"The person who says something is impossible should not interrupt the person who is doing it."
~Chinese Proverb
Good things come in threes
Three well-deserving organizations recently received grants from the GM Foundation: the Greater Wyoming Community Resource Alliance, West Michigan Environmental Action Council (WMEAC), and Feeding America West Michigan Food Bank. Read all about it here.
The dude abides (er, rides)
Kentwood resident and bicyclist-on-a-mission Ken Smith, after a brief stop at home for his anniversary and time with family, quietly headed off from downtown Grand Rapids this week as part of a 3,500-plus west coast-to-east coast trip to raise funds for his grandson, Jakob, and awareness of all persons with neurological damage. More here.
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Beam me up, Scotty
Well, maybe healthcare technology isn’t quite that advanced, but still…
Not only are physicians and other healthcare professionals becoming more accessible, but personal health information, billing, and care instructions have also become easier to find thanks to electronic health records and healthcare portals. Before electronic health records, or EHRs, patients had to request physical copies from their healthcare providers’ offices, an inconvenient process that meant that most people only received their records when they were absolutely required. Read all about it here.
Fun Fact:
A sneeze travels about
100 miles per hour.
We're not sure who clocked it or why. Maybe some things are best left unknown.
Are you prepared for an emergency at your house, such as a fire? A countywide program will offer help in planning. (Supplied)
By Kent County
September is National Preparedness Month, so …
Do you have a plan if you had to leave your home for an extended period of time due to a disaster? Do you know what to do if you have a house fire? What is your plan if the power goes out?
The Emergency Preparedness Initiative of Kent is offering a free fun and educational expo for both kids and adults focused on keeping homes and families safe.
Operation: Safe and Secure will be held Tuesday, September 18, from 4-8 p.m., at the DeltaPlex, 2500 Turner Ave NW in Walker.
“Operation: Safe and Secure is an ideal way for people to have fun and learn at the same time,” said Karla Black, Emergency Preparedness Coordinator of the Kent County Health Department. “Our involvement is just another way we collaborate with the many wonderful community partners who are dedicated to the safety and well-being of our families across the County.”
Presentations include hands-on safety activities for all age groups, drones and the Fire Safety Trailer from the Grand Rapids Fire Department, Walker Fire Department’s ladder truck, American Red Cross presenting Disney’s Pillowcase Project, safety tips for people with disabilities, what to do in an active violence event, free refreshments, giveaways and much more.
At the event, there will be vendors and presenters who will provide information on how the community can be better prepared against emergencies.
“Kent County has had many emergency situations and severe weather over the past few years,” said Jack Stewart, Kent County Emergency Management Coordinator. “We have seen tornadoes throughout the County in recent years, and we had a massive flooding incident in February that led to a State of Emergency declaration. House fires and accidents are regular occurrences. How you and your family respond in those initial moments can certainly mean the difference to avoid serious injury.”
The Emergency Preparedness Initiative of Kent (EPIK) is made of the American Red Cross, Salvation Army, Kent County/Grand Rapids Emergency Management, Kent County’s Sheriff Department and Health Department, Grand Rapids’ Police and Fire Departments, Walker Fire Department, Kent ISD, Salvation Army, WOTV Operation Save a Life, E.S.C.A.P.E., neighborhood associations and others.
“EPIK thanks the DeltaPlex and the partners involved for offering support and sponsorship,” said Leslie Montgomery-Bean of American Red Cross. “There has been a great amount of community involvement in the planning process. People who attend the event will gain information and ideas to be more prepared for emergencies and disaster that they may face at home or in their communities.”
Advancements in medical technology have defined the practice of healthcare since a concept of healthcare has existed, from bandages to penicillin to MRIs. Today, we think of technology as digital, and it has permeated practically every aspect of our lives. It’s natural, therefore, that some of the biggest news in healthcare is related to technology and access. The tech that we use every day–our phones, the internet, computers–is transforming how people think about and receive healthcare, making it more convenient and accessible overall.
Telemedicine
One of the most talked-about trends in healthcare access today is telemedicine, which is the use of devices connected to the internet to provide clinical services. Originally, the goal of telemedicine was to make healthcare more accessible in rural regions of the United States, but after numerous studies showed these efforts to be hugely beneficial to both patients and healthcare professionals, healthcare technology companies began to develop more and more applications for telemedicine.
Telemedicine has vastly improved patient care capabilities for inpatient healthcare facilities such as small hospitals and for increasing access to specialists, who may not always be on-premises when they’re needed. A recent study from the CHEST Journal reported a reduction in patient transfers in intensive care units (ICUs) that had telemedicine systems in place, buying valuable time and providing specialized care that would have otherwise required a transfer.
The more highly discussed and visual aspect of telemedicine is the rise of applications and services that allow primary care physicians, psychologists, pediatricians, and more to examine patients without either person ever setting foot in an office. Doctor shortages around the country have made wait times for appointments longer, forcing sick people in highly-populated and rural areas alike to either pay high bills for urgent care or forgo a doctor visit altogether. Telemedicine has excelled at providing care for minor but time-sensitive health issues such as ear infections and stomach problems, meaning more convenience at a lower cost.
Healthcare portals
Not only are physicians and other healthcare professionals becoming more accessible, but personal health information, billing, and care instructions have also become easier to find thanks to electronic health records and healthcare portals. Before electronic health records, or EHRs, patients had to request physical copies from their healthcare providers’ offices, an inconvenient process that meant that most people only received their records when they were absolutely required.
Today, practices from primary care physicians to hospitals are making EHRs easily accessible through online patient portals. Visibility into personal healthcare records empowers people to be more active in their healthcare. In addition, some patient portals have other functions, such as a form of telemedicine where patients can ask their care providers questions on a secure platform, or billing statements that people can reference whenever they need to. This increased visibility into the process of healthcare offers people both convenience and insight, giving them the knowledge to make informed decisions about their health.
Personal and remote monitoring
About 45% of adults in the United States are living with at least one chronic disease; for seniors alone, that number rises to almost 80%. Managing chronic diseases such as diabetes, heart disease, and dementia is a constant part of everyday life, and for many people, chronic conditions mean more frequent visits to doctors and specialists. Healthcare appointments can be stressful for anyone, but for people with limited mobility or debilitating pain, they can be close to impossible.
Today, connected devices such as blood pressure and glucose monitoring devices make it easy to track health conditions and determine when intervention is necessary. Devices for home use are usually designed to be easy-to-use and offer clear insights in order to be as useful as possible to patients and caregivers. Some, such as heart rate monitors built into smartwatches and fitness trackers, are even wearable.
The ability to connect to the internet also means that remote monitoring is possible. Remote monitoring allows healthcare professionals to track a patient’s biometrics, rather than the patient tracking their condition themselves. While this may seem somewhat invasive, it is a real boon for people with serious conditions, or those who live alone or in an isolated area. Early detection of problems can help patients get the attention they need, sometimes even before they realize they need it.
Technology has always been integral to healthcare, but now, convenient healthcare technology is accessible to everybody. Services such as telemedicine and remote monitoring are still relatively new, and studies are still being done on the long-term benefits and drawbacks, but improvements to healthcare accessibility are ensuring better health for people all over the country.
As a former smoker, Hasart qualified. He remembers the day 50 years ago he caught his older brother smoking.
“He made me start so I wouldn’t tell Dad,” Hasart said.
A few days after his appointment with Dr. Litt, Hasart went to Spectrum Health Gerber Memorial Hospital in Fremont for his CT scan. Within 24 hours, Dr. Litt’s office called. They had found a suspicious nodule.
It was an early catch, which is a big advantage in fighting lung cancer.
“The idea with the screening is that we can diagnose it when it’s more treatable,” said Marc McClelland, MD, a Spectrum Health pulmonologist.
Photo by Chris Clark, Spectrum Health Beat
Lung cancer tends to have poor outcomes because it usually gets diagnosed at an advanced stage, Dr. McClelland said. The disease typically does not have any symptoms until it has advanced beyond stage one or two.
Since its creation in 2015, the lung cancer screening program has identified 33 cases of lung cancer and nine cases of other kinds of cancer, including kidney and liver. Nineteen of the lung cancer cases were found in the earliest and most treatable stage, stage one.
The program is currently following 728 patients with annual CT scans.
Harvey’s journey
A few days after receiving the bad news, Hasart met with the Lung Mass and Cancer Care Multispecialty Team. The group of cancer specialists includes a diagnostic radiologist, medical oncologist, pathologist, pulmonologist, radiation oncologist, thoracic surgeon, nurse and social worker, all coalescing to offer coordinated care for patients like Hasart.
The next step, a PET scan, revealed the nodule and a lymph node looked suspicious and needed biopsy.
Hasart’s case grew more complicated yet. Within days of his PET scan, he experienced chest pain on the golf course. He ended up needing a heart stent and he had to regularly take a blood thinner.
The multispecialty team thought it best to admit Hasart to Spectrum Health Butterworth Hospital for the biopsy, which allowed them to switch blood thinners and monitor his heart closely, Dr. McClelland said.
The results of the biopsy held more bad news: small cell lung cancer.
Small cell lung cancer makes up only 10 to 15 percent of all lung cancers. It is known for growing rapidly and spreading quickly, although it typically responds well to chemotherapy and radiation.
Dr. McClelland said the fact that Hasart’s cancer was small cell rather than the more common non-small cell cancer surprised him and the other specialists on Hasart’s team. It didn’t appear to be small cell originally, he said.
“That’s the beauty of the lung (multispecialty team),” Dr. McClelland said. “As long as I have been doing this, no case is the same as any other case. There’s no textbook in the world that could include the extensive variety and depth of what we see, so that’s why the team is so valuable.”
Photo by Chris Clark, Spectrum Health Beat
The team meets together on a regular basis to discuss each case, allowing for effective communication and more streamlined care. This ultimately means patients get answers faster, sometimes with same-day biopsies and results, Dr. McClelland said.
The week after Thanksgiving, Hasart started four rounds of chemotherapy at Spectrum Health Cancer Center. The day after Christmas, he started radiation. Both steps were successful fighting the cancer in his lungs.
When a scan then revealed a small lesion on his brain, the multispecialty team opted for him to receive radiation treatment to his brain, Hasart said. It’s common for small cell lung cancer to spread to the brain. In early May, a post-radiation brain scan showed the lesion was gone and there was no more evidence of cancer.
Serendipity
Hasart’s girlfriend, Deb Bisel, has been at his side throughout this journey. The two met online when Hasart lived in Wisconsin and Bisel in Newaygo, Michigan. They dated long distance a few years before Hasart retired and moved to Newaygo in November 2016.
Bisel lost her husband of 26 years, Ned, to lung cancer in 2011. By the time they found his cancer, it was too late to do much.
In a serendipitous twist, Bisel works for Spectrum Health as the manager of cancer program compliance. In this role, she helped develop the lung mass and cancer multi-specialty team. Bisel also helped plan a symposium for primary care physicians to learn more about cancer screening, including lung cancer. Dr. Litt attended that symposium.
“We are so thankful (Dr. Litt) ordered the CT scan, and we think it saved his life,” Bisel said. “This validates how important this stuff is.”
Those eligible for the screening program are active smokers with a history of 30 or more pack years and former smokers who have quit within the past 15 years. (Pack years is calculated by multiplying packs per day by years smoked.)
Patients with lower risk who do not meet those guidelines may speak with their doctors about whether they would benefit from screening outside of the program, Dr. McClelland said.
Patients like Hasart, who have quit smoking, can sometimes be forgotten, Dr. Litt said.
“This reinforces my faith in primary and preventive care,” Dr. Litt said. “You want to intervene before things go out of control, before things go in the wrong direction.”
Photo by Chris Clark, Spectrum Health Beat
Dr. Litt grew humble when she heard Hasart credited her with saving his life.
“I was doing my job as any good primary care physician should be doing,” she said. “I’m grateful and thankful he thinks highly of me, but mostly I am grateful he is doing well.”
