Jumping On a Bandwagon

Once again I find myself in total shock as I watch many of our politicians jumping on the healthcare reform bandwagon. Obviously, I find much humor in my disappointment, after calling and writing my elected officials who ignored my request for more information on this complicated legislation. I have to say it is hard for me to support any type of government policy that makes drastic changes in the status quo while that policy is so poorly understood by the public as well as the government leaders who are voting on it.

Here are my two cents worth about bandwagons and why I recommend avoiding them at all costs. The word “bandwagon” has always been one of those hot words for me, causing visions of red while heightening my defenses on whatever the subject may be. Abraham Lincoln is one of my favorite U.S. Presidents. Recently, I researched his management philosophies, which I believe were centuries ahead of their time. I discovered the true meaning of “bandwagon” and how Lincoln used it to his advantage. Literally, a bandwagon is a wagon that carries a band in a parade or circus. The phrase “jump on the bandwagon” was introduced into American politics in 1848 by Dan Rice, a professional circus clown and President Lincoln’s official election campaign court jester. Rice used the bandwagon to gain attention for campaign appearances.

“Jump on the bandwagon” was used as a derogatory phrase, implying that people were associating themselves with some sort of success without ever considering that association. Today, seemingly, many of our politicians are once again eager to jump on another bandwagon that seems to be a hot topic—healthcare reform. I struggle to comprehend the urgency of this race to push such an important piece of legislation, one that could profoundly affect our personal and financial well being as well as the structure of our healthcare system.

I do not believe in mixing politics and healthcare. Individually, we need to do some soul searching to determine what healthcare really means to us and how we envision our healthcare system in the future. Citizens may want to ask this question: Do I want more individual control over my healthcare options and costs, or am I willing to relinquish choices for a more universal type of healthcare controlled by the government? Actually, healthcare reform isn’t about what it means to me or to the politicians; it’s about what it means to you.

So, before jumping on the bandwagon, your first step is to gather the facts. The second step is to soul search and make sure that the bandwagon is playing your kind of music, and the third step is to know the parade route and the audience. Nothing is worse than playing “Here Comes Santa Claus” in the Fourth of July parade.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

A Christmas Story

I started reading Christmas stories to groups when I was only 5 years old. I guess I’ve always had a knack for storytelling because as I stood before my brother’s 3rd grade class and read ‘Twas the Night Before Christmas, I didn’t realize that the book was upside down. Although my telling of Clement Clarke Moore’s story was not verbatim, nonetheless, its spirit and meaning were very much alive. Because, you see, the spirit of Christmas resides in the hearts and minds of children; written words will never express the true meaning of Christmas that lives within us.

As a child I can remember our family going to the hospital cafeteria so that we could eat Christmas dinner with my mom when she was at work. Therefore, I am confident that I have had more holiday meals in a hospital than I have at home. That experience gives me an eccentric feeling of belonging to something that is in constant motion—never pausing or wavering from caring, giving, or helping another who is a little less fortunate.

As an adult I have felt the pain of seeing a mother dying of cancer on Christmas day as her 5-year-old-son struggles to understand what dying means. Then that same little boy returns on Valentine’s Day bearing bags of candy hearts along with crayon messages of what nurses mean to him. During those times, I understand what nursing is and the impact we have on another life during moments of weakness when one’s chin quivers under the weight of his world. I will never forget that somber day as I watched a little boy walk hand in hand with his father after their lives were changed forevermore. My drive home that day was filled with dark images flashing through my mind as I had become silent and numb in search of the Joy of Christmas.

I realize that happiness and joy does not come elaborately wrapped and placed under a tree, but instead, comes from the heart and in a moment when we connect with what is really important in life. The gift of health is so fragile and precious, and yet most people take it for granted. The loss of health doesn’t affect just the afflicted; it stirs many emotions and impacts many lives for generations to come. For me, the meaning of Christmas is about a smile, a chuckle in one’s heart, the warmth of family, and being healthy. Take the time this holiday season to be kind to one another, to smile, to laugh, and to exchange good tidings.

Believe in the wonder, delight in the magic. Merry Christmas!

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Joy, Loss, and Holidays

A couple of days before Thanksgiving, a good friend of mine telephoned to tell me that her father had been killed in a car wreck. Suddenly, I found myself without words, and my realization that she could not see my reaction made the moment more awkward. The silence that filled my head was broken only by her sobs of sadness as my mind reeled and searched for a word—any word of comfort—that I might offer. I have found myself speechless on only a few occasions and this was one of those times. The sound of silence was deafening, and the world around me moved in slow motion as I recalled a quote from an old movie, “For some moments in life, there are no words.”

For most people the holiday season is filled with joy, celebration, and good tidings. However, many suffer in silence during the holidays. Forty-five years ago, my paternal grandmother died on Thanksgiving Day, and I have an aunt who still has difficulty celebrating the holiday season. Regardless of time passed, I think there will always be a void after the death of a loved one. Certainly, a death on special days, such as birthdays or holidays, presents memories that can overshadow celebrations. Grief, as well as how we react and deal with loss, is unique to each of us. Loss comes in many different forms: we can lose a loved one, a body function, a job, or a pet. It’s important to not trivialize a loss with well-intentioned words: “I know how you feel”; “It was only a dog”; “It was God’s will”; or “At least he didn’t suffer.” These statements are of little consolation to those who are grieving. Again, there are no magic words to take away the pain; what may offer more comfort is a hug with the words “I am so sorry.”
If you find yourself grieving this holiday season, here are a few tips that you might find helpful:

• Increase your positive outlook. A Scottish study published in the British Journal of Sports Medicine has found that physical activity for just 20 minutes a week is enough to boost mental health. Activities include walking, swimming, gardening, and even housework. The greatest impact was derived from sports, which lowered the risk of distress and anxiety by as much as 33%. Before starting any new exercise or diet, consult your healthcare provider.

• Allow time to feel sad or to have a good cry.

• Be cautious with the use of alcohol or medications.

• Try to keep your routine; eat as well as you can and get plenty of rest.

• Set priorities. Grief is exhausting; you may tire quickly, so save your energy for the most important things.

• Attend a lecture or workshop on how to get through the holidays. Many hospitals and churches will offer these resources at no cost.

• Realize that the anticipation of a holiday or family event may be more difficult than the actual day.

These are only a few suggestions you may find helpful. Another great resource is the American Hospice Foundation; visit their Web site: www.americanhospice.org. You can also reach out to friends, family, and clergy to help you through this difficult time. Know that grief is normal and tears are healthy. When those around you tear up, don’t turn your back—embrace them and show that you care. The holidays, at best, are stressful occasions in our lives. If you find yourself overwhelmed, reach out to friends and family or talk with a professional counselor. Most importantly, engage the holiday, be with friends and family, and remember those you have lost. You might be surprised that this holiday season may be very special to you in many ways. Merry Christmas to you and may you find Peace!

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Super Sized Holidays

With Thanksgiving behind us, we start moving into the main stretch of plentiful parties and holiday festivities. Often this rat race called the holiday season leads to an overindulgence of rich comfort foods, cocktails, late nights, and early mornings. All the while we try to fit in one last hurrah in the name of good tidings. This hustle and bustle leaves us feeling bloated, miserable, and woozy as our bodies expand before our eyes. Yet, we eagerly devour one more finger food and gulp down another glass of eggnog.

When I was about nine years old, my mom was preparing food and drink for a Christmas celebration. The party favorite was to be her signature, decadently rich to-the-last-drop, homemade EGGNOG. Now, no party would be complete without a huge bowl of this exquisite treat commanding center stage of the buffet table. After the party preparations were complete, my mom headed off for a well-deserved nap before the guests were to arrive. I bring up the EGGNOG because it was a lesson in overindulgence that I have carried with me throughout every holiday season since. I dipped one small cup into the bowl and as I drank it, my taste buds flew into orbit and my senses were magnified—I wanted more. One cup led to the next, each better than the one before, until I was pouring the last drops of this lavish treat into my cup. I am not sure what happened next. I lay on the sofa tossing and turning as waves of nausea overtook me. I was drenched in sweat as my skin turned gray, my head spinning as I struggled to my feet. I plowed headfirst into the bed where mom lay sleeping; I begged for relief from the demon inside—EGGNOG!

According to the American Dietetic Association, we consumed about 4,000 calories during our Thanksgiving meal. In contrast, it has been estimated that the early Pilgrims and Indians consumed about 550 calories during their first Thanksgiving celebration. So, as we wend our way toward elaborate Christmas meals, we can expect again to consume another 4,000 calories. However, these big holiday meals are only part of the problem. Additional factors that contribute to our expanding waistlines are seasonal hors d’oeuvres, cocktails, candies and other desserts, and lack of sleep.

You don’t have to say “no” to holiday parties, family gatherings, or your favorite hors d’oeuvres. Here are a few tips to help you avoid gaining those unwanted holiday pounds while enjoying the season:

Be realistic: Do not start a weight loss program during the holidays; you may be setting yourself up for failure. A better goal may be to maintain your weight throughout the holidays. Eating smaller, lower calorie meals during the day will allow for a little indulgence at festivities later in the evening without overloading your total daily caloric intake.

Choose healthier foods: Go easy on fried foods, cheeses, dips, and candies. Take advantage of healthier choices, such as raw vegetables (with small amounts of dip—just enough to cover the tip), boiled shrimp, scallops with lemon, or fresh fruit with yogurt dip.

Have fun: Enjoy yourself—conversations are calorie free. Try sparkling water with a twist of lime while you socialize (away from food) and celebrate with old and new friends.

