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Medical Frontier's News
October 2009
October 20, 2009

In this Issue


Swine Flu: What do Do
by Terry Grossman, M.D.

This article will tell you what you need to know about swine flu--if

you are in a high risk group, whether to get a flu shot, what to do to

avoid catching the disease, what you can do at home if you get sick

and when it's time to seek medical attention.

The official name for the new form of influenza that is in the news

everyday and is rapidly spreading in many places around the world

right now is pandemic H1N1/09, but it is known more simply as H1N1 or

swine flu.

There have been so many cases of swine few that the government no longer has accurate statistics, but cases number in the millions. The mortality rate is about one-half of one percent and the majority of people who have died from swine flu had an underlying health

condition. This includes adults with heart or lung disease and

children with neurological problems such muscular dystrophy or lung

diseases such as asthma or cystic fibrosis.

Most of the time, symptoms of swine flu are similar to those of

standard forms of influenza that typically occur in the United States

in the winter. These symptoms include cough, fever, sore throat,

muscle aches, runny nose and fatigue. Most people are sick in bed with

swine flu for 3 to 5 days and then recover without aftereffects.

Differences between H1N1 and ordinary influenza

The main difference between pandemic H1NI flu and ordinary or epidemic

flu is the greater contagiousness of pandemic flu. H1N1 also affects

people year round, not just in the winter like the usual flu. Also,

while more than 90% of hospitalizations and complications from

seasonal flu are seen in people older than 65, H1N1 flu often spares

the elderly and appears to be more dangerous for younger adults and

children.

Even though this pandemic flu appears relatively mild for most people,

there are several reasons World Health Organization officials are

worried about it. Firstly, it is possible that more than a billion

people will contract swine influenza worldwide. Even with a relatively

low death rate, this could result in tens of

millions of deaths. There is also the possibility that this flu could

mutate and turn into a much more lethal variety capable of killing far

more people. Also, while most people have a relatively benign course,

there is a subset of people who become critically ill very quickly

after catching this flu. Unfortunately, a significant percentage of

people in this group develop severe complications sometimes resulting

in death.

What to do if you get sick

Most people who get swine flu will be sick for a few days and then

recover without aftereffects. If you have typical flu symptoms, take

the usual steps for any type of flu: rest in bed and take aspirin,

acetaminophen or ibuprofen for aches and fever if needed. Drink ample

fluids to avoid dehydration.

People with an underlying health condition that places them at risk of

complications should consider getting a prescription for either

Tamiflu or Relenza, two prescription drugs that have been shown to be

effective against swine flu. Pregnant women are at particular risk of

complications from swine flu and should seek medical care immediately

if they get sick.

At our clinic, we also recommend some additional treatments that can

be done to shorten the course, relieve symptoms and potentially help

you avoid complications. Our nutritionist/ traditional Chinese

medicine practitioner Karen Kurtak recommends a combination of 3

supplements: Cold Arrest I, Septonsil and Vitamin C that should be

taken at the very onset of flu symptoms. For results, these must be

started at the very onset of flu symptoms (sore throat and aches).

* Cold Arrest I contains a combination of herbs used in traditional

Chinese medicine to help fight infections. Dose: 8 pills 3 times a day

while sick.

* Septonsil is a German homeopathic "drainage remedy" that can help

sore throat and other flu symptoms. Dose: 15 drops in water 3 times

daily

* Vitamin C helps your immune system fight infections. Take 1000 to

2000 mg three times a day. If no stomach upset, feel free to take even

more while you are sick.

Another treatment that has been recommended by Dr. David Williams in

his newsletter Alternatives is inhalation of dilute hydrogen peroxide

aerosol into your lungs. Hydrogen peroxide kills viruses and bacteria

and can be safely inhaled if properly prepared and diluted. This

treatment is safe, can be done at home and may also help you get over

the flu more quickly.

At Frontier Medical Institute we stock the above supplements and can

prepare a dilute solution of sterile hydrogen peroxide in saline for

home use. You will need a nebulizer to aerosolize the solution so that

you can breathe it into your lungs. Treatments, which last 2 or 3

minutes, can be done once an hour during waking hours while you are

sick with the flu. The sterile hydrogen peroxide/saline bags have a 30

day shelf life and contain enough peroxide to treat an entire family

for several days. Nebulizers are available at your local pharmacy and

we also have a few at our clinic. For more information, call our

clinic at (303)233-4247 or (toll free) (877) 548-4387.

These home remedies may help lessen flu symptoms but are not meant to

replace standard medical care. If you develop any complications such

as those listed under "Warning Signs" above or get worse despite

utilizing these home treatments, seek medical attention immediately.

Warning signs

According to the Centers for Disease Control, the following are

warning signs. They may occur within a few hours or a few days after

you get sick, but should any of these occur, you should obtain medical

attention immediately:

* shortness of breath, either during physical activity or while

resting

* difficulty in breathing

* blue skin, particularly lips and fingers

* bloody or colored sputum

* chest pain

* altered mental status

* high fever that persists beyond 3 days

* low blood pressure.

