Reduce Your Risk of Lyme Disease

LYME DISEASE IS GRADUALLY RISING ACROSS THE U.S.

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THE ILLNESS IS SPREAD WHEN BACTERIA IS TRANSMITTED THROUGH A TICK BITE.

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TIME SPENT OUTDOORS INCREASES THE CHANCES OF BEING BITTEN BY A TICK BUT CLEVELAND CLINIC’S DOCTOR ALAN TAEGE (TAY-GEE) SAYS THERE ARE STEPS YOU CAN TAKE TO REDUCE THAT RISK.

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CG: Dr. Alan Taege /Cleveland Clinic “You can protect yourself. Use the insect repellent, particularly those with DEET, D-E-E-T, when you go out to work in your yard, camping, hiking, whatever you’re doing, put it on, because it can be very effective.” [:16]

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IF YOU’RE GOING TO BE CAMPING, DOCTOR TAEGE SAYS YOU CAN ALSO USE AN ADDITIONAL CHEMICAL ON CLOTHING, TENTS AND CAMPING EQUIPMENT CALLED PERMETHRIN (PER-METH-ER-IN) TO KEEP TICKS AWAY.

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ACCORDING TO DOCTOR TAEGE, IT’S A GOOD IDEA TO TUCK PANT LEGS INTO SOCKS OR BOOTS. THIS MAKES IT HARDER FOR TICKS TO GET ONTO YOUR SKIN.

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HE ALSO RECOMMENDS WEARING LIGHT-COLORED CLOTHING.  IT WILL BE EASIER TO SPOT AND SWAT A  DARK-COLORED TICK ON A SLEEVE OR PANT LEG.

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HE SAYS THE AVERAGE TICK HAS TO BE ATTACHED FOR SEVERAL HOURS BEFORE IT CAN CAUSE ILLNESS.  REMOVING THEM QUICK IS VITALLY IMPORTANT.

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CG: Dr. Alan Taege /Cleveland Clinic “When you come in from any of those activities where you’ve exposed yourself to ticks you should do a tick check to try to be sure that you haven’t collected any of the little creatures on your body.” [:12]

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[MEDIA:  Pathfire#: 10808 “Preventing Lyme Disease” June 14, 2017 Sound Bites/VO]

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GAME CHANGER: NEW SMART HEART MONITOR

 

Super excited to tell you about a new smart heart monitor you can use at home. It will help 28 million heart disease patients in the U.S. keep track of their heart.

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Keep track from the comfort of their home at any time. And it’s just been FDA approved.

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Meet Eko DUO.  The first handheld mobile, wireless, EHR-connected stethoscope, which connects to your smart phone.

It allows you to amplify, visualize and record crystal clear heart and lung sounds.

Imagine not needing to wait for your next followup appointment to transmit a concern to your physician. It works under the supervision or prescription from a physician.

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Eko Duo is set to help millions of heart disease patients who are often discharged with little more than an info packet and instructions to monitor their weight.

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Now patients can be sent home from the hospital with a direct link back to their physician, helping reduce readmissions and false alarms.

“The goal is to bring hospital-quality care to the home.”
Connor Landgraf, CEO and co-founder, Eko DUO

The device wirelessly pairs with Eko’s secure, HIPAA-compliant app, enabling remote monitoring and diagnosis by a clinician or specialist.

It works with the Eko app on any iPhone, iPad, Windows PC or Android device.

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Eko DUO can also be used by clinicians as an enhanced stethoscope for in-clinic cardiac screenings, enabling physicians to quickly diagnose and monitor patients.

Clinicians can use it bedside or remotely to quickly spot heart abnormalities including arrhythmias, heart murmurs, and valvular heart diseases.

I interviewed Ami Bhatt, M.D., a Cardiologist at Massachusetts General Hospital and Director of Outpatient Cardiology and the Adult Congenital Heart Disease Program at Massachusetts General Hospital and she believes Eko DUO will improve outcomes through early intervention.

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Dr. Bhatt says, “Cardiology programs are looking for ways to deliver hospital-quality healthcare at home.  The ability to capture digital heart sounds and an ECG expands our portfolio of mechanisms to remotely monitor the heart – and brings diagnosis and opportunities for early intervention even further upstream.” 

Heart disease can strike people of all ages.

I spoke with Stacy Bingham, a registered nurse from Oregon with 5 children, who knows this firsthand. She and her husband have no prior history of heart disease in their family, yet 3 of her 5 children end up needing heart transplants.

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When Stacy noticed her oldest child, Sierra acting tired with a loss of appetite for a few weeks, she never suspected the cause was an underlying heart condition.

“I noticed her face and eyes were swollen. She complained her stomach hurt.”

That’s when Stacy and her husband took her to a family practitioner.

“The doctor told us it’s probably a flu bug and sent us home. When her condition worsened she had an x-ray.”

X-ray results revealed Sierra’s heart was enlarged.  Dilated cardio myopathy. She later learned two of her other children also had heart problems.

“If they had not finally found Sierra’s heart condition, she may not have survived. We live in a really rural part of Eastern Oregon and we now have three kids with heart transplants that need to be monitored for life.”

Today, Stacy’s family takes nothing for granted, especially innovations that help.

“If this device can be used at home and we can rule out scary things and know when it’s not something we need to rush to a hospital for that would be wonderful.” –Stacy Bingham

James Young also knows how life can change in a heartbeat.

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Young was just 40-years-old when he first experienced symptoms of heart failure. Symptoms he ignored until they were severe and his sister insisted on it.

“I was coughing in mornings and throughout the day. I thought it was simply allergies. I vomited phlegm some mornings and still didn’t see a doctor.”

But the coughing became more painful. While shoveling, it stopped him in his tracks.

“I was outside shoveling snow when I turn behind me and  see a trail of blood.”

His sister noticed he didn’t look well and insisted he go see a physician.

“That’s when I was diagnosed with congestive heart failure. I was shocked.”

James felt anxiety, depression and uncertainty about his future at this time. Young believes Eko DUO will not only help alleviate false alarms and unnecessary hospital readmissions, but needless worrying as well.

