Is Stress Harming Your Health?

Not only is stress a nuisance, it’s harmful to your health. Let’s talk about some common causes and treatments so you can be more present for the important things in your life.

What is Stress?

Stress is a natural response made by our central nervous system. Our brain tells our adrenal glands to supply our body with cortisol and sends us into “fight or flight” mode. This response once helped humans evolve and escape danger, but these days it’s causing an epidemic of chronic stress.

 

Did you know? A reported 77% of people experience stress symptoms every day.

 

Is Stress That Bad?

Short answer: yes. Some stress is good say, when you’re taking an exam or public speaking. But chronic stress, stress that is persistent, can exacerbate any present health conditions and potentially cause new ones such as:

  • Breathing conditions like asthma
  • Increase risk of developing type 2 diabetes
  • Upset the digestive system
  • Tighten muscles, particularly shoulders and back causing pain

 

If you don’t treat your stress symptoms, it will begin to harm your health. Constant stress can lead to heart disease, high blood pressure, diabetes, and mental or emotional conditions such as anxiety and depression.

 

What causes stress?

There are different causes to stress: routine stress (work, family, relationships, money) sudden changes (loss of job, having to move, divorce, illness) and traumatic events (natural disasters, war/PTSD, serious accidents).

Everyone’s relationship to stress is different. What is stressful for you may not be to someone else. Trust your feelings and if you’re feeling stressed, seek help.

 

How can I treat stress?

As there are many causes to stress and potential outcomes if untreated, there are many ways it can be treated:

  • Recognize your triggers
  • Take time to truly relax
  • Get active and stay active
  • Eat a nutritious diet consistently
  • Talk with friends or professionals
  • Yoga, meditation, and breathing techniques will lower your heart rate

 

Stress is different for everyone and everyone manages differently. If you need help navigating your life through stress, reach out to your DFD primary care provider to discuss a treatment plan.

Emotional HealthMental Health

3 Tips to Healthier Eating This Year

The holiday season has officially ended—and with it all the rich, decadent foods. Whether you’ve made a New Year’s resolution or not, here are three tips to consider for healthier eating in 2020 and beyond.

 

Don’t Skip Meals

You may think that since you ate so much during the holidays, you need to deprive yourself to lose weight. This isn’t the case! Skipping meals will mess with your blood sugar levels leaving you tired, irritable and ready to binge on high-sugar foods. Stick to your regular mealtimes to keep your blood sugar stable and eat a small snack if you’re feeling hungry between meals.

 

Did you know? It takes 20 mins for your brain to receive signals that it’s full.

 

Slow Down

It’s easy to throw healthy eating habits to the wayside and overindulge during the holidays. If that sounds like you, it’s okay! Now is a perfect time to remind yourself to slow down and get back on track. Eating slowly is good for your digestion and weight maintenance and will deter you from grabbing seconds too quickly. However, if you let yourself indulge in your favorite treats once in a while (a small portion!), you’ll be less inclined to overdo it later.

 

Choose Wisely

Eat your vegetables first! They are full of nutrients and fiber and will help make you feel fuller before you reach for meats or rich foods. Having a small salad or bowl of soup before a meal is a great way to get in your servings of vegetables. Also, if you have a large portion of food, it doesn’t mean that you have to eat it all at once! Serve yourself a portion that meets your needs but won’t make you feel too stuffed and pack up the leftovers for lunch tomorrow.

 

Do you have concerns about your weight or nutrition habits? Call your DFD primary care provider to discuss weight management. Our primary care providers, nurses and behavioral health staff can help with dietary assistance, goal setting, barriers to weight management, and ongoing support.

Nutrition

5 Tips for a Happy and Healthy Holiday Season

It’s officially the holiday season, meant for celebration, unity, and joy. And yet, it can also bring stress and exhaustion, compromising your physical and mental health. Here are five tips for staying healthy and happy during the holidays.

Keep Moving
You may be too tired from all the shopping or traveling, but it’s important to keep active! Science proves that exercising actually gives us energy by increasing blood flow, improving metabolism and releasing endorphins. If you’re feeling run down, take a walk to see the Christmas lights in your neighborhood, have a dance party while cooking, build a snowman—anything to keep moving. You’ll not only feel better, but you’ll also stay on track to meet your fitness goals.

Prevent Illness
This time of year, we come into contact with lots of people—and lots of germs. In order to stay free from the flu and other illnesses, wash your hands, get a flu vaccine, and stay home if you’re feeling unwell. If anyone you’re visiting is sick, stay away! You don’t want to ruin your holiday celebrations by getting sick.

