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Ketogenic diet as a treatment for seizures

June 14, 2013

The ketogenic diet is a high-fat, low-carbohydrate diet that has proven to be effective in the treatment of seizures. In fact, the ketogenic diet is one of the oldest and most effective treatments available for patients with seizures regardless of age, from infancy through adulthood. The ketogenic diet must only be started under direct medical supervision.

Here are some frequently asked questions about the ketogenic diet:

What is the ketogenic diet?
The ketogenic diet is a special high-fat diet that often includes heavy cream, butter and vegetable oils to provide the necessary fat. The diet eliminates carbohydrate rich foods such as bread, rice, cereals, pasta, cookies, and cakes.

How effective is the diet at controlling or eliminating seizures?
Studies that have followed children on the diet for long periods reveal that at least 2/3 of all children on the diet have a significant reduction in seizures by over half. 1/3 of child...

Protect your ears during summer fun and work

June 10, 2013

Summertime means that we residents of the beautiful Northwest will be outside as much as we possibly can.  There are two potential sources of damage to our ears which are of greater concern during the summer.

First, our ears are subject to sunburn.  Many of the hats we wear do not protect the ears from damaging exposure to sunlight.  Consider wearing a hat with a brim that extends completely around the head, rather than the baseball type hat which many of us wear.  Also, remember to apply sunscreen to the ears.  It is easy to forget them. 

Secondly, summertime means increased exposure to noise from yard maintenance tools or other power tools.  Injurious levels of noise are produced by almost every power saw, power sander, nail gun, weed eater, leaf blower, roto-tiller, power washer, and shop vac.  Ear plugs....

What is Muscle Tension Dysphonia (MTD)?

May 31, 2013

Muscle tension dysphonia (MTD) is one of the more confounding and misunderstood conditions of the voice.  With this condition the vocal cords and supporting structures may be healthy but they are working too hard.  MTD is caused by the throat muscles being too tight and out of balance with the rest of the voice production system.  The person with MTD may feel that it takes more effort to talk and their voice gets worse the more they talk.  Many patients may feel a soreness of their neck, throat and often their shoulders. Sometimes MTD may develop in trying to compensate for a weak vocal fold or a vocal fold lesion.

MTD is characterized by the following:

  • Voice that sounds rough, hoarse, gravely, or raspy
  • Voice that sounds weak, breathy, airy, or is only a whisper
  • Voice that sounds strained, pressed, squeezed, tight, or tense
  • Voice that suddenly cuts out, breaks off, changes pitch, or fades away
  • Voice th...

Don't put that in your mouth

May 29, 2013

Most parents have experienced a child swallowing something that was not intended to be put in the mouth. Most of the time it turns out to be okay, but not always.  It is always a good idea to check in with your doctor or Poison Control (800-222-1222).

When to worry and what to do if your child swallows...

 

Detergent pods – such as Tide or Cascade
These packets may look like candy but can cause lots of problems, and symptoms may be delayed for 1-3 days: 

  • Nausea, vomiting, diarrhea and stomach aches. 
  • Burns to the mouth, throat, esophagus and stomach. 
  • Scarring or perforation of the esophagus and stomach. 
  • Burns to the cornea of the eye.

Magnets

  • New “rare earth” magnets such as Buckyballs have stronger attractive properties
  • Attraction across ....

Hearing loss in the workplace

May 27, 2013

Hearing loss is a term that many associate with an aging population. For some it may trigger memories of large, obvious and obtrusive hearing aids or devices that squealed!  This is not the reality in 2013.  A look at the individuals I see every day as an audiologist reveals a large number of employed professionals who are encountering difficulty in work environments.  From telephone work to conference and lunch meetings, hearing loss is impacting our workforce.

The National Institute on Deafness and other Communication Disorders (NIDCD) estimates that nearly 1 in 5 Americans between the ages of 45-64 years of age experience hearing loss.  The prevalence of hearing loss increases with age and with an aging workforce that includes many working well into their 70s, it should be noted that the incidence of hearing loss increases to 1 in 3 for Americans between the ages of 65-74 years of ag...

Child's Belly Discomfort Caused By Allergies

May 25, 2013

This is one of the most common questions that I get asked in the office. Allergic diseases are certainly becoming more and more prevalent in the developed world. General pediatricians and specialists are on ‘high-alert’ for this when evaluating a child that may be sick. Within the realm of intestinal diseases, however, a true allergy is actually not very common. To understand this, we must first understand what ‘allergy’ means.

An allergy is a biologic response from our body’s immune system. When our body senses a foreign invader, our army of immune cells attacks it. It does this by releasing chemicals into the blood stream and/or in to the organs where the threat may lie. Those chemicals are meant to destroy the invader, but often hurt our healthy organs as well. For example, airborn pollen may land in your eye, the immune system senses that pollen, releases those chemicals, and as a consequence we get itchy, puffy, watery eyes. The same thing can...

Living with stroke - resources and support

May 24, 2013

If your life has been touched by stroke, one of the greatest resources you can connect with is your local stroke support group. 

There are many benefits of joining a stroke support group, including the opportunity to:

  • Socialize in a relaxed environment – feeling connected to a community is incredibly important after a stroke.  Isolation can be a significant contributor to depression and deteriorating condition.
  • Share your stories, setbacks, and achievements – the connections you establish within a stroke support group are great resources for encouragement and advice.  These relationships are also important in challenging you to push forward, continuing to work towards complete recovery.
  • Learn something new – education provided at stroke support group events can be priceless!  There is an incredible amount of information regarding navigating life after stroke and this...

What do parathyroid glands do?

May 02, 2013

Our parathyroid glands are four tiny glands that lie in our neck, just to the sides of our thyroid gland. When normal, they are the size of a grain of rice or a small flat bean.

These glands control calcium balance in our bodies. They do this by producing a hormone named parathyroid hormone (PTH). PTH acts on our bones, kidneys, and gut to keep the right amount of calcium in the right places.

When one or more of these glands become abnormal, they produce too much of this hormone (PTH). This can cause our bones to...

The 'pigeon toed' problem

April 30, 2013

Have you noticed that your child walks with his or her feet rotated inward instead of pointing straight ahead? This could be described as intoeing and is sometimes referred to as being “pigeon toed.”

As a parent, you may raise concerns with your child’s physician about how your child is walking or running, or perhaps a concern was raised by the child’s grandparents who may have known a child years ago who was treated with a brace or special shoes for a similar issue. Intoeing gait is a common reason for referral of your child to a pediatric orthopedic surgeon.

Intoeing stems from one of, or a combination of, three areas: the foot, the lower leg and the hip. Which area is contributing determines the likelihood that it will resolve over time and determines up until what age one may expect improvement.

The most frequent case of intoeing in infants and young toddlers arises ...

Training the "Village": Preparing Non-Parents

April 21, 2013

“It takes a village to raise a child” but as a new or expectant parent or “village member,” preparing for a new baby can be daunting. From siblings, to grandparents, to aunts, uncles, cousins, and family friends, all of these people feel the ripple effect of having a baby. However, unlike parents, this larger social network may not have had the chance, motivation, or tailored resources to prepare for this change. So how can new or expectant parents help prepare non-parents for the birth of a child? Though the answer depends on the person’s age and their relationship to baby, here are some general tips to prepare your “village.”

  • Involve friends and family in preparing for the baby: Depending on your comfort level and your audience,...