Fall 2015 www.bhset.net Getting ready for knee replacement surgery 6 ways to outsmart the flu this season Stroke interventions: Know your options Performing Sacred Work Every Day Health Extra Wellness News from the World Over Vaccines you need The need for immunizations doesn’t end with the start of adulthood. There are still several vaccines you should receive to help protect you—and those around you—from becoming sick. Feel the burn! You can blast through 100 calories with these activities, in as few as 8 minutes.* Pick one and add it to your day today! Play catch (30 minutes) Swim a lap (14 minutes) Play basketball (10 minutes) Jump rope (8 minutes) Cook a meal (45 minutes) Bonus points for good nutrition! Ride your bike (25 minutes) Dance to your favorite songs (19 minutes) T end to your garden or landscaping (22 minutes) Go for a stroll around the neighborhood (22 minutes) De-stress with some yoga (20 minutes) *Based on 150-pound person. How often you need it Flu shot Once a year Td/Tdap (protects against tetanus, diphtheria and whooping cough) 1 dose of Tdap + Td booster every 10 years (pregnant women should receive Tdap during the third trimester of each pregnancy) Shingles 1 dose for adults 60+ Pneumonia vaccine 1 dose of two vaccines (as directed by your doctor) for adults 65+ Note that the above recommendations are for healthy adults who received all recommended childhood immunizations. Your doctor may recommend a different schedule for you based on your health history and other risk factors. The latest chocolate research Here’s a sweet idea: A heart-healthy diet may include a daily dose of chocolate. In a study of nearly 21,000 adults, 4 in 5 participants reported eating up to 3.5 ounces of chocolate daily. Those who ate the most chocolate had an 11 percent lower risk of heart disease and a 25 percent lower risk of heart disease-related death compared with those who ate none. They also enjoyed a lower stroke risk. Scientists believe the health benefits of chocolate may come from flavanols, substances in cocoa beans that have antioxidant effects and also help lower blood pressure, and improve vascular function. However, keep in mind that chocolate is also high in calories, fat and sugar, so add it to your diet in moderation. Previous research has indicated that dark chocolate has the most heart benefits. Cleaner mouth, healthier heart? The link between oral health and heart health has been supported by previous research, but scientists don’t fully understand the connection. New research on mice published in May may help shed light on why people with untreated periodontal disease are at higher risk of developing heart disease. Researchers uncovered a receptor on cells that interacts with mouth bacteria. This receptor also interacts with other receptors 2 to produce a protein that increases inflammation in the body, which has been shown to contribute to atherosclerosis (hardening of the arteries). While periodontal disease often doesn’t cause symptoms in its early stages, visiting your dentist for regular cleanings and checkups can help keep your teeth healthy and identify and treat any problems early. FA L L 2 0 1 5 Images on any of these pages may be from © 2015 iStock and/or © 2015 Fotolia. 10 ways to burn 100 calories Vaccine Getting ready for knee replacement surgery I f you have arthritis or another condition affecting your knee, you and your doctor may have decided that knee replacement surgery is your best treatment option. Like many people, you may find the prospect of surgery a little unnerving. But you can take heart: Joint replacement surgery is a common procedure; more than 600,000 Americans have a knee replaced each year.* And many patients report that their only regret is not having done it sooner. You play a vital role on your health care team, and steps you take before and after your surgery can help determine the success of your treatment. Use these checklists to get ready. Prepare your mind Learning all you can about the procedure and what to expect before, during and after surgery can help you feel more prepared. Ask your surgeon to explain what kind of prosthesis (artificial joint) you will receive and how it will be put in place. Find out how long it’s expected to last and what you can do to keep it working well. Ask how long you can expect to be in the hospital, when you may be able to return to normal activities and what kind of rehabilitation you will need. Discuss options for anesthesia with your surgeon and anesthesiologist. Find out how your pain will be managed following the surgery. Visit the dentist. An infection in your new joint can occur if bacteria enter the bloodstream somewhere else in your body, such as from a dental procedure. Therefore, you should arrange to have dental work completed before your surgery. Prepare your home Making a few modifications around your home can help keep you safe during your recovery. Install safety bars in your shower