All things in our society, including our appetites, seem to be super sized, making this a great time to pay close attention to portion sizes while including a little exercise (like a brisk walk) in our daily routines. I learned very early in life that you can have too much of a good thing. As for me, I will be steering clear of the EGGNOG!

Make sure to discuss any changes in your daily exercise or diet with your healthcare provider. Have a great holiday season!

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Take a Breath

Those who are closest to me know that more often than not I look at the lighter side of life. I think it is important to laugh often and encourage those around us to laugh. Nothing is sweeter than listening to a child’s laughter fill a room. Some of my fondest childhood memories are of my Grandmother and my Great Aunt Vicky when I was able to provoke a good ol‘ leg slap of laughter. My grandpa Baker died before I had much time to get to know him; what I do remember is that he was a prankster who was always doing something to someone to entice good humor. My memories of my Uncle Richard include the twinkle in his eye as he would spin a tale of some funny story that caught me off guard and made me laugh; sometimes I didn’t even know what was so funny.

Now, I will be the first to admit that my family is a kind of circus of sorts—I never know who will be wearing the top hat, cracking the whip of wit and evoking laughter. However, I am not writing about the humor, but rather the tragedy of laughter cut short. You see, my grandpa Baker died of a heart attack when I was 8 years old, and my maternal grandmother died with emphysema caused by cigarette smoking before the risks were well known. My Uncle Richard and Aunt Janice both died of lung cancer, caused by the mighty addiction to cigarettes; therefore, the subject of lung cancer hits close to home.

Obviously, those who smoke are at the greatest risk of contracting lung cancer. Of course, the longer you smoke and the more cigarettes you use, the higher your risk. But, even after smoking for many years, you can still significantly reduce your chances of developing lung cancer by quitting smoking. Although 87% of all lung cancers are in people who smoke or have a history of smoking, there are other risk factors, which include secondhand smoke, age (50 years and older), radon, environmental and industrial chemicals such as asbestos, beryllium and uranium, and air pollution. I think it’s interesting that African Americans smoke at the same rate as Caucasians but have a higher rate of lung cancer. Military veterans have a rate of lung cancer that is 76% higher than the national average.

Early detection and prevention is the key to winning the battle against cancer and especially, lung cancer. It’s recommended that the following people have a detailed discussion with their healthcare providers concerning the benefits and risks of getting a baseline CT scan to screen for lung cancer: those over age 50 with a history of cigarette smoking or exposure to significant secondhand smoke; veterans who were on active duty aboard submarines or in the Vietnam or Gulf Wars; and individuals with exposure to asbestos, nuclear propulsion, herbicides, battlefield emissions, or other carcinogens.

Lung cancer doesn’t have many signs and symptoms in its earliest stages—those typically occur in advanced stages of the disease. According to the Mayo Clinic, signs and symptoms of lung cancer may include: a new cough that doesn’t go away, changes in a chronic cough or “smoker’s cough,” coughing up even a small amount of blood, shortness of breath, chest pain, wheezing, hoarseness, weight loss without trying, bone pain, and headaches. It’s always a good idea to make an appointment with your healthcare provider if you have any signs or symptoms that worry you.

Smoking cessation is the best thing you can do for your health. Talk with your healthcare provider or call 800-QUIT-NOW for ways to help you kick the habit. Lung cancer isn’t about what you’ll miss; it’s about those closest to you and their reminiscing about how things might have been. A grandchild, nephew, son, or daughter will one day remember the twinkle in your eye and the laughter that once filled the season.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Futurisitic Fat Loss

I have always been intrigued with futuristic ideas and how these advancements change our lives. While growing up, I was a fan of The Jetsons. Today I find it quite interesting how the writers of that animated sitcom reached into the future and how close those 1962 ideas are to our modern everyday lives. Nearly 50 years after the conception of The Jetsons, what have we learned or taken with us into the 21st century?

In the 1960s we had huge clunky vacuum cleaners making housecleaning a dreaded chore. The Jetsons had a robot named Rosie who took care of cleaning and cooking; she helped the children with their homework while dispensing occasional advice on parenting. Today some of us have robots named “Roomba®” that constantly vacuum our carpets, microwave ovens that prepare a meal in minutes, and computers that help our children with homework and provide entertainment. The computers are also a good resource for parenting topics—advice is always at hand.

Microwave ovens, robotic vacuum cleaners, dishwashers, and computers are a few of the once farfetched futuristic appliances that are now commonplace in households across America. In the new millennium, we have not fared so well advancing our health. Everyone in the Jetson household was trim and fit with the exception of Rosie, the robot. Even with all the labor saving devices, the show always ended with George Jetson getting his daily exercise by walking his dog Astro on the treadmill.

Future medical advancements and breakthroughs are exciting and add hope to our lives. This week in my readings, I came across an article on cryolypolysis, which is a promising innovative technological approach to fat loss. Dr. Jeffrey Dover at Yale University of Medicine is conducting the research. Cryolypolysis works by freezing fat cells below the surface, and as the fat cells are cooled, they begin a process of natural cell death and the body removes them. This procedure does not require needles, incisions, anesthesia, pain medications, or surgical incisions. The best part is that there is no recovery time; however, the drawback is that it takes three to four months for those fat bulges to flatten out. In the small control group, 100% of the participants averaged a fat layer reduction of 22%. This research shows great promise in the battle of the bulge.

Prevention is the best remedy for any illness or condition, and weight loss is no exception. As the old saying goes, “An ounce of prevention is worth a pound of cure” (pun intended). Even the Jetsons took time out of their exhausting 9 hour work week to exercise and stay fit. No matter what the future holds, nothing will take the place of a balanced diet and daily exercise. The Jetsons didn’t realize the impact of conveniences on our waistlines, so until experts perfect cryolypolysis, you might want to say “no” to that second helping of mashed potatoes and gravy this holiday season.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Planning for Holiday Success

Seemingly, Halloween kicks off the beginning of a season filled with too much food, too much drink, too much spending, and too much of the “ideal holiday season” dancing in our heads. The holidays have become a blitz of overeating, socializing, shopping, and decorating—spinning many of us into a frenzy of uncontrolled spending, social commitments, and family obligations as we race to the finish line on New Year’s Day. Knowing the holidays are behind us, we express a sigh of relief; most of us feel drained as we anticipate the clean up and how to pay for it all.

A few days ago my brother and his wife came for an overnight visit, and I observed my cats Pyper and Jasper as they interacted with our guests. My cats had the right idea for socializing. When our company arrived, Pyper and Jasper greeted them with wide eyes and lots of curiosity about tote bags and suitcases, much in the same way that we anticipate Christmas gifts. My cats confiscated keys, earrings, and make-up brushes. Obviously, they were not impressed with money; instead they relished a good game of hide-and-seek or fetch with their new “treasures.” As their excitement wore off, the two felines settled into a more subdued mood—watching, listening, and then retreating to a vacant room for peace and quiet.

For most of us, the holiday season brings to mind images of friends and families enjoying conversation and cheer around an elaborately decorated dinner table overflowing with food and drinks. Advertisers embrace this season by presenting pictures of cars, diamonds, and other expensive gifts.

The reality of the holidays is usually different than those commercial images. Many of us struggle to meet the challenges of a season that should fill us with Joy, but instead can overwhelm us with unrealistic expectations. Here are a few ideas that you might find helpful in dealing with holiday stressors:

• Reality: If you have locked horns with someone over politics, employment, religion, or any topic of controversy, it’s unrealistic to think holiday cheer will bury a bone of contention. Be gentle, be honest, and steer clear of topics that historically have caused stress.

• Gifts: For years within my family, I have advocated an elimination of gift giving during the holidays. To me, time filled with good food, stimulating conversation, and laughter is far more important and rewarding. Trinkets, toys, and expensive gifts will soon be set aside, but memories of laughter and listening to one another will warm our hearts for years to come.

• Sleep: During the holidays many of us eat and drink too much while trying to make the most of every minute of our days by cleaning, decorating, shopping, and attending parties. All of these things increase the chaos of holiday stress. Take time to recharge your bodies and your mind; nothing does that better than a good night’s rest.

The holiday gifts I remember most are enjoying a slice of Aunt Vicky’s apple stack cake and heading out to a turkey shoot with my grandfather. We might be able to learn something from Pyper and Jasper—nothing will take the place of time spent playing fetch or a good game of hide-and-seek. Our pets accept us regardless of political affiliation, waist size, or the cost of a gift. To them, the greatest gift is our presence, affection, and time.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

"You Can't Teach an Old Dog New Tricks"

Once I had a horse named Louie, who constantly runs in and out of my mind, but this week more so than usual. When I first got Louie, for some unknown reason, he was terrified of horse trailers; it was a major ordeal to get him in one. Well, one day a horse trainer asked me if I would let him work with Louie for a couple of hours—he guaranteed that when he was finished, all I would have to do would be to simply open the trailer door and Louie would magically jump in. The trainer’s only request of me was to leave so I could not watch the training session. With visions of animal cruelty fueling my reluctance, I fell back on my trust of the trainer and drove away.

Last week a close family friend suffered a stroke. I stood speechless in disbelief as I listened to the course of events leading up to his transport to the hospital. The red flags of warning that whipped in the wind went unnoticed. Then it dawned on me—maybe my friends didn’t heed the warning signs because they couldn’t see or hear them.