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“Eko DUO would have given me assurance the doctor knew where I stood daily. If there were any issues outstanding needing to be addressed immediately. It gives the doctor an opportunity to respond expeditiously to those concerns.”

Today, James is doing great and is a national spokesperson and heart failure Ambassador for the American Heart Association.

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“I went from a 25% functioning heart to being an avid runner and cycler. I’ve taken on a new lease in life. As a community advocate I can help inspire others and give them hope.”

Ami Bhatt, M.D says that hope also translates to much needed continuous care rather than outpatient care.

“Robust toolkits for caring for patients in the community will hopefully lead to more appropriate healthcare utilization through continuous rather than episodic outpatient care.”

HERE’S HOW EKO WAS DEVELOPED:

Eko’s co-founder & CEO, Connor Landgraf, is also a heart disease patient.

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Connor navigated countless cardiology visits, screenings and referrals.

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In 2013, during his senior year as at the University of California at Berkeley, Connor attended a panel discussion at UC San Francisco on technological shortcomings facing modern medical practices.

One technical gap cardiologists claimed stood out beyond the rest: the stethoscope.

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So Conner and his co-founders welcomed the stethoscope, a two-century old tool, into the 21st-century.

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Photo: Connor and his co-founders, Jason Bellet and Tyler Crouch

 

The newly FDA approved Eko DUO brings that to the next level.
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To learn more about this remarkable 21st Century technology we love visit:  http://www.ekodevices.com

 

 

Factoids:

  • According to the CDC, heart disease is the leading cause of death in the U.S.
    The American Heart Associations says the U.S. currently spends over $26 billion annually on heart failure hospitalization. 25% of heart failure patients are readmitted within 30 days — 50% are readmitted in 6 months with hospitals now being penalized for high readmission rates.
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  • Fact: 83% of parents experience anxiety surrounding their child’s referral to a pediatric cardiologist for an innocent murmur.
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  • Fact: Average cash price for an echocardiogram is $2,275 and even with insurance, patients can expect to pay 10 to 30% of this cost.
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  • Fact: For a pediatric subspecialist such as a pediatric cardiologist, patients must wait between 5 weeks and 3 months to get an appointment.
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  • Fact: Internal medicine residents misdiagnose more than 75% of cardiac events.
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  • Fact: 70% of all pediatric cardiac referrals for murmurs are unnecessary.
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  • Fact: Average PCP needs to coordinate care with 99 other physicians working across 53 practices.
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  • Fact: Only 50% of initial referrals are accompanied by information from the PCP.
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  • Fact: Patients in rural communities must travel an average of 56 miles to see a specialist.
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  • Fact: About 46.2 million people, or 15% of the U.S. population, reside in rural counties.

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Eko DUO.  A real game changer for heart patients worldwide.

http://www.ekodevices.com

 

 

Sleep Apnea Treatment Reduces Drowsy Driving

SLEEP APNEA AFFECTS AT LEAST TWENTY-FIVE MILLION ADULTS IN THE U-S.

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THE CONDITION CAUSES THE UPPER AIRWAY TO COLLAPSE FREQUENTLY WHILE SLEEPING, ROBBING SUFFERERS OF A GOOD NIGHT’S SLEEP AND LEADING TO DAYTIME SLEEPINESS AND DROWSY DRIVING.
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NOW, NEW CLEVELAND CLINIC RESEARCH SUPPORTS A GROWING BODY OF EVIDENCE THAT SHOWS TREATING SLEEP APNEA WITH A C-PAP (SEE-PAP) MACHINE REDUCES SLEEPINESS BEHIND THE WHEEL.

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CG: Dr. Harneet Walia /Cleveland Clinic “There was a significant reduction in the drowsy driving episodes and this reduction was more pronounced in patients who were CPAP adherent. This is a very important finding because drowsy driving poses a very important public health risk.” [:14]

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RESEARCHERS ANALYZED SELF-REPORTED QUESTIONNAIRES FROM NEARLY TWO THOUSAND PEOPLE WITH SLEEP APNEA. THEY ASSESSED DROWSY DRIVING INCIDENTS BEFORE AND AFTER PARTICIPANTS USED A C-PAP MACHINE.

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C-PAP STANDS FOR CONTINUOUS POSITIVE AIRWAY PRESSURE AND IS WORN AT NIGHT WHEN SOMEONE IS SLEEPING.

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IT’S DESIGNED TO INCREASE AIR PRESSURE IN THE THROAT TO PREVENT THE AIRWAY FROM COLLAPSING AND THEREFORE RESULT IN A BETTER NIGHT’S SLEEP.

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RESULTS SHOW A SIGNIFICANT IMPROVEMENT IN REPORTED ACCIDENTS AND NEAR-MISS-ACCIDENTS AFTER USING A C-PAP MACHINE.  FOLKS WHO USED IT REGULARLY AND COMPLIED WITH TREATMENT GUIDELINES SAW THE GREATEST IMPROVEMENT.

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IN ADDITION TO DROWSY DRIVING AND DAYTIME SLEEPINESS, DOCTOR WALIA (WALL-EE-UH) SAYS SLEEP APNEA CAN ALSO HAVE CARDIOVASCULAR CONSEQUENCES, SO IT’S IMPORTANT TO BE PROPERLY DIAGNOSED AND TREATED.

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CG: Dr. Harneed Walia /Cleveland Clinic “If you think you have obstructive sleep apnea, or you have signs of obstructive sleep apnea such as loud snoring, having pauses in breathing, or you feel excessively tired throughout the day please seek medical attention.” [:14]

DOCTOR WALIA SAYS SLEEP APNEA CAN BE EASILY DETECTED DURING AN OVERNIGHT SLEEP STUDY AND THAT USING A C-PAP MACHINE IS OFTEN THE FIRST LINE OF TREATMENT. COMPLETE RESULTS WERE PRESENTED AT THE AMERICAN ACADEMY OF SLEEP MEDICINE IN BOSTON.

