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Cleveland Clinic News Service - June 9, 2017

CLEVELAND - The lazy days of summer can often include some really hot and humid days.

According to Tom Waters, M.D., an emergency department physician at Cleveland Clinic, such days can bring on heat illness, which for some, can result in a real medical emergency.

Heat illness includes a wide spectrum of ailments ranging from something as minor as a heat cramp to full-blown heat stroke.

Dr. Waters said heat stroke is an acute life-threatening emergency and can be fatal if left untreated. During heat stroke, the body’s organs can literally shut down from over-heating.

“You don’t want to ignore the signs and symptoms of a heat emergency,” said Dr. Waters. “If you notice that you’re feeling nauseous, you have a headache, you’re feeling a little dizzy or lightheaded, or you notice that a loved one who’s been exposed to the heat is feeling that way, you want to get them out of the heat as soon as possible because you don’t want it to progress to full-blown heat stroke.”

The very young and the elderly are the most at-risk for suffering heat stroke, as well as those who are exposed to the heat either by working or exercising outdoors in hot, humid conditions.

Dr. Waters says that if someone is suffering a heat emergency, the first thing to do is to get them out of the heat and start cooling them. He said the best way to do this is to apply ice packs to the groin and underarm areas.

If they don’t respond to this treatment, they need to be taken to the emergency department as soon as possible.

Dr. Waters said many heat illnesses can be prevented, therefore it’s essential to always be prepared on hot, humid days by drinking water or electrolyte solutions to stay hydrated.

It’s also good to avoid drinking anything that contains alcohol or caffeine, which can cause a person to become more dehydrated.

“Make sure that you’re hydrated,” said Dr. Waters. “Whenever you’re going to be exposed to the heat, you want to make sure you’re hydrated because dehydration in of itself can pre-dispose you to a heat emergency.”


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Satya Nadella, Chief Executive Officer of Microsoft, joined CEO and President Toby Cosgrove, MD, for Ideas for Tomorrow on June 20th, at the InterContinental Hotel in Cleveland.

Cleveland Clinic News Service - June 13, 2017

CLEVELAND - As the school year winds to a close for most children, the beginning of summer break is a great time to get active.

Richard So, M.D., is a pediatrician at Cleveland Clinic Children’s. He said that while much focus has been placed on what our children are eating, getting them up and moving is just as important in the fight against childhood obesity.

“Having our children moving is very important to help prevent our obesity epidemic,” said Dr. So. “It’s one in three children in the United States.”

In fact, a recent study showed that many children tend to get less and less exercise the older they get. Experts said that getting less physical activity as a child can lead to less fitness as an adult and an increased risk for obesity and other health issues.

Dr. So said that organized sports are a great way for children to stay active – but they’re not for everyone.

He said something as simple as getting outside and playing with a child is good for them – whether it’s riding bikes, kicking a ball or going for a hike.

Dr. So admitted that the older children get, the more challenging it can be to get them moving – often times because they’re preoccupied with electronics. He said the best way to get them out the door and moving is to put limitations on their device use.

For older children, Dr. So recommends trying to get them to start slow with a little jogging.

“Just go out for a five minute run,” said Dr. So. “You have to tell them, ‘okay, a TV show is 30 minutes, but all I want you to do is run for two and a half minutes out, and two and a half minutes back.’ Most kids will do it. That’s not a long time.”

Dr. So reminds parents that children will follow their example, so when parents engage in healthy and active behaviors, they can help motivate their children to be more active as well.

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Leonard H. Calabrese, DO, Director of the R.J. Fasenmyer Center for Clinical Immunology, explains in less than 60 seconds why rheumatologists are no longer satisfied with “small outcomes” for their patients.

Cleveland Clinic News Service - June 12, 2017

CLEVELAND - Weather can fluctuate dramatically during the summer months.

Whether it’s an approaching thunderstorm or a bright sunny day – both can wreak havoc on a headache.

“In general, it’s usually a fall in barometric pressure, but for many people it doesn’t matter; it could be a quick rise in temperature as well, or if there’s going to be thunderstorms,” said Jennifer Kriegler, M.D., a headache specialist at Cleveland Clinic.

Research shows that changes in barometric pressure can be associated with migraine headache attacks.

Dr. Kriegler said experts aren’t exactly sure why weather changes trigger migraine headaches, but they believe that a fall in barometric pressure may force fluid into tissues and cause a disruption in fluid balance.

As barometric pressure falls, people who suffer from migraine headaches will often sense it and become stressed, according to Dr. Kriegler.

She added that stress hormones can provoke a headache, so managing stress through exercise, deep breathing or relaxation techniques will help ward it off.

Increasing magnesium intake prior to a weather change may help limit or prevent a migraine too, said Dr. Kriegler.

Fluid shifts in blood vessels surrounding the brain can cause a headache, so she recommends staying hydrated as well.

“Drink lots of water, pretreat by drinking water before you go outside,” said Dr. Kriegler. “On a hot 90 degree humid day you can lose up to a liter of fluid an hour, so you really have to maintain your fluid balance.”

Besides storms, Dr. Kriegler said bright light and glare from a sunny day or light flickering through trees while someone is driving can also trigger a migraine headache.


SOURCE: https://www.jstage.jst.go.jp/article/...

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Thanks for an amazing season!

Dr. McKenzie says if creativity can flow, a team will perform better. In this discussion with Executive Chief Nursing Officer K. Kelly Hancock, DNP, at the Leadership Summit, Dr. McKenzie describes innovating within safe spaces.