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DIRECTORY August 22, 2020
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AUGUST 22, 2020
HURON MEDICAL DIRECTORY
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Avoid Injury during workouts
How to stay fit when social distancing
Any time is a great time to get in shape. People with more time on their hands due to stay-at-home restrictions may want to begin an exercise regimen right away. When proper form is followed, exercise can be highly effective. However, failing to exercise properly can result in injuries that sidetrack fitness plans. Exercise is a significant component of a healthy lifestyle. The U.S. Surgeon General, the Institute of Medicine, the American Heart Association, and the American College of Sports Medicine all say that daily physical activity is necessary, but recommendations from these groups vary in regard to how much exercise is best. Harvard Medical School says most people should aim for at least 30 minutes of moderate exercise or 15 minutes of intense exercise a day. As important as duration of exercise can be, proper form is a must. The following are some ways to avoid injury while exercising.
challenging as your body acclimates to exercise. Personal trainers also can hold you accountable. Many trainers work independently and may offer guidance remotely through services like Skype, FaceTime or Zoom.
Many people consider their gyms much more than a place to exercise. A gym can be a great place to socialize while trying to stay healthy. Having friends or fellow fitness enthusiasts around also can provide the motivation many people need to stay the course and achieve their fitness goals. The International Health, Racquet & Sportsclub Association says more than 70 million consumers visited health clubs in 2017. That marked a record high since IHRSA began tracking data in 1987. Fitness memberships also are popular in Canada. GoodLife, the largest fitness club in Canada, has 400 different locations and more than 1.5 million members. Fitness centers were among the many non-essential businesses forced to shutter as a result of COVID-19, forcing fitness enthusiasts to find new ways to stay mentally and physically fit. Many creative ideas have surfaced.
• Consult with your doctor. Speak with a doctor before beginning an exercise regimen, especially if it has been some time since you last exercised. A physician will tell you if there are certain workouts or activities you should avoid, or give you a green light. Discuss exercise each time you get a physical.
• Exercise caution when lifting weights. Get instructed on the proper form for lifting weights, as there is a risk for serious injury when not following form. Spotters are key when lifting heavy weights or if you’re jittery after an intense routine. Ask a friend or family member to spot you any time you’re doing strength training. This can prevent injuries and emergencies.
• Consider a personal trainer. Many people do not know where to start their exercise journeys. A personal trainer can help you begin safely and structure a fitness plan that becomes more
• Begin slowly. Harvard Medical School experts say that sprains, muscle strains, tendinitis, knee injuries, and rotator cuff tears are some of the more common exercise- and sports-related injuries. Slowly wading into the water and building up intensity gradually can help prevent some of these injuries. Choosing non-impact exercises, such as swimming, or using an elliptical machine, can be helpful if you have a preexisting condition like arthritis or osteoporosis or a history of injury. • Warm up. Don’t start workouts cold. Spend several minutes stretching and gradually increasing your heart rate.
Novices need to learn the ropes when they begin to exercise for the first time or after a long pause in physical activity.
• Online classes: An internet connection is all that’s necessary to find a number of workouts that can be streamed from the comfort of home. The streaming website YouTube can be a gold mine for free workouts. Some cable service providers also may have On Demand fitness channels or rentals that can mirror some of the classes taken at the gym. • Social apps: Gym-goers can inquire whether their gyms are offering alternative programs. For example, Jersey Strong, a fitness chain in New Jersey, began live-streaming many of its popular group
fitness classes via a special Facebook page. Class instructors guide classes from their own homes or from empty gyms. Other gyms may provide links to subscriber-based gym training workouts free of charge. • The great outdoors: Even though some parks, beaches and trails have been closed, workouts can take place in and around the neighborhood. Jogging or walking can be excellent cardiovascular exercises, as can taking a bicycle ride for a few miles down neighborhood streets. People who live in rural areas can run through forested land or even farmland. Pushups, sit-ups, planks, and other body weight exercises can be done right in the backyard. Before making a decision about whether or not to be active outside, be sure to check the latest guidance from your local health department and community or state leaders. • Remote sports: Videos of city dwellers playing tennis across roof tops for much-needed air and exercise have emerged in recent weeks. Similar benefits can be achieved with a game of catch, volleyball or racquet sports over fences with neighbors, provided limits on participants are placed and social distancing is maintained. Staying fit during COVID-19 restrictions takes some ingenuity, but it’s certainly possible to maintain your overall health. In fact, some people have found they now have more time to exercise than they did before.
