Showing posts with label Nurse advice. Show all posts
Showing posts with label Nurse advice. Show all posts

Friday, September 1, 2017

Poorly Managed Medical Offices and their Staff Can Make You Sick: Common Errors in Outpatient Care

When most people think of medical mistakes, their minds immediately jump to dramatic life-threatening errors that can occur from emergency care by first responders out in the field, in emergency rooms, or on hospital floors. While errors can and do occur in any patient care environment, staff errors that happen in private medical offices and clinics can occur on a frequent basis, and sometimes continue for a long time with no supervision, correction or resolution by the physician in charge. And if there is not a nurse manager to oversee patient care and operations, many times the doctor in charge is not even aware that problems exist.

Sometimes mistakes are made by unlicensed personnel, while other times it's the doctor or another licensed provider. While to error is human as the famous quote goes, it's how errors are handled and resolved that makes the difference when caring for patients. If no attempt is made to correct errors that affected you or other patients - it's a red flag warning that you may want to consider changing healthcare providers.

While many outpatient providers consist of hard-working, dedicated staff that truly care about providing professional, timely, safe patient care and friendly services, sadly…some do not. 

Errors in outpatient care can and do severely impact patients’ lives in profound and negative ways, just as mistakes at a hospital or at the scene of a car accident can. From billing errors, to office procedural errors, to errors with hands-on patient care, all can make life miserable for you and other patients. If you were not in an ill state already, dealing with the fallout of others' mistakes, can truly make you sick. Just like the delicate flowers in the photo below, care must be taken to prevent harm to all patients, and especially those who are experiencing acute medical problems, are in delicate conditions, and difficult situations.

Delicate spring flowers by Carole Jakucs. May, 2017. Image subject to copyright.


Many times, the perpetrators of outpatient/ambulatory care errors continue their negligence and, or, sloppy care without appropriate intervention from management or the physician, due to a lack of having licensed staff (RNs or LVNs) to provide care and serve as a staff resource to supervise unlicensed staff, a lack of time for the physician to maintain proper oversight of unlicensed staff, or simply due to a laissez faire attitude on the part of the doctor(s), practice manager, and, or, clinic management.

Below are some common errors and unethical practices that occur in private medical offices, clinics, urgent care centers, dental offices, and surgery centers.

I've personally witnessed the errors below either as a patient, while accompanying loved ones and friends to appointments, or in my professional capacity as a registered nurse while working to help patients who were on the receiving end of irresponsible care.

Breaches of Patient Confidentiality by all Staff:
  • Paper charts or test/lab results being left on counters and desktops for all to see.
  • Electronic medical records: Patient charts not being exited and the staff member not logging off and out of the system when they leave their desk or the patient’s exam room; patient charts left up on the screen for anyone to see.
Billing Errors:
  • Negligent billing staff that submits overcharges to patients’ insurance companies for services not received, or sending duplicate bills (charges for the same date of service twice or more).
  • Negligent billing staff that tells patients’ insurance companies they have another insurance provider (in addition to them) when in fact, they do not. This causes an alert in the insurance company’s data base system to place this person’s medical insurance on hold, as the company then seeks out information on who the other company is – when in fact, the patient has no other insurance. This causes a delay in all subsequent bills being paid, requires patients to make multiple phone calls to straighten out the problem with their insurance company, and alert the doctor’s billing staff to their mistake.
Calling Wrong Numbers or Not Calling at All:
  • Negligent office staff that call the wrong number, leave a phone message on the wrong voicemail of with someone other than the patient, or worse yet, saying and charting that they spoke to a patient when they did not - engaging in outright lies.These phone calls can pertain important issues such as, but not limited to, confirming patients’ future appointments, advising patients they need a follow up visit with the physician, or a new diagnostic test is needed (MRI, lab test, etc.)
Unlicensed staff practicing beyond the scope of their training and the law, such as when:
  • When unlicensed staff are trained to conduct invasive procedures on patients that are beyond the scope of their practice, or dispense medications that are not properly labeled according the state medical board’s requirements.
  • Unlicensed staff such as medical office workers and medical assistants providing telephone triage or in-person triage, dispensing medical or nursing advice without the license, education, or training to do so. This is not legal and just plain wrong.
Poor Practices:
  • Medical offices and clinics that have no process in place for double checks to be done for staff for fellow staffers, prior to injectable medications being given to patients.
  • Medications left unattended in exam rooms.
  • Inaccurate blood pressure readings - and usually they're false highs. This can lead to a mistaken diagnosis of high blood pressure (hypertension/HTN) and prescriptions you don't need, all due to the fact that the person tasked with taking your blood pressure is doing it WRONG.
Problems with Prescribed Medications: 
  • Concerns about adverse drug reactions (side effects) from a medication you've been prescribed are ignored by the prescriber (MD, PA, NP).
  • The prescribing of medications that cause known side effects such as liver damage, kidney damage, muscle damage, B-12 deficiency, and magnesium deficiency, to name a few; and no follow up lab work is done to monitor the patient for the development of these complications. Some common drug culprits are proton pump inhibitors, statins, oral antidiabetics, and blood pressure medications. 
  • The prescribing of medications YOU DON'T NEED or, the prescribing of too high a dose, or for too long of a time period. 
Other Lapses in Care:
  • Staff that call in (or fax) the wrong prescription drug to a pharmacy for a patient, and, or the wrong dose. 
  • When physicians refer to their assistants as “nurses” when they are not licensed nurses such as an RN or LVN. Thus, patients think they are speaking to a licensed nurse such as, an RN or LVN, and if they are not, it's misleading. *In some states, is illegal to refer to someone as a “nurse” when they are not.
  • Medical offices and urgent care centers that don't have licensed RNs or LVNs on staff. While it may not be financially feasible for every medical practice and clinic to have licensed staff present, this can be problematic, as unless the physician(s) in that practice has a tremendous amount of time to supervise their staff, (which most do not), staff errors and bad practices can go on forever, unchecked by anyone. *Even licensed staff members need a resource person, peer consultation, peer-review, and a supervisor to help maintain standards and high-quality patient care.
  • Clinics, offices, or ambulatory surgery centers that could benefit from an outside resource reviewing the quality of the patient care they provide, policies, and procedures, but have not spent the time or resources to do so. One example of a commitment to quality is when organizations seek accreditation from a third-party such as a nationally recognized accreditation organization.
  • When concerns about the care you received, a problem you've encountered with a staff member or, a mistake you've been dealt due to an office procedure are ignored; your request to speak with the manager goes nowhere, no one calls you back, no one take responsibility for the error, no one apologizes for the incident, and, or you are not given a chance to speak a supervisor (or there is no designated supervisor) who has the power to resolve the situation for you and ensure that it won't happen again.
Coming soon: How patients can avoid some of the common errors that occur in outpatient care, and inaccurate blood pressure readings.

