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DIRECTORY March 26, 2022
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HAVE YOU SEEN DR. DAN DRAKE YET? We understand that you are busier than ever and it has probably been on your to-do list for months to make an appointment. Use this as your reminder to kick start your journey to Better Health and Better Life. Now is the time for you to finally see Dan Drake, MD at Scheurer Primary Care - Bad Axe.
Learn more about Dr. Drake by visiting scheurer.org
Scheurer Primary Care - Bad Axe 75 Buschlen Rd, Bad Axe, MI 989.623.9300 // scheurer.org
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Healthy ways to alleviate stress Stress can affect anyone at any time. Men, women and even children experience stress, which can be triggered by professional, personal and social pressures. Though anyone can experience stress, the pandemic illustrated how some people could be more vulnerable to it than others. A recent poll from the Kaiser Family Foundation indicated heightened stress among women related to the COVID-19 pandemic. That echoes findings from a 2016 study published in The Journal of Brain & Behavior that reported women are twice as likely to suffer from severe stress and anxiety as men. Chronic stress has been linked to various long-term health issues. That includes some side effects, such as menstrual problems, that are exclusive to women. In addition, women confronting stress may turn to various unhealthy coping strategies, such as overconsumption of alcohol, drug use and overeating, compounding the negative effects of stress. Women who are feeling stressed out can look to various healthy ways to alleviate stress. • Make a concerted effort to socialize. An inability to socialize during the pandemic undoubtedly contributed to increased
neurotransmitters in their brains that are associated with positive feelings and reduced feelings of anxiety and worry. Volunteering with a local nonprofit, coaching a child’s sports team and mentoring a young person are That echoes findings from some good a 2016 study published deeds that can benefit others in The Journal of Brain and the wom& Behavior that reported en behind the women are twice as likely acts.
to suffer from severe stress and anxiety as men.
stress levels, and that’s not coincidental. According to American Addiction Centers, socializing increases a hormone that decreases anxiety levels and helps individuals feel more confident in their ability to cope with stress. Socializing also provides a chance to direct energy outward, thus providing a distraction from internal stress.
• Make time to exercise. Exercise benefits the body in myriad ways and can be an effective tool in the fight against stress. According to the Mayo Clinic, one of the ways exercise helps to combat stress is that it imitates the fight or flight response created by stressful situations and essentially teaches the body how to work through
stress. Much like practice prepares athletes’ bodies prior to a game, exercise prepares the body to respond to stress in a healthy way. • Perform good deeds. The American Addiction Centers notes the power of goodwill in combatting stress. When helping others, individuals activate
• Embrace an optimistic outlook. A 2013 study from researchers at Concordia University found that the stress hormone cortisol is more stable among individuals with a positive outlook than those with a more pessimistic point of view. Prolonged elevated levels of cortisol can increase risk for anxiety, depression and heart disease, among other conditions. An optimistic outlook can help control those levels, making a positive attitude a valuable tool in the fight against stress.
Women can try various strategies to alleviate stress in a healthy way.
How to protect vision right now The prospect of vision loss is not typically a concern for most people until a decline in visual acuity becomes noticeable. Vision changes as a person ages, and it also may be affected by injury. But there are entirely preventable factors that contribute to poor vision or diminished eye health as well. Taking inventory of behaviors that put eyes at risk, and making important changes, can safeguard the eyes for as long as possible.
Get routine comprehensive wellness exams: The Centers for Disease Control and Prevention says about 93 million adults in the United States are at risk for vision loss. Factors that contribute to vision loss can include being overweight or obese, diabetes, high cholesterol, and high blood pressure. A wellness exam also may uncover family history issues that increase risk for hereditary eye conditions.
Receive a dilated vision exam: Many eye diseases, like glaucoma or age-related macular degeneration, have no warning signs, states the CDC’s Vision Health Initiative. The only way to determine if there is an eye health issue or compromised vision is to get a complete vision exam, which includes dilating the pupil to see the retina, blood vessels and other components of the inner eye. This is the only way to detect diseases in their earliest stages.
see PROTECT VISION page 10
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Diagnosing stroke A stroke is a medical event that occurs when the blood supply to part of the brain is interrupted or reduced. When this occurs, brain tissue is deprived of oxygen and nutrients. Since brain cells can begin to die in minutes, damage from stroke can occur almost immediately. Some strokes are minor, leaving
• Carotid ultrasound: This ultrasound is painless and uses sound waves to create pictures of the carotid arteries, which are responsible for supplying oxygen-rich blood to the brain. The images will indicate if plaque has narrowed or blocked the carotid arteries, a risk factor for stroke.
