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 August, 2009

Smoke Gets In Your Lungs

Thursday, August 27th, 2009

fireMost mornings, my faithful dog and I are up with the sun and out on the trail. But this morning, like so many of us living in the San Gabriel Valley, I stepped outdoors to a haze of smoke. My scratchy throat and stinging eyes told me a hike was not a good idea, but I still grabbed up the newspaper to see whether there was a health advisory.

Yep, there was. People were advised to limit time outdoors, and especially not to exercise. I understood, of course, that walking around in the smoke would be a little uncomfortable, but what was the harm really?

To find out, I called up Colleen Callahan, Manager of Air Quality Policy at the American Lung Association and fellow Southern Californian. “Yes, canceling your hike this morning was a good idea,” she immediately told me. Find out why …

The Flu And You: How To Stay Well

Wednesday, August 26th, 2009

wash-handsWhile H1N1 still has the potential to get serious, thus far it has stayed pretty mild. In fact there’s evidence that most cases of H1N1 so far have been so mild people didn’t even know they had it. There have been more than 150,000 laboratory confirmed cases worldwide, and 1,100 deaths. But the CDC estimates that in the U.S. alone there have been more than a million cases, most of which have gone undetected.

Another thing that should make H1N1 a bit less scary is that, though it’s a new type of influenza, it’s still just one more flu. “In a way, we’re lucky in that respect,” says infectious disease specialist Pia Pannaraj, M.D., of Childrens Hospital Los Angeles. “We know what to expect.” Click for tips on not getting sick …

Have Some Water With That Ice

Wednesday, August 26th, 2009

pregnant-waterPregnant women in labor can now have more than the standard cup of ice chips if they’re thirsty, the American College of Obstetricians and Gynecologists said Aug. 21. For decades, laboring women haven’t been allowed so much as a glass of water in the delivery room in case they needed to be anesthetized for an emergency cesarean. Under anesthesia, there’s a chance that anything left in the stomach could be drawn into the lungs – which could be fatal. But experts have now decided that improved anesthesia techniques, along with continuing to restrict solid food during labor, offers enough protection. The new recommendation states that women in uncomplicated labor can have small amounts of water, fruit juice without pulp, carbonated beverages, clear tea, black coffee or sports drinks. And even women preparing for a planned cesarean delivery can drink clear liquids up to two hours before they have anesthesia. Learn more …

 

The Flu and You: How Influenza Makes Us Sick

Tuesday, August 25th, 2009

flu-sneezeClinical trials are underway to test the first vaccine against H1N1 flu. So far, things look good, and health officials expect the first batches of vaccine for public distribution in mid-October. They expect some delays, with the full order of vaccine not delivered until December, and it’s possible that people will be lining up to get their dose.

Most of our bodies don’t know how to battle H1N1, which means it has the potential to make lots more people sick than a seasonal flu. “It sort of emerged out of a genetic shuffle,” explains Dennis Woo, M.D., former chair of the department of pediatrics at UCLA Medical Center, adding that H1N1 has components of four different viruses – one that infects birds, one that infects people and two that infect swine.

Another thing that makes H1N1 scary is the word “pandemic,” which the World Health Organization declared June 11. Maureen Lichtveld, M.D., who heads up the Flu Emergency Task Force at Tulane University, explains that there are three conditions necessary to create a pandemic.

  1. Antigen shift creates a virus that is new to humans.
  2. The virus infects humans and causes serious disease.
  3. The virus transmits from human to human (is contagious) and is sustained, meaning that it moves from place to place, country to country.

When H1N1 first appeared back in April, experts knew it had the potential to become pandemic, but didn’t know exactly how severe its impact might be. Thus far, while it has caused deaths, “it’s nowhere near what we feared might happen,” says Jim Sears, M.D., a pediatrician with the renowned Sears family and co-host of “The Doctors” television show. Read on …

More Teens Watching = More Alcohol Ads On Cable TV

Tuesday, August 25th, 2009

beersAlcohol advertisers have pledged to stay away from television programs that draw audiences with mostly kids. But anyone with teens at home can tell you they don’t just watch “children’s” programming. This means there are plenty of programs targeted at adults that draw a substantial underage audience.

A study released Aug. 20 from the Center on Alcohol Marketing and Youth and UCLA has found that the more teens watching those programs on cable TV (where 95% of nationally televised alcohol ads can be found), the more alcohol ads they contain. For each 1% increase in adolescent viewership, beer ads jumped 7%, spirits ads jumped 15%, and ads for “alcopops” flavored alcoholic beverages rose 22%.

The study didn’t look at whether this was intentional, but many studies have documented the influence of alcohol ads on underage drinking attitudes and behaviors – and linked starting to drink as an adolescent with greater risk of lifelong drinking problems. The take-home message for parents here is to watch what your kids are watching, explain the risks of drinking, and use your own influence to help your children make smart choices.

Learn more about the study …

Learn more about alcohol marketing and teens … 

The Flu and You: What Is H1N1 Anyway?

Monday, August 24th, 2009

h1n1fluYou know about the flu that comes around every fall. You know about H1N1 (unless you’ve been living under a media-free rock). Here are four things you need to know about them both.

  • All types of influenza can be serious, but all types can also be mild.
  • Washing your hands and avoiding crowds are the best ways not to get sick.
  • Flu shots work, and you might want both types.
  • If you do get sick, stay home.

