Getting ready for college life


It is already mid-August and many families with a college student are about to start on a new adventure. Whether the young adult is going to a commuter school and living at home or attending an away college and living in a dorm, there are many changes about to hit family dynamics and the college students lives. Long discussions should now begin about forming healthy habits that will be important for now, and more importantly, for the future. I always advise living the way your grandmother taught you. Here are some of Grandma MaryAnn’s suggestions.

Grandma MaryAnn says you must:

  • Get your sleep – It is important to get at least seven to eight hours of sleep every night. During sleep your body may be resting, but your brain is busy processing all the information it was exposed to during the day. Sleep helps your immune system to stay strong and prevent colds and other infections you are constantly exposed to. If possible, shut off all your electronic devices 30 to 40 minutes before going to sleep; the light from the screens can affect chemicals in your brain that enhance getting to sleep.
  • Eat well – Food is your body’s fuel. In order to work hard and think clearly, you need to eat the fruits, nuts and vegetables that we all know are the right stuff. Starting with a healthy breakfast will get the brain ready for the day. Healthy snacks are a must. The crash after the candy bar will be tough to handle.
  • Exercise – Exercise needs to be a part of your regular schedule because it decreases stress, keeps your mind sharp, and is fun. You should think of it as an investment in yourself.

I wish all the students a great year, and remember to call your Mom and Grandma as often as you can because with loving words from your biggest supporters, there is nothing you can’t handle.

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A gentle way to remove a tick

We, here on the Island, are in the middle of tick season and it is reported that there is an above average tick infestation this year. If you do come in contact with a tick, there is always the time honored tweezer method to grasp and remove it.

Another method is to take a cotton ball and put a liberal amount of liquid soap on it. Cover the tick with the soap-soaked cotton ball. Rub for a few seconds and usually the tick will release and be attached to the ball. This simple method is perfect for children and upset adults.

As always, prevention is the best medicine. Please check out the 8 best ways to avoid being bitten by a tick.

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-Dr. P

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Pokémon Go – What Is This Game Your Children Are Obsessed with All About?

pokemon-go-what-is-this-game-your-children-are-obsessed-with-all-about-1575834_1920As you know, Pokémon Go is a hot new game being played by countless people.  There have been mixed reviews on this augmented reality game from concerns about safety to praises about increasing physical activity.  I posted this video to give you a very detailed description about what your children are involved in, and I believe it is important to have a discussion with them about the possible dangers to look out for while playing a game like this.

For even more information about this game, the article connected to the video explains why the game is appealing, how it works, some history of the game, and how it relates to the original Pokémon craze: vox.com/2016/7/11/12129162/pokemon-go-android-ios-game

-Dr. P

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Zika Update: A New Way to Test for This Infection

Blood sample positive with Zika virusThe CDC (Centers for Disease Control and Prevention) recently updated its guidelines concerning the testing of pregnant women who have a possible Zika virus infection or exposure.  It must always be noted that most people with the Zika virus infection are either asymptomatic or have mild clinical symptoms.  Mild clinical symptoms can be an acute onset of a fever, a rash, joint pain, and/or conjunctivitis.

There is new data suggesting that the virus can be detected in the blood and urine for 2 weeks after the infection begins.  This testing of the urine and blood for the virus should be performed for:

  • Symptomatic pregnant women in less than 2 weeks after the symptoms begin
  • Asymptomatic pregnant women in less than 2 weeks after a possible exposure

After this 2-week window, blood testing should begin for the Zika virus IgM antibody, which the body makes in response to a new Zika virus infection.  If this is found to be positive, there was definitely an infection and close fetal evaluation should begin.

As always, you should discuss the Zika virus problem with your health care provider so you can get the best possible care.

-Dr. P

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4 Quick Zika Virus Facts – Treatment, Testing, How It Spreads, and Prevention

Zika VirusLet’s look at some Zika virus facts:

1. Treatment

At the moment, there are no approved drugs or vaccines for the Zika infection, but scientists are working on a vaccine.  Since the infection itself seems to be mild and short-lived, fluids and Tylenol are mostly recommended.

2. Testing

Testing to determine if you have had the virus is mainly confined to pregnant women and symptomatic travelers who have visited the areas where the virus has spread.  At this time, testing is done at only a state or federal lab and getting results can take weeks.

3. How It Spreads

The Zika virus is spread by the Aedes aegypti mosquito and through sex with an infected partner.  It is important for pregnant women to know the travel history of their sexual partners.

4. Prevention

Preventing mosquito bites is the best way to protect yourself from this virus.  Use the time-tested methods of bug sprays and cover-ups, and eliminate any standing water where mosquitoes can lay eggs.  You should check your window screens and keep the air conditioners on if possible because mosquitoes hate the cold.

