Tuesday, 12 April 2016

Princess Health and  Spring fever: If over-the-counter medicines don't quell your allergies, it's a good time to see an allergist. Princessiccia

Princess Health and Spring fever: If over-the-counter medicines don't quell your allergies, it's a good time to see an allergist. Princessiccia

By Ann Blackford
University of Kentucky

The beauty of spring is upon us, but as lovely as it may be to look at, it can wreak havoc in your nose, throat and eyes. The higher the pollen count, the greater the misery.

Seasonal allergies are the result of a chain reaction that starts in your nose. If you are allergic to pollen, the immune system will overreact by producing allergic antibodies. The antibodies attach cells in your airway and cause release of chemicals, causing an allergic reaction.

Many people find relief in some very effective over-the-counter medications. If OTC medications don't provide relief, or cause significant side effects, this is a good time to visit an allergist. An allergist/immunologist is a pediatrician or internist who has spent an additional two to three years of training specifically in this field.

Allergists will discuss treatment options: typically allergy avoidance, followed by medical management, and lastly allergy injections.

Allergy shots are the only known cure to date for allergic rhinitis (nasal allergies). The concept behind allergy shots � allergy immunotherapy � is that the immune system can be desensitized to specific allergens that trigger allergy symptoms, thereby building up resistance or tolerance to the allergens.

Allergy shots generally work in two phases. The buildup phase can last from three to six months and involves receiving injections in increasing amounts of the allergen and are taken once or twice a week.

The maintenance phase begins when the most effective dose is reached. The dose can be different for each person, depending on how allergic you are and your response to the build-up injections. Once the maintenance dose is reached, there are longer periods of time between injections, typically two to four weeks.

Some people will experience relief of their symptoms during the build-up phase, but for others, it may take as long as 12 months on the maintenance dose. If there is no improvement after a year, your allergist may discuss other treatment options.

Allergy shots are a good option for people with allergic rhinitis (hay fever), allergic asthma, conjunctivitis (eye allergy) or stinging insect allergy. Shots can be given to children as young as four to five years old.

Shots are not recommended for food allergies, but can help in patients with oral allergy syndrome. This syndrome occurs in patients highly allergic to pollens; the body reacts to cross-reacting foods, and causes itching of the mouth and tongue. Allergy shots are not started on pregnant women but can be continued on patients who become pregnant while on shots.

Recently the Food and Drug Admimistration approved allergy drops or sublingual immunotherapy for grass and ragweed allergy. However, most patients have many confounding allergens (i.e. trees, molds, mites, animal danders), which can be included in allergy shots, thus making shots much more effective.

Princess Health and Poll finds many Kentuckians continue to struggle with cost of health care, though fewer are uninsured and struggling. Princessiccia

While having health insurance certainly eases the cost burden of health care, nearly one-third of Kentucky adults struggle to pay their medical bills whether they have health insurance or not, and two in 10 say they often delay or skip needed medical care because of the cost, according to the latest Kentucky Health Issues Poll.

The poll, taken Sept. 17-Oct 7, found that in 28 percent of Kentucky households, someone had trouble paying medical bills in the previous 12 months. This didn't vary much between those with or without insurance, and was about the same as in 2014.

However, fewer Kentucky adults without insurance said they had difficulty paying their medical bills in 2015 than in 2014: down to 31 percent from 47 percent. In 2014, the Patient Protection and Affordable Care Act was fully implemented in Kentucky with expansion of the federal-state Medicaid program to people with incomes up to 138 percent of the federal poverty level.

According to the Kaiser Family Foundation, the average annual out-of-pocket cost per person for health care in the United States in 2014 was $1,036,which includes costs for any expenses not covered by insurance, says the report.

The Kentucky Health Issues Poll also found that 20 percent of Kentucky households did not get the medical care they needed, or delayed care because of the cost, in the past 12 months. This was more common among Kentucky's uninsured (27 percent) than those with insurance (19 percent).

However, these figures were an improvement from 2009, when 58 percent of uninsured Kentucky adults said they delayed or didn't get needed care, and from 2014, when 38 percent said so.

Poorer adults, those eligible for Medicaid, were more likely to forgo health care because they can't afford it; 29 percent of them said they had in the previous year, while only 16 percent of people with higher incomes said so.

