Category Archives: Health

10 foods that boost energy and build endurance in seniors

Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


As older adults continue to age, it’s critical that they eat foods with nutrition to boost their energy levels and build their endurance. Without enough energy, physical and mental health can begin decline. In order to get that much needed energy boost, here are 10 foods that provide multiple health benefits for seniors.

1. Nuts

Nuts are full of healthy fats and proteins that give seniors nutritional energy. The amino acids in nuts can also help rebuild and strengthen muscles, which is great for simple stretching and exercising. 

Walnuts

Walnuts have plenty of fiber for seniors, and can be eaten on their own as a snack or in salads, deserts, and other dishes. Their high calorie count will also help provide seniors with all-day energy.

Almonds

The carbs and fiber in almonds are complicated and are broken down slowly, which provides energy throughout the day rather than all at once. This makes nuts a great pick-me-up with a long-lasting effect.

2. Berries

As with nuts, berries can be a quick snack that taste great and have many added health benefits that seniors can take advantage of. 

Blueberries

Blueberries are full of antioxidants, which not only provide immune-boosting effects, but can help protect muscles from weakening over time. Blueberries also have water packed into them, which keeps seniors hydrated and energized.

Strawberries

Strawberries have a lot of the antioxidants found in blueberries, along with vitamin C and healthy sugars that fight fatigue and slow inflammation in the body.

3. Whole grains

Healthy carbs like whole grains have complicated cellular structures that take time to break down during digestion, which provides a constant source of energy throughout the day. Switching from unhealthy carbs to whole grains is a small step that has lasting health benefits.

Oatmeal

The rumors are true—oatmeal is good for your heart! A bowl of oatmeal in the morning can give you much-needed energy throughout the day, as well as providing fiber and protein that seniors need to build their endurance.

Quinoa

Quinoa, which is more of a seed than a grain, is packed full of healthy carbs and protein. It also helps build and repair muscles, which helps seniors maintain their muscle mass and mobility as they age.

4. Sweet potatoes

Rather than white or yellow potatoes, give sweet potatoes a try! Sweet potatoes have much more nutritional value than other potatoes, even though the “sweet” in the name might imply otherwise. The sweetness actually comes from the complex sugars and carbs that give seniors energy and encourage them to exercise and build muscle mass.

5. Greek or plain yogurt

Plain or Greek yogurt provides a big boost of energy with healthy proteins and fats. Rather than the sweetened versions that add lots of sugar, unflavored yogurt gives you lasting energy. You can add some fruits or berries to get natural sweetness if you need!

6. Bananas

As most people know, bananas are high in potassium. What isn’t as well known is what potassium helps to balance hydration and deliver energy. In addition, bananas have anti-inflammatory properties that help seniors build endurance and heal torn muscles faster. 

7. Beans and lentils

Beans and lentils are high in a number of vitamins and minerals, such as zinc, iron, and magnesium. Replenishing minerals can help seniors maintain blood sugar levels, which in turn helps provide a constant stream of energy.

8. Water

While water is a drink, not a food, it is still one of the best things seniors can have to boost energy and build endurance. Without proper hydration, muscles won’t be able to function properly and seniors can easily lose both strength and mobility over time from dehydration.


If drinking water isn’t your thing, then take a look at some other ways you can get your daily dose of hydration.

Senior health tips for hydration

9. Seeds

Seeds are another example of a healthy snack that can give seniors a quick boost of energy and build endurance.

Chia Seeds

The slower you naturally digest food, the more steady your energy levels will be throughout the day. That’s why seeds that are high in fiber like chia seeds are a great high-energy snack. 

Pumpkin Seeds

Like chia seeds, pumpkin seeds have a high fiber content that helps regulate digestion throughout the day. You can easily make your own pumpkin seeds at home by baking them in the oven with a little salt.

10. Avocados

Avocados provide some of the healthiest natural fats found in any food item. Healthy fats are used as energy, rather than unhealthy fats which are stored by the body. Seniors can take advantage of the energy provided by avocados to motivate themselves to exercise and move.


Seniors need to find the energy to move, stretch, exercise, and socialize as they age, or they face serious health consequences. Rather than losing independence, eat the right foods and stay healthier for longer!


Reprinted with permission from Vista Springs Assisted Living.





The 7 best retirement hobbies for creative types

Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


After retirement, you might discover that you have more time on your hands than originally expected. In order to fill that time, many seniors start exploring new hobbies and activities. But many common activities like golfing, traveling, and fishing aren’t geared towards seniors who would rather stay at home than go out.


Luckily, there are plenty of senior hobbies that don’t need a lot of time, money, or physical capability, and can take place in your own living room. Retirement offers a perfect opportunity to learn new skills, so take a look at these seven different retirement hobbies that are perfect for creative types.

1. Painting and drawing

Creating artwork like paintings and drawings is an activity that has almost no limitations on what can be created. From watercolors to acrylics to oils to charcoals, there are countless mediums of art, so you can find the perfect one that works best for you.


Local community centers typically have plenty of art classes that are great for beginners. These also provide seniors with a new way to get out of the house and socialize with others. Whether you go big with canvases and materials or keep it simple with a few pencils and paper, painting and drawing can help you feel relaxed and calm while helping you build your artistic skills.

2. Crafting

Crafting is another example of a creative activity that doesn’t require a lot of mobility or physical effort, and it includes all kinds of hobbies such as:

  • Jewelry making
  • Needlework
  • Beadwork
  • Scrapbooking
  • Knitting
  • Soap and candle making
  • Crocheting
  • Creating home decor items

Crafting can also be a way to make a little extra money after retirement. Going to craft shows or selling your items online can be a fun way to earn some extra cash while exploring a new activity and meeting plenty of new people.

3. Cooking

There are almost an unlimited number of ways to learn new cooking skills, from looking at old family recipes to watching cooking shows to swapping ideas with friends. There’s so many recipes out there that everyone from the most basic beginner to seasoned experts can find something new to work with.


Cooking also provides seniors with a way to take control of their health, explore different cuisines, and share meals with others. Whether you’re gaining a few basic cooking skills or perfecting your talents, retirement is a perfect time to explore new cooking opportunities. Looking for some great beginner recipes to get started with? Click the link below to try some healthy options!


15 Easy and Healthy Recipes

4. Pottery

Pottery is an often overlooked but incredibly satisfying hobby. It typically requires a significant amount of time, which makes it a perfect creative outlet for retired seniors who can now afford to dedicate the necessary hours to create ceramics. 


Like many other crafting opportunities, pottery gives seniors a chance to earn some additional income by selling their wares either online or at festivals and craft shows. Pottery can create useful items like bowls, plates, and vases, or fun home decor items and abstract art pieces. 

5. Woodworking

If you like a hands-on approach to retirement hobbies and want to try something a little out of the box, then woodworking might be the best option for you. While getting the right tools can be an expensive up-front cost, woodworking is a wonderful creative outlet that your friends and family might not have seen before.

6. Gardening

If you think that all gardening involves kneeling down in the dirt and having to perform back-breaking labor, then you would be wrong! Gardening can take place out of doors in flower beds, but it can also be adapted to meet a senior’s needs, especially if getting up and down is difficult. 


Container gardening is a great way to get enjoyment out of planting and growing your own flowers or vegetables without having to perform as much physical labor. Raised containers like planters, baskets, and pots can help you protect your back health, and can take place both indoors and outdoors. 

7. Writing

As you age, you might discover that there are many things you want to record and preserve for posterity. Or you might have some creative ideas that you want to explore through writing. Either way, there’s never a better time to start than today!


Writing can include everything from novels to poems to short stories, as well as everything in between. If you are looking for a good place to start, then consider reminiscence writing as a way to help you connect to past events while providing helpful therapeutic results. 


Reprinted with permission from Vista Springs Assisted Living.







The upside to milk

Those with dairy in their diet have a lower risk of diabetes—possibly because they’re eating less refined, low-fiber carbohydrates, according to one study. (Courtesy Spectrum Health Beat)

By Len Canter, HealthDay


Dairy foods have been getting a lot of attention from researchers in recent years, notably from studies done both jointly and separately by scientists at Harvard and Tufts universities.


They looked at the relationship between full-fat dairy and the risks for heart disease and diabetes.


A 3,000-participant study found that people who included dairy fat in their diet had a lower risk of diabetes. One theory for the link is that people who skip or limit dairy might compensate by eating more refined, low-fiber carbohydrates, which can increase diabetes risk.


A study that followed more than 200,000 people over several decades looked at the relationship between dairy fat intake and heart disease.


