Healthy isn?t something you are or aren?t. It?s a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It?s a balance between living well and taking care, and you can start right where you are.
A blog by Christina Elston
Healthy isn't something you are or aren't. It's a hundred little things: eating a banana, walking in the park, putting a bandage on a boo-boo, playing tag, reading up on ways to keep you and your family well and safe. It's a balance between living well and taking care, and you can start right where you are.


Archive for May, 2009

Health-E Books: Get Ready To Get Pregnant

Friday, May 29th, 2009

get-pregnantBuilding a healthy baby starts long before conception, and Get Ready To Get Pregnant, by Michael C. Lu, M.D., offers up a thorough plan to have your body in tip-top shape. It includes 10 brain foods you should eat more, 10 toxic foods to avoid, 10 steps to strengthen your stress resilience, 10 steps to tune up your immune system and 10 steps to detoxify your environment – and more. It’s a thorough, thoughtful, easy-to-follow read that will help you approach getting pregnant with confidence.

Dr. Lu, an obstetrician with UCLA’s Center for Healthier Children, Families & Communities, was kind enough to answer a few of my questions.

How long before they actually plan to conceive should a couple start thinking about pre-pregnancy health?

The earlier, the better. I usually tell my patients to give themselves at least three months, but for some it may take them up to six months or even a year to get ready, especially if they need to lose some weight, quit smoking, change medication, or get their blood pressure or diabetes under control before they actually plan to conceive. Read more of Dr. Lu’s advice, including foods to eat and avoid …

From the Wire: FDA Report Recommends Acetaminophen Warnings

Friday, May 29th, 2009

wireAcetaminophen, branded as Tylenol in its most popular OTC form, has long been relied on by parents to bring down fevers and quell aches and pains (including Mom’s headache). But a report released this week by the U.S. Food and Drug Administration (FDA) recommends adding warnings to labels and making changes to dosing to help reduce chances of overdose and the liver damage it can cause.

Overdose is especially risky when people take multiple over-the-counter medications that might contain acetaminophen, such as a combination cold medicine plus Tylenol. Another concern is risk to adults who regularly drink three or more drinks per day while taking acetaminophen, thus placing additional stress on the liver.

The report’s recommendations include increased efforts to educate the public about the risk, warnings for alcohol users and people with liver disease on product packaging, and more prominent display of the word “acetaminophen” on product labels. The report also recommends limiting maximum daily adult doses and tablet strengths to help reduce chance of overdose, and eliminating combination products.

The agency will further discuss the report findings in June.

Learn more about acetaminophen and handling it safely … 

Love Your Man? Know His Numbers!

Thursday, May 28th, 2009

The Mens Health Network says wear blue in June: www.wearblueformen.com.

The Men's Health Network says wear blue in June: www.wearblueformen.com.

June is National Men’s Health Month, and it’s coming right up. The government’s Office On Women’s Health tells us that men are more likely than women to lead unhealthy lifestyles, but less likely to visit their doctor for checkups – which probably isn’t news to you. Help your guy be healthier with a gentle nudge to make that yearly appointment, and by encouraging him to “know his numbers.”

BMI – 18.5-24.9

Body Mass Index is a measure of body fat based on your height and weight. Anything between 18.5 and 24.9 is considered normal weight. A BMI of 30 or greater is considered obese. And obesity increases risk of diabetes, heart disease, arthritis and some cancers.

Cholesterol – Less than 200 mg/dL

If he’s 35 or older, he should also have a blood test to check his cholesterol yearly. The goal is less than 200 mg/dL (milligrams per deciliter) total cholesterol, less than 100 mg/dL LDL (bad) cholesterol, and less than 150 mg/dL of triglycerides (fat in the blood).

Let the numbers get too high, and they increase risk of heart disease.

Blood Pressure – 120/80 or lower

A reading of 140/90 or higher is considered high blood pressure. Men with high blood pressure or high cholesterol should also be tested for diabetes. High blood pressure can damage the blood vessels, increasing risk of stroke, kidney failure, heart disease and heart attack.