Thursday, March 2, 2017

Seven Tips for a Healthier Heart

American Heart Month just wrapped up in the U.S. And with spring around the corner with its promise of new life with flowers abloom, it's a good time to think about your life with healthy habits that can lower your risk of heart disease. Heart healthy habits are good for your whole body (and brain) too.
Boston Common by Carole Jakucs, 2016. Image subject to copyright.

Increase your activity – Exercise 30 minutes daily to help maintain weight and improve overall fitness (check with your doctor before you start) which will help reduce your risk for cardiovascular disease and type 2 diabetes.

Eat a healthier diet – Reduce or cut down on junk foods (pastries, chips, candies, sodas and alcohol) and bad fats such as saturated fats (red meat and full fat dairy) and hydrogenated oils (in junk foods and even some so-called healthy snacks and foods). Increase your intake of fresh vegetables and fruits, lean proteins and whole grains - to help maintain overall health by getting a variety of vitamins and minerals in your diet.

If you smoke – QUIT! Smoking damages the cardiovascular system and causes a multitude of health problems and illnesses.

De-Stress – Look for ways to decrease stress in your life as ongoing stress can raise your risk for cardiovascular disease.

Maintain a healthy weight – Find out what your healthy weight is for your height and body frame and work to stay within that range. Excess weight increases the risk of cardiovascular disease, type 2 diabetes and some cancers too.

Monitor your serum (blood) levels of cholesterol and triglycerides (with your healthcare provider) with a goal of achieving readings in the heart healthy target levels.

Enjoy life! Life can get busy with work and tasks – make the time to do things that make you happy such as being with cherished family and friends and pursuing hobbies you love.

Wednesday, December 28, 2016

Six Tips for a Safe, Healthy, Happy New Year’s Eve and New Year

For most people, the New Year is a time for reflection and usually elicits memories of events from the passing year – some happy and some sad. But starting a New Year also provides an opportunity to make a commitment to lead a safer and healthier lifestyle. If you’re looking for ways to do so, read these tips below.
Sunset at Moonlight Beach - Encinitas, CA - June 2016 by Carole Jakucs. Image subject to copyright.

Distracted Driving – Don’t text, talk on your cell or do anything that takes your eyes off the road while driving. Distracted driving has caused a huge increase in the number of traffic accidents and fatalities. Ask yourself – is reading or sending this text so important that it can’t wait? Is sending it worth slamming into another car and injuring someone else? Just like driving under the influence – there is no reason to drive while distracted as doing so can very well cause someone else’s permanent injury or death (and possibly even your own).

