Sea Crest Health Care Center

No curmudgeon here, but just one harried boomer, who’s watching life’s intrusions chip, chipping away… One upside of travel used to be the “turn off your mobile phones” announcement, and now, it appears one’s conscience gets no time – off from calorie counting. Regulators’ appetite for calorie counts is about to extend beyond restaurants to include airplanes, movie theaters and convenience stores. The government wants calorie listings posted to make it easier for consumers to select healthier options…and I just want to be left alone.

Sure, I watch what I eat – but I’ll do it on my time & my watch. Though initially appreciative of the health-care overhaul enacted in March that had restaurants post calories, resentment started creeping in on the very rare occasions I was about to succumb. One chocolate chip cookie with my Dunkin Donuts coffee would certainly not wreak havoc on this body… until, I espied the 600 plus calories affixed to that slot.

I know. An airplane is the last place you want their food offerings, but I wish Big Brother would keep its elbows out of my less than roomy aisle seat!

Health advocates say the change could be a powerful tool in fighting the obesity epidemic, a top initiative in Washington since first lady Michelle Obama made childhood obesity her signature cause in February.

Come to think of it…Michelle can stay away too!

An age old dilemma, – which is more powerful and important – brains or beauty?  Would you rather be hideously ugly and brilliant, or stunningly beautiful and unable to carry a conversation?

Of course none of us really wants to be either of those things.  We want to be brilliant and stunningly beautiful.  And rich.  And happy.  And living on an island with a cabana boy named Juan who fulfills our every desire…

Maybe that part is just me.

We have all been lead to believe that we should want it all and that we can get it all and if we don’t want and have it all, there is something wrong with us.  However, I now have some scientific proof that the choice between brains and beauty is more real than you may have thought!

In late April, the Wall Street Journal published an article, entitled “A Case for those Extra 10 Pounds”, that said that, while the recommendations are to control calories and make healthy diet choices, it seems that there is actually some benefit that comes from being 10-15 pounds overweight.  A little extra weight can lead to a lower risk of osteoporosis and even make you look younger.

Bring on the ice cream!

Just as I was really settling into my celebration of the joys of science, a new study came out that says that extra fat is linked to smaller brain volume, and potentially linked to Alzheimer’s Disease.  Lucky for me and my desire to continue to eat ice cream, it is unclear whether smaller brains lead to extra fat or vice versa.  I am pulling for the first one.  The idea of fat causing my brain to shrink is disturbing in more ways than one.

So extra fat causes Alzheimer’s, and too little fat causes osteoporosis.  A little extra fat will keep my face unlined and youthfully full, but may cause me to eventually forget my name. Am I willing to give up the ice cream to reduce the risk of dementia?

Is it wrong that I am not sure which way to go on this?

I am admittedly not the trendiest girl around.  I don’t have designer shoes or a luxury car or get my hair blown out.  Actually, where I live getting your hair blown out means you drove with a window open, but I don’t do that much either.  The NYC crowd would have a field day with how un-cool I am with my suburban clothes and addiction to Dunkin’ Donuts iced coffee.  I am about as mainstream as they come, and for this I am generally unapologetic.  It’s who I am and I’m OK with that.

Although un-hip, I am quite interested in doing things to keep myself and my family healthy.  I try mightily to get my children to willingly eat vegetables. I don’t cook red meat. I choose fresh ingredients rather than food-in-a-box whenever possible.  I am embarking on an experiment to be a vegetarian, and I recently gave up caffeine for a month.  I am willing to try new things – within reason.

There was a recent article in the New York Times about the popularity of a fermented tea drink called kombucha.  Apparently this tea can do all kinds of magical things like re-growing hair, calming digestive issues and curing hangovers.  Those who drink it claim that it is quite delish.  Sounds good, right?  I’m in! I could be the first one in the suburbs to partake of this delightful elixir!  How do I get it?

This is where things get a little hairy for me.  Because kombucha is made by immersing a disk of bacteria into brewed tea and letting it sit, unrefrigerated, for up to two weeks.

A disk of bacteria.

In your tea.

On purpose.

I am so not down with that.

I understand the benefits of probiotics.  I eat yogurt (from the refrigerator, thank you very much).  But, I have to admit that I wouldn’t even drink the plain tea if it sat out for two weeks – and the introduction of the bacteria disk into the equation does nothing to improve the situation for me.

