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From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org and click on “Cancer Information”

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APRIL IS IRRITABLE  BOWEL SYNDROME (IBS) AWARENESS MONTH!

The symptoms of IBS can vary widely from person to person and may even recognize other common disorders/diseases of the gastrointestinal (GI) tract. A “loud/grumbling” stomach, does not mean you have IBS, but it is worth learning more about – just in case!!

IBSAbdominal pain is often described as:

  • Crampy
  • Generalized ache with periods of cramps
  • Sharp, dull, gas-like
  • Modest pains are common
  • Increased gas
  • Altered bowel habits
  • Food intolerance
  • Bloating (distention)

The IBS discomfort or pain usually feels better after a bowel movement.  IBS is a “functional” disorder. Some risk factors for IBS include (but is not limited to): diet low in fiber, excessive use of laxative, longterm use of analgesics (pain medications), etc.,

DO YOU HAVE IBS?  Click  HERE and read page and pdf at bottom left of page.

TREATMENT

  • Though irritable bowel syndrome (IBS) doesn’t have a cure, your doctor can manage the symptoms with a combination of diet, medicines, probiotics, and therapies for mental health problems (anxiety or depression)
  • Traditional drugs include; fiber supplement, anti-diarrheal, anti-flatuents (decrease gas), anti-spasmodic drugs.
  • Eating smaller meals more often, or eating smaller portions, may help your IBS symptoms. You should avoid foods and drinks that make your symptoms worse.

Disclaimer: Use of these videos are for information purposes only and not a form of endorsement.

IBS

For more information please see below

Irritable Bowel Syndrome Awareness Month

International Foundation for Functional Gastrointestinal Disorders
700 W. Virginia Street, #201
Milwaukee, WI 53204
(888) 964-2001
(414) 964-1799
(414) 964-7176 Fax
iffgd@iffgd.org
www.aboutibs.org/site/about-ibs/april-ibs-awareness-month External Links Disclaimer Logo
Materials available
Contact: Nancy Norton

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Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org and click on “Cancer Information”

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Last week, we discussed/reviewed the basics of Acetaminophen (Tylenol). Now, you are able to take this drug without fear!

Let’s discuss Ibuprofen this week.

Ibuprofen-DosageAs you may recall, Non-Steroidal Anti-inflammatory drugs (NSAIDs) are a group of OTC medications used to decrease mild-moderate pain, reduce fever, and decrease inflammation without the worrisome effect of steroids.  Ibuprofen (Advil, Motrin, Caldolor, Midol, etc.,), Naproxen (Aleve, Naprosyn, Anaprox, etc.,), Aspirin (Zorprin, Bayer aspirin, St. Joseph aspirin, etc.,), among others are in this class of drug. Acetaminophen is NOT a NSAID.

Ibuprofen overdose occurs when someone accidentally or intentionally takes more than the normal recommended amount of this medication. Your ibuprofen dosage will depend on various factors, including age, weight, and what is being treated.  Below are the generally recommended dosages listed by age.  However, be sure to read the cautions below, and remember to take the minimum dosage that is effective. Be sure to take with a glass of milk or food, to protect your stomach from bleeding (see video below for more info)

motrin1Children under 12: Motrin is generally used for fever, pain and/or arthritis. Please consult with a Pediatrician and follow guideline chart given.

Adult (12 and up):

Fever:  200-400mg orally every 4-6 hours as needed.
Pain:  200-400mg every 4-6 hours as needed.  There is no evidence that a higher dosage will provide more relief.
Arthritis:  Be sure to talk to a doctor who knows your medical history.  The usual dose is 400-800mg every 6-8 hours initially, increased to a maximum of 3200mg per day divided into 3-4 equal doses.

  • Be sure to read labels carefully.
  • Adults should never take more than 800mg per dose or 3200mg per day.
  • Ongoing or regular use carries its own risks.
  • Again, Be sure to take with a glass of milk or with food.

Please see video below.

Ibuprofen (Motrin)

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Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org and click on “Cancer Information”

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Have a headache? Grab some Motrin (Ibuprofen).

Knee pain? Use some Tylenol (Acetaminophen)

Headache persists? Take more Tylenol? Hip now hurting too. Can you take more Motrin?

Having pain medications available over-the-counter (OTC) is a good thing. But too often, many are not aware of some of the necessary, basic, associated precautions.  Recently, while visiting my Dad, he jokingly noted the ever growing, long list of “side-effects” spewed about medications in commercials.  Like most he wondered, “why take the medication, if the side effects seem to cause more harm?” But, that is for another blog *smile* Let’s tackle the pain medications that millions DO use daily! Let’s define NSAIDs and then we will start with Acetaminophen (Tylenol).

JUST THE BASICS

tylenol1Non-Steroidal Anti-inflammatory drugs (NSAIDs) are a group of OTC medications use to decrease mild-moderate pain, reduce fever, and decrease inflammation without the worrisome effect of steroids.  Ibuprofen (Advil, Motrin, Caldolor, Midol, etc.,), Naproxen (Aleve, Naprosyn, Anaprox, etc.,), Aspirin (Zorprin, Bayer aspirin, St. Joseph aspirin, etc.,), among others. Acetaminophen is NOT a NSAID.