Don’t drink or do drugs and drive. Even one drink can alter your mental acuity. It’s not worth it. Why place yourself and others in harm’s way. With the existence now of ride/driving services and the old standard taxi – there is truly no excuse for driving under the influence. If you have an alcohol or drug problem, consider joining AA, NA or talk to your healthcare provider to get the support you need to quit.

Start exercising – If you already engage in the minimum recommended amount of 150 minutes of physical activity per week then bravo - keep it up! If not, why not? Start with 30 minutes of walking three times a week. If you don’t think you have the time – find the time. Take walks on your lunch break or wake up 30 minutes earlier to work-out. If you're a boss, try holding occasional walking meetings to break up the boredom for staffers and invigorate minds and bodies. Regular exercise helps to reduce your risk of developing chronic diseases such as heart disease, hypertension and type 2 diabetes, decreases stress levels and helps to maintain a healthy weight and better mood.

Eat healthier – Increase your intake of vegetables, fruits and whole grains. Reduce the bad fats such as trans and saturated and increase your intake of good fats such as omega 3’s. Limit or eliminate junk and processed foods. If you want to indulge in a treat – just have a taste. Try the “my plate” method to help guide you on portion control. If you’re going to a party, don’t arrive hungry – have a nutritious snack one to two hours before hand so you don’t overeat. A glass of milk or apple  wedges with natural peanut butter can help take the edge off your appetite.

Don’t smoke – Whether you smoke cigarettes, marijuana, cigars, electronic cigarettes – none of them are healthy. They all damage the lungs. And second hand smoke hurts those around you too. If you want info on where to start with how to quit smoking, read here.

Live your dreams – Whatever goals you have such as going back to school, changing jobs, learning a language or taking that special vacation – use the New Year as a motivator to reassess your goals in a positive way and focus on what you want to do with your life.

Monday, November 23, 2015

Crunchy Cranberry Salad

Are you looking for a healthy, natural cranberry salad for Thanksgiving? If so - you can make your own - with this easy recipe I created.

Ingredients:

1 package of fresh cranberries
1 cup of water
1/4 cup of sugar 
1/3 cup of finely chopped walnuts
1/3 cup of finely chopped celery (approximately 1-2 small stalks)


Public Domain Photo Courtesy of: CCO (Creative Commons Public Domain)


Directions:

Rinse and drain cranberries. Combine cranberries, water and sugar, place in a 3 quart pan and cook for 5 minutes on a medium heat, stirring occasionally during this time while the cranberries pop. Remove cranberry mixture from heat, place in a serving dish.  Add chopped walnuts and celery.  Mix well.  Cover then chill for at least 4 hours.

This healthier version of cranberry salad is nutritious – containing antioxidants and omega 3’s. And it’s lower in sugar than most recipes too.

Consider making cranberries a part of your regular diet throughout the year.


Tuesday, September 29, 2015

Emergency Preparedness - 14 tips to Help You Prepare

September is Emergency Preparedness Month. Most disaster preparedness experts recommend having enough supplies to sustain yourself, family and pets for a minimum of 72 hours - and more is better. The reason is this: Gas, water, electricity and phone service may be gone and not available for several days - you'll be on your own.

Plan and prepare now, so you're ready. Remember to follow the manufacturer's directions for the storage and use of all equipment. Here are some tips to get you started:

Clouds and Mountains in San Luis Obispbo, by Carole Jakucs, 2015. Image subject to copyright.


  • Bottled water: The recommendation is to have on-hand at least one gallon per person per day. And don't forget to have extra for your pets.
  • Maintain a supply of non-perishable foods such as MRE's  (Meals Ready to Eat) and protein bars.
  • Learn CPR and First Aid. 
  • Get First Aid kits for your home and car.
  • Keep any prescription medications you use on a regular basis handy and in one location if possible so if you if you have to leave your home quickly - you can grab them on your way out the door.
  • Have plenty of flashlights and batteries on hand - at least one set per person.
  • Know where your water and gas shut off valves are located, know how to shut them and when to shut them - in the event of leaks/broken lines.  Keep the tools you need to shut them in a specific place.
  • Get an ABC fire extinguisher, keep it handy and learn how to use it.
  • Consider getting an emergency generator and again, learn how to use it in advance if needing it. You'll need extra fuel to operate it so bear in mind all safety precautions for storage.
  • Important legal documents should already be stored in a waterproof/fireproof container that is easy to grab if you need to evacuate your home quickly.
  • Review your emergency supplies on a regular basis, checking expiration dates and to confirm all equipment still works. 
  • Plan ahead for communications: Have a battery operated radio on-hand for access to public safety announcements. Try to keep your cell phones charged as much as possible. Remember to keep a charger in your car too. 
  • Create a plan to contact and reunite with family members
  • Create plans for escape routes from your home, neighborhood and town. Plans for this will vary depending on what type of home you're in and where you live (near the beach or in the mountains, for example).

