tag:blogger.com,1999:blog-56706196599581393982024-03-05T07:01:14.435-08:00Kris KuesHealth Tips integrated with biblical principles for practical Christian living!Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.comBlogger47125tag:blogger.com,1999:blog-5670619659958139398.post-7621858277611987662012-09-24T06:34:00.000-07:002012-09-24T06:34:08.382-07:00Green beans anyone?
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<span style="color: #7030a0;"><span style="font-family: Calibri;"><em>Health Tip: Protein is not the cure all when
it comes to dieting. In fact, studies show that most of the rapid weight loss
from protein only diets is fluid loss, which explains the difficulty of maintaining
the weight loss. Most people need about 1gm of protein daily for every kilo
(2.2lbs) of their body weight.</em> <o:p></o:p></span></span></div>
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<span style="color: #7030a0;"><span style="font-family: Calibri;">The key to remember that, as in
all things, dieting requires a balance. Carbohydrates are an essential part of
everyone’s diet. <span style="mso-spacerun: yes;"> </span>The best way to eat
carbs is to eat them in small amounts and regular intervals, throughout the
day. The problem is that most of us will sit down to a carb rich meal (pasta,
potatoes, bread, dessert), and then we are overloading on carbohydrates. Indirectly,
this can lead to diabetes as we overwork our pancreas. <o:p></o:p></span></span></div>
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<span style="color: #7030a0;"><span style="font-family: Calibri;">I love to remind myself daily
that food was made for the body, but, I will not be mastered by it ( 1 Cor 6:13)
The truth is that dieting can often make us feel like we are slaves to the food
we are trying to avoid. Ultimately though, as we gain control of our own daily
diet, we have a freedom that comes from knowing we are not being mastered by
our own cravings!<o:p></o:p></span></span></div>
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<span style="color: #7030a0;"><span style="font-family: Calibri;">Ok, so the point of today’s blog
is to remind you that dieting is all about balance. For the sake of your
metabolism and overall health, try not to cut out any food group from your diet
completely. Rather, learn to have a balanced, scheduled daily diet. As
difficult as it may be, this is the sure way to maintain our healthiest weight.
<span style="mso-spacerun: yes;"> </span>Of course, when it comes to vegetables,
its highly unlikely that you could ever eat too many;-) Pass me the green beans
please;-)<o:p></o:p></span></span></div>
Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com1tag:blogger.com,1999:blog-5670619659958139398.post-22225329319013348042012-09-14T09:01:00.000-07:002012-09-14T09:18:26.008-07:00Information Therapy <div class="MsoNormal" style="margin: 0in 0in 0pt;">
Information is the most important tool your healthcare clinician can offer you. In fact, I have often heard that our goal as clinicians should be to provide information therapy to our patients. Basically, this means you are given the information on your condition or health from your clinician, and then you make the decision on what you want to do with that information. This may seem like common sense to many, but, the truth is that the vast majority of people go to the doctor to be given directives. Sometimes people look upset when the doctor gives them the information needed, and then empowers them to make their own decision on which route to take. This is especially true when our culture effects how we perceive our health. When it comes to long term illness, there are often ways to improve quality of life without providing a cure. This is important to understand in each unique situation we face. Our cultural perspective can also hinder or enhance our understanding of our unique health situation. </div>
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Its easy to overlook the impact that our culture can have on our perception of disease. As nurses, we are challenged to try to understand and respect a patient’s cultural perspective on the treatment and prevention of disease. Having worked in the Amazon for many years, I came face to face with understanding the importance of cultural influence on a person’s health choices. I think of the little baby boy from a remote indigenous tribe, in a coma, struggling to fight meningitis. He was given a 25% chance to pull through on the IV antibiotics. The parents concern was that we were only giving the baby water (IV fluid) and not rice, fish and bananas. They were convinced this is what led their little boy into a coma. Thankfully, after a few days of IV antibiotics the little guy was able to fight off the meningitis, and recovered completely. His parents ideas of IVs changed after that, and they were more willing to entrust their children to modern healthcare. And yet, my goal the whole time was to make sure they understood the importance of the IV antibiotics, so they could make an informed decision. </div>
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When you visit a healthcare clinician, I think it is important to recognize that medicine, like any other area,is a dynamic field. I want to encourage everyone to gather as much information as possible when it comes to your individual health, and in so doing, hopefully make an informed decision about the route you wish to take; even if that does mean deciding contrary to the guidance you may have received. </div>
Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-38589669840797861472012-07-17T12:39:00.002-07:002012-07-17T12:52:37.301-07:00What the point of a physical?<div class="MsoNormal" style="margin: 0in 0in 0pt;">
Whats the point of a physical? </div>
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<span style="color: blue;">Health Tip: Doctors are for healthy people too!</span></div>
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As a healthcare clinician, I find it very difficult to convince people of the importance of routine physicals. It seems to be the consensus of modern society that doctors are for sick people. The truth is that the whole paradigm has shifted in healthcare, and we have come to realize that most of the chronic conditions we face cannot be effectively treated, but, they can be prevented. </div>
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I have tried many different approaches to convince people of the importance of that yearly physical. It seems to be most effective to remind people that most strokes and heart attacks are caused by ‘silent killers’. What does this mean? This means that many conditions like high blood pressure have no symptoms (oftentimes high blood sugar is asymptomatic too, only showing up in a physical exam). Finding these conditions at a physical can be the key in avoiding that stroke or heart attack. For some reason though, that doesn’t seem to be enough to convince people of the value/importance of the physical.</div>
