helped, doctors suggested that we switched her to inhaler,” said Protima Kabir, her mother.

With respiratory infections on a rise in the Capital, more and more doctors are prescribing inhalers and nebulisers to ease breathing and lung congestion.

Rukmini Sachdev, 31, was asked to take the nebuliser to ease the lung congestion after she complained of heavy wheezing. “I thought I had asthma when doctor asked me to use the nebuliser and inhaler. But the doctor assured me this was the only way to fight the respiratory stress,” she said.

Doctors say cases of asthma and bronchitis rise during winters. “Moreover, staying indoors and in front of heaters, people are more exposed to dry heat and allergens which aggravates the problems,” said Dr Randeep Guleria, head, department of respiratory medicine, AIIMS.

“We are prescribing inhalers to patients of broncho-spasma and bronchitis. Kids, who are unable to take inhalers, are being advised nebulisers,” he said, adding that there has been a significant rise of 15- 20% in respiratory stress cases.

“At the start of winters, the incidence of upper respiratory tract infections increases. A lot of patients come to us with pharyngitis, rhinitis and sinusitis,” said Dr KK Handa, senior ENT specialist at Medanta, the Medicity in Gurgaon.

“Patients must seek medical help at the outset otherwise these can progress to laryngitis and lower respiratory tract infections,” he warned.

Doctors say the respiratory syncytial virus breeds in the cold. “Pollutants don’t rise high up in the atmosphere as the air is heavy, leading to breathing difficulty,” said a senior paediatrician at Lok Nayak hospital.

“The use of nebulisers is the best way to help children ease lung congestion as medicine from nebulisers goes directly to the lungs,” he said.

2012年1月9日星期一

Families urged to try pharmacy for minor ills

DESPITE most people starting the new year with a health drive to cut down on alcohol, maybe stop smoking or even take more exercise, people do still suffer from minor ailments.

When it comes to getting quick, convenient medical advice, remember the community pharmacy is usually right on the doorstep.

Your community pharmacy is a one-stop-shop for such ailments and illnesses including the common cold, sore throat, cold sores, stomach upset, indigestion and many more common problems.

Therefore, people in Newcastle, North Tyneside and Northumberland are being encouraged by the North East NHS to Think Pharmacy First this year.

The scheme is helping to remind local people that community pharmacies in their neighbourhood can help.

Think Pharmacy First offers patients who qualify for free prescriptions – due to low income – the choice of going straight to their pharmacist for a consultation, advice, and if appropriate, treatment.

The local NHS is reminding families of the benefits of the local pharmacy for over-the-counter medicine, advice and support for a range of conditions which don’t persist.

The campaign was launched in 2009 by NHS North of Tyne, working on behalf of Newcastle and North Tyneside Primary Care Trusts and Northumberland Care Trust and all local pharmacies are participating.

Austin Fleming, pharmacist at Lynemouth Pharmacy in Northumberland, said: “Think Pharmacy First aims to give patients in Newcastle, North Tyneside and Northumberland – who receive free prescriptions due to low income – greater choice and faster access to treatment for minor ailments.

“The scheme offers patients who qualify the choice of going directly to see their pharmacist, without an appointment, for a consultation where they will be given advice and free over-the-counter medicine, where appropriate, to treat minor ailments. They will be referred to a GP where necessary.

“People entitled to the Think Pharmacy First scheme are those on a low income or those aged over 60.

“They can pop into the pharmacy any time they require advice on symptoms and tell a member of staff that they want to be seen under the Think Pharmacy First scheme.

“Then they can then have a private consultation, just like they would at their GP surgery and find out if there is a remedy available in the pharmacy that they can have for free, there and then. It’s a much quicker way to get help.

“Some minor ailments can be more prevalent during certain seasons.

A good example is the common cold in winter, which many people seek treatment for.

“In the past patients with minor ailments who were entitled to free prescriptions may have made an appointment to see their GP for a prescription, and then subsequently visited their community pharmacy to pick up their prescribed medication. But now you may not need two appointments, when a visit to your local pharmacist is much quicker.”

Dr Mike Guy, medical director for NHS North of Tyne, is reminding people that many winter ailments can be treated with the advice of the pharmacist without the need to see a doctor.

