Monthly Archives: May 2018

TYPE II DIABETES

What you need to know about type 2 diabetes:

-Most common type of diabetes.

-Type II diabetes causes insulin resistant (which means that your pancreas is not using insulin properly).

Symptoms of high blood sugar.      

  • Increased thirst.
  • Headaches.
  • Blurred Vision.
  • Frequent urination.
  • Fatigue.

Symptoms of low blood sugar. 

  • Excessive sweating, hunger, fatigue and shakiness.
  • Nausea/vomiting.
  • Mental confusion.
  • Palpitations.

Watch this video to learn about Type II diabetes

Its all about the support!

Life style changes (American Diabetes Association, 2018)

  • Timing of your meals
  • How much to eat- Consult your PCP and Nutritionist
  • What foods to choose- Find some helpful resources! Visit http://www.diabetes.org
  • Increase your physical activity.

Treatment:

  • Diet
  • Exercise
  • Oral medications
  • Insulin

PREVENTION IS KEY!

 

References

American Diabetes Association. (2018). Retrieved from http://www.diabetes.org/diabetes-basics/type-2/?loc=util-header_type2

Effective Type 2 Diabetes Diet Plan: See top Foods & Plans to Reverse Type 2 Diabates (2016). Retrieved from https://www.youtube.com/watch?v=rnZmDCYkxiQ

Living with type 2 Diabetes: Finding the support you need. (2014). Retrieved from https://www.youtube.com/watch?v=y2NyG-7kHmE

Understanding Type 2 Diabetes. (2014). Retrieved from https://www.youtube.com/watch?v=JAjZv41iUJU

Alcohol use disorder

 

In the United States, the healthcare and social costs of alcohol use disorders account for an estimated value of $191.6 billion in total annual costs. At the individual level, direct health care and other costs are very high leaving affected persons impoverished (Barry, 2016). Alcohol use disorder has major adverse consequences, such as those associated with impaired driving, communicable disease transmission, educational attainment and direct risks to lives and property through crime and violence. In the United States, less than 10% of affected individuals with alcohol use disorders receive treatment especially as stigma and stigmatization are still strong factors (Barry et al., 2016).

Age of first drinking has also been associated with alcohol use disorders and mental health disorders. There is a link between the origin or cause of Alcohol use disorder with genetic and environmental factors. There is also the coexistence of Alcohol use disorder and Mental health disorders such as Bipolar disorder, Schizophrenia and Anti-Social Personality disorder (Newton-Howes, 2016).

In terms of family disruptions, Alcohol use disorder (AUD) and divorce are relatively common and are associated with one another. Divorced individuals consume more alcohol and in more harmful patterns than married individuals. Divorce and AUD were also positively correlated strongly in the population of study. According to Salvatore et al., individuals affected by Alcoholism /Alcohol use disorder were heavy Alcohol consumers who could no longer function appropriately at home and at work, which is similar to what the video spoke about and is in support of (Salvatore et al., 2017).

Video 1: https://www.youtube.com/watch?v=mfMBCBLVCvY

Kati Morton, a Marriage/Family therapist spoke on Alcoholism and defined it as intently consuming alcohol in large amounts and over a long period of time with a strong craving/desire. She also defined it as a recurrent alcohol use that results in failure to fulfil one’s role in the family, school and at work. Alcohol abuse results in withdrawal symptoms especially when alcohol is no longer available for consumption. Withdrawal symptoms include restlessness, shakiness, sweating, loss of appetite, nausea, vomiting, agitation, irritability, anxiety, fast heart rate, tremor, disorientation, headache, insomnia, depression, seizures. Increased use of alcohol can lead to complete organ failure.

Video 2: https://www.youtube.com/watch?v=2zADTxr5QDE

Lisa Frederiksen referred to Alcoholism as a brain disease and stated that it is not alcohol abuse /addiction. She stated that just like diseases change body cells in a negative way, so does Alcoholism affect many organs of the body, especially the brain. She went further to explain that it takes about an hour for the liver to metabolize a drink of alcohol and so when more than one drink is consumed, the rest sits in other parts of the body like the brain, waiting to be metabolized, thereby leading to the suppression of normal brain functions. Alcoholism leads to fight with family members as they complain about the drinking issue. The drinking issue leads to missing work, school having unwanted/unprotected sex, fist fights, lying, stealing, impaired driving. She also said that alcohol abusers are not necessarily alcoholics and that alcohol abuse can eventually progress to alcoholism if the drinking behavior is not checked or stopped.

