Pomerene Hospital Blog
The phrase, "I have the flu" or "she or he has the flu" is fairly common. People say this is relation to all kinds of illnesses, including gastrointestinal bugs that cause vomiting and diarrhea. However, the real "flu" is a group of viruses called influenza. The real flu is a highly contagious respiratory illness that can infect the nose, throat or lungs. Signs and symptoms of influenza include the following:
- Sore throat
- Runny or stuffy nose
- Muscle or body aches
- Occasionally vomiting and diarrhea, more often found in children
How Does It Spread?
- Droplets from when people with the flu sneeze, cough or talk
- Touching a surface infected with the flu virus
- You may be able to spread the flu one day BEFORE you feel symptoms, or up to 5-7 days AFTER getting sick
What Should I Do If I Get The Flu?
- There are antiviral drugs that can lessen the severity and length of the flu, if given within the first few (2) days of symptoms. They are available
from your healthcare provider, they are not over the counter.
- Children and pregnant women can take the antiviral drugs
- Some possible side effects of antiviral drugs include nausea, vomiting, dizziness, runny or stuffy nose, cough, diarrhea, headache and some behavioral side effects. There are uncommon - your care provider can give you more information.
- Stay home and avoid other people
- Stay hydrated. Drink lots of fluids like Gatorade or other commercially prepared electrolyte solutions
- Acetaminophen or ibuprofen for fever and/or body aches, headaches
How Can I Prevent The Flu?
- Get an influenza vaccine every year
- Stay away from people who are ill
- Cover your coughs and sneezes
- Frequent hand washing
- Keep your hands away from your face
- Keep your work area clean. Wipe down your phones, computers, etc often with antibacterial wipes
- Be your healthiest self!
- Get plenty of sleep
- Eat a well-balanced diet with plenty of water, fruit and vegetables
- Exercise on a regular basis
Resources: CDC, 2017
The most wonderful time of the year can also become the most dreaded time of the year. Whether you are someone trying to commit to a healthy lifestyle or like most are just simply overwhelmed by the extra responsibilities the holidays bring, it becomes too easy to miss the magic and festivities of the season. In order to prevent this holiday trend, I have a simple tip that can not only be of benefit over the holiday season, but any time of the year as well. Two simple words sum up my philosophy- be present.
What do I mean by “be present“? To be present means to simply be in the present moment, not in the past nor future but right here, right now.
Instead of walking into your family gathering stressed about what has to be done and letting your mind stay there, make the conscious decision to be present in the moment with your loved ones. Continuously remind yourself to really notice what is happening around you: the people, the smiles, the aromas, the atmosphere, the conversations, everything. Your mind will keep wondering off but keep pulling your mind back to the present moment. This will help you to genuinely enjoy the company around you and will prevent you from missing all the wonderful moments the holidays bring to us. Also, just remember that whatever you are stressed about can wait until after you have left the gathering, - worrying will only rob you of the current moment you have been given for something that cannot be fixed now anyway.
Those of you who have committed to a healthy lifestyle have an entirely different dilemma, but I would prescribe the same advice- be present. Often times when we make the decision to eat healthier we obsess over food entirely too much, causing us to either deprive ourselves, binge, put way too much pressure on ourselves or all three. I challenge you to remove the focus from food and place it on family. Instead of unconsciously eating and snacking or worrying about what to eat, take the time to engage in conversation, build relationships and be present. Don’t get excited about all the food and sweets, get excited about the people.
Lastly, in the weeks leading up to Christmas, do not allow yourself to be overwhelmed. Plan ahead of time, make a list, tackle one thing each day and keep things in perspective. The holidays were never intended for the stress we have attached to them over the years. Don’t over-complicate things, keep it simple and focused around what truly matters. Be present for the holidays and I challenge you to apply this same mantra to the rest of your days as well.
By being present this holiday season, and all of your days, you will receive the most valuable gift of all- a heightened quality of life, eyes opened to the wonderful world around you, a grateful heart and less stress.
Wishing you a wonderful holiday season!
Blog Written By: Alyssa Lower, Personal Trainer at Pomerene Kinetics
It’s November – the season for turkey, stuffing, ham, pumpkin pie, Christmas cookies, you name it! Oh and also – Diabetes Awareness Month. There are three primary types of diabetes, but let’s talk a little about Type 2 Diabetes, diabetes prevention, and why this matters for our community and our health.