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For more information please visit: ccnewsservice@ccf.org

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Media:  

See June 6, 2017 Sound Bites/Voice Over Pathfire#: 10803

 

Health Benefits of Drinking Water

 

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Here’s what you need to know about the benefits of drinking plenty of water.

By Dr. Nina Radcliff

ANALYSIS/OPINION:

You may know that water makes up about two-thirds of who we are – but did you know it influences 100 percent of the processes in our body?

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Yes, we are made of about 70 percent water!

But did you know that our muscles and kidneys are about 75 percent water?

Lungs about 83 percent.

Brain cells about 85 percent?

And even our bones are approximately 30 percent.

That probably explains why we feel better when we drink enough of it, everyday.

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Because of water’s abundant and varied functions in our body, it is a vital nutrient. Our body uses water in all its cells, organs, and tissues to help regulate its temperature and maintain other bodily functions.

It is also used to lubricate the joints, protect the spinal cord and other sensitive tissues, and assist the passage of food through the intestines.

The excellent ability of water to dissolve so many substances allows our cells to use valuable nutrients, minerals, and chemicals in biological processes.

In fact, to function properly, all the cells and organs of our body need water.

Every day, on an average, our body loses about 2 quarts of water through breathing, sweating, digestion – and it’s E-S-S-E-N-T-I-A-L that we rehydrate by drinking fluids and eating foods that contain high water content (soups, tomatoes, oranges).

Keeping hydrated has a huge impact on our overall health.

However, despite how crucial water is, a significant number of people fail to consume recommended levels of fluids each day.

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To understand how water is helping us – here are some great reasons why we should be hydrating with clean, natural water right now:

Your Kidneys. Water is essential for the kidneys to function. Every day, the kidneys filter around 120-150 quarts of fluid. Of these, approximately 1-2 quarts are excreted in the form of urine, and 198 are recovered by the bloodstream. When dehydrated, our kidneys resort to desperate measures in order to conserve water—meaning, decreasing urine output. However, this can also result in the buildup of waste products, electrolyte imbalances, and, if severe, acute kidney failure. And, as we start seeing temperatures rise, so too the incidence of miserable kidney stones. When properly hydrated, we maintain good urine flow and this prevents the build-up of minerals within our kidneys that can form stones.

 

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Calories. Water is void of calories, the original and healthiest zero-calorie drink. As we know, our weight is dependent on the balance of calories consumed versus burned. And, when we take in more than we use as fuel, we gain weight. Too many drinks that we commonly reach for are laden with calories (and added sugar). The average can of soda contains approximately 140 calories; a glass of wine 140 calories; and 12-ounces of unsweetened apple juice 170 calories. And, if you think you are safe with a “diet” drink that gets its sweetness from artificial sweeteners and lacks calories, think again. Research shows that they are linked to weight gain. So, the next time we want to quench our thirst, consider reaching for a glass of no-calorie water.

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Combats Dehydration-Driven Sugar Cravings. H2O is essential to a number of our body’s chemical processes, including the ability to release and tap into energy stores. Glycogen is primarily found in the liver and is our main storage form of glucose. However, when we are dehydrated, our liver cannot release glycogen into the blood stream where it can be utilized as fuel. Consequently, our body sends signals to our brain that it needs to consume something sweet—STAT! So the next time you are craving for a cookie, pastry, or something with sugar, it may not be your sweet tooth you are trying to satisfy, but, instead, your thirst.

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Combat Headaches. Headaches are one of the first signs of dehydration and there are two possible theories for this. First, is that when we do not have enough water, our blood volume decreases, and in order to prevent inadequate blood and oxygen flow to our brain, the brain’s blood vessels compensate by dilating. This causes “crowding” and pain. The other theory is that dehydration results in electrolyte imbalance and stimulates the nerves in our brain to send pain signals.

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Keeps us looking young. Our skin cells can either maintain the form of a grape or a raisin, depending on our hydration. When we are properly hydrated, they are like a grape. And, when dehydrated, our cells are shriveled up and can make wrinkles we have appear more prominent. Drinking water can keep our fountain of youth from drying up.

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Healthy Digestion. When dehydrated, our body resorts to extreme measures to conserve water. This includes “pulling” or “absorbing” water from stool before it exits our digestive tract. The result is hardening and decreased transit time of “poop”—also known as constipation.

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Stroke and Survival After Stroke. In studies by leading centers including one out of Johns Hopkins University, researchers found that nearly half of patients who presented with a stroke due to a clot were dehydrated. And, too, they did worse in the long run.

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Concentration and Energy. Approximately 80 percent to 85 percent of our brain’s weight comes from water. So it is no surprise that when our water levels are low, our brain function is affected—chemical production that signals between brain cells and nerve transmission that is responsible for thinking, movement, and memory. And when you are feeling sluggish, like your energy has been zapped or tired – this, too, is a sign of dehydration and time to reach for some clean, natural water.

Too many are living in a mildly dehydrated state—impacting their health with various irritations like headaches, joint pain, low energy, digestive issues…the list goes on. I consider H20 one of the essential building blocks of good health. Clean, natural water is important for all of us, every day!

And do check the source of your water. One of the best waters you can drink is filtered water. And don’t wait until you are thirsty to drink water as that generally means you have waited too long and are probably already dehydrated.

An age-old question is how much water is enough? The answer is not as simple as we often hear. The recommended amount of water that should be drunk everyday varies from person to person depending on factors such as level of activity, weight, diet and surrounding temperature.

According to the Institute of Medicine (IOM), an estimated adequate intake for men is approximately 13 cups a day. For women, an adequate intake is around 9 cups.

And while we have often heard the directive: “Drink eight 8-ounce glasses of water a day” (and it is close to the IOM’s recommendation for women), drinking “8 by 8” is an easy-to-remember amount that can help people on the right track in terms of water consumption.

Take time – and take note – to ensure you are getting enough. One guideline is to drink water in the morning, when you wake and too, 30 minutes before meals and about an hour or two after meals (aim not to drink excessive amounts after 7 p.m. as it may interfere with your sleep).

