Doc For All with Dr. Linda
"Helping you stay healthier for life."Health Alert
Information last updated: 10/2/2011 at 8:00 AM (PST)
Current food recall list do to contamination with Listeria bacteria:
1. Cantaloupe, originating from Jensen Farm's in Granda, Colorado. Shipped dates: 7/29/2011 to 9/10/2011. Distributed to at lead 25 states.
2. Lettuce, originating from True Leaf Farms in Salinas, California. A random bag of chopped romaine lettuce tested positive for listeria bacteria. Recalled product: "use by" date of September 29th, 2011. The bag code is: B256-46438-8.
Bath Salts – Not For the Tub
KOMO News Radio topic discussed Sunday 4/24/2011
Dangerous designer drugs are being sold to the public as fake “bath salts.” These toxic chemicals are cleverly concealed, packaged and sold to the public. They are not intended to be sprinkled into bath water, but rather snorted into the nose, as they have a similar effect as cocaine and methamphetamine.
These synthetic drugs are commonly manufactured in China and India and imported world-wide. Until recently, these products were sold in all 50 states. Anyone can purchase them over the internet, as well as in convenience stores, smoke shops, and head shops (retail stores specializing in drug paraphemalia). They cost about $20.00 per gram, and are labeled “Ivory,” “Zoom,” Purple Wave,” “Red Dove,” “Vanilla Sky,” and “Bliss.”
These products are extremely dangerous and can lead to irreversible harm. Physical symptoms can range from chest pain, increased heart rate, elevated blood pressure, and stroke. Psychologically, these chemicals cause anxiety, paranoia, agitation, and hallucinations. These drugs have lead to cases of self-mutilation, car accidents, suicides, and homicides. They are responsible for multiple deaths in Texas, Pennsylvania, Indiana, and Washington State. The Washington State Poison Center (1-800-222-1222) has received a dramatic increase in calls this year, of which 50% are from hospital emergency departments. At this time, there are no drug screening tests to detect these chemicals. Assistance is being requested by healthcare providers for chemical identification and to help direct appropriate treatment.
As of April 15th, the Washington State Board of Pharmacy filed emergency rules to ban the chemicals in “bath salts.” However, this ban is only in effect for 120 days, thereafter authorities reevaluate the need for adopting permanent rules. Synthetic marijuana, sold as “K2” and “Spice,” was banned in Washington State on January 7th, 2011.
Many states have banned these chemicals, realizing the serious abuse potential and health consequences. Currently it is illegal to sell, deliver, or possess these products in Oregon, Idaho, Alabama, Florida, North Dakota, Louisiana, Virginia, and Washington State.
Additionally, many countries also have banned these products, including Denmark, Sweden, Brittan, Finland, and Ireland. It seems obvious and imperative the United States federal government follow suit, by-passing each state’s individual evaluation/regulatory process, and immediately ban these products nationwide.
Tragic Events in Japan -- Current Radiation Health Threat
KOMO News Radio topic discussed Wednesday 3/16/2011 and Sunday 3/20/2011
The United States is not in danger of any significant health threat from the radiation leak in Japan. The West coast is over 4,000 miles from Japan. This distance, coupled with the dilution of any potential radiation plume, as a result of wind patterns, would significantly minimize any health risks exposure.
The Washington State Department of Health and the U.S. Nuclear Regulatory Commission are closely monitoring environmental radiation levels (i.e., Iodine-131 and Cesium-137) hourly in four locations across Washington State (Seattle, Tumwater, Richland, and Spokane).
We live among radiation
On a typical day, everyone is exposed to minute levels of radiation; it cannot be avoided. For example, just walking outside exposures a person to radiation from the ground and sun at a yearly level of 3 mSv (millisievent is a unit of measurement for radiation dose). A chest x-ray exposure is 0.1 mSv, a mammogram 0.7 mSv, and CT scan of the abdomen 10 mSv. Even some foods like bananas (potassium rich) contain radiation. These levels of radiation are safe and pose no significant adverse health threat. A radiation exposure of 1,000 mSv causes radiation sickness.
Symptoms of radiation exposure (radiation poisoning)
In reference to the people in Japan, the greater a person’s exposure to radiation, the more rapid and severe the symptoms. Symptoms depend upon: distance to the radiation source, strength of the radiation energy, and how much the body absorbs over time.
Within 6 hours after mild radiation exposure, symptoms of nausea and vomiting develop. Within 1 to 3 hours of moderate to severe radiation exposure, symptoms include headaches and fever. Over one to four weeks post exposure, symptoms result in fatigue, weakness, disorientation, hair loss, low blood pressure, and the appearance of blood in the stool.
Long-term health consequences are significant and potentially serious. The chance of developing thyroid cancer, other thyroid conditions, and other types of cancers dramatically increases over a person’s lifetime. In addition, radiation can damage bone marrow, leading to a decreased production of white blood cells that are critical for fighting infections and maintain a strong immune system.
Treatment
For those exposed to external radiation, simply removing clothes and shoes, and then washing with soap and water will remove about 90% of the contamination.
The treatment for internal ingestion of radiation, either from inhaling it in the air and/or ingesting contaminated food and/or water is Potassium Iodide. However, it only protects the thyroid gland, no other parts of the body. Thyroid gland cells are the only cells in the body that can readily absorb iodine. Potassium Iodide saturates specific sites on the thyroid gland with safe, healthy, and stable iodine. As a result, any contaminated radioactive iodine (Iodine-131) that got into the blood stream is excreted into the urine.
