Tag Goshen

10 Ways To Fight Pollen At Home

10 Ways To Fight Pollen At Home.

1. Keep the car in the garage. 

2. Wipe your feet on the mat, then take off your shoes and other outerwear as soon as you enter the house. 

3. Decontaminate — Get the pollen off your body and your clothes. 

4. Wash that green right out of your hair. 

5. Prevent your indoor-outdoor pets from bringing in the pollen. 

6. Empty the vacuum outdoors. 

7. Keep the windows and doors closed. 

8. Be vigilant about dusting. 

9. Keep porches clean or put off using them a lot until the season is over. 

10. Don’t let the pollen get you down; it’s one of the most beautiful times of the year. 

To read these tips in detail, please click on the link above.

Stocking Epinephrine in Schools Might Save Lives | HealthDay News

As a pediatrician at Nationwide Children’s Hospital in Columbus, Ohio, Dr. Sarah Denny has seen her share of the life-threatening reactions that can happen with food allergies.

That didn’t make it any less scary when her son Liam, then 18 months old, drank soy milk and was soon covered in hives and having trouble breathing. Moments later, he was unconscious.

She called 911 while her husband jabbed their son in the thigh with an epinephrine pen. “I could hear sirens on the way to us,” Denny recalled. “I’m holding Liam out on the curb, and my medical brain kicked in. I thought, ‘I need to be doing chest compressions.’ ”

She didn’t have to — the epinephrine quickly took effect. On the way to the hospital, her son woke up. Fifteen minutes later he was smiling and talking again.

“Epinephrine works very quickly. As long as you give it soon enough, it can reverse a [severe] reaction,” Denny said. “It’s truly lifesaving. Had we waited to give it or just called 911, I’m not sure he would have survived.”

To help ensure children like Liam can get epinephrine when it’s needed, new federal legislation encourages schools to have epinephrine for any child who needs it. Signed into law by President Barack Obama last November, the School Access to Emergency Epinephrine Act gives states a financial incentive for passing legislation requiring that schools have epinephrine on hand and personnel trained in how to use it. Obama’s daughter Malia has a peanut allergy.

“Epinephrine needs to be given right away, within five minutes of the onset of symptoms,” said Dr. David Stukus, an allergist and immunologist at Nationwide Children’s Hospital. “If you wait longer, the risk for death increases.”

…But about one in four first-time food-allergy reactions happens at school, and the parents might not even realize their child is allergic. Denny kept an EpiPen at home because she knew Liam was allergic to dairy, eggs, peanuts and tree nuts. But he had eaten soy before with no issues.

…Currently, 26 states permit schools to stock epinephrine for use in any child who needs it. Only five states — Maryland, Michigan, Nebraska, Nevada and Virginia — require schools to stock epinephrine, according to the Asthma and Allergy Foundation of America.

That leaves 19 states that have no such legislation.

The federal legislation gives states that require schools to stock epinephrine preference for receiving asthma education grants. Also, state and federal legislation empowers school personnel to take action to save a life.

“We would like to see state legislatures require [schools to stock epinephrine],” said John Lehr, CEO of Food Allergy Research & Education. “We understand that each state and locality needs to make its own budgeting decisions, but we believe that having stock epinephrine in the schools will save lives.”

“All of the [epinephrine pens] are easy to learn to use and safe, even if accidentally given to someone without a food allergy or [someone who is] not having a food-allergy reaction,” Stukus said. “It’s adrenaline, which we all have in our bodies.”

To read more, please click on this link Stocking Epinephrine in Schools Might Save Lives.

Please call your school to make sure epipen is stocked.

Natural Sleep is Better than Sleeping Pills for Memory Consolidation; a New Study

Photo Credit: Pop Catalin

Photo Credit: Pop Catalin

Numerous studies have demonstrated that sleep promotes memory consolidation, but there is little research on the effect of sleeping pills on sleep-dependent memory consolidation.

Twenty-two participants with no sleep complaints underwent 3 conditions in a counterbalanced crossover study: (1) zolpidem-ER 12.5 mg (bedtime dosing), (2) zaleplon 10 mg (middle-of-the-night dosing), and (3) placebo. Memory testing was conducted before and after an 8-h sleep period, using a word pair association task (WPT; declarative memory) and a finger-tapping task (FTT; procedural memory).

Improvement in memory performance following sleep was lower with bedtime dosing of zolpidem-ER compared to placebo and middle-of-the-night dosing of zaleplon. There were no differences between placebo and zaleplon.

The results suggest that in some circumstances hypnotics may have the potential to reduce the degree of sleep-dependent memory consolidation and that drug-free sleep early in the night may ameliorate this effect.

JCSM – The Effect of Two Benzodiazepine Receptor Agonist Hypnotics on Sleep-Dependent Memory Consolidation.

If you have a difficulty falling asleep, please follow these sleep hygiene tips and minimize the use of sleeping pills, which should be used sparingly and under the guidance of a physician, preferably a sleep physician.

A New Sleep Apnea Treatment Could Help Millions | CBS News

In Thursday’s New England Journal of Medicine, researchers unveiled a new treatment that utilizes a sensor to stimulate nerves, allowing the body to breathe when otherwise it would not.

