Healthbeat by Deirdre Cox Baker

Archive for the ‘Uncategorized’ Category

Welcome, new mammogram guidelines

Tuesday, November 17th, 2009

The new guidelines announced Monday regarding breast mammograms are welcome news for this 51-year-old American woman.

In short, a federal task force said most women should wait until age 50 to have their first mammogram, and get one every two years after that. It also said self-exams do no good.

The last time I had this test was at age 50, and I was going to go again this year. But now I’ll hold off until next spring when I’ll be 52.

I’m among those average, healthy women who try to make the right individual health decisions. I’ve had 2-3 mammograms in my life, and find them to be uncomfortable and unpleasant. No abnormalities have been found.

That said, a dear friend has a parent who is a breast cancer survivor, and I think my friend needs to be right on top of getting a mammogram every year. Another girl friend is a breast cancer survivor herself, and should be diligent about follow-up care.

Just because a test is unpleasant should not be barrier to getting one.

But if a test is unnecessary, such as in my own case, then it need not be done. I’m happy to see the new guidelines from the U.S. Prevention Services Task Force.

By the way, federal panels like this task force are the same ones who set up H1N1 vaccination guidelines, now being carried out through the public health sector. In those instances, the H1N1 advice appears to be followed to the letter.

In the instance of mammogram guidelines, there are many critics who disagree, and say they will not change their own recommendations. This includes the American Cancer Society, which for years has recommended annual screening starting at 40 years of age.

Here’s how to wisely choose holiday foods

Monday, November 16th, 2009

One of the most important parts of the upcoming season will revolve around holiday foods.

Our family is now making plans for Thanksgiving. The main meal will of course feature turkey. My husband recently won a raffle with a prize of a huge fresh turkey – raised by a local farmer. We are all excited about this and plan to share the leftovers with family members.

Turkey is a healthy food choice, but we’ll have many other options at parties and receptions. One way I’ve acted in the past is to plant myself next to the banquet table if it features fresh shrimp.

That way I can indulge in one of my favorite foods and won’t have to share so much. That’s not exactly an example of holiday spirit, is it?

The TOPS (Take Off Pounds Sensibly) organization offers several “swapping out” tips for those of you who are more polite than I might be. Check these out for smart food substitutions that save on fat and calories:

1. Choose two slices of skinless turkey breast over the drumstick.

2. Avoid boxed stuffing mix and instead make your own with whole-grain bread and turkey or chicken sausage. Increase the nutritional value by adding fruits, such as apples, pears or cranberries, or almonds and walnuts.

3. Canned cranberry sauce contains excess amounts of high-fructose corn syrup. Make your own by pureeing dried cranberries in orange juice and water, or substitute the sauce with fruit-flavored gelatin.

4. Replace candied sweet potatoes with mashed or baked sweet potatoes. Use low-fat buttermilk for the mashed potatoes, and add a vegetable that can be easily mashed, such as turnips or green onion. Olive oil and dried or fresh herbs liven up roasted red potatoes with minimal calories.

5. Those “cocktail franks” or “pigs in a blanket” bite-sized hot dogs are a popular appetizer laden with sodium and fat. Try to snack on mini-quiches for a taste of protein that keeps you full.

6. Steer clear of crab cakes, normally breaded and deep-fat fried. Enjoy pieces of steamed or boiled shrimp dipped in cocktail sauce for a healthier alternative. (See! My shrimp indulgence is also a wise food choice. Now I just have to work on sharing …)

7. Swap potato chips and dip for the crunch of fresh vegetables. Dip into hummus or salsa dip.

8. For a sweet snack, try an apple baked with cinnamon and nutmeg instead of a caramel apple.

9. Choose pumpkin pie over pecan pie. Pecan pie might have up to 800 calories a slice, while pumpkin pie has many fewer calories, especially when the pumpkin mixture is combined with evaporated skim milk and egg substitutes.

10. Egg nog is a treasured holiday drink, but it consists of heavy cream, eggs, milk and sugar. Try homemade hot chocolate and leave off the whipped cream.

Hippity-hop to bone health

Friday, November 13th, 2009

What is the best exercise to do to ward off weak bones, especially in older women?

You might be surprised.

It’s not running, necessarily. Cycling’s out. Don’t focus on weight-lifting either. According to a report this week in the New York Times you need to act like a bunny and hop.

Hip hop. Up and down. 40 times a week if you can. Bones should strengthen after about 24 weeks, then you can drop down to 20-30 jumps.

Reporter Gretchen Reynolds considers current scientific studies which show that for some women, running just doesn’t build up bone mass as expected. Neither does swimming. There are fewer than expected gains from weight-lifting, which happens to be my favorite way to build up strength.

Some women benefit from brisk walking, but it needs to be fast.