If you find in your day you have had very little water, I encourage you to set a timer or a smartphone reminder. The goal is to be properly hydrated, everyday – it can make a world of difference in your overall health.

Make a commitment today!!

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Today’s Fitness Tip from Mayo Clinic:

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The American College of Sports Medicine recommends drinking 2 to 3 cups of water two to three hours before your workout, and and at least 1/2 to 1 cup of water every 15 to 20 minutes during your workout.  Continue to hydrate after your workout to replenish lost fluid.

Remember, balance is key:

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Happy Hydrated Mother’s Day weekend everyone!

 

Expert Newborn Screenings A Heartbeat Away!

jimmy-kimmel-baby-billy2-1This week, Jimmy Kimmel shared the emotional story of his beautiful newborn son’s heart surgery.  He and his wife Molly welcomed their second child, William “Billy” Kimmel.

At three days old, Billy had successful open heart surgery at Children’s Hospital Los Angeles and is now home with his family.  On his show, Jimmy opened up about his son’s birth and health complications. He also underscored the need for the accurate and timely screening of congenital heart disease (CHD).

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Essential to early CHD diagnosis is the detection of a murmur using a stethoscope during a newborn’s first physical exam.

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But routine neonatal examination without specialist consults fail to detect more than half of babies with heart disease.

Approximately 160 infants pass away from undetected Congenital Heart Defects each year in the United States.

William “Billy” Kimmel, who is absolutely adorable below is one of the lucky ones; looks like he’s already laughing at Dad’s jokes too.

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Billy thankfully had the condition detected early, but many children with CHD get discharged with undetected or misdiagnosed conditions.

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After the events of this week, expecting parents have every right to question if their child is being screened appropriately or if clinicians known to misinterpret heart sounds are interpreting their child’s heart sounds accurately.

Kimmel’s story is really a wake-up call that we need more nurses like the wonderful ones who treated his baby boy.

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Now, there’s a device that will make sure congenital heart screenings more effective for infants.

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And it’s not just infants. Over 1.3 million adults live with congenital heart disease in the U.S, which now surpasses the number of children with congenital heart disease.

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Three entrepreneurs are well on their way to making sure accurate screenings are a heartbeat away. Their innovation paves the way for a new era of cardiac screenings.

They want to do what Shazam did for music, only for heartbeats.

Their new device called Eko [pronounced like Echo, as in a heart echo] offers the potential to dramatically improve the efficacy of newborn screenings, especially for newborns far from a pediatric cardiology center.

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The San Francisco based digital medical device company, launched Eko, an FDA-cleared digital stethoscope that enables ANY clinician, regardless of their training level, to secure a virtual pediatric cardiology opinion on heart sounds recorded with their FDA-cleared digital stethoscope.

It was a pleasure interviewing one of the founders, Jason Bellet.

Bellet says, “The silver lining in Jimmy Kimmel’s story is that the congenital heart failure was detected early through a murmur using a stethoscope and could be treated, but very often these murmurs go undiagnosed and undetected and infants leave the hospital with potentially life threatening situations.” [:27]

“Eko Devices would enable nurses and clinicians to get Cardiologist’s second opinion to immediately decrease the number of missed cases.” [:12]

Bellet is the co-founder and a brilliant former student from the University of Berkley.  He graduated in 2014 and founded Eko Devices with two fellow students, Connor Landgraf and Tyler Crouch out of the Start-up accelerator at Berkley.

The three founders successfully pitched their idea and raised $5M to bring it to market quickly and bring it to as many clinicians as they can.  It received FDA approval in September of 2015.

QUESTION: WHAT IS EKO?

ANSWER:  It’s basically a Smart Stethoscope that can bring the sounds to a trained ear immediately.

The vision is to bring machine learning and physician support tools to every clinicians stethoscope to make their screening process as easy as Shazaming a song.

QUESTION:  HOW DID YOU COME UP WITH THE IDEA FOR EKO?

ANSWER:  The idea stemmed from the fact that we realized the stethoscope is used as the primary screening tool for cardiac health, including for newborn babies.

But, it’s extremely outdated and ultimately leading to misdiagnosis and lack of cardiac conditions because you hear the heart sounds, but don’t understand what you’re hearing.

Cardiologists are the ones who can differentiate what is normal and what is not.

So, what we wanted to do was make it easy for clinicians to modernize their own stethoscopes to bring it into the modern era and send concerning or confusing heart sounds immediately to cardiologists in real time using this platform or capture it to send it to a specialist.

QUESTION:  There are other digital stethoscopes out there. Why is this one unique?

Bellet says, “Our digital stethoscope is the first to allow clinicians to stream sounds wirelessly from the stethoscope to a smartphone and to a cardiologist anywhere in the world.”  [:15]

QUESTION: Is it HIPPA compliant?

ANSWER:  It’s the ONLY digital stethoscope on the market that has built a HIPPA compliant software platform to stream heart sounds from any clinician to any specialist anywhere in the world.

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QUESTION: THAT’S GROUNDBREAKING. WHERE IS IT CURRENTLY BEING USED?

ANSWER:  Eko is now used at over 700 institutions across the country and has been adopted by pediatric cardiology programs.

QUESTION: WHO NEEDS EKO?

The technology is applicable in many aspects of patient care, but especially in newborns.

QUESTION:  WHAT IS YOUR ULTIMATE GOAL WITH EKO?

ANSWER: The ultimate goal is bringing it even one step further.  Our idea is have machine learning tied directly into the stethoscope itself, so one day clinicians can be as accurate as cardiologists in their initial interpretation of what they hear.

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Next, I spoke with renown adult congenital heart disease specialist Ami Bhatt, M.D. F.A.C.C. who says identifying congenital heart disease in the community can be challenging at any age whether we are trying to identify a high risk newborn like Jimmy Kimmel’s or catching congenital heart disease in a school age student or adulthood.

