Improved technology! Increased usage! Is there any concern for long-term radiation effects?By- Dr. Jonathan WoodCT scan usage has increased dramatically in the last 20 years. CT scans are a great diagnostic tool, but what is the risk associated with increased usage? Is there a significant increased risk of cancer in people receiving all these CT scans? Experts are working on the answer to this difficult question and the answer is not as conclusive as we would hope.Medical diagnosis has benefitted greatly in recent years from marked improvements in CT scan technology and the subsequent increased availability of scans. â€œHelical CT scanningâ€ and â€œmultidetectorâ€ scanners have resulted in improved image resolution and a dramatic decrease in the time needed to obtain these images.These changes are cited as the main reason for the impressive increases in CT utilization. In the past 10 years alone, CT use has increased 700%. An estimated 62 million CT scans are done annually in the US today, compared with 3 million done in 1980. And why the focus on CT scans rather than other radiology tests? The answer: CT scans involve much more radiation than simple x-rays or other radiology tests. The numbers illustrate this – – although CT scans account for only 15% of the exams involving ionizing radiation, they collectively account for approximately 70% of the total radiation delivered!An example – – one abdominal CT scan involves a radiation dose equivalent to 250 chest x-rays!Children account for 10-15% of CT scans in the US and the annual number continues to increase. This is important because children are likely more susceptible to the harmful effects of ionizing radiation. The main issues:1. Growing children have more rapidly dividing cells, exactly the cells most affected by radiation. Some estimate that a radiation dose administered to a child has a 10-fold increase in the cancer-causing potential as the same dose given an adult.2. Children have a longer lifetime over which radiation-related cancers could evolve.3. Depending on the location of the scan, CT scanning is not always tailored to the size of the patient, as it should be.So is there a true risk? The answer is a qualified â€œyesâ€.The baseline risk of cancer in the US population is already about 20%. A single abdominal CT in a child is thought to increase that risk over a lifetime by 0.1% to 0.3%. Given that 30% of people who have one CT have additional ones later, this may be a conservative overall risk. The data is difficult to interpret, given all the other factors that contribute to the risk of cancer, but it nonetheless seems quite clear that minimizing the number of CT scans is a good idea. Importantly, any reduction in CT use has to be balanced against the fantastic diagnostic value offered by CT scan technology used in the right situation. The immediate risk of not getting the information is often much higher than the long-term risk of developing a cancer.So what can we do?â€¢ As patients and parents, we need to ask questions and make sure that there arenâ€™t other ways to get the same information. We need to realize that â€œjust checkingâ€ involves real risk and we shouldnâ€™t ask for CT scans that are not going to help with the problem at hand. Many CT scans are ordered because people ask for them!â€¢ As physicians, we need to order these tests judiciously and work with our institutions to perform them in the safest possible manner in children. We also need to continually ask if there are other tests that can offer the same information with less risk – – tests like ultrasound, which donâ€™t involve ionizing radiation. Online Resources:An FDA handout for consumers: http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048578.htm An NCI/NIH webpage for docs: http://www.cancer.gov/cancertopics/causes/radiation/radiation-risks-pediatric-CTâ€œImage Gentlyâ€ – a program sponsored by the Society for Pediatric Radiology: http://www.imagegently.orgCNN article on increased CT usage: http://thechart.blogs.cnn.com/2011/04/05/kids-ct-scans-increase-fivefold/
