Modern Day Measles Outbreaks Explained

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When news of recent measles cases began hitting the news it surprised people a lot.  “Measles?!” I know you thought, “Huh? Didn’t we take care of that health issue years ago?”  “Do people still get that?”  Though it does sound like an illness that was more prominent when our parents or even grandparents were young, this highly contagious disease DOES still exist – in fact each year about 60 people in the United States alone are diagnosed.   Unvaccinated people can also bring measles into the United States from other countries after being infected themselves or spending time with infected friends and family. Thankfully, because of successful vaccination the measles is not a health epidemic here in the US, but it still kills an estimated 164,000 people each year around the world. Since the measles has popped up again here in the US and is HIGHLY contagious and has long term consequences I thought I would break down some facts about measles for you in this essential guide.

 

What is the Measles?

It is a highly contagious disease caused by a virus that enters your body via the respiratory system and is spread through the air by breathing, coughing or sneezing.  It can cause fevers, cough, runny nose and a rash all over your body. It doesn’t just affect kids, measles can also make a pregnant woman have a miscarriage or give birth prematurely. The measles is so highly contagious that if you have not been vaccinated against it and you are exposed to it, you will almost absolutely get it, and it can lead to other health issues like ear infections and pneumonia.

 

How do most of us prevent it these days?

Measles can be prevented by being vaccinated with the combination MMR (Measles, Mumps, and Rubella) vaccine.

 

Why have there been more measles cases in the United States in recent years?

Most people attribute the recent cases of measles cases and outbreaks to two things 1) to an increase in unvaccinated people visiting the United States and 2) Americans traveling more and more to communities with unvaccinated people in them, then returning home with the virus, bringing it back into the United States.  Vaccination Fun Fact:  The Measles Vaccination Program began in 1963 and before that time 3 to 4 million people got measles every year!

 

Do I have to worry about a measles outbreak in the United States?

Short answer?  No.  Though cases have been reported recently, most of the cases are isolated. That said, if you’re traveling into unvaccinated areas take proper precautious and fully understand the risk you’re putting yourself into before going abroad. And secondly, if you are not vaccinated or do not plant o vaccinate your children talk to your health care provider to ensure ways to stay Measles free.

 

 

 

 

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Lyme Disease, Debbie Gibson & You: The Facts You Need to Know

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This weekend Debbie Gibson bravely shared her latest health news with the world: she has Lyme disease.  The admission was brought on by a flurry of posts in the Instagram and Twitter world making negative comments about her super-slim frame; a result we now know is due to her condition.  I’m proud of Debbie for coming forward and putting her famous face on a condition that is more common than you may realize.

In the hopes of shedding some light on this timely topic as well as teaching you some essential information about risks, symptoms and treatments I’ve created the essential guide to Lyme disease you didn’t even know you needed, but will be happy you read!

 

What is Lyme Disease?

Lyme disease is caused by the bacteria found most commonly in deer ticks. When a deer tick bites you it transmits the bacteria via your bloodstream. In most cases, it takes 36-48 hours for a tick to transmit the bacteria causing disease so simply finding a tick on you after a day in the woods is NOT a sure sign that you’ll be infected.

That said those who are infected deal with health issues that if left untreated can lead to chronic joint inflammation, memory problems, heart rhythm irregularities and neurological issues like facial palsy.

 

Where Can One Catch Lyme Disease & What are the Risk Factors

Ticks that carry Lyme Disease are most common in the Northeast and Midwest regions of the United States. They love to hang out in grassy or wooded areas.  If you’re outdoorsy or spend time in these areas in the warmer months you will want to be extra careful when out enjoying the great outdoors.  One way to help prevent tick bites is by keeping your skin covered.  Ticks attach easily to bare skin so stick to long sleeves and pants when in tick-friendly areas.  When you’re back in from outdoor time, do a tick check (or turn it into a romantic activity with a partner).  The key to Lyme Disease prevention post-tick bite is early removal so make this a priority when you get home!

