poppers for better sex, worth the risk?

I have been hearing a LOT recently about poppers.  I actually thought that they were a drug of the past, but I guess they are coming back with a vengeance, and people are having all sorts of strange reactions, some which are reversible and some that aren’t!!  And, in all honesty, I thought I knew about all drugs, but poppers are something that I really knew nothing about.

What are they?
Poppers are inhaled alkyl nitrates (amyl nitrate, Butyl nitrate, isopropyl nitrate, and isobutyl nitrate) that are inhaled recreationally to enhance sexual pleasure.  Apparently it is like a small little huff because these nitrates are found in air fresheners, video/computer cleaners, etc.

What happens?
Medically, amyl nitrate is an antidote for cyanide poisoning, but it is called a popper when used recreationally.  It causes a sense of warmness, dizziness, and euphoria.  When you inhale the poppers, it causes a non-specific relaxation of smooth muscle, it also causes blood vessels to dilate, which leads to a drop in blood pressure and an increase in heart rate.  The effects only last a few minutes and afterwards you can have extreme headaches.  The relaxed smooth muscle effect includes the anal sphincter, which allows for less painful anal sex which made this a big drug in gay clubs, but the impaired judgement that is associated with poppers also lead to high rates of unprotected sex (gay, straight, whatever!) The vagina is also made up of smooth muscle, and it apparently can cause prolonged orgasms.

rush-poppers.org

So what is the big deal?
If the vapors instead of being inhaled, are swallowed (in liquid form) it will cause certain death.  Long-term use causes neurological damage, and a new recent report out of the UK is showing that many young adults using poppers have been having issues with vision after using poppers. They are having blurred vision and spots in their vision; some people it has been transient over 3-6 months, but others it hasn’t gone away.  They have been testing batches of the poppers that were used in all of the cases but there was nothing wrong with the chemicals, and these health issues were reported in the mid 70’s and then in the late 80’s when these drugs were heavily used.  Many men have reported erectile dysfunction after taking poppers because of the sudden change in blood pressure and heart rate, after that initial two minutes, men can experience the inability to regain an erection.

Other Health Issues:
Asphyxia (inability to breathe), arrythmias (heart beating irregularly), cardiovascular depression (heart beats slower, significant drop in blood pressure), carbon monoxide poisoning, hepatorenal syndrome (failure of liver and kidneys),  mucosal (oral lining)/skin/pulmonary (lung) irritation, and skin burns/rashes from where the vapors touch your skin.  If taken with viagra, it can cause fainting, stroke, and death.

Poppers are used pretty frequently by teens in the UK and are gaining popularity with younger teens in the US, as well they are being frequently used in nightclubs across the world.  Many people don’t realize the heath detriments, and the interactions that can occur with Viagra (for example), and that even one time use can cause vision damage that can last forever.  Now, I am not usually all “reefer mania” about things, but I just don’t think inhalants are safe or something that people should do.  If you do use them, and feel like something is wrong, please seek medical attention!!

Yours in Good Health
B

A little overhung??

Why do we get hangovers? I think people don’t really understand the metabolism of alcohol, because there are ways to prevent hangovers, and make that fun night that you may have imbibed too much, into a much softer morning wake up!

 How the body responds to alcohol metabolism:
Its how our bodies convert substances into other compounds that we can either use  or excrete . Oxidation is the process by which alcohol is metabolized in the blood. Obviously the alcohol is distributed throughout the body, including the brain, organs, and tissues after ingestion and during metabolization, and small amounts are excreted through your breath and urine in unmetabolized forms.
You have your favorite adult beverage, it goes into your intestines, then is absorbed into your blood stream, it is metabolized by various enzymes.  In the liver the enzyme that breaks down alcohol is called alcohol dehydrogenase (ADH) which turns alcohol into acetaldehyde, which is then broken down to carbon dioxide and water.  Alcohol is also broken down by an enzyme in the liver called P450IIE1, which can increase in number with chronic drinking (hence how people build up a “tolerance” for drinking….increase P450IIE1) and this is where most alcohol is metabolized.

The liver can only metabolize a certain amount of alcohol per hour, no matter if you are a virgin drinker or if you have your sea legs.  That being said, the ability to metabolize alcohol is dependent upon the number of metabolizing enzymes, which varies in each individual and can be genetic (i.e. over half of all east Asians have low numbers of ADH enzymes so they tend to get drunk easily, have wicked hangovers, and get flushed with drinking which is due to a fast heart rate which is how their bodies respond to metabolism of alcohol.) Usually, once you have a drink, your blood alcohol level peaks within 30-45 minutes.