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As a missionary nurse, I have spent most of my career working in a developing country, where the epidemics entail infectious diseases (such as malaria, TB, or pneumonia). The contrast exists in developed countries where we have ready access to treat these conditions before they become a threat. Instead, we are plagued with conditions that cannot be readily treated ( heart disease, diabetes, asthma, etc), but, that can be prevented. This is the key. So, that’s the point of the physical.</div>
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I imagine a day when people see the doctor as the place to go when they’re healthy. Then, and only then will we start seeing a decline in the chronic conditions that plague modern society.</div>
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Our physical health is like our spiritual health. It must be nurtured and cared for daily. I think of how Romans 5 says that perseverance produces character. As we persevere in caring for our health spiritually and physically, we are also developing our character. Pretty inspiring to me to stay the course- one day at a time!</div>Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-59726442443816521412012-06-30T07:40:00.000-07:002012-06-30T11:10:48.561-07:00Can I drink a glass of wine?<div class="MsoNormal" style="margin: 0in 0in 0pt;">
Can I drink a glass of wine? </div>
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Health Tip: A glass of red wine a day (4-6oz) helps promote cardiovascular health. </div>
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In this blog, I am approaching the controversial subject of drinking. You will not see this addressed readily by your healthcare provider, as it is difficult to tell people the evidence without being fearful of instigating the abuse of alcohol. That disclaimer aside, the value of a glass of wine on your health is continually being validated. In fact, would you believe recent evidence suggests a glass of wine a day may prevent Alzheimers as well? <span style="mso-spacerun: yes;"> </span>Once again, this fact was already established in scripture. 1 Tim 5:23 addresses the value of a glass of wine for stomach upset! I am always amazed at how many scriptural principles are affirmed in evidence based medicine… Should we tell medical researchers that all these new discoveries aren’t so new after all?! hmmmm</div>
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The biggest reason this is not promoted is that the benefits of alcohol are only seen in moderate drinking. What is moderate drinking? For women that is one glass of wine daily, and for men that is 2 glass of wine daily. More than this , and the benefits actually turn in to a health risk.<span style="mso-spacerun: yes;"> </span>SO, this is probably why this subject is rarely broached. And yet, to me, this just further affirms value of moderation in everything God gives us to enjoy in this life. <span style="mso-spacerun: yes;"> </span>1 Corinthians 6:13 is a great motto to live by …” I will not be mastered by anything” </div>
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Hopefully, the following information will help you understand the health benefits of that glass of wine: <span style="mso-spacerun: yes;"> </span></div>
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="color: black; font-family: Arial; font-size: 9pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: 'Times New Roman'; mso-fareast-language: EN-US;">“Moderate drinkers tend to have better health and live longer than those who are either abstainers or heavy drinkers do. In addition to having fewer heart attacks and strokes, moderate consumers of alcoholic beverages (beer, wine or distilled spirits or liquor) are generally less likely to suffer hypertension or high blood pressure, peripheral artery disease, Alzheimer's disease and the common cold. Sensible drinking also appears to be beneficial in reducing or preventing diabetes, rheumatoid arthritis, bone fractures and osteoporosis, kidney stones, digestive ailments, stress and depression, poor cognition and memory, Parkinson's disease, hepatitis A, pancreatic cancer, macular degeneration (a major cause of blindness), angina pectoris, duodenal ulcer, hearing loss, gallstones, liver disease and poor physical condition in elderly</span></i></b>Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com3tag:blogger.com,1999:blog-5670619659958139398.post-6499256066793077272012-06-22T07:51:00.000-07:002012-06-22T07:51:17.545-07:00Summer is here!<span lang="EN"> <div align="left" dir="ltr">
Summer is here! With the rising heat, we are all looking for a place to cool down. I don’t know about you, but, it seems like when Summer finally arrives I am caught off guard by the smothering heat.</div>
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So, the question is.:How can we stay healthy and hydrated in such heat? I would like to emphasize the importance of electrolyte rich fluids when you are sweating. Water is obviously an excellent drink, but, if you are sweating remember to pick up a Gatorade type drink. Think of it this way, if you are sweating you are loosing salt , and your body needs this replishined as quickly as possible. A little squeeze of lemon, salt and sugar will add the necessary ingredients to your water when you are sweating.</div>
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Another important aspect of the Summer months is to remember to protect our skin against the sun’s cancer inducing effect. A little sunscreen on our skin will go a long way to protecting against those common skin cancers. </div>
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As we enjoy these Summer months, let’s protect our skin with sun block and our bodies with the fluid it needs in those heat waves!</div>
</span>Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com1tag:blogger.com,1999:blog-5670619659958139398.post-36756957877303536872012-04-09T18:07:00.000-07:002012-04-09T18:07:59.299-07:00Itchy skin rash?Health Tip: During this time of year many people are exposed to allergens that cause skin rashes such as poison ivy. Oatmeal baths and diphenhydramine ( benadryl) are good ways to soothe the skin when rashes erupt.<br />
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People are often asking me how they can know whether their rash needs to be treated or not. Although rashes can have a myriad of causes, that sudden itchy rash in the Spring or Summer is probably related to an allergen such as a plant. The first treatment is Benadryl. Although it makes everyone a bit sleepy, it is the treatment of choice to be used the first few days after exposure to relieve symptoms. In fact, Benadryl is the drug of choice for allergies of all kinds. It is a good idea to take it at night since it causes drowsiness. Oatmeal baths are a great way to soothe the skin when the rash erupts. Together this treatment plan will often help symptoms subside.<br />
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The only time steroids are indicated is when the itching is incessant and if the rash is widespread and/or erupts on the face. Steroids are used to help with those violent itching spells, but, once again, benadryl will often help if used quickly. <br />
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Finally, try to keep from itching as it will often leave to a second problem: infection.<br />