Type 2 Diabetes (formerly known as adult-onset diabetes) is commonly diagnosed around the age of 20+. It is the most common type of diabetes affecting 90% of persons with diabetes. Type 2 diabetes can develop over a course of 5-10 years due to lifestyle habits, eating patterns, activity status, and family history. There are a multitude of other factors that can put a person at risk for developing diabetes, which is why spreading diabetes awareness and prevention is so crucial.
What is the big deal?
As a country, we did not just abruptly change our eating habits and our activity habits. We evolved into a different generation, a different culture, and “busier people.” We became a more diverse community with different ethnic risk factors being introduced to our families. As a mixed generation we focus our priorities on different areas than our health and families. We learned to eat differently and exercise less due to busy lives, convenience, and technology.
So really – what is the big deal? The big deal is that due to our overwhelming lifestyle changes, type 2 diabetes is becoming more prevalent. As a country and specifically for Holmes County as a community – we have to commit to making a change.
We have all heard the lecture – eat less starchy foods, exercise more, control your blood pressure, stop smoking. In reality, preventing type 2 diabetes is not a matter of doing more of one thing or less of another. It is simply a matter of living a well-balanced life. Living a healthy lifestyle is not just about our habits at home; it includes our habits at work, at home, at family dinners, and social events, etc. Living a healthy lifestyle is all day, every day.
How do we make a change?
We all know how it feels to come home after a long day, to not want to cook and collapse on the couch. Then, take into account an eight hour day at a desk or in one seat and activity is limited. Then add on a long commute, or children’s activities after work and school, and really, who has time for cooking?
Unfortunately, the statistics do not lie and for our own health, the health of our families and our children, we can no longer continue to use “busy” as an excuse. So what can you do instead?
- 1)Plan ahead – Purchase a new planner or calendar and plan out your week/month. Know your busiest days and prepare for them
- 2)Schedule it – Take the next step and plan for your busy days. Start meal planning and develop an exercise schedule. Write your meals and times for activity on the calendar and then commit to it.
- 3)Make a commitment – You guessed it; now commit to your planning and scheduling. Developing new lifestyle habits is not an easy task. Commit to changing your current patterns and offer yourself a reward at certain milestone points.
- 4)Ask for help – If you already struggle with eating habits and activity you may struggle with change. So seek help! Look online, visit your local library, call your local dietician and diabetes nurse, join a medical fitness center, subscribe to magazines, and enlist a partner or friend who has already made changes or can be your coach.
- 5)Identify obstacles – Every goal in life has certain obstacles. Making a goal to develop a healthier lifestyle is no different. Grab a pen and paper and list out every obstacle you will have to committing to your lifestyle change. Then, start with 2-3 obstacles and find ways to eliminate or reduce them.
Living healthy may not always be easy, but it doesn’t have to be overwhelming either. Start today; start with baby steps, start with one area of your life and work towards a bigger goal – but start today. Live happier, feel better, and protect your future. If you want to read some more reasons why – take a look at the statistics below:
- 1 out of 3 US adults has pre-diabetes – of those adults, only 11% know they have it
- 1.4 million Americans are diagnosed with diabetes every year
- In 2012, 86 million Americans had pre-diabetes; that is up from 79 million in 2010
- Diabetes is the 7th leading cause of death; more than HIV and AIDS combined
- $245 billion dollars in medical costs related to diabetes on average yearly
So what now?
The best way to protect yourself is through education and prevention.
- 1.Educate yourself and learn the risks and symptoms – Find out more at American Diabetes Association - http://www.diabetes.org/diabetes-basics/
- 2.Talk with your doctor – have annual preventative screenings and routine bloodwork
- 3.Change your eating – Find out more at Academy of Nutrition and Dietetics http://www.eatright.org/
- 4.Learn more about activity - https://www.choosemyplate.gov/physical-activity
How can Pomerene Help you?
