Healthy Things


Posted on 1:24 PM on 11/20/2009 by Bridget


If you really must be the one to host everyone in the family and neighborhood for the holidays, be sure to have good staff support. You will otherwise end up cranky, over stressed and over extended. What are holidays for, if not to enjoy free time and people, to rest or play?

Biting off more than you can chew (monetarily, socially and via work load), can obfuscate what the holidays are all supposed to be about. Your generous heart and gregarious nature wants to draw people in to you, and bring family, friends, neighbors and those in need together.

Do what you can, and know that you may not be able to do all you want. If you are doing it alone keep, it modest and realistic. If you can enlist others, sit and plan how the day will go and who will be responsible for what and when. Please don't play it by ear, or do it all yourself anyway.

Nothing spoils the holidays worse than a would be host who won't let others help, except when it is convenient for him / her. Let others in on the planning, so they know what to expect and have some control. Things will run more smoothly and with less tension.

Being a good delegator can save you time and heartache. Your guest won't be wondering what all the funny expressions on your face are about.

Set parameters. Set a specific dinner time, knowing that the stranglers will come late anyway. You and your 'crew' can put the food away (and save everyone's stomach and health), while setting aside a few plates for the late comers. (They can use paper, so that you can close your kitchen).

If you are okay with people coming any time, assign shifts for serving and clean up, so no one will miss out on the fun. Except for cooking and hosting enthusiasts, not everyone wants to be tied be up at the kitchen sink or stove, all day.

Cook some foods a few days ahead that will keep, and do not need to be appreciated immediately after cooking.

Cook only what you can store in your refrigerator or freezer, unless a significant portion of the excess will be consumed on that day. Staying healthy during the holidays is not only in what we eat, but how much we over exert ourselves or place on our supporters, for one day. The stress can reap more than one day's recovery from you, especially if you are dealing with health conditions.

Remember, its everyone's holiday, including yours. Enjoy it the right way, so you may enjoy more of them in the future.


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Posted on 11:01 PM on 11/19/2009 by Bridget


Foot wear advice has gone the way of dieting. No one is talking strongly about what not to wear except on reality tv ambushes and makeovers. Advice on shoe wear has gone lenient since my days of working in podiatry (way back when).

Years ago, there was definitive advice as proscribed foot wear and taboos. I remember Dr. Salters quote regarding the "folly of feminine fashion." Narrow pointed shoes produce bunions. Thats all. The experts know the derring do of our determined-to-be-trendy society. Not everyone one is going to stop wearing high heels any more than everyone will quit eating cheese fries.

Today the language runs the gamut of warnings to wear in moderation, especially in speaking of women's fashion.  On the American Podiatry Medical Association website, you will find advice for those die hards who insist upon wearing it any and some real scenarios for those who do.

To point your feet in the smartest directions this winter and throughout the year, a series brochures are available for download, with titles such as, "Love Your Feet Suit Fashion Calendar"; a series called "Shoe Hollywood Stories";  and other titles like, "A Shoe For Every Sport".

Seasonal advice consists of tip sheets and brochures comparing different styles of boots and how their form and workmanship measure up to winter walking conditions. There is a comparable shoe brochure for all seasons called, a "Footwear Fashion Calendar".

When selecting a pair of shoes, the best time of day to shop, is when the feet have expanded. Shop for shoes in the afternoon. If one foot is larger than the other, make your decision based upon the larger of the two. If the shoe does not fit in the store, do not expect that it will eventually stretch. It may, but with some cost to your foot health in the way of blistering, bunions or calluses. Also, remember to try out the shoe on a bare surface such as tile. Carpeting can be deceptive and make the shoe feel better than it will under different conditions such as on the street or wooden, tile and cement surfaces.

It is a good idea to measure your feet every so often as our foot size can change. If you change your habits from a desk job for example, to long hours of standing, you may require a wider width shoe, but still shop for your old shoe width. Measure your feet to shop for the right size shoes.

For safe walking on wet or winter surfaces, select a shoe with deep treads. The totally flat Eskimo style boots may seem sure footed, but are rigid and restrict foot movement within the shoe. The idea is to give support, while allowing some (restricted) natural movement of the foot, within the shoe.

Limit your heel height to two inches. Stacked heels as opposed to high stick heels or very high wedges allow one to gain greater heel height, without throwing off the gait and causing strain on knees, back and hips. When the toe area is nearly as elevated as the heel, the stride is more natural.

Look for a good heel counter (the part on the back of the heel area) that prevents wabbling from side to side. A good test is to hold the heel of the shoe in one hand and the front with another, then twist to judge how sturdy and stable the shoe is. It should be firm. Also select natural materials that wick moisture, as opposed to trapping moisture. Synthetic materials can trap moisture and cause foot odors and skin reactions.

Make sure the shoe supports your arches. If  your arches are high you may need to add a support. Add a support if you have flat feet and shoes have no support. If you are flat footed, a shoe with a decent arch support may be difficult to get use to, so wear them for limited amounts of time and work your way up to longer periods of wear. Your doctor can advise you on the proper amount of support and exercises for your feet to aid in the process. Not all shoes allow for arch support, so limit the amount of time you wear this type.

Don't choose a shoe simply because the name brand is known to be good for the feet. Not all styles under a leading brand match up. I recall my clinical days in ortho,  when I sustained plantar fasciitis from mis-stepping off a gurney,  on my break. I had just purchased a well recommended leading brand in supportive footwear. They were stylish but a little too narrow. Outside of nurses shoes and expensive appointment only specialty shops, choices in supportive footwear were limited.

If you are dressing for fashion, be sure to carry along a comfortable pair to leave in the car, locker or bring along in a tote, just in case. Remember to limit time spent in shoes that don't make the safety grade.

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Posted on 3:09 PM on 11/19/2009 by Bridget




They are gaining in popularity and I am aiming make them even more popular:  the African chew stick. Africans, Saudi's, Indians, Egyptians have been using these
natural toothbrushes for millennia.

Around the world are many who have never used a commercial toothbrush, have no cavities and the whitest teeth that no tooth polish could match. Like our forefathers did, they rely upon nature, sustainability and are none the worse for it.

I am on my quest for the very right chew stick. There are many types as these are taken from the roots of indigenous trees and shrubs. The most common and what seem to be the most marketed, are the root of the licorice bush aka the Neem tree, source of Neem oil, and the Miswak also called the Peelu tree. They are now marketed with organic flavoring and are available in as many as thirty different flavors.

Africans use these as is, cutting off the end of a segment of root and baring the bark. This is chewed on the end until it frays and becomes a natural brush. This brush unlike synthetic brushes can reach between the gums, is loaded with antimicrobials, anti-fungals to rid the mouth and gums of disease and whiten the teeth.

These are often chewed on all day, which helps to stimulate digestive juices--
another aid in oral hygiene as well as a digestive health. Beyond that,
the chew stick is popular for cessation of smoking.

Another benefit that these chew sticks offer is their anti-inflammatory action. The root can relieve symptoms of asthma, bronchitis and indigestion (hence the popularity of this ingredient in herbal teas).

Dr. Christine Wu, a associate professor at UIC College of Dentistry is currently studying the benefits of the Neem tree chemical compounds and oral health in Sudan.

Check here for more information on chew stick varieties. I hopefully will have a link where you may purchase multiple varieties. Other chew sticks such as those from Zanthoxylum Linn are known to reverse sickling of blood cells. I will write on this soon and other natural sources for anti-sickling such as fermented papaya / unripened Carica papaya used in west Nigerian Fagara zanthoxyloides and some others. Studies have shown the chemicals and extracts of these plants to be non toxic  to the liver and kidneys and safe for use in treating sickle cell anemia. Personally, I would like to see these available in local health food stores or find a physician willing to use this wholistically. 

Next:  The benefits of black seed oil.

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Posted on 3:07 PM on 11/19/2009 by Bridget




Feeling a little sluggish? Perhaps your diet is out of sync with the seasons. Many of the vegetables we have enjoyed for the summer are either no longer available or are a bit too pricey for our budgets and imported from far away.

Nature always knows, and if we have an observant eye and do a little researching or thinking back to mother's, or grandma's cooking habits, we will see the logic of our seasonal diets.

Why we eat rutabagas, pumpkins, squash and all those root vegetables, oat meal,
barley and farina--there's a method to it all. As the seasons turn colder and darker, we are deprived of vitamin D as a source from the sun, and maybe we can't get all of those pretty green orange and red vegetables full of beta carotene, vitamin A and C as easily from local sources.

We turn to squashes like butternut, acorn and pumpkin instead of zucchini and summer squash. These varieties last longer on the shelf as they must sustain us through the tough winters and pack lots of vitamin A (as beta carotene), B6, C, E, Folate, potassium,  magnesium, manganese and many are mildy to moderately anti-inflammatory and a good source of fiber. (Pumpkin has additional values of vitamin K, thiamin, riboflavin, copper and protein.)

Root vegetables like sweet potatoes and iron rich beets seem to be always around and along with rutabagas provide us with a little more color and minerals than the turnip and white potatoes respectively. They provide similar nutrient value being good sources of vitamin C (rutabaga and sweet potato), iron (beets), magnesium, folate potassium, manganese and fiber. The bulb of fennel has added values of copper, niacin, calcium and iron.

Among the grains are winter wheat and buckwheat and barley, which store well. Rye and Quinoa pack lots of carbohydrates in a form our bodies can utilize more efficiently when minimally refined and are good for the challenges of winter.

To always keep something green on hand, try sprouting the berries of rye, barley and Mung beens indoors. These often sprout between 1-3 days in a bottle lined with cheese cloth (wet a little more beyond damp). Keep this in a dark cool place until sprouts are formed. Drain and bring to the sunlight to green up the young leaves. This only takes about a day. Wash and serve in salads, stir fry, or on a sandwich. Keep a supply of these beans and grains in your winter cupboard.

You may want to try other grains which I have mentioned in earlier posts, such as teff which has many antioxidants and cooks as easily as Creme of Wheat. It can be eaten just as Cream of Wheat and is aromatic. You may want to mix it with cream of wheat, cracked wheat barley or grits along with a variety of dried fruits, nuts and spices such as dates, figs, apricots, nutmeg, cinnamon or almonds to naturally sweeten it.

Grains can compliment our meals during lunch when added to salads, spread thinly on a sandwich (barley or cracked wheat work well here). The carbohydrates provided by the grains can boost our metabolism and keep us energized. Besides giving us the needed fiber, grains also aid our immune system.

Remember, we can find foods that 'stick to our ribs' without piling on the blubber.
Sticking with staple foods such as legumes, beans, and complimenting them with other foods  like cooked wheat, buckwheat, other root vegetables and squashes, (instead of the always the old fare of potatoes loaded with sour cream and butter), can be a smart and metabolically economic choice. You can boost up your metabolism, stay energized, and the grains help with your immune system.

As with all foods don't forget to eat in moderation and to eat a wide variety of foods.
Supplement your diet with lots of fresh fruits of the season along with fruits dried without sugar.

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Posted on 12:04 PM on 10/20/2009 by Bridget


Look for companion videos to articles written here on:

www.bridgetshealthythings.blogspot.com/

Beyond Sweaters:

bridgetshealthythings.blogspot.com/2009/10/beyond-sweaters.html


This months featured videos are companions to "Warm Idea for Fall" and
"Warm Ideas for the Sickle Cell Patient. These are identical articles classified under two categories (Sickle Cell Anemia and Arthritis)

coming up:  Warm Food Ideas

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Posted on 12:02 PM on 10/14/2009 by Bridget



It is a good thing when we have trusted friends whom we depend upon, be they people or favorite cereals.  As with trusted friends, in dealing with food, we need to stay on our toes and take neither for granted.

I was having cereal one day and noticed a change in the product I was eating. I was consuming a product I had used for years. I started reading the label and to my surprise, one of the ingredients listed, was something I prefer to avoid. The cereal contained rice bran. I was eating the Cheerios to avoid wheat for the week. Arsenic (which rice bran contains a lot of) is not a good trade off. I am glad I read the label.

I gave the manufacturer a call. They told me which products contain this ingredient and which ones don't and compared the differences based upon the UPC code. Regular Cheerios do not contain this but Honey Nut does, and some versions contain rice bran oil, instead of the rice bran.

General Mills apologized regarding this, and sent me two coupons. I received one for the purchase of an item up to $6.00 and another for one dollar off any General Mills product.

This is why it is a good practice to read the labels of foods that we are already familiar with. Ingredients can change without any indication on the advertising. This is important if you have food allergies or a special diet.

A group of products that seem to change often are soft drinks. Many contain some form of artificial sweetener in addition to their regular sweeteners. Chewing gum is another product. It is hard to find chewing gum without Aspartamine / Aspartame or Sucralose.

As food chemists create new products to enhance flavor or solve an industry problem, some ingredient can become ubiquitous over night and creep into our diets without our notice.  There has been a sharp increase in the use of monosodium glutamate (a salt of glutamic acid) in products. Food activists once had this tiger tamed years ago as MSG was associated with asthma symptoms, stinging tongues and other symptoms. The claims that brought this issue to the fore were not supported by following studies in the later years and the conclusion was that MSG is not really unsafe. If you are affected you may not agree. Many of the ingredients that were regulated and lobbied against are making their second debut.

Deep Cove tuna advertises that it contains no unnatural ingredients but does contain MSG. Note that many products containing MSG contain other salts of glutamic acid. The fact that a product does not contain MSG (if you are still adamant about avoiding it) is not enough as they are subject to containing other glutamic acid salts. Glutamic acid is an amino acid. Food chemistry is an odd thing. What is poisen to one is salvo to another.
Glutamic acid is one thing recommended for persons with sickle cell anemia to improve blood circulation.

Is this deregulation or has the food industry decided that people will eat anything?
Actually it is part of a new industry focus purportedly yet to be. A trip to the grocery will tell you it is already here. The new trend is to add healthy ingredients rather than leaving the bad ones out. The added ingredients will be focusing on weight management.

If you avoid certain ingredients in foods you will have a difficult time avoiding them still. Each time when I found an ingredient I liked (such as the inclusion of Stevia) there were other ingredients that caused me to reject the product.

Again, its by design. If you want the added ingredient bad enough manufacturers assume you will buy it even if it contains something you do not like. An effort to please everyone?.

A few examples are Snapple's Raspberry Pomegranate Tea beverage that is caffeine free and uses Red Bush tea as a primary ingredient. Snapple sells two teas with Red Bush tea as an ingredient. One pricey product is sold in 12 oz glass bottles about 12 oz and  sold at about $1.50 per bottle, contains no high fructose corn syrup and 10g of sugar per 8oz serving. Another product is sold in 16 oz bottles for about $5.00 per 12 pack and uses high fructose corn syrup as a sweetener with  21g sugar per 80z serving.

Minute made offers a pomegranate tea that is sweetened with Stevia has only forty calories per serving but still contains caffeine. I don't use caffeine, but I bought it anyway and only consumed half, which I watered down. I have not seen an herbal counterpart.
(So they got me on that one. I did buy it anyway because I love pomegranate. I won't bite the hook again. I chose not to consume the rest.) Again caffeine is a double edge sword. Caffeine, besides keeping you awake at night is something women with fibroid conditions want to avoid. It seems for every ingredient that can harm us some one has found some good use for. Those good uses are not always legitimate.