It found no increase in heart disease risk among people who ate dairy fat, although the risk was lowered when calories from dairy fat were replaced with calories from plant-based fats or whole grains—24% when they were replaced by polyunsaturated fats and 28% when replaced with whole grains.


On the other hand, the risk went up by 6% if those calories went instead to foods with other types of saturated fat, like red meat.


A third piece of research reviewed nine studies that looked specifically at butter—another source of saturated fat—and its role in heart disease, diabetes and all causes of death.


The analysis found that while plant-based fats are healthier, small amounts of butter aren’t likely to hurt you.


What might you do with all this information? The familiar bottom line is moderation.


While it’s still healthier to cook with olive oil, for instance, you can indulge in a pat of butter on your hot whole-grain cereal or an ounce of cheese on whole-grain bread or, perhaps best of all, a serving of full-fat yogurt and a cup of berries.


Reprinted with permission from Spectrum Health Beat.






Aging and loss of independence: How assisted living can help

By Vista Springs Assisted Living


There are parts of aging that we don’t like to talk about, including the loss of independence that many older people face. It’s difficult to see our senior loved ones struggle with things that used to come easy to them, but it’s even harder for them as they have to face the idea that they can no longer take care of themselves alone.


Helping a loved one accept their new situation often involves a conversation about moving to a place where they can receive aid for the things they can no longer do themselves. With bleak images of nursing homes often popping into mind, this option is incredibly unappealing to many seniors. However, a perfect balance between independence and assistance for your senior loved one can be found in assisted living.

What does loss of independence look like?

Losing independence looks different in each senior as they age, but there are three main ways elderly people begin to notice a loss of independence.

  1. Physical—As seniors age they lose strength and mobility, making housekeeping chores, getting out of bed, walking around their residence, bathing, and dressing difficult to do alone.
  2. Mental—Losing cognitive function makes it difficult for seniors to remember appointments, medication schedules, when they last ate, and other personal care tasks.
  3. Social—When a senior can no longer drive or move easily, they often find themselves isolated and unable to engage socially with others, which can have long-term effects on their mental health

As a result of losing independence, seniors can feel depressed, angry, guilty, ashamed, or afraid. Seniors can also become confused about why they are losing their independence and either act out or isolate—neither of which are healthy reactions. 


The most common of these feelings is depression, which can often go unnoticed in seniors. It’s important to get your loved one help if they are showing signs of depression, which include:

  • Loss of interest in socializing and activities that used to interest them
  • Changes in weight & appetite
  • Lack of motivation
  • Neglecting personal care (bathing, dressing, taking medications)
  • Decline in cognitive functions
  • Self-loathing

Another common reaction is extreme guilt or shame. Seniors can feel like their inability to care for themselves is their fault, or they might feel ashamed that they need help in parts of their life that they had control over when they were younger. 


Every senior is going to react differently, so be aware of the different types of feelings that your loved one might exhibit during this difficult period in their life, and work with them to address the negative feelings that they have. 

What can you do?

The best thing you can do for a loved one struggling through the process of accepting their loss of independence is to be patient. Your loved one may not understand their own feelings, so don’t add to their stress with your frustrations. Keeping a level head and remaining calm can go a long way.


Visit with your loved one regularly and encourage them to ask for help when they need it so you can understand what their needs are. Offer rides to get them out of their house or apartment and to places where they can socialize with others. If you are working as a temporary caregiver, remember to take your own health into consideration so you don’t burn out, causing more difficulty. 


Another one of the best things you can do is encourage your loved one to move to a community that can give them both the help they need and encourage their own independence. 

Assisted living and senior independence

Assisted living can be a great solution for seniors who need help in certain areas of their lives, but want to maintain their independence as well. Most communities create a plan with your loved one to provide needed services, but allow independence in the other areas of your family member’s life. Common services include: 

  • Medication management
  • Meals and snacks
  • Help with mobility and movement
  • Bathing, dressing, and personal grooming
  • Housekeeping and laundry
  • Medical services for different levels of care needs

In addition to assistance with these types of tasks, assisted living communities also provide socialization opportunities that your loved one wouldn’t find with in-home care or a family caregiver. Rather than remain confined to a single room, assisted living communities are designed to get seniors interacting with each other and participating in fun activities. 


Communities like Vista Springs are designed with independence and luxury in mind, and we look forward to giving your senior loved one every opportunity to maintain control over their lives while offering assistance with the things they do need help with. Click the link below to learn more about what makes Vista Springs different, or subscribe to our blog to get the latest information on all things assisted living!


Reprinted with permission from Vista Springs Assisted Living.




Snapshots: The kind of (good) news we need right now

By WKTV Staff

ken@wktv.org

Quote of the Day

“My mother is an incredibly beautiful woman who has laughed at every single thing my father’s ever said. At a young age, my brother and I understood that if you can make girls laugh, you can punch well above your weight class.”

Seth Meyers (From whom we stole the headline!)



Love in the time of coronavirus

April is a big time for weddings and like many couples, Melanie Bork and Bradley Wernette were looking forward to their special day on April 17 in Petoskey, Mich. However, one uninvited guest — COVID-19 — crashed the party before it could even get started. Go here for the story.



Boardman Brown, on stage at a July 2019 Wyoming Concerts in the Park. (WKTV)

A summer concert, from your ‘stay at home’ couch

The members of Boardman Brown, a West Michigan band that lit a little musical bonfire at a Wyoming Concerts in the Park summer series gig last summer, are working their way through the COVID-19 restrictions just like everyone else — at home. Go here for the story/videos/on-demand concert.



A virtual walk in Australia’s Outback

The most iconic element of Australia’s Red Center, Uluru is sacred to the indigenous Anangu, who finally succeeded in having hiking banned on the rock late last year. But even walking around the perimeter (which is still allowed) is a staggering experience—particularly at sunrise or sunset, when the rock takes on a preternatural glow. Go here for a virtual tour video.

Fun fact:

883

… and each with at least one bad joke!

The current total number of Saturday Night Live eposides. Trivia bonus fact: On the very first episode of SNL, host George Carlin comes down from the balcony and discusses the differences between football and baseball, using the language associated with each sport. See Carlin’s monologue here.

Want to get fit? You’re never too old

In your later years, it matters less what type of movement you choose—it’s all about the fact that you’re up and moving. (Courtesy Spectrum Health Beat)

By American Heart Association, HealthDay


As people age, physical activity still needs to be part of the game plan for living a healthy, happy life—and experts say it’s never too late to get active and build strength.


“We try to tell people the body can still adapt and it can still improve,” said Barbara Nicklas, a professor of gerontology and geriatric medicine at Wake Forest University School of Medicine.


Those who engage in more occupational or leisure time physical activity have a lower risk of disease and death—and the health benefits of movement can extend to all ages, Nicklas explained in an editorial in the Journal of the American Geriatrics Society.


Nicklas cautions against placing all “older adults” who are age 60 and up into one category. Rather than basing exercise and activity goals on age, they should be geared to one’s “physical functional status.”


“What can the person do?” she said. “Not everybody is the same.”


Whether you’re 65 or 85, or a runner, a tennis player or perhaps someone who has difficulty getting around, one constant remains: the importance of moving.


“Any time you can incorporate more movement throughout the day, it is good,” said Nicklas, who urges “starting where you’re at and doing what you can.”


The U.S. Health and Human Services Department and the American Heart Association recommend at least 150 minutes per week of moderate-intensity aerobic activity or 75 minutes of vigorous activity or a combination of both, as well as muscle-strengthening activity.


For those who have been living a sedentary lifestyle, walking is the best way to begin getting physically active, Nicklas said. She suggests going with a friend or enrolling in a walking program like the one her university offers. It adds accountability, a social component and safety, to guard against falls.


Using a “walking tool,” such as a cane or walker, if it’s needed, can help you stay active, Nicklas said.


“Slow and steady—the tortoise pace—is better than the rabbit pace when you’re starting out or starting over,” she said.


Resistance or strength training—through free weights, weight machines, pushups or pull-ups—can help with range of motion around joints and improve muscle mass, muscle strength and bone strength. It can help in the ability to perform everyday activities, improve balance and may reduce the risk of falls.


Fred Bartlit, 87, proves the point that chronological age isn’t the determining factor when it comes to strength and feeling young.


A former U.S. Army ranger, Bartlit always had been physically active. He also was an avid skier and golfer. As he reached his 50s, at the urging of his future wife, he intensified his workouts and began strength training at a gym.