Video 3: https://www.youtube.com/watch?v=NXhB8Vi9An4

In this video, Todd Grande described alcoholism as a problematic pattern of alcohol use leading to a clinically significant impairment or distress. He stated the statistics of alcohol use disorder as 4.6% prevalence among ages 12-17 year old, 8.5% for ages 18 & older, 12.4% for adult males, 4.9% for adult females and 1.5% for age 65 years and older. Alcohol abuse can be as a result of alcohol availability, culture, stress levels, genetic factors, peer influence. 3.8% of all deaths all over the world are attributable to alcohol. 80% of adults consume alcohol regularly and 3.6% of the world population has a current Alcohol use disorder. The prevalence is lower in the Africa region, while it is higher in the North, South and Central America and the Eastern Europe region.

Recommendations

Going by the account of the 3 videos, they all corroborate one another and their explanation on excessive alcohol consumption all tends to the fact that it is harmful for the body and the society at large. In comparison, I find that the media representation of Alcohol use disorder and the professional/scientific information or report do not oppose each other but they are closely related. The media suggested that alcohol abuse has led to disruption in lives and families. And that it is a brain disease and associated it with Psychiatric illnesses. This was also the position of the professional information. One can rely on the information given by the media on this topic as they are proven to be true according to the information provided in the peer reviewed articles. But I would still say that any information derived from the media should still be crosschecked with professional information in order to be safe and to maintain a correct position.

References

Barry, C. L., Epstein, A. J., Fiellin, D. A., Fraenkel, L., & Busch, S. H. (2016). Estimating demand for primary care-based treatment for substance and alcohol use disorders. Addiction, 111(8), 1376-1384.

Newton-Howes, G., & Boden, J. M. (2016). Relation between age of first drinking and mental health and alcohol and drug disorders in adulthood: Evidence from a 35-year cohort study. Addiction, 111(4), 637-644.

Salvatore, J. E., Larsson Lönn, S., Sundquist, J., Lichtenstein, P., Sundquist, K., & Kendler, K. S. (2017). Alcohol use disorder and divorce: Evidence for a genetic correlation in a population-based Swedish sample. Addiction, 112(4), 586-593.

Colon Cancer are you at Risk?

Colorectal Cancer (CRC) is One of the Most Common Causes of Cancer-Related Deaths Worldwide

Who’s at risk?

  1. All people ages 50-75
  2. Anyone with a familial history of colon cancer (parents, siblings, aunts, uncles or cousins) should be screened at an earlier age
  3. People with a history of smoking
  4. Lifestyles that contribute to lack of physical activity and obesity
  5. Heavy alcohol consumption
  6. A person with a personal history of inflammatory bowel disease such as Crohn’s disease or ulcerative colitis, or a genetic disease such as familial adenomatous polyposis or Lynch Syndrome, which is a hereditary non-polyposis colon cancer.

What is a Colorectal Polyp?

Colorectal polyps are growths that appear on the surface of the colon. The types of colorectal polyps are:

  • Hyperplastic polyps- which are polyps that are harmless and don’t develop into cancer
  • Adenomatous polyps- these are the most common polyps and have the potential to develop into colon cancer

Please refer to the video for a greater detailed description of colorectal polyps.

This video explains the different types of polyps and what they look like:

  • Tubular- has holes or tubes
  • Villous- has tree like branches
  • Tubular Villous- has tubes and tree like branches
  • Pedunculate- has a stalk
  • Sessile- is firmly and closely attached

Small Polyps-also known as Hyperplastic Polyps are rarely malignant

Large Polyps- often flat and sessile with a greater chance for malignancy

The video goes on to explain that with polyps there are usually no symptoms and they are found with a colonoscopy. A biopsy is done to find out the type of polyp and this is done by doing a polypectomy  which is a medical term for polyp removal. This video gives a good overview for anyone who wants to have a greater understanding of the different kinds of polyps  and what the risk factors are.

Colon Cancer is Highly Preventable Through Recommended Screening

Screening reduces the disease from colorectal cancer through early detection of cancerous lesions and removal of pre-cancerous polyps.

Types of Colon Cancer Screening Tests

  • The number one test is the colonoscopy, which uses a tool to examine the full length of the colon and rectum.
  • Flexible Sigmoidoscopy uses a tool to examine a portion of the colon, not the full length, and polyps may be missed.
  • Stool-based tests-1.Guaiac-based fecal occult blood test 2.fecal immuno-chemical test (FIT) 3. multi-targeted stool DNA test. If any of these tests come back positive, you most likely will have to go for a colonoscopy for further evaluation.
  • CT Colonography, which is a scanning technique that produces images of the colon that are examined by the doctor. This technique may miss small polyps, and if any are seen, they are unable to be removed unless followed by a colonoscopy.

