Posted in Entertainment, Health, news

Your lady’s angry? Your guide to working it out.

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You made your lady mad.  You did something to tick her off.  And when you try to “fix” the situation, you make her more upset….you feel you can’t win.  But you CAN stay afloat.  Here’s how.

Many women have a process to their anger just as we see with grief.  When one is grieving they go through the stages of denial, anger, bargaining, depression and acceptance.  So with anger there can be stages as well.  As your lady goes through these stages, never use the word “upset”.  It appears as an accusation, and may put her on the defensive.  Use the terms “concerned”, “troubled”, “hurt”.   So rather than “You look upset” (which isn’t very flattering by the way), say “You look concerned about something..what is it?”.

In communication, we use the three E’s:  Engage, Educate and Enlist.  We engage the person either by a change in pitch, silence, telling a joke, flashing lights on a billboard.  Then once we’ve captured their attention we educate them (how we feel, what we’re selling).  Once we’ve educated them, we can enlist them to do what we want (return my call next time, buy the product, tune in next week). These three E’s are used time and time again by parents of small children, advertisers, salespeople, and of course partners.

So there’s a chance your lady may be using the three E’s while she’s angry.

If you understand the phases your lady may be going through during anger, you can reach a resolution more easily.  Here we go:

Quiet phase

She may isolate herself during this phase to put together her thoughts and arguments. Do not try to interrupt this phase.  If you say “what’s wrong?” prematurely, you may get a “Nothing’s wrong…leave me alone!” response.  Remember she is trying to collect her arguments.

You know the “verbal phase” is coming and my want to try to control when this occurs.  Right before the game comes on, or before you want to go to sleep doesn’t work for you.  So you may be at a loss when it comes to choreography. However, once she surfaces and starts to circle you like a shark circling their prey, then you say “Honey what’s wrong?” This will allow an immediate launch of the verbal phase

Verbal Phase

Here is where all her arguments spew out.  Don’t expect one issue.  We women are great at buttressing our argument with supportive arguments.  Let her finish. Do not interrupt but maintain eye contact.  Keep nodding to a minimum because an insincere or reflex nod could anger her.  She will stop eventually, she has to. She only has a finite number of arguments.  If she begins to repeat let her do it once and slowly start to speak.  What should you say?  Say “I hear you.”  Don’t admit guilt if you’re innocent but make sure she knows she’s been heard.

Await-Your-Response Phase

She takes a breath, and looks at you.  This is the most crucial phase…..will you stumble, saying “Crazy say what?” or will you choose surviving?  You can survive this, but here’s how.

She will not want you to debate her arguments.  What she will want immediate validation of her feelings on why she’s upset, so you can give her that initially.

“I understand why you feel this way”

“I’m sorry you’re hurt” (never say “upset”, never.)

“I never meant to hurt you but the reason I __________, was because I ____________. Hurting you was the last thing I wanted and I should have gone about this differently.”

While she’s in the argument phase, hopefully you thought of some solutions.  If the verbal phase is too quick you may not have enough time to formulate your answer. Remember you will not be able to say “I’ll get back to you”.  You will need you give your response STAT because before you know it you are entering the solution phase  .

The Solution Phase

Now you don’t want to go through this nightmare all over again, so gain control of the situation and say the following:

“To avoid you getting hurt in the future, how  I do this differently?”

Give her the power to help make the solution. And if she says “I don’t know”, you offer a solution.  Rumor has it that women don’t want solutions but just want to vent. Not true.  She wants to know you listened, understand and will change your actions (the three E’s again: engage, educate and enlist).

“Can you forgive me?”  Put this on her and she will want to take the high road and deign to forgive you. Give her hugs, love and make her appreciated.

Whew…… did it.

Men, by the way, are so much easier.  They leave when they’re mad, and come back when they found their own solution.  If they say to their lady “You hurt me”, she may answer “What??!!!  YOU were hurt??!!  I was the one hurt…….you know what, I can’t talk to you right now….go away!”  and ironically the 4 phases start again. This is why most men just say “I’m good……I’m good……….



                                                                                                         Medical Spanish made easy

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

Posted in Health, news

“Dripping”…Teens find a new way to vape

“Dripping” is a vaping method where one produces a thicker cloud to inhale. 26% of teenage e-cig users have already tried this new way to vape.

