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4 top tips: Your best odds for preventing a heart attack

1/31/2019

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​Could you have a heart attack? Reduce your odds through these tips.


(BPT) - Many Americans consider themselves well-informed and attentive when it comes to their health.

That’s why it's so puzzling that many remain unfazed by the threat of heart disease.

That was among the findings of the MDVIP Heart Attack IQ Survey, a national study showing Americans are more concerned about cancer than a heart attack — even though cardiovascular disease kills more people than all forms of cancer combined. In fact, heart disease is the underlying cause of one in three U.S. deaths. Many Americans don’t take it seriously because they believe most heart problems can be treated with medication or surgery, while others simply procrastinate when it comes to adopting healthier behaviors that help prevent heart disease.

As a result, many are surprised when faced with a life-threatening heart attack, which can happen to anyone at any age. While the average age for a first attack is 66 for men and 70 for women, the risk increases significantly as soon as men reach 45 and women reach 55.

“Despite the statistics, people assume a heart attack is going to happen to somebody else, but not to them,” said MDVIP Chief Medical Officer Dr. Andrea Klemes. “Heart disease can be dangerously silent, which is why it’s important to know your risk factors and the steps you can take to minimize them.”

Gloom and doom aside, awareness of the issue is the first step, and there is much you can do to prevent heart disease. Some 80 percent of heart attacks and strokes are preventable.

Consider these suggestions for reducing your risk of heart attack:

* Partner with your primary. Your primary care doctor is your first line of defense in helping prevent heart disease. Make sure you partner with a physician who has the time to identify and discuss your risk in detail, who will work on a plan to control your risk factors and who can provide ongoing support to keep you motivated and accountable. Physicians like those in the MDVIP network maintain smaller practices so that they can devote more time to each patient and provide the coaching needed to keep them on track.

* Stay up to date on screenings. When’s the last time you had your blood pressure and cholesterol checked? But don’t stop at the basics. Most heart attacks occur in people with normal cholesterol levels. You also want to get a read on whether you have inflammation in your arteries or insulin resistance, both of which raise your heart disease risk. You can only act on what you know, and knowing your numbers is key to early detection.

* Make heart-healthy changes. Creating and sustaining healthy lifestyle habits can help keep your blood pressure, cholesterol and sugar in check and lower your risk for heart disease. So don’t skip your exercise, weight management or smoking cessation programs. Just make sure you consult with your doctor before changing your diet or beginning a new exercise program.

* Sleep more, stress less. While often overlooked, insufficient sleep and excessive stress can put strain on your heart over time. Both can also influence your eating habits, mood and overall health. Most adults need seven to nine hours per night; if you’re getting that and still feel tired, consider asking your doctor for a sleep apnea test. Also, try starting a regular practice — whether it’s a yoga class, deep breathing or a daily walk outside — to better manage stress.
​
Take the Heart Attack IQ quiz and learn more about finding a preventive physician by visiting www.mdvip.com/HeartAttackIQ.

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5 tips for busy women to take charge of their health

7/9/2018

 
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5 tips for busy women to take charge of their health

The HealthiHer movement aims to give women the tools they need to make such changes at home, at work or in their communities. If you’re among those struggling to take good care of yourself because of other obligations, consider how these suggestions might help.


(BPT) - If you’re an American woman today, chances are your busy lifestyle is preventing you from seeking out the regular check-ups and screenings so important to maintaining your health. And that’s true regardless of your economic status or whether you live in a rural, urban or suburban area.

So reports a recent HealthiHer survey showing that only 66 percent of U.S. women ages 30 to 60 feel “somewhat in control” of their own health, although 83 percent are happily managing the health of their families. The study, co-sponsored by Redbook magazine, HealthyWomen and GCI Health, found that a full 77 percent of women in that age group say that their job schedules prevent them from attending regular check-ups.
​
"Women today wear many hats — they’re wives, mothers, caregivers, employees, business leaders and breadwinners, often at the same time," says Wendy Lund, CEO of leading communications agency, GCI Health. "Even when it feels like there are not enough hours in the day, we somehow manage to integrate everything in our lives to ‘make it work’ and accomplish insurmountable tasks. And this constant juggling can come at the cost of our own health."

