Tuesday, March 10, 2009

After Removal of 6 Vital Organs, Hope for Little Girl

7-year-old girl was released from hospital today after major abdominal surgery.

from: MSN Health

Heather McNamara is a lively and funny 7-year old who looks as carefree as any other girl her age. Nothing in her cheerful demeanor betrays that Heather underwent a risky procedure little more than a month ago, in which surgeons removed six of her vital organs and a tumor the size of a baseball. Today, Heather looked happy and untroubled upon being released from the hospital.

In a 23-hour procedure in early February, surgeons had to take out the young girl's small and large intestines, liver, pancreas, spleen and stomach so they could remove the myofibroblastic tumor, which was intertwined with her vital organs and major blood vessels. The surgery, which was only the second of its kind and the first one performed on a child, appears successful.

Heather's liver and small and large intestines were re-implanted, but her stomach, pancreas and spleen were too damaged to be saved. Instead of a stomach, Heather now has an intestinal pouch to hold food. Daily insulin injections and digestive enzymes will allow her to live without a pancreas. Without a spleen, she may be more susceptible to infections.

Smiling brightly, Heather appeared with her family at a news conference today at New York–Presbyterian Morgan Stanley Children's Hospital, where the surgery was performed. She said she was looking forward to going home and playing with her sister, and her dog, Angel.

The 7-year old girl, who looks like a little angel herself, gave an optimistic message to anyone who's sick, or has a child who's sick: "There is hope."

My twins were born TWO days apart

When Hayley Phillips gave birth to Ryan at 29 weeks, she expected his twin Lewis to put in an appearance soon afterwards, but she was in for a long wait.

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When Hayley Phillips gave birth to her son Ryan 11 weeks early on her bathroom floor, she assumed his twin brother was on his way.

But by the time she got to hospital to give birth to the second baby her contractions had stopped as though she’d finished giving birth.

And it wasn’t until almost three days later that Hayley finally had her second

boy, Lewis.

“The doctors had never seen anything like it before,” says Hayley. “My body just shut down after giving birth to Ryan.

“I nursed Ryan for nearly three days before I finally went into labour again.”

Hayley, 31, a team manager for a bank, and her fiance Craig Selbee, 31, a bank manager, had been thrilled to discover they were expecting twin boys.

“We were so excited when the doctors told me I was pregnant with twins at my first scan, and then that they were both boys at the second scan,” she says.

The pregnancy went smoothly until at 29 weeks, in August last year, Hayley went into labour.

“We were at home one evening when I felt a sharp pain,” she says.

“I went upstairs to the bathroom and felt the sudden urge to push. It all happened so quickly.

“One minute I was watching TV, the next I was on the bathroom floor giving birth.”

Hayley and baby Ryan, who weighed 2lb 14oz, were taken to hospital where doctors expected her to give birth to her second twin in minutes.

But as hours ticked by, there was still no Lewis. “As I arrived at the hospital the labour pains had disappeared and it felt like I’d never even given birth,” recalls Hayley.

“Three hours later the doctors examined me and they told me that the contractions had stopped.

“They couldn’t understand it, as usually when one twin is born, the other quickly follows.”

The following day, Hayley still hadn’t gone back into labour. Craig and Hayley filled the hours waiting by tiny Ryan’s incubator.

“I still had this huge pregnancy bump and we were looking at Ryan in his incubator,” she says.

“Lewis was in no hurry to make his appearance.

“We’d told all our family and friends the good news, that Ryan had been born.

“None of them could believe I was still pregnant with Lewis.”

Concerned for Lewis’s well-being, doctors arranged for a scan.

“I’d been used to having scans and seeing my womb jam-packed with the twins, vying for room,’

says Hayley.

‘But now there Lewis was, wriggling around all by himself. It just looked like he was making the most of the extra space. He was almost doing somersaults.”

Despite her joy at seeing Lewis was thriving, she admits looking at the his image on the monitor was strange.

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“During the scan, I was holding a photo of Ryan in his incubator,” she says.

“I kept glancing down at the picture and then up at the scan of Lewis and it was weird. I wanted my twins to be together again, like they were supposed to be.”

Hayley and Craig weren’t the only ones to be surprised by this unusual situation – medical staff at Sunderland Hospital were equally stunned.

“The sonographer told me she’d never come across such a long wait,” she says.

Hayley wasn’t allowed to remove Ryan’s umbilical cord or breast-feed him because doctors feared either could trigger a premature second labour.

So Hayley had to endure the discomfort until she finally went into labour the next day, and Lewis appeared weighing 3Ib 3oz, after a six-hour labour – 51 hours after his brother.

