Saturday, December 31, 2016

Day 1 of 52 pounds in 52 weeks

Today is day 1 of 52 pounds in 52 weeks. Yes it's another day in my weight loss journey. It's the day before new years eve and things haven't really started out with gusto. I had to work today so I really haven't planned the things that I have wanted to do with weight loss correctly. I think that this brings up an important topic. For starters let me list what I put into my body today.

20 ounces of water - I definitely need to drink more water. A woman should be drinking at least 74 ounces of water each day. This will flush the salt and chemicals out of the body. Did you know that fat cells fill up with water after fat is released from the body. Then the water loss happens. So water is very important to weight loss.

2 servings of kalbasa
2 cups of pasta
svg of romano cheese
svg of almonds
svg of walnuts
svg of cranberries
4 Tbsp of yogurt dressing
1/2 cup of tuna salad (tuna, mayo, onions, celery)
Foot long Subway BMT sandwich
2 string cheese packs
2 svg of Birds Eyes Southwestern side dish mix (beans, lentils, rice, corn, red bell peppers, southwestern chili lime sauce)

What did I learn on day one of my weight loss challenge? 
I learned that there is always going to be things that come up in life. This is why it is important to plan ahead during your weight loss journey.Be sure that you have things in your frig that you can grab and go. You never know when an emergency is going to come up. Preparing lunches for work on a persons weight loss journey is so much easier too.

Is it fat or water gain?

weight loss journey, weight gain, water gain
Any weight loss journey includes battling the ocean. Well not battling but traversing a body of water. That body of water is the human body. When a river overflows the banks that contains it, the excess water causes damage. The same thing happens to the human body. Water weight gain causes damage to our organs and emotions. No one likes watching the scale go up.

Thankfully there are things that people can do to decrease water weight gain and improve their weight loss efforts. Some are quick fixes that a person can do overnight. Some will be changes to a persons lifestyle. While other efforts will be completely medical.

Talk to your doctor about alternative medications. Some medications hampers a persons weight loss efforts by causing water weight gain. Another weight loss tip is to have a cup of coffee. Caffeine is a natural diuretic. Coffee will draw water out of the body and it also helps with bowel movements. Be sure to talk to your doctor about adding more caffeine to your diet. 

Reduce your salt intake and start reading labels. There are so many other seasonings and herbs to try. The body doesn't need a lot of sodium to survive. So just use a pinch of salt when seasoning your food. People also don't realize how much salt is in processed food and fast food. Companies use salt as a seasoning and they use it as a preservative. Processed food and fast food  is one of the top culprits of bad health today.

Other tips to reduce water gain is to drink green tea. It has the same affect as coffee as a natural diuretic. Green tea also has antioxidants that fight free radicals in the body. Be sure to drink plenty of water. A person would think that adding more water to the body would cause weight gain. In truth, the water you drink is cleansing the kidneys and removing the things that cause weight gain.

Are your medications ruining your weight loss efforts?

prescriptions, weight loss efforts, diet fails
Could a single medication or over the counter product be making you fat? Could the pills that you put into your body be undermining your weight loss journey? The old saying is "Garbage in, Garbage out". Have you really taken a look at everything that you are putting in your body?

Our bodies are made up of blood, water, bone,cells, muscle, organs, and other things. Everything that a person puts into their system has an affect on the body. Unfortunately, certain 
over the counter products and prescriptions cause our bodies
 to hold onto fluids and fat cells. Certain medical conditions will
 do the same thing. This can be frustrating to someone who is
 trying to lose a few extra pounds and improve how their body 
functions.

For example, did you know hat acetaminophen can cause water retention in some people? Other medications include NSAIDS (asprin, naproxin, and ibuprophen) will cause small amounts of water retention. Corticosteroids such as methylprednisone, prednisone and cortisone can cause water weight gain with long and continued use. Birth control pills cause the kidneys to eliminate less fluid in the body. Blood pressure drugs may also be a culprit. 

