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06|2003: "Keeping the Mid-Valley Family Healthy"

PEDIATRICS

A Kid's Guide to Shots

 
You'd probably rather do a million other things than go to the doctor and get a shot. Not only can it hurt, but it can be kind of weird to think that someone is going to stick you with a needle. Not fun, right?

But before you try to get out of going to the doctor, remember that shots are important. You receive shots called vaccinations (say: vak-suh-nay-shuns) to protect you from some pretty serious diseases. Besides, that pain and soreness in your arm isn't going to last forever!

What's in Shots, Anyway?
Shots protect you by giving only a tiny piece of a disease-causing germ, or by giving you a version of the germ that is dead or very weak. Giving a whole germ that's alive would give you a disease (like measles or chicken pox).

But giving only this tiny, weakened, or dead part of the germ does not give you the disease. Instead, just the opposite happens. Your body ends up being protected from the disease by becoming immune (say: im-myune).

When you're immune, part of your body's defense system - called antibodies - will fight off certain diseases. So after you get a shot, you become immune to that particular disease because you now have antibodies that will keep you from getting that disease if you are ever exposed to it again.

Kids get their first shots soon after they're born and then regularly until about age 2. The next time you get shots is before you start kindergarten at around age 4 or 5.

Most shots are given by injection with a needle. Shots are usually given in your arm or sometimes your thigh. Doctors look for a part of your body that's fleshy enough so it won't hurt too much.

Why Do Kids Need Shots?
Kids need shots because they can get serious diseases from infections that make them very sick, and the shots protect a person from getting those diseases. Because most kids get all their shots, you rarely meet anyone who has had diseases like measles, mumps, or polio. These are diseases that used to make many people very sick.

Today, some diseases no longer exist just because everyone got their shots!

Kids in the United States today get shots for about nine different diseases before they start school. There are other shots - like the ones for chicken pox, flu, and pneumonia - that are also given to keep kids from getting sick.

Most schools and camps require that kids have their shots so that diseases don't spread from kid to kid. So, if you really want to go to that summer camp this year, it will be important that you are up to date on your shots.

The good thing about shots is that you get fewer and fewer of them as you get older. Because your immunity (say: im-myoo-nuh-tee), meaning your body's protection against certain diseases, is lifelong in most cases, you won't need to keep getting so many shots to protect you from bad things like measles and mumps. You got most of your shots when you were a baby and, chances are, you don't even remember most of them.

But when you're older, some shots - like tetanus shots - will have to be given every 10 years, so that you will continue to be protected. Tetanus protects you from getting a serious illness (sometimes called "lockjaw") if you step on a rusty nail or cut yourself on an old broken window, for example.

My Aching Arm!
Aarrrrgghhh! Wow, that hurt. Getting a shot really can be a pain. There are things you can do, though, to make it easier.

You might want to bring a favorite toy with you to the doctor's office or maybe a magazine that you can look at when they actually give you the shot. You might even want to ask if you can wear your headphones and listen to your favorite song.

Sometimes, if you can take your mind off the shot, it won't bother you as much. One favorite technique is to just look away when they're giving you the shot. Another is to tightly squeeze your parent's hand.

When it's over, you won't have to worry about it anymore. And it's only a few seconds of pain - hey, that's a million times better than having a very serious illness, isn't it?

Sure Enough, Your Shot's Over
After you get a shot, your arm might hurt a little. It might feel sore or feel warm.

The place where you got the shot might be red, and there might be a hard bump there for a few days. You also might feel kind of hot, like you have a fever.

You can try holding ice, wrapped in a towel, on the place where you got the shot. Or, if that doesn't help, try a washcloth soaked in warm water. You can also ask your parents to give you a pain reliever like acetaminophen if you're really uncomfortable.

But you'll feel better soon. Millions of kids get shots and very few of them ever have any problem. Most of the time, you can do whatever you'd like right after you get a shot.

"[Getting shots] usually doesn't interfere with a person doing what they want to do," says Dr. Lewis Polk, a doctor for kids in Pennsylvania. So let the doctor give you their best shot. It's a small price to pay to keep you from getting sick!

 

INTERNAL MEDICINE

Heart Attack: Warning Signs and Tips on Prevention


What is a heart attack?

A heart attack (also called myocardial infarction) is when part of the heart muscle is damaged or dies because it isn't receiving oxygen. Oxygen is carried to the heart by the arteries (blood vessels). Most heart attacks are caused by a blockage in these arteries. Usually the blockage is caused by atherosclerosis, which is the buildup of fatty deposits (called plaque) inside the artery. This buildup is like the gunk that builds up in a drainpipe and slows the flow of water.

Heart attacks can also be caused by a blood clot that gets stuck in a narrow part of an artery to the heart. Clots are more likely to form where atherosclerosis has made an artery more narrow.

How do I know if I'm having a heart attack?