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As we head into the summer, I hope this tip helps you treat those rashes that are bound to come during this high allergen season.Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-36212970281980897292012-03-31T11:29:00.000-07:002012-03-31T11:29:53.755-07:00Pass up that Steak..<strong><em>Health Tip: Avoid eating red meat more than once a day. Studies show that if we have an additional serving of red meat daily then the risk of heart disease rises by about 20%. So, pass up that steak for some fish or chicken whenever possible;-)</em></strong><br />
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We all live in a culture that loves eating steak.. Eating a good steak is a sign of accomplishment. We work hard to anticipate a cookout that includes hamburgers, hot dogs, or steak. And yet, maybe our cultural norms are leading us towards heart disease.<br />
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The National Institue of Health recently did a study that showed that with each additional serving of red meat daily, we are at 20% greater risk of heart attack/disease. In fact, even our risk for cancer increases with additional consumption of red meat.<br />
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So, while we all live in a world that knows and values the taste of good steak, hamburgers, or hot dogs... it may be a good idea to pass up that red meat every now and again for chicken or fish.<br />
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My hope in this blog is to provide the information therapy to empower people to make informed decisions. The important thing is that for each of us we are informed in the choices we make with our health. <br />
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For me, as a chirstian, it is exciting to know that we have not been given a spirt of fear, but, of self control.( 2 Tim 1: 7) .and that we can make wise choices everyday to protect and equip our health-one day at a time.!Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-42911684569417281652012-03-19T11:28:00.003-07:002012-03-19T12:00:04.324-07:00Time to get out of the chair...<strong><em>Health Tip: A recent study showed that getting up and stretching your legs periodically throughout the day will help reduce the risk of heart disease and diabetes</em></strong> <br />
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More and more studies are verifying that in order to protect our health we must get up and walk around as much as possible. A recent study by Dr. Levine from the Mayo clinic found that if we get up every few hours and stretch, we are keeping our blood sugar down. This helps prevent heart disease and diabetes.<br />
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So, the trick is every little bit you do counts to protect your health. Its not just the 20-30 mins of aerobic activity that protect your heart health. Everything you can do to stay active throughout the days can have big health payoffs .Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-53294564157152266482012-03-12T10:29:00.000-07:002012-03-12T10:29:38.349-07:00How long am I contagious?Health Tip: When you are sick with a viral illness ( cold, etc) you are most contagious when you have a fever, and when you are coughing. You should avoid being in public settings for 24 hours from your last fever, and always cough towards your elbow, to contain the air droplets.<br />
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According to the CDC, most of us get about 3 to 4 coughs and colds a year. Most of the time these are just passing viruses,that can often leave us feeling sick for days. Some people spike fevers easily, while others can have the same ailment with no fever at all. The important thing to remember is that the fever is usually an indication that you are 'congatious' and should stay home if possible. This will help cut down on tramission of these little bugs that go from one person to the next so relentlessly!<br />
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As the Spring begins here in NC, I start thinking ahead ahead to warmer weather, knowing that we will hopefully all be healthier as we open our windows and breathe the fresh air!<br />
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Here's wishing you a Happy Spring!Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-17679158830212902092012-02-29T07:16:00.001-08:002012-02-29T07:23:11.729-08:00BEWARE TYLENOL!<strong><em>Health Tip: Be cautious about taking acetaminophen, or Tylenol, on a regular basis. Acetaminophen overdosing is becoming a problem internationally, as over 600+ drugs contain acetaminophen in them. You may not be aware that your prescription or over the counter drug contains acetaminophen, so read labels carefully.</em></strong> <br />
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Being a member of the Union County Health board, I often hear of the health concerns for our community here in NC. Recently we have been discussing the increased incidence of Tylenol/acetaminophen overdosing and the concerns around this drug. There are many sad stories of parents unaware that over the counter and prescription medications combine to create a toxic load to the liver. This is becoming a national concern, and I wanted to be sure and pass this information on to all of you.. <br />
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Over the counter medicines (OTCs) may seem harmless, but, once you start taking more than one regularly ( i.e, Theraflu and tylenol) you may be overdosing yourself without realizing it. The statistics on this continue to rise. I think we must all go back to reading labels more carefully. <br />
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Having lived overseas for many years, I always read the medication labels very carefully, as much of the medicines ( prescription and over the counter), were unfamiliar to me. Somehow I got lazy on this since weve moved to NC, as medications are so easily accessible--and the labels appeal to immediate relief of coughs, colds, and flu symptoms. . The FDA is investigating the best way to address this concern, as so many drugs contain acetaminophen. <br />
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In the meanwhile, I hope this tip will help you, like me, be attentive to the labels on those OTC meds, and be sure you are not double dosing with anything. Here's to protecting our health!Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-69972879370157323432012-02-20T10:11:00.000-08:002012-02-20T10:11:26.631-08:00Obesity epidemic in ChildrenHealth Tip: <strong>More than twice as many children are overweight now than three decades ago</strong>. The problem with being overweight is more than just size; it puts kids at risk for developing chronic illnesses like heart disease, diabetes, and asthma. All parents want their child to be as healthy as possible, but many wonder where to start. <br />
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One of the most pressing health concerns I am seeing is the epidemic of obesity. Even more alarming though, is the fact that this obesity is rising in children. Our children are paying the price for the diet and sedentary lifestyle that we are living as Americans. As mentioned above, according to the National Health Institute, the numbers have practically doubled of obesity in children. So, all this means is that we are seeing diabetes, high blood pressure, and high cholesterol in children now as well. <br />