Where to purchase Potassium Iodide
Potassium Iodide is safe, available over-the-counter and on-line, without a prescription. Commercial supplies are rapidly dwindling, or nearly depleted, due to the unnecessarily generation of consumer fear and panic. As a result, the demand for Potassium Iodide has prompted many venders to take advantage consumer unrest, thereby price-gouging customers by hundreds of dollars. In 2010, a package of Potassium Iodide was $10.00; today some retail outlets are charging in excess of $500.00.
In the event of a true radiation emergency, the government has stock piles in strategic locations that can be immediately deployed in the event of a domestic need. One package per individual (adult 130 mg daily, a child 65 mg); dosed at one tablet every 24 hours for at least 14 days, or until otherwise directed by government health officials. The medication is most effective if taken just before exposure, or within 3 to 4 hours.
Potential side effects of Potassium Iodide may include: rash, acne, diarrhea, loss of appetite, nausea, vomiting, and inflammation of salivary glands. Do not take Potassium Iodide if you are allergic to iodine. A seafood allergy does not necessarily indicate an allergy to iodine. Do not take Potassium Iodide if you have certain skin conditions, such as urticaria vasculitis or dermatitis herpetiformis. And, never take Potassium Iodide unless directed by public authorities.
For individuals with more significant exposure and symptoms, additional medical treatments may consist of Neupogen (filgrastim) and Neulasta (pegfilgrastim). These two medications stimulate bone marrow to produce white blood cells -- critical in order to prevent infections. Blood transfusions may also be necessary. In addition symptom-directed medications are also an important treatment for radiation poisoning; examples include antibiotics to treat infections, antiemetic to stop nausea and vomiting, and IV fluids to reverse dehydration.
Heat Related Medical Conditions
KOMO News Radio topic discussed Monday 7/12/2010
Now that the warmer temperatures have arrived, it is important to remember a few points. Excessive exposure to the sun, high humidity, or simply not drinking enough fluids can lead to dehydration which can cause “heat exhaustion.” Symptoms of heat exhaustion can be dizziness, lightheadedness, headache, fatigue, muscle cramps, nausea and/or vomiting. The treatment is prevention. Avoid dehydration by ensuring you are drinking at least 8 to 10 glasses of water every day (one glass is 8 ounces). Periodically drinking juice or sports drinks are also helpful, as they provide sugar for your body (glucose) and electrolytes. Avoid caffeine containing beverages and alcohol, as these just further cause dehydration. Avoid vigorous outdoor exercise during the hours of 10:00 AM and 4:00 PM, when the sun’s UVA and UVB rays are most intense. And, remember to take frequent breaks when you are outside working, gardening or participating in sports activities.
If left untreated, heat exhaustion can lead to “heat stroke,” which is a form of hyperthermia (elevated body temperature). In this situation, the body is unable to properly cool itself, and as a result, the core temperature can reach 106.0 degrees or higher (normal body temperature is 98.6). Symptoms of heat stroke can be red hot/flushed skin, lack of sweating, shortness of breath, confusion, irritability, agitation, elevated pulse (normal pulse 60 – 100). These symptoms can lead to a seizure, coma, and even death. Heat stoke is a medical emergency.
If you think someone is having a heat stroke immediately do the following:
1. Call 911
2. Move the individual to a shaded, cool area to lay down
3. Elevate the legs
4. If possible, place ice packs in the arm pits and groin
5. Use a cool sponge or dampened towel and frequently wipe down the legs and arms
6. Do not force an individual to drink fluids if they are not alert enough to sit up, as this could cause choking
AMERICAN’s ADDICTION to SALT
Talk on KOMO News Radio (5/31/2010)
Salt has been a common food preservative for over 5,000 years. However, research has shown that salt can contribute to health problems. So, why would the food industry oppose its restriction?
The food industry argues that salt remains a low cost way to create not only taste, but food texture. Replacing salt with more expensive herbs and seasoning would lead to decreased profits and higher food prices. In addition, they believe that food that is already low in fat and sugar would fail to sell if it contains less salt. Therefore, complying with proposed low-salt guidelines would essentially be incompatible with the pallet of Americans, as we have grown accustom and addicted to the taste of salt. (Points discussed in the New York Times article, The Hard Sell on Salt, printed 5/30/2010).
Americans should be concerned about the amount of salt in food. Sodium is normally regulated, balanced and eliminated by the kidneys. However, if our diets contain too much sodium, it can accumulate in the blood, which leads to fluid retention. As a result, the heart needs to work harder to move this higher volume of fluid through the body, which therefore can increase blood pressure. This can have serious consequences. One in three adults has high blood pressure (hypertension), and many are not even aware. Hypertension is a risk factor for developing heart disease, which is the leading cause of death in the United States. Moreover, high blood pressure can also lead to irreversible kidney damage, stroke and blindness.
Recently, a patient in my practice returned for a routine blood pressure check. To our surprise, her blood pressure was 220/110 - - definitely a critical level, placing her in real danger of an imminent heart attack or stroke. However, she felt fine -- this is yet another danger, as high blood pressure rarely exhibits symptoms. With further enquiry, she had been taking her blood pressure medications daily as prescribed, and had not missed any doses. Her weight had not changed, as she was exercising regularly. She was not under any more stress than usual, and was not consuming excessive amounts of caffeine. So, what was the cause of her dramatic blood pressure increase? Potato-chips. She recalled eating an entire bag of chips over the weekend. One week later, and on now on a low-sodium diet, she returned for a blood pressure check. Her blood pressure was perfect at 120/72 (normal blood pressure 120/80 and less, but greater than 90/60).