Review the CDC and Red Cross websites for more information. 

Wednesday, June 3, 2015

Taking the Zing Out of Spring Allergies

Spring is here – and so are spring allergies. If you’re feeling spring’s allergy effects, you may want to read these tips below to help reduce your symptoms:

Palm Trees in Malibu. Photo by Carole Jakucs, May 2015. Image subject to copyright.

  • Wash your hair often to remove pollens
  • Wash your bedding (including pillow cases) in hot water once per week to reduce the dust mite population and remove pollens too (think of your pollen laden hair on your pillow case).
  • Stay indoors when the pollen counts are high.
  • Keep your windows closed when the pollen counts are high.
  • Get HEPA filters for your home to reduce the amounts of pollens, mold and dust in the air.
  • Run the air in your car for a few minutes with the windows open. This will help reduce the amount of airborne irritants inside your car from the vents and send them to the outside.
  • Try nasal saline sprays to help remove mucus and irritants from your nose. The saline also helps to reduce swelling inside the nasal passages.
  • Use over the counter (OTC) medications as needed to treat your symptoms. Follow all package directions. Antihistamines help with the symptoms of sneezing, runny nose and itching. Decongestants help lessen the swelling of a stuffy nose. Mucolytics help to loosen and thin out mucus in the nasal, sinus and chest areas.
  • Drink plenty of water to stay hydrated and help keep your mucous membranes moist and fluids moving.
  • Consult with your physician/healthcare provider for any persisting or worsening of symptoms.

Friday, February 27, 2015

Food Additives Linked to Bowel Diseases, Obesity and Metabolic Syndrome

A new study appearing in the scientific journal Nature, shows that two commonly used food additives found in processed foods known as emulsifiers, produced inflammation and altered the microbial (intestinal bacteria) composition of the intestinal tracts of mice.

The emulsifiers used in the study; carboxymethylcellulose and polysorbate-80, also resulted in mice developing colitis, obesity and metabolic syndrome. Given that emulsifiers are used in numerous processed foods in the United States, the concern is that there is a link with the consumption of food additives and the development of these diseases in humans. The number of people with these types of medical conditions has steadily risen over the last 50 or so years. This rising trend coincides with the use of emulsifiers in processed foods.

Emulsifiers are used in processed foods to help extend shelf life and maintain a smooth consistency and texture, similar to the reason that carrageenan, another inflammation producing additive is used by some food manufacturers.

Inflammation is a precursor of many diseases. Avoiding foods that contain inflammation inducing food additives, is one way you can help yourself stay a bit healthier.

Why are these disease provoking food additives allowed to be used in our foods? Why do companies continue to use them? Some of the chemicals approved for use in processed foods in the United States are banned in Europe. Likewise, there are some food additives used in other countries that are banned here. 

You do have a choice, however. If you choose to reduce your intake of food additives, read the labels on all the packaged foods you purchase. If enough people stop buying additive laden foods, perhaps companies will stop using them. To read a synopsis of the Nature article, click here


Saturday, January 31, 2015

Measles Outbreak is Spreading

Measles is highly contagious and can be deadly. In January of this year alone, 84 people in 14 different states have been diagnosed in the U.S. It's important to get vaccinated to reduce your risk of becoming ill. For the no vaccine crowd, they are putting their own children at risk by not having them vaccinated as well endangering the health of others. 


Public Domain photo taken by Jim Goodson, MPH, courtesy of the CDC.

But here is the other news with the current outbreak of measles in the U.S. A small number of people are becoming ill even though they've been vaccinated with the recommended two doses of MMR (measles, mumps and rubella) vaccine. This tells us that for some, even after having their vaccines, they are not immune. 

Perhaps it never took or, they were immune at one time but now their immunity has waned and is no longer present. Luckily, for most people (studies have shown approximately 95 %) two vaccines provide immunity for many years.

If you're not sure of your immunity status, call your health care provider. You can get a blood test (called a titer) to show whether or not your are immune to measles (and mumps and rubella too). If you're not immune, you can get another dose of MMR vaccine. Follow your physician's recommendations regarding any follow up tests and vaccines.

Wednesday, January 14, 2015

7 Ways to Help Moisten Dry Eyes

Having dry eyes feels not only feels uncomfortable but it also decreases your visual acuity. Many things can cause dry eyes. Here are a few strategies to help keep them moist.