Pomerene Hospital Diabetes Education Program:Jennifer Kaiser, BSN, RN – Diabetes Education Coordinator -330-674-1015 extension 1023 email@example.com
Dima Hassan, MS, RDN, LD – Clinical Dietician – 330-674-1015 extension 1123
Pomerene Kinetics Medical Fitness Center
Contact a Membership Representative - 330-674-4488
Unless you’ve been barricaded underground with no social media devices, you’ve probably heard of, seen, or maybe even witnessed the effects that the opioid and heroin-use epidemic has taken on our country, and state. In fact, Ohio is one of the top ten states with the highest number of drug overdoses and highest amount of opioids being prescribed for pain. Pain is the major factor in the beginning stages of opioid use, and one in four people taking opioids for non-cancer related pain become addicted. Ironically, as the sales of prescription opioids have quadrupled, so has the death toll of opioid overdoses. Those addicted to opioid pain relievers are 40% more likely to be addicted to heroin.1,2
How Can We Stop This Epidemic?
Your local physical therapy office is a great place to start! The American Physical Therapy Association (APTA) has joined the White House effort to reduce opioid use and reduce the number of people becoming addicted and seeking more pain-relief in heroin.3 Joesph Brence, PT, DPT is a spokesperson for the #CHOOSEPT campaign and explains that opioids only mask the sensation of pain while threatening many side effects.4 These side effects include but are not limited to:
- Respiratory depression.
These side effects can lead to small bowel obstructions that may require surgery, dehydration, or even death. In contrast, research shows the side
effects of PT include improved range of motion of joints, improved strength, function and release of endorphins which reduces pain and improves
mood. Psychological benefits such as taking control of your pain and taking action to improve your life are also very rewarding and self-motivating.
The list of PT side-effects goes on!
Through the power of PT, we can get to the root of what’s causing the pain and help to prevent it from occurring, rather than sweeping it under the rug and masking the pain. The APTA recommends consulting with PT before agreeing to prescription opioids.2 At Pomerene Therapy, we treat people that are in pain every day. Within a few visits, our clients are more functional, less painful and leading more fulfilling lives the way they were meant to be living. Schedule an evaluation with Nikki, Sheila, or Karli and get your life back today!
How Pomerene Can Help You
For more information, call 330-674-9066 or visit us here!
1. “7 Staggering Statistics About America’s Opioid Epidemic.” www.moveforwardpt.com. 2016.
2. “Physical Therapy vs Opioids: When to Choose Physical Therapy for Pain management.” www.moveforwardpt.com 2016.
3. News Now Staff. “APTA Joines White House Effort to Reduce Opioid Abuse.” APTA.org. 21 Oct. 2016.
4. News Now Staff. “APTA Launches #ChoosePT Campaign to Battle Opioid Epidemic.” APTA.org. 7 June 2016.
A long day at work does not have to be your excuse for feeling sluggish, not exercising, back pain and not having the energy you wish you had by the time 5pm rolls around. Most of us work long hours that involve sitting at a desk with limited access to movement. But that doesn’t mean you are doomed. It just means you have to be creative and make a decision to put some steps back into your day and get that body moving the way it is naturally meant to do.
Here are some solutions that can help you stay active during your work day:
Break time solutions: Yes, we are all guilt of keeping an eye on the clock and anticipate the break time buzzer. It’s understandable that when you have time for lunch, you feel like you are ready to relax. But, think a little deeper into this. You want to relax after sitting for the past 4 hours or going back and forth in the small 10 x 10 foot space you work in? Your brain is ready for a break and your stomach is probably growling and ready for lunch but your body does not need any more rest, it needs to move! Your brain, your muscles, your eyes, and your bottom need to get up and spend half of that lunch time moving. A 15 minute brisk walk can cover just about an entire mile in distance and it will leave you feeling energized, perked up, and ready for the rest of the day!
Tips for the walk:
- Bring gym shoes and socks to work for your lunch time walk.
- Time yourself or track your steps with a pedometer or tracking device.
- Get a buddy to walk with you and hold you accountable.
- Pack a lunch that you can eat while at your desk or munch on after your walk. A turkey or peanut butter sandwich would be perfect.
No time for break time solutions: Sometimes we don’t get the luxury of putting work away for a simple break or even a lunch break. Those days are the worst for your body and your brain but sometimes it happens. This is when the creativity and motivation has to kick in. You may not be able to get your heart rate up or burn major calories on these days but your brain, your muscles, and your posture deserve some attention regardless!