Money weaves through all of our lives and is woven in to our relationships, too. So when a couple divorce, there are financial consequences. Here are the things to keep in mind before, or during, a divorce.Your credit- The credit rating for both of you could be badly affected during a divorce. There is confusion, disruption and intense emotions and all the bills may not get paid on time during these months. Do what you can, but don’t be surprised, if this occurs. Make sure you communicate with the lenders during this time. And if you have a god relationship with a particular lender, have a talk about what else you might do to come out with flying colors on the single side of the road.Your income- Depending on what your role has been before the divorce, your income could be a problem. Some women make more than their husbands. But some have made the home and caring for the family a full-time job and in that case, there will be some income concerns. Marital assets divided ‘equitably’- I am not an attorney, but the State of Maine is an ‘equitable asset’ state. Meaning that assets (including stocks, bonds, mutual funds, boats, houses, land, outstanding loans, artwork, collectibles, etc.) accumulated together are divided fairly, according to the law. One of the most important questions is do you know anything about your finances? You need to know all you can about how to manage your finances in your new single life. Take control. Don’t be a victim!Citation:Marital assetshttp://www.divorcesource.com/info/divorcelaws/maine.shtmlhttp://financialplan.about.com/cs/divorceandmoney/a/DealWithDivorce.htmMarion R. Syversen, MBA – PresidentNorumbegaFinancial207.862.2952Marion@NorumbegaFinancial.com
Give Mom a break this Mother’s Day by doing the cooking, and it wouldn’t hurt to clean up the dishes too!Texas Roadhouse Head Cook, John Hafford, joined Carolyn Callahan on TV5 News at 5 to share with us a Prime Rib recipe just in time for Mother’s Day.Texas Roadhouse’s Prime Rib at HomeIngredients 1/2 C of your favorite Prime Rib Rub per 6 oz. of prime rib2 C of Water Step 1â€¢ Create your rub using your favorite seasonings and a little bit of liquid. â€¢ Using the rub make sure to cover then entire piece of meat you are cooking, including the bottom. â€¢ Place seasoned piece of meat in the roasting pan and cover with plastic wrap.â€¢ Allow to sit at least 4 hours refrigerated, with the preference being overnight. Step 2â€¢ Preheat your oven to 300 degrees.â€¢ Adjust your shelves placing one shelf on the very bottom and one shelf in the center of the oven for the meat.â€¢ Using a metal pan, fill it with water and place it on the bottom shelf of the oven.â€¢ Place the roasting pan with meat in the oven uncovered. â€¢ Using a stay-in-place thermometer check the internal temperature of the meat every 30 minutes after the first hour of cooking.â€¢ Once meat is finished cooking remove from the oven.Step 3â€¢ Once the Prime Rib is cooked to your desired doneness (see chart below), carve into steaks of your desired thickness and serve.Note: 140 â€“ rare to medium rare 150 â€“ medium 160 â€“ medium well 170 â€“ well* The temperatures are a guide Enjoy!
Recipe Submitted by: Executive Chef Louis KieferTo watch Chef Kiefer making the dish on our morning news, click HEREServes 22, 6oz. fresh filet of sea bassSalt & PepperOil and butter
Recipe Submitted by: Executive Chef Louis Kiefer, The Bar Harbor InnTo watch Chef Kiefer making the dish on our morning news, click HEREServes 8 or 32 dumplingsFor the dumplings:2 oz. Sesame oil4 cloves of garlic, minced2 shallots, fine dice1 tsp. lemongrass paste2 oz. fresh ginger, peeled and minced1 pound of lobster meat, chopped fine1/4 cup tamari soy sauce2 tablespoons Sambal chile sauce2 tablespoons chopped mint2 tablespoons chopped basil32 small wonton wrappersWater or egg wash3/4 quart peanut oil for fryingIn a medium sauce pan, saute the garlic, shallots, lemongrass paste and ginger in sesame oil until slightly browned, remove from heat and transfer to a mixing bowl.Fold in lobster meat, soy sauce, sambal, scallions, mint and basil.Lay out wonton wrappers on a flat surface and brush with water or egg wash.Place a small amount of mixture in dumpling and fold, pinch to seal.Deep fry in peanut oil at 350 degrees until brown, and serve with sauce.Red Curry Coconut Cream2 oz. sesame oil6 cloves garlic, minced2 shallots, minced2 oz. ginger, peeled and minced 1 tablespoon of lemongrass paste1/2 cut rice vinegar1/2 cup mirin2 tablespoons red curry paste2 (8 ounce) cans of coconut milk1 oz. Cornstarch- dissolved in water1/2 bunch of cilantro- coarsely chopped2 limes, juicedIn a small saucepan, add sesame oil and lightly saute garlic, shallots and ginger. Add lemongrass paste and do not let brown, but lightly saute.Cover with rice vinegar and mirin and continue cooking until reduced by half.Stir in red curry paste and coconut milk and bring to a boil, thicken sauce with cornstarch and steep in cilantro and lime juice.
