Friday, November 18, 2016

How bagged salads "massively" increase salmonella risk

Juices from damaged or broken leaves in bags of salad can spike the growth of salmonella 2,400-fold, researchers say

From: http://www.cbsnews.com/news/bagged-salad-salmonella-food-poisoning-risk/

Are You Ready for Flu Season?

Get your flu shot now, health officials urge



From: http://www.webmd.com/cold-and-flu/news/20161118/are-you-ready-for-flu-season?src=RSS_PUBLIC

Is cursing good or bad for you?

One researcher looks into the science of swearing and makes some surprising discoveries

From: http://www.cbsnews.com/news/is-cursing-good-or-bad-for-you/

Let’s recognize caregivers and make it easier for all of us to do the right thing

I walked out of the doctor’s office, overwhelmed and paralyzed. My daughter had just been diagnosed with multiple food allergies from nearly all fruits, numerous vegetables, seafood, nuts, soy, wheat, and more. We headed straight to the grocery store to figure out what she could eat without wasting away from malnutrition, or so I thought.

Two hours later, we were still in the grocery store, reading every label.

You would think I would know what to do. After all, I am a doctor. But that day, I was simply a mom and a caregiver.

My problem was simple in the big scheme of things. Many years later, we figured out what my daughter can and can’t eat, how to go out to dinner, have friends over, and basically return to normal everyday life.

But for many of the more than 40 million caregivers in the USA today, it’s not so easy.

The costs of caregiving: health, time, and money

Fully 32% of family caregivers provide at least 21 hours of care per week with the average of 62.2 hours, according to a June 2015 AARP and National Alliance on Caregiving research report, Caregiving in the U.S. Those who provide caregiving 14 hours per week or for two or more years doubled the risk of developing cardiovascular disease and significantly increased the risk of developing high blood pressure and depression.

And it’s not just the time burden and health risks, but there’s also the expense.

A just-released AARP study, Caregiving and Out-of-Pocket Costs: 2016 Report, concludes that “family caregivers are spending roughly $7,000 in 2016 on caregiving expenses which amounts to, on average, 20% of their total income.” Some groups, including Hispanic/Latino, African American, and those caring for someone with dementia experience higher than average out-of-pocket expenses.

Many caregivers are forced to cut back on their own personal spending, reducing leisure spending or retirement savings, to accommodate caregiving costs.

When I think back to the day our family life changed, I am struck by how little doctors seem to know about the impact of our recommendations to our patients. My problem was minor — just changing grocery shopping habits and recipes.

But think about a new diagnosis of diabetes. It’s not just the recipes and grocery habits, but more trips to the pharmacy, tracking blood sugars, and follow-ups to doctors. According to a Harvard Medical School study, it takes two hours on average for one doctor visit for travel, waiting time, and visit. Even more time is spent if one needs public transportation or to arrange a ride.

Maybe it’s time to contemplate new measures for health care delivery

What if doctors and health systems were measured by how much they reduced the time, money, and the overall burden of care that patients, family, and caregivers need to follow recommended care? What if we told our patients, their families, and their caregivers not only what they “should do,” but “how to” with the least disruption to their everyday lives?

We need to make it easy to do the right thing.

Doctors care about having meaningful time with their patients. So, every time a new guidance or documentation rule is mandated, physicians understandably complain about the new time burden to incorporate the new tasks into the workflow of their practice.

Similarly, every time we give our patients and caregivers new recommendations to follow, we are disrupting the “workflow of their lives.” Is it any wonder that compliance is challenging for our patients? Do we address the daily changes that will be needed in everyday living? The Lasix prescription that means figuring out where all the nearest bathrooms will be when the fluid reduction pill takes effect. Or the cost of dressings, bandages, tape, and time to manage wound care at home? And the anxiety of not knowing if one just broke sterile technique at home? What a steep learning curve we expect from our patients following each visit!