This example demonstrates a common cause and effect: a diet high in salt can significantly increase blood pressure, posing potentially serious health consequences. So, how do you actively lower your salt intake? The RDA (recommended daily allowance) of sodium for an otherwise healthy adult should be less than 2,300 mg (milligrams) a day. However, if an individual has hypertension, intake should be less than 1,500 mg a day. Realize that sea salt is essentially the same as table salt (sodium chloride); the only difference is with processing, texture, and taste. Processed foods can accounts for approximately 80% of the salt in our diet, so decrease your intake of processed foods, including fast foods. Get into the habit of reading the labels on foods at the grocery store. Just one can of soup can contain a entire day’s intake of sodium. Eating fresh fruits, vegetable and meets (chicken, fish, turkey) are the healthiest and lowest in sodium, and use herbs to replace salt when cooking. Be aware of the hidden sources of sodium, such as baking soda, baking powder and MSG (Monosodium glutamate). And lastly, be cautious with using salt substitutes, as they often contain potassium chloride, which if you use too much, can have health consequences of its own.
VITAMIN D DEFICIENCY
Radio Interview with Dr. Petter 1/31/2010 on KOMO News Radio 1000 AM & 97.7 FM, live at 7:45 AM, Seattle
Over 70% of the patients I have recently checked (in Western Washington State) are low in vitamin D. And we’re not talking just a point or two, but rather significantly low -- 10 to 25 points low! Normal blood levels of vitamin D (25-hydroxy vitamin D) should be 30 to 150. No age group appears to be spared, as I have found significant deficiencies in patients as young as age 16, up to and including age 90, affecting both men and women.
Why are we seeing such a significant vitamin D deficiency in people living in western Washington? The major reason is due to a lack of exposure to sunshine, coupled with a dietary deficiency. Other causes: milk allergy, lactose intolerance, strict vegetarian, kidney disease, or the inability of the digestive tract to properly absorb vitamin D. Symptoms of vitamin D deficiency are usually subtle, but often result in fatigue, muscle weakness and bone pain.
What is vitamin D’s role in our body? Vitamin D is a fat soluble vitamin. Adequate amounts are needed every day to help ensure proper calcium absorption, keep the immune system strong, regulate cell development and promote and maintain healthy bones.
So, if you are not feeling as chipper as usual, and your energy level always seems to be registering around empty, ask your doctor to check your vitamin D level. It is a simple blood test, called “25-hydroxy vitamin D.” This specific test is the best indicator of your vitamin D status in your blood, and it directly reflects the amount produced in your skin and what is taken in by diet and supplements.
If you are one of the many people who are truly low, your doctor may prescribe medication. The treatment is a high dose of vitamin D for at least 12 weeks. After this treatment course is completed, your blood level should be checked again, and if your vitamin D level has returned to normal, the prescription medication can be discontinued.
Over the last several months, I recall one particular patient who had dramatic results after starting treatment. After just one week on medication, she eagerly returned to my office to share her results. She was elated and could not believe how much better she felt; her muscle and bone pain was nearly gone and she could not recall the last time she had so much energy. Realistically, not everyone will notice dramatic results like this, but most people will certainly feel better by the end of their treatment period.
SWINE FLU / VACCINE UPDATE
Radio interview with Dr. Petter 12/13/2009 (Sunday, live) on KOMO AM 1000,7:45 am, Seattle
As of Saturday (12/12/2009) the Swine Flu vaccine (H1N1) is now available to everyone age 6 months and older in the state of Washington.
To find a location near you to receive the H1N1 vaccine, go to the website of the Washington State Department of Health (www.doh.wa.gov/). Here, click on "H1N1 Information" and then "Find H1N1 Vaccine." Next, click on the state of Washington map and then the county you live in. Listed will be pharmacies, clinics, and a phone number you can call for details.
FLU VACCINE UPDATE
Radio interview wtih Dr. Petter 8/2/2009 (Sunday, live)on KOMO AM 1000, 7:45 AM, Seattle
There will be two flu vaccines this fall. One will be the traditional seasonal flu vaccine, which is typically given out September through December. It takes about two weeks for your body to develop an antibody response. The vaccine is effective for 4 to 6 months. The flu season in the United States is typically October through April. The second will be the H1N1 influenza vaccine (swine flu vaccine), which is now available for selected groups.
Will there be a shortage of vaccines? There will not be a shortage of the seasonal flu vaccine. However, initially the new H1N1 vaccine will only be available in limited quantities. As a result, the CDC (Centers for Disease Control) recommends giving the vaccine to specific groups first, as studies have shown that the risk for contacting the swine flu among those 65 years of age and older are less than for ages 25 to 64.
Initial recommended priority group:
• Pregnant women
• Household contacts and caregivers for children younger than 6 months of age
• Healthcare and emergency medical service personnel
• All people from 6 months through 24 years of age
• People age 25 through 64 years of age who have underlying health conditions (such as heart or lung disease, etc…)
Once the above population has been vaccinated, others may follow. If you are allergic to eggs you cannot receive either of these vaccines. Lastly, for those people who are “needle phobic,” both vaccines are available in a nasal mist spray.
