Health&Fitness

FREEAUGUST 2014 | A SPECIAL SUPPLEMENT TO

Dental Fears.........2How to ease your mind while in the dentist’s chair.

Seasonal Flu.........5How to stay healthy during a season of sneezes and sniffl es.

Adult Anxiety.......3Understanding the disorder and how to overcome it.

Prostate Predicament..6The good news is that men can protect themselves.

Ergonomics..........4How to prevent the stress and strains of everyday life.

Flu Facts vs Fiction.....6How to prevent the stress and strains of everyday life.

Ice is Nice.............4The power of the ice pack shouldn’t be underestimated.

Medication Safety....7The power of the ice pack shouldn’t be under estimated.

Page 2 Thursday, August 28, 2014

How to ease your dental fearsFew people relish the idea of

going to the dentist. Dentists prod and poke sensitive areas of the mouth, but their efforts are for the benefi t of their patients.

Fear of the dentist’s chair is not uncommon, and that anxi-ety prevents millions of people from seeking proper preventative dental care. The consequences of succumbing to those fears extend beyond pain or lost teeth. Diseases of the mouth have been linked to other ailments, includ-ing diabetes, stroke and heart disease.

A fear of the dentist may stem from past unpleasant experienc-es, such as a dentist with a poor chair-side manner, while others may fear the lack of control they experience while in a dentist’s chair. According to Ellen Rodino, PhD, who has studied dental fear, lying down with a dentist hover-ing above you can be off-putting. Couple that with the discom-fort many people have when instruments that interfere with their ability to communicate are placed in their mouths, and fear of the dental chair does not seem so unreasonable.

Easing fears at the dental offi ce involves communication with the dentist and his or her staff, as well as fi nding a dentist with whom you feel comfortable. Working through your fears of the dentist is an important step to-ward getting the oral health care you need.

GaggingAccording to the American Den-

tal Association, authors of the study, “Gagging and Its Associa-tions With Dental Care-Related Fear, Fear of Pain and Beliefs About Treatment” found patients who have a higher frequency of gagging problems during a dental visit are more likely to experience

higher levels of dental care-related fear and fear of pain. They also may have more negative beliefs about dental professionals and dental treatment.

Patients should discuss their propensity for gagging with the dentist or hygienist in advance. Some dentists can recommend nose breathing and other relax-

ation techniques. Distractions, such as televisions in the exam-ination room, also can help to relieve anxiety and the likelihood that you may gag while in the den-tist’s chair.

Dentist also may opt for smaller cleaning instruments or take other measures to reduce the liklihood of stimulating a gagging refl ex.

SoundsThe sounds of cleaning tools

and drills elicit fear in many peo-ple. But ignoring or avoiding such sounds can help men and women conquer their fears of the dentist’s chair. On your next dental visit, bring a pair of headphones and some favorite music to listen to while you’re in the chair.

PainSome dentists cause unneces-

sary fear in patients because they assume every person in the chair has the same pain threshold. One person may be able to tolerate a tooth extraction without numbing, while another may need pain relief for a routine cleaning.

Fearful patients should make

their needs and fears known. Speak to your dentist about what can be done to deal with the pain. Discuss the procedure and fi nd out if novocaine or another pain reliever can be used. Although use of nitrous oxide, commonly known as laughing gas, has diminished in dental practices, a dentist may offer medication to relieve anxiety or even sedate patients who are especially nervous.

Pain may be more tolerable if you ask the dentist to take fre-quent breaks or use a numbing agent on your gums. Dentists may prescribe a sensitivity-relieving toothpaste prior to certain dental procedures if your teeth are sensi-tive to hot and cold.

RushingPatients can help themselves re-

lieve anxiety by choosing appoint-ment times that are convenient and at times when they’re less likely to be rushed. An early-morn-ing appointment or a weekend appointment may have patients in and out faster, which cuts down on anxiety-inducing wait time.

Choice of providerYour choice of dentist may come

down to who is in your health in-surance network. Those with more fl exible insurance plans may have more freedom when choosing a dentist. In either case, people should interview dentists and get recommendations from others to fi nd a provider that will keep comfort and care in mind. Espe-cially fearful individuals may need to use a dentist who specializes in sedation dentistry to make their visits more tolerable.

Avoiding the dentist because of perceived pain or other fears is unnecessary. Advancements in today’s dentistry coupled with open communication can alleviate situations that cause anxiety.

