QUOTE FOR TUESDAY:

“When kidneys fail, your body may have difficulty filtering your blood and keeping your body chemically balanced. Dialysis is a treatment process that cleans the body of unwanted toxins, waste products and excess fluids.”

Fresenius Kidney Care (freseniuskidneycare.com)

QUOTE FOR MONDAY:

” “Transplant tourists” are traveling to established destinations to obtain readily accessible organs for transplantation, available from the poor of that destination country who sell mostly kidneys, but in some instances, a lobe of the liver or a cornea. These practices have been well known for more than a decade.”

Francis L. Delmonico American Society of Nephrology

QUOTE FOR THE WEEKEND:

“Whether you’re ready or not, cold and flu season is right around the corner. But fortunately, you don’t have to settle for the inevitable. With a small amount of preparation and prevention, you can be ready.  There are no guarantees when it comes to colds and the flu.  The vaccine for the flu is great for prevention.”

Inter-mountain Healthcare

Even with this crazy cold weather NE winter and elsewhere, so is the Flu! Know how to stay hydrated, fueled and take breaks during your outdoor winter activities!

  

Winter is now around, so is the flu!  While many people look forward to the cold weather for skiing and other outdoor activities, others heads have gone indoors until spring, cutting down on their opportunities for the exercise they need.  Staying indoors with someone who has the flu you keep inhaling that air which will prone you in getting the flu as opposed to getting outside.  Remember in a hospital your put on Droplet precaution, in a isolated room and droplet means you can catch the Flu within arm’s length of the pt; so you wear a mask when visiting the patient with the flu in a hospital.

So get outside in warmer or when the temp gets colder.  Whether it’s spending an afternoon at the local sled hill with the kids or skiing down the Alps, you can help your clients and patients – not to mention yourself – maintain an active lifestyle in the wintertime while it still lasts.

Shoveling snow, building a snowman or going on a deep-snow hike all increase a person’s heart rate, oxygen consumption and energy expenditure. Skiing, snowboarding or ice skating strengthen the musculoskeletal system and improve balance and skill. Cross-country skiing, with its whole-body challenge, improves cardiovascular fitness and muscular endurance. And all winter sports connect us with the elements: wind, snow and, for some, the sublime beauty of the mountains.

Winter Nutrition Needs

Participating in winter activities may increase energy and fluid needs, especially if the person is engaging in vigorous and demanding activities. High altitude and cold temperatures can also increase energy expenditures — as much as two- or three-fold if you’re shivering. With winter activities, it is easy to forget to stay hydrated and fueled all day, so it’s imperative to take breaks to fuel up.

Fluid Balance

Exercising in the cold and at altitude exacerbates fluid loss in the body. A significant amount of fluid is lost through increased respiration and the body’s need to humidify dry, cold mountain air. In addition, cold-induced diuresis will lead to increased urinary volume and fluid loss. And cold reduces the body’s thirst response, making it a challenge to maintain fluid balance in the cold. However, dehydration in the cold has serious consequences; it impairs thermo-regulation and increases the risk of hypothermia.

With this in mind, it is best to begin exercise well-hydrated with water breaks (3 to 8 ounces) every 15 to 20 minutes if going out on the slopes for less than 60 minutes. For any time longer than an hour, consider recommending a sports beverage.

The Air Up There

Altitude may increase the body’s need for vitamins and minerals. Adequate iron stores are necessary to increase red cell mass if exposure to altitude occurs on a regular basis. In other words, iron depletion interferes with the positive adaptation of the blood’s oxygen carrying capacity that typically occurs in response to exercise at altitude. Furthermore, altitude exposure increases the generation of reactive oxygen species. However, it remains debatable whether antioxidants such as vitamin E and C are needed in higher amounts to protect cells from damage when participating in exercise at altitude.

This topic is largely understudied in winter sports, and may be more concerning for elite athletes training at altitude. A balanced diet including a hearty vegetable soup with herbs and spices, a handful of nuts, an orange and a cup of green tea may be plenty to protect the cells from occasional winter outings.

Be Prepared

Engaging in any type of cold-weather sports, especially at higher elevations, requires appropriate preparation in terms of clothing, shelter and the foods and fluids a person consumes before, during and after the activity. Recommend that your clients and patients take breaks throughout the day and listen to their bodies to ensure that they are feeling well and ready for another round of winter activity.  Staying active outside can possibly help with keeping the Flu away especially if your exposed to someone in the house with the flu your not breathing the same air in the house which will prone you to getting the flu as opposed to staying active outdoors.  Best thing in prevention of the flu is the vaccine but always check with your doctor.

QUOTE FOR FRIDAY:

“The number one thing you can do to prevent the flu is get vaccinated,” says Bill Schaffner, M.D., a professor of preventive medicine at Vanderbilt University. Even if another strain infects you, the shot may reduce symptoms.

Today (www.today.com)

PART III LET’S PREPARE FOR THE FALL & WINTER BUGS. WHAT ARE THE FACTS?

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.

 

QUOTE FOR WEDNESDAY:

“In general, flu is worse than the common cold, and symptoms are more common and intense. Colds are usually milder than flu. People with colds are more likely to have a runny or stuffy nose. Colds generally do not result in serious health problems, such as pneumonia, bacterial infections, or hospitalizations. Flu can have very serious associated complications.”

Centers for Disease Control and Prevention (www.cdc.gov)

PART II LET’S PREPARE FOR THE FALL & WINTER BUGS. WHO ARE THEY & WHAT ARE THEIR SYMPTOMS?

“Flu” is an illness caused by a number of different influenza viruses that usually bear the name of the locality where they originated.  Most college-age students are susceptible to the virus because of their proximity with others in classrooms, in dormitories, in the dining halls and elsewhere on campus.  The influenza virus is very contagious and spreads easily in crowded areas by droplets of respiratory fluid that become airborne or by direct contact with recently contaminated surfaces.

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! 
  • Keep your face off-limits; This means the following:

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.

OTHER FACTORS IN PREVENTION:

  • 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 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 TUESDAY:

“They can seem similar: both are caused by a virus and can affect the respiratory system, sharing a number of symptoms, including a runny or stuffy nose and sore throat or cough. Both will usually go away on their own. But when you catch one or the other, the distinction can become clear quickly.”

Northernwestern medicine (www.nm.org)