Medical Services Directory 2017 by The Journal

EDICAL

SERVICES

DIRECTORY A Handy Guide To Area Medical Services And Providers

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Table of Contents Medical Directory . . . . . . . . . . . . . . . . . . . . . . . . 3 DHHR’s Medicaid program to expand substance use treatment and services . . . . . . 9 Personalized medicines: The future of healthcare? . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 How to prevent household poisonings . . . . . . 11 How to prevent household poisonings . . . . . . 12 Depression common but treatable . . . . . . . . . 13 10 reasons to quit smoking right now . . . . . . 14 Fast Food Facts . . . . . . . . . . . . . . . . . . . . . . . . . 16 Many food allergies traced to just eight allergens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Digest the potential benefits of probiotics . . . 18 6 things to share with your doctor . . . . . . . . . 19 Clary Grove receives high rating. . . . . . . . . . . 20

Medical Directory Homewood Retirement Centers Retirement communities located in Frederick, Maryland; Hanover, Pennsylvania; Martinsburg, Pennsylvania; and Everett, Pennsylvania. Based in Washington County, Maryland, just outside of Hagerstown, Homewood Retirement Centers is affiliated with the United Church of Christ and operates with its own Board of Trustees that is responsible for Homewood’s management. Residents enjoy “attractive homes and a vibrant, worry-free lifestyle, as well as a comprehensive array of support and services that enhance every aspect of daily life,” according to Homewood Retirement Centers website. Phone: (301) 582-1750 Website: http://homewood.com/locations

Chicken soup is good for more than the soul. 21 What are biologic medicines? . . . . . . . . . . . . . 22 The hidden benefits of Water . . . . . . . . . . . . . 23 How to make commuting a less stressful experience . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Emergency responders need support, too . . . 26 Eucalyptus oil and preventing insect bites . . 27 Regain hope and strength while caregiving . 28 Gluten-free a must for those with celiac disease. . . . . . . . . . . . . . . . . . . . . . . . . . 29 Signs of atrial fibrillation — and how to treat it . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Hispanic health concerns are worth noting . . 31 ER nurses are unsung heroes . . . . . . . . . . . . . 32 Exploring holistic nursing . . . . . . . . . . . . . . . . 33 Coping with fewer hours of daylight. . . . . . . . 34 Keep safe this holiday season and avoid medical mishaps. . . . . . . . . . . . . . . . . . 35

Williamsport Retirement Village Nestled amid the natural beauty of historic Williamsport, Maryland, bordering the Conococheague Creek, Williamsport Retirement Village has provided care for older adults for more than 45 years. Williamsport Retirement Village continues to be recognized for its decades of expertise in assisted living,rehabilitation, skilled nursing and respite care, according to its website. With the recent addition of its rehabilitation center, Williamsport Retirement Village’s West View Rehabilitation Center offers “exceptional clinical outcomes, the professionalism and competence that will support a rehab guests’ recovery,” its website states. Phone: 301-223-7971 Website: www.bgf.org/williamsport

Somerford House & Place of Hagerstown Two senior living communities in one, Somerford House & Place of Hagerstown offers assisted living apartments, as well as Five Star’s award-winning Bridge to Rediscovery program for people with Alzheimer’s or related dementias, rehabilitation services, and respite/short stays for when caregivers are unavailable. “Our residents enjoy many services and amenities, including restaurant-style dining, highly skilled 24-hour staff, a full slate of social, educational, and recreational activities, exercise and wellness programs, full-service beauty salon and barber shop, games room, library, wireless Internet, transportation, laundry, and housekeeping,” Somerford’s website states. Phone: (301) 791-9221 Website: www.fivestarseniorliving.com/ communities/md/hagerstown/ somerford-house-place-hagerstown

Panhandle Home Health Panhandle Home Health has been serving the Eastern Panhandle of West Virginia since 1976. The majority of its staff has 10 or more years of experience in the community as home care providers, according to its website. “We are dedicated to assisting seniors, adults and children with maintaining their independence in the comfort and safety of their own home,” the website states. “Our licensed and certified staff includes: registered professional nurses, medical social workers, physical, speech, and occupational therapists, and certified home health aides.” Panhandle Home Health offers a wide variety of specialized services tailored to meet the needs of each individual patient. Services are provided based on the patient’s needs, payer coverage, the scope of services, and physician orders.

Home health care can help with: Heart attack, joint surgery, stroke, diabetes, IV therapy, rehabilitation, terminal illness, incontinence training, chemotherapy and after surgery or hospitalization. Phone: 304-263-5680 Website: panhandlehomehealth.org

South Berkeley/Jefferson Pharmacy South Berkeley Pharmacy opened in 1980, according to its website. It offers durable medical equipment; cholesterol and sugar testing the last Thursday of each month; prescription medicines; electronic prescriptions using Sure Scripts; prescription counseling; checking drug interaction; electronic prescription filling; assistance with Medicare Part D prescription providers; free delivery; and a gift department. Phone: 304-229-2400 Website: www.southberkeleypharmacy.com/RxServices.htm

Spring Arbor of Winchester The Spring Arbor team nurtures residents independence by promoting dignity and choice in a setting of professional, compassionate care, according to its website. “Assistance is always offered, never imposed, and our full-service lifestyle offers residents and their families the time to focus on opportunities, not challenges,” the website states. Services include: licensed health professional support; three nutritionally balanced and delicious home-cooked meals, with a choice of entree and daily snacks; varied menu designed by a registered dietician; personalized care plans and wellness programs; coordinated access to physical, occupational, respiratory and speech therapies; personal laundry, linen and housekeeping services; transportation available; full-time activities coordinator; 24-hour available assistance with personal

care; and exercise programs. Phone: (540) 242-7199 Website: http://springarborliving.com/Locations/ winchester.htm

Clary Grove of West Virginia Clary Grove is a 120-bed short- and long-term care center whose goal is to help people feel stronger and healthier to enjoy the fullness of a physical, emotional and spiritual life, according to its Facebook page. “Our staff is dedicated to providing each resident with coordinated quality care, spiritual support and a sense of community,” its Facebook page reads. Phone: 304-329-3195 Facebook page: www.facebook.com/ClaryGroveWV/

Panhandle Podiatry Panhandle Podiatry with Dr. John J. Mollica treats the following conditions: achilles tendon, ankle instability, ankle sprains, arthritic foot and ankle care, athlete’s foot, bunions, calluses, corns, crush injuries and diabetic foot. According to the practice’s website, Mollica’s philosophy is to educat patients as best as possible. Mollica is surgically trained and has performed many hospital-based surgeries over the last 15 years, attaining boardqualified status in foot surgery. Phone: 304-267-3030 Website: www.panhandlepodiatry.com

East Ridge Health EastRidge Health Systems is a comprehensive behavioral health center serving the three-county Eastern Panhandle of West Virginia. EastRidge is a

Medical • Surgical • Adult & Pediatric

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501(c)(3) nonprofit organization that provides mental health, substance abuse, and intellectual/developmental disability services and programs for all age groups, without regard to race, color or national origin, its website states. EastRidge offers the majority of services out of three outpatient clinic sites located in Martinsburg, Kearneysville, andBerkeley Springs. In addition, specialized services are offered at several additional sites in Martinsburg and Hedgesville. Phone: 304-263-8954 Website: www.eastridgehealthsystems.org

Center of Dermatology The Center for Dermatology offers comprehensive dermatologic care to adults and children. The center offers the following services: Skin disease treatments for acne, rosacea, eczema, psoriasis, warts, skin infections, skin allergies, rashes, hair and nail disorders, detection and treatment of skin cancer, PUVA and narrowband UVB treatments; Cosmetic services and products including chemical peels, facial vein treatment, Latisse eyelash growth treatment; surgical services and treatments including cysts, mole removal, lipomas, skin biopsies, skin tags and skin cancers. The center also offers MOHS surgery. Phone: 304-263-3933 Website: http://erikbhurstmd.com/

