Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Tuesday, March 26, 2013

ALERT! Day 2013--Learning more to stop Diabetes





Today is the American Diabetes Association's ALERT! Day. 
Today through April 9, 2013, there's a free online test you can take to help you figure out your risk factors, and for every test that's taken there will be $5 donated to help fight diabetes by a large food company. My risk factor comes up as 4--who can beat me?
Diabetes effects a staggering 14% of San Antonians, which is double the national average (!), causing numerous health problems and putting its victims at risk of amputation, blindness and even death. And the most tragic thing about type II diabetes is that it's almost completely preventable. We all know that we need to eat right, exercise, etc....consult with your doctor to help address any of your risk factors and see how you can help prevent Pre-Diabetes and Type II Diabetes.

To quote from our local ADA office: "The American Diabetes Association's San Antonio office is so committed to finding a cure, educating the public about how to Stop Diabetes and providing support for those living with the disease are central to our mission. We are here to help.
To receive local information or learn more about events occurring in and around San Antonio sign up for our free newsletter! Contact Jose Macias, Online Communication Manager, at jmacias@diabetes.org to sign up!"
There are also a lot of local opportunities to volunteer and help fight Diabetes!
There's even a free Expo coming to San Antonio in May. They're advertising nutrition info, cooking demonstrations and health screenings. What would you like to see at the expo?


Thursday, March 14, 2013

Your amaaaaaaaaazing kidneys!


Ask not what your kidneys can do for you, but what you can do for your kidneys? It’s World Kidney Day and that means it’s time to learn a little more about what your kidneys do and why they’re so important!
We heart Kidneys!
We heart Kidneys!
I’m sure we all know that your kidneys produce urine, but what else do they do?
Those are all important things! Imagine if you had Chronic Kidney Disease (CKD) and had to have dialysis several times a week to filter your blood. That doesn’t sound like much fun.
If you detect it early, though, kidney disease is treatable. If you’re at risk, your doctor can order a simple test to determine if you need treatment.
How can you reduce your risk of developing kidney disease? Just live an active, healthy lifestyle, and get your kidney function checked if you're at risk.
The World Kidney Day site is a great site to find out more about your amazing kidneys!
Resources:

Monday, March 11, 2013

Brain Awareness Week (or how to avoid Zombification from a concussion)


This week, be aware of your brain. Your delicious, delicious brain. Not only are they great for feeding your zombies, the gooey center in all of our skulls are extremely important! Here's our own Dr. Ratner weighing in on why concussion baseline screenings are so important:

It is amazing that we are generally so unaware of the organ that does the most for us. Here at Impact we value your brain! Well, most of your brain, anyway. One of the best things you can do as a teenager who is involved with sports is to get a baseline concussion screening. We do not charge for this test. It involves playing a computer game for about 25 minutes. There are no needles, no radiation, or tubes to be stuffed into your nose.  If you ever sustain a head injury or concussion, we repeat the test post-injury and the results help us to determine when it is safe to return to normal activity.
We know so much more about this subject than we did ten years ago. I compare it to seat belts. There was a time when seat belts were not used, but at some point we learned that without a doubt they save lives. It was not easy to convince some people, but now the majority of Americans believe it and wear seat belts. It won’t be long before the same type of paradigm shift occurs when it comes to concussion awareness and management.
So come on by either location, any day between 8AM-8PM for your baseline concussion screening BEFORE you get hurt. That way if you should have a head injury, we can make sure you're back to normal before  you run off into another potential head-bashing opportunity.

Wednesday, March 6, 2013

Breakfast: The Yummiest part of School!


The yummiest part of school!
March 4-8 is National School Breakfast week. Here are a few words of wisdom from our own Dr. Gutierrez about the importance of breakfast for children:
We have all heard it said, “Breakfast is the most important meal of the day”.  With that in mind, the week of March 4 recognizes National School Breakfast Week.
National School Breakfast Week raises awareness about the availability of the School Breakfast Program (SBP), as well as highlights the benefits, especially academic, of eating a healthy breakfast.
My grandfather grew up very poor in South Texas, near Refugio.  He tells stories of how he did not have food in the house for days.  He and his brothers would survive on the oranges they picked off the trees in the neighborhood.  He admits he was not a good student and recalls how he had lots of difficulty concentrating.  He remembers feeling extremely fatigued as well as having terrible diarrhea due to eating nothing but fruit for days in a row.  He could have really benefited from a nutritious, well balanced meal provided at school.
The School Breakfast Program started under the Child Nutrition Act of 1966.  This program offers breakfast to children free or at a reduced price.  Currently, about 7 million children eat breakfast at school daily with approximately 85% of participants receiving their breakfast free or at a reduced cost.
According to “Ending Childhood Hunger: A Social Impact Analysis” children who ate breakfast scored 17.5% higher on standardized math tests and attended 1.5 more days of school.  Now that’s powerful food for thought.
Visit the National School Breakfast website to learn more. There's all kinds of cool merchandise for sale to help support the program, and even a writing contest for kids!