"Being able to access medical care and being able to afford that care are two important factors to improve health in Kentucky," Susan Zepeda, CEO of the Foundation for a Healthy Kentucky, said in a news release. "KHIP data indicate that fewer Kentucky adults are delaying medical care. This helps Kentuckians get and stay healthier, getting timely preventive services and early help with management of chronic conditions like diabetes and asthma and with smoking cessation counseling."

The poll was conducted by Institute for Policy Research at the University of Cincinnati and for the foundation and Interact for Health, formerly the Health Foundation of Greater Cincinnati. It surveyed a random sample of 1,608 adults via landline and cell phone, and has a margin of error of plus or minus 2.4 percentage points.

Princess Health and Mary Hass of Louisville gets national brain-injury advocacy award. Princessiccia

Mary Hass (image
from BIAK Facebook page)
Mary Hass, the volunteer advocacy director at the Brain Injury Association of Kentucky, was one of four medical professionals recognized for their accomplishments in the field of brain injury during the North American Brain Injury Society's 13th annual conference.

Hass, of Louisville, is the first ever recipient of the NABIS Michael Davis Advocacy Award, named in recognition of a board member who passed away last year.

The award was given in honor of her "commitment and dedication to the field of brain injury and her advocacy work to establish programs and service for persons with brain injury in Kentucky, many of which serve as models for similar efforts around the country," says the release.

The conference, recently held in Florida, was attended by almost 400 multidisciplinary brain injury professionals from around North America who gathered to learn and share the latest developments from the field of brain injury. The principal mission of the organization is moving brain-injury science into practice.
Princess Health and  Kenton County embraces its once-controversial smoking ban as chances of a statewide ban have dimmed. Princessiccia

Princess Health and Kenton County embraces its once-controversial smoking ban as chances of a statewide ban have dimmed. Princessiccia

Five years after Kenton County's smoking ban took effect over great opposition, the county has embraced it, Scott Wartman reports for the Cincinnati Enquirer.

"I'm a smoker, but I'm glad we're non-smoking," Justin Meade, a bartender at Molly Malone's in Covington, told Wartman. "I don't want to smell like smoke."

Kenton is the only Northern Kentucky county with any type of indoor smoking ban. Its partial ban allows establishments that don't serve people under 18, like bars, to have smoking.

Wartman reports having trouble finding anyone who didn't support the smoking ban as he walked among the Covington bar scene, and noted that a Northern Kentucky Health Department report cites very few complaints.

"I think what folks should take away from this is comprehensive smoke-free laws are easy to enforce, that most people like them and that they protect everyone," Stephanie Vogel, population-health director for the health department, told Wartman.

"The nonchalant acceptance, and even enthusiasm from some, of the partial smoking ban in Kenton County contrast with the controversy when it was enacted five years ago," he writes, noting that five years ago some bar owners thought the ban would put them out of business and patrons "lamented" that it was "an attack on their rights."

Amy Kummler, owner of Up Over bar, which can still allow smoking because it doesn't serve anyone under 18, told Wartman that she wouldn't mind if indoor smoking were banned statewide, but "feels smoking bans limited to one county or city are unfair," he writes.

"I don't even want to sit in my bar when it's smoky a lot," Kummler said. "I would be thrilled if the state went non-smoking, but I don't think it would be fair unless everybody did it."

Kentucky legislators have tried to pass a statewide smoke-free workplace law for years, but to no avail. Last year a bill passed out of the House, but was not called up for a vote in the Senate. This year, an election year, the bill wasn't even called up for discussion in committee. New Republican Gov. Matt Bevin opposes a statewide smoking ban.

"Last year we thought it was our year," Heather Wehrheim, chairwoman of Smoke-Free Kentucky, told Wartman. "It was the perfect scenario ... the public support was there; we thought we had the votes. It was Senate leadership that blocked it. Their argument, and whether it's true or not, is that it should be left up to local communities to pass smoke-free laws. We know that is going to take years and years and years."

The latest Kentucky Health Issues Poll found that two-thirds of Kentucky adults support a comprehensive statewide smoking ban, and have since 2013. The ban has support from solid majorities in each political party and has majority support in every region of the state. But more than one-fourth of Kentucky adults are smokers.

