ALS: The Illness Behind the Ice Bucket Challenge

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Over the past two weeks the Ice Bucket Challenge has become one of the hottest – or should I say coldest – viral video campaign in our country. Celebrities and “regular folk” from coast-to-coast have been pouring cold buckets of ice water (and hopefully donating as well) all in the name of ALS awareness and research. Though many of us have watched a few of these videos and some have even participated in them, not everyone actually knows what the cause they’re promoting is in the first place. Let me break it down for you so we can add some education to all of this awareness!

 What is ALS?

ALS (Amyotrophic lateral sclerosis) is also known as “Lou Gehrig’s Disease,” a name that may ring a bell for you. The disease is progressive, and affects the nerve cells in the brain and spinal cord, impacting the motor neurons that go from the brain to the spinal cord to the muscles in the body that control voluntary movement. When I say voluntary movement I mean walking, using your hands, talking, etc. It does not impact muscles that control involuntary movement, which means it doesn’t impact breathing, your heart and so forth. As these motor neurons deteriorate and die, the brain becomes less and less able to control voluntary muscle movement, which eventually leads to muscle atrophy (this means they become smaller and thinner) and then total paralysis, organ failure and for some, death. Most ALS patients die within three to five years of diagnosis.

Is there a cure?

There is currently no known cure for ALS, but the good news is there is a wealth of understanding about the disease and there is also one FDA-approved drug that has been shown slow its progression as well as several promising clinical trials for drugs that will do the same. There are also treatments that can help make it more manageable and prolong survival.

No matter what your opinion on the Ice Bucket Challenge is, the numbers don’t lie. Donations have been staggering since its inception and are reaching high into the millions. These monies will then be used to help aid even more research, trials and hopefully will help us get to therapies that can reverse it and cure it forever!

 

Wishing you good health.

XO

Dr. V

 

 

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Top Ten Fascinating Facts You Should Know for National Breastfeeding Month

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1. Breast milk is packed with disease-fighting nutrients that can help protect your baby from an assortment of illnesses like ear infections, stomach viruses, meningitis, and more due to the immunoglobulin A that is present in your milk and protects your baby from germs.

2. Breastfeeding is a great way to get yourself back to your pre-baby weight, as it can burn up to 700 calories per day! That’s right! It takes energy to create and secrete all that breast milk.

3. Most babies can pick the scent of their mom’s breast milk as opposed to another mother’s scent, by two weeks! This familiar smell can be soothing to babies.

4. Don’t forget: what you eat or drink, your baby eats and drinks as well: as it’s all expressed in your milk. Not only does this mean you should be sure to stick to a balanced diet but you should watch for signs of allergies or colic in your baby which could mean you may to modify your diet in order to change your milk.

5. Want your baby to fall into a “breast milk coma?” Did you know milk expressed in the evening has a higher fat content than milk expressed earlier in the day and helps your baby sleep. This also illustrates why it is important to time stamp and label your milk if you are freezing or refrigerating it – the time you pumped truly matters!

6. Breastfeeding is good for your health! Breastfeeding has been shown to reduce the risk of breast, ovarian, and endometrial cancer in a mother’s later life and may reduce the risk of osteoporosis.

7. Almost 75% of all moms produce more milk in their right breast, regardless if they are right- or left- handed.

8. Women who breastfeed for more than twelve months during their lifetime tend to have lower risks of high blood pressure, high cholesterol, heart disease, and diabetes.

9. Breastfeeding can calm you down and make you less stressed because when your baby is nursing your body releases oxytocin and endorphins which can relax you and even help you sleep!

10. Breastfeeding can help prevent your baby from becoming an allergy sufferer versus babies who drink cow or soy milk. The reason? Once again it’s attributed to Immunoglobulin A, a powerful form of protection for baby!

 

Wishing you good health.

 

Dr. V

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Need to Cool Down and Beat the Heat? Grab a Hot Drink!

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It’s hot and you need to cool down, so you reach for a…nice warm drink?  Huh?? Yes, you read that right, instead of reaching for an ice cold glass of something to refresh yourself you may just want to grab a warm mug of tea or coffee instead.  Sound crazy?  Here’s why it works:

When you opt for a warm drink instead of an ice-cold glass of anything, your body temperature rises, and then something else happens, you begin to sweat.  Sweating is your body’s way of cooling down. Now in order for your body temperature to actually cool off after having a warm beverage you need to ensure that this newly produced sweat can evaporate off your skin. So you can’t be bundled up in clothing or dripping in sweat so much that the sweat can’t evaporate from your skin into the environment – let’s say because it’s really humid outside. But if given a chance for that sweat to evaporate your body will cool off!

