Category: Health & Wellness

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Ask Dr. Renae: Making virtual friends

Dear Dr. Renae,

I had been looking forward to beginning high school since the beginning of middle school so I could join clubs and try out for sports teams to make friends. I had to separate from my middle school friends since they were not into academics, but getting into trouble and getting high all the time. I have been waiting so long to make new friends and now it seems so difficult remotely. I am shy and do not feel confident with the way I look, especially
online. How can I make friends virtually when it feels awkward to make the first step to reach out to someone?

Shy 9th Grader

Dear Shy 9th Grader,

A huge positive in meeting people remotely is that it gives you a chance to be more authentic and versatile. You can be yourself and broadcast that person. Realistically, there are many in the same space you’re in, looking for friends but not knowing where to start. It can be difficult having a rewarding experience if you aren’t gregarious. The wonderful thing about entering high school, especially in this time period, is that everything is so brand new. Perhaps start small. Make a post about the clubs you want to join or start. If you’re active on social media, see if there’s a “class” page. It usually conveys events that each class can partake in, remotely or in person. I imagine it would look rather different this year but exciting, nonetheless. The key to success is confidence. Sports is also a great bonding topic. I’m sure you’ll make friends in no time. Hope this helps.

Your Friend

Dear Shy 9th Grader,

I understand the difficulties and initial fear of making friends, for I have been in your position as well. The easiest way I was able to make friends is by finding a common interest. For example, if you like to play video games or are interested in a particular show or book, it is easy to find people on the internet who are interested in the same things as you. It may be daunting to make the first move, but easy conversation starters can include “Hi I saw you like (insert show/book/video game/etc.), who is your favorite character?” or “Hi I recently got into (insert show/book/video game/etc.) can you help me find more content from them?” An added bonus of the internet is anonymity, so if you feel uncomfortable you do not need to disclose personal information about yourself until you feel comfortable with the person. Of course, please be cautious on the internet by not exposing where you live or other personal information. Trusting your instincts, you can make great virtual friends. Try finding a club at school and talking with the club members about common interests and how to get involved with the club. I wish you good luck on your endeavors.

Your Fellow Teen

Dear Shy 9th Grader,

Making friends is difficult, however, the new obstacle of online learning should not discourage you. I would suggest looking into the clubs at your school and attending one of their virtual meetings. From there, you will find people who have attended the meetings and you can then begin to follow them on Instagram. If they’re new like you, you should have a nice starting off point on what you can talk about. Send them a direct message and say how you’re new to the school and how they seem like a nice person and you wanted to get to know them. If they’re a considerate person they will message you back and you’ll be on your way to a new friend! If they don’t message you back, just move on to someone else. It’s all about having enough confidence to get past the first steps. Good luck and I hope you find some great people!

High School Senior

Dear Shy 9th Grader,

I totally feel for you. I remember how excited I was to make new friends in high school and start fresh. The pandemic has caused such a big obstacle when it comes to human contact, but it’s not impossible to make new friends. In my high school, clubs are still meeting virtually which is a nice way you can connect with new people, especially if it’s a club you have a deep interest in. It really comes down to looking at the clubs that your school provides and picking one you really enjoy. It’s also important to keep in mind that all 9th graders are in the same boat as you are and the chances that they’re feeling the same way as you are pretty high. So, don’t psych yourself out too much about approaching people because they most likely also want to make new friends and don’t know how. Wishing you the best of luck.

A High School Senior

Dear Shy 9th Grader,

I want to commend you for having the strength and foresight to separate from your old Middle School friends before making new friends. That takes a lot of courage and confidence! In addition, looking forward to making new friends puts you in a positive place of hopefulness. Courage, confidence and hopefulness is a great formula to begin your journey of finding new friends. You already have the ability and insight to be selective of friends who share your values. Identifying friends who share your passions and interests will follow naturally as you explore clubs at school. Perspective new friends will appreciate you making the first contact as they too might feel shy. You will be part of the first wave of teens to make treasured new friends while social distancing, so you can consider yourself a pioneer.

Dr. Renae

TEENS: Curious as to what other teens would say? If you have a
question or problem you would like to present to other teens, please email: askdrrenae@att.net and include your age, grade, and gender you identify with. All questions are published anonymously and your identity and contact information will be kept confidential.