Every 53 seconds someone has a stroke, and it’s the 3rd leading cause of death in the United States. There are two types of stroke: ischemic (blocking blood flow) and hemorrhagic (break in a blood vessel). It is impossible to distinguish which type of stroke someone is having without diagnostic testing using computerized tomography (CT scan) or magnetic resonance imaging (MRI). For this reason, it is important not to give aspirin to someone you suspect of having a stroke. Also, a stroke can compromise one’s ability to swallow, causing aspiration and/or choking.
The following are symptoms of stroke:

• Sudden NUMBNESS or weakness of face, arm, or leg, especially on one
side of the body
• Sudden CONFUSION, trouble speaking, or understanding speech
• Sudden TROUBLE SEEING in one or both eyes
• Sudden TROUBLE WALKING, dizziness, loss of balance or coordination
• Sudden SEVERE HEADACHE with no known cause

If you or someone you know experiences any of these symptoms, you need to call 911 and get to a hospital right away; even if the symptoms resolve quickly, a stroke may have occurred.

Also, it is significant to note the last time the person you suspect of having a stroke was his or her normal self. The physician will need this time line to formulate the most appropriate care. Communicate with the person, determine if he or she is alert, and ask him or her to say “You can’t teach an old dog new tricks.” A person should respond with no wrong or mixed up words and without slurred speech. Ask the person his or her age and then what month it is. If, however, the person can answer the questions and repeat the “old dog” phrase perfectly but has any of the above symptoms, call 911. A stroke is an emergency and quick medical intervention can be life saving.

I am a firm believer in “You CAN teach an old horse new tricks.” Because when I returned to the horse barn that day, as I opened the horse trailer door, Louie nearly ran me over as he jumped in. The key to better health is learning and applying what we’ve learned. Knowing the signs and symptoms of having a stroke is vital. Also important is knowing and reducing risk factors, such as high blood pressure, heart disease, smoking, high cholesterol, diabetes, sickle cell disease, or a family history of stroke. Remember, just like Louie, we can learn to do things once thought of as uncomfortable and do them quickly and efficiently.

Do not hesitate if you suspect a stroke. This is not the time to call your healthcare provider or a friend. Every second counts—call 911 immediately!

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Dancing With Your Mind

One of the interesting things about working with people is watching how differently they age. I have seen people, and I’m sure you have too, who are in their forties but look like they are in their sixties or seventies. And there are those in their nineties who seem like they are in their fifties or sixties. Just a few weeks ago I had the privilege of caring for a lady who was 100 years old and in basic good health other than having a touch of the flu and some stiff joints. When we first met, she had cookbooks and cooking magazines spread all over the hospital bed. I asked her if she enjoyed cooking, and she replied with a huge grin, “I love to cook but don’t get to do as much as I used to, but you might be surprised by what I can do with a microwave and toaster oven.”

What are the reasons for such vast differences in how we age? In my experience, patients of advanced age all have something in common: a desire to keep working and to stay active while contributing to life. I remember my Great Aunt Vicky, who always insisted on peeling potatoes, sorting beans, or washing the dishes after dinner. Aunt Vicky had to stay active; she had to contribute and she did so with smiles and laughter. To my knowledge she never smoked, always ate a big breakfast, worked in her garden, and raised her chickens. For every holiday dinner Aunt Vicky brought the most wonderful apple stack cake, which she made from scratch on a wood burning stove in a house with no running water.

November is National Alzheimer’s Disease Awareness month. We know the leading causes of death in the United States are cardiovascular disease and cancer. What may not be common knowledge is that Alzheimer’s disease is the 6th leading cause of death. Although we have made great strides in lowering mortality rates caused from heart disease, prostate cancer, and stroke, we have seen nearly a 50% increase in the number of deaths caused by Alzheimer’s disease.

The causes of Alzheimer’s are poorly understood, but most medical experts agree that there is no one factor responsible for the disease. While some researchers believe that clumps of usually harmless protein may interfere with communication between the brain cells, others believe that the brain cells’ internal structures becomes twisted, causing cells to die. But, what causes either or both of these conditions to occur?

The brain is one of the body’s most vascular organs; therefore, it makes sense that what is good for the heart is good for the brain. Research suggests that a diet rich in fruits and vegetables and low in fat may be good for overall health.

Prevention is the key, so examine your lifestyle and talk with your healthcare provider about cardiovascular risk factors, such as high cholesterol, type 2 diabetes, high blood pressure, and excess weight. Management of these risk factors as well as regular physical exercise, social interaction, intellectual curiosity, and mental stimulation may be your best weapons against a disease that has no cure.

I believe that Aunt Vicky’s attitude toward life, her network of friends through her church, the garden, the chickens, and drawing up her own water from the well while cooking her meals on a wood burning stove kept her mind young. So encourage those closest to you to dance, laugh, and challenge their minds—it’s the curiosity about life that keeps us young.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Does Everything Cause Cancer?

Isn’t it funny how life’s twists and turns are much like currents of unexpected change? Life is filled with thrills, excitement, disappointment, calm, and chaos that really weren’t meant for the faint of heart. The best part of life is that it comes with an abundance of choices; however, life also has no warranties, no guarantees, no expiration date, and no return policy. Some of life’s choices are simple with few consequences; others are complex and can bring about chaos.

Part of life’s chaos is fueled by the never-ending information that bombards us daily. Thousands of cancer treatment and prevention studies have been done and many more are currently underway. But what do we know and how do we bring calm to the chaos of information?

According to the National Cancer Institute, 30% of cancers are due to tobacco use. By now we know that smoking is the nemesis of good health. But, we may not realize how the foods we consume contribute to as many as 60% of all cancers. What about obesity? In recent years obesity has been recognized as a significant cancer risk. These factors—smoking and obesity—bring validity to the theory that 80% of cancers may be preventable. If smoking is linked to lung cancer and obesity is linked to breast, esophageal, pancreatic, colorectal, endometrial, and kidney cancers, then it is easy to see how lifestyle choices affect our overall health.

Today the old saying, “you are what you eat,” could not be truer. With fast food restaurants increasing in record numbers, so are our waistlines. We live in an era of fast, convenient, and disposable food—the result is that two thirds of us are considered obese. The number one killer in America is heart disease; cancer is number two. Obviously, diets consisting of high fat, red meats, and dairy products are associated with many health problems ranging from heart disease to prostate cancer.

So, does everything cause cancer? You may be surprised to learn the answer is no. The things that are good for us may also protect our health; they are nature’s fast foods: fruits and vegetables. Bananas, apples, and oranges come in nature’s own value pack—ready to eat and full of nourishment; plus their natural packaging is biodegradable.

Cancer-preventing and heart healthy foods include the following: 1) vegetables–sweet potatoes, carrots, broccoli, spinach, and asparagus; 2) fruits–strawberries, kiwi, melon, bananas, and apples; 3) whole grains–breads, cereal, oatmeal, pasta, and brown rice; and 4) legumes–beans, peas, and lentils. In multiple studies, cruciferous vegetables have been shown to have the most powerful anticancer properties of all foods. Cruciferous vegetables include kale, cabbage, brussels sprouts, broccoli, cauliflower, turnips, and radishes.

I recommend limiting fatty foods, red meats, and processed foods. The more natural and closer you are to the way nature prepared it, the better it is for you. The National Cancer Institute recommends nine servings of fruit and vegetables per day. I think we need to consume at least six servings of fresh fruit and eight servings of fresh vegetables for better health. Be mindful of the cruciferous vegetables and incorporate at least two into your daily diet. Please discuss any diet and exercise modifications with your healthcare provider or pharmacist before making any changes.

I believe a healthier life can be achieved in part by the choices we make. Plan for the unexpected and protect your health. Life is about choices; what we eat and drink is how we live.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Halloween's Lucky 13 to Safety

The thought of Halloween fills my head with mysterious haint tales and russet leaves blowing across a path, with the eerie sights of carved pumpkins glowing in a mist of flickering light. Halloween is filled with ghosts and goblins running amuck in search of tricks and treats. The fall air fills with sounds of mischievous giggles and laughter as they mix with the smell of scorching pumpkins on a cool, crisp night. Ooh, the magic of Halloween! Suddenly, giggles and laughter cease when a child lies motionless on the cold, dark pavement—the result of an accident caused by a Halloween distraction. Had I only changed one thing—giggles and laughter would still fill the night.

Halloween safety is a must and we all play an important role in keeping ghosts and goblins safe. Use the Halloween Lucky 13 steps to a safer and happier Halloween:

1). Swords, knives, and similar costume accessories should be short, soft, blunt, and flexible to prevent injury.

2). Costumes should be well fitted to avoid trips and falls. Masks should not block vision or impair hearing. Consider a cosmetic mask instead of a loose-fitting mask that could restrict breathing or vision. Always test make-up in a small area first for sensitivity and irritation. Remove all make-up before bedtime to prevent skin and eye irritations.

3). Make sure costumes are made of flame-resistant material and stay clear of lit candles and bulbs. Review the “Stop-Drop-Roll” technique in case clothes catch on fire.

4). Fasten reflective tape to costumes and bags to help drivers see trick-or-treaters.

5). Carry a flashlight to aid your vision; the light will also help others to see you.

6). Avoid trick-or-treating alone. Walk in small groups or with a trusted adult.

7). Walk on sidewalks or the far edge of the road, facing traffic.

8). Use designated crosswalks and look both ways before crossing. Avoid running out from between parked cars and driveways.

9). WALK—don’t run—from house to house; avoid running across lawns where ornaments or furniture may present unforeseen dangers.

10). Choose safe houses for trick-or-treating; children should not enter any home or apartment unless they are accompanied by a trusted adult.

11). Eat only factory-wrapped treats. Avoid eating homemade treats unless you know the cook well.

12). Warn children not to eat treats before an adult has carefully examined them for evidence of tampering and/or choking hazards. Limit the amount of treats that are eaten.

13). When possible, wear brightly colored costumes to increase visibility.