 

Signs & Symptoms of Lyme Disease

Just like any health issue I’ve talked about with you in the past, Lyme Disease signs and symptoms are different depending on the person and your body, but early signs and symptoms are as follows:

 

  • A small red bump at the site of the bite that begins to expand into a bulls-eye pattern over the course of a few days.  You may find one or several of these rashes on your body.
  • Flu-Like Symptoms – Including chills, fever, body aches or a headache
  • Joint Pain – Which can also be accompanied by bone swelling.
  • Neurological Issues – These issues occur because of inflammation of the membranes surrounding your brain and can happen years after your initial infection.  They can include numbness or weakness in your limbs, and impaired muscle movement.

 

When to see a doctor

NOT every deer tick bite leads to Lyme Disease! But, if you’ve been in a tick friendly area recently, and been bitten and believe you’re experiencing symptoms contact a physician immediately.  Even if you think your symptoms are improving or disappeared, still check with a doctor.  A doctor can draw bloodwork and perform tests to confirm or exclude Lyme disease.

If you test positive for Lyme Disease, don’t worry! Since it is a bacteria born illness it is responsive to antibiotics. So, if you feel ill GO TO the doctor. This is yet another reason why seeing your doctor when health issues arise is a good thing.  Remember that early detection and early treatment truly does lead to improvement in your health and life!

 

Wishing you good health.

XO

 

Dr. V

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Spring Gratitude

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Happy Spring!

When it rains it pours, and for me here out East it’s done that both literally (crazy weather!), as well as figuratively, in terms of gratitude! I have so many wonderful pieces of news to share and things to be so very grateful for.  On the work front, you can now catch my weekly health and medical advice column for Lucille Roberts Women’s Gym  here.  As always in the world of Dr. V, I’m doing what I’m passionate about: sharing health and medical advice on everything from hot topics to preventative care advice as many places as I can!  From Better TV to CBS I’ve been shooting around sharing my tips to keep you healthy and happy!  You’ll have the chance to catch me live or set your DVR’s doing just that this Monday, March 31st on Bethenny. Click here to see more details.

On a more personal note I’m thrilled to announce that I’m now part of the Mommy-to-Be club!  We couldn’t be more thrilled, and Baby has already logged plenty of on-air time already!  And I’m also counting down to giving birth to something else…an amazing project that will bring must-haves to other mommy-to-be’s fingertips and homes.  Stay tuned to the website, social media and this newsletter to find out more!

I hope you too are finding reasons to be grateful this Spring.  I encourage you to see the new season as a chance for renewal and growth, an opportunity to breathe new life into your wellness routine and come alive again like the nature around us, with new energy and vigor!

Have a wonderful weekend!

Smooches,

Dr. V

 

 

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Why Do Paper Cuts Hurt So Much, Is Breaking the Seal Real & Other Health Questions Answered…

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OK we have all wondered why do paper cuts hurt so much?  Does celery really count as “negative calories”?  Is “breaking the seal” when you have to go to the bathroom all in your head?  Oh so many health questions so many Americans ask themselves from time to time…let’s finally answer them!  It’s time to solve some everyday health mysteries!  Sure one can talk about high brow medical issues all day long but what about the health questions, myths and curiosities so many of us actually wonder or mistakenly believe on a regular basis?  Let’s get them answered!

 

Why do paper cuts hurt so much?

There are a couple of reasons why paper cuts are so painful and irritating.  The first reason is their physical makeup:

  • Your hands and fingers are great sensors and guides for your body.  They are packed with nerve fibers called nociceptors.  These fibers can sense temperature, pressure and pain, and there are more of them per square inch in your hands and fingers than most other parts of your body.
  • These nerve endings are handy when warning you of a hot door or itchy sweater. But it also means you’ll notice it a lot more when you hurt yourself – because they’re sending lots of pain signals to your brain.
  • Next reason?  The type of cut.  Sure a paper cut is much better than a deeper cut, but because it’s shallow. But since it’s not a deep cut it may not clot or even bleed much at all. Which means that that cut is constantly exposing nerves to the air – which means more “ouch”!
  • Also, you simply use your hands and fingers more than most parts of your body on a daily if not every-minute basis.  Couple that with the density of sensors in those areas and you’re in for an irritating post-paper cut feeling.

 

Does celery really count as “negative calories”?

