Re-published from May, 2012
Time for a reminder about summer bugs and bites, especially with our recent rains and flooding situations.
Should we expect a possible increase in the number of mosquitoes, flies, ticks and other pests? The answer is “maybe” but it isn’t that simple.
The relatively warm winter generally means that we’ll see bugs earlier than usual, but not neccesarily in greater numbers. Ticks and fleas need hosts (i.e. a dog, human, etc.) to survive. Mosquitoes need water to breed. Flies? That’s the pest we’re likely to see more of if anything. Picnickers beware!
The best thing to do is prevent and monitor. For mosquitoes the best prevention is using repellant with plenty of (but not too much for kids) DEET. The higher concentration of DEET, the longer your protection will last. If you notice a large number of mosquitoes in a particular area, there is likely standing water nearby. If this is the case, check for standing water and eliminate it. For kids, here are some simple suggestions.
If you have pets, have them treated for fleas! It’s the best way to avoid the problem. If you have an infestation of fleas, call an exterminator for help and wash EVERYTHING (they can’t swim)!
Regarding ticks, check yourself and the kids regularly, and definitely any time there is significant time outdoors. If you find one, remove it and watch the area for 24-48 hours to assure there are no problems.
All of these pests carry diseases, in addition to being. . . well, pests! Bubonic plague, Lyme disease, West Nile Virus and Rocky Mountain spotted fever to name a few. So whether or not the winter was mild, be prepared this summer, protect you and yours and stay cool!
The TickEncounter Resource Center is a helpful website with information about ticks including a video on proper removal.
Q. I love to be in the sun, but worry about sunburns (cancer!) and aging. How can I safely be in the sun?
by David Rothwell, M.D.
On occasion, I am faced with making decisions for my loved ones regarding health matters. Whether it’s a cold and runny nose or a much more serious matter, I am forced into that grey area of being a non-objective physician.
So it has been with 2 of 3 kids and sports-related injuries. Specifically, inflammatory type injuries related to overuse. Kids these days have many options for activities. Any given sport can be played almost year-round. Many kids are specializing with a sport at a much earlier age. That combined with practices, training, league games, and tournaments (sometimes every weekend for months on end) can lead to overuse injuries. Yes, even kids can have overuse injuries.
What are these? Tendonitis (or inflammation of a tendon), pulled muscles, foot problems, knee pain, shoulder injuries (i.e., rotator cuff). These injuries typically MANDATE rest and rest is the number one way to get them to heal.
Other things do help. Physical therapy, NSAIDS (i.e., ibuprofen), stretching, and ice are all often necessary to some degree. But rest is the most important aspect of getting an overuse injury to heal. Without rest the bone, tendon, ligament, and/or muscle will remain inflammed leading to chronic injury (an entire other subject…so let’s avoid if at all possible). And by rest it typically means anywhere from a few days to weeks. If the injury is recurrent it is very likely due to lack of proper rest.
Kids need time to recover, too. Their developing bodies simply aren’t made to withstand months and months of relentless physical activity. And let us not forget…they are kids!
So this summer in the midst of gymnastics competitions, baseball, volleyball camps, basketball tournaments, and anything else your child is into, make sure they get plenty of rest. Allow plenty of time for normal play in between all of the scheduled activities. If pain develops use rest, ice, and NSAIDS to help with healing. If these don’t help, see a physician for an opinion and further investigation. Physical therapy or a specialist referral might be needed. Rarely is surgery needed. What will you hear along with the diagnosis, though? Let him/her rest!
David Rothwell, M.D.
6307 Waterford Blvd, Ste. 127
Oklahoma City, OK 73118
by Deena Bradford, LPN
Having a healthy snack between meals can actually be beneficial. It helps to maintain your blood sugar levels preventing ravenous hunger that leads to overeating. Sometimes the drive home from work can be absolutely brutal for me! Fighting the urge to go through a drive through or stop at a convenience store for a snack. It helps to plan ahead and have healthy options readily available. Here are some healthy snack options so stock up:
Watch out for the “protein and energy bars”. Especially those found in the convenience stores. Turn them over and look at the labels. It takes an extra few seconds, but it is well worth it. Especially when you fine this “Warning: This product contains sugar alcohols, which may cause gastrointestinal discomfort. Excessive consumption may cause laxative effect!” Doesn’t sound too pleasant to me!
The key to snacking is portion control. Grabbing a large handful of almonds, heaping tablespoon of peanut butter and excessive amounts of dressing with your vegetables can be very counterproductive. Snack smart!
Have a health question for me? Email me at dbradford (at) salernohealth (dot) com and I’ll try to answer your question in a future post. It can be anonymous!
We hope you had a Merry Christmas, OKC! As we wind down the year and prepare for a healthy and prosperous 2013, we’ve put together a video to help businesses in Oklahoma City understand Obamacare and its impact on business here in the Sooner State.
In essence, businesses with 50+ employee will need to “pay or play”. To pay the fine or meet the Obamacare requirements to provide employees with health coverage. Click on the link to learn more and see how Salerno Health can help!
Contact us for a consultation on how a Salerno Health membership might benefit your organization and save you money.
by David Rothwell, M.D.
“America’s health care system is neither healthy, caring, nor a system.” Walter Cronkite (1916-2009)
To help patients manage the very complex, poorly understood, and laborious ‘system’ we have in place now known as health care. At Salerno Health, our product is the delivery of health care and our customers are our patients. It’s that simple.
Do you ever feel like an inconvenience to your physician or providers? When was the last time the health care ‘system’ reached out to you?
As part of our medical home, Salerno Health provides one number for patients/members to call for any and all health care needs. Why? Because this helps them to get the treatment or appointment they need (and avoid those they don’t need), arrange for refills, coordinate care with specialists, surgeons, and other health entities, and have a true health care advocate on their side. Our nurse is available Monday through Friday during regular business hours to do all this and more. What about after hours? The calls go directly to one of our providers (physician, nurse practitioner, or physician assistant) on call. No answering service! And, if established with one of our primary care providers already, treatment without an office visit is available when appropriate.
For employers looking for ways to reduce absenteeism and presenteeism there is no better option. The current system is designed around the more you do, the more you get paid. Even onsite clinics are generally not structured to minimize unnecessary office visits. They only make it closer. And what of the afterhours access? This remains an issue once the onsite clinic is closed.
Salerno fixes these issues and many more. Our MedLine makes access simple and streamlined. Our staff works with each provider (primary care, specialist, surgeon, and medical facilities) to assist them and our members with health care needs. This saves time and money.
If you’re an employer looking for ways to save your company on health costs, Salerno Health is an excellent option to not only save on these rising costs, but to provide premiere health care services.
David Rothwell, M.D., Managing Partner