Be open and honest with your dentist about any fears you have. The dentist may customize your treatment to avoid anxiety triggers.

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treatments in combination with prescribed medication can bring lasting relief. At the Senior Life Improvement Program each patient is evaluated by a board certified psychiatrist to determine the right combination of medica-tion, group and individual therapy that will enhance quality of life.

The therapists at the Senior Life Improvement Program have expertise in providing CBT, sup-portive therapy, and teaching relaxation techniques as well as other coping skills. CBT in-volves education about anxiety, self-monitoring, and helping the senior restructure thought pat-terns that contribute to anxious feelings. Relaxation techniques include progressive muscle relaxation, deep breathing, meditation, and education about the impact of stress and anxi-ety. Supportive therapy in both group and individual sessions allows each person to express

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There are many people who can be described as “worriers.” They feel an uneasiness or apprehen-sion about what might happen, or how they will resolve their problems. Worry and anxiety may begin to interfere with day to day functioning. Many older adults face real concerns about medi-cal conditions, but research has found that seniors who experi-ence anxiety may actually over-use medical services. Is there anything that can be done to reduce the anxiety and improve quality of life? Yes! The Senior Life Improvement Program at DeSoto Memorial Hospital offers programs that successfully treat anxiety.

What is an anxiety disorder? There are several different types. A panic attack is a short-term feeling of intense fear or discom-fort. It may include sensations of a pounding heart, sweating, trembling, nausea, or shortness of breath. There are different phobias, such as an excessive fear of flying or heights. Social

SUBMITTED BY: JENNIFER WINER phobia is a marked or persistent fear of a social or performance situation. Obsessive-Compulsive Disorder and Post traumatic Stress Disorder are other types of anxiety disorders. Perhaps the most common anxiety disorder experienced late in life is Gen-eralized Anxiety Disorder. This involves excessive, uncontrollable worry or apprehension occurring for at least six months. The anx-iety is associated with three or more of the following symptoms – restlessness, fatigue, poor concentration, irritability, mus-cle tension and sleep problems. When this anxiety interferes with functioning, it’s time to get help.

In health care, professionals are always looking for evidence based treatment - those practic-es that are supported by re-search. A review of studies of the treatment of Generalized Anxiety Disorder in older adults (Ayers, et al, 2007) reveals that Cognitive Behavioral Therapy (CBT), relax-ation training, and supportive therapy are effective treatments for this type of anxiety. These

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Page 4 Thursday, August 28, 2014

Wellness while you work

Ice is nice for aches and pains

As a chiropractic physician, much of my practice is devoted to relieving peoples’ aches and pains. It seems that the stress-es and strains of everyday life take a heavy toll on our bodies. But there are ways to cut down on the amount of pressure work and your daily routines put on you. In fact there is a whole division of health science devot-ed to this topic, better known as Ergonomics. Those who study ergonomics analyze and find ways for people to do things more efficiently and safely. At work and at home there are sim-ple ways to avoid that “pain in your neck” or the “ache in your back.”

Ergonomics simply stated is “fitting work to people.” It is about planning environments, tools and systems in which we work, rest and live in order to assure safety, productivity and comfort. According to the De-partment of Labor, Repetitive Stress Injuries are a $100 billion a year problem for corporate America. Utilizing ergonomics in the work place is essential for preventing these types of body strains. There has been much

We have all seen football players on the sidelines with big bags of ice on strained muscles or pulled ligaments. But not ev-eryone grabs a cold pack when they strain or injure themselves at home. Often it is straight to the medicine cabinet for some sports creme or a heating pad. So what do you do when you find your muscles are sore or you have a pain?

The answer is simple; apply a cold pack wrapped in a towel to the area of injury for no more than 15 minutes per hour. In most cases cold therapy will not only help, but more importantly it will never hurt. Often times a person may have an old injury or problem that seems to become irritated. If this exacerbation is acute in nature, inflammation can develop. In cases like this, heat will actually aggravate the condition making the pain and discomfort worse. Cold therapy may actually be used to reduce the amount of inflammation as

BY: DR. DANIEL KIRSCHNER

BY: DR. DANIEL KIRSCHNER

attention given to office work-ers, especially those who sit at a desk or a computer all day. If the majority of your work at the home or office is in a chair, make sure you get a good one.