“It was such a relief,” says Hayley. However, the twins were still not able to be together as, although Ryan was doing well enough to be moved on to a low dependency ward in the neonatal unit, Lewis needed more intense

treatment.

“He had to be ventilated for three weeks as he needed four operations as his lungs weren’t properly developed,” says Hayley.

“At one point, the doctors had to put him in a coma so that his lungs could heal.

“It was very traumatic. I began to wonder when our twins would ever actually be together.”

The boys finally met after five weeks when Lewis was moved into the same ward as Ryan – and Hayley and Craig were able to cuddle their babies together.

“It was such an amazing feeling being able to hold both my boys, one in each arm,” says Hayley. “It was a dream come true and brought a tear to my eye.”

Another milestone moment came a week later when the twins were both finally strong enough to be taken out of their incubators and dressed.

“Until that point they’d only been able to wear vests and nappies but at six weeks we were able to dress them in matching blue Tigger outfits,” says Hayley. And after two months they were strong enough to go home.

“The day we were finally allowed to walk them out of hospital was the best day ever,” says Craig.

Now the boys are six months old and doing well.

“They both have heart murmurs but that’s common with premature babies and they’re having regular check-ups,” says Hayley.

“They’re both around 14lbs, which is fine considering they should really only be three months old, as they were 11 weeks premature.”

The non-identical twins not only have different birthdays – two days apart – but different star signs, too. Ryan is Leo and Lewis Virgo.

“It means their personalities will be very different, although I think we can already guess that Lewis will be the laid-back twin,” laughs Hayley.

“We’ll celebrate their joint birthday on the day in between both their birth dates, and then they can still have a party together.”

The couple are relieved they can now put their sons’ traumatic entrance into the world behind them.

“Looking back, those eight weeks were the worst time of our lives because our emotions were all over the place,” says Craig.

“But Hayley and I love each other so much we were able to get through it. The boys were all that mattered.”

Hayley says that when the twins are older, she and Craig will tell them all about their extraordinary birth.

“And this experience hasn’t put us off having more children,” she says.

“I’m just wary about having another set of twins!”

A spokeswoman for the Twins and Multiple Births Association said: “This is rare – we have come across cases where twins were born apart, but the gap has always been less than two days.

“It may have been her body protecting the second twin, as 29 weeks is very early to be born.

“After the first twin arrived, her body may have shut down to give the second twin longer in the womb.”

Monday, March 9, 2009

Chili Pepper Compound Can Bring Pain Relief

By HealthDay

University of Buffalo scientists say they have found how capsaicin, the compound that gives chili peppers their fiery flavor, also works to relieve joint and muscle pain.

In a study appearing Tuesday in the journal PLoS Biology, researchers found that capsaicin flips on nerve-ending receptors that sense both pain and heat.

"The receptor acts like a gate to the neurons. When stimulated it opens, letting outside calcium enter the cells until the receptor shuts down, a process called desensitization," study leader Feng Qin, an associate professor at the university's School of Medicine and Biomedical Sciences, said in a news release issued by the institution.

The flood of calcium changes the levels at which the receptors detect pain signal. "In other words, the receptor had not desensitized per se, but its responsiveness range was shifted," Qin said.

While capsaicin has been used in folk medicines for generations, knowing how it works in relation to PIP2 may lead to developing other analgesics that ease pain without first causing irritation on their own, the team said.

Is Breast Cancer Incidence on the Rise?

By Lillie Shockney, R.N., M.A.S. -

Feel like you can't open a woman's magazine or watch TV without hearing something about breast cancer?

I think we hear more about breast cancer today because in 1992 it "came out of the closet," if you will. That was the year the pink ribbon was introduced to boost breast cancer awareness. People decided to buy them like crazy, and by wearing the pin, start telling others they either had breast cancer or loved someone who has it or survived it.

And with those pink ribbons came a more relaxed and comfortable attitude about breast cancer, talking about it in public and discussing it in open forums—always with the goal that by raising awareness we could save more lives (and breasts). And it's worked.

Another logical explanation of why we're hearing so much about breast cancer these days is that the incidence of breast cancer is increasing. Why?

Well, one reason why reported cases are on the rise is because there's just a lot more women today who are at risk. As of July 1, 2005, the U.S. Census Bureau estimated there were 78.2 million people—baby boomers—born between 1946 and 1964. Since about half of those are women, it follows that the more women there are the more women will develop breast cancer. Statistics suggest that about 1 of every 1,326 women develops breast cancer.

