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Early Alzheimer’s Signs Not to Miss

Early Alzheimer’s Signs Not to Miss

older woman and caregiver walking away; early Alzheimer's signs

For most people with Alzheimer’s symptoms begin in the mid-to-late 60s. Those rare cases of early-onset Alzheimer’s may begin to notice symptoms as early as their 30s. In either case, the National Institute on Aging believes it’s likely the damage leading to these signs begins a decade before the patient or anyone else notices the signs.

During the early or mild stages of Alzheimer’s, when most patients are diagnosed, patients experience very similar symptoms. Many patients know something isn’t exactly right. Family and friends who do not see the person on a regular basis may even write off a few odd behaviors as typical aging. Most Alzheimer’s or dementia symptoms represent a change in a person’s behavior.

Forgetfulness

It’s common as we age to forget a person’s name and remember it later. We may not know what day of the week it is but then figure it out. Forgetfulness may include struggling with dates and times, misplacing items more frequently or not remembering something you just learned. When you discover you or a loved one relies more and more on memory aids like written notes, reminders set on their phone or assistance from family members visit your provider to discuss the changes.

Difficulty with Daily Tasks

By the time we reach our mid-sixties, most of us have gotten ourselves dressed for the day for over half a century. Remembering what clothes to wear in what weather or how to button our shirt seems like second nature unless you’re suffering from Alzheimer’s. In addition to struggling to dress themselves, Alzheimer patients may also struggle to balance the checkbook, make plans or decisions, cook a simple meal or drive themselves to a familiar place.

Mood and Personality Changes

Knowing you’re confused but not being able to do anything about it is very scary. Often these changes cause a previously outgoing person to retreat. They may prefer to stay at home where things are familiar or they won’t be asked questions they can’t answer. They may also leave favorite hobbies because they find themselves making frequent mistakes. Or they may not remember how to complete the tasks required. Other personality changes include moodiness, anger, anxiety, more confusion, and depression.

Unfortunately, science does not have a cure for Alzheimer’s yet. This devastating illness progresses requiring more intensive care and supervision. There are medications that can help along with support programs for caregivers and family members.

If you suspect someone you love has Alzheimer’s or you need mental health support as you care for the Alzheimer’s patient in your life make an appointment with one of our counselors today.

How to Choose the Best Dairy Alternatives

milk; dairy substitutes; milk substitutes

If dairy products leave you with digestive upset including nausea, vomiting, and diarrhea, you aren’t alone. A report from the National Institutes of Health shows 75% of the world’s population is lactose intolerant. Science shows children’s bodies are equipped with an enzyme called lactase which breaks down the lactose in their mother’s milk. As children move into adulthood, many lose this enzyme leaving them unable to comfortably digest dairy products.

Luckily, grocery store shelves are filled with dairy alternatives to sweeten your coffee, pour over your cereal or substitute in recipes. Whether you’re lactose intolerant or have chosen to live dairy free as part of a vegan or paleo lifestyle, the most important step in choosing a dairy alternative is to consider the nutritional benefits.

One cup of milk contains:

  • 146 calories
  • 8 grams of fat
  • 8 grams of protein
  • 13 grams of carbohydrates

Luckily most dairy alternatives are lower in calories, but they do not offer the same amount of protein. When you’re checking out the nutritional label of any dairy alternative, look for:

  • At least 7-8 grams of protein
  • The words “unsweetened” or “0 grams added sugar”
  • Fortified with calcium and vitamin D
  • Low amounts of saturated fats
  • Less than 140 mg of sodium per cup

Milk Substitutions

 almond milk; dairy substitutions; milk substitutes; lactose intolerance

One of the most common dairy alternatives is soy milk. It contains almost as much protein as cow’s milk with fewer calories and fat content. It may have an odd taste for those making the switch. Try several brands, and check the nutritional information, before deciding it isn’t for you though.

Another popular alternative now is almond milk. With around 30-35 calories per cup, this option has much fewer calories than cow’s milk but it also contains only 1 g of protein. Almond milk may be used as a substitute in coffee and baked goods. Although almonds are known for their high concentration of protein and fiber, almond milk is often a watered-down variety of whole almonds. To receive the most nutritional benefit from almond milk, look for varieties with higher almond content, 7-15%.

