vegetablesAll the rage right now in the healthy living and diet world is an approach to food called Clean Eating.

Clean eating is this: Eat whole foods as nature made them, avoiding packaged foods filled with preservatives. You buy fresh food and cook “from scratch.” It’s really not radical at all. In fact, it’s probably the way your grandparents or great-grandparents ate.

Pamela Mathews, MD, Psychiatry, follows a clean-eating flexitarian diet, choosing a diet heavy on fresh fruits and vegetables and light on meat. She largely avoids packaged, processed foods, refined flours and refined sugars.

“We’re treating things that can be prevented with good nutrition.”

Dr. Mathews discusses the many health benefits of clean eating and a return to natural foods.

Benefits of Clean Eating

Dr. Mathews says that people who eat fresh, natural foods, with an emphasis on fruits, vegetables and whole grains, with little or no animal protein—including dairy, are at lower risk for:

  • Cardiovascular disease
  • Obesity
  • High blood pressure
  • High cholesterol
  • Type II diabetes
  • Kidney disease
  • Osteoporosis
  • Some cancers—especially colon, prostate, lung, breast

“We have an epidemic of poor nutrition in this country. One in seven dollars of our GDP is spent on healthcare. We’re treating things that can be prevented with good nutrition,” says Dr. Mathews.

Dr. Mathews suggests people switch to a diet that’s not focused on animal protein or refined flour or sugar.

“Our cravings result from not eating nutrient-dense foods. By eating vegetables, fruits, whole grains and nuts, we’d receive more minerals, fatty acids and phytochemicals,” says Dr. Mathews 

Dr. Mathews recommends following these steps to better eating and improved health:

1.    Eat Fresh Fruits and Vegetables

  • Buy fresh, in-season fruits and vegetables; when needed, use frozen and canned (unsalted)
  • Incorporate raw and steamed vegetables into daily nutrition plan

Joel Fuhrman, MD, author of Eat to Live, suggests eating a pound of cooked and a pound of raw vegetables daily, Dr. Mathews notes.

2.    Make the Switch to Whole Grains

  • Avoid processed flours
  • Select whole grains for your breads, pasta, cereals, etc.
    • Whole wheat
    • Brown rice and wild rice
    • Rolled oats or steel-cut oats
    • Pearled barley

“When you’re buying bread, buy whole-grain breads with other flours that are ground. It’s better to use things that are minimally processed,” Dr. Mathews suggests.

3.    Avoid Processed Sugars

  • Don’t choose sweets with refined sugars
    • Candy bars and hard candy
    • Cookies
    • Cakes
    • Sodas
  • Select natural sugars for your family
    • Fresh fruit
    • Honey

Dr. Mathews explains: “When we desire fast energy, we crave sugar. Centuries ago, people sought out fruit, which is naturally good for our bodies. Now we seek simple carbohydrates such as sugar, which may provide a fast energy surge, but quickly degenerates into a cycle of craving without supplying the nutrients your body needs. A much better choice would be fruit, such as dates, or unsalted, unroasted nuts or seeds.”

4.    Reduce the Amount of Meat You Eat—Or Go Meatless

  • Eat meat only three times a week (rather than daily), if at all
  • Choose lean and organic (if possible) meats:
    • Salmon
    • Buffalo
    • Grass-fed beef
    • Turkey
  • Recommended serving size of meat is 2-3 ounces (the size of a deck of cards)

“When you reduce your meat intake, be sure you get enough DHA and B12. You can take supplements for DHA and B12. Bean sprouts and inactivated yeast (nutritional yeast) are rich in B12. Good non-meat sources for protein are beans, quinoa, hemp, soy, lentils, seeds, nuts and vegetables, such as spinach and broccoli,” advises Dr. Mathews.

5.    Focus on Good Fats—Omega3 and Omega6

  • Eliminate saturated fat from your diet
    • Don’t eat fried foods
    • Don’t buy fatty cuts of meat
  • Broil, grill or steam your meat and vegetables
  • Eat nuts, seeds and fish to get your fatty acids

Dr. Mathews says great sources of Omega3 and Omega6 are sunflower and pumpkin seeds, flaxseed and salmon.

For more information on healthy eating as a lifestyle, Dr. Mathews suggests these books:

  • Eat to Live by Joel Fuhrman, MD
  • Foods that Fight Pain by Neal D. Barnard
  • Thrive Diet by Brendan Brazier
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nurse

Autumn Lobdell, RN

When nurse Autumn enters the room, young patients smile. Not only is she a talented and dedicated pediatric nurse, but she knows what they’re going through on a most personal level. At age 12, Autumn was diagnosed with acute lymphocytic leukemia (ALL), the most common form of childhood cancer. ALL is a cancer of the blood and bone marrow, characterized by the proliferation of immature white blood cells that make the body unable to fight infection.