Another reason for a rise in breast cancer cases is that more women are at risk. More women are overweight today and—since we store estogen in our body fat—we are carrying more estrogen around in our bodies. More women are letting their careers take off now too, and starting their families later. While this is is a wonderful trend, the downside is that we know a woman's risk for breast cancer increases when she delays her first pregnancy beyond age 30.

Here's another risk factor: Women are still smoking and drinking alcohol, both of which are risk factors for breast cancer. And we also suspect that certain substances in the environment increase risk, but we really don't have an understanding, yet, of what or how.

There are two positive aspects to all of this:

  • The stats on surviving cancer continue to improve by about 1 percent each year and have for several years.
  • Perhaps because of the media focus on breast cancer, the numbers of women getting screening mammograms and doing breast self exams is increasing, both of which help catch breast cancer at an early, treatable stage.

I look forward to the day when I'm out of a job because breast cancer has been eradicated. If that day is ever going to come, however, you need to stay informed. Read the articles in the women's magazines, get your annual mammograms, and see your doctor for annual clinical breast exams.

Too Little Vitamin D May Mean More Colds and Flu

By Alan Mozes, HealthDay

- Forget the apple. The largest study of its kind to date shows that vitamin D each and every day is what will keep the doctor away when it comes to the common cold or the flu.

The finding is based on an assessment of vitamin D levels, nutritional habits and respiratory infection rates among nearly 19,000 American men and women.

"We don't want to jump ahead of ourselves," said study author Dr. Adit Ginde, an assistant professor of surgery in the division of emergency medicine at the University of Colorado Denver School of Medicine. "But our study provides support that lower levels of vitamin D are associated with an increased risk for respiratory infections, such as the common cold and the flu. And people who have pre-existing respiratory disease -- like asthma an emphysema -- appear to be at an increased risk for this association."

Ginde's team, from Harvard Medical School and Children's Hospital Boston, reports its findings in the Feb. 23 issue of the Archives of Internal Medicine.

Vitamin D can be found in such foods as canned tuna, cereal and fortified milk or juice, according to the American Dietetic Association (ADA). The body can also be triggered to naturally produce vitamin D after adequate exposure to sunlight.

In addition to its well-established role as a calcium builder and bone fortifier, vitamin D has recently been touted as having a protective role against both colon cancer and multiple sclerosis, the ADA noted.

And in December, a review of studies conducted by researchers at the Mid-America Heart Institute in Kansas City suggested that those with vitamin D deficiency -- a designation estimated to include about half of American adults and nearly one in three children -- might face an increased risk for heart attack and stroke.

To gauge the specific relationship between vitamin D and respiratory risk, Ginde's team analyzed data from the Third National Health and Nutrition Examination Survey, collected from 1988 to 1994.

Participants were aged 12 and up -- with an average age of 38 -- and three-quarters were white. All completed nutritional and health surveys and had physical examinations. Blood samples were taken to measure levels of 25-hydroxyvitamin D, considered to be the optimal measure of vitamin D status.

The researchers found that those with less than 10 nanograms of vitamin D per milliliter of blood, considered low, were nearly 40 percent more likely to have had a respiratory infection than those with vitamin D levels of 30 ng or higher. The finding was consistent across all races and ages.

In particular, people who had a history of asthma or some form of chronic obstructive pulmonary disease (COPD) were even more likely to suffer from vitamin D deficiencies.

Asthma patients with the lowest vitamin D levels had five times the risk for respiratory infection, and vitamin D-deficient COPD patients had twice the risk.

"We still need to do the clinical trials that we already have planned to definitely say whether supplementation with vitamin D would actually reduce the risk we found," Ginde cautioned. "But I think we can say that most Americans probably do need more vitamin D for its effects on bone health, as well as for its general benefits with respect to the immune system."

Lona Sandon, an assistant professor of clinical nutrition at the University of Texas Southwestern Medical Center and a spokeswoman for the American Dietetic Association, said that evidence of a vitamin D-immune system connection seems "pretty strong."

"There does seem to be a link because, when we're not getting enough vitamin D, our immune system appears not to function at its best," she said.

Sandon noted, however, that getting enough vitamin D from food alone can be difficult.

"The best sources are salmon with the bones, or three cups a day of milk," she said. "But not many people get that. So I would say, get outside and expose some skin to the sun. Dermatologists don't always like that advice because they're concerned with skin cancer, but just 15 minutes a day at the sun's peak -- roughly 11 to 1 -- does the trick."