There are many other products that consumers feel contain questionable ingredients. If you have ingredients you need to avoid, take a second look at products you are familiar with.  You will be glad you did.

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Posted on 2:15 PM on 10/6/2009 by Bridget



Years ago while in high school I was recruited to study engineering. My parents wouldn't let me go all the way to Boston. Now I am a clothing engineer. I am always cold, always inventing some way to stay warm. Sometimes I hate bulky winter sweaters. I hate wearing too many layers.

Never have I been so happy as when the shrug became popular. The shrug was a statement. It was acknowledgment that fashion has casualties. Why must women be forced to be cold to look good? Formal evening dinners expect spaghetti straps, ankles in equinus balanced upon a thin platform, stick heals and skinny straps.

My engineering really began with my hat making. I began salvaging old sweaters to make them. Then I realized that my arms were the same length as my legs. I could make leggins  and leg warmers out of my old wool sweaters.

If you are thrifty and nifty with a needle you can save a few bucks and target only the areas you need to stay warm.

Here are a few ideas below: (see their photos by clicking the link below)
www.facebook.com/album.php
(Click on individual photos to see their caption and to enlarge them.)

If your old sweater shrinks a bit use the arms for leg warmers.  Use a seam ripper to remove the sleeves. Be careful to rip only the thread that holds the sleeve to the body and not the protective edging on the sleeve.

The top will taper up and can be worn beneath a pair of boots and folded over the boot top.

Those same sleeves could be made into a shrug by attaching the arms at the point where they taper up at the top. This can be done with a frog closure or a simple button and a loop. It can be worn under a vest and a shorter sleeved sweater for extra warmth and a baseball jersey look. 

An old jersely can be converted into leggins by cutting the excess bodice in an arch making a straight cut through the middle and attaching  the sleeves at the arm pits  (this will be the crotch) and continuing sewing as you would regular pants.

If you are making only  leggins from your sweater, save  the upper  chest area.  Hem the edges. This can provide extra warmth for shoulder and back (shoulder blade areas) and can be worn discreetly under a blouse.

Sweaters  with really long arms and a good neck seam can be made into chaps to be worn as thermals. Cut out the area of the body leaving the sleeves attached only by the binding around the neck.

A wide band of knit material or velvet can make an easy stole. A rectangle of fabric can be knitted, sewn or crocheted and draped across the back in a sailor fashion.  Wrap the upper corners forward about the neck (and a collar will form) attach with a button and loop or create a button hole on one corner.  Adorn with embroidery, appliques or small tassels at the corners.

An elastic band makes good knee warmers. Cut an area of your stretchy sleeve that fits the knee area. Hem edges using a stretch stitch. 

If only your arms are cold and you don't need all the bulk, a pair of socks can make nice arm warmers for cold summer offices or for winter. They can be worn discreetly under sleeves. Simply cut the seam at the toe area.  You may need to widen it a bit, depending on the size of your arms. Hem this edge.  Turn them upside down, and pull up the arm so that the heel area becomes the elbow area. The bottom area around the wrist needs no hemming.

The same sock can be worn up the leg in this upside down fashion with the heel area going over the knee to be worn as a leg warmer terminating at the ankles.

Videos:
Here are a few over compressed videos of the items mentioned here.
The clarity is a bit beyond my control due to file size.

Introduction:

bridgetshealthythings.blogspot.com/2009/10/warm-ideas-introduction.html

Cape-lets:
bridgetshealthythings.blogspot.com/2009/10/warm-ideas-capelets.html

Leg warmers

bridgetshealthythings.blogspot.com/2009/10/warm-ideas-leg-warmers.html

Other Shoulder Warmers:  Stoles, sleeveless shrug
bridgetshealthythings.blogspot.com/2009/10/warm-ideas-for-shoulders.html







 


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Posted on 12:19 PM on 10/6/2009 by Bridget




Health care is a constant battle whether our economy is good or bad. It seems a good consumer cannot get through the maze without some conflict. We ignore wait times in situations that we thought we have paid enough premiums to avoid.

Managed health care can be too much like county health care sometimes. There was a time when one could expect only a certain amount of waiting at a private doctors office. We could expect a certain level of customer service.  We didn't expect to be  condescended to, or treated as though our needs or opinions were irrelevant.

You don't have to be the querulous type to be constantly embattled as a patient. You don't have to be receiving care in a public clinic either. Wherever you receive health care, standards should be universal.

Treat others as you would like to be treated. Be accommodating. This does not mean crane your over stretched neck beyond its expansion. Try craning it once or twice a day. Working in a busy environment is no longer an excuse. Being human and meaning well can be, although we have heard the road to hell is paved by such intentions.

I am weary of constantly needing to demand decent service. It maybe isn't so much that. Maybe it is more about how people choose to resolve a conflict. Our environment has become one where we have supplanted Marshall Law and parenting for good interpersonal skills.

Both patients and health care workers have a responsibility to be respectful to one another.  We should both cut each other a bit of slack as we have assessed the challenges particular to the environment and what  we feel are the values associated with the organization. We should give each other the benefit of the doubt.

Giving the benefit of the doubt on the side of the deliverer of service means, you respect that the receiver is perceived to be as intelligent as you the giver are and would want to know the same things you would. You expect the patient has the same same needs of any other human and the same basic rights. Hence the Patient Bill of Rights.

The patient bill of rights was created to tear down that veil that exists that places those in need in a veritable cast system. Such a system assumes they are of lesser value, are less capable of reasoning than the giver and do not have the right to know, choose, question or formulate an opposing opinion.  The patient bill of rights should be studied if not learned adverbum, by clinicians receptionists, schedulers or anyone working face to face with patients. Once we learn and respect the patient bill of rights, the rest should be easy.

I am troubled when I see people shooing patients away when they attempt to resolve a conflict. It is unfair to expect a patient to take it or leave it when we have made a mistake.
Once the mistake has been made and the patient wants to address it, the worker has the duty to address the issue immediately or immediately assure the patient that you intend to resolve the situation.  This may require involving higher ups, or some other person appropriately skilled to do so.

How many times have I seen workers immediately gearing up as though for crowd control when a person raises an issue? It is not against the law to politely demand good service. It is not against the law for the patient to be upset. It is inappropriate for other health care workers to jump in and instigate instead of delegate a situation. Asking a question is not being disruptive. The disruption in a clinical setting happens when a person, as any other, attempts to address a situation and is ignored (or the worker becomes defensive and refuses to deal with the problem).

At this point, the customer is likely to require to speak to a manager or ask another worker to address the situation. What happens far too often is one person becoming defensive and taking up for the worker, without asking for background on the situation. This incites mob action and is inappropriate in a clinic.

This is why some organizations do not think twice about forcing a skeleton crew in some settings. In certain situations when too many people are on staff, it invites such mob behavior.  I observed this once on a night shift, where health workers instigated with their clients. Strangely, they were so confused about why there were so many emergencies and patients need to be restrained and given shots.

On nights when excess staff members were omitted, no such situations arose. Will the real patient please stand up? If you refuse to conduct yourself in a mature manner, do not expect it from your patient. Garbage in garbage out. Thank goodness we are not all prone to doing 'as the Romans do'.

Another practice that invites conflict is passing the buck. When everyone wants to pass the buck the patient gets caught up in the system and the worker's refusal to take responsibility and no services are delivered.

We need to espouse the patients bill of rights and remember that 'lets-take-it-outside' is a for saloon patrons and does not belong at the doctor's office. There are some hospitals, clinics, physicians office who believe in a higher standard.

One of my most recent negative experiences with a health care organization  (concerning worker's attitudes) was resolved politely and cogently. It didn't go beyond that or to a law suit because I knew that organization was dealing with a few a bad eggs. I had never before experienced such behavior there and probably will never again, because I am sure of their ethic. Beyond that, it is an organization that is not afraid to deal with conflict and promptly avail themselves to fact finding to resolve conflicts.

I cannot say the same for some other clinics, although much higher ups would not agree with some of their employee's their behavior. When such behavior appears to be supported by management, they should expect never to be patronized again.  If we want to ensure that we work in a good environment, we have to respect our patient population and treat them not as though we are parents dealing with disobedient children, but as human beings deserving respect, fair treatment and a forum to voice their concerns.

Ignoring these facts will ensure basic mistrust, conflict,  true disruption and encourage situations to get out of control.

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Posted on 11:54 AM on 9/23/2009 by Bridget



Sometimes it seems there is no better place to become obese than-- church. Church is a place of respite, a place for family and friends whom we value as family. It is a place to give and receive something spiritually.

It can also become a place of conflict. We become involved in church gatherings and organizations and the routine becomes second nature. What happens when we step back and evaluate the benefits versus risks?  Risks? At Church? Heathen. No.

This isn't about defying church doctrine, the sense of community, good will and support we go there to give or receive. Despite what pious garments we don, be they physical, spiritual or emotional, we are still 'natural men'. Natural men ten to think of natural things. One issue becomes maintaining our individualism and practicality while losing ourselves to religion and church culture.

Sometimes this causes inner conflict. And as with any other group, we give in to peer pressure although we can see things can be done differently. We go to church with our families because the family that prays together stays together. Strangely during service, we don't seem to have time to sit together. During the week one family member is in this meeting, another is in that and we become so busy with meetings and organizations we sometimes do not feel any closer. (But we are.)

We rely upon our faith to get us through difficult decisions, overcome weaknesses, battle what we cannot battle on our own. Maybe you pray to control your appetite. Then comes along the church banquet, the pastor's anniversary, a Women's Day repasse and the weight keeps piling on.

But admit it. This is the church culture we look forward to. We laud and esteem Sister Bertha's peach cobbler. Then there's Mrs. West's smothered chicken and Sis. Long makes such good dressing (but it's sooo fattening). We strategize ahead of time whose table we will visit at the church tea. We perhaps volunteer in the kitchen to get a few extra slices of pie, or a dinner plate to take home. It's a special occasion. But how many of them do we have during a month, a season or a year?  It adds up.

Not participating for health's sake is not always an option. You could dissent, but you would be battling years of tradition and stepping on too many toes. You are not simply battling with yourself, or the devil. This is a issue of church culture.

You don't have to battle alone, if you get organized you can have a strong group behind you in a program designed for African American churches called, "Body and Soul. "

Body and Soul is " A Celebration of Healthy Eating and Living" and is founded on four constructs which they call 'Pillars.'

Pillar One is a Pastor who has a commitment to the objectives of healthy lifestyle.
Pillar Two is church activities that promote healthy eating.
Pillar Three a church environment that promotes healthy eating.
Peer Counseling that promotes members to adopt a healthy eating style.

Body and Soul spawned from two successful programs run in North Carolina and Georgia churches for ten years. "Black Churches United For Better Health" and "Eat for Life",  both collaborated with local universities (Duke and Emory) as well as the National Institute for Cancer.

In Pillar One, it all begins with a pledge before the congregation, led by your pastor
(click link to download, or copy and paste the url into your web browser)

http://bodyandsoul.nih.gov/downloads/pledge.pdf

  • This is a commitment to good eating habits, which he along with individuals of the congregation will sign.
  • The pastor acts as role model.
  • He includes awareness of food and health in his sermon and uses biblical references that support good healthy habits.
  • Pastor establishes a healthy eating Sunday once per month, where healthy foods are served.
  • Pastor uses and supports peer counselors and gives recognition to participants.


Pillar Two involves a rally of sorts, inspiring and energizing membership for ongoing church activities that will educate about, foster or reinforce good eating habits.

Possible activities are:
  • Field trips to produce markets discussing healthy choices, introducing members to items they may never have tried along with a discussion about nutrition.
  • Reviewing books about healthy eating and healthy lifestyles in healthy book club.
  • Healthy cooking classes and demonstrations
  • Tasting parties where fruits, vegetables and other healthy items are featured
  • Using media such as the website or bulletin to promote healthy ideas
  • Certificates for attendees

Pillar Three
  • Get your church involved with produce, local farmers
  • You may want to set up a farmers market
  • Start a church garden
  • Create an official church policy setting menu requirements that promote balance during church functions involving food.
  • Include vegetable and fruit as gifts distributed during missionary functions, or outreach such as feeding the poor, gifting the sick.

Pillar Four
  • Train and use peer counselors.
  • Peer counselors become knowledgeable about nutrition and good eating choices, lifestyles
  • Peer counselors share their knowledge with church members of their group or church.
  • Peer counselor give talks and invite other speakers who can draw more attendees or build upon their talk.
This is a lot like the government initiatives I have worked with sponsored by the Illinois Department of Public Health and its contractors for cancer and AIDS awareness. There were also programs specifically designed to set up health ministries in local churches. If your church is not already involved in such an awareness program, I am sure they can benefit. I do not recall one church that did not find some benefit above what they were able to offer themselves. Additionally, physicians were available to give talks during their events or organizational meetings.

Don't forget to save the memories by taking pictures for your newsletter, or to post on your church bulletin board.

For more information email:  contact@bodyandsoul.nih.gov

or visit the resource center for downloads for your church

http://bodyandsoul.nih.gov/resources.shtml

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Posted on 11:18 AM on 9/17/2009 by Bridget



Years ago while in high school I was recruited to study engineering. My parents wouldn't let me go all the way to Boston. Now I am a clothing engineer. I am always cold, always inventing some way to stay warm. Sometimes I hate bulky winter sweaters. I hate wearing too many layers.

Never have I been so happy as when the shrug became popular. The shrug was a statement. It was acknowledgment that fashion has casualties. Why must women be forced to be cold to look good? Formal evening dinners expect spaghetti straps, ankles in equinus balanced upon a thin platform, stick heals and skinny straps.

My engineering really began with my hat making. I began salvaging old sweaters to make them. Then I realized that my arms were the same length as my legs. I could make leggins  and leg warmers out of my old wool sweaters.

If you are thrifty and nifty with a needle you can save a few bucks and target only the areas you need to stay warm.

Here are a few ideas below: (see their photos by clicking the link below)
www.facebook.com/album.php

If your old sweater shrinks a bit use the arms for leg warmers.  Use a seam ripper to remove the sleeves. Be careful to rip only the thread that holds the sleeve to the body and not the protective edging on the sleeve.

The top will taper up and can be worn beneath a pair of boots and folded over the boot top.

Those same sleeves could be made into a shrug by attaching the arms at the point where they taper up at the top. This can be done with a frog closure or a simple button and a loop. It can be worn under a vest and a shorter sleeved sweater for extra warmth and a baseball jersey look. 

An old jersely can be converted into leggins by cutting the excess bodice in an arch making a straight cut through the middle and attaching  the sleeves at the arm pits  (this will be the crotch) and continuing sewing as you would regular pants.

If you are making only  leggins from your sweater, save  the upper  chest area.  Hem the edges. This can provide extra warmth for shoulder and back (shoulder blade areas) and can be worn discreetly under a blouse.

Sweaters  with really long arms and a good neck seam can be made into chaps to be worn as thermals. Cut out the area of the body leaving the sleeves attached only by the binding around the neck.