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the individual with minimal lasting effects. However, a complicated stroke can cause lasting brain damage, long-term disability or even death, indicates the U.S. Centers for Disease Control and Prevention. That is why it is crucial to recognize stroke risk factors and figure out how to head off an event, if possible. Certain tests are used to determine the liklihood that a stroke may occur. It is important to note that not all people who will experience a stroke have noticeable symptoms. Imaging tests often are ordered after a stroke occurs to determine which type of stroke an individual suffered. Here’s a deeper look at some diagnostic tests for stroke.
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• Doppler ultrasound: This is a special test that shows the speed and direction of blood moving through carotid arteries and other blood vessels.
A stroke is a medical event that occurs when the blood supply to part of the brain is interrupted or reduced.
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• Carotid angiography: The Center for Neuro Skills® says a carotid angiography employs a dye and special X-rays to show the insides of the carotid arteries, again helping to diagnose potential blockages.
Entertainme Family Fun Food Kids Event • Electrocardiogram: An electrocardiogram, also called an ECG or EKG, measures the heart’s electrical activity. The test determines if the heart is beating regularly and the strength and timing of electrical signals that pass through the heart. An EKG see STROKE page 10
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The importance of using vacation time How many employees have wished for a shorter work week, especially when it’s only Tuesday and Friday is nowhere in sight? Though many professionals wish they worked fewer days each week, those same individuals likely aren’t taking advantage of their hard-earned vacation time. According to the “2018 State of the American Vacation” report from the U.S. Travel Association, more than half of all working Americans have unused paid vacation days. According to the USTA’s Project Time Off, Americans are taking roughly one less week of vacation per year than they did in the mid1970s, and the trend continues to decline. It’s not much different in Canada. A 2020 ADP survey found that 49 percent of working Canadians were taking less or no vacation time during the holiday season. Fifty percent of women and 37 percent of men reported that they took less than half of their alloted time off that year. Workers cite several reasons for skipping vacations, including feeling an obligation to employers or worrying that taking time off may make them stack up poorly against coworkers when being reviewed for promotions or raises. However,
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failing to take vacation has notable consequences that should not be ignored. Here’s why individuals should make vacations priorities. Avoid health consequences A study published by the National Center of Biotechnology Information found that men who were at risk for heart disease and skipped vacation were 30 percent more likely to have heart attacks than those who took extended time off during the year. Similar effects occur in women. Taking little or no time off also could put individuals at increased risk for anxiety, depression, obesity, insomnia, and other stress-related illnesses, particularly among females. Simply taking a vacation or two per year can help tame stress and improve individuals’ long-term health outlook. Get a brain break Focusing attention on new scenery and activities for a week or more can improve performance upon returning to work. The USTA also indicates having a vacation to look forward to can motivate see VACATION page 10
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The benefits of building a strong core Fitness professionals recognize the importance of a well-balanced workout. Much like a diet that includes foods from each of the major food groups can provide the balance of nutrients and vitamins bodies need to achieve optimal health, a workout routine that includes an assortment of strength and cardiovascular exercises is the recipe for a fit and healthy body. Core exercises are a vital component of a well-rounded workout. Core exercises can help individuals build sculpted abdominal muscles, and while that’s a goal for many core devotees, the benefits of core exercises extend well beyond the cosmetic.
tive effect of that weakness can add up and contribute to aches, pains and other health problems. Strong core muscles make daily tasks easier and less taxing on the body, providing both short- and long-term benefits. • Become a better athlete: Core training has long been a key component of professional athletes’ exercise regimens, and it’s just as beneficial to amateur athletes as well. The Harvard Medical School notes that a strong core powers a host of athletic activities, including golf, tennis, cycling, running, swimming, and team sports like baseball and volleyball. A strong core also benefits outdoor enthusiasts who love to kayak and hike difficult terrain.