Breakfast in bed is always a nice thing, but a healthy breakfast in bed is even better. Jackie Conn from Weight Watchers is here to show us how to make Mom a breakfast to remember. Whole grain flapjacks with smoky bacon and real maple syrup. Multi-Grain Pancakes with Canadian Bacon and Maple Syrup Weight Watchers Recipe Ingredients 1 cup(s) whole wheat flour 2 tsp whole wheat flour 1/2 cup(s) rolled oats 1/2 cup(s) uncooked cornmeal 2 tsp baking powder 1/2 tsp table salt 3 large egg white(s) 3 Tbsp canola oil 2/3 cup(s) maple syrup, divided 1 3/4 cup(s) fat-free skim milk 6 oz Canadian-style bacon, thinly sliced InstructionsIn a large bowl, combine all of flour, oats, cornmeal, baking powder and salt: mix well and set aside.In another bowl, lightly beat egg whites until frothy but not stiff. Add oil, 1/4 cup of maple syrup and milk: mix thoroughly.Pour egg mixture into flour mixture: mix until just combined.Heat a large nonstick skillet over medium heat (or heat a griddle to about 350Â°F to 375Â°F). Drop batter by 2 tablespoons onto skillet (or griddle) and cook until bubbles on surface of pancakes start to pop: flip pancakes and finish cooking, about 3 to 4 minutes total. As you finish each batch of pancakes, set them aside in an oven-proof dish in a warm oven (200Â°F) until ready to serve. Repeat with remaining batter.Warm Canadian bacon slices in skillet (or on griddle). To serve, stack four pancakes on each of 6 plates, top each with 1 ounce of bacon and then drizzle each serving with about 1 tablespoon of syrup. Course: breakfast PointsPlusâ„¢ Value: 10 Servings: 6 Preparation Time: 10 min Cooking Time: 24 min Level of Difficulty: Easy
Recipe Courtesy: Cathy Speronis3 medium hot house tomatoes, chopped1/4 large red onion, minced1 medium jalapeno, minced2 Tbsp. finely chopped cilantroJuice of 1/2 lime1/2 tsp. kosher saltCombine all ingredients in a medium bowl. Cover and refrigerate overnight.
Recipe Courtesy: Cathy SperonisOne 4.5 lb boneless pork picnic roast4 slices bacon1 medium onion, coarsely chopped3 cloves garlic, peeled & crushed 1 1/2 tsp. Kosher salt2 tsp. roasted ground cumin1 tsp. oreganoJuice of 1 limeJuice of 1 lemon1 3/4 cups waterAdjust oven rack to lower third and preheat oven to 300Â°.Trim off some of the excess fat from the roast and cut into large 2â€ cubes.In a medium Dutch oven or a 6-qt. oven safe stockpot over medium-high heat, brown the bacon rendering the fat. When the bacon has browned, add the onion and garlic cloves and cook to sweat for 3 minutes over medium-low heat.Add the pork and the remaining ingredients to the pot. Bring to a simmer over medium-high heat. Remove from heat, cover and place in oven.Cook stirring every 1/2 hour until pork shreds easily with a fork, about 3 hours.Remove the pork from the stockpot and set aside. Strain the remaining liquid removing solids and fat. Set aside.When pork has cooled, shred with forks removing excess fat. Place the shredded pork into the emptied pot and add some of the strained broth to moisten. Place over low heat and heat through.Serve the carnitas with tortillas, rice, black beans, salsa and sour cream.
Recipe Courtesy: Cathy Speronis5 cups all-purpose flour1 tsp. kosher salt2 tsp. baking powder4 Tbsp. vegetable shortening2 Tbsp. olive oil1 1/4 cup warm waterIn a large bowl combine flour, salt and baking powder. Add the shortening and olive oil cutting it into the flour mixture with a pastry blender or fork.Slowly add the warm water until the dough comes together to form a ball. Knead for a few minutes.Cover with plastic wrap and set aside for 30 minutes.Preheat a cast iron skillet over medium-high heat.Form golf-sized balls from dough. Use a tortilla press or a well-floured rolling pin and board to form tortillas. They should be pretty thin.Place the tortillas, one at a time, onto the preheated skillet. Turn every 15-20 seconds until sides start to bubble and brown slightly.Remove to a plate and cover with a clean kitchen towel to keep the tortillas warm and pliable.Repeat with remaining dough.Tortillas can be made ahead and stored in a plastic food bag. They can also be frozen.