A wide band of knit material or velvet can make an easy stole. A rectangle of fabric can be knitted, sewn or crocheted and draped across the back in a sailor fashion.  Wrap the upper corners forward about the neck (and a collar will form) attach with a button and loop or create a button hole on one corner.  Adorn with embroidery, appliques or small tassels at the corners.

An elastic band makes good knee warmers. Cut an area of your stretchy sleeve that fits the knee area. Hem edges using a stretch stitch. 

If only your arms are cold and you don't need all the bulk, a pair of socks can make nice arm warmers for cold summer offices or for winter. They can be worn discreetly under sleeves. Simply cut the seam at the toe area.  You may need to widen it a bit, depending on the size of your arms. Hem this edge.  Turn them upside down, and pull up the arm so that the heel area becomes the elbow area. The bottom area around the wrist needs no hemming.

The same sock can be worn up the leg in this upside down fashion with the heel area going over the knee to be worn as a leg warmer terminating at the ankles.

Videos:
Here are a few over compressed videos of the items mentioned here.
The clarity is a bit beyond my control due to file size.

Introduction:

bridgetshealthythings.blogspot.com/2009/10/warm-ideas-introduction.html

Cape-lets:
bridgetshealthythings.blogspot.com/2009/10/warm-ideas-capelets.html

Leg warmers

bridgetshealthythings.blogspot.com/2009/10/warm-ideas-leg-warmers.html

Other Shoulder Warmers:  Stoles, sleeveless shrug
bridgetshealthythings.blogspot.com/2009/10/warm-ideas-for-shoulders.html






 






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Posted on 1:55 PM on 8/30/2009 by Bridget




Pharmaceuticals Safety Tips

We have heard recently in the news of the hazards of flushing drugs. They eventually make their way back to our water supply or our soil and eventually our food chain. They are a major threat to aquatic life. By drinking a glass of tap water we could be adding extra or unwanted medications if any to our daily routines.

The CDC, the EPA and your local county government are generous  with advice about their disposal. On these websites are links providing lists of drop off sites and 'events' from time to time that allow consumers to responsibly dispose of pharmaceuticals and toiletries that we should not wash down the drain.

Besides the danger of prescriptions getting into our  water and food supply, they pose a danger as any hazardous drug or waste in that they will fall into the wrong hands. They could fall into the hands of curious children, or persons seeking to use them recreationally. The fact that there are so few places to take these drugs troubles me.   Search for a location in your county. I did and found only 26 locations in Illinois.

Both the CDC and EPA sites have a few dead links to " The New Guidelines for Disposing of Prescription Drugs." The information has not been updated or the newer link if one exists, is hidden on some other pages that elude me. On the EPA website the information cannot be found under a special section called WaterSense. This section is about water efficiency.

Information regarding water disposal can be found on the main page using the Frequent Questions link. Then click on, Pharmaceuticals and Personal Care Products. After clicking here you will be taken to the Frequent Questions page.  Click on, "How do I Properly Dispose of Unwanted Pharmaceuticals", which will take you further down the page to a link that says "state and local waste management authorities". This will take you to a page with a map of the us. Click on  your state and under each state will be a few links.

Although this takes a lot of clicking and there are shorter routes to information, I found this to yeild more information within my own state. Rather than simply listing drop off sites, it leads you to other agencies that are involved in disposal of such wastes, which may have their own programs and events.

Still, locations are few and far between.  If you reside in Illinois there is a program called P2D2 (Illinois Prescription Pill and Drug Disposal Program Network). This link to this program can be found on the Illinois EPA website. Although there is a lot to be accomplished still in expanding locations, in October of last year, the Illinois EPA outlined its objectives in a summit meeting. These objectives are published on their website and stated their two main focuses being public awareness and eventually broadening of the network of locations to drop off prescriptions and other drugs.


The P2D2 program accepts prescription medications and over the counter drugs and supplements, but not controlled substances. An example of such items would be medicated lotions, creams, oils, vitamins, drugs.  In short, the items accepted are those which may be taken internally or topically.  The exclusions are peroxide and other personal care products (such as fingernail polish, make-up remover, shaving gel).

The public is encouraged to become a part of this network and they recommend beginning a program that involves your local pharmacists, public works director, your local water department, the Mayor, congressional leaders to mention a few.

This is a worthwhile effort because for a program to work, it has to be convenient. Although many people may have good intentions, no so many people will make the responsible effort, if they have to travel out of their way to do so. We can do our part and let our voices be heard through our local government and pharmacies. And why not our doctors offices?  The most convenient places to return these products are the places where they originated, and the places we most often return to, for more of the same.

If you cannot find a place to dispose of your prescription drugs information is available here in a fact sheet:
http://www.whitehousedrugpolicy.gov/publications/pdf/prescrip_disposal.pdf or visit the office of National Drug Control Policy.

In addition to the physical environment, protect your social environment by keeping your medications in a safe place. Always keep drugs out of reach of children. Keep your prescription drugs in a locked cabinet if you feel they may be misused by others you live with, or who visit you. It is always best not to keep them in medicine cabinets of bathrooms that your guests will be using. This ensures no one else will be using them and guards your privacy. When disposing of their containers, remove and destroy the labels for the same purpose.

Some government sites recommend not placing medicines you take in containers other than the original.  This is not always possible, if we have to take medicine outside of our homes. You may have more than one prescription, and no room for all those bottles.  I don't see the point in taking an entire bottle of pills around simply because you are out. If your purse or bag is lost or stolen, there goes your prescription.  A pill box can solve this.  If you need to take your medicine while you are out, and have more than one type of medication, place them separately in small plastic baggies and label them.

If you need proof that they belong to you, save and carry along the information sheet that came with the medicine, when you got the prescription filled.

Also, be sure to learn your medication by appearance. Always check your medication before taking it,  to be sure you are taking the right pill, at the right time. Sometimes a dose will be taken while in bed, when we are sick or nearly sleep. Remember, taking medications requires a certain amount of alertness. Don't take your medicine in the dark or with your eyes closed. Make a log or chart on index cards, or a small note pad. List the medication name, the current date and all times it is to be taken for that day. Check the medicine off, after you have taken it.  This protects you from under or double dosing.

If you cannot stay alert enough to keep up with your doses, enlist the help of a friend or relative. Have them check in with you at certain times, to help you keep up with your dosing schedule. Use an alarm clock on your desktop, watch or cell phone as a reminder.

Learn what foods your medicines should not be taken with. If your pharmacist or doctor does not volunteer this, ask. Most medicines should not be taken with grapefruit juice as it is subject to releasing more of the medicine into our system at a time, than normally would be released.

Remember, taking medications whether prescription or over the counter, requires a responsibility to our safety, the safety of others and the safety of our environment. The purpose of taking medicines is to improve and ensure our health and quality of life. Follow the recommendations on the bottle. Read the warning label and do not use medications in a manner that is not not consistent with their labels, unless your doctor advises you to do so.

Here is a podcast for more safety tips on Drug Safety from the CDC:

http://www2a.cdc.gov/podcasts/player.asp?f=8476

View Transcripts of the podcast:

http://www2a.cdc.gov/podcasts/player.asp?f=8476#transcript

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Posted on 6:41 PM on 8/22/2009 by Bridget



There are a plethora of panaceas fit for your condition. Just ask their distributors. Some are aimed specifically toward treating you. Or are they repackaged One-Size-Fits Alls?
I came across a product called Hemoxide one day. Its advertising is often directed toward sufferers of sickle cell anemia as well as diabetics.

Hemoxide is a product that claims to raise levels of nitric oxide in the body. Nitric oxide is a gas present in the air as a chemical bi-product or pollutant, and is present in the body carrying out vital biological processes. In the human body, nitric oxide functions as a  messenger or switch. When nitric oxide levels are balanced in the human body and it functions as it is supposed to, it helps in oxygen transport, signals vessels to dilate, regulating blood pressure, regulates inflammation, memory, sleep and other brain functions and plays a vital role in immunity, and destruction of tumor cells, parasites and viruses. It is a small do-it-all molecule and functions as such due to its ability to get in and out of small spaces in the cell.

Nitric oxide gone awry is a lethal toxin in the human body. It is a free radical and when over produced can cause life threatening toxicity, inflammation in conditions such as arthritis and plays a role auto-immune diseases.

Nitric oxide is key to unraveling the mystery and suffering in pathological conditions from Alzheimer's disease to sickle cell anemia, arthritis and diabetes to name a few. There are numerous supplements such as Hemoxide being developed and marketed to aid in these conditions.  

Sickle cell patients want to avoid progressive anemia, increase nitric oxide by supplementing the diet with the amino acids L-Argnine (which helps decrease inflammation) and L-Glutamine, which aids in the use of oxygen in muscles. Nitric oxide causes smooth muscle relaxation, helps vessels to dilate, prevents blood cells from aggregating ultimately increasing blood flow, and preventing clots. Nitric oxide also plays a role in decreasing or preventing inflammation. Many studies indicate nitric oxide has promise in the relief of the sickling of cells and their stickiness. This accounts for the interest in this product by persons with sickle cell anemia.

There are many distributors of Hemoxide and searching the web, I found they do not all advertise the product the same. Claims of Hemoxide depending upon the distributor range from the conservative to the ludicrous. I was troubled by some of the distributor's claims.  Knowing the desperation for relief of those suffering from conditions that nitric oxide may be of benefit to, I approached both the distributor and the manufacturer to clear up a few points. I wrote a letter to Healthy Edge Solutions.

"Dear Healthy Edge Solutions:
Can you explain what an  FDA-classed as medical foods, is (means). I did not know there was such a class.

I use supplements from time to time but want to know if they are safe. I rely upon the FDA's guidelines. Your ad mentions the FDA proved it to be safe, but the FDA does not
do this with supplements. They provide surveillance on a supplement and only if many people have problems with it. I'm sure your product wasn't tested by the FDA. Do you mean the individual ingredients are simply recognized as safe and therefore your product is?

Also, why can't you take this product with anti-inflammatories?

I hope to receive a response. This sounds like a really interesting product.

Also do other people sell this? Some adds state that "the FDA was so impressed that they wanted to call it a drug." That usually happens when a product that is a supplement is marketed like a drug, after which a warning letter will be sent out. Did your product receive a warning letter for being marketed like a drug? Either way I am familiar with some of the ingredients and they are GRAS. I look forward to your reply.

Bridget Reynolds"

I did receive a prompt response and was referred to the manufacturer and was able to speak directly with Mr. Robert Folgi, the president of the company Total Health Enhancement Corp. I informed him of the advertising that I saw and my concerns that they were misleading.

In both a phone conversation and a letter, Mr. Folgi explained to me that the companies contracted to distribute his product are not allowed to call the product an FDA class medical food. According to Mr. Folgi:

"The only one who can sell this product as a medical food is Total Health Enhancement.
 
The FDA definition of a medical food is :
 
The term medical food, as defined in section 5(b) of the Orphan Drug Act (21 U.S.C. 360ee (b) (3)) is "a food which is formulated to be consumed or administered enterally under the supervision of a physician and which is intended for the specific dietary management of a disease or condition for which distinctive nutritional requirements, based on recognized scientific principles, are established by medical evaluation."
 
With a medical food label we can only sell the product to a licensed medical doctor and not over the counter.
 
No supplement company can talk about a medical food product in the advertising unless it is in a Physician publication.
 
If you got to my web site, (totalhealthenhance.com), you will notice no mention of medical foods. Only when a medical doctor calls and asks for the product under a medical food label do we send it out to them but even then we print their name address and phone number on the label."

As far as the misleading claims, I addressed those to Mr. Folgi and sited a few websites  that were full of facts about sickle cell anemia and some sickle cell research. Unfortunately the facts are tied into a lot of misleading statements.  Mr. Folgi says he does not support such claims and as he stated does not make any such claims on his own website.

Here's bit of recent history regarding the research on nitric oxide and sickle cell anemia. When researchers began trials with nitric oxide, their objective was to deliver greater amounts to cells. When some patients responded favorably, it signaled potential use as therapy. More research showed that there are some who do not respond to the nitric oxide, because their bodies cannot process it correctly.

In some cases, the  focus has become to increase available nitric oxide and make the nitric oxide that is present usable by the body. Obviously if any of these over the counter remedies work, there is no guarantee they will work for all. It depends upon how your body is able to process nitric oxide.

In one report of such studies on nitric oxide and sickle cell diseases titiled "Impaired Vasodilation by Red Blood Cells in Sickle Cell Disease"  by John R. Pawloski*, Douglas T. Hess*, and Jonathan S. Stamler,  researchers found that :  that there was a " variable deficiency in [red blood cell]  processing of [nitric oxide]. More generally, our findings raise the idea that defective NO [nitric oxide]  processing may characterize a new class of hemoglobinopathy."

Below is a list of some of the claims made by various distributors.

They Said:

"So What Causes Sickle Cell Pain?

For sickle cell anemia patients, the red blood cells can't open up blood vessels as they should. The reason is because there isn't enough nitric oxide present in the cells to do the job.

This is important because this inadequate amount of nitric oxide is directly correlated with the severity of pain. The Duke/HHMI researchers were able to confirm this with their studies.

In other words, the less nitric oxide your blood cells can produce, the greater the pain. And to make matters worse, with severe sickle cell, when oxygen levels start to drop, blood vessels naturally constrict or get smaller. This just complicates the problem even more."

So what does all this mean?
The Duke/HHMI researchers concluded that this abnormal nitric oxide processing might be the real cause of restrictions in the circulatory system of sickle cell patients. And when it comes to the severity of sickle cell symptoms, the sickle shape of the red blood cells may be less important than oxygen depletion."


Actually ... it is not simply the amount present, some people with sickle cell anemia experience more benefit that others due to how their bodies process the nitric oxide that is present in the body. Too much nitric oxide can be harmful.

They Said:
" ... nitric oxide only lasts a few seconds when breathed. At low concentrations, nitric oxide is quickly absorbed and used up in the lungs, rather than penetrating deeply into the body's tissues. So it is of no help."

Actually ... some preliminary trials found benefits lasted approximately 1 hour, increasing oxygen retention by red blood cells and affording patients lower dosages of pain medications.

I had a telephone conversation with Mr. Folgi (a molecular biologist)  was very productive and he is a storehouse of knowledge on nitric oxide. He developed his product with what he calls redundancy, and states this redundancy helps to overcome the negative aspects of nitric oxides role as a free radical.  When I inquired why a person cannot simply just take a potent multivitamin he explained that the percentages of some ingredients in his product are lower because it is made to be taken on an empty stomach.

He further explained that you cannot receive the same benefit by taking a multivitamin or a blend of the same supplements because it is specifically formulated to be delivered to the body via a certain route. That route is proprietary and the only hint that he gave of the means was his explanation about redundancy of certain molecules and amounts of balance of certain amino acids. As to why it can't be taken with anti-inflammatories, Mr. Folgi stated anti-inflammatories decrease the effectiveness of nitric oxide.

Supplementing can be simple or very complex and it is as important in what form a product or vitamin exists as that it exists at all. Two important ingredients of this product which are precursors to nitric acid are L-Arginine and L-Glutamine. Where Mr. Folgi says another difference lies in his product is the form of L-Arginine and the amounts. Too much L-Arginine can be counter productive in the body.  Below is an ingredients list of Mr. Folgi's product and as he has stated the herbal ingredients are GRAS (generally recognized as safe).


