Author Archives: NurseBridgid

An at home HIV test?

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The reason why many people don’t go get regular HIV and Sexually Transmitted Infection (STI) testing is because they are embarrassed to talk to their healthcare practitioner (HCP) that they have a relationship with, and get nervous to go to STD clinics because they are worried about stigma if they see anyone they know. One way to break that stigma? the new OraQuick at home HIV testing kit. It only takes about 20 minutes to get results, and has everything that you need to test yourself for HIV-1 and HIV-2 (the two main strains of HIV).  Of course, if you are at high risk for STI’s and have symptoms, you should still go and get a full HIV and STI panel of testing with physical assessment by your HCP. But it is fast, efficient HIV testing in the comfort of your own home; but how it works might be confusing.

 How does the at-home test work?

This OraQuick HIV test is the only FDA approved at home HIV testing kit currently on the market.  The kit comes with very easy to read and specific directions, but the test itself does not require any blood, so you do not need to poke or prick yourself to draw blood.  It uses the fluid and cells from your gums to test for the HIV antibodies; you just need to use the swab that is included in the kit, rub it over your upper and lower gums, then put it in a little test tube of fluid (provided).  That will test the cells and fluid of your gums for the HIV antibody and you will have your results in 20 minutes. The results read in a similar fashion to a pregnancy test, there is always one line that should show, once you start the test, which is the control line, to let you know that the test is working properly.  If both lines illuminate, then you are positive.  Of course positive results do need to be sent to a lab for a further test and you need to have them confirmed by an HCP, just to ensure that the test is correct. They offer 24/7 support online, along with videos on how to perform the test and interpret the results directly on their website.

Where can I get the test?

You can buy the OraQuick at any local pharmacy here in the US (CVS, Walgreens, Wal-Mart, Kroger, Rite Aid, and Navarro.)  And you can also check out the OraQuick website to purchase the test directly from them.  The tests cost $39.99 USD per test and are good for one sample.

The bottom line?

If you are specifically in need of HIV screening/testing, this is a great option for those without an HCP or if you cannot get into a clinic for testing. That being said, if you are at risk for HIV, you are most likely at risk for other STI’s and I do suggest getting checked out by an HCP so they can physically assess you and test for a whole array of STI’s that you may or may not be aware that you are at risk for.  HIV is just one of many Sexually Transmitted Infections, so please know your risks, cut those risks by using condoms, or other barrier methods, to prevent the spread of infection. So be safe, choose your partners wisely, and get tested frequently.

Yours in Good Health

B

 

Another Reason to Know the Source of Your Food.

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There have been many cases of food coming from other countries, being contaminated, causing significant health issues, and then we never really hear about it again. I have been asked recently a lot about the contaminated powdered milk and baby formula from a few years ago, if other foods had melamine in them, and what the big deal is?  I think this Melanine issue in foods from China merely highlighted the fact that we need to really take a good look at where our food comes from and the standards that we have in the US, UK, and EU are not shared worldwide.

What was the big controversy?

In 2007 and 2008, a factory in China that was producing formula, tried to undercut the competition, by cutting their milk production costs by using raw milk (non-pasteurized) and then cutting it with water to increase the volume. In order to make the milk products have that have the appropriate amount of protein, they needed to add something. Protein levels are usually checked through the levels of nitrogens present. What they decided to add is Melanine.  Melanine is and organic powdered chemical that is very high in nitrogens, and it is frequently found in adhesives, plastics, countertops, etc. It is NOT a form of food, and it has no nutritional value. Melanine was found in wheat gluten, rice proteins, frozen yogurt, some coffee drinks (with Milk products), and various pet foods that came from China. It is actually detrimental to our health, and this is not an approved additional supplement/practice by any of the organizations worldwide that regulate food.

What are the side effects of Melanine?

Most of all the information that we have regarding the effects of Melanine are from animal studies, as it is nowhere deemed safe for human consumption, so it has never been studied. When the pet food contaminated with Melanine were hitting the shelves in the US, large numbers of animals died, shortly after ingesting the foods. Melanine can cause irritability, blood in the urine, high blood pressure, and renal (kidney) failure.  It is assumed, based upon animals, that the Melanine crystallizes with other byproducts in the body, and can clog up the kidney tubules causing kidney stones and lead to total blockage of urine passing, leading to renal failure.

 What does this mean?

Well, since the issue in 2007 and 2008, the use of Melanine has become much more scrutinized, and foods from China are now being tested for it, so we are pretty certain foods do not have it.  But the whole issue made me really question foods processed outside the US.  I clearly try to live a clean lifestyle, I eat organically and minimally processed (as much as possible), and I like to think it works for me, and I realize it is not possible for everyone. But I really want you all to think about where your food comes from, where it is processed. I loved that when I lived in the UK, the food source was well labelled on the package; I knew exactly where my veg came from, my fruits, etc. if they were grown and packaged outside the UK. Think about buying fruits and veg at local food sources, like local farms, farm stands, farmers markets, or other stores that sell locally sourced organic foods. Join a Community Sustained Agriculture (CSA) group, and support local farmers all while ensuring you are eating fresh, organic, unprocessed foods.  It is a piece of mind for me, knowing that my food does not have anything, like Melanine, added to it that could kill me, my family, or my pets.

Food for thought!

Yours in Good Health

B

 

What does my blood pressure actually mean?

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People are getting their blood pressure checked before every appointment they have with HCPs, but I feel like many times people are told what their pressure is, then they are reassured that “it’s good” or “we need to watch that”…and’s that’s it!  It seems to be a big question to many people of what their blood pressure should be and what the numbers actually mean? It’s a shame that more Healthcare Practitioners (HCP’s) don’t explain it to you, but increasing your own blood pressure (bp) IQ is a great place to start to improve your wellness!