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How to give back to health care workers Health care workers devote their lives to helping people stay healthy and recover from injury and illness. While their efforts are instrumental all of the time, doctors, nurses, lab technicians, pharmacists, and everyone who works in the medical field has been put to the test in recent months due to the COVID-19 virus. After months on the front lines fighting COVID-19, health care workers may appreciate the support of the public they’re treating and protecting. The following are some of the many ways individuals can give back to the brave men and women who work in the health care industry. • Donate supplies. Personal protective equipment, or PPE, may be more readily available now than it was at the beginning of the COVID-19 outbreak, but crucial N-95 respirators and other gear still may be hard to come by. Organize a collection of materials that residents do not need and drop them off at hospitals if they are accepting supplies. Graduates who may not have been able to don their graduation gowns can donate those to health care workers to use in place of surgical gowns, if those are in short supply at community health centers and nursing homes.
the country may temporarily relocate to work at facilities that need extra manpower. Other workers are afraid to bring viruses, particularly COVID-19, home to their families, and need alternative accommodations. This means workers may not have places to stay other than whatever hotel rooms are around or open — an expense that can quickly add up. Residents can team up with doctors, nurses and aides in need and provide free rooms in their vacation rentals, unoccupied rental units, unused recreational vehicles, or even in their own homes.
• Cater a meal. Health care workers are often working around the clock to provide care to critical patients. Twelve-hour shifts and beyond may be the new normal, which can make opportunities to grab a bite to eat scarce. Work with a local restaurant or food supplier to provide meals. Consider foods that are portable and can be readily eaten on the go, like sandwiches, bagels or finger foods.
• Purchase gift cards. In lieu of direct food donations, offer health care and essential workers gift cards to various dining establishments. This enables them to get treated to a meal, but also provides much-needed revenue for area restaurants that have seen their profits decline due to closures or restricted meal services.
• Provide accommodations. Health care workers from around
Various gestures can let area health care workers know their sacrifices and heroic efforts in the fight against COVID-19 are not going unnoticed.
AUGUST 22, 2020
We’re ready, safe and open. Please call ahead at 989-872-2121, or your healthcare provider, if you are experiencing symptoms or think you have been exposed to COVID-19. If you have a medical emergency, please, do not delay care. It is safe to get the screenings, testing, and care you need. Visit hdghmi.org for more information.
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Did you know? R0 (pronounced “R naught”) is an important concept in epidemiology, or the study of health and disease conditions, including infectious diseases. R0 is key in the development of vaccines and gives doctors and scientists an understanding of pathogen contagion and rate of spread. Individuals use the R0 — the reproduction number — to describe the intensity of an infectious disease outbreak. These numbers have been instrumental in characterizing various large public outbreaks of diseases throughout history. The higher the R0, the greater the number of people who will be infected by a pathogen from one person during his or her infectious period. In other words, the R0 relates to how contagious a disease can be. An R0 of 1 would mean that a contagious person would infect one other person. While an R0 of 10 means 10 additional people can be infected by one sick individual. Here’s a look at some diseases and their R0s, courtesy of the University of Michigan School of Public health. Even if an R0 is relatively low, such as in the case of seasonal influenza, the disease can still impact millions of people. MERS: around 1 Seasonal influenza: 0.9 to 2.1 H1N1 influenza 2009: 1.46 to 1.48 Ebola, 2014: 1.51 to 2.53
COVID-19: 1.5 to 3.5 Polio: 5 to 7 Smallpox: 5 to 7 Measles: 12 to 18
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Eye exam recommendation schedules
Routine eye exams should be a vital component of everyone’s healthcare routine. Such examinations can help people learn if they need prescription eyeglasses and if their existing prescriptions need to be updated, and they also can uncover other serious health issues. According to the American Academy of Ophthalmology®, a comprehensive eye exam can uncover such problems as aneurysms, brain tumors, diabetes, high blood pressure, and assorted cancers, including those of the blood, tissue or skin. That means routine eye exams can be as effective at safeguarding your overall health as they can at protecting your vision. The recommended frequency with which people should receive eye exams is based largely on age, though no one should hesitate to schedule an exam if their eyes are bothering them or if they are experiencing any abnormalities with their eyes. In addition, some people may need more frequent eye exams depending on their medical histories, which should be discussed at length with a physician. Children and adults without preexisting conditions and those not experiencing any abnormal vision problems can adhere to this eye examination schedule, courtesy of the American Optometric Association. • Birth to two years: Children in this age group should receive eye exams between six to 12 months of age. • Age three to five: Children in this age group should receive at least one eye exam between their third and fifth birthdays. • Age six to 17 years: Children in this age group should receive one eye exam prior to beginning first grade and then an annual exam thereafter. • Age 18 to 64: Adults between the ages of 18 and 64 should receive an eye exam at least once every two years. • Age 65 and older: Annual eye exams are recommended for men and women age 65 and older. Eye examinations help people preserve and improve their vision while also promoting long-term overall health. These vital components of healthy lifestyles should not be overlooked.