According to lead researcher, Suchitra Krishnan-Sarin, professor of psychiatry at Yale University School of Medicine in New Haven, Connecticut, electronic cigarettes draw liquid into a heating coil through an automatic wick, producing the vapor that can be inhaled.

With “dripping” the user directly drops the e-cig liquid onto the coil, producing a thicker vapor to inhale.  This thicker vapor supposedly has more flavor and provides more of a “rush” of nicotine and sensation in the back of the throat.

According to Dr. Krishnan-Sarin, “Emerging data is also showing that e-cigarettes contain many other chemicals like propylene glycol and glycerine, and they also contain a lot of flavor chemicals. Now, all of these are volatile, and when they are heated at high temperatures like we see with dripping, you could produce high levels of carcinogenic compounds.

If the e-liquid is vaporized at a high temperature, you could get a big shot of nicotine.”

Additionally of big concern are the chemicals formaldehyde and acrolein that are produced when the e-cig liquid is heated to a high degree.  These aldehydes are known carcinogens and its safety in electronic cigarettes have been widely debated.  And as teenagers continue to develop, questions arise as to what affect the nicotine or these chemicals will have on their brains and organs.

Dr. Karen Wilson, chief of general pediatrics for Mount Sinai Health System in New York City said, “Adolescents should not be using nicotine at all.”

It changes the brain chemistry, and adolescents are uniquely susceptible to the addictive properties of nicotine.”

Adults with COPD, chronic obstructive pulmonary disease, and kids and adults with asthma could have more difficulty with their symptoms as well.

Moreover handling the vapor itself could pose risks exposing the skin of users to high levels of nicotine.

A lethal dose of nicotine for an adult ranges from 30-60 mg and varied for children (0.5-1.0 mg/kg can be a lethal dosage for adults, and 0.1 mg/kg for children).  E-cigs, depending on their strengths (0 – 5.4%) could contain up to 54 mg of nicotine per cartridge (a 1.8% e -cig would contain 18mg/ml).  So it would be very easy for a child to overdose on nicotine.



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Per Medline plus, nicotine poisoning can manifest in any of the following:

Treatment of nicotine poisoning could include activated charcoal, benzodiazepines, atropine for slow heart rate, IV fluids and trying to control seizures.

Teenagers by nature are curious people, but a fad such as this could be deadly, and if their younger sibling is looking on…….



                                                                                                         Medical Spanish made easy

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



Posted in Health, news

Taking NSAIDS during a cold or flu can TRIPLE heart attack risk

Research has shown that the flu can trigger heart attacks.  And studies have shown antiinflammatories such as ibuprofen can increase heart disease.  Put these two together and what’s the risk?

A most recent study found those who took ibuprofen, or other over-the-counter pain killers while suffering a cold or flu, were 3.5 times greater risk of suffering a heart attack.

Yao-Chun Wen from National Taiwan University Hospital in Taipei and colleagues reviewed data of 10,000 Taiwanese heart attack patients and found their risk was increased by their medication use during an infection, and if the medication was received intravenously, the risk jumped 7.2 fold.  Once they discontinued the NSAIDS, the risk fell and once the infection cleared, their risk for heart attack dropped even more.

As we know compound risk factors can be deadly.  What we believe occurs with NSAID use such as ibuprofen, naproxen and aspirin products is that blood pressure rises. We also have learned that the medication can interfere with a cell’s energy process and interfere with their detox process, causing cells such as cardiac cells to die.  This stress, along with the stress of the flu or cold, compounded with any other risk factors could be enough to trigger a heart attack.

Many turn to acetaminophen (Tylenol) products instead, but a recent study revealed that many are at risk of overdosing and causing acute liver failure.  Many over the counter cold remedies contain acetaminophen, hence adding pain relievers to the mix can easily bring one to the limit of 4000 mg.  To read more acetaminophen overuse:

Since antibiotics aren’t prescribed during the flu or cold due to the viral nature of the illness, medical providers suggest over the counter remedies to help treat the symptoms.  Although this study suggests there could be serious consequences to taking NSAIDS while fighting an infection, more research is needed.



                                                                                                         Medical Spanish made easy

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

Posted in Health, news

TYLENOL® poisoning, more common than we think

Acetaminophen (paracetamol in Europe) has long been known to cause liver failure. But now researchers reveal why its the number one cause of acute liver failure.  And even more troubling, many people don’t realize they are overdosing on this common medication.


What does the liver do?