Wilkinson et al., Journal of Pharmacokinetics and Biopharmaceutics5(3):207-224, 197
 
IMG_2336
What other factors influence alcohol Metabolism?
Food: The higher the dietary fat content in the stomach/GI tract increases the amount of time it takes for the alcohol to get absorbed into the blood stream.  One study showed that people who ate a meal of fat, carbs, and protein absorbed alcohol 3 times more quickly than those who drank on an empty stomach.
Gender: Unfortunately, women absorb alcohol differently than men.  Us ladies will have a higher Blood Alcohol Content (BAC) than men drinking the same amounts, and we are more susceptible to alcoholic liver disease, heart muscle damage, and brain damage.  It is presumed that the difference is due to women having a smaller amount of body water and we may have a lower amount of ADH (never been proven but highly likely based on numerous studies).
Effects of Alcohol:
Body Weight: interestingly, Women who drink (moderately) tend to have significantly lower body weights than those who don’t drink at all.  Men, there is no weight difference, but if non drinkers add alcohol to their diet, they don’t tend to gain any weight.  Chronic alcoholics tend to lose weight because they substitute alcohol for food….
Sex Hormones: Chronic alcohol intake causes significant hormonal imbalances; the liver metabolizes estrogen into testosterone, but when damaged, it is unable to do that, so you can have decreased sperm production.  In men who consume 220 grams of alcohol daily for 4 weeks, testosterone levels decreased after 5 days and kept dropping throughout the study period.  Also, chronic alcohol intake in men can lead to testicular atrophy (getting smaller) and the growth of male breast tissue. In women, we can create estradiol, which increases bone density and decreases the risk of cardiac disease (whoo hoo!!)
Medications: Tylenol (paracetamol, acetaminophen) can be toxic in the liver in large doses by itself, but add alcohol and it is a HUGE problem that can lead to immediate liver failure.  Like 4-5 extra strength pills in the course of the day with someone who is drinking can cause death. Other drugs such as pepcid (famotidine), ranitidine (zantac), and cimentidine (tagamet) can cause alcohol to be metabolized slower for reasons truly unknown at this point.
What can also cause increased rate of metabolism?  
The only thing known to increase the rate of metabolism of alcohol is fructose!! Consuming 100 grams of fructose has been shown to increase alcohol metabolism by 80%!  So, not helpful for people like me that drink vodka sodas, but great for the rum and coke (not diet coke) drinkers of the world!!  I guess I need to go back to my gin and Q-Tonic beverages OR maybe a handful of skittles after every drink???
So, the best way to prevent a hangover is to eat a meal with fat, protein and carbs (cheeseburger anyone?), increase your water (before bed chug a coconut water if you have one, or just regular water) because we all know the metabolism process dehydrates our bodies (because of the effects of alcohol), and increase your sugar intake….high fructose corn syrup does count!!  So seriously, a great idea for a bar is to hand each patron a bag of candy with each drink!!  Actually, one of the reasons why “fruity” drinks tend to make you less drunk 🙂 hmmmm…..  BUT I must say, carbonation supposedly increases your alcohol absorption, so maybe a Harvey Wallbanger is the way to go…and try to stick with the same kind of alcohol.  Really, I think we all knew these tips except for the sugar.
So, ladies apparently drinking is good for you?!?!  And men, if you are looking to be more manly, you may want to lay off the booze for a bit….
Yours in Good Health
B

Just let it flow….

There is a common thing that people do all the time, that really can be bad for your health.   People take anti-diarrheals (such as Immodium). Normally, your colon absorbs fluids form the foods you eat, creating semi-solid stools; if that fluid isn’t absorbed then you have diarrhea.  There are numerous reasons for the body to have liquid stools such as viruses, bacteria and parasites, medications, lactose intolerance, fructose, surgery, artificial sweeteners, and chronic medical disorders.

Why can this cause diarrhea?
Viruses: such as Norwalk virus, Hepatitis A, cytomegalovirus, rotavirus which are transmitted as easily as the common cold from person to person.
Bacteria/Parasites: Giardia lambia, salmonella, E. Coli, cryptosporidium, campylobacter, and shigella can be transmitted through contaminated foods or new exposure while traveling.
Medications: Most common medication to cause diarrhea is antibiotics because they kill off the healthy bacteria in our colon as well as the ‘bad’ bacteria that it is prescribed to kill off.   Often, this leads to an infections called Clostridium Difficile, which can cause massive amounts of diarrhea.
Lactose Intolerance: lactose is the sugar found in milk that some people are unable to digest and break down; your body makes an enzyme that will break down lactose, but in some people the level of this enzyme drop off, and ingesting lactose will cause gas and diarrhea.
Fructose: the sugar found naturally in fruits and honey is difficult for some people to digest
Artificial Sweeteners: sorbitol/mannitol can cause diarrhea in small doses for some people but will definitely cause diarrhea in large doses as it is not absorbed by the body
Surgery: After gallbladder removal or various abdominal surgeries, you can experience diarrhea due to changes in the colon.
Medical Conditions: Chron’s disease, ulcerative colitis, celiac disease,  and irritable bowel syndrome can all cause diarrhea.

