Health Tips
Have many questions about your health? Our Health Link can help you.
10 Essential Health Tips
Health Tip 1. Move More
Make it a daily challenge to find ways to move your body. Climb
stairs if given a choice between that and escalators or elevators. Walk
your dog; chase your kids; toss balls with friends, mow the lawn. Anything
that moves your limbs is not only a fitness tool, it's a stress buster.
Think 'move' in small increments of time. It doesn't have to be an hour
in the gym or a 45-minute aerobic dance class or Tai chi or kick-boxing.
But that's great when you're up to it. Meanwhile, move more.
Health Tip 2.
Cut Fat
Avoid the obvious such as fried foods, burgers and other fatty
meats (i.e. pork, bacon, ham, salami, ribs and sausage). Dairy products
such as cheese, cottage cheese, milk and cream should be eaten in low
fat versions. Nuts and sandwich meats, mayonnaise, margarine, butter and
sauces should be eaten in limited amounts. Most are available in lower
fat versions such as substitute butter, fat free cheeses and mayonnaise.
Health Tip 3.
Quit Smoking
The jury is definitely in on this verdict. Ever since 1960
when the Surgeon General announced that smoking was harmful to your health.
Just recently, we've seen a surge in smoking in adolescents and teens.
Could it be the movie influence? It seems the stars in every movie of
late smoke cigarettes. Beware. Warn your children of the false romance
or 'tough guy' stance of movie star smokers.
Health Tip 4. Reduce Stress
Easier said than done, stress busters come in many forms. Some
techniques recommended by experts are to think positive thoughts. Spend
30 minutes a day doing something you like. (i.e. Soak in a hot tub; walk
on the beach or in a park; read a good book; visit a friend; play with
your dog; listen to soothing music; watch a funny movie. Get a massage,
a facial or a haircut. Meditate. Count to ten before losing your temper
or getting aggravated. Avoid difficult people when possible.
Health Tip 5. Protect Yourself from Pollution
If you can't live in a smog-free environment, at least avoid
smoke-filled rooms, high traffic areas, breathing in highway fumes and
exercising near busy thoroughfares. Exercise outside when the smog rating
is low. Exercise indoors in air conditioning when air quality is good.
Plant lots of shrubbery in your yard. It's a good pollution and dirt from
the street deterrent.
Health Tip 6.
Wear Your Seat Belt
Statistics show that seat belts add to longevity and help alleviate
potential injuries in car crashes.
Health Tip 7.
Floss Your Teeth
Recent studies make a direct connection between longevity and
teeth flossing. Nobody knows exactly why. Perhaps it's because people
who floss tend to be more health conscious than people who don't?
Health Tip 8.
Avoid Excessive Drinking
While recent studies show a glass of wine or one drink a day
(two for men) can help protect against heart disease, more than that can
cause other health problems such as liver and kidney disease and cancer.
Health Tip 9.
Keep a Positive Mental Outlook
There's a definitive connection between living well and healthfully
and having a cheerful outlook on life.
Health Tip 10.
Choose Your Parents Well
The link between genetics and health is a powerful one. But
just because one or both of your parents died young in ill health doesn't
mean you cannot counteract the genetic pool handed you. Thought for the
day: Follow these basic tips for healthy living and you can better control
your own destiny.
Facts about Operating Room Line -up
Patients often do not put any thought into who will
actually be in the operating room (OR) during their surgery. It may be
surprising to know, that it takes a pretty large staff to perform even
the "simplest" of surgeries:
- Primary Surgeon - The physician who performs your surgery and is responsible
for your overall care.
- Second Surgeon ("Second Scrub") - A physician who "scrubs
in" to assist your primary surgeon.
- Surgical Assistant - A medical practitioner with surgical training,
often employed by the surgeon.
- Surgical Technician - A nurse with surgical training, often employed
by the hospital to assist in the OR.
- Anesthesiologist - The physician who is responsible for your medical
care while you are under anesthesia.