Monday, March 4, 2013

Zzzzz…It’s National Sleep Awareness Week



Did you know that sleep (which is so lux­u­ri­ous and won­der­ful any­way) greatly impacts your health? Not get­ting enough sleep can cause or con­tribute to obe­sity, dia­betes and depres­sion, all of which are wide­spread through­out the US. And being sleep-deprived can also cause traf­fic acci­dents and even impaired per­for­mance at school and work. There’s even a “Maggie’s Law” (named after a young woman killed by some­one dri­ving while sleep-deprived) in New Jer­sey mak­ing dri­ving while drowsy ille­gal. In fact, once you’ve been awake for 17+ hours, you’re con­sid­ered just about as impaired as some­one dri­ving while intoxicated. 
Try this quick list of tips to help you sleep well:
  • Estab­lish a reg­u­lar bed and wake time
  • Avoid nico­tine alto­gether and avoid caf­feine close to bedtime
  • Avoid alco­hol
  • Exer­cise reg­u­larly (but com­plete the work­out at least 3 hours before bedtime)
  • Estab­lish a con­sis­tent relax­ing “wind-down” bed­time routine
  • Cre­ate a sleep-conducive envi­ron­ment that is dark, quiet and comfortable
  • Dis­cuss the appro­pri­ate way to take any sleep aid with a health­care professional
Check out the National Sleep Foundation’s site for more info (like the above list) and to find out if you’re “Sleep­ing Smart”

Tuesday, January 15, 2013

Why do we sneeze?


Sneezing helps our body to get rid of potential irritants such as dust and pollen, and it
also helps to clear our breathing passages.
A sneeze happens when we feel a tickle behind the nostrils: then a nerve in the nose sends a message to the brain. The brain informs the muscles of the abdomen, chest, diaphragm, vocal cords, throat, and even eyelids to work together in just the right order to get rid of the irritants, through the amazing mechanism of the sneeze. Our chest muscles squeeze the chest with enough force to shoot air up from the lungs and out through the nose at speeds of up to 100 miles per hour.
Sometimes bright light can make us sneeze-about one out of every three people sneezes when exposed to bright light. These people are called “photic” sneezers (photic means light), and this trait is hereditary.
An excerpt from the book “Why you shouldnʼt eat your boogers” by Francesca Gould

Thursday, January 10, 2013

Concussions


by Dr. Evan Ratner M.D.
The topic of concussions in athletes has really been in the spotlight recently. There have been multiple stories on the local and national news, newspapers, and the most recent cover of Sports Illustrated.
From the NFL to the NCAA  to the UIL recognition of this all to common injury has come to the forefront of our awareness.  We have successfully managed  athletes who have sustained concussions over the past several months.
Some athletes have been cleared to return to play earlier than expected, and some have required a longer recuperation period.  By recognizing and properly managing concussion syndromes we hope to prevent the long term effects of repetitive, cumulative head injuries.
Impact Urgent Care has become a leader in neurocognitive testing for concussion management in San Antonio.
Although football may be the most widely recognized high risk sport, there are other high risk sports including soccer, cheerleading, lacrosse, basketball, baseball and bicycling. The optimal management includes obtaining a baseline study on any athlete at risk for head injury. If an injury occurs than those baseline results can be compared to a post - injury test to optimize the management of that injury.        
 The baseline study takes about 30 minutes and costs  no more than 10 dollars. A small investment of time and money can really make a difference when it comes to caring for concussions.

Isn't it normal to be tired?


I didn’t know it, but for many years I was literally gasping for air while I was asleep. It took me ten years and twelve doctors to find one who could and would help me. The persistence paid off and now I feel SO MUCH better!