Supplement Facts: Serving Size 3 capsules Serving Per Container 30
One (1) Capsule 640mg Amount per Capsule % Daily Value
Vitamin C (As Ascorbic Acid) 20mg 33%
Vitamin E (As D-Alpha Tocopherol)29 I.U.33%
Vitamin B1 3mg 200%
Vitamin B2 (Riboflavin) 3mg 177%
Niacinamide 6mg 30%
d-Calcium Pantothenate 4mg 40%
Vitamin B6 3mg 150%
Biotin 600mg 200%
Folic Acid 300mcg 75%
Vitamin B12 (Cyanocombalamin) 500mcg 8,333%
Manganese (Citrate) 8mg 400%
Selenium (Selenomethionine) 50mcg 72%
Zinc (Picolinate) 7mg 45%
Molybdenum (Amino Acid Chelate) 33mcg 44%
Chromium (GTF) 25mcg 21%

Proprietary Blend* L Arginine, Cinnamon, Choline Bitartrate, Organic Whole Sugar, Taurine, Horse Chestnut Seed Extract 40%, Gymnema Sylvestre (24%), N-Acetyl-Cysteine, L-Glutamic Acid, L-Histidine, Quercetin, Schizandra Seed Extract 2%. Vegetable Capsules *Daily Value Not Established

If you are interested in this product,  I would advise you to present it to your physician first. Not as a miracle drug but as something that combines some of the minerals that you need in a convenient form. Inquire as to whether the blends claims regarding their delivery to the blood are plausible.

There are others who market this product and some market it along with companion a product. I could not believe what I was reading on some websites. When I returned to one of the websites that I had pointed out to Mr. Folgi, I did notice some changes. Some of the claims made have be removed and there are no extreme statements indicating the product as a veritable cure for sickle cell anemia. Mr. Folgi stated that such claims were a violation of the contract on the part of the distributor and as he promised he would address the issue with the distributors. He never denied a contract with Healthy Edge Solutions, although one website mentioned was unfamiliar to him.

Mr. Folgi developed this formula originally to aid race horses with an illness called laminitis. Laminitis affects the circulation of the hoof in horses and eventually causes the hoof to turn inward. According to Mr. Folgi, he developed this product and it proved to be successful and popular. He later developed a human formula for a relative who has the mediterranean form of sickle cell anemia. If you visit his website totalhealthenhance.com you will see both products advertised and that the website is  geared toward both humans and animals. He makes no profound or sensationalistic claims there regarding Hemoxide, that you will find on some distributor's sites. He says he is adverse to advertising his product as "snake oil".

Two websites where you will find much questionable and disturbing marketing are.

Health-reports.com
http://www.health-reports.com/sicklecell.html and http://www.healthforyou.org/s/sicklecell/sickle-cell-anemia-disease.htm (At the time of my conversation this website was not presented to Mr. Folgi. It was presented only a few hours before publishing of this article and I will be watching to see if any changes are made to their website.)

Here are a few examples of claims made by healthforyou.org regarding Hemoxide:

Quote:

"The FDA Was So Impressed They Wanted To Call It A Drug

Hemoxide worked so well at producing nitric oxide that when the FDA first saw the tests on it, they were so impressed by its ability to produce nitric oxide in the body, they wanted to call it a drug.

But since it is an all natural supplement, they classified it as a “nutraceutical” – a food or supplement that provides health benefits. FDA documentation proves its effectiveness in replenishing nitric oxide to such an extent they said product usage claims could be made for anything nitric oxide has been proven to do - such as relieve the symptoms of sickle cell anemia."

This site also markets a product called Rejuvin to sickle cell sufferers. It is hardly explained and if one can only surmise by the language that it vibrates your cells to health:


In Quote: 2   the last paragraph under the heading " A Hemoxide Success Story"


"This is a brand new product that works great for sickle cell anemia. Though nothing can reverse the genetic malfunction in sickle cell anemia, Rejuvin can rejuvenate and refresh your blood cells so the sickle cells work more efficiently.

"Rejuvin can do wonders for the regeneration of the red blood cells in sickle cell anemia."

How?

"A sickle cell works at about 30% of the effectiveness of a normal red blood cell. Taking Rejuvin, one bottle a month, would double the effectiveness to 60%."

Effective at what? I don't know what my cells will do after taking Rejuvin, but it says they will work about 60% of the time. In this economy that ain't too bad. My cells will supposedly make a better paycheck. If it were only true.

The most troubling statement was here:

"Use both these products and you can basically eliminate any symptoms you have from sickle cell anemia. Not only will the pain disappear but also the risk of developing serious complications will no longer be a factor. "

To date there is no recognized over-the-counter product that can reverse the sickling of cells in sickle cell anemia. Don't be fooled. On the other hand, many good products may be passed up due to the way they are marketed. That's why manufacturers of leading products from soft drinks to gym shoes spend so much money on advertising and marketing and have strict standards when it comes to their brands. Even the best product marketed poorly may not sell.

Taking a harmless product and sensationalizing it, can make a reasonable person suspicious and turned off. While a product may not live up to all of its claims, if it lives up to some of its claims and will not harm you, than so much the better.

A general rule of thumb for supplementing is the knowledge that our bodies need vitamins, minerals, amino acids and phyto-nutrients to function well. Some of these our bodies produce on its own, others must be produced with the aid of plants or animals.
The USDA has established guidelines on how much of what nutrients our bodies need.
Whether or not you agree with these amounts, it is a starting place. In addition there is a list of products that are determined to be generally safe by the FDA. This does not guarantee you will tolerate it, but it is a litmus for whether there have been overwhelming issues with the herbal ingredient.

The main point of nutrition and supplementation is balance. I have stated that in previous articles. To know whether or not a supplement can do what it claims is not all there is to know. We need to know how our bodies individually can use or tolerate it, and how much of it we need. The rules of buyer beware apply here as well. If it sounds too good to be true, it probably is. If you don't understand it, don't just go along.

If it doesn't make any since to you, don't chalk it up to being scientific and over your head. Get professional advice. We can count on some professionals to always be dismissive of supplements. Find another opinion. Not that of someone who will say what you want to hear. The opinion of a conservative but open minded, experienced physician or nutritionist, knowledgeable in wholistic and preventive medicine can be the best advocate to steer you on the right course for adjunctive therapy for your condition, or for enhancing your well being. Don't assume every physician is against supplements. Educated doctor shopping is not a bad thing, when done for the right reasons.

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Posted on 6:33 PM on 8/22/2009 by Bridget


I had been peddling this around to NIH and local townships. Many people viewed and liked this proposal. Download it as a package to use in your community.
You may use this for  your own community but please tell them where you found it. Please acknowledge this blog and BlackDoctor.org.

The reference to FSAN FSIS
Downloadable PDF:   http://www.fsis.usda.gov/PDF/BFS_Activity_Book_BW.pdf
Food Safety Mobile:  http://www.fsis.usda.gov/OA/foodsafetymobile/mobilegame.swf
Food Safety Word Match: http://www.foodsafety.gov/~dms/fsematch.html
Food Safety Chill: http://www.fsis.usda.gov/oa/pubs/chillpzl.pdf
Separate Don't Contaminate: http://www.fsis.usda.gov/oa/pubs/xcpuzzle.pdf

Visit this invaluable (and my favorite) website to stimulate ideas, printable art and materials to distribute regarding food safety. This is especially useful if you don't have resources to partnership with artists  or those to teach the art aspect of this proposal.

Partnership for food safety Education  Fight BAC: http://www.fightbac.org/component/option,com_docman/Itemid,83/
Partnership for Food Safety Outreach:  http://www.fightbac.org/content/view/24/49/

Ask a question about food safety in real time:
http://www.fsis.usda.gov/Food_Safety_Education/Ask_Karen/index.asp




You may want to begin with a brief introduction such as this paragraph.
                                    
Healthy Kids /  (People) Consortium (Project)

Thank you for giving me the opportunity to present to you a nutrition program for the youth and adults of  ______________. The details are listed below and while this is multi-faceted it is ‘slim’ enough to deploy cost effectively. Funding sources will include government grants, funding/sponsorships from local corporations. You can expand this and make partners out of local nutritionists, social or youth workers to flesh out the psychosocial aspects of the program. Also partner with local artists volunteers and media people who can get the production aspects rolling.

Objectives
Incorporate Nutrition, Foods Safety and Consumer Education /Curriculum
into production. A comprehensive program that focuses on the psychosocial aspects of nutrition and incorporates modules that that boost self-esteem and assertiveness. It recognizes the need to be assertive in order to protect or guard health and includes an overview of etiquette, hygiene, safe food handling and consumer education.

This program will look at how being a good consumer can enhance our health. Good consumers have awareness of their needs and good standards. Protecting our health through our diet requires a working knowledge of good foods and bad foods, (what foods provide us with i.e. vitamins, calories etc.) recognizing quality of foods at their source (grocery stores, markets). Making healthful choices in eating requires knowledge of the how the human body functions, how it functions under various circumstances. These circumstances may be under our own control. 

Participants will learn how to choose foods that are fresh, safe and evaluate the standards of their local food stores. This program will foster the habit of seeking foods that benefit their health. They will partner with local grocers encouraging them to include in their stock, healthful food choices (lower fat, sodium and more whole foods including grain varieties).

They will provide grocery stores with point of purchase displays (reminders to make good choices while grocery shopping).

Participants will create a contest and partner with local food stores with displays that showcase their talent and awareness.

Participants will make a jingle for health and use for air spots on local cable and
radio stations.

Make a low cost DVD with jingles featuring their group called “The Other Staple Singers” The other staple singers promote the addition of whole foods, staples (beans, legumes, grains etc) into the diet. Included on the DVD will be healthy recipes with art that can be used on the computer as desktop backgrounds.


Eating At Home
•    Etiquette (Table manners, social amenities)
•    Hygiene (Overview of FSIS FSAN’s Fight Bac).
•    Safe Food Handling / Hand washing
•    Negotiating  Food Choices  (The war between wants and needs, battleground, the kitchen and grocery). Participants are introduced to new healthy foods or recipes.

Dining Out, Buying Food
 
Attention will be given to recognizing the need for sanitation (hygiene) of food workers, expiration dates and recognizing if places they choose to dine or buy groceries are living up to good standards.
•    Is this a safe place to eat out?
•    Is this a good store to purchase foods?

Health foods, versus common store items, organic foods.

Consumer Ed
•    How their buying habits impact what store sells.
•    How what stores sell impact their buying habits.
•    How advertising affects their choices.


Art/ Production
Participants will learn about nutrition and create a finished product promoting
nutrition. Participants create projects centered around health promotion including
•    T-shirts,
•    Printed Materials for in store promotion of campaign
•    Promotional Items
•    DVDs, all to be sold at a health fair
•    PSA's promoting nutrition and the health fair


Potential Partners, Sponsors

Advertising Agencies
Cereal Manufacturers
Health Food Chains
Pharmaceutical Companies or Drug Stores
Business local to the area

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Posted on 5:41 PM on 8/22/2009 by Bridget




Can iron deficiency anemia can be beneficial to persons with sickle cell disease?  Generally when we think of sickle cell anemia patients and iron, we immediately think of iron overload.

Many patients who receive transfusions are aware of the risk of iron overload. The excess of iron can build up in the blood and vital organs. Both hemolysis, (the destruction of red blood cells) and transfusions can dump excess iron. Iron overload caused by transfusions can cause fatigue, swelling in extremities and shortness of breath upon exertion.  Organs such as the heart, liver,  pancreas and kidneys can incur damage. The liver can become enlarged or fibrotic and cirrhosis may develop,  the damage to the pancreas can cause diabetes. When iron overloads, it is treated with chemicals that help to remove the iron form the body. This is called chelating.

For patients not concerned with blood transfusions and overload, what are your iron requirements? Many sickle cell anemia patients can be confused about this. Normally in sickle cell anemia, blood cells are prone to taking on a sickle shape, breaking apart, dying prematurely and spilling iron contents into the blood stream. Does this mean one should one avoid taking in too many foods containing iron? What about women and their special needs? Are there times when iron supplementation is needed. Can sickle cell patients become iron deficient?

There are indeed times when sickle cell patients like the rest of the population can become iron deficient. Either due to their diets, or some condition in addition to sickle cell or complications of sickle cell that cause blood loss.

Sickle cell patients should follow the nutritional guidelines in the new food pyramid like the rest of the population. There is no reason to avoid eating something because it contains iron.  Like any diet, balance is important and consuming an excess of many foods can throw the body out of balance. Nutrition works by balance. Different chemicals and nutritional substances are all part of a balancing act enhancing and regulating one another.

Problems with nutrition can arise from predetermined factors such as diseases that may cause a greater or lesser need for certain nutrients. Problems may arise from not having balance in our diets. Sometimes we need more than what nutritional guidelines are set for the general population. There are times to restrict iron intake and to add iron to the diet. This is something that needs to be determined by your physician.

Still, you can partner with your physician and learn about what your body needs. What the body needs may change depending upon our age, medical conditions or complications of medical conditions.

If you are concerned about iron deficiency anemia, wheat and bran are know to interfere with the ability to utilize iron, as well as does high levels of gastric acid. Foods containing phytates can also interfere with the availability of iron. Avoiding excesses of wheat may be necessary at times as well as well as compounds such as phytates and tannins which all affect how our bodies absorb iron. Acidic foods can do the same by raising your gastric acid. You may want to seek other sources of fiber such as oat fibers, if you are dealing with iron deficiency anemia. If your doctor has prescribed therapeutic levels of iron, it may not be a concern.

Despite all of this, research does show that low levels of iron deficiency in sickle cell anemia can work in your favor. Studies dating back to 1973 suggests this. Why? Iron deficiency lowers the concentration of hemoglobin in your blood cells (MCHC) but does not necessarily cause a decrease in hemoglobin, which carries oxygen.

The other way that a decrease in iron can work in your favor, is that in an iron deficient state red cells can have a longer life span, hemolysis is inhibited and nitric oxide production is increased.  This is not to say we should seek to become anemic. The body has homeostatic or regulatory mechanisms that ensure its survival under specific conditions. It is not a strategy we should adapt on our own. Its simply something we can marvel at.

It is however  an example of what Dr. Carlo Brugnara, (Children's Hospital in Boston and Professor of Pathology at Harvard Medical School) explains as iron metabolism being 'reset'.  According to Dr. Brugnara" ...there have been major advances in our understanding of iron metabolism and how the iron metabolism is reset in chronic anemias like sickle cell anemia to maximize iron absorption and retention". 

(We have heard of this type of resetting in metabolism before regarding dieting and the set point theory. The set point theory suggest that after a certain amount of weight loss, the body may become more efficient in metabolizing the decreased intake of food/nutrition and hold on to calories.  At this point the dieter my find it difficult to continue to lose more weight .

Iron needs may vary according to age and gender. If a deficiency exists, whether to treat it or not can depend upon the cause of the deficiency and the likelihood it may progress to dangerous levels.