Eat Well
With all the sweet treats around it’s hard not to indulge. But here’s the thing—it’s okay as long as you don’t overdo it. If you go into the season forbidding yourself to eat anything decadent, you’re bound to give in and over-indulge. Stay hydrated, eat balanced meals (vegetables, fruit, clean proteins and grains), and give yourself permission to enjoy your favorite indulges in moderation.

Pro Tip: Don’t show up to a party hungry! You’ll end up eating more and probably not the healthy stuff.

Lower Stress
By visiting all your loved ones, attending celebrations, and meeting everyone else’s needs, taking care of yourself falls to the wayside. Our mental health is incredibly important and determines how we relate to others, make healthy choices, and handle our emotions. Meditation and breathing exercises are great for immediately reducing the feelings of stress, but any way that you choose to practice self-care will help keep your stress low.

Sleep More
You may be staying up late decorating or wrapping presents but don’t sacrifice a decent night’s sleep just to get things done. A lack of sleep can interfere with blood sugar levels and make you crave high-carb, high-sugar food choices that will derail your healthy eating and exercise routine. Sleep helps your body’s immune system to function properly, fending off germs and illnesses and keeps you well rested to better deal with the tasks ahead.

 

By keeping your health top of mind during this busy time of year, you can truly be present and enjoy spending time with your loved ones. Try to incorporate some—or all—of these lifestyle tips into your routine to stay happy and healthy during the holidays.

 

Emotional HealthMental HealthPhysical Health

Are You Confused By Diabetes?

Let’s break down the basics of the three different types of diabetes.

 

Type 1 Diabetes

Type 1 diabetes is usually diagnosed in early childhood or early adulthood. In Type 1, the body does not produce insulin. Insulin is a hormone needed in order to get glucose—taken from carbohydrates—from the bloodstream and into the body’s cells.

 

Type 2 Diabetes

Type 2 diabetes is mostly diagnosed in adulthood and is the most common. In Type 2, the body does not produce insulin properly. In some cases, Type 2 can be managed—and prevented—by lifestyle changes, namely diet and exercise.

 

Gestational Diabetes

Gestational diabetes accounts for 10% of pregnancies in the U.S. The cause is unknown and doesn’t discriminate by age, race, or physical health. In this 10 % of pregnancies, half will develop into Type 2 diabetes.

 

Now that we have discussed the basics, let’s dispel some myths about diabetes.

 

True or False?

Eating too much sugar causes diabetes.

FALSE. While arguably not the healthiest choice, too much sugar will not result in a diabetes diagnosis. In those diagnosed, all carbohydrates from food—including candy, bread, and fruit—need to be accounted for in order to keep blood sugar levels stable.

 

True or False?

If you’re overweight, you will develop diabetes.

FALSE. While being overweight is a risk factor for diabetes, it’s only part of the picture. Individuals with a healthy weight can also develop the disease. Lifestyle changes to include exercise and a healthier diet is best in order to help prevent diabetes.

 

True or False?

If you have diabetes, it’s not your fault.

TRUE. Diabetes occurs because the body lacks functional insulin. This is not something that can be fixed organically and therefore is not your fault! If you have diabetes, you should not be embarrassed, ashamed or feel alone.

 

To learn more about diabetes, check out our Diabetes Management program. This program aims to help patients develop self-care skills and manage their diabetes treatment plan.

Physical Health

Exercise-Induced Asthma or Vocal Cord Dysfunction?

Many young athletes are diagnosed with exercise-induced asthma but may, in fact, have vocal cord dysfunction. The problem? It is often difficult to differentiate between the two.

There are multiple irritants in the air that can trigger breathing problems in young athletes: pollen and airborne irritants, chlorine in pools, and nitrogen oxides, which are used on resurfacing ice rinks.

 

Symptoms of vocal cord dysfunction are similar to those of exercise- induced asthma, with shortness of breath, chest tightness and cough. However, the cough of vocal cord dysfunction tends to have a seal-like barking quality, and the athlete may complain of throat tightness and changes in the pitch of their voice. This is not present in exercise-induced asthma. Color changes of the skin may also be noted in vocal cord dysfunction–paleness or redness. In asthma, blue or purplish discoloration (cyanosis) can be present.

 

Vocal cord dysfunction has an abrupt onset and resolution of symptoms, whereas exercise-induced asthma requires 5-10 minutes of exercise and persists for 30-60 minutes without treatment. Pulmonary function testing (to show how well the lungs are working) will be normal in vocal cord dysfunction patients, while in exercise-induced asthma athletes the testing will typically reveal underlying asthma.