Researchers still don’t understand why some exercises do build bones and some don’t, at least not as well as expected. But there are serious consequences to broken bones in older women. About 20 percent of those who break a hip will die within 12 months of that injury. That’s one in five women.

It’s time to go out and buy a jump rope.

Tummy tips for Turkey day

Tuesday, November 10th, 2009

The upcoming holidays lead to festive family gatherings, but the downside might include digestive issues among those who eat or drink at the parties.

As a woman of “a certain age,” (51 in this instance) I’ve run into my share of stomach-related issues, and it’s not only during the holidays. I thought individuals might appreciate this advice, which comes via a public relations firm for the MiraLax laxative.

Abdominal discomfort and constipation may be caused by poor diet, inadequate fluid intake and inactivity, which could make a joyous occasion into a uncomfortable or embarrasing time, said Dr. Cynthia Yoshida, a gastroenterologist who promotes Mira Lax. Some general tips:

1. Try simple changes first. For example, drink water in between sips of an alcoholic beverage to help prevent dehydration. After the big meal, try and work in a brisk walk with a favorite family member to maximize togetherness time, and to help keep the digestive system healthy.
2. Check the medicine cabinet. If holiday foods have prompted you to use antacids that contain aluminum and calcium, or you take calcium and iron supplements, constipation could be a result. Other drugs that may cause constipation are prescription medications for high blood pressure, or anti-depressants. If you are on any such medications, talk to your doctor about digestive side effects.
3. Over-the-counter choices include Mira Lax, Phillips Milk of Magnesia and mineral oil. To find out more about different over-the-counter medications, try this Web site. After you get to it, click on “drugs, supplements and herbal information.” You can search for a drug by the first letter of its name.

Watch out for eyelash drug

Tuesday, October 27th, 2009

Consumer Reports says today that a new drug to grow eyelashes may have some serious side effects, notwithstanding the star power of beautiful Brooke Shields who is featured in the product advertisement.

In detail, the Ad Watch division cautions that Latisse costs about $100 a month, can make hair grow in places that you don’t want it, may turn blue eyes brown ( how is that possible?), or cause the darkening of lower lashes to mimic the look of a raccoon.

Also, Latisse can lead to itchy red eyes. And — like products designed to grow men’s hair — you have to keep using it or your eyelashes will eventually return to the way they looked in the first place.

So what happened to false eyelashes, used for special occasions?

The Food and Drug Administration is now looking into Latisse and in September warned Allergan, its maker, that promotional materials on the drug’s Web site omitted or minimized some of the risks.

The Latisse commercial, Consumer Reports said on its blog, embodies pretty much everything that’s wrong with direct-to-consumer advertising.

Save on health costs

Tuesday, October 27th, 2009

I’m trying to imagine a scenario in which I ask a doctor for a discount, but maybe it’s not all that difficult to accomplish. According to a new book, some 61 percent of patients who do just that end up with a discount of some type.

“The Healthcare Survival Guide” is now available and has a Web site. It’s priced at $6.95.

I’ve seen some of the tips before, and included those in an Oct. 9 Quad-City Times article. The tips I used in the news article came from the Mayo Clinic, Rochester, Minn.

Here are some of the money-saving tips stated in the book:

1. You can get COBRA for just one family member, such as one who is pregnant or who has a pre-existing condition.

2. Ask the doctor for a discount. Most (61 percent) will get one if they only ask.

3. Look on pharmaceutical Web sites for free trial offers for medications.

4. Check out a university dental clinic. There’s one in Iowa City, run by the University of Iowa School of Dental Medicine.

5. When comparison-shopping for health insurance, look for delays when coverage starts. It’s a red flag when reading the fine print.

6. Review the hospital bills closely. Charging for the wrong number of days is a common error.

Cyclone victory bigger than Iowa’s?

Monday, October 26th, 2009

The Iowa State University victory over Nebraska on Saturday was bigger state news than the exciting victory of Iowa over Michigan State.

One happens once every generation. One happens periodically.

I’m a season football ticket holder at the University of Iowa, and also an Iowa State University graduate. I follow both grid programs, one in person, and one, mainly, on the radio. (I also blog about health topics, but I’m taking a sidestep today.)

I was 19 years old and a sophomore at Iowa State the last time the Cyclones beat Nebraska in Lincoln. This year, my only child is 19 years old, and the Cyclones did it again. There’s a certain symmetry in this, but I hope it doesn’t take another 19 years for the next victory in Lincoln.

The gods of Cyclone athletes apparently agreed, somewhere over the Nebraska football stadium, that the good guys from central Iowa would prevail over the mighty Cornhuskers. This was accomplished with Iowa State’s back-up quarterback and back-up running back and a very alert defensive squad which took full advantage of the Huskers’ eight turnovers. Almost everything that happened in Saturday’s game went in ISU’s favor.