The good news? The survey also reveals that 79 percent of respondents see positive change as achievable. The HealthiHer movement aims to give women the tools they need to make such changes at home, at work or in their communities. If you’re among those struggling to take good care of yourself because of other obligations, consider how these suggestions might help.
​
* Truth: You can’t help others without caring for yourself. Why do emergency airline instructions tell you to attach your own oxygen mask first? Because you could otherwise pass out before helping others. That same principle applies to your general health; you must maintain your own energy and well-being so you can stay around to be an effective mom, wife, daughter, sister and/or friend.

* Take stress seriously. While not all stress is bad, long-term unrelieved stress can have major adverse effects on your health, reducing the effectiveness of your immune, digestive, sleep and reproductive systems. Recognize the risks, plan methods for fighting stress and carve out time for exercise, sleep, meditation, yoga and/or other remedies.

* Try online resources. An annual in-person physical is always recommended, but health issues in between check-ups can often be taken care of through online sites that diagnose issues through questionnaires or video chats — then prescribe medicine or other therapies without need of an office visit.

* Make exercise a no-brainer. As the saying goes, sitting is the new smoking. If you don’t make daily movement of some sort a priority in your life (doctors recommend at least 150 minutes of brisk exercise per week) you’re putting your physical and emotional health at substantial risk. Among other benefits, exercise can help prevent diabetes and heart disease while reducing stress, back pain, arthritis, asthma and other common ailments.

* Set health care appointments well ahead. To secure the slots that work best with your schedule, call or go online way ahead of time so you have a wider range of options. Some clinics now offer evening or weekend hours to help those with demanding daytime jobs or roles. Planning ahead, and writing each appointment in ink on your family calendar, helps ensure you’ll make your own care a priority even if your schedule ramps up.

"It isn't selfish to put ourselves first, but in all honesty, we know that will never happen, our kids will always come first," says HealthyWomen CEO Beth Battaglino. "However, can we shoot for second? This is an investment in both our health and the health of our families. Women who don't take care of themselves are not going to be around or it will affect their ability to care for their loved ones, and this survey revealed that those who don't make time to get their health screenings, like mammograms, pap tests, eye exams, blood pressure, etc., actually had more health concerns."

More women’s health tips related to the HealthiHer Movement can be found at HealthyWomen.org or Facebook. Participate in the movement by posting a photo on Facebook, Twitter or Instagram depicting you taking charge of your health (Use the hashtag #BeHealthiHer).

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Understanding ovulation and the best days to conceive

6/22/2018

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Understanding ovulation and the best days to conceive


(BPT) - Many women trying to conceive are confused about their period, the 28-day cycle and when they’re most likely to get pregnant.

When a couple is planning to have a baby, understanding the 28-day cycle can mean the difference between success and disappointment, says Gloria Richard-Davis, MD, Ob/Gyn, fertility specialist and author of Planning Parenthood.

Timing is a critical factor when you're trying to get pregnant. As more and more women are waiting to conceive until later in life, we have seen an uptick in fertility tracking technologies — from apps to wearables that help women pinpoint their most fertile days. However, it's important to supplement an app or fertility monitor with simple ovulation tests to accurately identify your fertile days.

Each month, the body prepares for ovulation, or the release of an egg from the ovaries. The cycle begins on the first day of menstruation and serves as a detox to dispose of old uterine lining and make way for the next cycle. Day one, the first day of menstrual bleeding or spotting, represents a new opportunity to conceive. Days eleven-sixteen are the optimal time to kick-start baby-making efforts, as ovulation is nearing.

