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 June, 2010

Lead Alert: Rainbow and 5-7-9 Stores

Wednesday, June 30th, 2010

rainbow-pieceSome jewelry purchased from Rainbow and 5-7-9 retail stores last month contains high levels of lead – even pieces marked “lead-free,” according to the Center for Environmental Health. A heart pendant intended for adults was 97% lead, and a clasp on a piece labeled “Kids” and “Lead Free” was 87% lead.

The metal is extremely toxic, especially to young children, and kids have died after swallowing lead-containing jewelry. Children exposed to high levels of lead can also develop anemia, stomachache, muscle weakness, and brain damage. Experts are increasingly coming to the conclusion that there is no safe level of lead exposure for pregnant women and young children.

In adults, lead can increase blood pressure and cause infertility, nerve disorders, muscle and joint pain, irritability and concentration and memory problems.

The CEH tests jewelry purchased from retailers across California for lead, and is funded through a state grant. Fifteen different jewelry pieces from Rainbow and 5-7-9 stores tested with lead levels between 57% and 97%, and this is the fourth time the CEH has found the stores in violation of laws against lead in jewelry in just over a year.

Learn more about lead poisoning …

Learn more about the CEH … 

Pop Quiz: Are You Vaccinated Against Whooping Cough?

Tuesday, June 29th, 2010

pertussis_d155pxCases of pertussis, also known as “whooping cough,” have reached epidemic levels in California, and experts are saying the state is on track to suffer the most illness and death from the disease in 50 years. “We’re really on course to see a large number of cases,” says Eileen Yamada, M.D., with the state’s Department of Public Health.

As of June 15, the number of cases of whooping cough had quadrupled over this time last year, reaching 910. Five babies – all under 3 months old – have died from the disease. Public health officials are urging Californians to do the following:

Check your children’s vaccination status. Immunization against pertussis (the shot is generally called DTaP and protects against diphtheria, tetanus and pertussis) is given at 2, 4, 6 and 15-18 months, 4-6 years and 11-12 years.

Get your own pertussis shot. The immunity from your childhood vaccinations wears off after a few years, and even having the disease doesn’t give you lifetime immunity. A booster shot for adults (combined with a vaccine against tetanus) was licensed in 2005. So if you haven’t had a tetanus shot lately, you might be vulnerable to whooping cough, too. Ask your doctor.

‘Cocoon’ your babies. They’re the ones at greatest risk if they get sick. And even though they can get their first pertussis shot at 2 months, infants don’t build enough immunity to fend off the disease until their third shot at 6 months. The only way to protect the youngest babies is to make sure everyone who has regular contact with them has been vaccinated. “We know that babies typically get pertussis from an adolescent or an adult family member,” Yamada says. “The more people we get vaccinated, the more protection we’ll have in the community.” Pregnant women should also be vaccinated.

Do all this now. We are headed into the heaviest season for pertussis – late summer and early fall – and all signs point to a tough year. You won’t necessarily notice a case of whooping cough coming on. It starts with cold-like symptoms that can last as long as a week before the trademark cough (severe and rapid-fire, often ending with a “whoop” sound) shows up. “It can be quite deceiving early on,” says Yamada, and meanwhile, you’re contagious. “They may spread the disease before they even think they have whooping cough.”

Again, the greatest risk from pertussis is to young babies, and they’re the ones you are really protecting when you and your older children are vaccinated. Complications from pertussis can include convulsions, bleeding in the brain, brain damage from lack of oxygen, and death. “Luckily, fatalities are still pretty rare,” says Yamada. “But if this is your child that one death in your family is devastating.”

For more information check out:

Brace Yourself: Will Invisalign Work For Kids?

Monday, June 28th, 2010

bracesI have a few friends whose children are approaching what I like to call the “orthodontic years,” those years somewhere between ages 9 and 13 where the dentist often suggests that you have a visit with an orthodontist to make sure your darling’s teeth line up like little soldiers. After hearing stories from me and from other parents who’ve weathered a round or two of traditional braces, these pals wondered whether those nifty-looking Invisalign devices would work for their kids.

Fortunately, I hand the chance to chat with media dentist extraordinaire Bill Dorfman, DDS, (www.extrememakeoverdentist.com) who turned out to be a big Invisalign fan and knew lots about the product. Dorfman, featured dentist on Extreme Makeover, guest co-host on The Doctors and a veteran of a flock of other shows, sums things up like this: “You don’t have to walk around with a whole mouthful of metal.”

In fact, he says that about 85% of casese treated with traditional braces can be treated just as well with Invisalign. There are some exceptions, of course, like cases where the teeth need to be moved significant distances.