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The good news is that this is something we can all prevent and treat in our home. Staying active and healthy are choices that we can help our children make everyday. While the diet that face our children everyday may not be the best choice, we can make those choices in our home. There are also wonderful programs that can help families as well. A new national education program called <strong><em><span style="color: blue;"><span class="subHead">We Can!</span>—<span class="subHead">W</span>ays to <span class="subHead">E</span>nhance <span class="subHead">C</span>hildren’s <span class="subHead">A</span>ctivities and <span class="subHead">N</span>utrition—provides guidance for parents, caregivers, teachers and others who want to help children ages 8-13 maintain a healthy weight.</span></em></strong><br />
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<span style="color: blue;"><span style="color: black;">Of course I know that I am 'preaching to the choir' when I discuss this issue. Since our family moved from Brazil, I have struggled in maintaining a healthy diet that does not consist mostly of processed foods. When you have the options of boxed foods such as mac n cheese , it is challenging to pick the foods that are more time consuming to make. And often these foods cost more as well. </span></span><br />
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<span style="color: blue;"><span style="color: black;">All that being said,I want to leave you with this encouragement. Studies show that more than anything our children will model our eating and exercise habits. As scary as this can be, it can also empower each of us to know that when we are taking care of our individual health we are also taking care of the health of our family. I guess the old adage " do as I say and not as I do" proves to be untrue in raising children. They will do as we do. No surprise there;-)</span></span><br />
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<span style="color: blue;"><span style="color: black;">For me, when I think about raising up a child in the way he should go ( prov22:6), I am challenged to consider the importance of living my own life as the best example. The honor and privilege of raising kids is something none of us would deny, and I hope today's blog helps you take a mental note of the importance of making healthy choices for your children and family--starting with yourself. </span><strong><br />
</strong></span>Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-88072107584462986272012-02-09T08:26:00.000-08:002012-02-09T11:45:59.138-08:00What's wrong with caffeine?<strong><em>Health Tip: While controversy over the benefits of caffeine remain, it is important to recognize that large amounts of caffeine daily can create dependence, headaches, sleep difficulties, and a host of other health problems. A cup of coffee a day is all the caffeine we should have to maintain optimal health</em></strong>. <br />
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My recent trip to the doctor for a well check up was a wake up call for me. My doctor reminded me of the importance of limiting my caffeine intake to help my sleep. I had convinced myself that the caffeine that I drank throughout the day had worked it's way through my system by nighttime. So, I indulged myself in tea, sodas.. and well, a few extra cup of coffee daily. My physician got me thinking about the impact caffeine plays on our day to day lives.<br />
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Caffeine has been shown to help us focus. It does create a temporary energy surge, which often gets us through the day. But, that being said, more than a cup of day ( around 200 mg of caffeine), begins to create a dependence. Studies show that it takes about 6-8 hours for caffeine to work through our system. So, that extra glass of ice tea, or coffee at lunch may be whats keepin you up at night. As we get older, our bodies become even more sensitive to caffeine. The best way to think about it is that caffeine and nicotine are 'cousins'. Basically, they are both stimulants. So, for those of us who drink too much caffeine, our bodies become addicted to that stimulant, and thus begins the vicious cycle. <br />
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Once again, like everything else in life, it seems that moderation is the key that guides us. Caffeine is not the enemy. A cup in the morning is probably what each of us needs to stimulate our nervous system to get up and go.. But, start drinking more of it throughout the day and it can and will hinder your sleep habits, your moods, and even cause dependence. <br />
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I love to think how much self discipline plays a role in our day to day health. From our minds, to our bodies, to our souls.. God requires a daily self discipline for us to experience full health. As I type this to you, I am committing myself to decrease my caffeine intake. As a christian, I know that the fruit of the Spirit of God in me produces self discipline ( Gal 5:22, 23). SO, in essence- I just have to rely on His strength to help me change my behavior on this- one day at a time!Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-39591824203824660312012-02-04T15:15:00.000-08:002012-02-04T15:15:52.834-08:00I cant remember where I put the keys<strong><em>Health Tip: There's a difference between mild memory lapse and serious memory problems. One way to know if your memory problem needs more attention is whether it is interfering with your everyday tasks or if the people in your life are concerned by it.</em></strong> <br />
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None of us can age without memory lapses. It is a given part of life and a very natural part of aging. It may take longer to learn new things, remember certain words, find our keys, or find our glasses. These changes are often signs of mild forgetfulness, not serious memory problems. But, how do we know if this memory loss is natural and normal " cognitive decline" or if its turning into more serious.<br />
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An important distinction of serious mermory loss is that people start to forget where they are, lost in familar places, and start asking the same questions over and over again. This is a sign of a disease process and not normal memory loss. A great tool that is used regularly to determine how a person's memory is doing can be found at : <a href="http://www.oocities.org/travelnair/mini-mentalStateExamination.pdf">http://www.oocities.org/travelnair/mini-mentalStateExamination.pdf</a><br />