Interestingly, there isn’t yet a government office on men’s health. But there’s lots of great men’s health information available through the Office On Women’s Health, www.womenshealth.gov/mens. Another fantastic source for information on men’s health is The Men’s Health Network. They have a free “e-male” newsletter, resource lists, events, and a host of other goodies at www.menshealthnetwork.org

Have a Healthy Summer Voyage

Wednesday, May 27th, 2009

healthy-voyagerHave you been in a bathing suit yet this season? It’s likely that at some point in the coming months a pool party, a beach barbecue, or a long-awaited vacation will leave you no choice but to let a bit of skin show. Ironically, it can be those very parties, cookouts and getaways that leave us not quite swimwear ready. Here are some tips from Carolyn Scott, proprietor of a wonderful Web site called The Healthy Voyager, to help keep your summer eating on track:

Don’t graze. Summer’s relaxed schedules can mean we ignore regular meal times and just nibble all day long – and not always on the best stuff. To avoid this trap, Scott suggests sticking to regular meals as much as possible, and sipping water continuously to keep full. “Bring a water bottle everywhere you go,” she urges.

Balance your splurges. If you’re on vacation somewhere with lots of new food to try, you’ll indulge now and again. Just keep the next meal light (but heavy on the salad and veggies) to balance it out. “Not every meal should be a splurge,” says Scott.

Prepare for parties. But not by starving yourself in anticipation of all the great food that will be there. Eat your regular meals so you eat less at the party. “Eat before you go to an event, even if it’s something light,” says Scott. “You’re less likely to pick at stuff throughout the entire party.” And don’t hang out around the chip bowl. Have a few, then walk away.

Don’t hide your produce. If you’re hanging out at home this summer, don’t keep naughty stuff like soda, chips and cookies around to trip you up. Instead, buy lots of fresh produce and keep it out where you can see it – in a bowl on the table, or on the top shelf in your fridge – not in the produce drawer where you’ll forget it.

Indulge in single servings. When you get a treat, go for the smallest possible size (and share!) rather than a big package that will stay in the kitchen to tempt you. “I’ll buy just one item, like one cookie,” says Scott. “Or I’ll buy a single slice of cake.”

Try healthy treats. Scott says there are lots of healthy to-go snacks on the market, and recommends PureFit, Vega, Luna and Cliff bars as favorites. She also loves iced green tea sweetened with natural agave nectar (won’t mess with your blood sugar levels), citrus salads, and guacamole (with fresh cucumber chips instead of tortilla chips). “You can eat as much as you want of that.”

Make smart menu choices. When you go out, have a salad instead of the fries, choose steamed foods over fried, and skip the chips and salsa or bread bowl. “Give yourself license to have a little fun, but make a smart choice,” Scott insists. “You can have your fun burger, but complement it with something healthy.” She also warns about the perils of salad dressings, which can be high in fat and calories. If you’re not content with a splash of lemon and olive oil, consider bringing your own healthy dressing from home.

Practice pro-active portion control. Lots of us grew up with the “clean your plate” club, but restaurant portions make that a no-no. Instead, split the dish before you eat. “As soon as you get your meal, ask for a doggie bag and take half your meal and put it away,” advises Scott. “Out of sight, out of mind.” You can enjoy a reasonable meal, and have the leftovers later.

Whether you’re on the go, on the town, or lounging at home this summer, you’ll find lots of healthy food suggestions, recipes, and other great info at The Healthy Voyager. Check it out, and tell them I sent you!

 

Summer Fit Tips From Jackie Warner

Tuesday, May 26th, 2009

So the weather’s warming up, school is winding down, and maybe you’ve started to think about having the kids – and their kid energy – around more often. What’s a parent to do?

Put a bowl of fruit on the table and boot the kids outdoors, says fitness guru Jackie Warner, who runs Sky Sport & Spa in Beverly Hills and SkyLab, a fitness boot camp/spa. That, she insists, will keep the kids fit and garner you some much-needed down time.

Warner marvels that she sees so many people intent on walking their dogs to tire them out and keep them happy and healthy, while letting kids while away the hours in front of TV and video games. “Parents don’t understand that exercise is nature’s Ritalin,” says Warner. “You wipe them out and everybody benefits.” Read Jackie’s get-fit tips …

Don’t Miss My Summer First-Aid Giveaway

Friday, May 22nd, 2009

Win one of 10 gift bags with summer first-aid essentials to help you take care of those “ouchies” in a snap. Click here for details.