A thank you from health care providers to caregivers

November is National Family Caregivers Month. Kudos to all family and friend caregivers, not only for “care taking” — ensuring your loved one is safe, taking the correct medications at the right time, preventing falls, making the right meals, and helping with bathing — but also for “care giving” – the giving of love, compassion, and care. You are spending your precious hours and your own money to do what you do best: sharing your love to your parent, your spouse, your children, or your friends. You are making a difference to our patients (your loved ones). It’s time we clinicians pay tribute, recognize, and thank you for being a caregiver, and not just a caretaker.

The post Let’s recognize caregivers and make it easier for all of us to do the right thing appeared first on Harvard Health Blog.



From: Charlotte S. Yeh, MD http://www.health.harvard.edu/blog/lets-recognize-caregivers-and-make-it-easier-for-all-of-us-to-do-the-right-thing-2016111810705

Mayo Clinic Minute: Breast cancer strikes men, too



From: Mayo Clinic http://www.youtube.com/watch?v=y39yGFY-KVQ

Bagged Salads May Be Fertile Ground for Bacteria

Study found juices released from damaged leaves encouraged salmonella spread



From: http://www.webmd.com/food-recipes/food-poisoning/news/20161118/bagged-salads-may-be-fertile-ground-for-bacteria?src=RSS_PUBLIC

Avoid these common health perils of Thanksgiving

With Thanksgiving rapidly approaching, here are a few tips to help you avoid some common health hazards related to this holiday.

One of the more typical reasons for a trip to the emergency department on Thanksgiving Day (and most days, frankly) is accidental cuts to the hands. Be careful cutting up that turkey! Always use a carving fork, and although the household might be busy, try to avoid distractions when working with knives. Thankfully most such injuries can be repaired in the ED, but occasionally are bad enough to warrant being seen by a hand surgeon. For simple cuts to the hand, we generally place non-absorbable stitches that need to be removed in about 10 days. Most of the time, antibiotics are not needed — just a really good washout and cleaning prior to stitching.

Everyone “knows” about the dangers of cooking turkey, yet somehow nationwide, each year, the rate of residential fires more than doubles during this time frame. Never leave the house with the oven on, and check on the turkey frequently. If you choose to deep-fry a turkey, always do this outside, and always make sure the turkey has thawed first. Placing a frozen turkey into a deep fryer can cause explosions of hot oil, which can lead to third-degree burns and other serious injuries. If you’re frying a turkey, always wear good footwear, practice fire safety, and monitor children in the area.

Most birds carry bacteria, and the turkey is no exception. The most common pathogen is Salmonella. If cooked properly, this poses no harm. Under-cooked, the bacteria can cause diarrhea, vomiting, fever, and general illness that ranges from uncomfortable to life-threatening. The recommended temperature for a cooked turkey is at least 165° F, and should be checked by thermometer. Did you know that if you have any questions about cooking your turkey, you can call the Butterball hotline? Even on Thanksgiving Day! (800-BUTTERBALL/800-288-8372)

Delicious holiday foods are usually well seasoned …with salt. For most adults this does little more than make you thirsty, but for people with congestive heart failure or chronic edema (water retention), extra salt can place increased stress on the body. If you have these conditions, please be careful with what and how much you eat. Inevitably, we will see a few patients with episodes of worsening heart failure in the emergency department … usually the day after a holiday.

Last but not least, be careful about driving. It’s all too common to see drunk drivers during Thanksgiving time. It is historically the most dangerous time of the year for car accidents and subsequent fatalities. Monitor how much you drink, and remember that even if you are sober, unfortunately not everyone else out there is. Be extra attentive. Drive safe!

Have a happy and healthy holiday season!

The post Avoid these common health perils of Thanksgiving appeared first on Harvard Health Blog.