Monday, 11 April 2016

Princess Health and  April 11th, 2016 Pause Daily. Princessiccia

Princess Health and April 11th, 2016 Pause Daily. Princessiccia

April 11th, 2016 Pause Daily

There's so many things I want to write about tonight--but the return flights and the hour and forty-five minute drive home has left me completely spent. I'll recount the strategies that worked well in maintaining far away from home, tomorrow night. In the meantime--a good rest is in order!

I'm very happy to report: The entire experience was even better than I expected--and throughout it all, I maintained the integrity of my plan. I stayed with my generous maintenance calorie budget, I remained abstinent from refined sugar and I exceeded my water goal for the day. My workout, aside from the small morning routine, was navigating the airports!

Behind the scenes at TODAY on NBC!
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With fellow Joy Fit Club inductee, Hope Church

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Backstage prep with Hope and Joy

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Post segment visit

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More visiting post segment!

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Going over pre-segment details

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Remember the story from yesterday's edition, about my 51st Street conversation with Jay Leno? It turns out, the people Jay was visiting with prior to his conversation with me was Hope and her husband Jeremy! Hope actually got the picture!

Special thanks to Hope's husband, Jeremy Church, for snapping all of these shots. Joy also took several--and I'll have those very soon!

The video segment on TODAY:
         

I was absolutely overwhelmed with gratitude for being inducted into The Joy Fit Club! I can't thank Joy Bauer and the Today Show enough. So much has changed in the last two years!! I must pause daily to give thanks for every single blessing!

Today's Live-Tweet Stream:










































Thank you for reading and your continued support,
Strength,
Sean

Sunday, 10 April 2016

Princess Health and  April 10th, 2016 Tomorrow, It's TODAY on NBC. Princessiccia

Princess Health and April 10th, 2016 Tomorrow, It's TODAY on NBC. Princessiccia

April 10th, 2016 Tomorrow, It's TODAY on NBC

I couldn't sleep last night. Like an excited kid the night before a big trip--I tossed and turned and finally, after less than an hour of sleep--and restless sleep, I jumped up. The flight out of Oklahoma City this morning was set for 6am. I needed to be parking my car by 4:30am at the very latest!

In a situation like this, it's important for me to tighten my embrace of the fundamental elements I make important each day, not loosen them in the name of the trip. Traveling and experiencing stunningly surreal happenings isn't a reason to relax my plan. Of course, it was my reason to do just that on so many past occasions throughout my lifetime of morbid obesity. Recently, someone commented something to the effect of, allow yourself a good meal while you're in New York. The thing is, I allow and enjoy good meals every single day! If I didn't genuinely enjoy my food choices, I wouldn't be here, today.

I can't tell you how many trips I've taken in my life where I was convinced the food and quantity of food was the key element in making it a great time. Being out of the food fog opens me up for new perspectives to come through. Now, I realize some of the greatest things about a trip like this--and usually, they're things I wouldn't have appreciated any other time in my life. Please don't get me wrong--there's not a single thing wrong with a passionate appreciation of good food, especially on a trip--and New York has good food wherever you look!! Remember, I'm referring to boundaries specific to me, developed in consideration of my experience/history.

Maintaining the integrity of the plan away from home requires a higher awareness and a willingness to plan well. I was cutting fruit, weighing it and bagging it for my carry-on bag very very early this morning. If I have what I need, I won't fall for what I don't.

I stayed in close contact with support friends today. And I even had a chance to meet up and enjoy lunch with Eileen, a member of our support group conference calls!

By the time I took a nap this evening--I was toast. And it was truly one of the best naps I've experienced in a very long time. It was solid.

Oh--almost forgot-- The first person I ran into after exiting the car at the hotel this afternoon was Jay Leno!! He just finished a fast Oh wow--it's Jay Leno conversation with some others, so I almost didn't say anything--but then I couldn't help myself. We talked about stand-up--he asked me where I was from and what I was doing here. I told him--then a few more seconds about comedians we both know and what they're up to these days. It sounds like a lot--but seriously, I'm pretty sure we crammed it in quick, within 30-45 seconds. And I didn't ask for a picture with him--because don't you know he likely gets that constantly, wherever he goes, every single day... but as he walked away, I immediately wished I had politely asked for a selfie. Given how much influence his career had on me as a young kid and helped encourage me towards stand-up---I can't believe I missed the opportunity. But on the other hand, I was proud of myself for keeping my fandom in check!

