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Month: September, 2010

Drug resistent Superbug Found in the US

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This is really scary.  A antibiotic resistant superbug has spread to the US.  How did this happen and who is to blame?  We are all to blame and it happened because we are lazy.  Think about it.  Because of the incessant advertising by drug companies, we think that whenever we have something wrong with us, we need a pill or a drug.  So we go to the doctor and demand an antibiotic, even though in most cases we are suffering from a viral infection, rather than a bacterial infection.  Please note, antibiotics DON’T work on viral infections!  But the doctor gives you the script anyway because it is easier than arguing with the patient.  Then, the patient doesn’t even take the antibiotics as prescribed and the course of treatment isn’t finished.  How many of you have a half a bottle of antibiotics in your medicine cabinet? 

See, that is part of the problem; the doctors who mindless prescribe pills simply because the patient demands it, are also to blame.  I’m not saying all doctors do it, but I think they are probably in the majority.  The pharmaceutical companies are also to blame, because they have created a culture that allows people to believe they can get well with a pill.  And, in all fairness, some pills – like antibiotics – will get you well.  But most of them only mask your symptoms, they don’t treat the cause of your health issues.  This is why I preach all the time about accepting personal responsibility for your health, as well as all other aspects of your life. 

Now that you have heard my soapbox stand on this topic, go ahead and read the AP article:

An infectious-disease nightmare is unfolding: Bacteria that have been made resistant to nearly all antibiotics by an alarming new gene have sickened people in three states and are popping up all over the world, health officials reported Monday.

The U.S. cases and two others in Canada all involve people who had recently received medical care in India, where the problem is widespread. A British medical journal revealed the risk last month in an article describing dozens of cases in Britain in people who had gone to India for medical procedures.

How many deaths the gene may have caused is unknown; there is no central tracking of such cases. So far, the gene has mostly been found in bacteria that cause gut or urinary infections.

Scientists have long feared this _ a very adaptable gene that hitches onto many types of common germs and confers broad drug resistance, creating dangerous “superbugs.”

“It’s a great concern,” because drug resistance has been rising and few new antibiotics are in development, said Dr. M. Lindsay Grayson, director of infectious diseases at the University of Melbourne in Australia. “It’s just a matter of time” until the gene spreads more widely person-to-person, he said.

Grayson heads an American Society for Microbiology conference in Boston, which was buzzing with reports of the gene, called NDM-1 and named for New Delhi.

The U.S. cases occurred this year in people from California, Massachusetts and Illinois, said Brandi Limbago, a lab chief at the Centers for Disease Control and Prevention. Three types of bacteria were involved, and three different mechanisms let the gene become part of them.

“We want physicians to look for it,” especially in patients who have traveled recently to India or Pakistan, she said.

What can people do?

Don’t add to the drug resistance problem, experts say. Don’t pressure your doctors for antibiotics if they say they aren’t needed, use the ones you are given properly, and try to avoid infections by washing your hands.

The gene is carried by bacteria that can spread hand-to-mouth, which makes good hygiene very important.

It’s also why health officials are so concerned about where the threat is coming from, said Dr. Patrice Nordmann, a microbiology professor at South-Paris Medical School. India is an overpopulated country that overuses antibiotics and has widespread diarrheal disease and many people without clean water.

“The ingredients are there” for widespread transmission, he said. “It’s going to spread by plane all over the world.”

The U.S. patients were not related. The California woman needed hospital care after being in a car accident in India. The Illinois man had pre-existing medical problems and a urinary catheter, and is thought to have contracted an infection with the gene while traveling in India. The case from Massachusetts involved a woman from India who had surgery and chemotherapy for cancer there and then traveled to the U.S.

Lab tests showed their germs were not killed by the types of drugs normally used to treat drug-resistant infections, including “the last-resort class of antibiotics that physicians go to,” Limbago said.

She did not know how the three patients were treated, but all survived.

Doctors have tried treating some of these cases with combinations of antibiotics, hoping that will be more effective than individual ones are. Some have resorted to using polymyxins _ antibiotics used in the 1950s and ’60s that were unpopular because they can harm the kidneys.

The two Canadian cases were treated with a combination of antibiotics, said Dr. Johann Pitout of the University of Calgary in Alberta, Canada. One case was in Alberta, the other in British Columbia.

Both patients had medical emergencies while traveling in India. They developed urinary infections that were discovered to have the resistance gene once they returned home to Canada, Pitout said.