SWINE INFLUENZA – information you need to know
Radio interview with Dr. Petter on KOMO AM 1000 News Radio 7/12/2009 (Sunday)(Live) 7:45 AM, Seattle
Radio interview wtih Dr. Petter on KOMO AM 1000 News Radio 5/3/2009 (Sunday)(LIVE) 7:45 AM, Seattle
Radio interview with Dr. Petter on KOMO AM 1000 News Radio 5/11/2009 (Sunday) (LIVE) 7:00 AM, Seattle
The WHO (World Health Organization) officially declared the swine flu a pandemic on 6/11/2009.
This year the US government gave out grants to each state totaling 350 million dollars. The purpose of these grants were to help financially assist each state in developing a flu preparedness program (which comprises a public health emergency response and hospital preparedness). Washington State received about 7.3 million dollars (California received 30.5 million and Oregon received 4.2 million).
Every year, about 30 million people in this country are infected with the typical seasonal flu virus, and of this number about 36,000 will die. Typically those individuals most at risk are the very young, the elderly, those with immune compromise (such as cancer and Aids), and those with underlying significant heart or lung conditions. However with the H1N1 swine flu, it appears be less of a risk to those age 65 and older.
If you receive the seasonal flu vaccine this Fall or Winter, it will not protect you from contracting the Swine Flu. You cannot catch the Swine Flu from eating pork. However, you can catch the virus by coming into contact with someone that has this illness. It is spread by coughing and sneezing (respiratory droplets), and by hand contact (then touching your nose or mouth).
Symptoms of the Swine Flu are similar to our typical yearly flu, and may consist of: fever, headache, sore throat, runny nose, fatigue, cough, nausea, vomiting, diarrhea, muscle aches, and loss of appetite.
As with any community acquired illness prevention is the key. I you are sick, stay home. When you cough or sneeze cover your nose and mouth. Use a tissue once and then throw it away. If a tissue is not handy, use your sleeve. And, wash your hand thoroughly (20 seconds under running water) and frequently throughout the day. If you do not have access to soap and water, the alcohol-based hand sanitizers work well, as long as they contain at least 60% alcohol (be sure to rub your hands together thoroughly until all the gel is gone). Do not share personal items such as drinks, eating utensils, towels, and a tooth brush. Avoid shaking hands with someone, if possible. Remember, no single action will provide complete protection from contracting either flu, rather it is a combination of the above.
Definitions:
Pandemic = “an epidemic so widely spread that the vast majority of people in different countries are affected.”
Epidemic = “a sudden outbreak of an infectious disease that spreads rapidly through the population, affecting a large proportion of people.”
(source: The Bantam Medical Dictionary)
HAVE YOU BEEN EXPOSED TO METH?
Radio Interview wtih Dr. Petter 8/16/2009 (Sunday)(LIVE): KOMO 1000, 7:45 AM, Seattle
What exactly is meth? Meth, or methamphetamine is a powerful, man-made, illegal drug that affects the central nervous system. Other commonly used names for this drug are: “ice,” “crank,” “crystal,” and “speed.” It is similar to cocaine, often being referred to as the “poor man’s cocaine,” but the effects last longer. For some individuals, even after using it once, they can become addicted.
Why should non-meth users be concerned? Because it is so dangerous and easy to make. Some of the chemicals used to make meth consist of volatile organic compounds, acids, bases, and metals. A key ingredient in making meth is Sudafed (pseudoephedrine) or ephedrine, a common “cold” remedy. As a result, a law was passed in 2005 requiring pharmacies to keep this product behind the counter; it can only be sold to those 18 years of age or older, and limited to two packages per customer.
Because meth is relatively easy to “cook-up,” labs can be harbored in such places as houses, garages, cars, and camp grounds. Not only are these “make-shift” labs potentially explosive, they also leave extremely toxic chemicals behind, which create serious environmental and health hazards. Residue from a meth lab can linger around for years. With regards to a home, toxic residues can actually penetrate drywall, carpet, air ducts, insulation, and can contaminate drains. Clean-up is often at the expense of the property owner, and can cost anywhere from $5,000 to $100,000 based on the size of home, and the extent of damage. Currently, there are no national guidelines, rules, or laws to follow to ensure for a safe and effective clean-up. There is estimated to be thousands of homes throughout the United States that are contaminated. To find out if a property has been a meth lab, visit the website www.dea.gov. Here, look for the National Clandestine (“hidden”) Laboratory Register (or specifically www.usdoj.gov/dea/seizures/index.html).
Exposure to meth can cause significant and potentially serious health consequences. Symptoms depend upon several factors, such as types of chemicals used, exposure time, amount exposed too, and the individual’s underlying initial state of health. However, brief exposure can cause symptoms consisting of headaches, muscle aches, dizziness, numbness, nausea, vomiting, eye irritation, breathing problems, chest pain, poor concentrating, and fatigue. These symptoms usually dissipate over several hours, as long as you leave the contaminated site. Longer-term exposure can cause serious health effects, and may consist of insomnia, anemia, kidney damage, birth defects, coma, and even death. If you think you could be experiencing symptoms consistent with meth exposure, please see your doctor. For questions or concerns about the health effects of meth, you can contact the Washington State Department of Health at 1-888-586-9427.
Lastly, here are a few warning signs that you might be living near a meth lab (reference the Washington State Department of Health):
• There may be a strong solvent odor in the air
• Home may have windows blackened out
• Excessive trash around the home
• Increased activity especially late at night
If you suspect a property is a meth lab, do not enter the site, instead contact the Northwest High Intensity Drug Trafficking Area (NW HIDTA) at 1-888-609-6384.