Tomorrow's a big big day. I'll wrap this post with some pictures and the Live-Tweet Stream from today's traveling experience. Thank you for reading. It's TODAY on NBC, tomorrow!!!!

Oh--and by the way--please don't worry if you miss it LIVE (it'll be in the last hour of the program)--because a link to the entire segment will be up not long after it airs live. It'll be on my facebook, twitter and this blog, later--tomorrow night or early Tuesday morning!

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Radio City Music Hall is right across the street!! Fascinating to me! I'm super excited--can you tell? :)

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This was very cool. I've never had someone hold my name up at the airport! He was such a nice man. What a wonderful experience visiting with him on the way to the hotel. Great first interaction with a native New Yorker!

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Studio 1A-- This is where Today on NBC happens!

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30 Rock Selfie

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Eileen Watkins-Dunne lost an incredible amount of weight before experiencing a relapse/regain. She's now lost 97.5 as she works back toward her healthiest weight!! Eileen is a proud member of the support groups I co-facilitate with Life Coach Gerri and Kathleen Miles! It was wonderful to meet Eileen in person! Thank you for making that happen, Eileen!

I'm surprising not beside myself silly-nervous. I feel a nice calm. I hope and pray that calm continues!

Today's Live-Tweet Stream:














































Thank you for reading and your continued support,
Strength,
Sean
Princess Health and  Rural drug-overdose rates, high in Kentucky, blamed partly on limits on treatment medication and mental-health services. Princessiccia

Princess Health and Rural drug-overdose rates, high in Kentucky, blamed partly on limits on treatment medication and mental-health services. Princessiccia

"People in rural areas of Appalachia are more likely to die early deaths than in other parts of the country," and a big reason is that they "die from drug overdoses at greater rates than the rest of the country," writes Kery Murakami, the Washington, D.C., reporter for Community Newspaper Holdings Inc.'s CNHI News Service.

Murakami notes that in Leslie County, Kentucky, 7.9 of every 10,000 residents overdosed each year in 2012-14. "That�s six times the national rate," and third in the nation, he writes, citing the annual County Health Rankings done for the Robert Wood Johnson Foundation by the University of Wisconsin Population Health Institute. Several other Appalachian counties in Kentucky and West Virginia rank high.

The rates are high partly because "addicts in some parts of the country get turned away by doctors and are not given a drug called buprenorphine that is used to kick opioid addictions," Murakami reports, citing addiction experts. "Buprenorphine causes less euphoria and physical dependence and can ease withdrawal and cravings."

However, "Federal law caps the number of patients to whom a doctor is allowed to prescribe the drug, out of concern of creating places where large numbers of addicts receive opioid-based medication. Such treatment hubs, much like methadone clinics, bring unwanted community opposition, said Mark Parrino, president of the American Association for the Treatment of Opioid Dependence. That limits treatment choices in rural areas, where one doctor might be the only one licensed to prescribe buprenorphine for hundreds of miles."

The Department of Health and Human Services is moving to ease the limits, and Sens. Ed Markey, D-Mass., and Rand Paul, R-Ky., want to go even further. "But some addiction experts are concerned that raising the caps on buprenorphine will nudge the country toward treating addiction with medication rather than counseling, Murakami reports. The department�s proposed rules would require mental-health care, which is often hard to get in rural areas. The senators� bill would not.

�Turning people away from the most evidence-based treatment we have for a chronic, life-threatening disease is heart wrenching for a doctor,� Dr. Kelly Clark, president-elect of the American Society of Addiction Medicine, told CNHI. �Rural areas have been hit hardest by this round in overdoses, which is the worst round of overdose deaths in our country.� She said medication is especially important in rural areas because opioid use spreads among families. �In rural areas, you�re treating the person, their parents and grandparents,� she said. �Entire families are addicted. It�s not like saying, �Stay away from certain friends,� if they�re shooting up with their sister and their mother.