Surfer at San Onofre by Carole Jakucs, 2014. Image subject to copyright.
  1. Eat a diet containing omega 3 fatty acids. Diets high in omega 3’s can help keep eyes moist. Foods containing omega 3’s are: Fatty fish such as anchovies, salmon, sardines and tuna. Walnuts are a good source too.
  2. Drink plenty of water. Drink at least eight glasses throughout the day to stay hydrated. If your mouth is dry, chances are your eyes are dry too. (Unless you have a medical condition that demands you limit your water/fluid intake such as kidney disease or congestive heart failure.)
  3. Many medications can cause dry eyes such as (but not limited to) antihistamines, decongestants, anti-depressants and diuretics. If your eyes are dry and you suspect it’s one of your medications, consult with your health care provider to discuss the possibility of either lowering the dose or trying a different medication.
  4. Environmental factors such as wind, sun exposure, low humidity and high heat can cause your eyes to feel dry. Reduce your exposure to eye drying elements and wear a good quality pair of sunglasses and a hat or visor when outdoors.
  5. Consider OTC (over the counter) moisture drops and use as directed.
  6. Some medical conditions can cause dry eyes such menopause and Sjogren’s syndrome.
  7. Eat a diet full of colorful vegetables and fruits that contain Vitamin A and Beta Carotene. A diet low in these important nutrients can contribute to the development of dry eyes as well as decrease your night vision.  Foods high in Vitamin A and beta carotene (which our bodies convert to Vitamin A) are: Spinach, sweet potatoes, carrots, pumpkin and squash to name a few. (Beta Carotene Supplements are currently not recommended for smokers or previous smokers as studies have shown they can increase the risk for developing lung cancer.) At this time however, natural food sources from the diet are thought to be safe for everyone when consumed within the normal recommended daily amounts. 
If you have dry eyes, consult with your health care or eye care provider for an exam, diagnosis and treatment. 

Thursday, November 20, 2014

Green Beans Sauteed with Olive Oil

Green beans are one of the more familiar vegetables that typically appear on most Thanksgiving dinner tables. If you're looking for a healthier yet tasty version of a green bean recipe, this may be it.   The added bonus is that it's simple to make and only requires a few ingredients. Green beans are nutritious too, containing Vitamin C and fiber. This is a great recipe for the holidays or anytime of the year. Try to buy organic produce when you can to reduce your exposure to pesticides.

Green Beans by Stacey Sauvago. Public Domain Image.
Ingredients:
1 pound of fresh green beans
1/2 cup of filtered water
1/4 – 1/3 cup of olive oil (depending on your personal taste)
Salt and pepper to taste

Directions:
Rinse green beans well, cut off the tips/strings at each end of each bean, or buy fresh green beans (prepackaged) with the tips cut. If the beans are long, cut each bean in half.  If they are not, they don’t need to be cut. Place beans in a large 12 inch non stick saute/fry pan, add the filtered water to just cover the beans. Place a lid on the pan and cook at a low heat for approximately 20 minutes, stirring occasionally. You want to get the beans softened but not overcooked to maintain higher levels of Vitamin C. 

Drain the remaining water out of the pan then brown the green beans for approximately 10 minutes on a medium heat, stirring them gently and occasionally. Now add the olive oil and salt and pepper to taste. Lower the heat to the lowest setting and cook for another 10 minutes while stirring them occasionally and gently. You can cook the beans longer to brown them more - they taste great this way too.
  
Remember - when cooking with olive oil, don't use a high heat due to its low smoke point. Maintain a lower to medium heat to prevent smoking of the oil. 

Tuesday, October 7, 2014

Eight things you need to know about the Ebola Virus

Ebola virus is a deadly disease. At this time there is no vaccine to provide immunity to the Ebola virus. There is no cure for Ebola. There is currently an outbreak of Ebola Virus in several West African nations. As far as we know, there is one current case in the U.S. of a traveler that came to the United States from a West African nation. He was exposed to and infected with Ebola there. He developed symptoms of the disease after his arrival to the U.S. The other patients in the U.S. that have or had Ebola were either medical workers or media personnel that spent time in a West African nation and returned to the U.S. for medical treatment.


Photo attribution: Created by CDC microbiologist Cynthia Goldsmith, this colorized transmission electron micrograph (TEM) revealed some of the ultrastructural morphology displayed by an Ebola virus virion. Public Domain Photo.

So far there is no outbreak in the U.S. However, it helps to be prepared in the event more cases surface. This can happen as we continue to allow travelers into the U.S. who may have been exposed to Ebola. Until a process is in place that provides a more stringent assessment of travelers coming into the U.S., more cases may be likely to occur. Also, if travelers are not forthcoming regarding their medical histories and possible exposure to Ebola, it's conceivable that more people may arrive who are in the incubation period and will develop symptoms soon after their arrival.