• Build a strong, healthy back: The International Association For the Study of Pain reports that lower back pain has been the leading cause of years lived with disability across the globe since • Sculpt abdominals: The 1990. Lower back pain can be cosmetic benefits of building debilitating, but core exercises a strong core should not be strengthen muscles in the core, overlooked, as individuals might including those in the back. The gain additional motivation to Mayo Clinic notes that core exerkeep exercising and eating right cises train muscles in the pelvis, when they see desirable results lower back, hips, and abdomen in the mirror. Core exercises to work together, creating strengthen and sculpt abdomigreater balance and stability and contributing to a healthy back. Core exercises are a vital component • Make daily life of a well-rounded workout. easier: Individuals may not realize it, but their cores play a nal muscles, creating a win-win vital role in performing a great situation for anyone who wants number of daily tasks. Core musto get healthy and look good cles are activated when doing doing it. everything from taking out the Core exercises are vital to buildtrash to getting dressed. If those muscles are weak, the cumulaing a healthier, stronger body.
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What to know about nerve injuries The human body is a complex marvel. Various systems within the body work together to make life as humans know it possible, and though these systems are resilient, they’re not invulnerable to injury. The nervous system is a fascinating part of the human body that includes the brain, the spinal cord and nerves. This system controls much of what the body does, so it’s no surprise that nerve injuries can have a profound effect on individuals’ daily lives. What do peripheral nerves do? Johns Hopkins Medicine notes that peripheral nerves send messages from the brain and spinal cord to the rest of the body. This is done through a network of 43 pairs of motor and sensory nerves that control the functions of sensation, movement and motor coordination. Are peripheral nerves vulnerable to injury? Peripheral nerves are fragile and easily damaged, so they are vulnerable to injury. Serious injury or trauma may require surgery, and the grade of severity, which can be determined using the Sunderland
scale, will help doctors determine a treatment plan. The Mayo Clinic emphasizes the importance of seeking immediate treatment for peripheral nerve injuries, as doing so can prevent complications and permanent nerve damage. What causes peripheral nerve injuries? Johns Hopkins Medicine indicates that peripheral nerve injuries can occur after suffering a laceration (a cut or tear in the nerve tissue), severe bruising, stretching, electrical injury, or drug injection injury. Gunshot wounds also can cause peripheral nerve injuries. Whar are the symptoms of peripheral nerve injuries? The Mayo Clinic notes that symptoms of peripheral nerve injuries, including pain, range from mild to severe. Severe symptoms can seriously limit individuals’ ability to perform and engage in daily activities. Symptoms differ depending on which nerve fibers are affected. Motor nerves regulate all the see INJURIES page 10
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ways to better yourself
Anyone in Huron County facing distress related to COVID-19 without insurance is eligible for 6 free outpatient sessions. ✿ For 24 Hour Emergency Crisis Support 800.356.5568 ✿ For non-crisis assessment or care call 989.269.9293 ✿ For anonymous mental health screening visit HuronCMH.org
Your Brain Health is Essential. Call Today. Huron Behavioral Health works with many insurance plans and people of all ages. All services are confidential.
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Anyone in Huron County facing distress related to COVID-19 without insurance is eligible for 6 free outpatient sessions. For 24 Hour Emergency Crisis Support 800.356.5568 For non-crisis assessment or care call 989.269.9293 ✿ For anonymous mental health screening visit HuronCMH.org
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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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S I LV E R
Aspiring to continue to learn and grow is one of the keys to a fulfilling life. Sometimes it can be eye-opening to look in the mirror, examine oneself and figure out where there may be room for improvement. Self-improvement is a noble endeavor, and there’s no limit to what one can achieve. These six strategies can serve as catalysts for change. 1. Make good habits even easier Individuals can be their own worst enemies, procrastinating in regard to personal goals. Some habits require consistency, and they include exercising, waking up earlier, drinking and eating healthier, and reducing stress. One way to make sure you stick to healthy habits is to prioritize them and make a concerted effort to overcome your uncooperative side. Lay out workout clothes the night before if you want to exercise in the morning. Meal plan on the weekends and create healthy lunches to take to work. Set phone reminders to breathe and meditate several times during the day to calm stress. Eventually these habits will be as easy as brushing your teeth.