Hasart is now focused on enjoying his retirement. He works part-time driving cars to the east side of Michigan for auto dealers. Most of the time, however, you will find him on the golf course or in the kitchen baking or cooking.
His last day of chemotherapy treatment was Valentine’s Day. He couldn’t wait to get home to make lobster dinner for Bisel.
That day, Bisel’s assistant, Diane Ivy, came down from her office in the cancer center with a celebratory gift for Hasart—a mix of cookies, a chocolate rose, a teddy bear and other goodies.
“I just wanted to come and see you for the last day,” she said.
The teddy bear, she said, was for “whenever you need a hug and Deb is not there.”
As Hasart readied to leave, a nurse wished him well and asked how he felt.
Local nurses were on a hike at Dead River Falls, in the U.P.’s Marquette, but their day hike became a case of being in the right place at the right time. (Supplied)
A group of emergency department nurses from the Grand Rapids area ran into a scary situation recently when a planned vacation to Marquette, Mich., turned into an emergency medical incident.
The day, Aug. 25, started off as any other: 10 nurses packed up the supplies they would need for the day and drove to Dead River Falls, in Marquette, for a hike. After getting their start, bystanders who were witness to an emergency situation a half-mile up the trail flagged the nurses down. Because of their emergency medical training, the nurses determined they were could possible help.
A young man who was visiting the falls with friends that day ended up with serious injuries because of a fall off one of the cliffs while peering over the water.
Rylee Kuiphoff and Nicole Schoenborn, two City of Grand Rapids residents who were part of the group of nurses, sat down with WKTV to talk about their story.
Kuiphoff recalled the incident as a challenge. With little to no resources that a standard emergency department nurse would usually have, making the best out of the situation is all they could do.
“Initially, it was hard for us because when you see the patient there’s a list of things at work that we go through …,” Kuiphoff said. “But when you’re in the wilderness you don’t have any of that.”
Schoenborn said the most important thing, to her, was keeping the young man calm. Holding him still, she made sure he was awake, stayed still, and was talking.
After the young man was stabilized, it was time for the group to assist local emergency medical providers in getting the boy out of the trail area. With the use of a backboard to transport the young man, the team brought him back to the mouth of the trail, a process that was not easily accomplished. Walking up hills, trudging through water, and navigating rocky terrain, the hike back up took about an hour.
“It was a lot of communication …,” Schoenborn said. “We couldn’t see where we were stepping so the fact that everyone was really great at communicating to get this boy and ourselves out safely was amazing.”
Once back back home, the nurses said they were thankful that they were there to help. But Kuiphoff and Schoenborn wanted to make it clear that they did what anyone else with their type of training would have done.
“We were just doing what we were trained to do” Kuiphoff said.
Although it was a tough situation, Kuiphoff doesn’t believe it was a just coincidence that they were on the trail at the right time.
“I fully believe God placed 9 ED nurses on that trail for a reason,” she said.
Lauren Whitaker spent long stretches of her childhood in the hospital.
Minor colds turned into pneumonia. Even when she wasn’t hospitalized, “my parents basically ran a hospital at home,” she said. They treated her daily with lung exercises, breathing treatments and a special mechanical vest that helps move fluid through her respiratory system.
“I was kept away from kids, play dates, birthday parties,” Whitaker, 17, said. “And no preschool. They didn’t want me to be exposed to viruses. I was prone to getting sick often and for a long time. And it happened so much doctors were worried my lungs would become damaged.”
Whitaker was born with tracheomalacia, a condition in which the cartilage that keeps open the trachea, better known as the windpipe, is soft and frequently collapses.
The condition restricts airflow, which allows fluid to frequently build up in Whitaker’s respiratory system. And when Whitaker coughs, the trachea can close, which prevents the fluid from clearing out.
For every 100 children with asthma, about two or three have Whitaker’s condition, said John Schuen, MD, division chief of pediatric pulmonology and sleep medicine at Spectrum Health Helen DeVos Children’s Hospital.
There are no good surgical options, Whitaker was told. There are no long-term cures.
But after years of suffering—hospitalizations every four to six weeks, missing kindergarten, missing out on playdates with other children—Whitaker and her family found a remedy in an unlikely place.
The music room.
Whitaker learned to play the flute in fifth grade. She fell in love with it a couple years later. It has not only contained—and mostly solved—her medical issues, it has given her a life path.
“She’s really turned a disability into an ability, and it seems to be a tremendous ability,” Dr. Schuen said. “Now she’s on the cusp of launching a brilliant, brilliant career.”
‘Like beavers building a dam’
Dr. Schuen first met Whitaker at age 4. Her family had been struggling with her recurrent pneumonia.
“She was in and out of hospital, in and out of our office, in and out of her primary doctor’s office when we first met,” Dr. Schuen recalled. “This has been something that’s been ongoing ever since she was born.”
In a healthy person, Dr. Schuen said, the airways produce thin watery secretions, which are constantly moved and which provide defense against germs and trap inhaled particles such as dust and dirt. The secretions eventually move to the throat and mouth, where they’re coughed out or swallowed, thereby protecting the lungs.
“The airways are like tiny streams or streamlets that join up to bigger rivers, until they dump into Lake Michigan,” the doctor said. “That would be what’s normal.”
But with tracheomalacia, “it’s kind of like beavers building a dam in the middle of the river,” he said. “The water doesn’t move normally. It pools behind the beaver’s dam and it just stands there. It’s great for beavers trying to make a home, but not good for homeowners.”
The buildup of fluids in the respiratory system makes infections and bronchitis much more likely, he said.
Dr. Schuen had a suggestion: In addition to daily chest exercises and use of the vest, he recommended Whitaker learn a wind instrument. It could strengthen her lung function.
If the lung muscles were stronger and produced more air and pushed that air through Whitaker’s system more forcefully, she could more easily blow through that dam, reopening the river of air.
Whitaker and her parents took his advice.
In fourth grade, her school had a presentation about joining fifth-grade band. Whitaker jumped at the chance.
“Dr. Schuen said it would be a good thing for me to play an instrument,” she said. “He said the quality and quantity of life would be better with an instrument. But honestly, I just wanted to do it. Obviously there were health benefits, but I was like, ‘Oh, an instrument, that sounds cool!’”
She originally chose the clarinet, but couldn’t produce a sound. But she was one of only two children who could produce a sound on the flute, so she said, “Let’s do this one.”
By seventh grade she began taking it seriously, practicing more and more each day. And sure enough, her health slowly improved.
“I started getting less sick with colds,” she said. “It wouldn’t hit me nearly as hard. … When I get sick now, it’s just a minor cold, not 15 days in the hospital.”
Aiming for a career
Whitaker has turned her condition into a strength.
Before her senior year of high school, she enrolled at Interlochen Center for the Arts, a boarding school with an acclaimed music program.
“I went to their summer camp for one week and liked it so much I wanted to stay the whole year,” Whitaker said.
The flute program has only 14 students, half of them international. Only two are from Michigan. Most of the curriculum is arts-based. She takes two academic classes and the rest of her curriculum is courses like music theory, band, chamber music and orchestra.
She plays the flute as many as eight hours per day. She won two concerto competitions in 2017. And she was recently accepted into the prestigious New England Conservatory of Music in Boston.
She hopes to make a career as a flutist.
“We keep our fingers crossed,” said her mother, Laurie Whitaker. “It’s a very, very competitive field. But it’s really been neat. She got to play at DeVos (Performance Hall). She got to do a solo. It was quite an honor.
“It’s been a wonderful journey,” Laurie added. “Her health has been so great, partially because she’s playing a ton. When she gets sick, she picks up the flute and she feels like she can breathe better. And now she sails through colds and viruses like her peers. … I’m just so proud of her.”
Dr. Schuen called Whitaker’s story inspirational. The idea that a disability can be turned into an ability with the right mindset and commitment, he said, could resonate with a lot of patients.
“She’s turned a negative into a positive,” he said. “She could wind up going to Juilliard, Boston Conservatory, she could play with national or international fields.
“There are many people who have problems like Lauren. But she and her parents were, (1) proactive, and (2), very positive and innovative. When we made suggestions, they ran with it. … Lauren’s an incredible young woman. I’m really happy and excited for all of them.”
By Joy Fountain, Vision Technician Supervisor at Heart of the City Health Center
Do you use a computer, cell phone or tablet at work, school or home? You may have noticed symptoms related to excessive use of these digital devices. Computer vision syndrome, also known as digital eye strain, is the combination of vision and eye problems associated with the use of any device with an electronic display.
Some of the most common complaints reported with computer vision syndrome include:
Eyestrain
Tired eyes
Glare
Irritation
Redness
Blurry vision
The good news is an eye exam can help make your eyes more comfortable while using these devices. Anti-glare lens coatings are available for glasses. This will significantly decrease the computer screen glare (as well as glare from headlights). Often times, a person experiences blurry vision, because the eyes do not focus well. In this case, making the text larger on your device or using glasses would help.
If you experience any of these uncomfortable side effects with use of a digital device, please schedule an appointment to get your eyes checked today.
The easiest way to get started is with walking because it’s low-impact and low-risk, and all you need is a pair of supportive walking or running shoes. (Courtesy Spectrum Health Beat)
By Len Canter, HealthDay
Though you may face challenges if you’re carrying excess weight or haven’t been active in a long time, you can still get fit and gain all the benefits that exercise has to offer.
The easiest way to get started is with walking because it’s low-impact and low-risk, and all you need is a pair of supportive walking or running shoes.
Begin by scheduling one dedicated walk each day, and then find opportunities to take additional steps, like going window-shopping at lunch or walking in place instead of sitting while watching TV. You might like the impetus of a home treadmill, which you can set at a slow speed to start.
Our Take
The most important thing is to set up “accountability measures” like telling loved ones of your goals and scheduling exercise time into your calendar each day, said Phillip Adler, a certified athletic trainer with the Spectrum Health Medical Group Sports Medicine Program.
“We all have cell phones: Write it into your schedule and set reminders. That’s the first step,” Adler said.
In addition, telling people of your goals creates “that second layer of accountability” because now there are people who expect you to workout and will encourage you to stay on your plan.
Another simple way to exercise at home is to get more dynamic with everyday activities. For example, pick up the pace as you do household chores, and work in sessions that are at least 10 minutes long.
You can also dive into exercise by working out in water, whether you swim or take a water fitness class. Water makes you feel lighter and more agile, so many people find it easier to move in a pool than on dry land.
Riding a stationary bike is also less strenuous on your body than weight-bearing exercises, even walking. Try a recumbent bike; its seat is lower to the ground and your legs will be extended, which may feel more comfortable to you.
Just don’t let enthusiasm put you at risk of burnout by doing too much too soon. Increase the length and the intensity of your workouts at a slow, steady pace as you progress.
Before lacing up, make sure you know the dos and don’ts of nutrition when it comes to exercise. (Courtesy Spectrum Health Beat)
By Christine Khamis, PA-C, Spectrum Health Beat
What to eat before and after a workout is one of the most common questions I’m asked.
Whether you’re a seasoned athlete or just starting your exercise journey, there are some general guidelines.
If you’re looking for advice on meal planning and customization, you can follow up with your health care provider or dietitian.
Pre-workout nutrition
It’s best not to eat immediately before a workout.
Eat larger meals at least 3-4 hours before exercising. Ideally, you should fuel your body about 1 to 3 hours before working out with a small meal or snack.
Carbohydrates are the main fuel for your muscles. The harder your engine is working, the more carbs you need for optimal performance. In addition to carbs, your pre-workout meal or snack should also include some protein. While carbs are the fuel, protein is what rebuilds and repairs your muscles.
Here are some suggestions for pre-workout fuel:
A banana with peanut butter
Plain Greek yogurt with berries
Oatmeal with low-fat milk and blueberries
Apple and peanut or almond butter
During workout
The need to fuel during exercise depends on exercise time and type:
If your workout is less than 45 minutes, focus on water for hydration.