Current food recall list do to contamination with Listeria bacteria:
1. Cantaloupe, originating from Jensen Farm's in Granda, Colorado. Shipped dates: 7/29/2011 to 9/10/2011. Distributed to at lead 25 states.
2. Lettuce, originating from True Leaf Farms in Salinas, California. A random bag of chopped romaine lettuce tested positive for listeria bacteria. Recalled product: "use by" date of September 29th, 2011. The bag code is: B256-46438-8.
Bath Salts – Not For the Tub
KOMO News Radio topic discussed Sunday 4/24/2011
Dangerous designer drugs are being sold to the public as fake “bath salts.” These toxic chemicals are cleverly concealed, packaged and sold to the public. They are not intended to be sprinkled into bath water, but rather snorted into the nose, as they have a similar effect as cocaine and methamphetamine.
These synthetic drugs are commonly manufactured in China and India and imported world-wide. Until recently, these products were sold in all 50 states. Anyone can purchase them over the internet, as well as in convenience stores, smoke shops, and head shops (retail stores specializing in drug paraphemalia). They cost about $20.00 per gram, and are labeled “Ivory,” “Zoom,” Purple Wave,” “Red Dove,” “Vanilla Sky,” and “Bliss.”
These products are extremely dangerous and can lead to irreversible harm. Physical symptoms can range from chest pain, increased heart rate, elevated blood pressure, and stroke. Psychologically, these chemicals cause anxiety, paranoia, agitation, and hallucinations. These drugs have lead to cases of self-mutilation, car accidents, suicides, and homicides. They are responsible for multiple deaths in Texas, Pennsylvania, Indiana, and Washington State. The Washington State Poison Center (1-800-222-1222) has received a dramatic increase in calls this year, of which 50% are from hospital emergency departments. At this time, there are no drug screening tests to detect these chemicals. Assistance is being requested by healthcare providers for chemical identification and to help direct appropriate treatment.
As of April 15th, the Washington State Board of Pharmacy filed emergency rules to ban the chemicals in “bath salts.” However, this ban is only in effect for 120 days, thereafter authorities reevaluate the need for adopting permanent rules. Synthetic marijuana, sold as “K2” and “Spice,” was banned in Washington State on January 7th, 2011.
Many states have banned these chemicals, realizing the serious abuse potential and health consequences. Currently it is illegal to sell, deliver, or possess these products in Oregon, Idaho, Alabama, Florida, North Dakota, Louisiana, Virginia, and Washington State.
Additionally, many countries also have banned these products, including Denmark, Sweden, Brittan, Finland, and Ireland. It seems obvious and imperative the United States federal government follow suit, by-passing each state’s individual evaluation/regulatory process, and immediately ban these products nationwide.
Tragic Events in Japan -- Current Radiation Health Threat
KOMO News Radio topic discussed Wednesday 3/16/2011 and Sunday 3/20/2011
The United States is not in danger of any significant health threat from the radiation leak in Japan. The West coast is over 4,000 miles from Japan. This distance, coupled with the dilution of any potential radiation plume, as a result of wind patterns, would significantly minimize any health risks exposure.
The Washington State Department of Health and the U.S. Nuclear Regulatory Commission are closely monitoring environmental radiation levels (i.e., Iodine-131 and Cesium-137) hourly in four locations across Washington State (Seattle, Tumwater, Richland, and Spokane).
We live among radiation
On a typical day, everyone is exposed to minute levels of radiation; it cannot be avoided. For example, just walking outside exposures a person to radiation from the ground and sun at a yearly level of 3 mSv (millisievent is a unit of measurement for radiation dose). A chest x-ray exposure is 0.1 mSv, a mammogram 0.7 mSv, and CT scan of the abdomen 10 mSv. Even some foods like bananas (potassium rich) contain radiation. These levels of radiation are safe and pose no significant adverse health threat. A radiation exposure of 1,000 mSv causes radiation sickness.
Symptoms of radiation exposure (radiation poisoning)
In reference to the people in Japan, the greater a person’s exposure to radiation, the more rapid and severe the symptoms. Symptoms depend upon: distance to the radiation source, strength of the radiation energy, and how much the body absorbs over time.
Within 6 hours after mild radiation exposure, symptoms of nausea and vomiting develop. Within 1 to 3 hours of moderate to severe radiation exposure, symptoms include headaches and fever. Over one to four weeks post exposure, symptoms result in fatigue, weakness, disorientation, hair loss, low blood pressure, and the appearance of blood in the stool.
Long-term health consequences are significant and potentially serious. The chance of developing thyroid cancer, other thyroid conditions, and other types of cancers dramatically increases over a person’s lifetime. In addition, radiation can damage bone marrow, leading to a decreased production of white blood cells that are critical for fighting infections and maintain a strong immune system.
Treatment
For those exposed to external radiation, simply removing clothes and shoes, and then washing with soap and water will remove about 90% of the contamination.
The treatment for internal ingestion of radiation, either from inhaling it in the air and/or ingesting contaminated food and/or water is Potassium Iodide. However, it only protects the thyroid gland, no other parts of the body. Thyroid gland cells are the only cells in the body that can readily absorb iodine. Potassium Iodide saturates specific sites on the thyroid gland with safe, healthy, and stable iodine. As a result, any contaminated radioactive iodine (Iodine-131) that got into the blood stream is excreted into the urine.