If you’ve ever been on a diet – or had someone in your family who was – you may have heard them talk about how they’re sticking to celery for snacking because of it’s negative calories.  So is this fact or fiction?

  • First let’s clear up what they mean by negative calories.  It’s what people say when they mean that the food takes more calories to eat and process than it actually has in a serving.
  • In truth “negative calorie” foods don’t exist because of the definition of what a calorie actually is and how it works. Calories wasted while processing foods are already considered in calculating the Thermic Effect of Food (TEF) – meaning the amount of energy it takes to metabolize the food.  TEF usually wastes about 10% to 20% of calories, which means a 10-calorie stalk of celery wastes 2 calories to deliver 8.   Not a major impact on your diet or “points.”  Even if you did end up spending more calories than you took in the effect would be too small to measure!
  • At the end of the day “free foods” and “negative calories” are often used by dieting programs and magazines to make you feel better about increasing your intake of good fruits and vegetables that are made up mostly of water and fiber.
  • Basically – if you substitute celery and cucumbers and other “negative calorie foods” for your usual cookies and cakes, sure you’ll lose weight but you aren’t going to drop dress sizes by chewing celery all day long!

 

Why do onions make you cry?

We’ve all experienced the moment when we cut into an onion and within seconds our eyes well up and we begin to cry – I fact It only takes about 30 seconds to start crying after you make the first cut, that’s the time needed for syn-propanethial-S-oxide formation to peak.  Syn what?  Here we go – get your science hat on!

  • When you cut into an onion, its ruptured tissues release all sorts of goodies, like enzymes and amino acid sulfoxides. The enzymes breaks the amino acid sulfoxides into down into sulfenic acids.
  • These acids are unstable and spontaneously rearrange into acidic compounds called thiosulfates, which produce a pungent odor. And these acids liberated are also converted by into a gas called syn-propanethial-S-oxide, also known as the Lachrymatory (Crying) Factor.
  • This “Crying Factor” (Syn-propanethial-S-oxide) moves through the air and reaches our eyes. The first part of the eye it meets, the cornea, is filled with fibers that lead to the lachrymal (tear) glands. When Crying Factor (syn-propanethial-S-oxide) is detected, all the fibers in the cornea start firing away and tell the glands to wash the irritant away.
  • Before you know it your eyes automatically start blinking and producing tears, which flushes the irritant away.
  • Another problem when cutting onions?  Our reaction to our tearing, burning eyes is to rub them, which only makes things worse since our hands also have some syn-propanethial-S-oxide – the Crying Factor – on them.
  • How to prevent this problem?  Some people actually wear “onion cutting goggles” to minimize this effect!  You can also refrigerate your onion before cutting it, which slows the chemical reactions that lead to your tears!

 

Is “breaking the seal” when you have to use the bathroom an actual medical phenomenon?

Now this is a phrase that gets popular when you are in college or “of age” to drink and refers to the fact that if, when drinking, you go to the bathroom and “break the seal” you will then have to go to the bathroom quite frequently.

  • Part of what makes you pee so much while boozing is that alcohol inhibits antidiuretic hormone (ADH). ADH is made in the part of the brain called the hypothalamus, and stored and released from the pituitary gland at the base of the brain. Its job is to conserve water in the body by reducing its loss via your urine.
  • Alcohol messes everything up and blocks certain nerve channels that help get ADH circulating in your bloodstream. Without ADH conserving water, the kidneys don’t reabsorb water as easily and excess water winds up getting dumped into your urine to leave the body.
  • With alcohol keeping ADH from doing its job, you produce a lot more water-diluted urine, which fills the bladder quickly and makes you have to pee more often.
  • So, there’s really no seal to break and in fact the moment you took your first drink and started suppressing your ADH, was when that imaginary seal started breaking!
  • ALSO, for many people alcoholic beverages can be a bladder irritant. And carbonation in drinks like beer and champagne can cause gas and pressure that contributes to that irritation. As your bladder fills up after that initial drink, all that pressure can create a very strong urge to pee more and make your bladder feel fuller than it really is, sending you running to the bathroom over and over again throughout the night.
  • Thus the legendary seal was and is broken in your mind, but it’s really just your body dealing with your alcohol intake!

 

Why do beans give you gas?