All you have to do is this: Get up and move! Stand up, walk to the drinking fountain, walk down the hall and back, or go say hi to a co-worker. You can even do some stretches, sit back down and get yourself back to work. Tiny breaks like this aren’t much, but they serve their benefits. The small bouts of movement and stretching will help increase blood flow, prevent muscular degeneration over time, and will give your body a chance to correct its ergonomic posture.
Tips for short additions of movement daily:
- Get a list of desk stretches and do 3 or 4 every day in your work space.
- Set a timer on your computer or your cell phone to go off every 30 minutes to remind you to either do a stretch, or get up and out of your seat for a brief greeting with a co-worker, or to get a drink of water.
-Learn to pause in your train of thought and put yourself first by doing something your body needs.
Blog written by: Tara Martin, Wellness Coordinator
Poison Ivy 101
Poison Ivy is an irritating problem during the spring and early summer. The itchy rash that develops is caused from an oily resin called Urushiol (U-Roo-She-ol). This resin is on all parts of the plants so it is best to avoid them if possible. If not able to avoid poison ivy and you develop the red, itchy, blistery rash remember it will last 2-3 weeks before it is totally gone. It does not spread once you have it. The reason you notice new spots it that these areas may have only received a small amount of resin. The reaction can take from 12-48 hours to show up.
If exposed to the plants, here are some tips you can use to your advantage:
- It is best to wash within 30 minutes with lukewarm, soapy water.
- Remember to wash all tools and clothes also, as the resin stays on these things and can last for up to a year re-infecting your skin when touched.
- Home treatments include calamine lotion, cool baths/showers, and antihistamines like Benadryl or Zyrtec.
- If the reaction is widespread or affecting eyes, mouth or genitals, you have difficulty breathing or skin swelling please see your doctor!
- Thick drainage or a fever over 100 degrees is another reason to see the doctor. Your doctor MAY give you prednisone or an antibiotic depending on how bad the rash is.
- Remember that most poison ivy can be treated at home and will resolve on its own.
- The last advice on Poison Ivy is DON'T SCRATCH!
Ticks can be both annoying and a serious problem of summer. The important thing when dealing with ticks is to make sure they are removed as soon as possible. Removal is accomplished by grasping them close to the skin and pulling straight out gently. Do not twist as this often breaks them off leaving the head embedded. Once removed clean area thoroughly and apply antibiotic ointment.
The longer a tick is embedded the more risk for infections or diseases. Lyme disease, Rocky Mountain spotted fever, and Tularemia are all potential problems caused by ticks in this area. Diagnosis of these illnesses can be difficult to determine. If you are able to remove the tick whole, keep it in a sealed jar or taped to a piece of paper to show your physician. Identifying the tick helps in planning care after being bitten. Check with your doctor if you develop flu-like symptoms (headache, fever, joint pain, aching muscles, or fatigue) or rashes up to 30 days after a tick bite. If these symptoms occur your doctor may begin antibiotic treatment and further testing for tick-borne diseases.
I hope this helps everyone have a safe and enjoyable summer!
Blog written by: Candy Yoder, CNP, Pomerene Express Care
As summer time approaches it is important to be prepared for some minor ailments. Sunburn and dehydration can decrease the fun of our outdoor time. Many of us have experienced one or all of these summer discomforts to some degree. Knowing how to treat these ailments at home and when to go to the hospital can improve your summer fun.
With the temperatures warming and the sun beckoning, sunburn shoulders, and legs loom on the horizon. Remembering simple tips can help keep you enjoying those summer activities instead of visiting the doctor.
Summer Sun Safety Tips
- Sunscreen with an SPF of 15 or greater is essential.
- Making sure you reapply every two hours or after swimming or sweating will keep the protection strong.
- Don’t forget lip balm and sunglasses to protect these sensitive areas.
- Also, avoid the hottest part of the day between 10am and 4pm.
If you do develop a sunburn, relief can be obtained by:
- Using cool showers, baths, or washcloths.
- If there are no blisters, moisturizing creams, Vitamin C or E and Cortisone creams can help ease symptoms.
- Adding extra fluid to your day and Ibuprofen or Tylenol can also make your days and nights more comfortable.