So, what do I do??
Most bouts of diarrhea shouldn’t last more than a day or two, if it is something that doesn’t need to be treated, so drink lots of fluids, stay home, and ride out the storm.  Taking medications such as immodium will stop you from having diarrhea BUT it will trap whatever is causing the diarrhea in your colon.  Diarrhea is a way that your body can flush out something bad/unwanted, and keeping the virus/bacteria/etc inside can cause colon damage, like a perforation (a hole in the wall of your colon- which leads to BAD NEWS!!)

If it lasts more than a day or two (and you have a fever, weakness, etc):
call your HCP and be prepared to give a stool sample, have a physical exam, and possibly some blood work done.

Treatment depends on the cause:
Antibiotics may be given if you have a parasite or bacteria (as noted in my earlier blog about antibiotics it won’t do anything to treat viruses).  Your doctor will encourage you to take in fluids to replace the ones lost from your diarrhea, and may give you some intravenously to replace electrolytes (a really good time to take in coconut water!)  If the diarrhea is caused by medications, they may change your dosage, or put you on yogurt along with your antibiotics (the probiotics replace the good bacteria!!) or have you take a probiotic supplement.  Or, they ,ay send you to a gastroenterologist for a further work-up to rule out a chronic medical condition (as listed above.)

Now that its starting to clear up, what should I do?
Reintroduce semisolid and fibrous foods slowly to see how you tolerate it. Avoid alcohol and caffeine as they can dehydrate you, and caffeine can cause more stools.  Try to avoid high fat content foods, spicy foods, and dairy products at first. As your stomach tolerates foods, you can add more slowly until you are back up to snuff!

Prevention is key!!
Wash your hands after using the bathroom/changing diapers/and anything yucky, and before preparing food, after sneezing/coughing/etc.  Wash your hands with a good lather for 20 seconds (or sing happy birthday twice…out loud or in your head!) And, if not possible to wash, use a hand sanitizer (although, I think people tend to get a little too bonkers with the hand sanitizer, in my opinion; it doesn’t need to be reapplied every 5 minutes!)

To prevent diarrhea from food contamination, eat food right away or store immediately in the refrigerator. Wash the cutting boards/surfaces in between working with meats vs vegetables, etc. And, when thawing meats, put them in the fridge to thaw instead of on a counter.

When traveling, be careful to eat fully cooked foods, and try to avoid raw foods unless it is something like a fruit or veg that has been washed, and steer clear of dairy.  Try to avoid tap water and ice (country dependent), unless the water is boiled or filtered.  If you have medical conditions, ask your HCP if they want to put you on preventative antibiotics, just in case.

In general, just use good sense, but allow your body to get rid of the bad stuff, it is getting rid of everything in your colon for a reason.  Now you know what to do next time you get sick!!

Yours in Good Health
B

oh, yes, you can break your penis!!

I am not sure why this has been a hot question as of late, but I keep getting asked if men can really break their penises.  I guess it is confusing because usually you break a bone, and while we all know the common term for an erection, there really isn’t a bone in there!

So what’s the deal?
It is actually called a penile fracture and it can happen during sex (being in a more strenuous position, the person on top falling with too hard a landing…you can imagine)!  Medically, it is a hyper bending of the penis, when erect, that can cause a tear of one of the outer layer of the penile tissue (tunica albuginea), which causes swelling and effects the inner tissue (corpora cavernosa) which is the area that fills up with blood, to actually cause the erection. So, when that outer layer tears, it allows blood and other fluids to go where it shouldn’t an it causes severe pain, swelling (not in the good way, fellas), and bruising.

Signs/symptoms?
Usually there is a popping noise (I don’t even have a penis and that makes me cringe) when the tear occurs, and you will have pretty severe pain, swelling, and bruising.  If there isn’t a pop, but just the other signs, you still may have a fracture and will need to seek medical attention.

Prevention:
As mentioned before, it can happen when the penis is bent more than usual, and it can be caused from the pens hitting a hard surface instead of where it is supposed to go (for example in female/male sex- hitting the perineum instead of entering the vagina, and it usually occurs by accident), so the best prevention is to not try to rock extreme acrobatics in the bed room and diminish flying into the wall when you miss your partner….if you know you can make it every time, then go get ’em!!

What can be done?
It is considered a MEDICAL EMERGENCY!!! Usually, you need to have surgery under general anesthesia.  They have to make a couple of incisions in the penis, to find the tear or tears, suture them up to repair the injured area, then suture the penis back up.  Usually the operation lasts about an hour total, then you go to the recovery area, then usually right home that day.  The healing process usually takes about a month, then you can be back in action!!  If you DON’T get the operation with the tear, your penis will eventually go back to somewhat normal, there can be a build-up of scar tissue, which can cause erectile dysfunction later on.  Some tears are small and your HCP may feel that it will heal well without surgery, but if that is the case, I would get a second opinion, seeing as your sexual health is a super important part of life, I would make sure that your penis will heal without later issues!!
Here is a pic of a small penile fracture:

This is in the OR, and they are about to repair the fracture (the open triangle at the base of the penis)

How common is it?
There are usually 1200-1500 (approx) cases per year in the US.

