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Music Therapy: An Interview with Allison Jarrell, Metro Music Makers

August 25, 2022 by John Ray

Allison Jarrell
North Fulton Studio
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Allison Jarrell

Music Therapy: An Interview with Allison Jarrell, Metro Music Makers (Episode 79, To Your Health with Dr. Jim Morrow)

Allison Jarrell, Founder and CEO of Metro Music Makers, was Dr. Jim Morrow’s guest on this episode of To Your Health. Allison defined music therapy, talked about working with both elderly and neonate clients, the impact of music therapy on behavior, various other therapy methods, and much more.

To Your Health is brought to you by Village Medical (formerly Morrow Family Medicine), which brings the care back to healthcare.

Metro Music Makers

Since beginning with a focus on in-home private instruction, Metro Music Makers has expanded to offer our services online all over the country, and to schools and healthcare providers as well.

Their team of trained, dedicated, and passionate teachers have all received extensive training in teaching online and in-person, and they bring their passion for music and education into homes and lives everywhere.

MMM’s mission is to extend the benefits of musical ability to people of all ages and abilities through superior music instruction and therapy. Their students can study virtually any instrument, and they offer multiple performance opportunities throughout the year, including traditional recitals, festivals, and community events, as well as virtual recitals and showcases for our online students.

They believe that music is for everyone and that any individual is capable of learning how to play an instrument regardless of age, gender, skill level, disability, and ethnic background. To ensure that they uphold the highest standards in music education, they provide a professional development program for their instructors to cover topics related to music and the fine arts, teaching music, learning styles, child development, online teaching, and business basics for professional musicians.

Company website | Facebook | LinkedIn

Allison Jarrell, Founder and CEO, Metro Music Makers

Allison Jarrell, Founder and CEO, Metro Music Makers

Allison Jarrell founded Metro Music Makers as a private Atlanta-based music studio offering in-home music lessons. She has been teaching since 1992 (sometimes as many as 78 students per week herself), with students ranging from 3 years of age to senior citizens, and those with special needs. In addition to overseeing a variety of instructors in the Metro Music Makers family, she is a board-certified Music Therapist licensed in the State of Georgia. Allison’s music therapy experience includes working in special needs classes, in private behavioral therapy and research with children diagnosed with autism, in music therapy and research with neonates, as a music therapist at a drug and alcohol rehab for teens, and as a music therapist in mental health settings working with adults diagnosed with a range of disorders including schizophrenia, PTSD, depression, bipolar disorder, anxiety, and dissociative disorders.

Originally from Easley, South Carolina, Allison attended the Greenville Fine Arts Center, and earned her Bachelor of Music in Music Therapy from Florida State University (cum laude). She also served a six-month internship at San Antonio State Hospital (a mental health institution). Allison pursued a career as a singer/songwriter after college, recording three EPs and one full-length album. While touring, she was hired by Mars Music, Inc. to implement the Babies Make Music program in the metro Atlanta area.

In addition, Allison was a finalist in the Greenville Symphony Orchestra Russian Music Festival Piano Competition in 1990 and a semifinalist in the Young Keyboard Artists Association International Piano Competition in 1990. She toured with the band Life As Mary from 2000-2003, including an exciting showcase with A & R exposure at the 2002 Atlanta Music Conference.

Allison’s flexibility working in diverse positions and environments gave her the training needed to begin Metro Music Makers in 2002. As parents learned about her music therapy background, she began to get requests for adaptive lessons for students who might not otherwise find success in traditional lessons.

Allison is currently a member of the National Guild of Piano Teachers, the Music Teachers National Association, the Georgia Music Teachers Association, the North Fulton Music Teachers Association, and the Music Therapy Association of Georgia. Additionally, Allison serves as a judge for events sponsored by the National Guild of Piano Teachers and the Georgia Federation of Music Clubs.

Allison’s students have achieved many honors over the years. She has seen over 225 of her students make top marks in the National Piano Guild Auditions and National Federation of Music Clubs Festival since 2003.

Allison believes that the process of learning how to play a musical instrument and learning how to create music relates to everything else that we accomplish in life. “We are teaching the future leaders and innovators of tomorrow,” she says. “As a teacher, when I really think about that and about the influence that lessons may have in my students’ lives, I’m overwhelmed with gratitude for the opportunity to work one-on-one with young people over the course of many years.”

In fact, now that Allison has been teaching for a number of years, her favorite times are catching up with prior students over lunch or coffee. “It’s exciting to see what my former students do with their lives as they grow into adulthood,” she says.

Allison also was a one-time snake handler (a long story involving removing a baby snake from her house that turned out to be a copperhead!) and a one-time opera singer, (I Pagliacci) in 1991). She and her husband David have an adorable young son, Elliott, who began music classes at the age of six months. Elliott loves strumming the family’s guitars and playing the piano keys.

LinkedIn

About Village Medical (formerly Morrow Family Medicine)

Village Medical, formerly Morrow Family Medicine, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Village Medical one that will remind you of the way healthcare should be.  At Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Village Medical, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook | LinkedIn | Twitter

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics.

Tagged With: Allison Jarrell, Dr. Jim Morrow, Metro Music Makers, music lessons, music therapy, seniors and music, special needs, To Your Health, Village Medical

Heat Illness

July 28, 2022 by John Ray

Heat Illness
North Fulton Studio
Heat Illness
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Heat Illness (Episode 78, To Your Health with Dr. Jim Morrow)

On this episode of To Your Health, Dr. Jim Morrow of Village Medical offered common sense information about heat illness. After a brief update on monkeypox, Dr. Morrow discussed how to recognize heat illness, how to prevent it, what causes it, ways to treat it, when to call 911, and much more.

To Your Health is brought to you by Village Medical (formerly Morrow Family Medicine), which brings the care back to healthcare.

About Village Medical (formerly Morrow Family Medicine)

Village Medical, formerly Morrow Family Medicine, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Village Medical one that will remind you of the way healthcare should be.  At Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Village Medical, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook | LinkedIn | Twitter

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics.

Dr. Morrow’s Show Notes

What are heat exhaustion and heatstroke?

  • Heat exhaustion happens when your body gets too hot. 
    • If you don’t treat heat exhaustion, it can lead to heatstroke. 
    • This occurs when your internal temperature reaches at least 104°F. 
    • Heatstroke is much more serious than heat exhaustion. 
      • It can cause shock, organ failure, or brain damage. In extreme cases, heatstroke can kill you.

Symptoms of heat exhaustion and heatstroke

  • Symptoms of heat exhaustion are:
    • Muscle cramps
    • Heavy sweating
    • Pale or cold skin
    • Weakness and/or confusion
    • Dizziness
    • Headache
    • Nausea or vomiting
    • Fast heartbeat
    • Dark-colored urine, which indicates dehydration
  • In addition to these symptoms, warning signs of heatstroke also include:
    • Fever of 104°F or higher
    • Flushed or red skin
    • Lack of sweating
    • Trouble breathing
    • Fainting
    • Seizures

What causes heat exhaustion and heatstroke?

  • Heat-related illnesses occur when your body can’t keep itself cool. 
    • As the temperature rises, your body produces sweat to stay cool. 
      • On hot, humid days, the increased moisture in the air slows down this process. 
      • When your body can’t cool, your temperature rises and you can become ill.
  • Hot weather and exercise are the main causes of heat exhaustion and heatstroke. 
    • In hot settings, you need to be mindful of the temperature outside. 
    • The heat index is not the same as the temperature. 
      • It measures the air temperature plus the effects of humidity. 
      • A heat index of 90°F or higher calls for extreme caution. 
      • Prolonged exposure to high temperatures increases your risk of heat-related illnesses.

How are heat exhaustion and heatstroke diagnosed?

  • If a person is displaying known heat illness symptoms, 
    • take their temperature. 
    • A reading of 104°F or more means they probably have heatstroke. 
    • You should call 911 and get medical care right away.

Can heat exhaustion and heatstroke be prevented or avoided?