Autumn’s mother, Liz Henry, was a nurse at Scott & White at the time. One night at dinner, she noticed a mass in her child’s neck when her daughter turned her head. The next day, Mrs. Henry took Autumn to the family’s physician for evaluation. The blood work revealed an elevated white blood cell count, and other tests showed that the mass in her neck was wrapped around her trachea. Although Autumn was not experiencing shortness of breath or any other symptoms, she was immediately admitted to the intensive care unit at Scott & White.

The biopsy was positive for ALL. Autumn underwent steroid therapy to shrink the tumor. She also endured a grueling schedule of chemotherapy for two and a half years, under the direction of her oncologist, Lawrence Frankel, MD. Along the way, she developed additional complications, but with the expertise of Dr. Frankel and pediatric surgeon Monford Custer, MD, she was able to overcome them as well. She also kept up with her schoolwork. Autumn feels grateful to have had a great team of  caregivers who were willing to work with her school and teachers to ensure that she kept pace with her classmates. She was also impressed with the hospital’s commitment to provide for all of her needs, not just the physical ones she faced.

“It wasn’t easy, but I was fortunate because I didn’t have any neurological problems with my diagnosis, so I could stay the course with school,” she says. “I definitely had a few bumps in the road with infections and reactions to medication, but I had a wonderful group of people at Scott & White who took care of me.”

Autumn’s ties to Scott & White run deep. Her stepdad is Robert Henry, DO, medical director of the new Scott & White Westfield Family Medicine Clinic. Her mom has retired from her nursing position after more than 23 years, and her sister January Kovacevich works in the administrative office at Children’s Hospital. In addition, her brother-in-law, Kyle Kovacevich, works in Risk Management.

two nurses embracing

Autumn now works side by side with Barbara Baugh, who was one of her original caregivers.

Many of Autumn’s childhood caregivers are still caring for children today—like nurse Barbara Baugh, who has remained a close friend and who has served as a mentor for Autumn as she pursued a career as a Pediatric Intensive Care Unit (PICU) nurse at the Children’s Hospital Scott & White. “I knew I wanted to make a difference in the life of a child,” Autumn says. “It’s neat in a way to come here, to come home again. It gives me a new perspective about how to practice nursing. It makes me want to do the best possible job with the kiddos I’m treating and their families.”

Her recent 30th birthday was reason enough to celebrate her success, and a Jamaican getaway with friends did just that. “I spend a lot of time with my family and friends,” she says. “And I love what I do. The bottom line is I want to take care of kids.”

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If you’ve ever had surgery, an MRI, or a Cesarean section, you’ve probably encountered one of Scott & White’s certified registered nurse anesthetists without even knowing it.

Scott & White staff CRNA, Pamela Chambers said nurse anesthetists are the best kept secret in nursing.

“Most people don’t know what CRNAs are until they actually have to encounter one,” she said.

In honor of National Nurse Anesthetist Week (Jan. 22 through 28), Ms. Chambers explains what a CRNA does and how they contribute to the overall well-being of their patients.

What is a CRNA?

CRNAs are anesthesia professionals who safely administer more than 32 million anesthetics to patients each year in the United States, according to the American Association of Nurse Anesthetists.c

“They provide anesthesia for all of the operative or diagnostic procedures that a patient could possibly need,” Ms. Chambers said.

Nurse anesthetists have also been one of the main providers of anesthesia care to U.S. military personnel on the front lines since WWI, including current conflicts in the Middle East.

“In fact, here at Scott & White Hospital – Temple and Children’s Hospital Scott & White, many of our CRNAs are veterans of the U.S. armed forces,” Ms. Chambers said.

What is the difference between a CRNA and an anesthesiologist?

The most substantial difference between CRNAs and anesthesiologists is their prior education. Anesthesiologists receive a medical education and are physicians, while CRNAs receive a nursing education and are advanced practice nurses.

“However, much of the anesthesia part of the education is very similar for both providers,” she said. “They are both educated to use the same anesthesia process in the provision of anesthesia and related services, and adhere to the same standards of patient care.”

At Scott & White anesthesiologists can also lead anesthesia care teams, which means he or she will supervise qualified non-physician anesthesia providers, like nurse anesthetists, to monitor patients and provide anesthesia care, while still retaining overall responsibility for the patient.1

Why is it important to honor CRNAs?

“Anesthesia is the oldest nursing specialty, and it actually makes life better for everybody,” Ms. Chambers said. “Patients can access critical healthcare that used to be impossible to imagine before anesthesia was widely used.”

CRNAs are dedicated to making sure that you have a safe and comfortable experience when they come to the hospital, she said.

“So, if you see a CRNA during National Nurse Anesthetist week, just say hi and maybe ask them what they do,” Ms. Chambers said. “We’d be happy to explain it.”

For information on nurse anesthetists, visit aana.com.

Have you ever encountered a nurse anesthetist? How did he or she make your experience more comfortable?

 

1                      American Society of Anesthesiologists; Anesthesia Care Team

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man falling George walked into the dimly lit room, bumped into the coffee table, tripped over the lamp cord, and fell to the floor.