 

Treatment for vocal cord dysfunction is based on education of the patient, family and coaches; speech therapy, antihistamines and use of long-lasting acid-inhibiting medications (proton pump inhibiters) as needed. Relaxation therapy and breathing exercises also generally help reduce symptoms.

 

Exercise-induced asthma is treated with short-acting bronchodilator inhalation therapy (aerosol inhalers) such as Proventil/ Proair / Ventolin. Daily use can reduce the effectiveness of the medications and side effects may include tremors and fast heart rate.

 

If a young athlete is having breathing issues when participating in sporting practices or competitions, they should be evaluated by a medical professional to determine between the possibility of exercise-induced asthma or vocal cord dysfunction.

 

Physical Health

4 Most Common Types of Shoulder Injuries

Shoulder injury is more common than you think, especially in relation to sports. Pitching a baseball, playing volleyball, taking a hit in football, constant swimming—all can result in some sort of damage to the shoulder. Now that fall is approaching, the potential for shoulder injury increases with the return of sports.

The following are the most common types of shoulder injury, how they are caused, and the treatment of each:

Impingement Injury
Impingement injuries involve the rotator cuff, the bicep tendon (attaches the bicep muscle to the shoulder and elbow), and other structures in the affected shoulder.

Cause: It is caused by repeated overhead activities, which can overuse the shoulder. Pitching in baseball/softball, volleyball, swimming and tennis can all lead to this type of injury.

Treatment:75-80% of athletes respond well to rest and rehabilitation and are able to return to play, while the small, remaining percentage will require injections and perhaps surgery.

 

Instability Injury

This type of injury can be either traumatic or non-traumatic.

Cause: Non-traumatic instability injuries involve repeated overhead activities (much like impingement injury), but when examined shows signs of shoulder “instability.” Shoulder instability is when the structures surrounding the shoulder joint aren’t keeping the ball within the shoulder socket. Traumatic instability occurs from an awkward twisting motion, like one would see in football such as tackling or blocking. Athletes often report feeling a “pop” at time of injury, signaling dislocation of the shoulder joint.

Treatment: Approximately 90% of non-traumatic injuries can be rehabbed successfully, with only 10% requiring surgery. Traumatic instability often requires surgery.

 

Clavicle Fractures

Clavicle fractures account for 5% of all adult fractures.

Cause: A clavicle fracture is the result of a direct blow to the shoulder area or pressure on an outstretched arm, which then creates a break in the collarbone. This can be very painful, making it hard to move the arm. These fractures commonly occur in football, hockey, wrestling and lacrosse.

Treatment: Although slings used to be the recommended treatment for mild fractures, surgical intervention is now preferred due to the high incidence of re-fracture.

 

Nerve Injury

Commonly involving the brachial plexus (a network of nerves that sends signals from the spinal cord to the shoulder, arm and hands), this injury can also include the cervical spine (vertebrae of the portion of the spine referred to as the neck).

Cause: This type of injury is caused by sudden damage to the nerves, including stretching, compression or, in serious cases, ripping or tearing of the nerves from the spinal cord. It is often seen in the “stinger” position in football and occurs in approximately 25% of all football players annually. This injury can cause the loss of feeling or movement in the shoulder, arm or hand.

Treatment: In some cases nerve injury may heal without treatment, but more serious injury may require surgery to regain proper function of the arm or hand.

 

If you have suffered a shoulder injury, it is important to seek consultation and diagnosis from your primary care physician or, in more serious cases, when visiting the emergency room.

 

Physical Health

DFD: A Proud Community Health Center

Community health centers are an important part of the healthcare system, serving rural and vulnerable neighborhoods. They are the providers of choice in medically underserved areas of the country. Maine is home to twenty community health centers with over seventy service locations statewide. DFD Russell Medical Centers is such a community health center and is honored to serve more than 8,000 patients in the communities of Leeds, Turner, and Monmouth, Maine.

 

Why Visit a CHC like DFD?

  • Community health centers are patient-focused and community-oriented
  • More services under one roof: patient visits, behavioral health, and dental care
  • CHCs are open more evening and weekend hours making care more accessible
  • Community health centers offer comprehensive, high-quality primary care to anyone regardless of health insurance or financial status
  • Supportive services such as educational, transitional, pharmacy and transportation services are also available
  • Governing boards are at least 51% community members

Did you know?

In the past two years, Maine community health centers have served:

  • 41,114 children
  • 6,632 homeless patients
  • 10,635 veterans
  • 266,664 patients for mental health and substance use disorder treatment

 

Celebrate with us!