The CDC advises any hospitals that find such cases to put the patient in medical isolation, check the patient’s close contacts for possible infection, and look for more infections in the hospital.

Any case “should raise an alarm,” Limbago said.

Posted by Laurie Puckett at Remmel Wellness Center, a full service wellness and chiropractic facility located in beautiful St. Petersburg, Florida.

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Back to School Time is Hard on Pets

Stray puppies, I have found are as cute as pet...
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Kids have been back to school for a few weeks now, and you and they have probably adjusted pretty well.  But how is the other member of you family adjusting?  That’s right, I’m talking about Fido!! 

Back-to-school season is a time of transition for the whole family, as parents and children begin to adjust to a new routine. But as the ASPCA reports, it’s also a difficult time for pets, who have grown accustomed to some extra attention during summer vacations and excursions to parks and beaches.

“It’s not an uncommon problem — after all, cats and dogs are particularly vulnerable to any change in their schedules, and they thrive on stimulation,” the group notes. “With nothing to do, pets are forced to find ways to entertain themselves, which may include excessive barking or meowing, gnawing on shoes, raiding the garbage, eating houseplants and scratching furniture.”

If your pet is suddenly having house-training “accidents,” barking or howling more often, pacing or digging or trying to break out of the yard, it may be a sign that the animal is having a hard time adjusting (or readjusting) to the new family schedule.

The best strategy is to avoid an abrupt change in schedule, and in the weeks before school gradually introduce your pet to short periods of separation. But if it’s too late for that, the ASPCA recommends giving your dog or cat a treat every time you leave the house to help them develop positive feelings about being alone. For dogs, they suggest stuffing a rubber toy called the Kong with food to provide stimulation.

Scolding or punishing your dog or cat for bad behavior could make it worse, so be patient. If the problems continue, educate yourself about pet separation anxiety and talk to your veterinarian about your options.

Read the full article on the ASPCA Web site, “Conquering Your Pet’s Back-to-School Blues.”  And if your pet is showing signs of sadness when the kids leave for school, tell us about it.  We love feedback on our blog!

Posted by Laurie Puckett at Remmel Wellness Center, a full service wellness and chiropractic facility located in beautiful St. Petersburg, Florida.

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Signs that You Are Too Stressed

I’m busy.  I’m a single mother of two teenage daughters.  I work all the time (or at least some weeks it feels like it). I do a lot of charity work and sit on the boards of three local non-profits.  I promise you that I know all about stress, and I suspect many of you do, too.   I’m sure you know many of the signs of stress, but do you know the signs of being over-stressed?

New research shows there are some surprising ways your body can tell you that you’re over-stressed.

Headaches are definite signs that adjustments need to be made, but headaches on the weekend can mean something very specific.

A drop in stress and changes in eating and sleeping habits can trigger painful migraines.  Try to keep your routine the same seven days per week to avoid the pain.  I do get tension headaches, but thankfully, I haven’t had a migraine in many, many years.

Also, damage done by grinding your teeth is no myth.

If your mouth aches, you could have the bad habit.  Studies show that wearing a mouth guard at night decreases the grinding by 70 percent.  I do clench my jaw and grid my teeth.  The clenching occurs all through out the day and night, but the grinding is only at night.  I think I need help in this arena!

In addition, pay attention to your dreams. 

According to research, dreams become more positive as you continue to rest.  However, if you are waking up more often due to stress your dreams become less pleasant.  I really don’t remember my dreams, but I will occasionally wake up feeling anxious, probably the result of an unpleasant dream.

Avoiding caffeine and alcohol in the evening and getting seven to eight hours or night of sleep can help.  Avoiding caffeine is easy … my body is a caffeine-free zone, but avoiding alcohol in the evening?  Who are you kidding?  I can’t drink while I’m working!! lol  I will have a glass of wine from time to time in the evening, and one glass of wine doesn’t affect my sleep.  But I have noticed that two glasses of wine will.  I guess one is my limit.  That is good to know, because getting a good night’s rest helps lower stress levels.  As for the 7-8 hours of sleep a night, that is a GREAT goal for me to set!

Some instant ways to relax:

Plan your next vacation – thinking ahead to pleasant days reduces stress.

Sniffing certain fruits can help you de-stress – animals exposed to the fragrance of lemons, mangos, basil, and some teas had less inflammatory chemicals in their blood.