For sustained high-energy exercises that last 45-75 minutes, you need small amounts of carbs throughout the activity to optimally fuel your muscles and performance. Hydrate with sports drinks or a small serving of applesauce every 20-30 minutes.
For endurance exercise lasting 75 minutes or longer, you need 30-60 grams of carbs an hour, such as a handful of raisins or 1 medium banana.
Post-workout nutrition
Getting protein and carbs into your system is even more vital post-workout.
Your body uses stored fuel in your muscles and liver, in the form of glycogen, to fuel your workout.
Ideally, you should get carbs and protein into your body within the first two hours after exercising—the sooner the better.
This gives your muscles the ability to replenish the glycogen you just used and allows for protein and amino acids to repair your muscles.
Here are some ideas for post-workout nutrition:
Recovery smoothie
Turkey on a whole-grain wrap with veggies
Yogurt with berries
When it comes to exercise and nutrition, everyone is different—consider keeping a journal to monitor how your body reacts to meals and pay close attention to how you feel and perform during your workout.
Let your experience guide you through which eating habits work best for you.
One of the most frequent complaints women have about midlife and menopause is trouble sleeping.
Although not every woman walks through my office door saying, “My problem is poor sleep,” quite a few do.
Many talk about their sleeping issues in other ways. What they say usually goes something like this:
“I am so irritable, I do not like myself.”
“I cannot seem to remember anything.”
“Why am I so tired?”
But I know the real problem is they are either not sleeping well or enough.
Sleep disturbances are common and have many causes. And, although I am not a sleep doctor, I have learned about sleep during midlife and menopause.
First of all, just before your periods, the hormone drop can cause little night sweats, which disturb sleep just enough to be noticeable. Many women also describe falling asleep without any problems, but then waking up between 1:30 a.m. and 2 a.m. and not being able to fall back asleep.
Does this scenario sound familiar? If so, keep reading.
Your normal sleep consists of cycles that vary between deep sleep and light sleep. When you are in light sleep, you can usually get yourself back into deep sleep without waking. However, in midlife and menopause, you are more likely to be awakened by a full bladder, your bed partner’s snoring or a little hot flash.
Unfortunately, once you are awake and alert, your brain tends to go into overdrive: “Oh, no, I’m awake—what if I can’t get back to sleep? I have a big day tomorrow, and I have so many things to do. There’s that big presentation, cookies for John’s class and my mom’s doctor’s appointment.”
The worry machine goes into high gear and the adrenaline starts flowing.
Here’s how to fix the problem. Get out of bed, go to the bathroom, get a drink of water and go to a quiet spot in your home (not the bedroom) to practice metered breathing.
First, find a comfortable spot with just enough light so it is not totally dark. Glance at the clock so you can keep track of the time. The goal is five minutes. After you are comfortable, close your mouth, open your eyes and find a focal point—a spot on the wall or anything fixed and neutral. As Baron Baptiste says, “By focusing on one spot, it will send soothing messages to your mind.”
Then, just breathe through your nose, not deep or forced. Just be and breathe, focusing on the sound of your breath for five minutes. If you think of something that is worrying you, it’s OK. Focus for a second on the thought and then let it go.
Then go back to bed. If you find you can’t go back to sleep, get back up, go to your spot and repeat the metered breathing. It may take your body several times to retrain. Just be patient.
In addition to metered breathing, keep in mind the Seven Essential Elements of Daily Success (SEEDS) that will help you sleep better and be ready for your day. Not doing these things will trigger more night sweats.
Drink plenty of water
Get plenty of sleep
Take your vitamins daily
Eat a balanced diet with minimal sugar, caffeine and alcohol several hours before bed
Exercise regularly
Eat plenty of fiber
Start a gratitude journal
If you have tried the metered breathing and all of the SEEDS, and you’re still having trouble sleeping, it may be time to consult with a Spectrum Health Medical Group sleep specialist. Remember, sleep is everything.
By Terry Gibb, Michigan State University Extension
Water makes up 75 percent of the Earth’s surface; the human body is 60 percent water. We use water every day. And then we discard it down the drain to . . . WHERE?
According to the Michigan 21st Infrastructure report, 70 percent of Michigan homes and businesses are connected to a municipal sewer system that collects the dirty water in huge underground pipes, takes it to a treatment plant where it is cleaned, filtered and sanitized before being sent back into local water bodies for reuse.
That leaves 30 percent of homes and businesses that use another system for waste water treatment. For these, onsite wastewater (septic) systems are the only option because a municipal sewer system is too costly to connect to or not available.
What do you know about your waste water treatment?
Are you on a septic or municipal system?
Where is your septic tank and drain field located?
When was the last time you had your septic system inspected?
Do you have a drinking water well?
Is your well near your septic system?
What are some easy actions to protect your septic system from failure and your wellhead from contamination?
Many home and business owners don’t realize there is a problem with their septic system or well until it becomes a major one. A failed system can cost the owner thousands of dollars to repair, if it is even possible, or replace.
Michigan State University Extension is hosting a live webinar, “Septic (Onsite Wastewater) System Maintenance and Wellhead Protection” on Thursday, Sept. 20 from 3 to 4 p.m. This program will cover what a septic system is, how it works, best management practices to protect the system, how to identify trouble in the system, steps to take if a problem occurs and alternative system options. It also will include basic information about drinking water wellhead protection. The presentations will be followed by a live question and answer session via the chat box.
You will receive a confirmation email with login instructions upon registration. Registration is available right up until the webinar begins but please allow additional time to connect to the webinar.
Which is better? Fast food or sit-down meals? You might be surprised. (Courtesy Spectrum Health Beat)
By Spectrum Health Beat
We admit it. Most of the items in a grocery store bewilder us. We have no idea what to do with them.
We also know beyond a shadow of a doubt there’s no Julia Child or Martha Stewart gene in our DNA profiles.
And while we don’t feel destined for the drive-thru, we do eat out. A lot.
So just what are the health implications for those of us who eat this way?
At least one study finds fast food is actually no worse for your health than full-service restaurant meals.
In fact, diners consume more sodium in sit-down restaurants than they do in fast-food joints.
Regular restaurant meals also scored the worst on cholesterol content, containing an average of 58 milligrams of extra cholesterol compared with home-cooked meals. Fast-food meals only contained an extra 10 milligrams of cholesterol, the researchers said.
This doesn’t mean fast food is good for us, said Jessica Corwin, MPH, RDN, dietitian and community nutrition educator for Spectrum Health Healthier Communities, “it just means that certain fast food items can be the lesser of two evils when compared to restaurant items.”
Excess sodium, in the form of salt, poses a risk for high blood pressure and heart disease. Elevated cholesterol also hurts heart health.
To compare eating habits in different settings, the research team sifted through seven years of data collected by the U.S. National Health and Nutrition Examination Survey.
Nearly 18,100 American adults were asked on two occasions to describe the meals they consumed in the preceding 24 hours.
If you’re watching your weight, eating at home wins out, hands down. The study found that on average, people who frequent fast-food places and full-service restaurants consumed nearly 200 additional calories compared to those who cook their meals at home.
An upside of dining in restaurants? The meals are actually healthier than fast-food meals or home-cooked meals when it comes to containing certain key vitamins (B6, vitamin E, vitamin K, copper and zinc), as well as potassium and omega-3 fatty acids.
“People do fuel up with more nutrient-packed meals at restaurants,” Corwin said. “But the added nutrition comes with more salt and cholesterol. That’s the downside.”
Food rules: An eater’s guide
Whether eating at home or out, choose fresh, seasonal, locally-grown, whole foods whenever possible, cooked from scratch. Granted, this isn’t always realistic for today’s hectic lives of dual working parents, Corwin acknowledges.
For days when we need to rely on ready-to-eat (or ready-to-heat) options, whether fast food, takeout or restaurant fare, here’s what she says to look for:
Foods or entrees that include fresh, steamed, baked, or grilled vegetables and lean meats
Fruits, vegetables, green salads with lean protein, and broth-based, beans or lentil soups.
Key words like grilled, fresh, baja, lean, baked, steamed
Size—choose the small option when available, or a kids meal for a smaller portion, with apple slices in place of the fries and a small milk or water rather than a soda or juice
“It’s tough to go wrong when you aim for the basics, with foods as close to the source as possible,” Corwin said. “A grilled chicken or bean-based salad with a balsamic/olive oil vinaigrette served on the side is a winner. I prefer an olive oil-based dressing over a low-fat or fat-free dressing as manufacturers tend to crank up the sugar as they remove the fat.”
Case in point? McDonald’s Newman’s Own low-fat sesame ginger dressing has more than 2 teaspoons of added sugars in a single 1.5 fluid ounce packet.
Finally, we should remember that ‘the customer is always right’ and speak up to ask for what we want, Corwin said.
“Ask for your burger to be served without the special sauce and cheese, choose a small chili over the large, or request that your chicken be grilled and your potato come without the extra salt, sour cream and butter,” she suggested.
If nothing else, she said, ask for the extras to be served on the side.
“That way you are the one in the driver’s seat, determining just how much will be added to your plate,” Corwin added.
Her son, Parker, was falling asleep in the car. He couldn’t stay awake during movies. He was failing his third-grade classes.
“His grades did not reflect what we saw his potential would be,” she said. “And I guess that’s kind of where I thought something was wrong.”
Parker’s school thought he might suffer from attention deficit disorder, better known as ADD, but Christina disagreed. She used to work in a hospital and the symptoms didn’t align with her understanding of ADD.
Christina and her husband, Phillip, paid for private testing.
“The psychologist doing the testing said, ‘His IQ did not come back as high as we were expecting. I’ve seen this in the other kids that have sleep apnea,’” Christina recalled.
The psychologist referred the family to John Schuen, MD, a pediatric pulmonologist with Spectrum Health’s Helen DeVos Children’s Hospital, for further testing. Sure enough, a sleep study showed Parker had sleep apnea.
Dr. Schuen recommended two things: surgically removing Parker’s uppermost tonsils, called adenoids, and putting Parker on a CPAP, a machine that helps certain patients sleep.
“His grades went from failing to straight A’s,” Christina said. “His brain was really shutting down from being so tired, so fatigued. …Within a week of being on CPAP, he was like a brand new kid.”
What is sleep apnea?
Sleep apnea is a disorder in which the patient’s breathing stops and starts throughout the night, which disrupts sleep. It affects children and adults in different ways: Children often experience behavioral issues, and adults often struggle with daytime fatigue.
“Clues that give parents a hint is kids’ snoring, gasping, pausing when they breathe, mouth-breathing, odd noises in the middle of sleep like coughing or choking … unusual noises like that,” Dr. Schuen said. “Sometimes there are morning headaches. When I say morning headaches, I mean they have headaches that wake them up in the middle of the night or upon waking up right away in the morning.”
There are two types of sleep apnea, Dr. Schuen said. Central sleep apnea is when the brain doesn’t tell the body to breathe.
The more common version, obstructive sleep apnea, is when the patient tries to breath, but something is blocking or obstructing the airwaves. Hence, the name.
About 10 percent of children struggle with persistent, nightly snoring, a sign of sleep apnea. About 3 to 5 percent have obstructive sleep apnea, Dr. Schuen said.
“When kids have obstructive sleep apnea, the most common reason behind the apnea is large tonsils and adenoids,” Dr. Schuen said. “Tonsils and adenoids look like golf balls in the back of your throat. The adenoids, (the uppermost tonsils), sit right above roof of your mouth. You can’t see them without special tools.”
Obesity, which leads to rings of fat in the throat or chest, can also cause obstructive apnea, Dr. Schuen said. But that didn’t apply to Parker.
When children exhibit possible symptoms of apnea, Dr. Schuen orders a sleep study.