After Hours Pediatricians After Hours Pediatricians can care for a sick child during week nights and weekends when a family’s regular pediatrician is not available. The practice’s goal is to offer top-quality, convenient medical care when a child has a “can’t wait” condition. The facility is open from 6 p.m. to midnight Monday through Friday and from 1 to 8 p.m. weekends and holidays. The staff of pediatricians is trained to care for infants and children up to age 21. Services provided include: Immediate care

for sore throat, stomachache, earache, headache, etc.; examination for the causes of rashes, high temperature, etc.; treatment of sprains, burns, cuts, and scrapes — including “stitches” if necessary; treatment of minor eye illness or injury and treatment of mild and moderate asthma flare-ups. Doctors can also write drug prescriptions. Phone: 301-302-7837 Website: http://afterhourspediatricsofhagerstown.com/

Hair After Style According to its Facebook page, Hair After Style has invested more than 15 years in research and development to bring its customers the best innovation in hair. “Cyberhair is so technologically advanced, no other hair matches it’s beauty and durability,” its Facebook page reads. Hair After Style offers a variety of services, including: 100 percent human hair, accidents and burns, alopecia, alterations and tailoring, bangs, beauty supplies, bonding, chemotherapy, children’s hair loss, computer imaging, hair accessories, hair care products, stylists, house calls, hospital calls, makeovers, hairpieces and wigs, hairline reconstruction, hair extensions, hair weaving and implants. To view a full list of its services, visit Hair After Style’s Facebook page. Phone: (301) 790-2090 Facebook page: www.facebook.com/pg/ Hair-After-Style-Quarters-1375471452669291/ about/?ref=page—internal

Magnolia Family Medicine Magnolia Family Medicine is located on Route 9 in Hedgesville, just behind the Department of Motor Vehicles. Founded in 2017 by Dr. Jason Swalm and his wife Tracy, both whom have held numerous occupations in the healthcare environment including combat medic, EMT, laboratory services and nursing. Both Jason and Tracy are

veterans of the United States Army and hold a special respect for soldiers, law enforcement, as well as teachers and nurses, the practice’s website states. Phone: 304-267-6249 Website: http://magnoliafamilymedicine.net/

Jefferson Urgent Care When it’s not possible to see a family physician, Jefferson Urgent Care can provide medical attention on the same day you need it. According to Jefferson Urgent Care’s website, urgent care may not necessarily mean “fast” care. Jefferson Urgent Care providers are available at times when a family physician may not be. Jefferson Urgent Care is open 8 a.m. to 8 p.m. Monday through Friday and from 8 a.m. to 5 p.m. Saturdays, Sundays and holidays, except for Thanksgiving and Christmas. Phone: (304) 728-8533 Website: http://jeffersonurgentcare.com/

Sharpsburg Pharmacy Sharpsburg Pharmacy is a locally owned and community-minded full-service pharmacy with an emphasis on personalized customer service, according to its website. The pharmacy carries a complete selection of prescription medications, over the counter products, and durable medical equipment. Sharpsburg Pharmacy accepts most major insurance plans and bills all Medicare and MD/WV Medicaid programs. Phone: 301-432-7223 Website: http://sharpsburgpharmacy.com/

Electra Vision Electra Vision offers comprehensive optometry for the entire family. Barbara Pittaras, OD, FAAO, has been practicing optometry since 2002. Services provided by Electra Vision, according to its web-

site, include: retinal imaging, corneal topography, visual field testing, blepharitis treatment center and precision optics. Phone: (304) 724-2025 Website: http://electravisioncare.com/

Hospice of the Panhandle Hospice of the Panhandle has helped those with serious, life-limiting illnesses manage their pain and symptoms in the comfort of their own home for over 30 years according to is website. The organization serves Berkeley, Hampshire, Jefferson and Morgan counties in West Virginia. Residents may receive hospice services at: Their private home, nursing home, in an assisted living facility, at a hospital or at the Hospice of the Panhandle Inpatient Facility. Hospice provides medical professionals and volunteers who: Work with doctors to relieve pain and symptoms; assist with bathing, dressing and personal care; help make arrangements for the future and support clients in the completion of goals. Hospice care is paid for by: Medicare, Medicaid and most private insurance plans. Don’t have insurance coverage for hospice services? As a nonprofit health care provider, the organization will work with clients to meet their needs even if they don’t have insurance or are not able to pay for care. Phone: 304-264-0406 Website: http://www.hospiceotp.org/

Willows at Meadow Branch The Willows At Meadow Branch was built in 1998 and is privately owned by a Virginia Family who has over 35 years of experience in elderly and senior care, according to its website. “With the absence of corporate “red tape,” decisions are addressed on-site, in a timely manner; this is an added value to our residents, families and staff,” the website reads. Willows at Meadow Branch is located in Winchester, Virginia. The facility is a

Southern-style, one-story 79 private-apartment assisted living community. The facility is located close to Winchester Medical Center, as well as a variety of medical professionals. Phone: (540) 667-3000 Website: http://thewillows-mb.com/

Winchester Imaging Winchester Imaging provides diagnostic medical imaging services including open MRI, CT, ultrasound and x-ray in a convenient outpatient setting, according to its website. Winchester Imaging is located in the Trex Corporate Center on 522 just east of 37. According to its website, Winchester Imaging’s staff is dedicated to keeping patients ontime. Same day appointments are available in CT, Ultrasound and X-Ray. Phone: 540.431.3600 Website: http://winchesterimaging.com/

Sayeed Ahmed, MD Dr. Sayeed Ahmed, M.D.: Dr. Sayeed Ahmed, M.D. treats internal medical and cardiovascular diseases (heart disease). He also is a primary care physician. Dr. Ahmed schedules office hours by appointment. His office is located at 105 Tavern Road, Martinsburg. Phone: 304-267-8478

Brook Lane Brook Lane provides a continuum of mental health services for people throughout the MidAtlantic region. Brook Lane offers a variety of services for all age groups, allowing for an individualized program of treatment. Phone: 301-733-0330 Website: https://www.brooklane.org/

DHHR’s Medicaid program to expand substance use treatment and services CHARLESTON, W.Va. — The West Virginia Department of Health and Human Resources, Bureau for Medical Services recently announced the approval of a Medicaid waiver, which will allow West Virginia to expand substance use treatment and services for Medicaid members. The Medicaid 1115 Waiver was awarded by the U.S. Centers for Medicare and Medicaid Services to improve care and health outcomes by expanding services for those with a substance use disorder diagnosis. “This waiver allows the West Virginia Department of Health and Human Resources to more effectively prevent and treat substance use issues for Medicaid enrollees through expanded treatment services,” said Cindy Beane, Commissioner of DHHR’s Bureau for Medical Services. “This is another important tool in West Virginia’s fight against substance

abuse under the leadership of Gov. Jim Justice who has championed this strategy.” The waiver will contribute to a comprehensive statewide strategy to combat prescription drug abuse and opioid use disorders. It will allow West Virginia to cover methadone, naloxone, peer recovery support, withdrawal management and short-term residential services to all Medicaid enrollees. “West Virginia is No. 1 across the nation in overdose deaths,” Gov. Justice said. “Since this waiver is funded more than 80 percent by the federal government, it’s critical to protect our Medicaid budget so our state can meet its federal obligation for these vital services. We need to help our people get the care they need to get their lives back on track and stop these senseless overdose deaths.” For more information, visit www.dhhr.wv.gov/ bms/CMS/Pages/WaiverApprovals.aspx.

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Personalized medicines: The future of healthcare? When a person feels ill, his or her doctor may assess any symptoms and then prescribe a particular medication to treat or alleviate those symptoms. Doctors prescribe medications hoping to treat sickness, but sometimes prescriptions fall short, leaving some to wonder if prescription medications could be customized more for individual needs? The science is already here. Making specialized

drugs is not a new concept. Prior to the rise of drug manufacturing companies, early pharmacists routinely customized ingredients. According to Professional Compounding Centers of America, customized medications are created through a process known as pharmacy compounding, which is defined as the art and science of preparing personalized medications for patients.

After Hours Pediatrics Healthier kids, brighter futures • We’re here for the time when your child has a “Can’t Wait” condition. • On hand needed pharmaceuticals - so you don’t have to stop at a drug store on the way home. • Compassionate Care - our goal is to offer top quality convenient medical care. • If you have questions once you get home, we are available by phone to assist you.

