Protect your Children: Get them Vaccinated

By Gail Burke, DO, Family Medicine Physician

GettyImages-532334752.jpgWith a new school season starting, many parents are making lists to make sure their child has everything to begin the school year prepared. Protecting your child’s health should be number one on your list.

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One of the best ways to keep your children healthy is to get them vaccinated. From newborn to college age, you can protect your children from 16 serious diseases, including polio, meningitis, diphtheria, flu, rotavirus and tetanus. Vaccinations work! Some terrible diseases that ravaged human beings for centuries were eliminated with the discovery of vaccination, such as the dreaded small pox virus, which the World Health Organization declared globally eradicated in 1979.

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Vaccinations save lives

Before vaccines, many children died from diseases that vaccines now prevent, such as polio, measles and whooping cough. Those same germs exist today; because most children are vaccinated, we don’t see those diseases as often. Vaccination not only protects your child; it also protects the other children in the classroom and school, by something known as “herd immunity.” Germs can travel quickly through a community, such as your child’s classroom, and make a lot of children sick. If enough people get sick it can lead to an outbreak. But when enough children are vaccinated against a disease, the germs can’t travel as easily from person to person and the whole group is less likely to get the disease. That is “herd immunity!”

As a very busy parent, you’ve got enough to keep track of with your child’s multiple school and afterschool activities.  Keeping track of a vaccination schedule is one less thing for you to worry about, because your child’s doctor will do this job.

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Well-child visits and immunizations

Vaccinations are designed to be given automatically during well-child visits. Your family doctor or pediatrician will schedule these well-child visits and keep track of your child’s vaccinations and give you a health record with the history of your child’s vaccinations. This record is often required by your child’s school and other programs to ensure the health of all the children. And don’t worry. If your children have missed any vaccines, your doctor can use a “catch up” vaccination schedule to get them back on track.

There are free resources to help parents such as the CDC charts, “2018 Recommended Immunizations for Children from Birth through 6 Years old” and the “Recommended Immunizations for Children 6 years old through 18 years old.”

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Vaccination safety

Some parents are confused and worried about vaccinations. They’ve heard that vaccinations can cause autism or long-term neurologic problems. Moms and Dads want to do what’s in the best interest of their children. All parents, and children, deserve the best science-based information on this topic. The CDC and many scientific groups have done extensive research on vaccine safety; their studies continue to find there is no scientific basis for this claim. Based on these major research findings, the American Academy of Pediatrics and the American Academy of Family Medicine support vaccinations for all children, infancy through college age. You are encouraged to bring your questions and concerns to your family doctor.

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Additional benefits of vaccinations

There is another important benefit for parents who vaccinate their children. Their children are less likely to develop the childhood illnesses which require time off school for kids and time off work for parents. It also cuts down on need for doctor’s visits, and with very sick children, the need for hospitalization.

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Programs that can help

Vaccinations can be expensive and many families cannot afford to pay for vaccines on their own. If you are unable to afford vaccinations for your child or if the vaccinations are not covered by your health insurance, do not let this stand in the way of protecting your child. He or she may be eligible for programs such as the Vaccines for Children program, a federal program established in 1998.

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Finding your ‘Medical Home’

When you register as a patient at the UMC/LSU Family Medicine Clinic, this becomes your “Medical Home,” for you and every member of your family, no matter his or her age. One of the key beliefs of family medicine is disease prevention! We are dedicated to promoting your child’s health, through vaccinations and lifelong education on healthy lifestyle. We believe that vaccinations are one of the best lifelong strategies to prevent serious life threatening diseases and keep you and your loved ones healthy.

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Dr. Gail Burke is a board certified family physician in the UMC/LSU Family Medicine Clinic. To learn more about Family Medicine at UMC, visit http://www.umcno.org/familymedicine or call (504) 962-6363 to schedule an appointment.

Bounce for the Ounce: The Energy of Fruits and Vegetables

By Mary Thoesen Coleman, MD, PhD, FAAFP

Fruits and vegetables are packed with nutrients and minerals needed for our body’s health. They provide lots of energy (bounce) for the amount you eat (ounce).