2. Read every day Books have the power to educate, inspire creativity, strengthen cognition, and so much more. Think of reading a book as a daily multivitamin for the brain. Even if you can’t devote hours on end to reading, plan 20-minute sessions each day to tackle some pages. 3. Learn a new skill One way to grow is to continue to learn new things. Many people like to explore new languages, not just for the potential for travel or employment, but also for personal betterment. Other skills to learn include baking, woodworking, accounting, crocheting, or anything that requires practice to master. 4. Boost positivity There’s something to be said about maintaining a positive outlook no matter your positivity baseline. Rather than seeing what went wrong in a day, figure out what went right. Memorize positive words and personal reflections to help build stronger neural connections to positive concepts, which may help you become even more positive. see YOURSELF page 10
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Signs & symptoms of Lyme disease Various organisms can transmit harmful bacteria. That includes ticks, which are tiny parasites that feed on blood. Lyme disease is a tick-borne illness that can affect many systems of the body and cause considerable sickness. Lyme disease primarily is spread by the bites of deer ticks, black-legged ticks and Lone Star ticks. Lyme disease can produce a wide range of symptoms, some of which may be more noticeable than others. It also can take anywhere from three to 30 days for symptoms of Lyme disease to appear after a tick bite. So a person may not realize he or she has contracted the illness until the tick has long since unlatched. Symptoms of Lyme disease may include fever, chills, headache, fatigue, muscle and joint aches, and swollen lymph nodes. In 70 to 80 percent of cases, individuals will develop erythema migrans, which is a skin rash, according to the Centers for Disease Control and Prevention. The rash may appear
fogginess, and difficulty following conversations. Lyme disease may cause debilitation for the rest of an affected person’s life, particularly if treatment was not received early. Anyone who lives in areas with high concentrations of ticks should be diligent in checking themselves for the presence of ticks as well as any rashes, bites or flu-like symptoms. The CDC notes that a tick must be attached for 36 to 48 hours or more before the Lyme bacterium can be transmitted. Prompt removal of a tick can prevent infection. However, many humans are infected through the bites of nymphs, which are less than Lyme disease is a tick-borne illness 2 millimeters in that can affect many systems of the size, which makes body and cause considerable sickness. them difficult to see. Lyme disease primarily is spread by When people the bites of deer ticks, black legged are treated with ticks and Lone Star ticks. appropriate antibiotics in the early stages of Lyme disease, they can like a bullseye shape, but not alrecover rapidly and completely. ways. It also may feel warm to the The Infectious Disease Society of touch, but is rarely itchy or painful. America says some people expeThe rash usually is greater than rience a possible autoimmune 2 inches in size and can appear “post-Lyme” syndrome that is not anywhere on the body. responsive to antibiotics. Studies The Johns Hopkins Lyme of Lyme disease treatment and Disease Research Center says effects are ongoing. extreme fatigue and lethargy may Lyme disease is a year-round be pronounced symptoms of concern, but particularly during Lyme disease. Later disseminatthe warmer months when ticks ed Lyme disease symptoms can are most active. People need to be include numbness in extremities, diligent in Lyme disease prevenconcentration issues, mental tion and tick awareness.
MARCH 26, 2022
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STROKE
PROTECT VISION
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can detect atrial fibrillation, which is a risk factor for stroke.
blood vessels to highlight blood flow.
• Magnetic resonance imaging: An MRI uses radio waves and a magnetic field to create a detailed view of the brain. An MRI may be used to detect brain tissue damage by an ischemic stroke (result of a blockage) and brain hemorrhages. A doctor may use a dye injected into
• Computed tomography: A CT or CAT scan creates cross-sectional pictures of the brain, says the Mayo Clinic. A CT scan can show if a stroke has occurred and also identify if the stroke was ischemic or hemorrhagic (the result of bleeding). • Blood tests: Doctors say that
INJURIES
Step up healthy eating: Many eye-healthy foods are rich in vitamins and minerals. Dark, leafy greens like spinach, kale and collards are good for the eyes, according to the National Eye Institute. In addition, foods rich in A stroke is a serious condition omega-3 fatty acids, like salmon, that can cause lasting brain damhalibut and tuna, also are good age. Testing can identify risk factors choices for maintaining eye health, and determine if a stroke already as they lower the risk for dry eyes occurred. and eye diseases such as macular degeneration and cataracts. blood tests can measure various things, including platelets in the blood. Abnormal platelet levels could be a sign of a bleeding disorder (not too much or too much clotting).
