Posted in Health, news, Politics

Today’s Health Headlines

 

Halloween is the deadliest day of the year for pediatric pedestrians 

160,000 injuries occur and 6000 fatalities occur annually.  Let’s make this year a safe one!

https://doctordaliah.wordpress.com/2016/10/30/halloween-scary-because-its-deadly/

Protein shakes and supplements may DECREASE heart disease risk

Even though we need to be cautious in those with renal issues, it appears the whey protein may lower blood pressure, and in this study they found cholesterol and triglycerides to drop as well.

 
 

Deadly complication of Measles more common than previously thought

The virus can spread to the brain and cause subacute sclerosing (SSPE) in 1 in 1400 in kids under 4 and 1 in 600 in infants.

Michael Douglas states Val Kilmer is battling cancer

Although Val Kilmer has denied cancer rumors, Michael Douglas has stated his friend has been battling the same illness he had, throat cancer.

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network and Board Certified Family Physician

Posted in Entertainment, Health, news

Michael Douglas claims Val Kilmer has throat cancer

Michael Douglas, 72, battled throat cancer in 2010. During a Q&A with Jonathan Ross, media personality of the UK’s Jonathan Ross show, he revealed that his friend, Val Kilmer, who is 57, is currently fighting the same cancer.

douglas

Douglas stated, “Val was a wonderful guy who is dealing with exactly what I had, and things don’t look too good for him.”  “My prayers are with him. That’s why you haven’t heard too much from Val lately.”

Although sources have not been able to confirm, fans have been concerned since early 2015 when Val Kilmer was allegedly hospitalized for a “bleeding of his throat”.  His rep released a statement saying the actor was being evaluated for a “possible tumor”, but later that month Val Kilmer denied the rep’s statement and told fans on Facebook he had a complication for which he was being treated.

val-kilmer

In late 2015 the actor was seen with a tracheostomy tube. These tubes are placed after a tracheotomy, an opening of the windpipe to allow air to get through the lungs, bypassing the throat.  The tube was removed and a month later Val Kilmer posted a picture on Facebook, smiling and looking well.  Again he denied having cancer.

val-happy

Michael Douglas’s statement regarding his friend brings the spotlight back on one of the scariest forms of cancer yet.  Although not common, The National Cancer Institute estimates 1.1 percent of adults will be diagnosed with pharyngeal cancer within their lifetime.  Throat cancer can involve the base of the tongue, the nasopharyx (connecting to the back of the nose), the oropharynx (throat), the tonsils, and/or the larynx (voice box).  It is often diagnosed in its later stages since early symptoms mimic common medical complaints such as sore throat, hoarseness or a continual need to clear one’s throat.  These symptoms, if not resolving, should be evaluated for throat cancer as well as any weight loss, swollen lymph nodes, inability to swallow, and/or a change in voice.

Smoking, alcohol, and HPV infection have been linked to causing throat cancer. The earlier its diagnosed, the better the prognosis. It can be treated with surgery, chemotherapy and radiation.  Michael Douglas states he he was treated with chemo and radiation and by 2011 was in remission.  He was very fortunate and early intervention is key.

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network and Board Certified Family Physician

 

 

Posted in food, Health, news

Halloween is Scary Because its Deadly…..Here’s How to Make it a Safe One

Ghosts, goblins, Mommy yelling – Halloween can be pretty scary.  But the candy, the costumes, decorations and running door to door threatening all your neighbors with a “trick” makes it one of the most exciting days of the year!

 
trick-or-treating

 

Unfortunately, the more fun and immersed into the festivities, the more dangerous for our little ones.  160,000 injuries occur on this day each year, and even scarier, Halloween is the deadliest for pediatric pedestrians with 6100 fatalities reported annually by the National Safety Council.  No holiday should end so tragically.

 

halloween.jpeg

 

In addition to this, parents need to be aware of fire and choking hazards.  We therefore recommend the following to keep our kids safe.