PARENTS OF TEENS: Would you like to anonymously and confidentially ask the panel of teen Peer Counseling Writers to comment on a parenting issue you are struggling with? If you are ready for a variety of honest opinions from real teens, please address your questions to askdrrenae@att.net.

Dr. Renae Lapin, a licensed marriage and family therapist with 40 years experience, currently maintains a private practice in Boca Raton, Florida. For more information about Dr. Renae and her practice, visit her website:
https://askdrrenae.com

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Are blue light glasses a work-from-home essential?

Since many of us are working from home during the pandemic, and are spending more time on our devices, our eyes are becoming tired and strained.

With the help of blue light blocking glasses, individuals are able to shield their eyes from their bright LED screens and keep the Advil in the medicine cabinet.

According to Weston’s All Eyes Optical Optometrist, Dr. Vito Guario, “The main benefits that blue blocking lenses have are the reduction of strain and fatigue on the eyes.  Werecommend the blue tech lenses to everyone.”

Blue light glasses have a blocking lens fi lter that helps minimize the amount of light refl ected away from the eye. Not only does it protect your eyes, but it reduces glare.

“Since the onset of the pandemic, there has been an increase for blue light lenses for anyone utilizing the computer or digital screens for work or academic necessity. Patients can work longer on the computer with more focus secondary to the reduction of blue light emitting from all computer or digital devices,” Dr. Guario said.

Greg Sarkin, Owner of Abaco Polarized in Palm Beach Gardens, says “since COVID-19 and the increased amount of people that work from home, sales have increased for blue light glasses tremendously.”

According to a 2017 study done by the University of Houston, they found that participants wearing blue light glasses showed a 58 percent increase in their nighttime melatonin levels.

Abaco offers lightweight and fashionable glasses, standing behind the products that they sell. And if you need prescription lenses but don’t want to commit to purchasing a pair before knowing how you like them, Amazon offers blue-light clip-ons for as little as $10.99.

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Holiday tips to manage diabetes

November is National Diabetes Month, and the Center for Disease Control reports that 29.1 million people, diagnosed and undiagnosed, are challenged with this disease in the United States. As a Certified Diabetes Educator (CDE) I focus on wise food choices throughout the year. As the holiday season unfolds, I want to give people the tools to eat well and wisely.

In planning menus and choosing items from those often served at holiday meals, diabetes can afflict the meal planner as well as those dining at the table.As the host or hostess, it is important to include options for those who may have challenges with what some folks dismiss as “just a little sugar.” In putting together a menu of traditional dishes, which tend to be carbohydrate heavy, remember that to control diabetes it is essential to manage carbohydrate intake. Carbohydrates are necessary nutrients that are the fuel for energy— however if diabetes is a factor, carbs must be monitored. Carbohydrates are starches, sugars, and fiber. Now let’s look at some of the dishes typically found on the Thanksgiving menu.

Michelle Stewart

Snacks and Appetizers:
These often include cheese and crackers, dips, or cocktail-size frankfurters. Good- for-you options to substitute are fresh vegetables in place of salty snacks such as chips or pretzels. Limit the cheese, which can be high in fat and calories, and ditch the baby frankfurters for lean lunchmeat rolled in lettuce leaves.

Side Dishes:
Folks do love potatoes — mashed, scalloped, or sweet. It is not the potato itself that gets the bad rap; it’s the additions of butter, cheese, milk, sour cream, and other goodies. If making potatoes, opt for low-fat milk or plain Greek-style yogurt in place of cream and sour cream. If sweet potatoes are on the list, cut back on the amount of butter, sugar, and marshmallows. Sweepotatoes are a real power food, but if pairing the sweets with the previous list, the power punch is knocked out! Include roast or steamed green vegetables, baked squash, and a tossed green salad.

Now turkey stuffing is in the side-dishcategory — this too can be more wholesome if you use a little less butter or margarine, use sodium-reduced broth, and whole grain bread or brown rice, depending on the type of stuffi ng you are making.