And a new product, Invisalign Teen, is designed with younger patients in mind. They even have “indicator dots” that fade from blue to clear with proper wear, so parents can tell their kids aren’t stashing their retainer in a backpack all day – which rarely happens. “Invisalign has found that teenagers are actually more compliant with their Invisalign retainers than adults are,” Dorfman says.

Another bonus, you can take the Invisalign retainers out to eat – and brush. “You have much, much better hygiene with these,” says Dorfman, adding it is common for kids to have tooth decay with traditional braces because they can’t brush or floss as effectively.

If you’re interested in comparing, check out this handy chart:

Invisalign vs. Braces

Invisalign Braces
Cost Comparable to braces. Some charge $500 more than they would for brackets. $4,500 to $6000 (depending on complexity of case)
Treatment Time Average 12-15 months Average 18-30 months
Dietary Restrictions None Sticky, chewy foods, Hard candy, carrots, popcorn, soda, corn on the cob, etc.
Cleaning Remove aligners to brush and floss normally. No negative effects. Must thoroughly brush and thread to floss. Decalcification or demineralization staining can occur as a result of poor hygiene (white spots on teeth).
Follow-up Care Must wear retainers full time for 3 month, every night after that for the first year and then 2-3 nights/week to maintain teeth. “Retention for life” or as long as you want to maintain that beautiful smile. Same

Foot ‘Facelifts.’ Really?

Friday, June 25th, 2010

As a health writer, I receive buckets of information from a long list of organizations and other resources. Much of it is helpful or interesting, some of it surprising. Now and again I get something outrageous.

This week’s advisory from the American Orthopedic Foot & Ankle Society falls into the latter category. The society is warning women not to run out and have cosmetic surgery performed on their feet, just so they can look better in their summer sandals and trendy high heels. I was shocked.

Women would actually consider doing this? Having surgery just so this little piggy looks cuter in peep-toe pumps?

Here are a few of the procedures that are apparently possible:

  • Foot narrowing – in order to fit more comfortably into trendy high-heeled shoes.
  • Toe shortening – usually to the second toe (next to the big toe) for “greater perceived appearance” in open-toed shoes.
  • Toe tuck – where the little toe is made skinnier and shorter to accommodate high-heeled shoes.

These procedures carry all the risk of any surgery, including risks from general anesthesia, possibility of infections, scarring, pain and nerve injury. And we’re talking about your feet here, which carry your body’s entire weight on their 26 major bones and 30 joints (each!) and many nerves and tendons. The AOFAS position, quite sensibly, is that foot surgery is only worth the risk for a foot that isn’t functioning properly or without pain.

Here’s a thought: Instead of dropping a load of cash on a makeover for your tootsies (because insurance ain’t gonna cover the cost), spend it on a pair or two of comfy shoes that you won’t need surgery to wear – and make a donation to help kids around the world who can’t afford shoes of any kind. Toms can help you out. With every pair of their shoes that you buy, they give one pair of shoes to a child in need. Check them out …

 

And here’s the AOFAS advisory (just in case) … 

2 Million Cribs Recalled: Is Yours Safe?

Thursday, June 24th, 2010

The U.S. Consumer Product Safety Commission (CPSC) today announced voluntary recalls of more than 2 million cribs because loose walls of the crib can slip apart, trapping infants between the side and bottom of the crib, or between the crib and the wall. The seven manufacturers involved are providing free repair kits to immobilize the drop sides and stabilize the cribs.

Click here for full details about the recall … 

Whether or not your crib has been called in, heed the following advice from safety experts:

  • Never try to make repairs to a crib yourself. Makeshift hardware isn’t likely to stay in place for long, and tape of any sort can eventually stretch and loosen.
  • Don’t use any crib older than 10 years. Age-related wear and tear can make cribs unsafe, and many older cribs do not meet current safety standards.
  • Do not put pillows, thick quilts, comforters or stuffed animals into your baby’s crib. More babies die every year from suffocation in their bedding and toys than from defective cribs.
  • Put babies on their backs to sleep to reduce the risk of SIDS.

For more information, visit the Juvenile Product Manufacturers Association’s Crib Safety Center at www.cribsafety.org. 

Want To Keep Your Adult Children On Your Insurance Plan? Consider This Advice

Wednesday, June 23rd, 2010

gradcapMy daughter graduated from high school yesterday, and we’re knee-deep in preparations for her college send-off in the fall. One of the items on my long checklist is checking into her health insurance coverage. Where previously (in our state, at least) she would probably  have had to secure her own coverage at age 19, the new Patient Protection and Affordable Care Act could work in our favor. The law goes into effect Sept. 23, and extends the time young adults can stay on parents’ health insurance to age 26. But is this the best option for us?