From: Jonathan Nadler, MD http://www.health.harvard.edu/blog/avoid-these-common-health-perils-of-thanksgiving-2016111810694

Pasta primavera



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/pasta-primavera/rcp-20049690

Baby survives after coin stuck in throat for 37 days

“It was heart-wrenching to watch my son completely suffer,” said Samantha Knox, whose son survived an operation to remove the penny

From: http://www.cbsnews.com/news/coin-stuck-in-babys-throat-for-37-days-before-docs-noticed/

“I want to live": Teen girl gets wish to be frozen after death

U.K. girl with cancer hopes to continue her life in the future when cure is found

From: http://www.cbsnews.com/news/uk-girl-wish-frozen-us-death-cryogenics-case/

Investigation reveals widespread abuse of the disabled

A newspaper investigation exposed mistreatment inside Illinois’ taxpayer-funded group homes and their day programs

From: http://www.cbsnews.com/news/investigation-finds-widespread-abuse-of-the-disabled/

What e-cigarettes might be doing to your gums

Are electronic cigarettes really a healthier alternative to regular smoking? New findings raise more questions

From: http://www.cbsnews.com/news/what-e-cigarettes-are-doing-to-your-gums/

New Aerial Survey Identifies More Than 100 Million Dead Trees in California

VALLEJO, Calif., Nov. 18, 2016 – The U.S. Department of Agriculture (USDA) announced today that the U.S. Forest Service has identified an additional 36 million dead trees across California since its last aerial survey in May 2016.

From: http://www.usda.gov/wps/portal/usda/usdahome?contentid=2016/11/0246.xml&contentidonly=true

Screen time and children — How to guide your child



From: http://www.mayoclinic.com/healthy-lifestyle/childrens-health/in-depth/screen-time/art-20047952

Pork medallions with herbes de Provence



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/pork-medallions-with-herbes-de-provence/rcp-20049808

Popovers



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/popovers/rcp-20049807

Vegetarian chili



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/vegetarian-chili/rcp-20049726

Pork tenderloin with fennel sauce



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/pork-tenderloin-with-fennel-sauce/rcp-20049810

Pasta primavera



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/pasta-primavera/rcp-20049690

How Can I Manage Ulcerative Colitis When I Travel?

Just because you’ve been diagnosed with ulcerative colitis doesn’t mean you have to give away your frequent flier miles. WebMD shares tried-and-true travel tips will have you booking that dream vacation now.



From: http://www.webmd.com/ibd-crohns-disease/ulcerative-colitis/features/uc-travel-tips?src=RSS_PUBLIC

Vegetarian chili



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/vegetarian-chili/rcp-20049726

Pasta primavera



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/pasta-primavera/rcp-20049690

Screen time and children — How to guide your child



From: http://www.mayoclinic.org/healthy-lifestyle/childrens-health/in-depth/screen-time/art-20047952

Soup recipes for every season



From: http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/soup-recipes/art-20045589

Mediterranean-style grilled salmon

Grilling fish doesn't need to be difficult. This easy option features grilled salmon topped with fresh herbs.

From: http://www.mayoclinic.org/healthy-lifestyle/recipes/mediterraneanstyle-grilled-salmon/rcp-20049781

Popovers



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/popovers/rcp-20049807

Pork medallions with herbes de Provence



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/pork-medallions-with-herbes-de-provence/rcp-20049808

Sichuan broccoli and cauliflower



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/sichuan-broccoli-and-cauliflower/rcp-20049621

Spicy beef kebabs



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/spicy-beef-kebabs/rcp-20049622

Pork tenderloin with apples and balsamic vinegar



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/pork-tenderloin-with-apples-and-balsamic-vinegar/rcp-20049809

Pork tenderloin with fennel sauce



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/pork-tenderloin-with-fennel-sauce/rcp-20049810

Certain foods may help control blood sugar

Eating these foods may help slow digestion of carbohydrates and prevent blood sugar spikes linked to type 2 diabetes

From: http://www.cbsnews.com/news/foods-non-drug-ways-to-control-blood-sugar-type-2-diabetes/

Mayo Clinic Minute: Family risk of Alzheimer's disease?