What is the top number?

If you are told that your bp is 120/80, the top number (120) is also known as the systolic pressure. Basically, every time your heart beats, it is using pressure to force the blood from the heart our to your hands, feet, head, and all of those vital organs that help you to live. Blood that leaves the heart to get to all of these other areas, is full of oxygen, so that the oxygen can be used at those sites far from the heart and lungs, and the blood travels through arteries to get there. So, the force that is required by the heart to push that blood out through the arteries is your systolic blood pressure. A systolic blood pressure of 120 mmHg (millimeters of mercury) or below is considered good. A systolic pressure of 121-139  is considered pre-hypertension or “borderline” hypertension, and any reading greater than 140 is considered hypertension (AKA high blood pressure).

What is the bottom number?

If your blood pressure is 120/80, then 80 is your diastolic pressure (the bottom number.) Your diastolic pressure is the pressure in your arteries between your heart beats (so when the blood is not rushing out from the heart).  And, similar to high systolic pressures, high diastolic pressures can also be a sign of decline in health and we need to make some changes. A diastolic pressure less that or equal to 80 is good, 80-89 is pre-hypertension, and 90 or higher is considered diastolic hypertension.

What does this mean?

If you are in the “pre-hypertension” zone, you can sometimes make some healthy lifestyle choices that will help to decrease your pressures like eat a low salt diet, decrease your fat and cholesterol intake, start working out (or work out more), and drink more water. Also, cutting out red meats and eating more lean proteins can help to decrease the fat and cholesterol intake and make some pretty big changes in your blood pressure.  Sometimes it is also related to stress, so learning some de-stress techniques, doing yoga, meditation, acupuncture, can all help with decreasing stress and anxiety and do wonders for blood pressure. Work with your HCP to create a plan, but if these measures don’t work, and sometimes they don’t because of genetic high blood pressure, then you may need to start a medication to help regulate those pressures.

How often should I get checked?

If you are healthy, and your blood pressures are normally below the 120/80 mark, with no other health issues, you can go two years between getting checked ( I usually suggest annual screening, and even just checking your blood pressure at the pharmacy).  If you are pre-hypertensive, you should go every 6 months just to see if the interventions you are making are having an effect on your pressures.  And if you are hypertensive and starting medications, your HCP may have you getting your blood pressures checked regularly while you are starting your medications to make sure you are getting the correct dose and then you don’t need to check as often.  My personal suggestion, if you are on any sort of blood pressure regulation medication is to purchase a blood pressure cuff (electronic) from the pharmacy, and have it just to check your blood pressure every once in a while to make sure that you are on the right track! Plus if you ever get symptoms like light-headedness or headaches that won’t go away, you can check quickly to see if your blood pressure (either low or high) may be the culprit!

It is a good idea to know what your blood pressure is, and now you know what those numbers mean.  Talk to your HCP if you have any concerns, or are worried about treatment options, they will work with you to find the best treatment that works with your lifestyle.

Yours in Good Health

B

 

Should I get my pollen on?

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I have heard people suggest bee pollen to treat every single ailment! Seriously, you have a rash?  Bee pollen. Asthma?  Bee pollen. Digestive issues? Bee Pollen. Alcoholism? Yup, you guessed it! Bee pollen.  I was overhearing this conversation in public the other day, and I was just thinking, how can one supplement be able to cure everything and not everyone uses it? But, then I started to think maybe I had just overlooked it, which is completely possible; if I read about things, and I don’t somehow leave myself a reminder, it’s gone…or comes back at a random time, and I thought maybe this was one of those black holes of knowledge, so I decided to research it.

What is bee pollen?

Bee pollen is basically bunches of different pollens (considered the male sex cells of plants because it is needed to fertilize) that the worker bees go off to collect from various plants, trees, etc. and when it is brought back to the bee hive, it is mixed with various enzymes and bacteria present in the hive. It is basically packed into clumps in the hive.  The bees in the hive subside off of the bee pollen, as it has all the nutrients and vitamins they need to survive. Bee pollen is about 40% carbohydrate, 5% fat, and 5% protein, and filled with various amino acids, and nutrients (such as zinc, magnesium, etc) but the rest is all bee waste products (i.e. bee poop), fungus, bacteria, and insect parts. Yum! I know that makes you want to run out and grab some!

What can it help?

Bee pollen, as I stated before, purportedly is a fix all for all sorts of various maladies, such as:

– Colitis/ Digestive issues

– Arthritis (improves joint movements)

– Increases energy

– Decreases allergies (seasonal)

– Asthma

– Eczema

– Alcoholism

– Prevents bacterial infections

– Maintains wellness

– Weight loss

Does it actually work?

Despite some people being huge believers in Bee Pollen supplementation in your diet, and some say because of the carb/fat/protein ratio you can actually solely subside off of bee pollen alone, there are NO independent studies that show it actually heals or treats these issues.  Actually, there are numerous cases of people taking bee pollen supplements and having allergic reactions because they have a bee sensitivity OR a sensitivity to one of the plants pollens present in the bee pollen, and even going into anaphylaxis (a severe allergic reaction that leads to loss of airway, ability to exchange air, and can quickly lead to death without immediate treatment.) Also pregnant women and women that are breastfeeding should NOT take bee pollen due to risks of transference of the fungus/bacteria from the pollen to their babies.