Disaster Ready With Fun and Games

Friday, May 22nd, 2009

Pictured from left to right:  The “Macho Nachos” team, Nicole Olsen-Garcia, RN, London May, RN (with back to camera), Alex Cardenas, RN, Eileen Duncan, RN compete in Childrens Hospital's "Disaster Olympix." 

 

Pictured from left to right: The “Macho Nachos” team, Nicole Olsen-Garcia, RN, London May, RN (with back to camera), Alex Cardenas, RN, Eileen Duncan, RN compete in Childrens Hospital's "Disaster Olympix."

If you really want to be ready for the next major disaster to hit your area, throw a block party. Or maybe play a few games with the kids.

“Preparedness does not have to be boring or scary. You can have fun with it,” insists Jeffrey Upperman, M.D., director of the trauma program at Childrens Hospital Los Angeles. This month, the hospital held a fun event of its own called “The Disaster Olympix, and debuted a new disaster response video game called “Surge World,” where healthcare workers help move patients through a hospital facing emergency overload.

One of the lessons from the event, where hospital staff competed in a series of disaster drills, was that simple things matter. And the same is true for families.

How well do you know the people around you?

“It’s important to know your neighborhood,” says Upperman. “What’s it going to look like if the so-called ‘Big One’ hits?” Many of us would need to weather the aftermath of a disaster at home – and we might need to rely on neighbors for help and resources. Who in your neighborhood has first-aid training? Who is handy with tools? Is there a family who could help care for your children if you couldn’t?

If you aren’t sure, Upperman suggests that a block party to “get everyone out of their house” and bring neighbors together might be a good way to find out. When people know each other, or have at least met, they’re more likely to work together and help each other out. But don’t talk disasters right away. Start with the fun, get to know each other, and organize later.

What is the plan at your child’s school?

Pictured from left to right:  The “NICCU Babes” team, Jessica Legge, RN, Rebecca Bomberger, RN, April Brewer-Salvosa, RN.

Pictured from left to right: The “NICCU Babes” team, Jessica Legge, RN, Rebecca Bomberger, RN, April Brewer-Salvosa, RN.

One of the events in CHLA’s “Disaster Olympix” was the evacuation of a mock NICU (neonatal intensive care unit), and one of the issues that came up was what to do when family members arrived to pick up babies deemed ready to go home. Procedures needed to be followed to ensure that babies were only released to authorized family members.

Upperman points out that schools – one of the places your child is most likely to be when a disaster occurs – also have plans to make sure students are only released to their families. Ask about the plan at your child’s school. Find out where you should report to pick up your child in an emergency, and what types of identification and permissions are required before the school will release your child.

It can help to “buddy up” with another family in your child’s class, so that you can back each other up if one of you can’t make it to school. Authorize the parents to pick up your child if needed, and vice-versa, and let your kids know that they should stay together in an emergency.

How will you stay in touch?

One major area of emphasis at “The Disaster Olympix” was communication, and ways to get information where it needed to go. “You have to think about unique ways to communicate when you’re facing a crisis,” says Upperman. “The same thing matters for families.” Yes, cell phones are great and everyone in your family might have one, but what if the phone gets lost? (Upperman himself had misplaced his iPhone the day we spoke.) What if the battery runs out? What if service is disrupted?

Go old school and make sure you’ve got phone numbers and other important information on paper. And tuck a list of five emergency contacts into your child’s backpack for good measure, Upperman suggests.

On your own list, include numbers for your pediatrician and other healthcare providers, and know what their emergency plans include. And make sure you have copies of health records for your entire family accessible. (That means you’ll need to request them from your healthcare provider’s office.)

Is your child emergency ready?