Ami Bhatt, M.D. F.A.C.C.  is director of outpatient cardiology at the Massachusetts General Hospital in Boston as well as a renown adult congenital heart disease specialist.  She innovates with the Healthcare Transformation Lab, serves as a scientific advisor for Eko Devises and runs a telemedicine practice.  She can be reached at mghachd@partners.org

Bhatt says,  “Because congenital heart disease is relatively rare it’s difficult for clinicians to identify it. The use of digital stethoscopes and other telemedicine technology which can connect the patient and caregiver in the community with experts at academic centers can improve initial diagnosis AND longterm followup.”

QUESTION:  WHAT HAPPENS WHEN KIDS WITH CONGENITAL HEART DISEASE AGE?

ANSWER:   Two things. One, as kids with congenital heart disease age, we know there are complications that may arise. Technologies like digital stethoscopes and the use of algorithms can help monitor their progression and track changes in disease BEFORE they progress too far.

And two, lack of follow-up is a persistent problem with children with congenital heart disease become adults. One of the main drivers is the challenge of access to subspecialty care.

Additionally, distance from medical centers, along with the time it takes and sometimes the cost of being away from work and family drives young adults to ignore their own healthcare needs.

The advent of digital health in congenital heart disease care empowers the patient to engage in a partnership to their health without taking away from their ability to live a full and active life.

QUESTION:  DO YOU THINK TECHNOLOGY HELPS OR HINDERS DOCTOR-PATIENT RELATIONS?

ANSWER: As the delivery of healthcare changes, caregivers are desperate to return to the ideal  doctor patient relationship, which is based on a human connection. As we build digital technology, and use machine learning to support our physicians at at time when there are so many diagnosis to be made, it allows us to concentrate on a shared patient and provider centered experience.

QUESTION:  HOW DOES AN ADULT KNOW WHEN TO GET THEIR HEART CHECKED?

ANSWER: If they had heart disease or heart surgery as a child, they should check in with their cardiologist to find out if they need any longterm care.

QUESTION: HOW DO THEY FIND A SPECIALIST?

There are advocacy websites, such http://www.ACHAheart.org which report self-identified Specialists in congenital heart disease or they can call a major center like Massachusetts General who can find a local center that can partner in their care.

QUESTION: HOW CAN THEY FIND OUT WHO USES THE EKO DEVICE?

ANSWER: If they want to find a specialist using the Eko Device people can contact Massachusetts General http://www.massgeneral.org\adultcongenitalheart for more information and ask about centers near them. They can also contact any hospital and ask for their telemedicine department and inquire if they use Eko.

QUESTION: HOW DO CLINICANS FIND EKO IF THEY’RE INTERESTED IN USING IT?

ANSWER:  Clinicians are able to access the device by going to the Eko Devices website at http://www.ekodevices.com and then if they’re interested in testing it they can purchase a unit directly from the website and send it back if they don’t like it. But that’s a rarity as the success rate has been high with over 5,000 clinicians across the country using it.

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This truly is a hot technology that will save kids like Jimmy’s, as well as those who aren’t at top hospitals in the country.

Billy will have another open-heart surgery within six months to repair the hole, and Our thoughts, well wishes and prayers are with him and his family.

“As a cardiologist, we sometimes worry about technology interfering with the doctor patient relationship. However, in these cases, it is technology that brings us to meet the patient where they live. Technology is finally bringing us home.” 

-Ami Bhatt, M.D. F.A.C.C.

If you haven’t seen Jimmy Kimmel’s story see it on Emmy-award-winning @GMA:

WATCH: @jimmykimmel shares emotional news about newborn son’s emergency heart surgery; son now at home recovering. http://abcn.ws/2pSPakE

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QUICK FACTS:

According to the CDC, 40,000 babies in the U.S. are born each year with congenital heart disease.

Recent studies estimate approximately 160 infants or 1 in 25,000 live births die per year from unrecognized CHD.

The reported sensitivity for detection of a pathologic heart murmur in newborns ranges from 80.5 to 94.9 percent among pediatric cardiologists, with specificity ranging from 25 to 92 percent.

A study in the American Journal of Medicine discovered internal medicine residents misdiagnose as many as 75% of murmurs with a stethoscope.

Routine neonatal examination fails to detect more than half of babies with heart disease; examination at 6 weeks misses one third.

A normal examination does not exclude heart disease.

Babies with murmurs at neonatal or 6 week examinations should be referred for early pediatric cardiological evaluation which will result either in a definitive diagnosis of congenital heart disease or in authoritative reassurance of normal cardiac anatomy and function.

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Take care of your heart everyone!

 

For more on Eko visit: http://www.ekodevices.com

UPDATES:

Good Morning America
ABC NEWS
May 9, 2017
Jimmy Kimmel returns to TV with update on his son’s health, defends his call for children’s health care coverage

One week after Jimmy Kimmel revealed that his son, Billy, had been born with a heart defect, the comedian returned to host his late night show with an emotional update on his son’s health and a defense of his foray into the country’s heated debate on health care.

The “Jimmy Kimmel Live!” also thanked his fans for their “humbling outpouring of support” and said that he and his wire “very grateful” for the multitude of donations made to the Children’s Hospital of Los Angeles, where his son was treated.

“First I want to tell you because so many people have asked: Our son Billy is doing very well,” Kimmel said. “He’s eating. He is getting bigger. He is sleeping well. He can read now — which they say is unusual [for a child his age].”

Kimmel, 49, revealed last Monday that his son underwent surgery on his heart three days after he was born, and will require another procedure when he’s a little bigger in three to six months.

During his monologue, Kimmel asked all politicians to come together to ensure healthcare for all Americans, especially those who have pre-existing health conditions.

Though there were many who supported Kimmel’s point of view, he noted that there were many others who called him an “out of touch Hollywood elitist.” To those critics, the late night host offered a sarcastic apology.

“I’d like to apologize for saying that children in America should have health care,” he joked. “It was insensitive – it was offensive – and I hope you can find it in your heart to forgive me.”

To further the conversation, he interviewed Bill Cassidy, a Republican senator from Louisiana who last week tweeted that there should be a “Kimmel Test” for any healthcare bill passed.

The Jimmy Kimmel Test, he noted, would be in place to ensure that any healthcare plan would adequately cover pre-existing conditions “but in a fiscally conservative way that lowers cost.”