From: Mayo Clinic http://www.youtube.com/watch?v=SX249J152iw

Avoid these common health perils of Thanksgiving

With Thanksgiving rapidly approaching, here are a few tips to help you avoid some common health hazards related to this holiday.

One of the more typical reasons for a trip to the emergency department on Thanksgiving Day (and most days, frankly) is accidental cuts to the hands. Be careful cutting up that turkey! Always use a carving fork, and although the household might be busy, try to avoid distractions when working with knives. Thankfully most such injuries can be repaired in the ED, but occasionally are bad enough to warrant being seen by a hand surgeon. For simple cuts to the hand, we generally place non-absorbable stitches that need to be removed in about 10 days. Most of the time, antibiotics are not needed — just a really good washout and cleaning prior to stitching.

Everyone “knows” about the dangers of cooking turkey, yet somehow nationwide, each year, the rate of residential fires more than doubles during this time frame. Never leave the house with the oven on, and check on the turkey frequently. If you choose to deep-fry a turkey, always do this outside, and always make sure the turkey has thawed first. Placing a frozen turkey into a deep fryer can cause explosions of hot oil, which can lead to third-degree burns and other serious injuries. If you’re frying a turkey, always wear good footwear, practice fire safety, and monitor children in the area.

Most birds carry bacteria, and the turkey is no exception. The most common pathogen is Salmonella. If cooked properly, this poses no harm. Under-cooked, the bacteria can cause diarrhea, vomiting, fever, and general illness that ranges from uncomfortable to life-threatening. The recommended temperature for a cooked turkey is at least 165° F, and should be checked by thermometer. Did you know that if you have any questions about cooking your turkey, you can call the Butterball hotline? Even on Thanksgiving Day! (800-BUTTERBALL/800-288-8372)

Delicious holiday foods are usually well seasoned …with salt. For most adults this does little more than make you thirsty, but for people with congestive heart failure or chronic edema (water retention), extra salt can place increased stress on the body. If you have these conditions, please be careful with what and how much you eat. Inevitably, we will see a few patients with episodes of worsening heart failure in the emergency department … usually the day after a holiday.

Last but not least, be careful about driving. It’s all too common to see drunk drivers during Thanksgiving time. It is historically the most dangerous time of the year for car accidents and subsequent fatalities. Monitor how much you drink, and remember that even if you are sober, unfortunately not everyone else out there is. Be extra attentive. Drive safe!

Have a happy and healthy holiday season!

The post Avoid these common health perils of Thanksgiving appeared first on Harvard Health Blog.



From: Jonathan Nadler, MD http://www.health.harvard.edu/blog/avoid-these-common-health-perils-of-thanksgiving-2016111810694

Smoking May Hinder Kidney Disease Drugs

To slow organ damage, patients should quit the habit, researchers say



From: http://www.webmd.com/smoking-cessation/news/20161118/smoking-may-hinder-kidney-disease-drugs?src=RSS_PUBLIC

FDA Explains Pros, Cons of Permanent Birth Control

A drawback to one form is that it isn't effective until 3 months after placement



From: http://www.webmd.com/sex/birth-control/news/20161118/fda-explains-pros-cons-of-permanent-birth-control?src=RSS_PUBLIC

E-Cigarettes Not Good to Gums, Study Finds

Nicotine, flavorings appear to play a role in tissue damage



From: http://www.webmd.com/oral-health/news/20161118/e-cigarettes-not-good-to-gums-study-finds?src=RSS_PUBLIC

Can Protein, Probiotics Aid Blood Sugar Control?