Most people don’t like to think about disasters and emergencies. They’re scary. And they’re even scarier for our kids. But you can, and should, still take steps to make sure your children know what to do in the event of an emergency. Here are a few suggestions from Upperman for activities to make preparedness fun:

The idea is to break all that info into manageable portions with activities that you know teach serious lessons, but still treat the family to some fun. If you ever need to put these lessons into practice, you’ll feel more calm knowing everyone understands what to do. And all the kids need to remember is that it’s “just like that game we played.”

Hey Guys: Get B-Ball Fit

Thursday, May 21st, 2009

NBAFIT_cmyk

The playoffs are underway, and for all of you with basketball fever, here are some exercises from the American College of Sports Medicine to help keep you fit, flexible, and on the ball.

basketball

Basketball Squats: Place the ball behind your back at your belt line, sandwiched between you and the wall. Step forward 12 inches, keeping your feet shoulder-width apart. Keeping your back straight, squat down until your knees reach a 90-degree angle. Then, extend your legs to return to the upright position. Repeat. (Strengthens quadriceps, hamstrings and gluteal muscles.)

basketball

Coach’s Crunch: Sit on your bottom, with your feet on the floor. Lean back at approximately a 30-45-degree angle. Hold a basketball at arm’s length in front of your chest. Suck your stomach in, tightening your abdominal muscles. Rotate to one side, pause, then rotate to the other side, touching the ball to the floor on each side. Repeat. (Strengthens core muscles, including obliques, lower back and middle abdominals.)

basketball

Basketball Blasts: Lying on your back with knees bent, hold the basketball against your chest with both hands. Perform a standard crunch, lifting shoulder blades off the floor and keeping your chin tucked in toward your chest to protect your neck. Repeat (Works abdominal muscles.)

basketball

All-Star Twist: Perform back-to-back partner passes to improve coordination. Stand back-to-back with a partner, and turn at the same time to the same side (your right, partner’s left), passing the ball back and forth. Repeat on opposite sides. (Works obliques.)

basketball

Basketball Bend: Stand with feet shoulder-width apart, holding a basketball straight overhead. Keeping the back straight, slowly bend to one side. Repeat on each side. (Enhances lower back flexibility.)

Get the kids into the act. Step into your local Toys ‘R’ Us store to find the “NBA Fit” display, featuring sporting goods and NBA gear to let kids see how they measure up to their favorite players.

Win Some Summer First-Aid Essentials

Wednesday, May 20th, 2009

neoOn my family’s spring break trip to Costa Rica, we spent a week venturing out daily to look for monkeys and colorful birds in our lightest cotton summer clothes – and flip flops. Unfortunately, our toes weren’t yet flip-flop ready, and my daughter found herself with a painful blister.

Feeling like the ultimate “mom at the ready,” I pulled a container of Neo To Go! antiseptic pain relieving spray from my bag, gave the blister a quick spritz and covered it with a Band-Aid. She felt better, and I felt better knowing that her foot was safe from infection. And we hadn’t lost a minute of jungle time.

So that you can similarly breeze through this summer’s boo-boos, I’ve got 10 “summer first-aid essentials” gift bags to give away. Each contains two packages of Neo To Go! spray (more than 140 sprays each), a half-ounce tube of Neosporin ointment, and a package of 15 Band-Aid plus Antibiotic Waterproof bandages.

Click here to enter by June 20. Include your name, address and phone number – and, if you like, tell me your favorite boo-boo fixing tale!

Click here to read the terms and conditions.

With a Midwife

Tuesday, May 19th, 2009

Midwife Deborah Frank, second from left, with her first new delivery at Cedars Sinai Medical Center. 

 

Midwife Deborah Frank, second from left, with her first new delivery at Cedars Sinai Medical Center.

 

There are more than 11,000 Certified Nurse Midwives in the U.S., and delivered more than 7% of births in 2006. What comes to mind when you think of a midwife? Giving birth in your bathtub at home? Scenes from old Westerns with starched women boiling rags on the stove?

Then you might be surprised to learn that 97% of midwife-attended births took place in the hospital. Deborah Frank, CNM, (www.MidwivesWithWomen.com) has more than 25 years of experience as a nurse midwife, and oversaw her first delivery as a staff member at Cedars Sinai Medical Center in Los Angeles in March. She offers up a bit of information about midwifery today. Read her tips …