Monthly Archives: May 2019

ADHD: What Causes it and Can My Child Outgrow it?

By: Practical Cures

Attention deficit hyperactivity disorder (ADHD) has been a continuous sore subject throughout the media, with many myths and ideas of what this disorder is, the causes, and if children actually outgrow ADHD. I am here to help you debunk these myths. 

Let’s start: what is ADHD? 

ADHD is a neurological developmental disorder that is correlated with inattention, impulsiveness, and hyperactivity. The attention levels of children diagnosed with ADHD are considered inappropriate for their age group, trouble concentrating, difficulty in self-restraint, fidgetiness, and difficulty sitting in one place for a period of time. These symptoms must be present for at least six months or longer before a diagnosis will be made, and are often seen before the age of 12.

What Causes ADHD?

Contrary to what has been heard across the media over the last several years, your parenting style DOES NOT cause your child to have ADHD. Watching too much television and playing too many video games does correlate to your child’s diagnosis. Because this is a neurological developmental disorder, it is hard to say what exactly is the cause. However, there are many risk factors that could increase the vulnerability of a child such as genetics, cigarette smoking, alcohol or drug use during pregnancy, exposure to environmental toxins during pregnancy, low birth weight, or brain injuries.

What Are the Symptoms?

Symptoms correlating with ADHD can have a lasting effect on social, academic and occupational development for someone. Symptoms correlated to which parts of the brain are affected by this disorder. Those with motor problems were said to have high risk for learning deficits, lifestyle skills, as many activities are correlated to those things, such as feeding, dressing and physical activities, and poor social interpersonal relationships, These findings are correlated with higher diagnosis of depression and poor self-esteem in those with ADHD (Pila-Nemutandiani, Pillay, Meyer, 2018).

Emotional intelligence is a big complication of ADHD, defined as the ability to comprehend feelings of others and one’s self, utilizing those feelings to cope with daily demands, adaptability, empathy, managing stress, self-motivation and the ability to establish successful relationships (Kaypaki, Tamam, 2019). Those with ADHD are said to have a low emotional intelligence, associated with poor coping strategies, adaption skills, and higher frequency in depression.

Can My Child Outgrow Their ADHD?

Dr. Russel Barkely of the Medical University of South Carolina, stated in his lecture “ADHD: Essential Idea of Parents” (2013) many of the hyperactivity symptoms are outgrown by the late teen years, but becomes more of an “internal hyperactivity” where it is an internal need to be constantly moving and doing something, where their mind is constantly racing, rather than their body. Because of a lower emotional intelligence in those diagnosed with ADHD, these individuals have poorer coping strategies, adaptation skills, and a higher frequency of depression. These actions are often highly correlated with alcohol, smoking and drug abuse, poor coping with stressful life events, higher mental illness disorders, such as depression, anxiety, and bipolar disorder, and aggressive and other addictive behaviors. If treatment is started early and effective, one diagnosed with ADHD can have a higher emotional intelligence, correlated with better academic performance, work performance and overall psychological well-being and life satisfaction. Those diagnosed with ADHD at an early age, with the inability to carry on lasting friendships in childhood and adolescent years, often continue into adulthood (Kaypaki, Tamam, 2019). As many as 60% of children with ADHD can continue to have significant impairments in in social, academic, and occupational functioning, also correlating to incarceration and substance abuse (Mahadevan, Kandasamy, Benegal, 2019).

Can Someone Be Diagnosed with ADHD as an Adult?

A majority of the ADHD diagnosis are between the ages of 5 and 12 years old. It is rare for adults to be diagnosed, however, it is possible. Those diagnosed in adulthood are often females, and have impairments correlated to traffic accidents, criminal behavior, incarceration, suicide attempts and co-morbidities.

What Can We Do for Treatment?

