Page 12 - Boca Club News - June '22
P. 12

Page 12, Boca Club News

               From The Professionals’ Desks



      Healthy Answers–A Guide to Healthy Living: “It’s Too Salty!”




      By Dale Brown, B.S., M.A., C.E.C.                  is that salt is perfectly fine to use to season and flavor our   - Very low sodium (contains 35 mg or less);
      Dale is a motivational speaker who                 foods. Food simply tastes loads better with any type of spice,   - Low sodium (contains 140 mg or less);
      has spent many years as a Certified                including salt and pepper.                        - Reduced or less sodium (contains at least 25% less than
      Life Coach and has written numerous                   Salt heightens our taste buds, but the “tail-side” of the   the regular version);
      articles and e-books relating to self-             coin delivers the bad news that too many Americans consume   - Light in sodium (reduced by at least 50% from the regular
      improvement and ways to build a                    more than double the amount of salt their bodies demand.   version);
      high-performance team. She is the                  As I have always said, “Everything we do or eat should be   -  Unsalted or no salt added (no salt is added during
      author of the recently published book,             in moderation.” If that’s true, where is the salt coming from?   processing).
      “Small Steps...Big Changes: The                    It’s not as much the seasoning on our foods as it is the sodium      Wow! Good luck deciphering which products are better
      Personal Stories of a Life Coach.” Her education and years   content tucked in the store-bought foods we buy every day.   than others by checking labels. How about finding other ways
      of experience in physical fitness and training of elite athletes   Oddly enough, our saltshakers are responsible for only about   to curb your sodium consumption by developing a healthy
      has enabled her to sharpen her knowledge in many health-  11% of the sodium in our diet.             eating pattern that will not only curtail salt, but will benefit
      related areas. The following introduces a new approach to      Much of the salt we consume comes from processed and   your overall health? Here are a few things to keep in mind:
      Ms. Brown’s series of columns devoted to many topics that   prepared foods, such as bakery items, cereals, dairy products   - Choose whole, unprocessed foods and eat lots of vegetables
      deal with the mind/body connection and the importance of   and canned goods. Just by eating a deli sandwich, loaded   and fruits.
      living a healthy lifestyle. Dale, a Bocaire resident, can be   with meats and cheese, you can easily chalk up more than   - Watch out for salty sauces such as mustard, BBQ sauce, soy
      reached at dalebrown@lovingmondays.com.            an overdose of salt, especially if you throw in chips and a   sauce and ketchup; all contain large amounts of salt.
         There’s not a time that I go to Publix’s deli department   pickle.                                - Use herbs, spices, garlic and citrus (lemon or lime zest) to
      where I don’t hear someone behind me shout out these      I would be the last person to recommend the flagrant use   season foods during cooking and at the table.
      common questions; “Do you have low sodium turkey meat?”   of salt without concern. Here’s why salt may be harmful:   - Cut back on processed and smoked meats, such as ham,
      Do you have low sodium Salami?” Do you have low sodium   It’s all about the kidneys and their ability to keep a balance   bacon, sausages and corned beef. Instead, consider such
      Boar’s Head cheese?”                               of fluids in your body. If the kidneys can’t eliminate all the   sandwich fillings as chicken, tuna, egg and hummus, which
         What is this American obsession with low sodium in   sodium, it builds up in the blood, causing the heart to work   are less salty.
      everything we eat? There are countless times I’m out to lunch   harder. In time, this pressure in the arteries may increase the   - Eat at home. Restaurant foods may taste great but chances
      or dinner with a group of friends or family and hear someone   risk of high blood pressure, stroke and kidney disease.  are they may contain too much sodium. You can monitor your
      complain about too much salt in their soup or on their steak.      I know we’re told to read labels carefully, especially if   salt more easily when you cook at home.
         I agree that no doctor would advocate having high levels   you’re advised to lower your salt intake. But, have you ever      In time, too much salt may take its toll on your body.
      of sodium in your blood, but I bet he wouldn’t blame it solely   really paid attention to how confusing the labels can be? A   Make health a priority by being mindful of not only your
      on the salt that you add, or the restaurant food you eat. It’s   better understanding of the lingo might help. Let’s take a   salt intake, but by making the healthiest choice in whatever
      basically a two-sided coin when it comes to the amount of   look; you have:                          foods you eat. Bon appetite!
      salt we take in every day. On the “heads up” side of the coin   - Sodium-free (less than 5 mg);
      Medical Matters: Bed Sores