- Nurse Anesthetist - A nurse who assists in administering anesthesia,
usually in the operating room.
- Scrub Nurse - A nurse who "scrubs in" to assist surgeons
with sterile procedures at the operating table.
- Circulating Nurse - The nurse who is responsible for non-sterile tasks
in the operating room.
- Holding Room Nurse - The nurse who receives patients and prepares
them for surgery in the preoperative area.
- Recovery Nurse - The nurse who cares for patients in the post-anesthesia
care unit (PACU) after surgery.
It is important to note that anyone present during a surgery is noted
in the medical record and a patient does have the right to know who was
present and what organization they are associated with.
(Hill, A.J., MD, PhD.
The Patient's Guide to Anesthesia. New York: Kensington, 1999.)
About
Anesthesia
Anesthesia can be defined as the loss of normal sensation
or feeling. Anesthesiologists use drugs to produce this loss of feeling
or awareness.
Types of Anesthesia
- Infiltration - A local anesthetic
is injected directly into the tissue where the surgery will take place.
Many people encounter this technique in the emergency department, when
a doctor injects local anesthetic before sewing up a cut. The same method
can be used for a variety of minor procedures in the operating room,
too. In these cases, although the injections may be performed by the
surgeon him or herself, an anesthesiologist is often needed to monitor
the patient and to give sedation or other medications that may be required
during the operation.
- Regional Anesthesia - Local anesthesia
is injected around a major nerve bundle. This anesthetic method produces
temporary numbness in a limited area of the body by blocking nerve impulses
from that area. There are two types of regional anesthesia: peripheral
nerve blocks, which involve a relatively small part of the body, such
as an arm or a foot; and spinals and epidurals, which can involve the
entire lower portion of the body.
"It's important to note that neither local infiltration nor regional
anesthesia puts you to sleep. This means that, using either of these forms
of anesthesia, you can have surgery comfortably while wide awake."
- General Anesthesia - When most
people think surgery, they picture this type of anesthesia, in which
patients are put temporarily into a deep sleep. In practice, general
anesthesia ranges from the relatively light levels used during minor
surgery to the deepest levels used in major operations. The defining
characteristics of general anesthesia is that, unlike infiltration and
regional anesthesia, it acts primarily on the brain rather than on the
nerves leading to the brain.
Anesthesia Care Team
The anesthesia care team is made up of an anesthesiologist and a nurse
anesthetist. An anesthesiologist is a physician who has gone through four
years of medical school plus an additional four years of training in medicine
and anesthesia. A certified registered nurse anesthetist completes two
years of nursing school after college plus two additional years of training
in anesthesia. Normally, the nurse anesthetist stays through the entire
surgery to make sure that no complications occur during the procedure.
(Hill, A.J., MD, PhD.
The Patient's Guide to Anesthesia. New York: Kensington, 1999.)
Patient Care after Surgery
Once a patient is moved from the operating room (OR), they
will normally be taken to the post-anesthesia care unit (PACU). Most patients
are awake during this transfer, though they hardly remember it. When the
patient first begins to wake up, they will be confronted with a lot of
strange sights and sounds. Often, the voice of a nurse is the first sound
to be heard by the patient.
Patients will notice that they are attached to several monitoring machines,
including a blood pressure cuff, which will squeeze their arm at intervals.
They may also notice a loop of plastic tubing that passes over their lip
and blows oxygen into their nose.
The main focus while a patient is in the PACU is monitoring their safety
and comfort during their immediate surgical recovery.
In-Patient Care After
the PACU
When a patient is moved from the PACU to their hospital room,
it is common that their IV stays with them. "There are several reasons
for this. Patients who have had major operations affecting their abdomen
may not be able to eat or drink until their digestive systems recover,
several days after surgery. During this time the IV can be used to supply
them with fluids and nutrition. Intravenous medications can also be an
effective method for pain relief after surgery."