First and foremost, you need to contact your pediatrician. Your pediatrician will first want to rule out over problems, such as thyroid problems, and sleep or seizure disorders. The most important part is coming to the correct diagnosis. Behavioral therapy, counseling, education interventions (such as extra help), and different medications, such as Vyvanse or Adderall, are just a handful of actions that could be taken for treatment to be effective. Communication between yourself and the healthcare provider about your child should be frequent, and any changes in behavior or new symptoms should be brought up. Long term treatment plans should be somewhat flexible as the child grows up, including changes in medication or dosages if needed, and have the ability to be adjusted to a new environment. If treatment is initiated, and depending on what age, another diagnosis of conduct disorder (CD) or major depression disorder (MDD) can be correlating factors in the extensiveness of ADHD in adulthood.

In Conclusion:

Throughout the media, the need for proper education is clear. The causes of ADHD presented in the media should be falsified; a child does not become diagnosed with ADHD because of “bad parenting”, watching too much TV, or playing too many video games. Although the media often portrays the idea that children with ADHD outgrow their symptoms, this is falsified, as instead, those diagnosed with ADHD are correlated to other psychiatric disorders, specifically anxiety and depression. Increased risk with other actions in adulthood are frequently correlated with ADHD. With different therapies, including psychotherapeutic interventions, mediation, and pharmacologic use, symptoms of ADHD can be settled and more controlled. However, the patient does not outgrow their ADHD diagnosis and must continue to work on controlling symptoms and how these affect their everyday life.

References

ADHDtips. (2013, June 16). ADHD: Essential Ideas for Parents – Dr. Russell Barkely. Retrieved May 4, 2019, from https://www.youtube.com/watch?v=YSfCdBBqNXY

Kaypaki, G. Y., & Tamam, L. (2019). Emotional intelligence in attention deficit hyperactivity disorder. Current Approaches in Psychiatry, 11(1), 112-119.

Mahadevan, J., Kandasamy, A., & Benegal, V. (2019). Situating adult attention-deficit/hyperactivity disorder in the externalizing spectrum: Etiologcal, diagnosit, and treatment considerations. Indian /journal of Psychiatry, 61(1), 3-12.

Phil, D. (2016, September 26). Is ADHD Caused by Poor Parenting or Watching Too Much TV? Retrieved May 4, 2019, from https://www.youtube.com/watch?v=cDVoepTKAAI

Pila-Nemutandiani, G. R., Pillay, B. J., & Meyer, A. (2018). Gross motor skills in children with attention deficit hyperactivity disorder. South African Journal of Occoupational Therapy, 48(3), 19-23.

Vaccinations. Are they necessary?

Credit:tashatuvango – Fotolia

What is a vaccine?

A vaccine is created using dead or small amounts of a weak germ which is known to cause a specific disease. These vaccines are used to prepare our bodies to fight against bacteria, viruses or toxins. The term vaccination means to receive the vaccine (which is typically given through a shot).

What kinds of vaccines are there?

Vaccines are created based on how our bodies defense system protects us against a germ. When a vaccine is created scientist keep in mind how we fight off certain germs, who needs to be vaccinated and what is the best way to create a vaccine for a specific bacteria, germ or toxin.

LIVE-ATTENUATED VACCINES

This type of vaccine uses weak forms of a germ that is known to cause disease. When we use this type of vaccine we create a stronger, longer lasting immune response because the vaccine is very similar to the actual infection.

 What they protect against: Measles, mumps, rubella (MMR combination), rotavirus, smallpox, chickenpox and yellow fever.

INACTIVATED VACCINES

This type of vaccine uses a dead version of the germ. With using a dead germ instead of a living one, the immunity is not as strong and may require several doses overtime (booster shots) to build immunity against the disease.

What they protect against: Hepatitis A, Flu (shot only forms), Polio (shot only forms) and Rabies.

SUBUNIT, RECOMBINANT, POLYSACCHARIDE & CONJUGATE VACCINES

These types of vaccines use a certain part of the germ to create the vaccine, such as a protein, sugar or casing around the germ. Due to this vaccine targeting a specific part of the germ there is a very strong immune response. However, booster shots may still be necessary.