  • There are many things you can do to prevent heat-related illnesses. 
    • Babies, children, and elderly people are more sensitive to heat and require extra attention. 
    • You also are at greater risk if you are ill or obese, or have heart disease. 
    • People who work outside or in a hot setting also are at risk of heat exhaustion and heatstroke.
  • Don’t go outside when the temperature and heat index are high. 
  • If possible, stay indoors in air-conditioned areas. 
  • If you must go outside, take the following precautions.
    • Wear lightweight, light-colored, loose-fitting clothing.
    • Protect yourself from the sun by wearing a hat or using an umbrella.
    • Use sunscreen with a sun protection factor (SPF) of 15 or higher.
    • Drink plenty of water throughout the day. 
      • Dehydration and lack of salt contribute to heat-related illnesses. 
      • Some sports drinks can help replenish the salt in your body lost through sweating. 
      • Drink water or other fluids every 15 to 20 minutes, even if you don’t feel thirsty. 
      • If your urine is clear, you are probably drinking enough fluids. 
      • Dark-colored urine is a sign that you’re dehydrated.
    • Avoid or limit drinks that contain caffeine (such as tea, coffee, and soda) or alcohol.
    • Schedule outdoor activities for cooler times of the day — before 10 a.m. and after 6 p.m.
    • Take frequent breaks from the heat and outdoor activities.
    • Do not stay in or leave a child in your car when it is hot outside. 
      • Even if you open the windows, the intense heat can be extremely dangerous.
  • Certain medicines can put you in danger of heatstroke. 
    • They affect the way your body reacts to heat. 
      • Talk to your doctor if you take any of these or have an ongoing health problem. 
      • They can help you manage the heat with your condition. 
      • These medicines include:
        • Antibiotics
        • Allergy medicines (antihistamines)
        • Some medicines used to manage blood pressure, cholesterol, and heart disease (beta-blockers and vasoconstrictors)
        • Some medicines that treat mental health problems (antidepressants and antipsychotics)
        • Seizure medicines (anticonvulsants)
        • Water pills (diuretics)
        • Laxatives
        • Some diet pills
        • Prescription acne medicines
        • Illegal drugs, such as cocaine (amphetamines)

Heat exhaustion and heatstroke treatment

  • If you or someone else has heat exhaustion, treat symptoms in the following ways.
    • Get out of the heat quickly 
      • and into a cool place, or at least shade.
    • Lie down and elevate your legs 
      • to get blood flowing to your heart.
    • Take off any tight or extra clothing.
    • Apply cool towels to your skin or take a cool bath. 
      • This will help regulate and lower your internal body temperature.
    • Drink fluids, such as water or a sports drink. 
      • Do not guzzle them, but take sips. 
      • Do not drink fluids with caffeine or alcohol.
  • Call 911 if:
    • Symptoms don’t improve 
      • or they still have a fever of 102°F after 30 minutes of initial treatment.
    • The person goes into 
      • shock, 
      • faints, 
      • or has seizures.
    • The person is not breathing. 
    • You also should begin CPR right away to try and revive them.

Living with heat exhaustion and heatstroke

  • After you’ve had heat exhaustion or heatstroke, 
    • you will be sensitive to heat. 
    • This can last for about a week. 
    • It’s important to rest and let your body recover. 
    • Avoid hot weather and exercise. 
    • Ask your doctor when it’s safe to return to your normal activities.

Complications

  • Complications include secondary infections, pneumonia, sepsis, encephalitis, and loss of vision if severe eye infection. 
    • If infection occurs during pregnancy, still birth or birth defects may occur. 
    • The disease may be milder in people vaccinated against smallpox in childhood. 

Causes

  • Monkeypox in both humans and animals is caused by infection with the monkeypox virus – a double-stranded DNA virus. 
    • The virus is found mainly in tropical rainforest regions of Central and West Africa. 
    • The virus is split into Congo Basin and West African clades, matching the geographical areas.
  • Most human cases of monkeypox are acquired from an infected animal, 
    • though the route of transmission remains unknown. 
    • The virus is thought to enter the body through broken skin, the respiratory tract, or the mucous membranes of the eyes, nose, or mouth. 
    • Once a human is infected, transmission to other humans is common, with family members and hospital staff at particularly high risk of infection.
  • Human-to-human transmission is thought to occur primarily through close contact with an infected subject. 
    • There are indications that transmission occurs during sexual intercourse. 
  • Monkeypox symptoms tend to begin 5 to 21 days after infection. 

Prevention

  • Vaccination against smallpox is assumed to provide protection against human monkeypox infection 
    • because they are closely related viruses 
      • and the vaccine protects animals from experimental lethal monkeypox challenges. 
      • This has not been conclusively demonstrated in humans because routine smallpox vaccination was discontinued following the eradication of smallpox.

Treatment

  • In the European Union and the United States, tecovirimat is approved for the treatment of several poxviruses, including monkeypox. 
    • Best Practice recommends tecovirimat or the smallpox treatment brincidofovir as the first line antiviral treatment if required, 
      • alongside supportive care (including antipyretic, fluid balance and oxygenation). 
      • Empirical antibiotic therapy or aciclovir may be used if secondary bacterial or varicella zoster infection is suspected, respectively. 

Tagged With: Dr. Jim Morrow, heat exhaustion, heat lllness, heat stroke, hot weather, summer, To Your Health, Village Medical

Monkeypox

June 22, 2022 by John Ray

Monkeypox
North Fulton Studio
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Monkeypox

Monkeypox (Episode 76, To Your Health with Dr. Jim Morrow)

Host Dr. Jim Morrow with Village Medical discussed monkeypox on this episode of To Your Health. After a brief update on COVID-19, Dr.Morrow covered monkeypox’s similarities to smallpox and chickenpox, where it originated, its symptoms and complications, treatment, and much more.

To Your Health is brought to you by Village Medical (formerly Morrow Family Medicine), which brings the care back to healthcare.

About Village Medical (formerly Morrow Family Medicine)

Village Medical, formerly Morrow Family Medicine, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Village Medical one that will remind you of the way healthcare should be.  At Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Village Medical, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook | LinkedIn | Twitter

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics.

Dr. Morrow’s Show Notes

Monkeypox

  • An ongoing outbreak of monkeypox was confirmed in May 2022,
    • beginning with a cluster of cases found in the United Kingdom.
    • The first recognized case was confirmed on 6 May 2022 in an individual with travel links to Nigeria (where the disease is endemic),
      • but it has been suggested that cases were already spreading in Europe in the previous months.
    • From 18 May onwards, cases were reported from an increasing number of countries and regions,
      • predominantly in Europe, but also in North and South America, Asia, North Africa, and Australia. 
      • 1,033 cases had been confirmed as of 6 June.
  • The outbreak marked the first time the disease has spread widely outside Central and West Africa.
    • Cases have mainly but not exclusively been identified amongst men who have sex with men(MSM),
      • but health authorities emphasized that anyone can catch the disease, particularly if they have close contact with a symptomatic person.
      • Initial WHO assessments expressed the expectation of the outbreak to be contained,
        • and of low impact to the general population in affected countries.
      • A more recent statement acknowledged that undetected transmission had occurred for some time
        • and called for urgent action to reduce transmission.

Signs and symptoms

Monkeypox is an infectious viral disease that can occur in both humans and some other animals.

Early symptoms include

  •  fever, headache, muscle pains, shivering, backache, and feeling extremely tired.

Typically there are swollen lymph nodes behind the ear, below the jaw, in the neck or in the groin.

This is followed by a rash that forms blisters and crusts over;

  • most frequently in the mouth, on the face, hands and feet, genitals and eyes.

The time from exposure to onset of symptoms is on average 12 days; though ranges from 5-to-21 days.