 

The reason you need to know about this now is that flu season is coming around again. Or, rather, it is still here. Seasonal influenza made the rounds beginning in October 2008 and wound down in March as usual. But then H1N1 arrived in April to “fill in the gap,” according to infectious disease specialist Pia Pannaraj, M.D., of Childrens Hospital Los Angeles. H1N1 is still circulating, and it looks like it will merge straight into this fall’s round of seasonal flu.

What is the flu?

All types of influenza are viruses. Lots of types infect birds, some infect swine, and some infect people. Each is a piece of genetic material surrounded by a coat of protein, and they invade cells and force the cells to produce even more virus. You are most likely to be infected by getting the virus on your hands (by touching someone who is ill, or touching something they recently touched) and then touching your eyes, nose or mouth. You can also inhale virus that someone else coughed or sneezed out. Read on …

It’s World Mosquito Day: Don’t Get Bitten

Thursday, August 20th, 2009

mosquitoA colleague’s children visiting their grandma in New Mexico have been stuck indoors a bit because of the mosquitoes – and the threat of West Nile Virus. The news that it’s World Mosquito Day probably won’t be much consolation, but maybe a bit of info will prove helpful.

West Nile virus infects birds, and gets spread from birds to mammals (like horses and people) by mosquitoes. Most people who are infected don’t have any symptoms, but there have already been 82 cases of West Nile fever reported to CDC so far this year.

Symptoms of West Nile fever:

  • Fever
  • Headache
  • Rash
  • Aches

Symptoms of severe West Nile fever, which involves infection of the brain:

  • High fever
  • Disorientation
  • Tremors
  • Coma
  • Paralysis
  • Death

There’s no vaccine or cure for West Nile fever, but you can protect yourself by staying indoors during prime mosquito time (dawn and dusk), wearing long-sleeved shirts and pants, cleaning up standing water in your yard so mosquitoes don’t breed there, repairing holes in window screens, and using insect repellants containing DEET, Picaridin, or oil of lemon eucalyptus.

Learn more about mosquitoes … 

Click here for a CDC map showing cases of West Nile across the country … 

Chinese Herb Beats Drugs For Treating Rheumatoid Arthritis

Wednesday, August 19th, 2009

hand-bonesRheumatoid Arthritis (RA) affects 1.3 million Americans, causing pain and sometimes long-term joint damage. Research hasn’t yielded a cure – or even very good treatment. Anti-inflammatory drugs and powerful “disease-modifying agents” can produce unpleasant side-effects while still not completely relieving symptoms. (One drug prescribed for my mom’s RA landed her in the hospital.) Now a study published in yesterday’s issue of Annals of Internal Medicine points to a potential alternative.

The vine Tripterygium wilfordii Hook F (TwHF) (known as lei gong teng or thunder god vine) is used in traditional Chinese medicine to combat inflammation. And researchers studying 121 patients with active RA found that those who took TwHF had better symptom relief those taking the anti-inflammatory sulfasalazine – with the same frequency of side-effects. It was a small study lasting just 24 weeks, but experts believe it demonstrated the potential of TwHF as an alternative approach to treatment.

Learn about the study … 

Learn about RA …      Learn some more … 

Learn about TCM …

 Learn about sulfasalazine …

 

Listen To Your Buds: Kids and Hearing Loss

Tuesday, August 18th, 2009

buds-logo_3color_lrI’ll admit it. About 16 years ago I took my baby to a Pink Floyd concert. And yes, I worried about the impact of all that rock ‘n’ roll on her tiny ears. (The impact went far beyond her ears, and my baby is now in a garage band.) “It’s outdoors,” my husband reassured me. “And we’ve got awful seats. It won’t be too loud.”

Nonetheless, little Lauren spent the entire concert with Mommy’s arms clamped firmly over her ears to protect her hearing. Not very scientific, but the best I could do. And she seems to have come through OK.

Funny stories aside, kids’ hearing deserves serious protection. So I asked audiologist Anne L. Oyler of the American Speech-Language-Hearing Association (ASHA) http://www.asha.org for a bit of advice.

What’s the best way to convince our kids to protect their hearing even when parents aren’t around?

The best way to convince our kids to protect their hearing when we are not around is to practice what we preach. Kids learn by example. If we are consistent about using ear protection and make sure that our kids are also wearing it when they are around loud noise, then this becomes something that we “do” as a family … not something that we just talk about doing. If a child has always worn a helmet when riding their bike, they don’t know any other way. So model the behavior you want your kids to practice. You have to start when they are young so these beliefs are truly ingrained. Learn about common threats to your kids’ hearing …

Ibuprofen Beats Codeine For Kids’ Broken Arms

Monday, August 17th, 2009

arm-castIf your child is unlucky enough to be among the 18% who fracture a bone some time before age 9 (it’s one of the most common childhood injuries), pay attention to what the doctor prescribes for pain. A study published today in the online edition of the Annals of Emergency Medicine reports that plain old ibuprofen was just as effective at managing pain as acetaminophen (Tylenol) with codeine, but with fewer side-effects. Researchers from the Medical College of Wisconsin say codeine has typically been thought a stronger medication, and that ibuprofen is believed by some orthopedists to inhibit healing. But this study didn’t support either assumption. And among the 244 children in the study, more than half of those treated with acetaminophen with codeine reported adverse effects, compared with just under 30% of those receiving ibuprofen. Learn more about fractures …