“The study is this: We have specially designed rooms to help promote a good night’s sleep and let parents sleep next to the child in the same room,” Dr. Schuen said. “In the pediatric sleep laboratory, our sleep tech places different gizmos and gadgets on the infant or child or teen that let us assess what’s going on during sleep. During the course of the sleep study, we’ll measure an amazing amount of information: 16 different channels look at brain waves, the stage of sleep, how often they wake up, when they wake up, oxygen and carbon dioxide levels, and the sleep positions they’re in when possible apnea events occur.”
“And if they’re not breathing properly, we can determine the type of apnea and how often these events occur.”
Normal people tend to have four to six sleep cycles per night and will wake in between, Dr. Schuen said, but “you’re only awake a millisecond and don’t fully appreciate the fact that you’re awake—then, boom, back to sleep.”
But those with moderate sleep apnea can awake five times per hour, while severe sufferers can have 10 or more micro-arousals per hour.
“With apnea … particularly in kids, they might not always even awaken from sleep,” he said. “But because their oxygenation may suffer, their carbon dioxide levels may rise, or they may just shift their stage of sleep. It deprives them of good sleep.”
Sleep is closely tied to IQ and brain function. A recent study showed that kids who ate seafood slept better, and then performed nearly five points better on IQ tests.
During the daytime, kids who suffer from OSA may include “academic difficulties, problems paying attention, impulsivity and rarely, sleepiness,” Dr. Schuen said.
‘A dramatic improvement’
The sleep study showed Parker suffered from moderate to severe sleep apnea.
In July, Parker had his adenoids removed—“the typical solution,” Dr. Schuen said—but his apnea didn’t improve. Parker still struggled with focus issues and his behavior late in the day deteriorated.
Dr. Schuen ordered a second sleep study in September, which showed Parker still suffered from obstructive apnea.
He decided to put Parker on CPAP, a machine with a nasal mask that’s held in place by headgear. The mask is hooked up to a hose, which pushes air through the lungs and opens up the airways while the user sleeps.
The results for Parker were nearly instantaneous. Within a week, Christina said, Parker’s academic performance and attitude changed.
“He’s just a better child all the way around,” she said. “His behavior is better. He was acting out during that time, and that’s gone away. He was having some anger, especially toward the evening, and that has gone away. He’s sleeping all night long. Before he’d get up several times a night, but not anymore.
“And he can tell, if he goes somewhere and can’t use the CPAP, he comes home and says, ‘I need to wear the CPAP.’ He can tell the difference.”
Parker shared that he often fell asleep in class and couldn’t pay attention.
“I was so tired all the time,” he said. “Now I can stay focused longer. … I can concentrate for an hour now. It used to be 10 minutes.”
Parker loves extreme mountain biking with his father. He enjoys math and gym class. He can tell his body has changed with better sleep.
“I like gym because we get to run around and do fun stuff,” he said. “But I couldn’t really run as fast as everybody because I was so tired.”
Christina, who also suffers from sleep apnea, uses a CPAP machine just like her son. She notices similar improvements when wearing it.
“When I do wear it, I feel like I have more energy,” she said. “When I don’t wear it, I’m really cranky in the morning, even after a full night’s sleep.”
Parker says it’s a relief to no longer struggle in school.
“It made me feel really happy that I’m actually good at something,” he said. “Because I didn’t get much sleep, I couldn’t focus. It was messing me up.”
Learn more about the nationally-recognized pediatric pulmonology and sleep medicine program at Spectrum Health Helen DeVos Children’s Hospital.
The 2018 Metro Cruise kicks off at 4pm Friday, Aug. 24. The alternative Latin rock group Cabildo will be on the main stage at 4:30pm, followed by local favorite, Delilah DeWylde at 7:30pm performing a range of hillbilly and blues. Friday closes at 10pm.
Well, that may be a bit of an exaggeration, but Kent County is on the hunt for a new sheriff. If you have leadership skills and a background in law enforcement, you might want to consider applying for the position. With the announced retirement of Kent County Sheriff Larry Stelma, the county has formed a Kent County Sheriff Appointment Committee and is looking for applicants for the position. The individual appointed by the committee will hold the position through Dec. 31, 2020.
Metro Health Village has a number of walking routes and even a bike trail — all perfect for an afternoon stroll with the kids or a quick, weeknight workout. Download a Walking/Bike Route map here.
Need a little push to get started? Check out the Couch to 5K Training Program. Even if you’re not looking to set any world records, this program will have you up and active in no time!
No, not locusts, but we didn’t have a photo depicting the droves of voters who showed up for the primary election on Aug. 7. Take a good look at this photo — that’s the power inherent in sheer numbers, people. A pat on the back for all who voted.
The Chamber’s WKTV Government Matters committee analyzed the impressive voter turnout during their meeting on Aug. 13. The committee also discussed county staff additions. All in all, pretty important stuff.
Fun Fact:
In Switzerland, it is illegal
to own just one guinea pig.
This is because guinea pigs are social animals, and they are considered victims of abuse if they are alone. Source.
Walking is as simple as it gets for a gentle, low-impact exercise that just about anyone can enjoy. In fact, walking can help prevent and improve many common health issues like heart disease, obesity, high blood pressure, diabetes, osteoporosis and depression, to name a few. All you need is a good, supportive pair of walking shoes and a safe place to walk, like Metro Health Village, 5900 Byron Center Avenue in Wyoming.
Metro Health Village has a number of walking routes and even a bike trail — all perfect for an afternoon stroll with the kids or a quick, weeknight workout. Download a Walking/Bike Route map here.
Need a little push to get started? Check out the Couch to 5K Training Program. Even if you’re not looking to set any world records, this program will have you up and active in no time!
Motivation is key when starting a new physical activity. Here are some ideas to help you stay focused and interested every day:
Wear a pedometer. Increase your steps a little every day until you reach the recommended 10,000 steps a day.
Get a walking partner – a friend, spouse, child, even the dog!
By Mary Menchinger, BS, RN-BC, Director of Nursing
There are several reasons people may need to be vaccinated against a disease as an adult:
They weren’t vaccinated as a child
The childhood vaccine may have worn off
The vaccine isn’t needed until later in life
The vaccine changes on a regular basis
Influenza (Flu)
Different strains of flu affect people every year. That’s one reason you need to get a flu shot annually. Each year the vaccine is designed to protect against the types of influenza virus expected to be most common. Getting a flu shot helps keep you healthy during the flu season which can start as early as September and last through May.
Tetanus
Tdap is a vaccine that protects against:
Tetanus
Diphtheria
Pertussis
Most people are vaccinated against these diseases in childhood. However, the protection can wear off.
Varicella (Chickenpox)
If you never had chickenpox as a child you may want to get the varicella vaccine. Chickenpox can be a serious illness in adults. Talk to your provider to see if it is a good choice for you.
MMR (Measles, Mumps, Rubella)
If you were born in 1957 or later you need at least one dose of this vaccine. Consult with your provider to determine if you need to get an adult MMR.
Pneumococcal
All adults over 65 are strongly urged to get this vaccine. It is also recommended for adults under age 65 with certain health conditions:
Long-term health problems
Compromised immune system
Asthma
A history of smoking
Hepatitis vaccines
Vaccine are available to protect people against hepatitis A and hepatitis B. These vaccines are generally offered to adults who work or live with high risk individuals.
Herpes Zoster (Shingles)
According to the Centers for Disease control and Prevention (CDC), one in every three Americans will develop shingles. Shingles is caused by a return of the virus that causes chickenpox. The one-time vaccine is recommended for adults over age 60. You should get the shot even if you had chickenpox as a child.
Talk to your provider to make sure you are up-to-date on the vaccines that are right for you. At a minimum, almost everyone needs a flu vaccine once a year.
Getting immunized is a lifelong, life-protecting job.
By Kelly Helder, Grand Rapids Public Library, Main Branch
So you’ve been watching your diet and eating all the right foods in the hopes of keeping the weight off and your cholesterol down. You’re walking every day, getting out in the fresh air, working those leg muscles. “But,” you say, “that’s not enough; I need more” (and more not being cardio boot camp!). What could you do that is low impact, practiced by millions, and could improve your blood pressure while relieving symptoms of arthritis?
Yoga, of course! It doesn’t matter if you are over 50, can’t cross your legs or don’t know a word of Sanskrit. Yoga doesn’t discriminate.
Mary Stewart, author of Yoga Over 50: The Way to Vitality, Health and Energy in the Prime of Life, has been teaching yoga for over 20 years (and is herself over 50). After a brief introduction about yoga and its history, there is a section on the healthy body and how it works. Then we dive into the meat of the book — yoga poses. All of the classics are here, such as Triangle, Warrior and Downward Facing Dog.
Accompanying each pose is a brief description, which includes instructions on how to get into the pose and why it is beneficial to you. Step-by-step color photographs of each pose give an idea of what you are eventually aiming for (remember, the models in the book have been practicing yoga for years).
Through bringing together body, mind and spirit, we are shown how to relax and let our tensions dissolve. Photos and text illustrate the techniques of proper breathing, meditation and Savasana, or the relaxing Corpse pose. Beginner to advanced routines round out the book. There are also short programs for people who want to target specific problem areas of the body, such as stiff hips and backaches.
According to statistics, over 19% of US yoga practitioners are over 50, so come on, join the fun!
The best way to treat diseases is to prevent them in the first place. (Courtesy Spectrum Health Beat)
By Robert Preidt, HealthDay
Be sure to put vaccinations on your children’s back-to-school lists, whether they’re just starting school or heading off to college, experts say.
By protecting infants, children and teens from serious diseases, vaccinations also protect families, schools and communities.
“The best way to treat diseases is to prevent them in the first place, and the diseases on the vaccine schedule are all preventable for the vast majority of our population,” said David Kimberlin, vice chair of pediatrics at the University of Alabama at Birmingham.
“The scientific evidence and public health statistics are comprehensive and compelling—properly scheduled and dosed vaccines are safe and effective, and they’re the reason we don’t see diseases like measles or whooping cough running rampant across our country,” Kimberlin said in a university news release.
Kimberlin is the American Academy of Pediatrics’ liaison to the U.S. Centers for Disease Control and Prevention’s advisory committee on immunization practices.
Immunization requirements vary by state. All have a minimum requirement for dosing each school year to attend public schools. Many require an updated immunization certificate before a child enters any public school or child care center.
Here’s what else you should know:
All 50 states and the District of Columbia require vaccinations for diphtheria, tetanus and pertussis, polio, measles and rubella.
49 states and D.C. also require mumps vaccination.
48 states and D.C. require varicella (chickenpox) vaccination. (Montana and Pennsylvania do not).
45 states and D.C. require hepatitis B vaccination to enter kindergarten. (Alabama, Maine, Montana, North Dakota and South Dakota do not).
Some states require Hib (Haemophilus Influenzae Type b); PCV (pneumococcal); flu and hepatitits A vaccines to enter kindergarten.
Insurance covers school vaccinations. If you don’t have insurance, your state health department can direct you to services that offer low-cost and/or free immunizations, said Dr. Rachael Lee, an assistant professor in the university’s division of infectious diseases.
Vaccinations are available at doctor offices, pharmacies, health centers and local health departments.
College students require specific vaccinations and should check with their school to learn which ones they need, university experts said.
Life-threatening infections such as meningococcal disease are more common among college-age people, but can be prevented through full vaccination, the experts said.
The dilemma is all too familiar: It’s Monday morning, you walk into your office and see that someone has left a big box of donuts in the break room. Then, your co-worker tells you there will be cake later for yet another birthday celebration.
One thing’s for sure. You’re not alone.
A new federal government survey found that about one-quarter of Americans “acquire” nearly 1,300 calories at work every week. Even worse, the survey only included foods people didn’t bring to work themselves, and food they didn’t purchase from outside vendors.
“The majority of the calories people got at work, people didn’t pay for—70 percent of the calories were free,” said study co-author Stephen Onufrak, an epidemiologist at the U.S. Centers for Disease Control and Prevention.
