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QUOTE FOR MONDAY
“About 1 in 5,000 people have Marfan syndrome, including men and women of all races and ethnic groups. About 3 out of 4 people with Marfan syndrome inherit it, meaning they get the genetic mutation from a parent who has it. But some people with Marfan syndrome are the first in their family to have it; when this happens it is called a spontaneous mutation. ”
The Marfan Foundation
Marfan Syndrome
Connective Tissue Disorder
The primary purpose of connective tissue is to hold the body together and provide a framework for growth and development. In Marfan syndrome, the connective tissue is defective and does not act as it should. Because connective tissue is found throughout the body, Marfan syndrome can affect many body systems, including the skeleton, eyes, heart and blood vessels, nervous system, skin, and lungs. Marfan syndrome affects men, women, and children, and has been found among people of all races and ethnic backgrounds.
- The severity of Marfan syndrome varies from one individual to another and it typically progresses over time.
- A tall, slender build is characteristic of Marfan syndrome.
- Marfan syndrome affects the skeleton, eyes, heart and blood vessels, nervous system, skin, and respiratory system.
- Marfan syndrome is caused by a defect, or mutation, in the gene that determines the structure of fibrillin-1, a protein that is an important part of connective tissue.
- There is no specific laboratory test, such as a blood test or skin biopsy, to diagnose Marfan syndrome. The doctor and/or geneticist (a doctor with special knowledge about inherited diseases) relies on observation and a complete medical history and examination.
- There is no cure for Marfan syndrome. However, a range of treatment options are designed to minimize and prevent complications.
Marfan syndrome is an inherited disorder of connective tissue, although about one-quarter of all cases occur without any family history of the syndrome. Marfan syndrome is caused by a defect in the fibrillin 1 gene on chromosome 15. It affects both men and women of all ethnic backgrounds. About 1 in 5,000 people have Marfan syndrome. The aorta is affected in Marfan syndrome. Photo © A.D.A.M.
Updated July 27, 2009.
Symptoms
Marfan syndrome affects many areas of the body. Symptoms may include: •tall and thin body type
•long arms, legs, fingers, and toes
•flexible joints
•curvature of the spine (scoliosis)
•chest sinks in (pectus excavatum) or sticks out (pectus carinatum)
•weak and fragile aorta, the main artery that carries blood away from the heart – it may become enlarged (aortic dilation) or develop a bulge (aneurysm), or may tear and burst (aortic dissection)
•severe nearsightedness, and sometimes dislocated lens of the eye
A person with Marfan syndrome has at least 3 symptoms in different parts of the body.
Diagnosis
The doctor may diagnose Marfan syndrome if the patient has a family history of the disease, and if there are specific problems in at least two of the body systems known to be affected. For a patient with no family history of the disease, at least three body systems must be affected before a diagnosis is made. Moreover, two of the systems must show clear signs that are relatively specific for Marfan syndrome.
If Marfan syndrome is suspected, a thorough physical examination should be done, as well as special testing.
This would include: •A complete family medical history and family tree
• Echocardiogram of the heart by a cardiologist
•Examination of the skeleton and measurement of body proportions
•Full eye examination by an eye doctor
It is possible that a person may have a few of the symptoms of Marfan syndrome, but the diagnosis is not certain. The person may have a different connective tissue disorder, such as Ehlers-Danlos syndrome or Loeys-Dietz syndrome . A diagnostic test for Loeys-Dietz syndrome is available.
Treatment
There is no cure for Marfan syndrome, but there are treatments that can help prevent or minimize its complications.
The biggest threat to people with the syndrome is the sudden tearing of the aorta, a medical emergency which can be fatal.
Therefore, close monitoring by a cardiologist and surgical repair of a weak aorta will save many lives.
Blood pressure medications can also reduce stress on the aorta, as can avoiding strenuous exercise and contact sports.
References:
1.) Health.com By Mary Kugler, R.N. Updated July 27, 2009.
2.) MedcineNet.com
QUOTE FOR THE WEEKEND:
Influenza causes more than 200,000 people in the U.S. to be hospitalized every year. Up to 49,000 people die each year from flu-related causes. Prevention is key
WEB MD
The pros and cons of the flu shot!
Wondering how you can protect yourself from seasonal flu? Or just weighing the pros and cons of the seasonal flu vaccine? Here are some of the fast facts about flu prevention that you’ve been looking for.
- Influenza causes more than 200,000 people in the U.S. to be hospitalized every year. Up to 49,000 people die each year from flu-related causes. Prevention is key.
- Ideally, you should get the seasonal flu vaccine by Thanksgiving — the holiday season means hugs and kisses, which help spread the flu virus. However, getting vaccinated with the flu shot makes sense any time during flu season, which may last from September to May.