Larry King interviews Dr. Merit Oz on his first colonoscopy experience. Watching the video you see Dr.Oz awake and watching the procedure as it is happening, this is a very unlikely situation. Undergoing a colonoscopy the patient is given either a light anesthesia or conscious sedation and have no recollection of the procedure and in fact usually feel like they have had a nice nap. Dr. Oz explains how he didn’t follow the instructions the day before and ate some solid food instead of just the clear liquids diet as instructed. If your colon is not properly cleaned out it makes it difficult for the physician to visualize your colon and polyps can be easily missed. Dr. Oz was fortunate that a small polyps was found and removed. When going for a colonoscopy give your physician the best opportunity to see what may be in your colon, so follow the prep instructions!

Recommendations

  • Colorectal screening can find cancer early when it is most treatable, so its important to be proactive in your screening. Only half of eligible individuals actually undergo colon cancer screening. My question to you is, what is holding you back? The procedure itself is painless because you are given conscious sedation. The hardest part is the day before prep of clear liquids and whatever is prescribed to clean your colon out in order for the gastroenterologist to visualize your clean colon for the chance of polyps.
  • Studies have shown that plant based foods are associated with a decrease of polyp prevalence. Plant foods provide the best poly-pharmacy to help protect against the development of malignancy. Remember to eat your green vegetables, fruits and whole grains for added protection. Vitamin D and calcium have also been shown to be beneficial in the prevention of polyps.

Katie Couric and her friend Kim make fun of what people think to be the worst part of a colonoscopy- the prep!

Katie Couric and her friend Kim (who had just turned 50) scheduled a colonoscopy for the same day. The video shows what the prep is like and jokes about what was found on Katie’s procedure. Yet, Kim admits to trying to cancel the colonoscopy due to fear, but reveals how in the end, she was thankful to having gone through with it because a large polyp was found. Kim’s physician explains to her that if the polyp was left growing it could have been a big problem later on. The bottom line- that colonoscopy probably saved her life!

References

  • Boyle, M. (2017). Colorectal cancer: An overview.Journal of The Australian Traditional-Medicine Society, 23(3), 140-144.
  • Ely, J., Levy, B., Daly, J., Xu, Y., Ely, J. W., & Levy, B. T. (2016). Patient beliefs about colon cancer screening. Journal of Cancer Education, 31(1), 39-46. doi:10.1007/s13187-015-0792-5
  • Tantamango, Y. M., Knutsen, S. F., Beeson, W. L., Fraser, G., & Sabate, J. (2011). Foods and food groups associated with the incidence of colorectal polyps: The adventist health study. Nutrition & Cancer, 63(4), 565-572. doi:10.1080/01635581.2011.551988

Vaccine use and Safety

Vaccinations are injections that are placed on a schedule that we start getting as infants, and are spread across childhood and adolescence to increase immune response and protect against serious diseases.

https://www.cdc.gov/vaccines/schedules/hcp/child-adolescent.html

How did we get to this fear in Vaccine safety?

 “In 1998, Andrew Wakefield and 12 of his colleagues published a case series in the Lancet, which suggested that the measles, mumps, and rubella (MMR) vaccine may predispose to behavioral regression and pervasive developmental disorder in children. Despite the small sample size, the uncontrolled design, and the speculative nature of the conclusions, the paper received wide publicity, and MMR vaccination rates began to drop because parents were concerned about the risk of autism after vaccination” (Rao & Andrade, 2011, p.1). -This study created a culture of fear that has been extremely difficult to break, but multiple studies have been conducted showing Wakefield’s findings were biased and inaccurate. Andrew Wakefield lost his medical license due to these false claims.

 

Too much, Too fast, Too soon?: Many vaccinations are bundled into one injection, reducing the number of injections the patient is receiving. Infants receive the brunt of the vaccinations to establish the immune response, then many follow-up injections are just “booster shots” or allowing the body to boost immune response.

 

What happens if I don’t vaccinate?: Herd immunity decreases and your at risk for developing a life-threatening illness or infecting someone else, who couldn’t be immunized, with that illness.

Below is a video discussing what happens when people are not vaccinated. Due to Penn & Tellers rough around the edges exterior, some cursing occurs in the video.

References

Awate, S., Babiuk, L. A., & Mutwiri, G. (2013). Mechanisms of Action of Adjuvants. Frontiers in Immunology4, 114. http://doi.org/10.3389/fimmu.2013.00114

Rao, T. S. S., & Andrade, C. (2011). The MMR vaccine and autism: Sensation, refutation, retraction, and fraud. Indian Journal of Psychiatry, 53(2), 95–96. http://doi.org/10.4103/0019-5545.82529

Ventola, C. L. (2016). Immunization in the United States: Recommendations, Barriers, and Measures to Improve Compliance: Part 1: Childhood Vaccinations. Pharmacy and Therapeutics41(7), 426–436.