If you take bee pollen, and it works for you, I am not going to tell you to do any differently, but I would urge people with many allergies or on medications from chronic conditions to talk to their HCP before starting to take bee pollen.  Also, there are some eco and ethical issues with bee pollen supplements, in that there is a world-wide decline of honey bees due to their sensitivity to various pesticides, and they do subside off of their pollen, so maybe us humans can find something else to use, and let the bee populations boost up before we go back dipping into their pollen pots?

Yours in Good Health

B

What is the difference between the Paleo and Atkins diets?

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I was asked this just today and a lot of people have interest in it because it seems that people have a lot of knowledge regarding one of the diets and not the other and they don’t seem to understand the difference, of which there are some pretty significant differences. Many times the reasons that you choose one diet over another is due to either weight loss OR a choosing a healthier diet for the long-term. Fanatics of both diets claim that they can be chosen as long-term diets (and when I say diet, I am referring to the foods that you eat to live, not to specifically lose weight.) If you feel so inclined to go with either diet, and you have chronic health issues or take any medications chronically, then please speak with your HCP about your lifestyle change.

What is the Atkins diet?

The theory behind the Atkins “nutritional approach” (as Dr. Atkins liked to refer to it) is that most people are overweight because they eat too many carbohydrates (and fat); when the body needs energy, it is able to make energy from carbohydrates quicker to use immediately, thus leaving the fat that can also be used as energy to be stored for later use by the body.  If the amount of carbohydrates were decreased, the fats and proteins would be utilized as the primary source of energy and burn off, thus not being stored, so you won’t gain weight…and essentially lose weight.  There is a little more to it, in that when your body switches to a state of fat burning instead of carbohydrate burning for energy, you go into something called ketosis.  Ketosis is basically when the body goes into starvation mode, because you have no immediate use energy from carbs, and you start to break down fat stores and protein for energy: the ketones from the fat stores turn into energy. When this happens and they break down further, into acetone, and the body gets rid of it through the kidneys (peeing it out) and through your lungs (breathing it out). Your breath can have a very distinctive fruity smell and your pee can smell differently as well.  Now, this is one way to lose weight, but it does put a lot of strain on your body to work differently (on a cellular level) to burn that fat. Also, eating more fat means that you have more circulating fat and cholesterol, which is not very heart healthy. If you have any sort of problems with your kidneys, this is NOT the diet for you. And honestly, I do not think that a diet without any form of carbohydrates and so high in fat is healthy long-term. Remember that old adage: if it seems to good to be true, it probably is?

What is the Paleo Diet?

The Paleo diet is different, in that it is a diet that is based on what Paleolithic humans ate. All in all, a “caveman” diet.  The diet focuses around eating fish, grass-fed animals, fruit, vegetables, fungi, roots, and nuts all the while excluding legumes, grains, dairy, sugars, processed oils, and salts. The idea behind it is that you are eating a clean diet without added processed foods, which I totally get, and I love the idea of it.  However, some zealots of the diet insist upon truly eating the “caveman” way, in that they can only eat local fruits, veg, etc. and if you live in a place like New England, that really limits you diet in the winter months if you can only eat what grows locally, and I fear that people would be missing vital nutrients necessary for their body to optimally function.  As this diet is becoming trendier, it is slightly easier to follow as some restaurants offer paleo friendly menus. But the modern-day equivalents are not the same as what they were, with the addition of GMOs; you are really limited in your diet. Just like any other diet trend, it can cause controversy, and this is a pretty low-calorie/fat diet that people in the paleolithic era most likely did live off of, but we have to remember that they died at an extremely young age, and were killed off by diseases/viruses that we are exposed to now daily, but our robust immune systems kill off.  I agree, that the likelihood of a chunky “caveman” was probably very low, but they lived a hunter/gatherer lifestyle like animals in the wild do.  Regardless of that, my biggest fear with the lack of dairy and legumes (all beans) is that women, especially, do not get enough calcium with this diet. On the other hand, if you like it, you are able to follow it, it works for you, I am not going to tell you not to try to eat healthier.

So, yes both diets are similar in that they cut out carbs in the form of breads, but with the Paleo diet you can eat root vegetables which, many times, are carbohydrates, and in a true Atkins you cannot (should not) eat carbs even in the form of fruits and vegetables.  I think that Atkins sounds like it would be a fun diet, eat tons of fatty foods and lose weight, but I eat so many fruits and vegetables, and when I am off my normal diet for a while, I crave straight up veggies (like I will eat a bowl of brussel sprouts or broccoli for dinner and not miss the protein a smidge!) And I like the theory of Paleo, in that we are taking our diet back to a very simple place, eating real food without anything refined or processed added, a truly clean diet, BUT I think that eating with the strictness of that diet is not sustainable and people will miss vitamins and nutrients that are necessary to live.  We live in a fast paced modern world, where the average Paleolithic era people wouldn’t be able to survive one week with their immune systems and caloric intake (not to mention their poor minds would be blown away with technology, but I digress).

If you want my advice?  Yes, cut down on your carbs (in the form of breads) and be cognizant of how much sugar you are eating, eat organically and GMO-free as much as you can, keep it up with the fish and grass-fed meats (if you so choose), and get in some daily exercise.  The thing about having a healthy diet, is about making healthy life choices, and if you change your lifestyle and way of thinking about food as fuel, you are more likely to be healthier and stick to that diet and lifestyle change.  The thing about diet? It’s all up to you, you make the choices of what you want to eat; eat clean, drink lots of water, and feel your body become happy and healthy.  Kick diet trends to the curb, and just be healthy!