A brief overview of some of the some of the latest scientific research tells us:
  1. Ebola symptoms include (but are not limited to) fever, diarrhea, vomiting, headache, muscle aches, joint pain, abdominal (stomach) pain and bleeding (hemorrhaging) with no known cause.
  2. Avoid travel to areas in the world where Ebola virus is occurring.
  3. Ebola virus has an incubation period of 2 - 21 days. (This is the range of time it can take to develop an infection after exposure to the virus). 
  4. A person infected with Ebola virus is contagious once they have symptoms
  5. Exposure to the body fluids of a person with Ebola virus that is having symptoms can infect you and give you the Ebola virus.
  6. Protect yourself with PPE (personal protective equipment) such as facial masks, eye goggles, medical gloves, protective gowns and shoe covers if you are faced with an unexpected interaction with someone who is sick with the symptoms of Ebola virus.
  7. Remember to practice good hand washing using soap and water for at least 30 seconds or use an alcohol based hand sanitizer after any possible exposure to any illness or disease.
  8. Seek medical care with a licensed health care professional without delay if you're concerned about a possible exposure or if you or anyone you know is ill and needs help.
For more information about Ebola virus click here.

Wednesday, August 13, 2014

Suicide Prevention - Get Help and Don't Wait

After writing my initial post about Robin Williams, a press conference was held which confirmed that the cause of his death was ruled a suicide.  Suicides affect real people and not just celebrities. And they occur at an alarming rate. According to statistics from the CDC, there were nearly 40,000 suicides in the United States in the year 2010 alone.


Clouds Over an Ohio Field by Carole Jakucs, 2014. Image subject to copyright.

If you or someone you know is depressed and/or contemplating suicide, take action now - don’t wait. Call 911 for any life threatening situations and urgent help.

There are also crisis hotlines you can call for advice, see below:

For Military Veterans there is a dedicated Veterans Crisis Line and can be reached at:(1-800-273-8255 and Press 1) or you can chat online at: http://veteranscrisisline.net/


For everyone in the U.S. (including Veterans) you can call the National Suicide Prevention Lifeline at: 1-800-273-8255 or you can chat online at: http://www.suicidepreventionlifeline.org/


Tuesday, August 12, 2014

Robin Williams Death Sheds Light on Suicide, Depression and Addiction

The suspected suicide of actor/comedian Robin Williams sheds light on the subject of depression.  I've enjoyed so many of his performances. And with all the laughter and joy that he brought so many people with his comedic genius, it’s sad to learn that he suffered from a depression that was so severe; he may have chosen suicide as a way out of the isolation and darkness.

Trestles - San Onofre State Beach, San Diego County by Carole Jakucs, 2014.  Image subject to copyright.

Millions of Americans are afflicted with depression each year.   There are different types of depression with varied causes. Also, for someone with addiction or medical problems, it can add to the complexities of causes and treatments. One thing for sure is that treatment by a licensed mental health professional can help alleviate symptoms and improve lives. But sometimes (just as in a physical illness) the depression wins; even when a patient and clinician are doing all the right things.

If you or someone you know, suspect you may be suffering from depression, seek help by a licensed mental health professional as soon as possible. You can also seek help from your personal physician for advice and a referral. Of course, for any psychological or medical emergencies, call 911.

Wednesday, June 11, 2014

Tame your tanning habits – tanning beds deemed risky and melanoma on the rise.

Excessive sun exposure can place you at a higher risk of developing skin cancers – and so can the use of tanning beds or booths. The American Academy of Dermatology states that your risk of developing the deadly form, known as Melanoma, increases to 59 % if you have been exposed to the UV radiation emitted by indoor tanning equipment. Melanoma rates have been steadily rising in the U.S.

The FDA recently release a statement that they will now require black box warnings to appear on sunlamp and similar machines, to warn the public of the health risks associated with their use. The FDA is also recommending that tanning lamps not be used in children under the age of 18 years, in addition to advising all users to get regular skin cancer checks.

Sunset Beach - Los Angeles, CA by Carole Jakucs, 2014.
Image subject to copyright.

In addition to skin cancer, too much natural sun exposure and tanning lamp use can cause eye injuries, sunburns and premature wrinkling.You may want to sunset your current tanning habits that may be placing your health at risk and limit your exposure to the both indoor and outdoor tanning. 

If you like a tanned appearance, consider using self tanning lotions, liquid bronzers and/or bronzing powder on your face and body. These can provide a tanned look without exposing yourself to radiation. 

If you're outdoors, don't forget to use a broad spectrum sunscreen with an SPF of 30 or more, reapply often and limit your exposure during the hours of 10 am to 3 pm.