Coffee drinkers looking for an alternative to dairy creamers find coconut milk a creamy, rich choice. With 45 calories per cup, 4 g of fat and 0 protein or carbohydrates, it’s a great option for those wishing to cut calories. If you’re looking to keep or increase your protein intake, however, you’ll need to keep looking.

In addition to these popular substitutions, you’ll also find rice milk, oat milk, hemp milk, flax milk, cashew milk, and tiger nut milk in some specialty stores as alternatives to dairy. As mentioned above look at the nutritional values before snatching one off the shelf. Each has its pros and cons.

Butter Alternatives

butter; dairy alternatives; lactose intolerance

Good news for those who enjoy butter, this dairy product has a very low lactose level! Because of the way it’s produced, it has a low liquid level which is where lactose is contained in milk. If you’re still sure you want to substitute butter, we do have a few ideas for you.

Margarine is the top contender for replacing butter in recipes, but other options may fit the bill even better depending on your nutritional needs and your recipe.

Olive oil can effectively replace butter when sauteing foods. Coconut oil can be substituted in a 1:1 ratio for butter in most recipes although it may add a slightly sweeter flavor than butter.

A ripe avocado or banana can also be substituted for butter in baked recipes.

Cheese

dairy; hard cheese; cheese, lactose intolerance; milk substitute; dairy substitute

Similar to butter, hard cheeses contain much lower levels of lactose than a glass of milk. Aged cheeses have even lower levels of lactose. Soft cheese such as cottage cheese, mozzarella, and Brie do have higher levels of lactose than hard cheeses, but may not cause symptoms in small portions.

Ice Cream

dairy free sorbet; non dairy ice cream; lactose intolerance; dairy substitute; milk substitute

What summer vacation would be complete with a little ice cream? You don’t have to completely give up frozen desserts because of lactose intolerance. Many brands offer lactose-free ice cream and sorbet contains no dairy.

If you’re looking for ways to eat healthier, schedule a visit with one of our providers to talk about your health and nutrition.

Why is Kratom in the news?

kratom, in the news, opioid addiction
Photo credit: Dominic Milton Trott

Local news stories about Kratom in North Mississippi have erupted in the last two months. Itawamba County as a whole and specifically Mantachie and Fulton banned the substance.

Public discussion about emerging drug problems sheds light on difficult subjects. We spend a lot of time educating our community on the issue of drug addiction and removing the stigma that often comes with seeking help for drug addictions. This discussion has also revealed how many people desire to find treatment for their opioid addiction or want to treat pain without opioids.

What is Kratom?

Kratom comes from the Mitragyna Speciose tree grown in Thailand, Indonesia, Malaysia, Myanmar, and Papua, New Guinea. The drug may be sold as leaves, powder, pill or liquid. Some users claim the drug has no addictive qualities and alleviates the symptoms of opioid withdrawal. FDA studies, however, show the drug attaches to the opioid receptors in the brain causing a similar high and addiction as opioid.

What’s the problem with Kratom?

The FDA does not regulate herbal supplements like Kratom. That means the amount of actual Kratom in a supplement can vary without manufacturer of the supplement having to list how much of the substance is in the supplement. Manufacturers also mix other chemicals with Kratom in their supplements. These chemicals can change how the body process the Kratom as well as other medications.

This lack of regulation can mean the dose you took yesterday that helped you stay alert and focused at work could land you in the hospital with an overdose today.

Users report low doses of Kratom improve focus, increase energy levels, increase sociability and decrease pain. Higher doses, however, can cause drowsiness, sweating, nausea, itching, dreaminess, and vomiting.

Kratom currently has no medically approved usage, including as an aid to kicking opioid addiction. People who attempt to treat opioid addiction with Kratom often end up simply switching drugs. There are approved medications to treat opioid addiction. Our counselors can help you find the right in-patient or out-patient program to treat your addiction. Don’t try to manage it alone.

If you’d like to learn more about Kratom and the dangers, check out this article. Our counselors are available to help tackle any addiction including opioids and Kratom.

