Just a little heart attack

Before leaving to attend this week’s Association of Health Care Journalists conference, I wanted to share a video from the Go Red for Women campaign.

With no disrespect to the men out there,   women are under enormous stress — juggling career, family, perhaps school or volunteer work too. Our culture expects us, as Sheryl Sandberg said, to Lean In, and just work harder  to get ahead.

Unfortunately most of us don’t have her financial resources at our disposal. So we figure out how to manage, somehow. The thing is, stress has a major impact on our health, including our hearts — and we may not even realize it.

As this video from the Go Red campaign shows,  the warning signs can be powerful.

Take a few minutes each day to de-stress. I’m off to find out how to sharpen my skills as a health journalist.

 


One Resolution You Should Keep

Happy 2013!

While our nation’s leaders play political chess, millions of Americans await the final tally on budget cuts to health and wellness programs, medical research, Medicare and Medicaid. It sure seems like the inmates are running the asylum.

In the meantime, perhaps it’s best to focus on something you can control – like better health habits. If you smoke, this is a great time to make that resolution to quit. Quitting smoking not only improves your quality of life, but also helps those around you to breathe easier.

The good news is that the overall smoking rate in the U.S. has declined over the past few decades. The bad news is that about one in five people still don’t get the message. Although you may choose to harm your own health, what about the health of others affected by second-hand smoke?

Maybe this will put things in perspective.

Secondhand-smoke-effects-infographicinfographic:  RabbitAir

You do want to be around to welcome in more new years, don’t you?

Here are some  organizations that can help. Speak with your health care provider first about your specific situation.


One Resolution You Should Keep

Happy 2013!

While our nation’s leaders play political chess, millions of Americans await the final tally on budget cuts to health and wellness programs, medical research, Medicare and Medicaid. It sure seems like the inmates are running the asylum.

In the meantime, perhaps it’s best to focus on something you can control – like better health habits. If you smoke, this is a great time to make that resolution to quit. Quitting smoking not only improves your quality of life, but also helps those around you to breathe easier.

The good news is that the overall smoking rate in the U.S. has declined over the past few decades. The bad news is that about one in five people still don’t get the message. Although you may choose to harm your own health, what about the health of others affected by second-hand smoke?

Maybe this will put things in perspective.

Secondhand-smoke-effects-infographicinfographic:  RabbitAir

You do want to be around to welcome in more new years, don’t you?

Here are some  organizations that can help. Speak with your health care provider first about your specific situation.


10 by 50: Health Screenings Women Need by Mid-Life

Women often put the health and wellness of kids, spouse, or parents first. It’s easy to shrug off doctor’s appointments until “later.” But if you don’t take care of yourself now, you may be risking more serious conditions “later.”

Here are 10 important screenings and tests you should undergo by age 50:

Occupational Health Exams Captured with MC4 Sy...

Mammograms: There’s still debate about when to begin breast cancer screening. The American Cancer Society says start by age 40, the US Preventive Services task force says age 50 is fine if there’s no family history of cancer. Talk with your physician and see what’s right for you. Also be sure you get regular clinical breast exams.

Cholesterol: As women enter menopause, estrogen levels decrease, and so does our HDL (good) cholesterol. Aging also increases triglyceride levels. If you’re over 45, your doctor will probably want to check your cholesterol levels at least annually. The American Heart Association reminds us that high cholesterol is a major risk factor for heart attack, stroke, and coronary heart disease.

High Blood Pressure: Nearly half of all people with high blood pressure are women; and after age 65, women are more likely to have this condition than men. Hypertension is a major risk factor for heart disease, the leading killer of women.

Diabetes: Nearly 11 percent, or about 12.8 million adult women have diabetes. Hispanics and African-Americans are at greatest risk for developing this condition.  Getting your blood sugar checked regularly – especially if there’s a family history of the disease, is critical to staying healthy. Complications from diabetes can cause many other serious conditions, including heart disease, blindness, kidney disease, and amputations.

Cervical Cancer: Cervical cancer is one of the most preventible cancers through early detection of abnormal cells. Experts recommend getting a Pap smear every 1 to 3 years until age 65 if you are sexually active.

