Posted in Health, news

Yes Lipstick Samples Can Carry Herpes

Image above from Business Insider

A woman is reportedly suing Sephora after she contracted oral herpes from a lipstick sample.

TMZ reports a woman sampled a “common use” lipstick at a Los Angeles Sephora location in October 2015 and subsequently became infected with Type 1 Herpes Simplex virus. She claimed she never had cold sores prior to applying the lipstick sample.

Over 80% of adults carry Type 1 Herpes Simplex and may or may not exhibit cold sores.

What is Herpes?

Herpes is a virus that injects its DNA into the nerve endings located in the skin. This travels up the nerve and it can lay dormant until it decides to activate.  The activation leads to outbreaks of blisters.  Type 1 Herpes predominantly infects the mouth and Type 2 Herpes infects the genital region. However, both may overlap and Type 1 may be found in the genitals and type 2 may be found in the mouth.

 

stds-s7-photo-of-herpes-simplex-virus-type-1.jpg

Herpes Type 1 Blisters:  Image above from MedicineNet

How long can Herpes last outside the body?

The Herpes virus rarely lives once exposed to dry air, but if on moist surfaces can last up to 10 seconds.  However a study out of UCLA 30 years ago found the Type 2 virus to live close to 72 hours on linen fabric.

How is Herpes transmitted?

Herpes is transmitted by direct contact from person to person.  One does not have to have active sores or blisters to be contagious.  The virus can shed and be transmitted even if the host is asymptomatic.

How is Herpes treated?

There is no cure for herpes, but antiviral medications have been found to shorten the course of the outbreak and reduce transmission.

Can lipstick harbor the Herpes virus?

Although very rare, the potential is there as lipstick offers a temporary moist and warm environment.  Makeup usually contains chemicals that are antimicrobial but appear to fight off bacteria and fungus better than viruses.

Those wanting to sample a lipstick should use a disposable applicator on a new product and not apply anything that touched another person’s lips.

 

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

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Posted in Health, news

15% of Those who Receive Naloxone for Overdose Don’t Survive Past 1 Year

Image above from NBC Washington

 

Naloxone has been proven 93% effective in reversing opioid overdoses, but a report finds 15% won’t survive past one year.

Naloxone thus appears to be highly effective.  It works by reversing the effects of opioids by competing for the mu, kappa and gamma receptors in the brain.  As opioids can cause respiratory depression, naloxone can quickly block the opioids from causing this effect, preventing respiratory failure and death.

receptors_naloxone

Image from NOPE-RI

A study out of Brigham and Women’s Hospital in Boston looked at 12,000 dosages of naloxone that were given by emergency medical services over the period of July 1, 2013 and December 31, 2015. During that period 93.5% of people survived their overdose as a result of naloxone. However, one year after the study, only 84.3% of recipients were still alive.  35% of those who died, did so from another opioid overdose.

So two major points come out of this study. Firstly, naloxone works very well and if administered early, such as by first responders, is successful at saving so many lives.  However, secondly, those who do receive naloxone need to be followed closely and receive help for their addiction and/or opioid use.

According to the CDC for every overdose death there are 30 non-fatal overdoses.  Last year they reported 64,000 overdose deaths, which means potentially 2 million overdoses occur each year.

Successfully surviving one opioid overdose does not guarantee survival the next time around.

If patients don’t manage their addiction or change their use, they will be at increased risk of early death.  Pain management, education, counseling and increasing access to treatment centers should be a must for anyone treated for narcotic overdose.

 

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

 

 

 

Posted in Entertainment, Health, news

The Psychology Behind Grabbing a Woman’s Butt

Image above from Shutterstock

 

This month multiple headlines have revealed people of power who have sexually harassed and assaulted women and among the accusations, butt-grabbing. But despite the unfortunately all too high prevalence of the first two acts combined, butt-grabbing happens to almost every woman. Why?

The Butt

Let’s start with the anatomy of the derriere.  It lies inferior to the waist and spine and is composed of the following:  the pelvis, giving it structure; muscles (gluteus mimimus, gluteus medius and gluteus maximus) allowing it to shake and shimmy; fat providing the cushion; and skin to offer a place to don tattoos.