The 13 steps to a safer Halloween aren’t just for children. Adults face the same visibility hazards as children; therefore, as you head out to Halloween parties to enjoy the festivities, be sure to apply the same rules. Drivers, please slow down and look out for ghosts and goblins of all ages. The Centers for Disease Control and Prevention report that children, ages 5 to 14, are four times more likely to sustain pedestrian injuries on Halloween between the hours of 4 p.m. and 10 p.m. than on any other night of the year.

Keep your eyes on the path ahead and your ears tuned to the giggles and laughter as you watch and listen to the traditions of Halloween. Enjoy the sights and smells of carved pumpkins while ghosts and goblins trick-or-treat. As quickly as a candle flickers in the night, Halloween’s distractions could end a life.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Vitamin D: the Fountain of Life?

In June I wrote a column titled “My Mom’s a Guinea Pig,” which sparked a lot of interest on the subject of vitamin D. You may recall that we were going to have baseline lab work done to find out my mom’s vitamin D level. While we were at it, we went ahead and had her vitamin B12 level checked. The baseline laboratory results were as follows: the vitamin B12 level was 232 pg/ml and the vitamin D level was 14.5 ng/ml. What does all this mean? Well, although the vitamin B12 at 232 was on the low end of the normal range of 208 to 963 pg/ml, the vitamin D level at 14.5 was well below the recommendation of 50 to 70 ng/ml for optimum health. As I always advise before starting any supplement or over-the-counter medication, we discussed our plan with her healthcare provider. My mom began a weekly regimen of prescription strength vitamin D at 50,000 IUs and a vitamin B12 injection of 1,000 mcg.

Within three weeks the “Guinea Pig” had more energy and a greater feeling of well being. In the ninth and tenth weeks, the “Guinea Pig” continued to feel stronger and noticed her fingernail beds were brighter and healthier looking. After ninety days the laboratory tests were repeated; noticeable improvements without adverse side effects were as follows: the vitamin B12 level increased to 544 pg/ml and the vitamin D increased to 34.4 ng/ml. Not bad for a 90-day trial.

So, who is at risk for vitamin D deficiency? Infants exclusively breastfed, older adults, those with malabsorption disorders, surgical gastric bypass recipients, people with darker skin colors, and pregnant women are at risk. Signs and symptoms of vitamin D deficiency are muscle pain, lower immunity, weak bones and fractures, low energy and fatigue, depression, mood swings, and sleep irregularities.

Sources of vitamin D include sunshine, fortified foods such as milk and orange juice, cod liver oil, salmon, egg yolks, and beef liver. You could eat enough of these foods to get the recommended 2,000 IUs per day, but who would want to? You would have to eat about 100 egg yolks or drink about 20 cups of milk per day. During the summer months, an excellent source of vitamin D is sunshine— delivering 20,000 IUs every 30 minutes of full sun exposure. However, excessive sun exposure increases an individual’s risk for certain types of skin cancer while accelerating aging of the skin.

While healthcare professionals have warned and educated the public about the risk and dangers of sun exposure, they have noticed dramatic increases in breast and colorectal cancer, prostate cancer, type 1 diabetes, asthma, the common cold, and influenza. Is vitamin D a cure all? The research has shown great promise and improvements in hypertension, cardiovascular disease, stroke, multiple sclerosis, obesity, seasonal affective disorder, depression, PMS, and osteoporosis. All of the benefits of vitamin D are still being examined; what we do know is that vitamin D is essential to a strong immune system.

I recommend having your vitamin D level checked as well as having a discussion with your healthcare provider or pharmacist before taking any supplement or over-the-counter medication. A safe and effective dose of vitamin D is 2,000 IUs daily.

As for “My Mom the Guinea Pig,” she is happier, stronger, and feeling better than she has in years. During this flu season, I personally want all the protection I can get, so I am taking my vitamin D every day. For free consumer health information on vitamin D and other health related topics, call my friends at the Preston Medical Library at 865-305-9525 or write to them at library@utmck.edu. Vitamin D might not be a cure all, but I believe it’s a link to better health.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about, please email me at: howard@howardsbaker.com

The Mighty Cranberry

A few weeks ago my parents and a couple of their friends set out for an adventurous senior vacation to Wisconsin. Like any good son, I had all the usual qualms as my mind reeled with visions of my parents speeding through Chicago toward the Wisconsin Dells. As my parents, who were smiling and waving, backed out of the driveway, questions of doom took hold of me. Do they have their eye glasses, medications, koozie cups, sunglasses, and road maps with rest areas clearly marked? I suddenly felt the jolt of role reversal and saw myself in my parents’ place on the day I backed out of the driveway for my first solo drive to town.

One of the adventures that my parents enjoyed was the cranberry festival in Warrens, Wisconsin, where my mother fell in love with the mighty cranberry. So, I set out to do a little research on this jewel of a berry, and here is what I found. Cranberries are associated with myths and facts about their potential health benefits. What we do know is that the cranberry is high in fiber, and rich in vitamin C and potassium. Also, it is a potent antioxidant that eradicates free radicals in the body.

The cranberry has shown promise in reducing the H. Pylori bacteria’s ability to live in the stomach and cause ulcers. There are many studies with combined evidence on the cranberry’s ability to prevent urinary tract infections; however, it is important to point out that while cranberries may be helpful when used in combination with other therapies such as antibiotics, cranberries may not be effective when used alone. The mighty cranberry also shows promise for helping inflammatory conditions, gingivitis, high cholesterol, influenza, wound care, Alzheimer’s disease, ischemic stroke, cancer, and heart disease.

Arguably, more research is needed on the health benefits of the cranberry, but preliminary studies have already shown promise in the prevention of cancer, kidney stones, and the reduction of dental plaque and cardiovascular disease. The list of potential benefits seems to be endless, but my favorites are the cranberry’s ability to improve memory and to reduce urine odor associated with bladder incontinence.

So, how many cranberries do you need to consume for better health? Well, I am glad you asked! The mighty cranberries are loaded with nutrients, and you might be surprised to learn what a punch they pack. The daily recommendations are very doable: one half cup of fresh berries (or about 2 ounces of dried berries); or 6 ounces of pure cranberry juice, available in health food stores. Ocean Spray® brand cranberry cocktail may be used, but you will need to consume 10 to 12 ounces per day to get the same effect that pure cranberry juice provides. If using 6 ounces of pure juice, I recommend mixing it with sparkling water and adding natural honey for a more refreshing drink. Cranberry supplements are also available from health food stores and pharmacies, but why rob yourself of the taste treat that this natural food offers. Regardless of which product you choose, you can rest assured that you are one step closer to better health.

During Thanksgiving in the 1620s, the Native Americans introduced the Pilgrims to the cranberry; since then, we have continued the tradition of including cranberries in that holiday meal. For centuries Native Americans have understood the healing power of the cranberry, and as usual, it has taken the rest of us a little longer to catch up.

As in all adventures, we learn something and bring a piece of the adventure back with us. My mom really fell in love with the mighty cranberry. She brought back cranberries in forms I never thought of: cranberry syrup, pancakes, wine, jam, candy, salsa, relish, and cranberries sweetened with orange zest. Head out on an adventure to better health and explore the wonderful flavors of the cranberry all over again. You might be surprised how good the cranberry is for you, but once you bite into a cranberry sweetened with orange zest—your taste buds explode with excitement as you are overcome with the taste of good health.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about, please email me at: howard@howardsbaker.com

Save Millions: Adopt-A-Pet

Healthcare costs seem to be a topic for heated debate and uncertainty; everyone has an opinion and is willing to share. I am unsure when or if I have seen a more emotionally charged debate than the one on healthcare reform. What if we could change the whole debate with an alternative where everyone’s a winner?

It is difficult for me to remember my life when I was without a pet of some sort, if only a fish in a bowl. We form few relationships in life that are as strong and unconditional as the bond with our pets, who accept us even if we are fat, skinny, sick, healthy, or moody; pets are there to bring us joy in the best and worst of times. As a nurse caring for patients, I frequently see pictures of companion animals along with family photographs posted on beds and walls in patients’ rooms. Because of this strong bond, our pets become a significant extension of our family. I have seen pictures of a pet bring many smiles to a patient’s face—more than words or a family photograph can bring.

The devoted companionship we build with our pets is only the beginning of the benefits we reap from a human-animal bond. According to Mayo Clinic cancer specialist, Dr. Edward Creagan, “seniors with pets have 21 percent fewer physician visits, lower blood pressure and better coping skills.” The U.S. Department of Health concluded that pet owners who have had a heart attack have a 28% survival rate vs. only a 6% survival rate for those heart attack victims who do not own a pet. Other health benefits of pet ownership include: decreases in blood pressure, cholesterol and triglyceride levels; decreased feelings of loneliness; and increased opportunities for exercise, socialization, and outdoor activities. Studies have shown that nursing homes using companion animal therapy have experienced a significant reduction in prescription medications and an overall cost reduction for senior care.

Studies in Germany, Australia, and the United Kingdom concluded that pet ownership could save governments hundreds of millions, if not billions, of dollars. Research in the United States has shown pet ownership could reduce the number of physician office visits for seniors by 20 to 40 percent. Is it possible these savings could save the Medicare system? Maybe, maybe not. However, when we weigh all the health benefits of the human-animal bond, it becomes plain to see that the savings and benefits are significant.

October is Adopt-A-Dog® month and animal shelters have many adoptable dogs eager to become your loyal companion for life. Animal shelters and breed-rescue services have some truly amazing dogs in all sizes, shapes, and colors—mixed breeds to purebreds. A dog might not replace your need for health insurance, but you will laugh more, smile bigger, and have a heart filled with love. One thing is for sure, adopting a dog will save a life—maybe yours.