In children, danger signs include fast or difficult breathing, lack of

alertness, difficulty in waking up, and little or no desire to play.

Prevention

People are contagious beginning one day prior to their becoming ill

with the flu until three days after they are well. Viral particles are

often found on solid surfaces as well as in the air, therefore,

frequent and thorough hand washing is prudent, particularly in crowded

environments. Wearing paper facemasks has not been shown to be

helpful.

To keep your immune system and optimal shape, be sure to get enough

sleep, eat a healthful diet including plenty of fresh fruit and

vegetables, and get regular exercise. Avoid sugary foods and junk

food, which depress the immune system. In addition, I recommend taking

a good multiple vitamin/mineral formula, 1-2 grams of fish oil and

2000 units a day of vitamin D3.

Immunization

A vaccine to protect against pandemic H1N1/09 is has just become

available. Children will need two separate flu shots to become

immunized, while one shot is expected to suffice for most adults. The

first lot of 45 million doses of vaccine will be followed by 20

million additional doses each week thereafter.

Unlike the usual flu, which is most dangerous for the very young (less

than 2 years old) and the old (over 65), H1N1 flu appears to be quite

dangerous for young adults and children. This disease seems

particularly severe for pregnant women. People born prior to 1957 seem

to have some degree of natural immunity to swine flu probably because

they have previously developed at least partial immunity and are less

likely to get it. Individuals with diabetes, underlying heart or lung

disease (asthma, emphysema) or problems with their immune system

(chemotherapy, dialysis patients) are at higher risk of complications

and should strongly consider being vaccinated.

Whether you choose to get swine flu shots is a personal decision. If

you were born prior to 1957, it appears you have some immunity,

however, there have been people in this age group who have contracted

H1N1. If you have an underlying health condition that puts you at high

risk, you should definitely consider getting vaccinated no matter what

your age. If you are pregnant, have diabetes, heart disease, lung

problems such as asthma or emphysema, problems with your immune system

or think that recovery from the flu would be difficult for you

(chronic fatigue syndrome, cancer, kidney disease or other chronic

health problems, for instance), you should get a flu shot. Otherwise,

you need to weigh the risks against the benefits of vaccination. Since

this is a new vaccine, these risks are as yet unknown. Children less

than 2 years of age should be vaccinated.


Cholesterol: Friend or Foe?
by Diane Henry, Fitness Director

Our bodies are made up of trillions of cells, and almost all of them produce cholesterol throughout our lives. Cholesterol is integral to our cell membranes. Saturated fats and cholesterol make the cell membranes firm. Without them we would be like jellyfish. In many cells, half of the cell membranes are made up of cholesterol. Different kinds of cells need different amounts of cholesterol depending on their function. If the cell is part of a protective barrier, it will need more cholesterol to make it firmer and resistant to any kind of invader, and if the cell needs to be soft and fluid, it will have less.

All the cells in the body communicate with one another using proteins fixed to membranes. This is possible because of cholesterol. The cholesterol is like sticky glue that keeps the proteins imbedded in the membrane.

Approximatley 25% of all the cholesterol in the body is in the brain. Myelin is a fatty substance that coats every nerve cell and also provides nourishment and protection to the brain and nervous system. Myelin is fully 20% cholesterol. Memories are created and stored when brain cells form connections called synapses with one another. Synapse formation is almost entirely dependent on cholesterol.

Cholesterol is also necessary for our immune system to function properly. It relies on cholesterol to fight infections and also needs cholesterol to build itself back up after the fight.

Most of the cholesterol does not come from food. The body produces cholesterol as needed, so when you eat more cholesterol, the body simply produces less. About 85% of the blood cholesterol is created in the liver and only 15% comes from food. Even if you are eating a low cholesterol diet, your body is still producing cholesterol.

Why do some people have more cholesterol than others? The inside walls of the blood vessels are covered by endothelium. Any damaging element we are exposed to such as an infectious organism or a toxic chemical , will attack the endothelium. In response the endothelium will send a message to the liver telling it there is a wound that needs to be fixed. The liver will send LDL cholesterol to the site to repair the damage. When the wound heals, cholesterol travels back to the liver (in the form of HDL).

For the past 30 years, cholesterol has been demonized by the medical community . Yet, cholesterol is one of the most important substances in the body and we cannot live without it. So the next time you are told you have high cholesterol, you may want to look at what’s going on in your life, in addition to what your healthcare provider is recommending for treatment.


Seafood Watch iPhone App
by Karen Kurtak, L.Ac.

An article appeared in our newsletter a few months ago discussing contamination and sustainability of seafood. Part of our philosophy at the Grossman Wellness Center is to empower people to be healthier by teaching them to make their own environment healthier. For years we’ve encouraged our patients to check in occasionally with Seafood Watch www.seafoodwatch.org to stay current with research on declining fish populations and high levels of contamination. Now Seafood Watch has a GREAT, free iPhone app with current contamination and sustainability status of seafood. They’ve even gone so far to divide it into geographic regions. To find this app just search for Seafood Watch. If you don’t have an iPhone, you can still go to the website link above or below.