Yours in Good Health

B

Use Ginger to Improve Your Wellbeing

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I am asked at least once a day about how to prevent colds, or what you can take once you feel one coming on to prevent it from becoming a full-fledged cold, leaving you feeling miserable and down for the count for a while. I don’t believe that most of the over-the-counter (OTC) remedies work for cold prevention, and my avid readers know that by now, but there is some research to support the use of ginger to prevent colds, and even help to kick the symptoms you already have!

How does Ginger help?

There are few studies that have specifically looked at ginger and exactly how it works, or really IF it even works at all.  But it has been used for hundreds of years as a staple in Eastern medicine as a treatment for colds, the flu, and any other virus, and it still continues to be because it really works.  In 2002, there was a small study done in a smaller international journal, that found ginger to have antiviral properties.  They were doing their study to specifically look at its use in respiratory tract infections, viral in nature, but many respiratory infections originally start as “head colds” so most likely the antiviral properties work on those viruses as well.  By effectively attacking the viruses and preventing them from causing a further infection, it stops your cold in its tracks, and prevents the infection from spreading or getting worse.

How do I use it?

Usually when you get a cold, your nose, throat, and mouth are all infected by the virus, which is why you get the symptoms you do: sore throat, stuffy nose, and sometimes cough.   So, there are some ways to use the ginger to make sure that you are hitting your “target” areas for its antiviral effects:

– Make ginger tea: Take two tablespoons of fresh ginger (roughly an inch off of the root), peel it and squish it, place it in the bottom of a coffee/tea mug, then pour boiling hot water over it. Even better for you? Add some honey to sweeten it, and it also helps with its antibacterial properties! It is suggested that you can drink this 2 to 3 times a day while your symptoms last.

– A ginger steam: You can chop fresh ginger and put it in a bowl of boiling hot water, put your head over the steam, with a towel over your head, and inhale the steam. You can do this twice a day. Your nose will run like crazy, but it will help to kick that cold!

– Eat it: You can eat ginger in candy form and various eastern meals also include ginger. It is good to eat to stave off a cold or viral infection!

I drink ginger tea frequently and love it, but I know it isn’t for everyone. There is no right or wrong amount to eat, but truly everything in moderation, and if you greatly dislike ginger or are allergic, do not eat it! There are ginger supplements that you can try, and if you truly have an aversion to ginger, maybe you just don’t need it. And, as always, if you have any other medical conditions and take other medications, talk to your HCP before starting a new regimen. Give it a try and let me know what you think. AND don’t forget to drink lots of fluid and rest, as you would any time you are ill. Plus, if your symptoms do not go away, or get worse, definitely consult your HCP for further treatment.

Yours in Good Health

B

Parkinson’s Disease: Am I at Risk?

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My grandfather suffered from Parkinson’s Disease, and while we did all we could to keep him on the latest and greatest medications, he still had a rough path, which he navigated with grace, but he eventually succumbed to it.  When he was suffering with the disease, very little was known about it, and even though there is no cure now, because it is in the public eye, thanks to the strength of Michael J. Fox along with many other celebrities who have chosen to talk about their experience with the disease, we have raised awareness, which has led to funding of tons of research, so we now know much more about the process, and ways to slow it.  Despite people talking a lot about Parkinson’s, and roughly 7 to 10 million people worldwide with this disease, not many people know what it actually is, and if there is anything you can do before you even have any signs of the disease to prevent it.

What is Parkinson’s Disease?

It is a chronic, progressive neurological disease, that decreases your muscle movement and gets progressively worse over time.  It can start with very subtle symptoms like a hand tremor, stiffness in joints, or an inability to move muscles quickly.  People with Parkinson’s tend to have very little or no facial expressions, and speech becomes slurred or very soft and mumbled. As the disease progresses, the symptoms become much worse, and as I said before, there is no cure, but there are medications that can treat the symptoms and slow progression.  As well, there is new research being done all the time to find ways to slow the onset of the disease and possibly prevent it.

What are the Symptoms?

Everyone’s disease progresses at a different rate, and the symptoms can start differently in everyone.  For example, some people only experience symptoms on one side, and others are on both sides, some may shuffle first, while others pill roll or slur words.  Plus, the symptoms can be subtle at first and not really noticeable, but if you experience any of the symptoms, you might want to talk to your healthcare professional (HCP) and find out what your risk might be.  Some of the symptoms are:

Tremors: An uncontrolled trembling or shaking of your hands or limbs, also rubbing your forefinger and thumb together (known as “pill rolling”).

Changes in writing: Possibly due to the tremors or shaking, but people with Parkinson’s tend to change their writing style over time; it may become smaller and become more illegible.

Muscle stiffness: Can be painful, stiff muscles that some people might think is arthritis related. It can make daily activities difficult.

Slowed movements: With the progression of the disease, your ability to move becomes more and more impaired, and patients tend to shuffle when they walk, not picking up their feet because it becomes almost impossible to do so.

Speech Changes: Due to impaired muscle movement of the tongue and mouth muscles, speech can become slurred and mumbled, also you can lose your ability to fluctuate your voice because of loss of muscle movement in the throat.

Changes in posture and balance: Because of loss of muscle strength, your posture usually worsens and people become much more stooped over, which leads to changes in balance, and you can have trouble balancing, and feel like you are tipping or fall over more easily, which can be quite dangerous.