Today, the Colorado attorney and author said he is stronger than when he was in the Army at age 22. In addition to practicing law, he makes it his mission to inform older adults about battling sarcopenia, the loss of muscle with aging.


“Our bodies, they’re crying out for physical activity,” he said. “And now the world is sedentary.”


For someone as active as Bartlit, strength training helps him ski challenging mountains trails with his 58-year-old son and 16-year-old granddaughter.


Multiple scientific studies point out that building strength is important in performing everyday activities and in avoiding or managing chronic disease.


Bartlit suggests working with a trainer at first, if possible, and trying to fit in strength training three times per week.


“You have to create habits,” said Bartlit. “It’s about living a full life. It changes the way you think, the way you feel, your confidence in doing things.”


Boosting physical activity and strength helps aging adults do the things they want to do in daily life—and that can be motivating, Nicklas said. It may be as simple as going to the grocery store on your own or having the energy to take grandchildren to the park or to a soccer game.


Older adults are disproportionately affected by conditions such as diabetes, arthritis and heart disease, with 80% of people over 65 having at least one of those chronic conditions, according to the National Council on Aging.


But even though some health setbacks may occur with advancing age, they don’t have to completely derail an exercise plan. “This is just reality and it’s going to happen,” Nicklas said.


“Steady improvement” should be the aim, she said. “The body is still capable of adapting.”


Reprinted with permission from Spectrum Health Beat.






State offers a way to help shut-in seniors with food needs through a ‘virtual food bank’

A new virtual food bank has been set up to support senior food needs, and donations are being accepted. (Public Domain)

By WKTV Staff

ken@wktv.org

Feel like you want to support seniors in your community while maintaining a social distance from one of the most at-risk COVID-19 populations? A new virtual food bank may be just what you’re looking for.
 

The Michigan Department of Health and Human Services (MDHHS) Aging and Adult Services Agency and the Food Bank Council of Michigan announced this week the creation of  “virtual food bank” raising money to provide food boxes to seniors who are staying home to protect themselves from COVID-19.

Michigan residents can make monetary donations on the virtual food drive website to buy food for the project.

Kent County seniors who need extra support at this time can now sign up for assistance, including meal delivery, delivery of non-perishable food items, and daily wellness-check calls by contacting the Area Agency on Aging of Western Michigan.

The Area Agency on Aging of West Michigan said to WKTV, following the state announcement, that information on local food resources is available at aaawm.org/article/an-update-on-food-resources.

Each of the virtual food drive boxes is filled with 33 food items that provide for 22 well-balanced, nutritious meals, according to supplied material. Each box contains breakfast, lunch and dinner recipes for seniors who are food insecure. A donation of $28 pays for an entire box containing food such as chunk white canned chicken, green beans, peanut butter and low-sodium diced tomatoes. Boxes are distributed from local food banks through Area Agencies on Aging and delivered by volunteers.

“Michigan’s aging adult population is especially vulnerable to COVID-19,” Dr. Alexis Travis, director of the Aging and Adult Services Aging, said in supplied material. “It’s critical that seniors stay home, but they also need healthy food.”

The Michigan National Guard is packing the first 10,000 boxes at Gleaners’ Community Food Bank’s warehouse in Pontiac. The Food Bank Council is routing the boxes to Area Agencies on Aging across the state, but more food is needed to feed seniors.

“The COVID-19 pandemic poses unprecedented additional barriers to food access,” Dr. Dawn Opel, of the Food Bank Council of Michigan, said in supplied material. “This program is an example of how we are creating innovative food distribution models to bring food to people where they are—to alleviate household food insecurity and to prevent the spread of the virus for those without transportation and other supports.”

State of Michigan reports: expanded COVID-19 testing, with new location assistance

COVID-19 testing, including drive-thru test stations, will be available to more people after Stat of Michigan action this week. (U.S. National Guard)

By WKTV Staff

ken@wktv.org

The State of Michigan, like most governmental agencies, puts out press releases to media sources on a wide-range of issues almost daily. Some are important for the public to know; some are just routine governmental business. Some make the news and some do not.

We at WKTV have decided that in these times of COVID-19, of often-filtered news, we’d let the state departments say what they want to say to the pubic a little more directly. Following are links to State of Michigan releases from Monday and Tuesday, April 13-14 — with a little emphasis given by our staff on what we found interesting.

State expanding COVID-19 testing criteria, access 

The Michigan Department of Health and Human Services (MDHHS) announced Monday it is expanding testing criteria for Coronavirus Disease (COVID-19) to include individuals with mild symptoms, and has published a COVID-19 test site finder at Michigan.gov/Coronavirus to help Michiganders locate a testing site near them.

“Expanded testing is needed to learn more about how COVID-19 is spreading in our state,” Dr. Joneigh Khaldun, chief medical executive and chief deputy for health, said in supplied material. “We want to make sure people know that if they have symptoms, they should work with their medical provider to be tested.”

Michigan’s testing priority criteria now includes: hospitalized patients, symptomatic healthcare workers and expanded list of “patients in congregate facilities with symptoms,” including those at:

Long-term care or elderly living facilities.

Jails or prisons.

Homeless shelters.

Residential foster care facilities.

Other group living settings.

Read the entire release here.

Other April 13-14 releases, listed by headlines and with links, include:

Michigan National Guard to support Sparrow Hospital’s COVID-19 efforts

(State of) Wyoming business misleads consumers about face masks for sale

State offers business taxpayers some May delays in payments to state

Michigan Strategic Fund assistance expands availablity of business, community support

MDHHS announces expanded aid to persons with mental health needs 

USA Masters Games in Grand Rapids postponed to 2021, but state games still possible

The USA Masters Games 2020 will still be coming to Grand Rapids, just in 2020. (Historic Public Domain photo)

By WKTV Staff

ken@wktv.org

                                        

The USA Masters Games and the State Games of Michigan, the organizers for the 2020 USA Masters Games originally scheduled to be held this June in Grand Rapids, jointly announced this week the postponement of the games to 2021.

At the same time, however, the State Games of Michigan organizers said it was still possible that some of the planned state games would take place later in the year.

The national games had previously been scheduled for June 19-21 and June 26-28, but will now be held June 24-27, 2021, still in Grand Rapids — and still set to be called the “2020 USA Masters Games”.

“On behalf of the USA Masters Games, and our Grand Rapids Host Organization, the State Games of Michigan, we want to emphasize that our number one priority is the health and well-being of all participants in the USA Masters Games,” Hill Carrow, CEO of the USA Masters Games, said in supplied material. “With that objective in mind, and given the great uncertainty and concern surrounding the current worldwide coronavirus pandemic, it has been determined that it is in the best interests of the safety of Games athletes for the Games to be postponed for one year.”

As far as the name of the games … “We’re following the example of the International Olympic Committee,” Carrow said. “When they decided to keep it the ‘2020 Summer Olympic Games’ in 2021, we said to ourselves, ‘That’s a good idea’, so we are doing the same thing with the USA Masters Games.”

The local sponsors of the national games are also still committed to the event, and the State Games of Michigan leaders are still hopeful their signature games can be held this year.

“As one can imagine, rescheduling a large 24-sport event is a major undertaking, and we will collaborate closely with the (USA Masters) Games rights-holder and our great local event  partners as we transition to these new dates,” Mike Guswiler, President of the West Michigan Sports Commission in Grand Rapids, said in supplied material.

 
Eric Engelbarts, who serves as the Executive Director of both the State Games of Michigan and the Local Organizing Committee for the 2020 USA Masters Games, also discussed the status of the state games in the announcement.

“First, I want to assure participants in the 2020 State Games of Michigan, that those games are not being postponed, but the timing of the sports competitions are all in flux now as we shift the schedule and location of events to dates, likely throughout the summer, that will hopefully allow this year’s events to take place,” he said in supplied material. “ … We ask for patience as we work through the large number of details while our … staff is having to work remotely under state and local government lockdown restrictions.”

For more information on the USA Masters Games, visit usamastersgames.com . For more information on the State Games of Michigan visit StateGamesofMichigan.com.

Programmed to pack pounds?

The genetic traits that helped our ancestors battle food scarcity could today be contributing to excess weight and related illnesses. (Courtesy Spectrum Health Beat)

By Serena Gordon, HealthDay


It’s not easy maintaining a healthy weight. Even when you manage to drop a few pounds, they often return.


Why would the body seem to encourage obesity?


New research suggests the answer lies far back in human evolution, with an anti-starvation mechanism that primes the body to store fat.