  • The duration of symptoms is typically two to four weeks.
  • Cases may be severe, especially in children, pregnant women or people with suppressed immune systems.
  • Three-quarters of affected people have lesions on the palms and soles,
    • more than two-thirds in the mouth,
    • a third on the genitals and one in five have lesions in the eyes.
    • They begin as small flat spots,
      • before becoming small bumps which then fill with at first clear fluid and then yellow fluid,
        • which subsequently burst and scab over.
        • There may be a few lesions or several thousand, sometimes merging to produce large lesions.
  • In each part of the body affected,
    • the lesions evolve in the same stage.
    • It looks identical to the rash of smallpox.
      • The rash typically lasts around 10-days.
      • An affected person may remain unwell for two to four weeks.
      • After healing, the lesions may leave pale marks before becoming dark
  • Limited person-to-person spread of infection has been reported in disease-endemic areas in Africa.
  • Monkeypox may be spread
    • from handling bushmeat,
    • an animal bite or scratch,
    • body fluids,
    • contaminated objects,
    • or close contact with an infected person.
    • The virus normally circulates among certain rodents.
    • Diagnosis can be confirmed by testing a lesion for the virus’s DNA.
      • The disease can appear similar to chickenpox.
  • The smallpox vaccine can prevent infection with 85% effectiveness,
    • but smallpox vaccination stopped in most parts of the world in the late 1970s,
      • resulting in very little immunity against monkeypox.
      • In 2019, a monkeypox vaccine, Jynneos, was approved for adults in the United States.
      • The current standard for treatment is tecovirimat, an antiviral that is specifically intended to treat infections with orthopoxviruses such as smallpox and monkeypox.
      • It is approved for the treatment of monkeypox in the European Union and the United States.
        • Cidofovir or brincidofovir may also be useful.
        • Reports of the risk of death, if untreated, are as high as 10% to 11% in the Congo Basin(Central African) clade of monkeypox.
  • Monkeypox was first identified in 1958 among laboratory monkeys in Copenhagen, Denmark.
    • Monkeys are not a natural reservoir of the virus.
    • The first cases in humans were found in 1970 in the Democratic Republic of the Congo.
    • An outbreak that occurred in the United States in 2003 was traced to a pet store where rodents imported from Ghana were sold.
      • The 2022 monkeypox outbreak represents the first incidence of widespread community transmission outside of Africa,
        • which began in the United Kingdom in May 2022,
        • with subsequent cases confirmed in at least 20 countries, in Europe, North America, South America, Asia, North Africa, and Australia

Complications

  • Complications include secondary infections, pneumonia, sepsis, encephalitis, and loss of vision if severe eye infection.
    • If infection occurs during pregnancy, stillbirth or birth defects may occur.
    • The disease may be milder in people vaccinated against smallpox in childhood.

Causes

  • Monkeypox in both humans and animals is caused by infection with the monkeypox virus– a double-stranded DNA virus.
    • The virus is found mainly in tropical rainforest regions of Central and West Africa.
    • The virus is split into Congo Basin and West African clades, matching the geographical areas.
  • Most human cases of monkeypox are acquired from an infected animal,
    • though the route of transmission remains unknown.
    • The virus is thought to enter the body through broken skin, the respiratory tract, or the mucous membranes of the eyes, nose, or mouth.
    • Once a human is infected, transmission to other humans is common, with family members and hospital staff at particularly high risk of infection.
  • Human-to-human transmission is thought to occur primarily through close contact with an infected subject.
    • There are indications that transmission occurs during sexual intercourse.
  • Monkeypox symptoms tend to begin 5 to 21 days after infection.

Prevention

  • Vaccination against smallpox is assumed to provide protection against human monkeypox infection
    • because they are closely related viruses
      • and the vaccine protects animals from experimental lethal monkeypox challenges.
      • This has not been conclusively demonstrated in humans because routine smallpox vaccination was discontinued following the eradication of smallpox.

Treatment

  • In the European Union and the United States, tecovirimat is approved for the treatment of several poxviruses, including monkeypox.
    • Best Practice recommends tecovirimat or the smallpox treatment brincidofovir as the first line antiviral treatment if required,
      • alongside supportive care(including antipyretic, fluid balance and oxygenation).
      • Empirical antibiotic therapy or aciclovir may be used if secondary bacterial or varicella-zoster infection is suspected, respectively.

Tagged With: chickenpox, coronavirus, COVID-19, Dr. Jim Morrow, monkeypox, nigeria, smallpox, To Your Health, United Kingdom, vaccinations, Village Medical

Allergies

May 12, 2022 by John Ray

allergies
North Fulton Studio
Allergies
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Allergies (Episode 75, To Your Health with Dr. Jim Morrow)

On this episode of To Your Health, Dr. Jim Morrow discussed allergies, which can affect a lot of people in the Southeast U.S. He covered the symptoms, why you would not want to get an x-ray, the best treatments for allergic rhinitis, diagnosing food allergies, the use of an EpiPen and much more.

To Your Health is brought to you by Village Medical (formerly Morrow Family Medicine), which brings the care back to healthcare.

About Village Medical (formerly Morrow Family Medicine)

Village Medical, formerly Morrow Family Medicine, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Village Medical one that will remind you of the way healthcare should be.  At Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Village Medical, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook | LinkedIn | Twitter

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics.

Dr. Morrow’s Show Notes

Allergies

  • When you hear someone talk about having allergies, usually they mean rhinitis or upper respiratory symptoms (runny nose, watery eyes, itching eyes and ears and nose, sneezing).
  • Allergies also can be due to food, medications, animal dander or plants.

Allergic Rhinitis

  • The diagnosis of allergic rhinitis should be made when history and physical findings are consistent with an allergic cause
    • g., clear rhinorrhea,
    • pale discoloration of nasal mucosa,
    • red and watery eyes
    • and one or more of the following symptoms:
      • nasal congestion,
      • runny nose,
      • itchy nose,
      • or sneezing.
    • Individuals with allergic rhinitis should be assessed for the presence of associated conditions such as
      • asthma,
      • atopic dermatitis,
      • sleep-disordered breathing,
      • conjunctivitis,
      • rhinosinusitis,
      • and otitis media.
    • Specific testing (blood or skin) should be performed for patients with a clinical diagnosis of allergic rhinitis
    • who do not respond to empiric treatment,
    • or when diagnosis is uncertain,
    • or when determination of specific target allergen is needed.
  • Sinus imaging should not routinely be performed in patients presenting with symptoms consistent with allergic rhinitis.
  • Intranasal steroids should be prescribed for patients with allergic rhinitis whose symptoms affect quality of life.
  • Oral second-generation/less sedating antihistamines should be suggested for patients with allergic rhinitis and primary complaints of sneezing and itching.
  • Intranasal antihistamines may be prescribed for patients with
    • seasonal,
    • perennial,
    • or episodic allergic rhinitis.
  • Oral leukotriene receptor antagonists should not be prescribed as initial therapy for patients with AR.
  • Combination pharmacologic therapy may be prescribed for patients with allergic rhinitis who have inadequate response to monotherapy.
    • The most effective combination therapy is
      • an intranasal steroid
      • and an intranasal antihistamine.
    • Immunotherapy should be prescribed for patients with allergic rhinitis who have inadequate response to pharmacologic therapy.
    • Avoidance of known allergens or environmental control may be considered in patients with allergic rhinitis who have identified allergens that correlate with their clinical symptoms.

Allergy Testing

  • There are many types of allergies:
    • environmental,
    • foods,
    • drug,
  • An estimated 10% to 30% of the global population has an allergic disease.
  • Clinical presentations of allergic diseases, respiratory infections, and autoimmune conditions have similar features.
  • Allergy and immunologic testing can help clarify the diagnosis and guide treatment.
  • The allergens suspected in an allergy are identified through
    • antibody
    • or skin testing.
  • For patients with an inhalant allergy, skin testing is preferred.
  • In patients with food allergies, eliminating the suspected allergenic food from the diet is the initial treatment.
  • If this is ineffective, antibody or skin testing can exclude allergens.
  • Patients with an anaphylactic reaction to an insect sting should undergo specific antibody or skin testing.
  • Skin testing for penicillin can help when penicillin administration is indicated
    • and there are limited alternatives.
    • Testing for other drug allergies has less well-determined sensitivity and specificity,
      • but can guide the diagnosis.
    • Patch testing can help identify the allergen responsible for contact dermatitis.