Sadly, George is in good company. A third of adults age 65 and older falls each year. More than 2 million are treated in emergency rooms for nonfatal fall injuries annually.  Almost $30 billion is spent each year treating fall injuries.

But most falls are preventable.

Aval-Na’Ree S. Green, MD, Geriatric Medicine, identifies some common fall risks. Knowing your fall risks can help you reduce your chance of falling.

Generally, falls are caused by a combination of factors, says Dr. Green, some you can control and some you can’t.

Health Conditions Resulting in Gait Instability

Any abnormality that makes your gait less stable can increase your fall risk, says Dr. Green. When you’re unsteady on your feet, you’re more likely to fall.

The Number One modifiable risk factor for falls is medication.

“For example, if you have hip or knee pain due to arthritis, you’re going to walk with a limp. Your body weight will be shifted abnormally. That will make your gait unstable and put you at risk for falls,” explains Dr. Green.

Dr. Green says another problem could be with your nerves. “We call that neuropathy—where you can’t feel the floor beneath you, so you don’t have an opportunity to get that sensory feedback from your feet telling your body where you are in space,” says Dr. Green.

“Vertigo—or dizziness—will also affect your fall risk,” Dr. Green says. Vertigo can be related to allergies, as your inner ear is important for balance and equilibrium. Inflammation in your inner ear can result in imbalance. 

Visual Impairment

Changes in your vision often accompany aging. Common vision changes include:

  • Cataracts
  • Glaucoma
  • Macular degeneration

Vision changes can increase your risk of falling by:

  • Upsetting your balance
  • Obscuring hazards over which you may trip or slip

Medication

The Number One modifiable risk factor for falls is medication, says Dr. Green.

“A lot of the medications our elderly are taking are what we call vasoactive drugs. They can alter blood pressure and heart rate. They can also cause a decrease in blood flow to your brain, which will then cause you to feel dizzy and make your gait unstable, causing you to fall,” explains Dr. Green.

Medications that may affect your fall risk include some:

  • Blood pressure medications
  • Sleep aids
  • Antidepressants
  • Anti-anxiety medications
  • Narcotics for pain
  • Muscle relaxers
  • Overactive bladder medications
  • Diabetes medications

In-Home Risks

  • Throw rugs. “It’s easy for people to trip on rugs or for their walkers or canes to get hung up on throw rugs that aren’t secure,” says Dr. Green.
  • Hardwood floors. “Slippery hardwood floors that have been waxed,” Dr. Green notes, “are nice and pretty, but pose a particular risk.”
  • Low-lying furniture. “Coffee tables and other furniture that is outside your field of vision is easy to trip over, particularly if you’re visually impaired or have some cognitive issues,” says Dr. Green.
  • Pets. “This is a sensitive subject, because people love their pets, but if you’re visually impaired and you can’t see as well as you used to, you might find yourself tripping over your pets,” cautions Dr. Green.
  • Dim lighting. Inadequate lighting is a significant risk, Dr. Green says. Lamp lighting and 40- and 60-watt bulbs may be insufficient if you have some visual impairment.
  • Bathrooms. “Bathrooms are huge fall risks because people are getting in and out of tubs,” says Dr. Green. People often slip on water on the floor and bath mats, too.

Outdoor Risks

  • Cracked sidewalks. Unlevel or cracked sidewalks create special danger for falling.
  • Stairs and steps. Stairs and steps without railings or with railings in disrepair are dangerous for people who are unsteady.
  • Shrubbery. Untrimmed bushes flanking your walkway can lead to falls.

Dr. Green suggests you have a home-safety evaluation to help identify risks and offer solutions to help make your home a fall-free zone.

If you have a fall, Dr. Green advises, it’s very important—even if you didn’t get injured—to tell your doctor that you fell. Your doctor needs to be aware of your full health history, including falls.

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Meet Hunter Reed

January 16, 2012 Patient Stories

Two years ago, when she was almost 38 weeks pregnant, Sabrina Reed became alarmed by her baby’s sudden inactivity in her womb. The wife of Army Staff Sergeant Travis Reed, now stationed in Kuwait, Mrs. Reed contacted doctors at Fort Hood’s Darnell Army Medical Center. Within a few hours after arriving at the hospital, she [...]

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January 13, 2012 Health and Wellness

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January 9, 2012 Community information

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January 6, 2012 Uncategorized

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January 4, 2012 Medical information

When you think of someone who’s had Botox, you’re probably imagining someone who could qualify for one of those Real Housewives shows. But, the wrinkle-reducer has also proven itself to help treat a number of medical problems, including urinary incontinence. The Food and Drug Administration recently approved the drug to treat overactive bladders in people [...]

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Want to Quit Smoking but Worried about Weight Gain?

December 30, 2011 Health and Wellness

Consider these five tips to help you quit without packing on the pounds Quitting smoking takes commitment and motivation. With the upcoming new year, it is a great time to start your smoke-free lifestyle. Many people have good intentions, but they soon find stumbling blocks that can get in the way of a healthier routine. [...]

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