Tuesday, December 6, 2016

Hump Day Hint: Read the Prescription and the Label

Doctors are notorious for difficult-to-read handwriting. What does that scribble on the prescription pad actually mean? It’s important that you be able to read the prescription and understand what it is for and how to take it properly. Many abbreviations are used in written prescriptions. Here are a few to remember:

  • Tab = tablet
  • Caps = capsule
  • Top = topically
  • Po = by mouth
  • Prn = as needed
  • Hs = at bedtime
  • Ac = before meals
  • Pc = after meals
  • Q4h = every 4 hours
  • Qd = daily
  • Bid = twice a day
  • Tid = 3 times a day
  • Qid = 4 times a day
  • Disp#60 = dispense 60 pills

You should also always ask the prescribing pharmacist what the prescription is for, how to take it, and if there are any warnings. Often you will find warning labels on the pill bottle: Do not operate heavy equipment. Do not drink grapefruit juice. These warnings are added by the pharmacist, and are not part of your doctor’s prescription. Again, it’s important to find out why these warnings are being given. Every pharmacy has a pharmacist on duty who can answer your questions.

Image from MorgueFile

Monday, December 5, 2016

It's Holiday Shopping Season - Be Smart!

This time of year in many parts of the world, what we call "the holidays" are observed: Hanukkah, Kwanzaa, Christmas, and others. Gift giving may be one of the traditions of these holidays.

Spending oneself into a financial hole need not be one of your traditions. Here are four tips on limiting spur-of-the-moment buying that you may find useful now and throughout the year.

  1. Don’t use credit cards unless you have to (e.g., shopping online). Seeing cash go from your wallet to the cashier is a powerful motivator to spend less.
  2. Try “envelope budgeting.” After the month’s fixed expenses are taken care of, take out the remaining available money in cash. Divide it among envelopes labeled with the categories “food,” “entertainment,” “lunches and lattes,” and whatever else is not a fixed expense. Once the money in the envelope is gone, you can’t buy any more in that category until next month.
  3. Put yourself on a weekly allowance. Once you’ve spent it, no more impulse buying until you get your next allowance.
  4. Tally your regrets. Look at your credit card and bank statements for the last few months. Are there things you now regret buying? Write them down and post the list by your computer or on your cell phone, to help you think twice about the next purchase you want to make.

Here is one additional tip for you. To avoid temptation, plan your holiday shopping; don't leave it to the last minute. By controlling your impulsive purchases you can go into the new year free of buyer's remorse!

Friday, December 2, 2016

Shellfish and Seafood Allergies

Contributing Author: Gentle Heron

The last time I ate shrimp tempura was 20 years ago. Suddenly, and surprisingly, my lips started to swell, my face to get itchy, and my heart to pound. I had developed a shellfish allergy. I have not dared to try to eat shellfish since that day.

Shellfish include shrimp, lobster, crab, clams, scallops, mussels and squid. Finned fish (such as salmon, cod, tuna and catfish) are grouped with shellfish as seafood. Shrimp are the type of shellfish that most commonly cause an allergic reaction. Not everyone who is allergic to shellfish is also allergic to finned fish, and vice versa.

Shellfish or seafood allergies can be life-threatening. The victim’s body reacts to proteins in the shellfish or seafood and causes a sudden anaphylactic reaction. Minor reactions can be skin rashes and itchiness. More severe reactions can lead to low blood pressure, asthma, or swelling of the throat so severe that breathing is difficult. Severe anaphylactic reactions must be treated in the emergency room.

Many myths exist about shellfish and seafood allergies. Let’s look at some of them.

Myth: Shellfish allergies begin in childhood.
Fact: Allergic reactions can occur at any age, and the initial occurrence can be severe. Unfortunately, people do not generally outgrow allergies to shellfish, and it is not unusual for someone to be allergic to many kinds of shellfish.
Myth: It’s the iodine people are allergic to.
Fact: Although shellfish and seafood contain iodine, that is not what causes allergies. It is specific proteins in the shrimp or codfish, called allergens for the reaction they cause.
Myth: You can’t have a CT (computerized tomography) scan because you’ll be allergic to the contrast dye.
Fact: The content of the contrast dye used in CT scans is not related to the allergens in shellfish. Although some people do have a reaction to contrast dye, it is unrelated to allergies to shellfish or seafood.
Myth: Avoid foods that contain carrageenan.
Fact: Carrageenan is a food additive made from a type of algae or seaweed. It is common in dairy products and other household items. It is not associated with seafood allergies.
Myth: You have to actually eat the seafood to get an allergic reaction.
Fact: The allergens in seafood can be transmitted in steam from cooking fish or shellfish, and can cause an allergic reaction in those who are sensitive. This is why people who are severely allergic to shellfish or seafood must avoid restaurants where it can be smelled.

Image from Pixabay

For information about shellfish allergies:
http://acaai.org/allergies/types/food-allergies/types-food-allergy/shellfish-allergy

For information on seafood allergies:
http://www.webmd.com/allergies/news/20040713/seafood-allergies-common-adults

Thursday, December 1, 2016

Are You OK Drinking Wine?

Contributing author: Gentle Heron

It turns out that more than one in twenty adults probably isn’t OK drinking wine. A study by German researchers found that 7% of those surveyed reported significant symptoms when drinking wine. The symptoms reported included itching, runny nose and flushed skin, and were more commonly reported from red wine than from white varieties. Some respondents reported diarrhea, stomach cramps, or irregular heartbeat.

The researchers concluded that although these symptoms could be indicative of an allergy, they were more likely to be from an intolerance.

What is the difference between intolerance and allergies? Allergies are an immune system response that occurs when the body reacts as if a harmless substance is harmful. Intolerance is a digestive system response, when the body can’t properly break down food. Although symptoms are somewhat similar, hives and swelling of the tongue are much more common with allergic reactions.

The fact that intolerance is more common to red than to white wines may be due to the presence of proteins in grape skins. White wines are fermented without the skins, and so would have less of that protein. Some people reported not only intolerance to wine, but to all alcoholic beverages. That means for some people, the alcohol in wine is the cause of their discomfort. Very few people reported an intolerance to grapes.

One humorous finding of this study: Those reporting intolerance to wine were no less likely to drink it! This could be because they switched to a type of wine that produced fewer symptoms. Of course, it is also possible that their symptoms were not troubling enough to convince them to stop drinking wine altogether.

Prevalence of Wine Intolerance:
https://www.aerzteblatt.de/int/archive/article/127005/Prevalence-of-wine-intolerance-results-of-a-survey-from-Mainz-Germany

Image from Morguefile