The key to this mechanism is a protein dubbed “RAGE,” according to New York University scientists working with mice. They believe RAGE evolved to help keep ancient humans from starving when food was scarce.


But today, in times of plenty, there’s a glitch at work: RAGE is produced to combat the cellular stress caused by overeating.


The protein seems to mistake this stress as similar to starvation, and so it switches off the body’s ability to burn fat. The result: fat becomes easy to accumulate, but tough to shed.


Still, there’s a silver lining to all of this, the NYU team said, because the research might lead to anti-obesity drugs.


“Our thinking is that RAGE is targetable. When we put mice with no RAGE expression at all on a high-fat diet, they ate the food but were not becoming obese,” explained study author Dr. Ann Marie Schmidt, from the NYU School of Medicine.


And a lack of RAGE appeared to be safe, at least for mice.


“When you totally delete RAGE in mice, they have normal reproduction and no problems with cognition,” she said.


The researchers hope that because RAGE seems to be active just during times of metabolic stress instead of during everyday functions, taking it away won’t create problems.


But don’t pin your hopes on a RAGE-deleting drug just yet.


Schmidt was quick to note that any such drug is a long way off yet because the research is currently in mice. Findings from animal studies don’t always translate to humans.


Still, Schmidt said the potential is exciting.


In addition to limiting the body’s ability to burn fat, RAGE also may contribute to inflammation throughout the body. So, along with taming obesity, it’s possible that removing the RAGE protein might help with some of the inflammatory consequences of obesity, such as diabetes, cancer, hardening of the arteries and Alzheimer’s disease, according to the researchers.


Dr. Michael Wood, medical director for bariatric surgery at the Detroit Medical Center’s Harper University Hospital, said the study was interesting, although very early.


And, Wood said, “obesity is a very complicated problem, and I think these findings are an oversimplification.”


But Wood noted that it’s possible the RAGE protein plays a role in excess weight. It’s just not likely the only factor in the development of obesity.


“I don’t think there’s one switch or any one thing that can solve this complicated issue. There’s no magic bullet for obesity,” he said.


Right now, if someone wants to lose weight, they have to commit to lifestyle changes, Wood said.


And, that’s true even if someone has weight-loss surgery. He added that the most significant change comes from eating fewer calories. Exercise is a healthy habit, but only a small component of weight loss.


The study was published online recently in the journal Cell Reports. Funding was provided by the American Heart Association, the U.S. Public Health Service and the American Diabetes Association.


Reprinted with permission from Spectrum Health Beat.





County health department launches home screening app to spot COVID-19 hotspots

By WKTV Staff

ken@wktv.org

In an effort to obtain information to track potential COVID-19 hotspots in Kent County, the county health department today launched a new web-based survey for residents — keepmihealthy.org.

The “secure, anonymous, web-based survey” — which does not required an app download — will provide health officials with “valuable data that could potentially identify future COVID-19 ‘hot spots’ in Kent County,” according to the announcement.

“Our ability to respond to this pandemic depends upon timely, accurate, and multi-sourced data,” Kent County Health Department Director Adam London said in supplied material. “The information gathered through this survey will provide us with an additional layer of data to make strategic decisions on how we use our resources.”

Local technology company OST, which started in Grand Rapids in 1997 but now has a worldwide footprint, actually came to Kent County with the idea.

“We would like to thank local technology developer OST for turning this community health screening concept into reality,” London said. “Without being asked, they identified a need, reached out to us and other community partners, and quickly developed an easy-to-use and effective screening tool.”

The survey questions are simple — as simple as “Are you experiencing any of the COVID-19 symptoms or not?”

To complete the survey, residents will be asked to answer four personal identification questions including year of birth, gender, county, and zip code.

All data will be kept confidential and housed in a secure database, according to the announcement. Under licensed agreements, health care professionals, hospitals, and local health departments will have access to the anonymous data to learn more about the community’s health in an effort to reduce the spread of COVID- 19.

To complete the survey, go to keepmihealthy.org/ and click “Get Started!”

Upon completion, residents can optionally provide their mobile phone number to receive a daily text reminder to take the survey.

“By taking the survey daily, it will ensure health officials are making decisions based on the most current information available,” according to the statement.

To learn more, review the frequently asked questions document at keepmihealthy.org/faq.

A Spanish version of the application will be released shortly.

State of Michigan reports: COVID-19 history project started; medical insurance to cover costs

In future Michigan classrooms, the age of COVID-19 will be studied by all age groups. A new Michigan History Center program seeks to collect stories to tell. (U.S. Army)

By WKTV Staff

ken@wktv.org

The State of Michigan, like most governmental agencies, puts out press releases to media sources on a wide-range of issues almost daily. Some are important for the public to know; some are just routine governmental business. Some make the news and some do not.

We at WKTV have decided that in these times of COVID-19, of often-filtered news, we’d let the state departments say what they want to say to the pubic a little more directly. Following are links to State of Michigan releases from the Easter Sunday holiday weekend, April 9-12 — with a little emphasis given by our staff on what we found interesting.

Michigan History Center seeks public input for COVID-19 pandemic project 

The Michigan History Center has announced a new collecting initiative that gives residents the opportunity to share stories that reflect their experiences during the COVID-19 pandemic, for the benefit of future generations.

“The COVID-19 pandemic is a critical moment in history, and the Michigan History Center is committed to documenting — through objects, archival materials, stories and experiences from diverse Michiganders — how the coronavirus is affecting Michigan residents in the workplace, at home, in communities and in many other settings,” an April 11 press release states.

The first phase of the three-phase collecting initiative is active right now. It offers a web-based platform for people to share and donate photos, videos and audio files that document their daily lives during this emergency— all of which will be considered for preservation in the Archives of Michigan’s collections.

Read the entire release here.

Michigan health insurance providers to waive COVID-19 patient costs

The Michigan Department of Insurance and Financial Services (DIFS) announced that the state has received agreements from nearly all of the state’s health insurance companies to waive cost-sharing, including copays, deductibles, and coinsurance for coronavirus (COVID-19) testing and treatments. The Whitmer Administration and DIFS had worked with insurers to waive these costs.

Consumers with these individual and group health plans will not be charged cost-sharing for coronavirus-related medical treatment, such as primary care visits, laboratory testing, emergency room visits, ambulance services, and FDA-approved medications and vaccines for COVID-19 when they become available.

Read the entire release here.

Other April 9-12 releases, listed by headlines and with links, include:

MDHHS issues statement about April 12 reported COVID-19 case and death counts

MDHHS details COVID-19 testing prodedures, announce more drive-thru locations

State, Mason County acts on Community Action Agency for violating Stay Home, Stay Safe Order

New resources to help unemployed workers resolve technical Issues with claims

National Guard distribute medical equipment during COVID-19 response

Governor Whitmer creates Michigan Coronavirus Task Force on Racial Disparities

Part of the solution: Feeding America WM, National Guard, Woodland Mall join forces to distribute food

Feeding America West Michigan’s mobile food bank operation is working with Woodland Mall and the Michigan National Guard to provide Mobile Food Pantries for those facing hunger. The weekly food distribution is open to the public but aims to serve unemployed service industry workers. (Feeding America WM)

By K.D. Norris

ken@wktv.org

There has always been hunger in the Wyoming and Kentwood area — and across the region, state, country and world, in fact. And there is a long list of groups big and small working to be part of the solution to the problem.

From the City of Kentwood’s Little Free Pantry to the Kent County Community Action, from local school districts to Wyoming’s United Church Outreach Ministry (UCOM) and a score of other area churches and other private non-profit organizations, many groups have done their part and continue to do their part in this time of a COVID-19 unemployment surge.

Feeding America West Michigan is providing weekly Mobile Pantries in Woodland Mall’s parking lot. The Michigan National Guard is helping to distribute the food each week. (Feeding America WM)

The most far-reaching single group, however, is Feeding America West Michigan, which with the aid of the Michigan National Guard and Woodland Mall began weekly food distribution at the mall April 1.

The next Woodland Mall mobile pantry food distribution, from Feeding America’s Service Industry Workers Mobile unit, will be Wednesday, April 15, at 4 p.m., at 3195 28th St., Kentwood.

“Hunger is not new,” Molly Kooi, communication manager for Feeding America West Michigan, said this week to WKTV. “Before COVID-19, 1 in 8 people in our 40-county service area faced hunger. Now, many more people are in need of food assistance due to unemployment, school closings and a variety of other factors.”