 

Main Dishes:

Turkey is the star attraction on most tables, however, it can also be joined by ham or roast beef. These are protein foods without any carbohydrates. Limit servings to 3 to 4-ounce portions. If turkey is your main-dish choice, go for roasted turkey and not deep- fried. Choose turkey breast and remove the skin. If gravy is on the must-have list, limit to a couple of tablespoons or half a ladle of gravy.

Dessert:
I know this is where so many slip up. Don’t deny yourself dessert, choose half-size portions, forgo caramel, chocolate, and whipped toppings. If eggnog is in the picture, pour a juice-size glass or make the beverage your dessert in place of cake or pie.

These are some of the tools and guidelines for good and healthy eating during the holidays. Diabetes is serious but by making wise choices as the host or guest, folks can eat well, enjoy the season, and keep well-being goals in sight.

Take Away: You can enjoy seasonal holidays by making good choices to eat well and manage the Diabetes challenge.

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Parklander Podcast Episode #16 – Dermatology with Dr. Ayar

For this episode, we interviewed Dr. Ayar, from Dermatology Experts in Parklander.  Dr. Ayar shared what dermatologist like him specializes in, and what his practice offer local residence.

Check out his new Parklander location at: 7535 N. State Rd 7, Parkland, FL, 954-726-2000.  Also, his mobile service website: http://mobilebodysculpt.com

Podcast: Play in new window | Download

Subscribe: Apple Podcasts | RSS

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DO YOU OR DOES SOMEONE YOU KNOW SNORE?

Do you or does someone you know snore? Are you tired during the
day? Maybe you fall asleep during the day and rest? Snoring causes a disruption in sleep patterns for both the patient and their partner. Sleep plays a vital role in good health and well-being throughout your life. Ongoing sleep deficiency can raise the risk factors for chronic health issues such as high blood pressure, heart attack, stroke, asthma, COPD, cancer, arthritis, kidney disease, diabetes, and depression. It can also affect how well we react at work, absorb new information, and get along with others.

There are different types of snoring:

(1) Palatal snoring is the most common. This occurs when the air flows past the relaxed tissues in the soft palate and causes the tissue to vibrate. Loose palate tissue obstructs the airway causing loud snoring.

(2) Obstructive Sleep Apnea is caused by the throat muscle relaxing too much during sleep which will cause pauses in breathing, thus reducing blood oxygen levels.

Other factors related to snoring are alcohol consumption, body weight, sleep position, or nasal obstruction.

Patients who snore should have an evaluation by a medical professional to
determine if a sleep study is necessary. If the patient has sleep apnea, it will require the use of a C-pap machine to assist in keeping the airway open during sleep.

Many dentists now aid in the evaluation of snoring and sleep apnea and are able to treat your palatal snoring, or refer you to a sleep specialist.

If a patient has palatal snoring, it an be treated with a new innovative treatment using a SOLEA Laser. It isa short, non-invasive treatment with no downtime, no cutting, and no discomfort. The laser treats the collagen in the soft palate with a 15-minute procedure that will tighten the palate. The patient will notice a difference in the first night regarding their snoring and the palate will continue to tighten and improve over the next two weeks. This procedure can’t cure sleep apnea but can aid in the treatment of shrinking the soft palate tissue.

Compared to other lasers for this treatment, SOLEA treats the soft palate in one 15-minute session. Other lasers need three 20-minute sessions to correct.

So, if you or someone you know suffers from snoring or any of the above symptoms, call your usual medical professional for a consultation today. It can save your life.

By Candace R. Colella D.M.D., P.A.

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To sleep, perchance to scheme – ay there’s the rub

Sleepopolis.com is a website that bills itself as “Your Ultimate Sleep Destination.”

That must be true, because I’ve been trying to reach them for months and they never, ever answer their phone or respond to emails.

I figure they all must be catching like 40 million winks. If I apply the highly respected “Rip Van Winkle snooze postulate,” first developed by Washington Irving in 1819, I’m not going to hear from them until 2040.

That’s a hell of a power nap.

OK, so here’s what happened. Last April I read a story in the Miami Herald about a survey Sleepopolis.com had done about the best cities for sleeping. The story said Miami was rated 246 out of 300 Florida towns.