So, don’t let this scare you from having the amazing sex life that you deserve BUT if you want to “try” something, make sure that you decrease your risk of missing!  And, ladies: when you are on top, please don’t get too rough….and pay attention to what you are doing, it can cause a serious problem!!

Yours in Good Health
B

Wow, that really stinks!

Certain people have a tendency to have really stinky feet, which can be super embarrassing and awkward.  The medical term is called bromohydrosis, and for some people this is like a crisis.  One of my good friends has the stinkiest feet, and I have no problem calling him out on it, but it can be really an embarrassing thing for people and it is a tough problem to cover up.

 Now, the feet are an area in the body with a high number of sweat glands (250,000 to be exact), so they are at risk for smelliness from the start!  But the question then is, why do some peoples feet smell and some don’t? It can be based on a lot of different factors, but while all of our feet smell, some people tend to have hyperhidrosis (a condition which causes excessive sweating in the feet), stress, hormonal changes, certain medications, and some lifestyle choices.  When the feet sweat, bacteria (usually corynebacteria) is present, which leaves and isovaleric acid, which is what causes the smell. Some people do have foot fungus, which can be present and visible in the nails, which is a totally different problem! So, get rid of that acid, get rid of the smell…..easy right??  I want to give some basic foot care, home remedies for the excessively smelly feet, and medical treatments.  Most of the medical treatments are for fungus, so that may be an underlying problem, but try these tips first, then go from there and see your HCP when the home remedies aren’t working.

Basic tips:
CLean your feet daily with soap (preferably antibacterial) and dry them thoroughly after showering/bathing.  Also, try to wear cotton socks, and switch your shoes daily; it allows the shoes to dry out from sweating and can help in a decrease in smelliness! Also it is best to wear cotton socks, or natural fiber socks as opposed to synthetic fibers; cotton (or natural fibers) absorb the sweat and synthetic fibers whisk the sweat into your shoes, then you have smelly feet AND stinky shoes!  Also drinking a lot of water can help to flush the system of toxins and allow for foot odor to decrease (there is a school of thought that the odor is toxin related.)  And finally, allow your feet to be open as much as you can; be in bare feet when you get home, don’t sleep with socks on, and wear sandals/flip flops when you can to let those puppies air out!!

When that doesn’t work?  Try some home remedies:
Dust your freshly washed and dried feet with corn starch or powder (light dusting)
Wash your feet with freshly brewed and cooled green tea, it can have antibacterial effects
Wash your feet with acne medication, the antibacterial function that can prevent acne can prevent the foot odor as well!
Soak your feet weekly in a tub of water with some baking soda and two tablespoons of standard white vinegar
As turnip and radish juice are natural deodorants, you can rub your feet in one of these juices to war off the smell
Crush ginger-root and rub on your feet as it aids in ridding toxins, or you can take a bath in the crushed ginger weekly
Eat Cilantro!  It is a detoxifier (supposedly of metals specifically) but it may absorb the toxins before you sweat them out (they will come out another way!)
Zinc supplements supposedly can help with foot odor because some people think it can be due to a zinc deficiency
Finally, urinate on your feet in the shower!!  Urea has natural anti-fungal effects and can kill off a fungus which may cause your smelly feet….plus, peeing in the shower is a good idea in public showers if you are in bare feet to ward off picking up athletes foot!!

Medical Treatments:
Aluminum Chloride Hexahydrate is a cream that must be applied ot the feet nightly to decrease sweating
Electric currents can be used to pass a small electrical current through the skin into the sweat glands and prevent them from sweating (or diminish it) for several weeks
*Botox injections to the sweat glands can paralyze the glands and prevent them from sweating
*In severe cases, a surgeon can cut a nerve that allows the feet to sweat; therefore you will no longer sweat trough your feet
***Just a heads up here, your body needs to sweat to get rid of toxins and flush the body, so if you stop all sweat from your feet (or armpits or wherever you want to retard sweating) it has to come out somewhere, so you may get more back sweat or hand sweat, increase underarm sweat, etc.  So just be aware that it WILL come out!!

I hope this helps any/all of you with bromohydrosis, and remember that if the home remedies don’t work, go see your HCP and get a stronger treatment because you may have a foot fungus which has different treatments!  Good luck!

Yours in Good Health!
B

Moobs are no laughing matter and male breast cancer isn’t either

In honor of breast cancer awareness month, I thought that I would discuss a growing trend in healthcare: Male breast cancer.  I wanted to raise awareness because many people do not know that males can even get breast cancer, and men don’t worry about it, so they usually notice lumps late, leading to late diagnosis, and worse outcomes.  Male breast cancer can occur at any age, and stage for stage of breast cancer, has the same outcomes as women, men just tend to delay diagnosis, whereas women (for the most part) are hyper vigilant about SBE’s (self breast exams).  We are all born with small amounts of breast tissue, women’s grow during puberty, whereas this doesn’t occur in men, but they do have that small amount of breast tissue from birth.