      By Richard Nagler, M.D., a member                  non-healing situations, some of these ulcerations can develop      When bed sores have developed, it is wise to consult
      of Broken Sound Club and retired                   into squamous cell cancer.                        with a Dermatologist and a wound team. If the skin is red
      physician. After graduating from the                  The most important approach in dealing with bed sores   and irritated, but not broken, it should be washed with a
      University of Pennsylvania and New                 is prevention. For those in wheel chairs, they need to be   gentle cleanser, warm water or a saline solution and patted
      York University’s School of Medicine,              encouraged to re-position themselves, shifting their weight   dry. A bandage, usually of gauze treated with a gel, foam
      Dr. Nagler served his internship and               every 15 minutes, tilt the wheel chair, raise their body in the   or antibiotic will speed healing and act as a barrier to
      residency at Baltimore City Hospital               seat as often as possible, and use cushions to relieve pressure.   infection. When the bed sore has penetrated well beneath
      and Johns Hopkins. He followed that                Bed-ridden patients must be turned and re-positioned at least   the skin to underlying tissues, debridement is necessary.
      with a Fellowship in Gastroenterology              every hour, and the head of the bed should be at 30-degrees   Dead, damaged and infected skin is removed, the wound
      at Yale University School of Medicine, and was then Chief   elevation. Recognition of, and frequent changes of, soiled bed   flushed with a saline solution, and both topical and oral
      of Gastroenterology at Fitzimmons General Army Hospital   sheets and hospital gowns is essential. The skin should be clean   antibiotics are given. In some cases, removal of tissue can
      in Denver. He returned to the Yale Medical School for one   and dry and washed frequently with mild soap. Every effort   be accomplished with vacuum-assisted closure (VAC).
      year as an Assistant Professor of Medicine before opening   should be made to limit exposure to urine, excessive moisture   Surgery may be necessary in some deep bed sores, where
      his own successful private practice in Internal Medicine   or stool. Good nutrition and hydration are important. Nurses   a pad of muscle, skin or other tissue is used to cover the
      and Gastroenterology. During that time, he also served for   should frequently inspect likely areas for bed sores to develop.   wound and cushion the affected area (flap reconstruction).
      ten years as Chief of Medicine at Huntington Hospital in   Using Talcum powder or lotions to protect the skin, is helpful.
      Huntington, N.Y.
         Bed sores, also called pressure ulcers or decubitus ulcers,
      are an injury to the skin and underlying tissue caused by
      prolonged pressure on the skin–most often over bony areas
      of the body, such as the buttocks, tail bone, heels, ankles
      and shoulder blades. Patients who spend most of the time in
      bed or in a wheel chair, and have difficulty or are unable to
      change positions, are most at risk to develop bed sores.
         Bed sores can develop quickly. Most will heal with
      treatment, but some are very resistant and never heal   Stylish Modern Atmosphere     Make Reservations                       happy hour
      completely. They usually begin with unusual changes in skin                                                                  every Day 3 - 6 pm
      color, ranging from red to purple combined with a change in
      texture, itching, tenderness and swelling. The affected area                                                                  and Mon. - Thurs.
      may be either warmer or colder to touch. Breaks in the skin                                                                  all Day at Bar Only
      may become infected with pus draining from the lesion,
      and the depth of the bed sore may progress to a deep injury                                                                 Lunch SpeciaLS
      involving muscle and bone. For those who are confined to a
      wheel chair the buttocks, tail bone spine, shoulder blades and                                                                  every Day
      backs of the arms and legs are the most likely areas affected.                                                                          $
      Those patients confined to bed develop bed sores usually in                                                                      starting at  9
      the back of the head, shoulder blades, buttocks, tail bone,
      heels, ankles and the shin behind the knees.
         The major cause of bed sores is constant pressure on the
      skin over areas not well padded, which diminishes blood
      flow–especially in elderly people with diabetes and vascular
      disease. In addition to immobility, poor general health with
      inadequate nutrition and hydration are important factors.
      Spinal cord injuries, and certain neurological conditions
      which result in a loss of pain sensation, make these patients
      unaware of warning signs of developing bed sores, and
      they are unlikely to change positions which are essential in
      preventing them.
         Untreated bed sores and the underlying tissues may
      become infected, with increased redness and swelling and
      drainage of pus, especially in those who don’t feel pain. It
      may become septic (blood-born infection) and progress to
      invade cartilage and bone (osteomyelitis). In long-standing
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