The food and beverages that were most commonly obtained at work, he said, were:
Coffee
Sugar-sweetened soft drinks
Sandwiches
Tea
Cookies
Brownies
French fries
Pizza
Salad
Water
Diet soft drinks
When the researchers looked at the foods by calories, pizza was the leading source of calories obtained at work, followed by sandwiches and regular soft drinks.
Onufrak said the foods obtained at work might have been lunch—some workplaces did have onsite cafeterias and foods purchased at an employee cafeteria were included in the survey.
The study included more than 5,200 people from a nationally representative group that completed a U.S. Department of Agriculture survey in 2012 and 2013. The volunteers answered questions about the foods they obtained at work over a seven-day period. They only reported food they acquired at work, and they didn’t say whether or not they ate the foods.
Onufrak said the survey didn’t ask about what people ate at home, so it’s hard to know for sure if they continued eating foods that were high in refined sugar, salt and empty calories once they left the office. But he said that based on other research he’s done, “a lot of the eating patterns we saw tend to be consistent.”
The findings show that employers have an opportunity to improve their workers’ health, he said.
“If you look at data on worksite wellness programs, they’re effective at getting people to have healthier behaviors, reducing health care costs and reducing absenteeism. I think encouraging a healthy diet is an essential part of a worksite wellness program,” Onufrak explained.
Nutritionist Samantha Heller noted that offering healthy fare could provide a benefit to employers, because employees who eat well “will feel better, will have more energy and can focus better.”
Heller, who’s with NYU Langone Medical Center in New York City, added, “When we feed our bodies well, our bodies and brains respond. It’s a win-win for the company and the employees.”
But what if your workplace doesn’t offer healthy options? The best option may be to bring your own lunch, Heller suggested. That way, you’re in charge of what foods are available to you, and it saves you money.
If you don’t bring your own lunch, she said, you should do some scouting to see what healthy food choices are available around your workplace. And it’s a good idea to do this when you aren’t hungry.
And what about all those free sweets at work?
“People bring a lot of treats to work. People like to feed each other to show affection. But it’s OK to say no to the birthday cake or the brownies. It’s always going to be somebody’s birthday or another celebration. Decide ahead of time that you’re going to say no to treats at work,” Heller advised.
Onufrak is scheduled to present the findings at the American Society for Nutrition annual meeting in Boston. Research presented at meetings is considered preliminary until published in a peer-reviewed journal.
For help developing better eating habits, visit Spectrum Health Nutrition Counseling or schedule a personalized appointment by calling 616.391.1875.
Dr. Rob Davidson, left, the Democratic challenger to U.S. Rep. Bill Huizenga’s 2nd District seat, with speakers Joseph Bradley and Heidi Draft-Peppin, at an event in Wyoming Aug. 14. (WKTV/K.D. Norris)
The general election season is barely a week old but Dr. Rob Davidson, the Democratic challenger to U.S. Rep. Bill Huizenga’s 2nd District seat, has already paid a visit to the City of Wyoming — and for good reason.
While most of the 2nd District is West Michigan lakeshore areas, the panhandle area of the district extending south of Grand Rapids which includes Wyoming is often seen as more Democratic leaning than much of the district.
And, according to Davidson, it is also an area — and a group of constituents — often ignored by Rep. Huizenga.
“A lot of people in this (part of the) district, of the 2nd, who are probably struggling the most, are probably in the most need of representation from their single connection to the federal government, their U.S. house representative,” Davidson said to WKTV, Tuesday, Aug. 14, at a campaign event at a church near Wyoming Lee High School. “And I feel like campaigns of old and certainly our current representative focuses on the lakeshore, Ottawa County, a little bit of Muskegon, and this part of our district just gets left behind.
“Some people out here do not even know they are in the 2nd District. They don’t know who their representative is because they just haven’t heard from him. So, to me, I think I have a very intentional focus on campaigning here, and then being here, and showing up here once I am elected to office, is essential. I think the place you need to go is the folks who need you the most.”
(For a video of a previous WKTV Journal: In Focus interview with Davidson, see end of this story or visit here.)
The Tuesday event, held at Joy Like a River church (Ministerios Ríos de Agua Viva), 1841 Havana Ave SW, was actually billed as a healthcare forum, one of several put on and planned by Davidson, who is an emergency room physician. The event had a crowd of about two dozen people (the turnout dampened, maybe, by the crowds attending the Godfrey-Lee Public Schools’ sixth grade orientation held at the same time nearby).
Rep. Huizenga was invited to the forum but did not attend. Davidson previously invited Rep. Huizenga to a healthcare forum July 30 in Zeeland — Rep. Huizenga’s hometown — but the congressman also declined to attend an event which had a crowd of about 200 people.
“We were not expecting such a huge turnout for our event in Zeeland, and what that showed us was how important healthcare is to everyone in West Michigan, so that’s why we’re doing a second event for more folks to share their thoughts and concerns,” Davidson said in previously supplied material. “Republicans, Democrats and independents filled every seat and stood along the walls for two hours to discuss healthcare in an honest, spirited yet respectful way. People talked about Congress taking healthcare away from patients with preexisting conditions, raising the prices of prescription drugs, taking away lifesaving services such as mammograms and prenatal and maternity care. I appreciated hearing from people, both those who agree with me as well as those who disagree.
“Congressman Bill Huizenga had an opportunity to join the forum and share information that can help families overcome their healthcare challenges, and unfortunately, he chose to avoid his own constituents.”
Davidson was joined by two speakers at the Wyoming event, both of whom spoke about their and their family’s needs for affordable healthcare and their opposition to Republican-led attack on the Affordable Care Act (Obamacare).
One of the speakers was Heidi Draft-Peppin, a healthcare social worker whose husband is battling spina-bifida and whose has a child with autism.
“If the Republicans have their way, and the pre-existing conditions (coverage) of Obamacare is eliminated, it would devastate our family,” she said.
Children who accidentally swallow button batteries should immediately be given honey to reduce their risk of serious injury and death, according to a new study done with pigs.
“Button batteries are ingested by children more than 2,500 times a year in the United States, with more than a 12-fold increase in fatal outcomes in the last decade compared to the prior decade,” study co-principal investigator Dr. Ian Jacobs said in a Children’s Hospital of Philadelphia news release.
“Since serious damage can occur within two hours of ingesting a battery, the interval between ingestion and removal is a critical time to act in order to reduce esophageal injury,” he noted.
Jacobs is a pediatric otolaryngologist and director of the hospital’s Center for Pediatric Airway Disorders.
When a swallowed button battery reacts with saliva and tissue of the esophagus, it creates a solution that dissolves tissue and can cause severe damage to the esophagus, airway, vocal cords and major blood vessels, the researchers explained.
The longer it takes for the battery to be removed, the higher the risk of serious injury.
The researchers used live pigs to test if a variety of liquids—including honey, juices, sodas and sports drinks—could provide a protective barrier between a swallowed battery and tissue until the battery is removed. They found that honey and a medication called sucralfate were the most effective.
The study was published online in the journal The Laryngoscope, and the findings are being incorporated into the latest National Capital Poison Center Guidelines for management of patients who’ve swallowed button batteries.
“Our recommendation would be for parents and caregivers to give honey at regular intervals before a child is able to reach a hospital, while clinicians in a hospital setting can use sucralfate before removing the battery,” Jacobs said.
But the researchers said these substances should not be used in children who may have sepsis or perforation of the esophagus, severe allergy to honey or sucralfate, or in children younger than 1 year old due to a small risk of botulism.
“While future studies could help establish the ideal volume and frequency for each treatment, we believe that these findings serve as a reasonable benchmark for clinical recommendations,” Jacobs said. “Safely ingesting any amount of these liquids prior to battery removal is better than doing nothing.”
The study’s other principal investigator, Dr. Kris Jatana, a pediatric otolaryngologist at Nationwide Children’s Hospital in Columbus, Ohio, said the shiny metallic batteries should be stored where toddlers can’t get to them.
“Parents and caregivers should check all electronic products in the home and make certain that the battery is enclosed in a compartment that requires a tool to open and periodically check to ensure it stays secure over time,” Jatana said in the news release.
Other uses for honey
Honey is an artisanal food that can be used as a sugar substitute.
Keep coin lithium battery-controlled devices out of sight and reach of children.
Remote controls, singing greeting cards, digital scales, watches, hearing aids, thermometers, children’s toys, calculators, key fobs, tea light candles, flashing holiday jewelry and decorations all contain button batteries.
The Spectrum Health Helen DeVos Children’s Hospital injury prevention team has compiled information and tips to help you with home safety to limit these dangers.
If your child ingests a button battery, call your poison center at 1.800.222.1222 and visit your local emergency room.
When it comes to figuring out Medicare, it can feel as though we’ve taken on an encore career trying to sort through it all. There’s Medicare, Medicare Advantage, Medicare supplemental insurance, part D coverage and then the retirement insurance you may already have. It can feel overwhelming. With the Open Enrollment period right around the corner, it might be time to get some help with deciding what plans work best for meeting all of your healthcare needs. The Michigan Medicare/Medicaid Assistance Program, or MMAP for short, is available to do just that.
MMAP is part of a federal program that provides free local healthcare coverage counseling to people with Medicare. MMAP is non-profit and run by highly skilled volunteers.
Bob Callery, MMAP Regional Coordinator, states, “MMAP does not have any affiliations with insurance companies and our volunteers are not licensed to sell insurance.”
This is important, because it means the MMAP counselor is looking at what is in your best interest. MMAP counselors will explain Medicare benefits and how they work, review prescription plans, Medicare Advantage Plans and Medigap policies. They are also able to help individuals apply for benefits. Having the right coverage can make a big difference in a person’s life (and their finances).
Sharon, a MMAP counselor, met with a woman who was living on about $900 per month. She was a widow and paying for the health coverage her husband had before he died. She was paying approximately $400 a month for this coverage.
“That didn’t leave her much to take care of her house and utilities,” Sharon relates, “We talked about getting her on supplemental insurance through Medicare. She was really reluctant at first, but in the end we were able to save her about $300 more a month.”
File photo
Another MMAP counselor shared a similar story. Karen received a call from a person living on a little over $700 per month who exclaimed, “I can either eat or take my medications.” Karen was able to get help her do both by reviewing her coverage and helping her get the benefits that worked best for her.
Open Enrollment for Medicare begins Oct. 15 and runs until Dec. 7. MMAP recommends Medicare beneficiaries review their plans every year to check for policy changes. The plan you’re currently on can change the medications they cover, their network of pharmacies, even premiums, deductibles and co-pays. At the same time your own needs might be changing as well, requiring a different kind of coverage than you had this year. Reviewing your benefits and insuring your coverage is right for you might help you avoid costly payments.
The Social Security Administration has also begun releasing the new Medicare cards. In an effort to reduce identity theft and fraud, the cards were redesigned to remove your social security number and to replace it with a unique identifier. Michigan residents will see them arriving this fall with all new cards being mailed before March 31, 2019.
Callery advises, “These cards will be mailed to the current mailing address on file with Social Security. Make sure you contact them if your address needs to be updated.” Mr. Callery also warns, “Social Security and Medicare do not call beneficiaries to update their records. If you receive a call like this, it is a scam. Do not give any of your personal information to the caller and hang up the phone!”
MMAP counselors are available to meet with people in person, over the phone and are available for home visits for those who are home-bound. If you’re interested in working with MMAP to review your Medicare benefits you can reach a MMAP counselor by calling your local Commission on Aging, dialing (800) 803-7174 or contacting Area Agency on Aging of Western Michigan at (888) 456-5664 or aaainfo@aaawm.org. You can learn more about MMAP by visiting their website, www.MMAPInc.org.