Feeding America West Michigan (WM), part of Feeding America’s nationwide network of food banks, not only collects and directly distributes food but also works with many religious and non-profit groups. And they have some sobering statistics about the impact of COVID-19 on the food assistance need.

“We’ve seen a 235 percent increase in people searching for food assistance on our website,” Kooi said. “We’ve seen a 50 percent increase in the amount of food requested by our partner agencies. We’re spending $100,000 each week to keep up with the increased demand for food.”

The new distribution site at Woodland Mall is just one part of the group’s efforts, and one part of a much wider spectrum of emergency food providers. In the Wyoming and Kentwood area alone, food pantries supported by Feeding America include the East Paris Community Food Pantry, located at At-Tawheed Islamic Center and Mosque, on East Paris Avenue; Faith Reformed Church Food Pantry, on 44th Street SW; and Family Network, also on 44th.

What to expect if you’re seeking assistance

The first step for persons seeking food assistance — especially persons new to the system such, maybe recently out of work and seeking to support families — could be the regional Feeding America WM webpage FeedWM.org/findfood, Kooi said.

 

Feeding America West Michigan is working with Woodland Mall and the Michigan National Guard, to provide  weekly food distribution at the mall parking lot in Kentwood. (Feeding America WM)

“There they will find a map making it easy for them to locate our partner agencies (red icons) and mobile food pantry sites (blue icons) near them,” she said. “If they don’t have access to the internet, they can call 2-1-1 or our office (616-784-3250) for assistance.”

And how does a person new to the system qualify and register for food assistance?

Some traditional food pantries have income limits, some have geographical limits and most have visit frequency limits (say, once a month). However, many may be changing how they are doing things due to COVID-19, Kooi said.

“I would tell a neighbor in need to first locate a food pantry near them and then reach out to that pantry’s director, or search their website, to learn what the requirements are,” she said.

Feeding America WM’s mobile pantries are hosted by organizations such as churches or schools, and provide fresh produce and other food to those in need, farmers’ market style, Kooi explained. All attendees are required to fill out a form asking for basic information like household size.

“Anyone in need can attend mobile pantries at any time and no one is turned away,” she said. “Due to COVID-19, all mobile pantries are providing drive-thru service at this time.”

Woodland Mall food distribution part of large network

The new mobile food pantry at Woodland Mall is a prime example of diverse organizations working together.

During the recent COVID-19 crisis, Feeding America has gained assistance from the Michigan National Guard at various locations including at the Woodland Mall mobile distribution.

One reason for the National Guard assistance is that Feeding America WM’s regular volunteer force, often older retired persons, has been directly impacted by safety concerns and stay-at-home orders.

But the local work is just a small part of the scope of Feeding America WM’s food bank collection and food distribution work.

Feeding America West Michigan currently owns 30 trucks, that drove about 418,000 miles in 2019, according to the organization. (Feeding America WM)

The food bank currently owns 30 trucks, that drove about 418,000 miles in 2019, according to the organization. So many trucks and trips are needed because of the way our the organization works: “We reclaim safe, surplus food from farmers, manufacturers, distributors and retail stores, and then distribute it to more than 800 partner agencies throughout West Michigan and the Upper Peninsula,” they state in supplied material.

Typically, more than 100 mobile food pantries are held each month across our 40-county service area. More than 99 percent of the donated food collected and distributes comes from large-scale food donors, with a small amount from community food drives.

Feeding America WM also delivers thousands of pounds of various food items to fixed food pantries and other hunger-relief agencies each month.

Where to go for support, to be part of the solution

For a complete list of Feeding America West Michigan’s mobile food pantries planned Kent County visits and locations, visit here.

 

For a map showing not only the locations of the mobile food pantry visits but also Wyoming and Kentwood partner locations, visit here.

To make a donation or offer support to Feeding America West Michigan, visit here.

For information about the Kent County Community Action food distribution program, visit here.

5 ways to relieve the stress of caregivers

Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


When caring for a loved one, the process can be both a rewarding and stressful experience. It often involves shifting family dynamics, financial changes, and an increased workload. Because of this, it is not uncommon for caregivers to experience increased feelings of stress and burnout. Without support, these feelings can lead to emotional and physical problems like heart disease and depression.


To avoid these issues, it’s important to recognize the need for help and support to relieve some of the stress. Here are some practical ways to accomplish this:

1. Ask for help

Caregivers often find themselves taking on too much and not wanting to burden others with our responsibilities. However, this common problem can quickly lead to feelings of being overwhelmed and helpless. Speak up and let family and friends know that you need some assistance.


Additionally, when someone does offer to provide help, don’t be afraid to accept it. Keep in mind that this also means having to relinquish complete control of the situation, which can be challenging.

2. Take breaks

Busy caregivers often don’t have much leisure time to themselves. However, not making this element a priority could be counterproductive in the long run. If necessary, dedicate this time in a calendar and ask someone to help fill in for you (see the paragraph above and ask for help with this item) and take the time to rest from the list of caregiver responsibilities. After this rest time, energy and focus will be improved, increasing attitude and productivity.

3. Make health a priority

When a caregiver fails to make their health a priority, that will ultimately result in not being able to provide the level of care their loved one needs. Getting enough sleep, eating healthy, regular doctor visits, and exercise are essential components that keep a caregiver feeling great and energized.

4. Find support

Depending on the situation, caregiving can become a lonely place. But that doesn’t have to be the case, as there are many other caregivers out there that are dealing with similar situations and they can become an excellent resource. There are also support groups available (both in-person and online) that focus on discussing and listening to others’ who know and understand what caregiving entails. These groups can provide comfort from those feelings of lonesomeness as well as education and insight on care and specific diseases.

5. Accept the situation

It is easy to find ourselves in a trap of feeling frustrated or mad about the caregiving situation, continuously asking why something like this has happened. That energy is being wasted and doesn’t help improve caregiving abilities. Instead, try to accept the situation and use it as a tool to build personal strength, depth, and understanding.


In conclusion, when stress and burnout set in, it puts the caregiver at risk of not being able to provide adequate care. That impacts both the caregiver and the person being cared for. The bottom line is that managing the health and well-being of a caregiver is equally as important as making sure a family member takes their medication and gets to their doctor appointments on time.



6 tips for stylish (and healthy) heels

They’re fun and fashionable, but heed these warnings to save your heels. (Courtesy of Spectrum Health Beat)

By Health Beat staff


Like many women, Marisha Stawiski, DPM, would love to be able to wear a 3-inch heel on a regular basis with no pain.


“But unfortunately, the vast majority of us just cannot withstand this foot position for any prolonged course of time on a regular basis without having detrimental effects on foot health and eliciting pain,” said the Spectrum Health Medical Group Foot & Ankle podiatrist. “As a rule of thumb, the more you can avoid a shoe with a heel over 1.5 inches, the better.


“Yet many of us (myself included) will stray from this rule of thumb for aesthetics and beauty at times,” Dr. Stawiski said. “Some of us more than others.”

Her best advice?

1. Go high quality.

Buy a heel that is as high quality as possible for your budget. Certainly, something with more cushion, width and arch support will feel better than a poorly constructed shoe.

2. Go lower.

The lower the heel, the less you are going to see complications and pain associated with wear. Think a cute kitten or wedge heel.

3. Try it out.

Purchase the shoe only if you can return it. If you wear it around your home only an hour or two (don’t wear outside, stay on carpet), you will know if there is any way the heel will be something you can feasibly wear for an extended period of time and still be modestly comfortable.

4. Keep it real.

If you have certain foot pathology, sadly, you may need to give up the idea of wearing heels at all. Some examples of pathology that may preclude you from being able to wear high heels includes severe bunions or hammertoes, arthritis, hallux rigidus, or Haglund’s deformity.

5. Give your feet a timeout.

Whenever possible, avoid wearing high heels for any extended walking or standing. Bring an alternative pair of shoes with you to the office, and slip off your heels under the desk during the day to put on a more sensible shoe. Slip on your heels when getting up for meetings, but try to avoid staying in them all day long. Take them off for your commute as well.

6. Think special occasions.

Avoid wearing heels on a regular basis or every day. Have alternative wardrobes that go well with a lower heel, wedge or a flat with more support. Your feet really do need a break from wearing a high heel, and high heels should be more of an occasional thing than an everyday occurrence.

Higher risks

Remember, if you choose to wear high heels, you are at a higher risk of developing a variety of conditions, including metatarsal pain, plantar fasciitis, Achilles tendon issues, Haglund’s deformity and knee pain.