Now this cool down isn’t due to your core body temperature rising.  Scientists believe that it’s due to special receptors, called thermosensors, found in nerves in the mouth, tongue, and throat that respond to heat. When the tongue and mouth sense heat these receptors tell your brain that you’re hot and then you begin to sweat, which leads to the cooling off process. Why not try this cooling off experiment the next time you feel like you need to beat the heat and tweet me your results!

 

Wishing you good health!

 

Dr. V

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The Ebola Virus and FACTS YOU Need to KNOW

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Over the past week many of us have read headlines that stated two Americans have contracted the deadly Ebola virus! These headlines have quickly led to a lot of fear and confusion.   Could we all here in the US be at risk of contracting Ebola? With the buzz about this outbreak growing I thought it best to address, explain, and clear up any unnecessary worries you may have about the recent Ebola outbreak impacting you. Here’s a breakdown of Ebola facts you should know:

  • First things first – this recent Ebola outbreak hasn’t hit the United States. Though Americans were infected, they are Americans working with Ebola patients in Liberia. These doctors and missionaries are doing noble yet dangerous work, as the Ebola virus is extremely contagious – and unfortunately though they were taking all the possible and necessary precautious these healthcare workers were still infected.
  • The outbreak that is spreading across West Africa is in fact the deadliest Ebola outbreak in history, which is why it’s getting so much buzz and press. It has already killed 670 people, and because it is so very contagious there are fears that those numbers will keep rising.
  • Ebola is a deadly and highly contagious virus. Statistics have shown that it kills 80-90% of those who contract it. And it can be contracted by people who directly come into contact with the virus via blood and other bodily fluids OR even body tissue of those who are infected – whether they are alive or deceased.  Animals that are infected can also pass the disease onto humans and it is also believed fruit bats carry the virus. The advent of air travel has made it possible for the virus to spread faster and farther, as evidenced recently when a Liberian lawyer with the virus flew to Lagos, dying shortly after arrival.
  • Signs of the Ebola virus mirror those of a common cold or flu – sore throat, fever, vomiting, aches and diarrhea as well as red eyes and a skin rash.   These common symptoms usually begin around eight to ten days after exposure.
  • At the moment there is no known cure for the Ebola virus. Treatment is primarily supportive through IV fluid hydration, blood pressure support and pain management.

If anyone you know and love is traveling to an area where Ebola may be a health concern please share with them the facts about this disease! And if they feel ill or have any questions about if they may have been exposed to Ebola definitely encourage them to see a physician or go to the Emergency Room immediately!

 

Wishing you good health!

 

Dr. V

 

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Dr.V’s Summer Bug Bite Guide: Part 1 – Mosquitoes

Mosquito Bite Appearances

 

Summertime brings families from coast-to-coast outside to enjoy warmer weather, parties, camping, backyard grilling and more. The down side of hanging outdoors is that there’s no escaping insects! In fact did you know that at least 40 people a year die from allergic reactions to stings from bees or other insects, according to the American Academy of Allergy, Asthma & Immunology. Beyond bugs, summer is also peak poison ivy and poison oak season.

Most insect bites and stings and most cases of plant rashes aren’t a big deal and simply require TLC you can administer at home. But some insect bites can be potentially dangerous and require swift action with call to 911.

To help you know when to slather on an anti-histamine and stay at home vs. when to rush to the ER I created a Bug Bites of Summer 2014 Guide that you can read in order to keep your family healthy through the summer months. Read below, and I’ll break down the facts you need to know about Poison Ivy to summer’s most common spiders; as well as give you my doctor’s orders on what to do should you get bitten or stung while enjoying the sun and outdoors. Check out Part 1 below all about mosquitoes and stay tuned for more posts about other insects to avoid this summer.

Mosquitoes

THE FACTS

They’re one of the most common bug bites of summer, and most of the time their bites just cause itchy red spots. In your average case it’s key to just avoid scratching as much as possible, which is easier said than done but will truly make a difference.

Some mosquitoes can carry West Nile virus, which is a potentially serious (though not contagious), illness. The majority of cases of West Nile Virus appear between July and September in Midwestern and Southern states. This illness can appear anywhere from 3-14 days after being bitten. Most people who contract West Nile Virus don’t usually have mild symptoms that are self-limited and resolve. However, if you develop symptoms that include a stiff neck, muscle weakness, fever, headache, body aches, nausea or a rash on your torso, you should call the doctor! It is possible in severe cases of West Nile virus to have neurological issues, paralysis and even death. Therefore, it’s important to be aware of how your body feels and if you suspect things aren’t “right” check in with your healthcare provider immediately.

New on the scene this year is Chikungunya. It’s a virus carried by mosquitoes that’s been around since the 1950s in Africa and the Caribbean and now it’s hit the US, much like West Nile virus did 10 years ago, thanks to US tourists returning home from vacations. The interesting thing about this disease is the type of mosquito that carries it. Unlike most mosquitoes who appear and bite us from dusk to dawn, the mosquitoes that carry Chikungunya are the same mosquitoes that carry Dengue Fever and they bite during the daytime! So how can we avoid these annoying bugs. Well read on.