I posed the issue to Dr. Oswaldo Castro, Professor Emeritus at Howard University College of Medicine. According to Dr. Castro,

 " ... if a sickle cell adult patient has iron deficiency that is not severe enough to make the anemia significantly worse, he/she would be better off remaining iron deficient.  This is because the red cell MCHC [mean corpuscular hemoglobin concentration] in iron deficiency is lower than without iron deficiency and low MCHC would be expected to ameliorate sickling.  For the same reason I also would not try to prevent iron deficiency by giving supplemental iron. "  According to Dr. Castro, the cause of the deficiency must be addressed to discover underlying conditions such as gastro-intestinal bleeding or a progressive severe condition. 

There definitely are times when iron should not be withheld. Dr. Castro advises that  "children with iron deficiency should be treated with iron as they need it for physical and neuro-psychological development."  Children are growing beings who are still developing their muscles, nerves, brain cells.  Not only is there a minimum requirement to perform this growth and work of these cells and muscles but science knows the benefits of our bodies operating at optimum levels. Children need a head start to perform at their peak during growth and development so they are more focused and able to handle the physical, mental and emotional stresses (the bodies work) on a daily basis.

In women who have sickle cell anemia and fibroid conditions affecting their menstrual flow iron supplementation is necessary. Fibroid conditions can cause excessive bleeding. Over time there is a deficit. Many women wait out their fibroids until menopause if they are close enough to it. This means there is a constant threat of anemia.

Others may experience conditions that cause iron deficiency anemia such as intestinal conditions, ulcers, or other blood conditions. The resulting anemia can cause heart palpitations, shortness of breath and a chronic low blood count, can affect the heart.  As with others, iron may need to be taken on a regular basis, until the source of excess blood loss can be dealt with surgically, chemically or subsides on its own.

Whether the constant iron supplementation is safe for your sickle cell will have to be determined by the threat of progressive blood loss. You doctor can determine this with blood tests and how your body responds. Bringing the body back out of iron deficiency anemia can initially precipitate pain crises. For women with fibroids, if you are experiencing more pain crises, you may have to find an alternative management of your fibroids. Whatever your doctor determines is needed, your blood should be monitored regularly and the iron tapered off when blood loss is not a problem. Do not continue to take the iron when there is no longer the need for extra iron.

If you have not had the iron discussion with your doctor, now is a good time to do so. Do not supplement on your own. Your doctor can determine your needs with blood tests so that you can do what is best for you. In addition to keeping your iron balanced there are some other dietary additions you can make.


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Posted on 5:02 AM on 8/12/2009 by Bridget




It seems I cannot talk of think about hygiene enough. Some believe persons such as myself think too much.
 
Here are some common hygiene mistakes, hygiene suggestions, a little overkill and musings.

Bathroom

It's often a good thing to think about the last item you touch after washing your hands. Considering your habits in the bathroom, it's important to think about what steps people take when performing certain tasks. It would be a nice world if we all did things in sinc.

Person A:  Enters Bathroom.  Closes Door. Voids. Flushes (picks up germs from handle). Washes Hands (picks up same germs turning off faucet). Dries Hands. Opens Door (picks up same germs again from door handle). Exits.

Person B:  Enters Bathroom. Closes Door. Flushes Toilet. Voids. Opens Door. Washes Hands. Exits

Person C:  Enters Bathroom. Closes Door. Voids. Opens Door. Exits

Person D:  Enters Bathroom. Closes Door. Voids or Other. Sprays Air Freshener (transmits germs to can). Washes Hands. Open Door. Exit.

Person E:  Enters Bathroom. Washes Hands. Voids or Other. Sanitizes Hands with sanitizer or turns on water with elbows, not transmitting germs to faucet (why you should not place elbows on table while eating, ah finally we realize the true purpose of table etiquette.)

What is the purpose of all of this?
To point out the true value of hand sanitizers.
You may wash your hands before leaving the bathroom, but dirty them again trying to wash them. (This can happen when touching items that are commonly handled before hands are washed).

Solution simplified: Sanitize your hands with gel sanitizer, after exiting the bathroom.

Ladies: Wash hands before and after use of tampons.

Do not lean back on the toilet lid. The back of your shirt or blouse can then transmit what germs sprayed on the lid when the toilet was flushed.

Think about it. From the back of your shirt to your pillow, couch, or chair.

Which Leads Us To ...


Kitchen

Air Fresheners:  Keep air freshener  can disinfected as well as cleaning bottles. Don't forget to clean the trigger or spray button. Do not transfer bathroom air freshener to kitchen unless you sanitize the can first, to avoid transmission of Ecoli and other bacteria common to bathrooms.

Surfaces:  Clean the bottoms of items that touch dirty counter tops or surfaces. Do not place items that were on floor, on your table or counters, before cleaning them! You can use vinegar and peroxide to clean. Place in separate spray bottles. Spray one after the other. Wipe.

Shoes and purses do not belong on counter tops and tables. They have been everywhere.

Napkins:  Should not be stationed on tables uncovered for days. Flu season is a good time for frequent sneezers or coughers to contaminate these, if left out in the open. If your utensils are not stored in a closed drawer, cover them with a cloth barrier.

Do not stay in the kitchen or at the table long enough to begin grooming. The table is no place for cleaning nails, ears or noses.

Dish Towels:  Sanitize your dish towel often. You can use vinegar and peroxide and save your hands in the process. Do not wash dish towels with underwear and socks unless you use chlorine bleach or sanitize with peroxide before use.

Some people wash their dish towels with socks, underwear etc., never using chlorine bleach or hot water to kill bacteria. Afterward, they dry their clean dishes and utensils with these germ carrying items.

Serving items.
  Do not clean the serving spoon with the fork or spoon that you are eating from. It defeats the purpose. If there are some potatoes stuck to the serving spoon, leave them there.  Simply place more on the spoon so you can deposit enough in your plate without scraping from the utensil you are eating with. This is like double dipping (returning the half eaten chip or cracker into the dip bowl for more dip).

Wash hands before handling dishes to be put away from the dishwasher.
Handle clean utensils by their handles, cups and glasses by the outside of the glass. Do not place your finger in them.

When serving groups buffet style place utensils in containers with their handles facing up.
Do not place handles down. Some place handles down so that spoons forks and knives can be distinguished from one another. This invites the transmission of germs.  A simple label on the container can help diners identify the item quickly.

FAQ  For Clean Freaks

Can or should you clean everything before placing it in the refrigerator?

Nice idea, but useless. Better to wipe the items down with a soapy dish towel just before    using it, if you must.
 
What can I do about people who are always sneezing or coughing on everything?
How can I protect the kitchen?


Again this is a clean as you go situation. Kitchens are not museums and cannot be preserved for all times in their clean state. When in doubt clean before using.

See "Napkins'

Comedic:  Place a warning sign on the area of your shirt you sneezed or coughed in before someone touches it.

Can I contract herpes or an STD by trying on pants or bikinis in a department store?

This is doubtful unless you are not wearing underwear when you try them on and the item is skin tight.

Wash or steam clean newly purchased pants and bikinis. If you cannot wash before wearing, steam iron crotch area first.

Question: What are the dirtiest most frequently used items or notorious germ transmitters?

TV Remote? Bedroom / Hotel TV Remote, Light switches, Door Knobs, Handles? Playing Cards. The popcorn bowl.

FYI:  Common transmitters of cold and flu are the popcorn bowl and playing cards. Serve popcorn in individual containers. When playing cards be aware of their potential to spread colds and flu. If eating while playing cards, consume items that you can pick up with tooth pics or a fork.

Sticky:
I am seeming more and more homes whose owners require visitors to remove their shoes before entering. Some do this to protect their floors from physical dirt and marring or heel marks. Others do this for the sake of hygiene. It's a good idea.

The down side to this is your guests could be embarrassed by foot odor, may be foot shy or feel that this creates more intimacy than they feel appropriate.

Solution: This may come into use as more home owners or hosts opt for the show removal.  Footies are good for some but if you carry cloth shoe covers (like goulashes) to place over your shoes, you won't have to remove your shoes at all. No host should have a problem with this and it avoids an embarrassing encounter for both host and guest.

Got more suggestions for worriers? Do you have a solution or an idea people do not often think of. Cute anecdotes? Send comments.




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Posted on 8:44 AM on 7/5/2009 by Bridget


The beginning of intolerance is the end of fear. If you have a disability, you probably know what this means. If you are fed up with anything, I'm sure  you know what this means.
This is the reason for my advocacy for sickle cell anemia.

I was thinking on disability--the way people interact with people who have one.
What is more disabling than the condition, is the way other people deal with it.
Other people's reactions, fears and insecurities can make a disability all the more worse.

This is especially true for those whose disabilities are not so apparent. This is also why people eventually 'come out of the closet'.  Coming out is not only about sexual orientation. It's about being mad as hell and not taking it anymore. Many of those with disabilities that are not as apparent, are tired of making excuses, covering up, looking for exits and being forced to sit silently in a corner due to other people's ignorance and low self esteem or  their lack of acceptance.

I would like to make a point of advocacy for those sickle cell anemia middle ground-ers. Where do those in the middle ground fit in? Well, first of all what is the middle ground? The middle ground of disability is like the middle class.  They are just well enough. They are not the squeaking wheels that attract all of the attention. (Although the squeaking wheels don't often get all the attention they need or deserve.)  They are the step children of disability.

They appear to be in better shape than they are. They appear more capable of being active. Darn it, they sometimes go stronger and longer than those who consider themselves well. They cannot keep it up. In fact, they can't keep up being well, long enough to satisfy themselves. Few know this unless they are told. In telling they, risk appearing needy or seeking sympathy.

They have their moments. But they are only moments. They tend to do too much because they believe they can sometimes. Sometimes they do too much because too much is expected of them. After all, they appear to be in the physical shape of the next fella. Just wait 'til they get home. Out come the heating pads, the sports creams, the anti- inflammatories and the pain meds. Early to bed.

When they disappear briefly maybe no one notices, or others assume they have not the commitment or interests that others do. They assume their hearts are not in it. What others don't know and what they have found out, is that many would rather they sit in a corner and be isolated somewhere.

I am the sickle cell patient.
Welcome to my world.
Welcome to my life

The middle ground is us.

The middle ground of sickle cell anemia is that place where we have symptoms that we can sometimes control. Despite this, there are times when sickle cell anemia is going to do whatever it wants. Us middle grounders discover (and sometimes late) that we don't have to be as sick. We don't have to endure such merciless pain so often. If we want to be better though, we have to take a serious risk. We have to have the strength and the unabashed faith to say NO. We have to dissent.

I am the sickle cell patient.
Welcome to my world.
Welcome to my life

The middle ground is me.

Saying no or dissenting means being resolute. It means that I will participate in life. I will be looked at oddly, questioned, ridiculed or shunned. Our friends, family and so called loved ones will act as though ashamed of us and sequester us. I may not receive that invitation that others got because I might need to wear a sweater or cannot wear a sexy dress in a cold room (how embarrassing!). How embarrassing I am to the people around me.

It means I have to decline certain job opportunities that I know will only make me sick, lower our quality of life; put us in financial difficulty from the stress on my body and the extra out of pocket medical expenses (not to mention the toll on our credit scores).

Perhaps life would be simpler for others (more cut and dry)  if I had the most serious form of the disease.  I would have my disability checks, we would actually look sick, be sick and no one would have to worry about leaving me out, or those difficult public situations. It simply would not be an issue, because I would be otherwise occupied in the hospital or emergency room.

This is why I do and should get mad as hell. I become angry when friends think I should dress differently.  I become angry when some person who is too self conscious is afraid of me taking along a stadium blanket,  just in case. What is wrong with keeping a bag in the car with essentials? Essentials that not only consider my well being,  but unselfishly take care to ensure there are no emergencies to spoil the day for others. Coming prepared with the things I need to stay healthy and to participate in life, cannot possibly be an imposition to others who have a shred of empathy. Sometimes we forget, and sometimes it is understandable.

As a sickle cell anemia sufferer, I may travel with hand warmers in the summer, as air conditioning can be sometimes too much. The cold and temperature extremes cause me to go into a sickle cell crisis. I cannot control the environment around me, but I can discretely wear hand warmers under my shoulder pads, or tucked under my shirt in areas that are sensitive to cold. If I am a woman I cannot wear spaghetti straps, but so what?

I always carry along my Hydroxyzine (used as an antihistamine for my hand and foot syndrome, in case my feet and hands swell). I carry an over the counter antihistamine that won't make me drowsy in case I am designated driver, a few strong pain relievers as well as over the counter pain relievers, the lowest dosage I can be comfortable with. Additionally, I keep a  large bottle of water for hydration. I ensure that I drink before I leave. Along with a sweater and a few socks, and leggins or long johns that can be discretely worn under pants.  This is my sickle cell first aid kit. I  may also keep a heating pad in my vehicle and one of those adapters that plug into your cigarette lighter that allows me to run electrical items. I don't need them if I don't overstay my time limit when conditions are intolerable, even to those who have no medical conditions.

I only take the items inside with me that fit in my purse. I don't carry a blanket around with me indoors, like the Charlie Brown character Linus. I keep one in my car. If I am outdoors and far away from my car, I will carry it with me. One that fits nicely in a backpack or tote.

None of this should be embarrassing to others. I am not lacking fashion sense. I have become creative and fashionably so. Maybe I am  the queen of capes and shawls or the king of hoodies and jerseys, but I can wear them fashionably. I do spend more time thinking about how to stay warm and look good.

I have experienced others discouraging me from being unsophisticated. (Another euphamism for embarrassing to them). Rising to the needs of the human condition can make a mockery of sophistication. Sophistication is not something you or I wear. It is how I carry myself. It is how I adjust and rise to the challenge of situation. It is my sense of decorum. All of the most exquisite shawls, capes, gold jewelry, expensive watches and precious stones cannot make me what I am not as a person.

What is embarrassing is keeping silent. A funny glance or remark is a chance to educate others about my disability. I don't always want or have to tell. It is intolerance, my intolerance at other's intolerance that drives out my fear and causes me to spread awareness.

My condition may have been worse when I was younger. I may recall others discouraging me from using a crutch when I needed it. They didn't want me to look crippled. After a pain crisis in my leg (they were almost always in my legs and arms) my leg would be weak and I would need to use a crutch for a few days, before returning work.

I am the sickle cell patient.
Welcome to my world.
Welcome to my life

These are my issues.


The underlying issue here is about shame. Others shame for me. Shame born of fear, of not being accepted based upon association with others who may stand out. I do admit that I am as apt to wonder about someone or something different. When I see a person as short as or shorter than me, I will look. I will try not to stare, and usually don't. I try to resist making a comment about how nice it is to see someone my height.

Beyond shame and ignorance, the obvious opprobrium is discrimination. The discrimination hits harder when I am not given a chance to adapt. The things that would allow me to participate and be a productive citizen are withheld from me / us due to social issues. Often those lacking the interpersonal skills will be most sensitive to the slightest differences seen in my adjusting. If you look hard, you will notice people overlooking the myriad of taboos, faux pauxs and infractions that others commit. They will instead zoning in on me.

The overly low cut blouse in the office place or the too high mini, the see through blouse, the gym shoes with suits, the guy who utters the f-word three to four times per paragraph are ignored. Don't dare sit at your desk with a throw on your lap, or wear sensible shoes.