The liver filters and detoxifies blood.  Additionally it breaks down and stores cholesterol and lipids and produces proteins. The liver also produces bile that gets stored in the gall bladder to help digest food after eating.  It is one of the few organs in the body that can regenerate itself when tissue is damaged.  So its troubled scientists how drug toxicity could irreversibly damage the liver to the same degree hepatitis, cirrhosis and cancer do.   Researchers from the University of Edinburgh studied human and mouse liver cells and now know why.

What is liver failure?

In order for the liver cell to work, it needs to work in concert with the cells surrounding it but work in separate groupings, each with a different function.  Excessive acetaminophen (the main ingredient in Tylenol) disrupts these cell connections, called “tight junctions”, hence the cells don’t function properly.  “Failure” of an organ, such as “liver failure”, “heart failure”, and “renal failure” occur when the cells of the organ aren’t healthy enough to allow the organ to function.

Signs and symptoms of liver failure include:  jaundice (yellow color to skin and eyes), fatigue, weakness, easy bleeding, nausea, diarrhea, confusion to name a few.

Knowing the mechanism of injury to the hepatocytes, liver cells, may allow scientists to create a means to repair liver cells that can’t be repaired themselves.  Or design a pain reliever that doesn’t damage the liver.

How much acetaminophen is toxic?

Taking more than 4 grams a day could be considered and “overdose” and toxic.  Frighteningly, this level is commonly consumed on a daily basis.  Over the counter an “extra strength” dose contains 500 mg of acetaminophen.  So if a person takes 1-2 pills every 4-6 hours, they can easily take 4 grams a day. Add a pain medication such as Vicodin or Percocet which contain acetaminophen, or a cough and cold remedy, or even an over the counter sleeping aid which may contain it as well, and its no surprise so many end up in the emergency room.


The following is a list of over the counter medications that may contain acetaminophen (provided by

Some Common Over-the-Counter Brand Name Drugs That Contain Acetaminophen

Alka-Seltzer Plus®
Formula 44®
Goody’s® Powders
Saint Joseph® Aspirin-Free
TYLENOL® Brand Products
*And store brands

Some Common Prescription Drugs That Contain Acetaminophen (or APAP)

Hydrocodone Bitartrate®
TYLENOL® with Codeine
*And generic drugs


We recommend discussing all your medication, especially over the counter, with your medical provider, and to not assume just because its available without a prescription, its safe in any dose.



                                                                                                         Medical Spanish made easy

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


Posted in Health, news

A third of our fast food products may contain toxic chemicals

image from Live Science

A report published this week in the Journal of Environmental Science & Technology Letters suggests chemicals used in fast food packaging is leaking into our fast food.  These chemicals help prevent grease and drippy tomatoes from sogging up the wrapper or box. They also are non-stick and stain proof so a wrapped burger is easier to take out of the packaging looks more aesthetic.

The chemicals of concern are called PFAS’s, pre- or polyfluoroalkyl substances.  According to the CDC, PFAS and her sister chemicals Perfluorooctane sulfonate (PFOS), perfluorooctanoic acid (PFOA), perfluorohexane sulfonate (PFHxS), and perfluorononanoic acid (PFNA) have been shown to cause liver, kidney, pancreas and endocrine issues. They can cause fertility issues, increase cholesterol, affect the learning potential and behavior of a fetus and are even carcinogenic.   Not only are these substances widely used in the restaurant industry but are they are also used in upholstery, carpeting, Teflon, clothing, cosmetics and metal plating.

Study author, Laurel Schaider, a research scientist at the Silent Spring Institute said, “These studies have found that the extent of migration depends on the temperature of the food, the type of food and how long the food is in contact with the paper.”  The study did not quantify how much of the chemical leaked, however.

The good news is not all samples collected for this study tested positive for PFAS.  When they tested for fluorine, paper cups and “non-contact” paper were clear.  The sandwich wrapping, however, was positive for fluorine 46% of the time, followed by the cardboard-like sandwich holders, where 20% tested positive.  Beverage cups were at 16% percent.

But these results imply that not all packaging contained fluorine, so alternatives may be used that are not leaking chemicals.  Moving forward, although making your own lunch sounds safer, I’ll just ask the fast food server to, in a gloved hand, pass me the burger and throw the fries into my purse.  I’m not ready to give up fast food just yet.



                                                                                                         Medical Spanish made easy

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