Perimenopause, menopause and women’s health

shingles vaccine; women of menopause age

“The Change” has long been the unofficial title of the stage in a woman’s life when her menstrual cycle ends and her hormones, well, change. Menopause, the official title of this season of life, is actually the end of the change, marked by 12-months of no menstrual cycle. The full cycle of change in a woman’s body may take as long as ten years or as little as a few months. Caring for your health during these changes is as important as caring for your health during your child-bearing years.

Perimenopause

Before a woman’s menstrual cycles end her hormone levels begin to decrease. She continues to have her period during this time although it may be irregular. Fertility may decrease for some women but they can still become pregnant.

For most women, perimenopause happens in their 40s, but it can begin earlier. The average length of this season of life is four months but, because every woman is different, some women may experience perimenopause for up to ten years while others rush through it in a matter of months.

During the last two years of perimenopause, a woman’s hormones drop more quickly moving her toward the end of her cycle and menopause. Women will experience the symptoms associated with menopause during this time.

During perimenopause most people will experience some of the following symptoms:

  • Hot flashes
  • Breast tenderness
  • Worse premenstrual syndrome
  • Lower sex drive
  • Fatigue
  • Irregular periods
  • Vaginal dryness; discomfort during sex
  • Urine leakage when coughing or sneezing
  • Urinary urgency (an urgent need to urinate more frequently)
  • Mood swings
  • Trouble sleeping

Menopause

When a woman has not had a menstrual cycle in twelve consecutive months she’s considered to be in menopause. Her ovaries have stopped releasing eggs and her production of estrogen has decreased significantly. Most women experience menopause (and all the symptoms that go with it) in their mid-late forties or fifties.

Premature menopause describes menopause that occurs before the age of 40 even if the cause is surgery induced through a hysterectomy or by damage to the ovaries. Women who have surgically induced menopause will not go through perimenopause.

While hot flashes are the hallmark symptoms of menopause, women often experience an array of symptoms linked to the decrease in hormones including:

  • Irregular or skipped periods
  • Insomnia
  • Mood swings
  • Fatigue
  • Depression
  • Irritability
  • Racing heart
  • Headaches
  • Joint and muscle aches and pains
  • Changes in libido (sex drive)
  • Vaginal dryness
  • Bladder control problems

Postmenopause

When the hot flashes have eased and you’ve grown more accustomed to your body’s new hormone levels, you’ve entered postmenopause. Due both to the changes in hormones and age, women in postmenopause are at a higher risk of osteoporosis, heart disease, vision problems, bladder and bowl problems, and Alzheimer’s disease.

Treatment

Menopause is a natural part of life and certain symptoms are common during these stages. However, women can take steps to care for their bodies and reduce the symptoms. Exercise, eating a healthy diet and maintaining a healthy weight all contribute to your body’s overall wellbeing, especially during this stage.

If you’re experiencing any of the symptoms of menopause or perimenopause schedule an appointment with your provider. Some normal symptoms of menopause may actually be symptoms of other illnesses that need to be treated. And if you’ve entered “The Change” your provider may be able to suggest treatment options to reduce your symptoms and lower your risk of chronic disease.

What’s the Deal with Self-Care?

taking a walk for self-care

Self-Care: the buzzword appears on magazine articles, blogs, and social media on a recurring basis these days. A search for “self-care” on Google returns over 5 BILLION results. Online searches and mentions of self-care peaked at an all-time high in September 2018. But what does it mean and why are people suddenly talking about it?

Why Self-Care?

One theory around the popularity of self-care is that the world we live in pressures us to do everything well because we’re comparing our lives to the lives of our friends and celebrities online. A Pinterest-worthy birthday party? No sweat. A picture of myself at the gym this morning? Got it. A copy of the gourmet recipe we cooked for dinner after three sports practices and a private tuba lesson? Here you go.

Add national, state and local news headlines to the stress of performing our daily lives in front of everyone on social media and we’re an anxiety infused people.

We’re also seeing the stigma around mental health disorders reduced, which means more people are talking about ways to care about their physical and emotional needs.

What is Self-Care

The commercialized self-care industry paints a picture of self-care as a weekend getaway, a bubble bath, an hour of yoga or even time spent binging Netflix. True self-care is anything that recharges us so we can be better members of our community, which also includes our family and our workplace.