Your chair is the single most important piece of office equip-ment you have, and often the most neglected. Make sure it is adjustable for not only height, but also the backrest. Those big plush executive chairs are not always the best. The seat should be short enough to allow full back support without push-ing into the back of your legs. It should be well padded and have

a five star base for good stabil-ity. Also, make sure you know how to adjust it properly.

Maintaining proper posture, that is basically ensuring the small of your back is supported,

your shoulders relaxed, and that there is no pressure under your thighs is key to avoiding stress on you spine. Proper alignment in the “neutral” position is the best way to take pressure off your body. Simply making sure your head is resting over your shoulders and not lean-ing forward will save your neck and relax your overall posture. Also, keep forearms, wrists and

hands in line and avoid resting them on hard surfaces or sharp edges.

Another important issue for those who are tied to a desk all day is to take frequent breaks. Our bodies were meant for movement, so changing posi-tions and breaking up activities is important to relieve tired or sore muscles. Another good practice is to give your eyes a break by closing them momen-tarily, gazing at a distant object and blinking frequently. Good even light also helps relieve fatigue on your eyes. Most of all get comfortable, if you feel stress or strain, no matter what it is, change it. Work does not have to hurt.

It is important to remember that good posture and healthy habits do not happen overnight. Proper exercise will complement any ergonomic program in any setting. You are only given one body so it is important to care for it as best you can. Most of all, make sure you listen to your body; it tells you when you have a problem by making you un-comfortable so you will change things. Make your mind up to do something about it.

well as relieve pain. In cases of acute trauma, or

recent injury, the most common and effective treatment is cold therapy. Because injured tis-sues are often in an acute stage of inflammation, cold therapy is perfect for counteracting the pain and swelling associated with sprains and strains. The numbing effect that ice or cold therapy has on local tissues and nerve endings is very effective at controlling pain. By reducing the amount of pain causing sub-stances around the area of in-jury, as well as slowing the pain signals to the brain, cold is a very effective anesthetic.

There is a widespread belief that sore muscles, backaches, and arthritis should be treated with heat. There are several forms of therapeutic heat: dry, moist, diathermy, paraffin baths, and microwave. These ther-apies are very effective when used properly under profession-al supervision, however too of-ten heat is used incorrectly. The same concerns are true for cold

therapies, however the chance for injury is much less. With a few exceptions, such as rheuma-toid or vascular conditions, cold therapy can be used safely on many aches and pains.

Another misconception con-cerns the use of sports cremes. Some will feel like they are heating up your sore muscles, others have a cooling effect, and some do both. These products fall into the category of count-er-irritants. While they are very good at “covering up” the pain of aching muscles or joints, they do not “cure” anything. In fact, they are designed to dis-tract your nervous system long enough for your brain to forget you are in pain. The benefit of these cremes is unfortunately only temporary.

Of course, it should be noted that any time you have an in-jury or serious pain you should immediately consult with a physician who can deliver the supportive care you need. To not do so leaves you at risk for fur-ther injury. Ignoring your body’s

signals of pain will only make recovery more difficult.

Dr. Daniel Kirschner has been a prac-ticing chiropractic physcian for the last 17 year . He and his wife Dr. Jamie Kirschner own and operate two offices in DeSoto County. To learn more visit www.KirschnerWellness.com, or call 863-494-7110.

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Stay healthy during the seasonThe cold weather brings with it a

season of smiles, the first snowfalls and, unfortunately, cold and flu out-breaks. While everyone else is suf-fering, there are ways you can make it through the season unscathed.

It is estimated that a billion people across North America will succumb to the cold virus this year, says Med-line. Considering there is no cure for cold and flu viruses, prevention remains a person’s best option at fending off cold and flu. There are different precautions to take that can help protect you against getting sick or at least reduce the frequency and severity with which cold and flu strikes.

Although there is no magic pill to take that will prevent you from catching a cold or the flu, there are ways to improve your odds.

* Wash your hands the right way. Washing your hands frequently remains the single-best way to keep viruses and bacteria that can make you sick from infiltrating the body. Washing your hands for at least 20 seconds can effectively remove any dirt, grime and invisible invaders.

* Skip antibacterial products.

Because colds and the flu are the result of viruses, which are different in behavior and structure from bac-teria, they will not be killed off with

the use of antibacterial products. What you may succeed in doing is killing off any beneficial bacteria on your hands as well as creating resis-tant bacteria that form with over-use of antibiotics and antibacterial products.