There are ways to fight ademan and water retention. In my next post I'll talk about fighting water retention. Check with your doctor is there are alternative medications that you can take instead of the ones listed above. Of course talk to your doctor before you make any changes in medications.

Saturday, December 17, 2016

Beauty make be skin deep but burns are not

A first year Emergency Medical Technician may think that a burn only affects the layer of skin that is burned. In truth burns can damage so much more than just skin. Burns are not skin deep because along with damaging the layers of skin burns can also affect the other body systems in some form or fashion. 

These body systems include the circulatory system, respitory system, renal system, nervious/muscularskeletal system and gastrointestinal system. 

Circulatory system
Burns can cause burn shock
This can occur with moderate to major burns that cover a sufficient part of the body. 
This also explains the extensive swelling seen in burn patients. In the first 24 hours after a burn injury, fluid lost in the vessels causes edema. The fluid loss can lead to shock.

Respiratory System
Swelling in the face or throat may cause airway closure. Smoke and toxic gas may cause respitory arrest or poisoning. Burns on chest can cause a decrease in chest expansion.

Renal System
Decrease blood flow from fluid loss will decrease blood flow to the kidneys. Burn injury can cause waste to build in the body. Especially due to cell destruction such as myoglobin from muscle destruction. A blockage of the kidneys may also be a result.

Nervous and musculoskeletal Systems
Burns destroy nerve endings. Extreme burns may cause loss of function, long term muscle wasting and possible psychological problems due to burn locations. Burns that are visible to the public can be more stressful to deal with than burns that can be hidden by clothing.

Gastrointestinal System
Nausea or vomiting are common when burns are greater than 10% of the body surface area. Ulcers may also happen if stress continues.

Friday, December 16, 2016

Fractures, strains, sprains, and dislocations oh my!

A first year EMT will come to a scene and have to deal with many different types of musculoskeletal injuries. Many of these injuries will include fractures, strains, sprains, and dislocations in different parts of the body. This will be especially true if the area an EMT is working in has a high population of children or elderly citizens.

Fractures
Fractures are a break in the bone. These can result in a variety of mechanisms of injury. Ultimately a fracture will come from direct force, indirect force, and twisting force. A fracture can also be considered open or closed. An open fracture is when the broken bone protrudes from the skin. This then introduces bacteria and other ways of adding infection to the wound. 

Displacement of the bones can cause damage to the surrounding nerves, blood vessels, muscles, ligaments and tendons surrounding the injury. The signs and symptoms of a fracture are:

Pain
Tenderness
Deformity
Discoloration
Paresthesia distal to the fracture site (this could mean nerve damage)
Anesthesa distal to the fracture site (loss of feeling, possible nerve injury)
Paresis (weakness)
Paralysis (Loss of muscle control)
Inability to move the extremity
Decrease pulse amplitude, increased capillary refill time, paresthesia, pale cool skin distal to the fracture site.

There are six types of fractures that an EMT should know. They are the comminuted, impacted, greenstick oblique, spiral, and transverse fracture. 

A strain happens to a patients muscles or tendons. Possible causes of a strain can be overextension, overstretching, and overuse. 

Sprain
First year Emergency Medical Technicians will see injury to the ligaments. These usually involve injury to the shoulder, knee, elbows, and ankles. The joint will be come swollen and warm to the touch. There may be some discoloration to the injured area.

Dislocation
EMT's will see a displacement of a bone from its normal position in a joint. The deformity will be obvious and swelling will be involved. Dislocations happen in the following areas. 

Acromioclavicular
Sternoclavicular
Shoulder
Elbow
Wrist
Hand
Metacarpal Phalangeal
Hip
Knee
Ankle
Foot 
Metatarsal phalangeal

Food Review: Sipping on Starbucks Snickerdoodle Hot Chocolate

Starbucks Coffee says that Hot Cocoa = Warm Hearts. I was hoping that this was true when I ordered a short Snickerdoodle Hot Chocolate. It's one of their new flavors for the winter season. It seems as Snickerdoodle seems to be the craze these days. Starbucks is not the first place that I have seen the flavor being advertised.

