Archive | January 2018

QUOTE FOR WEDNESDAY:

“Most experts believe that flu viruses spread mainly by tiny droplets made when people with flu cough, sneeze or talk. These droplets can land in the mouths or noses of people who are nearby. Less often, a person might also get flu by touching a surface or object that has flu virus on it and then touching their own mouth, nose, or possibly their eyes.”
CDC Center for disease prevention and control

Part III Know all the facts about the FLU, that’s on the rise!

FLU FACTS:

-Both colds and flu usually last the same seven to 10 days, but flu can go three to four weeks; the flu virus may not still be there, but you have symptoms long after it has left. Allergy can last weeks or months.

-The winter flu epidemic is again around us full force and in a given locality it reaches its peak in 2 to 3 weeks and lasts 5 to 6 weeks. Then is disappears as quickly as it arrived. The reason for this is not completely clear. The usual pattern is for a rise in the incidence of flu in children,  which precedes an increase in the adult population (that is on the rise in our hospitals).

-The flu virus can lead to serious complications, including bronchitis, viral or bacterial pneumonia and even death in elderly and chronically ill patients. Twenty thousand or more people die of the flu in the America each year. Know this that the frequency of human contact across the world and the highly infectious nature of the virus make this explanation difficult to accept. Moreover there is no evidence of persistent or latent infection with influenza viruses. In any case, this idea is not really very difficult from the notion that the virus circulates at a low level throughout the year and seizes its opportunity to cause an outbreak when conditions allow.

-Even harder to explain is why the flu disappears from a community when there are still a large number of people susceptible to infection. Than even harder than that is why flu is a winter disease, which is not fully understood or known. However, flu is spread largely by droplet (aerosol) infection from individuals with high viral level in their nasal and throat secretions, sneezing, and coughing on anyone close at hand. The aerosol droplets of the right size (thought to be about 1.5 micrometers in diameter) remain airborne and are breathed into the nose or lungs of the next victim.  This is why the pt. stays confined in a isolation room in a hospital on droplet isolation.

-Situations in which people are crowded together are more commonly in cold or wet weather and so perhaps this contributes to spreading the flu at these times. It is interesting that in equatorial countries, flu occurs throughout the year, but is highest in the monsoon or rainy season. Enough about facts but onto logical thinking for when we or someone we know has it and what questions we might be asking ourselves.

Don’t forget so you understand if your in a hospital in the ER and than put on a unit in an droplet/contact isolation room (a room where staff and visitors wear masks, gowns and gloves with you not allowed out of that room;  the reason for this is you may be able to pass on the flu to someone else.  Know you can pass on the flu even before you know you are sick, as well as while you are sick. Although people with the flu are most contagious in the first 3-4 days after their illness begins,  some otherwise healthy adults may be able to infect others beginning 1 day before symptoms develop and up to 5 to 7 days after becoming sick. Some people, especially young children and people with weakened immune systems, might be able to infect others with flu viruses for an even longer time.

The first and most important step in preventing flu is to get a flu vaccination each year. CDC also recommends everyday preventive actions (like staying away from people who are sick, covering coughs and sneezes and frequent handwashing) to help slow the spread of germs that cause respiratory (nose, throat, and lungs) illnesses, like flu.

It is very difficult to distinguish the flu from other viral or bacterial causes of respiratory illnesses on the basis of symptoms alone. There are tests available to diagnose flu.

A number of flu tests are available to detect influenza viruses in respiratory specimens. The most common are called “rapid influenza diagnostic tests (RIDTs).” RIDTs work by detecting the parts of the virus (antigens) that stimulate an immune response. These tests can provide results within approximately 10-15 minutes, but are not as accurate as other flu tests. Therefore, you could still have the flu, even though your rapid test result is negative. Other flu tests are called “rapid molecular assays” that detect genetic material of the virus. Rapid molecular assays produce results in 15-20 minutes and are more accurate than RIDTs. In addition, there are several more-accurate and sensitive flu tests available that must be performed in specialized laboratories, such as those found in hospitals or state public health laboratories. All of these tests require that a health care provider swipe the inside of your nose or the back of your throat with a swab and then send the swab for testing. Results may take one hour or several hours.