One of my favorite nonprofits, the Foundation for Health Coverage Education, offers these points to consider:

Can your child get coverage through work? Until 2014, insurance companies only have to provide dependent coverage for young adults who do not have access to coverage through their own employer-sponsored insurance plans. If your child is lucky enough to be employed, she or he might not be able to stay on your plan.

Is your child too far away? If your health plan is a local HMO with a closed network of providers, and your child lives a significant distance away, he or she might not be able to find a doctor or health center close enough to visit.

How does your enrollment period line up? The law doesn’t require insurers to change their enrollment periods so that parents can add new dependents when it goes into effect in September. Some insurers, including WellPoint, Cigna, Aetna, United HealthCare, Humana, Kaiser Permanente and BlueCross and BlueShield have announced that they will, but check with your specific provider. Your child could end up with a significant gap in coverage.

For more information about health insurance and health care reform, visit the Foundation for Health Coverage Education at www.CoverageForAll.org.

Be Careful With Vitamin D Supplements For Babies

Friday, June 18th, 2010

vitamin_d_0610If you’re giving liquid Vitamin D supplements to your baby (the American Academy of pediatrics recommends a dose of 400 IU per day for breast-fed and partially breast-fed infants), be careful to get the dose correct. Too much could cause nausea, vomiting, loss of appetite, pain – and even kidney damage.

The FDA issued a warning this week that some supplement manufacturers package their liquid Vitamin D products with droppers that hold more than a 400 IU (International Unit) dose, putting babies at risk of overdose. If you can’t tell the proper dose from the markings on the dropper packaged with your baby’s Vitamin D supplement, check with your doctor before giving any dose at all.

Find the FDA update for consumers here … 

Find more info on Vitamin D supplementation here … 

 

Calling All (SoCal) Yogis: Help Turn Homelessness On Its Head

Friday, June 18th, 2010

"Gravity Cowboy" Brock Cahill is scheduled to be on hand for the Yogis Anonymous Inversion-A-Thon Fundraiser.

"Gravity Cowboy" Brock Cahill is scheduled to be on hand for the Yogis Anonymous Inversion-A-Thon Fundraiser.

When I first started taking yoga classes, I didn’t understand how people could be so excited about being upside-down. I wasn’t, and couldn’t get into even the simplest “inversion” pose. That was almost three years ago, and now I can proudly say that I have “shoulder stand” and two different styles of headstand in my repertoire (though I still like to have a wall nearby during headstands, in case I topple over).

Yogis say that getting upside-down is good for your lungs, heart, thyroid and more. And on June 27 the teachers and students at Santa Monica studio Yogis Anonymous will be doing it for a good cause: To raise funds for the city’s homeless.

Starting at noon, local yogis will take their favorite inverted poses, and sponsors will pledge funds by the second, the minute or longer – depending on the strength and dexterity of the participant and the difficulty of the pose. The studio is located at 1221 Second St., Santa Monica, and the event is open to the public. You can sign up to strike a pose, or pledge your support in person  or by visiting http://yogisanonymous.com/homeless. All proceeds benefit OPCC, Santa Monica’s oldest provider of services for the homeless.

Namaste.

 

Before You Hit the Beach …

Thursday, June 17th, 2010

My daughter is headed off to college in Chicago in the fall. Last night at the dinner table, her father kidded her that she’d better hit the beach and get some color this summer so that people will know she’s from California. But she and I share the complexions of our Irish ancestors, and just aren’t the tanning type. My motherly advice? Go to the beach because it’s fun, and it’s healthy to get outdoors and run around in nature. But wear your sunscreen! This video backs me up.

Keeping Dads (and Other Men) Healthy

Wednesday, June 16th, 2010

dadtiesWe love them (especially on Father’s Day, which is Sunday), but men just don’t live as long as women. They ignore symptoms, won’t go to the doctor – you know the drill. Here’s a bit of info from the Men’s Health Network on the checkups and screenings men need to stay healthy.

In their 20s and 30s:

  • A complete physical exam at least every two years
  • Blood pressure check every two years
  • Screening for cancers of the thyroid, testicles, lymph nodes, mouth and skin every three years
  • Cholesterol test every five years

In their 40s:

  • A complete physical every year
  • Blood pressure check every two years
  • Cholesterol tests every five years
  • Screening for prostate cancer if they’re in a high-risk group
  • Thyroid, testicular, lymph node, mouth and skin cancer screenings yearly

Starting at age 50, all of the above plus:

  • Colon cancer screening every three to five years
  • Stool test for colon and rectal cancers yearly
  • Screening for prostate cancer yearly

For more information …

Men’s Health Network 

Urology Channel 

Dean & Betty Gallo Prostate Cancer Center 

American Urological Association 

American Cancer Society 

American Heart Association 

Men’s Health Library