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Factors that can put kids at risk of vision problems Vision can be taken for granted. Unless a person has experienced diminished vision or temporary or permanent vision loss, he or she likely cannot imagine life without the ability to see. But such a life is a reality for people across the globe, including many children. The American Optometric Association notes that children who exhibit certain ocular signs and symptoms require a prompt, comprehensive eye examination to reduce their risk of vision loss. In addition, the AOA notes that certain factors can put kids at significant risk for eye and vision problems. Learning about these factors may help parents recognize vision problems in their children before they contribute to substantial vision loss. • Prematurity, low birth weight, prolonged supplemental oxygen at birth • A family history of myopia, amblyopia, strabismus, retinoblastoma, congenital cataracts, metabolic or genetic disease • Infection of the child’s mother during pregnancy. Rubella, toxoplasmosis, venereal disease, herpes, cytomegalovirus or human immunodeficiency virus are examples of infections that can occur during pregnancy that raise a child’s risk of eye or vision problems. • Maternal smoking, use of alcohol or illicit drug use during pregnancy • Cortical visual impairment • A difficult or assisted labor, which may be associated with fetal distress • High or progressive refractive error • Strabismus, a condition in which a person cannot align both eyes simultaneously or under normal conditions. This condition is sometimes referred to as “cross-eyed” or “wall-eyed.” • Anisometropia, a condition that causes the eyes to focus unevenly. This condition is often marked by one eye being a different size or shape than the other. • Known or suspected neurodevelopmental disorders • Systemic health conditions with potential ocular manifestations • Eye surgery or previous eye injury • Taking prescription or nonprescription drugs (e.g., over the counter medications, supplements, herbal remedies) with potential ocular side effects Parents also should know the eye exam recommendations for their children’s ages. AOA guidelines recommend children receive their first eye exam between six and 12 months of age. Children should receive at least one additional exam between the ages of three and five, while kids between the ages of six and 17 should get annual exams. Vision problems can affect youngsters of all ages and backgrounds. Learning the risk factors for such problems can help parents know when to contact their children’s eye doctors.
Providing Emotional Support via Telehealth or In-Person Individualized Therapy Sessions If you or a loved one would like to talk to someone about Senior Life Solutions Intensive Outpatient Services, contact Harbor Beach Community Hospital’s Senior Life Solutions program today:
(989) 479-0200
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Helping children navigate social distancing Children may be more deeply affected by social distancing than any other group of people. In a matter of weeks, millions of young children and adolescents went from attending school in the classroom to being told they had to work exclusively from home. At the same time, children also were asked to give up their sports teams, clubs, meetings, and play dates. Older children may understand the how and why of social distancing, but no matter their ages, kids may be left emotionally adrift as social distancing guidelines stay in place. No one is certain about what the long-term effects of social distancing will be on both children and adults. Amy Learmonth, Ph.D., a developmental psychologist at the Cognition, Memory and Development Lab at William Paterson University in New Jersey, notes that early social development takes place mostly within the family. As children age, their peer group becomes the more important hub of social development. The longer social distancing restrictions are in place, the more these developments may adversely affect youngsters. Parents can take steps to help kids cope during these uncertain times.