*All of these symptoms can lead to other problems such as depression, because people are noticing these changes and assuming they are aging or just due to difficulties with everyday movements. The loss of muscle movement can also lead to sexual dysfunction, with a decreased ability to perform AND a decreased sex drive.  The bladder and GI tract are also controlled by muscles, so there can be a loss of bladder control and the slowed GI tract can lead to constipation. In the end stages of Parkinson’s there is also significant dementia that does not respond to medications, which is difficult for the patient and for the family members/loved ones, and make caring for them much more difficult.

Are there any Causes/Risk Factors?

Genetics: If you have a family member with Parkinson’s you may have the gene mutation that causes Parkinson’s.  Unless you have numerous family members with the disease, then your risk is probably lower, but you should still watch for signs.

Age: Most people start to notice symptoms of the disease later in life, and the risk increases with age.

Environmental Factors: There is some theory that some toxins and various chemicals (herbicides) can lead to Parkinson’s.

Sex: Men are more likely to have Parkinson’s than women.

Unfortunately, it is not really clear what truly causes Parkinson’s, but there are many theories and this is an area that is being heavily researched. So, I am hoping that in the near future we will know more about what causes Parkinson’s.

How am I diagnosed?

There are no tests to determine if you have Parkinson’s, it is diagnosed based on your presentation, your past medical history, and the symptoms that you have. Sometimes HCPs will give you a medication, carbidopa-levodopa which is a medication that is used to improve symptoms related to inability to move muscles from Parkinson’s, and if your symptoms improve, then you are diagnosed as having Parkinson’s.  I know, not the most scientific based diagnosis, but it is the only option we have at this point,

What are the Treatments?

There are many different medications used to treat the symptoms and help to slow progression of the disease, like carbidopa-levodopa, and they can be very helpful at off-setting the symptoms but the side effects of the drugs can be almost intolerable, and most of them have side effects of hallucinations, which can be scary for the patient and the family members around them. And for people who are unable to tolerate the medications, you can have a surgically implanted Deep Brain Stimulator (DBS) that pulsates specific parts of the brain to increase muscle movement such as sowed movements, tremors, etc, but it cannot usually offset issues with communication and cannot prevent the dementia.  There are always risks from surgery such as bleeding, infection, stroke, brain damage, and death, but if you cannot tolerate medications, it may be your only option.

What can I do to Promote Wellness?

Since there are both balance and mobility issues, you may talk to your HCP about having an Occupational Therapist come to help you with various activities at home that are causing you problems; they can you with you to improve balance and hone in on alternative ways to do the activities that may work with the muscle strength that you have.  Also, they can help you with assistive devices and to make sure that you are safe in your home, ensure things are off the floor so you won’t trip, suggest handrails for stability, etc. It is also really important to east a healthy diet full of fruits and veggies and fiber, to offset the constipation that can occur, along with lots of water.

There are also some alternative therapies that are suggested that can help you cope with the disease process, such as: massage, acupuncture, yoga, meditation, and Coenzyme Q10 supplements can improve muscle function (it is a fat soluble vitamin that is found in low levels in Parkinson’s patients.) There is new research suggests that cycling (riding a bike quickly) can help to improve muscle function, in patients with early Parkinson’s. Basically, it’s an “if you don’t use it, you lose it” type of theory; strengthen and utilize the muscles you have through exercise (the study was specifically done on cycling) and your symptoms will decrease as long as you consistently strength train.  They are just starting to study the intensity of exercise needed to see results and other types of exercise that may be beneficial, as it is brand new research.

 Is it Preventable?

At this point, no. We cannot prevent a disease that the true risk factors are not even known.

How do we live with this disease?

Living with Parkinson’s (or a loved one with Parkinson’s) can be difficult; there are times of depression and frustration, it is normal to be scared, feel exhausted, and just have days when you don’t know how to feel. The best way to cope with it is to talk about your feelings and what you are experiencing.  There are also support groups that your HCP can set you up with so that you (or your loved ones) can find people to talk to about living with the disease. The Parkinson’s Disease Foundation (PDF) is also a great resource for those living with the disease and The Michael J. Fox Foundation is am amazing resource, that has a goal of finding a cure for the disease, and is actively and aggressively working towards that goal. The Michael J. Fox Foundation has funded over $300 Million to research to find a cure for Parkinson’s and they actively have 51 clinical trials on-going. Not only is it a great resource to learn more about the disease, it is also a place where you can learn how to become more active to also work towards finding a cure, and find resources for support and coping to help deal with the disease for you or a loved one.

It is not always easy having a disease that there is so much unknown about, the upside is that there is a ton of research currently going on, and there is an increased public knowledge.  It is important to talk to your HCP if you think you are at risk or have any of the symptoms because early diagnosis and intervention is key.  And even though it can be a struggle, there are people out there going through a similar situation, whether you have the disease or live with someone with it, so talk to others, appreciate your time together, and know when, as a caregiver you need a break.  Be open and honest, and talk to your HCP, there may be studies you are eligible for, or various resources to assist with care and treatment.

Yours in Good Health

B

 

Is Black Cohosh safe to induce labor?

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In the art of full disclosure, I have never been pregnant, and have no children, so I don’t personally know the feelings of pregnancy.  That being said, I did work in women’s health for a short period, and I have a ton of friends and family who have been there, done that, are doing it multiple more times, and love to talk about it! I love to chat with my friends about the trials and tribulations of their pregnancies, and I think it is such an exciting time. The only time that I think “yikes” is when they are at the end of their pregnancy, digging deep to work basically until they go into labor, they look miserable, and they tell me how exhausted and miserable they truly are. So, I know that people are always looking for ways to induce labor, towards the end of the pregnancy (i.e. after 39-40 weeks) and I always hear the suggestion of Black Cohosh to take as an herbal supplement that will induce labor, but I wanted to look into the safety, the dose, and if it actually works? Labor induction is really just a fancy term for starting the birthing process before your body spontaneously goes into labor, and many people get antsy towards the end of pregnancy, especially if they don’t go into labor after their due date!  Some people say yes, some say no, and I started to wonder if it is how you take it, the dosages, or if your body needs to be ready!