He said: “Think Pharmacy First is an excellent way to get access to advice and medicines without the need to make a GP appointment. Pharmacists are experts in the use of medicines and can give you free advice and treatment straight away.

“If patients choose the right health services it ensures they get the treatment they need in the shortest possible time, reducing the demand for GP appointments and freeing up GP time for people with more serious health concerns.”

If you are unsure whether you are entitled to be treated through the Think Pharmacy First scheme, call into your local pharmacy for further guidance.

2012年1月8日星期日

Got joint pain? It could be osteoarthritis

No doubt, you are referring to osteoarthritis, the leading cause of disability in the U.S., with more than 20 million sufferers. It most often affects the hips, knees, spine and hands. The cause of osteoarthritis is usually unknown, though it is mainly related to aging. About half of those over 65 have some degree of osteoarthritis, reflecting a lifetime of wear and tear on cartilage.

 However, osteoarthritis can be inherited, and injuries or certain diseases can lead to the condition. Being overweight is known to increase the risk of osteoarthritis in the hip, knee, ankle and foot joints. It is also important to rule out other types of arthritis that at times resemble osteoarthritis, such as chronic gout, pseudogout or rheumatoid arthritis. It is important to consider these other causes of arthritis because the treatment can be quite different.

Osteoarthritis is usually recognized by the onset of pain and stiffness in the affected joints, more commonly seen after exercise or when placing weight or pressure on the joint. The affected joint or joints may be tender at times and lose some of their flexibility. Morning stiffness lasting up to 30 minutes can be noted and followed by relief with mild activity.

Osteoarthritis occurs when the cartilage that cushions the ends of bones, allowing the bones to glide over one another, deteriorates over time, breaking down and wearing away. This lets the bones rub together, causing pain, swelling and stiffness. This in turn results in the ligaments and muscles around the joint becoming weaker.

There is no cure for osteoarthritis and it will most likely get worse over time. However, there is much that can be done to slow its progression, control its symptoms and maintain or even improve joint function. Exercise helps maintain joint and overall movement, and results in less pain. Swimming and biking are especially good. Walking can be effective — a padded heel can cut in half the force with which your foot hits the ground with each step. Weight loss, if overweight, can be of great help for lower extremity osteoarthritis. Resting a particularly sore, swollen joint should also be considered. Applying heat or cold to the joint may help. A physician or physical therapist can outline an exercise program that strengthens the ligaments and muscles around a joint, leading to significant symptom improvement.

Unlike in rheumatoid arthritis, there are no disease-modifying osteoarthritis drugs yet, but the search goes on. Over-the-counter pain-relieving medicines can help osteoarthritis symptoms — acetaminophen (Tylenol) is usually tried first, then non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen and naproxen can be helpful. For more severely involved joints, steroid injections into larger joints (knee) can reduce swelling and pain. Capsaicin (Zostrix) skin cream can help relieve pain in smaller joints. Artificial joint fluid (Synvisc, Hyalgan) may be effective for a few months for knee joints, but not in cases of severe, bone-on-bone arthritis.

Of even more concern is the large number of expensive, ineffective and unproven preparations and treatments that are touted on the Internet, magazines, TV and radio, which may have no more than a short-term placebo effect. These include: glucosamine and chondroitin combinations, SAMe, Instaflex and collagen supplements (Genacol), to name a few. There is no convincing evidence that supplements do anything for joints. Acupuncture, magnets and copper bracelets have no more than a placebo effect. Procedures such as microfractures in bone to induce cartilage growth or cartilage implants are not there yet. When conservative therapies no longer work, excellent surgical procedures and joint replacements are effective, especially for pain relief.

2012年1月5日星期四

Cold or something more serious?

It's that time of year when everyone is reaching for the Kleenex and cold relief medicine. But for some, a nagging cough is cause for concern. Even when the runny nose or sore throat goes away, that cough can linger.

Doctors tell us it could be winter allergies or a much more serious infection that makes it hard to breathe.

Sheila Dial will be celebrating her son's seventh birthday Thursday, but first she's taking Levi to the Oklahoma Allergy and Asthma Clinic to stop his cough, which would be quite a gift to this concerned mom.

"Very frustrated because you try to help him," she says. "You don't know how. He's had a cough, runny nose and severe sinus infections all the time, so we decided to get the allergy testing done."