What they protect against: Hib, Hepatitis B, Human papillomavirus (HPV), Whooping cough, Pneumococcal disease, Meningococcal disease and Shingles.

TOXOID VACCINES

This type of vaccine uses a the harmful product (toxin) created by the germ. This creates an immunity to the toxic parts of the disease instead of the germ itself. This vaccine may also require booster shots. 

What they protect against: Diphtheria, Tetanus.

Centers for Disease and Control Prevention (CDC) List of Diseases and Vaccines

https://www.cdc.gov/vaccines/schedules/easy-to-read/child-easyread.html

The “Truth Behind Vaccines” is a short video educating the population on how undermining and rumors about vaccines have caused harm and the uprising of preventable diseases. It’s statistics are eye opening on how quickly a once diminished disease can reproduce. The strongest argument in this video is showing us how not vaccinating can harm not only the individual themselves but also others around them.

Why Vaccines are needed?

Just about every year thousands of Americans encounter a preventable disease in which a vaccination could have given them immunity from. Vaccinations are recommended based on many factors such as age, health, lifestyle and job. Through extensive research and testing vaccines are created to protect individuals who are vulnerable to illness due to immune system issues and chronic conditions. Without these vaccinations the risk infection is rising. Many of us have never seen any of these preventable diseases in which once claimed many lives every year. We have had this luxury due to vaccinations protecting us from the germs in which still exist and can be spread. Getting vaccinated not only protects the person in which receives it but it also helps protect the spread of the disease to others who cannot protect themselves.

2019 Recommended Immunizations from the Centers for Disease and Control Prevention (CDC) for Birth to Eighteen Years of Age

https://www.cdc.gov/vaccines/schedules/easy-to-read/child-easyread.html
https://www.cdc.gov/vaccines/schedules/easy-to-read/adolescent-easyread.html

Negative or Positive Information?

Trying to determine myths from the truth when it comes to vaccinations is overwhelming and never ending. There is constant battling between the PRO and CON groups everywhere we look. There are multiple books, websites and media videos fighting for your attention in this matter. How do we know who to believe? Doctors and scientists use data and experiments to determine safety and . According to a new survey done in 2018, approximately 1 in 8 children under the age of two are under-vaccinated. Studies have showed that there is a negative influence through television and newspapers as well as with new technology and social media having misinformation. The acceptance of vaccines is decreasing and our doctors are more important than ever to help shed knowledge and positive attitudes on vaccinations. With proper education we have the ability to improve our decision-making process to one in which is enlightened and our own.

Today there are so many websites giving us information. How do we determine who to trust? This video is a real-life account of an incident with an unvaccinated child and her mother’s journey to find answers. We just need to be willing to listen and participate in our own research.

Our Opinion or Someone Elses?

I choose to end with this video showing us the science behind anti-vaccination. This video explains the psychological effects the media and other people opinions have on our thought process. This video allows us to question what we truly know about vaccinations and if our opinions are actually our own. The choice to vaccinate or not is ultimately a choose no one should make for you, however, the choice in which you make should be an educated one. When it comes to our lives and the lives of those around us, a little bit of research is worth a shot.

Refences

Facciola, A., Visalli, G., Orlando, A., Bertuccio, M. P., Squeri, R., Picerno, I., Di Pietro, A. (2019). Vaccine hesitancy: An overview on parents opinions about vaccination and possible reasons of vaccine refusal. Journal of Public Health Research8(1), 13–18.

Sarvesh Kumar, J., & Brundha, M. P. (2018). Awareness about childhood vaccination among parents with children below 15 years of age. Drug Invention Today, 10(12), 2481-2484.