Read more... Seafood Watch Link for Latest Information


Benefits of Exercise in Cancer Care
by Diane Henry, Fitness Director

If you’ve been diagnosed with cancer, exercise may be one of the last things on your mind, but there are plenty of reasons not to ignore it, even while you are in treatment. More and more health care professionals recognize exercise as a very important part of cancer recovery and treatment, and there is plenty of research to prove why.

In the past, people who were diagnosed with cancer were often told by their doctor to rest and reduce their physical activity. This may be true if movement causes severe pain, rapid heart rate or shortness of breath, but new research has shown that exercise is not only possible during cancer treatment, but can improve physical functioning and quality of life. Too much rest can result in loss of function, strength and range of motion. Regular exercise is an effective way to counteract these negative effects. Most cancer patients notice a loss of energy. During chemotherapy and radiation, about 70% of patients have fatigue. For many, fatigue is severe and limits their activity. Inactivity leads to muscle wasting and loss of function, however studies have shown aerobic training can reduce fatigue and make it possible to do normal daily activities without major limitations. Physical activity may boost the immune systems ability to suppress cancer cells. When one exercises, weight and body fat can be reduced, which could produce a lower estrogen level. Exercise speeds the passage of food through the digestive system, possibly leaving less time for carcinogenic substances to damage the intestines and colon. Studies have shown 30-60% of cancer patients improve in depression, mood elevation, self efficacy and pain management.

While there are many reasons for being physically active during cancer treatment, each person’s exercise program should be based on what is safe, effective and enjoyable for that person. The type of cancer you have, your cancer treatment and your fitness level all factor in to your exercise prescription. Always check with your doctor before starting any exercise program. This is especially important if you are taking treatments that affect your lungs (such as bleomycin or radiation to the chest), your heart (such as doxorubicin or epirubicin) or if you have a risk of heart or lung disease.

Exercise safety and precautions for cancer survivors

• Do not exercise if you have anemia (low RBC count during your treatment)

• If you have low WBC’s or medications that lower your ability to fight infection, exercise at home. Avoid public gyms and other public places until you are back at safe levels

• Do not exercise if the levels of minerals in your blood such as sodium or potassium are abnormal. This can happen if you have a lot of vomiting or diarrhea.

• Do not exercise if you have unrelieved pain, nausea/vomiting or any other symptoms of concern.

• Watch for unexplained weight gain, swollen ankles or shortness of breath while at rest or with only a small amount of exertion.

• To avoid irritation, do not expose skin that has had radiation to chlorinated pools.

• If you still have a catheter, avoid water and other exposures that may cause infections. Also avoid resistance training that uses muscles in the area of the catheter to avoid dislodging it.

• Do not exercise above moderate levels of exertion without speaking to your doctor or cancer exercise specialist.

The best level of exercise for someone with cancer has not been established, but the goal is to have your exercise program help you maintain endurance, muscular strength and flexibility. The more you exercise, the more your ability to exercise can improve and your ability to function can improve.

For more information contact:

Diane Henry, Cancer Exercise Specialist (diane@grossmanwellness.com)

Frontier Medical Institute/Grossman Wellness Center


Chronic Widespread Pain Associated with Vitamin D Status (in Women)
by Terry Grossman, M.D,

Chronic widespread pain (CWP) is defined as pain that occurs in multiple regions on both sides of the body for at least three months. CWP is quite common and surveys suggest that 10 - 15% of the population suffers from CWP at any given time. A recent study from Great Britain examined the relationship between chronic widespread pain and levels of vitamin D in the bloodstream.

Researchers measured 25 (OH) vitamin D levels in a group of 6824 individuals born in 1958 from England, Scotland and Wales. They found that the prevalence of CWP varied as a function of vitamin D status in women but not in men. The figures for women were as follows:

25(OH) vitamin D (ng/dl) Women with CWP

>40 9.8%

30-40 8.2%

20-30 11.6%

10-20 14.8%

<10 14.4%

Public health authorities recommend 25(OH) vitamin D levels greater than 30 ng/dl. The conclusions from this study suggest that women with vitamin D levels above this threshold are 57% less likely to suffer from chronic widespread pain. The figures for men only showed a 3% lower incidence of CWP with higher vitamin D levels, which was too small to be statistically significant.

Further studies are planned to see whether taking supplemental vitamin D might be useful in the treatment of chronic widespread pain.

Read more... For More Information


Some of Frontier Medical's Staff...

Terry Grossman, MD

Michael Catalano, MD

Karen Kurtak, LAc

Lolita Hanks, FNP-C

Frontier Medical Institute
Grossman Wellness Center

2801 Youngfield St - Suite 117
Golden, Colorado 80401

Phone: (303) 233-4247
Fax: (303) 233-4249

Frontier Medical Institute/Grossman Wellness Center is located on the west side of Metro Denver. It is adjacent to I-70 at the 32nd Avenue/Youngfield exit.

 
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