“There is plenty of data to show that high heels have negative long-term effects on several structures from the toes all the way up the lower extremity,” Dr. Stawiski said.


While some shoemakers market technology such as memory foam and built-in arch support that’s meant to diminish the problems associated with high-heel use, it doesn’t change the position of the foot when it’s stuffed into a heel.


“All high heels are thrusting the foot into a very unnatural position,” Dr. Stawiski said. “You cannot completely counteract the negative affects of walking or standing in heels with new technology.”


Even if considerable padding and arch support are added to a 3-inch-plus heel, the issues with the high heel still exist, she noted.


“Padding and arch support don’t change this abnormal biomechanical position, which creates many of the injuries associated with wearing high heels,” she said. “These added technologies can make the shoe more tolerable for a longer amount of time for certain individuals, but they do not eliminate the root issues inherent to a high heel.”


Reprinted with permission from Spectrum Health Beat.





State of Michigan reports: State argues with feds over ACA; unemployment office offers advice

The Michigan unemployment claim system is doing what it can, but those filing can help themselves as well. (State of Michigan)

By WKTV Staff

ken@wktv.org

The State of Michigan, like most governmental agencies, puts out press releases to media sources on a wide-range of issues almost daily. Some are important for the public to know; some are just routine governmental business. Some make the news and some do not.

We at WKTV have decided that in these times of COVID-19, of often-filtered news, we’d let the state departments say what they want to say to the pubic a little more directly. Following are links to State of Michigan releases from April 8 — with a little emphasis given by our staff on what we found interesting.

Michigan joins other state in urging feds to open ACA marketplace

Michigan Attorney General Dana Nessel recently joined 20 other attorneys general in urging the U.S. Department of Health and Human Services (HHS) and its Centers for Medicare & Medicaid Services (CMS) to approve a special enrollment period on the official Affordable Care Act health care marketplace website during the current COVID-19 pandemic.

According to an April 8 statement from Nessel’s office, the attorneys general argue that the federal government is making a “shortsighted decision” to not provide the special enrollment period.

“At a time when so many Americans are facing uncertainty in every direction they turn, ensuring they have the opportunity to obtain health care coverage via a special enrollment period on healthcare.gov should be a major priority for the federal government,” Nessel said in supplied material. “Regardless of how this administration feels about the current structure of the Affordable Care Act, it is law and it provides health care services that millions of people need right now across this nation. The federal government should want to ensure all who live in this country have access to the care they need to mitigate the spread of COVID-19.”

Read the entire release here.

Michigan unemployment office: If you can file online, please do so

With huge numbers of workers applying for unemployment benefits, the Michigan Unemployment Insurance Agency (UIA) is adding staff and hours, and has nearly quadrupled staffing levels over the last several weeks. But like staying at home flattens the peak curve for medical providers, applying online takes strain off the unemployment system, according to an April 8 UIA statement.

“The UIA continues to provide emergency financial assistance during this unprecedented increase in unemployment claims,” Jeff Donofrio, director of the Department of Labor and Economic Opportunity, said in supplied material. “We continue to ramp up our services to make sure every eligible Michigander receives their benefits as quickly as possible and we’re asking workers to please reserve the phone lines for those who cannot go online or are having trouble with their account.”

The best way to file a claim, according to the UIA statement, is online at Michigan.gov/UIA, where the process takes on average 20-25 minutes.

Read the entire release here.

Other April 8 releases, listed by headlines and with links, include:

Detroit police, Wayne County sheriff commended for ‘Stay Home, Stay Safe’ enforcement

How state is supporting guardsmen who are supporting the community

Fragrance, asthma, and indoor quality

https://youtu.be/UMsMLKwFNkQ

Do you have asthma, and have you experienced sneezing, wheezing, or itchy watery eyes when exposed to perfume or room deodorizers? Fragrance sensitivity may be impacting your asthma. When there are a lot of fragrances in an environment, even people without asthma may experience these types of symptoms.

As we spend more time at home, it is very important to protect our lungs by doing our best to reduce exposure to allergens and irritants. One way to improve your home’s air quality is to use fragrance-free products. From lotions, hand soaps, laundry detergent, and skincare products, there are healthier options. This article provides the information needed to promote cleaner air in the home. There are also products to avoid altogether, such as air aerosol fresheners—especially for individuals with asthma or other respiratory medical conditions.

Why Fragrances Might Be Problematic

Many of us connect our favorite scents with fond memories. The smell of Cherry blossoms in spring, the smell of your sweetheart’s favorite cologne, or even the smell of Pine-Sol may remind us of people and places that are dear to us. However, fragrance can be problematic for people with asthma, as many are either allergic or sensitive to fragrance. Fragrance sensitivity is the development of allergy-like symptoms with exposure to a certain fragrance(s). It is not a true allergic reaction but an irritation.

Symptoms

Different people will react in different ways, but fragrances can certainly lead to asthma-like symptoms such as:

  • Wheezing
  • Chest tightness
  • Cough
  • Shortness of breath

Fragrances can also lead to symptoms such as:

  • Skin irritation
  • Eye irritation
  • Headache
  • Drowsiness
  • Nausea
  • Abnormal gait
  • Rapid heart rate
  • Palpitations
  • Chest pain

What You Can Do

Avoidance is generally the best treatment. Avoiding fragrances in the following products may help prevent symptoms:

  • Fabric softeners
  • Home deodorizers
  • Laundry detergent
  • Lotion and other skincare products
  • Scented candles
  • Perfume or cologne
  • Soaps

When buying any cleaners, laundry detergent, lotions, and soaps, look for “Fragrance-Free” on the label.

Air fresheners and scented candles may smell pleasant to some, but they reduce the air quality in your home. Avoidance of fragrances, in general, supports lung health. By removing fragrances from your home environment, you can improve your air quality and stay safe at home.

Article Source: About.com: Fragrance Sensitivity: Making Sense of Scents by Pat Bass, MD

State of Michigan reports: Attorney General watching Amazon sellers’ price-gouging

Hand sanitizer, which is alway in short supply these days, is being sold at exorbitant prices. But not legally. (Public Domain)

By WKTV Staff

ken@wktv.org

The State of Michigan, like most governmental agencies, puts out press releases to media sources on a wide-range of issues almost daily. Some are important for the public to know; some are just routine governmental business. Some make the news and some do not.

We at WKTV have decided that in these times of COVID-19, of often-filtered news, we’d let the state departments say what they want to say to the pubic a little more directly. Following are links to State of Michigan releases from April 6-7 — with a little emphasis given by our staff on what we found interesting.

Michigan Attorney General warning online sellers about price-gouging

Four online sellers conducting business through Amazon were told to stop taking advantage of consumers by Michigan Attorney General Dana Nessel after her office found credible reports of price-gouging in violation of the Michigan Consumer Protection Act (MCPA), according to a State of Michigan press release.

Nessel’s office on Monday sent cease and desist letters to the Amazon storefronts operating under the usernames  Dealz N-KY, Happy Small Hands, HotDealz73 and ZXL Distribution Group.

“As we continue to work through this COVID-19 pandemic together, my office will keep protecting consumers from price-gougers – and that includes online retailers,” Nessel said in supplied material. “This public health emergency is not an excuse for businesses to take advantage of people and profit from fear, and those who try will be held accountable.”

In an example provided by the Attorney General’s office, the Dealz N-KY storefront operator sold a two-pack of hand sanitizer for $89, plus shipping. The same product typically sells for $8.85 at other online retailers.

Read the entire release here.

Other April 6-7 releases, listed by headlines and with links, include:

National Filters retooling to make healthcare masks, respirators for Michigan Strategic Fund

MPSC urges homeowners and contractors to postpone nonessential excavation

State urges Federal government to stop discouraging health care access

Several healthcare plans available to Michigan residents out of work due to COVID-19

Michiganders who have lost their job, resulting in a loss of their healthcare coverage or a change in income, may have low or no-cost healthcare options available. (Public Domain)

By WKTV Staff

ken@wktv.org

With many employers having laid off workers due to COVID-19 restrictions, many Michigan workers are now without employer-provided healthcare coverage. But the state’s Department of Insurance and Financial Services reminds people that government-supported plans are available.

Michiganders who have lost their job, resulting in a loss of their healthcare coverage or a change in income, may have low or no-cost healthcare options available through the Affordable Care Act (ACA; also called “Obamacare”) Marketplace, Medicaid, or the Children’s Health Insurance Program (CHIP), according to State of Michigan guidance issued Tuesday, April 7.