- Think the flu vaccine can give you the flu? It can’t. The vaccine is made with a killed (flu shot) or weakened form of the flu virus (nasal flu vaccine), which can’t give you influenza. The nasal flu vaccine has caused transfer of the virus to others, but the risk of this happening is extremely low.
- Concern that there’s a link between autism and the vaccine preservative thimerosal has prevented some parents from getting their kids vaccinated. Worry no more. Studies have found that there is no link between vaccines containing thimerosal and autism. And if you’re still worried, thimerosal-free flu vaccines are now the standard for children in the U.S. — and available to adults for the asking.
- Stuck on the fact that you need to get vaccinated every year? There’s a good reason. Flu viruses change, so flu vaccines must change, too. Each year’s vaccine is unique, cultivated from the flu strains health officials believe will be most menacing that year.
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It’s long been advised that people with allergies to eggs should not get the flu shot. However, the American College of Allergy, Asthma and Immunology says the vaccine contains such a low amount of egg protein that it’s unlikely to cause an allergic reaction in those with an egg allergy. If you have a severe egg allergy (anaphylaxis), talk to your doctor before getting the flu vaccine. Also, flu vaccines not made with the use of eggs are available.
12 Reasons
The best reasons to get vaccinated are to protect yourself and to protect the people around you. The details:
1. You may no longer be protected. You may have received a vaccine as a child. But some vaccines require a booster if you want to remain protected. Protection may not be life-long for diseases like pertussis (whooping cough) or tetanus, which is usually given with the diphtheria toxoid. The CDC recommends a booster for the latter every 10 years after an initial childhood series.
2. Getting vaccines helps protect your kids — especially babies too young for vaccines. Whooping cough vaccines are recommended for pregnant women (preferably between 27 and 36 weeks’ gestation) and people who have contact with young babies. The same is true for the flu vaccine. There’s no flu vaccine licensed for infants younger than 6 months old. “We call that creating a cocoon of protection around the baby,” Schaffner says.
3. Some vaccines are just for adults. The shingles vaccine is a good example. Shingles (also known as herpes zoster or zoster) is caused by a reactivation of the chickenpox virus. It can cause a severe and painful skin rash. The risk for shingles increases as a person ages. The vaccine is recommended for adults 60 and older.
4. You may need them when you travel. Headed to the developing world? You may run into illnesses you’d never find at home. The yellow fever vaccination is required for travel to parts of sub-Saharan Africa and tropical South America. The Saudi Arabian government also requires the meningococcal vaccination — but only for travel during the hajj, or annual pilgrimage to Mecca. You can check the CDC’s web site for details about what you may need for your destination.
5. Everyone needs a flu vaccine, every year. The CDC recommends that everyone 6 months of age and older get a flu vaccine annually if they do not have a medical reason not to receive the vaccine. Each year’s vaccination is designed to protect against the three or four strains of influenza anticipated to be most commonly circulated in the upcoming flu season.
6. Your kids have set an example. Most children don’t have a choice about getting shots. But why should they be the only one getting stuck with a needle? Want to show them that prevention through vaccination works? “Mom, dad, grandma, and grandpa should get their vaccinations just as children do,” Schaffner says.
7. You didn’t get fully vaccinated as a child. Not everyone was, or is, fully vaccinated as a child. If you didn’t get vaccines for things like measles, mumps, and rubella or chickenpox (or varicella) as a child — or any of those diseases themselves — you need them as an adult. And don’t forget. Some older adults were born at a time when children weren’t vaccinated “as comprehensively as we vaccinate people today,” Schaffner says.
8. Newer vaccines have been developed. Some vaccinations recommended for adults are fairly new. For instance, the FDA approved the first HPV vaccine and shingles vaccine in 2006. Although the rate of adults being vaccinated with newer vaccines is increasing, awareness remains a challenge, Wharton says.
9. You’re going back to college. The downturn has forced many adults back to school. But many colleges require proof of routine vaccinations. You may not have those records. Your parents may not have those records. And your childhood doctor may no longer be practicing. It’s OK to repeat a vaccine. But, Wharton says, it’s “a hassle and cost” that could be prevented by keeping good records.
10. You work in the health care profession. Health care providers are exposed to all sorts of potential infections, as well as blood and bodily fluids. Most are required to have not only a complete vaccination series and evidence of immunity, but also to get annual influenza vaccination. This includes things like measles, mumps, rubella (MMR), and hepatitis B.11. You’re sexually active with a number of partners. The hepatitis B vaccine is highly recommended. Hepatitis B can be transmitted from person to person through contact with blood, semen, and vaginal fluid. It is 50-100 times more easily to be infected by hepatitis B than by HIV. Your partner may not appear ill, but could be carrying the disease.
12. You have asthma, heart, lung disease, diabetes, or other chronic disease. Or you smoke cigarettes. Or your immune system is otherwise compromised. The pneumococcal vaccine helps prevent serious disease such as pneumonia, meningitis, and blood infection caused by the bacterium Streptococcus pneumoniae. Get it because you may be at increased risk for these infections, Schaffner says.