"However," Sandon added, "if you live north of Atlanta, in the middle of winter it's hard to get enough vitamin D that way, even if you're out in the middle of the day. So that leaves us with supplements in some form. And in that case, a general multivitamin typically has about 200 Ius [international units] of vitamin D, which is considered adequate."

10 Tips to Protect Your Eyes

by Marin Gazzaniga for MSN Health & Fitness

We go to the gym, abstain from chocolate cake and drink gallons of water all in the name of good health. But what can we do to protect those most valuable organs—our eyes? We talked to ophthalmology experts to find out what we should be doing to preserve the oft-neglected eyes.

“Eyes are delicate and precious,” says Dr. Andrew Iwach, spokesperson for the American Academy of Ophthalmology (AAO). “Just a touch of maintenance will keep them going for years.”

1. Regular checkups. When was the last time you had an eye exam? If it was age 3, chances are you’re due. The AAO recommends an eye exam before age 5 to check for childhood problems like lazy eye or crossed eyes, and then on an as-needed basis (vision problems or injuries) up to age 19. One exam in your 20s, and two in your 30s can catch problems for early treatment. It’s normal for vision to change with age, plus serious eye problems like glaucoma and macular degeneration (deterioration of retina that causes loss of detail vision) can be treated if detected early. So step up the eye exams when you hit 40 to every two to four years; after 65, every one to two years. Anyone with diabetes, with a family history of eye problems or African-Americans over 40 should check with their doctor about more frequent visits. (In middle age, African-Americans may need more frequent checkups because of an increased risk for glaucoma.)

2. SPF for the eyes. Sunglasses don’t just prevent crows’ feet from squinting, they also block harmful ultraviolet and other rays than can play a role in cataracts and macular degeneration. Fair-skinned Caucasians are at the greatest risk for the latter. Be sure your sunglasses have 100 percent UV protection. “The blue wavelengths--violet and blue--hit the retina,” says Dr. Lylas Mogk, co-author of Macular Degeneration: The Complete Guide to Saving and Maximizing Your Sight. “The best filters against blue are in the amber-orange-brown range of commercial sunglasses.” You should always wear sunglasses when outside (and not just in the summer) but especially in high glare areas like snow or water. A wide-brimmed hat is great for blocking rays—even if it counteracts the cool of your aviators.

3. Eye protection. Sunglasses aren’t the only protective eyewear you should don. Obviously anyone working around construction, manufacturing—any job with machinery and flying particles—must wear eye protection. But even when you’re working around the house, you should guard your eyes. “Hanging a picture, plaster or even a nail can fly into your eye,” warns Dr. Iwach. Any hardware store sells inexpensive clear plastic eye protection.

4. Contact care. “Contacts are a great tool but they come with responsibility,” says Dr. Iwach. Be sure to have a pair of glasses with a recent prescription so that if you get any irritation you can change over. Wearing your contacts when your eyes are irritated can turn a simple problem (irritation) into a significant problem (ulcers). Make sure you care for the lenses properly. “I can’t believe people who pop a lens in their mouth and then put it in their eye. That is not a good idea unless you want to be seeing the eye doctor a lot,” warns Dr. Iwach. Make sure your solutions aren’t expired, keep your contacts clean—and don’t suck on them.

5. Eye candy. Are carrots really good for your eyes? “Carrots are rich in vitamin A, which the retina needs,” says Dr. Lylas Mogk. “But we’re not in the least bit in danger of having vitamin A deficiencies.” However, green leafy veggies like kale, collard and mustard greens, and spinach are good for the eyes because they contain lutein, which studies indicate can reverse symptoms of macular degeneration. And getting plenty of omega-3 fatty acids from fish and flax can help prevent dry eyes. But avoid omega-6 fatty acids, which is tricky in the American diet. Omega-6s are in vegetable oils. “There are very few processed or packaged foods that don’t have vegetable oils,” notes Dr. Mogk. “And the omega-6s counteract the good omega-3s.”

6. Eye lube. Our eyes get dryer as we age. “The biggest reason people have dry eyes is that the tear film doesn’t have the right consistency of water, mucus and oil,” says Dr. Mogk. The oil part of your tears comes from little glands around your eyelids. As you blink, oil is supposed to coat the eyes. But if you don’t have a good eye slick, the tear film evaporates and eyes feel dry. This triggers extra tear glands, which is why your eyes tear up when they get dry and irritated. Omega-3 helps with this. Also, heat and air conditioning can cause dry eyes, especially if you sit near a vent or fan unit. Make sure your car’s vent isn’t blowing toward your face.