“I am so excited about this new device,” Dr. Ash told the co-hosts of “CBS This Morning.” She said the device, known as a “pulse generator” is surgically implanted, requiring a two hour procedure.

“It senses your effort to breathe. So it senses that you’re trying to take a breath,” she said. “It sends a pulse stimulation to the hypoglossal nerve — the nerve in your neck that controls those muscles that keep the airway open, and stimulates them, so the airway doesn’t collapse.”

Current standard treatment for sleep apnea is a device called a CPAP. It is a machine that applies air pressure through a mask, which, if worn while sleeping, keeps the airway open. Many people find the masks bulky and uncomfortable, choosing instead to leave their apnea untreated.

“For people that cannot use (the CPAP), that cannot tolerate it, it will make all the difference,” Ash said about the new device.

The new device is still in preliminary stages awaiting FDA approval, but Dr. Ash says she looks forward to the day when it is available to the general public. 

Please click on the link to watch a video clip on CBS News http://www.cbsnews.com/video/new-sleep-apnea-treatment-uses-nerve-stimulation

Airborne allergies increased risk for hematologic malignancies in women


Airborne allergies increased risk for hematologic malignancies in women | Hematology Oncology.

Shadman and colleagues used the Vitamins and Lifestyle (VITAL) study to evaluate data from 66,212 adults aged 50 to 76 years. Between 2000 and 2002, the cohort completed baseline questionnaires on cancer risk factors, medical conditions, medication use and diet.

When stratifying for sex, the increased risk for hematologic malignancies was only seen in women with a history of any airborne allergy (HR=1.47; 95% CI, 1.14-1.91) and those allergic to plants, grass and trees (HR=1.73; 95% CI, 1.32-2.25).

Researchers noted they did not control results for type of allergy medication study participants may have used.

“It’s tough to eliminate allergy treatment as a confounder, because just about everyone with allergies is on some medication,” Shadman said. “But none of the allergy medications are known to cause cancer.”

To read more, please click on the link above.

Sleep Apnea & Claustrophobia? Here is the Answer.

My patients with obstructive sleep apnea and severe claustrophobia are petrified at just the thought of wearing a bulky mask for use with their CPAP (Continuous Positive Airway Pressure) machine. Well, here is the answer to their prayers; a small, flexible, open, and wearable nasal interface from Respironics – Nuance Nasal Gel Pillows. Take a look.

Like it?  Talk to us or your home medical provider.

Sleep Well, Live Well.

Sleep-Disordered Breathing May Worsen Pregnancy Outcomes – MPR

Sleep-Disordered Breathing May Worsen Pregnancy Outcomes – MPR.

Evidence from published observational studies suggests that maternal sleep-disordered breathing is associated with increased risk of gestational hypertension and gestational diabetes, according to research published in the January issue of the American Journal of Obstetrics & Gynecology.

Sushmita Pamidi, MD, of McGill University in Montreal, and colleagues conducted a systematic review of the literature and meta-analysis of selected studies to assess the association between sleep-disordered breathing and risk of adverse pregnancy outcomes, including gestational hypertension/preeclampsia, gestational diabetes, and low-birth-weight infants.

Please click on the link above to read more.

A Helpful Video @ Insomnia

Over last 20 years of my practice, I have seen hundreds of patients frustrated by their inability to fall asleep or stay asleep or both. A brief video clip shared here explains insomnia and gives you a few tips to help you get started in the right direction. My sedating voice in this video is supposed to help you fall asleep!

Sleep Well, Live Well.

Planning an Allergy-Friendly Birthday Party (usnews.com)

Planning an Allergy-Friendly Birthday Party – (usnews.com).

Here are some tips I garnered for when you find yourself in a similar situation:

• Inquire about dietary restrictions when sending out the invitation: To give yourself plenty of time to figure out the menu and arrange for special accommodations if needed, it’s best to ask guests about any dietary restrictions well in advance.


• Make a pizza plan B: Pizza is a fairly typical menu staple at kids’ parties, but it’s problematic for guests with dairy or wheat allergies, Celiac disease or who follow vegan diets.

If you’re hosting a party at home, it’s easy enough to pick up an allergy-friendly frozen pizza to offer – look for gluten-free options from Udi’s or gluten-free/dairy-free options from Amy’s Kitchen.


• Enlist help from parents of guests with food allergies: If you’re concerned about being able to accommodate the dietary needs of a guest with food allergies, don’t hesitate to reach out to his or her parents to ask questions or request help in ensuring appropriate options are available.

• Emphasize fun over food: While food is expected at a birthday party, the folks at Food Allergy Research & Education (FARE) suggest that it need not be the focal point of everything from goody bags to classroom celebrations.

Click on the link above to read more.


How Not to Hate CPAP

CPAP (Continuous Positive Airway Pressure) is the most effective therapy for a serious disease called Obstructive Sleep Apnea, but it is feared by a significant percentage of my patients. Here is a brief video clip aimed at alleviating that fear and dislike so that you spend enough time in deeper stages of sleep, and you wake up with lasting energy and alertness.

Sleep Well, Lead Well