We’ll spare you a list of self-care to-dos, which often provide more instead of less stress. Instead, we encourage you to think about what recharges you or fill-in this blank: I have more energy when I ___________.

We’d love to hear how you take time to re-charge. Tell us the comments below!

When OTC Seasonal Allergy Medications Aren’t Enough

allergy season in northeast Ms

We’re smack in the middle of the “yellow season” in Mississippi. While the warmth of spring thaws our bodies and spirits, it also sprouts the trees and grass which produce pollen responsible for seasonal allergies. If your seasonal allergy medications aren’t doing the trick keep reading.

Many over-the-counter seasonal allergy medications such as antihistamines and nasal sprays keep allergy symptoms at bay especially if used consistently. Patients may also reduce their reactions by showering after being outside, keeping pets out of bedrooms, closing outside doors and windows and wearing face masks and sunglasses when working outside. Unfortunately for some patients, these precautions aren’t enough.

What do you do when your sneezing, watering eyes, and stuffy nose persist even after you’ve eliminated as much pollen as possible? It might be time to see your provider.

When to see your provider

Our bodies naturally protect themselves against foreign invaders such as bacteria and viruses. Sometimes our bodies react to other substances like pollen which are not harmful. Severe allergies happen when our body really overreacts to these substances.

If you answer yes to any of the following questions make an appointment with your medical provider or your allergy specialist.

  • Have your allergies led to chronic sinus infections, nasal congestion or breathing problems?
  • Do you experience hay fever or other allergy symptoms more than a couple of months out of the year?
  • Are you using over-the-counter antihistamines or nasal sprays without improvement?
  • Have your seasonal allergies or asthma decrease your quality of life or interfere with your day-to-day activities?
  • Do you struggle to catch your breath at times?
  • Do you wheeze or cough mainly at night or after exercise?
  • Are you short of breath or feel a tightening in your chest?
  • Have you been diagnosed with asthma but your medications aren’t working?

How can my provider help?

If over-the-counter seasonal allergy medications aren’t helping, it might be time for your provider to prescribe stronger medication. Another option is one that treats your allergies in a different way. It’s also possible that the over-the-counter medications you’re using may have negative side-effects you don’t like.

Your medical provider can determine if you need a referral to an allergy specialist or if they can treat your allergies before making that referral. An allergy specialist can test to find out what exactly is causing your allergies and may discuss immunotherapy. Immunotherapy treats allergies by introducing an increasing amount of the allergen via injection over months or years.

If you’re tired of struggling with your stuffy nose make an appointment with your provider. Together you can discuss new options for treating your allergies so you can enjoy the spring weather.

6 Ways to Manage Your Arthritis

Arthritis is the leading cause of pain and disability in the United States.

Arthritis is the leading cause of pain and disability in the United States. Almost 50% of people over the age of 65 reports doctor-diagnosed arthritis and one in four Americans under 65 reports doctor-diagnosed arthritis.

Managing symptoms and flares takes some work, but you can take some steps to lessen the pain and enjoy life.

Work with Your Provider

If you’re experiencing joint paint, start by contacting your medical provider. The CDC reports over 100 types of arthritis, some of which affect the immune systems as well as joints. A proper diagnosis helps your provider recommend a treatment plan which reduces your symptoms and helps you feel better.

Keep Moving

Physical activity can improve arthritis pain by 40%. Can’t take a long walk? Make sure to stretch your muscles and move your joints through their full range of motion every day. Stretches before and after you exercise also reduces the chance of injury. Try low impact exercises such as swimming, riding a stationary bike, or walking on a treadmill or on paved even ground. Avoid high impact aerobics as they can put more stress on joints.

Manage Your Weight

Almost ⅓ of adults who are obese also have arthritis. Being overweight can complicate your arthritis and lead to increased pain. Don’t jump on a fad diet though. The best way to lose weight, and keep it off, is to create a plan that includes healthy eating and exercise to gradually shed the extra pounds.

Stop Smoking

Smoking complicates almost every chronic illness and arthritis is no different. It puts stress on the connective tissues of your body which can increase your arthritis pain. So if you aren’t worried enough about your lungs to quit, do it to decrease the arthritis pain.