What are symptoms to look for?
-Painless lump or thickening of the breast tissue
– Changes to the skin on/around your breast tissue such as dimpling, puckering, redness, or scaling
– Changes to your nipple that appears red, scaling, or your nipple turns inward
-Discharge from your nipple/s

What are they types of male breast cancer?
Cancer starting in the milk ducts: ductal carcinoma is the most common male breast cancer and nearly all breast cancers involve the milk ducts.
Cancer that begins in the milk producing glands: lobular cancer is rare in men because men have low lobules on their tissue.
Cancer that spreads to the nipple: In some cases breast cancer can spread from the ducts to the nipple causing scaliness and redness o the nipple, known as Paget’s disease.

What are the risks?
Inherited genes/Family history: BRCA2 can be tested early (if you have a strong family history, you can talk to your doctor about getting genetic testing).
Older age: men 60-70 are at increased risk
Alcohol: excessive alcohol intake over time can increase your risk.
Estrogen: If you take estrogen or hormones for a sex change purposes or as used in prostate cancer treatment.
Klinefelter’s Syndrome: sometimes males are born with an extra X chromosome, which can cause abnormal testicle development and leads to lower testosterone levels and higher estrogen levels.
Liver Disease: cirrhosis of the liver can cause higher levels of circulating estrogen, as the liver converts androgens to estrogen.
Obesity: higher fat cell content, and fat cells also convert androgens to estrogen.
Radiation Exposure: for treatment of cancers in the chest, for example.  

What to expect during your work-up:
Clinical breast exam: your HCP will manually feel your breast tissue on the chest
Mammogram: the tissue of your breast is pressed flat and an Xray is then taken as you are standing upright (it is relatively uncomfortable and tell the technician if you need a break)
Breast Ultrasound: a non invasive test with some goo placed on top of your skin, and a wand that uses sound waves to “see” breast tissue is used.
Test nipple discharge: if you have discharge, your HCP may collect a sample to test for cancer cells
Biopsy: a small needle is inserted into the lump and cells are removed to test for cancer and visually screen under microscope, it can determine if there is cancer and what type.

Treatment options:
Surgery: to remove the affected tissues
Radiation: High energy beams to kill off the cancer cells through the skin
Hormone therapy: Some cancers needs hormones to grow, and the treatment is to give the opposite hormone, therefore stopping its growth and killing the cancer.
Chemotherapy: Using strong chemicals through the veins to kill off certain types of cells, at different stages of growth.

Are there Alternative therapies?
None have been shown through research to cure male breast cancer, but they can help relax you during your treatment, and make it much more tolerable.  Acupuncture, prayer, yoga, meditation can all help to restore your personal balance while undergoing treatments.

Can I prevent it?
Drink alcohol in moderation, exercise, maintain a healthy weight, and perform self breast exams to notice any new lumps/bumps/skin changes.  Also, if you have a family history (like mom, aunts, sisters) with breast cancer, talk to your HCP about possible genetic testing.  Being aware of the signs is the first step, and talking to your partner and HCP about any changes is super important too….hey, who better to give your breast exam than your partner 😉

Yours in Good Health
B

Massages are not just for a spa day anymore….Nurses orders!!

Massages are awesome.  Most people think of them as something that you should do on a special occasion once a year.  Not me, I get them sometimes weekly, but most often every other week…not because I am spoiled, but because I work my body hard with running/working out, work, and I totally stress myself out about stupid things all the time, and I need to help my body relax and rejuvenate.  Some insurance companies will actually pay for massages by certain massage therapists, so it is worth a call to find out if you are covered, because what is better than a massage?  A FREE massage!   What are some of the health benefits?  Stress relief, anxiety/depression alleviation, pain/stiffness relief, blood pressure control, aides in infant growth, prevents sports-related injuries, boost immunity, and can help with cancer therapies.  So, I asked my friend, who is a LMT (licensed massage therapist) to write a little more in depth about various massages therapies, how to find the right massage therapist, and why it is, in fact, work for your body and should be uncomfortable at times to get the full benefits!!  Enjoy!!
Yours in Good Health!
B