If your visioning a mixture of chocolate and sugary snickerdoodle then you might be in a surprise. There is actually no chocolate in this drink at all. I kind a feel like it's false advertising putting them next to the other flavors that Starbucks offered.

The Snickerdoodle drink ended up being more like a latte than a hot chocolate. While the first few sips were pleasurable, the final sips could send someone into a Diabetic coma. It just seemed that the Snickerdoodle flavored syrup or whatever syrup that they use sank to the bottom of the drink. 

If your a person that is into steamed milk drinks then I would definitely try this new Christmas holiday drink from Starbucks. If your looking for the classic hot chocolate flavor. I would advise ordering their hot chocolate and then adding your favorite Starbuck Coffee syrup flavor.

Fighting Diabetic Neurothopy with Capsaicin Cream

Pain in the legs has been really bad. So I thought I would put WebMD.com to the test and try out their home remedies for Diabetic Neurothopy pain. I was informed that heat rub or Capsaicin Cream is suppose to numb the pain. 

It is my honest belief that at this moment pain is only going to be controlled by medication and keeping blood glucose level as normal as possible. Of course I should make sure that I'm having problems with Diabetic Neurothopy at all. As I do not have any numbness in my feet but I do have a lot of swelling.

The Capsaicin Cream didn't work at all. In truth the cream caused my feet to burn which makes me think that the pain is from something else. Something that might be causing the skin the crack and break. 

I'd like to hear from others that are dealing with Diabetic Neurothopy. Do creams and lotions work for you to slightly alleviate the pain or do you rely specifically on medications for the pain?

Structure and function of the musculoskeletal system

Before an EMT can work on the musculoskeletal system they must know about this intricate system. This post will be about the muscles, tendons, ligaments, cartilage and extremities that make up this system. This post will also discuss the movement of the skeletal system itself and what an EMT will come across.

The function of the musculoskeletal system is:
To give the body shape
To protect the internal organs
To provide movement
To store salts and other materials neede for metabolism
To produce red blood cells necessary for oxygen transport

The Muscles
Voluntary, Involuntary, and cardiac muscles make up the musculo part of the musculoskeletal system. Most voluntary muscles are connected to the bones by tendons.

Tendons and ligaments
These are the two elements that keep pretty much everything in place. Ligaments connect bone to bone. Tendons attach muscle to bone. 

Cartilage
As an extension of the bone, cartilage is a strong, smooth, flexible, slippery substance that allows two bones to move against each other without the bones grinding again each other and causing damage. 

Joints
Joints such as the extremities, ankles, knees, shoulders, elbows, and wrist allow for movement. There are several ranges of motion that the body can achieve. Flexion is a bending motion that moves the extremities toward the body. Extension is the bending motion that moves the extremities away from the body. Adduction is movement of a body part toward the midline of the body. Abduction is the movement of a body part away from the midline of the body. Rotation is a turning along the axis of the bone or joint. Circumduction is the movement through an arc of a circle or in a circular motion from the central point.

The skeletal system consists of the skull, spinal column, thorax, pelvis lower extremities and upper extremities. The upper extremities consist of 
Clavicle (Collarbone)
Scapula (Shoulder Blade)
Humerus
Radius
Ulna (including the olecranon)
Carpal bones
Metacarpals
Phalanges

The olecranon is that bump at the back of the elbow which is the proximal end of the ulna.

The lower extremities consist of the pelvis, thigh, and foot. These are:
Pelvis (including the ilium, ischium, and pubis)
Femur
Patella (kneecap)
Tibia
Fibula
Calcaneus (heel bone)
Tarsals
Metatarsals
Lower Phalanges

Understanding the body process for skeletal fractures

An EMT comes to a scene with a suspected fractured pelvis or femur with severe bleeding. Should the EMT think that the bleeding is coming from the fracture or a vessel outside of the bone? It truth, severe bleeding associated with a fractured pelvis or femur often occurs from the bone itself and not from a lacerated vessel outside the bone.