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Getting older without losing our memory as we go would be unusual. Memory loss is as natural as wrinkles when it comes to aging. It is just a matter of realizing when it needs to followup for more serious concerns. Being confident of our own health, and recognizing what is natural and what may not be, is the key to being informed in our healthcare.Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-83176468476368433612012-01-29T18:38:00.000-08:002012-01-29T18:38:58.432-08:00How can I tell if I am in shape?<strong><em>Health Tip: Measuring your pulse before and after a brisk walk can give you a glimpse into your heart fitness. Your Maximum Heart rate is usually considered 220 minus your age. This is the upper limit of what your heart can handle. You know you are fit if a brisk walk doesn't exert your heart rate too much. </em></strong><br />
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One of the ways we determine if your heart's in good shape is to see how readily your heart rate picks up under exertion. For example, if it doesn't take much to reach your MHR ( see above tip), then you are probably not in good cardiosvascular shape. A good way to see this is to take your pulse before a one mile brisk walk, and then record it immediately after walking. You can check your pulse right under your ear towards your jaw bone (carotid), or your radial pulse. . When you feel your pulse, look at your watch and count the number of beats in 10 seconds. Multiply this number by 6 to get your heart rate per minute. <br />
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Basically, your heart fitness is determined by how much it takes to get it 'worked up'. As a focal point, athletes heart rates are slow ( often less than 60 beats a minute), and their heart rates rarely approach their MHR.<br />
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Once again, I think this physical analogy pertains very well to our spiritual health . The ability to stand unwaiveringly under pressure is what defines a person of integrity, a person of character. As a christian, I am convinced this ability to stand steadfast under pressure is impossible apart from Christ. Running with perseverance, eyes set on the goal (namely, Jesus), and focused on eternal goals is what keeps us healthy: spiritually, emotionally, and physically!Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-34007695137020556762012-01-20T09:06:00.000-08:002012-01-20T10:21:45.453-08:00Carbs, protein, or just veggies?<strong><em>Health Tip: Current evidence substantiates that low carbohydrate diets are the best for weight loss and maintaining weight goals. While a diet rich in vegetables is beneficial, proteins are a must to maintaining weight loss, and should be the mainstay of any weight loss program.</em></strong> <br />
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As I started writing this blog, I have received more general questions about weight than any other topic. In fact, it is the hottest topic in healthcare today. Weight issues have become epidemic in our society and culture today. It is interesting that the weight loss industry is a multibillion dollar industry that continues to thrive, and yet, our epidemic only continues to rise. This ever growing industry doesn't seem to be having an effect on us. My take is that because the essence of the American diet is quick carbs. Unless our culture changes, neither will our waist lines. As long as the American diet is symbolized by the cheeseburger, apple pie, and mashed potatoes ( yum), then we remain in a vicious cycle. Its up to each one of us, individually, to step out of the cultural norms of a carbohydrate driven diet. <br />
To answer the question of many of the readers of this blog, the ideal weight loss diet is best achieved when carbohydrates are kept to a low. Seriously folks.. the evidence just keeps piling up that our favorite foods : chips, pasta, cakes, rice, breads, cookies, in other words:.. the mainstay of our diets.. are killing us. We must try to grab those protein bars instead of those high carb snacks;-) <br />
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Vegetables are a must, of course. But, to answer the question Im often asked : how many portions of vegetables should I eat daily? The answer is 3-5 daily. They are pivotal, very important, but, vegetables alone do not sustain life. Protein must be the back bone of our diets. <br />
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Protein snack ideas surround us: peanuts, deli meats, protein bars, meats, eggs, tofu( yes, tofu), etc,. Its just a matter of asking yourself : Is this food mostly carb or protein? let that question guide you as you pick up your next munchie;-)Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-31749509824081825382012-01-16T10:11:00.000-08:002012-01-16T12:09:38.035-08:00Wait on Weight<strong><em>Health Tip: The best way to ensure weight loss is maintained is to lose weight slowly. Some studies show about a pound or two a week is the best for long term weight reduction. </em></strong><br />
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Research has shown time and again that losing weight slowly is the best way to maintain the weight loss. Most studies show that the desire to lose weight quickly is also what leads to diet failure. Many are in a rush to lose those pounds. So, if you have decided you are going to lose weight, remember to work slowly and persevere. And remember to set realistic goals ( a loss of 5 to 10% of body weight is realistic to start) <br />
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Due to the Christmas season, it's been awhile since I have sat down to write a blog. I know that one of the concerns on all our minds after the holidays are those extra pounds we may be carrying around. This is a yearly struggle, and yet, remember not to rush yourself in your desire to lose that weight. Nothing will discourage you quicker than trying to lose too quickly. Pace yourself. Set realistic goals. Many weight loss programs are based on exactly this principle- helping people not give up on themselves, taking one week at a time.<br />
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As always, health principles correlate with spiritual principles. The idea that we are called to persevere in this race of our faith and life is underlying many scriptural passages. Balancing our goals with our reality, and persevering in those goals is what keeps us all going- one day at a time!Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-24338763901763676922011-12-22T15:28:00.000-08:002011-12-22T15:28:07.623-08:00Beware the Flu!<!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:RelyOnVML/> <o:AllowPNG/> </o:OfficeDocumentSettings> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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<div class="MsoNormal">Beware the FLU!</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><i><b>Healthtip: Symptoms of the flu: </b></i></div><div class="MsoListParagraphCxSpFirst" style="mso-list: l0 level1 lfo1; text-indent: -.25in;"><i><b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span>High fever (> 100)</b></i></div><div class="MsoListParagraphCxSpMiddle" style="mso-list: l0 level1 lfo1; text-indent: -.25in;"><i><b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Sore throat</b></i></div><div class="MsoListParagraphCxSpLast" style="mso-list: l0 level1 lfo1; text-indent: -.25in;"><i><b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Body aches!</b></i></div><div class="MsoListParagraphCxSpLast" style="text-indent: -0.25in;"><br />