Buttocks-skeleton

 

Purpose of the Butt

So as you see from above, the butt is involved in a variety of actions from hip movement to pelvis stabilization to cushioning of the bones when one falls. However its main purpose involves sexual attraction and activity.

Animal instinct

Humans, by nature, are animals.  True, we eat with a spoon and fork, and know how to navigate Netflix, but according to Mother Nature we are highly specialized animals.  So our bodies were designed at the start to attract each other and mate.

Back in the caveman days, sexual positions were not as well choreographed as they are today.  There was no such thing as the reverse cowgirl.  “Doggie-style” or mating from behind was the norm.  Hence a butt needed to be inviting…round, soft and appearing to allow easy entry into the vagina.  Moreover, cavemen didn’t want to bruise their pelvic bones during sex, hence cushioning was greatly appreciated.

As with most animals, sexual activity starts with the touch of the behind.  Hence its instinct when a man grabs a tushee.

We’re attracted to round shapes

The human body is wrought with shapes…circles, triangles, ovals, etc. and these shapes exist for a reason.

Breasts are round and contain round areola allowing infants easy-to-see shapes so they can navigate towards their food source. Female pubic hair is naturally triangularly distributed creating a landscaped arrow for the mate to go.

So a round protruding tushee, lying beneath a curved and narrow waist, calls to the average mate because humans like round bouncy objects.  That’s why rubber balls are toy and sporting good store favorites.

back.jpg

 

It’s less intrusive than touching the face

Touching a woman’s face or breasts yields a much higher rejection risk than touching a body part that is behind her and not easily visualized.  It could easily be brushed off as an accident if a potential mate wants to save face.

Football Fans May Be More Successful Lovers

 

So how can a woman avoid getting her butt grabbed?

Do what our Mom’s and Grandma’s do….wear a moo moo.  Older women have learned that if they hide the curves, the waist and their buttocks, no one will grab at their behind.  Avoiding short skirts, jeans, tight-fitting pants, and thong bikinis will hide the animal-enticing shapes.   Moo moos ladies….moo moos…..

 

moo moo

 

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Learning Medical Spanish is 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

Is Toilet Paper BAD For Your Tush?

Image above from Daily Tech

Millions of people suffer from rectal itch, hemorrhoids, and anal fissures, and one author believes its due to our use of toilet paper.

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Image above from Jackson Siegelbaum Gastroenterology

Anal fissures are tears in the lining of the rectum.  Hemorrhoids are collapsed rectal veins that cause bleeding, pain and itching.

In an interview with Tonic, Rose George, author of The Big Necessity: The Unmentionable World of Human Waste and Why It Matters, claims that toilet paper merely moves feces around but doesn’t actually clean it off the anus.

She states, “We wash every part of our body except the dirtiest part” and suggests we don’t use dry paper to clean ourselves.

In Europe, bidets are popular shooting water up the back side to clean off fecal matter.

Celebrities such as will.i.am and Terrance Howard have admitted to preferring the use of baby wipes after pooping.

So what do doctors recommend?

In the same article, gastroenterologist Partha Nandi suggests bidets prevent hemorrhoids in those who are prone to them.

Here’s what I think….

Quit being in a hurry when you wipe

We’re in such a hurry these days that after we’ve exhaustively waited to drop a deuce, we race to get out of the bathroom.  As a result we wipe too quickly and rough.  Slow it down.  A little surface area at a time is less irritating than trying to wipe up the whole field in one swoop.

 

Bidets aren’t what they’re cracked up to be

On one hand, bidets are a less aggravating means to clean an anus.  Warm water can rinse off sediment that paper cannot. And those with anal fissures or hemorrhoids will be less inflamed, since they didn’t have to rub dry paper along the cuts/swelling.

However, a 2010 study found bidets to aggravate vaginal microflora, or natural occurring bacteria.  Oquino et al writes, “Habitual use of bidet toilets aggravates vaginal microflora, either by depriving normal microflora or facilitating opportunistic infection of fecal bacteria and other microorganisms.”