“I happen to like [it] a lot,” Kimmel said. “He is a doctor – a gastroenterologist. He is married to a retired doctor — his wife Laura, was a surgeon. And he co-founded the Greater Baton Rouge Community Clinic, which provides free dental care and health care to the working uninsured. So obviously – this is someone who cares about people’s health.”

 

 

Brain Power Linked To 45 Minutes of Resistance Training

 

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I read an article about “experts” wondering how much exercise you need to keep your brain sharp. The experts answer it is unknown.

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Not true!  I once again felt like a kid raising my hand again in school, only to be told, “Let someone else answer, Maria.”   Finally, when no one else does, I get to answer.

45 minutes!

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A new study published in the British Journal of Sports Medicine by Joseph Northey, University of Canberra in Australia is the first to identify the key role played by resistance training, such as weights or core strength activity, in boosting brain function. 

 

And 45 minutes is how much you need to keep your brain sharp. I can’t say this is the first study because Super Body, Super Brain is all about how resistance training combined with aerobics is what fosters neurogenesis (new brain cell growth).

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They say until now, research focused on aerobic exercises like swimming, cycling, fast walking or jogging, as being good for the brain.

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They now believe, however, that resistance training benefits the brain in different ways, stimulating additional areas of growth.

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Study confirms it’s 45 minutes of resistance training for people in fifties or over.

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The 45 minute mark of any activity is when you feel most alert and decisive.

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Other brain benefits include slowing down cognitive decline.

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Joseph Northey, who led the research at the University of Canberra, says doctors should be proactively prescribing exercise as a form of preventative medicine.

“Even exercising on one or two days of the week seemed to be effective, but the most important thing we found was the intensity of the exercise,” he said.

“It should be moderate, but aiming to get some vigorous intensity in there as well.”

In the April 2017 meta-analysis, University of Canberra researchers analyzed results of 39 previous studies on exercise and cognitive function in adults age 50 and older.

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Although the studies look at different types of exercise, they all came to similar conclusions when compared side-by-side:

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Getting up and moving at a moderate intensity for at least 45 minutes at a time was linked to improved cognition (memory and overall brain function included) — and the more days a week that person squeezed in those 45-minute sessions, the greater cognitive benefits they reaped!

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Researchers also found aerobic exercise helps with learning, reasoning, reading, thinking.  Resistance training helps with organizing, planning and memory.

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They recommend  mixing aerobic exercise and resistance training for best results.

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Your 45 minutes can include walking, cleaning, bike riding, gardening, swimming, golf, tennis, dancing, bowling, shopping or anything else that gets you moving.
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People work out for their body, but having a sharp mind is even more attractive.

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It looks like my friend’s books are ahead of their time.

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Michael Gonzalez-Wallace, author of Super Body, Super Brain already stated resistance training causes neurogenesis (new brain cells grow) and backed it up with scientific research. Dr. Gregory Lombardo from Columbia University, who serves on the board of Super Body, Super Brain with me, recommends it to patients.

I highly recommend reading:

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Super Body, Super Brain by Michael Gonzalez-Wallace

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The Brain Mechanic by Spencer Lord

New Study: High Tech Baby Monitors

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SO MANY NEW SMART PHONE MONITORS AIM TO GIVE PARENTS PEACE OF MIND.

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BUT A RECENT STUDY LOOKS AT THEIR REAL SAFETY AND EFFECTIVENESS.

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DOCTOR KIMBERLY GIULIANO OF CLEVELAND CLINIC CHILDREN’ S DID NOT TAKE PART IN THE STUDY, BUT SAYS ONE OF THE BIGGEST CONCERNS DOCTORS HAVE ABOUT THESE MONITORS IS THEY’ RE NOT REGULATED.

CG: Dr. Kimberly Giuliano/Cleveland Clinic Children’s [19:10:35-19:10:47] “They are not tested and regulated by the FDA, so they don’ t have to go through the same rigors that medical equipment would. So it’ s quite possible that something could happen to a child that the monitors wouldn’ t necessarily pick up on.”  [00:12]

THE TYPE OF MONITORS STUDIED ARE THOSE WITH SPECIAL SENSORS TO ALERT PARENTS WHEN THERE IS A PROTBLEM WITH A BABY’ S PULSE OR HEART RATE.

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STUDY AUTHORS EXPRESS CONCERN OVER THESE MONITORS TRIGGERING FALSE ALARMS, WHICH CAN CAUSE UNNECESSARY STRESS TO PARENTS AND BABIES.

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DOCTOR GIULIANO SAYS WHEN IT COMES TO MONITORING A HEALTHY BABY, A DEVICE THAT WILL AID YOUR ABILITY TO HEAR OR SEE THE BABY IS ENOUGH.

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SHE SAYS VIDEO MONITORS HELP BECAUSE WHEN YOU CAN SEE THE BABY ON YOUR SMART PHONE SCREEN, YOU CAN SEE IF THEY’ RE JUST CRYING BECAUSE THEY WANT TO BE HELD, OR BECAUSE SOMETHING HAPPENED AND YOU NEED TO GO IN AND HELP.

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WHAT MOST PARENTS AND DOCTORS WORRY ABOUT IN THE FIRST YEAR OF LIFE IS ‘ SUDDEN INFANT DEATH SYNDROME,’ WHICH IS AN UNEXPLAINED DEATH OF A SEEMINGLY HEALTHY BABY DURING THEIR SLEEP.

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DOCTOR GIULIANO CAUTIONS PARENTS FROM ALLOWING ANY MONITOR TO GIVE THEM A FALSE SENSE OF SECURITY.

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CG: Dr. Kimberly Giuliano/Cleveland Clinic Children’s [19:08:41-19:08:57] “The biggest thing that we’ re concerned about when babies are sleeping at night is SIDS, is ‘ Sudden Infant Death Syndrome,’ and that’ s silent. There’ s nothing that’ s going to show up on a monitor that’ s necessarily going to tell us that. So just because you’ re not hearing anything, doesn’ t always mean that everything is one hundred percent okay.”  [00:16]

DOCTOR GIULIANO SAYS THE MOST VITAL THING WHEN IT COMES TO LAYING BABY DOWN TO SLEEP IS TO RECALL WHAT DOCTORS CALL THE
‘ A-B-C’ S’ OF SLEEP.