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Specialized pharmacists take a practitioner’s prescription and mix individual ingredients together in the exact dosage and strength required. Compounding may be done to change the form of the medication from a pill to a liquid or to remove a certain additive or ingredient, such as gluten, that might cause an allergic reaction. The American Pharmacists Association says that compounding also can be used to flavor a medication in an effort to make it more palatable. Compounded drugs can be just as safe as mass-produced prescriptions. And thanks to their tailor-made formulas, compounded medications also may help people avoid side effects and other adverse reactions. Compounding gives physicians flexibility in regard to how to best help their patients. Compounding is done in hospital pharmacies and other healthcare facilities. There also are thousands of communi-

ty-based pharmacies in the United States that specialize in compounding services. Pharmacists in these facilities spend all of their time making special preparations. All pharmacists and pharmacies engaged in compounding are subject to oversight by both federal and state authorities. On November 27, 2013, Congress amended the Federal Food, Drug, and Cosmetic Act by enacting the Drug Quality and Security Act to ensure that compounded drugs are produced in accordance with applicable federal requirements. The National Association of Pharmacy Regulatory Authorities helps to oversee compounding in Canada. Preparations of products are subject to the Food and Drug Act and Regulations, Good Manufacturing Practice guidelines, and inspection by Health Canada. Pharmaceutical compounding may not be new, but it is increasingly relied on to create the best formulations for individual patients.

How to prevent household poisonings People never want to think of their homes as dangerous places, but the average home has its share of hazards. According to the Centers for Disease Control and Prevention, more than 38,000 people in the United States lost their lives to unintentional poisonings in 2014, while Express Scripts® Canada reports that poisoning is the fourth-leading cause of injury deaths among Canadians of all ages. While the statistics about poisoning deaths are alarming, the good news is that such deaths are preventable. The CDC, in conjunction with the American Association of Poison Control Centers, offers the following poison-prevention tips. Medications • Take only prescriptions that are prescribed to you by a healthcare professional. Never take another person’s medication, and do not take longer or more frequent doses than prescribed, especially with regard to pain medications. • Read all warning labels on medication bottles and read the addi-

tional one or two pages of information that accompany your prescription. • Turn on the light when taking medications so you know you are taking the appropriate dosage. • Dispose of unused, unneeded or expired medications. Household chemicals • Read all labels before using household products that contain chemicals, such as cleaners and disinfectants. • Keep all products in their original containers so you have readily available access to the ingredients and directions whenever using the products. Such information can save lives should someone be poisoned or ingest a potentially deadly product. • Never mix products that contain chemicals, as doing so can create toxic gases. • Open windows and turn on ceiling fans or box fans when using household cleaners. Do not use such products in enclosed spaces. • Wear protective eyewear and clothing when using chemicals and/or pesticides to safeguard

your body from exposure. Storage • Store all medications and household products in places that cannot be reached or accessed by children or pets. • When taking medications or using household products, take children with you if you must answer the phone or when the doorbell is ringing. Even if the medicine or product will only be out of your sight for a moment, that brief moment is enough time for curious kids to be poisoned.

Disposal • Follow the guidelines on the packaging with regard to the disposal of chemical products. • When disposing of medications, the U.S. Food and Drug Administration advises taking advantage of community-based drug “take-back” programs. If no such program exists, the FDA notes that almost all medicines can be discarded in the trash, but advises following the drug disposal guidelines available at www.fda.gov.

Tips for prospective marrow donors Donating bone marrow can save lives. According to Cancer.net, bone marrow transplants are oftentimes the best chance of survival for people with bone marrow disease. A soft, spongy material found in large bones, bone marrow makes more than 200 million new blood cells every day. Bone marrow transplants replace diseased bone marrow with healthy tissue. Finding matching donors can be difficult and involves

using human leukocyte antigen (HLA) typing. HLAs are specific proteins on the surface of white blood cells and other cells that make each person’s tissue unique. When donated marrow is HLA-matched, recipients of the marrow are less likely to experience a side effect known as graft vs. host disease, or GVHD. If GVHD is present, immune cells in the transplanted tissue recognize recipients’ bodies as foreign and subsequently attack.

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According to Cancer.net, less than one-third of people who need bone marrow transplants can find HLAmatched donors, which only highlights the need for more men and women to become marrow donors. The decision to donate bone marrow is a selfless one that requires careful consideration. Be The Match®, which is managed by the National Marrow Donor Program®, offers prospective donors the following tips as they try to decide if they want to become marrow donors. • Participate in an information session. Be The Match will speak with prospective donors about donating marrow and the possible risks and potential side of effects of doing so. Participants will have the opportunity to ask questions during the 90-minute session. • Expect to undergo a physical exam. Once

prospective donors have decided to donate marrow and signed consent forms confirming their decisions, they have to undergo physical examinations. Such exams determine if donating marrow will put donors or patients at risk. • Recognize that blood samples will be taken. Before donating, donors must give several blood samples. These samples will be taken over two to four appointments set up by the donor centers donors are working with. • Don’t be surprised if you end up traveling to donate. Be The Match notes that roughly 40 percent of marrow donors travel by air to donate, staying one or more nights in hotels. Many of donors’ traveling costs will be covered by Be The Match. More information about bone marrow donation is available at bethematch.org.

Depression common but treatable It’s normal to experience feelings of sadness and grief from time to time. But when these feelings are prolonged or interfere with daily life, they may be symptomatic of depression. Depression can affect anyone regardless of age, gender or economic status. The National Institute of Mental Health says around 350 million people worldwide suffer from depression. Understanding depression can help those dealing with the disorder. What is depression? Depression is a mood disorder that causes persistent feelings of sadness and loss of interest. The Mayo Clinic says depression can produce a variety of symptoms and affect the way a person thinks, acts and feels. Symptoms may include changes in sleeping patterns, anxiety, fatigue, weight gain or weight loss, unexplained aches and pains, and difficulty concentrating.

mon among those who have the condition. People with clinical depression appear to have physical changes in their brains. In addition, naturally occurring brain chemicals known as neurotransmitters likely play a role in depression. The Mayo Clinic states changes in the function and effect of these neurotransmitters and how they interact with neurocircuits involved in maintaining mood stability may play a significant role in depression and its treatment. In addition to biological factors in the brain, hormones can impact rates of depression or even trigger it. These hormone shifts may be a leading reason why women have higher incidence rates of depression than men. Depression is more common in people whose blood relatives also have the condition. Therefore, those with a family history of depression may be more likely to get it than those without such a connection.

What causes depression? Although the cause of depression remains a mystery, certain distinguishing factors are com-

Different types of depression There are different types of depression. A person may have a single bout of major depression

or recurring episodes. Depression that lasts two or more years is called persistent depressive disorder. A less common type of depression is called manic-depressive illness. This involves cycles of depression that alternate with extreme highs, or manias. Treating depression Depression is a very treatable condition. Psychotherapy (talk therapy), medications or a combination thereof can be very effective in managing symptoms. Mental health professionals can

work with individuals to find the right therapy based on symptoms and severity of the depression. Also, it may take some time to find the right medication or treatment; therefore, people are urged to remain patient and hopeful. The National Institute of Mental Health says people who suspect they may be suffering from depression should make an appointment to see a doctor or health care provider. The sooner action is taken, the more quickly the condition can be addressed.

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10 reasons to

Quit smoking right now Quitting smoking can greatly improve smokersâ&#x20AC;&#x2122; long-term health and can even begin paying dividends almost immediately. Smoking is a leading contributor to many diseases and harms nearly every organ of the body, advises the U.S. Department of Health and Human Services. The Centers for Disease Control and Prevention says smoking causes more deaths each year than HIV, alcohol use, illegal drug use, motor vehicle injuries, and firearm-related incidents each individually. Smoking not only accounts for 90 percent of all lung cancer-related deaths, but also it increases the risk for coronary heart disease, stroke, and cancers almost anywhere in the body.