By Brenda Long, Michigan State University Extension
Many older adults value a high quality of life that is directly tied to the ability to continue living independently. Independence depends on if the home continues to meet the older adult’s needs and whether they have a continued connection to daily services, based on a report by the Joint Center for Housing Studies of Harvard University — Projections and Implications for Housing a Growing Population: Older Households 2015-2035. Let’s explore these decisions to help you devise a realistic strategy.
According to the Make the Most of Your Home’s Value lesson from the National Endowment for Financial Education (NEFE), there are some financial obligations to consider related to homeownership. Beyond any mortgage debt obligations, these include property taxes, homeowner’s insurance, utilities, homeowners association (HOA) fees, repairs and cost-of-living increases. Do you have adequate income and savings to cover these expenses? According to the U. S. Department of Housing and Urban Development (HUD), housing costs should be less than 31 percent of income to be affordable. However, an estimated 12 million renters and homeowners are cost burdened, paying more than 50 percent of their income on housing. It is recommended to pay off one’s mortgage before retirement, if possible. Also, it is critical to understand the income tax implications for annual deductions and home sale capital gains exclusion.
Other considerations are your values and lifestyle preferences. How do your priorities impact your decision to stay in your current housing or transition to a different situation? Think about these factors:
your social network
proximity to family, friends, and caregivers
access to transportation
weather/climate
closeness to health care services
mobility issues
family legacy and security
local income taxes and/or inheritance and estate taxes
whether or not your home can be modified
manageable home and yard maintenance
Programs from local and national organizations are available in Michigan to help repair single family homes. They include weatherization, repairs and improvements, and accessibility modifications to assist homeowners to stay in their homes.
Consider attending our free Retirement Planning online workshops held several times each year. The September series registration is https://events.anr.msu.edu/RetirementSept18/. Financial planning takes time, patience, and discipline. Find more information about financial and housing decisions at MIMoneyHealth.org.
The answer could be yes if you use the towel for many purposes, have a large family and are not a vegetarian, according to a new study of germs lurking on towels.
Forty-nine percent of the kitchen towels collected for the study were laden with bacteria, and the bacterial count increased with the number of family members and kids, researchers from the Indian Ocean island/nation of Mauritius reported.
“Cross-contamination is happening in the kitchen, and those bacteria could reach our food and cause food poisoning,” said lead researcher Susheela Biranjia-Hurdoyal. She is a senior lecturer in the department of health at the University of Mauritius.
Specifically, the researchers found that towels used for a variety of tasks—such as wiping utensils, drying hands, holding hot utensils or cleaning surfaces—had more bacteria than towels used for one task. In addition, damp towels had more bacteria than dry ones, the investigators found.
Of the 49 samples that were infested with bacteria, 37 percent had Escherichia coli (E. coli), 37 percent had Enterococcus, and 14 percent were infected with Staphylococcus aureus (S. aureus).
For the study, Biranjia-Hurdoyal and her colleagues sampled 100 kitchen towels that had been used for one month. They classified the types of bacteria on the towels and also how much bacteria was present.
Higher rates of S. aureus were found among low-income families and those with children, the findings showed. The risk for E. coli was higher in damp towels than dry ones, from towels used for several jobs rather than single-use ones, and from those used in non-vegetarian households.
Both E. coli and S. aureus were found at higher rates in families with non-vegetarian diets.
E. coli is a normal bacteria found in the intestine and is released in large numbers in human feces. S. aureus is a bacteria found in the respiratory tract.
The researchers’ advice? “Avoid humid and multi-usage towels,” Biranjia-Hurdoyal suggested.
Kevin Sauer is an associate professor of dietetics at Kansas State University College of Human Ecology in Manhattan, Kansas. He said, “The key advice is to remain attentive to food safety when preparing food in the home, which includes proper hand-washing, avoiding cross-contamination, and cooking and storing foods at the right temperatures.”
In a food-handling study he did in 2015, Sauer found that cloth towels were the most contaminated.
“However, even when provided with disposable single-use paper towels, participants were still observed using these in a way that led to additional contamination of contact surfaces,” he noted.
Sauer advised that people should avoid using towels in place of hand-washing, because they can easily become contaminated with harmful germs from raw meat and poultry juices.
“Furthermore, reusing contaminated towels to wipe hands or other surfaces can easily lead to cross-contamination, and therefore should not be reused throughout meal preparation, since they too can contribute to contamination of hands, surfaces or other food products,” Sauer said.
Findings from the study were scheduled for presentation at the American Society for Microbiology meeting, in Atlanta. The findings should be considered preliminary because they have not yet been published in a peer-reviewed medical journal.
According to Jessica Corwin, MPH, RDN, community nutrition educator for Spectrum Health Healthier Communities, and Kristi Veltkamp, an outpatient dietitian at Spectrum Health Blodgett Hospital, we should all follow these key tips to avoid cross-contamination:
Always wash your hands with soap and water before preparing or handling food.
Keep raw meat, poultry and seafood securely wrapped to prevent any juices from contaminating prepared dishes and raw foods.
Take time to rinse fresh fruits and vegetables under running water. Scrub any firm-skinned produce with a vegetable brush.
Avoid re-using towels, platters or utensils that were used with raw meats.
Corwin urges people to follow food safety precautions, even if they ignored them in the past and didn’t feel any ill effects.
Not everyone responds to infections the same way. Those most at risk of serious complications include small children, pregnant women, the elderly and those with compromised immune systems.
By Beth Clawson, Michigan State University Extension
Michigan is home to more than 1.3 million onsite wastewater treatment systems. Most are for single family homes that include a septic system. Indeed, the onsite wastewater treatment system including a septic tank and soil absorption field is the most common domestic wastewater treatment system in rural homes in the United States. In Michigan, it is estimated that 10 percent of these systems are in some level of malfunction or have failed.
Malfunctioning and failed onsite waste water systems make our ground and surface waters susceptible to fecal contamination. Several rivers in the Lower Peninsula have been tested during low-flow conditions and were found to contain genetic markers indicating the presence of human fecal matter. This contamination can come from leaky septic systems. Keeping septic systems in good repair can protect Michigan’s water quality.
Rural homes in Michigan include onsite wastewater systems that require regular maintenance. Maintenance and inspection of your system depends upon its size, the number of people that live in the home and what county you live in. Michigan is the last state to still adopt uniform onsite wastewater regulations. Lack of uniform statewide laws leaves regulation and inspection laws up to local officials through county health departments and districts. This means that rules for onside wastewater system laws vary between counties.
Most counties have a sale transfer ordinance requiring septic tank inspections but few have the same or similar size and installation regulations. Most ordinances cite the average of pumping and inspecting recommendation of every three years for a family of four. Many also require inspection of newly installed systems. None return a year or two later to ensure that the system is functioning properly.
An onsite wastewater system typically consists of three basic parts:
The drain waste pipes from the house into a septic tank;
The septic or settling tank, sometimes divided in half with a baffle; and
The dispersion box and soil absorption or drain field.
Waste water flows from the toilets, laundry and sinks in the home through the drain pipes to the septic tank. The septic tank, made of solid cast concrete (in most cases) has an inlet and an outlet for effluent. Once the waste enters the tank the solids settle to the bottom to decompose and become the sludge layer. Effluent water is in the middle and the lighter grease and soaps float to the top to create the scum layer. The effluent water flows out through a pipe to the drain field. Newer tanks sometimes contain a baffle creating a second settling area before water is released to the soil absorption field. Michigan State University Extension’s webpage on Septic systems gives more detail on this topic.
If the sludge is not pumped out on a regular basis then the layer gets thick allowing solids to flow into the drain field. This plugs and compacts in the drain tiles and the soil causing failure. Many times people think that this is a sign that the septic is full, and indeed it is but it is also a failure. Drain field failure requires soil removal and replacement and can become an expensive repair. This is one of the most common failures. Other common causes of septic failure include tanks collapsing from being driven or parked on; tree roots; excessive water from parties or heavy rains; pipes clogged from flushing items other than toilet paper such as, feminine products and personal sanitary wipes; biological processes stopped from over use of chlorine or antibiotic soaps.
If you are experiencing sewage waste backup into your house from your septic tank this may indicate a total blockage of the tank and drain field and could indicate a costly repair or replacement. Regular inspections and pumping can prevent expensive repairs later. Just as it is recommended to regularly inspect our cars and furnaces, we should also inspect and clean out our onsite waste water systems. The average recommendation is every three years for a typical family home with three bedrooms equipped with a 1000 gallon tank. It’s important to know the size of your septic tank.
Older homes may have smaller tanks. Smaller tanks need to be pumped more often. For example, if a three-bedroom home has a 900-gallon septic tank with six people living there, they should schedule their pumping for every one and one half to two years to avoid failure. If a home uses a garbage disposal, consider that they are increasing the amount of solids (pre-digestion) going into the tank. This home will require more frequent pumping.
Concrete, plastic and fiberglass tanks are not infallible, lots of things can cause the material to fail resulting in collapse. Inspectors look at the integrity of your system. Fractures caused by frost/freeze break up, ground heaves, earthquakes, manufacturer defect, burrowing animals, and tree roots all have an impact on our systems. Michigan DEQ does have a guide on subsurface onsite wastewater treatment systems but its recommendations are not enforceable by law. Michigan County Environmental Health departments have laws, consult your County for its recommendations for onsite waste water system maintenance.
For more in depth information the National Environmental Services Center, West Virginia University has a good publication that includes a time table in years for pumping recommendations at http://www.nesc.wvu.edu/pdf/ww/septic/pl_fall04.pdf.
If you want to learn more there are videos available: Click here for a short video (under five minutes) about onsite wastewater septic systems, or click here for a longer training video (about 110 minutes) about onsite wastewater septic systems.
For more information about and water quality contact Beth Clawson, MSU Extension Educator. To learn more about onsite waste water treatment septic tanks, contact Michigan State University Extension Natural Resources educators who are working across Michigan to provide water quality and septic tank maintenance educational programming and assistance. You can contact an educator through MSU Extension’s “Find an Expert” search tool using the keywords “Natural Resources Water Quality.”
By Sonny Haskins, Master of Public Health Care Administration Intern at Wyoming Community Health Center
Colorectal cancer is the third most common cancer diagnosed in men and women. It is the third leading cause of cancer related deaths in women, and the second leading cause in men.
Lifetime risk of developing colorectal cancer:
1 in 21 for men
1 in 23 for woman
The American Cancer Society estimates that in the United States in 2017 there will be:
95,520 new cases of colon cancer
39,910 new cases of rectal cancer
Colorectal cancer is a concern throughout the United States, however death rates from colorectal cancer has declined over several decades for both men and women. This trend may be caused by the improved care to treat colorectal cancer over the years. The decline can also be credited to the ability to screen patients for early signs of the cancer; with these screenings, colorectal cancer can be prevented.
When you should get your colorectal cancer screening:
You should begin screening annually soon after you turn 50 years old
If you or a close family member have had colorectal cancer or signs of colorectal cancer
If you have been diagnosed with familial adenomatous polyposis (FAP)
If you have been diagnosed with hereditary non-polyposis colorectal cancer (Lynch Syndrome)
If you have not been screened for colorectal cancer contact your primary care provider to schedule your appointment today.
Remember with a colorectal cancer screening you can be preventing cancer!
Summer is in full swing here here in Michigan, and aside from the warm days and clear skies, summer means that the kids are out of school. Whether they’re around the corner or coming for a special visit, spending quality time with your grandkids is a great way to enjoy the season, and there are so many options for fun activities that everyone can enjoy. Having an itinerary for good weather and bad is essential for any grandparent, but which activities should be added to the list of must do’s? Here are 6 ideas for summer fun with the grandkids!
Rock Painting
Rock painting is a fun activity perfect for all ages. It’s also inexpensive, as most of us can find buckets of rocks in our backyard. Art projects are fun for everyone, but there’s more value in getting creative than just enjoyment: kids get to be expressive and work on problem-solving skills, and everyone gets a lasting keepsake from the visit.