Deep breathing exercises also help calm the mind and body and lower your blood pressure.

Mini exercise breaks can also help lower your stress levels. Get up from your desk and take a brisk walk around your building.  If you are in a multi-story building go up and down the stairs for 5 minutes.  A change of scenery and a boost in your endorphins will help you de-stress and get back to work with a more clear head.

Posted by Laurie Puckett at Remmel Wellness Center, a full service wellness and chiropractic facility located in beautiful St. Petersburg, Florida.

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The Cost of Car Accidents

Drivers around here really suck.  Maybe you don’t like my language, but you still probably agree with me.  And I’m going to give you my two cents worth as to why I think that is.  #1 – distractions; #2 – lack of personal responsibility; #3 – lack of capability. 

#1 Distractions:  Distractions are the obvious culprit for why there are so many bad drivers on the road today.  People are more focused on their phoone or text conversations or email communications on their cell phones/smart phones.  More and more business people have computers in their cars, which provide an oh-so-tempting distraction while driving.  And don’t forget the DVD players installed in cars, SUVs and minivans of all the moms and dads out there.  Sure, it keeps the kids from being a distraction, but can’t you see how the movie could be a distraction?

#2 Lack of Personal Responsibility:  Let’s face it – people don’t accept responsibility for their actions anymore.  It is always someone else’s fault.  Spill a cup of hot coffee in your lap?  Surely you didn’t fumble the cup and place it on precariously on your lap – so it must be McDonald’s fault.  Same thing on the road.  That is why you see drivers rolling through stop signs and running red lights, weaving in and out of traffic, speeding through town and school zones.  Because if something bad happens, of course it won’t be your fault.  Blame it on the person who was driving too slow in front of you.  Blame it on the person with the right-of-way who didn’t see you coming or didn’t get out of your way fast enough.  Blame it on the kid who was talking to friends while getting of the bus – he should have been paying attention! 

#3 – Lack of Capability: This really covers a lot of different situtations.  The drivers who are impared from alcholol, illegal drug use, or legal prescription use.  It also incorporates young drivers who haven’t developed the reflexes and skills that come with experience behind the wheel.  And finally, it includes our aging population who maybe shouldn’t be driving anymore, but are reluctant to give up the freedom that it represents.

So what are the costs associated with lousy drivers (regardless of the reason)?  In a one-year period, the cost of medical care and productivity losses associated with injuries from motor vehicle crashes exceeded $99 billion – with the cost of direct medical care accounting for $17 billion, according to a study by the Centers for Disease Control and Prevention. The total annual cost amounts to nearly $500 for each licensed driver in the United States, said the study in the journal Traffic Injury Prevention. See the CDC press release.

The one-year costs of fatal and non-fatal crash-related injuries totaled $70 billion (71 percent of total costs) for people riding in motor vehicles, such as cars and light trucks, $12 billion for motorcyclists, $10 billion for pedestrians, and $5 billion for bicyclists, the study said.

So the message here is that getting in an accident ain’t cheap.  Slow down, take your time, put away the cell phone, turn off all electronic devices when you are driving and be present and aware.  If you are taking medications that can impair your ability to drive a car, stay home or get a ride.   Don’t even think about driving if you are drinking or doing drugs – you might get what you deserve, but the innocent victim of your irresponsibility doesn’t.  If you are young use common sense, practice in less trafficed areas when possible, and follow all of the advice above.  And if you are elderly, talk to your family about whether you should consider retiring your driver’s license.  These steps won’t just keep you safe, it will keep your passengers and the other travelers on the road safe as well.

And, if you do get in a car accident, be sure to seek quality, competent medical care from a reputable doctor.  Dr. Remmel has been treating patients who have been injuried in automobile accidents for over 30 years.  If you can’t see him, see someone that is recommended by someone you know and trust.  Don’t call a “doctor and attorney referral service.”  They aren’t about getting you better, they are about making money off of you.

Posted by Laurie Puckett at Remmel Wellness Center, a full service wellness and chiropractic facility located in beautiful St. Petersburg, Florida.

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Danger Lurks: Promoting Bulimia Online

Bathroom: After
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As I mentioned countless times, obesity is an epidemic in America, and it is slowly but surely killing us while putting an enormous burden on our health care system.  But there are other eating issues besides gluttony that are dangerous, and yes, deadly.  Yesterday’s post discussed anorexia and how there are over 10,000,000 websites that encourage and promote anorexia.  Today we are talking about bulimia.