Nicotine is a toxic, colorless or yellow liquid that is the chief active constituent of tobacco. Because nicotine is addictive, people who want to quit smoking must recognize they will need to overcome their addictions en route to getting healthier. The good news is that, for people who smoke infrequently, most remnants of nicotine are gone within three to four days of quitting, says the Quit Smoking Community. It may take longer for nicotine to leave the bodies of heavy smokers or those who have been smoking for a long time. As nicotine levels decrease, the body will eventually recover from withdrawal symptoms and begin to feel better. The following are 10 reasons to quit smoking today. 1. Financial savings: The cost of a pack of cigarettes varies depending on where you live, but the cost savings of quitting can add up quickly. New York City and London have some of the most expensive cigarette prices in the world. In America the average price of cigarettes is $5.51, according to Fair Reporters, based on cigarette prices across the United States. Many states fall between $6 and $8 per pack. 2. Cleaner teeth: Smoking can stain teeth, so quitting smoking can prevent future smoking-related stains. 3. Greater lung capacity: Many people find their lung capacity improves by as much as 10 percent within nine months of quitting, according to the World Health Organization. Within one to nine months of quitting, coughing and shortness of breath decreases.

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offers the quitting helper QuitSmokingSupport.com. 7. Coughing decreases: Chronic cough due to tobacco smoke irritation, and damaged cilia in the lungs can abate over time, says the Mayo Clinic. The cilia can recover, regaining mobility, and mucus production begins to return to a normal level as well. 8. Better sense of smell and taste: The Cleveland Clinic says that smoking can damage the nerve endings in the body, including those involved in taste and smell. People who quit may begin to taste flavors and experience aromas better than they did when they were still smoking. 9. Improved aroma: By quitting smoking, smokers will no longer have the odor of cigarette or cigar smoke clinging to their hair and clothing. That can make them smell more pleasant to themselves and others. 10. Longer life: Quitting significally improves smokers’ chances of living a long, healthy life.

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4. Better circulation: Blood flow improves when smokers quit smoking, which can mean fewer feelings of “pins and needles” in extremities and warmer hands and feet. 5. Improved fertility: Nonsmokers often find it easier to get pregnant because the lining of the womb is stronger and sperm is more potent, says NHS Choices, the United Kingdom’s largest health resource. Quitting also can reduce the chances of birth defects or miscarriage. 6. Blood oxygen improvement: Within 12 hours of quitting, blood oxygen levels return to normal and carbon monoxide levels will drop to normal,

Food allergy fast facts Food allergies can develop from birth, and some last a lifetime. Others are developed at different ages and may be outgrown. No matter when allergies stop or start, they can be a lifethreatening problem for children. Although food allergies may be managed more easily at home, they present different challenges for school-aged children. School nurses and administrative officials should be informed about food allergies, especially if they are severe enough to warrant medical intervention, such as medication. Food allergies are quite common. Consider these allergy facts that can help parents better understand any issues their children might face. • The Food Allergy Research and Education network says nearly 15 million people in the United States, many of whom are children, are affected by food allergies. • One in 13 Canadians, or roughly 2.5 million people, are affected by a food allergy, according

to estimates from the Allergy, Genes and Environmental Network. • Around 7 percent of Canadian children under the age of 18 report having at least one food allergy. • The Centers for Disease Control and Prevention says children with food allergies are two to four times more likely to have other related conditions, such as asthma and other allergies. • Food allergies are an immune system response to the food, not a case of digestive intolerance. • Among food allergic children, peanuts are the most prevalent allergen, followed by milk and shellfish, says the American Academy of Allergy, Asthma & Immunology. • Food allergies can cause everything from mild reactions, such as itchiness or hives, to anaphylaxis, a severe and potentially deadly reaction. • Risk of food allergies increases when there is a parent who suffers from any type of allergic dis-

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ease — even those beyond food allergies. • A recent study conducted by researchers at Johns Hopkins University School of Medicine found that children are taking

longer to outgrow milk and egg allergies. • Food avoidance remains the best way to prevent symptoms of food allergies. That is why reading product labels is vital.

Many food allergies traced to just eight allergens According to Food Allergy Research & Education, more than 170 foods have been reported to cause allergic reactions. However, many of the serious allergic reactions to food can be traced to eight aller-

gens in particular. These allergens include crustacean shellfish, eggs, fish, milk, peanuts, soy, tree nuts, and wheat. If it seems as though food allergies in children have increased in recent years, they have. The U.S. Centers for Disease Control & Prevention report that, between 1997 and 2011, the prevalence of food allergies

in children increased by 50 percent. Though some people may only experience an itchy mouth or a few hives after eating food they’re allergic to, symptoms of allergic reactions to food can be severe and may include anaphylaxis, which occurs suddenly and can cause death. Anaphylaxis can produce a host of frightening symptoms,

such as rapid heartbeat, dizziness, difficulty breathing, and weak pulse. Food allergies often resolve during childhood, though FARE® notes that today’s youngsters appear to be outgrowing their food allergies more slowly than kids did in the past.

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Digest the potential benefits of probiotics Is “probiotic” a marketing buzzword designed to boost sales, or is there really something to the trend of adding probiotics to food or encouraging consumers to take probiotic supplements? It might be hard to envision bacteria and yeast — which are often painted in a negative light and associated with various illnesses — being beneficial to health. However, it’s important to note that the body is full of bacteria, and some of it can be helpful, particularly to the digestive system. While probiotics, or those helpful bacteria and yeasts, occur naturally in the body, they also can be found in a growing number of foods and supplements. Yogurt, with its “live and active cultures,” is one source of probiotics. An panel of experts convened in October 2013 by the International Scientific Association for Probiotics and Prebiotics found that a growing body of evidence supports the notion that probiotics can promote a healthy balance of intestinal bacteria, which has been linked to a wide range of health benefits. Since the mid-1990s, when probiotics first appeared on many people’s radars, clinical studies have suggested that probiotic therapy can help treat several gastrointestinal issues, delay the development of allergies in children and treat and prevent vaginal and urinary infections in women. The Harvard Medical School notes that two large reviews suggest that probiotics reduce antibi-

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Probiotics may help attain a healthy balance of bacteria in the gut, leading to better overall health.

otic-associated diarrhea by 60 percent when compared with a placebo. Antibiotics can kill harmful and beneficial bacteria in the gut. Probiotics help restore the balance. This may prove helpful to those with various gastrointestinal diseases, such as Crohn’s disease and ulcerative colitis. There’s also interest in how gastrointestinal health may be linked to mental health. According to data published in the Journal of Neurogastroenterology & Motility in an article titled, “Effect of Probiotics on Central Nervous System Functions in Animals and

Humans: A Systematic Review,” a review of 15 human studies found supplementing with bifidobacterium and lactobacillus strains for one to two months can improve anxiety, depression, autism, obsessive-compulsive disorder, and memory. Research is still being conducted on probiotics’ influence on heart health, vaginal health, inflammation, immune system function, weight loss, and even some skin disorders like eczema. Probiotics are generally considered safe, but their use should be discussed with a doctor prior to taking them.

6 things to share with your doctor The things people do not share could end up compromising their treatment or prevent doctors from discovering certain ailments. It is important to be honest with a doctor about certain health habits, but sometimes it isn’t so easy to be forthcoming. Fear of being judged or discussing embarrassing situations may prevent some patients from telling medical professionals the whole story. However, the things people do not share could end up compromising their treatment or prevent doctors from discovering certain ailments. Rather than omitting information, people need to be frank with their doctors. Honesty is important when speaking with a physician, even when the discussion turns to the following potentially sensitive topics. 1. Smoking: Even if you aren’t a daily smoker, mention if you smoke in social situations or grab a drag once in a while. Smoking increases the risk for many illness-

es and can compromise how effective some medications can be. 2. Alcohol consumption: Be honest about how much you drink, as alcohol can interfere with medications. 3. Supplement usage: Over-the-counter medicines, herbs and other supplements can affect overall health. A doctor needs to know the entire picture before prescribing treatment. 4. Exercise habits: Don’t claim to be a gym rat if you’re more of a couch potato. An accurate idea of their patients’ fitness levels and habits is a key diagnostic tool for physicians. 5. Unusual issues: Be forthright with any issues, even those that occur in embarrassing areas of the body. Remember, if you’re uncomfortable with your doctor, you can always get a referral for a spe-

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cialist who treats those areas of the body daily. 6. Drug use: Prescriptions are written in dosages for the intended recipient. Taking drugs that are not prescribed to you, whether it’s a loved one’s

prescription or an illicit drug, affects your body. If you have a medical issue, consult with your doctor so you can get your own legal prescription or begin working toward addressing your addiction.