The difference this year is a new coach, Paul Rhoads, and the “want-to” attitude on the part of the Iowa State kids, who were perhaps underestimated by Nebraska.

One great highlight was provided by Mike Brandtner, former Davenport Assumption gridder and Iowa State’s punter. He pulled off a fake punt in a 4th-and-5 situation, gained 20 yards on a run, and set up Iowa State’s only touchdown.

Of course, it was also very exciting to see the Hawks’ Ricky Stanzi engineer a last-second victory in East Lansing. I just think that this is somewhat of a lesser achievement … Iowa would still be in the top 20, no matter what happened. It’s good, however, to have the Hawks as a contender on the national stage. Fourth place nationally should prompt pride across the state.

The better the Cyclones do this season, the better it is for the Hawks, according to the BCS competitive points system. It would be in Iowans’ mutual interest to pull for them both.

Happy country living

Tuesday, October 20th, 2009

I’ve been a lucky girl. I was able to move to rural Scott County in 1993 and love living in a rural neighborhood.

These days I drive home and the farmers are out harvesting the corn and beans. I always wave with enthusiasm; I think so highly of their efforts, and what their work means for our state and country.

They probably think I’m a little nuts, but that’s OK.

Last night I fell asleep while listening to a working grain dryer. It gives off a very pleasant humming sound.

Less pleasant is news about food safety concerns. Leafy greens, eggs and tuna top the list of the 10 riskiest foods now being regulated by the federal Food and Drug Administration. These three, as well as oysters, potatoes, cheese, ice cream, tomatoes, sprouts and berries, account for nearly 40 percent of all foodborne outbreaks linked to regulated food.

Most foodborne illness are not reported, but they can blow up into public health emergencies, such as what happened with the hepatitis A outbreak last summer in Rock Island County.

The U.S. House of Representatives passed the Food Safety Enhancement Act, which would increase the FDA’s authority and  update the country’s food safety laws. It is to be sponsored in the Senate by Richard Durbin, the Democrat from Illinois. To read about the bill passed by the house, check this out. To contact Durbin with your thoughts on food safety legislation, try his Web site.

Sergio back in Iowa City

Wednesday, October 14th, 2009

Sergio Acuahuitl, a young boy from Davenport, is now at University of Iowa Hospitals because his cancer has returned.

It’s possible to follow his story on the Care Pages site, available here. Care Pages is a networking site set up to help interested persons follow families during a stressful or critical situation. I used it myself once and will recommend it to anyone.

Readers may recall Quad-City Times stories about Sergio and his fight against acute myeloid leukemia. He endured months of treatment and appeared to be cured until the cancer recently returned. If you’d like to see the story I wrote about Sergio, which was published last year during the Thanksgiving weekend, click here. There was also a story on Sergio and his family at Christmas, written by Alma Gaul.

He’s a good guy and deserves our thoughts and prayers.

Simple ways to avoid viruses

Tuesday, October 13th, 2009

This information came to me this week via e-mail, and I believe folks thinking about influenza might find it helpful. Basically, it’s some common-sense advice about how to avoid viruses such as those posed by the H1N1 flu.

The source is Dr. Vinay Goyal, who practices in places such as Bombay Hospital and Hinduja Hospital, both in India. His original column was published here, the Web site for the Huntington (W. Va.) Arcade newspaper .

Goyal says viruses enter the body through the mouth and nose. Instead of using face masks or other devices, some very simple steps could be the best way to protect yourself. These include:

1. Frequent hand-washing (well-highlighted in all public communications).

2. “Hands-off-the-face” approach. Resist all temptations to touch any part of face (unless you want to eat, bathe or slap).

3. Gargle twice a day with warm salt water (use Listerine  if you don’t trust salt). H1N1 takes 2-3 days after initial infection in the throat/ nasal cavity to proliferate and show characteristic symptoms. Simple gargling prevents proliferation.

In a way, gargling with salt water has the same effect on a healthy individual that Tamiflu has on an infected person. Don’t underestimate this simple, inexpensive and powerful preventive method.

4. Similar to No. 3 above, clean your nostrils at least once every day with warm salt water. Not everybody may be good with Neti pots (used to clean nasal cavities), but blowing the nose hard once a day and swabbing both nostrils with cotton buds dipped in warm salt water is very effective at bringing down a viral population.

5. Boost your natural immunity with foods that are rich in Vitamin C. If you have to supplement with Vitamin C, make sure to also take zinc to boost absorption.

6. Drink as many warm liquids as you can. Drinking warm liquids has the same effect as gargling, but in the reverse direction. They wash proliferating viruses off the throat and into the stomach, where they cannot survive, proliferate or do any harm.