A simple at-home ovulation predictor kit like First Response Ovulation Test Kit will identify your two most fertile days by pinpointing a surge in the luteinizing hormone (LH) that triggers ovulation. Women can maximize their chances by having sex within 24-36 hours after detecting this luteinizing hormone (LH) surge. If a sperm successfully fertilizes the egg, conception occurs.

The lining of the uterus thickens between day seventeen and twenty-four, and if the egg and sperm have successfully met, the fertilized egg will soon implant or attach to the uterine lining (endometrium). The end of the cycle is near, and PMS symptoms may present themselves if pregnancy has not occurred, as progesterone peaks around day twenty-one or twenty-two.

If you think you might be pregnant, but haven't missed your period yet, try the First Response Triple Check Pregnancy Test Kit. It includes one Early Result Pregnancy Test that can let you know six days before your missed period, a Digital Pregnancy Test for women who like to see a yes/no answer, and a Rapid Result Pregnancy Test to take on the day of your missed period or anytime after.

Other important considerations to keep in mind when trying to conceive include:
* Keeping a healthy, well-balanced diet and practicing stress relief.
* Prenatal vitamins with sufficient folic acid like prescription OB Complete are critical even before trying to conceive to ensure a healthy pregnancy journey for both mom and baby.
* Vaginal dryness is twice as common in women who are trying to conceive due to the stress of ‘sex on demand.’ Traditional lubricants can harm sperm motility, which is why using a fertility-friendly lubricant like Pre-Seed is crucial, as it encourages sperm to swim freely and meet an egg.

Don’t guess at your fertile window when it’s so easy to identify the best time to conceive. Every woman is born with millions of immature eggs, but the quantity and quality of remaining eggs, known as the ovarian reserve, decreases. If you’re not able to get pregnant, your ovarian reserve may be low. Tracking ovulation can be challenging as well, especially if your menstrual cycle is irregular. Remember to note your cycle and its symptoms so you can discuss concerns with your medical provider and schedule a preconception checkup.


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7 Health Concerns That Can Result from Sleep Apnea

9/14/2016

 

Sleep is essential to maintain a healthy lifestyle, but sleep problems – such as sleep apnea, which is a serious breathing disorder that causes you to snore loudly and stop breathing up to hundreds of times a night – can hinder sleep quality and lead to other severe health complications, such as high blood pressure, heart disease, depression, erectile dysfunction, acid reflux, diabetes and stroke. If you suspect that you or a loved one may be suffering from sleep apnea and could be at risk for these health complications, see a doctor to discuss your sleep problems and treatment options.



7 Health Concerns That Can Result from Sleep Apnea

(Family Features) Sleep is essential to maintain a healthy lifestyle, but sleep problems – such as sleep apnea – can hinder sleep quality and lead to other severe health complications. Sleep apnea is a serious breathing disorder that causes you to snore loudly and stop breathing up to hundreds of times a night for anywhere from 10 seconds to more than a minute. According to the American Academy of Dental Sleep Medicine(AADSM), approximately 25 million adults in the United States suffer from this disease. What many people don’t realize is that in addition to being a nuisance at night, sleep apnea also is a contributing factor to several other health problems.

If you suspect that you or a loved one may be suffering from sleep apnea and could be at risk for these health complications, see a doctor to discuss your sleep problems and treatment options. In addition to the commonly prescribed continuous positive airway pressure (CPAP) machine, another sleep apnea treatment is a custom-fitted oral appliance mouth piece, available from AADSM member dentists, which can be effective and often is easier to use. Once diagnosed by a doctor, visit LocalSleepDentist.org to find a dentist offering oral appliance therapy.