or bath. A stable bench or chair for the shower is a good idea. Secure handrails along stairways. If you have a low toilet, install a toilet seat riser with arms. Set up a temporary living space on one floor to avoid having to go up or down stairs. It should include a stable chair with arms and a firm seat cushion and back. Find a footstool to elevate your leg. Remove all loose rugs and cords, and make sure you’ll have enough room to move around with crutches or a walker. Arrange for temporary help with everyday tasks such as cooking, bathing and doing laundry. A social worker at Baptist Beaumont Hospital can help arrange for someone to come to your home, if you don’t have a friend or family member who can help you. * Source: American Academy of Orthopaedic Surgeons, www.aaos.org. Prepare your body Getting in shape in the weeks leading up to your surgery can help reduce the risk of complications and shorten your recovery time. Exercise. Ask your doctor about exercises you can do before surgery to help maintain the strength of your leg muscles. Strengthening your upper body will make it easier to use crutches or a walker during your recovery. If you smoke, quit — or at least cut down. Smoking slows healing and recovery. Your doctor can recommend tools to help you quit. Watch your diet and your waistline. Losing excess weight will relieve stress on your new joint. Eat a nutritious, well-balanced diet. We’re ready when you are The Joint Rejuvenation Center at Baptist Beaumont Hospital invites you to explore the possibilities for reducing your knee pain and getting back to the lifestyle you desire. Visit www.bhset.net/Orthopedics or call (409) 212-7284 today to explore all the great things we can do. w w w. b h s e t . n e t ! 3 6 ways to outsmart the flu this season T he single best way to prevent the flu is to get vaccinated every year, as soon as the flu vaccine is available in your area. The Centers for Disease Control and Prevention (CDC) also recommends six ways you can prevent germ spread: Avoid close contact. Keeping your distance from friends and family who are sick can keep you from getting sick, as well. Stay home when you’re sick. If you do get sick, staying home 2 is your best bet. Not only will proper rest help you get better, but it also cuts down the number of people who come in contact with the virus. Cover your mouth and nose. When coughing or 3 sneezing, you can cut down on germ spread by covering your mouth and nose with a tissue or even your sleeve. Clean your hands. Cleaning your hands often is key to 4 preventing the flu. Wash your hands with soap and water or use an alcohol-based hand sanitizer to kill germs. Avoid touching your eyes, nose or mouth. This is 5 one of the most common ways flu is spread. Practice other good health habits. Keeping physically 6 active, getting plenty of sleep, managing stress, eating well and drinking plenty of fluids are just a few ways that you can stay healthy this flu season. Another way to help avoid the flu is with the CDC’s free FluView app at www.cdc.gov/flu/apps/fluview-mobile-app.html. Through this app, you can see how severe flu outbreaks are in your area during the flu season. 1 1 4 2 3 4 FA L L 2 0 1 5 5 6 Exercise snacks: Keeping workouts short and sweet M any of us lead busy lives and finding time to stay fit may seem impossible. But, recent studies indicate that staying healthy may take far less time than we thought. While you may not get six-pack abs in 30 seconds a day, short bursts of exercise spaced throughout the day may put you on the fast track to better health. Interval-style exercise Often when we think about exercise, our views are of traditional exercise such as taking a 30-minute walk. But, scientists are increasingly finding that using more condensed strenuous exercise sessions, sort of an “exercise snack,” multiple times in one day may be just as healthy as more traditional exercise. For instance, instead of taking a 30-minute walk, an exercise snack approach may have you alternate brisk and slow walking for 12 minutes, then repeat this twice more throughout the day. These short exercises share the basic principles of interval training, which has become very popular in the fitness world. Any activity that rapidly increases your heart rate and leaves you panting can be used as an exercise snack, such as: Swimming vigorously Jumping rope intensely Biking in bursts Doing jumping jacks Recent studies have examined how this sort of exercise can affect our health. One study in the Journal of the American College of Cardiology found that running for an average of as little as five minutes a day could significantly lower the risk of premature death. This study looked at those who ran any amount versus those who did no running. Those who ran for hours per week at a fast pace received health benefits, but so did people who ran an average of only five or ten minutes per day. Both groups had noticeably lower risk of premature