How well can rapid tests detect the flu?

During an influenza outbreak, a positive rapid flu test is likely to indicate influenza infection. However, rapid tests vary in their ability to detect flu viruses, depending on the type of rapid test used, and on the type of flu viruses circulating. Also, rapid tests appear to be better at detecting flu in children than adults. This variation in ability to detect viruses can result in some people who are infected with the flu having a negative rapid test result. (This situation is called a false negative test result.) Despite a negative rapid test result, your health care provider may diagnose you with flu based on your symptoms and their clinical judgment.

Now you know what the flu is from Part I, in Part II  you know the treat- ments, the strategies and the best prevention of the flu and lastly today in Part III the facts on the flu!  Remember its on a up rise now so do all you can in preventing it for your health!

QUOTE FOR TUESDAY:

“Recommended is that just about everyone get the flu shot: kids 6 months to 19 years of age, pregnant women, people 50 and up, and people of any age with compromised immune systems.   The shot (vaccine) is beneficial.”

The U.S. Centers for Disease Control and Prevention (CDC)

Part II Logical questions you may ask yourself for the Rx of illnesses cold and flu differences.

 

Are the treatments for these illnesses the cold or the flu different?

For any of these things, if it affects the nose or sinus, just rinsing with saline that gets the mucus and virus out is a first-line defense. It’s not the most pleasant thing to do, but it works very well. There are classes of medicines that can help the flu — Tamiflu and Relenza — antivirals that block viruses’ ability to reproduce and shorten the length and severity of the illness. But they have to be taken within 48 hours or the cat is proverbially out of the bag [because by then] the virus has done the most of its reproduction. For a cold or flu, rest and use decongestants and antihistamines, ibuprofen, acetaminophen, chicken soup and fluids.

Zinc supposedly helps the body’s natural defenses work to their natural capacity and decrease the severity and length of a cold. Cells need zinc as a catalyst in their protective processes, so if you supply them with zinc, it helps them work more efficiently. You should also withhold iron supplements. Viruses use iron as part of their reproductive cycle, so depriving them of it blocks their dissemination.

The majority of these infections are not bacterial and do not require [nor will they respond to] antibiotics. My rule of thumb is that a viral infection should go away in seven to 10 days. If symptoms persist after that, you’d consider if it’s bacteria like Strep or Haemophilus. Those bacteria cause illnesses that are longer lasting and need antibiotics for ranging 3 to 14 days, depending on the med used.

Is that treatment approach the same for kids versus adults?

In general, the same rules apply: Most children will have six to eight colds a year in their first three years of life, and most are viral.  Adults have 3 or more a year. It’s very easy to test for strep and for that you should have a [positive] culture [before treating with antibiotics].  The principle behind that is knowing the organism the doctor will know what antibiotic to use to fight off the bacterial infection and you won’t build up antibodies from the antibiotic that you didn’t need in the first place if you are given the wrong antibiotic in the beginning.

Are the strategies for avoiding cold and flu different?

Avoidance is very similar: Strict hand washing, not sharing drinking cups or utensils, and avoiding direct contact with people who are sneezing.  Their transmission is similar.  As long as someone has a fever, they have the possibility to transmit infection. After they’ve had no fever for 24 hours, they’re not infectious anymore.

The U.S. Centers for Disease Control and Prevention (CDC) now recommends that just about everyone get the flu shot: kids 6 months to 19 years of age, pregnant women, people 50 and up, and people of any age with compromised immune systems. Is the shot beneficial to anyone who gets it?

Unless you have a contraindication, there’s no reason not to get it=PREVENTION. Contraindications include egg allergy (because the vaccine is grown from egg products), any vaccines within a last week or two, and active illness at the time of your vaccine.

The best to do is PREVENTION so you can avoid the cold or flu in its active phase or post phase, so doing the following will help prevent it:

Live a healthy lifestyle overall=Good dieting, living good healthy habits and maintaining exercise with rest daily or 2 to 3 times a week including get a vaccine yearly for the flu with maintaining good clean anti-infection habits like as simply as washing the hands as directed above.