Where to purchase Potassium Iodide
Potassium Iodide is safe, available over-the-counter and on-line, without a prescription. Commercial supplies are rapidly dwindling, or nearly depleted, due to the unnecessarily generation of consumer fear and panic. As a result, the demand for Potassium Iodide has prompted many venders to take advantage consumer unrest, thereby price-gouging customers by hundreds of dollars. In 2010, a package of Potassium Iodide was $10.00; today some retail outlets are charging in excess of $500.00.
In the event of a true radiation emergency, the government has stock piles in strategic locations that can be immediately deployed in the event of a domestic need. One package per individual (adult 130 mg daily, a child 65 mg); dosed at one tablet every 24 hours for at least 14 days, or until otherwise directed by government health officials. The medication is most effective if taken just before exposure, or within 3 to 4 hours.
Potential side effects of Potassium Iodide may include: rash, acne, diarrhea, loss of appetite, nausea, vomiting, and inflammation of salivary glands. Do not take Potassium Iodide if you are allergic to iodine. A seafood allergy does not necessarily indicate an allergy to iodine. Do not take Potassium Iodide if you have certain skin conditions, such as urticaria vasculitis or dermatitis herpetiformis. And, never take Potassium Iodide unless directed by public authorities.
For individuals with more significant exposure and symptoms, additional medical treatments may consist of Neupogen (filgrastim) and Neulasta (pegfilgrastim). These two medications stimulate bone marrow to produce white blood cells -- critical in order to prevent infections. Blood transfusions may also be necessary. In addition symptom-directed medications are also an important treatment for radiation poisoning; examples include antibiotics to treat infections, antiemetic to stop nausea and vomiting, and IV fluids to reverse dehydration.
Heat Related Medical Conditions
KOMO News Radio topic discussed Monday 7/12/2010
Now that the warmer temperatures have arrived, it is important to remember a few points. Excessive exposure to the sun, high humidity, or simply not drinking enough fluids can lead to dehydration which can cause “heat exhaustion.” Symptoms of heat exhaustion can be dizziness, lightheadedness, headache, fatigue, muscle cramps, nausea and/or vomiting. The treatment is prevention. Avoid dehydration by ensuring you are drinking at least 8 to 10 glasses of water every day (one glass is 8 ounces). Periodically drinking juice or sports drinks are also helpful, as they provide sugar for your body (glucose) and electrolytes. Avoid caffeine containing beverages and alcohol, as these just further cause dehydration. Avoid vigorous outdoor exercise during the hours of 10:00 AM and 4:00 PM, when the sun’s UVA and UVB rays are most intense. And, remember to take frequent breaks when you are outside working, gardening or participating in sports activities.
If left untreated, heat exhaustion can lead to “heat stroke,” which is a form of hyperthermia (elevated body temperature). In this situation, the body is unable to properly cool itself, and as a result, the core temperature can reach 106.0 degrees or higher (normal body temperature is 98.6). Symptoms of heat stroke can be red hot/flushed skin, lack of sweating, shortness of breath, confusion, irritability, agitation, elevated pulse (normal pulse 60 – 100). These symptoms can lead to a seizure, coma, and even death. Heat stoke is a medical emergency.
If you think someone is having a heat stroke immediately do the following:
1. Call 911
2. Move the individual to a shaded, cool area to lay down
3. Elevate the legs
4. If possible, place ice packs in the arm pits and groin
5. Use a cool sponge or dampened towel and frequently wipe down the legs and arms
6. Do not force an individual to drink fluids if they are not alert enough to sit up, as this could cause choking
AMERICAN’s ADDICTION to SALT
Talk on KOMO News Radio (5/31/2010)
Salt has been a common food preservative for over 5,000 years. However, research has shown that salt can contribute to health problems. So, why would the food industry oppose its restriction?
The food industry argues that salt remains a low cost way to create not only taste, but food texture. Replacing salt with more expensive herbs and seasoning would lead to decreased profits and higher food prices. In addition, they believe that food that is already low in fat and sugar would fail to sell if it contains less salt. Therefore, complying with proposed low-salt guidelines would essentially be incompatible with the pallet of Americans, as we have grown accustom and addicted to the taste of salt. (Points discussed in the New York Times article, The Hard Sell on Salt, printed 5/30/2010).
Americans should be concerned about the amount of salt in food. Sodium is normally regulated, balanced and eliminated by the kidneys. However, if our diets contain too much sodium, it can accumulate in the blood, which leads to fluid retention. As a result, the heart needs to work harder to move this higher volume of fluid through the body, which therefore can increase blood pressure. This can have serious consequences. One in three adults has high blood pressure (hypertension), and many are not even aware. Hypertension is a risk factor for developing heart disease, which is the leading cause of death in the United States. Moreover, high blood pressure can also lead to irreversible kidney damage, stroke and blindness.
Recently, a patient in my practice returned for a routine blood pressure check. To our surprise, her blood pressure was 220/110 - - definitely a critical level, placing her in real danger of an imminent heart attack or stroke. However, she felt fine -- this is yet another danger, as high blood pressure rarely exhibits symptoms. With further enquiry, she had been taking her blood pressure medications daily as prescribed, and had not missed any doses. Her weight had not changed, as she was exercising regularly. She was not under any more stress than usual, and was not consuming excessive amounts of caffeine. So, what was the cause of her dramatic blood pressure increase? Potato-chips. She recalled eating an entire bag of chips over the weekend. One week later, and on now on a low-sodium diet, she returned for a blood pressure check. Her blood pressure was perfect at 120/72 (normal blood pressure 120/80 and less, but greater than 90/60).