death than those who did not run. The researchers believe that it’s not running itself that is the key, but instead individuals partaking in moderately intense exercise on a regular basis — even if only for a few minutes a day. Another small study published in Diabetologia looked at these exercise snacks and how they compare to a traditional, continuous workout. It examined how exercise affected blood sugar levels throughout the day for people who had blood sugar problems. Findings showed that having multiple short exercises before each meal was more beneficial for blood sugar levels than a continuous workout once per day. Find your pace No matter your approach, it is recommended that you get 75 minutes of vigorous exercise or 150 minutes of moderate exercise per week. If you’re interested in trying out the exercise snack approach to fitness, talk with your doctor at Baptist Beaumont Hospital. He or she can help determine what exercises are appropriate for you. w w w. b h s e t . n e t 5 Stroke interventions: Know your options Three simple questions that can uncover stroke Is someone you know having a stroke? Ask them these questions: 1. “ Can you smile?” One side of the face may droop. 2. “ Can you raise both arms?” One may drift downward. 3. “ Can you repeat this simple phrase?” Speech may sound slurred or odd. If you notice any of these stroke warning signs, call for emergency assistance right away. T hanks to advances in medicine over the past decade, more patients than ever are surviving strokes. However, for treatment to be successful and minimize stroke-related disability, seeking help immediately is critical. (See “Three simple questions that can uncover stroke.”) Here’s a closer look at the treatment options: Tissue plasminogen activator (tPA) can be administered via IV, or directly into the clot via a thin tube called a catheter — a process known as intra-arterial treatment. Considered the gold standard for treatment of ischemic strokes (about 85 percent of strokes fall into this category), the medication works to dissolve clots that are blocking blood flow to the brain. Most patients will need to seek medical care within three hours of the onset of symptoms to be eligible for this treatment. Clot retrievers are small mechanical devices inserted into affected arteries, trapping clots and either removing them or breaking them up to restore blood flow. In recent years, research has been mixed on the effectiveness of these devices. But, as some experts point out, this may have been because studies included earlier generations of retrievers, which weren’t as effective. A combination of tPA and mechanical devices may help some patients avoid serious disability. In January, the New England Journal of Medicine published a study that found a dual approach using the clot-busting drug tPA and clot retrievers helped restore functional independence in certain stroke patients more effectively than tPA treatment alone. Surgical clips or coils to stabilize weaknesses in blood vessel walls are treatment options for those experiencing a hemorrhagic stroke, which causes bleeding in the brain. Balloon angioplasty and mesh screens called stents may help open up a blocked blood vessel and prevent a stroke from occurring in the first place. Telemedicine technology Telemedicine makes it possible for healthcare providers to “see” patients remotely with the help of computers, cameras and even robots. It allows local medical staff to collaborate closely with specialists, even when they are miles apart. Baptist Hospitals of Southeast Texas is always working to bring the latest advancements to our community. Our telemedicine opportunities are rapidly expanding with the potential to improve care in cost-efficient ways and will help healthcare providers work together to provide personalized care, close to home. 6 FA L L 2 0 1 5 Chicken vegetable soup with kale This hearty soup has it all! Nutritious vegetables, grains and protein come together in a highfiber, low-fat, low-sodium soup. Ingredients Directions 2 teaspoons vegetable oil ½ cup onion (chopped) ½ cup carrot (chopped) 1 teaspoon thyme (ground) 2 garlic cloves (minced) 2 cups water (or chicken broth) ¾ cup tomatoes (diced) 1 cup chicken, cooked, skinned and cubed ½ cup brown rice, cooked 1 cup kale (chopped, about one large leaf ) Heat oil in a medium sauce pan. Add onion and carrot. Saute until vegetables are tender, about 5 to 8 minutes. Add thyme and garlic. Saute for 1 more minute. Add water or broth, tomatoes, chicken, cooked rice and kale. Simmer for 5 to 10 minutes. Serves 3. Per serving: 180 calories, 5 g total fat, 1 g saturated fat, 17 g protein, 16 g carbohydrates, 3 g dietary fiber, 85 mg sodium. Recipe courtesy of the U.S. Department of Agriculture, recipefinder.nal.usda.gov. w w w. b h s e t . n e t 7 cycle-logo_2options_v2.ai For questions or comments, please email us at [email protected]. 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