* Get the flu shot. There is no vaccination to prevent the common cold, but there are immunizations that can help reduce your risk of getting the flu or help minimize its

severity. Doctors’ offices, clinics and even pharmacies all offer annual flu shots.

* Use sanitizer on items around

the house. Surfaces that are fre-quently touched by all members of the household should be wiped down with a disinfectant product. A bleach-and-water solution is an ef-fective sanitizer. Surfaces to sanitize include phones, doorknobs, light switches, remote controls, computer keyboards, faucets, toys, and coun-tertops.

* Avoid sick people. KidsHealth.org states that flu viruses and colds

can travel up to 12 feet (from a sneeze or cough). Steer clear of any-one exhibiting symptoms, especially someone who is frequently sneezing or coughing. Parents should keep children home from school if they are sick. Do so until symptoms sub-side so as not to infect others.

* Use a sanitizer product. The Centers for Disease Control and Prevention advise that when hand-washing is not readily avail-able, a good way to kill germs is to use an alcohol-based sanitizer lotion. While not as effective as washing hands in warm, soapy wa-ter, sanitizing products can be used in a pinch while you’re on the go.

* Cough into your sleeve. Rather than coughing or sneezing into your hands, do so into the crook of your elbow since this area rarely touches anything else.

* Skip the buffet lunch. Buf-fet-style offerings are convenient and offer variety, but they are also a breeding ground for illnesses. These foods may have been sneezed or coughed on. Also, the serving spoons have been touched by doz-ens of people.

The elderly are more at risk for serious side effects from the cold and flu.

Page 6 Thursday, August 28, 2014

The Prostate PredicamentEvery man is at risk for pros-

tate cancer, whether it runs in his family or not. The good news is that men can protect them-selves from the disease with screenings.

Unfortunately, more than 30,000 men still die each year from prostate cancer. Some studies that appeared in the media have stated that screen-ing was not cost effective, which affected some early prostate James Demler, MD, FACS 863-494-4474

BY: DR. JAMES DEMLER cancer diagnoses. Since most people would agree prostate cancer screening is easy, pain-less, and necessary for early diagnosis, there is really no reason not to have it done.

A screening should include a PSA blood test and a DRE (Digi-tal Rectum Exam). A large study performed recently reported PSA screening was found to reduce prostate cancer death by almost 30%. Since there are usually no symptoms until the disease has spread, screening

makes good medical sense. If you or loved one hasn’t been screened, make this a priority!

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Separating flu facts from fiction

Did you know?

Cold and flu season seems to arrive earlier and earlier each year. As more people begin to sniffle and sneeze and feel lousy, they may look for ways to shorten the time they spend battling the flu.

Myths about the flu are nearly as plentiful as the myriad home reme-dies to banish it. Separating flu facts from fiction can help people more effectively deal with their next bout of influenza. The following are a few of the more widely spread myths with regard to the flu.

* Cold weather causes the flu. Going out in the cold weather with your hair wet is probably not a good idea if you want to keep your im-mune system healthy. However, the weather is not a direct cause of cold or flu. Rather, contact with the virus through contaminated surfaces or by saliva or mucous transmission is how many people catch the flu.

* The flu shot injects the body with the flu virus. Some people vehemently oppose getting the flu shot because they believe the immunization itself will cause them to get sick. Actually, the virus in the flu shot is inactive and cannot make a person ill. The virus used in the vaccine is grown in chicken eggs and killed off before it would cause illness. Minor reactions, such as muscle soreness, can occur at the injection site. Nasal flu immuniza-tions do contain the live virus, but even with nasal applications, it is

Honey has long been touted for its medicinal qualities, but the United States Department of Health and Human Services still warns parents of infants to avoid feeding honey to children. That warning was issued because honey can give infants botulism, a rare paralytic illness cause by a nerve toxin. Spores of botulism are found in dust and soil, but they also can make their way into honey. Infants’ immune systems are not strong enough to combat such a bacterial infection, and their gastrointestinal tract is not as fully developed as an adult’s, making them even more vulnerable to the bacteria associated with botulism. Infants with botulism appear lethargic, feed poorly, have a weak cry, have poor muscle tone, and suffer from constipation. When left untreated, these symptoms can lead to paralysis of the respiratory muscles, arms, legs, and trunk.

very rare to get sick from the immu-nization.