-Dr. P

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Where Did This Mysterious Zika Virus Come From?

definition of zikaToday, the Zika virus is on the mind of almost everyone; pictures of the children affected by the virus are seen constantly in the news.  Beginning today, I will try to keep us up to date on the latest information available.

The virus is named after the Zika Forest in Uganda, Africa, where it was first discovered in the late 1940s.  Since then it was not considered to be a major problem because it usually caused mild flu symptoms, which soon passed rather quickly.  Then last year’s reports came from Brazil about a major invasion of the virus.  There were pictures of the many affected newborns that had been infected, and the resulting congenital microcephaly was seen everywhere.

Why is this virus now causing all these problems?  Where has it been the last 60-70 years?  Some experts believe the virus has mutated, and some think it has always been there, but was quietly going unnoticed.

As the summer approaches and the mosquitoes return, the Zika virus will certainly be a concern in the mainland of our country.  Puerto Rico already reported about a 1000 confirmed cases, including approximately 100 pregnant women.  With the travel season upon us, the numbers of our family and friends who will be exposed to the virus is staggering, so being aware of the latest information is paramount in our quest to be safe.

-Dr. P

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Are You Prepared for This Summer’s Tiniest Villains?

I was working in my garden, and guess what I discovered yesterday, once again?  I spotted another tick on myself!  Because of this, I thought it would be a great time to discuss ticks all over again – what they do, what you should do if you find one on yourself, and all about Lyme disease.

Are You Prepared for This Summer’s Tiniest Villains-742474_1280Over 30,000 new cases of Lyme disease are diagnosed each summer, and 90% occur in 10 states.  New York is one of those states.  This disease is an infection caused by the bacteria called Borrelia burgdorferi, which enters the body from an infected deer tick’s bite.

While the tick is attached, it begins to suck blood from the victim, and at this time, it regurgitates the bacteria back into the person’s system.  Most of the infections in humans are caused from the bites of immature ticks called nymphs, which are the size of poppy seeds.  The disease can also be transmitted from the bite of an adult deer tick, but because they are larger, they are more likely to be discovered before having time to transmit the disease.

The Infectious Disease Society of America does not recommend antibiotics for everyone who has been bitten by a tick.  If the rash of Lyme disease develops, then antibiotics are advised.

The rash is the easily noticed circular “bull’s eye” target-like rash.  This rash can begin anywhere from 1 to 4 weeks after the bite.  It starts out being the size of a quarter and can widen to 6 to 9 inches as the bacteria spread out.  If your anxiety of developing the disease is great, many doctors will treat you with doxycycline if you do not have an allergy to the medication.

You Found a Tick on Yourself – What Are the Next Steps?

Once you have discovered that a tick is on your body, you remove it with tweezers.  Try to detach it at the base of the tick’s attachment.  If it is removed within 24 to 48 hours, it is unlikely that it has infected you withTick Removal Display Image Lyme disease.  Also, it is important to remember that only 1 in 20 people bitten with an infected tick will develop the disease.  Not every deer tick carries the Borrelia burgdorferi bacteria, with usually 1 in 5 being carriers in high risk areas.

An Alternate Way to Remove Those Ticks!

I recently learned about a different way to help remove a tick.  Take a cotton ball and put liquid soap on it.  Cover the discovered tick with the cotton ball and rub the soap on the tick for a few seconds.  Usually the tick will dislodge on its own and be stuck to the cotton ball as you take it away.  Hopefully you will not need to try this method but keep it in the back of your mind.

What Is Most Likely to Happen if You Are Diagnosed with Lyme Disease?

When Lyme disease has been diagnosed because you have the “bull’s eye” rash from a tick bite or a positive blood test, your medical team will usually prescribe an antibiotic regimen.  Depending upon your history of allergies, two of the most common treatments are amoxicillin (500 mg three times a day for 14 to 21 days) or doxycycline (100 mg twice a day for 14 to 21 days).

Bull's Eye Rash (Tick)

Intravenous antibiotic treatments are not often needed, but they are needed when the Lyme infections are more serious.  These would include infections around the brain and spinal cord (meningitis) or heart (carditis).

I would like to leave you with two interesting facts about Lyme disease.  If for some reason you get the infection and do not obtain treatment with an antibiotic, you have about a 10-15% risk of developing Lyme arthritis, and this needs to be treated with a different antibiotic plan.

Even after treating Lyme disease and having no blood tests pointing to an active disease, about 10-20% of people will not feel well for months, having complaints of being exhausted and joint pain.  Antibiotics do not seem to be the answer for this frustrating condition.  The passage of time is the ultimate treatment.

Enjoy your summer and always check your clothes and body for ticks after working or playing outdoors in a grassy area.  Then take a shower, which removes the ticks off your body and prevents those troublesome bites!

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-Dr. P

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