</div><div class="MsoListParagraphCxSpLast" style="text-indent: -0.25in;"><br />
</div><div class="MsoNormal">Ok.. so, the flu is starting to show up in the US. The word flu is used readily to describe many passing illnesses, but, I wanted to be sure you are aware influenza has very distinct symptoms. For most people, it hits from one day to the next. Unlike the common cold, its not an illness that creeps up on you. Many people describe it as “being hit by a truck!”. Although most of us can usually fight off the flu, please remember that if you have a family member with asthma, they are at a higher risk of developing pneumonia too. SO.. keep a close eye on them.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Most important thing with the flu, and really any illness, is to remember to be diligent about trying to bring the fever down. And drink LOTS OF FLUIDS.. As Ive mentioned before, water’s ok.. but, electrolyte filled fluids are even better! So, grab that oj!</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">As we come around to this most celebrated time of year, I think about how each person’s story is unique. With the advent of Christmas and the coming of Christ, we can know that no matter what our story may be this time of year.. We can take HOPE in God’s promises. In fact, Scripture promises that “ He who puts his hope in God will not be put to shame!” Ps 23:5!</div>Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-84122473673224028482011-12-11T12:06:00.000-08:002011-12-11T12:06:05.875-08:00What brings down this fever the fastest?<strong><em>Health Tip: Ibuprofen has been shown to be the most effective, efficient analgesic to bring down fevers quickly. Due to it's antiinflammatory effect, it is also irreplaceable as an over the counter for inflammatory pain ( such as toothache, muscle sprain, back aches, tension headaches, etc).</em></strong><br />
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Fevers. Such a common ailment, and yet often, such a scary symptom- especially in young children. Fevers are usually our bodies' way of combatting a viral or bacterial infection. It is our immune system's effective way to fight off invaders. And yet, it can be alarming- especially with those high fevers. <br />
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Ibuprofen ( brand name such as Motrin) is an incredibly effective antipyretic (fever reducing) medication, that is available over the counter. While acetaminophen (Tylenol) is helpful, it does not work as quickly to bring down those high temps. The suspension, or liquid form is even more effective, as it is absorbed under the tongue- and goes to work immediately! <br />
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An important point to remember with fevers is that fevers dehydrate us. This is especially true for young children. So, work hard to bring that temperature down, and keep pushing liquids whenever your child has a fever- even those small drops of liquid can be absorbed immediately. With every degree of temperature, be even more diligent to keep hydrated. <br />
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I hope you find this simple tip helpful as you care for yourself or your sick loved one;-) Here's to a healthy Christmas season. What a joy to know that we have a God that loves us enough to send His Son for us, and that he cares about every small detail of our lives!Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com1tag:blogger.com,1999:blog-5670619659958139398.post-30191722106665734632011-12-05T10:56:00.000-08:002011-12-05T13:04:21.117-08:00How can I combat my anxiety?<strong><em>Health Tip: Talk therapy, or talking through and reconstructing our thoughts, has been shown to help us combat our anxious thoughts, and some studies have shown it to be more effective than medication for anxiety!. Talking through our problems is not only emotionally helpful, it can have long term health benefits as well!</em></strong><br />
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Anxiety is one of the most common chronic ailments in our society. Many scientists think that we are plagued with anxiety because our nervous systems are 'overtaxed'. Everywhere we look there is something demanding our time and energy. This takes a toll on us, and puts on edge. Anxiety leads to cardiovascular problems, blood pressure, and other chronic disease.<br />
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Research has shown that medication helps, but, talk therapy has been shown to be as effective as medication. What works best for many people is talk therapy and medication together, but, for those that wish to avoid medication- find that person you trust and talk through your anxious thoughts- regularly.<br />
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As a Christian, I know that prayer is an act of listening and talking to God. I often marvel at how much time Jesus spent in prayer during his journey on Earth. He knew how important it was to tell His Father His concerns. What a joy to know that we have this same avenue to talk to God- thanks to the cross. Although His answer often may often be " Be still and wait patiently", talking to God can be one of the healthiest things we do everyday. What a joy to know that as we accept Jesus and His redemptive work on the cross, we too can follow His lead- in talking to God daily!Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-81830157861269678752011-12-02T10:25:00.000-08:002011-12-02T10:49:37.938-08:00Will this medication work for me?<strong>Evidence has shown that a medication is more likely to work for you if you believe it will. This is referred to as the placebo effect. In medicine, the idea and understanding of the placebo effect is pivotal to knowing whether a medication is effective or not. </strong><br />
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In scientific studies, a placebo is when a 'sugar' pill is given in the place of the real medication. The studies then follow the placebo, or sugar pill, in comparison with the real medication, to see the effectiveness of a medication. This may sound confusing, but, the basis is that for a new medication to "pass the test" it just has to do a bit better than the good ole sugar pill study. All that to say, when a person believes that they are being given a medication that will help them, there is evidence that it does and will. Placebo effect just refers to the improvement we may see in a group study, when in reality they are just taking a sugar pill. Scientists use placebos to measure new medicine, because if a new medication stands the 'sugar pill' test then maybe the new medication is effective. To pass the "sugar pill test" is a BIG deal!<br />
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When I first started working in adult healthcare in the US, I remember the physician I worked with always encouraged me to prescribe exactly the medications that patients asked for. All things being equal, when a person believes a certain drug will work for them, it usually does!. This was especially true when a person needed medicine for depression. When it comes to these type of meds, the evidence shows that usually the medicine that we believe will work best for us, is the one that does. I am fascinated by this. It is the power of the mind over the body. <br />