  1.  Make sure your child’s mask allows him/her to see clearly.  If not, replace with non-toxic makeup, that is tested a few days before on a small area of skin on their arm to ensure they are not allergic.  The makeup should be washed off before bedtime.
  2. Avoid long costumes, such as ghost-themed, that may trip your child while they walk/run.
  3. Use bright-colored costumes. If your child insists on a dark costume, such as Batman, put a belt of glow sticks around him or add reflective tape to their costume and trick or treat bags
  4. Make sure all costumes and hats are flame resistant and teach your kids how to avoid tripping over jack-o-lanterns with candles in them.
  5. Avoid costume contact lenses as they may decrease visual acuity, scratch the eye and cause infection.
  6. Use the sidewalk.  Your child will want to zig zag across the street when they see everyone else doing it.  You need to be the parent like me who yells at everyone to get back on the sidewalk.
  7. Watch out for drunk drivers.  Many are coming back from a “trick or drink” party and could be impaired.
  8. Make the “no eating candy until you get home” rule.  Allows you to check the candy for open wrappers and dangerous things that don’t belong.  Then steal your favorite treats when the child is taking his/her potty break
  9. Teach your child to not enter a stranger’s home – even if it is in full decoration
  10. Stay in a group and follow your children. You can leave a safe distance behind while still supervise. And its fun when we parents compete for who can yell at our kids the loudest.
  11. Carry Walkie Talkies.  Halloween streets get loud and kids may not hear you if they start walking down a different street and turn into a housing complex.  Walkie talkies are fun and keep you connecting with your younglings’ even if they are a few feet away.
  12. Parents should avoid “Trick-o-Drink!!”ing where we walk around with our red plastic cup and rather than ask for candy, we opt for some spirits poured in.  Parents giggle, feeling apart of the festivities, but unfortunately will be sloshed by the fourth home they hit and won’t be able to effectively supervise the children.  We need to be at the top of our game this Halloween.  Cut the booze.
  13. And drivers, be wary of trick-or-treaters even before it gets darkDrive slowly and pay attention!  Let’s have a Happy and Safe one!!!

 

trick or treat.jpg

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network and Board Certified Family Physician

 

Posted in Health, news

Protein shakes may REDUCE heart disease and stroke

For years we’ve been debating on whether protein shakes and supplements raise or lower blood pressure.  This week a study from the University of Reading found that they actually decrease the risk of heart disease and stroke. The key appears to be the whey protein found in milk which has been previously found to lower blood pressure.

In this study the researchers gave 38 pre- and   participants two shakes a day for 8 weeks and found systolic and diastolic blood pressure (the pumping and filling pressure, respectively) to decrease within the first 24 hours of consuming the shakes.  Systolic BP appeared to drop close to 4 points and diastolic, 2.5.  These drops in blood pressure can have positive cardiac effects. Moreover they found in this study that cholesterol and triglycerides (fats in the blood) dropped as well.

risk-factors-for-heart-disease-high-blood-pressure-700x395

According to the CDC, 1 in 3 adult have pre hypertension (blood pressure between 120/80 mmHg and 139/89 mmHg) or hypertension (blood pressure over 140/90).  Ways to lower one’s blood pressure include:

low salt diet (less than 2300 mg/ day or lower per one’s medical provider)

exercise – 30 minutes a day

weight control

avoiding alcohol and excessive caffeine

avoid smoking

ensure adequate sleep

…and if one’s blood pressure is elevated, a thorough examination by one’s medical provider will include an investigation of other causes.

Protein shakes and supplements are not without their risks.  Some cause bloating, abdominal pain, kidney disease, lack of nutrients if supplemented for a meal, weight gain and heavy metal accumulation.  However this study sheds light on how a component of the popular supplement could be helpful in protecting the heart, and may spawn further must needed research.

 

More information on the study could be read here:  http://medicalxpress.com/news/2016-10-protein-supplement-heart-disease.html

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network and Board Certified Family Physician

 

Posted in news, Politics

Even if indicted, Hillary Clinton could still become President

With election day rapidly approaching, the nation is in a state of confusion over what happens after November 8th now that new developments surrounding the Hillary Clinton email scandal are being investigated by the FBI.  The investigation into the sexting allegations by Anthony Weiner with a minor produced a laptop owned by the defendant and his estranged wife Huma Abadin, Hillary Clinton’s closest adviser.  We’re told that thousands of emails were found on the laptop and are being currently reviewed by the FBI.  If they find Hillary Clinton to have committed wrongdoing, the indictment may or may not come before election day.  So the question remains, What happens if Hillary Clinton is elected President and then becomes indicted?

 

Let’s first look at the definition of indictment.  An indictment is a formal charge or  accusation against an individual suspected of committing a crime.  The key word here is “charge”.  An indictment does not mean conviction.  Legally a felon can run for office and become President.  The Constitution does not state a felon cannot run.  According to Article II Section 1, it describes a candidate must be a natural born citizen of the US and be 35  years or older but does not discuss criminal background.