If you need help in being given the knowledge in how routinely lose weight if not maintain your good weight, knowing what foods are lean to leaner to leanest out of the 4 food groups, understanding why portions of meals including exercise balanced with rest is so important will all help in understanding the knowledge to maintain a good healthy weight.  Also, knowing  how all 4 interact with each other impacting your metabolism rate, and keeping a healthier body with a higher chance of increasing your immunity with fighting off simple colds to possibly the flu when near someone contaminated with the virus and making this a regular part not just a few months to a year but for life then you came to the right blog.  This is provided through Dr. Anderson and myself as your health coach if you need one in where we help you get started on this goal in your life.  You can order Dr. Anderson’s book “Dr. A’s healthy habits” that provides the information on foods to help you lose the excess of weight with so much more in learning about the body to diseases in prevention and Rx.

****Recommended is to check with your MD on any changes with diet or exercise especially if diagnosed already with disease or illness for your safety.****

References for Part 1,2, and 3 on the two bugs The FLU and The COLD:

1-Wikipedia “the free encyclopedia” 2013 website under the topic Influenza.

2-Kimberly Clark Professional website under the influenza.

3-Web MD under “COLD, FLU, COUGH CENTER” “Flu or cold symptoms?” Reviewed by Laura J. Martin MD November 01, 2011

4-2013 Novartis Consumer Health Inc. Triaminic “Fend off the Flu”

5-Scientific American “Why do we get the flu most often in the winter? Are viruses virulent in cold weather? December 15, 1997

 

QUOTE FOR MONDAY:

“Since the holidays  an explosion in influenza (FLU) throughout the country.  Right now, as hospitals nationwide are “bulging” with influenza patients, the patients most typically sweating it out in backed-up waiting rooms are over 65. This group, he says, is hardest hit by the season’s more severe prevailing strain; they tend to develop the most serious complications of the respiratory virus, including pneumonia.  ”

William Schaffner, M.D., an infectious disease expert and member of the CDC’s national surveillance team.

 

Know how YOU can prevent the FLU with it on the uprise in Hospitals now!

LET’S  FIGHT THE WINTER BUGS. HOW CONTAGIOUS ARE THESE BUGS & WHAT ARE THEIR SYMPTOMS.

People infected with an influenza or cold virus become contagious 24 hours after the virus enters the body (often before symptoms appear). Adults remain infectious (can spread the virus to others) for about 6 days, and children remain infectious for up to 10 days. Factors that may increase the risk of catching a cold are fatigue, emotional stress, smoking, mid-phase of the menstrual cycle, and nasal allergies. Factors that do not increase the risk of catching a cold include cold body temperature (Example being out in the cold or enlarged tonsils). General health status and eating habits do in that they have impact on your immunity and “fight or flight” in fighting off infection as opposed to getting sick due to a healthy body overall.

Watch for flu symptoms and in comparison here with the cold symptoms when trying to decipher what you have before going to the doctor.  Signs and symptoms (S/S):

Flu s/s=High Fever lasting 3 to 4 days, prominent headache,  general aches and pains which are often and severe, fatigue & weakness that lasts up to 2-3 wks., extreme exhaustion-early & prominent chest discomfort, cough-common & severe at times.  *Note weakness and tiredness can last up to a few weeks with the Flu.

Cold S/S-Fever-rare, headache-rare, slight aches, mild fatigue if even present, extreme exhaustion (never occurs), Chest discomfort-mild if present, cough-moderate and hacking cough with sore throat sometimes present.

Common symptom: Stuffy nose is present, a common symptom for children is diarrhea and vomiting.

Regarding cold symptoms also be aware for these specifics, which include:

-Sore throat-usually is going away in about a day or three; nasal symptoms include runny nose and congestion to follow, along with a cough by the fourth or fifth day.  Also, fever is uncommon in adults but a slight fever is possible.  For children fever they can have with their cold. *                                                                                                                                   -With the symptoms above you can also have the nose that teems with watery nasal secretions for the first few days later these become thicker and darker. Dark mucus is natural and does not mean you have developed a bacterial infection, such as a sinus infection.