Visit your local community animal shelter or these online sources:
www.americanhuman.org

www.petfinder.com

www.spayusa.org or 800-248-SPAY (please be responsible spay or neuter your pet)

Howard Baker, RN BSN
For questions, comments, or suggestions on topics you want to read about, please email me at: howard@howardsbaker.com

Sue Wee Pig, The Race is On

Choose your pig, place your bets, and they’re off! I am not sure if you’ve ever had the privilege of watching a pig race, but it is hilarious fun. My all time favorite is when an adult enters into the race thinking he or she can out-run the four legged piglets. I guess the fall air clouds the judgment of those who enter such a contest. But it sure is a great entertaining moment for those of us taking it all in.

In an effort to protect yourself from this year’s flu season, I suggest these five steps to keep you ahead in the race to better health. Nothing will take the place of a little common sense as you prepare for what most experts say will be the worst flu season we’ve seen in a very long time. The basics of good health, of course, are not smoking, eating a healthy diet, adequate sleep, hydration, and exercise. I believe that smoking is the good health nemesis, and this holds particularly true during flu season. Research has shown that smokers are more likely to become infected with influenza compared to nonsmokers. Also, there is a higher mortality rate for smokers than for nonsmokers from influenza.

The first step in preventing any disease and especially the flu is HAND WASHING! According to the Centers for Disease Control and Prevention (CDC), hand washing is the number one way to prevent the spread of disease. Hand washing includes soap, water, time, and friction! Sing “Happy Birthday” or “Row, Row, Row Your Boat” for about 20 seconds while rubbing soap on all surfaces of your hands. Use alcohol-based hand sanitizers often in between washings and whenever soap and water are not available.

The second step in protecting yourself against the flu is to get a yearly flu vaccination. September / October is an excellent time to start getting vaccinated for the best protection during the peak flu season. The Department of Health and Human Services is working to get the H1N1 (Swine Flu) vaccine ready in time to protect against the mid-winter peak. Getting a good night’s sleep the night before and after your vaccination can help boost the effectiveness of the vaccine.

Thirdly, keep your hands away from your mouth, eyes, and nose. Germs can enter the body through these delicate mucous membranes. When coughing or sneezing, cover your mouth with the crook of your arm to minimize the transfer of germs onto everything you touch. When using a tissue to cover your cough or sneeze, be sure to throw it away immediately and wash your hands.

The fourth step is to drink plenty of water and stay hydrated. Eat a well-balanced diet that includes fruits and vegetables. Include yogurt (or other cultured dairy products) in your diet to help promote a healthy balance of good bacteria to support digestion and stimulate your immune system.

The fifth step is to take vitamin D, which I believe to be vital in the prevention of the common cold and flu. I recommend having a blood test to check your serum vitamin D level by your healthcare provider. The optimum range is 50 to 70 ng/ml; most patients I saw this summer in the clinic had a serum level of 14 ng/ml. Based on the research I have reviewed, I recommend 2,000 IUs per day as a safe dose of vitamin D if you are not going to have your level checked. Again, I stress that you should not start any supplement or medication without first discussing it with your healthcare provider or pharmacist. In the next few weeks I will be devoting an entire column to the benefits of vitamin D, so stay tuned.

Use a little common sense and race through the flu season, staying ahead of the swine. You might not beat the piglets on foot but by taking care of yourself and following these steps to better health, you will make for a healthier run.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about, please email me at: howard@howardsbaker.com

Tailgating Smart

Many enjoy pre-game tailgating and the camaraderie it creates with their fellow sports fans. Where sounds of laughter and cheering mix with smells of hotdogs and chicken wings. Nothing brings it all together like a marching band playing “I’m a Tar Heel Born,” “On, on, U of K,” or the sounds of good ole “Rocky Top” like tailgating in the crisp fall air on a Saturday afternoon.

Arm yourself with your favorite tailgating recipes, fight songs, and friends. And, fight food bacteria to be a winner all season long. Nothing spoils a day at the ball park faster than a case of nausea, stomach cramps, watery diarrhea, headache, and fatigue. Food poisoning symptoms can start anywhere from one hour to 28 days and anywhere in between after consuming contaminated food or water.

Think ahead, making your game plan for your tailgating party one that avoids food bacteria, which could have you and your tailgating mates running offensively to a seat without a view. The simplest and most important step in preventing illness, including food poisoning, is HAND WASHING! Make sure you have plenty of soap and water or hand sanitizer and use them frequently when grilling or cooking out. Cleanliness is King when it comes to cooking. Start with clean hands, food preparation surfaces, grill, and cooking utensils. Rinse fresh fruits and vegetables in running tap water to remove visible dirt and grime. Because bacteria can grow on the cut surfaces of fruits and vegetables, be careful not to cross-contaminate with meat products.

Tailgating chefs should always have a thermometer to measure the internal temperature of the meat they are cooking to ensure that it has been cooked sufficiently to kill bacteria. Ground beef should be cooked to an internal temperature of 160° F, Poultry 165°, and Pork 160°. Again, separate raw foods from cooked foods; you should never use plates or utensils that were used with raw food to serve or store cooked food. For success in preventing disease you must have clean surfaces and adequate heat for cooking meat as well as coolers for keeping other food cold. Make sure you have enough ice to store food at 40° F or less pre- and post-game. Never store drinks and food products in the same cooler. Never allow food to sit more than two hours after cooking; when in doubt, throw it out.
Incorporate these tips into your tailgating game plan and you will reduce your risk of your fight song becoming “nausea, heartburn, indigestion, upset stomach, diarrhea!” It is reported that 1 in 10 Americans have diarrhea because of food-borne infections each year. Make sure your tailgating First-Aid kit has bismuth subsalicylate (Pepto-Bismol®) and ingredients to replace lost fluids. Here is a simple recipe for fluid replacement: 1 teaspoon of salt; 4 heaping teaspoons of sugar, 1 liter of water and shake well. Remember to discuss with your healthcare provider or pharmacist any over the counter medications or supplements before taking.

Joe Cahn, The Commissioner of Tailgating (www.tailgating.com) describes tailgating as “it’s families, it’s fans, it’s a community social. It’s pre-game, halftime, post-game and more….” I say enjoy the camaraderie of friends and family in the spirit of a common bond in sport competition where everyone is a winner.

Howard Baker, RN BSN
For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

"Where There is Love There is Life"

Many of my earliest and fondest childhood memories revolve around my childhood pets. As I traveled though life’s menagerie I had dogs, cats, birds, gerbils, fish, frogs, lizards, turtles and horses. My biggest regret in life by far has been giving away my two horses Dusty and Louie. I was so busy in my last year of nursing school, it seemed as though the farrier was spending more time with my horses than I was. Although my heart was in the right place, I experienced a loss that has been ongoing over the last fifteen years. After parting that day I never saw my horses again. I have tried to move past this ambiguous loss with much difficulty, which continues to be a personal struggle for me.

We all experience and deal with grief in different ways. Our pets or companion animals become anchors in our lives with an unwavering love and acceptance. Our pets see us through the best of times as well as the times we struggle. We experience so many changes in our lives, like new jobs or loss of employment, loss of friends or family through death or separation. Companion animals see us through both the good and bad times in our life with acceptance and love. When our loss is our pet, how do we react? How do we grieve, are we supported by family, friends or co-workers? Most employers offer 3 to 5 days for bereavement of a spouse, child or parent but what about the loss of Fido or Mr. Kitty? Many times we trivialize the grief we feel by saying it’s just a dog; never really taking the time to slow down and memorialize the pet and grieve. Dr. Elizabeth Strand, Director of Veterinary Social Work at the University of Tennessee Knoxville, stresses that pet loss is worthy of our attention. Dr. Stand encourages us to take pet loss seriously by doing some kind of memorial.

Often children are forgotten as they try to cope with the loss of a pet. Sometimes adults try to offer words of encouragement such as, “we will get another pet.” In the book Ocho Loved Flowers, author Anne Fontaine helps children and adults learn some of the great lessons pet ownership can teach: having strong relationships, communicating well, having compassion, and letting go. In the story, Annie, a little girl, is devastated when her cat Ocho becomes ill. The book goes on to describe the depth of the relationship the girl has with her cat—from the way she cares for him in health to the way she tries to provide what he needs as he is dying. Ocho Loved Flowers explains grief in terms children can understand, just as it guides adults in how to help shape children’s experiences and allow them to draw wisdom from them.
There are community resources available to help you with the loss of a pet:
• Your Veterinarian: Can help or make referrals within your community.
• Your Church: Draw on your minister and congregation for support during your grief.
• Humane Societies: Local Animal shelters or Humane Societies may have a pet loss support group.
• Family and Friends: Accept help if offered, your friends and family have been with you during difficult situations in the past.
• The University of Tennessee Veterinary Social Work Department @ 865-755-8839. They offer a supportive environment where people can share their varied experiences of grief and loss. A place to remember and honor the life of a companion who has died.
• 3rd Annual Pet Memorial Day hosted by The University of Tennessee Veterinary Social Work. September 13, 2009 from 2:00pm to 5:00pm call 865-755-8839 for more information, or visit my blog at www.howardsbaker.com

Our pets are intertwined in our lives, we deserve to slow down and remember them. “Where there is love there is life” Gandhi.

Howard Baker, RN BSN

Pet Memorial Information Sept 13, 2009

You Are Invited to Observe the 3rd Annual
PET MEMORIAL DAY
hosted by

The University of Tennessee Veterinary Social Work


Location: Plant Biotech Building on the
University of Tennessee (Ag/Vet campus)
Date: September 13, 2009
Time: 2:00 p.m. – 5:00 p.m.