There’s no right or wrong way to do rock painting. Just find any rocks, large or small, then wash them thoroughly to remove any dirt or sand on the surface. Acrylic paints are easy to find, washable, and dry quickly–just be sure to seal it with a spray sealant to make sure that your craft stays vibrant.
Baking
We all know how Michigan weather can be. One minute it’s a bright sunny day, and the next it’s a gloomy downpour. Baking is the perfect activity to make the most of less-than-perfect weather.
The family recipes will forever hold a place in your grandkids hearts, and passing along recipes is a meaningful way to make memories. But you can also consider mixing it up a bit with a more unconventional recipe. For example, kids love the creativity and silliness involved in making kitchen sink cookies. They consist of whatever you have lying around: nuts, candies, spices–the options are limitless. This is a great way to get your grandkids engaged and thinking creatively. You might end up with peanut butter and mint cookies with Cheerios on top, but you’ll have a blast bonding with your grandkids. Just remember, it’s best to make small batches.
Picnics
Everyone loves a good picnic. Getting away and eating a meal outside is a break in most people’s usual day-to-day, and they’re so easy to organize. Try picking a spot that’s near a nature walk or in a park. After you are done eating you can play and explore until your heart’s content.
Visiting an animal shelter
Visiting an animal shelter is another excellent rainy day activity. Many shelters have rooms for kids, under supervision, to interact and play with cats or dogs. Some shelters will even let you walk the animals. This serves a dual purpose: animals are socialized and more likely to make good pets, and your grandkids will have a blast interacting with them. Visiting animal shelters is also a valuable educational experience. It’s a way to build empathy towards animals, and inspire kids to give back to their communities.
Science experiments
Doing science experiments with your grandkids is educational and fun. It’s important to always keep children engaged with learning, even over the summer, and easy science projects are a great way to get them interested. There is nothing more memorable than watching their faces as they light up with wonder and amazement from a toilet paper rocket blasting off.
There are many science kits you can buy online or at the store, but you don’t have to spend a lot to create exciting projects. There are countless DIY experiments you find online. For example, try putting an egg in vinegar and watch as it dissolves the shell. Learn more about how plants grow by putting celery stalks in colored water. Or, you can always do the classic Mentos in diet soda trick to make an explosion–just put safety first, and be ready for some sticky clean-up!
Making jam
Michigan is full of amazing orchards and farms with a ‘pick your own’ option available. The summer offers a variety of fruit to choose from. The most popular ones include strawberries, peaches, blueberries, blackberries, cherries, and raspberries. Native Michigan fruits are a delicious treat when eaten fresh, but you can make them into another fun, educational activity by creating jams and preserves. Everything tastes better homemade, and jams are no exception. They’ll get to see the process from start to finish and bring home a sample of their work.
In the summer months, explore different ways you to connect with your grandkids. Michigan has an endless supply of grandchild-friendly activities, meaning long summer days filled with endless smiles and continuous laughter. These are the precious memories that last a lifetime.
Service dogs may help reduce levels of the stress hormone cortisol in military veterans who have post-traumatic stress disorder, a new study finds.
For the study, researchers compared a group of veterans with PTSD who had a service dog to a group of veterans on the waitlist to receive one.
“Our previous research suggests that the presence of a service dog reduced clinical PTSD symptoms and improved quality of life,” said study co-leader Maggie O’Haire. She is an assistant professor of human-animal interaction at Purdue University’s College of Veterinary Medicine, in West Lafayette, Ind.
“In this study, we wanted to determine if those beneficial effects also included changes in the physiology of stress,” O’Haire said in a university news release.
The researchers focused on cortisol, a biomarker involved in the stress response system, and one that is detected through saliva.
According to study co-leader Kerri Rodriguez, “military veterans with a service dog in the home produced more cortisol in the mornings than those on the wait list.”
Rodriguez explained that “this pattern is closer to the cortisol profile expected in healthy adults without PTSD.”
In addition, “having a service dog was also associated with less anger, less anxiety and better sleep,” she noted. Rodriguez is a human-animal interaction graduate student.
The findings are the first of their kind and offer insight into how service dogs may provide mental health benefits to veterans with PTSD, according to the study authors.
The researchers are now conducting a large-scale, long-term U.S. National Institutes of Health clinical trial comparing veterans with service dogs to those without.
The report was published in the journal Psychoneuroendocrinology.
Benefits of owning a dog:
Fight heart disease. Owning a dog has a positive impact on blood pressure, which is one of the main factors in heart attack and stroke, according to Thomas Boyden, MD, MS, Spectrum Health program director of preventive cardiology. The American Heart Association reports a link between pet ownership and lower cholesterol and triglyceride levels. Studies also show you’ll be more likely to survive a heart attack if you have a dog.
Relieve stress. “Being around pets, and dogs in particular, actually changes your body at a hormonal level,” Jared Skillings, PhD, ABPP, Spectrum Health chief of psychology said. Of course, it’s not a cure-all. “Getting a dog won’t cure depression or clinical anxiety, but it certainly can help.”
Reduce loneliness. Dogs provide unconditional love. They’re caring, excited to see you and glad to be by your side. Need to talk? “Dogs are good listeners and they’re not going to argue with you,” Dr. Skillings said.
Improve sociability. There’s also the added benefit of the camaraderie among dog owners. “Having a dog can connect people to other pet owners, which can reduce isolation, too,” Dr. Skillings said.
Inspire exercise. A study published in the journal BMC Public Health said the average dog owner walks 22 minutes more per day than those who don’t own a dog. Daily walks have lots of added benefits, from controlling chronic conditions to burning weight and improving moods.
Add purpose. Having a dog or any other pet can give you a reason to get going in the morning. Size doesn’t matter. In fact, cats, horses and birds can all have a similar effect. Even tiny pets—hamsters, mice, fish, insects—can imbue you with a sense of purpose. In one study, elderly people were asked to care for a cage of five crickets. After eight weeks, the people who had the crickets in their homes were less depressed and had better cognitive function than those in the control group.
The City of Kentwood announced today that Kalamazoo Avenue from 52nd Street to 60th Street is slated to be closed from 9 a.m. to 3 p.m. on Thursday, Aug. 2 while the road receives a joint repair treatment.
The MSU Extension Master Gardener Program changes lives. Committed to improving the quality of life in Michigan through horticulture-based volunteerism and beautifying communities throughout the state, the program provides instruction in basic, research-based horticulture science to motivated and active gardeners through an adult (18 years or older) educational program offered by MSU Extension. More info here.
We’ve been fed alternative facts: There is no such thing as multi-tasking. You’re not doing two things at once, you’re switching back and forth. And if you have three or four or five things going, your performance suffers.
Your little one’s first day back to school isn’t that far off. Now is the time to think about new strategies for a productive school year. (Courtesy Spectrum Health Beat)
By Sue Gunnink, Spectrum Health Beat
It’s always difficult transitioning from the laid-back summer schedule to the hectic schedule of the school year.
It usually takes a good month or so to get back into the groove, at least to where you feel confident everyone in your household is back on track.
And once you’ve gotten into the groove again, don’t you wish you could keep it going all year long? Wouldn’t it be great to keep everything running smoothly ’til next June?
It just so happens that a few handy tips can keep your family functioning like a well-oiled machine, at least when it comes to nutrition and meal preparation.
We all know that one of the best tools in the toolbox is the lunchbox.
Here’s how to keep your meals on track all year long:
Pack ahead
Pack lunches the night before to avoid the rush in the morning. This gives you more time to plan meals, which increases the chances you’ll select nutritious foods. Have your kids get involved in the lunch packing, too. They’re more likely to eat the food in their lunch when they’re involved in the process.
Be a portion pro
To simplify lunch preparation, cut your fruit into individual portions for the week. For example: If you have three kids and want them to have fruit each day of the week, you can cut 15 containers of fruit on Sunday night.
Get stocked and ready
For after-school snacks, consider stocking healthier items that are easy to grab, such as trail mix, unbuttered popcorn, or peanut butter on sliced apples or pears.
Coordinate schedules
Plan dinners in advance. On Sunday night, take a moment to survey your family’s schedule for the coming the week, identifying nights that involve sports practice, school activities, special events and so forth. Plan the meals accordingly. Consider having one night where your child is responsible for coming up with a meal.
Prep and freeze
Consider preparing and freezing meals well in advance. Once every few months, you can make a large batch of a particular food item, such as lasagna, then divide it into dinner portions. These can be frozen and labeled for easy use later on.
Are you interested in learning more about balanced nutrition? Schedule a personalized appointment with a Spectrum Health registered dietitian or call 616.391.1875 to register for a group class series.
In a tech-centric world, it’s tough on the brain to focus on any one thing as it’s bombarded with data. (Courtesy Spectrum Health Beat)
By Don Shell, Spectrum Health Beat
It was another typically busy day.
In between testing patients, Michael Lawrence, PhD, ABPP-CN, a clinical neuropsychologist with Spectrum Health Medical Group, found himself answering instant messages and emails, grabbing a quick lunch, calling AT&T about his cell phone bill, racing to Blodgett Hospital for a meeting, and reading an article a certain Health Beat reporter had sent him for an interview.
If that sounds all-too familiar to you, you’re not alone. But if you think you’re multitasking, what you’re really doing is kidding yourself, Dr. Lawrence said.
“We all have to do it to some extent,” he said. “But we know multitasking is a misnomer. We have to be aware that you’re not doing two things at work, you’re switching back and forth. If we have three or four or five things, our performance suffers.
“The problem is, we don’t know how to deal with technology. We’re bombarded by things.”
Our cell phone addictions are doing more than stifling our real-world social lives: they’re stifling our creativity, too, Dr. Lawrence said.
“We used to think that different parts of the brain were responsible for controlling different abilities, but what we’ve learned with recent advances in neuroscience is that actually your brain is networked together,” he said. “The Default Mode Network, the DMN, actually encompasses the prefrontal cortex and the limbic system. That’s the part of the brain that turns on when you’re at a resting state. And studies have shown that creativity is increased when you do nothing at all first.
There’s an app for that
New app helps track your cell phone addiction.
Are you addicted to your cell phone? If you’re like a growing number of Americans, the answer is probably yes – and it’s likely worse than you thought.
Enter the new app called Moment, which can track just how often you check your messages, emails, Facebook or anything else.
You can even set daily limits on yourself and force yourself off your device when you’re over your limit.
“It’s the last thing you look at before you go to bed, and the first thing you wake up to,” Dr. Lawrence said. “That’s why this Moment app is so interesting. I don’t think people realize how addicted they are to their phones.”
“When you’re doing too much at once, this area of the brain is burning too much energy, and your capacity to do any one thing suffers.”
This flies in the face of the common belief that things such as music can help increase focus and productivity, Dr. Lawrence said, but that doesn’t mean people can’t juggle tasks at all.
“I think you can do two things at once, but the problem is, you don’t do any one thing as well,” he explained. “The research says the quieter the environment, the more sterile, the better you do. People say they focus better with music, but your brain has to turn on to process music, and if it’s expending energy to process music, that’s energy it’s not using on whatever else you’re doing.”
The multitasking myth isn’t age-specific, either.
“They talk about kids with video games, but I think adults are even worse,” he said. “I went to a meeting the other day and everyone was on their cell phone. They say technology is making everybody ADD. It makes our lives better in some way, but at what cost? There has to be some moderation.”
Dr. Lawrence said he has a simple way to fight the anxiety of overstimulation.
“We all have that feeling, when we’re being pulled in a million different directions,” he said. “When I do it, I realize it and get anxious. What’s the first thing I do? I turn off everything–my cell phone and email–and create a checklist of the things I need to do. That helps me focus and prioritize what I need to do.”
The bottom line, says Dr. Lawrence, “We have to learn to adapt, because technology isn’t going away.”
By Spectrum Health Beat Staff; photos by Chris Clark
Imagine snoozing comfortably at home while your bed measures your heart rate and breathing—and enters those vital signs into your medical record.