Take a Warm Bath

Warm water has long been one of the most common natural remedies for many illnesses. Twenty minutes relaxed in warm water can relieve pain and loosen muscles. Try gently stretching your warm muscles in the bath to increase your flexibility. For an occasional treat, add some Epsom salts to the bath. (Diabetes patients, on the other hand, should stick with plain warm water.)

Think Positively

Depression and anxiety affect almost ⅓ of all arthritis patients. Negative thoughts can increase pain, especially when you dwell on them. Find an activity you enjoy, spend time with a friend or loved one and talk to a therapist or counselor.

Let’s Talk Infant Immunizations

Infant Immunizations Week

The last week of April we recognize as National Infant Immunizations Week. We’ve heard a lot of discussion about vaccines in the news lately and want to provide you with the most information possible. Vaccinations are designed to protect not only your child from serious diseases but to protect those with compromised immune systems who are unable to receive the vaccine themselves.

You can find a lot of information online, but your child’s medical provider offers the best information on immunizations. Seeing the same physician or nurse practitioner for your child’s wellness exams and illnesses supplies the provider a complete history and understanding of your child’s health. Together you and your child’s health provider can make the best decisions for your child.

What illnesses do childhood vaccines protect against?

The typical course of vaccines covers fourteen illnesses:

  • Hepatitis A
  • Hepatitis B
  • Diphtheria
  • Hib Disease (Haemophilus influenzae type b)
  • Pertussis
  • Pneumococcal Disease
  • Polio
  • Influenza (flu)
  • Measles
  • Mumps
  • Rotavirus
  • Rubella (German Measles)
  • Tetanus
  • Varicella (Chickenpox)

If you’re like most Americans, you’ve never heard of some of these illnesses and have never known anyone who ever experienced many of them. You can thank vaccines for that protection. Want to know more about each of these diseases? Check out this article which describes each disease and potential complications.

Why do my children receive so many vaccines at one time?

Infant immunizations and childhood vaccines are scheduled to be given when a child is most at risk of developing the disease and when a child’s body is most responsive to developing protection after the vaccine is given. Some vaccines must be given in multiple doses spaced at specific intervals to create and maintain full, optimum protection.

What’s the recommended infant immunizations schedule for children?

The CDC provides informative guides for when you should expect your child to receive specific vaccines. You should also receive an updated vaccination record when your child has new vaccines.

Download the CDC’s guide in English

Download the CDC’s guide in Spanish

Where can I have my child vaccinated?

While some pharmacies offer certain vaccines for adults, it’s important to schedule time with your child’s regular medical provider for their vaccines.

Mantachie Rural Health Care, Inc., offers vaccines to children who are covered under Medicaid or private insurance as well as children who do not have insurance. We’re also part of the federally funded Vaccines for Children program which offers vaccines at no cost to children who might not be vaccinated due to an inability to pay.

If your child has received vaccinations at another clinic, we are able to pull those reports from our office which ensures your child receives the correct vaccines in the right order.

Make an appointment for your child’s next vaccines by calling our office at (662) 282-4226.

FDA Outlines Successes, Continuing Work to Fight Opioid Addiction

Since 2015, the number of opioid pain prescriptions filled at retail pharmacies has declined by 24%. Prescriptions of the strongest opioids now account for less than 1% of all opioids dispensed in 2018. All positive trends in the fight against opioid addiction, but none mark the end of the crisis. In the midst of these positive numbers, the rate of overdose death continues to increase.

In a letter released at the end of February, Scott Gottlieb, M.D., FDA Commissioner, addressed the success of the agency. He also discussed their plans to continue fighting opioid addiction and providing recovery support for those in the throes of addiction.

Prevention Key to Stemming the Crisis

Gottlieb admits the FDA’s reliance on “rigorous evidence that can often take many months and even years to collect” slowed the agency’s response to the building crisis. They’re taking new steps to respond more quickly to the changing situation.

One key to solving the opioid crisis is reducing the misuse of opioid drugs that leads to a new addiction. In 2019 the agency expects to implement new dosing methods. One solution includes blister packs that allow doctors to more easily prescribe lower doses of medication. They’ll also release suggested dosing based on specific outpatient scenarios.