This device could save my life
What was going on? I had been having health problems for years. Though never skinny, it wasn’t until I was 18 and suddenly gained 65 pounds in three months that I was truly obese. And no matter, which diet I tried or which doctor I saw, I couldn’t seem to get rid of it. Even though I tried the best diet of all: being a poor student who couldn’t afford to eat. But it still stuck around.

All through my 20s, I went to see more than a dozen doctors to see what caused this and if they could help me. Their response was almost invariably that I was just fat and should lose weight...and that was it. But how could I do it? And what caused it? Nobody seemed interested in that part, which to me was the most important factor.

I always thought, “Oh, I’m just an insomniac. So’s my dad. It must run in the family.” I'd lie down for hours, doze off, get up and go pee five times (a symptom of the apnea I didn’t know I had), read my book for a while, get a little more sleep and finally pull myself out of bed feeling bleh when it was time to get up for the day. What I didn't know is that I was dragging around with severe undiagnosed sleep apnea for who knows how long. I'm sure I had it when I was a teenager and through my 20s; I always looked at the bright energetic faces of my peers and wondered what it was like to have so much energy!

So imagine what a surprise it was when I went to see a new doctor recommended by a family friend. Rather than dismissing me outright as another fatty, she actualy listened to me, felt my neck and lower jaw and within five minutes of meeting me had diagnosed me with sleep apnea. She sent me for a sleep study that week.

I didn’t really know what to expect, but the sleep study was not bad. The rooms were like a small, nice hotel and the tech was very nice. She literally pasted wires to my scalp, but the worst part was the pulse oximeter on one finger--imagine just one finger stuck in an old-fashioned finger trap all night! The tech assured me that they would only put a breathing machine, or CPAP, on me that night if they thought it was an emergency; this was just meant to be a baseline test to see how well I slept.

I was actually able to sleep fairly quickly that night. The bed was comfortable, the tech was very nice and I was very, very tired. Only an hour later the technician woke me up with a worried expression on her face, and proceeded to fit the CPAP mask over my face! I had suffered 121 hypopneas in that first hour...essentially, I was breathing so shallowly that my blood oxygen level was in the mid-70s (i.e., not good). I didn't learn that part until later, though.

At the point when she placed the mask on my face, my main feeling was relief. They had finally found what was wrong with me. When the tech work me up four hours later, apart from a couple sleepy adjustments to the mask, I hadn't moved! They wake you up at five AM to leave the clinic, so I'd only had about five hours of sleep, four of which were on the CPAP machine. Despite that, I had SO MUCH ENERGY that day! It was incredible!

Two years later, I use my CPAP every night. I’ve fallen asleep three times without it for a nap, and boy can I tell the difference! It’s like having horrible nightmares all night and not remembering a thing except that SOMETHING happened. And my husband is still happily sleeping away next to me, the roaring of my snoring just a vague memory.

In my case, persistence paid off. But it took more than ten years. Here at Impact Urgent Care, our goal is to give you the best possible medical care, and our staff are strong patient advocates. But even the best patient advocate can’t feel the pain you’re feeling. Our clinical staff is here because they love helping and being your partners in healing, and want you to be actively involved in your own care. Don’t be afraid to ask your medical provider questions. If you’re in a clinic setting and meeting a doctor for the first time, ask them about themselves. What’s their specialty? Why did they choose to work in urgent care? What does the diagnosis they’re giving you mean? Ask until you understand and are comfortable with your treatment. After all, it’s your body.

Taking a nap for the camera
Taking a nap for the camera
Want to know more about sleep apnea? Ask your doctor.

Tips and tricks for getting along with your CPAP.
Sleep is precious. Try it.
I love the way I feel after a night's sleep now rather than how I remember feeling before I started using my CPAP, and have a few little tips and tricks I've developed over time to help keep me motivated to use it.