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THIS MEANS A BABY MUST SLEEP ALONE, ON THEIR BACK, AND IN A CRIB, TO MINIMIZE THE RISK FOR ACCIDENTAL SUFFOCATION.  AGAIN, THAT’S:

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Back

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COMPLETE RESULTS OF THE STUDY CAN BE FOUND IN JAMA.

###

(Media:  Cleveland Clinic News Service 9500 Euclid Ave. / JJN4-01Cleveland, OH 44195 Phone: 216.444.0141 “Study Looks at Safety, Effectiveness of High Tech Baby Monitors”April 26, 2017 Sound Bites/Voice Over Pathfire#: A)

It begs the question why a sensor product for newborns was able to raise $25M with no proof that sensors keep babies safe.  In fact, $3M of that funding came from the National Institutes of Health (NIH) –the government.

If the National Institutes of Health wants to conduct a study on how to prevent Sudden Infant Death Syndrome (SIDS) or how to keep newborns safe –why wouldn’t it perform an independent study.

In 2013, a Baby Monitor Sensor pad product was recalled after two babies died. The cord attached to the baby monitor’s sensor pad, which was placed under the crib mattress caused strangulation. There have been 7 reports of strangulation by baby monitor cords since 2002.

According to the CDC, almost 2000 babies die each year under SIDS circumstances.

Placing a foreign object inside the crib or worse on your baby with a sensor is not the answer.

Remember, the most effective thing you can do to help reduce your baby’s risk of SIDS, say pediatricians, is to maintain a safe sleep environment—and not one that involves complicated home monitoring devices.

“If sleep position and infant bedding are appropriate, there shouldn’t be much SIDS left to try to prevent with home monitors,” Dr. Alan Jobe of the Cincinnati Children’s Hospital wrote in an op-ed for the Journal of the American Medical Association in 2001.

Sixteen years later, the thinking remains the same. The American Academy of Pediatrics revised and expanded its SIDS prevention recommendations.

In addition to putting your baby to sleep on his or her back, APA recommendations include sharing a room with your infant but, crucially, not a bed; keeping baby’s sleeping area clear of any loose bedding, pillows, toys, or cords; and making sure your baby isn’t too warm when sleeping.

Nos. 12 and 13 on the APA’s list of guidelines?

“Avoid commercial devices marketed to reduce the risk of SIDS. … There is no evidence that these devices reduce the risk of SIDS or suffocation or that they are safe.”

And:

“Do not use home cardiorespiratory monitors as a strategy to reduce the risk of SIDS. … They might be of value for selected infants but should not be used routinely.”

(In fact, there’s some evidence that they might not be safe: In November, monitor behemoth Angelcare voluntarily recalled 600,000 under-mattress sensor pads after two infants died of strangulation when the cord attached to the pad wrapped around their necks.)

The point is clear: Infant monitors, even the newest generation of smartphone-friendly wearable tech, do not reduce the risk of SIDS.

Bottom line:  Exposing your newborn or infant to an unregulated sensor gadget placed so close to their tiny body isn’t deemed safe or advisable by physicians.

Safewise rates 10 Best Baby Video Monitors for 2017 here:
http://www.safewise.com/resources/baby-monitor-buyers-guide

 

Simple Ways To Improve Indoor Air

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American Architect, Interior Designer, Writer and Educator, Frank Lloyd Wright loved creating designs in harmony with the environment. Here’s how you can bring the outdoors in AND improve the air quality in your home for better health.

by ALEXA ERICKSON – APRIL 22, 2017

With people spending more than 90 percent of their time indoors, it makes sense that air quality matters.

There are various factors in many people’s homes working against this, however. From furnishings and upholstery to synthetic building materials and cleaning products, toxic compounds are being emitted all around you.

There’s also the concern of pollen, bacteria, and molds that need to be considered. And all of this, combined with poorly-ventilated spaces, such as a windows that have been painted shut in your apartment, it’s incredibly important that you become aware of ways to combat all that junk being inhaled.

 

Enter houseplants.

 

Though you may only have them to better your green thumb, or decorate your home with a sense of nature — which are both great reasons — they’re also extremely beneficial for improving air quality. According to NASA, plants’ ability to purify air makes them “nature’s life support system.”

Plants clean the air in your home by absorbing some of the particles from the air while also taking in carbon dioxide, which is then processed into oxygen through photosynthesis. Additionally, microbes in the potting soil of the plants also provide a cleaning effect.

Plants may even be more beneficial in the evening. Because they are void of sunlight to carry out photosynthesis during this time, their carbon dioxide output increases, therefore providing you with an abundance of oxygen. If you have anxiety, insomnia, or are just looking for a calming effect, the following five plants will aid you in a healthier home and better quality sleep.

Aloe Vera

Aloe vera is a great plant for someone new to the plant game, since it’s very easy to care for. This plant gives off plenty of oxygen at night, and, according to NASA, is capable of removing the pollutant formaldehyde.

Orchids

Orchids are stunning to look at, but they’re a whole lot more than just eye candy. Even when you can’t see them, they’re benefitting you by giving off lots of oxygen at night. Another plant that can withstand a bit of neglect, orchids are able to banish the pollutant found in paint called xylene from the environment.

For 3 More Visit:  http://www.collective-evolution.com

“5 PLANTS THAT GIVE OUT OXYGEN, EVEN DURING THE NIGHT”   

Happy Earth Day!  🙂

LATEST STUDY ON VITAMIN D & YOUR HEART

 

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VITAMIN D IS KNOWN FOR ITS ROLE IN PREVENTION AND TREATMENT OF BONE HEALTH ISSUES AS WE AGE.