I was asked to return and talk about the joys and benefits of massage, and though there are few who would disagree about these benefits, I would feel less than disappointed if I didn’t at least reach out to the select few who claim that they cringe at the thought of being touched by a complete stranger. As much as some would believe this to be a perfectly reasonable phobia, I’m still a firm believer that all phobias can be confronted and cured through certain steps.
From the moment we are born into this world, we become familiar with the sensation that is touch. We are held and cradled by a warm embrace after a few shock minutes of pain. Though we as humans rarely develop a cognitive memory before age five, it’s foolish to think that our central nervous system isn’t working to develop the deeper senses and instincts. It is because of the nurturing process, that later on we are either comforted and familiar with the healing powers of massage or deeply disturbed and afraid of overall human contact.
When one truly contemplates the ideal of either medical or therapeutic touch, it’s really quite simple.  We long and need and crave human contact.  There is a healing energy that comes with being a person and unless you have lived in the allegorical cave all your life, you would be ignoring one of the most basic of human needs.  It can be esoteric and even harder to explain, but the simple fact is one always feels SOMETHING upon physical contact with another. Something that goes beyond comprehension and words and anyone who has ever judged someone for better or worse from a handshake knows that to be indisputable. Mind you, one should reserve judgment on any moral grounds, but you can’t, nor should you ignore your better instincts when it comes to personal safety.
Now that we got that out of the way, lets talk shop!! I would like to get a few things straight and go over some common misconceptions and usual questions about the world of Massage Therapy. The first being, what are the physiological benefits?  Simply put, it promotes blood circulation, reduces stress and thusly enhances the immune system.  Those are just the beginning perks coming from the most basic form of massage, often referred to as Swedish. 
To those who are relatively new to this type of thing, there are several different types of massage that all serve a different purpose.  The most common of which most anyone will find while searching the market are Swedish, Deep Tissue, Sports massage, and reflexology.  Swedish massage is described as an application of oils, scented oils, lotion or specific types of gels that are appointed lightly over the skin in a certain pattern that correlates with ones blood circulation.  This allows ones blood vessels to dilate allowing said blood to reach all vital organs in a more harmonious fashion.  While this particular type of massage is not always preferred, due to the nicey nice nature, it can be extremely helpful for people who are hypoglycemic, diabetic, or just live with low blood sugar.
Next is deep tissue, which to the seasoned veteran, is basically the same as Swedish but with deeper pressure, and shorter strokes to the problematic areas.  This type of work is generally reserved for the more active and athletic public.  I’m sure most if not all are familiar with how back or shoulder knots feel after a day of heavy lifting or a couple hours at the gym.  This happens because of during a deep contraction of the muscle, lactic acid tends to draw to the area, leaving it feeling, sore or perhaps even overworked.  The best way to remove and relieve it is direct pressure.  To this day it still surprises me that people expect to be in a euphoric state during this type of work, when in fact it’s usually quite the opposite.  The therapists main goal is to, lack for a better term, eradicate this with as much effort that is appropriate. He or she will most likely apply elbows and body weight to the area of referred pain for minutes at a time that some say pass like an hour.  The relief isn’t immediate either; eight times out of ten one will walk out feeling worse then when they came in, especially if the therapist is still a neophyte to the profession (which is why one should take into serious consideration as to who they would have work on them… but I’m getting ahead of myself). As I was saying the relief is not immediate because getting this particular type of massage can be synonymous with running a marathon.  If you allow the process to run its course properly, you will notice results the next day.  Some would refer to this as a crappy deal, but as I said, if you go about it properly, receive the massage on a day off or at the end of the day, and take a nap or just sleep it off, you will wake up refreshed, and feeling anew. 
That being said when choosing a massage therapist for such work, one would be right to do the research.  Too often have I heard on my own table, how consistently disappointing a deep tissue massage can be, never on my account of course, but many therapists tend to not deliver.  This is either because the pressure was too deep, or not deep enough, which is pretty messed up considering the going rate for most massages.
The same goes for a sport massage.  This style’s technique has some versatility, because it can be used for both settings of an athletic event i.e. before the event and after.  It is pretty important, neigh, vital that one specifies which they are looking for in order to prevent injuries such as hyperextensions, muscle tearing, spraining and even bone fractures.  The pre-event sports massage should be done obviously before an athletic event such as long distance running to help warm up and contract the muscle fibers necessary for enhancing performance. When done properly the P.E. sports massage is described as a series of tapotement (percussion or light medium tapping all over the body), kneading (short, specific strokes to promote blood flow and hyperemia), rocking and compressions. I’d say this kind of work could be compared to getting pumped up before a big game with a few slaps to the face, or a therapeutic adrenaline rush.
The post-event sports massage is obviously for after athletic events, and is the more relaxing of the two.  It incorporates deep and positional stretching, of both the limbs and muscles, and deep tissue pressure.  When done properly sports massage is synonymous with yoga, only the one receiving is doing none of the work and receiving all the benefits.  Also this sort of work can be done at any point of the day. It improves flexibility and muscle elasticity, as well as promoted blood flow and stress reduction on a mental and physical level.
Finally, reflexology; I’m referencing this work for a few reasons.  The main one being that, this style of massage is usually reserved, preferred, but not limited to the general public who don’t enjoy full-body work.  Statistically, I think we can all agree that we endure similar woes with the feet. We walk, we sprain, we break, cut and callous, and in the long run, treatment of said hardships are rare and limited. That’s right!! For those who never heard of reflexology, it is simply put, the greatest foot massage one could receive.  This is an eastern practice rooted in traditional Chinese medicine (TCM) which incorporates pressure points in the feet, that correlate and connect to all the vital organs of the body (stomach, liver, lungs, heart, large intestine, small intestine, etc).  This is a widely accepted practice around the world, and it only covers a small amount of your body’s surface area. I can only speak so much for the experience, so I would have to implore those to go experience this for themselves.  However this is the least invasive of all the massages discussed today, and it takes half the time. So one would find this a logical solution for those who are short of leisure and with busy schedules.
Before I end this discussion I think it would be pertinent to discuss the proper ways of finding the right massage therapist.  As it were, the more adventurous public seems to go the trial by error route. I am not completely against this method, but this being my profession, I tend to have a hard time gambling with my comfort.  Also its come to my attention that most people don’t seem to know the etiquette in finding someone who would best suit their experience and needs.  Usually avoid casino’s and other overpriced venues; yes the scenery is nice, and everyone loves a steam room, but in my travels I have learned to keep it simple.  The spa’s that are self-run tend to carry the most talent.  The utilities may not be as plentiful, but a nice comfy couch, perhaps a soothing fireplace, and a clean bathroom will be all you need.
The normal protocol for setting an appointment is as follows:
Secretary answers: Welcome to SeaSpa Experience how can I help you
Potential client: Yes I would like to schedule a massage
Secretary:  Do you prefer a male or female?
Potential client: it doesn’t matter….
At this point, I would say 90% of the time the secretary would choose the most senior and available therapist on the list.  Now I’m certainly not going to infer that one gender is better than the other, because that is never the case nor the issue, but when you get to the part of the secretary asking you what type of massage you are looking to receive, it is more than appropriate to inquire a recommendation.  Believe it or not the spa community is well known for its trading and bartering, and the secretaries are even more known for sampling the products.  I will guarantee that when you specify the type of massage desired, and follow up question of, “which therapist would you recommend for this type of massage?”, She will not hesitate in assisting you with a well guided decision.  Also, never write off word of mouth, or research.  Most people who visit spas regularly are notorious for writing reviews, so if you see a name repeated on more than one occasion, it’s a good sign that you won’t be disappointed.
Until then, happy hunting and safe journey!