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• Lighten up on screen time restrictions. Each person has a different way to cope with social distancing and pass the time. Children may spend more time on tablets, watching television or playing video games. For now, parents can be a bit more lenient and understanding about how technology can fill the void created by social distancing. • Participate in a scavenger hunt. Join or organize a neighborhood scavenger hunt. Walk around the neighborhood looking for school mascot pictures in windows or rainbows on doors, advise the childcare experts at Children’s Hospital of Philadelphia. This activity can maintain a sense of connection with your community. • Create time for physical activity. Exercise can tame stress, improve mood and be great for the body in myriad ways. Children and teens should exercise each day. Families can exercise together to make physical activity more fun.
For more information about our community or any of other clinical services, please give us a call or stop by today.
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• Set up digital play dates. The connectivity of the internet enables people to keep in touch even if they cannot be together physically. Encourage children to engage their friends via online chats, ideally ones that feature video so they can see and hear their friends. Parents of young children can reach out to one another and establish digital play dates via FaceTime or another virtual meeting app.
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• Set new goals. Ask everyone to do their part to complete “todo” lists or make a set of goals to achieve while social distancing. Checking off items on the list as they’re completed can give everyone a sense of accomplishment. Children may need a morale boost while practicing social distancing, and parents can help in various ways.
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AUGUST 22, 2020
Signs you might be allergic to your medication
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Medicine helps billions of people across the globe stay healthy. Medicines are used to treat existing illnesses and reduce a patient’s risk of developing others. As effective as medicines can be, no two humans are the same, so medications that may help one person could prove harmful to another. The American Academy of Allergy, Asthma & Immunology notes that all medications can cause side effects, but only 5 to 10 percent of adverse reactions are due to allergies. Allergic reactions begin in the immune system, which controls how the human body defends itself. If a person is allergic to a certain type of medication, his or her immune system identifies the drug as an invader or allergen and it can respond in various ways. The AAAAI notes that the most common immune response to medication is a result of the expansion of T cells. These cells identify the drug as foreign and create a delayed immune response that most often affects the skin. While allergic reactions to medications may not be very common, the AAAAI says that such reactions can be life-threatening. That highlights the importance of learning the signs of allergic reactions. Symptoms of drug allergies The American College of Allergy, Asthma & Immunology advises anyone who experiences these symptoms while taking medication to speak with their physicians, including an allergist, immediately: • Skin rash or hives • Itching • Wheezing or other breathing problems • Swelling • Anaphylaxis Anaphylaxis is a rare but severe allergic reaction that can occur suddenly and quickly worsen. Symptoms of allergic reactions to medication are not often life-threatening, but anaphylaxis can be deadly. The ACAAI notes that anaphylaxis occurs when an over-release of chemicals forces a person to go into shock. Even people who have already administered epinephrine, the drug used to treat severe allergic reactions, should visit an emergency room immediately at the first sign of anaphylaxis, which may include trouble breathing, tightness of the throat, hoarse voice, nausea, vomiting, abdominal pain, diarrhea, and dizziness. Rapid heartbeat, low blood pressure, a feeling of doom, cardiac arrest, and fainting are some additional signs of anaphylaxis. According to the AAAAI, most anaphylactic reactions occur within one hour of taking a medication or receiving an injection of the medication. However, such reactions also can take place hours after a medication has been taken. Antibiotics are the most common cause of anaphylaxis, but the AAAAI notes that recent research has shown that chemotherapy drugs and monoclonal antibodies also can induce anaphylaxis. People take medicine to feel better, but sometimes their bodies and certain medications are not a match. As a result, people must be vigilant when taking medications for the first time, paying particular attention to how their bodies react. More information about allergic reactions to medication is available at www.aaaai.org.
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Understanding spinal muscular atrophy Many neurological disorders can affect the body. Spinal muscular atrophy, or SMA, is a disease that affects motor nerve cells in the spinal cord and eventually robs a person of his or her physical strength.
What is SMA? According to the organization Global Genes, SMA is the leading cause of death in babies under the age of two. Newborns with the condition appear healthy, but over time their lack of muscular development becomes more apparent and proves debilitating. Intellectual development remains normal, however. SMA affects families of all ethnicities, even those with no prior history of the disease. The organization Cure SMA says that SMA takes away the ability to walk, eat and breathe. It is caused by a mutation in the survival motor neuron gene 1 (SMN1). In healthy people, this gene produces a critical protein that is essential for the nerves that control the muscles. Without the protein, nerve cells cannot function properly and eventually die. SMA affects approximately one in 11,000 births, and about one in every 50 Americans is a genetic carrier. A proper diagnosis occurs through genetic testing after an infant or child shows signs of SMA. A positive newborn screening result or prenatal testing also can indicate the presence of SMA. If SMA is suspected, a simple blood draw test can identify it in 95 percent of all SMA cases. The American College of Medical Genetics recommends that all couples planning a pregnancy be offered SMA carrier testing.