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muscles under conscious control, helping people to walk, speak and hold objects. Sensory nerves relay information about touch, temperature and pain, while autonomic nerves regulate activities that are not consciously controlled, such as breathing, heart function and digestion. Since these functions are so different, it’s no surprise that injuries to each type of nerve produce different symptoms. • Motor nerves: Muscle weakness,
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uncontrollable muscle twitching and painful cramps are characteristics of motor nerve injuries. • Sensory nerves: Sensory nerve injury symptoms may include numbness, tingling in the hands or feet and difficulty sensing pain or changes in temperature. Individuals also may experience difficulty walking, maintaining their balance with their eyes closed or fastening buttons.
• Autonomic nerves: Excessive sweating, changes in blood pressure, an inability to tolerate heat, and gastrointestinal issues are potential indicators of autonomic nerve injuries. Peripheral nerve injuries can adversely affect quality of life. But reporting symptoms early can help doctors devise treatment plans to minimize pain and reduce risk for permanent damage.
YOURSELF continued from page 8
Sip on green tea: True Eye Experts says green tea is a great source of antioxidants that can keep eyes healthy and defend them from cataracts and AMD. Wear protective eyewear: Always don sunglasses with UVA and UVB protection when outdoors. Protective eyewear is a must for those who work in an industry that requires eye protection or athletes who play sports in which eye injuries are a consistent threat.
Discard old cosmetics: Exercise caution with outdated eye makeup. Experts suggest discarding mascara that is more than four months old. Avoid applying eyeliner to the inside of the eyelid, as that can lead to irritation or infection. Practice smart contact hygiene: Always wash hands before inserting or removing contact lenses. Lenses should be stored properly in cleansing solution and discarded after the recommended amount of time for the particular type of lens (daily, bi-weekly, monthly). Unless they are approved for overnight use, remove contacts before going to bed. Quit smoking (or don’t start): Smoking increases a person’s risk of developing various eye diseases and can make diabetic eye disease more severe, says the CDC. It’s never too late to make changes that can preserve vision.
VACATION continued from page 5
individuals to finish a project or report in a timely manner.
from the distractions of daily life is a major advantage of vacationing. Few families have consistent time to spend together, but vacations enable everyone to take a break from the routine frenzy and focus
Enjoy higher job satisfaction The Society for Human Resource Management said that 78 percent of human resources directors found that employees According to USTA’s Project Time Off, who took more Americans are taking roughly one less vacation days re6. Make your bed each morning. week of vacation per year than they ported higher job Admiral William H. McRaven said that the first step satisfaction. That did in the mid-1970s to changing yourself and potentially the world is to could be because make your bed every morning. You will have accomvacations help on one another. plished the first task of the day and it can give you a people feel less stressed and gensmall sense of pride to tackle task after task. All it takes erally happier, which can extend to It’s tempting to skip vacations to is one step to start a long journey. the workplace. be more productive, but workers actually may be doing their proPersonal growth involves taking inventory and mak- Develop strong bonds with ductivity a disservice by failing to ing gradual improvements and alterations in areas family that require attention. Having fun with the family away rest and recharge. 5. Overcome persistent fears Fears reflect areas where you can grow and often indicate areas that need attention. Pick at least one fear to tackle. If that is public speaking, make a concerted effort to speak in front of a crowd, whether it’s during a work meeting or at a school function.
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Serving You and Your Community Since 1960 Ubly Medical Clinic
Cass City Family Practice
6190 Hospital Dr. Suite 106 Cass City 989.872.5010
Eric Schoemaker, MD
Marie Havercamp
2254 Main St. Ubly 989.658.9191
Jennifer Jones
Family Nurse Practitioner Family Nurse Practitioner
Thumb Pediatrics
Hills & Dales Caro Family Practice
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Hills & Dales Orthopedic Clinic
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Family Nurse Practitioner Family Nurse Practitioner Family Nurse Practitioner
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