And, the state points out, consumers in these situations are not required to wait for the yearly Open Enrollment Period and but should act quickly as there is a 2-month window for special enrollment.

“Michiganders who lose employer-based health insurance may have options to continue or replace their coverage,” Anita G. Fox, director of the Department of Insurance and Financial Services (DIFS), said in supplied material. “If consumers have questions about enrolling, DIFS is available to assist.”

Consumers have 60 days after losing essential health coverage, such as through a job loss, or experienced a change in income to take advantage of a Special Enrollment Period. To determine eligibility, consumers should visit healthcare.gov.

Depending on income and their situation, consumers may qualify for cost sharing reductions, premium tax credits, coverage for their children (CHIP), or Medicaid. Consumers can contact DIFS toll free at 877-999-6442, or or email at DIFS-HICAP@michigan.gov, for assistance.

To read the entire State of Michigan press release on the issue, visit here.

For more information on coronavirus marketplace coverage visit here.

10 things to know about IBD

With proper treatment or medications, patients can usually get inflammatory bowel disease under control. (Courtesy Spectrum Health Beat)

By Marie Havenga, Spectrum Health Beat


If you are suffering from urgent bowel movements, frequent diarrhea and abdominal pain, you may be a victim of inflammatory bowel disease.


But all is not doom and gloom.


With the right treatment plan, most patients can limit their symptoms and complications, allowing them to live full and active lives, said Andrew Shreiner, MD, PhD, a Spectrum Health Medical Group gastroenterologist.


Dr. Shreiner, who presented an IBD program recently at a digestive disease conference, sat down with Spectrum Health Beat to discuss what patients need to know about the disease.

1. What are the symptoms of inflammatory bowel disease?

Symptoms of IBD are often related to inflammation in the digestive tract, including frequent diarrhea, blood in the stool, urgency with bowel movements and abdominal pain. Generalized symptoms such as fatigue and weight loss are common. Symptoms related to complications of IBD, including infection or intestinal blockage, are less frequent and include abdominal pain, fever, bloating, nausea and vomiting. Occasionally, symptoms may develop from IBD affecting other body areas, such as skin, joints or eyes.

2. What are the types of IBD?

The main types are ulcerative colitis and Crohn’s disease. Ulcerative colitis affects the colon and often causes bloody diarrhea with urgency. Crohn’s disease can affect any part of the digestive tract, so symptoms are variable but often include abdominal pain, diarrhea, fatigue and weight loss.

3. What causes IBD?

We don’t know what causes IBD, exactly. It is clear that inherited genetic factors are one component, but environmental factors play a large part in the development of IBD, too. Many of the possible environmental factors are thought to be the result of modernized living, such as antibiotic use, exposure or lack thereof to microbes and changes in diet.

4. How do you diagnose it?

In individuals with symptoms that are worrisome for IBD, and not explained by another cause (such as intestinal infection), ulcerative colitis is generally diagnosed with colonoscopy and tissue biopsy, and Crohn’s disease is often diagnosed with a combination of colonoscopy and an imaging test, such as a CT scan.

5. How can IBD affect my daily life?

When IBD is active, it can have a significant impact on daily life. Frequent diarrhea, abdominal pain and fatigue can really limit an individual’s ability to maintain a normal routine. Sometimes, individuals are admitted to the hospital with severe symptoms. When IBD is well-treated and inactive, individuals can function without any significant impairments related to IBD.

6. Is there any preventive care?

Individuals with IBD—particularly those on medications to suppress the immune system—are at increased risk for a number of health problems. Preventive care is important to decrease the risk for developing these health problems. This includes vaccinations to prevent infections, sun protection to prevent skin cancer, routine check-ups to prevent osteoporosis, and a number of other preventive measures.

7. Are there any medications that can help?

Yes, there is a growing list of medications that help treat IBD. The goal of treatment is to induce and then maintain remission from inflammation, so medications work to suppress the inappropriate immune activity that promotes IBD. Various medications differ in the level of potency, so there are various options to treat IBD ranging from mild to severe.

8. How much does diet/lifestyle affect IBD?

We generally recommend a healthy diet and active lifestyle, in addition to not smoking tobacco, to promote overall health. These measures can lessen the symptom burden in IBD and they are an important component of managing the disease. It is important to note that diet and lifestyle habits are not adequate therapies by themselves to treat IBD in the vast majority of individuals.

9. Can surgery help?

There is a role for surgery in the treatment of both ulcerative colitis and Crohn’s disease. In general, surgery is used as the last option for active disease or disease-related complications that cannot be adequately treated with medical therapy or less invasive procedures.

10. Can it ever be cured?

At present, IBD cannot be cured. However, it can be managed in most cases to limit symptoms and complications and to allow individuals to lead full and active lives.


Reprinted with permission from Spectrum Health Beat.






Marriage—a life-extender?

When you’re married, you’re more likely to have someone looking out for you and reinforcing healthy behaviors. (Courtesy Spectrum Health Beat)

By Dennis Thompson, HealthDay


Married folks not only live longer than singles, but the longevity gap between the two groups is growing, U.S. government health statisticians report.


The age-adjusted death rate for the married declined by 7% between 2010 and 2017, according to a new study from the National Center for Health Statistics, part of the U.S. Centers for Disease Control and Prevention.


“Not only is the rate for married lower, but it’s declining more than any other group,” said lead author Sally Curtin, an NCHS statistician.


Statistically, death rate is the annual number of deaths for every 100,000 people. It’s adjusted so that a 26-year-old and an 80-year-old married or widowed or divorced are on equal footing.


The new study reported that the death rate for never-marrieds declined only 2%, while that for divorced people hasn’t changed at all.


Worst off were the widowed, for whom the death rate rose 6%. They have the highest death rate of all the categories, researchers said.


Married men in 2017 had an age-adjusted death rate of 943 per 100,000, compared to 2,239 for widowers.


The death rate was 1,735 per 100,000 for lifelong bachelors and 1,773 for divorced men.


Married women had a death rate of 569 per 100,000, two-and-a-half times lower than the 1,482 rate for widows. The death rate was 1,096 for divorcees and 1,166 for never-married women.


Part of the marriage benefit could be explained by the fact that people in good health are more likely to marry, said Katherine Ornstein, an associate professor of geriatrics and palliative medicine at the Icahn School of Medicine at Mount Sinai in New York City.


Once you’re in a marriage, there are a host of tangible and intangible benefits that give you a health advantage, experts said.


Married people are more likely to have health insurance, Ornstein said, and therefore, have better access to health care.


Being married also means you have someone looking out for you and reinforcing healthy behaviors, said Michael Rendall, director of the Maryland Population Research Center at the University of Maryland.


“Having somebody there who’s your spouse will tend to promote positive health behaviors—going to the doctor, eating better, getting screened,” he said.


This is particularly true of men, who previous studies have shown derive more health benefits from marriage than women.


“Men tend to have fewer skills than women in terms of looking after themselves,” Rendall said.


Finally, the companionship of marriage staves off health problems associated with loneliness and isolation, Ornstein said.


“Social support and the social engagement that comes with being married is a huge benefit for mental health and physical health,” she said.


All these benefits also explain why widowed people tend to do so badly after the death of their spouse, Ornstein said.


Widows and widowers have to deal with heartache, loneliness and financial stress, she said. They no longer have a partner looking after them, so they are more likely to neglect their health.


The study found some gender differences in trends.


While the death rate for married men and women declined by the same 7%, women’s overall death rate was much lower.


But the death rates among men in all other marital categories remained essentially the same between 2010 and 2017, researchers found.


On the other hand, the death rate for widowed women rose 5%, while the rate for never-married women declined by 3% and remained stable for divorced women.


Reprinted with permission from Spectrum Health Beat.






Kentwood’s Streams of Hope gains grant to support tutoring of elementary school students

In addition to it tutoring program, Streams of Hope offers a variety of programs to their community including a food pantry, after-school activities for middle and high school students, a community garden, and health & wellness programs. (Supplied)

By WKTV Staff

ken@wktv.org

The Streams of Hope community center in Kentwood has received a $25,000 grant from HarperCollins Christian Publishing to support the center’s elementary student tutoring program.

Since the tutoring program begin in 2010, it has steadily grown to provide more than 100 hours of free tutoring each week by 10 certified teachers to 80 students, according to the center.

Kurtis Kaechele (Supplied)

“It’s a joy and a privilege to have HarperCollins Christian Publishing come alongside this tutoring initiative once again,” Kurtis Kaechele, Streams of Hope executive director, said in supplied material. “They have been a wonderful partner over the past six years, and their support empowers the students in this neighborhood to overcome barriers and succeed in school.”