7. Quit smoking. Need another reason to quit smoking? You got it: Smoking increases the risk and accelerates the development of cataracts, macular degeneration and optic nerve damage. “I’d be more afraid of losing your vision than lung cancer,” says Dr. Iwach.

8. Eye strain. Any focused work means you don’t blink as frequently. And all the computer work and Internet surfing can take a toll. It’s always good to take a break, change focus. And artificial tears can help with eyestrain, lubricating the eyes to help you work longer.

9. Talk to your family. Eye problems are often hereditary. If you are diagnosed with glaucoma or another eye condition, share that information with your immediate and extended family. “It’s a way to give the gift of vision for the rest of their life,” notes Dr. Iwach. The sooner people are diagnosed, the more that can be done to treat and prevent further damage.

10. Stay healthy. We’ve already seen how eating right (veggies over processed foods) helps with eye health. Exercise increases circulation, which can lower pressure on the eyes, which helps with those who have glaucoma. Getting regular overall physicals may lead to early detection of diseases like diabetes or other systemic conditions that can lead to eye problems. And most important, if something bothers you or feels wrong, get it checked out. As Dr. Iwach puts it, “You get your oil checked regularly, so get your eyes checked regularly.”

Get a Dancer's Body

This ballet-inspired workout will tone you from head to toe (no tutu required).
By Michele Bender, Prevention

Almost everyone has envied the long, lean look of a ballerina. This dance-inspired routine will help you build strong, flexible muscles and leave you feeling more graceful than a typical gym workout would. It works by generating small, controlled movements designed to isolate and challenge muscles without stressing your joints, explains Elisabeth Halfpapp, an exercise instructor at Exhale spa in New York City who created this workout. (Halfpapp should know: She's a former professional ballet dancer.)

All you need is a sturdy chair or countertop to hold on to and a mat, towel, or carpeted surface. Warm up by marching in place 100 times as you swing your arms. Do this total-body-toning workout at least three times a week. Turn on some classical music as accompaniment and you'll really feel like a dancer.

Plié

Shapes thighs and calves

A. Hold chair or counter with one hand for balance and raise opposite arm toward ceiling.

Stand with heels together and toes pointing out, then raise heels 2 inches off floor so you're on balls of feet.

B. Keeping abs in, shoulders down, and back straight, bend knees, lowering body up to 12 inches.

Hold for one count, return to starting position, and repeat, staying on balls of feet the entire time. Do two sets of 10 reps.

Wide Plié

Firms thighs and buttocks

A. Hold chair or counter with one hand for balance and raise opposite arm toward ceiling. Stand with feet about 3 feet apart and angled out (as in Plié).

Keeping shoulders down and abs tight, tuck pelvis under and bend knees. Raise heels off floor as high as possible (pictured).

B. Keeping pelvis tucked, squeeze butt and press thighs and knees back. (This is a very small movement.)

Hold for one count, then release. Repeat, staying on balls of feet with knees bent the entire time. Do two sets of 20 reps.

Curl

Tones abs and legs

A. Lie faceup and pull abs in as you raise right leg straight up and left leg 1 inch off floor so legs form a 90-degree angle. Point toes. Curl upper back and shoulder blades off floor and grasp right calf or thigh with hands. Hold for 15 to 30 seconds, keeping elbows lifted, shoulders away from ears, and abs in.

B. Switch legs and repeat, keeping head and shoulders off floor the entire time. Do three reps per leg.

Reverse Push-Up

Sculpts arms, shoulders, and back

A. Sit with legs extended and arms at sides, palms on floor with thumbs pointing forward and fingertips outward. Tuck pelvis and lift buttocks as high as you can off floor.

B. Bend elbows and lower body 2 inches for a count of two and then push back up (don't lock elbows). Keep pelvis tucked and abs pulled in the entire time. Do 15 reps.

Easier variation: Place feet flat on floor and bend knees.

Leg Lift

Tightens thighs, buttocks, and abs

A. Hold chair or counter with right hand and place left hand on hip.

Lift left leg as high as you can so it's straight and directly in front of hip. Point left toes and rotate leg so toes point slightly outward.

B. Lift, then lower left leg a few inches.

Do three sets of five lifts, resting foot on floor for a second between each set.

Keep standing leg straight and abs tight throughout. Repeat with right leg.

Gluteal Lift

Strengthens thighs and buttocks

A. Place both palms on chair or counter, but don't put your weight on it.

Pull abs in, tuck pelvis, extend left leg directly behind right leg, and point toes.

B. Lift left leg out to side, keeping right hip down and both hips facing forward.

Do three sets of 20 reps. Repeat with right leg.

 
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