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Clary Grove receives high rating from Centers for Medicare and Medicaid Rating system helps consumers compare centers MARTINSBURG — Clary Grove — a 120-bed short- and long-term care center in Martinsburg — was recently named a 5-star center by the Federal government, according to a release from the center. The 5-star rating is the highest rating possible, the release said, which puts Clary Grove in the top 10 percent of centers nationwide. “Our staff earned this

designation with their commitment to quality care,” Clary Grove CEO Nancy Mason said. “From our senior department heads to our newest hires, everyone is dedicated to caring for our patients every day, in every department, on every shift.” The 5-star rating comes on the heels of Clary Grove being named “Best of the Best” by the readers of the Journal. The Centers for Medicare and Medicaid Services created a 5-Star Quality Rating System to help consumers, fami-

lies, and caregivers to more easily compare long-term care centers to help identify areas about which they may want to ask questions. The website, www.medicare.gov/nursi nghomecompare, features a rating system that gives more than 15,000 centers nationwide a rating of between 1 and 5 stars. There is one overall rating for each nursing home, and then separate ratings for three sources of information: health inspections, staffing and quality measures. The three sources of infor-

mation are what is used to obtain the overall star rating. Clary Grove received 5 stars for quality measures. “As healthcare evolves, we realize that people’s needs change as well,” Mason said. “Post-acute care when you leave the hospital is more important than ever. Whether you or your loved one needs short-term care to get you back on your feet or a longer stay, our goal is to get you back to your normal routine as quickly as possible.” For more information on Clary Grove visit www.clarygrovewv.com

Chicken soup is good for more than the soul Cold season never seems to take a year off. Experts estimate that colds are so widespread that very few humans escape infection. Some people come down with colds more than once per year. That should not come as too great a surprise, as there are now thought to be more than 200 different strains of cold. For the past 50 years, researchers studied two classes of viruses responsible for a total of roughly 100 different incarnations of the common cold. Two years ago, after development of molecular techniques to look at the viral genome, researchers found a third class of rhinoviruses, according to James Gern, MD, an asthma specialist at the University of Wisconsin School of Medicine and Public Health. This discovery doubled the number of potential cold viruses. While there’s no cure for the common cold, cold remedies have been around for centuries. Chicken soup remains one of the more popular cold remedies. Grandmothers have long espoused the virtues of chicken soup with regard to treating colds, but now research is backing up those

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claims. Researchers have long examined the potential health benefits of chicken soup in an attempt to understand why it seems to be such an effective tonic at treating colds. A 1998 report found that broth may help improve the function of the tiny hairs in noses called cilia. The cilia help prevent contagions from getting into the body. Hot fluids also can help increase the movement of nasal mucus, helping to relieve stuffiness and congestion. Chicken soup also can help reduce inflammation, which often results as the immune system works to fight the cold virus. A study in the journal Chest found

that chicken soup appears to inhibit neutrophil chemotaxis, which is the movement of certain immune cells to mucus membrane surfaces. As a result, mucus production is inhibited and cold symptoms are reduced. Chicken soup is loaded with immune-boosting vegetables and other ingredients that provide phytonutrients. The American Cancer Society defines phytonutrients, or phytochemicals, as plant compounds like carotenoids, lycopene, resveratrol, and phytosterols that are thought to have health-protecting qualities. Chicken soup may also contain onions and garlic, which are believed to have natural antibacterial or antiseptic properties. An easily digestible comfort food, chicken soup also helps a person feel better because it effectively delivers vitamins and minerals. While some profess that homemade chicken soup is the key to fighting a cold, many commercially-made soups fit the bill as well. The salt, steam, vegetables, chicken protein, and soothing broth combine to form a worthy adversary to the common cold.

• Internal Medicine • Cardiovascular Diseases (Heart Disease) • Primary Care 301-791-5843 12916 Conamar Dr. Suite 201, Hagerstown, MD 21742

What are biologic medicines? A relatively recent wave of medications has provided significant advances in treating a wide range of illnesses, particularly those that are linked to autoimmune dysfunction or chronic ailments. Many people may be prescribed a biologic response modifier medicine at some point in their lives, and those who understand when and why such medications are prescribed may find such knowledge calms their nerves and reduces any confusion they might have about their conditions. What are biologic response modifiers? Biologics are derived from animal products. First-generation biologic products included things like vaccines and blood components. However, a newer wave of biologic medicines has come to market over the last decade or so. These medications are manufactured through biotechnology and are complex proteins, sugars, nucleic acids, or a combination of these substances that are created from living cells. Cells may include

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Biologic medicines may help those for whom other treatments have proven ineffective.

yeast, bacteria or a widely used cell called CHO, which originated from hamsters in China. The U.S. Food & Drug Administration says biologics are often at the forefront of biomedical research and are continually evolving. Why biologics are different Unlike traditional medicines, which are largely made from chemical components that follow a strict recipe for manufacture, many biologics are complex mixtures that are not easily replicated. According to the resource Everyday Health, when biologics are made, a specific gene is isolated and inserted into the host cellâ&#x20AC;&#x2122;s DNA, where it will become permanent. The

cell follows the instructions of the gene and how it was programmed and becomes a specifically functioning cell. This one reprogrammed cell is combined with others that have been made the same way. The entire process of biologic manufacturing is complex, requiring stateof-the-art knowledge. It also requires entirely new biotechnology facilities and laboratories that employ top-notch scientists. These factors combine to contribute to the generally high price tag of biologic medications. How biologics work According to WebMD, biologics are designed to inhibit specific components of the immune system that may cause a

symptom of a disease. For example, in the treatment of rheumatoid arthritis, the medication would suppress inflammation, which is a central feature of the disease. Biologics target specific parts of the immune system rather than broadly treating the body. Diseases that may be treated by biologics include rheumatoid arthritis, Crohnâ&#x20AC;&#x2122;s disease, ulcerative colitis, psoriasis/psoriatic arthritis, multiple sclerosis, and even certain cancers. Side effects of biologic medicines Because most biologics are administered intravenously, injection-site irritation can be a common side effect. Biologics also carry a risk of infection. According to the Cochrane Database of Systematic Reviews, because biologics target the immune system, there is a risk for serious infection or disease. Biologic medicines continue to evolve and can be used to treat a variety of medical conditions for which no other treatments are available or effective.

Dehydration is a dangerous condition that can cause a host of complications and even prove fatal in severe cases. But as dangerous as dehydration can be, many cases are entirely preventable. The best way to prevent dehydration is to drink enough water. When the body does not take in as much water as it puts out, it can become dehydrated. People who live in warm climates or in elevated altitudes may lose more water than those who do not. In addition, water loss is accelerated during strenuous exercise, highlighting the emphasis men and women must place on drinking enough water during their workouts. But water does more for the body than prevent dehydration. The following are a handful of lesser known ways that water benefits the body. • Water can help people maintain healthy weights. Dieting fads come and go, but water is a mainstay for people who want to

control their caloric intake in an effort to maintain healthy weights. Water has zero calories, so reaching for a bottle or

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WATER glass of water instead of a soda, lemonade or another caloric beverage can help people keep the pounds off. A study from researchers at the University of Texas Health Science Center found that even diet soda enhances weight gain by as much as 41 percent. In addition, soda has been linked to conditions such as obesity, diabetes and tooth decay. No such association exists with water. • Water helps to fight fatigue. The fatigue-fighting properties of water are another of its lesser known benefits. When the body is not adequately hydrated, it can experience muscle soreness.

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And fitness enthusiasts who do not drink enough water may notice their bodies require extensive recovery time after work-

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ing out. Each of those consequences can be prevented by drinking enough water, and doing so can even improve performance, as studies have shown that just a 3 percent loss of body weight due to dehydration can cause as much as a 10 percent drop in performance level. • Water can improve the appearance of the skin. Skin that does not get enough water can turn dry and flaky and feel tight. In addition, dry skin is more likely to wrinkle than adequately hydrated skin. Getting water to the skin can be tricky, as the University of WisconsinMadison School of Medicine and Public

Health notes that water will reach all the other organs of the body before it reaches the skin. But the school recommends applying a hydrating moisturizer within two minutes of leaving the bath or shower and drinking at least eight glasses of water a day to ensure the skin is getting enough water. • Water helps the gastrointestinal tract. Water can help maintain normal bowel function. When the body lacks sufficient fluid, the colon will pull water from stools in an effort to stay hydrated. That can lead to constipation, a condition in which people experience difficulty emptying their bowels. By drinking enough water, people can ensure their colon will not have to pull water from stools to stay hydrated, thereby helping them stay regular. Water helps the body in myriad ways, many of which might surprise people unaware of just how valuable water can be to the body. A COMPREHENSIVE BEHAVIORAL HEALTH CENTER

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How to make commuting...

