Is this forgetfulness or something more serious?
Forgetting things is fairly common, particularly as we get older. I think about the brain as a file cabinet, the older we are, the more files and the longer it might take to find what we are looking for, but eventually we do. In patients with Alzheimer’s, the files have been removed, from the most recent back. This is why they don’t remember what they had for breakfast, and often times forget grandchildren.

Signs that are concerning for memory loss include lack of attention to personal care issues, leaving dangerous equipment (stoves, irons, etc.) on, or forgetting how to drive to known locations. Also, people may not be able to do normal things, such as balance a checkbook or pay bills. Often times they are not aware of the problems. There can be behavioral changes, from anger to withdrawal from social activities. We have a great resource in Memory Matters, where they will test your memory and give you advice to keep your memory as good as it can be.

What are the most popular types of birth control?
Approximately 62 percent of women between ages 15 and 44 use some form of contraception. The oral contraceptive pill is still the most popular. However there are quite a few other methods in which, based on each individual may be a better choice. Once a woman decides she doesn’t want more children, female sterilization via tubal ligation or blockage is a popular choice. Some couples opt for male sterilization via vasectomy. Both of these are the most effective means of birth control.

Sexually transmitted diseases, or more appropriately renamed sexually transmitted infections (STI) are bacteria and viruses transmitted through vaginal, oral, or anal sex. The most common are chlamydia, gonorrhea, mycoplasma genitalium, genital herpes (HSV), genital warts (HPV), hepatitis B/C, syphilis, trichomoniasis and HIV.

Human papilloma virus (HPV) has been around for a while but rarely discussed until recently. HPV has gained a lot of attention since vaccines have been developed to target the most high-risk types, which can cause cervical cancer. The vaccine is available to both males and females from ages 9-26. The reason to vaccinate is so when a child does become sexually active in the future, the immune system will be ready—the same idea behind most vaccines given to infants. Studies have shown that after a college female’s first sexual experience there is a 29 percent chance she will acquire some type of HPV and after three years about 50 percent will be infected.

Dependence on opiates, including prescription medication, such as oxycodone, hydrocodone, morphine and fentanyl, and street drugs (heroin), has reached epidemic proportions across the U.S. Many medical professionals and legislators regard this epidemic as a public health emergency. An overdose with these substances often results in death. More commonly, opiate dependency ruins lives by resulting in financial ruin, breakdown in relationships, and destruction of the family unit. As a result, crimes are committed to feed the dependency and jail time often occurs.

1.5 million Americans are diagnosed with diabetes every year.¹

After I was diagnosed with diabetes, my specialist told me to walk as much as possible. How does walking, or other exercise, help counter diabetes?
Walking can be a great way to increase physical activity because it does not require special equipment or a membership, just a good pair of shoes and a safe place to walk.

In today’s fast-paced, over-stimulated environment, stress is a given. However, anxiety, panic attacks and depression are not. These ailments are way more than “stress gone wild,” and require special care, and possibly medical attention, to keep them at bay.  
 
What can I do if anxiety is hindering my daily life?
Lifestyle changes can help alleviate the symptoms of anxiety. Effective techniques to reduce anxiety are: eating a healthy diet, limiting caffeine, alcohol and sugar intake, getting enough sleep, making time for your hobbies and talking to a friend or professional. We have long known these habits work.

I recommend three additional strategies that also work: Practice deep breathing. When anxious, we take short, fast breaths (hyperventilate) that deliver too much oxygen to our bodies. Hyperventilating explains our physical symptoms of anxiety: cold, sweaty hands, a rapid heartbeat. To counter those symptoms take deliberate deep, slow breaths. 

Unwanted hair keeps popping up in the wrong places...like my chin. What can I do?
Unwanted hair can be treated in a few different ways. Dermaplaning is great for removing unwanted facial hair including the vellus hair (peach fuzz). It leaves skin looking fresh and renewed! A dermaplaning treatment is performed by a professional using a surgical blade. 
 
Waxing is a quick, convenient hair removal option and can be used on virtually any part of the body.  It is most commonly used on the back, arms, legs, bikini line and facial areas, including the upper or lower lip, eyebrows and chin. There are a variety of wax options, and your esthetician will know which is best for your skin.