So, I looked up the whole study and discovered that Parkland, our Parkland, was among the top ten best Florida cities for sleeping, snoring in at number six, right between Miami Shores and Fruit Cove. Wow, what a story.

The only other area city to make the top ten was Palm Beach, which nodded off at number nine.

As for the rest of Broward County? How do you spell that noise you make when you put the “P” sound with the “F” sound and end with a bunch of “T” sounds?

Pfttt?

And this was not a casual study. Sleepopolis included factors like drinking, smoking, obesity, physical and mental health, exercise, and unemployment. Surprisingly, the only critical factor overlooked was whether sleepers had a My Pillow under their noggins.

But still, how can Parkland rank sixth and Coral Springs103rd or Coconut Creek way down at 193? Is that much more drinking and smoking and not exercising going on in cities literally right next door to us? I don’t think so.

The worst Broward County city was North Lauderdale, ranking 298 out of 300. I don’t even want to know what goes on there.

The study “measured,” and I use the word with total sarcasm, 20 of Broward County’s two dozen cities. But as I looked at all the numbers, I noticed scores for things like obesity, drinking, and sleepless nights were almost identical for most towns. There was only one measurement that differed significantly.

And that measurement is why Sleepopolis won’t return my calls.

I put the 20 Broward County cities in a spreadsheet. The cities fell in line perfectly according to one factor: Median income.

Parkland, in first place among Broward towns, had a median income of $131,525. The median income of the last place, North Lauderdale was more than three times less at $41,841. There were no exceptions. Rankings dropped as median incomes fell; one by one, in perfect order; from Parkland, Cooper City, and Weston at the top; to Margate, Dania Beach, and North Lauderdale at the bottom.

The Miami Herald should have taken a harder look before condemning its town’s ability to get a good night’s sleep. Maybe it’s just a case of projection. Given the paper’s pending bankruptcy and hedge fund guys rubbing their hands together gleefully, I’m sure folks at the Herald aren’t sleeping that well. Maybe they should commute fromParkland.

By Richard Battin
editor@theparklander.com

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Guidelines for Breast Health

“In the pink” is pervasive this month. According to Dictionary.com, the idiom is actually “in the pink of health.” One would think that this is the connection between breast cancer awareness and the pink images that are highly visible. In reality, the symbol is derived from a ribbon’s symbolism as a sign of courage and support, and a promotion by Self magazine and Estee Lauder cosmetics in 1992. The pink ribbon promotion has evolved significantly over the years — from lapel pins to illuminated skylines in cities nationwide, to the addition of the color and symbol in uniforms for professional sports.

Though we need to be aware of breast health every month, with pink splashed spectacularly on just about everything in October, it brings the topic to the forefront. You know I am all about having a healthy lifestyle and making sure you’re in the know on keeping “your girls” aka breasts, healthy. Here are a few guidelines to help you out.

  1. Lifestyle
    Adjust your lifestyle to limit alcohol, increase fruit and vegetables, and exercise regularly; these are all factors that can help reduce the risk of breast cancer. It is also important to avoid smoking, control weight, and avoid exposure to radiation and environmental pollution. Breastfeeding can be beneficial, and the length and duration of hormone therapy should be limited.

2. Mammograms
Mammograms are considered the gold standard in breast cancer screening. The
American Cancer Society recommends that all women
get a mammogram every year beginning at age 40. For women with an above-average risk
of getting breast cancer, it is suggested that they discuss with their doctors if they should begin screenings at an earlier age.

3. Know Your Breasts.
Talk to your doctor about the pros and cons of breast self-exams. If you choose to do breast self-exams, your doctor can review how to do them with you. If you know how your breasts “should” feel then you can easily recognize when something is atypical and you should reach out to your health care provider.

4. Be Persistent.
If you think you feel “something,” and your healthcare professional dismisses your concerns, be persistent. You are your best advocate. If necessary, seek another opinion.

5. Network
Talk to your network of friends and ask them to share the names of their doctors or clinics. Personal recommendations from people you trust can go a long way when choosing healthcare professionals.

