What to Do When You Get the Flu

The Influenza (flu) epidemic is going full bore right now in the United States.  Learning how to prevent the flu is invaluable. However, even if you’re doing everything right, you can still be exposed to it and become ill. Examples: You may get sneezed on by someone infected with the flu, or touch a contaminated shopping cart handle. If you get sick, here are some tips on how to take care of yourself.

Antiviral medication: If you feel you have the signs and symptoms of Influenza (the flu) contact your doctor to discuss the need/use of an antiviral medication. This is especially important to do if you're in any high risk groups that are more prone to complications, such as (but not limited to) those that have any underlying chronic medical conditions, are pregnant, the very young or the very old. Antiviral medications need to be started within one to two days of the onset of symptoms to be effective to help lessen the severity of your symptoms and the duration of your illness.

Rest: If you start to feel ill, rest at home so you can recover. Also, you don’t want to spread the virus to others.

Fluids: Keep your fluid intake up, especially if you have a fever (or are experiencing any nausea, vomiting or diarrhea). It’s easy to become dehydrated when you’re sick.

Fever and Pain Control: Controlling your fever with acetaminophen or ibuprofen will help to prevent dehydration (from the fever) and lessen any pain (muscle, joint pain and/or headache). *If the person (usually infants and children) has a history of febrile seizures, fever control is of the utmost importance to prevent a febrile seizure from occurring. *Never give aspirin to infants, children, teens or young adults, as taking aspirin in this age group (especially during a viral illness) can cause a serious condition called, Reye’s Syndrome.

Be on the alert for complications: If you develop any worsening of symptoms such as, but not limited to, shortness of breath, chest pain, ear pain, headache, severe pain of any kind, or any other concerns, contact your doctor. If you’re unable to reach your health care provider then seek care at an urgent care clinic or emergency room for any urgent symptoms.

5 Tips for Staying Slim During the Holidays and After

It’s cold outside and the holidays are here with many temptations to overeat and miss an exercise session (or more) due to all the fun activities and busy schedules we all keep this time of year. Here are five tips on how to stay on track with healthy eating and maintaining your exercise habits.

1. Pay yourself first: No matter what you have scheduled, make sure you get in your work-out. If you usually exercise five days per week, try to maintain that schedule. You keep your energy level high and burn calories at your normal rate.
2. Drink plenty of water before and during parties and dinners. It will help prevent you from overeating. (Add a twist of lemon or lime for a tasty touch).
3. Don’t drink alcohol: Alcohol is loaded with empty calories (meaning it provides absolutely no nutritional benefits) and helps to pack on the pounds really fast for everyone. Remember, don’t drink and drive and don’t let others drink and drive. Call a taxi or have a designated driver who is not drinking alcohol take people home from parties.
4. Eat plenty of fresh fruits, vegetables, lean proteins and whole grains each day to help keep your blood sugar and energy levels stable.  These foods also have a high nutritional value so are good for your health and help to keep you slim. When you need fat or oil, use omega 3 fats on your foods at the table and when cooking such as olive oil and canola oil. These are heart and brain healthy fats.  
5. Remember to use half the sugar and replace shortening or butter with canola oil when baking. This truly helps to reduce the number of calories on some of your favorite recipes and still tastes good. 

Food Additives Can Make You Sick

Food additives can be found in a wide variety of packaged foods, drinks/beverages and prescription and/or over the counter (OTC) medications.

While it’s widely recognized that some people have food allergies or intolerances to nuts, dairy products, wheat glutens and iodine in shellfish; there needs to be an increased awareness about the dangers of chemical food additives and how pervasive they are in our food supply. Reactions can range from a mild intolerance or sensitivity to a full blown life threatening allergic reaction. Some experience  hives (AKA Urticaria), respiratory problems such as Asthma and even Anaphylaxis. Others can experience heart palpitations, anxiety or stomach and/or intestinal upsets when exposed to them.

Food dyes, MSG, Nitrates, Sulfites, Carmine (AKA crushed beetles), Artificial Sweeteners, Artificial and Natural Flavors, are all considered “additives.” While there’s been a great improvement in the food labeling rules developed by the FDA regarding nuts, diary, glutens and soy etc., we have a ways to go. For example, they don’t require warnings for sensitive individuals regarding the dangers of food dyes or any specific identification on a food label regarding the contents of chemicals listed as an “artificial” or “natural” flavors; so, there's know way to know what they are!

Food dyes are even in some medications.  A person who is sensitive to food dye (ie. heart palpitations etc.) and takes a medication in which it’s present, can have an adverse reaction from the drug  due to the dye (in addition to the possibility of having an actual drug allergy).  Sometimes neither the patient nor health care provider recognize the connection to a medication that’s causing them to experience odd, new, or vague symptoms.  