What is a stroke?
A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or bursts. When that happens, part of the brain cannot get the blood and oxygen it needs, so it and brain cells die. Stroke can be caused either by a clot obstructing the flow of blood to the brain (called an ischemic stroke) or by a blood vessel rupturing and preventing blood flow to the brain (called a hemorrhagic stroke). Hemorrhagic strokes account for 13 percent of stroke cases, and there are two types: intracerebral (within the brain), and subarachnoid hemorrhage, which is bleeding between the brain and tissue covering the brain. A TIA (transient ischemic attack), or “mini stroke” is caused by a temporary clot.

What digestive warning signs would warrant a visit to my healthcare provider?
You should see your doctor if you are having any of the following symptoms:
• Difficulty swallowing. It feels like what you eat or drink is getting stuck somewhere between your throat and stomach.
• Unexplained weight loss.

The first thing people usually notice about someone is their smile. Nothing is more welcoming or as beautiful as a big, happy, toothy smile, and the best way to maintain your beautiful smile is to keep up on good dental health.

There is absolutely nothing good to say about varicose veins. No one wants them. Who enjoys having their legs look like a road map? Varicose veins can be unsightly, and in advanced states, uncomfortable, too. These bulging veins are associated with leg swelling, heaviness and pain, not to mention the potential for leg ulcers, which are a health risk.

Varicose veins occur because the venous valves controlling the upward flow of blood returning to the heart become incompetent and allow blood to fall (reflux) down the leg by the pull of gravity.

Q: It’s almost impossible to give my pet a pill. Is there anything that can make it easier?

A: It may be the smell, taste, or size of the pill that is unappealing to your pet. Fortunately, there are several forms of dosage alternatives that can be compounded to help. Orally administered medications can be formulated into flavored suspensions and capsules. Flavored suspensions can be concentrated so the amount to be given is less and more tolerable. Compounded flavored capsules may be given as is, or opened and sprinkled over food. Now the smell and taste—beef, chicken and fish—will make the medications more appealing for both dogs and cats.
If oral administration is not a good option, several medications can be formulated into a concentrated cream and applied topically inside your pet’s earflap, and sometimes to their paw.  This is helpful if your pet is anxious or aggressive when it comes to taking oral medications.  Also, for seizures, rectal gels are an option, when they are unable to take medications by mouth.
Lastly, sprays, adhesive powders, and shampoos are also options, depending on the type of medication.  These are good alternatives for hot spots and dermatologic conditions. Ask your pet’s doctor and see a compounding pharmacist to decipher which is best for you and your pet.
-Dr. Wilhelmina Fry, Stephens Compounding Pharmacy

Imagine going through life without an ache, pain and nothing to slow you down. Since there are no guarantees in life, women need to stay educated and in tune with their bodies to make a long, healthy life a possibility. Women need to take charge of their health and partner with their doctors by finding out their family medical history, educating themselves on health issues, and paying attention to their bodies. Understanding your body is key to staying healthy.

How does my biological make up effect my weight loss?
Generally men lose weight faster than women because men have a higher percentage of muscle mass. It is muscle that burns calories so men usually have a higher basal metabolic rate, too. Bigger people have more mass and burn more calories at rest. As we age muscle mass tends to decrease in both men and women, especially after menopause, which makes it more difficult to lose weight. To maximize weight loss it is important to make sure hormones are in balance, especially thyroid, and Vitamin D levels are adequate.

As we age, our bodies experience several changes due to decreases in production of our “sex hormones.” Five of the most common symptoms can be easily alleviated with Bio-Identical Hormone Replacement Therapy (BHRT).

Bio-Identical, “natural” hormones are derived from natural sources and are identical in chemical structure to those produced by our body. Synthetic estrogens are not the same as natural estrogens, nor are synthetic progestins the same as natural progesterone. Synthetic hormones and Bio-Identical hormones act very differently in the body and have different side effect profiles. The five symptoms below are taking into consideration hormone replacement with Bio-Identical hormones.

Are dry eyes caused by dehydration?