6. Symptoms
A lump is a symptom we hear about most often and 80 percent of lumps turn out to be benign. A lump can feel like a frozen pea, marble, or another hard item. This does not mean it is cancer, but if it is still noticeable after a few weeks or changes size or shape, have your doctor take a look.

Some of the other signs that something is amiss include persistent itching, a bug bite–like bump on the skin, and nipple discharge. If you notice something out of the ordinary that continues a few weeks, again, you will want to check with your doctor.

I’m not trying to alarm or create anxiety; you know my goal is to help guide you along the path of living a healthy lifestyle. Keep these guidelines in mind year ‘round for good health.

Take Away: You are your best advocate for “being in the pink of good health.” Follow these guidelines and make wise choices about your lifestyle.

By Michelle Stewart

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Fight anxiety with goop, gadgets, and gravity

It seems as if the Age of Anxiety has eclipsed the Age of Aquarius. In this time of COVID-19, quarantine, and social distancing, many people are feeling stressed, isolated, and anxious. Depression is on the rise. Uncertainty wreaks havoc on our mental well-being.

According to the CDC,

“Fear and anxiety about a new disease and what could happen can be overwhelming and cause strong emotions in adults and children.”

To stay busy and decompress, Coral Springs resident Lanie Hyman Shapiro, a market research consultant, takes an on-line exercise class twice a week.

“I look forward to it,” she says. “Even if I’m napping, I make sure to get up for the class.”

She finds cooking and meal planning help her to focus on something besides reality. She takes her dog for a walk and has completed five puzzles back-to-back.

“I find it very satisfying and relaxing,” she says.

Additionally, she binged Schitt’s Creek on Netflix and the Hulu Shows “Better Things” and “Little Fires Everywhere.”

To stay connected, she chats with friends regularly and keeps in touch on social media.

Here are some other possible methods for reducing stress and anxiety.

 

Scented massage oils

Try some aromatherapy skin products or scented massage oils in lemon, rosemary, or lavender.

Science has shown a pain-relieving mechanism from the nose to the brain. Exposing your senses to strong scents and smells helps alleviate stress and anxiety, and creates a sense of well-being in the body.

Olfactory receptors in the nose trigger a strong sense of smell, which then sends signals to the brain, reducing swelling to the nerves. Studies show that aromatherapy can improve brain chemistry, boost the production of dopamine, and fight stress.

Sharon Fried Buchalter, a Boca Raton psychologist and CEO of Products on the Go, which makes the lifestyle brands, Little Toes and Sunshine On The Go, recommends destressing with mindfulness meditation, a breathing technique that keeps your mind focused on the present.

Products On The Go’s natural massage oil is great to use individually, or as an aromatherapy relaxation massage oil for couples, says Dr. Buchalter. Made with natural oils that hydrate and moisturize your skin, they stimulate your senses with their nature-inspired scents, which can lower stress levels.

Visit products-onthego.com or sunshineonthego.com

Weighted blankets – (Gravity blankets)

Snuggling up with a weighted blanket can not only help you feel calmer and less anxious but can help you sleep better – no sleeping pills necessary.

Typically weighing between 5-30 lbs., experts say to choose one around 10 percent of your body weight (or 5 percent for children).

How does it work? Experts say the weight of the blanket mimics a therapeutic technique known as deep pressure stimulation which calms the nervous system.

It is believed that grounding your body while sleeping can lower cortisol levels, which helps improve blood pressure, heart rate, glucose levels, and even boosts the serotonin in your brain.

And all this while you’re sleeping – what more could you ask of your blanket?

Adult coloring books

One of the latest trends to emerge from our time at home is the popularity of adult coloring books as a way to relieve anxiety and boredom.

They help you relax by utilizing different areas of the brain to improve motor skills, senses, and creativity. Think of it as coloring meditation. Your focus is on the task at hand and not on your troubles.

For an extra bonus, try your coloring skills on geometric mandalas. A 2005 study by the American Art Therapy Association Inc. concluded that coloring complex geometric patterns induces a meditative state beneficial for reducing anxiety. Even psychologist Carl Jung had his patients color mandalas 100 years ago as a way to relax and learn more about themselves.

Magnetic Zen garden

If you can’t join a monastery in Bhutan, at least you can bring a Zen garden to your home. Ancient Buddhists used Zen gardens for meditation and you can, too.