I suppose the nature of kombucha is essentially similar to beer.  Fermented substances in a drink are not that uncommon.  And yet, I can’t quite get my head around voluntarily introducing bacteria into a completely acceptable drink like tea.  I guess I don’t brew my own beer either, although I do enjoy drinking it.

There are packaged versions of kombucha available, including one made by Red Bull.  I am slightly more comfortable with the manufactured versions, mostly because I work under the assumption that beverage manufacturers are as terrified of being sued as I am of dying of kombucha poisoning.

I am a big sucker for slick marketing and putting anything, even something utterly disgusting, in a pretty bottle and giving it a fun name goes a long way to drawing my interest.  If I actually went out and purchased a Carpe Diem Kombucha, it would be an ultimate marking success for them.

Ooooo…pretty bottle….fancy name…who cares what’s in it?  I must have it!

I want to be cool and brave enough to jump on this bandwagon and give kombucha a try.  But the reality is that it’s probably beyond my capabilities to be that cool and brave.  And the Dunkin’ Donuts coffee is working just fine for me, thanks!

According to Jarett Berry, a cardiologist at University of Texas Southwestern Medical Center in Dallas, one must be vigilant about keeping physically active. Yes, in what they used to call “Middle Age.”  Wasn’t that the time we thought would be a little slower, a tad less “vigorous,” an entitlement to ease up a bit? Not if you want to hit 85 says the good Dr. “If you are fit in mid-life, you double your chance of surviving to 85.”

Dr. Berry’s findings, presented last week in San Francisco at the American Heart Association’s Annual Epidemiology and Prevention Conference, are based on an analysis of 1,765 men and women who had physical examinations performed during the 1970’s and 1980’s at the Cooper Institute, the Dallas-based birthplace of the aerobics movement. Put another way: If you’re not fit in your 50’s, your projected life span “is eight years shorter than if you are fit,” Dr. Berry says.

So regular exercise is the most cogent weapon we have to ward off illness and fight disease- as it results in lower blood pressure, healthier cholesterol, and lower blood sugar.

Rest assured… there is a silver lining to all this before you start jogging, digging ditches, or playing singles tennis:  Studies also indicate that exercise’s greatest impact occurs when individuals move from a sedentary lifestyle to embarking on regular moderate exercise regimens.

That’s encouraging. You go, Girl!

by Natalia Freeman

Excess weight is bad for your heart. You know that – but do you know why?
Fat changes the way your body metabolizes your food. Sugar that might be available as energy is packed away as fat, and fat is harder to break down for energy. Your entire metabolic system is out of whack. This, in turn, affects the entire body, including the blood vessels. Without the right sort of energy arriving at the right speed, the system begins to experience strain. And strain is what causes poor health. The vascular issues that can arise affect the heart and blood vessels, leading to weakness, poor circulation, and failure.
Often, obese people are placed on many medications – for diabetes, for heart conditions, for atherosclerosis, for hypertension… Many – if not all – of these conditions exist because of the excess weight causing system strain. It can be reversed. But, just as it takes time to reach an unhealthy state, it takes time to reverse it. A strictly adhered-to diet can, in a few years time, reduce or eliminate the necessity of a good portion of the drug cocktail.

by Staff

Clostridium difficile.

The name might be unfamiliar, but the pathogen is on the rise. There has been a sharp increase in the prevalence of C. diff in hospitals around the country, according to a survey taken in 648 hospitals in 47 states.

As many as 13 out of every 1,000 patients tested positive for Clostridium difficile, with 94% showing symptoms of the accompanying disease: diarrhea, fever, appetite loss, nausea, and stomach pain. About 4% of patients will die from the disease.

How does this compare to C. diff levels in the past? Between 2000 and 2005, the number has more than doubled.

This may be partially due to prescription techniques. C. diff isn’t affected by most antibiotics, so broad spectrum antibiotics, which kill all other bacteria, give C. diff room to grow and thrive. Whenever possible, physicians should prescribe narrowly targeted antibiotics, to prevent C. diff from expanding unchecked.