This is a popular question doctors receive.  Why is it that we don’t get gas when we eat things like rice or pancakes but we do get it with beans (not to mention cabbage, onions and other gas-inducing foods).

  • The answer lies in sugars believe it or not!  These foods are naturally sweetened by a family of sugars called oligosaccharides. These sugars are big molecules that your body cannot easily break them down in the small intestine and digest and process them.
  • This means they move through the gastrointestinal (GI) tract and into the large intestine still intact and bearing valuable nutrients.  So bacteria in the large intestine chows down on these large sugars, and as they do they release gas in return.
  • Eventually this gas has to be let out of your body and  … voila! It is via you passing gas.
  • Bonus info: Why does your gas smell?  In truth the gas you produce in your intestines is actually odorless!  Sulfur is the substance that causes gas to have an odor. Therefore, eating foods that are high in sulfur, such as garlic, onions, leeks, broccoli, cauliflower, cabbage and Brussels sprouts, are what cause foul-smelling gas.

 

Why do spicy foods make my nose run?

You know how it goes – you bite into something spicy like a chili pepper, wasabi or hot curries and your nose begins to run – what’s up with that?

  • The answer can be given in one word: Capsaicin.
  • Capsaicin is the chemical found concentrated in the tissue of peppers. Similarly allyl isothiocyanate is an oil contained in plants like mustard and radishes (including horseradish).
  • Plants use both of these chemicals as biological weapons against predatory animals.  However, when we consume them they act as an irritant, produce a burning sensation, and when ingested cause our mucous membranes to become inflamed and go into defense mode. And our body’s defense is to produce mucous in our nasal passages in order to get any irritants out of our respiratory system.
  • Some more important scoop?  Some people think that spicy foods are great for a cold because they clear their sinuses. Though spicy dishes and foods may cause temporary relief, don’t be fooled!  When the effect wears off you’ll be back to feeling plugged up, because given the way Capsaicin and allyl isothiocyanate work you’ll have worked up even more mucous!

 

Have any health questions that are keeping you awake at night?  Email them to me at doctorv@askdoctorv.com and you might just have them answered in an upcoming blog post or video!

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Hangover Tips for St. Patty’s Day … Drink and Recover Right At Night

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Oh yes ladies and gents it’s that time again … the WEEKEND!! And this weekend (and Monday) is extra special because not only is March 17th my Daddy’s birthday, Happy Birthday DAD, but it’s also St. Patrick’s Day! And I have a feeling you may be out partying into the wee hours of Tuesday Morning. If you do plan a pub crawl this weekend or Monday night here’s a few hangover tips to help you Drink Right At Night so you can actually make it into the office on Tuesday morning. My Dad was an Army man and always says “prior planning prevents poor performance.” So let’s have a plan about how we are going to ensure that you have a safe, satisfying St. Patty’s Day!

BEFORE:

  • Hydrate & eat something – begin your night of partying on a full stomach!
  • Know how you’re getting home before you leave the house – have a plan that is safe and secure that you won’t have to think about while out celebrating.
  • Prepare for your arrival home & the morning after: eye cream and bottled water in the fridge, alarm clock set for Tuesday bright and early!
  • Avoid any green body glitter, hair color or anything else that will impress at a parade but not in the office!

DURING:

  • Match each pint of beer or mysterious green cocktail with a tall glass of water.  Or switch to soda water & lime once you start to feel “buzzed.” There’s nothing wrong with partying sober! No one has to know it’s not a cocktail.
  • Have a buddy! Who will keep you in check and make sure you have a safe trip home.

AFTER:

  • When you arrive home REHYDRATE with water or coconut water – get potassium & other electrolytes back into your body!
  • Prep your face for The Morning After- wash, hydrate, & use your fab face creams!
  • Sleep with an elevated pillow to relieve eye puffiness!

The Monday After: 

  • Keep the hydration going: include water & natural fruit juices like cranberry or apple juice to put natural sugars back into your body.
  • Don’t skip breakfast:
    • Try wholegrain bread – a great source of detoxifying B vitamins!
    • Eggs –they are packed with cysteine which can help clean up leftover toxins from alcohol in your body.
    • HOLD the COFFEE – that Cup o’Joe you normally have in the AM will dehydrate you more. Wait a while before having coffee, tea, or other caffeinated beverages.
    • Toss a banana in your bag for a natural potassium boost! Enjoy it as a snack especially if you still don’t feel fab after breakfast.