GettyImages-611075624.jpgMediterranean diet

Fruits and Veggies are strong components of the Mediterranean diet, which in a number of research studies has been associated with decreased risk for cardiovascular disease.
In people who follow the Mediterranean diet, the good kind of cholesterol, HDL, increases, triglycerides reduce, and so do fasting blood sugar and blood pressure.

The Mediterranean diet emphasizes eating plant foods such as vegetables, fruits, plus nuts and seeds.

How much? We should eat more than 2 servings per meal of non-starchy vegetables (starchy vegetables such as potatoes, peas, and corn do not count) and 1- 2 servings per meal of fruit.

  • A vegetable serving is ½ cup of cooked vegetables or 1 cup of raw vegetables.
  • A fruit serving is one small fruit or ½ cup fruit juice or ¼ cup dried fruit.

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Is fresh best?

The best choices of fruits and vegetables are those that are minimally processed, locally grown, and fresh.

Frozen fruits and vegetables are reasonable alternatives to fresh. Canned fruits and veggies are less beneficial due to loss of minerals and nutrients in processing and addition of salt and preservatives.

Such vegetables and fruit are also good sources of fiber.

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MyPlate recommendations

MyPlate is the current nutrition guide published by the U.S. Department of Agriculture Center for Nutrition Policy and Promotion. MyPlate is a visual reminder about the right mix of fruits, vegetables, grains and proteins.

Fruits and vegetables make up half of food on a meal plate, with veggies a greater proportion of the half than fruits.

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Things I have learned:

  • You can get too much of a good thing. Smoothies or juices made from fresh ingredients can concentrate too much of good thing. For example, juicers frequently add spinach to smoothies and blended juices but spinach is high in oxalates and when consumed frequently in concentrated form with low Calcium diet may put you at risk for kidney stones made from oxalates. (I believe I contributed to my own kidney stone experience by drinking too many juices packed with spinach and not having enough Calcium in my diet).
  • If you drink too much fruit juice, you can elevate your blood sugar. In one of my patients with diabetes, making one change in his diet (eliminating fruit juices) brought his sugar from very poorly controlled to completely controlled.
  • If you eat too many fruits, you can also elevate your blood sugar. One of my patients who was eating 12 bananas a day was unable to control her blood sugar despite high doses of medication until she lowered her banana intake.
  • Fruit drinks (not fruit juices) do not have the nutrients present in fruit juices and typically add calories without being healthy choices.

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Tips for adding veggies to your diet:

  • Cut up fresh vegetables (I use different ones including asparagus, cabbage, mushrooms, onion, broccoli, cauliflower, and Brussels sprouts) and cook them in olive oil. Eat for breakfast, lunch, or supper. Olive oil is a healthy part of the Mediterranean diet and it helps to make the vegetables more filling.
  • Cut up fresh vegetables and put them in plastic containers for lunch snacks. I like to cut up yellow and red peppers, radishes, cucumbers, and broccoli.
  • Make a fun salad that includes lots of colorful veggies and fruits–several lettuce varieties (Romaine, butternut), arugula if available, nuts such as walnuts or pecans or pine nuts, pumpkin seeds or other seeds, fresh vegetables such as broccoli, cauliflower, red peppers, yellow peppers, radishes, green onions, a dash of blueberries or strawberries, maybe some coconut flakes or cilantro or parsley. If desired, add left-over cooked chicken or tuna. Mix with home-made dressing from extra virgin olive oil (1 part olive oil ), 3 parts vinegar (mostly white but some apple cider vinegar), 1-3 tsps. Dijon mustard, and black pepper.
  • Fresh fruits make good desserts and I like to add to yogurt (a good source of Calcium and part of the Mediterranean diet) for a healthy dessert or to whipped cream without sugar.

Mediterranean diet-friendly options

Vegetables

Artichokes, arugula, beets, broccoli, Brussels sprouts, cabbage, carrots, celery, celeriac, chicory, collard greens, cucumbers, dandelion greens, eggplant, fennel, kale, leeks, lemons, lettuce, mache, mushrooms, mustard greens, nettles, okra, onions (red, sweet, white), peas, peppers, potatoes, pumpkin, purslane, radishes, rutabaga, scallions, shallots, spinach, sweet potatoes, turnips, zucchini.