You decide is it right for you to protect yourself, your children and your community from passing the flu on to others? I say yes unless you are allergic to it. Think about it; and if you already get the flu vaccine don’t bother in thinking about it and get it when your due. 😉
References 1.) Web MD – Pamela Babcock
WebMD Feature Reviewed by Louise Chang, MD -
2.) Wendy C. Fries WebMD Medical Reference Reviewed by Kimball Johnson, MD
QUOTE FOR FRIDAY:
Michael Burgess (born 31 March 1946, is the Coroner of the Queen’s Household).
Part 3 Knowing the facts and treatment on the FLU.
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 will be coming around us again 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.
-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.
-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.
LOGICAL QUESTIONS YOU MAY ASK YOURSELF:
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 HaemophilusHYPERLINK “http://www.sciam.com/article.cfm?id=how-much-aids-vaccine-do” HYPERLINK “http://www.sciam.com/article.cfm?id=how-much-aids-vaccine-do”influenzae.
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, 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. Most important, you make all the choices. I needed to lose weight and lost 22 lbs. and hope to continue to lose another 20 lbs or so. So if you want to prevent getting the cold to the flu with so many other diseases and illnesses go to healthyusa.tsfl.com and join me. Take a peek for no charge, no obligation and no hacking. I hope you have learned something new from my blog.
****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 THURSDAY:
Kristi Yamaguchi (born July 12, 1971) is an American figure skater. She was the 1992 Olympic Champion in ladies’ singles.
PART 2 LET’S PREPARE FOR THE FALL, WINTER and SPRING BUGS. WHAT ARE THEIR SYMPTOMS & WHAT TO DO, IF THE SYMTOMS ARE PRESENT.
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:
FLU S/S: High Fever lasting 3 to 4 days.
Cold S/S: High fever is rarely.
FLU S/S: Prominent Headache.
Cold S/S: Headache is rarely.
FLU S/S: General aches and pains are often and can be severe.
COLD S/S: Slight in a cold for general aches and pain.
FLU S/S: Fatigue and weakness lasts up to 2 to 3 weeks.
COLD S/S: Fatigue and weakness is mild, if even present in the individual.
FLU S/S: Extreme Exhaustion is early and prominent
COLD S/S: Extreme Exhaustion is NEVER occurs.
FLU S/S: Chest discomfort and cough is common and sore throat may or may not be present..
COLD S/S: Chest discomfort and cough is mild; hacking cough with sore throat present sometimes.
Know not every patient with a flu or cold is the same but in knowing in general common symptoms here’s some:
-Common symptom-Stuffy nose is present sometimes
-Common symptom-Diarrhea and vomiting(more common for children)
*Note weakness and tiredness can last up to a few weeks with the Flu.
Regarding cold symptoms also be aware for these specifics, which include:
-Sore throat-usually is going away in about a 1-3 days.
-Nasal Symptoms=runny nose and congestion to follow, along with a cough by the 4th or 5th day.
-Fever is uncommon in adults with a cold but a slight fever is possible but note in children they can likely have a fever 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 they only are treatment for bacterial infections.*
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.
Now let’s review what we know which is the common cold and the types of flu (Types A,B, and C) are with knowing their symptoms (the cold versus the flu) and The Flu statistics of how many are affected yearly with what complications can arise, based on Part 1 of yesterday’s article on the cold and flu lets now start in letting us be aware of factors in prevention of a cold vs. flu.
The biggest factor in prevention of the COMMON COLD or THE FLU and a great healthy habit 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!***
Keep your face off-limits. 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.****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.**** 1-Wikipedia “the free encyclopedia” 2013 website under the topic Influenza.3-Web MD under “COLD, FLU, COUGH CENTER” “Flu or cold symptoms?” Reviewed by Laura J. Martin MD November 01, 2011 5-Scientific American “Why do we get the flu most often in the winter? Are viruses virulent in cold weather? December 15, 1997
Live a healthy lifestyle. MOST IMPORTANT!!! A healthy lifestyle may help prevent you from getting sick & some hints:
- 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.
- Since the age of 6 months, Olivia’s bedtime routine has been the same – play time, bath, pajamas, bottle, story, then bed. Keeping thi 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 disciplining by the parent or yourself if an adult.
- 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:
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.)
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.
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.
Live a healthy lifestyle. MOST IMPORTANT!!! A healthy lifestyle may help prevent them from getting sick in the first place.
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.
Live a healthy lifestyle. MOST IMPORTANT!!! A healthy lifestyle may help prevent them from getting sick in the first place.
****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 COLD AND THE FLU ARE:
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 Wednesday:
Zygmunt Bauman (born 19 November 1925) is a Polish sociologist. He has resided in England since 1971 after being driven out of Poland by an anti-semitic campaign engineered by the Communist government.