**Know several hundred different viruses may cause your cold symptoms. A virus cannot be treated with an antibiotic since antibiotics can only fight off bacterial infections.*

Now let’s review what we know now, which is the common cold and the types of flu (Types A,B, and C), we know their symptoms (the cold versus the flu), we even know  The Flu statistics of how many are affected yearly with what complications can arise, based on Part 1 and part of Part 2.   The most important part of this article is letting my readers know or be aware of factors in prevention.

Let’s prepare ourselves in knowing factors for prevention of these 2 BUGS THE COLD and THE FLU (particularly) with knowing what to do when you or someone in the home has it.

The biggest factor in prevention of the COMMON COLD or THE FLU is living out your life utilizing great healthy habits and that would be washing your hands with soap and water often, especially:

  • Before, during, and after preparing food
  • Before eating
  • After using the bathroom
  • After handling animals or animal waste
  • When their hands are dirty
  • When someone in your home is sick                                                                                           
  • FOR AVOIDANCE IN GETTING THE FLU OBTAIN YOUR VACCINE YEARLY! 
  • The flu virus enters through the eyes, nose, and mouth, so those with the flu or a simple cold should never touch their faces unless they’ve just washed their hands.
  • Avoid sharing food, drinks, and utensils.   Do not share drinking glasses-and to break off portions of food and to pour off beverages before consuming them.
  • Keep tissues handy. The flu spreads when infected people cough or sneeze. So adults use them and encourage your kids to cough and sneeze into a tissue or their upper arm if tissues aren’t available. (Coughing into a bare hand can also spread germs if kids touch something before they can wash.)
  • Ask your doctor about antiviral medications. Although not approved for use in children under 1, these drugs can be used in older children & adults to prevent influenza or even can treat the flu in the first 2 days of onset.
  • Keep your face off-limits
  • Live a healthy lifestyle. MOST IMPORTANT!!! A healthy lifestyle may help prevent them from getting sick in the first place.
  • Use those wipes! Flu germs can live for several hours on surfaces such as countertops and doorknobs. Wipe down contaminated objects with soap and water.
  • Let your kids, including adults stay home when they’re sick. They’ll feel better sooner and won’t pass their illness on to their classmates or for an adult passing it on to colleagues at work especially the first few days when contagious so don’t go into work those few days.
  • For a child and an adult keeping the same routine schedule. For a child – keeping the same schedule for play time, bath, pajamas, bottle, story, then bed. Keeping a routine helps, that is one that is healthy of course.
  • Make sure you or your sick child who is sick gets enough sleep.      Too little sleep can cause the feeling of run-down and lower the immunity. Yet a National Sleep Foundation poll found that most children need 1 to 3 more hours of sleep than they’re getting every night usually. How much should they be getting? Experts recommend 11 to 13 hours a night for preschoolers and kindergartners and 10 to 11 hours for school-aged children. Adults 8 hours of sleep a day if not more when sick with a cold or the flu. How to make sure this can be accomplished: Establish an earlier-bedtime routine, this just takes discipline by the parent or yourself if an adult that is sick.
  • Keep your distance. Stay clear of people who are sick-or feel sick.
  • What to do when you have the cold or, worse, the flu:  Take care of yourself with rest, eating and drinking properly, going to sleep earlier, going to your doctor for treatment and changing your life style to a more healthier one with always practicing good health habits in your daily living=PREVENTION if your not already or just improving on those good habits your doing now.                                                                                                                 Recommended is to check with your MD on any changes with diet or exercise or daily habits especially if diagnosed already with disease or illness for your safety.****
  • References:
  •  1-Wikipedia “the free encyclopedia” 2013 website under the topic Influenza.
  • 2-Web MD under “COLD, FLU, COUGH CENTER” “Flu or cold symptoms?”
  • 3-Reviewed by Laura J. Martin MD November 01, 20115-Scientific American “Why do we get the flu most often in the winter? Are viruses virulent in cold weather? December 15, 1997
  • 4-2013 Novartis Consumer Health Inc. Triaminic “Fend off the Flu”
  • 5-Kimberly Clark Professional website under the influenza.