Whether it is about dress or how people carry themselves inappropriately, something in my adjusting, to keeping going, to carrying on and making a living, something about my right to be, despite being born with a genetic disorder, is just too hard to deal with. I, am disruptive.  I am damned if I do and damned if I don't.

So now the question: Is it worth telling? Can I afford to? There is no hiding. Others will assume the absolute worse and label me something beyond and far worse than eccentric. The decision is difficult, but necessary. I have a right to be and earn a living. I have a right to quality of life. The government will not acknowledge the true debility of me, the middle grounder.  Management may often be oblivious to the ADA. One still must survive while asserting one's rights. The solution is often stringing together my vocational interests to pull in some income.

Still the choice is necessary. It may mean being, fighting alone, if I make choices that are best for me. I would rather educate (not as some insufferable whiner) than hide and suffer in silence. It makes the path easier for those who follow me.  I was never one for fame or fortune so the underachiever label is not a real issue. I am a realist. The issue is survival and letting no one break my will. This my moment to connect, to teach.

I am the sickle cell patient.
Welcome to my world.
It is worth being in.
I will make it worth living.

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Posted on 8:21 AM on 6/26/2009 by Bridget


I love to talk about food safety. This is one of my favorite areas. While summer approaches we are more aware of the need for food safety. The heat of summer raises concerns about food born illness. It is heat that can cause a rise in bacteria and it is heat that kills bacteria when cooking. It is heat that can help preserve food, but knowing when and how to apply heat is important. Cooking at low temperatures can cause bacteria to rise too quickly, before the food is cooked. Keeping the food out for too long, can do the same thing. 

Another important part of food safety involves chilling at certain temperatures, to keep bacteria down. Make sure your refrigerator is set to keep food at 40 degrees or below. Temperatures above 40 degrees, will allow more rapid bacteria growth. Remember, all food has bacteria. The concern is about counts, or the amount of bacteria in food that determine if food is safe or unsafe to consume.

Myth: Just Re-heat and it will be safe.

Many people mistakenly believe if food is left out too long, they need only re-heat to kill bacteria, or re-refrigerate. This is not so. Once bacteria reach a certain count, harmful toxins are released into the food that can make us sick. These toxins cannot be 'cooked' away, as they are chemical. 

Food born illness does not always show up immediately. Contaminated food can still make you ill, even six weeks after consuming it. This is why using standardized safe food preparation, storage and cooking practices is a better tool to rely upon.  Not recalling being sick immediately after consuming the meal, does not always mean the food was safe.

Strategies:

Keep hot foods hot and cold foods cold (per FSIS The USDA's food Safety and Inspection Service)

When serving outdoors or indoors, if you have food sitting out during a party, pic-nic or other function,  remember that the food outside of the pot or refrigerator, still needs to be maintained at optimal temperature.

Cold salads containing ingredients such as diary, fish, meat or poultry, should be placed in a bowl, than another container of ice. This is usually sufficient to keep the temperature at safe levels.

Serving the food in shallower pans helps increase surface area and makes it easier to keep the food cold. This is also true of storing the food afterward. When storing hot foods in the refrigerator, use this technique, so that the food can cool more rapidly. Otherwise the food will reach that not warm enough, not cold enough gray area, where bacteria will rapidly rise.

Hot foods should be kept hot over  burners, or kept in the oven's warm and hold temperature.

No food should be left out more than two hours at room temperature.

FightBAC is a U.S. Department of Agriculture food safety campaign. Its motto is:

CLEAN: Wash hands and surfaces often.
SEPARATE: Don’t cross contaminate.
COOK: Cook to proper temperatures.
CHILL: Refrigerate promptly.

Fight BAC!TM  http:www.fightbac.org

Thinking Ahead and Organization in the Kitchen Are Important

Playing it safe in the kitchen, or where ever the meal is prepared, requires organization, some planning and a system. Once you get your system down, safe food handling becomes like clockwork.  Practice makes perfect. The major obstacle to overcome is the routine. Once you are use to taking the proper measures, you can develop your own strategies for how you work in the kitchen and how the strategies fit into your environment.

For example, you may have a busy telephone. You are cooking and the phone rings while you are cutting meat.  You may want keep a soapy towel ready by the phone to quickly clean your hands before picking up the phone. You may otherwise reason that you do not eat directly off of the phone, so it doesn't matter.

If you contaminate the phone with raw chicken or meat  the phone is now a possible source of contamination. Or any other item you touch, like the refrigerator door.

Be aware of this possibility when seasoning your foods. Use a small bowel to place seasonings in before beginning to prepare your meat. This cuts down on the possibility of the spice containers being a source of contamination.

Thinking ahead of what we do when cooking can help us to create easy solutions. When cooking, you may need to visit the refrigerator, answer the door or the phone, season meat, add peppers onions to meat. Thinking about the steps you take regularly when cooking ,can help you plan ways to avoid cross contamination, and make the routine easier.

A  good strategy involves gathering certain items ahead, and preparing items in a certain order.

  • Meat cutting board, vegetable cutting board.
  • Sink of hot soapy water. (You may want to add a little bleach or peroxide.)
  • Gather vegetables and cut.
  • Gather seasoning to be used and place in seasoning bag or dish.
  • Gather possible dishes needed to hold uncooked meat and those for cooked meat.
  • Soapy towel to wipe hands in between handling uncooked meats
  • Dry towel to be used only for clean items
  • Cut vegetables first (you don't have to cook them first) some of these vegetables may need to be added to the meat while cooking
  • Cut / prepare or season meat after vegetables
  • Wipe down any thing touched with dirty hands that you could not avoid while handling uncooked meat. (It's a good idea to do this as you go under whatever circumstances.)
Realize that other sources of contamination, could actually include vegetable products that have not been washed, or that are old. Wash hands after handling raw foods period.

For overcoming obstacles for safe cooking, see the Seven Steps Poster.
This Seven Steps Poster is available for download and covers the seven steps you should take in safe food handling. 
Download:http://www.fsis.usda.gov/oa/pubs/cfg/7Steps_1.pdf

Here are the "Seven Steps" in text, taken directly from the poster:

1. Plan Ahead — Make sure the location meets your needs.

• Be sure you have enough oven, stovetop,refrigerator, freezer, and work space.
• Find out if there’s a source of clean water. If not, bring water for preparation and
cleaning.

2. Store & Prepare Food Safely
• Refrigerate or freeze perishable food within 2 hours of shopping or preparing.
• Find separate preparation areas in the work space for raw and cooked food.
• Never place cooked food back on the same plate or cutting board that held raw food.
• Wash hands, cutting boards, dishes, utensils,and work surfaces frequently with hot,
soapy water.

3. Cook Food to Safe Internal
Temperatures — It’s the only way to tell if harmful bacteria are destroyed!
• Use a food thermometer to check the internal temperature of meat, poultry, casseroles,
and other food. Check temperature in several places to be sure food is safely cooked.
• Never partially cook food for finishing later because you increase the risk of bacterial
growth.

4. Transport Food Safely – Keep hot
food HOT. Keep cold food COLD.
• Keep cold food at or below 40 °F. Place in a
cooler with a cold source such as ice or
commercial freezing gels.
• Keep hot food at or above 140 °F.Wrap well
and place in an insulated container.

5. Need to Reheat? — Food must be hot and steamy for serving.  Just
“warmed up” is not good enough.
• Use the stove, oven, or microwave to reheat
food to 165 °F. Bring sauces, soups, and
gravies to a boil.

6. Keep Food Out of the “Danger Zone”
(40–140 °F).
• Keep hot food hot — at or above 140 °F.
Place cooked food in chafing dishes, preheated steam tables, warming trays, and/or
slow cookers.
• Keep cold food cold — at or below 40 °F.
Place food in containers on ice.

7.  When In Doubt, Throw it Out!
• Discard food left out at room temperature
for more than 2 hours.
• Place leftovers in shallow containers.
Refrigerate or freeze immediately.
****end


Safe Cooking Temperatures

Meat, foul and fish all have an ideal or safe cooking temperature. When cooking these meats, it is always a good practice to use a meat thermometer (during any season). This will ensure the meat is thoroughly cooked and safe to eat. Just because the meat is pink does not mean it is not cooked thoroughly. It is the job of a thermeter to determine if meat is cooked. If you are already in the habit of using a thermometer note a new addition to the process. Besides safe cooking temperatures for types of meat, there are now safe holding times. This is the amount of time the meat should be maintianed at its internal safe temperature.

*****************************
The Following Information is directly from a USDA Thermy  (a USDA food safety campaign) poster.

Minimum Temperatures and Holding Times
165 °F (74 °C) 15 seconds
    • Poultry—chicken, turkey, duck, goose—whole, parts
    or ground
• Soups, stews, stuffing, casseroles, mixed dishes
• Stuffed meat, poultry, fish and pasta
• Food, covered, cooked in microwave oven
(hold covered 2 minutes after removal)
• Leftovers (to reheat)
155 °F (68 °C) 15 seconds
• Hamburger, meatloaf and other ground meats,
injected meats, ground fish*
• Fresh shell eggs—cooked and held for service
(such as, scrambled)*
145 °F (63 °C) 15 seconds
• Beef, corned beef, pork, ham—roasts (hold 4 minutes)*
• Beef—intact steaks (surfaces)
• Lamb, veal, pork—steaks or chops
• Fish, shellfish
• Fresh shell eggs—broken, cooked and served immediately
135 °F (57 °C) Reheat for hot holding
• Ready-to-eat, commercially processed—ham, other roasts
*For alternative times and temperatures, see the FDA Food Code 2005</a>
http://vm.cfsan.fda.gov/~dms/foodcode.html

Hold all hot food
at 135 °F or above
after cooking
download the poster
www.fsis.usda.gov/OA/thermy/foodservice/FoodServicePoster-ENG.pdf
**************************************
Cooking For Large Groups
Here is an invaluable downloadable document from US Department of Agriculture:
www.fsis.usda.gov/PDF/Cooking_for_Groups.pdf Cooking for Large Groups Booklet
text: www.fsis.usda.gov/Fact_Sheets/Cooking_for_Groups/index.asp

in spanish
www.fsis.usda.gov/oa/pubs/cfg/CookGroups_bw_sp.pdf
text version: www.fsis.usda.gov/En_Espanol/Cocinando_Para_Grupos/index.asp

If you have additional questions or concerns you can always call the USDA's meat and poultry hotline. Yes, you can use it while you are having a cooking crisis, for quick answers and the next step.  This help line covers everything from safe food storage and handling, food preparation, product dating, product content and food safety issues during power outtages plus many additional issues.

1-888-MPHotline
1-888-674-6854
Or send Email to:
mphotline.fsis@usda.gov


Ask a question about food safety in real time on the internet:
http://www.fsis.usda.gov/Food_Safety_Education/Ask_Karen/index.asp

Fun Learning Activities to test your knowledge:
Downloadable PDF food safety activity book:   http://www.fsis.usda.gov/PDF/BFS_Activity_Book_BW.pdf
Food Safety Mobile:  http://www.fsis.usda.gov/OA/foodsafetymobile/mobilegame.swf
Food Safety Word Match: http://www.foodsafety.gov/~dms/fsematch.html
Food Safety Chill: http://www.fsis.usda.gov/oa/pubs/chillpzl.pdf
Separate Don't Contaminate: http://www.fsis.usda.gov/oa/pubs/xcpuzzle.pdf

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Posted on 7:18 AM on 6/26/2009 by Bridget




I had been peddling this around to NIH and local townships. Many people viewed and liked this proposal. Download it as a package to use in your community.
You may use this for  your own community but please tell them where you found it. Please acknowledge this blog and BlackDoctor.org.

The reference to FSAN FSIS
Downloadable PDF:   http://www.fsis.usda.gov/PDF/BFS_Activity_Book_BW.pdf
Food Safety Mobile:  http://www.fsis.usda.gov/OA/foodsafetymobile/mobilegame.swf
Food Safety Word Match: http://www.foodsafety.gov/~dms/fsematch.html
Food Safety Chill: http://www.fsis.usda.gov/oa/pubs/chillpzl.pdf
Separate Don't Contaminate: http://www.fsis.usda.gov/oa/pubs/xcpuzzle.pdf

Visit this invaluable (and my favorite) website to stimulate ideas, printable art and materials to distribute regarding food safety. This is especially useful if you don't have resources to partnership with artists  or those to teach the art aspect of this proposal.

Partnership for food safety Education  Fight BAC: http://www.fightbac.org/component/option,com_docman/Itemid,83/
Parntnership for Food Safety Outreach:  http://www.fightbac.org/content/view/24/49/

Ask a question about food safety in real time:
http://www.fsis.usda.gov/Food_Safety_Education/Ask_Karen/index.asp




You may want to begin with a brief introduction such as this paragraph.
                                    
Healthy Kids /  (People) Consortium (Project)

Thank you for giving me the opportunity to present to you a nutrition program for the youth and adults of  ______________. The details are listed below and while this is multi-faceted it is ‘slim’ enough to deploy cost effectively. Funding sources will include government grants, funding/sponsorships from local corporations. You can expand this and make partners out of local nutritionists, social or youth workers to flesh out the psychosocial aspects of the program. Also partner with local artists volunteers and media people who can get the production aspects rolling.

Objectives
Incorporate Nutrition, Foods Safety and Consumer Education /Curriculum
into production. A comprehensive program that focuses on the psychosocial aspects of nutrition and incorporates modules that that boost self-esteem and assertiveness. It recognizes the need to be assertive in order to protect or guard health and includes an overview of etiquette, hygiene, safe food handling and consumer education.

This program will look at how being a good consumer can enhance our health. Good consumers have awareness of their needs and good standards. Protecting our health through our diet requires a working knowledge of good foods and bad foods, (what foods provide us with i.e. vitamins, calories etc.) recognizing quality of foods at their source (grocery stores, markets). Making healthful choices in eating requires knowledge of the how the human body functions, how it functions under various circumstances. These circumstances may be under our own control. 

Participants will learn how to choose foods that are fresh, safe and evaluate the standards of their local food stores. This program will foster the habit of seeking foods that benefit their health. They will partner with local grocers encouraging them to include in their stock, healthful food choices (lower fat, sodium and more whole foods including grain varieties).

They will provide grocery stores with point of purchase displays (reminders to make good choices while grocery shopping).

Participants will create a contest and partner with local food stores with displays that showcase their talent and awareness.

Participants will make a jingle for health and use for air spots on local cable and
radio stations.

Make a low cost DVD with jingles featuring their group called “The Other Staple Singers” The other staple singers promote the addition of whole foods, staples (beans, legumes, grains etc) into the diet. Included on the DVD will be healthy recipes with art that can be used on the computer as desktop backgrounds.


Eating At Home
•    Etiquette (Table manners, social amenities)
•    Hygiene (Overview of FSIS FSAN’s Fight Bac).
•    Safe Food Handling / Hand washing
•    Negotiating  Food Choices  (The war between wants and needs, battleground, the kitchen and grocery). Participants are introduced to new healthy foods or recipes.

Dining Out, Buying Food
 
Attention will be given to recognizing the need for sanitation (hygiene) of food workers, expiration dates and recognizing if places they choose to dine or buy groceries are living up to good standards.
•    Is this a safe place to eat out?
•    Is this a good store to purchase foods?