- Loose cotton clothing prevents rubbing and also protects from further sun exposure.
- Avoid products with lidocaine or benzocaine, butter, Vaseline, or oil-based product as these can create infection.
- Avoid peeling the skin of blisters. Your skin is the body’s firs line of defense and if it is gone you are at increased risk for infections.
- Avoid giving aspirin to children as this can cause a serious reaction.
Sunburn and Dehydration
Sunburn and warm temperatures can sometimes lead to dehydration, heat exhaustion or heat stroke. All age groups are susceptible but extremes of age, outdoor
workers or athletes, and those who are unable to get fluids all have increased risks. Early signs include thirst and dark urine. Also dizziness headache,
tiredness, loss of strength or small amounts of urine can be signs. Here are some tips to that will help you stay hydrated!
- Drinking water, 6- 8 oz glasses per day.
- Drinking before, during and after being outside is important, especially during the hot weather.
- Avoid alcohol, caffeinated or fruit drinks as these all add to dehydration.
- Adding fruit to your water or eating foods that have high water content such as watermelon, tomatoes, or lettuce all aid in staying hydrated.
Severe dehydration with extreme tiredness, confusion weak or rapid pulse and loss of consciousness is an emergency and needs medical attention.
If dehydration continues or you stay in the heat it can progress to heat exhaustion or heatstroke. Symptoms are similar to dehydration but more severe. The best prevention is staying cool and hydrated. But, if you do develop heat exhaustion or heatstroke lie down in a cool area, drink fluids (small sips every 15 minutes), remove unnecessary clothing and cool the skin (use cool water and fanning). If no improvement in symptoms go to the Emergency Department.
We encourage you to follow these helpful tips and hope you have a wonderful summer!
Blog written by: Candy Yoder, CNP, Pomerene Express Care
Did you know more than 36 million Americans suffer from permanent hearing loss? It’s true. Hearing loss can affect both adults and children however nearly
half of patients with hearing loss are under the age of 65. After arthritis and heart disease, hearing loss is the 3rd most common health issue for Americans. May is Better Hearing and Speech Month; a time dedicated to two essential communication tools that we use each
and every day.
Signs of hearing loss include:
- Tinnitus (ringing, buzzing, or sounds in the ear)
- Complaining people mumble
- Asking people to repeat
- Turning up volume on TV/radio
What are some causes of hearing loss?
- Natural result of aging
- Exposure to loud noise
- Illness and/or infections
Hearing Aids In The 21st Century
Technology has greatly improved how hearing aids process speech and sounds. They are designed to enhance listening in a variety of situations; from calm, easy listening situations such as one-on-one conversations to challenging listening situations, such as larger groups with background noise. The cosmetic appeal of hearing aids is also improved. There are a large variety of accessories that can be used along with your hearing aids to help you in today’s world of Smart phones, personal music devices, tablets, TV, etc.
Who Can Help You?
Audiologists: They can provide a hearing evaluation that determines the degree and type of hearing loss. Can recommend appropriate amplification and/or refer to a physician if the hearing loss requires medical treatment.
ENT Physician: An ENT Physician can provide medical treatment for certain types of hearing loss. Luckily, Millersburg has its very own ENT Physician, Dr. Kurt Garren, located conveniently across the street from Pomerene Hospital.
For a consultation with Dr. Kurt Garren, please call (330) 343-9600.
Blog Written by: Angie Hissner, MA, CCC-A, Audiologist
“Life Style Change.” Have you heard these words before? The new trend in nutrition is to eliminate words such as “diet” or “stop eating.” The new nutrition approach focuses more on getting rid of poor eating habits and replacing them with better and healthier habits. However it does not stop there, physical activity plays a major role in your “Life Style Change”.
Life style change is important whether you are a healthy person trying to make better food choices or you have been diagnosed with a condition that requires changing your eating and exercising habits. Many people want to start, but do not know where to begin.
Here are some helpful tips:
1. Keep a Food Journal. write down what you eat each day, including how much you eat and when. Often, we are not aware of the amount of food, how often or how little food we eat. A food Journal may help you be mindful about your food choices and portion size.
2. Eat Your Calories. Don't Drink Them. Juices and sugary drinks are usually high in calories and low in nutrition value. For example, 1 cup of orange juice requires 2-4 oranges, but takes only a few minutes to drink, often leaving you hungry. However, if you eat 1 orange you will feel full for a longer period of time.