Dr. Greg Metz, an allergist at the clinic, says Levi isn't alone.

He says our dry and windy weather has made mold spores an allergen that is making a lot of Oklahomans cough lately.

"With the dry, kind of cold air, (mold) can irritate the lining of the airway and it can lead to drainage in sort of an irritant fashion," Metz says.

Upper respiratory infections can cause a cough that lingers for weeks.

But one pediatrician says prolonged coughing could be caused by a highly contagious infection called "whooping cough."

"You can have these repeated, violent coughing spells to the point where you literally can't breathe anymore," Dr. Savannah Stumph says, with Mercy Edmond Signal Ridge Clinic, "All the air is completely expelled from the lungs and then a violent rerespiratory 'whoop' to start breathing again can be noticed."

She says vaccines are the most important way to prevent whooping cough, also known as Pertussis, especially in infants that can stop breathing during coughing fits.

It can be treated with antibiotics, but the cough can last up to 10 weeks.

"In other parts of the world, Pertussis is actually known as the 'hundred day cough' because that's literally how long it can last," Stumph says.

Whooping cough vaccines fade over time, so Stumph says adults should get vaccinated every 10 years.

Sinus infections, acid reflux and asthma may also be causing that cough.

Levi completed the  allergy testing.

The results are forcing Sheila to find the family cat a new home.

2012年1月4日星期三

Hepatitis C vaccine hope after cold virus tests

Trials showed it tackled the disease, which causes flu-like effects before badly damaging the liver, in a similar way to people who are naturally immune. The vaccine lasted a year and none of the 41 people studied had side effects.

The findings suggest it may be possible to develop a vaccine although it may take several more years to prove it is safe.

Professor Paul Klenerman, from the Nuffield Department of Clinical Medicine at Oxford University, a leading member of the research team, said: “We’ve found that it’s possible to prime large cellular immune responses against hepatitis C that last for at least a year.

“The immune responses we’ve seen are exciting and we are beginning the next stage of trials. While we are hopeful, it could be a long road to any vaccine that protects people against hepatitis C.”

Hepatitis C is caused by a virus that can remain hidden in the bloodstream for decades before showing any symptoms. It produces mild flu-like effects while inflicting slow damage to the liver which can lead to cirrhosis and cancer.

An estimated 200,000 to 500,000 people are infected with hepatitis C in England and Wales. Because of the lack of symptoms, many do not know of their condition.

The virus is carried in the blood and to a lesser extent other bodily fluids. It is most commonly transmitted by sharing needles to inject drugs, but can also be passed on via toothbrushes, razors, scissors, tattoos and body piercing. There is a low risk of the virus passing from mother to child or between sexual partners.

Like HIV, hepatitis C presents a difficult moving target to anyone attempting to challenge it with a vaccine. The virus can easily adopt new disguises that may not be recognised by the immune system. It also comes in six possible strains, each presenting a different vaccine target.

The new trial results are published in the journal Science Translational Medicine. A group of 41 healthy adults took part in the Phase One trial,
primarily designed to test safety and obtain dosing information.

The vaccine is designed to provoke a response from immune cells called T-cells that target the inside of the virus rather than its outer coat.

It was created from a modified adenovirus, a member of a family of viruses responsible for the common cold and sore throat infections. Two kinds of adenovirus were tested as vaccine candidates, a rare human version and one found in chimpanzees.

The vaccine triggered a large T-cell response that lasted for at least a year, the length of the trial. No significant adverse effects were reported among the volunteers.

The immune response was of a similar type and size as that reported in people who naturally clear the hepatitis C virus from their bodies, said the scientists. Around one in five people are naturally immune to hepatitis C infection.

Not only did the T-cells react to a wide range of different elements within the virus, but they seemed to respond to more than one strain.

2012年1月3日星期二

Not All Childhood Rashes are the Same

What holiday vacation would be complete without a trip to the pediatrician?  It seems every holiday season one or more children, and sometimes the adults, are sick with some sort of cold or condition.  This year, was no different.

My youngest son had the typical runny nose, sore throat but, wait, something different—a rash over his entire torso that worsened as I was giving him a bath and getting him ready for bed.  My gut reaction was Scarlet Fever.