An opportunity to share…
Participants are invited to take part in a special memorial art project which will be displayed in the UT Veterinary College. A quality copy of your favorite photo of your pet will enhance your project (please do not bring originals). You may also bring other pictures, poems, stories, songs, or anything else you would like to share with us in remembrance of your loving friends.



Help other animals in need …
New or gently used pet items will be accepted and donated to the animals at Young-Williams Animal Center, especially leashes and collars.

Free for the Community…
The event is COMPLETELY FREE. You may make a small donation to the University of Tennessee Veterinary Social Work program if you desire. Refreshments will be served.


Directions… TO PLANT BIOTECH BUILDING/PARKING:
1. Turn onto NEYLAND DR - go 0.1 mi
2. Turn onto CENTER DR/JOE JOHNSON DR and go to stoplight.
3. Turn right to park in lot #66
4. From there walk to the stoplight and continue up EJ Chapman Drive, the 2nd building on the left is the Plant Biotech bldg, there is side entrance, walk down the steps in to the building and room 156/157 is straight ahead.

If you have any questions, please feel free to call us at 865-755-8839.
We look forward to having you with us!

Texting and A Sore Tailed Cat

The other night I was preparing dinner for a few friends and had waited till the last minute to get things started. With less than an hour before my dinner guest were to arrive I started franticly chopping vegetables, boiling water, rinsing chicken, chilling wine, preparing the grill, all while trying to select the perfect dinner music, answer the phone, put groceries away, unpack the dessert and set the table. With these ten things going on and juggling the mental stimulation that goes along with it, my Siamese cat Jasper wanted attention as he chattered and twined about my feet. Then by accident I stepped on Jasper’s tail. What happened next is not so clear, but with the screeching shrill of a cat in pain as all four paws started churning like circular saws to get out of the way the next thing I knew my vegetables lay on the floor amongst a broken bottle of wine.

We all have had the feeling of uneasiness when we’ve glanced in our rear view mirror during rush hour and notice the woman behind us applying her eye liner, or the man who is texting as he drifts into our lane. Astronauts and fighter pilots have been trained to multi task while operating large heavy potentially lethal vehicles. But, how many of us take the task of driving as seriously as astronauts and pilots? Our world has become busy and complex as we try to make the most out of every minute of our day. It doesn’t matter if you are a high powered business executive, county librarian, stay at home mom, the star quarterback of a high school football team, or a healthcare provider. Our lives are busy making multi-tasking while driving seem only natural. However, multi-tasking all too often involves eating lunch, returning phone calls, adjusting the GPS, making music selections, all while reading and sending emails and text messages while driving.

The National Highway Traffic Safety Administration reports that 80% of automobile crashes involve some form of driver distraction. For this reason the National Safety Council has called for a nationwide ban on cell phone use while driving. Unquestionably, driving without distractions and paying close attention to the road and the task of driving safely would save lives and reduce non-fatal injuries. According to the Fatality Analysis Reporting System in 2008 there were 37,261 automobile related fatalities. Imagine 80% of these deaths could have been prevented by concentrating on driving and a little less attention to our music selections, phone calls and text messaging.

As a nurse I have seen firsthand the tragedy automobile accidents can bring. There is no phone call or text message as important as life or limb. We are all busy and as life takes its twist and turns we realize that sometimes our carelessness has life altering consequences far worse than a sore tailed cat and a bottle of wine. Remember, the most important job you have as a motorist is to watch the road and focus on driving safely. Driving is more than hands on- driving is mind on!

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Myths About Bullies

With school getting underway for most students safety comes to the forefront of parent’s minds. There are school zones, cross walks, backpacks, long walks home and for some- home alone till parents return from work. But, what about the bully on the bus or who shares a locker next to your child? Not only can Bullies pose physical pain but they can also cause psychological pain and suffering too.
Bullies come in many different shapes and sizes both male and female and of all ages. For some bullying is never out grown. Bullying is not a normal rite of passage or a part of growing up. Bullying is cruel, usually harassing someone by physical or emotional intimidation and if ignored can have serious consequences. It seems like bullying not only takes place at our schools and playgrounds it now takes place online. It is estimated that one out of four kids are bullied and over 40% of kids are cyberbullied.
There was an Andy Griffith episode that came to mind about bullying when I started doing my research for the column. I searched youtube.com for the episode and I realized what Andy Taylor told Opie still holds true today. According to the experts you should encourage your child to share their concerns. As parents it is important to remain calm and learn as much about the situation as possible. Ask open ended questions that encourage your child to describe how and when the bullying occurs and who is involved. Do not promote retaliation or fighting with a bully, instead encourage your child to remain calm keeping composure and walk away.
Researchers at The University of Arizona examined various myths associated with bullying. The following are ten of those myths.
• Boys will be boys. Research shows that bulling is seldom outgrown, it is simply redirected. About 60% of boys identified as bullies in middle school commit at least one crime by age 24.
• Kids can be cruel about differences. Research shows physical differences play only a very small role in bullying situations. Most victims are chosen because they are sensitive, anxious, and unable to retaliate.
• Bullies are looking for attention. Ignore them and the bullying will stop. Research has shown bullies are looking for control and they rarely stop if their behavior is ignored. Bullying usually increases if the bullying is not addressed by an adult.
• Bullying doesn’t happen at my child’s school. Bullying is more common at some schools than others; however studies show about 25% of U.S. students are bullied with some frequency.
• Children who are bullied will always tell an adult. Most studies find only 25 to 50% of bullied children report it to an adult.
• Most children who observe bullying don’t want to get involved. The good news is most children think bulling is “not cool” and feel they should do something if they see it happen.
• Bullies suffer from insecurity and low self-esteem. Studies indicate most bullies have average or above-average self-esteem. They “suffer” from aggressive temperaments, a lack of empathy and poor parenting.
• Bullying affects only a small number of students. The national Association of School Psychologist estimates that 160,000 children stay home from school every day because they are afraid of being bullied.
• Teachers know if bullying is a problem in their classes. Bullying behavior usually takes place unbeknownst to the teacher. Most victims are reluctant to report the bullying for fear of embarrassment or retaliation; most bullies deny or justify their behavior.
• Bullying isn’t serious, its kids being kids. Bullying can be extremely serious. Bullying can affect the mental well being, academic work, and physical health of children who are targeted. Children who are bullied are more likely than other children to have lower self-esteem, higher rates of depression, loneliness, anxiety and suicidal thoughts.
As you send your children out into the world teach them to be safe, but also teach them that bullying is not acceptable. I noticed in the Andy Griffith Show that Andy and Opie spent time talking to each other. We need to find common ground in conversation with our children, not just about bullying but about life in general. These conversations build trust and a foundation for life’s problems but, most importantly they build memories that will last a lifetime.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Weighing in On Back-To-School

Every year with all the hustle and bustle of back to school I find it entertaining to watch parents and their first graders gathering school supplies as I listen to the chatter of their little minds racing with anticipation. I am often amazed at the conversations these little people come up with as to why they need this color of note book or these pencils, markers or colors. These precious moments are relished by some parents and lost by others as they miss out on these never to be seen or heard again conversations. I noticed a father down on his knee questioning his little girl about her thoughts as he relished her reply. In contrast I noticed a mother who was chattering on her cell phone. She was oblivious to the concerns and fears of her little boy as he struggled to make hurried life or death decisions, about pencils, markers and notebooks.
My first day of school in first grade was a rainy one and I was scared out of my mind. I remember as my dad pulled into West End Elementary there were buses and children in single file, cars in front and cars behind and my heart beating faster than the windshield wipers. The fear of what to do but knowing that I was not going to get out of the safety of that car. In the blink of an eye as my dad said “well here you are son”, I said “daddy if you will get out and open my door I will go in.” My dad without thinking jumped out into the rain and as soon as the door slammed shut I locked my door then his. I still vividly remember the site of my dad standing in the torrential rain with my first grade teacher, cars backing up into the street and the car filling up with crocodile tears as I cried inside.
Back to school is always a stressful time for both the parent and the student especially during these hard economic times. Backpacks, school supplies, shoes and clothes are a never ending budget crisis as function collides with style and the latest trends. It is easy during all these budget negotiations with your child to lose sight of the important issue of personal safety.
Like most students I carry a backpack and a computer everywhere I go. This seemingly simple task of packing and carrying a backpack isn’t so simple and it can cause fatigue and strains on young and old alike. Carrying too much weight on our backs and shoulders can cause strains to muscles and can even cause spinal injuries. As a good rule of thumb kids should not carry more than 10 to 15 percent of total body weight over the shoulder and back. So if your child weighs 100 pounds the backpack should not weigh more than 15 pounds and that’s not a lot when you consider books, paper and other school supplies. Here are few tips to help lighten your child’s back to school load:
• Help your child sort through the things they will need that day leaving things at home that will not be used that day
• Place heaviest items in the backpack first; the closer heavier items are to the body the less strain on the muscles and spine.
• Select an appropriate size backpack with padded straps for comfort.
• The in thing may be to carry the backpack over one shoulder. Encourage your child to carry the backpack over both shoulders for better weight distribution.
• Encourage proper body mechanics and bend with their knees first when lifting their packs.