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Commuting can be stressful, and the effects of such stress does not end when working adults arrive at their offices in the morning, nor does it cease when they enter their homes at night. According to a 2014 study from the United Kingdom’s Office for National Statistics, commuters have lower life satisfaction, lower levels of happiness and higher anxiety than noncommuters. Researchers found that commuters whose travel times lasted between 61 and 90 minutes were most negatively affected by their commutes. Reducing commute times may be more difficult than it seems, especially for commuters who own their homes and don’t want to sell their properties to move closer to work. Even renters may hesitate to move closer to their offices, as rental units closer to work might be more expen-

sive than their existing apartments, even when taking lower commuting costs into account. So what can people who don’t want to move do to make their commutes less stressful? While the following suggestions may not be enough for workers to embrace their commutes, they might make mornings and evenings a little more relaxing and beneficial to overall health. • Embrace active commuting. A 2014 study from British researchers found that people who commuted via walking or public transportation instead of driving were happier and had a greater ability to concentrate than those who drove to work. Such commuters’ psychological well-being was also better compared to those who drove to work. Another study, also from researchers in England, found that greater time

... a less stressful experience spent actively commuting is associated with a higher level of physical well-being, including lower risk for cardiovascular disease. • Carpool to work. Many commuters cite a loss of privacy as the primary reason they do not carpool to work with their coworkers. But carpooling may help alleviate some of the stress associated with commuting. For example, carpools tend to rotate drivers. During traffic jams, passengers may not be as stressed out as drivers, who must negotiate traf-

fic patterns and deal with equally frustrated drivers who may be driving aggressively. In addition, sharing a commute with someone opens the door to conversation, which can be a welcome diversion from traffic. • Prepare for boredom. Commuting can be just as boring as it is frustrating, even on days when the roads are relatively empty or the train cars are not filled to capacity. Boredom can make commutes more tiring and frustrating, so

According to a 2014 study... commuters have lower life satisfaction, lower levels of happiness and higher anxiety than noncommuters.

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download podcasts or audiobooks to listen to on the way to and from work so you have something interesting to occupy your mind on your commute. • Embrace the lack of control. While lack of control over their trips to and from the office frustrates many professionals, embracing that lack of control might just alleviate some of the stress. Drivers can make a concerted effort to stop letting traffic jams be so frustrating, while mass transit riders can be glad they are not the ones responsible for navigating congested highways or train tunnels facing heavy delays. Commuting is a significant source of stress for many professionals. But there are ways to make commutes less stressful and even enjoyable.

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Emergency responders need support, too Emergency responders, which includes the police, firefighters and paramedics who are the first to arrive at the scene of an incident, are in the business of protecting others and helping to save lives. These workers are on call during natural disasters, technological failures, terrorist attacks, and many other potentially traumatic events. Emergency responders are the unsung heroes of many communities that they work hard to keep safe and secure. While emergency responders are heroes, it’s important that people know these brave men and women sometimes need assistance, too. The pressure and stress associated with being an emergency responder can sometimes be overwhelming, and it’s times like that when emergency responders need help. Comprehensive statistics on stress-related medical conditions among first responders are difficult to tabulate because many incidents go unreported or unshared. However, pressures of the job and post traumatic stress disorder, or PTSD, can take its toll on paramedics and law officials. EMS World reports that, between January and September of 2014, the United States had around 58 documented fire/EMS suicides. In Canada, 25 first responders were known to have committed suicide in a five-month period in 2014. Addressing the stress of being an emergency responder can help responders and their families bet-

ter cope with the pressure and stress of the job. The National Institute for Occupational Safety and Health recommends that all workers involved in first-responder activities should help them-

Addressing the stress of being an emergency responder can help responders and their families better cope with the pressure and stress of the job. selves and others to reduce the risk of stress-related psychological and physical health effects from their jobs. Certain symptoms and behaviors may present themselves when emergency responders are having difficulty coping with the demands of the job. These symptoms may include: • Changes in sleeping patterns • Passive or fatalistic behavior • Frequent conflict and argumentative behavior • Limiting social networks and general withdrawal • Poor problem-solving abilities • Poor concentration

• Inability to rest • Self-medicating with alcohol While there is no single method to cope with the physical and psychological demands of a first reponder’s job, a combination of therapies can help. The Centers for Disease Control and Prevention advises that responders need to take care of their own health to maintain the constant vigilance they need for their own safety. These steps can put workers on the right track. • Form a support network in which each responder looks out for one another. Knowing support is available can be a big help. • Take frequent breaks to clear the mind and rest the body. Try to take breaks away from a work area. • Accept what cannot be changed, such as chain of command or long hours. • Take advantage of mental health support services when they are made available. Recognize that it is not indicative of weakness to discuss difficult emotions. • Maintain a healthy eating pattern and try to get adequate sleep. • Exercise, which can reduce feelings of stress and be a healthy way to clear the mind and strengthen the body. Recognizing that emergency responders are not invincible and may need some emotional support can be the first step in getting these workers the help they need and deserve.

Eucalyptus oil and preventing insect bites Enjoying the great outdoors can be an entertaining and invigorating way to spend a day. But it’s important that outdoors enthusiasts recognize they will likely be sharing the great outdoors with insects. Although many insects can be more of a nuisance than a legitimate threat, some insects, such as mosquitoes and ticks, can spread disease. Mosquitoes are considered among the most dangerous creatures on the planet for their ability to spread deadly diseases, which include everything from malaria to encephalitis to Zika to West Nile virus. Repellents remain the best defense to keep mosquitoes and ticks at bay. The U.S. Centers for Disease Control and Prevention advises that products containing lemon eucalyptus oil can be just as effective at warding off mosquitoes as the more commonly used chemical repellent DEET. DEET, registered for public use in 1957, is the most widely used mosquito and tick repellent. DEET is highly effective at repelling a wide range of bugs. Although various health organizations, including the U.S.

Environmental Protection Agency, have concluded that “the normal use of DEET does not present a health concern to the general population,” there are some potential side effects. DEET is a neurotoxin and can affect the nervous system. Rashes, dizziness, difficulty concentrating, and headaches are possible side effects of using DEET. Oil of lemon eucalyptus, however, is an all-natural solution that does not carry the same neurological risks as DEET or other chemical repellents. According to the CDC, when oil of lemon eucalyptus was tested against mosquitoes found in the United States, it provided a similar level of protection as repellents with low concentrations of DEET. In addition, a study from the USDA compared four synthetic mosquito repellents and eight natural ones and found that Repel Lemon Eucalyptus was the most effective repellent, even more so than

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a 7 percent DEET product. When selecting oil of lemon eucalyptus products (OLE), also known as PMD or the chemical name paramenthane-3,8-diol, the CDC says to choose a product that is an EPAregistered repellent containing tested OLE or PMD. “Pure” oils are not formulated as repellents and may not be as effective. Precautions should be taken when using any type of insect repellent. • Apply only to exposed skin or clothing as directed on the product. • Avoid application to wounds or irritated skin. • Do not use on eyes or mouth, and apply sparingly around the ears. • Apply a thin film of repellent. • Wash hands after application. The Environmental Working Group advises that, because the dangers to children have not been thoroughly explored, products with OLE and PMD should not be used on any child under the age of three. Botanical products may be safer and just as effective as chemicalbased insect repellents. Consumers should do their research and take additional steps to minimize their exposure to mosquitoes and harmful bugs.