Food Allergies

  • Patients with suspected food allergies are commonly seen in clinical practice.
  • Although up to 15 percent of parents believe their children have food allergies,
    • these allergies have been confirmed in only 1 to 3 percent of all Americans.
  • Family physicians must be able to separate true food allergies from
    • food intolerance,
    • food dislikes,
    • and other conditions that mimic food allergy.
  • The most common foods that produce allergic symptoms are
    • milk,
    • eggs,
    • seafood,
    • peanuts,
    • and tree nuts.
  • Although skin testing and blood assays may help in the evaluation of suspected food allergies,
    • they should not be performed unless the clinical history suggests a specific food allergen to which testing can be targeted.
  • Furthermore, these tests do not confirm food allergy.
    • Confirmation requires a positive food challenge
      • or a clear history of an allergic reaction to a food
      • and resolution of symptoms after eliminating that food from the diet.
    • More than 70 percent of children will outgrow milk and egg allergies by early adolescence,
      • whereas peanut allergies usually remain throughout life.
    • The most serious allergic response to food allergy is anaphylaxis.
      • It requires emergency care that should be initiated by the patient or family using an epinephrine auto-injector,
        • which should be carried by anyone with a diagnosed food allergy.
  • There are no recommended medications to prevent allergic reactions to food.
    • Allergen-specific immunotherapy or immunotherapy with cross-reacting allergens
      • is not recommended to treat food allergy.
    • Some environmental allergens cross-react with foods, such as:

 

ENVIRONMENTAL ALLERGEN                  CROSS-REACTIVE FOODS
Birch pollenCarrots, celery, fresh fruit (e.g., apples, cherries, nectarines, peaches, pears), hazelnuts, parsnips, potatoes
Grass pollenKiwi, tomatoes
Ragweed pollenBananas, melons (e.g., cantaloupe, honeydew, watermelon)

 

Nonallergic Rhinitis

  • Chronic nonallergic rhinitis encompasses a group of rhinitis subtypes
    • without allergic or infectious etiologies.
  • Although chronic nonallergic rhinitis represents about one-fourth of rhinitis cases and impacts 20 to 30 million patients in the United States,
    • its pathophysiology is unclear
    • and diagnostic testing is not available.
  • Characteristics such as no evidence of allergy or defined triggers help define clinical subtypes.
  • There are several subtypes with overlapping presentations, including:
    • nonallergic runny nose,
    • senile or geriatric rhinitis,
    • gustatory rhinitis,
    • drug-induced rhinitis,
    • hormonal rhinitis, and
    • occupational rhinitis.
  • Treatment is symptom-driven and similar to that of allergic rhinitis.
    • Patients should avoid known triggers when possible.
  • First-line therapies include
    • intranasal corticosteroids,
    • intranasal antihistamines,
    • and intranasal ipratropium (a drying agent).
  • Combination therapy with decongestants and first-generation antihistamines can be considered
    • if monotherapy does not adequately control symptoms.
  • Nasal irrigation and intranasal capsaicin may be helpful but need further investigation.

Tagged With: allergic rhinitis, allergies, asthma, congestion, Dr. Jim Morrow, epipen, Food allergies, To Your Health, Village Medical

Suicide Prevention: An Interview with Kristen Petillo, American Foundation for Suicide Prevention

March 24, 2022 by John Ray

Suicide Prevention
North Fulton Studio
Suicide Prevention: An Interview with Kristen Petillo, American Foundation for Suicide Prevention
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Suicide Prevention

Suicide Prevention: An Interview with Kristen Petillo, American Foundation for Suicide Prevention (Episode 72, To Your Health with Dr. Jim Morrow)

On this episode of To Your Health, Kristen Petillo, Area Director of the Georgia Chapter for the American Foundation for Suicide Prevention, joined Dr. Morrow to discuss suicide prevention. Ms. Petillo covered who is at risk, what the warning signs are, the mission of AFSP, their current initiatives, and much more. To Your Health is brought to you by Village Medical (formerly Morrow Family Medicine), which brings the care back to healthcare.

American Foundation for Suicide Prevention

Established in 1987, the American Foundation for Suicide Prevention (AFSP) is a voluntary health organization that gives those affected by suicide a nationwide community empowered by research, education, and advocacy to take action against this leading cause of death.

AFSP is dedicated to saving lives and bringing hope to those affected by suicide. Led by CEO Robert Gebbia and headquartered in New York, and with a public policy office in Washington, D.C., AFSP has local chapters in all 50 states with programs and events nationwide.

AFSP celebrates 30 years of service to the suicide prevention movement.

Company website | Facebook | Instagram | Twitter

Kristen Petillo, Area Director, Georgia Chapter, American Foundation for Suicide Prevention

Kristen Petillo, Area Director, Georgia Chapter, American Foundation for Suicide Prevention

Kristen is a former New Yorker with 20+ years in the health and human services/non-profit space.

Kristen enjoys connecting with community and creating opportunities to empower and uplift others.
When she is not representing AFSP, Kristen can be found spending time with her husband of 21 years and their son, Jack, a senior in High School. Together, they enjoy a life filled with family, friends, travel, and endurance events.

LinkedIn

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of “To Your Health with Dr. Jim Morrow”

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in the area of healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of “To Your Health with Dr. Jim Morrow” addresses a wide range of health and wellness topics, and can be found at www.toyourhealthradio.com.

Tagged With: AFSP, American Foundation for Suicide Prevention, Dr. Jim Morrow, Kristen Petillo, Project 2025, Suicide, Suicide prevention, To Your Health, Village Medical

When Medicines Fight Back: Allergies and Anaphylaxis

March 10, 2022 by John Ray

Allergies
North Fulton Studio
When Medicines Fight Back: Allergies and Anaphylaxis
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Allergies

When Medicines Fight Back:  Allergies and Anaphylaxis (Episode 71, To Your Health with Dr. Jim Morrow)

On this episode of To Your Health, Dr. Jim Morrow, speaking from his own personal experience, covered allergies and anaphylaxis–a severe allergic reaction–caused by a reaction to medication. Dr. Morrow talked about the antibodies that create a response, not to take a “wait and see” approach, carrying epi-pens, substances that cause allergic reactions, asthma, how to prevent anaphylaxis, and much more. He and producer John Ray also announced that there is now a phone line listeners can use to call in questions for Dr. Morrow. The number is 404-530-9691. Leave your name and question, and Dr. Morrow will address it on the show. You can also leave ideas for show topics. To Your Health is brought to you by Morrow Family Medicine, a Member of Village Medical, which brings the care back to healthcare.

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics and can be found at www.toyourhealthradio.com.

Dr. Morrow’s Show Notes

Allergic Reactions

  • An allergy occurs when the body overreacts to an allergen or ‘trigger’ that is typically harmless to most people.
    • Examples of allergies include
      • hay fever,
      • asthma,
      • eczema,
      • hives
      • and food allergy.
      • Estimates suggest that about one person in four is allergic to something and roughly half of all allergy sufferers are children.
      • The symptoms of an allergy range from mild to severe.
      • The most severe type of allergic reaction is anaphylaxis, which may cause death without prompt medical attention.
      • In most cases, effective treatments are available to manage or treat allergy symptoms.

Symptoms of allergies

  • Symptoms depend on the allergy, but may include:
    • Swelling of lips, face, eyes.
    • Runny nose.
    • Red, watery and itchy eyes.
    • Wheeze or persistent cough.
    • Breathing problems.
    • Swelling tongue and tightness of throat.
    • Skin rash.
    • Stomach pains.
    • Vomiting and diarrhea.
  • Do not self-diagnose. The symptoms and signs of allergies are common to many other medical conditions. It is important to see your doctor for professional diagnosis and treatment.

Common allergens

  • A substance in the environment that can cause an allergic reaction in susceptible people is called an ‘allergen’.
    • There are many different allergens, but they all share one thing in common – protein.
    • Some allergens don’t contain protein to begin with, but bind with protein once inside the body to provoke the allergic reaction.
  • Common allergens include:
    • Food – such as crustaceans, eggs, fish, milk, peanuts, tree nuts (for example, almonds, cashews, pecans and walnuts), sesame and soy products.
    • Plants – pollen from grasses and plants.
    • Medicines – including prescription medications (such as penicillin), over-the-counter medicines (such as aspirin) and herbal preparations.
    • Insects – such as dust mites and the venom from bees, ticks, ants and wasps.
    • Molds – such as mushroom and mould spores.
    • Animal dander – such as the fur and skin flakes from domestic pets such as cats and dogs.
    • Chemicals – including industrial and household chemicals and chemical products such as latex rubber.