Have a wonderful St. Patrick’s Day and don’t kiss every blarney guy (stone) you meet at the bar.

Wishing you a fabulous weekend & St. Patty’s Day!

Smooches,

Dr. V

 

 

 

 

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#DrVRecommends March: The Mommy Edition

  1. Mama Mio Pregnancy KitMaMa Mio lotion/products: Everyone raves about their Tummy Rub including celebrity fitness expert Tracy Anderson who used it all during her pregnancy.  All I have to say is stretch marks be gone! I’m going to protect my tummy (and boobs, hips and thighs) against them with their super-elasticizing oils and butters.  The secret ingredients include Omega-packed blends of organic oils in an organic Shea Butter base.
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  3. maternity-thongMaternity Thong from Pea in the Pod: I may be pregnant but I’m not going to walk around dressed in a sleeping bag for the next nine months.  That’s why I was sure to snag a maternity thong from Pea in the Pod.  When it comes to something like thongs, you want to buy from the (pregnancy wear) master!
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  5. Earth-Mama-TeaEarth Mama Angel Baby Tea Sampler:  I love this tea sampler because it provide 100% organic, non-GMO and kosher teas that fix a number of pregnancy ailments, from nausea and heartburn to anxiety (hello, labor!).  On top of that they’re soothing and tasty!
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  7. Mayo-Clinic-Pregnancy-BookMayo Clinic Pregnancy Book:  Pregnancy is one of the biggest body and life changes a woman will undergo, which is why I’m relying on this team of experts from the Mayo Clinic to serve as my pregnancy resource.  It covers everything from embarrassing questions you wish someone would answer to how to deal with life after baby! #MustRead!
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  9. Preggie-PopsPreggie Pops: Morning Sickness relif and a sucker in one?  Sign me up! Not only are these tasty treats natural and drug free, they also come in great flavors including lavender, ginger, tangerine and peppermint!
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  11. Boppy-PillowBoppy Body Pillow:  Finding comfort when trying to sleep while pregnant often means relying on a body pillow for sweet relief.  I love this one by Boppy and cool because it comes with three separate pieces which means you can use the combination that works best for you. This awesome pillow covers: Head/Neck Support, Belly/Back Support, and Hip/Leg/Ankle Support.  It also has an extended length design provides support all the way down to your ankles, alleviating strain on hips.
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  13. Belli-Facial-WashBelli Skincare Anti-blemish Face Wash: Pregnancy not only changes your body but it changes your skin as well!  That’s why I’ve been relying on Belli Skincare to keep my skin fresh for work and camera ready for my TV segments!  Why do I love it?  It’s chemical and paraben free, allergy tested, cruelty free and isn’t sticky or greasy.
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  15. Yummie-TankTank by Yummie:  Oh how I love this piece by Yummie – Heather Thomson you’re a mom after my own heart!  This tank is my new staple in my wardrobe because they don’t ride up. They also have a nursing tank for once you deliver that I will definitely be snagging as well!
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  17. H&M-Mama-Skinny-JeansH & M Maternity skinny jeans: Let me just say this: I will not invest hundreds and hundreds of dollars in maternity clothes including jeans that I will not need again for the foreseeable future.  That’s why I love these maternity jeans from H & M: they’re cute, comfortable and affordable! Homerun!
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  19. Preggers-Maternity-TightsPregnancy support hose, tights, knee highs, etc:   Oh the “pregnant versions” of things I’m learning I have to buy now as a mom to be, including hosiery.  The good news, I’ve discovered however, is that you don’t have to sacrifice fashion or colors because you’re pregnant, just head over to Preggers and snag the styles that suit you!
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    BONUS:

  21. TylenolTylenol:  Oh Tylenol I love you!  It’s a pregnant woman’s best friend and it’s the only medication you can take.  Which reminds me: AVOID taking Aspirin, Aleve, Motrin and Ibuprofen unless your doctor says it’s OK.   Doctor’s orders!

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