3. Read The Nutrition Facts Label. Start with the serving size and the quantity of calories. Choose food that is low in fat (especially saturated and Trans fats) and also low in salt. Choose food that is high in fiber and protein. Follow the recommendations of your physician for specific diseases (diabetes, Heart disease, etc.).
4. Choose Whole Grains. Such as whole wheat, bread, rolls, quinoa or pasta made from whole grains; brown or wild rice; hot or cold cereals made from whole grains (without added sugar).
5. Eat More Fruits & Veggies. Choose fresh, frozen or canned either packed in water, no added sugar or low salt. Look for fruits and vegetables that are in season, they are more fresh, healthier and cheaper!
6. Choose Healthier Protein Items. Choose lean meat, skinless chicken, fish or seafood. You can bake, grill, broil however do not fry! Fried food is higher in unhealthy fat (saturated and Trans fat).
7. Dairy Products. Choose low fat options such as skim milk or 1% or 2%. Try new items such as Greek yogurt, it has 9-14 grams of protein and it makes a great snack with some berries on the side.
8. Exercise. Set a goal, even if it is 10 minutes a day! Meet with an exercise specialist, he/she will help develop a realistic exercise plan and personal goals. Plan family activities that include outdoor and physical activities.
9. Talk To A Dietitian. A dietitian will help develop an individualized plan, outline specific life changes that should be made as well as help set personal eating goals.
Remember, “Life Style Change” can start with replacing one bad habit with a healthier habit, so don't be afraid to start!
Blog Written By: Dima Hassan, Dietary Service Manager/Clinical Dietitian
Including a healthy diet and exercise in your life style is your best weapon to fight cardiovascular disease. It’s not as difficult as most people think, but does take some commitment to good choices that count.
Here are 5 basic steps to get you on the right path towards a healthier heart!
- A basic first step is to use up as many calories as you take in. Start by knowing how many calories you should be
eating and drinking to maintain your weight. It is important to read labels and understand that they are based on a 2,000 calorie diet, but that you may require fewer or more calories depending on your level of physical activity. In order to lose weight, one must burn more calories than they consume. Therefore, increasing the amount and intensity of your physical activity to exceed your daily intake is key.
- Goals for physical activity in general should include at least 150 minutes of moderate physical activity or 75 minutes of vigorous activity weekly. Thirty minutes five times a week is and easy goal to remember. Moderate to vigorous aerobic exercise can help lower your blood pressure and the risk for heart attack and stroke. This may include a number of activities such as walking, jogging, swimming, or biking. Strength and stretching exercises are best for overall stamina and flexibility. Pick something enjoyable that will make you more likely to adhere to your exercise program. Everyone has to start somewhere, don’t expect to reach your set goals from the start. Set smaller goals and work up.
- Eat a variety of nutritious foods from all the food groups and avoid high calorie/nutrient poor foods. A variety of fruits and vegetable, whole grains, low fat dairy products, skinless poultry and fish as well as nuts, legumes, and non-tropical vegetable oils should be included. Limit saturated fats, trans fats, sodium, red meat, and foods high in sugar.
- Diagnosing and treating high blood pressure, high cholesterol, and diabetes is extremely important in cardiovascular disease prevention and a cornerstone of treatment. See your doctor regularly and be evaluated, and if necessary, treated.
- If you smoke, STOP!!! Avoiding second hand smoke is also important, so help your loved ones or those that live with you stop.
All of these recommendations can help you lower your risk of cardiovascular disease. If you already have been diagnosed with heart disease or stroke, it is even more important to implement a program of risk modification. Patients who have been diagnosed with heart disease, have had a stent, heart attack, or heart failure, or have had open heart surgery such as coronary artery bypass or valve replacement, may benefit from our cardiac rehabilitation program. Cardiac rehab focuses on teaching risk factor modification and developing exercise programs tailored to each heart patient. Patients learn and exercise in a safe monitored environment with other like them, gradually improving their functional capacity and improving their cardiovascular health.
How Pomerene Can Help You
For more information about cardiovascular health, please click here.
Blog Written By: Alex Nicolozakes, M.D.