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Regain hope and strength while caregiving Caregivers are unpaid individuals, typically a spouse, child, neighbor, or friend, who assist with activities of daily living and medical tasks. These informal caregivers often fill in gaps between medical professionals or paid aides to meet the needs of incapacitated individuals. The National Alliance for Caregiving and AARP indicate that approximately 43.5 million caregivers have provided unpaid care to an adult or child in the last 12 months. Roughly 15.7 million adult family caregivers in the United States care for someone who has Alzheimer’s disease or another form of dementia, states the Alzheimer’s Association. Though both men and women serve as caregivers, females are the largest segment of unpaid caregivers, handling some of the most difficult tasks, such as bathing and dressing. Many caregivers selflessly give back by providing assistance to a friend or family member, and view this type of service as a form of charitable giving. Others see it as simply being a good

friend or family member. Although it can be rewarding to care for another person, caregiving also can be a stressful job that takes both a physical and emotional

women caregivers say they have stress and other health problems than male caregivers. Women who are caregivers of spouses are more likely to experience

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toll on caregivers. Caregiver stress is a very real side effect. It is important for caregivers to recognize that offering medical care and support can leave them vulnerable to a wide range of consequences. These can include anxiety, depression, fatigue, and even increased exposure to illness. It can be particularly sad to witness a loved one’s health gradually deteriorate. The Office on Women’s Health says that anyone is susceptible to caregiver stress, but more

high cholesterol, high blood pressure and diabetes than men. Depression is quite common among caregivers who spend a lot of time assisting those with various dementias because of the constant care such people require. To remain as healthy as possible, caregivers should take steps to recognize symptoms of caregiver stress and avoid burnout. Here are some signs to keep in mind: • Feelings of being overwhelmed • Feeling alone or deserted by others

• Social withdrawal from friends or activities that used to make you feel good • Exhaustion that makes it challenging to complete necessary tasks • Sleeplessness or sleeping more than normal • Lack of concentration that impacts daily tasks • Overreaction to minor nuisances • Cutting back on leisure activities • Neglecting things at home or other people who are well • An immune system that is run down, leading to constant illness The Alzheimer’s Association says it is important for caregivers to find time for themselves apart from caregiving tasks. Respite care or relying on others to fill in can free up time for a caregiver to relax and recharge. It is also important to prevent caregiving from becoming a person’s whole existence. Investing time in other things that provide meaning and purpose can help caregivers find balance. Also, focusing on the things that can be controlled and small victories can make a difference.

Gluten-free a must for those with celiac disease The availability of gluten-free offerings has increased considerably at grocery stores and restaurants in recent years. While gluten-free diets may have become a trendy way for people to deal with everything from mild indigestion to gastrointestinal problems, those with celiac disease have no choice but to avoid gluten. According to the most recent data published by U.S. National Health and Nutrition Examination Surveys, the number of Americans who now adhere to gluten-free diets tripled between 2009 and 2014. Even though 2.7 million people surveyed reported being on a gluten-free diet, only 1.76 million people tested for celiac disease. The Celiac Disease Foundation says that celiac disease is an autoimmune disorder

that occurs when gluten is ingested. Essentially, the body mounts an immune system response when gluten — a protein found in wheat, rye and barley — is consumed. These attacks affect the small intestine and can damage the villi, which are small, finger-like objects that line the small intestine. Over time, the villi can diminish, impacting how well nutrients can be absorbed. Malnutrition may occur over time. Estimates suggest that celiac disease affects one in 100 people worldwide. Left untreated, celiac disease can contribute to other health complications, such as osteoporosis, thyroid disease, autoimmune complications, and even certain cancers, offers the group Beyond Celiac. In addition, celiac disease may be linked to other conditions, including infertility

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People with celiac disease must avoid gluten at all costs to protect their health.

and type 1 diabetes. Classic symptoms of celiac disease include bloating, gas, fatigue, diarrhea, anemia, and osteoporosis. Some people may have no symptoms, and the Mayo Clinic says that more than half of adults with celiac disease have signs and symptoms that are not related to the digestive system. Such symptoms may include mouth ulcers, itchy skin, damage to dental enamel, and joint pain. Reactions may occur even after consuming small amounts of gluten.

The cause of celiac disease is unknown, but gastrointestinal infections, gut bacteria and environmental factors may contribute. Unfortunately, there is no cure for celiac disease, but adherence to a strict gluten-free diet is one way to keep symptoms at bay and promote intestinal healing. Before changing their diets, individuals who suspect they have celiac disease are urged to take the CEF symptoms quiz at www.celiac.org and also to visit their doctors for blood tests.

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Signs of atrial fibrillation — and how to treat it Palpitations of the heart or uncomfortable sensations in the chest can be distressing. Thoughts of heart attack may come to mind, and that anxiety can only exacerbate the situation. While heart attack might be the first thing people think of when experiencing chest discomfort, atrial fibrillation may be to blame for such feelings. Atrial fibrillation, also called AFib, is a quivering or irregular heartbeat that may lead to heartrelated complications. The American Heart Association says that at least 2.7 million Americans are living with AFib. Although treatable, without proper diagnosis, AFib may lead to blood clots, stroke and even heart failure. Many people with AFib experience no symptoms at all and are unaware they have it until it is discovered during a physical examination. For those who experience symptoms, The Mayo Clinic lists these as some of the

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more common: • Palpitations, which can be sensations of a flipflopping in the chest or even a racing feeling. • Fatigue • Reduced ability to exercise • Lightheadedness • Chest pain or shortness of breath • Dizziness and weakness When the heart is working normally, it contracts and relaxes in a beat. When a person has AFib, the upper chambers of the heart, called the atria, beat irregularly. They quiver and do not move the

blood into the ventricles in an effective manner. This irregularity can cause pooling or clotting of blood. Should a clot break off and enter the bloodstream, particularly in an artery leading to the brain, stroke may occur. A proper diagnosis from a physician is needed before treatment can begin. An examination may include an EKG or ECG, which will show the heart’s electrical activity as line tracings on paper. The spikes and dips in the tracings are called waves. An EKG will determine if the heart is

pumping correctly. AFib is more common among people with clogged arteries or diabetes and may develop following valve surgery. AFib also is more common in people with coronary heart disease. As a person ages, his or her risk for AFib increases. Stress also can be a major factor in triggering AFib, according to StopAfib.org. Once AFib is diagnosed, managing risk factors and restoring a heart to normal rhythm becomes the priority. Doctors use a variety of medications to control heart rate, which may include beta blockers and calcium channel blockers. Medications to prevent stroke also may be prescribed. Surgical intervention may be necessary if medications aren’t working. Atrial fibrillation is a serious condition that requires treatment. Episodes can be managed and treated to help people live healthier lives.

Hispanic health concerns are worth noting Health concerns affect people from all walks of life, and people who identify as Hispanic or Latino are no exception. Understanding the issues they might be predisposed to can help Hispanics improve their overall health and continue living happy, healthy lives. Certain diseases and chronic conditions affect Hispanics in higher proportions than others. According to data from the National Health Interview Survey conducted by Pleis and Lethbridge-Cejku, Hispanics have a higher prevalence of diabetes than non-Hispanic whites. Also, the rate of overweight and obesity among Hispanic adults is higher than it is among other people, putting Hispanics at a higher risk for the development of various conditions linked to being overweight or obese. According to the most recent reports from hospitals and other medical establishments, as noted in “A La Buena Salud — To Good Health!” from

the U.S. Centers for Disease Control and Prevention, the leading causes of disease among Hispanics are heart disease, cancer and high blood pressure, while the leading causes of death are cancer, heart disease and unintentional injuries. Historically, Hispanics in the United States have had less access to health services and utilize fewer preventative care services than other ethnic groups. However, as a greater percentage of Hispanics are now born in America instead of another country, many might be more likely to seek medical care when feeling sick. Hispanics can work in conjunction with their doctors to remain informed on conditions that they may be at higher risk of contracting, such as diabetes, Barrett’s esophagus and obstructive sleep apnea. Remaining open to care and working in concert with the medical community can help keep millions of people in top health.

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To remain healthy, Hispanics should work with doctors to identify illnesses that affect them at higher rates than other ethnicities.