These desk-top sized gardens come with magnetic sand, smooth stones, gravel, greenery, and figurines replicating the serene nature of a Japanese garden and promote a meditative state of mind.

The Japanese concepts of Kanso (simplicity) and Fukinsei (asymmetrical balance) contribute to the garden’s grace and appeal.

They can remind you to breathe and that perfection is unattainable, simplicity is beautiful and that attachment to materialism and desires are ephemeral.

Fidget spinner – Not just for kids anymore

Invented by chemical engineer Catherine Hettinger in the early ‘90s, these triangle-shaped gadgets have been all the rage with middle- schoolers.

But, for adults, fidget spinners, considered a rapid stress management technique (RSMT), can relieve stress and distract us from ruminating about our problems.

Proponents believe they can help with anxiety, ADHD, and even autism, although there is only anecdotal evidence to support this.

One of Amazon’s best selling toys, fidget spinners can put us in a state of mindfulness meditation, and through their nature to soothe, empty our minds and channel our nervous energy.

Portable Shiatsu massager

Japanese Shiatsu (finger pressure) massage can enrich your physical, emotional, and cognitive health and promote overall well-being, similar to acupuncture, but without the needles.

It allows the qi (pronounced chi) to flow freely, which contributes to keeping the body in balance.

In addition to relieving stress, Shiatsu helps relieve anxiety and depression, and can even boost your mood.

Practitioners believe the treatment calms the sympathetic nervous system and — in turn — stimulates circulation, reduces stress, and mitigates pain.

A portable massager lets you relax at a moment’s notice. Some units come with heat, vibration, different intensities, etc. Look for one that delivers a deep tissue massage and leaves you in a relaxed state of bliss.

 

By Jan Engoren

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Medicare plan change window opens October 15

Each year in late September, every Medicare recipient should receive an Annual Notice of Change (ANOC) in the mail, which summarizes their current Medicare Advantage or Part D drug plan changes that will go into effect on Jan. 1st of the following year. Medicare Open Enrollment (Oct. 15th through Dec. 7th) is the period in which you may make changes to your current Medicare plan or your Medicare Drug plan.

Recipients should take the following steps to see if their current plan is still appropriate:

  • Check your prescription drugs to make sure they are still covered. If not, you may need to change to a plan that will reduce the cost of your drugs.
  • Since contracts can change during the year, you will need to ensure your doctors and hospitals are still in the plan; if they are no longer in the plan, you will need to go out of your network to see your usual doctor and this will probably cost more money than you want to spend. If you are currently on an HMO Advantage plan, you might need to change plans so your primary care doctor remains covered.
  •  Medicare Open Enrollment is the time to join a Medicare drug plan because if you select a plan outside of this period, you may encounter a late enrollment penalty; if you wait for future years, coverage will probably be more expensive.

Have you checked the following plan changes to see if they benefit you?

  • Plans sometimes add value items, such as gym memberships, over the counter allowances, meal delivery, and acupuncture.
  • Drug plans also make changes to which pharmacies are included as well as changes to tier coverage, deductibles, co-pays, and sometimes they will no longer cover the cost of a specific drug. Not knowing this information can save or cost you a lot of money. Also, if you went into the coverage gap last year, you need to see if changing plans can help you save money.
  • Some plans are more useful for issues that might be important to you. Aetna, for example, has a generous hearing aid allowance compared to other plans, but co-pays may be higher. And if you have money coming out of your Social Security for Medicare payments, those could be waived depending on the amount you receive from Social Security.

The best way to make sure you’re getting the most out of Medicare is to visit a broker who is familiar with all the plans. There is no charge.

Reneé Gorden is an insurance broker and the founder of Health Choice America in Boca Raton.

By Reneé Gordon

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Shed those COVID-19 pounds

Food is our comfort in these trying times. It helps relieve the anxiety we feel due to the uncertainties swirling around us. What’s going to happen to school? Should I visit my favorite restaurant? Given the amount of TV / streaming content we have also consumed, couch potatoing is an activity that is gaining
momentum as we settle into new routines.