Health foods, versus common store items, organic foods.

Consumer Ed
•    How their buying habits impact what store sells.
•    How what stores sell impact their buying habits.
•    How advertising affects their choices.


Art/ Production
Participants will learn about nutrition and create a finished product promoting
nutrition. Participants create projects centered around health promotion including
•    T-shirts,
•    Printed Materials for in store promotion of campaign
•    Promotional Items
•    DVDs, all to be sold at a health fair
•    PSA's promoting nutrition and the health fair


Potential Partners, Sponsors

Advertising Agencies
Cereal Manufacturers
Health Food Chains
Pharmaceutical Companies or Drug Stores
Business local to the area

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Posted on 11:24 PM on 6/23/2009 by Bridget


Finding Your New Staples

Your local health food store has more than just vitamin and mineral supplement offerings. Phyto-nutrients (chemicals) that are found in whole foods, are important components to consider. The health food store is the place to go on a regular basis, not for hard to find roots and herbs, but for items to enhance your regular diet and stretch your meals.

In our local groceries we see more 'enhanced' foods that boast benefits ranging from lowering cholesterol, reducing weight to enhancing our brain function. Many of these items are over priced and still leave us out of control, as to other ingredients that may not be so beneficial to us. Many have been 'enhanced' because they were stripped of their nutrients during processing. Whole foods provide more than just vitamins and minerals. They don't contain many of the unwanted extras that manufacturers can add.

What good is a breakfast cereal with 7 grams of fiber per serving, if it has too much sugar or sodium? Or too many products loaded with MSG?

The health food store is the perfect compliment, the missing link to what your grocery store cannot provide. While we may prefer whole foods to processed foods, often times we have to compromise. We may not always be able to purchase fresh chick peas, or any item that we prefer frozen.

Solution? Consider These The New Staples

You may begin your quest and gather up products such as the one's below. An arsenal of products to balance your nutritional needs, provide a days worth of stamina and fortify your immune system.

Situation one: You love hummus but humus can be a bit expensive.

Solution: Purchase chick pea (garbanzo bean) flour. It can sit in your pantry right along with your all purpose flour. It is a great addition to a bread or cake recipe, and is on the ready any time you feel like making humus. The added benefit is no cadmium from canned versions.

Situation Two: You only have white rice. Although you would rather purchase brown rice, you cannot find the economy size that is available for white rice.

Rice Bran? It is inexpensive and can be added to your white rice, to milk or your favorite milk substitute or blended fruit for a smoothie or shake. Part of your research may lead you here by advertising or e-formation and you may encounter such encouraging statements as this:

"... the new super-food. Rice bran contains a quite amazing number of nutrients. .. 120 antioxidants ... the vitamins you would ever need ... phytosterols , polysaccharides, beta-sitosterol, fiber, Vitamin E complex and a large complement of B vitamins. These include even including B15, a vital antioxidant .. .also ... Co-Enzyme Q10, Omega 3 and Omega 6 Fatty Acids and even Oleic Acid also found in olive oil. "

Eureka! You though you had found the solution. Then you sink into disillusionment and frustration, upon learning new facts such as this:

Rice bran has many natural chemicals, including the natural carcinongen arsenic. Yes, rice bran is full of arsenic. As a matter of fact, it can contain 10-20 times more arsenic than the unadulterated grain. High arsenic intake is associate with cancer, diabetes and recent swine flu patterns suggest a link to high arsenic levels and swine flue. White rice which has the bran removed, can be lower in arsenic than brown rice. So much for brown rice being the healthier choice.

Beware of rice drinks and products containing rice bran. Inquire at your local smoothie shop, as to whether rice bran is added to their products.

Due to high levels of arsenic, rice bran is too risky. It is safer to use oat, wheat or barley bran.

Situation Three: Tired of bread crumbs. Solution: Give your bread coatings more nutritional benefit and a nutty taste with almond four. Use it with or instead of your regular flour or corn meal coating. It is now more inexpensive than ever to add a gourmet touch to your recipes.

Almond flour finely ground can be a bit expensive at $11.00 per pound. Now more less expensive products are on the market, such as a courser grind (almond meal) for about half the price. I found a 1lb bag for $4.99. This almond meal can also be added to smoothies or shakes or breakfast cereal to increase fiber intake.

Although the flour can be expensive, it makes good economic sense in preparing your own almond based milk substitute.

(Despite the fact that ground products oxidize more quickly, the loss of some nutritional benefit should be no deterrent. The some is better than none rule applies as well as well as the benefits of stocking up. They can be a good addition of fiber to whatever you think to place them in.)

Situation Four: You would love some gravy with that meal, but you really shouldn't.

Solution: Guiltless Gravies and Sauces

Gravies and sauces don't have to be fattening and void of nutritional purpose. The above items can be part of the solutions just as the items below.

Pounded Yam: Pounded yam does not have to simply be a white potato substitute. If cooked with more water, it can make a good thickener or base for gravy.

Teff Flour: You can increase antioxidants add add fiber in your gravy by using teff flour, where you may have used white flour.

Amchur powder: (Dried green mango) is another product that can be used to make sauces, and adds a tart flavor. It can also be used as an ingredient in hot or cold teas.

Beverage Solutions:

One of the best beverage values I know is tamarind. I mentioned its usefulness in a previous post. A one pound bag of tamarind costs about $3.00. It is as refreshing as the powdered version of a brand named ice tea mix and has that tangy lemony flavor. It has been used as a preferred summer cooler to protect against heat stroke.

About eight pods (shelled) added to a quart of water and boiled for about five minutes can yield a half gallon. Add the pods and all to a half gallon of cold water. Add sweetener to taste. The longer it sits, the more intense the flavor. Remove the fibers before boiling.

Keep fresh almonds on hand or use almond four to make your milk substitutes. Some prepared brands have the added benefit of vitamin E, B12 and high amounts of calcium. Read and compare labels. Other brands add unnecessary sodium.

Sparkling Water:

There are brands of carbonated water that have no sodium. Keep a few liters on hand and add to fresh fruit juices, and cold teas. Instead of purchasing cans of major brands that pack high fructose corn syrup or preservatives such as sodium bifsulfite or potassium metabisulfite, (which may cause allergic reactions),why not make your own sparkling drink?

Carbonated water (without added sweeteners or sodium) are also refreshing as they are.

You don't have to be locked in to the run of the mill white flour, white sugar and lemonade strategies for pleasing successful meals. There are many more new staples to consider, but do your research. Know that many natural products have down sides. Healthy eating is all about balance.

Too much of anything, is no better than none at all. Advertisements can be a guide to give you some clues about a product. For the real story and accurate information, rely upon trusted health information sources, rather than the manufacturers.

Here's to healthy and creative eating.


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Posted on 7:32 PM on 6/17/2009 by Bridget


Sickle Cell Anemia and Iron Supplementation: The Real Deal.

May Sickle Cell Patients have been given conflicting advice regarding the need for iron intake. Are there times when we need extra iron? Can we get too much in our diets? How should female disorders that cause iron deficiency be treated in women with Sickle Cell Anemia?


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Posted on 2:17 PM on 6/3/2009 by Bridget


This is a response to a question posted back in may. I felt it worthy of an article.

A woman wanted to know what the risk of her child having sickle cell anemia was. While it is always good to have this knowledge before becoming pregnant, that is not always possible. If you have no sickle cell anemia in your family, or no knowledge of it, it probably will not be the first thing you consider when planning a family.

With that, here is some detail regarding the probability of passing sickle cell anemia on to your offspring.

Question: My Husband is African American and has the Sickle-cell Trait, I am Hispanic American and i do not carry any Sickle cell or in My family ... We are having a Baby Boy what are the Chances of our Son having Sickle cell?

First of all lets begin with a little background information on the disorder. Sickle Cell Anemia is a genetic blood disorder caused by abnormalities in hemoglobin. It is autosomal recessive meaning that it must be inherited by both parents in order to present as a disease. What type of hemoglobin we have is determined by our parents. Each parent gives us one hemoglobin gene that form the pair that will determine our hemoglobin type. (Each gene of a pair is called an allele.)

Normal adult hemoglobin is called Hemoglobin A. Persons with Sickle Cell Anemia may have types of hemoglobin varying from C,D, E, H, G and J and S. The most common hemoglobin types in sickle cell anemia are S and C and combinations of the two.

If we are free of sickle cell disease and trait, our alleles (the alleles of our hemoglobin genes) would be AA.

If you had the trait, one of your alleles (and part of your hemoglobin type) would be A and some other letter such as S, C, E etc.
In other words
A and S
A and C
A and E

If you had one of the sickle cell diseases your alleles would be some combination besides AA such as SS, SC, CC. Each of these is sickle cell disease termed respectively sickle cell disease (hemoglobin SS), hemoglobin SC disease or hemoglobin C disease. I have seen doctors often confuse anything other than SS combination for sickle cell trait.

Many times people are confused about whether they have a trait or not or have not been tested, so I posed a question:

When you say you do not carry any sickle cell in your family or the trait, do you mean you are sure you do not have the trait?

then offered the following scenarios

If you do not have the trait, and your husband does, there is no chance of your child having sickle cell disease.

There is a one in four chance (25% chance) that your child will have the trait.

If you both have the trait, the chance of your child having the disease is 1 in 4 (a 25% chance);
a 2 to 1 that the child will have a trait (50%);
and only a 1 in four chance (25%) that the child will have no disease or trait.
There is a 75% chance that it will have something other than normal.

For example

you have, A C
he has, A S
the possible combinations are:
AA
AC
AS
SC

with the AA being completely normal,
the AC and AS being the trait
and the SC being hemoglobin SC disease.

Another scenario: If one has the disease and one has the trait the chance of having a child with the disease is 50%!

wife SC
husband AS
SS (disease)
SC (disease)
AS (trait)
AC (trait)
The child will definately have either the trait or disease.

You can tell your chance for sure, by having a test called a hemoglobin electrophoresis. You may also want to test for Thalassemia. Ask your doctor to test you both to be completely sure. Also, be sure that your doctor understands the results! I recommend using a hematologist who will be able to communicate the results to you accurately. Many oncologist can do this as well but not all oncologist/hematologists are versed at treating the disease.

Regarding Thalassemia:

Thalassemia is another disorder of hemoglobin (a protein which carries oxygen in our blood) where there is decreased production of hemoglobin. Hemoglobin is comprised of two protein chains, alpha and beta chains. The two types of Thalassemia (Alpha Thalassemia and Beta Thalasemia) are caused by defects in either the alpha or beta chains. Thalassemia like Sickle Cell Anemia can cause lower production of red blood cells and the blood cells to be smaller in size, and can result in an enlarged spleen. Like Sickle Cell Anemia, individuals may either have the disease or carry the trait.

For More Information, Look To the Following Organizations:

Sickle Cell Disease Association of America (SCDAA) for resources on clinics. There are centers located throughout the country where you can get expert advice and treatment strategies should your child be found to have the disease.

The American Sickle Cell Anemia Association: is based in Ohio and is a United Way Organization and has many resources and good information. **************

This illustration is a good example of the probability of passing on a gene.

.

We see all the possible gene combinations from Mom and Dad passed to children.

In this example, two unaffected parents each carry one copy of a gene mutation for an autosomal recessive disorder.  They have one affected child and three unaffected children, two of which carry one copy of the gene mutation.
***************

Click the link below and Download a free handbook on genetics from the National Institutes of Health Genetics Home Reference. Please note if you are using Safari it will take a minute for your screen to load. Your screen will be gray until the pdf loads.

Handbook On Genetics

Handbook Illustrations

Here is a nice game called the Genetics Home Reference Challenge. Play it with your family and friends and learn something.


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Posted on 2:11 AM on 6/1/2009 by Bridget


Chlorella once was a promising solution to the problem of world hunger. Being a source of complete protein and comprised of more than 40% protein (many claim 60%), chlorella was identified as a super food, fit to solve world hunger.

Although chlorella had proven to be less of a superfood than once thought (processing it removes some benefits, while unprocessed, its cell wall is too thick for our bodies to digest) it is still a good addition to the diet or health regimen.

Its benefits are mostly potential. Many studies on Chlorella have been animal based, so the benefits that Chlorella has to offer in some areas apply to laboratory animals.

Its use could potentially:
Lower blood pressure
Lower cholesterol
Shrink specific tumors
Detoxify us of bad metals such as cadmium, mercury as it binds these metals and they cannot be unbound to harm us while leaving our intestines.
Boost the immune system

Many claims regarding chorella are the same as those made of chloraphyll. Much although not all of this (such as chloraphyll binding to carcinogens), is speculative. Whether it is an effective anti-carcinogen and can solve problems outside of laboratory in humans as expected, is where the speculation lies.

Chloraphyll may potentially protect against radiation (an expected benefit for which the Japanese consume Spirulina). Beyond the benefits of chloraphyll, Chlorella is a source of complete protein, having 19 amino acids.

The big let down many years ago, was over its ability to hold its own in the mass harvesting / distribution arena and extracting what's within the cell wall without destroying the contents. Since the 1940's when the hoopla began, technology has advanced us to cracked cell wall chlorella. This case has been cracked, but have manufacturers caught up to this technology and can you expect the average product containing chlorella to benefit from this technology? Many manufacturers do market cracked cell wall Chlorella, but there is still the controversy over which process of cracking the cell wall is most beneficial.

Chlorella is available from a wide variety of manufactures in pure form or formulas created to target your individual health needs. There are formulas for detoxifying the body of heavy metals and chemicals such as dioxin, others that focus on its purported role in easing symptoms of fibromyalgia, lowering cholesterol and boosting the immune system.

Spirulina is a blue-green algea and contains the gamut of essential fatty acids and is rich in GLA. Russian studies supported its use in the shrinking or minimizing of fibroid conditions. (The iodine therein is claimed to help ease and reduce symptoms of fibrocystic breasts). Spirulina contains a good amount of potassium, but the bioavalability of the B12 it is rich in, is in question. It is also reported to aid the sinuses as a palliative treatment for allergic rhinitis and prophylactic for chronic sinusitis.

Making the Choice Regarding Supplementation

Chlorella is one example of many other substances that were built up with much hype. Its prognoses changed and then was reinvented through the benefit of technology and finally accepting it for what it is.

As consumers, we can do that, and we should regarding other supplements and natural products. Reading up on a product before purchase and consulting with medical professionals who appreciate wholistic medicine, can help us make the right decisions regarding the benefits of a product. As long as we keep an enlightened and reasonable perspective, not expecting that we will be transformed overnight, but: knowing we may feel better; or may not have to take Tums as often; that some discomfort may be relieved or prevented; we can forget about all of those excessive health claims and take the product for what it is worth.

A Good Place To Begin



Ask yourself these questions before purchasing a supplement, or natural product.
  1. Can this product harm me or become toxic over time?
  2. Are there side effects?
  3. Can this product interact negatively with any current prescription medication or OTC remedy?
  4. How much do I need?
  5. What is a safe amount / dosage for me?
  6. How long can I / do I need to take this product?

As with anything, balance is necessary. For all of the information out on pomegranate juice, I would simply consider it a good addition to my diet, knowing its not the only act in town. I may opt for some other product that can accomplish the same thing, or a combination of products. If I feel all the claims are not true, I don't necessarily have to shun the product. That's what we are prone to do.