Based on an article by Jacob Goldstein in the WSJ

by Jose Sonik

Some news from the science front! Hormone replacement in women is linked to hip replacement -  and childbearing is linked to knee replacement. These two new findings come out of England where 1.3 million women were followed since 1996.
Hormone replacement therapy is quite common among post-menopausal women, particularly those at risk of osteoporosis. Estrogen prevents bone-loss, which in turn prevents osteoporosis. But it seems to have a negative affect on join strength. Notable, estrogen with progestragen was more closely correlated with hip replacement than estrogen alone or tibolone.
The second finding is more startling. It’s well known that running, excessive jumping, climbing, and carrying heavy things can damage the knees, but nobody ever thought to apply that to carrying children. Though, when you think about it, some of those babies can get quite heavy.
This finding creates one of those tight corners often created by conflicting medical advice. Exercise during pregnancy is highly recommended, but it’s important to avoid unduly stressing the knees. Here are a few recommendations:
1. Swimming. Swimming takes the weight off your legs while getting your heart rate pumping. An outdoor pool or swimming no more than once a week because of the chlorine and ammonia that can build up over indoor pools.
2. Rowing, weightlifting (from sitting position), and similar exercises are healthy and will also get you ready to start carrying around a 10 lb baby.
3. Biking on a stationary bike will support your weight while giving you great aerobic exercise.
4. Yoga is both relaxing and healthy and a good idea any day.

By Donna Lampa

About  50%-90% of people with asthma also suffer from a common form of indigestion – gastroesophageal reflux disease (GERD). No one had been able to unravel the mysterious link between these two conditions, but now new studies have shed some light on this relationship.

According to a recent study published by the European Journal of Clinical Investigation, the act of inhaling small amounts of stomach acid back up into the esophagus and lungs, a hallmark of GERD, slowly produces changes in the immune system that may lead to the development of asthma.
Although the rising cased of reflux  may be causing increasing cases of asthma, the good news is that by modifying one’s lifestyle one can minimize gastric reflux thus reducing the risk of developing asthma.

You can avoid the risk factors of GERD by:

* Eating smaller meals
* Eating several hours before going to bed
* Raising the head of your bed a few inches
* Maintaining a healthy weight
* Limiting fatty foods, coffee, tea, caffeine, and alcohol because they can relax the esophageal sphincter and make reflux more likely.

By L. Gordon

Back pain – something most Americans experience a few times a year. Wouldn’t it be nice to know why, and how to prevent it?

One good reason for back pain is lack of muscle strength. When back muscles are weak, they tire when supporting your back, and lose their ability to support you in more straining positions. Exercising three times a week strengthens the muscles and can actually reduce the risk of chronic back pain by 43%, according to researchers in the Samsung Medical Center in Korea. Exercise also has a myriad of other benefits, which don’t bear listing, including weight loss. Even 5 pounds can increase the risk of spinal injury, the study found.

Poor technique is another leading cause of back injury. Never bend over to pick up heavy things; always crouch, and lift with the item close to your body. Don’t twist over to lift something that’s fallen off your chair or desk; twisting your back while lifting even a pen is a great way to strain the cartilage discs in your spine.

There are some old myths about back pain that need to be discarded. Hard mattresses and sitting straight are two to forget immediately. The spine isn’t straight, so a hard mattress is actually pushing your spine out of line. A soft mattress, though, isn’t much better, allowing your spinal column to sag out of shape. Choose a mattress with a medium amount of give.

While good posture is great, sitting upright actually puts weight on your spine, which over the course of the day, can strain it. Leaning back, forward, standing, walking, and stretching throughout the day relieve the tension.

Back pains aren’t all physical. Possibly half of lower back pains in the United States can be traced to stress or other psychosomatic reasons. Take a warm bath, meditate, or get a massage. It could make that pain go away. Heat relaxes muscles, but so can sniffing relaxing scents, or visiting the chiropractor or acupuncturist.

By L. Gordon

What do you get when you combine an aging population with a gaining population?

Hip and knee replacements.

As baby boomers age and acquire arthritis, and as obesity continues to rage among the younger population, knees and hips are wearing out at an unprecedented rate. And as they wear out, they are being replaced at an unprecedented rate.

Arthritis is usually associated with aging, and the grinding down of cartilage at the joints. But cartilage can also be ground down by excessive weight placed on the joint by obesity.

Today, both populations of arthritis patients are growing, as baby boomers hit retirement and obesity grows in the general American population.

Arthritis can cause stiffness, swelling, and general joint pain, restricting, or even severely limiting, patient mobility. When pain-killers cease to help, join replacement surgery is a popular option. Titanium joints can last 10 or so years before they need to be replaced, and drastically reduce pain and increase mobility close to ordinary activity levels.

Between 2000 and 2004, there was a 53% increase in knee replacements and a 37% increase in hip replacements. According to a report by Dr. Sunny Kim at the Florida International University, if these trends persist, there will be 1.4 million knee replacements performed in the year 2015 alone. The cost to health care providers would be enormous.