* You can starve a fever. Chills, fever and nausea are potential flu symptoms. The notion that you should “feed a cold and starve a fever” has prevailed through the years, but this treatment method really isn’t beneficial. Although a person with the flu may not feel like eating much, he or she should try to remain hydrated and eat as healthy as possible. Salt and potassium are important electrolytes, so consum-ing crackers, bananas, vegetable soup, and fruit juices can help the body fight the illness.

* Zinc and vitamin C can kick the flu to the curb. Evidence that taking zinc and high doses of vitamin C will help make the cold or flu go away faster is somewhat mixed. Some indications point to throat lozenges with zinc as helping the body fight the flu. Although some people stand by mega-dosing with vitamin C, the body most likely won’t absorb that much of the extra vitamin C for it to have any benefit. Getting vitamin C through fresh fruits and vegetables can help boost the immune system, however.

* If you received the flu shot last year, then you should be fine this year. Some people believe if they re-ceived the flu vaccine last year that they do not need to get vaccinated this year. But experts warn there are hundreds of different strains of flu

viruses and vaccines are made from three of the most common types currently circulating. Therefore, a vaccine from last year may not protect a person this year. Even if a person had the flu in December, he or she may catch another strain in January. Vaccinations help individu-als be safe rather than sorry.

* Antibiotics banish the flu. Run-ning to the doctor for an antibiotic prescription will not make the flu go away more rapidly. Antibiotics cannot treat viral infections, even though they may be used to treat certain side effects or bacterial infections that result from the flu, such as an ear infection.

Page 7 Thursday, August 28, 2014

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Practice medication safetyA cancer diagnosis is seldom easy

for the person receiving the news or his or her loved ones. Cancer treat-ment often involves weeks of inten-sive medical therapy that can include radiation, chemotherapy and oral medications.

Though such medications can be a key component of successful treat-ment, extra pills in the home can pose additional hazards to children and even elderly residents who may inadvertently get into unsecured pills.

Cancer patients may be prescribed a number of prescription medications during the course of their treatments. Antidepressants, opioids, steroids, anti-convulsants, and radiopharma-ceuticals may be prescribed to treat pain and other side effects of can-cer. When taken in the right doses, these medicines can help patients withstand and ultimately overcome their disease. In the wrong hands, the same drugs can prove poisonous, especially to young children.

According to Safe Kids Worldwide, 500,000 parents and caregivers per year call a poison control center because a child accidentally ingest-ed medicine or was given the wrong dose. In 2011, 67,000 children were

treated in an emergency room for medicine poisoning. Based on emer-gency room visits, many children come in contact with these medica-tions in places other than the medi-

cine cabinet. Kids may find spare pills on the ground, in a purse or bag or on a counter or nightstand.

The United States Centers for Dis-ease Control and Prevention reports a 160 percent increase in poison-ings in children from 1999 to 2009, 91 of which are the result of a drug overdose. The Cincinnati Children’s Hospital says that kids ages five and younger are the most likely victims of prescription drug poisoning. In

homes where there is an abundance of medications being used to treat cancer or other illnesses, diligence is needed on the part of adults.

Childproof bottles are seldom

enough. Very often adults forget to close the lids properly. Tenacious children can sometimes figure out how to get lids off of bottles even if they are touted as childproof.

Cancer patients taking medication might want to employ some addi-tional safety measures in order to protect young children.

* Do not advertise medication use to your children. Take pills away from curious eyes so that youngsters are

not tempted to try Mom or Dad’s med-icine, which for all intents and purpos-es, looks like candy to a child.

* Store medications high up, ideally in a locked cabinet. Remain careful when returning pill containers to these locked cabinets after use.

* Use individual-dose cases, many of which can be locked with a key or a combination code. This can protect against spills should the case fall on the floor.

* Ask for medications to be pre-scribed in blister packs that are more difficult to open.

* Dispose of any expired medica-tion or pills you no longer need so there are no extras lying around the house.

* Dispose of pills in an outside garbage receptacle so that children or pets cannot find them and swallow them.

* Never store pills in a container other than the prescription container or a medication dispenser.

When cancer treatment neces-sitates the taking of additional medications, it becomes even more important to protect children from ac-cidental -- and sometimes intentional -- ingestion of medications.

Page 8 Thursday, August 28, 2014

� � � � �

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