Ah, the prostate…A curious gland that boys under 15 are not aware of, and men over 50 can be all too aware of. In a recent study looking at how frequently men over 50 report having prostate problems, researchers at the University of Maryland found that 42% have some abnormality of urinary function attributed to an enlarging or inflamed gland. And symptoms that include frequent or painful urination, waking up at night to urinate, loss of urinary force to the point of occasionally becoming unable to urinate will increase in as men age, eventually affecting 80% of men over 70. The last symptom is particularly vexing, often require catheter placement and surgical procedures to overcome.
Amy Badger of Bodies by Badger was in the studio for another Fitness Friday this week. She stopped in to speak to Wayne about dealing with the soreness you can experience after a good workout.
Amy Badger from Bodies by Badger was back in the studio on Friday for Fitness Friday. This week she was teaching Joy and Wayne the correct posture and movements for lunges.
Summertime and the berries are out: Is there a reason you should not eat them?
In general, health providers and nutritionists recommend eating many fruits and vegetables as part of a healthy diet.
The Mental Health Parity Law:
Making Mental Health and Substance Abuse Treatment more Affordable
Healthy Living – May 27, 2014
Dr. David Prescott – Eastern Maine Medical Center Behavioral Medicine
Amy Badger from Bodies by Badger was back in the studio for Fitness Friday. This week she talked to Wayne about the growing trend of adventure races around the country, and what you should be prepared to do when getting ready for one.
Amy Badger from Bodies by Badger was back in the studio on Friday for Fitness Friday. This week she was teaching Joy and Wayne some simple shoulder exercises using resistance tubes and low weight dumbbells.
Why do we always ask for the Kids’ Menu?
(AKA: Why do we “dumb down” our kids’ food choices?)
By: Dr. Joan Pellegrini
Food left out can grow bacteria and become a source of illness anytime of the year. However, summertime is a particularly vulnerable time because there are more picnics and gatherings and the temperatures are warmer. There are three problems with food borne illness: 1) improper food preparation, 2) susceptible foods, and 3) improper food storage.
Amy Badger of Bodies by Badger was in for this week’s Fitness Friday talking to Joy about a ZUMBATHON fundraiser hapenning Friday night, and gives you an idea of what to expect at your first ZUMBA session.
Amy Badger from Bodies by Badger was in for another Fitness Friday, this time teaching Joy and Wayne some quick and easy exercises you can do with resistance tubes.
Alternative Models of Care Delivery — ‘May You Live in Interesting Times’
William A. Sturrock, MD
While scholars may argue whether this purported Chinese proverb is a blessing or a curse, no one could dispute that the American medical marketplace today is seeing great and interesting changes in how care is delivered. All across the landscape, providers, patients and insurers are wrestling with a new world of increasing numbers of older (and sicker) individuals needing care, combined with fewer healthcare dollars to accomplish the task. Indeed, we cannot continue on the same path medicine has been on since the 1950’s with a patchwork system of 3rd party insurers, Federal, State, employer-based organizations, and patients’ own pocketbooks trying to foot an ever increasing bill for medical care that is not meeting society’s healthcare needs. Almost all stakeholders are in agreement that the venerable ‘Fee-for-Service’ model needs to change because it has left us in the unenviable position of being first in the world in per capita healthcare spending while being embarrassingly 2nd rate when it comes to accepted definitions of good health outcomes such as longevity and infant mortality. Most public health experts advocate that it is time to evolve from the ‘high-production/dubious quality’ model to one focused on delivering better population health outcomes.
Now exactly what that new system will look like is still an open question. The Affordable Care Act, (aka Obamacare) is really just a stepping stone in the evolution of the American medical marketplace. Regardless of whether individual patients are ready, most major injurers and large employers are already implementing new care systems that are rewarding providers not for how many services they provide but whether they are providing measurable good outcomes for the large number of individuals and families in their care. Indeed the ACA allows for and encourages the development of alternative payment models to reward providers who have better immunizations rates, chronic disease outcome, lower complication rates, and a variety of other measures designed to improve the overall population health. EMMC is currently partnered with Medicare and other payers to form an ACO (Accountable Care Organization) for eligible patients in northern and eastern Maine, in which medical care dollars will be spent on activity that will improve the health of this population rather than simply reward the providers that see the most patients or do the most procedures.
By: Amy Movius MD
Becoming an organ donor isn’t a pleasant idea for anyone. It requires active consideration of our mortality and vulnerability to tragic events. However, it is a choice. Like most choices, it is best made with the benefit of accurate information.
