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Spiders and Bees and Bugs, Oh My! Treating insect bites and stings

Another beautiful Seattle summer is just around the corner.  As we stare out windows and wait for our long days of sunshine to begin, know this – the bugs are doing the same thing!  Any day now all our biting, stinging, and pinching friends will begin to appear.  Make sure you prevent bites with insect repellants.  The American Academy of Pediatrics recommends using repellants containing 30% or less of DEET for all children older than 2 months of age.  But if a bite happens, arm yourself (and your medicine cabinet) with a treatment plan to get your kids back outside ASAP.
 
Treatment for ...

National Stress Awareness Month-Managing stress with multiple sclerosis

April is National Stress Awareness Month so it seems appropriate to look at the impact of stress on people living with MS and to become more aware of what one can do to better manage one’s reaction to the inevitable stressors in life.
 
There is a growing body of research that suggests there is an association between stress and an increased risk of MS exacerbations and the development of new lesions in patients with MS.  A group of Dutch researchers followed 73 patients with RRMS and found that those patients who reported a major stressful event were 2.2 times more likely to have an MS exacerbation in the following four weeks.  In 2006, a group of U.S. researchers followed 36 people with MS and found that after experiencing a major life stress, those MS patients were 1.6 times more likely to develop a new lesion in the next eight weeks.2  The same group of researchers reported that the MS patients with good coping strategies could reduce this risk.
 
The exact mechanism by which stress increases the risk of MS exacerbations and the development of new brain lesions is not entirely clear, but what is known is that stress affects the body’s ability to regulate the inflammatory response, and in patients with MS and other autoimmune disorders, inflammation occurs when  ...

Personal grants for people with multiple sclerosis

Personal grants are available from a variety of MS organizations and offer assistance for everything from mobility equipment to financial support. With summertime fast approaching, grants for cooling equipment for those that are heat sensitive are also available. Check out the links below to learn more about these opportunities.

How to make healthy substitutions

This week for National Nutrition Month, we featured how to make healthy substitutions to your cooking techniques. Easy swaps can help reduce calories, fat, sugar, and sodium from your diet without noticing a change in flavor.
 
We demonstrated this by featuring our Low-Sodium/Low-Fat Banana Bread recipe. Many of you loved the taste better than higher sugar, higher fat versions! You can halve this recipe to make 1 loaf. I have made this recipe using 1 cup Greek yogurt in place of the buttermilk and vegetable oil. You could make this gluten free by using a brown rice flour or gluten-free flour blend!

Also, see below for some other tips on how to slim down your favorite foods without sacrificing flavor:

How to get the most out of your OB/GYN appointment

Unless you are having a baby, seeing an OB/GYN often makes women feel very nervous.  This can lead to forgetting questions, forgetting important information about your condition and leaving feeling dissatisfied.

In order to get the most out of your appointment here are some simple tips:

1. Come prepared!
  • Bring a list of your medications; this can help us be sure that anything we prescribe will be safe for you.  Your problem may also be related to your medication – for example, blood thinners can cause heavy periods.
  • Know your family history. Things that are important for OB/GYNs to know include family member with blood clots, recurrent (more than 3) miscarriages, family members with cancer of the breast, ovary, uterus or colon (bowel.)  It is also helpful to know the age they were diagnosed.
  • Bring a list of questions! The more you ask, the more you’ll know.  We want our patients to be well informed so that we can help you make the right treatment plan for you. Also, there may not be time to go over everything in one appointment so make sure you start with what is important to you.
2. Check your inhibitions at the door!
  • Trust me, we have seen and heard everything and there is very little than can shock us! It is important that you are open and honest so that we can make sure we understand exactly what is going on to come up with the right diagnosis. 
  • It is likely that ...

Treating and preventing common sports injuries

Looking to be more active in 2014? Have you been waiting all year to enjoy winter sports such as skiing or snowboarding?

There are a few common injuries that often get my patients down when they are on the go. Below are a few tips and tricks to help you prevent these common injuries and determine the best treatment options should you need it.

Sprains/Fractures
The most common injuries in the wrist and ankle are sprains and fractures. Throwing, twisting, weight-bearing, and impact can put you at risk for a wrist injury. Ankle sprains and fractures are typically caused by making a fast, shifting movement with your foot planted on the ground.

In most cases, I recommend the RICE approach: rest for around 48 hours; ice the injured area to reduce swelling (use a pack wrapped in a towel); compress with an elastic ACE wrap; and elevate the injury above heart level.

However, if you experience these symptoms, contact your provider for further evaluation.   
  • Pain at the time of injury
  • Swelling
  • Bruising or discoloration
  • Difficulty moving the wrist or ankle
  • A “popping” or tearing sensation during the trauma
  • Warmth and tenderness of the skin
More serious injuries will likely be treated with a splint, boot or cast. The healing process can take up to six weeks. Surgery may also be required.

ACL Tears
The ACL, or anterior cruciate ligament, is one of the major ligaments in your knee that helps with stabilization when turning or planting. ACL injuries take place during cutting or pivoting movements. The hallmark of a torn ACL is a distinct popping noise and your knee may give out. The  ...

Jaundice in newborn babies

As a new parent, you’re understandably eager and excited to leave the hospital and settle into your new routine with your baby. Sometimes, that routine is delayed due to the baby’s blood test confirming hyperbilirubinemia, also known as jaundice.

Jaundice in newborns is caused by an excess of red blood cells. Jaundice is seen as a yellow color to the skin, appearing first at the head (skin and sclera – or “whites of the eyes”) then progressing to the feet. As it decreases, it lessens in reverse. Before birth, the placenta removes bilirubin from the baby’s system; after birth, the baby’s liver takes over. In breast-fed babies, an imbalance between mother’s milk supply and baby’s feeding can lead to a higher-than-expected bili level. In addition to ensuring the baby is feeding well and having enough wet/stool diapers, phototherapy or “bili lights” may be needed. Bili lights help speed up the process by breaking down the bilirubin in the skin.

For phototherapy, your baby will be ...
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