The pain of a heart attack can feel like bad heartburn. You may also be having a heart attack if you:

  • Feel a pressure or crushing pain in your chest, sometimes with sweating, nausea or vomiting.
  • Feel pain that extends from your chest into the jaw, left arm or left shoulder.
  • Feel tightness in your chest.
  • Have shortness of breath for more than a couple of seconds.

Don't ignore the pain or discomfort. If you think you are having heart problems or a heart attack, get help immediately. The sooner you get treatment, the greater the chance that the doctors can prevent further damage to the heart muscle.

What should I do If I think I am having a heart attack?

Right away, call for an ambulance to take you to the hospital. While you wait for the ambulance to come, chew one regular tablet of aspirin.  Don't take the aspirin if you're allergic to aspirin.

If you can, go to a hospital with advanced care facilities for people with heart attacks. In these medical centers, the latest heart attack technology is available 24 hours a day. This technology includes rapid thrombolysis (using medicines called "clot busters"), cardiac catheterization and angioplasty.

In the hospital, you might be given "clot busters" that reopen the arteries to your heart very fast. Nurses and technicians will place an IV line (intravenous line) in your arm to give you medicines. They will also do an electrocardiogram (ECG or EKG), give you oxygen to breathe and watch your heart rate and rhythm on a monitor.

Risk factors for a heart attack
  • Smoking
  • Diabetes
  • High cholesterol level
  • High blood pressure
  • Family history of heart attack
  • Atherosclerosis (hardening of the arteries)
  • Lack of exercise
  • Obesity
  • Male sex 

How can I avoid having a heart attack?

Talk to your family doctor about your specific risk factors (see box above) for a heart attack and how to reduce your risk. Your doctor may tell you to do the following:

  • Quit smoking. Your doctor can help you. (If you don't smoke, don't start!)
  • Eat a healthy diet. Cut back on foods high in saturated fat and sodium (salt) to lower cholesterol and blood pressure. Ask your doctor about how to start eating a healthy diet.
  • If you have diabetes, control your blood sugar.
  • Exercise. This sounds hard if you haven't exercised for a while, but try to work up to at least 30 minutes of aerobic exercise (that raises your heart rate) at least 4 times a week.
  • If you're overweight, lose weight. Your doctor can advise you about the best ways to lose weight.
  • If you have hypertension, control your blood pressure.

Talk to your doctor about whether aspirin would help reduce your risk of a heart attack. Aspirin can help keep your blood from forming clots that can eventually block the arteries.

 

GERIATRIC CARE

Parkinson's Disease


What is Parkinson's disease?

Parkinson's disease is a disorder that causes a progressive loss of nerve cell function in the part of the brain that controls muscle movement. Progressive means that you will loose more of your nerve function as time goes on.

What are the symptoms of Parkinson's disease?

People with Parkinson's disease experience tremors (shakiness) as a result of the damage to their nerve cells. The tremor of Parkinson's disease gets worse when the person is at rest and better when the person moves. The tremor may affect one side of the body more than the other, and can affect the lower jaw, arms and legs. Handwriting may also look "shaky" and smaller than usual. Other symptoms of Parkinson's disease include nightmares, depression, excess saliva, difficulty turning over in bed and buttoning clothes or cutting food, and problems with walking.

How is Parkinson's disease diagnosed?

No blood tests or x-rays can show whether a person has Parkinson's disease. However, some kinds of x-rays can help your doctor make sure nothing else is causing your symptoms. The symptoms mentioned above suggest to a doctor that a person might have Parkinson's disease. If the symptoms go away or get better when the person takes a medicine called levodopa, it's fairly certain that the person has Parkinson's disease.

What causes Parkinson's disease?

Doctors don't know exactly what causes Parkinson's disease. They do know some medicines can cause or worsen symptoms of Parkinson's disease.

Can medicines treat Parkinson's disease?

There is no cure for Parkinson's disease. There are medicines that can help control the symptoms of the disease. Some of the medicines used to treat Parkinson's disease include carbidopa-levodopa (brand name: Sinemet), bromocriptine (brand name: Parlodel), selegiline (one brand name: Eldepryl), pramipexole (brand name: Mirapex), ropinirole (brand name: Requip), tolcapone (brand name: Tasmar) and pergolide (brand name: Permax). Your doctor will discuss with you which medicines might help you.

Where can I get more information about Parkinson's disease?

Information is available from the following organizations:

American Parkinson Disease Association, Inc.
1250 Hylan Blvd., Suite 4B
Staten Island, NY 10305
800-223-2732
Internet address:
http://apdaparkinson.com

National Parkinson's Foundation
1501 N.W. 9th Ave., Bob Hope Road
Miami, FL 33136-1494
800-327-4545
Internet address:
http://www.parkinson.org

Parkinson's Disease Foundation
710 W. 168th St.
New York, NY 10032
800-457-6676
Internet address:
http://www.pdf.org

 

 

 

   

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