ER nurses are unsung heroes No one wants to see the inside of an emergency room or medical center, but few people avoid occasional visits to the ER. When such situations arise, a top-notch trauma team can make all the difference. One of the first people patients encounter inside an ER are the nurses who quickly assess life-threatening problems and begin to solve them on the spot. Although nurses can work in hospital emergency rooms, emergency nurses also may work in ambulances, urgent care centers, sports arenas, and other high-stress situations. ER nurses are registered nurses who work closely with doctors to help diagnose, stabilize and manage conditions. They also liaise between family members and other medical staff and educate patients about their conditions once an emergency situation is addressed. Because ER nurses specialize in treating severely ill or injured patients or those in life-threatening situations, those considering a career in this field must be ready to

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adapt to many different situations. In a single day, ER nurses may encounter children with broken bones, patients with acute stomach pains and people injured in motor vehicle accidents, among many other potential situations. Patients of all ages come through trauma centers, and prioritizing emergencies can be part of the job description. An ER nurse’s day is frequently stressful and fast-paced. Some of the tasks to be expected,

according to the nursing career resource Nurse Frontier, include: • First aid • Suturing • Intubation • Bag valve mask ventilation • Administering medicine • Basic life support • Advance cardiac life support • Transfusing blood Prospective ER nurses must complete a nursing degree or diploma program. In Canada, since the late 1990s, the

provinces and territories have moved from diploma entry level to baccalaureate entry level for RNs, says the Canadian Nurses Association. Both the United States and Canada require prospective ER nurses to pass the NCLEX-RN exam, which is administered by the National Council of State Boards. RNs receive state licensing in the United States. In Canada there is no national license; each province or territory licenses individually based on jurisdiction. According to Johnson & Johnson’s Discover Nursing, ER nurses are increasingly learning about tech, thanks to electronic medical records and point-of-care barcoding. ER nurses have more responsibility than ever because of nursing shortages. That means there are plenty of opportunities to become leaders in the field. ER nurses and other nurses fill a much-needed responsibility in the medical field. A career as an ER nurse can be challenging but very rewarding.

Exploring holistic nursing Nurses wear many hats. In addition to tending to patients and helping families of patients, nurses incorporate the latest technologies into patients’ treatment. Some even work outside of hospitals and doctor’s offices to train the next generation of nurses. Nursing has also branched out to include holistic nursing, which employs alternative medicine to care for patients. Alternative medicine is sometimes combined with traditional western medicine, requiring holistic nurses, who are sometimes referred to as “complementary health nurses,” understand both holistic and traditional nursing methods. According to the Campaign for Nursing’s Future, sponsored by Johnson & Johnson, holistic nursing is rooted in the idea that nurses cannot treat a patient’s physical health without addressing the whole person. In addition to addressing their patients’ physical problems, holistic nurses will also try to address their patients’ mental, spiritual and emotional wellbeing. Holistic nursing is a growing field, and it’s entirely possible that

the role of holistic nurses will expand in the years to come. Some of the things today’s holistic nurses do include: • acupuncture • assisting patients with managing stress • aromatherapy • massage • hypnosis, hydrotherapy and balneotherapy • Chinese and Eastern healing practices • wellness coaching According to the American Holistic Nurses Association, holistic nursing is not intended to negate the validity of conventional medical therapies, such as traditional nursing. Holistic nursing serves to complement, broaden and enrich the scope of nursing practices while aiming to help patients access their greatest healing potential. The AHNA notes that holistic nurses must be registered and/or licensed. Such nurses may be found working at hospitals, universities and private practices. Men and women interested in pursuing a career in nursing can learn more about holistic nursing at www.ahna.org.

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Did you know? Nursing is one of the fastest-growing and longest-running occupations in the United States and Canada. The New England Hospital for Women and Children, established in 1862, was the first nursing school in the United States. The first formal nursing training program in Canada was established in 1874 at the General and Marine Hospital in St. Catharines, Ontario. The American Nurses Association was started in 1898.The Canadian Nurses’ Association, formerly the Canadian National Association of Trained Nurses, was developed in 1907. These associations are national professional associations representing the hundreds of thousands of nurses across the country and are instrumental in legislative policy and the influences of health care on nursing professionals today.

Coping with fewer hours of daylight Daylight saving time comes to an end each fall, at a time when the hours of available sunlight already are beginning to decline. Some people are more accustomed to darkness than others. Norwegians, Swedes and people living in Alaska and the upper reaches of Canada near or above the Arctic Circle may go through a period when winters can be especially dark. Fairbanks, Alaska, gets just three hours and 42 minutes of sunlight on the winter solstice. Those in Barrow, Alaska, will endure a period of 67 days of darkness, according to Alaska.org. Residents of Seattle, which is even further north than cities such as Fargo, North Dakota, or Portland, Maine, deal with more darkness than those living outside the city may know. Although much of the rest of North America doesn’t experience such profound periods of darkness, when the darkness of fall and winter arrives, it can be difficult to maintain a positive outlook. Borrowing some of the coping mecha-

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nisms relied on in northern latitudes can help many people to see the dark in a different light. • Be aware of SAD. Seasonal affective disorder, or SAD, is defined by the Mayo Clinic as a type of depression that’s related to changes in seasons, beginning and ending at about the same times each year. Symptoms tend to start in the fall and continue into the winter, sapping energy and making a person feel moody. As with other types of depression, SAD can get worse and lead to severe problems if left untreated. Light treatment, talk therapy and medication can help people who are susceptible to SAD. • Make daylight hours count. Spend time outdoors while the sun is

bright in the sky. Make an effort to switch your schedule if work interferes with getting outdoors, even if all that can be managed is an outdoor walk at lunch. Sit by a bright window and soak up rays whenever possible. • Celebrate winter activities. Go skiing, snowboarding, outdoor ice skating, or snowshoeing. Look forward to winter for what can be done, rather than what can’t. • Socialize more often. Instead of holing up indoors alone, frequent the places that become indoor gathering spots for locals. These can include coffee houses, breweries, restaurants, or even the local church. Plan more social occasions with friends and

families so everyone can collectively shoo away the winter blues. • Exercise more. Use the darker hours as an excuse to exercise more, be it at the gym or outside. The Mayo Clinic says that exercise and other types of physical activity can relieve anxiety and depression, lifting an individual’s mood as a result. • Light a fire. Set the kindling ablaze in a fire pit, fireplace or woodburning stove, or just light a handful of candles. Flames can be soothing and less harsh on the eyes than artificial light. Fall and winter darkness does not have to send a person into the doldrums if he or she embraces the right attitude.

Keep safe this holiday season and avoid medical mishaps The holiday season might not be the most hazardous time of the year, but there is an uptick in safety concerns during this season of festivity and fun. Components of the holiday season such as decorating, shopping, celebrating, and traveling, carry some risk. The National Fire Protection Association says 30 percent of all home fires occur during the months of December, January and February. Christmas trees and decorative holiday lighting displays contribute to the uptick in fires and other accidents between Thanksgiving and New Year’s Day. But fire is not the only concern during the holiday season. Revelers who celebrate a bit too much can pose a threat, as can road weary travelers or overnight guests who unknowingly put loved ones in harm’s way during their stays. Thankfully, many accidents that occur during the holiday season are avoidable if holiday cele-

brants focus on safe ways to celebrate. • Choking: All of that entertaining and partying means more food is consumed. To keep up with the hustle and bustle of the season, many people must eat on the go. The National Safety Council says nearly 3,000 people in the United States die each year from choking. Taking small bites and chewing completely, while also avoiding talking while chewing, can help. Children should be kept away from small decorations, as even pine needles can be a choking hazard. • Toxic plants: Some plants, including mistletoe and holly, can be toxic to pets and young children whose smaller bodies may be more vulnerable than adults’. When decorating, consider decorating with artificial plants instead of live, potentially poisonous plants. • Alcohol-related incidents: Holiday fun frequently involves alco-

holic beverages. Law enforcement officials point out that the rate of driving while intoxicated tends to increase during the holidays. Implementing strict “designated driver” rules and making contact information for taxi or ridesharing services readily available to holiday guests can prevent tragedies. • Medicine mishaps: Relatives vis-

iting for Christmas may bring their prescription medications along when staying overnight. Curious children may encounter the drugs and think they’re candy, so encourage guests to place their medications in childproof bottles or containers. Staying safe during the holidays involves diligence and keeping an eye out for potential dangers.

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