  1. High Blood Pressure – Thirty to 40 percent of people with high blood pressure, and up to 85 percent of those who have treatment-resistant high blood pressure, have sleep apnea. Research shows that when sleep apnea is treated with oral appliance therapy, blood pressure can be reduced. Oral appliance therapy is offered by select dentists and uses a custom-fit, mouth guard-like device to support the jaw in a forward position and keep the airway open, without the need for a mask or constantly running CPAP machine.  
  1. Heart Disease – A study from the University of Wisconsin found that sleep apnea is common in people who have heart disease. The study also shows that those who suffer from untreated, severe sleep apnea may be five times more likely to die from heart disease.
  1. Depression – Researchers at the Centers for Disease Control and Prevention found that men who have been diagnosed with sleep apnea are more than twice as likely to exhibit signs of clinical depression, such as feeling hopeless and uninterested in everyday activities. The study also found that women who were diagnosed with sleep apnea were five times more likely to report symptoms of major depression.
  1. Erectile Dysfunction – Men with sleep apnea commonly suffer from erectile dysfunction and overall sexual dysfunction. In a study conducted in Germany, researchers found that this relationship may be due to the repetitive drop in blood oxygen levels that occurs during sleep as a result of sleep apnea.
  1. Acid Reflux – It has been shown that people who have sleep apnea often suffer from acid reflux, which can increase sleep disruption and daytime sleepiness. However, treating sleep apnea can help improve the symptoms of acid reflux.
  1. Diabetes – Research shows that up to 83 percent of people with Type 2 diabetes suffer from sleep apnea but are not aware of their sleep disorder. As the severity of sleep apnea increases, glucose control within the body weakens.
  1. Stroke – Research shows that untreated obstructive sleep apnea increases the risk for stroke, even without the presence of other risk factors. Obstructive sleep apnea is also frequently found in people who have already suffered a stroke, which contributes to impairment of the brain’s recovery.

Photos courtesy of Fotolia

SOURCE:
American Academy of Dental Sleep Medicine


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Fixing the Pain Problem

6/13/2016

 

With sales of prescription opioids nearly doubling since 1999, America is in the midst of an opioid epidemic. Rather than opting for pain medication – which can cause side effects such as depression, overdose and addiction – physical therapists can provide a safer alternative. With physical therapy, patients get to play an active role in their recovery.


Fixing the Pain Problem

Safe, effective options for long-term treatment

(Family Features) America is in the midst of an opioid epidemic. Sales of prescription opioids have nearly quadrupled since 1999. According to the Centers for Disease Control and Prevention, in 2012 alone enough opioid prescriptions were written for “every American adult to have their own bottle of pills.”

Prescription opioids – medications that reduce pain by interrupting pain signals to the brain – only mask the sensation of pain, and they come with side effects including depression, overdose and addiction, plus withdrawal symptoms when stopping opioid use. Pain relief doesn’t have to come in a bottle, however. Physical therapists can provide a safe, drug-free alternative for treating pain.

When to Choose Physical Therapy
In March 2016, the CDC released guidelines urging prescribers to rely less on opioids in favor of non-drug alternatives. The guidelines recognize that prescription opioids are appropriate in certain cases, including cancer treatment, palliative care and end-of-life care, but for most long-term pain management non-opioid approaches are recommended.

The American Physical Therapy Association, through its national #ChoosePT campaign, is reminding patients that they have the right to choose their method of pain treatment. Physical therapists treat pain through movement and patients get to play an active role in their recovery.

Based on the CDC guidelines, patients should choose non-opioid alternatives, such as physical therapy, when:

The risks of opioid use outweigh the rewards. “Experts agreed that opioids should not be considered first-line or routine therapy for chronic pain,” according to the CDC. “Given the substantial evidence gaps on opioids, uncertain benefits of long-term use and potential for serious harm, patient education and discussion before starting opioid therapy are critical so that patient preferences and values can be understood and used to inform clinical decisions.”

Physical therapists can play a valuable role in the patient education process, including setting realistic expectations for recovery with or without opioids. As the guidelines note, even in cases when evidence on the long-term benefits of non-opioid therapies is limited, “risks are much lower” with non-opioid treatment plans.