Another issue with bidets is many require you to use your hands while cleaning your butt.  This potentially allows fecal matter to be transmitted elsewhere as it gets on your hands. Toilet paper offers a barrier to this.

 

aid31648-v4-900px-Use-a-Bidet-Step-3-Version-3.jpg

 

Toilet paper shouldn’t cause hemorrhoids

True, wiping with dry paper could be caustic to the area, however, after one goes “number 2”, mucous is present as it lubricated the passage of the poop.  This mucous allows enough moisture for the toilet paper to glide and pick up sediment.

Constipation, pregnancy, obesity, prolonged straining, anal sex and medical condtions such as low thyroid may cause hemorrhoids….not flowery, embossed toilet paper.

 

Toilet paper is disposable and sanitary

If unused and not reused, fresh toilet paper is clean enough to not cause infections and doesn’t require diligent cleaning as does a bidet.

 

Wet wipes are laden with chemicals that CAN irritate the skin

These chemicals may include ethylhexylglycerin, phenoxyethanol, benzyl chloride and benzyl alcohol.   Just saying these outloud is enough to cause an anal fissure.

 

My suggestion – use toilet paper dampened with clean warm water….and wipe GENTLY

Assuming you don’t have bleeding fissures or hemorrhoids, a damp wad of toilet paper, used very gently, should offer a safe method to clean the anus.  Plus if you throw it up on the ceiling it will stick and eventually fall on the next person who uses the bathroom….always an entertaining plus.

 

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Learning Medical Spanish is Easy!!!

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

Posted in food, Health, news

Statin Use Linked to a 30% Increase Risk of Diabetes

Researchers from Albert Einstein College of Medicine in New York found those at high risk of diabetes to increase their risk by 30% if they took a statin medication for high cholesterol.

They examined 3234 US adults enrolled in the Diabetes Prevention Program (DPP).  The study spanned 10 years looking at three groups:  those who took Metformin (diabetes medication), those who took a placebo, and those who were given advice for a healthy lifestyle of diet and exercise.

At the start of the study only 4% of the participants were on statins, but 10 years later nearly a third were on statins.  The observational study found those on statins were at 36% higher risk of being diagnosed with diabetes.  The risk lowered to roughly 30% overall once baseline risk factors and clinical criteria were taken into account determining the need for the statin. Strength of the medication did not appear to have any bearing on the diagnosis.

The most common statin used was simvastatin (Zocor) taken by 40% of the statin users. The next common statin at 37% was atorvastatin (Lipitor).

Millions of Americans suffer from high cholesterol and/or diabetes.  High cholesterol and lipids lead to arteriosclerosis, which could cause heart attacks and stroke.  High blood sugars in those suffering from diabetes increase arteriosclerosis as well, catapulting the risk of heart disease if one suffers from both conditions.

Statins, [such as simvastatin (Zocor), atorvastatin (Lipitor)] have been found to significantly lower LDL, or “bad cholesterol”.  They gained huge popularity in the 90’s and 00’s and at one time were suggested to be used in diabetics without high cholesterol due to their cardio-protective nature.

Unfortunately studies began to suggest that statin medications may increase one’s risk of diabetes.

Earlier this year, a study from Australia found a 33% increase risk in diabetes in older women who took statins.

Now, many individuals with high cholesterol eventually develop diabetes, either through their eating habits, or the body’s inability to control rising blood levels of each. Sometimes high cholesterol precedes diabetes by  a decade or more.

 

Do statins directly cause diabetes?

This has yet to be proven definitively.  One theory suggests statins interfere with the pancreas’ release of insulin, thereby causing sugar levels to rise.  Another theory surrounds the statin’s ability to increase insulin resistance.  Another study in 2015 found statins to increase calcium buildup in the arteries, but did not suggest a relationship to diabetes.

Many individuals who develop Type II Diabetes have evidence of high cholesterol years if not decades before.  If a patient did not take a statin, would he have gone on to develop diabetes anyway?  Or was the patient for years in a prediabetes state that caused the high lipids and then the overt diabetes years later?

Obviously the suggestion that statin medications may cause diabetes needs to be seriously considered and researched as the former significantly lowers cholesterol and heart attack risk but the latter could increase risk as well.