We can get inundated with information. We become wary and believe it is all false or something to be avoided, then throw the baby out with the bath water. One good example is the current situation with the use of hand sanitizers, antibacterial soaps and antibiotics. When over used and inappropriately used, there is the threat of creating super bugs that are resistant to them.

But notice how health departments began supporting their use during the outbreak of the H1N1 virus? Why? Because they do work. People don't carry soap and water in their pockets but can carry sanitizers easily. When there is no access to running water and soap, something must be used to prevent contagion. Recent studies claim that alcohol (often the active ingredient) does not stand up to ordinary soap in killing germs and that alcohol products can only kill 70% of pathogens.

The advantage of soap and water is that water can help to physically carry the particles and germs away from our hands. Sometimes that can be enough. Other times, despite how much we believe in the bushel of dirt a day theory (our immune systems are weakened because we are underexposed to dirt and germs like farmers and the like) some bugs we come in contact with can throw anyone for a loop and give us a lifelong illnesses or conditions. Better safe than sorry.

About Regulation

When claims are made regarding the benefits of natural products as medical aids, they are considered drugs by the FDA, and consequently, they will eventually be regulated as such. When a product is marketed as a drug, different rules apply. If the manufacture has not applied to market the product as a drug, warning letter such as the excerpt below (sent to Tropical Traditions) may ensue.

"This is to advise you that the Food and Drug Administration (FDA) has reviewed your web site at the Internet address http://www.mercola.com and has determined that the products Living Fuel RxTM, Tropical Traditions Virgin Coconut Oil, and Chlorella are promoted for conditions that cause these products to be drugs under section 201(g)(1) of the Federal Food, Drug, and Cosmetic Act (the Act) [21 U.S.C. § 321(g)(1)]. The therapeutic claims on your web site establish that these products are drugs because they are intended for use in the cure, mitigation, treatment, or prevention of diseases. The marketing of these products with these claims violates the Act."

Does this mean that these claims are false? Sometimes, sometimes not. Sometimes the issue is simply in marketing and regulation. If claims are made that a product can cure, treat or prevent an illness it must be regulated as a drug. Licensing becomes an issue.

It is like trying to drive a semi truck with a regular drivers license. If you did not apply for a CDL, you cannot legally drive a semi truck. (As well the criteria and learning curve are a bit more steep). If a product is claiming to have properties that cure treat or prevent disease, its manufacturer must go through the proper channels. Other times there is no substantiated (scientific) data that support the claims. There may even have be research and testing that suggest what is claimed, but it may not conclusive or proven.

Since supplements and herbals are not regulated by the FDA the way drugs are, natural products, herbals and supplements can be placed on the market easily. Some of these items fall into categories of herbs or contain ingredients that are GRAS (generally recognized as safe). It is when many people began experiencing problems with a product, that it is then regulated. But the product has to be proven unsafe to be pulled from the market. This after the fact regulating is called post market surveillance.

There will always be those making claims that the government does not want us to benefit from natural products and that government is hindering us from circumventing the status quo (doctors and pills). As politics can influence decision making in any organization, and there are times when many have questioned the validity of the rule or regulation, the reason for enforcement or lack of enforcement in certain exceptions. Many of these regulations exist to protect us from exploitation.

Sometimes manufacturers will place themselves in a precarious position by making false claims simply to sell a product. The FDA is not always the bad guy who doesn't want the public to be healthy because pharmaceutical companies cannot benefit from drug sells. Many companies are manufacturing, distributing both drugs and supplements, wearing two faces and playing good cop, bad cop.

Here are the rules regarding drugs and supplements.

It is mostly an honor system. The FDA trusts that ingredients are those in general use and are recognized as safe. The manufacturer can on its own make this decision. It does not have to prove the product is safe before marketing it. If an ingredient is not in general use or already recognized as safe it must be listed as new and manufacturers must prove to the FDA that is is 'reasonably' safe.
No knowledge or suspicion of harmful findings regarding a product need be reported by the manufacturer.
No FDA approval is required before a supplement is marketed.
The FDA does not require limits on dosage amounts or serving sizes.
Manufacturers must: List all ingredients, list total volume of contents, disclose their production / distribution whereabouts.


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Posted on 12:21 PM on 5/13/2009 by Bridget


A while back a bout of gastroenteritis taught me a thing or two about acting upon what my body tells me. I have always known my body craves what it needs. When I have a craving for something there is usually some logic behind it. I think about the benefits of the food that I crave (unless it is absolutely junk) and then target my nutritional needs.

The day before my gastroenteritis hit, I craved dried papaya and carob. Being no stranger to reflux, and things that make my digestive system miserable, during a bout of such misery, I would instinctively know to search for something that would stick to my stomach.

Maybe it was all those Pepto Bismol commercials (it coats soothes and releives) that taught me this. My remedies include bananas, molasses, peanut butter and tamarinds, but my favorite choice is carob (in the form of a brownie--recipes to follow).

Carob

Carob, otherwise known as locust bean is used as a thickener in ice cream (locust bean gum) and a gelling agent. Carob has long been a remedy for diarrhea for adults and children. Carob has tannins. Many foods that have tannins can be beneficial to our digestive systems. It's carobs special tannins that make it a good choice for diarrhea and preventing reflux. What makes carob good for diarrhea is its ability to bind to toxins. The tannins in carob have a colloidal action and can bind to the toxins as well as inhibit bacterial growth. This can be beneficial in both the stomach and intestine. * It may also be carobs high level of phosphates which can help with the bacterial problem in the intestines.

Unlike chocolate, carob does not impart stimulating effects of caffeine, nor theobromine which can be a problem for people who have asthma. It is safe for children and can be purchased in powder form. This powder can be mixed with other foods for some preventive measures against heartburn, or treatment of diarrhea. I like the powder form because it does not contain added sugars. I can mix it into a fruit cup, or sprinkle it into my cereal as needed or desired. I can add it to pancakes, teff or cream of wheat.

Recipe Ideas

If you do not cook from scratch, use a box yellow or white cake mix follow the recipe altering the amounts of egg, oil and liquid to fit this recipe. You may choose to start from scratch with a basic white cake recipe.
To the box cake mix:
Add 2/3 cup carob powder
Use 1/3 cup pure dark cherry juice adding 1 cup of water to it.
This will replace 1 cup of water in the recipe.
Add 1 extra cup of sugar if your cherry juice is tart.
Eggs per recipe ( I used 2 egg whites and one whole egg)
1/4 C cooking oil

Alternately, you may use your favorite brownie recipe substituting the chocolate for carob, adding 2 Tablespoons grape jelly or 1/3 C grape juice.

As a recipe for one and to avoid having too much of a good thing on hand, I used teff flour mixed with 1 tsp carob powder with malted barley powder (for a sweetener). Mix and measure as you would for a pancake. I added this to a small mixing bowl and microwaved for under 1 minute. Voila, instant cupcake. No eggs, not oils.

Soother Number Two, Tamarind

Tamanrind is, a relative of carob having similar bean pods. Like carob it contains tannins and should be used in moderation. The pods can be boiled and used as an herbal tea or tisane. Tamarind can be used similarly to other tannin containing fruits and herbs. It has benefits both internally and externally as a gargle, anti inflammatory, to relieve indigestion, as both a laxative and aid for diarrhea and is a good source of vitamin C.

Certain parts of the tree such as its bark can be used as an astringent, for treating gingivitis and eye inflammations and in rheumatoid arthritis. It is also used in cases of sunstroke and is probably that additional item that summer survivalist may want to carry around in their vehicles.

To use as a tea, peel the been pods and the stringy fibers away from the bean. Boil until the gooey fruit cooks away from the bean. Remove the beans, remaining fibers and strain or dilute. Add sugar or your preferred sweetener. Tamarind has sort of tart, instant-iced tea-with-lemon taste.

Good Companions A few good companions to tamarind are Melissa Officinalis (lemon balm) and fennel. Use with lemon balm to increase its stomach soothing properties. Lemon balm is calming, relieves flatulence (as does fennel, the seeds can be boiled and used similarly) is soporific and has antibacterial properties. Like tamarind it can be boiled and used as a gargle for a sore throat. It is often paired with chamomile tea. .

I sometimes make a tisane of lemon balm, fennel (sparingly) chamomile with crystalized ginger as a sweetener. As lemon balm tends to have a weak taste the extra kick of ginger and chamomile makes it a very palatable tea. For even extra lemon taste add lemon verbena leaves or a few drops of lemon extract. This makes a good chilled summer drink.

Avoid lemon balm if you are taking thyroid medications. Avoid overuse of fennel as it can act as a diuretic.

About tannins

Tannins are compounds found in a great variety of plants, from trees and pomogranates to tamarind, teas and tisanes. Tannins like many other compounds have their benefits and risks. Tannins can be used internally for gastritis, as a laxative or externally, and to sooth insect stings.

Although plants containing tannins have many health benefits, tannins can interfere with iron absorption. Ways of avoiding this are by consuming these foods or herbs containing them in moderation, and avoiding their consumption during meals or with mineral suppliments. For this reason, tea and coffee which contain tannins, are best consumed between meals.

Adding lemon to tea can also be beneficial in counteracting the effects of tannins. Consuming high amounts of vitamin C can neutralize the effect of tannins on iron absorption. Tannins do not affect the absorption of iron from animal sources as it does iron from plant sources.

Tannins are anti-inflammatory have positive action on the bowels and digestive system. Tannins are good for treating gastritis, skin conditions, and sore throats as they are antiviral and antibacterial. Tannins exist in two classes: hydrolysable and condensed. Different types of tannins will have different actions on the body. Condensed tannins are not a threat to iron absorption.

About oxalic acid

Oxalic acid is a chemical compound found in foods usually dark green leafy vegetables. It is present in many vegetables such as spinach, beet leaves, swiss chard, peas, potoatoes and rhubabrb as well as in black tea and chocolate. It is the compound that renders the leaves of rhubarb inedible for it is there that it is in high concentration. Oxalic acid is used commercially in bleaches, products that remove rust and other metal cleaners.

Although oxalic acid is known for its toxicity, in most foods (except for the leaves of rhubarb), it is not of significant threat for the average person. To those with medical conditions such as kidney problems, diabetes, or rheumatoid arthritis, oxalic acid can be problemantic. Oxalates can precipitate kidney stones.

Oxalates can iinterfere with calcium absorption as it binds to calcium. Even in foods that contain oxalic acid, cooking them removes the threat of its interfering with the bodies ability to absorb calcium. (Still one must avoid the leaves of rhubarb.) Taking additional calcium supplements along with these foods helps the body avoid problems incurred by absorbing oxalates.

* (A recent study conducted at the University of Chicago provided a link to the deadly nature of bacteria Pseudomonas aeruginosa and low levels of phospates in the intestines. P. aeruginosa is normally found in the intestine but under certain conditions can turn lethal to its hosts. Scientists learned that these bacteria go searching for phospates in our bodies when they are depleted in their normal environment (the intestines).

This search for phospates causes the bacteria to land in vital organs that contain high levels of them. Antibiotics that target the bloodstream can be ineffective against them. Our bones contain 85% of our bodies phospates, but they are not readily available to bacteria as the phosphates contained in our organs.)


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Posted on 10:47 PM on 5/5/2009 by Bridget


Thank you to nutritiondata.com team for responding to my inquiry regarding the fiber content of teff. Here is what they said:

"When the USDA did their nutrient analysis on cooked teff, they didn't measure the fiber content. (Arrgh!). If you look in the detailed nutrient charts lower down on the page, you'll see this symbol: "~", which means unknown.

Unfortunately, this is being incorrectly shown as 0% in the nutrition facts label. (We're getting that fixed.).

FORTUNATELY, they did a more complete analysis on uncooked teff, which you'll find here: http://www.nutritiondata.com/facts/cereal-grains-and-pasta/10357/2. As you can see, uncooked teff contains about 2 grams of fiber per ounce.

So, the best suggestion we can offer is to use the appropriate amount of uncooked teff instead of the cooked teff as the basis for your nutrient info."


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Posted on 7:10 AM on 4/8/2009 by Bridget


Warming Up To 'Foreign' Foods

Ask the average African American about African yams, or offer him some and he will think you are offering him a sweet potato. No, African Yams are not orange and they are not sweet. It is not however, unusual to expect that people know little about African yams, for where can you find them but at specialty stores?

When I brought them home and served some up to family members, it was as though I was offering them quinine. I explained to them how African yams will not raise their glycemic level like white potatoes. I further let them in on some comparisons. Of the many people I know who love the Colonel's mashed potatoes, and who also appreciate my cooking, none of them when offered the yams, would take one bite.

I introduced to them the pounded yam, explained the similarity in flavor to mashed potatoes (except without that packaged quality), the ease of cooking and the fact that they could not tell the difference otherwise. Still no takers. THEY TASTE THE SAME !

Why are we afraid of African foods? Why do African Americans consider teff and African yams weird? Actually, it is not only teff and African yams. I couldn't get anyone to try buckwheat or tamarind unless it was hidden in something, processed with hydrogenated oils or high sodium and made by people they don't know, and processed under conditions they know nothing about.

When I told them they eat tamarind when they use worchestershire sauce, or A-1 Stake Sauce and that those obscure buck wheats are hiding in their pancakes or waffles, and it was still Greek.

We have gotten so out of touch regarding how we should be eating, and what whole foods are, that it is considered weird to eat anything in its natural form. The concept that I can make it or do it myself and I have the right to and need to, is simply too foreign. It is as though some feel they need permission or approval from manufacturers, to consume the individual ingredients of those products on their own. (Or perhaps their friends who they feel validate them.)

Regarding the lack of warmth toward African grains, "The Lost Crops of Africa" explains that there are mis-perceptions. People assume because some of the crops were displaced by other grains, it indicates that they are inferior.

"This is illogical, ill-conceived, and even dangerous. All the world's agriculture is dynamic and every crop gets displaced at certain times and certain places. In much of the eastern United States, for instance, wheat was long ago displaced by soybeans; in the Southeast, peanuts replaced rice; and in the Great Plains, wheat has supplanted maize. But no one in America considers wheat, maize, or rice to be inferior, obsolete, or unworthy."

The book further explains the prejudices surrounding these crops, which I have myself witness by some:

" Africa's cereals are inadvertently discriminated against through the way they are described. People everywhere classify sorghums and millets in a different light from wheat, rice, and maize. All the categories have pejorative connotations. For instance, these grains are typically referred to as:

    * *"Coarse" grains (that is, not refined; fit for animal feed);
    * *"Minor" crops (not worthy of major status);
    * *"Millets" (seeds too small);
    * *''Famine" foods (good for eating only when starving); and
    * *"Feed" grains (suitable for animals only).

Poor People's Plants. Many crops are scorned as fit only for consumption by the poor. It happens everywhere. Peanuts, potatoes, and other common crops once suffered from this same discrimination. In the United States the peanut was considered to be "merely slave food" until little more than a century ago, and in the 1600s the English refused to eat potatoes because they considered them to be "Irish food." Cultural bias against peasant crops is a tragedy; the plants poor people grow are usually robust "....

You can read some of the text for yourself here

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