The immune system reaction

  • Allergy is the result of mistaken identity.
    • An allergen enters the body and is wrongly identified by the immune system as a dangerous substance.
    • In response, the immune system makes antibodies to attack the allergen. These are specific antibodies of the IgE (immunoglobulin E) class.
    • When an allergen is found, IgE antibodies trigger a cascade of immune system reactions,
      • including the release of chemicals known as mast cell chemicals.
      • These are substances that the body normally uses to destroy micro-organisms.
      • The most common of these is histamine.
        • In small amounts, histamine causes itching and reddening of the local area.
        • In large amounts, the nearby blood vessels become dilated and the area swells with accumulated fluid.
        • The immune system’s tendency to overreact to a harmless substance is thought to be genetic.
          • The term ‘atopy’ describes this genetic tendency.
          • Doctors describe a person who has an allergy as being ‘atopic’ – such people usually have raised levels of IgE in their blood.

What Is Anaphylaxis?

  • Anaphylaxis is a serious allergic reaction that is rapid in onset and may cause death.
  • Symptoms usually involve more than one organ system (part of the body), such as the skin or mouth, the lungs, the heart and the gut.
  • Some symptoms include:
  • Skin rashes, itching or hives
  • Swelling of the lips, tongue or throat
  • Shortness of breath, trouble breathing or wheezing (whistling sound during breathing)
  • Dizziness and/or fainting
  • Stomach pain, bloating, vomiting or diarrhea
  • Uterine cramps
  • Feeling like something awful is about to happen
  • Ask your doctor for a complete list of symptoms and an anaphylaxis action plan.
    • Anaphylaxis must be treated right away to provide the best chance for improvement and prevent serious, potentially life-threatening complications.

What Is the Treatment for Anaphylaxis?

  • Epinephrine is the most important treatment available.
    • Always carry two epinephrine auto-injectors so you can quickly treat a reaction wherever you are.
  • Promptly inject the medicine at the first sign of an anaphylactic reaction. 
    • Consider carrying your anaphylaxis action plan along with your auto-injectors.
  • Call 911 to go to a hospital by ambulance. You must seek medical care immediately– even if you feel better – because symptoms can recur.
  • You may need other treatments, in addition to epinephrine.

What Causes Anaphylaxis?

  • An allergy occurs when the body’s immune system sees something as harmful and reacts.
    • Your immune system tries to remove or isolate the trigger.
    • The result is symptoms such as vomiting or swelling.
    • The most common triggers of anaphylaxis are allergens.
    • Medicines, foods, insect stings and bites, and latex most often cause severe allergic reactions.
  • Medicines are the leading cause in adults
    Common culprits are penicillin and other antibiotics, aspirin and aspirin-related products and insulin.
  • Foods are the leading cause in children
    In the U.S., the most common food allergies are

    • peanuts,
    • tree nuts,
    • shellfish,
    • fish,
    • milk,
    • eggs,
    • soy
    • and wheat.
    • These are the “top 8 allergens.” In children, the most common food allergies are milk, eggs, peanuts, soy and wheat. In adults, the most common food allergies are shellfish, tree nuts and peanuts.
  • Insect stings and bites
    • Stinging insects such as bees, wasps, hornets, yellow jackets and fire ants can cause anaphylaxis.
    • Certain tick bites can cause a person to develop severe allergic reactions to meat.
  • Latex
    • Natural rubber latex may cause a mild skin irritation or it can trigger a severe allergic reaction.
      • Direct contact with latex items (latex gloves, condoms and balloons) can cause a reaction.
      • Inhaling small latex particles that have become airborne can trigger latex allergy.
      • Putting on and removing latex gloves can release small latex particles into the air.
    • Physical activity
      • Exercise-induced anaphylaxis is a rare allergic reaction that occurs after vigorous physical activity.
        • Temperature, seasonal changes, drugs, alcohol or eating certain foods before exercise may be co-factors.
        • In other words, both exercise and this other factor have to be present for a person to have the severe allergic reaction.
      • With proper evaluation, allergists identify most causes of anaphylaxis.
        • Some people have allergic reactions without any known exposure to common allergens.
          • If an allergist cannot identify a trigger, the condition is idiopathic anaphylaxis.

How Can I Tell the Difference Between

Anaphylaxis and Asthma?

  • People with asthma often have allergies as well.
    • This puts them at higher risk of developing anaphylaxis, which also can cause breathing problems.
    • For that reason, it is important to manage your asthma well.
    • Some of the symptoms of a severe allergic reaction or a severe asthma attack may seem similar.
    • A helpful clue to tell the these apart is that anaphylaxis may closely follow ingestion of a medication, eating a specific food, or getting stung or bitten by an insect.
  • If you are unsure if it is anaphylaxis or asthma:
  • Use your epinephrine auto-injector first (it treats both anaphylaxis and asthma).
  • Then use your asthma relief inhaler (e.g. albuterol).
  • Call 911 and go to the hospital by ambulance.

What Can I Do to Prevent Anaphylaxis?

  • Know your allergens.An accurate diagnosis is important. An allergist can help you create a plan to keep you safe.
  • Avoid your allergens.
    • If you have a drug allergy, be familiar with both the generic name and brand names of medicines that cause you to have a severe allergic reaction.
      • And be aware of ingredients in a combination product.
      • Become familiar with medicines that might cause a cross-reaction. Read drug information carefully.
    • If you have a food allergy, be careful about everything you eat.
      • Check ingredients on all food labels. Wash hands, and use clean surfaces and utensils to prepare food.
      • Ask restaurant staff how they prepare foods
    • If you react to insect stings or exercise, talk to your doctor about how to avoid these reactions.
  • Carry your epinephrine auto-injectors with you at all times.This is very important and can save your life or the life of a loved one.
  • Prepare with a plan.Have your doctor help you create an anaphylaxis action plan.
  • Talk to your doctor and caregivers.Make sure they know the names of any medications you are allergic to and what symptoms you had when you took them. Give them a list of every drug you take. Some common medicines, like beta-blockers, can worsen anaphylaxis.
  • Wear a medical ID bracelet or necklace.It lets others know of your allergy in an emergency. Also, keep a card in your wallet or purse that explains your allergy.

Who Is At Risk for Anaphylaxis? 

  • People who have experienced anaphylaxis before
  • People with allergies to foods, insect stings, medicine and other triggers

If you are at-risk:

  • Keep your epinephrine auto-injectors on-hand at all times and be ready to use them if an emergency occurs.
  • Talk with your doctor about your triggers and your symptoms. Your doctor may tell you to see an allergist. An allergist can help you identify your allergies and learn to manage your risk of severe reactions.
  • Ask your doctor for an anaphylaxis action plan. This will help you know what to do if you experience anaphylaxis.

Credit to www.aafp.org

Tagged With: allergens, allergic reactions, allergies, anaphylactic shock, anaphylaxis, Dr. Jim Morrow, immune system, To Your Health, Village Medical

Atrial Fibrillation

February 11, 2022 by John Ray

Atrial Fibrillation
North Fulton Studio
Atrial Fibrillation
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Atrial Fibrillation

Atrial Fibrillation (Episode 69, To Your Health with Dr. Jim Morrow)

Recalling his wife’s transient ischemic attack (TIA) several months ago in the middle of the night, Dr. Jim Morrow says the ultimate diagnosis was Atrial Fibrillation. Dr. Morrow describes the symptoms, but notes that some people do not experience symptoms and sometimes have events, such as a TIA, which point to atrial fibrillation. Because of the risk of blood clots, he stresses the need to check all symptoms that may arise without delay, discusses treatments, and much more. To Your Health is brought to you by Morrow Family Medicine, a Member of Village Medical, which brings the care back to healthcare.

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics and can be found at www.toyourhealthradio.com.