There are many activities residents have been doing to burn off those newly acquired COVID-19 pounds. Some, like me, have a bike and have gotten more familiar with their neighborhoods. Others have been running and playing tennis, as those activities allow us to keep our social distance and get our heart rate up.

However, a lot of us need some help to get a good program going. There are a lot of local pros that can help; you may have seen the Trainstation mobile gym trailer driving around in your neighborhood. Rick delivers all the gym equipment you need to your house. Harry, a kickboxing trainer from HB Kickboxing, can help you get a workout and improve your martial arts skills.

Whatever your choice is, COVID-19 pounds are another way this pandemic could impact your health long term, but there are many options to shed them. So, you can keep active, or if you need help, many professionals are ready to keep you healthy.

 

By Curiously Hungry

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With COVID-19 there are no ‘immaculate’ assumptions

If you feel confused by the ever-changing data and recommendations surrounding COVID-19, you are not alone. As a new virus emerges, doctors and scientists are learning new information almost daily. Hence, the need to modify recommendations as this information arises.

If I say one thing to help guide you through this process, it is that as long as the virus is around, you must take measures to mitigate the risk of getting and spreading it. Over the last few months, many of us have witnessed two extremes: Those who drive alone in their car while wearing gloves, a mask, and a face shield, and those who partake in large group gatherings with no social distancing nor PPE of any kind.

Regardless of whether you fall into one of these categories or somewhere in the middle, I think we can agree that we all want to do whatever we can to keep our loved ones out of harm’s way.

The question I get asked the most from family and friends is regarding what measures to take when visiting with others. Whether it is a party for Grandma’s 90th birthday or a relatively small family gathering at a lake house, everyone wants to know a definitive answer on doing the right thing in the age of COVID-19.

Although there are evidence-based answers, anyone watching one of the numerous news networks or various social media feeds knows the research is ever-changing. Even those of us who have been critically reviewing journal articles as part of our career are relatively confused as to what the perfect answer is. As I said, you are not alone!

All of that being said, I would like to offer what I think is a risk-mitigating, comfort level approach to keeping you and your loved ones as safe as possible during group gatherings and family visits. For this, we need to make a few assumptions:

Assumption 1: When someone says they tested negative, assume this means they still could be infected with the virus.

Yes, I know this one is confusing, but it is very important. PCR and Rapid tests of all kinds (including flu) have always been known to be unreliable – this is not unique to COVID-19. This means that you should always inquire about symptoms, such as fever, cough, loss of smell/taste, etc. (refer to the CDC website for a current symptom list; cdc.gov/ coronavirus/2019-ncov/ symptoms-testing/ symptoms.html). If a person tests negative and has any of the listed COVID-19 symptoms, you must assume they are infected, and the test didn’t pick it up.

Assumption 2: Asymptomatic patients can still transmit the virus.

If someone says, “I tested positive but didn’t have any symptoms, therefore, I am fine,” be cautious. Although it seems that asymptomatic patients have a lower likelihood
of transmitting the virus, the evidence is debatable and from a personal standpoint, I wouldn’t bank on a lower potential transmission rate equating near zero chance, especially when dealing with any of the vulnerable populations. Play it safe!

Assumption 3: Assume that anyone with a fever of 100.4°F or greater has COVID-19.

For those who are taking temperatures at their door, more power to you. Although it is surely an uncomfortable welcome at the front door, it is one of the few truly objective measures we can take, even if it won’t screen in every infected person. Understand though, a temperature of 99° Fahrenheit is not a true fever. I grew up thinking anything above a 98.6° meant you were hospital-bound. We all have very normal fluctuations in our core temperatures throughout the day, but a fever doesn’t truly start until 100.4° Fahrenheit.

Assumption 4: Assume everyone has COVID-19.

Clearly, this will be the most controversial assumption, but I believe a smart approach, especially when dealing with the elderly population and those with chronic illnesses, such as diabetes or lung disease. Assume everyone has COVID and take precautions based on that. Everyone may seem okay or say they are fine, but don’t stop practicing strict hand hygiene or whatever form of social distancing you usually partake in.

If you don’t personally believe this is as bad as the news is portraying, the simple effort of regular hand sanitizing/washing and wearing a face mask during group gatherings could have maximum outcomes if it means you could prevent the spread to a vulnerable person.