This example demonstrates a common cause and effect: a diet high in salt can significantly increase blood pressure, posing potentially serious health consequences. So, how do you actively lower your salt intake? The RDA (recommended daily allowance) of sodium for an otherwise healthy adult should be less than 2,300 mg (milligrams) a day. However, if an individual has hypertension, intake should be less than 1,500 mg a day. Realize that sea salt is essentially the same as table salt (sodium chloride); the only difference is with processing, texture, and taste. Processed foods can accounts for approximately 80% of the salt in our diet, so decrease your intake of processed foods, including fast foods. Get into the habit of reading the labels on foods at the grocery store. Just one can of soup can contain a entire day’s intake of sodium. Eating fresh fruits, vegetable and meets (chicken, fish, turkey) are the healthiest and lowest in sodium, and use herbs to replace salt when cooking. Be aware of the hidden sources of sodium, such as baking soda, baking powder and MSG (Monosodium glutamate). And lastly, be cautious with using salt substitutes, as they often contain potassium chloride, which if you use too much, can have health consequences of its own.
VITAMIN D DEFICIENCY
Radio Interview with Dr. Petter 1/31/2010 on KOMO News Radio 1000 AM & 97.7 FM, live at 7:45 AM, Seattle
Over 70% of the patients I have recently checked (in Western Washington State) are low in vitamin D. And we’re not talking just a point or two, but rather significantly low -- 10 to 25 points low! Normal blood levels of vitamin D (25-hydroxy vitamin D) should be 30 to 150. No age group appears to be spared, as I have found significant deficiencies in patients as young as age 16, up to and including age 90, affecting both men and women.
Why are we seeing such a significant vitamin D deficiency in people living in western Washington? The major reason is due to a lack of exposure to sunshine, coupled with a dietary deficiency. Other causes: milk allergy, lactose intolerance, strict vegetarian, kidney disease, or the inability of the digestive tract to properly absorb vitamin D. Symptoms of vitamin D deficiency are usually subtle, but often result in fatigue, muscle weakness and bone pain.
What is vitamin D’s role in our body? Vitamin D is a fat soluble vitamin. Adequate amounts are needed every day to help ensure proper calcium absorption, keep the immune system strong, regulate cell development and promote and maintain healthy bones.
So, if you are not feeling as chipper as usual, and your energy level always seems to be registering around empty, ask your doctor to check your vitamin D level. It is a simple blood test, called “25-hydroxy vitamin D.” This specific test is the best indicator of your vitamin D status in your blood, and it directly reflects the amount produced in your skin and what is taken in by diet and supplements.
If you are one of the many people who are truly low, your doctor may prescribe medication. The treatment is a high dose of vitamin D for at least 12 weeks. After this treatment course is completed, your blood level should be checked again, and if your vitamin D level has returned to normal, the prescription medication can be discontinued.
Over the last several months, I recall one particular patient who had dramatic results after starting treatment. After just one week on medication, she eagerly returned to my office to share her results. She was elated and could not believe how much better she felt; her muscle and bone pain was nearly gone and she could not recall the last time she had so much energy. Realistically, not everyone will notice dramatic results like this, but most people will certainly feel better by the end of their treatment period.
SWINE FLU / VACCINE UPDATE
Radio interview with Dr. Petter 12/13/2009 (Sunday, live) on KOMO AM 1000,7:45 am, Seattle
As of Saturday (12/12/2009) the Swine Flu vaccine (H1N1) is now available to everyone age 6 months and older in the state of Washington.
To find a location near you to receive the H1N1 vaccine, go to the website of the Washington State Department of Health (www.doh.wa.gov/). Here, click on "H1N1 Information" and then "Find H1N1 Vaccine." Next, click on the state of Washington map and then the county you live in. Listed will be pharmacies, clinics, and a phone number you can call for details.
FLU VACCINE UPDATE
Radio interview wtih Dr. Petter 8/2/2009 (Sunday, live)on KOMO AM 1000, 7:45 AM, Seattle
There will be two flu vaccines this fall. One will be the traditional seasonal flu vaccine, which is typically given out September through December. It takes about two weeks for your body to develop an antibody response. The vaccine is effective for 4 to 6 months. The flu season in the United States is typically October through April. The second will be the H1N1 influenza vaccine (swine flu vaccine), which is now available for selected groups.
Will there be a shortage of vaccines? There will not be a shortage of the seasonal flu vaccine. However, initially the new H1N1 vaccine will only be available in limited quantities. As a result, the CDC (Centers for Disease Control) recommends giving the vaccine to specific groups first, as studies have shown that the risk for contacting the swine flu among those 65 years of age and older are less than for ages 25 to 64.
Initial recommended priority group:
• Pregnant women
• Household contacts and caregivers for children younger than 6 months of age
• Healthcare and emergency medical service personnel
• All people from 6 months through 24 years of age
• People age 25 through 64 years of age who have underlying health conditions (such as heart or lung disease, etc…)
Once the above population has been vaccinated, others may follow. If you are allergic to eggs you cannot receive either of these vaccines. Lastly, for those people who are “needle phobic,” both vaccines are available in a nasal mist spray.