  • -Support helps a lot. My favorite forum for sleep apnea is CPAP Talk. There are a lot of newbies here asking many questions you may be wondering, and a lot of experienced CPAP users who can help. I highly recommend it if you're struggling.
  • -If you have an animal or a small child, you may want to introduce them to your mask and machine so you don't scare them.
  • -If you have a pet prone to shedding, like my cat, keeping fur out of your mask, hose and machine is very important. I keep my mask covered with a washcloth when I'm not using it to help keep it clean. Remember, anything that gets into that hose or machine may potentially end up in your mouth or lungs, yuck!
  • -Some kitties love to chew on plastic. Mine sure does. I caught him making tons of little teeth marks on my hose one day while I was taking a nap. I didn't have a backup hose, and had to end up covering the holes in duct tape while I waited for my new hose. Once I covered the plastic, Franklin Cat wasn't interested any more. I also keep the hose looped over our headboard so he doesn't sit or lie on it while I'm sleeping.
  • -If you have a humidifier, try it out with different settings. I'm a mouth breather and found that I had to set the humidity pretty high to avoid getting a mouth so dry it was painful and would wake me up! Some people prefer their humidifier to be set very low or even off.
  • -Use distilled water in your humidifier. You can usually get this easily at the grocery store in one or five gallon jugs. The distilled water doesn't have any minerals in it, so as it evaporates in your humidifier it won't leave a mineral deposit behind.
  • -Clean your mask, hose, humidifier, headgear, etc. regularly. I wash the snap-off silicone mask cushion at least every other night and usually every night. Keeping everything clean helps cut down on any kind of weird smell, and a clean mask always feels better on my face.
  • -Wash any makeup, lotion or moisturizer off your face before going to bed.
  • Having anything on your face can interfere with your mask making the proper seal and can cause leaks.
  • -When you're getting fitted for your mask, don't be afraid to lie down and ask for a machine to test with it. Remember, your face and the mask will shift when you go from upright to lying down, and the mask that fit perfectly in the supplier's office won't necessarily be the one you ultimately end up with.

Thursday, October 25, 2012

Breast Cancer is Not Just for Women




My grandmother always bugged my dad for grandchildren, telling him to get married soon so she could have babies around to spoil. But when he was a junior in college she was diagnosed with breast cancer. “Forget about waiting until you get married,” she told him. “Just have some kids so I can have grandchildren.” Back when this happened in 1972, the most prevalent “cure” was a radical mastectomy, and so she underwent this treatment, along with other therapies. Fortunately, it worked for her, and she went on to live for another 30 years. All I knew when I was little was that my grandma was special and wore a pad in one side of her bathing suit; to me it was perfectly normal.

These days, there’s a lot more breast cancer awareness out there. Especially in October, otherwise known as Breast Cancer Awareness month, you’ll see a lot of people wearing pink ribbons or pink clothing as a show of support. But breast cancer is not just a women’s disease--did you know men can get breast cancer, too?

Breast cancer in men is rare but increases with age; most cases are diagnosed when a man is between 60-70 years old. Although male breast cancer has similar risks to female breast cancer, it’s usually detected at a later stage and so it can be harder to treat. You see a lot of information out there urging women to do self-exams and have awareness of any changes in their breasts, but for men it’s not something they’re likely to think of, despite changes to their breast tissue. And since men generally have smaller amounts of breast tissue than women, any lumps or bumps may be harder to feel, and may spread more quickly to other types of tissue.

The symptoms of breast cancer in both men and women are similar:

-A change in how the breast or nipple feels or looks, such as:
-A lump
-Changes in the shape and size of the breast, whether swelling or shrinking, especially if only one side is effected
-Changes in skin texture, such as the skin becoming scaly, red or having pitting/dimpling
-The nipple becoming inverted
-Nipple discharge, especially if it is clear or bloody.


Just keep in mind that even if you have some of these symptoms, it doesn’t necessarily mean that you have breast cancer. But it’s definitely time to see your doctor for a check-up!

And even if you don’t have any of these symptoms, it’s still wise to do the proper screenings, such as self-tests and mammograms. My husband is always happy to help me do my self-tests! It’s very easy to do, and doesn’t take long. The National Breast Cancer Institute has some great instructions here:

If you’re over 40, make sure to get a mammogram every one to two years as recommended by your health care provider. If you’re under 40, but your family has a history of breast cancer, speak to your doctor about how often you should get checked out.

Knowledge is power and can save your life! Did you know that one in eight women will be diagnosed with breast cancer in their lifetime? Over 220,000 will be diagnosed this year alone. But when breast cancer is caught early, the five year survival rate is 98%. So do your exams, get your mammograms and most of all, stay safe and healthy!

And remember, we’re always here and happy to help at Impact Urgent Care.

Learn more here: