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Boost Your Immune System this Summer

Boost Your Immune System this Summer

Boost Your Immune System This Summer

The sun’s shining and businesses are starting to reopen. While we’re relieved our numbers of COVID19 patients hasn’t overwhelmed our hospitals and medical system, we continue to be concerned about the threat of the virus. The majority of the most serious cases have happened in older adults with pre-existing conditions. This means keeping ourselves healthy has never been more important.

The best way to protect ourselves from any germs is to wash your hands using soap and water for twenty minutes and stay away from people who are sick. We can also protect others by wearing a mask when we go in public in case we’re the ones who are sick and don’t know it.

In addition to those important steps, we can boost our immune system with some pretty basic steps.

Eat Well

Our immune system comes from our gut. So, it is especially important during these times of reopening our world that we incorporate foods that boost our immune system. These foods and vitamins include:

  1. Protein – this helps with healing and recovery so make sure each meal or snack has a good source such as lean meats, eggs, seafood, poultry, nuts, seeds, soy products, etc
  2. Vitamin A – prevents infection. Foods that contain Vit A are sweet potatoes, broccoli, and carrots.
  3. Vitamin C – fruits like oranges, red bell pepper, etc contain vitamin c which helps build up the immune system.
  4. Vitamin E – foods such as cereal, almonds, and peanut butter contain this vitamin and is good to help with building immunity
  5. Zinc – helps with would healing. Foods such as milk, lean meats, and whole grains contain zinc.
  6. Other vitamins to help with immunity are B6, B12, Copper, Folate, Selinium, and Iron. These come in a variety of different foods. This is why it is so important to strive for a balanced plate of whole grain, vegetables, and lean proteins with each meal and snack. 

Sleep Soundly

A National Institutes of Health study shows adults who sleep fewer than 6 hours every night are more prone to illness. Adults should get at least 7 hours of sleep every night. Teens need 8-10 hours of sleep and children up to 14 hours of sleep. So these long days with no school where your teen sleeps in until almost noon may be helping him stay healthy.

Some environmental factors which we can control that affect sleep include:

  1. Alcohol (which may help you fall asleep initially but is more likely to disrupt your sleep later and keep you from getting in the hours you need)
  2. Heavy meals
  3. Nicotine
  4. Caffeine
  5. Blue lights from electronics

We can’t control all the factors that lead to a poor night’s sleep. Stress, tension, anxiety, and depression can all interrupt our sleep. And we can agree there’s plenty of all those emotions to go around right now. If you’re struggling with these issues talk to a counselor. Finding strategies to cope with stress and depression will not only help you sleep more soundly but it can boost your immune system as well.

Some illnesses such as acid reflux or allergies and sinus problems may also inhibit sound sleep. You’ll want to talk to your medical provider about treatment not only for your sleep but for your long term health.

Water it down

Water is important to our overall health which is important for our immune system. See how that works? We all need to drink enough to make our urine pale yellow. Let your body be your guide. When you’re thirsty drink until you aren’t thirsty anymore. 

Exercise, especially outside in warm weather, will use up our water stores more quickly. Keeping a bottle of water on hand during and after exercise is an important part of staying hydrated.

The internet has plenty of suggestions on how much water you need to drink every day. As long as you are staying hydrated–the pale yellow urine will let you know if you are–you’re doing great. 

Move it, Move it

Our body systems weren’t built to be sedentary. We’re made to work and exercise regularly. Especially for those of us who are used to working hard but have been laid off this sudden shift can be hard on our bodies. Plan some time to exercise. Walk around the neighborhood. Hike where you can observe social distancing rules. Ride your bike. Plant a garden. We can do a lot without fancy gym equipment.

Many exercise gurus and gyms are offering virtual workouts. Find one and join in. 

In addition to making our bodies healthier, exercise can help alleviate stress.

We can’t offer a fool-proof way to protect yourselves against the Coronavirus. If we could we’d all be back at work with no concerns by now. We can help you create a healthier body so you can fight back against all types of illnesses including the current COVID-19 crisis.

Managing Diabetes Amid Coronavirus Pandemic

Managing Diabetes Amid Coronavirus Pandemic

As if our patients with Type 2 Diabetes didn’t have enough to worry about, they’re now listed in the category at the highest risk of complications from the current Coronavirus pandemic. Following the CDC guidelines to wash your hands frequently, maintain a six-foot distance from people when you must go out, and staying home as much as possible is even more important for these patients. We’re working with our diabetes patients to ensure they maintain a great quality of care while protecting their health during these difficult days.

Resources

The American Diabetes Association put together some great resources on preparing to stay home long-term during the Coronavirus pandemic. They also offer guidance on how to take action if you do become sick. You can access that information here.

Reassurances

One of the ADA’s recommendations is to have extra refills on your insulin and to always have enough insulin on hand for the week ahead. These instructions can cause financial hardship. Some people also worry it will cause a shortage of insulin supplies. Three of the largest insulin providers in the US made statements earlier this month that their supply is stable. If for some reason your pharmacy doesn’t have enough of your insulin on hand, ask them to check with other area pharmacies if you can’t wait.

Refills

Eli Lilly announced earlier this month that they would cap costs for most monthly insulin refills for commercially insured or uninsured patients at $35. We aren’t sure at this time if other insulin companies will follow suit. Buying insulin and other diabetic supplies and medication isn’t cheap. Patients of Mantachie Rural Health Care can request a 340B pharmacy card from our office at the time of their next appointment. If you’re an established patient, you can call our office to learn more. This card reduces prescription costs for thousands of medications. How much your cost is reduced depends on your insurance coverage and the medication.

We want to keep all our patients healthy and thriving during these uncertain times. We’re passing along as much information as possible to keep you updated. If you have questions about your diabetes treatment or management of other chronic illnesses, call our office for an appointment.

Are Homemade Face Masks Effective Against Coronavirus?

Are Homemade Face Masks Effective Against Coronavirus

When the Coronavirus emerged in the United States earlier this year and even as cases soared in March, the CDC did not recommend average Americans wear a face mask. They made this recommendation due to a short supply of N95 and surgical face masks which were needed by medical personnel on the frontlines of the pandemic. In early April, however, the CDC did an about-face and suggested all Americans wear a face mask when in public.

Medical grade face masks continue to be in short supply, and we encourage our patients and community members to reserve those masks for medical personnel. While homemade face masks aren’t ideal, they are a better option than heading to the grocery store without a face mask at all. We want our patients to be safe and healthy, which starts with having good information. Here’s how you can protect yourself best from the spread of COVID-19.

  • Stay home except for essential travel to pick up groceries or prescriptions, attend a doctor’s appointment, or go to work at an essential business. 
  • Keep six-feet from other people when you must go out. Social distancing reduces the risks you’ll be hit by virus-infected spray if someone near you coughs or sneezes or talks to you.
  • Wash your hands. Wash your hands. Wash your hands. Wash with soap and water frequently, especially if you must go out. Use hand sanitizer if soap and water are not convenient. 
  • Don’t touch your face. The virus spreads when it enters your body through your mouth or nose. If you have the virus on your hands, you’ll ingest it when you touch your face.
  • Wear a mask if you must go out in public.

How Masks Protect You

They don’t. Masks you wear aren’t for your protection they are for the protection of those around you. Research shows that some people may spread the virus up to 48 hours (2 days) before they show symptoms. Another 25% of people who have the virus show no symptoms at all. Wearing a mask keeps you from spreading a virus you don’t know you have to other people by catching the droplets of virus-laden spit as it escapes your mouth when you talk or cough.

Masks protect you when everyone else wears one.

They may also protect all us by becoming an ever-present reminder of our current pandemic. Seeing others wearing a mask reminds us to keep six feet away from others and to be aware of our personal hygiene.

Best Material for Your Homemade Face Masks

Nothing protects as well as medical-grade masks, but the average American doesn’t need a medical-grade mask, so we’re looking for suitable alternatives. After all, some protection is better than no protection at all. Research testing the best materials for homemade face masks studied breathability and filtration of multiple materials. The test found cotton material like bedsheets or T-shirts made the best masks.

Not all material is made equal. Researchers suggest holding material up to a bright light. If you can see through the material it’s not thick enough. You may also want to double up the material and/or add a coffee filter to the inside. 

The CDC offers several mask patterns for both seamstresses and those of us who can barely thread a needle. Other mask patterns may be found across the internet. 

Dangers of Homemade Face Masks

Masks only catch a certain amount of virus particles. They aren’t a fail-safe option. If we cling to our mask as our only protection and relax other measures we risk a rise in infection rates. We must continue to stay home as much as possible, especially if we are sick. And we have to keep washing our hands, stop touching our faces, and keep maintaining our distance from other people. 