Continued Support for Addiction Recovery

“Reducing overdose deaths also requires broadening the availability of naloxone,” Gottlieb writes.

The FDA is working with drug manufacturers to make naloxone available as an over-the-counter product. This step makes the product available to people who are not under the care of a physician. It also increases availability to those who may fear the stigma that comes with addiction. While it is not currently available without a prescription, the FDA is seeking industry partners who will help bring the product to market.

Reduction of Illegal Opioid Trafficking

Finally, while prescriptions of opioids continue to decrease illegal sales of opioids online continues to increase. Together with major internet stakeholders, the FDA is working to make it harder for online sales to take place.

“For example, Google now deindexes websites based on our warning letters that cite the unlawful sale of opioids to U.S. consumers. Social media platforms such as Facebook and Instagram redirect users who are looking to buy opioids online to the Substance Abuse and Mental Health Service Administration National Helpline,” writes Gottlieb.

The organization continues to use analytics and tracking data to identify early trends which will help them react faster to changes in the crisis.

Mantachie Rural Health Care, Inc., continues to work with our community to battle the opioid addiction in North Mississippi. The problems our friends, family, and neighbors experience with opioids are echoed around the country. While we’re hard at work educating the community about the signs and dangers of opioid addiction we’re also dedicated to reducing the stigma associated with it. More education and less stigma mean an increase in people who need help finding it.

But we’re not alone in our fight and neither are you. If you need help finding the recovery resources you need, call our mental health clinic today at 662-282-4359.

True Cost of Diabetes Reaches Beyond the Patient

cost of diabetes

Families of diabetes patients understand too well the true costs associated with the management of this disease. From increased doctor’s visits to the purchase of insulin to specialized shoes, the costs of diabetes reach far into their pockets. Many people without diabetes do not realize how large those costs truly are and how they affect people beyond the patient.

Increasing Costs

A year ago the American Diabetes Association released a report detailing the full cost of diabetes. The results of their research showed the total cost of diabetes to Americans increased by 26% between 2012 and 2017. The report also says “1 in 4 health care dollars in the U.S., and more than half of that expenditure is directly attributable to diabetes.”

Individually, an average of $9,601of a diabetes patient’s medical costs are attributed to diabetes care. That’s an average of $800 a month spent on diabetes care. When you consider the median home mortgage is $1030, that’s a big chunk of a person’s monthly budget.

Government programs such as Medicare, Medicaid or the military cover the majority of these costs. Private insurance picks up another 30%. A small minority of patients have no insurance and spend less on physicians visits and medication, but more on emergency room visits due to complications from the disease.

Indirect Costs

What do these numbers mean if you’re one of the fortunate ones not buying diabetes supplies and paying hospitalization bills? The costs we’ve discussed so far cover the direct costs of managing diabetes. The indirect costs impact anyone who works with or employs someone with diabetes by loss of productivity, increased absenteeism, inability to work and loss of productivity due to early mortality.

Combatting Diabetes

The true cost of diabetes isn’t meant to shame those dealing with the disease on a daily basis. They already understand too well the costs associated with their disease. We know people who aren’t paying those bills have no idea what the true cost of the disease is. Encourage your friends, family, and co-workers managing their diabetes to keep up the good work. They’ll experience good days, bad days and setbacks along the way. Your encouragement keep them going.

The best way to reduce the direct and indirect costs of diabetes is to reduce the number of people dealing with Type 2 diabetes and to help those who are diagnosed to manage their disease.

We can all do more to reduce our risk of Type 2 diabetes by:

  • Losing excess weight (which we all know is easier said than done)
  • Replacing sugary drinks with good ole water (more H2O and fewer sodas will make the first suggestion a little easier)
  • Eating a variety of fruits and vegetables
  • Moving more (start by walking farther across the parking lot to the store)
  • Decreasing stress (moving more can help with this)
  • Sleeping more soundly
  • Giving up smoking
  • Keeping wellness check-ups

Want to learn more about managing diabetes or supporting those around you with the disease? We host a Diabetes Education Class on the third Tuesday of the month in the community room of our dental clinic. Call us to confirm the day and time of our next class.


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