Ingredients:a 7-ounce jar of roasted red peppers, drained2/3 cup fine fresh bread crumbs1/3 cup walnuts, lightly toasted, finely chopped2 to 4 garlic cloves, minced and mashed to a paste with 1/2 teaspoon salt1 tablespoon fresh lemon juice to taste2 teaspoons pomegranate molasses*1 teaspoon ground cumin1/2 teaspoon dried hot pepper flakes3/4 cup extra-virgin olive oiltoasted pita triangles as an accompaniment*available at Middle Eastern marketsDirections:In a food processor blend together the peppers, the bread crumbs, the walnuts, the garlic, the lemon juice, the pomegranate molasses, the cumin, the red pepper flakes, and salt to taste until the mixture is smooth and with the motor running add the oil gradually. Transfer the muhammara to a bowl and serve it at room temperature with the pita triangles.Recipe Submitted by: Mark Janicki
By- Dr. Amy MoviusHuman Lyme disease was first described in Connecticut in 1975: In 1987 it hit Maine incidence has been rising ever since. Middle-aged persons and school-age children are most often infected. Lyme disease is caused by bacteria that usually infect animals, but can also infect people. Lyme disease spreads from animals to humans when a tick bites an infected animal, â€œpicks upâ€ the infection, and then delivers or â€œcarriesâ€ the bacteria to a person it later bites. The most common symptom of Lyme disease is an expanding red rash around the bite site. It can occur from days to a month after the bite and is usually not painful. May is the beginning of Lyme disease season and officially Lyme Disease Awareness Month. It is an excellent time to prepare how NOT to become infected with Lyme disease (and other tick borne infections too!) over the coming months. The absolute surest way to prevent Lyme disease is to have no risk of tick exposure. Since this is impossible for many people, preventing and promptly recognizing tick bites is a more practical approach. The Maine CDC recommends following the simple â€œNo Ticks 4 ME” rules:1. Wear protective clothing2. Use insect repellent3. Perform daily tick checks4. Use caution in tick habitatsClothing is our first line of defense. Wearing long sleeves and long pants in outdoor areas where ticks may be present is a good start. If the clothing is light colored, it will be easier to see ticks as well. Pants can be tucked into socks and even taped to prevent ticks from climbing up the inside of pant legs. After clothes are worn outdoors, washing in hot water and drying on high heat should eliminate any ticks you may have missed.Insect repellents containing DEET or picaridin should be applied to the skin. Clothes can also be treated with permethrin, available at outdoors/camping stores, to repel ticks from attaching to them. Treating pets with tick repellents is also very important as they can give a Lyme carrying tick a free ride into your living room.At the end of every day you have been outdoors, take a shower as soon as possible. You should do a tick â€œbody checkâ€ looking for any critters who may have attached themselves despite your efforts. Ticks have to be attached for 24-48 hours before the bacteria can be transmitted to a person, so prompt removal is very protective. If you find a tick, you should carefully remove it by gently pulling it straight out with tweezers. Wash the area well and use a topical antiseptic afterwards. Use of petroleum jelly, nail polish and other home treatments are NOT recommended. Be on the lookout for any suspicious symptoms for the next month. Again removing ticks from pets promptly is also very important. Tick habitats include wooded or bushy areas and locations with high grass or lots of leaf litter. Extra care and vigilance in these environments is warranted.If a tick bite occurs, routine antibiotic use is NOT recommended: rather careful watching of the bite location isâ€¦ for a month! Any rash that occurs at the site should be seen by a health provider, even if you otherwise feel fine, at which time antibiotics can be administered. Many people who receive no treatment for such a rash (because they felt fine) will develop further symptoms, sometimes months later, especially arthritis of large joints. A small number of infected people can develop even more serious symptoms and a few may develop a chronic condition, despite antibiotic treatment.References: www.maine.gov.cdcwww.cdc.govThe Clinical Assessment, Treatment, and Prevention of Lyme Disease, Human Granulocytic Anaplasmosis and Babesiosis: Clinical Practice Guidelines by the Infectious Diseases Society of America. Clinical Infectious Diseases 2006: 43: (1 November)
New book I Hate Money by doctoral student Sarah Morehead will be available for sale May 27th. It has some terrific insight.Sarah theorizes that if you know the key things that help make up the real you can better appreciate what you can do about your money. Because, she says, you can add and this money math isn’t really that hard. Money messages- Do you think money is bad or good? What messages float in your head about money? Is it a tool to create jobs and develop business? Is it evil? Does it corrupt? Is it to be avoided and abhorred? You might want to examine your money messages.Internal or external control- Do you think your life is controlled by an outside force and you just sit on a treadmill? Do you have any power over your life and your future? Are you energized by power, achievement or relationships? Here’s an example to help you see the three elements at work. You are in a competition and part of a team. Your team wins but you won because the other team was really bad.. If you are driven by power you think, “We won! ‘ If you are driven by achievement you think,’ That doesn’t count. I didn’t really win. The other team stunk.’If you are driven by relationships you think,’ I met the best people during that competition. ‘Maslow’s need- Morehead Developed by Abraham Maslow in 1943, this pyramid theorizes that human needs are met in a certain order and that ‘higher’ needs, such as beauty and one’s spiritual life are not sought before the more primary needs, such as food and shelter, are met. And why she delves into this area is to say that we need to use money where we HAVE to use money, like at the grocery store and with our rent payment, and that we need to use non-monetary solutions to fulfill the other needs that can be addressed more creatively. So that you pay your rent and buy your food and wait for a great sale, use Marden’s or Goodwill, or clothing trades with friends, to solve beauty needs creatively.Marion R. Syversen, MBA – PresidentNorumbegaFinancial207.862.2952Marion@NorumbegaFinancial.com