It is important that our kids return safely to help prevent overuse injuries from occurring during the season. Common overuse injuries in baseball are injuries to the elbow (ulnar collateral ligament, UCL) and shoulder in the throwing arm. A proper warm up, maintaining an age appropriate pitch count and good throwing mechanics are essential to preventing overuse injuries.
Here are some specifics to keep in mind:
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 ...
More than 30 breast cancer survivors will be modeling spring looks from several Seattle boutiques. Proceeds from this event benefit the Northwest Hope & Healing’s Patience Assistance Fund at the Swedish Cancer Institute, which helps provide everyday basics such as groceries, childcare and emergency rent for women battling breast cancer.
Northwest Hope & Healing has been supporting Swedish Cancer Institute patients since early 2000 and is deeply rooted in our community. We are proud to support this event and hope to see many of you there!
The benefits of exercise and being physically fit is what many people strive for. However, a recent study added a new dimension to what exercise can do to enhance health. In other words, exercise did more than keep a body fit. It also made study participants think better. You may ask, why is this new information important?
Cognitive impairment is one of multiple scleroris (MS) ’s most disabling features and it can affect between 22% to 60% of people living with the disease. Cognitive deficits may include problems with: slower information processing speed; memory impairment; difficulty with new learning and executive functioning. Historically, medical and rehabilitation approaches to the problem have been inconsistent in improving cognition.
The new frontier of exercise for improved cognition provides hope. This study’s objective was to determine if there was an association between improvements in objective measures of physical fitness and performance on cognitive tests.
Participants were people with MS who participated in a telephone based health promotion intervention, chose to work on exercise, and who completed pre and post intervention assessments. Participants were then measured for strength, aerobic fitness, and cognition at baseline and 12 weeks later.
After controlling for variables such as age, gender, MS disease activity, MS type, etc. there was evidence suggesting that cognitive functioning changed over time based on level of fitness. Participants in the physically improved group showed improved performance on measures of executive functioning after 12 weeks of exercise. The results of this study add support to the hypothesis that change in fitness is associated with improved executive functioning in people with MS. The desired outcomes are that improved cognition correlates with better quality of life, activities of daily living, vocational endeavors, and rehabilitation measures.
Where do we go from here? Since less is known about exercise training and cognition in MS (compared to studies demonstrating aerobic and strength training significantly improving cognitive functioning in older adults and people with mild cognitive impairment), we need more studies to examine this relationship in the MS population.
Every organ in the abdomen and pelvis (including the muscles and skin of the abdominal wall) has nerve endings and can cause pain. While nearly everyone has experienced abdominal pain, it is usually self limited and mild. Think antacids for heartburn symptoms, diet modifications for food intolerances, fluids and time for gastroenteritis, stool softners for constipation. While more severe causes of abdominal pain are rare, it is important they are recognized as they may have more severe consequences to health.
Only 15%-20% of people with abdominal pain require surgical treatment (this number increases with age). The most common reasons for surgery are ...
It is with great happiness that I update an earlier blog posted several months ago with the news that patients with food allergies now have a law that helps them afford their treatment. On Friday March 28th, Governor Jay Inslee signed a law that makes Washington the most recent state in the country to set a mandate for medical coverage of elemental formulas in the treatment of Eosinophilic GI disorders (EGIDs). EGIDs are a severe form of gastrointestinal inflammation that results from food allergy.
Health-care reform is a big, confusing, emotionally-charged topic. Now that 2014 is underway and the Affordable Care Act is beginning to take effect, many more Americans will have greater access to health insurance than they had before. It is estimated that 180,000 people in King County alone will become newly insured this year.
Still, there will be many people in our community – and throughout the country – who will continue to face barriers to accessing care. Some of them will be considered underinsured because they can’t afford to fill the gap in medical expenses not covered by their insurance. Others receiving Medicaid may find it difficult to locate a physician who is willing to take them on as a patient, as doctors are not required to see Medicaid patients, and many don’t. And then, there will probably always be those people who don’t have any insurance at all because, for one reason or another, they can’t sign up: the homeless, the chronically mentally ill, those who can’t read or write English, to name just a few.
Community clinics scattered throughout the nation, including several in our community, help address this problem on the primary care end. But access to specialty medical care for low-income patients facing barriers to care like the ones described above is likely to remain extremely difficult.
Fortunately, an innovative program pioneered at Swedish is addressing this effectively, and is likely to become a national model.
The Swedish Community Specialty Clinic (SCSC) was expanded and moved to the Swedish/First Hill campus in ..
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