NOW A NEW STUDY LOOKS TO DETERMINE IF TAKING A HIGH DOSE VITAMIN-D SUPPLEMENT COULD HELP PREVENT HEART DISEASE AS WELL.

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CLEVELAND CLINIC’ S DOCTOR STEVEN NISSEN SAYS THE RESULTS OF THE STUDY ARE IN LINE WITH WHAT OTHERS HAVE ALREADY SHOWN ABOUT DIETARY SUPPLEMENTS AND HEART HEALTH.

CG: Dr. Steven Nissen/Cleveland Clinic “This is yet another study that shows that vitamins and dietary supplements have virtually no benefits in preventing heart disease.”

PREVIOUS RESEARCH HAS SHOWN THAT FOLKS WITH LOW VITAMIN D LEVELS HAVE AN INCREASED RISK FOR HEART DISEASE.

OTHER STUDIES WHICH HAVE SOUGHT TO DETERMINE A BENEFIT IN TAKING VITAMIN D FOR HEART HEALTH, USED LOWER DOSES OF THE SUPPLEMENT.

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THIS LATEST RESEARCH TESTED A VERY HIGH DOSEAS HIGH AS TWO-HUNDRED THOUSAND UNITS IN THE FIRST DOSE – TO A GROUP OF MORE THAN FIVE-THOUSAND ADULTS BETWEEN THE AGES OF FIFTY AND EIGHTY-FOUR.

AFTER A LITTLE MORE THAN THREE YEARS, RESEARCHERS FOUND NO BENEFIT FOR THESE FOLKS WHEN IT CAME TO PREVENTING HEART DISEASE.

DOCTOR NISSEN SAYS THERE IS NO ‘ MAGIC BULLET’ SUPPLEMENT WHEN IT COMES TO HEART HEALTH.

HE SAYS PEOPLE ARE MUCH BETTER OFF IF THEY WORK ON THEIR OVERALL HEALTH HABITS.

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Walking is a great healthy habit

CG: Dr. Steven Nissen/Cleveland Clinic “Exercise, eat well, know your numbers – know your cholesterol, know your blood pressure. Make sure you keep your body weight down so you don’ t get diabetes, and you’ re way ahead of the game.”[00:10]

DOCTOR NISSEN SAYS PEOPLE OFTEN ASK ABOUT SUPPLEMENTS AFTER READING ABOUT THEM ON THE INTERNET.

HE SAYS IT’ S BEST TO MAKE SURE THAT WHAT YOU’ RE LOOKING AT ONLINE IS BASED ON SCIENCE, AND TO ALWAYS CONSULT YOUR DOCTOR BEFORE STARTING ANY SUPPLEMENT.

COMPLETE RESULTS OF THE STUDY CAN BE FOUND IN JAMA CARDIOLOGY.

 

[MEDIA SEE: Pathfire#:10755]

 

For more information contact:  http://www.clevelandclinic.org

 

Today Is National Walking Day!

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THE FIRST WEDNESDAY IN THE MONTH OF APRIL IS DESIGNATED AS NATIONAL WALKING DAY.

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MY FAVORITE NON-COMPETITIVE SPORT!  BUT ACCORDING TO THE C-D-C, EIGHTY PERCENT OF AMERICANS DO NOT GET THE RECOMMENDED TWO AND A HALF HOURS OF MODERATE-INTENSITY AEROBIC EXERCISE EACH WEEK.

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ERICA STEPTEAU IS A HEALTH COACH AT CLEVELAND CLINIC. SHE SAYS THAT STARTING A WALKING ROUTINE IS THE FIRST STEP TOWARDS GETTING YOUR BODY MORE ACTIVE.

CG: Erica Stepteau, MPH/Cleveland Clinic “Get up every five to ten minutes. Put a timer on your phone and see that those are ways that can actually help you get up more instead of just sitting all day.”[00:08]

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STEPTEAU SAYS WE TEND TO UNDERESTIMATE THE POWER OF WALKING.

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SHE SAYS IT DOESN’T TAKE A GYM MEMBERSHIP OR A PERSONAL TRAINER TO GET YOURSELF UP AND MOVING.

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WALKING IS SOMETHING THAT YOU CAN FIT INTO YOUR DAY ALMOST ANYWHERE. AND IT NOT ONLY HELPS YOUR HEALTH, BUT CAN ALSO BOOST YOUR MOOD.

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STEPTEAU RECOMMENDS WALKING DURING YOUR LUNCH BREAK, TAKING THE STAIRS, AND WHEN YOU GET HOME, GET YOUR PETS OUT AND MOVING WITH YOU.

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SHE ALSO SAID THAT SPRING IS A GREAT TIME TO TAKE ADVANTAGE OF THE WEATHER CHANGING TO START WALKING OUTDOORS.

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IF BRISK WALKING IS YOUR GOAL, SHE SAYS YOU WANT TO WORK YOUR WAY UP TO THE POINT WHERE IT’S A LITTLE CHALLENGING TO TALK WHILE WALKING.

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AND LIKE ANY EXERCISE PLAN, STEPTEAU SAYS YOU’LL HAVE BETTER RESULTS IF YOU CAN FIND A BUDDY TO WALK WITH.

CG: Erica Stepteau/Cleveland Clinic “It can help you push you beyond your own limits because that person may be at a different level than you; higher or lower, depending; but it helps you either be the encouragement that that person needs to step it up, or it could be the encouragement for you to step it up for yourself.”[00:14]

IF GETTING YOURSELF MOVING IS A REAL CHALLENGE, STEPTEAU SAYS THAT IT’S IMPORTANT NOT TO BEAT YOURSELF UP ABOUT IT AND TO JUST START SLOW.

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SHE SAYS IF YOU’VE BEEN INACTIVE FOR A LONG PERIOD OF TIME, IT’S A GOOD IDEA TO CHECK WITH YOUR DOCTOR BEFORE STARTING A NEW EXERCISE ROUTINE.

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[MEDIA SEE Pathfire#:10752 FOR VT]

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HAPPY NATIONAL WALKING DAY!  Stay healthy.  -Maria Dorfner

http://www.clevelandclinic.org