A brief glimpse at sarcoma Far too many individuals are familiar with cancer. According to the World Health Organization, cancer is responsible for roughly one in six deaths across the globe, making it the second leading cause of death worldwide. Certain cancers claim more lives each year than others, but all types of cancer, including sarcoma, are potentially deadly. Sarcomas can fly under the radar, but understanding sarcoma can help individuals and their families cope with a diagnosis more effectively.
What is sarcoma? The Sarcoma Foundation of America defines sarcomas as cancers of the bone and connective tissue. There are many different subtypes of sarcomas because they can arise from various tissue structures, including nerves, muscles, joints, bone, fat, and blood vessels. Where are sarcomas located? Sarcomas are most often found in the limbs, where the
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majority of the body’s connective tissue is found. In addition, the SFA notes that sarcomas are commonly hidden deep in the body, and because of that, many sarcomas are not curable by the time of diagnosis. Do sarcomas produce symptoms? The SFA warns that sarcomas may not produce any symptoms during their early stages. Bumps and lumps should not be ignored, even though they are not necessarily indicative of sarcoma. Any time people find bumps or lumps they should discuss them with their physicians immediately. As tumors grow, sarcomas may cause certain symptoms, including: • intermittent pain in the affected area that may be worse at night • swelling, which may start weeks after the pain
Type of SMA There are four different types of SMA, according to Boston Children’s Hospital. Type 1 limits muscle function most severely. Many children with type 1 do not live beyond age two. Type 2 is an intermediate form, where children may sit without support but cannot walk on their own. Type 3 is a milder form of SMA and resembles muscular dystrophy. Walking may be possible with some assistance, and children with this form of SMA generally have an almost normal life expectancy. Type 4 is the most mild and only causes mild motor impairment. Living with SMA Early intervention can help those affected by SMA. Since the condition occurs when survival motor neuron protein is not being produced, one way of treating SMA is to increase the amount of this protein in the body. Enhancing treatments target genes to help make more usable SMN protein more readily available through a backup gene called SMN2. Other therapies use medications that help directly with muscle strength and development, which are known as non-SMN-enhancing therapies. Whatever the course of treatment, Cure SMA says that timing is key. The earlier interventions are made, the more likely treatment will be successful. Learning about SMA is important, as is finding the support families need to help care for their children with this condition. Find out more at www.mda.org/disease/ spinal-muscular-atrophy.
• a limp (if sarcoma is affecting a leg) Can sarcomas be treated? The SFA notes that treatments for sarcoma, such as surgery or surgery accompanied by chemotherapy and/or radiation, are sometimes effective. However, such treatments are only effective about 50 percent of the time, a fact the SFA notes only highlights the extraordinary need for new sarcoma therapies. What is the prevalence of sarcomas? Sarcomas are rare in adults, accounting for just 1 percent of all adult cancers. However, sarcomas account for roughly 20 percent of all childhood cancers. Understanding sarcoma may compel people to bring any potential symptoms to the attention of their physicians while the cancer can still be effectively treated. More information about sarcoma is available at www.curesarcoma.org.