  • The primary difference between NSAIDs and acetaminophen (Actamin, Pandadol, Tylenol) lies in the way each relieves pain. Acetaminophen works primarily in the brain to block pain messages and seems to influence the parts of the brain that help reduce fever. That means it can help relieve headaches and minor pains. But it’s not as effective against pain associated with inflammation.
  • Inflammation is a common feature of many chronic conditions and injuries. NSAIDs reduce the level of chemicals that are involved in inflammation. Treatment with NSAIDs can lead to less swelling and less pain.
  • Some pain pills, such as Excedrin Migraine, combine an NSAID — in this case aspirin – with acetaminophen

ACETAMINOPHEN

Acetaminophen (Tylenol) overdose is one of the most common poisoning worldwide! Why? Because taking too much pain reliever can cause liver failure or even death! YES…sudden liver failure (see videos below).

The FDA has set the recommended maximum for adults at 4,000 milligram (mg) per day. It is quite easy to hit this max though!  One gel tablet of extra strength Tylenol, for example, contains 500mg. Do you ever take just ONE Tylenol though? My colleague just indicated that he never takes less than 3 extra-strength pills at a time! That’s 1500 mg at one time…do this 3 times in one day and will be above the max!

tylenolOverdoses from acetaminophen send 55,000 to 80,000 people in the U.S. to the emergency room each year and kill at least 500, according to the Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA).

Acetaminophen can be found in more than 600 over-the-counter and prescription products used by nearly one in four American adults every week, including household brands like Nyquil cold formula, Excedrin pain tablets, Theraflu and Sudafed sinus pills.

So how do these accidental acetaminophen deaths occur?

Imagine you’ve had major dental surgery, and your dentist prescribes a five-day supply of Percocet.

  • You take the recommended 2 pills every six hours for 2,600 mg of acetaminophen, well below the 4,000-mg-a-day safety threshold.
  • But you’re still experiencing pain, so you decide to add Extra Strength Tylenol, six caplets a day for another 3,000 milligrams.
  • Now you’re feeling better but you still have trouble sleeping, so you take Nyquil, for another 650 milligrams (unaware of the acetaminophen content of the other medications).

After a few days on this 6,250 milligram regimen, experts say acute liver damage is a real risk. Add a couple beers or wine to this…and, well, you get the picture! (Alcohol affects the liver also…)

DOSES:

  • Normal/Regular dose of Tylenol ~325mg
  • Extra-Strength 500mg to 650mg
  • MAX daily recommended dose 4,000mg

PLEASE continue to use Acetaminophen and Acetaminophen products, as needed. Just be aware of the dose limits and use wisely!

Now you know…

CNN REVIEW

ACCIDENTAL OVERDOSE 

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Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

Blood…

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org and click on “Cancer Information”

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Life is in the blood.

So we are taught. Blood:

– If it is too low – we fatigue (get tired) easily (~anemia).

– If the body is making too many blood cells, that can also lead to another disease process (such as Polycythemia).

– If too much blood is lost, due to trauma or other processes, we can ultimately die, if not transfused quickly (given additional blood from another person).

– We gather blood is very important… but why?

The movies parade the life sustenance of blood through vampires and human desire for immortality. Blood is also the sole key for salvation,  the forgiveness of sins and eternal life  through Jesus’ crucifixion, which is recognized during this Easter Season. ( Thank you Jesus!)

But, what do you know about blood? Really, think about it…

The blood normally takes up about 7-8% of human body weight, which accounts for about 4.5 to 6 liters. Of this amount,  ~50% is made up of plasma (watery liquid) which contains blood cells, carbon dioxide, glucose (sugar), hormones and proteins.

TYPES OF BLOOD CELLS

bloodBlood cells are produced in the bone marrow. Bone marrow consists of fat, blood, and special cells (stem cells) that turn into the various kinds of blood cells. The main areas of bone marrow involved in the formation of blood cells are in the vertebrae, ribs, sternum, skull and hips.

  • Red blood cells– also known as RBCs or erythrocytes, are the most abundant cells, and contain hemoglobin (Hb or Hgb). Hemoglobin is a protein which contains iron; it transports oxygen from the lungs to body tissues and cells.  Each RBC has a life span of about 4 months. The body continuously replaces the ones that die.
  • White blood cells(leukocytes) – these are the cells of our immune system; they defend the body against infections and foreign materials. White blood cells will also fight abnormal cells, such as cancer
  • Platelets(thrombocytes) – are involved in the clotting (coagulation) of blood. When we bleed the platelets clump together to help form a clot, such as a scab from a skin wound

WHAT BLOOD GROUP ARE YOU? You should know! This is VERY important should (heaven forbids) you are in need of a blood transfusion (getting someone else’s blood)

Humans can have 4 main blood groups, either RhD positive or negative:

  • Group A – RhD negative or positive
  • Group B – RhD negative or positive
  • Group AB – RhD negative or positive
  • Group O – RhD negative or positive