No person except a natural born citizen, or a citizen of the United States, at the time of the adoption of this Constitution, shall be eligible to the office of President; neither shall any person be eligible to that office who shall not have attained to the age of thirty five years, and been fourteen Years a resident within the United States.

Once in office and convicted, Article II Section IV spells out the removal from office.

The President, Vice President and all civil officers of the United States, shall be removed from office on impeachment for, and conviction of, treason, bribery, or other high crimes and misdemeanors.

So technically a Presidential candidate can become indicted, and still successfully run and hold office if they have not been convicted.

What if Hillary Clinton gets indicted after the inauguration?  The House of Representatives can impeach her and the Senate would hold the hearings.  With President Bill Clinton, the House of Representatives impeached him, however the Senate later acquitted him after a 5 week trial.

Would the DNC ask Hillary Clinton to step down?  Security clearance could be an issue and the Democratic Party may not want the first year of Hillary’s Presidency to be riddled with hearings and trials.  If so, they may have VP Candidate Tim Kaine step up to the plate.  However this could be a very unpopular decision as there are millions of Democrats who support Hillary despite the years of controversy.

So in essence, unless the DNC asks Hillary Clinton to step down, or the former Secretary of State is indicted and found guilty prior to January 20th, if she wins the election November 8th she can still become President.

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network and Board Certified Family Physician

Posted in Health, news, Sports

Using the NFL Injury Report to predict this week’s winners

We’ve done pretty well in season’s past.  Here we go! Picks in bold.

 

Week 8

Bengals (too many groin injuries listed for the Redskins)

Falcons (same reason with the Packer injury report)

Patriots

Jets

Texans – but too close to call

Chiefs

Seahawks

Raiders – but too close to call

Broncos

Cardinals

Cowboys

 

We pray that no one gets hurt and those who do recover quickly.  Here’s to a safe season of one of the best sports ever!!  FOOTBALL!!

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network and Board Certified Family Physician

Posted in news, Politics

Did Anthony Weiner just win Trump the Presidency?

Anthony Weiner’s sext could have exposed Hillary Clinton’s Achilles heel

 

As if this election couldn’t get any crazier, FBI director James Comey dropped a bombshell 11 days before the election notifying Congress that he is “supplementing” his previous testimony as new developments regarding emails involving Hillary Clinton had been brought to his attention one day prior.  These emails were discovered during an investigation of Rep. Anthony Weiner (D) of New York over text messages sent to a 15-year-old girl. Weiner’s estranged wife, Huma Abadin had apparently shared one of the investigated devices with her then husband.  Abadin has been one of Hillary Clinton’s closest advisers, and any emails obtained from her server could reveal the former Secretary’s of State’s evidence of mishandling of classified materials.

letter-fbi

 

Media is a frenzy, campaigns are in chaos, and Anthony Weiner, once again, regains the spotlight.  How one ex-politician routinely makes ludicrous headlines is confusing enough, but how a Presidential election could be steered stemming from his alleged sexting is beyond what anyone would have imagined.

A struggling Trump campaign just received a much needed vitamin infusion and his supporters for the first time in weeks see a light at the end of the tunnel.  Hillary Clinton immediately called a press conference asking the FBI to reveal more details. We’d all like to see more details, sans any more pictures of Anthony Weiner…. please no more pictures.

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network and Board Certified Family Physician

Posted in Health, news

Irritable Bowel Syndrome: What are FODMAP’s ?

Daliah Wachs, MD, FAAFP

Bloating, diarrhea, constipation, gas, abdominal pain, fear of eating certain foods……this is what an Irritable Bowel Syndrome (IBS) patient deals with all too often.  10- 15% of Americans suffer with IBS and there is no cure.  We try to treat IBS with a variety of options:  increasing fiber, probiotics, antibiotics, exercise, fluids, threapy, antianxiety meds, antidepressants…and some newer medications are now available, but the common thread of treatment is avoiding certain foods.  Some of us know our trigger foods, some of us don’t.  Hence, enters FODMAPS.

 

FODMAPS stands for fermentable oligo-, di-, and monosaccharides and polyols.  Not that this needs any explaining, but these are groups of carbohydrates and sugars in foods and additives that are fermented, or broken down by bacteria. When a bacteria breaks down sugar, it produces gas.  In addition, these carbohydrates don’t digest well in the small intestine (also causing gas, pain and bloating) and their osmotic effects draw in lots of water so bowel motility changes, causing diarrhea and/or constipation.

 

Gastroenterologists have long been recommending low FODMAP diets for patients with IBS and a recent study published in the American Journal of Gastroenterology cites IBS symptoms improved after just two weeks of a low FODMAP diet.