Monday, February 24, 2014

Five Ways to Help Your Heart

February is “American Heart Month." While February is also the month we celebrate Valentine's Day, think of flowers and all things dear to our heart; it's also a good time reflect on the health of our heart. Heart Disease is the number one killer of both men and women in the United States. While any disease and its causes can be complex, here are five things you can do that may help to reduce your risk of developing heart disease. 


Roses by Carole Jakucs, 2014. San Marino, CA. Image subject to copyright.

  • Exercise at least 30 minutes daily most days of the week. Consult with your doctor or health care provider before beginning any exercise program.
  • If you smoke, STOP! Smoking damages blood vessels which can lead to high blood pressure, strokes, heart attacks and kidney disease in addition to raising your risk of developing Cancer and COPD.  
  • Eat a healthy diet that includes plenty of fresh organic produce (vegetables and fruits), whole grains and lean protein. Follow a diet that is low in saturated and trans fats (trans fats are also known as "partially hydrogenated oils") salt and sugar (including high fructose corn syrup). Try to incorporate healthy monounsaturated fats in your diet such as olive oil. Following a Mediterranean diet is generally considered a heart healthy diet.
  • Monitor your blood pressure to keep it within the normal range which is generally considered 120/80 or lower. High blood pressure damages blood vessels setting the stage for heart attacks, strokes and kidney disease. Consuming a healthy diet that is low is salt (sodium) and contains appropriate amounts of potassium, calcium, magnesium and fiber also helps to control blood pressure. Incorporating these into your diet is part of what's known as the DASH Diet (Dietary Approaches to Stopping Hypertension).
  • Maintain a healthy weight for your height and frame size. Obesity raises your risk of a wide range of illnesses and diseases.
*Contact your physician or health care provider for any questions or concerns you may have about your health.

Thursday, November 7, 2013

6 Ways to Foil Fall Allergies

Most people think of spring as being the worst time for allergies. But fall allergies can be far worse for many people and can wreak havoc for allergy sufferers. Here are six tips that may help you lessen your symptoms.

Roses and walkway. Pasadena, California by Carole Jakucs, 2013. Image subject to copyright.
  1. Find and antihistamine that works for you: Everyone is different and what works for some may not work well for others. You’ll also want to consider side effects and try to identify the one that produces the least side effects for you. Follow the dosing instructions and read the alerts (contraindications) on the package.
  2. Keep your hair clean and free of dust, pollens and other irritants. If you spend time outside when counts are high, particles land on your hair. Shampoo it regularly to help lower the amount the sits on your hair.
  3. Consider nasal rinsing with sterile salt water: There are a number of different brands available (both name brand and generic) of sterile saline (salt water) rinses. These can help to reduce swelling in the nasal passages as well as rinse out mucus and irritating particles that can sit in your nose. Follow the package directions for frequency of use and for advice on when not to use. Talk to your doctor to see if this is right for you to do.
  4. Fresh air is great for your home or apartment but remember that outdoor particles do come in. Consider purchasing a HEPA air filter for at least your bedroom. And if you can have one in each room that may give you even more relief. Change the filters and operate the unit according to the manufacturer’s instructions.
  5. Try to minimize your time outdoors if the pollen, grass, mold and weed counts are high.
  6. Car vents: Remember that the ventilation system in your car can hold all of the same particles that are floating in the air outside. If you are using forced air in your car, keep the windows open for at least the first five minutes it’s running to help them float back outside.
Taking a broad scope and proactive approach to fighting allergies may help to reduce your symptoms and reduce your need for medications. Talk to your doctor or health care provider for any concerns about your health.

Friday, June 28, 2013

Hepatitis A outbreaks from frozen berries, protect yourself with Hepatitis A vaccine

If you’re trying to eat healthy and part of your routine is buy frozen berries for topping off your cereal or to use in smoothies, you may be a risk for Hepatitis A. There is currently a second recall on frozen berries. You can become infected with Hepatitis A by consuming contaminated foods and/or water, or by having close contact with someone who has it.

File:CDC raspberry.jpg
Photo: Commons.wikimedia.org - CDC raspberry - Public Domain

Hepatitis A is a virus that infects the liver and makes you sick with jaundice, abdominal pain, nausea and vomiting for starters. Here’s the good news: There is a vaccine to protect you from getting infected with Hepatitis A. Hepatitis A Vaccine is given in two separate doses given at least six months apart.  The goal of the vaccine is to provide your body immunity to the virus if you become exposed to it. 

If you have not yet been vaccinated against Hepatitis A, now is a good time to consider it. The vaccine can be obtained at most physician offices, clinics and some pharmacies (the ability to get a vaccine at a pharmacy is not available in all fifty states at this time). The vaccine is contraindicated (who should not get the vaccine) for some people. Be sure to contact your doctor to find out if you’re eligible to get the vaccine. Typically, healthcare providers that administer it, will ask you to fill out a consent/screening form to help determine if you are a candidate for the vaccine, by asking questions about your medical history and allergies. 