Colorectal Cancer. The Centers for Disease Control and Prevention recommends screening for colorectal cancer starting at age 50. Precancerous polyps, can be detected through a stool blood test and colonoscopy. They can be removed before turning into cancer. These tests also detect colorectal cancer early, when treatment works best.

Osteoporosis – half of all US women will suffer from osteoporosis in their lifetime. Female bone density deteriorates with age, and diminishes rapidly after menopause. Screening is usually recommended for women starting at age 65. However, if you break a bone after age 50, are a woman of menopausal age with risk factors or are a postmenopausal woman under age 65 with risk factors, the National Osteoporosis Foundation recommends beginning regular bone density testing sooner.

Sexually Transmitted Diseases and HIV – Changes in marital status, lifestyle, and drugs like Viagra mean older women are more sexually active than in the past. Rates of STDs in the 50-plus age group are rising – nearly one-fourth of new HIV cases diagnosed in this group. Get screened for HIV if you have had unprotected sex with multiple partners, have a partner that is infected, use or have used injection drugs, had a blood transfusion between 1978 and 1985, or have other reason to believe you may be at risk.

Depression: Your emotional health is as important as your physical health. Talk with your physician or a mental health professional if you have consistently been feeling sad, down, or hopeless, or have little interest or pleasure in doing things for two weeks or longer.

BMI: Body mass index is a reflection of your weight and height combined. A BMI is over 30 is considered obese. Being obese or overweight leads to or affects many other health conditions, like heart disease, diabetes, hypertension, and depression. Speak with your health provider about healthy steps you can take to lower your BMI and reduce your weight.

The bottom line is that women must take care of themselves — so that they’re around to take care of their loved ones.


Make IUDs and implants more affordable and accessible for teens

New recommendations from the American Congress of Obstetrics and Gynecology (ACOG) encourage use of Intrauterine devices (IUDs) or implantable birth control as a first-line option for sexually active teens. These are the most effective reversible contraceptives for preventing unintended pregnancy and abortion according to ACOG’s Committee on Adolescent Health.

With nearly half of all teens having sexual intercourse at least once, and 42 percent saying it happens regularly, teens must be aware of birth control options and use contraception every time. That’s where methods like birth control pills and condoms often fail – and worse, teens that use no birth control at all have a 90 percent chance of becoming pregnant within a year according to ACOG.

IUDs and implants are safe, reliable, and convenient methods of pregnancy prevention. Once implanted or inserted, IUDs can be effective for up to 10

English: contraceptive method - Copper T 380A ...

English: contraceptive method – Copper T 380A (brand name Paragard) (Photo credit: Wikipedia)

years, and implants, for three. Yet, ACOG’s report said that only 4.5 percent of teens (15-19) use one of these long-acting reversible options (LARC). The low rates of adoption are affected by cost, misconceptions, or the need to visit a physician, spurring concerns about confidentiality. So they urge gynecologists to talk about these methods first. “LARC methods should be first-line recommendations for all women and adolescents,” the report concluded.

Most teens seem to be using some form of birth control, based on CDC data showing a sharp decrease in teen pregnancy rates from 2007 through 2010 across all racial and ethnic groups. Unfortunately, the teen birth rate in the United States “remains one of the highest among other industrialized nations.”

Religious and pro-life groups that oppose use of any form of contraception are essentially burying their heads in the sand, or perhaps clicking their heels three times and hoping to end up in Kansas. Teen pregnancy is a risk to both the mother and the baby. More low birth weight babies and higher infant mortality are attributed to teen moms than to babies born to older mothers. The public health costs of teen pregnancies is more than $10 billion annually.

If 42 percent of teens admit to having sex regularly, my guess is that the real figure is higher – likely over 50 percent. IUDs and implants have proven safe and effective – with less than a one percent annual pregnancy rate, much lower than any other contraceptive method.

These options are expensive, and require a visit to a physician –  two obvious barriers to increased adoption. Lower cost and easier access would make a significant difference in use of these devices by teens. ACOG President James Breeden recently blogged, ” I fully support the right of all women to unimpeded contraceptive access”

The Affordable Care Act made great strides in ensuring contraception would be covered by insurance companies at no cost. While it may be an uncomfortable conversation for some, it’s imperative that these young adults have similar free, unimpeded access, and let it be their choice whether to discuss their decision with their parents.