What is Black Cohosh?

Black cohosh is also known as snake root or rattle root, and it is from the buttercup family, which is a perennial plant that is native to North America. It has been used for thousands of years by women to treat all sorts of womanly ailments, including induction of labor…and the juice was used as bug repellant because bugs tend to hate black cohosh and never go near it.

How does it theoretically work?

Apparently there are two different types of cohosh: black and blue.  Black cohosh is thought to have a uterine tonic effect, in that it supposedly strengthens the uterus and causes contractions to occur, and nourishes the uterine tissues to ready them for labor.  Blue cohosh is thought to be similar but causes stronger contraction effects.  But women also take this supplement to ease the symptoms of menopause, PMS symptoms, decrease cramping related to periods, and all of these women claim it works wonders. There is some research to support the use to ease menopausal symptoms, despite the mechanism not truly being understood.  Sounds like a miracle drug to me; it fixes all female issues, right?  In theory, it works similar to estrogen on the body, but it has not been able to be proven. The problem is that while the drug, anecdotally, helps to induce contractions and start labor, it does not “ripen the cervix” in that it can cause the start of contractions but the opening to your uterus, the cervix, is closed tight, which can lead to the need for a cesarean section (AKA a c-section);  a surgical incision through the mother’s skin, into the uterus, to deliver the baby through the stomach when they are unable to deliver vaginally.  The goal is to not require a c-section, but to lead to a successful vaginal birth, so the need to ready the cervix is crucial, or you could just cause yourself one long, uncomfortable labor, and possibly the need for a surgical intervention.

How much do I take?

Before taking any herbal supplement, I strongly encourage you to talk to your Healthcare Practitioner (HCP) so you know how much you should take or what interactions you should look for.  The only suggestions for doses to take for induction of labor is 5 drops of black cohosh tincture to a cup of water or tea, starting with one cup a day and moving up to two for a week, and then increasing to 10 drops of tincture per cup for two cups a day until you go into labor. As I said before, this is intended for people who have fetuses of appropriate gestational age (i.e. read to be born so 39 weeks and above!) any younger fetuses, and you run the risk of per-term labor and a premature birth. It is noted that when black cohosh is used for menopausal symptoms, the supplements should not be taken for longer than 6 months at a time, and the “tinctures” don’t allow you to know how much you are ingesting, and you should only take no more than 900mg/day.

Are there any side effects?

– Headache

– Stomach irritation/upset

– Liver failure in high doses

– Seizures

– Low blood pressure

– Irregular heartbeat

– Visual disturbances

– Postpartum hemorrhages (bleeding post birth is difficult to stop)

– Neurological impairments in the babies (when both black and blue cohosh are used)

Who should avoid it?

– Women in pregnancy not intending to induce labor

– Women who have (or have had) breast or uterine cancer

– Anyone with liver disease

– Anyone with clotting or bleeding disorders (clotting factors are made in the liver- the supplement may make the problem worse)

– People with allergies to aspirin

– Anyone with any chronic conditions on medications, until you clear it with your HCP

*I urge anyone thinking about taking an herbal supplement, for any reason, at any point during their pregnancy to discuss with their HCP because of the possible side effects on you and your baby.

All this being said, I really cannot find any true science behind this working, it is all word of mouth, with some women claiming it works, and others say it doesn’t do anything.  I was really hoping there would be some sort of consensus on how to take it, how much, how it actually works….but there is nothing for the induction of labor, only suggested uses for menopause.  My best advice is to talk to your HCP, and go with what they suggest, as there are many other non-herbal ways to induce labor! Plus, nature has a way of working things out, and so does your body; you may want this baby out, but maybe there is a reason your body wants to hold on and protect your wee one for a little bit longer, so try to work with your bodies timing, and if you do need to be induced, go with a safer route….or at least under the guidance of your HCP.

Yours in Good Health

B

Vision Loss: We are all at a higher risk than we think…..

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I have had some questions lately related to eye damage from sun, and reflections from ice/snow, and people wondering if that can damage your eyes?  YES! Sun glare is a huge danger for our eyes, which is why it is really important to protect them, but there are also some everyday risks that I don’t think most people are aware of that can cause visual damage.  If you are a skier/snowboarder, sailor, hiker….anything outdoorsy, where you might be at risk for sun glare, I want to tell you about the sunglasses that you NEED to protect those peepers (and why they are superior).  And if you are at risk, for other reasons (perhaps due to your work environment) some tips on how to prevent eye damage and protect your eyes at work.

How does vision work?

The eye is a very fascinating organ, and it always amazes me how it works.  There is the cornea, which is the protective covering over the front of the eye (which is clear and gooey), then there is the lens, which helps to focus light rays towards the retina (the first real filter).  The big black center of the eye is the pupil, and that determines how much light is allowed into the eye at one time (gets bigger and smaller depending on a lot of things, but usually the amount of light present is a huge factor).  There is the Iris that surrounds the pupil, and that is the colored part of our eyes (that’s what makes the men swoon, ladies, always the iris!)  At the very back of your eyeball is a nerve tissue called the retina, and that is what senses light, and sends impulses (through a nerve called the optic nerve) directly to your brain. There is a small part of the retina, called the macula, which helps us to see fine details, through having super light sensitivity (this can be difficult in bright sunlight without the proper protection). All of these areas of the eye, work together to make our vision what it is.  Any damage to any one part of your eyes (or the part of you brain that sense your optic nerves), can drastically change your vision.  So, protecting our eyes is really crucial.