 

DOCTORS ORDERS:

To avoid mosquitoes, always use mosquito repellent! Now you have some choices. I recommend and so does the CDC wearing a an Environmental Protection Agency-registered insect repellent for your skin and clothing that has DEET or Picaridin. Now the higher the concentration (percentage) of DEET in the product the longer it will last and work. If you prefer to use an allnatural product that is DEET-free, which I would recommend for kids and pregnant women try oil of lemon eucalyptus.

Another must – STAY away from mosquito “homes” and prevent them from hanging out around yours! This means – avoid standing water, keep your gutters unclogged, don’t over soak potted plants. Mosquitoes LOOVE water, and even a capful from a water bottle is enough to have hundreds buzzing and breeding and ready to bite you.

If you find yourself in mosquito rich places make sure you wear protective clothing – long shirts and pants!

There’s no vaccine or specific antiviral treatments for West Nile or Chikungunya virus. But over-the-counter pain relievers can be used to reduce fever and relieve other symptoms.

 

BONUS TIP:

Mosquitoes are often lured in by sweat, alcohol, perfumes and dark clothing- so avoid these if you can!

Wishing you a bug free summer

xo

Dr. V

 

 

 

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June is Men’s Health Month

HiRes

This month is all about the fellas. Ladies I know you know someone in your life that NEEDS to see a doctor and hasn’t gone because he has a ton of excuses, like…. “I don’t have time,” or “really, I’m fine, I get chest pain all the time, it’s nothing,” or “ I just strained something in the gym and that’s why I keep feeling this pain.” Men are notorious for not going to the doctor. Actually 45% of men between the ages of 18 and 50 don’t have a primary care physician. That’s an astonishing number when you think that men between the ages of 20 years and 40 years are 2 times as likely as women to die. Yes, that’s right! So drag the man in your life to the doctor, even if he kicks and screams like a child.

June is Men’s Health Month so let’s try and coerce, ahem, I mean convince the man in your life who needs to go to the doc, that it’s important have a relationship with a physician and see a doctor regularly in order to keep him healthy and strong. I know visiting the doctor can be overwhelming, so I’ve listed below 5 things a man at any age (20 years old and above) should get checked out for at the doctor. These are all necessary tests that aren’t INVASIVE and won’t cause embarrassment so why not do all 5. Come on fellas, the life you save, will definitely be your own.

 

1) Get Your Ticker Checked.

Signs of a cardiac issue can often present as shortness of breath or chest pain while working out, heartburn, or even just general feeling of tiredness. Tell your doctor how you and your heart are doing, and if you haven’t been able to do as much physical exertion or exercise as you normally have been able to do. Also get your blood pressure checked and know what your normal number is.

 

2)   Know Your Blood Sugar.

Your lady thinks you’re sweet and that’s great, but having high blood sugar isn’t. Almost 50% of American men have diabetes or are pre-diabetic according to the National Institute of Health. What’s scary is that almost 1/3 don’t even know they have it. So find out your fasting glucose and Hemoglobin A1c.

 

3)   Get a skin check.

That guy at the pool looking like an overcooked lobster is not the look. And did you know that having just 5 sunburns in your lifetime doubles your risk for malignant melanoma! Many people don’t realize but men are disproportionately affected by skin cancer. Of the 3.5 million new cases of skin cancer every year, more than 66% of those are men. And 1 in 39 men vs. 1 in 58 women will actually develop melanoma in his lifetime. Melanoma can be treated if found early. So fellas strip to your skivvy’s and have your girlfriend or wife check out your bodacious bod once a month for any new moles or skin issues.

 

4)   Get Your Cholesterol Checked.

It’s important to know your numbers. Having high cholesterol makes your blood sticky and causes plaque buildup in your arteries called atherosclerosis. This can lead to heart attack and stroke because the plaque clogs up your arteries.   After age 40, 50% of men can expect to have coronary artery disease – clogged arteries. Coronary artery disease is what causes heart disease and is still the number #1 killer of men. Don’t let it be you, or someone you love.

 

5)   Get an Eye Exam.

Many eye diseases are slow and gradual and can cause blindness or irreversible vision loss before you even realize you are having a problem. For this reason it’s important to maintain good eye health. Certain patient populations need to have their eyes checked more frequently like African-Americans, patients who have had previous eye trauma, used steroid medications, have diabetes, or a family history of glaucoma. Get those starry dark brown eyes checked out soon.

 

And a Bonus Exam for the fellas:

See the dentist at least once a year for an annual cleaning (every 6 months is even better but hey I’ll take what I can get). Because good dental health keeps you heart healthy.

 

Wishing you a great June and Happy Father’s Day

 

xoxo

 

Dr V

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