sleep tight….and don’t let the super bed bugs bite!!

I apparently live under a rock, and I needed my mother to truly explain to me that bed bugs were creatures that you could actually visualize.  i thought they were kind of like mites, and unseen to the human eye….and with things like that I do the “out of sight, out of mind” technique, especially since staying at The Ritz or Four Seasons doesn’t mean that you are ensured a bed bug free night!  Once she told me, I basically freaked out, and am now obsessed, so this one goes out to me and everyone else who wants to know about these creepy crawlies, how to know if you have them and how to get RID of them!!

What are they?
They are small, oval, flat, wingless parasites that are the size of an apple seed from the Cimicidae family and they feed on human blood.

They got the name “bed bug” because that is where they most often live and easily hide so that they can come out at night and feast on you (Um, can you say gross?!?!) but they were also known as the wall louse, mahogany flats, and crimson ramblers.  They like to live close to their hosts so usually beds or couches, but they can also live in cars, luggage, and clutter which makes them hard to find, unless you have physical signs on your body, wake up with blood spots on your sheets, or find their poop around. When they bite you to eat your blood they can case skin rashes which can be small or their bites can cause full allergic reactions and result in blistering.

Apparently they were completely eradicated in the 1940’s after major infestations through the use of DDT (which is now since banned), but there has been a significant resurgence in worldwide starting around 1995 which has many causes such as: increased foreign travel, increased trading of furniture/second hand furniture in homes, and a focus on other household pests (not worrying about bed bugs) leading to a pesticide resistance .  Now they have come back and are like super parasites, they can live at extremely high and low temperatures, their lifespan is totally bug dependent, and they only thing that they can’t live in is carbon dioxide (but can still they can live for up to 7 days in straight CO2).  Really? AND they can live a YEAR without feeding but choose to eat every 5 to 10 minutes, so they totally aren’t greedy little suckers (pun intended).  The good news is that their natural predators are spiders, mites, and cockroaches; I am not sure which I would prefer more, cockroaches or bed bugs, hmmmm….

The other good news is that they are not known to transmit disease, they are just gross and totally stress people out; on top of causing rashes!

How do I know if I have them?
You only really know if you have bed bugs by having random rashes, find blood spots on your sheets in the morning, and you can find with their carcasses (from when they die) or their poop around your dwelling.  A diagnosis of rash due to bed bugs is made by both the physical rash on your body and after searching for signs of them in your home.

What puts me at risk?
Living/staying at military barracks, apartment complexes, homeless shelters, dorms, hotels, refugee camps.

How can I find them?
Some pest control companies have detection devices that use heat and low amounts of carbon dioxide to trick the bugs into thinking that there are humans present and they come out of hiding.  There are also bed bug sniffing dogs that have been trained to find them and they have over 97% accuracy in finding them in homes, and take a matter of minutes as opposed to hours by a human pest control practitioner.

What do I do for treatment?
So, to treat your skin rashes, usually hydrocortisone cream will aid to diminish swelling and itching and an oral antihistamine (such as benadryl) will help to make the rash go away BUT you need to rid your home of the bugs and end exposure.