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HURON MEDICAL DIRECTORY
AUGUST 22, 2020
Did you know? How to clean cloth face masks
The Centers for Disease Control and Prevention has recommended that people wear cloth face coverings in public settings where social distancing measures are difficult to maintain. Even as the world begins to unpause, wearing masks seems likely to continue. According to Penni Watts, Ph.D., RN, an assistant professor of nursing at the University of Alabama at Birmingham School of Nursing, masks are designed not to prevent the wearer from getting ill, but to protect other people from getting the virus. Masks protect others from your germs when you cough or sneeze. They’re also an effective way to help people to avoid touching their faces. Masks are exposed to the elements and germs each time they are worn, meaning they will require cleaning. Even though Harvard Health suggests COVID-19 may live more readily on hard surfaces than fabric, the CDC urges people to give cloth face masks the same level of care as regular laundry. Masks should be washed and dried often. The CDC offers these tips on how to clean most cloth and fabric masks. • Fabric face masks should be washed depending on the frequency of use. More frequent use necessitates more frequent washing. • A washing machine should be adequate for properly washing a face covering. Choose a warm setting for water temperature. Place masks in the dryer afterward. • More delicate, hand-sewn masks may be washed by hand, suggests The Good Housekeeping Institute Cleaning Lab. Lather masks with soap and scrub them for at least 20 seconds with warm or hot water before placing in the dryer. • For additional sanitation, iron masks on the cotton or linen setting for a few minutes to kill remaining germs. • If masks are fortified with a filter, such as a coffee or HVAC filter, keep in mind that these filters are designed for single use. Paper filters should be replaced after each use. HVAC filters are washable, but manufacturers warn that their effectiveness decreases with each wash. Medium weight nonwoven interface used as filter material is typically washable. Various health agencies do not condone using steam or microwaves to clean cloth face masks, as these sanitizing techniques are not as effective as regular laundering. Also, never microwave non-fabric dust or N95 respirator masks if you are using them. They can catch fire or be rendered useless. Cloth face masks can help safeguard against germs like the novel coronavirus. However, they need to be cleaned regularly to remain sanitary.
Social distancing guidelines encouraging people to stay in their homes as much as possible led many to wonder what to do in regard to visiting their physicians. Telehealth is one option people may want to explore. Sometimes referred to as “telemedicine,” telehealth enables patients to speak with their physicians via phone, tablet or conferencing apps such as Zoom. This can help patients and their physicians reduce their risk for exposure to viruses such as COVID-19, but also other conditions that can weaken their immune systems and, as a result, make them more vulnerable to illness. But as helpful as telehealth can be while social distancing restrictions remain in place, it’s important that patients continue to seek the advice of their own physicians. One of the concerns about telehealth noted by representatives for the U.S. Department of Health and Human Services is the difficulty of monitoring health care providers who may not have patients’ best interests in mind. This can lead to certain problems, including overprescribing medications and doctors offering medical advice to patients in states where the physicians are not licensed to practice. Speaking only with physicians who have already treated you is one way to avoid this potential pitfall associated with telehealth services.
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Avoid painful 'brain freeze ‘ when enjoying frosty desserts “I scream, you scream, we all scream for ice cream!” When Howard Johnson, Billy Moll and Robert A. King penned this novelty song in the late 1920s, the screaming they referenced was a cheer among students at a fictional college in a “land of ice and snow, up among the Eskimo.” For anyone who has gobbled up an ice cream treat a little too quickly, those screams very well may speak to the sharp headache that often comes from consuming frozen foods too quickly. Identifying “brain freeze/ice cream headache” Wake Forest Baptist Medical Center neuroscientist Dwayne Goodwin, Ph.D., explained in a 2013 news release that the sudden, short headache that occurs when eating or drinking something very cold, which most people refer to as “brain freeze,” is actually called sphenopalatine ganglioneuralgia. There are several theories why brain freeze occurs. One theory suggests that when a person eats or drinks a large quantity of very cold food or liquid, the temperature of his or her palate decreases considerably. The blood vessels in this area automatically constrict to maintain the body’s core temperature before reopening quickly. This causes a rebound dilation that sends a pain signal to the brain through the trigeminal nerve, which is located in the middle of the face and forehead. Although the constriction and dilation of blood vessels occurs in the palate, the pain is felt elsewhere, a phenomenon known as “referred pain.”
Alleviating the shock Now that people understand the starting point for brain freeze, and what causes it, they might want to make a few changes to how they consume cold foods and beverages. Eric Fredette, a longtime “Flavor Guru” for Ben and Jerry’s Ice Cream, says one way to stop brain freeze is to stir up the ice cream to warm it slightly. Dr. Stephani Vertrees, a headache specialist and clinical assistant professor at Texas A&M College of Medicine, advises eating cold food much more slowly so that your mouth can warm it up as well. Another tip is to keep the food or beverage in the front of your mouth. Cold foods in the back of the mouth will stimulate brain freeze. When consuming ice cream by spoon, Fredette further suggests flipping the spoon upside down so that the ice cream hits the tongue rather than the upper palate when spooned into the mouth. Frosty treats do not have to cause painful headaches that have people screaming for the wrong reasons. A few tips can prevent brain freeze from happening.