Dr. Morrow’s Show Notes

Atrial Fibrillation

  • Atrial fibrillation (A-fib) is an irregular and often very rapid heart rhythm (arrhythmia) that can lead to blood clots in the heart.
    • A-fib increases the risk of stroke, heart failure and other heart-related complications.
  • During atrial fibrillation, the heart’s upper chambers (the atria) beat chaotically and irregularly —
    • out of sync with the lower chambers (the ventricles) of the heart.
    • For many people, A-fib may have no symptoms.
      • However, A-fib may cause a fast, pounding heartbeat (palpitations), shortness of breath or weakness.
    • Episodes of atrial fibrillation may come and go, or they may be persistent.
      • Although A-fib itself usually isn’t life-threatening, it’s a serious medical condition that requires proper treatment to prevent stroke.
    • Treatment for atrial fibrillation may include medications, therapy to reset the heart rhythm and catheter procedures to block faulty heart signals.
    • A person with atrial fibrillation may also have a related heart rhythm problem called atrial flutter.
      • Although atrial flutter is a different arrhythmia, the treatment is quite similar to atrial fibrillation.

Symptoms

  • Some people with atrial fibrillation (A-fib) don’t notice any symptoms. Those who do have atrial fibrillation symptoms may have signs and symptoms such as:
    • Sensations of a fast, fluttering or pounding heartbeat (palpitations)
    • Chest pain
    • Dizziness
    • Fatigue
    • Lightheadedness
    • Reduced ability to exercise
    • Shortness of breath
    • Weakness
  • Atrial fibrillation may be:
    • Occasional (paroxysmal atrial fibrillation).
      • A-fib symptoms come and go,
        • usually lasting for a few minutes to hours.
        • Sometimes symptoms occur for as long as a week and episodes can happen repeatedly.
        • Symptoms might go away on their own. Some people with occasional A-fib need treatment.
    • Persistent.
      • With this type of atrial fibrillation, the heart rhythm doesn’t go back to normal on its own.
        • If a person has A-fib symptoms, cardioversion or treatment with medications may be used to restore and maintain a normal heart rhythm.
    • Long-standing persistent.
      • This type of atrial fibrillation is continuous and lasts longer than 12 months.
    • Permanent.
      • In this type of atrial fibrillation, the irregular heart rhythm can’t be restored.
        • Medications are needed to control the heart rate and to prevent blood clots.

When to see a doctor

  • If you have any signs or symptoms of atrial fibrillation, make an appointment with your doctor.
  • If you have chest pain, seek immediate medical help.
    • Chest pain could mean that you’re having a heart attack.

Causes

  • To understand the causes of A-fib, it may be helpful to know how the heart typically beats.
  • The typical heart has four chambers —
    • two upper chambers (atria) and two lower chambers (ventricles).
    • Within the upper right chamber of the heart (right atrium) is a group of cells called the sinus node.
    • The sinus node is the heart’s natural pacemaker.
      • It produces the signal that starts each heartbeat.
    • In a regular heart rhythm:
    • The signal travels from the sinus node through the two upper heart chambers (atria).
    • The signal passes through a pathway between the upper and lower chambers called the atrioventricular (AV) node.
    • The movement of the signal causes your heart to squeeze (contract), sending blood to your heart and body.
  • In atrial fibrillation,
    • the signals in the upper chambers of the heart are chaotic.
      • As a result, the upper chambers shake (quiver).
      • The AV node is then bombarded with signals trying to get through to the lower heart chambers (ventricles).
      • This causes a fast and irregular heart rhythm.
    • The heart rate in atrial fibrillation may range from 100 to 175 beats a minute.
      • The normal range for a heart rate is 60 to 100 beats a minute.

Causes of atrial fibrillation

  • Problems with the heart’s structure are the most common cause of atrial fibrillation.
  • Other possible causes of A-fib include:
    • Coronary artery disease
    • Heart attack
    • Heart defect that you’re born with (congenital heart defect)
    • Heart valve problems
      • High blood pressure
  • Lung diseases
    • Physical stress due to surgery, pneumonia or other illnesses
    • Previous heart surgery
    • Problem with the heart’s natural pacemaker (sick sinus syndrome)
    • Sleep apnea
    • Thyroid disease such as an overactive thyroid (hyperthyroidism) and other metabolic imbalances
    • Use of stimulants, including certain medications, caffeine, tobacco and alcohol
    • Viral infections
  • Some people who have A-fib have no known heart problems or heart damage.

Risk factors

  • Things that can increase the risk of atrial fibrillation (A-fib) include:
    • Age. The older a person is, the greater the risk of developing A-fib.
    • Heart disease. Anyone with heart disease — such as heart valve problems, congenital heart disease, congestive heart failure, coronary artery disease, or a history of heart attack or heart surgery — has an increased risk of atrial fibrillation.
    • High blood pressure. Having high blood pressure, especially if it’s not well controlled with lifestyle changes or medications, can increase the risk of atrial fibrillation.
      • Thyroid disease. In some people, thyroid problems may trigger heart rhythm problems (arrhythmias), including atrial fibrillation.
  • Other chronic health conditions. People with certain chronic conditions such as diabetes, metabolic syndrome, chronic kidney disease, lung disease or sleep apnea have an increased risk of atrial fibrillation.
    • Drinking alcohol. For some people, drinking alcohol can trigger an episode of A-fib. Binge drinking further increases the risk.
    • Obesity. People who have obesity are at higher risk of developing atrial fibrillation.
    • Family history. An increased risk of atrial fibrillation occurs in some families.

 

Complications

  • Blood clots are a dangerous complication that can lead to stroke.
    • In atrial fibrillation, the chaotic heart rhythm can cause blood to collect in the heart’s upper chambers (atria) and form clots.
      • If a blood clot in the left upper chamber (left atrium) breaks free from the heart area, it can travel to the brain and cause a stroke.
    • The risk of stroke from A-fib increases as you grow older. Other health conditions also may increase your risk of a stroke due to A-fib, including:
    • High blood pressure
    • Diabetes
    • Heart failure
    • Some valvular heart disease
  • Blood thinners are commonly prescribed to prevent blood clots and strokes in people with atrial fibrillation.

Prevention

  • Healthy lifestyle choices can reduce the risk of heart disease and may prevent atrial fibrillation.
  • Here are some basic heart-healthy tips:
    • Eat a nutritious diet
    • Get regular exercise and maintain a healthy weight
    • Don’t smoke
    • Avoid or limit alcohol and caffeine
    • Manage stress, as intense stress and anger can cause heart rhythm problems 

 

Tagged With: Atrial Fibrillation, blood clots, Dr. Jim Morrow, Stroke, TIA, To Your Health, transient ischemic attack, Village Medical

Seasonal Affective Disorder

December 9, 2021 by John Ray

Seasonal Affective Disorder
North Fulton Studio
Seasonal Affective Disorder
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Seasonal Affective DisorderSeasonal Affective Disorder (Episode 66, To Your Health with Dr. Jim Morrow)

Dr. Jim Morrow, Host of To Your Health, revisits Seasonal Affective Disorder (SAD). He discusses what causes it, how it is diagnosed, and how to treat it. He mentions light therapy, behavioral therapy, medication, and lifestyle changes, as well as advice for how to live with Seasonal Affective Disorder. To Your Health is brought to you by Morrow Family Medicine, a Member of Village Medical, which brings the care back to healthcare.

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics and can be found at www.toyourhealthradio.com.

Dr. Morrow’s Show Notes

What is Seasonal Affective Disorder?

  • Seasonal affective disorder (SAD) is a type of depression that is triggered by the seasons of the year
    • Symptoms usually begin in late fall or early winter
    • People with SAD usually feel better in the spring and summer
    • It is thought that SAD is related to changes in the amount of daylight during different times of the year
    • Some people have SAD with depressive episodes in the summer instead of winter
      • This is much less common

 

How common is SAD?

  • Between 4% and 6% of people in the United States suffer from SAD
  • Another 10% to 20% may experience it in a milder form
  • SAD is more common in women than in men
  • Some children and teenagers get SAD.  But it usually doesn’t start in people younger than 20 years of age.
  • The risk of SAD decreases for adults as they age
  • SAD is more common in northern regions of the United States
    • Winters are typically longer and harsher there
    • There is also less sunlight because they are farther away from the equator

Symptoms of SAD

  •  Not everyone who has SAD experiences the same symptoms
    • Common symptoms of winter-onset SAD include:
      • change in appetite, especially craving sweet or starchy foods
      • weight gain
      • fatigue
      • sleeping more than normal
      • difficulty concentrating
      • irritability and anxiety
      • increased sensitivity to rejection
      • avoidance of social situations
      • loss of interest in the activities you used to enjoy
      • feelings of guilt or hopelessness
      • physical problems, such as headaches

 

  • Symptoms of summer-onset SAD include:
  • loss of appetite
  • weight loss
  • insomnia
  • irritability and anxiety
  • agitation

 

  • Symptoms of SAD tend to come back year after
    • They usually come and go at about the same time every year
    • If you think this could be happening to you, call your family doctor.