Imagine tapping an app on your smartphone when you want to ask your doctor about a new symptom.
As health care technology gets smarter—and more personal—patients will find new ways to monitor their medical conditions and connect with medical experts.
Spectrum Health staff got a glimpse of products under development recently at an open house organized by Spectrum Health Innovations. Two companies involved in the Seamless Accelerator, a collaboration of startups and industry leaders, displayed their new devices to get reaction from the experts.
A bed that communicates
Hoana Medical, a Honolulu-based company, showed off its LifeBed system, a mattress coverlet embedded with sensors that measure vital signs. It detects heart and respiration rates—and can indicate whether the patient is in bed.
Photo by Chris Clark, Spectrum Health Beat
Staff can view the data at a central nursing station or on a handheld device, such as a smartphone.
The device aims to eliminate the need to attach sensors, electrodes, cuffs and other monitoring equipment directly to the patient, said Edward Chen, president and chief operating officer of Hoana.
“I think in a med-surg world it could be beneficial to have this continuous monitoring available,” said Liz Schulte, an inpatient nursing supervisor at Spectrum Health Butterworth Hospital.
A rise in breathing or heart rate could indicate a patient is experiencing more pain, for example, prompting the nurse to check in. Or it might signal that a confused patient is becoming agitated, perhaps planning to get out of bed to use the bathroom.
“We can go in there and proactively act on that,” Schulte said. “A bed alarm is good only once a patient gets out of bed.”
The smartphone connection would be a big plus, she added. It would allow a nurse to view vital signs for a number of patients from any location.
The LifeBed system plugs directly into the wall, but also can operate wirelessly.
“It simplifies the process of having to move monitors,” Chen said. “It has been tested in ambulances and helicopters. Imagine deploying it for large-scale emergency triage on stretchers.”
Photo by Chris Clark, Spectrum Health Beat
The version displayed at Spectrum Health is intended for use in the medical-surgical, acute care or home care settings. A steady stream of nurses, doctors and therapists filed through the two-hour open house. Some tried out apps and lay on the LifeBed, watching their vital signs appear on a smartphone screen.
“I really thought the vital sign communication with electronic capability was great,” said Laura McPherson, pediatric lead therapist in respiratory care at Spectrum Health Helen DeVos Children’s Hospital.
The system would be even better, she said, if it could be converted to a hardback surface, which would be useful in reviving a patient in cardiac arrest.
“This could be the total package,” she said.
A doctor-patient app
Friendly Health Technologies of San Ramon, California, presented information on software and apps that connect patients with their doctor or other medical care providers.
Patients could log in to the app on a tablet or smartphone to report common illnesses.
The app asks a series of follow-up questions, using evidence-based guidelines, and enters the information into the individual’s medical record. The physician or care provider can then prescribe medication or request a face-to-face visit.
The company would adapt the software for different medical specialties, tweaking the questions to match the issues patients are likely to report.
“I’d like to see it in action,” Ginny Richards, a Spectrum Health Medical Group nurse educator, said of the telemedicine app. “It might have good potential for families that are reluctant to call.”
Photo by Chris Clark, Spectrum Health Beat
Customer validation is “an absolute necessity in product development,” said Brent Mulder, PhD, senior director of Spectrum Health Innovations. “If they get that extremely valuable feedback, it can validate their current course of action or cause a course correction.”
Spectrum Health is one of seven partners in the Seamless Accelerator, a collaboration that gives entrepreneurs access to industry expertise while offering experts the chance to influence the direction of next-generation devices.
About enhancing health
The evolving health care technology field encompasses a number of user-friendly apps and gadgets in development that will make it easier for patients to stay on top of their health care, said Eric Topol, MD, the author of several books, including “The Patient Will See You Now: The Future of Medicine is in Your Hands.”
They include:
A bandage that monitors how a wound is healing and delivers medication when needed
A ring that detects when a patient is asleep or awake and can be used in at-home sleep studies
A tiny device that measures blood sugar levels—without a needle poke or drop of blood. Someday, Dr. Topol predicts, “Fingersticks for glucose will be obsolete.”
Already on the market is an ear scope that attaches to a smartphone. When parents suspect their child has an ear infection, they can capture a video of the inside of the child’s ears and send it to the doctor for diagnosis.
Consumer-focused “on-demand medicine” can mean more efficient care, Topol said at a recent speaking engagement. Research shows the average wait for a doctor’s appointment is 2.6 weeks. And once they arrive at the office, patients wait, on average, 61 minutes.
By communicating electronically with their doctor or running basic tests with their smart phone, patients can save time and often rest comfortably at home when they aren’t feeling well.
“It’s really about enhancing the health of humans,” he said.
Learn more about new forms of health care technology at Spectrum Health Innovations and to learn about e-doctor appointments, visit the MedNow website or call 844.322.7374.
Are you looking for that extra burst of energy in the middle of the day? How about your teenagers? Are you or your teenagers consuming energy drinks? Frequently, parents question how safe energy drinks are, especially for teenagers.
Caffeine Content of Energy Drinks
Energy drinks contain caffeine and may contain other stimulants such as taurine and guarana. According to the Mayo Clinic, excess caffeine consumption can lead to irritability, nervousness, insomnia, an increase in heart rate and increased blood pressure. Caffeine consumption can be harmful for children with certain health risks. Another reason for concern is that the amount of caffeine in each type of drink varies considerably and the caffeine content may not be listed on the beverage container. The American Academy of Pediatrics (AAP) provides a listing of caffeine content by specific energy drinks that shows caffeine content varying from 70 mg. to over 200 mg. per eight ounces. The AAP has also recommended that children and adolescents should avoid energy drinks altogether.
Calories from Energy Drinks
Energy drinks and other sugary beverages, like soda, add extra calories without other important nutrients that children and teens need for growth. For example, one popular energy drink contains 130 calories and 34 grams of carbohydrates in an 8.3 ounce serving. These calories and carbs in an energy drink are higher than a cola. The National Health and Nutrition Examination Report 2017 (NHANES) found that only 33 percent of youth ages two through 19 met the 2015-2020 Dietary Guidelines for American recommendations to limit added sugars intake to less than 10 percent of total calories. With the higher prevalence of obesity in the United States, reducing sugar consumption is an important strategy towards achieving and maintaining a healthier weight.
Better Beverage choices
In order to avoid consuming caffeine and other stimulants from energy drinks and soda with added sugars, find other ways to quench thirst and to energize. Of course, water is the best choice when it comes to quenching thirst. Try adding fresh fruit slices, such as lemon or orange, to keep it interesting for kids. Low-fat milk and diluted fruit juices are also nutrient-rich choices. Limiting added sugars is recommended in the 2015 Dietary Guidelines. Consumption of beverages with added sugars can easily increase sugar intake above 10 percent of calories, which makes it difficult to achieve a healthy eating pattern.
Choose movement to increase energy
Physical activity increases our energy levels and burns calories too. The next time your children or teens are feeling tired in the middle of the afternoon, think carefully before reaching for an energy drink. Instead, suggest a short walk. Physical activity increases blood flow and results in feeling more energetic.
Take precautions before and after entering the pool to stay healthy. (Courtesy Spectrum Health Beat)
By Susan Hollman Krieger, Spectrum Health Beat
You know that sign at the entryway of your local pool that asks you to shower before entering the water? Do it.
And then make sure to shower again after you are done swimming for the day. You may be saving yourself and other swimmers a miserable summertime bout of diarrhea.
According to the CDC, although both E. coli and norovirus are eliminated by chlorine and other chemicals used in pools, cryptosporidium survives for up to 10 days. People who have or who recently had diarrhea can carry the parasite into the pool, exposing other swimmers. They, in turn, develop diarrhea a few days later.
So is the answer to stay out of swimming pools and head for one of Michigan’s beautiful lakes?
Not necessarily, said George Fogg, MD, PhD, an infectious disease specialist with Spectrum Health Helen DeVos Children’s Hospital.
“This parasite has always been around in our pools. It only receives attention when there is an outbreak of cases in a water park or in a community, for example, when cryptosporidium got into the Milwaukee municipal water supply,” Dr. Fogg explained. “The two most common parasites that can cause diarrhea are giardia and cryptosporidium and they have been around for a long time. We are seeing more incidences lately because we are doing a better job of detecting and reporting the cause of these intestinal disorders.”
Dr. Fogg said that swimmers developing diarrhea after being in a pool is still “very uncommon. You have a greater risk of getting norovirus on a cruise ship than getting cryptosporidium in a swimming pool—it is very rare.”
He recommends that swimmers who do experience diarrhea inform their health provider, although they will likely see the condition “self-correct” within a few days.
While there isn’t currently a chemical that is both safe to use in a pool and that would kill the parasite, Dr. Fogg said that taking normal precautions will help swimmers stay healthy.
Avoid ingesting any pool water. “That is how it gets into your system.”
Shower before and after swimming. “Soap can remove the spores from your skin and prevent you from inadvertently ingesting them through touch.”
Stay out of the pool if you have a compromised immune system. “That is who we really worry about—people who have other health conditions who are particularly vulnerable to parasites.”
All in all, Dr. Fogg said not to let unnecessary worry about what’s in the water curtail your traditional summer activities.
School garden advocates have multiple anecdotes that they can share to illustrate the value of including experiential garden education in curriculum and educational programs. They talk about how their students are more engaged, more willing to interact with the subject matter, more likely to eat the food they grow and sometimes even more likely to eat other produce items. Beyond anecdotes, there have been relatively few research studies that address the effects of engaging with school gardens, but researchers are working to change that.
Over the last decade or so, there have been an increasing number of research studies looking at the impacts of school garden education. When the results of these studies are compiled, trends and recommendations are more meaningful, and the experts agree. The Center for Disease Control has a panel of appointed experts that address public health issues. The Community Preventative Services Task Force (CPSTF) provides evidence-based findings and recommendations about community preventative services to improve public health. The task force decided to focus on school gardens last year, ratifying a report that reviewed several recent research studies in December of 2017 entitled Nutrition: Gardening Interventions to Increase Fruit and Vegetable Consumption Among Children.
The task force conducted a systematic review of 14 recent studies that investigated gardening interventions for youth. The studies were conducted in a variety of settings with youth ages 2-18. Study sites included early care and education, schools, after-school programs and communities. Studies were conducted in 4 different countries: United States, Australia, Canada and the United Kingdom.
Results showed that gardening activities increased youth consumption of vegetables and fruits in 13 of 14 studies. When the results were analyzed in relation to increasing vegetable intake alone, 12 of 14 studies showed an increase. Interestingly, fruit intake alone did not change significantly for any of the studies. The amount of vegetable and fruit intake was increased when gardening interventions were combined with nutrition education interventions, rather than just gardening alone.
The results of this review show that there is increasing evidence that garden interventions for youth can and do have an impact on increasing healthy eating habits. The review specifically recommends pairing gardening and nutrition interventions for increased success in fruit and vegetable consumption. Other recommendations included involving parents and caretakers in interventions and to share healthy eating messaging in the home, extending the garden education opportunities in harsher climates through season extension techniques and hiring a garden coordinator when possible that is dedicated to the upkeep and coordination of the garden.
While this review is something that school garden advocates can point to as evidence that school gardens do have an impact, there is still a need for further research that investigates potential benefits of school gardens.
Three well-deserving organizations recently received grants from the GM Foundation: the Greater Wyoming Community Resource Alliance, West Michigan Environmental Action Council (WMEAC), and Feeding America West Michigan Food Bank. Read all about it here.
Kentwood resident and bicyclist-on-a-mission Ken Smith, after a brief stop at home for his anniversary and time with family, quietly headed off from downtown Grand Rapids this week as part of a 3,500-plus west coast-to-east coast trip to raise funds for his grandson, Jakob, and awareness of all persons with neurological damage. More here.
Well, maybe healthcare technology isn’t quite that advanced, but still…