Remember, this is a special time in your family’s life and the memories you build here will last for generations to come. From personal experience, I strongly recommend not leaving your engine running and a scared child within reach of the door locks.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

A Leopard Never Changes its Spots

A friend of mine once used the analogy when I was feeling a little lost and frustrated about a friendship gone south; that a leopard never changes its spots. He said to me, your friend has shown you who he is so why don’t you believe them? That analogy has stuck with me every since and I use it every time I question why I keep going back to the same disappointment. A leopard never changes its spots.
It is interesting how things unfold in life and in politics it is very interesting. I have tried to stay clear of politics in my writings because I feel our health is far more important than politics. However, I have had many requests for me to weigh in with my views about the proposed healthcare bill.
HR3200: America's Affordable Health Choices Act of 2009 is a mountainous task to read let alone understand. Add to the mountain of information, this bill is changing just about as fast you can read it. Making this whole process of trying to understand what is purposed extremely frustrating . I took time to email my Congressman, a couple of State Representatives and a County Commissioner requesting their thoughts on the healthcare bill. After my effort to email and call these elected officials it was interesting only two of them replied. I was disappointed to hear my State Representative say “Since HR3200 is Federal Legislation and I am a state representative, I am not familiar with the particulars”. But the County Commissioner was not only familiar with it, he has been to Washington twice with the American Medical Association’s advocacy group on healthcare.
I also contacted the American and Tennessee Nursing Associations to inquire about their views on the healthcare bill. I must really like disappointment, the American Nursing Association didn’t reply and the Tennessee Nursing Association offered nothing of any substance for conversation. However, the Oncology Nursing Society did offer dialog and suggested a web site I found helpful : The Kaiser Family Foundation http://www.kff.org/healthreform/sidebyside.cfm . This lets you compare the different proposals in a side by side document that is constantly being updating. My point in all of this is we need to engage our elected officials to be involved and informed. But most importantly we need to be informed.
Obviously, there is change coming our way in how healthcare will be delivered and it will affect all of us. I urge you to get involved, be informed and use your voice to talk about the things of importance to you. Do not be intimidated or discouraged to raise your voice, get informed and speak up for what you want. This isn’t the Presidents healthcare plan, this is your healthcare plan. There will be good and bad, so we have to decide how much of the good we can afford and how much bad we are willing to accept.
Medicare has been around for about 43 years, and has been managed by both political parties. Our government has shown us their ability to manage Medicare, a government run healthcare plan. Medicare is projected to be bankrupt within the next 9 to 10 years. Politicians have failed to effectively manage Medicare and now want us to trust them with more responsibility. I think politicians have proven their ability to manage and have shown us who they are. One thing that is certain is there will be change. Now is the time to get informed, be heard and stand up for what you think is right for you. Speak up speak out for what you want, and lets change with knowledge and understanding. Remember, a leopard never changes its spots!

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Breast Milk, Breakfast of Champions!

Although I do not recall whether I was ever breastfed as an infant, my brother tells me that he was but I was not. My brother often toots that he is better looking and smarter than I and he bases all this “scientific” knowledge on his breastfeeding days. In our family circles, there is also a story of a cousin who is also a very talented, handsome film maker. He was breastfeed until he asked his mother one day if she couldn’t chill the milk. Now, I have no concrete evidence that this actually happened but he is smart, handsome and talented.
I find it interesting that there are “milk banks” that distribute breast milk to both infants and adults. I am not advocating that adults should drink breast milk. However, there are some who say that cancer and immune disorders have been helped by consuming breast milk. I would want to see some strong evidence to support the claim that breast milk is beneficial in adults.
There is much research in which few dispute the benefits of breastfeeding babies. It is important to point out that breastfeeding isn’t just beneficial for the baby. Mothers who breastfeed also benefit with reduced risk of developing type 2 diabetes, breast and ovarian cancers, postpartum depression and returning to their pre-pregnancy weight. There is also evidence that breastfeeding also releases the hormone oxytocin helping to reduce bleeding after delivery. But that’s not all; breastfeeding mothers reap the benefits of burning calories, cost savings and creating a special bond with their child.
Infants who breastfeed have a reduced risk of ear infections, stomach upset, respiratory infections, skin rashes, childhood asthma, obesity, diabetes (type 1 and type 2), childhood leukemia and sudden infant death syndrome. If these advantages are not enough to stress the benefits of breastfeeding, what about the economic impact of breast milk- it’s free, always available, and at just the right temperature.
Breastfeeding is the most natural and effective way of satisfying the needs of the baby, while offering a superior infant food. It is important that the mother eat a well-balanced diet. The mother will need to consume about 500 extra calories a day than she did prior to pregnancy. Mother’s breastfeeding need about 1,000 mg of calcium and adequate vitamin D throughout breastfeeding. Mothers should talk to their healthcare provider about calcium and vitamin D needs beyond breastfeeding. Make sure to avoid foods that may cause the baby to act fussy or cause a rash, diarrhea, or constipation after nursing, and make sure to notify your pediatrician as these symptoms may signal a food allergy for your baby.
Your baby might not be smarter or better looking from breastfeeding. But, the two of you will enjoy a special gift of love and bonding and a lifetime of better health. Breastfeeding takes practice but once mastered the benefits are lifelong.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Shop, Save and Be Healthy

Ordering things through the mail is nothing new and in fact has been around for well over 100 years. I still have a vivid memory of my first mail order item from a Boy’s Life magazine. It was advertised as a bat that would fly effortlessly around the room at your command as if by remote control. Every day I ran to the mail box with great anticipation that today would be the day I would watch my new bat fly effortlessly at my command around the room. After many disappointing trips to the mail box my wonder bat finally arrived. I was so excited I could hardly get the box open for the anticipation of the wonderment waiting inside. What a surprise -it was a rubber bat on a string, boy was I disappointed. To my dismay I had bought a four inch rubber bat on a three inch rubber string, its flight path was about four inches from my hand.
Over the years I have purchased many things through the mail, Sea Monkey’s, rubber bats and trick chewing gum. However, there is nothing more important than items that affect our health. I will admit my selection of online purchases has become more refined over the years, and I am a little more selective with where I shop. We all have seen and heard the rhetoric of some online pharmacies offering medications without a prescription and daunting huge savings.
Many national pharmacy chains now offer online prescription services as well as their walk in counter service. This type of service comes in handy if you are admitted to the hospital and your healthcare team needs to verify your medications. This type of pharmacy allows you to utilize online savings while still allowing you to build a personal relationship with your pharmacist. It’s important to use only one pharmacy when possible, so they are able to monitor your drug list for contraindications and keep you safe.
Some of the better online pharmacies do offer 24 hour access to a licensed pharmacist and they do a good job keeping track of your medications and notifying you of any potential problems. However, it is difficult to verify your medication list if you are admitted to the hospital.
Selecting a pharmacy is just as important as choosing a healthcare provider, make sure to use only licensed pharmacies. The National Association of Boards of Pharmacy can verify if a pharmacy is licensed and in good standing, contact them at: www.nabp.net or by calling 847-391-4406.
Insist on reputable pharmacies that offer toll free access to a pharmacist 24 hours a day 7 days a week. Make sure to read your pharmacy’s privacy and security policies before placing an order to assure your credit card and personal health information is kept secure and confidential.
Compare prices, you may find great deals online that could save you money. But don’t forget your neighborhood pharmacy, many offer competitive pricing with personalized service and attention online pharmacies cannot. If an online pharmacy makes promises that sound too good to be true, you should question if the site is legitimate. Beware, there are counterfeit drugs being sold online that do not contain any active ingredient or in some cases contain the wrong medication.
Be careful and do not get lured into online pharmacies that dispense medications without a valid prescription. It is also illegal to import unapproved medications into the United States that do not have FDA approval, and these medications can have life-threatening consequences. If an online company states claims that sound too good to be true with “miracle cures”, there is a good chance their claims are false. Be sure to report any online pharmacy to the FDA www.fda.gov if your order does not arrive, you find suspicious charges on your credit card or any problems with an online pharmacy.
I know in these hard economic times it is wise to shop smart and save every penny you can. Do your research, don’t forget your neighborhood pharmacist and make them compete for your business. After all it’s your money, but most importantly it’s your health.

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Sleeping Yourself Thin

A few weeks ago I set a personal goal to get one extra hour of sleep per night. When I first undertook this well intended goal I thought it would be simple. Nothing could be further from the truth-in fact, I think these little bitty sixty minutes of sleep is like trying to pack a whole movie into a 60 second movie trailer. Between work, school and life the last couple of weeks have been tremendously difficult for me to do anything well. I have found myself chasing one deadline after another and it seems the harder I try to get ahead the further behind I become. I lack the vocabulary to adequately describe the amount of stress chasing assignments and deadlines produces for me on a daily bases, which in turn robs me of my precious sleep.
When I was younger I would think nothing of getting 2 or 3 hours of sleep and heading out on an adventure or two. As I have aged, I have discovered I do not do so well on 3 hours of sleep. The truth of the matter is that no one can perform to their potential on 3 or 4 hours of sleep for any period of time. This lack of sleep robs us of humor, health and the joys of life that gives us the ability to see things from an advantageous perspective or at least to be able to enjoy our waking hours.
If just feeling better isn’t motivation enough to get more sleep, maybe the University of Chicago research study on sleep will be. The researchers found that just 3 days of poor sleep made their young healthy test subjects 25 percent less sensitive to insulin. The study concluded that this level of insulin resistance is equivalent to carrying 20 to 30 extra pounds of weight; which slows your body’s metabolism down even further. Poor sleep habits have also been associated with high carbohydrate treat and snack consumption. I could write a whole series of columns on the stages of sleep and how they affect your hormones which help the body burn stored fat. But, the bottom line of getting at least 7 hours of sleep is you increase your body’s ability to burn and utilize fat more efficiently.
So, what about my goal for an extra hour of sleep per night? Well, I have a few more weeks of school this semester so I’ll do the best I can. But after that I will make some real life changes with more time built in for life- and the proverbial smelling of the roses. By the sounds of the research we might be able to sleep ourselves thin. Now, I like the sound of that!!!!