 

What causes SAD?

  • In most cases, SAD seems to be related to the loss of sunlight in the fall and winter
  • Researchers have found that reduced sunlight can affect the body in ways that could contribute to SAD. These include:

o    Circadian rhythm (biological clock) –

  • The decrease in sunlight could disrupt your body’s natural rhythms
  • This could lead to feelings of depression

o    Serotonin levels –

  • Serotonin is a brain chemical that affects your mood
  • Reduced sunlight could cause serotonin levels to drop
  • This could trigger depression

o    Melatonin levels –

  • Melatonin is a brain chemical that regulates sleep
  • More darkness causes the body to produce more melatonin
  • More melatonin could make you feel more tired and lethargic
  • These are common symptoms of depression

o    Vitamin D levels –

  • It is believed that vitamin D plays a role in serotonin levels
  • Much of the vitamin D we get is from the sun
  • Less sunlight could lead to a deficiency in vitamin D
  • This can cause depression symptoms

 

Some people have a higher risk of developing SAD Factors that increase risk include:

o    Being female.

  • Four times as many women are diagnosed with SAD than men

o    Living far from the equator.

  • In the United States, living farther north increases your risk
  • These areas get less sunlight in fall and winter

o    Family history.

  • Having family members with SAD or other forms of depression increases your risk

o    Having depression or bipolar disorder.

  • If you have one of these conditions, your symptoms may worsen with the seasons

o    Young age.

  • SAD is more common among younger adults
  • It has been reported in teens and children
  • Your chances of getting it decrease as you get older

 

How is SAD diagnosed?

  • Your doctor will ask you about your symptoms, thoughts, feelings, and behavior
  • He or she may perform a physical exam
  • They may request lab tests to rule out other conditions that cause symptoms similar to SAD
  • They may refer you to a specialist to diagnose your condition
  • This could be a psychologist or a psychiatrist.

 

Can SAD be prevented or avoided?

  • There’s not much you can do to avoid getting SAD
    • But you can take steps to manage it so your symptoms don’t get worse
    • Some people start treatment before their symptoms start
    • They also continue treatment past the time that their symptoms normally go away
    • Others need continuous treatment to control their symptoms

 

SAD treatment

  • The three main ways SAD is treated are with light therapy, behavioral therapy, or medicine
  • Your doctor may want to combine therapies if using one does not work for you

 

ï      Light therapy

  • Light therapy is designed to make up for the lack of sunlight during the fall and winter
    • It has been used to treat SAD since the 1980s.
    • You will sit in front of a special light box every
    • The box emits a bright white light that mimics natural sunlight
  • It seems to make a change in brain chemicals that regulate your mood
  • The amount of time you sit in front of the light box depends on the strength of the light
  • It is usually between 20 and 60 minutes
  • There are other types of light therapy
    • Instead of sitting in front of a box, you can wear a visor that emits light
    • Another kind is a “dawn  simulator”
      • This light turns on early in the morning in your bedroom
      • It mimics a natural sunrise and gradually increases in brightness
      • This allows you to wake up naturally, without using an alarm
    • If light therapy helps, you’ll continue it until enough sunlight returns
      • This usually happens in spring
      • Stopping light therapy too soon can result in a return of symptoms
    • When used properly, light therapy seems to have very few side effects
    • Some side effects include eyestrain, headache, fatigue, and irritability
    • If you use it too late in the day, you could have trouble sleeping
    • Talk to your doctor before starting light therapy if you have:
      • bipolar disorder
      • skin that is sensitive to sunlight
      • conditions that make your eyes vulnerable to sunlight
    • Tanning beds should not be used to treat SAD
      • The light sources in tanning beds are high in ultraviolet (UV)
        • These harm your eyes and your skin
        • They also cause skin cancer

 

ï      Behavioral therapy

  • Talk therapy or behavioral therapy can help you identify negative thoughts
  • Then you replace those with more positive thoughts
  • Therapy can help you learn healthy ways to manage your symptoms of SAD
  • You can also learn how to manage stress

 

ï      Medicines

  • Your doctor might recommend you take medicine to help with your symptoms, especially if they are severe
  • Selective Serotonin Reuptake Inhibitors (SSRIs) are often used to treat depression
  • Some have been approved to treat SAD specifically
  • You may have to take the medicine for several weeks before you feel
  • You may have to try more than one medicine to find the one that works best for you
  • You can also make lifestyle changes that can help your symptoms
  • Let as much natural light as possible into your home or
    • Open blinds, sit close to windows, and keep your environments as bright as possible
    • Get outside when you
      • Even if it’s cold or cloudy, the light can still benefit
      • Keep physically active
        • Exercise and activity boost endorphins and relieve stress
        • Both of these can keep you feeling better

 

Living with SAD

The keys to living with SAD are to plan ahead and to manage your symptoms.

ï        Follow your treatment plan.

  • This includes going to appointments, taking medicines, and following up if things aren’t working

ï        Take care of your body.

  • Eat healthy foods and get enough sleep
  • Exercise has been shown to have the same effect on depression as antidepressants

ï        Have a plan.

  • Know what you will do when your depression symptoms start to get worse
  • Watch for early signs and take action before you feel bad

ï        Don’t turn to alcohol or drugs.

  • They make depression worse
  • They can also have negative reactions with antidepressants

ï        Manage stress.

  • You can’t avoid stress, so you have to learn to manage it
  • Talk to a counselor or read about ways to handle stress better

ï        Don’t isolate.

  • It’s harder to be social when you’re depressed
  • But being alone can make you feel worse
  • Try to reach out as much as you can

ï        Start treatment early.

  • If you know your symptoms usually start in October, start your treatments in September, before symptoms start
  • You might be able to prevent. them

ï        Plan ahead.

  • Some people purposely plan their lives to be very busy during the time they normally feel down
    • This helps prevent them from “hiding out” at home, because they have already made committments

ï        Take a trip.

  • Plan a trip to a warmer, sunnier climate during the winter
  • The positive feelings will extend before, during, and after your trip

Tagged With: Dr. Jim Morrow, Morrow Family Medicine, SAD, seasonal affective disorder, To Your Health, Village Medical

Preventing Falls and Fractures

July 15, 2021 by John Ray

preventing falls and fractures
North Fulton Studio
Preventing Falls and Fractures
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Falling

Preventing Falls and Fractures – Episode 59, To Your Health with Dr. Jim Morrow

On this episode of To Your Health, Dr. Jim Morrow discussed preventing falls and fractures associated with those falls. The risks associated with falls go beyond the fall itself and can lead to other health and mobility problems, particularly for the elderly.  To Your Health is brought to you by Morrow Family Medicine, which brings the care back to healthcare.

About Morrow Family Medicine, A Member of Village Medical

Morrow Family Medicine, a Member of Village Medical, is an award-winning, state-of-the-art family practice with offices in Cumming and Milton, Georgia. The practice combines healthcare information technology with old-fashioned care to provide the type of care that many are in search of today. Two physicians, three physician assistants and two nurse practitioners are supported by a knowledgeable and friendly staff to make your visit to Morrow Family Medicine, A Member of Village Medical one that will remind you of the way healthcare should be.  At Morrow Family Medicine, a Member of Village Medical, we like to say we are “bringing the care back to healthcare!”  The practice has been named the “Best of Forsyth” in Family Medicine in all five years of the award, is a three-time consecutive winner of the “Best of North Atlanta” by readers of Appen Media, and the 2019 winner of “Best of Life” in North Fulton County.

Village Medical offers a comprehensive suite of primary care services including preventative care, treatment for illness and injury, and management of chronic conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disease (COPD) and kidney disease. Atlanta-area patients can learn more about the practice here.