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Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org and click on “Cancer Information”

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THIS IS PRICELESS! PLEASE READ THIS SHORT, QUICK SUICIDE RISK ASSESSMENT GUIDE. Click HERE

suicide_speak_reachAs physicians, we are all about trying to save lives. We want our patients to maintain good cholesterol, manage their diabetes and high blood pressure (or eradicate the need for medication through a life style dietary change and exercise), fight cancer with the weapons we have on hand (surgery, chemotherapy, radiation therapy, etc.,)…life is beautiful…and we fight with our patients to help them live the best lives they can…

Therefore, it always saddens our heart, when a life is lost through a patient’s own hands – SUICIDE. Can we find the needle in the haystack and help these patients before it is too late? An algorithm is being developed to do just that – and the U.S. Army is leading the way. Since 2004, the US Army noted a sharp increase in soldiers’ suicide rate, exceeding that of their civilian counterparts.

JAMA Psychiatry published an article in JAN 2015 titled, “Predicting suicides after psychiatric hospitalization in US Army soldiers: the Army Study To Assess Risk and rEsilience in Servicemembers (Army STARRS).” You may read the abstract HERE  and more about the article HERE  

Take a look around at you – yourself, family, friends, co-workers, colleagues, (including children…especially teenagers) etc., Anyone at risk for suicide? What are the warning signs and why are they important? Take a moment to read the suicide risk assessment guide below.

Say something kind to someone today…give an encouraging word…you never know the difference you may make!

THIS IS PRICELESS! PLEASE READ THIS SHORT, QUICK SUICIDE RISK ASSESSMENT GUIDE. Click HERE or cut and insert this link  https://view.officeapps.live.com/op/view.aspx?src=http%3A%2F%2Fwww.mentalhealth.va.gov%2Fdocs%2FSuicide_Risk_Assessment_Guide.doc

1-800-273-8255 National Suicide Prevention Lifeline (USA)

WARNING SIGNS OF SUICIDE

FACES OF  BEAUTIFUL SOULS (caution, emotionally wrenching…)

RANDOM ACTS OF KINDNESS

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Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

Brain Beware!

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org and click on “Cancer Information”

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MARCH  16-22 is Brain Awareness Week!

STOP! Think about all the responsibilities you have…then think about all the responsibilities of your brain…Hhmm. I am willing to bet that your personal responsibilities pales in comparison. The brain is the most complex part of the human body and the boss that runs the whole show.

Your brain weighs a fraction of your total body weight (only ~3 pounds), yet it is:

  • The seat of intelligence
  • Initiator of body movements
  • Interpreter of senses
  • Acquirerer of new knowledge
  • Controller of behavior…and so much more!

You should really take care of your body…and mind!

Recent commercials on brain games and brain training, may have some controversies, BUT they are so much better than sitting and watching TV all day – turning your brain to mush! Some studies have shown, that keeping your brain active and engaged, may even decrease the manifestation of some diseases. (Try the Brain Exercises in the 2nd video below).

Locate a function...

Locate a function…

No one truly pays attention to their brain, until something goes wrong…and with such a complex structure, many, many things can go wrong.

What does a normal brain look like vs Seizure or Stroke or Alzheimer, etc.,? Take a look at this TEDx Talk.

Great images and VERY interesting talk!

BRAIN EXERCISES

March 16 – 22

Brain Awareness Week

Dana Alliance for Brain Initiatives
505 Fifth Avenue, 6th Floor
New York, NY 10017
(212) 401-1689
(212) 513-7623 Fax
bawinfo@dana.org
www.dana.org/brainweek
Materials available
Contact: Kathleen Roina

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Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

From the Physician’s Desk … Weekly Blog!

Don’t forget to visit … www.LegacyEducators.org and click on “Cancer Information”

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The world of medicine is literally exploding! The possibilities of what can be done – identify disease processes at the genetic level, transplanting organs, use of umbilical cord blood (controversial), to name a few – waiting on the cure for cancer now.

Headline – A First: Uterus Transplant Gives Parents A Healthy Baby

uterus-transplantThe mother, 36yo, was born without a uterus, so a 61yo woman donated her uterus after menopause.  The 36yo woman had intact ovaries, so was able to produce her own her eggs.  With the aid of in-vitro fertilization (IVF) an egg was fertilized and implanted.  Approximately 2 years later she was able to give birth to a healthy baby.  WOW…right? This took place in Sweden by Dr. Mats Brannstrom.

What next? I immediately thought of a young girl who had a cancer in her abdominal region – she lost her uterus in the process of treatment.  Are adult survivors of pediatric cancer eligible for such a program? Historically, a history of cancer may preclude someone from being on a transplant list. But just imagine…

UTERINE TRANSPLANT

THE RISKS OF ORGAN TRANSPLANT

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Remember …

Ipsa Scientia Potestas est    ———  Knowledge itself is power!

Don’t forget to visit my website … www.LegacyEducators.org 

Your Family Friendly Doc … Dr McGann!  

See you next week…

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