In most cases the answer is NO. Dehydration and environmental factors may worsen the dryness, but most dry eye symptoms are related to underlying Dry Eye Disease, which is very common, and many patients go undiagnosed and untreated. Symptoms such as burning, redness, foreign body sensation, intolerance of eye makeup or contact lenses, and blurred vision are most common. Women make up the majority of the patients with moderate to severe dry eye disease due to hormonal changes, and other systemic diseases such as Sjogren’s, lupus, rheumatoid, Crohn’s, rosacea, and psoriasis.

Which is better for weight  loss, diet or exercise?

We hear this every day in our center for medical weight loss; “I exercise but I can’t get this extra weight off!” Sadly, despite what those machines and computer programs say, we really burn 4-5 calories a minute during exercise. So after an hour of jogging, cycling, cross fit, or swimming, we have only burned 300 calories on average. It’s a common practice to eat something before exercising for energy or reward yourself after for a job well done. So, at best in the end of the exercise session we are calorie neutral and there is no weight loss benefit. Often the protein bar we consumed had more calories than we burned resulting positive calorie balance and weight gain. So the short answer is yes, exercise is great for a multitude of reasons but is a poor weight loss tool on its own, unless you are training for a triathlon, riding in the Tour de France and exercising 6-7 hours a day. 

“I wish I didn’t see quite so clearly,” said no one ever.
The eyes have it—they are boss, our windows to the world. Taking care of them is imperative to optimum vision, which is so important to our quality of life and staying active and independent. Don’t forget to have your eyes checked every year. Find an eye doctor and establish a relationship. He or she is a valuable resource in keeping your vision strong and letting you know all of the technology available today to try to stay
20/20 all your life.

One of the worse things to feel after a peaceful night of sleep is stiff. It makes even the youngest of us hobble out of bed and feel somewhat incapacitated. Inflexibility is inevitable as we age. It is also a side effect of inactivity and obesity in all ages—young and old. Staying flexible is not hard. However, the term move it or lose has never been truer than when it comes to keeping yourself free-flowing. Here’s what our experts had to say about flexibility:

What are the most common problems of not staying flexible?
The skeleton provides the body with support and our joints allow the skeleton to be flexible and move around more easily. We lose bone mass or density as we age and, for women, during and after menopause. Bones also lose calcium and some minerals and are easier to break.

Our strength and endurance changes as we age, as well. So, as we get older we may not feel like we have enough energy to exercise, but lack of exercise and activity may result in lack of flexibility.

The winter weather is cold and dry: it’s making me really itchy. What can I do?

Itchy skin in the cold and dry weather can be an annoying problem. The good news is there are several things you can do to help nourish and protect your skin from the cold weather and low humidity. Low humidity means more water evaporates from your skin leaving behind dehydrated, flaky and sometimes cracked skin. The main defense against this problem is doing everything you can to “lock in” moisture and re-establish the natural oils on your skin that go away with showering and bathing. What I recommend is to avoid very hot showers. My general rule is that if your shower leaves a fog on the mirror, then it is too hot. Keep it short and as mild as you can stand it. In the shower use a mild moisturizing soap such as Cerave, Dove or Cetaphil. Avoid fragrant soaps and only wash the “dirty” spots. Unless you have been exercising or working and getting very sweaty, generally the underarms, genital area, feet and face will do. After the shower, pat dry. Leave a little bit of moisture on your skin and then apply a good moisturizing cream (non-fragranced)  on all of your dry areas. Oils are also good, and a popular choice is coconut oil in place of a moisturizer.

Questions you may be too shy—or too worried-—to ask your doctor.

What does the term SPF mean?
What number do you recommend for my face and body? 
What is the best way to rehydrate my skin after sun exposure?

Robert Frost once wrote, “The best way out is always through.”

Is it important to seek treatment for hearing loss?

People with untreated hearing loss (people with hearing loss who do not wear hearing aids) experience a Decemberreased quality of life.

Even though we get it every month, we still have questions. We’re talking about periods and cramps as this month Pink Prescriptions’ topic.

The National Osteoporosis Foundation quotes, “A woman’s risk of breaking a hip secondary to osteoporosis is equal to her risk of breast, uterine, and ovarian cancer combined.”  Ladies…pay attention to your bones, your hips and spine will thank you and keep you standing tall!

Sports are fun, challenging and empowering. Sports injuries are not! Learn more about how to avoid some of the most common sports injuries and play on.