What is one of the reasons why an EMT would use a traction splint with a femur injury? A traction splint is thought to reduce the compartment that the femur can bleed into thereby decreasing the amount of blood loss associated with the fracture.

Why should an EMT as if a patient has pain elsewhere when the patient also has a fracture injury? The severe pain associated with a fracture to an extremity may distract the patient from complaining of other more significant pain This could be abdominal pain or spinal pain. For this reason, fractures are referred to as distracting injuries.

What other two tips will help an EMT out in the field?
Suspect a dislocation when deformity and pain are found at a joint.

If the foot or ankle is injured, have the patient push down and pull back with the big toe. This will give you the same result as if the entire foot were tested for injuries.

EMT key points for dealing with muscular skeletal injuries and fractures

For a first year EMT, a skeletal fracture can be a scary thing. There have been many EMS who have nearly fallen out because there was a bone exposed with a fracture to the arm, leg, or extremities. There are actually several key points for an EMT to remember. 

1. An open fracture has an associated open would that is vulnerable to contamination and infection. 

2. A fracture is considered a "distracting injury" because it may draw attention away from other more serious problems.

3. Always check a patients distal pulses, motor function and sensation both before and after the splint. Document your findings

4. Some splints are more suitable to certain types of injuries; others are interchangeable. Follow your local protocols about which splints to use in a given situation.

5. A long spine board is a full body splint and provides some stabilization when individual fractures can not be splinted.


Muscular Skeletal Injury Keywords for EMT's

We're in Chapter 30 this week. The week that an EMT deals with muscles, tendons, ligaments, and more. Some muscular skeletal keywords will give a person insight to what they are dealing with but some a person may not come across very often. It's important to know them because an EMT will never know when what medical information will be needed.

Pathologic Fracture
A broken bone resulting from a disease that causes bone degeneration.

Osteoporosis
A degenerative bone disorder associated with an accelerated loss of minerals, primarily calcium from the bone.

Direct Force
Direct blow, injuries from direct force occur at the point of impact.

Indirect Force
A force that causes injury some distance away from the point of impact.

Twisting Force
A force that twists a bone while one end is held stationary

Crepitus
The sound or feel of broken fragments of bone grinding against each other.

Splint
Any device used to immobilize a body part.

Paresthesia
A prickling or tingling feeling that indicates some loss of sensation.

Compartment Syndrome
Tissue pressure in a confined space causing decreased blood flow, leading to hypoxia and possible muscle, nerve, and vessel impairment.

Sunday, December 4, 2016

Sipping on Organic Simple Truth Flavored Tropical Mango water

A public servants job is hard. That's why it is important for Firefighters, Police Officers, Medics to keep their electrolytes in balance. Some of our Brothers and Sisters may even be trying to kick caffeine. So it is important to try to find a healthy alternative drink. 

Our team was picking up supplies at the local Kroger's and we thought we would try something new. Today we picked up Simple Truth Flavored Tropical Mango Vapor Distilled Water With Electrolytes. Isn't that a mouthful. How did Simply Truth taste on the tongue. Would it be something our team would be drinking constantly? 

One of our team members didn't even want to try the water. She didn't like the taste of mango on anything. She did say that the smell of the water was pleasing. She just was not a fan of mangos. Everyone did like the scent of the water and looked forward to tasting it.

Unfortunately the scent of Simple Truth was a little misleading. A strong taste of mango was expected on the first sip. What a customer is actually getting is the taste of distilled water with a light mango after taste. Our team agreed that it's not a bad after taste but it was definitely unexpected. 

Simple Truth does come in the flavors like Blackberry, Lemon, Mandarin and Mango. There is also a sparkling water that we need to try. Would the team at Healthy First Response try the Tropical Mango again? Sorry Simple Truth but Propel and the others just taste better.