Fruits

Apples, apricots, avocados, cherries, clementines, dates, figs, grapefruits, grapes, melons, nectarines, olives, oranges, peaches, pears, pomegranates, strawberries, tangerines, tomatoes.

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Dr. Coleman is a physician in the Family Medicine Clinic at UMC and is the Marie Lahasky Chair and Professor for the Department of Family Medicine, Director of Community Health and Director of Rural Education at LSU Health New Orleans. To learn more about Family Medicine at UMC, visit http://www.umcno.org/familymedicine or call (504) 962-6363 to schedule an appointment.

Drink Up: 10 Reasons Water is a Key Ingredient in Your Good Health

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Author: Rosetta Danigole, UMC Lead Dietician

Water is an essential nutrient and a thirst quencher that can also trim our waistlines.

Here are 10 reasons you should be drinking enough water daily:

1. Boosts Your Metabolism

Drinking water helps the body burn fat. Studies show that drinking 17 ounces of water can increase the metabolic rate by 30% in both men and woman. Even mild dehydration can slow down metabolic rate by 3%. So drink up and burn fat.

2. Fills you up

If you’re feeling hungry, try sipping some water first because what feels like hunger might be thirst. When you drink water between meals, you’re less likely to overeat and you won’t eat as much junk.

3. Naturally helps your body release fat cells

Water helps rid the body of waste. During weight loss the body has a lot of waste to rid itself of and metabolized fat must be shed. Water helps flush out the waste.  Therefore your cells shrink when they are plumped up by water.

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4. Keeps food moving through your system

Staying hydrated helps your body break down food so that your body can absorb nutrients.  Water also softens stool which helps prevent constipation.

5. Flushes toxins from your system

Your kidneys and liver get rid of toxins.  Water helps the kidneys to have enough fluid to function properly leading to flushing out metabolized waste.

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6. Improves your mood

Mild dehydration leads to moodiness, problems concentrating and fatigue in a recent study.  Remember 85% of your brain tissue is made up of water.

7. Reduces muscle fatigue while working out

Blood flow to muscle is reduced when dehydrated.

8. Helps you recuperate faster from a workout

Water helps keep the body in homeostasis and electrolyte balance.

9. Keeps your organs healthy while you’re sweating

Our organs are made of high concentrations of water, and we need to stay.

10. Keeps you from feeling groggy in the morning

Drinking a few glasses of water in the morning will help to wake you up.

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Don’t like the taste of water? Try infusing it with lemons, limes,  cucumber and mint for a tasty and healthful summer drink.

Sugary sodas, lemonade and sweet tea or smoothies — although refreshing  – for some can pack a lot of empty inflammatory-type calories.

Please remember to drink your water and stay hydrated!

About the Author

Rosetta

As the lead dietitian at University Medical Center New Orleans, Rosetta Danigole manages clinical dietetic operations. She is a member of the Academy of Dietetics and Nutrition and belongs to the clinical dietitian practice group. She has been a dietitian for 35 years.

 

Stroke Strikes Fast: Knowing the Signs and How to Prevent

By Toni Rougeou, RN, UMC Stroke Program Coordinator

A stroke is a “brain attack” that happens when blood flow to your brain is stopped. It’s a medical emergency in which knowing the signs and symptoms is vitally important.

May is Stroke Awareness Month, an opportunity to spread awareness of stroke and a good time for everyone to identify their personal risk and learn the steps they can take to reduce the risk of stroke.

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There are two types of strokes:

Ischemic stroke – caused by clot or plaque accounts for about 87% of all strokes

Hemorrhagic stroke – Bleeding in or around the brain caused from uncontrolled elevated blood pressure, ruptured aneurysm, or Arterial-venous malformation.

Every minute you are having a stroke, you lose about 2 million brain cells.  The longer you take to seek medical attention, the more brain cells are lost.  “Time is Brain.”

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Stroke is the 5th leading cause of death in the United States and the leading cause of disability in adults.

Each year nearly 800,000 people have a stroke (every 40 seconds stroke happens), and almost 130,000 people die from stroke per year.