Simple dietary changes seem to reap important benefits, researchers say



From: http://www.webmd.com/diabetes/news/20161117/can-protein-probiotics-help-with-blood-sugar-control?src=RSS_PUBLIC

Study Questions Need for PT After Ankle Sprain

Rates of 'excellent recovery' similar at 6 months, whether or not the therapy was received



From: http://www.webmd.com/fitness-exercise/news/20161117/study-casts-doubt-on-need-for-physical-therapy-after-ankle-sprain?src=RSS_PUBLIC

Sichuan broccoli and cauliflower



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/sichuan-broccoli-and-cauliflower/rcp-20049621

Screen time and children — How to guide your child



From: http://www.mayoclinic.com/healthy-lifestyle/childrens-health/in-depth/screen-time/art-20047952

Soup recipes for every season



From: http://www.mayoclinic.com/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/soup-recipes/art-20045589

Pasta primavera



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/pasta-primavera/rcp-20049690

Spicy beef kebabs



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/spicy-beef-kebabs/rcp-20049622

Popovers



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/popovers/rcp-20049807

Mediterranean-style grilled salmon

Grilling fish doesn't need to be difficult. This easy option features grilled salmon topped with fresh herbs.

From: http://www.mayoclinic.com/healthy-lifestyle/recipes/mediterraneanstyle-grilled-salmon/rcp-20049781

Pork tenderloin with apples and balsamic vinegar



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/pork-tenderloin-with-apples-and-balsamic-vinegar/rcp-20049809

Pork medallions with herbes de Provence



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/pork-medallions-with-herbes-de-provence/rcp-20049808

Sauteed zucchini coins



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/sauteed-zucchini-coins/rcp-20049708

Vegetarian chili



From: http://www.mayoclinic.com/healthy-lifestyle/recipes/vegetarian-chili/rcp-20049726

E-Cigarettes Not Good to Gums, Study Finds

Nicotine, flavorings appear to play a role in tissue damage



From: http://www.webmd.com/oral-health/news/20161118/e-cigarettes-not-good-to-gums-study-finds?src=RSS_PUBLIC

Can Protein, Probiotics Aid Blood Sugar Control?

Simple dietary changes seem to reap important benefits, researchers say



From: http://www.webmd.com/diabetes/news/20161117/can-protein-probiotics-help-with-blood-sugar-control?src=RSS_PUBLIC

CDC Reveals Top 5 Causes of Death

Good news is that many can be prevented



From: http://www.webmd.com/heart-disease/news/20161117/cdc-reveals-top-5-causes-of-death?src=RSS_PUBLIC

Sichuan broccoli and cauliflower



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/sichuan-broccoli-and-cauliflower/rcp-20049621

Pasta primavera



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/pasta-primavera/rcp-20049690

Screen time and children — How to guide your child



From: http://www.mayoclinic.org/healthy-lifestyle/childrens-health/in-depth/screen-time/art-20047952

Pork medallions with herbes de Provence



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/pork-medallions-with-herbes-de-provence/rcp-20049808

Spicy beef kebabs



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/spicy-beef-kebabs/rcp-20049622

Mediterranean-style grilled salmon

Grilling fish doesn't need to be difficult. This easy option features grilled salmon topped with fresh herbs.

From: http://www.mayoclinic.org/healthy-lifestyle/recipes/mediterraneanstyle-grilled-salmon/rcp-20049781

Sauteed zucchini coins



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/sauteed-zucchini-coins/rcp-20049708

Soup recipes for every season



From: http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/in-depth/soup-recipes/art-20045589

Popovers



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/popovers/rcp-20049807

Vegetarian chili



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/vegetarian-chili/rcp-20049726

Pork tenderloin with fennel sauce



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/pork-tenderloin-with-fennel-sauce/rcp-20049810

Pork tenderloin with apples and balsamic vinegar



From: http://www.mayoclinic.org/healthy-lifestyle/recipes/pork-tenderloin-with-apples-and-balsamic-vinegar/rcp-20049809

Brain science suggests “mind wandering” can help manage anxiety

When we think of anxiety disorders, we generally think of them as uncomfortable emotional responses to threat. These responses may include symptoms such as palpitations, shortness of breath, sweating, trembling, or absolute paralysis. While there is nothing inherently wrong in thinking about anxiety this way, a recent study pointed out that there is an entirely different way of thinking about anxiety that may be even more helpful. According to psychologist Kalina Christoff and her colleagues, anxiety may be more appropriately thought of as “mind-wandering gone awry.”