What damages eyes?

Most people know about UV-A and UV-B, but did you know about how much damage can be caused by UV-C and Blue light? Ultraviolet light (UV-A, UV-B, and UV-C which are denoted in nanometers, or nm) cannot be seen by the human eye, but they will definitely cause visual damage, over time, with exposure.  UV-C (180-290 nm) is the lowest range of Ultraviolet light (on the light spectrum) and excessive, repeated exposure to it, causes damage to our cornea and lens, and is usually present in sparks or any source of created electricity (visualizing direct bright light).  Repeated exposure to UV-B (280-315 nm) (which is found in nature and indoors as well) can cause damage to the lens and create something called “welders eye” (AKA snow blindness, flash blindness, corneal burns); when you are exposed to high levels of UV light, and it can occur hours after exposure, you feel like your eyes are burning or itching with sand in them and they become quite uncomfortable and watery. UV-A (315-380 nm) which is the highest wavelength (which is found out in nature from the sun) can also cause snow blindness (“welders eye”) with excessive and repeated exposure.  Now, Blue light (380-500 nm), which is present in sunlight, as well as in offices from some lighting and computer screens, causes direct damage to the retina. Many sunglasses do not have full UV-A, UV-B, UV-C, and Blue light protection, which puts you at risk, without even knowing it.  But, you might have a clue; are you still squinting in sunlight behind your sunglasses? That most likely means they are ineffective and not totally protecting you, but I know a fix for that problem. And, at work, if you have to work at a computer all day, which many people do, what are you going to do, be the cool guy in the office and wear shades all day long? No, we can find some workarounds for that too.

How can I protect my eyes?

Outdoors: Well, for starters, you can always have sunglasses on your eyes when you are out in light.  But not just any sunglasses, you need to have a sunglasses that, let’s be honest, look really cool, fit optimally, and actually protect your eyes. There is one new brand out there that actually covers all the aforementioned criteria, along with some other really amazing features: Alue Optics.  A lot of companies create a really basic product for the lowest possible cost, slap on their brand name and charge a premium for their glasses, and you are really getting an inferior product that doesn’t protect your eyes at all (or minimally) from UV-A and/or UV-B exposure.  Honestly, that was something I never really paid attention to; I bought whatever looked cool from Prada (or whatever other brand du jour) and called it a day, but what I have realized now that I am starting to pay attention to my body and the reactions it has, that when I am out in the snow or out on the ocean (or even just driving with snow on the ground) when it is sunny and there is glare, my sunglasses, that I paid quite a premium for, are not at all helpful and I’m still squinting behind them to try to cut the glare…and it doesn’t work. That means my eyes are being damaged AND I can’t visualize anything well, which is really an all around fail.

Alue Optics is a company that was started by a mother and son duo looking to create the ultimate sunglasses, made for people who are active outdoors, whether on the water, running, hiking, being active or taking pictures in the sun, and need to be able to actually visualize what they are doing/snapping pics of…and look good at all the same time. They have created sunglasses that are made for visual acuity (being able to see well what you need to see: the protection from the sunlight and glare allows for the macula to be able to detect fine detail, thus you have better visualization to take pictures, see further, etc.) and comfort using optimal quality glass lenses, giving 100% UV-A, UV-B, & UV-C protection, along with 100% Blue light protection up to 410nm and 93% up to 480nm, which is a statement that almost no other companies can make! Your eyes are basically protected from 180nm to 800nm, and that’s no joke, and the lenses have been extensively tested to prove that. The lenses are made up of five layers of which three are: a polarizing film (a film that helps to filter the lights concentrated reflections that lead to glare), a hydrophobic coating (to prevent smudges and dirt from ruining your vision while being active), and an anti-reflective coating (to prevent glares reflection).  Plus, the designs of the glasses are über cool, and are made to be comfortable (no pinching at the nose or uncomfortable above your ears) because they are made with spring hinges, and made of the finest quality frames from Italy and Japan.  These sunglasses hit everything on my list: look rad on, protect my eyes, and I can see with such amazing clarity?  Any of you who are active outdoors (or even drive in the snow/intense sun) need to get some Alue Optic shades.

Indoors: When you are exposed to UV indoors from your job because you work with welding, intense fire, or other high intensity electricity that you need to stare at, you should always wear protective eye gear with UV-A, UV-B, UV-C, and Blue light protection.  Now, if you work in an office, computer screen glare is not such an easy fix, but there are things we can do to protect our peepers: look away or take a quick “eye break” every 5 minutes (in that you look away from the screen for a few seconds), or close your eyes for 5-10 seconds when you are doing a lot of data input or computer work to give your eyes a small break. It is best to have your computer screen 16″-30″ from your eyes (not too close and not straining), and ensure your font is big enough so you aren’t straining to see what you are typing.  Whenever your office gets heavy sunlight (if you are lucky enough to have a window), use blinds or move your computer screen to prevent glare from the sun on your screen from reflecting directly into your eyes, and try keep your screen clean from dust and fingerprints, because they can add to glare and cause you to strain to see what is on your screen.  Finally, adjust the contrast/brightness of your screen to decrease the amount of eye strain and glare, everyone has a sweet spot based on the lighting available in your office, so adjust your screen to work with what you have and makes you most comfortable.