How do statins work?

Statins are HMG-CoA reductase inhibitors, meaning they inhibit the active part of the enzyme, HMG-CoA reductase.  HMG-CoA reductase is involved in the metabolic pathway that produces cholesterol.  Inhibiting this enzyme decreases cholesterol production.

A second effect of statins occurs when the liver senses less cholesterol being made.  The organ increases its LDL receptors to catch more circulating LDL (bad cholesterol) in the blood, therefore reducing the chance for the bad cholesterol to deposit along arteries.

 

What is the purpose of cholesterol?

Cholesterol is essential in a variety of body processes.  The waxy, fat-like substance is used to create the structure of the cell, make hormones such as estrogen, testosterone and cortisone, synthesize Vitamin D for bone health and  create neurotransmitters, to name a few.

LDL vs. HDL

Both are created by the liver.  LDL (low-density lipoprotein) delivers cholesterol to the cells to assist in the aforementioned biochemical processes.

High-density lipoprotein (HDL) provides the reverse transport of the cholesterol back to the liver so it could be degraded.

So higher levels of LDL (caused by diet or liver production) increase cholesterol in the blood which could result in plaquing, whereas higher levels of HDL, reduce circulating blood cholesterol, and therefore risk of heart disease.

Who needs statins?

Cholesterol can be high when one eats foods high in cholesterol. However, many produce excess amounts of cholesterol despite their dietary intake.  Based on one’s risk for heart disease, the medical provider may need to prescribe a statin in order to decrease one’s liver from producing more of it or to decrease circulating blood levels of the harmful, waxy substance.

According to the American Heart Association and American College of Cardiology, statin therapy is recommended for the following groups:

  • People without cardiovascular disease who are 40 to 75 years old and have a 7.5 percent or higher risk for having a heart attack or stroke within 10 years.
  • People with a history of a cardiovascular event (heart attack, stroke, stable or unstable angina, peripheral artery disease, transient ischemic attack, or coronary or other arterial revascularization).
  • People 21 and older who have a very high level of bad cholesterol (190 mg/dL or higher).
  • People with Type 1 or Type 2 diabetes who are 40 to 75 years old.

Where should cholesterol levels be?

For most Americans:

Total cholesterol should be below 200 mg/dl,

LDL below 130 mg/dl, ideally below 100 mg/dl

HDL above 50 mg/dl , ideally 60 mg/dl

Triglyercides (fats) below 200 mg/dl , 150 mg/dl ideally

 

cholesterol-levels-chart.jpg

 

Life Line Screening offers screenings for stroke, heart disease, lung disease, liver and kidney disease, testosterone deficiency, and so much more that can be done in a private setting at the work place for groups of employees.  For more information call 1-888-815-LIFE.

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

Posted in food, Health, news

New Type of Diabetes Discovered: Type 3c

A third type of diabetes has been identified by researchers. Type 3c diabetes may be mistaken for Type 2 diabetes, causing delay of proper treatment.

Researchers from the University of Surrey found Type 3c diabetes to be more common in adults than Type 1 diabetes.  Moreover they found that those with Type 3c were twice as likely to have poor blood sugar control than those with Type 2 diabetes.

They believe, discussed below, that the diabetes occurs years after injury to the pancreas, the organ that produces insulin.  So a person with Type 3c diabetes will most likely need insulin rather than an oral medication that treats insulin resistance.

Study author, Andrew McGovern, writes: …our latest study has revealed that most cases of type 3c diabetes are being wrongly diagnosed as type 2 diabetes. Only 3% of the people in our sample – of more than 2m – were correctly identified as having type 3c diabetes.

So if many Type 2 diabetics fail to maintain control with their oral medications that address insulin resistance, they may actually have Type 3c and need insulin instead as low insulin is the cause of their diabetes.  Identifying this early will hopefully prevent some of the complications that occur with long term diabetes.

What is diabetes?