The advantages of mind-wandering

In your brain, there are circuits that promote mind-wandering and they are not all bad. In fact, these very circuits help you maintain a sense of self, understand what others are thinking more accurately, become more creative, and even predict the future. Without your mind-wandering circuits, your brain’s ability to focus would become depleted, and you would be disconnected from yourself and others too.

In addition to the natural and frequent tendency for your mind to stray, it also has automatic constraints too, to ensure that it does not stray too far. When daydreaming during a boring lecture, for example, your brain may jerk you back into reality.

When mind-wandering goes awry

One of the things that a wandering mind is in search of is meaning. By connecting the past, present, and future, it helps you compose a narrative to connect the dots in your life. This narrative is constantly being updated. But sometimes, the wandering mind can encounter threats. Rather than proverbially “whistling in the dark,” the brain can overreact to these threats.

In the brain of an individual with generalized anxiety disorder, for example, the anxiety processor (the amygdala) is disrupted. Although it has strong connections to the “inner eye” (attention), it lacks a connection to the brain circuits that signal how important or significant a threat is. Without the ability to assess the significance of threats, they can all feel the same.

As a result, the “inner eye” gets fixated on negative thoughts. This fixation is a way of constraining the mind too, but it is not actually helpful. Anxious people focus more on external threats in an exaggerated way. They become glued to the threats. Anything from being teased to being ticked off feels much more troubling than it would to someone without an anxiety disorder. And it’s not just conscious threats that grab your attention. It’s subliminal threats too! Threats, of which you are completely unaware, capture your brain’s attention. A mind, once free to wander, is desperately forced to stop in its tracks in what can be construed as a catastrophic confusion of constraints.

Let your mind wander away from perceived threats

When your brain has automatically grabbed your wandering mind, and fixed your attention on threat, rather than getting a proverbial “grip” on reality, you actually have to loosen your grip on your threat-focused reality — allow your mind to wander! As Christoff and colleagues put it, you de-automatize your constraints.

Because your brain’s inner eye has its resources fixed on the threat, it gets progressively exhausted too. You can’t really summon it to help you suppress the anxiety, or get your mind off of it. Instead, you have to reactivate your mind-wandering circuits to give your attention a break.

Practically speaking, there are a few ways to do this. First, identify the negative spiral that has occurred like a pothole into which you have fallen on a mind-wandering journey. Simply name the feeling you are feeling and recognize that you need a mental reset. Rather than deliberately trying to suppress the feeling, accept that your mind is wandering, and that the fixation on threat is not the constraint solution you are looking for.

To counter this constraint, up the ante on the mind wandering — wander even more. If you’re at work, you could keep a knitting kit and start using it just when anxiety strikes, or if at home, you could go out and do some gardening. Meditation is also an effective way to get out of the fixed threat hole.

So when you’re next feeling anxious or wired, try allowing your mind to do what it naturally does — wander! You can bring it back to task gently, without fearing that you have lost your way. Or you can expect that it is wired to switch between wandering and focused states, and it will eventually come back on its own. The more you mindfully interact with this switch, the more adept your brain will become at initiating it.

The post Brain science suggests “mind wandering” can help manage anxiety appeared first on Harvard Health Blog.



From: Srini Pillay, MD http://www.health.harvard.edu/blog/a-different-way-to-manage-anxiety-evidence-from-brain-science-2016111710659

Seattle fish market may be source of flesh-eating bacteria

A woman was preparing tilapia fish and cut her finger, which allowed the bacteria from the fish to enter and infect the wound

From: http://www.cbsnews.com/news/woman-may-have-contacted-flesh-eating-bacteria-from-seattle-fish-market/