So, while I am sure you all were hoping I would tell you that you just had to quit your computer jobs to save your overall optical healthy, not so (sorry); just alter your environment to make the least amount of strain as possible and try to get some natural light when you can to give your eyes a break, plus don’t go home after staring at a computer all day and stare at a computer again all night! Give your eyes a break: read a book.

And, for those of you who are in search of the chupacabra of sunglasses, that are made with the most optimal materials from around the world, protect your eyes, and look AMAZINGLY cool, Alue Optics has given me a promo code for you guys to get 25% off your order. When you find the pair of shades that works best for you, enter the code: nursebridgid at checkout and you can thank me later while seeing the world more clearly without glare….and with healthy, fresh eyes! Go check them out, and I know that you will understand why they are such a superior product, I promise your eyes will be happy and healthy!

Yours in Good Health

B

Have a guilt-free Thanksgiving Feast

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So everyone who knows me, knows that I am not going to tell you that you need to cut out butter, trans fats, dairy, or anything that makes food taste decadent and delicious.  I suppose, if I was Super Nurse Bridgid, I might, but I’m a very realistic gal, I love food, and I think that there are very few times a year that you totally rock out with eating decadent food, having your family and friends at your side, so live it up! That being said, if you have severe cardiac disease, diabetes, congestive heart failure, or a few other chronic diseases, let’s not go completely bonkers and send yourself into distress requiring an emergency room visit, please? There are a few ways to keep the holiday fun, and keep/maintain you weight loss goals that you have in mind….because no matter how much you think that you will be maintaining your diet, you won’t. I am not just being negative, but friends and relatives will make dishes that you have no idea how much butter (or even straight up lard) was used to make that delicious crust, or how much extra cheese was added to dishes.  Unless you have a very health conscious family or group of friends, most likely your Thanksgiving meals will have some unexpected fat and calories added….but it’s one day a year, right?

How to I stay healthy and fit?

– Remember it is just one meal: it may be a really yummy and highly commercialized meal, but it is just one meal, so don’t eat the same amount that you would in a week!  Keep your head about you, and eat normal servings. There is no need to fill your plate until the point that it is over-flowing with food. There will be leftovers, so grab some of them, and have some of that meal the next day too….that would make it better than eating to the point you feel like you will explode, right?

–Fill your exercise bank: I hear all the time when people eat some decadent dessert or huge meal, that they will “run 10 miles tomorrow”.  Most likely you won’t.  I’m not being mean, but most people say that and then they don’t and then they have food guilt.  What do I do?  I know that I will be eating more, so before my body is slow and laden down from extra fat and alcohol in my diet (from a fun family meal), I have a long workout.  I also tend to keep in mind all week with my workouts that I will be having a huge “cheat day” from my normal diet.  That way, I have already done the hard work, and I can eat with pure pleasure and no guilt!

–Don’t starve! One thing people do frequently is that they know they are going to eat a big meal, so they don’t eat all day.  BAD move!! Then you are starving, so when you finally see appetizers and the meal, you will for sure overindulge! Eat a breakfast high in fiber and protein (after you get in that workout, of course, right?!?!) It will keep you filled up and regulate your blood sugar so your body feels satiated, and you have a better chance of just eating normally….not until you think you will explode if you don’t unbutton your pants.

–Take a walk post meal: Because of the tryptophan in turkey (along with the traveling and stress of planning/cooking for holidays) and all of our blood rushing to our stomachs to help digest that huge meal, we finish our meal, and people want to hang out and watch football, relax, nap, etc.  My suggestion? Go out and walk for 30 minutes.  Get your blood pumping, help digest faster, ramp up your metabolism, and then tackle those dishes.  Depending on the number of dishes and how vigorous you are, you can burn up to 100 calories in 1 hour of dish washing….it’s a start!

–If you really are concerned: if you really are worried about eating too much, go slow.  Take small helpings, small enough that nothing on your plate touches (and if you can handle the ridicule, just use a salad plate- it gives the illusion or more food!) and eat slowly. It takes about 20 minutes from the time food hits your lips and gets into your stomach for your brain to get the memo that you are satiated and don’t need to eat any more (that’s why starving yourself can really backfire on you- you eat like a glutton for 20 minutes then want to die from feeling so stuffed.) And drink lots of water, along with the fiber in all of the veggies, and the protein it will help to fill you up faster.

–Alcohol can be a caloric nightmare: Not all alcohol, but wine is usually around 200 calories per glass, so if you have a few of those, you’ve just taken in all of your days calories almost, just on drinks alone! so for those of you really, looking to keep it “skinny” this year, I wouldn’t jump towards the wine, or keep it to 1 to 2 glasses.

–Ditch the guilt: All this being said, don’t feel guilty about having a good time, giving thanks for all of the wonderful things we have in our lives, being with friends and family, and eating good food.  THAT is what Thanksgiving is about, not your caloric intake!  Everyone is allowed a “cheat day” and on Thanksgiving, you just really live it up!

Really?  Have a great day, enjoy yourself, and appreciate your life, your friends and family, and have an awesome day.  Don’t focus on the calories or feel guilty for having a good time, just get back right on track the next day….as long as this is a once in a while thing for you, your body will bounce back! Don’t et one day let you lose focus on being healthy and fit, but as I said, ramp up your exercise before, if you are really concerned, have that fitness bank filled, and make a withdrawal on Thanksgiving!  Enjoy your days, be safe, and have an amazing time.

For all of the healthcare, emergency service workers, military, and everyone else that is working through the holiday to help others, thank you for all that you are doing; your hard work and sacrifice is greatly appreciated!!

Yours in Good Health

B