Pain or function problems are related to low-back pain, hip or knee osteoarthritis or fibromyalgia. The CDC cited “high-quality evidence” supporting exercise as part of a physical therapy treatment plan for those familiar conditions.

Opioids are prescribed for pain. Even in situations when opioids are prescribed, the CDC recommends that patients should receive “the lowest effective dosage” and opioids “should be combined” with non-opioid therapies, such as physical therapy. Clinicians should continue opioid therapy only if there is “meaningful improvement in pain and function that outweighs risks to patient safety.”

Pain lasts 90 days. At this point, the pain is considered “chronic” and the risks for continued opioid use increase. An estimated 116 million Americans are living with chronic pain, but the danger of masking pain with prescription opioids is clear. More than 165,000 people in the United States have died from opioid pain medication-related overdoses since 1999, and every day more than 1,000 people are treated in emergency departments for misusing prescription opioids.

Understanding Pain
Before exploring and choosing long-term treatment options, consider these facts about pain:

1. Pain is output from the brain. While researchers used to believe that pain originated within the tissues of the body, newer evidence indicates that pain does not exist until the brain determines it does. The brain uses a virtual “road map” to direct an output of pain to tissues that it suspects may be in danger. This process acts as a means of communication between the brain and the tissues of the body to serve as a defense against possible injury or disease.

2. The degree of injury does not always equal the degree of pain. Research has demonstrated that people experience pain in individual ways. While some people experience major injuries with little pain, others experience minor injuries with a lot of pain.

3. Diagnostic imaging (MRIs, X-rays, CT scans) results may not show the cause of pain. A 2015 study in Spine, which analyzed MRI results of more than 1,200 individuals ages 20-70 who had no symptoms of lower-back pain, found that 87.6 percent suffered from bulging discs. Even most subjects in their 20s had bulging discs – 73.3 percent of males and 78 percent of females, respectively.

4. Psychological factors, such as depression and anxiety, can make pain worse. Pain can be influenced by many different factors, such as psychological conditions. A recent study in the Journal of Pain showed that psychological variables that existed prior to a total knee replacement were related to a patient’s experience of long-term pain following the operation.

5. Your social environment may influence your perception of pain. Many patients state their pain increases when they are at work or in a stressful situation. Pain messages can be generated when an individual is in an environment or situation that the brain interprets as unsafe. It is a fundamental form of self-protection.

6. Understanding pain through education may reduce your need for care. A large study conducted on military personnel demonstrated that those who were given a 45-minute educational session about pain sought care for lower-back pain less than their counterparts.

7. The brain can be tricked into developing pain in prosthetic limbs. Studies have shown that the brain can be tricked into developing a “referred” sensation in a limb that has been amputated, causing a feeling of pain that seems to come from the prosthetic limb – or from the “phantom” limb. The sensation is generated by the association of the brain’s perception of what the body is from birth (whole and complete) and what it currently is (post-amputation).

8. The ability to determine left from right may be altered when you experience pain. Networks within the brain that assist you in determining left from right can be affected when you experience severe pain. If you have been experiencing pain and have noticed your sense of direction is a bit off, it may be because the part of the brain that details a path to each part of the body may be impaired.

9. There is no way of knowing whether you have a high pain tolerance or not. While some people claim to have a “high tolerance” for pain, there is no accurate way to measure or compare pain tolerance among individuals. While some tools exist to measure how much force you can resist before experiencing pain, it can’t be determined what your pain “feels like.”

If you or a loved one needs help managing pain, talk with your health care provider about safe alternatives to opioids. Additional information on the #ChoosePT campaign, including a pain self-assessment that patients can use to facilitate conversations about their care, is available at MoveForwardPT.com/ChoosePT.

Photo courtesy of Getty Images (female physical therapist with seated male patient)

SOURCE:
American Physical Therapy Association




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