U.S. Department of Health and Human Services. Vaccines & immunizations. Centers for Disease Control and Prevention. March 28, 2019 last reviewed. https://www.cdc.gov/vaccines/vac-gen/vaxwithme.html

U.S. Department of Health and Human Services. Vaccine basics. Vaccines.gov. December 2017 last reviewed. https://www.vaccines.gov/basics

Lyrica

Lyrica is a medication used to treat neuropathic pain from diabetes or herpes zoster (shingles), seizures, and Fibromyalgia.

https://www.youtube.com/watch?v=NBiqV4dta_M

This commercial talks about Lyrica helping with widespread pain so that people can get out more and improve on their daily functioning. As all prescription drug commercials do, this one talks about all the side effects quickly before ending the commercial.

A list of side effects includes dizziness, feeling tired or drowsy, constipation, diarrhea, nausea, headaches, increased weight, unsteadiness or reduce co-ordination, shaking or tremors, dry mouth, and blurred or double vision. These side effects are the more common and mild ones. Side effects that are more life threatening and less common include mental health changes, such as depression and suicidal thoughts, swelling of hands, ankles or feet, enlargement of breasts, unexplained muscle pain, or passing little to no urine.

This commercial points out some of the side effects, but not all of them, which further shows how important it is to discuss medications in detail with the provider prescribing them before you start taking them. What this commercial also does not point out is that Lyrica is not effective in people with post-traumatic neuropathic pain which means nerve pain caused by a traumatic injury such as a car accident (Lyric flops in pain study, 2016).

https://www.youtube.com/watch?v=sVSMaWQljdE

This is another Lyrica commercial that shows Lyrica for a different use. While the previous commercial talked about the drug being used for generalized pain and weakness, this commercial shows Lyrica being used specifically for diabetic neuropathy, which is nerve pain in the extremities caused from diabetes. This commercial gives a little more information about the drug because it lets us know that the drug is meant to have an affect on the nervous system of the body.

This commercial has the same exact information on the drug as the first commercial had, including some side effects while leaving others out.

https://www.youtube.com/watch?v=HhGGqjTszTA

This video on Fibromyalgia is most interesting. It discusses what the drug Lyrica does to the body and why it helps with pain. The neurologist in the video talks about Lyrica being originally developed as a seizure medication. Collins (2015) confirms that Lyrica was indeed created as an anti-epileptic medication and goes on to explain that the pain management was discovered after more studies were done.

This video talks about Lyrica’s effects on the body and talks about why it is a dangerous drug to use too often and how it does not fix the underlying reason for the pain. What Lyrica is meant to do is reduce excess electrical signals being sent out by the brain (Lyrica: 12 Things you need to know, n.d.). It is not stopping the pain, but stopping the brain from sending as many signals out for the pain. The doctor in the video also talks about Lyrica blocking the formation of new brain synapses. I am unable to find information that confirms or denies this statement, but the doctor in the video is getting the information from a study that he found.

All pharmaceutical drugs created have their benefits and side effects. Sometimes we take the word of the doctor when they prescribe one of these drugs to us. It is important that we are gathering as much information as we can about a medication before we put it into our body. Learn what you can and then decide; are the risks of the medication worth the benefits?

 

References

Collins, A. (2015). Pfizer reinforces Lyrica restrictions. Chemist & Druggist282(6939), 12. Retrieved from http://library.neit.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109814420&site=ehost-live

Lyrica: 12 Things You Need to Know. (n.d.). Retrieved November 18, 2018, from https://www.drugs.com/slideshow/lyrica-faqs-1173

Lyrica Flops in Pain Study. (2016). P&T: A Peer-Reviewed Journal for Managed Care & Formulary Management41(1), 23. Retrieved from http://library.neit.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=112256256&site=ehost-live

Pregabalin (generic)/LYRICA (BRAND). (2013). Brown University Psychopharmacology Update24, 1–2. Retrieved from http://library.neit.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104218577&site=ehost-live

20 Years Of Helping Australians Make Better Decisions About Medicines, Medical Tests And Other Health Technologies. (n.d.). Lyrica Capsules. Retrieved November 18, 2018, from https://www.nps.org.au/medical-info/medicine-finder/lyrica-capsules

What About Type 2 Diabetes?

