Full_052410_Health_GHNS_7.qxd:GHNS 5/21/10 10:07 AM Page 1 NUMBER TO KNOW Health Cost of cancer STOCK.XCHNG Adjusting for inflation, medical costs of cancer have nearly doubled over the past two decades. In 1987 the total medical cost of cancer was $24.7 billion. By 2005, the total medical cost of cancer increased to $48.1 billion. DID YOU KNOW? Rice University students have found that salad spinners can work as a rudimentary centrifuge to separate blood at medical clinics. HEALTH WATCH Creepin’ in Poison ivy a nuisance all over the country STOCK.XCHNG NEW RESEARCH How to stick to your diet BY KEVIN P. O’CONNOR | GATEHOUSE NEWS SERVICE uddenly, everything is growing. Your day lilies are big enough to wave in the wind, hydrangea are crowding their neighbors and the maple tree in your backyard is casting shade. And there, right on the line between sunlight and shade, is a pretty new plant, three shining burgundy leaves. So you move in for a closer look. Oops. You have just made contact with poison ivy. And you are not alone. “I have it right now,” said Manny Arruda, owner of Flamingo Landscaping of Fall River, Mass. “I know of two or three people in our business who have it now. “I’m careful. All I have to do is look at poison ivy and I get a rash. But sometimes it doesn’t even look like poison ivy. Sometimes it looks like it is dead. Poison ivy is never dead.” Poison ivy is an American pleasure. It grows in almost every state. It can flourish in any condition. The plant loves the acid in the rain, the elevated levels of carbon dioxide in the air, the edges of clearings in the woods and brush that are abundant in old cities and new suburbs. “It’s a problem and it is everywhere,” said Richie Guerreiro, owner of Copicut Landscaping of Westport, Mass. “You have to spray it and then snip it and then cut it out. Even then, if you haven’t killed all of it, it will come back.” The plant irritates about 70 percent of the population. It catches even the people who are the most careful about it. Poison ivy is sneaky, the professionals say. “Poison ivy is good at hiding,” said Mike Estinola, owner of Mike’s Landscaping of Fall River. “Sometimes you don’t even know you have pulled it out. Whenever we go to work with a new customer, we find poison ivy the owner didn’t know about. We almost always find some hidden somewhere. “I’ve already caught some myself this year. I don’t know where I got it.” According to a new study, dieters who focus on changing their surroundings find it easier to adhere to their diet. Understandably, they also report losing the most weight. For the study, 200 participants from the National Mindless Eating Challenge were given diet tips from three distinct categories: 1) change your environment, 2) change your eating behavior, and 3) change your food choices. Dieters who were given environmental tips stuck to their diets an average of two more days per month. What are some examples of environmental changes? Use smaller dinner plates, keep high calorie foods out of sight, and turn off your television, computer and cell phones during mealtime. — Cornell University S SENIOR HEALTH Elderly in facilities sleep poorly A study of residents of assisted-living facilities in Los Angeles showed that 65 percent had clinically significant sleeping problems and that poor sleep was associated with declining quality of life and increased depression over a six-month follow-up period. The most commonly reported factors contributing to "trouble sleeping" included waking up in the middle of the night or early morning and the inability to fall asleep within 30 minutes. At the initial study visit, sleeping poorly was associated with lower health-related quality of life, needing more help with activities of daily living (e.g., bathing, dressing, grooming), and more symptoms of depression. — Journal of the American Geriatrics Society HEALTH TIP Control healthy blood pressure High blood pressure is a major risk factor for heart disease, stroke, congestive heart failure and kidney disease. You can maintain healthy blood pressure through changing your lifestyle or by combining lifestyle changes with prescribed medications. ■ Have your blood pressure checked regularly. ■ Maintain a normal body weight. ■ Keep up physical activity. ■ Follow a healthy eating plan of a diet rich in fruits and vegetables, and low in sodium. ■ Quit smoking. Poison ivy vine. WIKIMEDIA PHOTO IF YOU FIND IT If you work outside and think there is a chance you came in contact with poison ivy, wash your hands and arms and clean your tools with alcohol wipes. It wouldn't hurt to wipe down the coats of your dogs and cats, too — the oil gets on animal fur and can spread to human skin. If you clear poison ivy, put on rubber gloves and then cover those with leather gloves or rubber gloves heavy enough for handling chemicals. Cover your arms and legs. Be careful with your hands — wiping your brow would be a mistake. IF YOU START ITCHING Noticing a red rash within a few days of making contact with poison ivy? You’ve probably caught it. Other symptoms include bumps, patches, streaking, or weeping blisters; swelling; and, of course, itching. Here are some tips to soothe your skin from the Centers for Disease Control and Prevention: ■ Apply wet compresses, calamine lotion, or hydrocortisone cream to the skin to reduce itching and blistering. ■ Follow the directions on any creams and lotions. Do not apply to broken skin, such as open blisters. ■ Oatmeal baths may relieve itching. ■ An antihistamine can be taken to help relieve itching. ■ In severe cases or if the rash is on the face or genitals, seek professional medical attention. Call 911 or go to a hospital emergency room if a severe allergic reaction is suspected. Burning questions on stomach acid medications f you are taking Prilosec, Prevacid, Nexium or some other type of proton pump inhibitor, you are not alone. It is estimated that 140 million prescriptions of these medications are filled each year. Approximately $13 billion is spent to buy them. The purpose of these medications is to reduce the amount of acid produced by the stomach. This excessive acid is associated with a variety of disorders including GERD, or gastroesophageal reflux disease, peptic ulcers and dyspepsia. Side effects, especially when taken for a short period of time, are uncommon and may include headaches, nausea, diarrhea, dizziness, abdominal pain and fatigue. However, a recent article that I DR. MURRAY FEINGOLD discussed the use of these proton pump inhibitor drugs raised some concerns. Although these medications are very effective in relieving the symptoms of increased acid in the stomach, the authors of the article believe that the majority of times they are prescribed and used inappropriately. For example, they do not believe that these medications should be used to treat dyspepsia that is not associated with ulcers. The researchers also found some interesting side effects they attributed to taking these medications. They followed more than 160,000 women between the ages of 50 and 79 for eight years. The results of their study showed that there was an increased risk of developing wrist, forearm and spine fractures in the proton pump inhibitor group compared to those who did not take these medications. There was also an increased rate of infections with the bacteria Clostridium difficile, which is the cause of severe gastrointestinal symptoms. For many people, using drugs such as Prilosec and Nexium have been very beneficial in helping to relieve symptoms of so-called "acid indigestion." However, if you have been taking these medications for some time, you should discuss with your doctor whether or not you really need to continue to take them. Perhaps consider discontinuing them to determine if the symptoms recur. Before taking any medication you should always consider the benefits versus the risks. And remember, taking any drug is associated with a potential risk. Massachusetts-based Dr. Murray Feingold is the physician in chief of the National Birth Defects Center, and medical editor of WBZ-TV and WBZ radio.
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