Homemade masks can become a breeding ground for bacteria and viruses, including the Coronavirus. If your mask catches the virus spray, then you touch the outside of the mask, the virus is now on your hands. To make cloth masks more effective, they need to be washed after every use and changed out if they become wet during use. Remove the mask from your face by the ear bands or strings. Throw disposable masks away after one use and put reusable masks in the wash.

Have you made homemade masks? Show us a picture in the comments.

Under Control Asthma Best Defense Against Coronavirus Complications

Under Control Asthma Best Defense Against Coronavirus Complications

Both the CDC and American College of Allergy, Asthma, and Immunology list asthma sufferers at high risk of experiencing the most severe effects of the coronavirus. While no studies have shown asthma patients are at an increased risk of contracting the virus, the illness affects the lungs making it hard to breathe. Without available research, doctors have placed patients with mild or moderate asthma in the “at risk” group and those with severe asthma in the “extremely vulnerable” group.

The best way to prevent severe effects from the virus is to avoid contracting the virus. Stay home if at all possible

If you must go out for groceries or medications stay at least six feet from other people.

  • Wash your hands frequently.
  • Don’t touch your face.
  • Sneeze or cough into a tissue, then throw it away.

For asthma patients, now is not the time to slack up on daily medications. Controlled asthma reduces the chances of asthma attacks and complications. Continue taking medication as prescribed by your doctor and avoid asthma triggers.

Patients also need to ensure their rescue inhaler is not expired. If needed, your provider can work with your pharmacy and insurance company to ensure you have on hand the medication needed for prolonged shelter-in-place orders. Keep 30 days of over-the-counter medication, such as acetaminophen, in stock as well.

In addition to having a supply of your asthma medication, you’ll need to ensure your asthma action plan is updated. This plan includes your peak flow numbers when you are well for comparison should you become ill. Your asthma action plan includes steps to take should your asthma become worse due to exposure to asthma triggers, coronavirus or other viruses.

Staying well and boosting a strong immune system is our best defense against complications from the coronavirus.

Mantachie School Students and Staff Benefit from School-Based Clinic

Mantachie School Based Clinic

The opening of a school-based health clinic in November at Mantachie schools represented more than a year’s worth of work. The clinic, staffed by Amy Floyd, FNP-C, and Casey Pounds, MA, sees both children and school staff. Hours of operation run from 7:30 a.m. until 3 p.m. during school days.

School-based health centers started in 1970, but gained popularity in the 1990s. Today, more than 2000 SBHCs care for the health of more than two million students.

Students with access to school-based clinics miss fewer days of school due to illness. More days in the classroom along with better overall health means these students retain more knowledge and score better on tests.

Parents benefit from school-based clinics because they miss fewer days of work to attend appointments with their children. Increased work attendance and productivity improves a family’s financial outlook.

Our school-based clinic treats the usual urgent care illnesses such as colds, sinus infections, strep throat, and the flu, as well as managing health conditions like diabetes. Providers may also conduct vision and hearing screenings for students. Students experiencing depression or other mental illness may receive earlier intervention when a medical provider is on campus every day.

The benefits of consistent health care for students stretch into a lifetime of healthy choices, which benefits the entire family and community.

To be seen in the school-based clinic, parents and staff must complete the permission and insurance form available in the school office. The clinic bills visits to the student’s Medicaid or private insurance.   

Benefits and Dangers of Celebrity Endorsed Intermittent Fasting

Benefits and Dangers of Celebrity Endorsed Intermittent Fasting

Every year with the “New Year New You” announcements come new fad diets. One of the most popular new celebrity-touted trends is intermittent fasting. Most notably a 16:8 fast. Fasting has been around for centuries, but it’s not right for everyone.

What is fasting? 

Before you consider fasting as part of your diet and exercise plan, educate yourself on the different types of fasting. Religious fasts often include not eating for many days or even weeks at a time. This type of fasting can be particularly dangerous for people with diabetes. 

Intermittent fasts are broken down by when you restrict food intake. A 5:2 fast allows you to eat your regular diet five days a week and restricts calories to 600 calories a day for men and 500 calories for women on the two fasting days. The popular 16:8 fast means you fast for 16 hours a day and eat all your daily calories in the remaining 8 hours. 

Benefits of Intermittent Fasting

Some dieters find the freedom of eating regular meals five days a week makes up for two days of strict fasting, or that they aren’t really all that hungry when they eat three meals in eight hours instead of stretching out their meals and snacking over the entire day. The diet plan is easy to follow because it doesn’t include any measuring of food or counting of calories.

A few very limited studies have shown intermittent fasting to lower A1C levels and increase weight loss. 

Dangers of Intermittent Fasting

Every diet has pros and cons. Intermittent fasting may help prevent type 2 diabetes, but it’s not a good option for those who already have the disease. Fasting may cause lower blood sugar levels, which can have dangerous side effects.

Because intermittent fasting does not involve measuring serving sizes or counting calories, many people will gorge on the foods they love or eat unhealthy foods during their non-fasting days. 

Fasting may also be dangerous for people with a history of eating disorders or mental health disorders.

Good Eating Habits Haven’t Changed

Regardless of whether you try eating all your meals in one eight hour stint or not, what you put in your mouth matters. Filling your plate with fruits and vegetables, adding lean protein, substituting complex carbs in place of sugary carbs, and including a few healthy fats helps you lose weight and manage diabetes and other medical conditions. The limited studies show no greater weight loss in groups who fasted than from groups who ate regular, healthy meals.

Before You Try Any Diet

Always consult your medical provider before you start any new diet or exercise routine. Your personal health conditions and medications influence how exercise and diet affect your body. We have a nutritionist on staff who can help you find the best way to manage your diet so it has the most positive effect on your health. She hosts Witcher’s Weightloss Warriors every Monday evening. It’s a free program that teaches participants how to lose weight in healthy ways. Call our clinic to learn how you can join.

Pancreatic Cancer Not Answer Game Show Host Alex Trebek Expected

alex trebek pancreatic cancer
“Jeopardy!” host Alex Trebek at the 2016 USO Gala, Washington, D.C., Oct. 20, 2016. (U.S. Army National Guard photo by Sgt. 1st Class Jim Greenhill)

Earlier this year, Alex Trebek, the long-standing host of “Jeopardy!,” announced he’d been diagnosed with pancreatic cancer at age 79. Like his game show participants, this answer to what he assumed to be benign symptoms leaves us with a lot of questions.

What are the symptoms of pancreatic cancer?

In an interview, Trebek mentioned he’d experienced persistent stomach pain prior to his diagnosis. Similar pain is one of the most reported symptoms among pancreatic cancer patients. 

Other symptoms include:

  • Jaundice
  • Weight loss
  • Abdominal pain
  • Bloating
  • Nausea
  • Vomiting
  • Loss of appetite
  • New diagnosis of diabetes (the vast majority of people with a new diabetes diagnosis do not have pancreatic cancer)

If these symptoms sound similar to the symptoms of many other illnesses, you’re right. Which is one of the reasons pancreatic cancer is rarely diagnosed during the early stages. The other obstacle to early diagnosis is that by the time these symptoms do appear, the cancer has usually grown beyond the pancreas.

Who’s at risk of pancreatic cancer?

Like many other cancers, lifestyle choices can increase your risk of developing pancreatic cancer. The risks increase for people who:

  • Smoke
  • Are Obese
  • Have long-standing, uncontrolled diabetes
  • Have a poor diet

You can’t control all the risk factors though. Some like chronic inflammation of the pancreas, a family history of pancreatic cancer, family history of genetic syndrome such as BRCA2 gene mutation, Lynch syndrome and familial atypical mole-malignant melanoma (FAMMM) syndrome, and age can’t be changed.

How do you treat pancreatic cancer?

Alex Trebek reported success with early chemotherapy treatment of his cancer. After a short remission, however, he experienced regrowth of the tumors and has begun chemotherapy treatment again. 

While chemo is often a part of a treatment plan, other treatments may include surgery, radiation or clinical trials. Your cancer’s stage when it’s discovered determines exactly how your doctor treats your disease. 

We talk a lot about diabetes diagnosis and management here on our website and on our social media. Although the vast majority of our diabetes patients will never receive a pancreatic cancer diagnosis, we know this disease elevates their risk. It’s one more reason we’re determined to help all our patients live healthier, longer lives.

If you need help controlling your diabetes or discovering what’s causing you to feel bad more days than not make an appointment with one of our providers by calling (662) 282-4226.

Celebrating Mantachie’s Nurse Practitioners

nurse practitioners; Amanda Martin, FNP; Donna Cannon, FNP; and Crystal Nichols, FNP

Amanda Martin, FNP; Donna Cannon, FNP; and Crystal Nichols, FNP

The second week in November we celebrate our clinic’s Nurse Practitioners. And we’re pretty lucky to have some of the best.

These mid-level providers have become our go-to providers over the last twenty years, but the profession started in 1965. It began in response to a dearth in primary care providers. In 1989 Congress provided limited reimbursement for these nurses and the profession experienced tremendous growth in the 1990s. By 2000 Nurse Practitioners were able to practice in all 50 states.