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I guess in medicine, like in life, it all comes down to what we believe in. Faith is something that is difficult to accept for many people, as there is nothing 'tangible' about faith. And yet, there is so much about our very existence that cries out a need, and a fulfillment that can only be found in faith. I love that healthcare substantiates this. Once again, what we find true for our spirit is often true for our body as well. <br />
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Whenever the struggle of faith is discussed, I always think of the words in Hebrews, that "faith is being SURE of what we hope for, and CERTAIN of what we do not see" . The question is .. where will you put your faith? Will it be in the medicine you choose.. or the God you choose to follow? Wherever we put our faith.. our heart and body will surely follow.Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-76883934466898255702011-11-22T09:31:00.000-08:002011-11-22T12:42:10.391-08:00Thanksgiving and Family Health<strong><em>Healthtip:</em></strong> Since most of us gather with family over Thanksgiving, this is a good time to review together your family health history. Much of what we know today about chronic disease is related to genetics and heredity. The more you can document on your family health history, the more equipped you will be to understand your own health. The National Institute of Health has devised a great chart to help with this: <a href="https://familyhistory.hhs.gov/fhh-web/home.action">https://familyhistory.hhs.gov/fhh-web/home.action</a><br />
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One thing that every patient visit with a doctor has in common: asking about family history. You probably notice this more and more: that your doctor asks you if there's any family history of heart disease, stroke, cancer, etc. This helps equip your doctor to an understanding of your own health risks. And then the preventative measures can be taken to promote your health accordingly. <br />
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Theres so little in our lives that we can truly control or understand well. I think the older I get, the more I realize that my life is not under my control. I take greater and greater satisfaction in understanding that while my choices affect me, ultimately the plan God has for me cannot be thwarted. With the ups and downs of life, I find more comfort in understanding WHO holds my life, rather thatn trying to hold my own. <br />
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In this holiday season, the greatest gratitude comes in knowing and understanding that whatever our history, or our family history may be, leaning on God's providence, and not our own understanding ( Prov 3: 5, 6), is the foundation we all seek in this life!Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-29653134331302823672011-11-18T16:11:00.000-08:002011-11-18T16:25:17.572-08:00What should my blood pressure be?<div class="MsoNormal" style="margin: 0in 0in 0pt;"><strong><em>Healthcare Tip: Blood pressure is considered elevated when it regularly reads above 130/90. Whenever you have an elevated BP reading, it is a good idea to write it down twice weekly for a month, and then take that reading to your doctor. If it reads regularly above 130/90 then you should be on a medication. </em></strong></div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt;">As Ive mentioned before in this blog, blood pressure is an ongoing concern as it grows to epidemic proportions today. Basically, in all my years of studying and practicing if there's one thing I would tell everyone about their health it is this: KEEP YOUR BLOOD PRESSURE UNDER CONTROL. Heart disease, stroke, and diabetes closely follow higher blood pressure readings. The problem is that you often don't develop these until your blood pressure has been elevated for years. So do what you can, as soon as you can!</div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt;">This week I have had the chance to be on the other side of healthcare. I had to go in for surgery, and found myself in the vulnerable role of a patient. As clinicians, we can easily forget how humbling this really is. . Our role to provide healthcare gives us the focus we often need to be equipped to care for our patients. And yet, this perspective may often cloud our ability to understand the vulnerable role of a patient.<span style="mso-spacerun: yes;"> </span>It’s been a long time that I have been in the patient role for more than a few minutes, and this week I was enlightened into the feelings of the humbling role of a patient. The nurses that took care of me immediatlely put me at ease, and my fears were cast aside quickly. I am truly thankful for the great team that took care of me, and also thankful that I was reminded how important a warm, genuine concern is for each patient that God sends me.</div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div><div class="MsoNormal" style="margin: 0in 0in 0pt;">I guess one of the reasons we are often filled with anxiety in hospital and clinic settings is that we feel we are out of control. It was a true eye opener for me this week to be recognize, yet again, how out of control I really am. The truth is that even in making all the right choices to protect our health, we cannot add or take away a day that God has planned for us. This gives me a sense of hope and renewed purpose. In some small sense, God allows us to feel a part of His greater plan for our lives. As I was being wheeled into surgery, I kept thinking of the apostle Paul who affirmed that he " knows WHOM he has believed in" . How very true and comforting it is to know that while the story of our lives may seem to continually change,, the Author has never changed. He doesn't allow an editor.. He is the only one who holds the script. Not a hair on our head goes unnoticed by the God who created us. Now, that my dear friends, should be enough hope to bring down any blood presssure reading- smile;-) </div><div class="MsoNormal" style="margin: 0in 0in 0pt;"><br />
</div>Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-71800060148252486572011-11-15T08:17:00.000-08:002011-11-15T08:17:11.797-08:00Is coffee bad for me?<strong><em>Healthtip: Contrary to popular thought, coffee can actually have some positive health benefits, and has recently been shown to reduce the risk of Parkinsons Disease. Using a paper filter can also maximize the health benefit of coffee, as the paper filter removes components that would otherwise increase cholesterol. Like everything, the benefits of coffee are seen in moderate consumption. </em></strong><br />
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As an avid coffee drinker, I am continually amazed at the confusing things I hear about coffee and caffeine in general. So, I thought Id write this tip for those who are in the same conundrum. Coffee actually has its benefits for our health! Of course, being careful not to drink it in excess is important, but, in general, it's not something we should cut out of our diet. And, we all know the warming effects of a cup of coffee can have when shared with a friend!<br />