Up until 5 years ago, I thought Scarlet Fever was something in history books that was eradicated like measles or chicken pox.  Having one of my other children experience the itchy sand paper rash, though, I realize it is much more common.

Scarlet Fever is merely Strep Throat with a rash and may occur in children ages 2 – 10.  Some of the tell tale signs are a prickly, sand paper like rash on the entire torso, sore throat, yellow coated tongue, fever of 101 degrees and, in the later stages, white peeling fingertips, as my older son experienced.   

Scarlet Fever does not always accompany Strep Throat but when it does it can result in complications like middle ear infection, pneumonia and rheumatic fever.   An antibiotic gets rid of this bacterial infection.

No two rashes are alike, though, and you can google images of rashes all day on the computer to try to identify what it is.  You will come up with scary names like Scarlet Fever, Fifth Disease (Slapped Cheek), Sixth Disease, Hives, Roseola or Impetigo—but, at the end of the day, any of these rashes warrants a visit to the pediatrician so don’t worry yourself over what it might be.

The doctor took a rapid strep test to rule out Scarlet Fever and my son did not have either Strep Throat or Scarlet Fever.  He did have an ear infection and culprit of the rash—eczema.  He was given an antibiotic and a lot of recommendations for skin care.

“This time of year, with the changes in the temperature and the humidity,” said Dr. Oscar Morffi or Lehigh Valley Pediatric Association, “kid’s skin is sensitive.”

Eczema is an itchy, red rash that results from some sort of trigger, sometimes allergies, asthma and, in this case, hot water drying out the skin.

“Kids with eczema love the bath but a one minute bath every night is better than a 20 minute bath twice a week,” said Dr. Morffi, “The water is soothing but it does more damage than shorter baths.”

The hot baths combined with the dry heat of the fire place at the home we had visited caused the breakout.  Dr. Morffi recommended some hydrocortisone cream, much shorter baths and a small dose of Benadryl twice a day.   He also recommended using Dove soap for bath time.

Eczema when untreated can lead to scaly, flaky or cracking skin.  In the summer, putting on sunscreen does a great deal to lubricate the skin, but, in winter, it is just as important to put a layer of soothing, non-allergenic lotion on your toddler’s skin to avoid these complications.  Lesson learned-- moisturize, moisterize, moisterize.

2012年1月2日星期一

Colds and flu

Have a cough? Sneezing a lot lately? How about a sore throat or feeling achy all over?

If you've had those symptoms, you're not alone. It's cold and flu season. And that means besides some holiday cheer, some of us may be passing around something not so nice - germs that will make other people sick.

The winter is typically one of the worst times of the year for spreading around germs that lead to colds and even the flu. When the weather is colder, we tend to stay indoors, and in our enclosed environments, it's easier to spread illnesses. So with that point in mind, here are some tips suggested by medical professionals aimed to help you stay healthy or, at the least, avoid being the person who spreads an illness to your family, friends or co-workers.

One of the most important things we all can do is wash our hands. This simple act can help prevent germs from spreading. So each time you shake someone's hands or blow your nose, take a few seconds to wash your hands.

Speaking of sneezing, make sure when you sneeze that you do so into your elbow. Sneezing into your hands makes it much more likely that you'll spread germs.

Of course, the best way to prevent spreading illness is not to get ill in the first place. That means we have to bolster our immune systems. If you haven't gotten a flu shot yet, do so quickly. Beyond inoculations, there are some common-sense things we can do such as getting an adequate amount of sleep, exercising, eating healthy foods and engaging in activities that bring you happiness - the simple act of which, some studies suggest, can boost the immune system.

If you do get sick, there are some steps you can take to help yourself get better sooner while not passing along your cold or flu.

First, as much as we need to work or go to school, it's really best to stay home if you are truly sick. If you have a fever, ache all over and are sneezing or coughing incessantly, do everyone a favor and stay home. You won't be as productive as you otherwise would be anyway, and it will prevent the spreading of germs.

Second, make sure you stay hydrated by drinking water or other fluids as directed by your physician.

Finally, once you use a tissue, make sure you throw it away to avoid the spreading of germs.

People will get colds. Some of us will get the flu. It's the reality of life in the winter time.

But if we pay attention to what we're doing, we can avoid passing on germs. And we can avoid some illnesses and reduce the severity of others.