How do I rid my home?
Vacuuming: all rugs, beds, furniture with a good strong vacuum….maybe even rent one to ensure that you are sucking out the bugs
Hot Water: Wash all clothes, bed linens, towels, etc in water that is at east 120F to kill off the bugs
Heat: Ensure that once you wash your clothes in hot water, put the clothes in the dryer at medium to high heat for at a minimum of 20 minutes to kill bugs and their eggs.
Enclosed Vehicle: if you can’t get access to a washer/dryer, just bag up the clothes, linens, etc, and park your car with closed windows directly in the sun for one day during the summer. The heat will get hot enough to kill off the bugs.
Freezing: If you live somewhere cold, bag everything and out it in weather that is below 32F for a few days, and that should also kill off the bugs (more time consuming, but it depends on the time of year and where you live!!)

**If these fail, then call an exterminator, and they can use harsh chemicals to treat the infestation, but be careful with children and animals and you will need to vacate your home for a while.

How do I prevent bites?
Wear long sleeved pajamas with pants to bed (if their is no exposed skin, they have nothing to bite!), and some studies suggest using mosquito netting around your bed (they are coated in pesticides).

How do I prevent infestations?
Inspect (thoroughly) second hand items for signs of bugs before bringing them into your home, and steam clean with high heat of necessary. At hotels, check mattress seams for bed bug excrement before laying in the bed, and place your luggage on top of dressers instead of on the floor.  Also, get rid of any bird/bat homes that may be in/on the outside of your home.  At your own home, mattress wrapping has been suggested as a treatment to contain them (see the added link).

So, now that I am totally creeped out and inspecting every single hotel and home I go to for bed bugs, I at least feel better knowing the deal and what to look for!  I hope you guys all stay bed bug free and know how to treat and prevent if you do have infestations!!

Yours in Good Health!
                                     B

Uh, oh….can CALCIUM cause heart attacks?!?!

I know that one of my first blogs was talking about how important adequate calcium intake is, and it still totally is!  Calcium, as we all now know is really good for you, it not only help to strengthen bones, but it aids in muscle contraction, allowing for optimal cardiovascular health, and help to keep your joints inflammation free.  So, am I going to tell you that calcium is actually bad for you?

Kinda, sorta!?!?!? Recent new studies have come out showing that calcium intake can actually increase WOMENS risk of heart attacks by 27-31%!   The studies were looking at older women who take calcium supplements (without Vitamin D) in 500mg  pills.  The study was pretty large in size and was published in the British medical Journal, which is very well regarded, as far as medical journals go.

Many HCP’s are not changing their patients medication regimes as of right now, because the risk of broken bones and osteoporosis is so significant for so many older women, but they are taking into account their medical history and risk of cardiac disease.  So, your HCP may not stop your current calcium supplementation, and don’t stop until you see them and talk to them about your specific course of treatment.  BUT if you do have risk factors, you may not be started on calcium supplementation and encouraged to take in calcium through your diet….as always, I am pushing the raw milk, but see my list linked above to look for some calcium rich foods and lay off the supplements, if you are worried, but make sure to boost the calcium in your diet!!

Yours in Good Health!
B

Let’s get Physical….

I am frequently asked how often adults should go to see their HCP.  Honestly, I will give you a a good rules that HCP’s usually go by, but it all depends upon your insurance coverage and how often they will cover it.  Also, it depends on your age and overall health status, so this is just a generic guide, and your specific HCP will tell you when to go back and follow-up.

Children to the age of 18:
yearly and for immunizations

Women:
Should get yearly OBGYN exams from the  time they are sexually active or starting at the age of 21 (whichever comes first).

Adults over the age of 18-39:
A complete physical every 3 years (a minimum of twice during your 20’s), also a yearly blood pressure screening is suggested, along with cholesterol levels checked every 2 years.  If you have a specific family history or risk of diseases, you should discuss with your HCP and you can both set up a plan for future visits.

Adults 40-65:
Every 2 years for physicals if there are no other medical issues.  ANd start colonoscopy screening at the age of 50 and every 3-5 years after that.
Men- over the age of 50 should get yearly rectal exams to assess risk of prostate cancer
Women- over the age of 40 should have yearly mammograms, unless you have a family history, and you may be required to start them earlier.

Adults 65+:
Yearly physicals at a minimum.

Again, if you have a chronic disease, you will obviously go to all of those MD appointments, but Women, specifically, must remember, that going to the OB/GYN for a yearly exam is NOT the same as getting a physical by your primary care provider (PCP) and it is very important for full body physicals.  Also, anything that you notice different, you should go see your PCP, even if it is sooner than the guidelines listed above.  It is a good idea to have a PCP and form a relationship, it will stave off trips to emergency/walk-in clinics, and you will get better care because they know your history and all about you.  Plus, early detection of disease is key, and if someone is following you over time, a trend might be noticed that you can prevent before getting sick!

I hope this helps!

Yours in Good Health
B