Remember the stats I mentioned yesterday?  Unbelievably, there are over 10,000,000 websites that are promoting anorexia; giving tips and online support to help people become thinner through anorexia.  There are more than 2,000,000 other pro bulimia websites offering encouragement, tips and advice on purging.  I’ll say it again … that these sites exist is to me, morally reprehensible.

What is Bulimia?

Bulimia, also called bulimia nervosa, is a psychological eating disorder. Bulimia is characterized by episodes of binge-eating followed by inappropriate methods of weight control (purging). Inappropriate methods of weight control include vomiting, fasting, enemas, excessive use of laxatives and diuretics, or compulsive exercising. Excessive shape and weight concerns are also characteristics of bulimia. A binge is an episode where an individual eats a much larger amount of food than most people would in a similar situation. Binge eating is not a response to intense hunger. It is usually a response to depression, stress, or self esteem issues. During the binge episode, the individual experiences a loss of control. However, the sense of a loss of control is also followed by a short-lived calmness. The calmness is often followed by self-loathing. The cycle of overeating and purging usually becomes an obsession and is repeated often.

Bulimia was only diagnosed as its own eating disorder in the 1980s.

People with bulimia can look perfectly normal.  Here is the tricky part in identifying someone who is bulimic:  Most of them are of normal weight, and some may be overweight. Women with bulimia tend to be high achievers.

What makes it even harder to determine whether a person is suffering from bulimia, is the fact that bingeing and purging is often done in secret. Also, individuals suffering from bulimia often deny their condition.

Sufferers consume huge quantities of food. Sometimes up to 20,000 calories at a time. The foods on which they binge tend to be foods labeled as “comfort foods” — sweet foods, high in calories, or smooth, soft foods like ice cream, cake, and pastry. An individual may binge anywhere from twice a day to several times daily.

What Causes Bulimia?

There is currently no definite known cause of bulimia. Researchers believe it begins with dissatisfaction of the person’s body and extreme concern with body size and shape. Usually individuals suffering from bulimia have low self-esteem, feelings of helplessness and a fear of becoming fat

Medical complications from bulimia

Some of the most common complications of bulimia are:

•Erosion of tooth enamel because of repeated exposure to acidic gastric contents.
•Dental cavities, sensitivity to hot or cold food.
•Swelling and soreness in the salivary glands (from repeated vomiting).
•Stomach Ulcers.
•Ruptures of the stomach and esophagus.
•Abnormal buildup of fluid in the intestines.
•Disruption in the normal bowel release function.
•Electrolyte imbalance.
•Dehydration
•Irregular heartbeat and in severe cases heart attack
•A greater risk for suicidal behavior
•Decrease in libido
Symptoms of Bulimia

Some of the most common symptoms of bulimia are:

•Eating uncontrollably
•Purging
•Strict dieting
•Fasting
•Vigorous exercise
•Vomiting or abusing laxatives or diuretics in an attempt to lose weight.
•Vomiting blood
•Using the bathroom frequently after meals.
•Preoccupation with body weight
•Depression or mood swings. Feeling out of control.
•Swollen glands in neck and face
•Heartburn,
•Bloating,
•Indigestion,
•Constipation
•Irregular periods
•Dental problems
•sore throat
•Weakness
•Exhaustion
•Bloodshot eyes

Risk Factors of Bulimia

There are certain professions and activities/hobbies where thinness is emphasized, making eating disorders more prevalent.  Not surprisingly, modeling, dancing, gymnastics, wrestling, and long-distance running all foster body image issues that can lead to bulima.

Bulimia Statistics

•Bulimia affects about 10% of college age women in the United States.
•About 10% of individuals diagnosed with bulimia are men.
•10% of individuals suffering from bulimia will die from either starvation, cardiac arrest, other medical complications, or suicide.

Bulimia is insidious in that it is really hard to identify an individual who suffers from the illness.  The health problems associated with bulimia are extensive, but the individual doesn’t look ill on the outside and often isn’t thin to the point of alarming friends and family.  Again, open communication between the individual and family/friends is the key to preventing eating disorders or getting help for the one suffering from the illness.

Posted by Laurie Puckett at Remmel Wellness Center, a full service wellness and chiropractic facility located in beautiful St. Petersburg, Florida.

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