Dr. Jim Morrow, Morrow Family Medicine, and Host of To Your Health with Dr. Jim Morrow

Covid-19 misconceptionsDr. Jim Morrow is the founder and CEO of Morrow Family Medicine. He has been a trailblazer and evangelist in the area of healthcare information technology, was named Physician IT Leader of the Year by HIMSS, a HIMSS Davies Award Winner, the Cumming-Forsyth Chamber of Commerce Steve Bloom Award Winner as Entrepreneur of the Year and he received a Phoenix Award as Community Leader of the Year from the Metro Atlanta Chamber of Commerce.  He is married to Peggie Morrow and together they founded the Forsyth BYOT Benefit, a charity in Forsyth County to support students in need of technology and devices. They have two Goldendoodles, a gaggle of grandchildren and enjoy life on and around Lake Lanier.

Facebook: https://www.facebook.com/MorrowFamMed/

LinkedIn: https://www.linkedin.com/company/7788088/admin/

Twitter: https://twitter.com/toyourhealthMD

The complete show archive of To Your Health with Dr. Jim Morrow addresses a wide range of health and wellness topics, and can be found at www.toyourhealthradio.com.

Show Notes

Preventing Falls and Fractures

  • A simple thing can change your life—
    • like tripping on a rug or slipping on a wet floor.
    • If you fall, you could break a bone,
      • like thousands of older men and women do each year.
      • For older people, a break can be the start of more serious problems,
      • such as a trip to the hospital, injury, or even disability.
    • If you or an older person you know has fallen, you’re not alone.
      • More than one in three people age 65 years or older falls each year.
        • The risk of falling—and fall-related problems—rises with age.

 

Many Older Adults Fear Falling

  • The fear of falling becomes more common as people age,
    • even among those who haven’t fallen.
    • It may lead older people to avoid activities such as
      • walking,
      • shopping,
      • or taking part in social activities.
  • But don’t let a fear of falling keep you from being active.
    • Overcoming this fear can help you stay active,
      • maintain your physical health,
      • and prevent future falls.
    • Doing things like
      • getting together with friends,
      • gardening,
      • walking,
      • or going to the local senior center helps you stay healthy.
      • The good news is, there are simple ways to prevent most falls.

 

Causes and Risk Factors for Falls

  • Many things can cause a fall.
    • Your eyesight,
    • hearing,
    • and reflexes
      • might not be as sharp as they were when you were younger.
    • Diabetes,
      • heart disease,
      • or problems with your
      • thyroid,
      • nerves,
      • feet,
      • or blood vessels
        • can affect your balance.
        • Some medicines can cause you to feel dizzy or sleepy, making you more likely to fall.
        • Other causes include safety hazards in the home or community environment.
      • Scientists have linked several personal risk factors to falling,
        • including muscle weakness,
        • problems with balance and gait,
        • and blood pressure that drops too much when you get up from lying down or sitting (called postural hypotension).
        • Foot problems that cause pain
          • and unsafe footwear, like backless shoes or high heels,
            • can also increase your risk of falling.
  • Confusion can sometimes lead to falls.
    • For example, if you wake up in an unfamiliar environment, you might feel unsure of where you are.
    • If you feel confused, wait for your mind to clear or until someone comes to help you before trying to get up and walk around.
  • Some medications can increase a person’s risk of falling because they cause side effects like dizziness or confusion.
    • The more medications you take, the more likely you are to fall.

 

Take the Right Steps to Prevent Falls

  • If you take care of your overall health,
    • you may be able to lower your chances of falling.
    • Most of the time, falls and accidents don’t “just happen.”
    • Here are a few tips to help you avoid falls and broken bones:
      • Stay physically active.
        • Plan an exercise program that is right for you.
        • Regular exercise improves muscles and makes you stronger. I
        • t also helps keep your joints, tendons, and ligaments flexible.
        • Mild weight-bearing activities,
          • such as walking
          • or climbing stairs,
            • may slow bone loss from osteoporosis.
  • Have your eyes and hearing tested.
    • Even small changes in sight and hearing may cause you to fall.
    • When you get new eyeglasses or contact lenses, take time to get used to them.
      • Always wear your glasses or contacts when you need them.
      • If you have a hearing aid, be sure it fits well and wear it.
  • Find out about the side effects of any medicine you take.
    • If a drug makes you sleepy or dizzy, tell your doctor or pharmacist.
  • Get enough sleep.
    • If you are sleepy, you are more likely to fall.
  • Limit the amount of alcohol you drink.
    • Even a small amount of alcohol can affect your balance and reflexes.
    • Studies show that the rate of hip fractures in older adults increases with alcohol use
  • Stand up slowly.
    • Getting up too quickly can cause your blood pressure to drop.
    • That can make you feel wobbly.
    • Get your blood pressure checked when lying and standing.
  • Use an assistive device if you need help feeling steady when you walk.
    • Appropriate use of canes and walkers can prevent falls.
      • If your doctor tells you to use a cane or walker,
        • make sure it is the right size for you and the wheels roll smoothly.
        • This is important when you’re walking in areas you don’t know well or where the walkways are uneven.
        • A physical or occupational therapist can help you decide which devices might be helpful and teach you how to use them safely.
  • Be very careful when walking on wet or icy surfaces.
    • They can be very slippery!
    • Try to have sand or salt spread on icy areas by your front or back door.
  • Wear non-skid, rubber-soled, low-heeled shoes, or lace-up shoes with non-skid soles that fully support your feet.
    • It is important that the soles are not too thin or too thick.
    • Don’t walk on stairs or floors in socks or in shoes and slippers with smooth soles.
  • Always tell your doctor if you have fallen since your last checkup, even if you aren’t hurt when you fall.
    • A fall can alert your doctor to a new medical problem or problems with your medications or eyesight that can be corrected.
    • Your doctor may suggest physical therapy, a walking aid, or other steps to help prevent future falls.

 

What to Do If You Fall

  • Whether you are at home or somewhere else, a sudden fall can be startling and upsetting.
    • If you do fall, stay as calm as possible.
  • Take several deep breaths to try to relax.
    • Remain still on the floor or ground for a few moments.
    • This will help you get over the shock of falling.
  • Decide if you are hurt before getting up.
    • Getting up too quickly or in the wrong way could make an injury worse.
  • If you think you can get up safely without help,
    • roll over onto your side.
    • Rest while your body and blood pressure adjust.
    • Slowly get up on your hands and knees,
      • and crawl to a sturdy chair.
    • Put your hands on the chair seat and slide one foot forward so that it is flat on the floor.
    • Keep the other leg bent so the knee is on the floor.
    • From this kneeling position, slowly rise and turn your body to sit in the chair.
  • If you are hurt or cannot get up on your own,
    • ask someone for help or call 911.
    • If you are alone, try to get into a comfortable position and wait for help to arrive.
  • Carrying a mobile or portable phone with you as you move about your house could make it easier to call someone if you need assistance.
    • An emergency response system, which lets you push a button on a special necklace or bracelet to call for help, is another option.

 

Keep Your Bones Strong to Prevent Falls

  • Falls are a common reason for trips to the emergency room and for hospital stays among older adults.
    • Many of these hospital visits are for fall-related fractures.
  • You can help prevent fractures by keeping your bones strong.
    • Having healthy bones won’t prevent a fall,
      • but if you fall, it might prevent breaking a hip or other bone,
        • which may lead to a hospital or nursing home stay, disability, or even death.
        • Getting enough calcium and vitamin D can help keep your bones strong.
        • So can physical activity.
        • Try to get at least 150 minutes per week of physical activity.
  • Other ways to maintain bone health include
    • quitting smoking
    • and limiting alcohol use,
      • which can decrease bone mass and increase the chance of fractures.
    • Also, try to maintain a healthy weight.
    • Being underweight increases the risk of bone loss and broken bones.
  • Osteoporosis is a disease that makes bones weak and more likely to break.
    • For people with osteoporosis, even a minor fall may be dangerous.
    • Talk to your doctor about osteoporosis.

Credit:  cdc.gov

Tagged With: Dr. Jim Morrow, elderly, fractures, Morrow Family Medicine, Preventing falls, To Your Health, Villagel Medical

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