Should you worry so much about your healthy 3-year-old or 16-year-old getting very ill? Not nearly as much as the vulnerable populations, but you should worry about who they will potentially pass it on to. Thankfully, although children can indeed get ill, they seem to be the safest population when it comes to COVID-19 with mortality and morbidity rates seemingly lower than influenza, but this doesn’t mean that they are not vectors.

At the end of the day, we all want to keep our loved ones as safe as possible, but unless you live in a HEPA filter bubble, I don’t think there is a 100% perfect approach in this COVID world we live in; however, you can mitigate risk. Personal interactions are core to our sanity and mental health. If you understand the risks and take precautions to mitigate them when you can, you can certainly achieve these interactions while maintaining relative safety.

By Dr. Jahn Avarello

Dr. Avarello was the Division Chief of Pediatric Emergency Medicine for the Cohen Children’s Medical Center of NY for the past 9 years and is now the Florida Regional Medical Director for PM Pediatrics Urgent Care (1st site due to open in the Sawgrass Center this fall). He is currently seeing patients for acute care needs virtually at PMPanywhere.com.

 

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Dietitians View: What About Breakfast?

What’s for breakfast? It is National Breakfast Month and the question is, “What are we eating?” I share with my clients that it is not necessarily when you eat, but what you eat. It is important to eat something to fuel your body as your day starts. Research shows that eating breakfast can aid in improved performance and concentration in both the conference room and the classroom. Additionally, breakfast helps you eat adequate amounts of the vitamins and minerals recommended for a healthy lifestyle, you also are more likely to control your weight and eat less fat and cholesterol.

Key ingredients for a healthy breakfast include:
• Whole grain rolls, bagels, cereals, low-fat bran muffins, English muffins, Melba toast, and crackers.
• Low-fat protein, such as peanut butter, almond butter, Nutella® spread, Canadian bacon, low-fat mozzarella cheese sticks, turkey bacon and sausage, scrambled egg whites or an egg-white omelet, hard-cooked eggs, or vegetarian protein items.
• Low-fat or fat-free dairy foods, i.e., fat-free milk, Greek-style low-fat yogurt, cottage, and natural cheeses.
• Fruits and vegetables, including fresh or frozen items, 100 percent juice beverages without added sugar, fruit, or vegetable smoothies.

Breakfast-on–the-go has grown in popularity. Research from The NPD Group on American eating habits noted an increase in breakfast and morning snack consumption. However, 70% of breakfast meals are consumed in the home. If you’ve been a ‘breakfast skipper,” try these tips for making this meal a little easier to get on the table (or in your hand and out the door).

1. Pre-pack to-go bags the day before a busy morning. Include a zip-top plastic bag of granola; add a hard-cooked egg, low-fat yogurt, and fruit just before you leave.

2. Have a smoothie. Just make sure to add some protein, like yogurt, whey protein powder, or tofu, to keep you satisfied longer.

3. Make quick and healthy breakfast sandwiches with toasted frozen waffles, peanut or almond butter, and sliced banana.

4. Set foods aside the night before; cut up fruits, pour cereal, or prepare mixtures for baked or scrambled eggs.

5. Consider steel-cut oats for a super-healthy and convenient meal. Combine the oats and water, bring to a boil, remove from heat, cover, and let set overnight. The next morning, you can reheat them in the microwave oven.

6. Keep your freezer stocked with frozen waffles. They are available in whole grain and gluten-free varieties. Keep fresh strawberries or blueberries on-hand; they’re a good source of antioxidants and they dress up waffl es or a bowl of cereal.

7. Prepare hard-cooked eggs in advance. Hard-cooked eggs in the shell can be stored in the refrigerator for 2 to 3 days.

8. Always keep a bowl of fresh seasonal fruits available for the easiest grab-and-go breakfast or snack.

Adding breakfast to the day is easy; just make a few adjustments to your schedule, plan ahead, and grab-and-go, choosing some of the above breakfast choices.

If you begin with breakfast, you are well on the way to jumpstarting the day with optimum energy.

 

By Michelle Stewart

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