SWINE INFLUENZA – information you need to know
Radio interview with Dr. Petter on KOMO AM 1000 News Radio 7/12/2009 (Sunday)(Live) 7:45 AM, Seattle
Radio interview wtih Dr. Petter on KOMO AM 1000 News Radio 5/3/2009 (Sunday)(LIVE) 7:45 AM, Seattle
Radio interview with Dr. Petter on KOMO AM 1000 News Radio 5/11/2009 (Sunday) (LIVE) 7:00 AM, Seattle
The WHO (World Health Organization) officially declared the swine flu a pandemic on 6/11/2009.
This year the US government gave out grants to each state totaling 350 million dollars. The purpose of these grants were to help financially assist each state in developing a flu preparedness program (which comprises a public health emergency response and hospital preparedness). Washington State received about 7.3 million dollars (California received 30.5 million and Oregon received 4.2 million).
Every year, about 30 million people in this country are infected with the typical seasonal flu virus, and of this number about 36,000 will die. Typically those individuals most at risk are the very young, the elderly, those with immune compromise (such as cancer and Aids), and those with underlying significant heart or lung conditions. However with the H1N1 swine flu, it appears be less of a risk to those age 65 and older.
If you receive the seasonal flu vaccine this Fall or Winter, it will not protect you from contracting the Swine Flu. You cannot catch the Swine Flu from eating pork. However, you can catch the virus by coming into contact with someone that has this illness. It is spread by coughing and sneezing (respiratory droplets), and by hand contact (then touching your nose or mouth).
Symptoms of the Swine Flu are similar to our typical yearly flu, and may consist of: fever, headache, sore throat, runny nose, fatigue, cough, nausea, vomiting, diarrhea, muscle aches, and loss of appetite.
As with any community acquired illness prevention is the key. I you are sick, stay home. When you cough or sneeze cover your nose and mouth. Use a tissue once and then throw it away. If a tissue is not handy, use your sleeve. And, wash your hand thoroughly (20 seconds under running water) and frequently throughout the day. If you do not have access to soap and water, the alcohol-based hand sanitizers work well, as long as they contain at least 60% alcohol (be sure to rub your hands together thoroughly until all the gel is gone). Do not share personal items such as drinks, eating utensils, towels, and a tooth brush. Avoid shaking hands with someone, if possible. Remember, no single action will provide complete protection from contracting either flu, rather it is a combination of the above.
Definitions:
Pandemic = “an epidemic so widely spread that the vast majority of people in different countries are affected.”
Epidemic = “a sudden outbreak of an infectious disease that spreads rapidly through the population, affecting a large proportion of people.”
(source: The Bantam Medical Dictionary)
HAVE YOU BEEN EXPOSED TO METH?
Radio Interview wtih Dr. Petter 8/16/2009 (Sunday)(LIVE): KOMO 1000, 7:45 AM, Seattle
What exactly is meth? Meth, or methamphetamine is a powerful, man-made, illegal drug that affects the central nervous system. Other commonly used names for this drug are: “ice,” “crank,” “crystal,” and “speed.” It is similar to cocaine, often being referred to as the “poor man’s cocaine,” but the effects last longer. For some individuals, even after using it once, they can become addicted.
Why should non-meth users be concerned? Because it is so dangerous and easy to make. Some of the chemicals used to make meth consist of volatile organic compounds, acids, bases, and metals. A key ingredient in making meth is Sudafed (pseudoephedrine) or ephedrine, a common “cold” remedy. As a result, a law was passed in 2005 requiring pharmacies to keep this product behind the counter; it can only be sold to those 18 years of age or older, and limited to two packages per customer.
Because meth is relatively easy to “cook-up,” labs can be harbored in such places as houses, garages, cars, and camp grounds. Not only are these “make-shift” labs potentially explosive, they also leave extremely toxic chemicals behind, which create serious environmental and health hazards. Residue from a meth lab can linger around for years. With regards to a home, toxic residues can actually penetrate drywall, carpet, air ducts, insulation, and can contaminate drains. Clean-up is often at the expense of the property owner, and can cost anywhere from $5,000 to $100,000 based on the size of home, and the extent of damage. Currently, there are no national guidelines, rules, or laws to follow to ensure for a safe and effective clean-up. There is estimated to be thousands of homes throughout the United States that are contaminated. To find out if a property has been a meth lab, visit the website www.dea.gov. Here, look for the National Clandestine (“hidden”) Laboratory Register (or specifically www.usdoj.gov/dea/seizures/index.html).
Exposure to meth can cause significant and potentially serious health consequences. Symptoms depend upon several factors, such as types of chemicals used, exposure time, amount exposed too, and the individual’s underlying initial state of health. However, brief exposure can cause symptoms consisting of headaches, muscle aches, dizziness, numbness, nausea, vomiting, eye irritation, breathing problems, chest pain, poor concentrating, and fatigue. These symptoms usually dissipate over several hours, as long as you leave the contaminated site. Longer-term exposure can cause serious health effects, and may consist of insomnia, anemia, kidney damage, birth defects, coma, and even death. If you think you could be experiencing symptoms consistent with meth exposure, please see your doctor. For questions or concerns about the health effects of meth, you can contact the Washington State Department of Health at 1-888-586-9427.
Lastly, here are a few warning signs that you might be living near a meth lab (reference the Washington State Department of Health):
• There may be a strong solvent odor in the air
• Home may have windows blackened out
• Excessive trash around the home
• Increased activity especially late at night
If you suspect a property is a meth lab, do not enter the site, instead contact the Northwest High Intensity Drug Trafficking Area (NW HIDTA) at 1-888-609-6384.
"Practical healthcare advice for everyday life."