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For those of you who may be skeptical, here's an article that may enlighten you a bit more: <a href="http://newsinhealth.nih.gov/2009/August/feature1.htm">http://newsinhealth.nih.gov/2009/August/feature1.htm</a><br />
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It seems to me that so much of life is about maintaing a healthy balance. I am naturally an anxious person, and tend to develop habits of excess, so, I think it's important to remember that almost everything thats good for us, can become detrimental at some point. That is often the confounding factor in research, as it is difficult to determine at what point consuming something like coffee ceases to be beneficial, and actually becomes harmful to our health. <br />
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I think of how Scripture speaks about the importance of pursuing the discipline of self-control (2 Peter 1:6). We are not to be mastered by anything but God. I know for myself this is only possible when I stay focused on the disicipline of walking with Him. The more I learn about the world around me, the more I can enjoy it, without worrying about it controlling me. As Christians, we know this is only possible through the strength He can give us! SO, here's to that hot cup of coffee to get your day going!Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-13332793224464795222011-11-12T06:22:00.000-08:002011-11-12T06:22:20.863-08:00How much can my doctor tell me or my family?<strong><em>Tip: Your healthcare provider is required to tell you everything you must know related to your condition. Contrary to general consensus, doctors cannot keep 'secrets' from your care legally. Also,if you want to know details of your loved one's condition from the doctor, you must be on the approved listed of people established by your loved one</em></strong>. <br />
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It seems that there is common misconception that healthcare providers keep secrets from their patients, or only tell them what they want them to know. One of the most fiercest laws in healthcare today is known as HIPAA, and it basically means that your medical information belongs to you. On the other side of this law, if your information is shared without your consent to ANYONE, it is along the lines of a federal crime. <br />
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After having worked overseas for so many years, I think this was the most difficult thing to learn working in healthcare. For example, if I threw away a piece of paper in the 'regular' trash, that contained a patient's address and/or any health info, I was told I could be charged legally as this was a crime. Needless to say, I learned quickly;-) <br />
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It is important to recognize this law, and to realize that your healthcare provider is also liable to share with you openly about what is known about your health. <br />
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On a personal note, it's sobering to consider how little we know as clinicians. The information we obtain through testing and exams is often inaccurate in the overall picture/prognosis. Just last week my exam had shown that I was expecting, and that things were looking good for a mid first trimester pregnancy. And yesterday morning, the reality was revealed, both to my husband and I and my clinicians. The ultrasound showed a gestation with no baby. <br />
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As much as I understand how this happens physiologically, and how common this is; I still had so many questions. Questions which I know the best doctor can't answer. And yet, there is a Physician who knows all the answers to my health, my heart and my prognosis. And HE is not bound by HIPAA laws. His plan for our lives is revealed in His timing, one day at a time. As heavy hearted as I feel as I write this, I have my anchor set in the Physician whose plan and purposes for me and my family cannot be thwarted. I know that no matter what life may hold, He is bound by no laws of nature, and what He purposes to be- will be. This is the anchor that holds me through the storm, and gives me the strength I need to pass this blessed assurance on to others! <br />
<strong><em>" For I know whom I have believed in and am persuaded that HE is able to keep that which I have committed unto HIm" 2 Tim 1: 12</em></strong>Krishttp://www.blogger.com/profile/03316876755601997566noreply@blogger.com0tag:blogger.com,1999:blog-5670619659958139398.post-73302460079761559812011-11-07T14:59:00.000-08:002011-11-07T14:59:59.874-08:00Is this mole skin cancer?<strong><em><strong><em>Health Tip: For most moles/skin lesions, if you keep in mind the ABCDE's of moles, it will help you know whether you have something that needs to be checked out:</em></strong><br />
<strong><em>Asymmetry</em></strong><br />
<strong><em>Border Irregularity</em></strong><br />
<strong><em>Color</em></strong><br />
<strong><em>Diameter</em></strong><br />
<strong><em>Evolving</em></strong><br />
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The ABCDE acronym above is what we use to help people determine whether their skin lesion needs to be biopsied, etc. So, basically, the most important thing is you observing the lesions and seeing if they change and keeping an eye on the specifics of it. <br />
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I always try to think of practical tips to give you in this blog. More importantly, I try to think of the most common questions I see in primary care, in hopes that these tips will be practical. And well, skin lesions are one of those constant concerns for people, no matter what the age or time in life. <br />
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Knowing our own bodies seems to be a very important piece of our overall health. Keeping track of what we eat, what we weigh, our routines, are all pivotal in helping us protect our health. In fact, sometimes it seems each patient is best equipped to care of his/her own health, and healthcare personnel are there to guide you in that journey. <br />
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As I consider the changes I am experiencing in my own body, and in life in general, I am struck by the fact that our spiritual health is very similar to our physical health. It seems that protecting our spiritual health, and making choices to stay close to God's plan for us, will help us trust His plan, and to know when something is askew. Like that mole thats changing, being spiritually in tune to where we are in our lives is important each day, to know when, and maybe before problems may arise. One of the ways I think that we can clearly 'stay the course' spiritually is to remember , that as the writer of Hebrews 12 says, we are surrounded by a great cloud of witness- and as we help one another in our spiritual journey, we are staying in tune to our own spiritual health, and protecting our health- in more ways than one. <br />
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