Out-Patient Care After
the PACU
Patients who have had an outpatient surgery performed are often moved
to a secondary recovery area where they can relax and complete their recovery
until they are ready to go home. Friends and family are usually welcome
in these areas, which are designed for comfort. The IV will be removed
when the nursing staff determines that the patient is ready to go. The
staff should review the discharge statements with the patient and the
responsible adult designated to take the patient home. If you are scheduled
for an outpatient surgery, it is imperative that you have someone scheduled
to pick you up from the hospital and stay with you at home until you are
fully recovered from the anesthesia.
(Hill, A.J., MD, PhD.
The Patient's Guide to Anesthesia. New York: Kensington, 1999.)
Know about MRI Imaging
MRI means Magnetic Resonance Imaging. MRI is one of the newer
imaging techniques. MRI produces detailed image of inside of your body,
without using x-rays. This is a totally painless, safe examination that
has no known side effects. MRI scans are more specific in identifying
soft tissue lesions. It is performed to investigate certain suspected
soft tissue diseases of the brain and spinal cord, as well as other parts
of the body.
MRSA
Facts (METHICILLIN RESISTANT STAPH . AUREUS)
++ MRSA killed nearly 1,000 people
in British hospitals in 2004.
++ 1% to 1.5% of the total population
in European Patients get infected with
MRSA in the hospitals.
++ The European Commission will circulate
the findings of the project and its
recommendations to hospitals in Europe.
++ The worst is in the South Europe.
Turkey is the worst offender but the UK
is not far behind.
++ The MRSA affects less than 0.05%
of the patients treated in the Top
Indian Hospitals.
Demystifying Medical Tests (Myocardial
Perfusion Scan)
The
Test
Myocardial Perfusion Scan is a noninvasive study using radio-isotopes
which indicates the blood flow in m vessels of the heart. The amount of
radioactive substance injected is also totally excreted from the body by
24 hours and radiation exposure to the patient is also less. The
Purpose
This is a non-invasive method where the blood flows to the major vessels
that supply the important areas of the heart are known. Besides, other important
parameters like movement of the chambers of the heart, the percentage pumping
capacity of the heart among others can also be found. For patients who have
had a heart attack, this test gives an insight to the operating surgeons
on how best he will improve after a bypass or angioplasty. Precaution
Pregnant and lactating women are advised not to undergo this test as it
involves the injection of a radioactive isotope. Apart from this there are
no definite contra-indications for this test. Procedure
This test consists of two components, one during exercise and the other
during rest. A radioactive isotope is injected intravenously into the patient
during exercise on treadmill to reflect pattern of blood flow and the images
are acquired half an hour later. Two hour later the same isotope is injected
intravenously when the patient is at rest and the images are acquired. After
this a comparison is made between the blood flow to the heart during the
exercise and resting state. Preparation:
Patients are advised to be fasting for a minimum of four hours on the day
of the heart and avoid diabetic medications on the day of the test. Some
heart medicines are advised to be withheld for 24-48 hours depending on
their duration of action. What
is Incentive Care?
Intensive Care Units ( ICUs) are places in a hospital that care
for the sickest of patients. A seriously ill or dying patient would require
a degree of care that would not be possible in a normal hospital ward. This
would involve very close monitoring of the functioning of vital organs of
the body such as the heart and breathing function, kidney function, etc.
If any of these vital functions fail, an appropriate form of support would
be required to keep them going till such time as they can recover. For instance,
consider someone with a severe infection of the lung that is bad enough
to make him unable to breathe well enough. This person would need the help
of a breathing machine that would support his breathing till such time as
the lung infection gets better. Similarly, if the heart and blood circulation
becomes inadequate, there are specific drugs as well as mechanical devices
that provide support. If the kidneys fail, toxic waste products cannot be
removed from the body. In this instance, a machine is used to do the job
for the kidneys till such time as they recover. All this requires machines
and men with specialized skills to manage such patients on a day-to-day
basis. This involves specially trained doctors, (intensivists) nurses and
other ancillary staff round the clock to keep track of events on a minute-to-minute
basis and take appropriate actions as and when required.
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