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

The Celebrity and The Scientist

Has the whole world gone crazy, or is it just me? Since the news of Michael Jackson’s death hit the airwaves it seems to be all people can talk about. A lottery to get tickets to his memorial service, people gathering outside his childhood home and, last but not least being compared to Princess Diana? But what did Michael Jackson really give us? “Billie Jean”, “Say Say Say”, “Beat it” or the “Man in the Mirror”? There is no question that music, regardless of the artist, can change our moods from sad to uplifting in a matter of a few beats. Music can take us back in time as pictures flash like mini movies in our minds of friendships past, a wedding or a joyride with a high school sweetheart.

I am sure we all can remember where we were and what we were doing when we first heard the news that Jackson, Elvis, and Princess Diana were dead. But, can anyone tell me where you were when any of these people died: Paul Lauterbur, Maurice Hilleman, Gertrude Elion or Frederick Banting? Probably not, and I would venture to say that the majority of people do not even know who these people are or their contributions to your everyday life.

Frederick Banting was one of the co-discoverers of insulin, and his discovery has been estimated to have saved over 16 million lives worldwide. In addition to lives saved, insulin has brought a better quality of life to diabetics around the world.

Gertrude B. Elion was responsible for the first treatment for leukemia and the first immune-suppressive agent used for organ transplants. Elion’s contributions, however, don’t stop there. She also invented commonly used drugs for gout, malaria, meningitis, septicaemia, bacterial infections of both urinary and respiratory tracts, and Zovirax for viral herpes. Elion died February 21st, 1999. Does anyone remember hearing about it?

Maurice Hilleman, an American microbiologist specializing in vaccinology, developed over 36 vaccines- more than any other scientist. Hilleman’s vaccines include Hepatitis A and B, chickenpox, meningitis, pneumonia, haemophilus influenza and the mumps and measles. Hilleman was credited for doing more for the benefit of human health than anyone else. He died April 11th, 2005.

And, what a contribution to modern medicine Paul Lauterbur made. Lauterbur co-developed magnetic resonance imaging or the MRI. The MRI helps save millions of lives around the world by allowing doctors to look into the body and brain without exploratory surgery or exposure to radiation. Dr. Lauterbur died on March 27th, 2007.

As I watched all the fanfare going on surrounding Michael Jackson’s death it made me question what kind of society we live in where a pop star is held in regard higher than those who have saved countless lives and improved quality of life around the world. How many people know all the words to a Michael Jackson song? How many know all the words to the National Anthem? How many people know what record label Michael Jackson signed with? How many know where their doctor got their medical degree? Or, better yet, how many even know their doctor’s first name?

Like it or not, I think healthcare needs celebrities in the world to help put a face on illnesses and bring awareness to certain health issues. But we need to keep things in perspective. Without the scientist there is not much need for the celebrity.

Howard Baker, RN BSN
For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Swimming Toward Summer Safety

With summer getting into full swing and we start to enjoy all the fun swimming and water sports have to offer, it’s a good time to heighten our awareness of water safety to prevent drowning. Swimming pools and lakes can be hypnotic as the water sparkles, ripples and splashes tempting young and old alike to the water’s edge. No one is risk free when it comes to water-related accidents. If you are near the water you are at risk.
It seems all too often the sounds of playful splashes and laughter are shadowed by the news of another child drowning. Child safety takes on a whole new meaning when they are near or playing in water. Even children who are good swimmers can have water-related accidents.
To help keep your children safe in and near the water here are a few simple safety tips:
• Teach your child to swim. It is important to stress swimming lessons will not drown-proof your child. Even good swimmers can drown.
• Never leave children unsupervised near water.
• Be a “Designated Watcher” during social gatherings it is a good idea for adults to take turns being the “designated watcher” who is free from distractions such as telephones, televisions, books or conversations that could distract you even for a second.
• Remove toys from the water. Children can fall into the water trying to retrieve them.
• Beware of drains. Do not allow children to play near or sit on pool drains. Body parts and hair may become entrapped by strong suction.
• Install alarms. If your home serves as part of your pool’s enclosure, protect doors leading into the pool area with an alarm.
These simple safety tips are not fail proof and even under the most diligent adult supervision accidents can and do happen.
Natural bodies of water such as lakes and rivers offer unique and unpredictable conditions. Again, it is important to never let your child swim alone or without adult supervision. Children should always wear life jackets or approved personal flotation devices when boating or fishing. Always descend into water feet first and before jumping into water always check the waters depth.
Swimming pools, lakes, and rivers are great places to build childhood memories and family bonding. Follow these steps and keep your family safe. In community pools keep your eyes and ears open to what’s going on and don’t let a child out of your sight. Drowning is the leading cause of injury death of young children ages 1 to 4, and three children die every day as a result of drowning (CDC). Be prepared for the unthinkable learn cardiopulmonary resuscitation (CPR); this skill and quick action can help a child stay alive.
We cannot live in plastic bubbles or in fear that something might happen. But, we can live with our eyes and ears open, learn the risk, eliminate risk when possible and be prepared with basic life support / saving skills such as CPR. Live your life building great summer memories-be safe!

Howard Baker, RN BSN

For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Responsibility or Right?

I have several speeches I like to give when appropriate, “The bed is not your friend” speech I use to encourage patients to get out of bed after surgery. My all time favorite speech is “Life’s about choices” which my niece and nephews seem to dislike immensely. But honestly, these speeches or tales have a lot of truth in them regardless or our ability or willingness to accept their wisdom. Sometimes it is hard to embrace a concept that lying in bed after a major surgery is in some way not good for us. When your body is telling you how much better you feel being horizontal sometimes it is hard to argue your way to being vertical.
For me time is seemingly passing faster and faster than ever before. I find myself at light speed in graduate school realizing I have less time for myself and the things I enjoy doing. I am sure many of you can relate with these feelings of not enough time to do what is important in your everyday life. I spend hours upon hours reading and writing, and the only way I am able to keep up with world events is to have continuous news scrolling across my computer screen. I keep reading about how change in healthcare is needed, and yes to some degree I think change is needed in our healthcare system. We need to be mindful that change for the sake of change is not always the best change. I have read repeatedly some think that healthcare is a right, I disagree- Healthcare is a responsibility.
For me my life is very stressful. I never seem to have enough time for the things that are important to me. I have not eaten the way I would normally because of time constraints and the ease of making poor choices. I make lifestyle choices based on convenience not by desire or knowledge. This week I spent a lot of time discussing health promotion when I realized I have not done a good job with my own healthy choices. I say this because we all have to make choices between cooking vs. fast food which often equates to healthy vs. unhealthy. I challenge you to make one small change in your daily life; it can be as simple as cutting out sugary drinks or taking a 20 minute walk. My challenge is to get an hour more rest per night than I have been getting.
Take control of one thing that affects your health and make that change. Change doesn’t require an act of Congress or a Presidential Seal. Change takes a desire and a willingness to accept personal responsibility for its success or failure. Join me this week and make one small change in your life and lets change together.
Your health is not a right, it is your responsibility.


Howard Baker, RN BSN
For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com

Cancer Myths

Several years ago through no independent decision of my own I found myself in what I thought would be the worst assignment of my nursing career-oncology. I remember thinking to myself, caring for cancer patients would be very depressing and difficult. However, what I found were some of the most rewarding and uplifting years of my career. Throughout my nursing career I have cared for patients in all areas of the hospital, each with their own positive rewards. I soon discovered caring for cancer patients was not filled with the doom and gloom as I once thought. I found myself laughing and smiling more with my patients than ever before. I found myself going to educational meetings, becoming active in professional organizations and writing newsletters to help spread my new found knowledge. As fate would have it, a cancer patient helped me focus on higher education and encouraged me to start my current journey.
I want to discuss a few of the common cancer myths related to the disease and its treatments. In a recent American Cancer Society study, 85% of Americans considered themselves “somewhat knowledgeable about cancer…” However, about 75% of the respondents who participated in the survey either believed or were uncertain about at least one of these INCORRECT statements:
• “Pain medications are not effective in reducing the amount of pain people have for cancer.”
• “All you need to beat cancer is a positive attitude, not treatment.”
• “Cancer is something that cannot be effectively treated.”
• “Treating cancer with surgery can cause it to spread throughout the body.”

In most cases cancer pain can be treated effectively. It is sad to think people maybe suffering needlessly because of this myth. From my own experience working with cancer patients it is evident that patients with a positive attitude do better than patients with a negative outlook. A positive attitude alone will not cure cancer; however those with a positive attitude seem to do better. The power of a smile and laughter should never be under estimated in any aspect of our lives.

The most commonly-believed myth is that surgery could cause cancer to spread. The reality is that surgery is a very effective treatment for cancer. I believe this myth started in the days before modern cancer screening test like the MRI and CT scanners were widely used and exploratory surgery was used more often. Unfortunately, exploratory surgery in those days would usually reveal cancer in their advanced stages too late to be removed by surgery.

As always I advocate early screenings for cancer, regular check-ups with your healthcare provider and most importantly listening to your body. You have nothing to fear but fear itself. Be proactive; take personal responsibility by eating right, good exercise, proper sun protection and being proactive and up-to-date on early cancer screenings. If you do these things you will live healthier longer.

Howard Baker, RN BSN
For questions, comments, or suggestions on topics you want to read about please email me at: howard@howardsbaker.com