Our NPs provide excellent primary care services for our patients, and we are fortunate to have highly trained providers in our facility.

Miley Cyrus, Larry Bird, and Joe Biden Share This Common Medical Condition

Miley Cyrus, Larry Bird, and Joe Biden Share This Common Medical Condition: Afib; atrial fibrillation
Larry Bird Photo Credit Nick Antonini; Joe Biden Photo Credit Marc Nozell

What does Miley Cyrus have in common with a late former president, a former vice president and a member of the 1992 Olympic “Dream Team”? Not much as it turns out. But the former Disney star does have an irregular heart rhythm, a condition she shares with the late President George H.W. Bush, former Vice President Joe Biden and Larry Bird, a former NBA standout and member of the lauded 1992 U.S. Olympic Basketball team, better known as the Dream Team. 

Although Cyrus was unclear on the cause of her irregular heartbeat when she discussed the condition in her 2009 memoir Miles To Go, most speculate it’s due to atrial fibrillation, or AFib, the same condition that causes heart rhythm problems for Bush, Biden, and Bird. 

What is AFib and Who’s at Risk?

AFib is one of the most common heart conditions in the world most often characterized by an irregular heart rhythm and it affects an estimated 2.7 – 6.1 million people in the United States each year. The estimated range of people affected is wide. Many people living with AFib are unaware they have the condition because they experience little to no signs or symptoms.

 AFib is often mistaken as a mild condition due to its commonality and seemingly manageable symptoms. However, untreated AFib can lead to heart failure, stroke, blood clots, and other heat-related illnesses.

The CDC reports about 9% of people over age 65 to have AFib while just 2% of people under 65 have the condition. Although anyone is at risk for AFib, Caucasian women over 65 are more likely to have AFib than any other group. 

Signs and Symptoms

The most common sign of atrial fibrillation is an irregular heartbeat. However, it is often accompanied by other symptoms such as:

  • General fatigue
  • Chest pressure or pain
  • Fluttering in the chest
  • Dizziness, anxiety, and shortness of breath
  • Faintness or confusion
  • Sweating

How to Treat It and Reduce Your Risk

Atrial fibrillation is a medical condition in itself, but it’s also often a sign of an underlying problem or illness. AFib could be the result of something as simple as consuming too much caffeine or as serious as a condition like high blood pressure or another more serious heart problem. Successful treatment of AFib begins with a proper diagnosis. To get this diagnosis, patients may undergo in-depth exams and a series of tests such as an echocardiogram.

In many cases, AFib can be treated with certain lifestyle changes such as saying no to a second cup of coffee in the mornings if your AFib is related to too much caffeine consumption. In other cases, treating the underlying condition stops AFib symptoms. 

The best way to reduce your risk of AFib is to visit your medical provider regularly for checkups and to contact them at the first symptoms of AFib. All cases of AFib have the potential to become serious which is why an early diagnosis is essential.

Are you concerned about your risk of developing AFib? Mantachie Rural Health Care can help ease your concerns and begin the diagnosis process. Contact us today to request an appointment. 

Your BMI’s Role in a Healthy Future

calculating your BMI

If you need to lose weight to manage your diabetes or simply get healthier and reduce your risks of conditions like diabetes, high blood pressure, and high bad cholesterol, start by calculating your body mass index (BMI).

What is the BMI scale and How Do I Use It?

The body mass index uses weight x’s height to calculate your BMI number. The number, measured on a scale, indicates if a person is underweight, normal weight, overweight, or obese. 

BMI Scale

  • Underweight = <18.5
  • Normal Weight = 18.5 – 24.9
  • Overweight = 25 – 29.9
  • Obese = 30 or greater

You can calculate your BMI at home. Luckily, you don’t have to be great at math to do it, thanks to handy online calculators. Try this one from the National Blood Heart and Lung Institute. You’ll find other links here including the BMI table, which shows you where your weight lies on the scale and the ideal weight number for your height. You’ll also find information on how to get started controlling your weight and recipes to help you eat healthier. 

The keys to weight loss are support and an organized plan to not only lose weight but keep it off for good. Our Witcher’s Weightloss Warriors meet every Monday to support one another and learn healthy habits. The best news? The program is free! Contact Mantachie Rural Healthcare today to schedule an appointment to discuss your results and learn how to sign up for our Witcher’s Weightloss Warriors!


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