There is no excuse for contaminated food, and there have been many recalls involving a variety of foods from peanut butter (and related products) to fresh produce, meats and other items, involving different types of illness/disease causing organisms.  More needs to be done to ensure the safety of our food supply. Sometimes, there was nothing the consumer could do to prevent getting sick and no way to tell an item was contaminated.

In the meantime; stay up to date with all of your vaccines (for your  general health) to include Hepatitis A Vaccine, wash all produce well prior to consumption, stay informed to news about Outbreaks and food recallslearn about food safety, the basics of which start with keeping hot foods hot and cold foods cold. Taking these steps can reduce your chances of becoming stricken with a food related illness. 

Sunday, June 23, 2013

Eight tips to prevent West Nile Virus

It’s that time of year again when West Nile Virus starts to rear its ugly head. A person can become infected if they are bitten by a mosquito that is carrying the virus. Symptoms can range from mild to severe and can cause death in some cases. It’s important to recognize West Nile Virus is a preventable disease, how? By preventing mosquito bites with these tips:

Photo by Michael Jakucs; Malibu Canyon.
Image subject to copyright.

  1. There is no way for you to know which mosquitoes are carrying the disease, so it’s important to prevent all mosquito bites, especially now that summer is here and most people spend more time enjoying the beautiful outdoors (like the great picture above) with activities such as barbecuing and hiking.
  2. Find out if West Nile Virus is in your area (if you live in the United States) by visiting the CDC website and viewing their interactive map showing activity by state
  3. Stay indoors when mosquitoes are most active, which generally begins at dusk (in the early evening), through the night and continues through the early morning (and sometimes during the day).
  4. Wear long sleeve shirts and long pants if you’re going to be outside when mosquitoes are active.
  5. Ensure that your window screens are intact, if not, have your screens replaced or repaired. 
  6. Avoid having any collections of standing water near your home and in your yard. Change the water daily in items that need water such as bird baths and children’s pools.
  7. If you’re spending time outdoors, protect yourself with an EPA (Environmental Protection Agency) approved insect repellent that contains either, DEET, Picaridin, Oil of Lemon Eucalyptus or IR3535.
  8. Apply Insect repellents correctly and safely. They should be applied to skin and sprayed on your clothes as per the package and manufacturer’s instructions. Follow the package directions to the letter, as insecticides are a poison and can be dangerous if used inappropriately. 

Monday, June 17, 2013

Bullies as Siblings can Cause Anxiety and Depression

Bullying, or picking on someone, making them feel intimidated, unwanted and/or causing social isolation by slandering and gossiping about them, can occur in schools and work settings. It also occurs in families. A recent study published by the journal, “Pediatrics,” confirms that bullying by siblings against their siblings can cause depression and anxiety for those on the receiving end. 

Mental anguish appeared in the victims with all forms of bullying from psychological/emotional abuse to physical abuse at the hands of the sibling perpetrators.

While there appears to be an increasing awareness of bullying in the school and work environments; sibling abuse has not received much attention from parents, the perpetrators, families or researchers.

Hopefully now with the publication of this study, it will bring to light the importance of healthy family dynamics (including preventing sibling abuse) and the pain and suffering that abusive siblings cause. 


(Photo attribution: By Bpenn005 at en.wikibooks [Public domain], from Wikimedia Commons)

Monday, June 10, 2013

HPV Infections and Throat Cancer Risk

Most people have heard about HPV (Human Papillomavirus) infections in the genital area. Actor Michael Douglas' recent revelation that his oral cancer is caused by HPV, must have been difficult for him to speak about; but it brought to the forefront a health issue that many in the medical community have known for a time; that some forms of oral cancer are caused by HPV. Raising awareness of this health risk is helpful in preventing infections.

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There are approximately 100 different types of HPVof which there are nearly 40 different types that can infect the genitalia (penis, vagina, vulva, anus), mouth and throat. Not all types can cause cancer, but some do. There are approximately 13 - 15 strains that can cause cancer.

Any sexually active person can become infected.  For a list of ways to reduce your risk, click here.

Other lifestyle factors that raise your risk of developing oral cancer are smoking and alcohol consumption. Not smoking, limiting alcohol intake and reducing your risk of exposure to HPV through sexual activity can go a long way in helping to prevent HPV infections and oral (throat) cancers.

Photo Attribution: Public Domain, from Wikimedia Commons, U.S. Navy photo by Journalist 2nd Class Stephen P. Weaver (Taken at Naval Air Station Sigonella, Sicily on Jun. 19, 2004).


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