Join DFD as we celebrate National Health Care Center week beginning on August 4, 2019. This week is dedicated to educating the public on why health care centers do what we do, how you can help, and honoring those who rely on us for top-quality care.

EventsGeneral News

Are You Tick Smart?

Ticks thrive in Maine’s wooded and unmaintained areas, such as high grass and leaf debris. They are particularly established in southern and coastal parts of the state. This year is an especially high-risk season but there’s no need to be afraid as long as you’re being tick smart.

Prevent ticks from reaching your backyard:

  • Maintain your yard by mowing grass regularly and attending to leaves, shrubs, etc.
  • Wear long-sleeved and light-colored clothing
  • Use insect repellant with at least 20% Deet
  • Have your pets vaccinated or medicated against ticks
  • Have a professional spray a perimeter pesticide

 

MYTH: Ticks die every winter.

Check yourself every day for ticks that may have hitched a ride:

  • Have a partner/parent help to check areas you can’t easily see
  • Check between toes, hands, underarms, behind the knees, around and in ears and hair
  • Shower after being outside—this helps wash off any ticks
  • Don’t re-wear outdoor clothes; tumble dry on high to kill ticks trapped in clothing

 

MYTH: Every type of tick carries disease.

If you see a tick attached to your skin, remove it immediately. It takes 36 hours for bacteria to leave the tick and be injected into your body.

  • With tweezers: pull upward with steady, even pressure. Don’t jerk or twist—this may cause tick material to stay in your skin.
  • With a tick spoon: apply slight downward pressure to skin and push forward under the tick’s body.
  • Do not crush the tick with your fingers! Put in alcohol or flush it down the toilet.
  • Wash your hands immediately and soak tweezers in alcohol, if needed.

 

MYTH: You’ll know if you get a tick bite.

If you were recently bitten by a tick and removal was successful, it’s still important to check your skin. If you have a rash, headaches, fever and flu-like symptoms after a tick bite, call your primary care provider right away.

AwarenessGeneral News

Protecting Your Teeth

Flossing, brushing, and rinsing are done every day to keep mouths clean and breath fresh. But did you know the importance of wearing a mouthguard?

The Why

More than five million teeth are damaged every year, many during sports activities. Wearing a mouthguard prevents injury, reduces chances of concussion and protects teeth from cracking or breaking. They also protect the jaw muscles from injury or teeth clenching and grinding.

The When

Typically, mouthguards are worn during contact sports, but it’s crucial to wear one during other recreational activities, too. These include: biking, skateboarding, rollerblading, martial arts, skiing and weight lifting­—or if you feel any activity could lead to an injury to the mouth and teeth.

The How

Your mouthguard needs to be cleaned just like any other piece of sports equipment or safety gear. Keeping your mouthguard clean will prevent bacteria, mold and yeast from entering your body and causing more complex health problems.

  • Rinse in water and brush with a toothbrush daily or after each use
  • Deep clean using antimicrobial tablets or homemade solutions every week
  • Store the mouthguard in a case that has air vents, and clean case weekly
  • Replace mouthguard when there are signs of aging/wear

Keeping your mouthguard clean and accessible will help reinforce the habit of wearing it and keep you free of injury.

 

For more information on the importance of oral health and regular check-ups, visit: https://dfdrussell.org/healthcare-services/oral-health-care/

 

Physical Health

What is HPV?

The Human Papillomavirus (HPV) is a group of over 150 viruses which may be spread through open-mouth kissing, intimate skin-to-skin contact, and direct sexual contact. In fact, it’s the most common sexually transmitted disease in the U.S. One way to ensure staying HPV-free is vaccination. It’s recommended and highly-effective to be administered to kids ages 11-13 before they’ve been exposed to the virus.

Did you know?

  • 80% of Americans have had an HPV infection in their lifetime
  • 79 million Americans currently infected
  • 31,200 cases of cancer could be prevented by the HPV vaccine

While some high-risk types of the HPV virus can lead to certain cancers, including throat and cervical cancers, and low-risk types can cause genital warts, 90% of cases will clear on their own. This is largely in part to a healthy, functioning immune system!

Keep your immune system healthy:

  • Exercise
  • Sleep more
  • Minimize stress
  • Don’t smoke
  • Eat vegetables + fruit

*It is still suggested to be vaccinated since the vaccine doesn’t protect from all types of HPV.

 

If you have any questions about HPV or the vaccine, please call DFD today at 207-524-3501 to schedule an appointment.

Physical Health