Diabetes is a disease in which the body doesn’t utilize and metabolize sugar properly.  When we consume food, its broken down into proteins, nutrients, fats, water, and sugar. These components are necessary for cell growth and function.  They get absorbed in the small intestine and make it to the blood stream.   In order for a cell to utilize sugar, it needs the hormone insulin to help guide it in.  It’s similar to a key that fits in the keyhole of the “door” of the cell, opening it up so sugar can enter.  Insulin is produced in the pancreas, an organ that receives signals when one eats to release insulin in preparation of the sugar load coming down the pike.

Diabetes explained

So I imagine our mouth like a waiting room, the blood stream like a hallway, and the cells of the body the rooms along the hallway.  Insulin is the key to open the cells’ “doors” allowing sugar to enter.  If the sugar does not get in, it stays in the bloodstream “hallway” and doesn’t feed the cell.  Weight loss occurs, and individuals may become more thirsty as the sugar in the blood makes it fairly osmotic, something the body wants to neutralize, reduce.  The kidneys are going to want dump the excess sugar, so to do so, one would urinate more, again causing thirst.  So when a diabetic loses weight, urinates more frequently and becomes thirsty, you now understand why.

Type I vs. Type II vs. Type IIIc Diabetes

Type I Diabetes, previously called insulin dependent or Juvenile diabetes, occurs when the pancreas doesn’t produce insulin, possibly from the immune system destroying the cells that produce the hormone. When this occurs there is rapid weight loss and death could occur if the cells don’t get the sugar they need.  Insulin has to be administered regularly.

Type II Diabetes, previously called non-insulin dependent or adult-onset diabetes,  occurs in those who began with a fully functioning pancreas but as they age the pancreas produces less insulin, called insulin deficiency, or the insulin produced meets resistance.  This is the fastest growing type of diabetes in both children and adults.

Type IIIc diabetes may occur in individuals who suffered damage to their pancreas.  Inflammation/infection of the pancreas (pancreatitis), a pancreatic tumor, or surgery affecting the pancreas may destroy the beta cells that produce insulin.

Complications of Diabetes

Cardiovascular disease – Sugar is sticky, so it can easily add to atherosclerotic plaques.

Blindness – high sugar content draws in water to neutralize and small blood vessels in the eye can only take so much fluid before they burst.  Moreover, high blood sugar weakens blood vessels.

Kidney disease – the kidneys work overtime to eliminate the excess sugar. Moreover, sugar laden blood isn’t the healthiest when they themselves need nourishment.

Infections – pathogens love sugar. Its food for them.  Moreover blood laden with sugar doesn’t allow immune cells to work in the most opportune environment.

Neuropathy – nerves don’t receive adequate blood supply due to the diabetes-damaged blood flow and vessels, hence they become dull or hypersensitive causing diabetics to have numbness or pain.

Dementia – as with the heart and other organs, the brain needs healthy blood and flow.  Diabetes has been found to increase risk of Alzheimer’s as well.

 

What is insulin resistance?

Insulin resistance, if using our hallway and door analogy, is as if someone is pushing against the door the insulin is trying to unlock. As we know, those with obesity are at higher risk for diabetes, hence fat can increase insulin resistance.  It’s also been associated with an increase in heart disease.

Blood sugar numbers

If your fasting blood sugar (glucose) is greater than 126 mg/dl, or your non fasting blood sugar is greater than 200 mg/dl, you may be considered diabetic.  Pre-diabetes occurs when the fasting blood sugar is between 100 and 125 mg/dl.  If ignored, and the sugar rises, pre-diabetics may go on to develop diabetes.

 

dmp-blood-sugar-levels-chart

SOURCE DIABETESMEALPLANS.COM

Preventing/Controlling Diabetes

1/3 of American adults are currently pre-diabetic.  Experts predict 1/3 of US Adults will be diabetic by the year 2050.  Although genetics plays a big role, decreasing ones sugar intake and maintaining an active lifestyle can help ward of diabetes.

Foods high in sugar and carbohydrates increase one’s risk, so a diet rich in vegetables and lean meats is preferred.

For more on the study visit here.

Life Line Screening offers screenings for stroke, heart disease, lung disease, liver and kidney disease, testosterone deficiency, and so much more that can be done in a private setting at the work place for groups of employees.  For more information call 1-888-815-LIFE.

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