QUOTE FOR THE WEEKEND:

“Pneumonia is an infection that inflames the air sacs in one or both lungs. The air sacs may fill with fluid or pus (purulent material), causing cough with phlegm or pus, fever, chills, and difficulty breathing. A variety of organisms, including bacteria, viruses and fungi, can cause pneumonia.”

MAYO CLINIC

Know the statistics of Pneumonia & that weather hot and cold temps can prone you to it!

   

Final Important facts to know about pneumonia via The American Thoracic Society (https://www.thoracic.org):

 

  1. Pneumonia is an infection of the lung.

The lungs fill with fluid and make breathing difficult. Pneumonia disproportionately affects the young, the elderly, and the immunocompromised. It preys on weakness and vulnerability.

 

  1. Pneumonia is the world’s leading cause of death among children under 5 years of age, accounting for 15% of all deaths of children under 5 years old.There are 120 million episodes of pneumonia per year in children under 5, over 10% of which (14 million) progress to severe episodes. There was an estimated 935,000 deaths from pneumonia in children under the age of five in 2013.

 

  1. In the US, pneumonia is less often fatal for children, but it is still a big problem.  Pneumonia is the #1 most common reason for US children to be hospitalized.

 

  1. For US adults, pneumonia is the most common cause of hospital admissions other than women giving birth. About 1 million adults in the US are hospitalized with pneumonia every year, and about 50,000 die from this disease.

 

  1. While young healthy adults have less risk of pneumonia than the age extremes, it is always a threat.  Half of all non-immunocompromised adults hospitalized for severe pneumonia in the US are younger adults (18-57 years of age). Half the deaths from bacteremic pneumococcal pneumonia occur in people ages 18-64.

 

  1. Older people have higher risk of getting pneumonia, and are more likely to die from it. For most geriatrics it harder for their body to fight infection overall and pneumonia terribly weakens the person’s overall system with many geriatrics already immune compromised in someway.

For US seniors, hospitalization for pneumonia has a greater risk of death compared to any of the other top reasons for hospitalization.

 

  1. Pneumonia is the most common cause of sepsis and septic shock, causing 50% of all episodes. Sepsis is so common today in acute hospitals that is has gone national to have what we call s “septic code” like how a cardiac arrest in hospitals is either “blue code” or still in some a “red code” (since most hospitals have a “red code” for fires in the hospital. This is how much sepsis is common.  Sepsis is hard to fight which can lead to SARS which in short is all systems in the body failing.  To give you some tangibility in how high let us go to a great resource, The World Health Organization (WHO).  They estimated that today the overall fatality rate for SARS (severe acute respiratory syndrome) patients at 14% to 15%, significantly higher than previous estimates. The agency estimated the rate for people older than 64 years to be more than 50%.  That is how serious the diagnosis sepsis/SARS can be, especially for geriatrics!                                                                                                                                                                                                            
  2. Pneumonia can develop in patients already in the hospital for other reasons. Hospital-acquired pneumonia has a higher mortality rate than any other hospital-acquired infection.

 

  1. Pneumonia can be caused by lots of different types of microbes, and no single one is responsible for as many as 10% of pneumonia cases. For most pneumonia patients, the microbe causing the infection is never identified.

 

  1. Vaccines are available for some but not many causes of pneumonia. The influenza vaccine is effective for those strains circulating that year, so it should be taken again every year. The pneumococcal pneumonia vaccines are recommended for those in higher risk groups (children, immunocompromised individuals, and seniors).                                                                             
  2. In the US and the rest of the world, viral pneumonias arethe leading cause of hospitalization of infants.  The World Health Organization has set a high priority on developing new vaccines and new therapeutic drugs to tackle these viral pneumonias that largely have no currently available vaccines or treatments.
  3. Antibiotics can be effective for many of the bacteria that cause pneumonia.For viral causes of pneumonia, antibiotics are ineffective and should not be used. There are few or no treatments for most viral causes of pneumonia.
  4. Antibiotic resistance is growing amongst the bacteria that cause pneumonia.This often arises from the overuse and misuse of antibiotics in and out of the hospital. New and more effective antibiotics are urgently needed.

 

  1. Being on a ventilator raises especially high risk for serious pneumonia.Ventilator-associated pneumonia is more likely to be caused by antibiotic-resistant microbes and can require the highest antibiotic use in the critically ill population.