So what are high and low FODMAP foods?

As for high (the ones you want to AVOID), the list is huge, encompassing many types fruits, beans, dairy, garlic, onions, condiments, sweeteners, beer, and yogurt just to name a few.

High (need to avoid in IBS):  

Fruits (high in fructose): apples, pears, watermelon, dried fruit, avocado, raisins

Dairy (high in lactose):  cream cheese, yogurt, ice cream, milk

Vegetables:  broccoli, cauliflower, onions, mushrooms, lima beans (fine by me)

Grains:  cake, wheat pasta, egg noodles, croissants, bran

Food additives: sugar substitutes that end in “ol”, pesto sauce, sugarless gum & candy

Alcohol:  beer, rum

 

fodmaps

IBS Diet Fodmaps Foods | image by http://www.myhealthmedicalgroup.com

 

A Low FODMAP diet could consist of foods from the same groups as above, but it also allows meat, fish, nuts, coffee, cheese, herbs and some types of alcohol.

Low (may improve IBS)

Fruits:  bananas, orange, grape, strawberry, blueberry, cantaloupe, kiwi

Dairy: lactose free diary, soy milk, hard cheese (brie, cheddar, swiss)

Vegetables: carrots, celery, squash, eggplant, spinach, zucchini

Grains:  rice, oats, polenta, buckwheat, seeds, many types of nuts,gluten free

Food additives:  some sugar substitutes such as aspartame, syrup, sugar, mustard

Alcohol (in moderation):  vodka, gin, whiskey

Confused?  A comprehensive list is included here by  ibsdiets.org.

http://www.ibsdiets.org/fodmap-diet/fodmap-food-list/

 

We forget that anxiety can trigger IBS.  If trying to dissect out High FODMAP foods, from Low FODMAP foods will trigger anxiety, resulting in IBS, I’ll just eat a gluten-free strawberry shortcake, or a lactose free banana split and call it a day.

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network and Board Certified Family Physician

Posted in Health, news

Today’s Health Headlines

Cranberries and Cranberry Juice do not help prevent UTI’s

We never thought it did. But researchers studied it anyway because of a close to century old wive’s tale that cranberries change the pH of the urine.  This one gets a NO DUH.

http://www.cnn.com/2016/10/27/health/cranberry-urinary-tract-infection/

 

uti

 

Right sided colon cancers have worse prognosis than left

This study reiterates the concern that right sided colon cancer may present with anemia as opposed to left sided’s more noisy symptom of rectal bleed and obstruction.  The latter may get picked up sooner, therefore allowing earlier intervention before metastasis.

https://www.drugs.com/news/colon-cancer-s-location-may-determine-patient-survival-63204.html

 

colon-cancer-screening

Hospital scrubs carry MRSA and other superbugs

In training we used to wear the scrubs for 36-38 hours and go home in them, if we made it to our doorstep without falling asleep, and then return to the hospital the next day.  Since they’ve been found to harbor antibiotic resistant bacteria, they should be removed in the locker room and washed after shifts.   Staff should be aware that when they remove a pen from their pocket it could spread the bugs.

http://www.livescience.com/56673-superbugs-healthcare-workers-clothing.html

 

Doctor

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network and Board Certified Family Physician

Posted in Health, news

Today’s Health Headlines

New evidence that HIV was in New York in the 1970’s before spreading to the West Coast
 
This debunks the theory that a “patient zero” air steward brought it to the US and spread it in the 1980’s.  Researchers believe after it jumped from apes to humans in Africa, the HIV virus infected those in the Caribbean, before it came to NY in early 1970. There it began to spread, making its way to San Francisco by the mid 70’s.
Drinking diet soda can DOUBLE risk of diabetes
This study found just two 6 oz diet sodas a day doubled risk of diabetes.  They are not sure why except a manipulation of glucose metabolism and insulin sensitivity.  We believe diet sodas cause weight gain as your body expects something sugary coming down the pipe, but the diet soda offers no usable calories so metabolism can slow.

http://www.newsmax.com/Health/Health-News/diet-drinks-double-risk/2016/10/21/id/754704/


USPSTF Task Force encourages education and support for breastfeeding mothers.

They recognize the beneficial effects of breastfeeding and this may help patients now get coverage for such support by their insurance.
http://www.foxnews.com/health/2016/10/26/breastfeeding-support-helps-new-moms-stick-with-it-doctors-say.html

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network and Board Certified Family Physician