Amy Badger was in for this week’s Fitness Friday, teaching Joy and Wayne the correct form to do a crunch.
By: Dr. Jonathon Woods
We’ve heard it before and we will hear it again: distracted driving is “driving under the influence” and cell phone use has rapidly become THE #1 culprit. You can change this !!!
Amy Badger, was in for this month’s Fit Friday. This month, she showed Wayne and Joy the correct way to perform different kinds of squats.
Amy Badger stopped by for this month’s Fit Friday. This month she talked to Wayne about the effects exercise can have on your weight.
ARE BLOOD TRANSFUSIONS SAFE IN THE HOSPITALIZED PATIENT?
By: Dr. Joan Pellegrini
Ever since we were able to offer blood transfusions (about the 1940’s), it has been common wisdom that higher red blood cell counts are good for you. We know that red blood cells carry oxygen and some athletes use this to their advantage when they train at higher altitudes in order to increase their red blood cell level (or engage in the illegal activity of “blood doping”). If you come into the hospital hemorrhaging and your life is in danger, you may receive a life-saving blood transfusion.
David Prescott, Ph.D.
Eastern Maine Medical Center Behavioral Medicine
Health Watch – April 1, 2014
What Is a Panic Attack? Almost one in four people (22.7%) experience a panic attack at least once in their life. People who experience a panic attack for the first time often think they are going to die. It is not uncommon for someone having a panic attack to call their doctor or go to an emergency room, worried that they are having a heart attack.
MEASLES 2014: NEW REMINDERS OF OLD LESSONS
By: Amy Movius MD
This year is shaping up to be the worst for measles cases in the US for many, many years. In fact, measles was declared effectively eradicated from the United States in the year 2000 as it did not circulate within our population. This was because of the high vaccination rates of Americans.
Before the measles vaccine was available in the 1960s, there were 3 to 4 MILLION cases/year in our country resulting in 500-600 deaths and many more survivors who suffered pulmonary and neurologic injuries because of infection. In the early 2000s, the few cases still reported each year were “imported” from individuals traveling from other countries where measles still circulates. In recent years, however, more cases are being seen. 2011 was the worst with 220 cases. This also coincides with more people choosing not to vaccinate. With at least 80 cases already confirmed this year, 2014 is likely to exceed this with well- publicized out breaks in NYC and other parts of the country. Hopefully a silver lining of this unfortunate state of affairs will be a reminder of why vaccinations are so important and how much illness and suffering they prevent.
Measles is one of the most contagious infections known. 90% of unimmunized people exposed to measles will develop the illness. It spreads through the air, leaving a room “infected” for up to 2hours after the person with measles has left!! Also, an individual with measles can spread the disease 4 days before they develop the tell-tale rash – and for 4 days after the rash has disappeared. For this reason, unimmunized people exposed to measles should self- quarantine for 21 days.
Measles is also a very nasty disease. Even in developed countries like ours, 1 in 4 people who develop measles require hospitalization. Pneumonia and encephalitis (brain inflammation/swelling) are well known dangerous and potentially fatal consequences. Unfortunately, children are overrepresented in the US measles cases because the first immunization is given at 12 -15 months. The second is given around 4 years of age.
The current outbreak in our country started with measles brought in from unvaccinated persons who were traveling abroad. It has been a public health nightmare, with a domino effect of secondary cases. Some of the ways this outbreak has been found to be spread has been to other family members in unvaccinated households, hospitals and health clinics where ill individuals have presented as well as doctor’s offices, classrooms, buses and other public transportation. Potential sites of further spread also include airport and other large public places. One person the CDC has tracked may have exposed up to 100 cancer patients.
This robust spread of measles is completely avoidable. Receiving the recommended 2 doses of measles vaccine confers 99% immunity. The risk of the vaccine is minor and certainly much less than contracting the disease. THE MEASLES VACCINE DOES NOT CAUSE AUTISM. Multiple, rigorous studies from different countries have extensively evaluated this. Misinformation remains common however. Spreading of these myths can result in more unimmunized people, which can result in more measles cases as we see in NYC now. This potentially puts all children at danger. A mother of a 10 month old boy who nearly died from measles he contracted from unimmunized children put it best. “People who chose not to vaccinate their children actually make a choice for other children and put them at risk.”
I hope against hope the current outbreak of this highly contagious disease fades quickly. Meanwhile, I also hope Americans will take advantage of the lessons learned from history – before vaccinations were widely available – and get their families immunized. Vaccinations like the one for measles protect our children.