 

  1. Our changing interactions with the microbial world mean constantly developing new pneumonia risks.Emerging infections can lead to epidemics or pandemics, such as from avian influenza viruses (bird flu), severe acute respiratory system (SARS) coronavirus, Middle East Respiratory Syndrome (MERS) virus, and more. Environmental reservoirs or sources can cause clusters of infection, such as Legionella pneumonia. Bioweapons can cause pneumonia such as from anthrax. Vigilance is needed to prevent pneumonia from becoming an even worse problem than it already is.

 

  1. Patients with pneumonia may need to be hospitalized or even go to the intensive care unit (ICU).After developing pneumonia, it often takes 6-8 weeks until a patient returns to their normal level of functioning and wellbeing.

 

  1. While successful pneumonia treatment often leads to full recovery, it can have longer term consequences.Children who survive pneumonia have increased risk for chronic lung diseases. Adults who survive pneumonia may have worsened exercise ability, cardiovascular disease, cognitive decline, and quality of life for months or years.

 

  1. Pneumonia is a huge burden on our healthcare systems.In the US, pneumonia was one of the top ten most expensive conditions seen during inpatient hospitalizations.  In 2011, pneumonia had an aggregate cost of nearly $10.6 billion for 1.1 million hospital stays.

 

  1. The death rate from pneumonia in the US has had little or no improvement since antibiotics became widespread more than half a century ago.We are not yet winning the battle against pneumonia.

 

  1. Pneumonia does not have effective advocacy.It is not the subject of fund-raising walks or runs. It does not have a ribbon or other symbol around which people rally. It does not get the attention it needs from biomedical scientists or from research funders. More effort is needed now.

QUOTE FOR FRIDAY:

“Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. IBS is a chronic condition that you’ll need to manage long term.”

MAYO Clinic

Irritable Bowel Syndrome

IBS2  IBS3

Irritable bowel syndrome (IBS) is a common disorder that affects the large intestine (colon). Irritable bowel syndrome commonly causes cramping, abdominal pain, bloating, gas, diarrhea and constipation. IBS is a chronic condition that you will need to manage long term.

Even though signs and symptoms are uncomfortable, IBS — unlike ulcerative colitis and Crohn’s disease, which are forms of inflammatory bowel disease — doesn’t cause changes in bowel tissue or increase your risk of colorectal cancer.

Only a small number of people with irritable bowel syndrome have severe signs and symptoms. Some people can control their symptoms by managing diet, lifestyle and stress. Others will need medication and counseling.

  • The signs and symptoms of irritable bowel syndrome can vary widely from person to person and often resemble those of other diseases. Among the most common are:
    • Abdominal pain or cramping
    • A bloated feeling
    • Gas
    • Diarrhea or constipation — sometimes alternating bouts of constipation and diarrhea
    • Mucus in the stool
  • For most people, IBS is a chronic condition, although there will likely be times when the signs and symptoms are worse and times when they improve or even disappear completely.Although as many as 1 in 5 American adults has signs and symptoms of irritable bowel syndrome, fewer than 1 in 5 who have symptoms seek medical help. Yet it’s important to see your doctor if you have a persistent change in bowel habits or if you have any other signs or symptoms of IBS because these may indicate a more serious condition, such as colon cancer.
  • Symptoms that may indicate a more serious condition or tell you see an MD even call 911:
  • Rectal bleeding
  • Abdominal pain that progresses or occurs at night
  • Weight lossThe exact cause of irritable bowel syndrome (IBS) has not been determined, although there are several theories. One theory is that IBS may be an immune disorder, or one in which the intestines of the affected person are highly sensitive in responding to stress and bacteria. Certain foods are thought to trigger IBS flare-ups, including dairy products and gluten, which is present in wheat, barley and rye.                                                          
  • Causes of IBS:

The epithelial layer, or lining, of the large intestine controls the amount of fluid in the bowel. In IBS, there appears to be a disruption in the function of fluid absorption. This can result in excessive fluid in the colon, which causes diarrhea and watery stools. Or, if the lining of the colon absorbs too much fluid from the colon contents, the stool may become dry, leading to constipation.