I just reviewed the label of a popular brand of Vitamin E pills and it contained Carmine, I was shocked! Other supplements, vitamins and prescription medications may contain one or more of a combination of reds, blues and yellow food dyes. Another recent check I did of a popular brand of an OTC chewable antacid tablet, contained three different food dyes (artificial colorings). It may help your stomach acid but if you're sensitive to food dye, you may experience symptoms related to that when you take it.

Artificial Sweeteners, found in diet sodas, foods and sugarless gums: People with IBS (Irritable Bowel Syndrome) may react negatively to the artificial sweetener Sorbitol.  It can trigger their symptoms and cause more pain, cramping and gas in some of these individuals.*New research shows that consuming the artificial sweetener Aspartame may increase one’s risk of developing certain blood cancers.

What you can do: 

• If you’re experiencing odd or worrisome symptoms, contact your doctor for a medical diagnosis and guidance. For urgent symptoms call 911 or go to your nearest emergency department. 
• You’ll also want to review what you put in your body each day. Take a look at the foods, drinks, supplements and medications you consume. Become aware of their ingredients; you can do this by reading the product label and company website for starters.  
• Play detective and learn to observe how your body reacts to specific foods, drinks, supplements and medications. 
• Opt for organic foods whenever possible to reduce your exposure to pesticides and food additives.

Cranberry Salad for the Holidays or Any Day

Cranberries are nutritious containing antioxidants, vitamin C, help to prevent certain types of urinary tract infections and are low in calories. The problem is that most cranberry recipes contain too much sugar or are loaded with unhealthy fat from mayonnaise. Canned cranberry sauce is high in sugar or corn syrup. With Thanksgiving yesterday and the official start of the holiday season here, cranberries take center stage. Here’s a great recipe that I created that’s simple, quick and delicious. 

Ingredients:

1 package of fresh cranberries (you can freeze to maintain freshness, and cook it frozen also)

1 cup of water

1/3 cup of sugar (most recipes call for 1 cup; trust me, you don’t need it)

1/3 cup of finely chopped walnuts

1/3 cup of finely chopped celery (approximately 1-2 small stalks)

Directions:

Rinse cranberries well.  Combine cranberries, water and sugar, place in a 3 quart pan and boil for 5 minutes.  Stir occasionally during this time.  You will hear and see the cranberries pop during this process; watch that your heat is not too high so it does not splash out onto your skin. Remove cranberry mixture from heat, place in a serving dish.  Add the chopped walnuts and celery.  Mix well.  Cover then chill for at least 4 hours.

The fat and extra sugar will not be missed. This recipe serves as a great side dish to a meal or a tasty topping to non-fat Greek yogurt or non-fat cottage cheese for a healthy lunch or snack. Try to make cranberries a part of your regular diet throughout the year and not just during the holidays. 

(You can also follow me here, covering topics related to dermatology).

Veteran's Day - Remember Our Veterans and Active Duty Military Members

Please remember today and every day, all of the sacrifices that our Veterans and current members of our Armed Forces make for all of us. Show your appreciation for their time, dedication and loyalty to our country.

• Thank a Veteran for his or her service. Offer to pay for their meal if you meet one in a restaurant.
• Send a letter of thanks and, or, a care package to an Armed Forces member that is currently serving in Afghanistan or elsewhere on deployment.
• Don’t forget the spouse and family that are left at home, holding down the fort: Current members of the Military may be in your own families or communities. Offer to help the spouse and family by helping carpool their children to school, making a trip to the grocery store or calling to say hello.

If you don’t know of any Veterans or a Military Member who is currently serving, consider donating time or money to a Veterans organization. Here is a list of a few.

• If you live in or near Los Angeles: Volunteer drivers needed for The Disabled American Veterans (DAV). The DAV is a Non-Profit Organization serving California Veterans. They need dedicated volunteer drivers to transport Veterans to the West Los Angeles V.A. Hospital for medical appointments.  Vehicle, Insurance, Lunch and Gas is  provided. For more information please contact Blas Barragán at: (310) 478-3711 Ext. 49062 or at (310) 268-3344

Other groups that need monetary donations and/or volunteers:

• Fisher House
• The Wounded Warrior Project
• Team Rubicon
• The Purple Heart Service Foundation
• If you don’t live in Los Angeles but near another VA Hospital or clinic you can contact them to see if they need volunteers. 

Eight Tips for Halloween Safety

Halloween can be fun; but regardless of your age, it’s important to be aware of safety issues. For helpful make-up and costume safety tips click here.