Stroke kills twice as many American women as breast cancer each year. More women than men die from stroke and risk is higher. Women suffer greater disability after stroke than men.

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African-Americans have double the incidence of stroke than that of Caucasians and suffer more extensive physical deficits. African Americans are also twice as likely to die from a stroke. Mexican–Americans are at higher risk for all types of stroke and TIA at younger ages than Caucasians.

In 2012 the total stroke related cost in the US was estimated to be $105 billion and is projected to hit $240 billion by 2030.

Who is at Risk for a Stroke?

Anyone can have a stroke at any age. But your chance of having a stroke increases if you have certain risk factors. Some risk factors for stroke can be changed or managed, while others can’t.

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What are the risk factors for stroke that can be modified?

  • High Blood Pressure
  • Diabetes
  • Elevated Cholesterol
  • Atrial Fibrillation – a type of irregular heartbeat; Makes a person 5X’s more prone to having a stroke.
  • Obesity
  • Smoking
  • Alcohol – more than two drinks a day
  • Illegal drug use – Cocaine, Mojo
  • Diets high in fat and salt
  • Lack of exercise routine
  • Sleep apnea

What are some risk factors that we cannot change?

  • Being African-American
  • Being a Female
  • Being over age 55
  • Having a previous TIA or stroke
  • Having a family history of stroke

What impact does stroke have?

  • In 2012 the total stroke related cost in the US was estimated to be $105 billion, and is projected to hit $240 billion by 2030.

GettyImages-177292657 (1).jpgWhat are the signs and symptoms of Stroke?

  • Sudden numbness or weakness of the face, arm or leg on one side of the body (Right or Left)
  • Sudden trouble speaking, understanding or confusion.
  • Sudden trouble seeing out of one or both eyes.
  • Sudden trouble walking, dizziness or loss of balance. Falling to one side.
  • Sudden severe headache with no known cause “Worst headache of my life.”

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STROKE IS NO JOKE!    RECOGNIZE!  RESPOND!  AND PREVENT!  

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Toni Rougeou, RN, is the Stroke Program Coordinator for University Medical Center New Orleans. UMC is an Advanced Primary Stroke Center with a full stroke team on call 24/7 to immediately care for patients with stroke symptoms. To learn more, visit umcno.org/strokecenter.

Hand Washing 101

Author: Peter DeBlieux, MD, Chief Medical Officer at UMC

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Washing your hands is one of the best ways to protect yourself and others from germs and infectious diseases.

At home or at work, it’s important to wash your hands often and properly with soap and water to combat germs that accumulate and linger. But what if you’re at Jazz Fest or at one of the area’s many outdoor fairs and festivals, when access to soap and water may be limited?  Proper hand hygiene is still important and possible when you plan ahead and use this tips.

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The U.S. Centers for Disease Control and Prevention suggests washing your hands at these key times:

  • Before, during and after preparing food.
  • Before eating.
  • Before and after caring for someone who is sick.
  • Before and after treating a wound.
  • After going to the bathroom.
  • After changing diapers or cleaning up a child who has used the bathroom.
  • After blowing your nose, coughing or sneezing.
  • After touching an animal, animal feed or animal waste.
  • After handling garbage.

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What is the best way to wash your hands?

  • Use clean, running water. Use hot water if it’s available.
  • Wet your hands before applying soap.
  • Rub your soapy hands together for at least 20 seconds. Make sure to wash all surfaces well. This includes your wrists, palms, backs of hands, and between fingers.
  • Clean and remove the dirt from under your fingernails.
  • Rinse your hands thoroughly to remove all soap.
  • Dry your hands with an air dryer or a clean paper towel.
  • Turn off the faucet with a paper towel.

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If you’re at one of the area’s many outdoor fairs, festivals and special events soap and water may be limited. In such cases, an alcohol-based hand sanitizer is a must-have for cleaning your hands. When using hand sanitizer, be sure to:

  • Apply the gel to the palm of one hand.
  • Rub your hands together.
  • Rub the product over all surfaces of your hands and fingers until they are dry.

Our hands are exposed to countless germs daily through normal activities.  These steps detailed above can reduce the burden of germs that accumulate on our hands and will reduce the likelihood of infectious disease transmission.