What About Type 2 Diabetes?

     Getting a “diagnosis” from your doctor is a scary thing, and it’s no different when you’re told you have Type 2 Diabetes Mellitus (T2DM). What does that mean? Suddenly, pictures of insulin needles start swimming around in your mind. How is this going to affect me? Is there anything I can do to stop this?

     First, take a deep breath. There are over 23 million Americans that have been diagnosed with diabetes and an estimated 7 million more that have it, but don’t know it yet. Not everyone has to take insulin. There are steps you can take to optimize your health and slow any progression of your disease.  

     As for my own journey, it was a bit of a surprise. T2DM ran in my family with several members having it, but I thought it affected them because they were ‘obese’; I was only a little overweight. Granted, I had let myself go a little soft in the middle, but I thought, “who doesn’t?” 

     I had other things to deal with like working lots of hours and taking care of my wife and two children. The easiest thing to give up was exercise. Then, I would start eating convenient food because I didn’t have time to prepare meals correctly. I’d still make sure we all had good meals at home, but while I was out and about I’d stop at the fast food places or just grab a donut when I got one of my many daily coffees. I was unknowingly giving up my own health for convenience sake.

     I had gone to my doctor for a routine checkup for my borderline high blood pressure. I was still fighting having to take any medicine, because I didn’t want to consider myself a ‘sick person.’ All this in spite of me working as a paramedic. I thought my work meant I was busy enough to call that exercise and it would keep me healthy. As part of my checkup, I had the blood drawn and was told I’d be called with the results.

     Sure enough, a nurse called me a couple days later and went over my lab results. I have no idea about most of what she said except, “You’re A1C is a little high, but well within the range for a diabetic so you’re okay…” A1C is a measurement of your blood sugar levels over a previous three month period. I stopped her and said that I wasn’t actually a diabetic. SHe sounded surprised and said, “Oh! Then your sugar is way too high. You need to be on medication. I’ll let the doctor know.” It was a punch in the gut. How did I catch diabetes? Can you catch it? What is it?

     So many questions might be floating around in your mind right now, especially if you just found out you, or a loved one just received a diagnosis of T2DM. There are steps you can take to keep yourself as healthy as you can be. If you’re anything like me, you might want to cut back on those convenience foods, they’re usually loaded with sugar and other things that can make your codition worse over time. I’m still a work in progress and I’ve made some mistakes in my diet choices or mostly lack of exercise, but I’m still trying. Don’t get discouraged if you don’t succeed and make great strides on your first attempt. You have a long term goal to achieve – a healthier you. Expect a few hurdles along the way.

     Some steps you can take are:

1. Cut back on sweets and fast foods.

2. Eat more fruits and vegetables.

3. Exercise moderately 3 times per week for 30 minutes at a time. Even walking will help.

4. Lose some weight (if you’re considered overweight or obese). Ideally, our body mass index (BMI) should be less than 25.0. If you’re above that, studies have shown that a 10% weight reduction can vastly improve conditions for type 2 diabetics.

5. Follow your doctor’s recommendations. Take any medications as they are prescribed. Your doctor is a partner in your health journey, make sure you express your concerns and questions so you can have the most up-to-date information on your condition.

    Don’t forget to look up sources for guidelines (make sure they’re from reputable organizations such as Diabetes.org or CDC.gov). Lastly, try keeping a journal of your health. Try listing the foods you ate and how you may have felt more energetic or tired after having particular things. I know for myself, donuts and cookies are no longer enjoyable for me because of how I feel afterward and I try not to eat them. The problem is, if I decide to have just one, I can’t seem to stop myself from having more. Nobody’s perfect. I wish you the best of luck in your own quest to become healthier. You can do it!