For General Safety:

1. Treats: Don’t consume anything that is unwrapped (including fresh fruits) or anything home made from any strangers. These items can be easily altered, sabotaged and rendered extremely dangerous for consumption.
2. Only trick or treat in known neighborhoods that are familiar and safe.
3. Trick or treat in groups. All children should have a responsible adult such as a parent accompanying them.
4. Stay on well lit streets with sidewalks; avoid walking in alleys, dark streets or streets without sidewalks.
5. Bring an operational and higher powered flashlight for use as needed to light up any darkened sidewalks or areas.
6. Take advantage of city sponsored Halloween events for a safe alternative venue for children to celebrate in.
7. Licensed Drivers: Don’t drive while under the influence of any mind altering substance (alcohol or drugs); better yet, don’t ingest any mind altering illicit substances at anytime.
8. Don’t open the door to your home if you are concerned about your safety and who's on the other side. *Call 911 to summon police or fire department personnel for any urgent concerns regarding health and safety.

8 Tips to Prevent the Flu (Influenza)

Now is the time to get your flu shot (also known as the “Influenza Vaccine”). Influenza cases are now being seen in the United States. The vaccine takes approximately 2 weeks to actually protect you; if you’ve not received one yet, do so soon.

Influenza (also known as “the flu”) is an illness of the respiratory system caused by various viruses. It is contagious. It can strike anyone at any age. It can make you mildly sick to severely ill and even cause death in some cases. The very young, the elderly or those that have chronic health conditions are at a higher risk of becoming very ill if they are stricken with influenza.

1. Get your flu shot, also known as the “Influenza Vaccine” every year. There is now an Intranasal (applied into the nose) version too. (Some patients are not eligible/have contraindications for one or both of these, with more restrictions existing for the intranasal; for those that have a history of certain medical conditions or allergies). Read the Vaccine information sheets for more info on this and you check with your doctor.
2. Wash your hands (all surfaces) with soap and warm water for at least 20 seconds, before you eat or touch your face, eyes, nose and mouth. This helps to prevent illness causing germs from entering your body and making you sick.
3. Carry and use alcohol based hand sanitizer for use it if you’re not near a sink and soap and water *For an extra boost of cleaning, use it after washing with soap and water (and after hands are dried) if you are concerned you were exposed to a high germ area(s) or if handling items from someone who is already sick. Rub it on all hand surfaces until it dries. 
4. Use a paper towel to touch door knobs, faucets and toilet knobs when using public restrooms (or sharing a bathroom with others in a dorm room or with someone who may already be ill).  If you miss this step, you'll be transmitting germs from things you touch (from other people) onto your hands.
5. Get your sleep. Getting the proper amount of sleep each night (7 – 8 hours) will help to keep your immune system healthy.  Sleep deprivation can inhibit your body’s ability to fight off infections.
6. Stay hydrated. Dry mucus membranes (eyes, nose and mouth) diminish our ability to fight off germs that we're exposed to.
7. Eat healthy foods. Consume a diet rich with fresh fruits, vegetables, whole grains and lean proteins. Doing so will provide your body with an abundance of nutrients that can help you fight off infections, disease and build up your immunity.
8. Steer clear of crowds once flu season hits, as much as possible, to reduce your exposure to it.

Practicing these tips above and working them into your daily routine, will help to prevent catching colds and flu anytime and are especially helpful when flu season hits.*Contact your doctor for any questions regarding current or past illnesses, the influenza vaccine or any other health concerns.

Got Depression? Getting the Help that You Need

October 11, 2012 is National Depression Screening Day. But,  as with any medical or psychological concern, recognizing there's a problem, seeking and receiving care/treatment is timeless and of ongoing importance. If you or someone you know or love is wondering if the feelings that they’re having are those of depression (and, or, feelings of sadness, anxiety, having difficulty coping with life, using alcohol or drugs to help cope) you go to this link to take an online self-test to help give you insight regarding what you’re experiencing and help you decide if you need to see a mental health professional. The test is divided into three areas that pertain to specific populations. The first one is for college students, the second is for military members and their families, and the third is for the general public.  You can click on the test that applies to you. 

If you or someone you know is contemplating suicide, seek help without delay. Call 911 right away or go to an emergency room if there is an eminent threat.

Don’t suffer in silence. Ask for help. See your doctor or contact a licensed mental health professional if you think that you have depression or other mental health concern. If someone confides in you that they feel sad or depressed, encourage them to do the same.  Getting the appropriate help can improve the quality of one’s life and also may ultimately, save a life.