During the COVID-19 stay-at-home restrictions, Streams of Hope has sent virtual tutoring resources to their students and provided printed versions to families that utilize the center’s food center drive-thru supplemental grocery system.

The combined population of three public elementary schools, each less than half a mile from the center, located at 280 60th St, SE, is over 90-percent eligible for federal assistance, according to Streams of Hope.

“Educational success is a significant factor for reducing poverty, and our prayer is that by impacting students we would see our neighborhood transformed for the better,” Kaechele said. “In 2018, 91 percent of students being tutored in reading achieved one grade level or more of growth. During the same period, 84 percent of math students raised their assessment scores.”

 

Kentwood’s Streams of Hope ministry serves children and families in several ways. (Supplied)

In addition to tutoring, Streams of Hope offers a variety of programs to their community including a food pantry, after-school activities for middle and high school students, a community garden, and health & wellness programs. It also serves as a campus for SpringGR entrepreneurial training.

The HarperCollins grant will also support the center’s summer soccer and reading camp in addition to their Nutrition, Education & Wellness program for diabetic clients.

“Year after year, HarperCollins Christian Publishing continues to be in awe of what Streams of Hope can accomplish for the Kentwood community, and greater Grand Rapids,” Casey Harrell, senior director of corporate communications at HarperCollins Christian Publishing, said in supplied material. “Not only have we built a relationship through monetary investment, but with their leadership, staff, and the children involved in their tutoring program.”


Streams of Hope is a community-based ministry in the Townline neighborhood of Kentwood that “exists to demonstrate God’s love and foster sustainable change through services that build relationships, meet family needs, and promote a healthier community,” according to the group. Its programs focus on creating healthier schools, neighborhoods, and families by utilizing local resources.

For more information visit streamsofhope.org.

GVSU economist says recession caused by COVID-19 will be a little bigger than 2008-09 recession

By Dottie Barnes
Grand Valley State University


Paul Isely, photo from GVSU

It will be June before there is any broad-based restart of any economic activity, said Paul Isely, associate dean and professor of economics in the Seidman College of Business at Grand Valley State University.

State health officials have said the number of COVID-19 cases in Michigan will peak in early to mid-May. Based on that, Isely said the West Michigan economy will now see a decline larger than $3 billion. 

“Right now, this recession looks like it will be a little bigger than the 2008-09 recession,” he said. “About 41 percent of the $3 billion decline is the slowdown in manufacturing and 26 percent is entertainment, food services and retail.”

Isely said about 10 million people across the country have applied for unemployment during the last two weeks, matching the level of unemployed people in 2009-10. More people are expected to apply in the next two weeks.

“The good news is many of those people have been able to apply for unemployment benefits and most, not all, will be helped by that aid,” he said.

Isely said the crisis caused by COVID-19 will be something economists haven’t seen before in modern times. 

“But, it’s still looking like there’s a possibility of a fast tail on this, meaning manufacturing will be able to ramp up relatively fast — in one to three months — once we get into late May or June,” he said. “And that means this recession, unlike the last three recessions, has the possibility of us recuperating many of those job losses in a relatively short period of time in the course of the year.”

State of Michigan reports: action taken to protect quarantined workers, state park use

Sterling State Park, Frenchtown Township. (Michigan DNR)

By WKTV Staff

ken@wktv.org

The State of Michigan, like most governmental agencies, puts out press releases to media sources on a wide-range of issues almost daily. Some are important for the public to know; some are just routine governmental business. Some make the news and some do not.

We at WKTV have decided that in these times of COVID-19, of often-filtered news, we’d let the state departments say what they want to say to the pubic a little more directly. Following are links to State of Michigan releases from April 3-4 — with a little emphasis given by our staff on what we found interesting.

State takes action to protect quarantined workers rights

Governor Gretchen Whitmer last week signed an executive order prohibiting all employers from “discharging, disciplining, or otherwise retaliating against an employee for staying home from work if they or one of their close contacts tests positive for COVID-19 or has symptoms of the disease,” the order states.

“People who are prioritizing the health and safety of their families, neighbors, and loved ones during this crisis should not be punished by their workplace,” Gov. Whitmer said. “Staying home and staying safe is one of the most important things we can do to mitigate the spread of COVID-19 in Michigan, and this executive order will ensure more people can do so without facing discrimination from their workplace.”

Read the entire release here.

Most state parks are open, but there are restrictions

A vast majority of State of Michigan parks and recreation areas, state-managed trails and boating access sites remain open to provide local opportunities to get outdoors, but most locations have modified services or closed amenities. And the situation could change if there are abuses of social distancing and crowd avoidance requirements.

Recently, according to a state press release, Tippy Dam Recreation Area in Manistee County was closed until further notice due to high numbers of visitors, lack of improper social distancing and people traveling long distances to reach the park.

“In order to continue to keep state parks and trails open, we expect everyone to follow effective social distancing practices, to not litter and not travel long distances to enjoy the outdoors,” Ron Olson, chief of the DNR Parks and Recreation Division, said in supplied material. “If concerns continue to build, the DNR will have to look at closing or further limiting access to our state-designated trails, state parks, boating access sites and other outdoor locations.”

Read the entire release here.

Other April 3-4 releases, listed by headlines and with links, include:

Attorney General acting against businesses selling fake COVID-19 test kits

State teams up with Detroit sports teams to support health care volunteers

State requires funeral homes, doctors to report COVID-19 deaths faster

Senior meal programs can deliver to COVID-19 shut-ins safely 

Cease and desist letter sent to car wash for violations of COVID-19 restructions 

Top 7 migraine myths

Migraines might be a mystery for many, yet sufferers have more tools and knowledge available to them today to combat the debilitating headaches. (Courtesy Spectrum Health Beat)

By Jared Pomeroy, MD, MPH


Migraines affect more than 39 million Americans, and about 4 million of them suffer from the chronic form of the disease of 15 or more migraine days a month.


Those who suffer from these debilitating headaches frequently encounter difficulty in getting appropriate treatment when they seek help. The reason? Misunderstanding and the unfortunate fact there is no concrete test for migraines.


To clear up some of the misconceptions, I’ve compiled a short myths quiz so you can test your own knowledge and challenge those around you to do the same.

Myth 1: My headache is not a migraine because I do not have an aura.

Most people with migraines do not experience aura with their headaches. An aura is a sensory disturbance caused by changes in electrical activity in the brain that can precede migraines and is most commonly visual in nature (flashing lights, zig-zag lines) but can also involve numbness, changes in speech or other symptoms. Only about 30 percent of people with migraines experience an aura.

Myth 2: There really is not much I can do to prevent a migraine.

A healthy lifestyle is important in migraine prevention. Adequate exercise and avoidance of tobacco and highly processed foods often goes a long way toward fewer migraines. Sleep is another common factor. Improving your migraine pattern is difficult when you have poor quality or insufficient sleep.

Myth 3: My headache is a tension type headache.

Remember Myth 1. Most people do not get an aura. The International Headache Society has released diagnostic guidelines on migraines that are based on things like duration, severity and associated symptoms. Headaches that are severe enough to discuss with your doctor and also involve nausea or light and sound sensitivity are usually migraines. However, it’s always important to seek medical advice to rule out other causes of your symptoms.

Myth 4: Medications don’t work to prevent my migraines.

There are a lot of reasons acute and preventive medications fail for any given person. Preventive agents (things taken every day with a goal to eventually decrease frequency of migraines) typically take months to be effective once you are on an adequate dose. Giving up on a medication too soon or before an effective dosage has been determined by your physician dooms the attempt. Maintaining open and consistent communication with your doctor is important. Also, remember to focus on the lifestyle factors mentioned in Myth 2.

Myth 5: Despite my nausea, if I keep my pill down it may really help my migraine.

Let’s talk about why acute medications (those taken at the start of a headache to get more immediate resolution of pain) fail. If you are nauseated when you take a pill, you aren’t likely to see results quickly. During migraines (especially when nausea is prominent) the gastrointestinal system slows. That pill has to not only make it to your stomach, but also move to the intestines to be absorbed. If you’re just barely able to keep it down, then it’s unlikely to provide much benefit. You might want to explore other options such as intranasal sprays, injectable therapies or suppositories. They tend to be a lot more effective when nausea is present.

Myth 6: It’s just a low-grade migraine. I shouldn’t take anything for it until it gets severe.

Imagine trying to put out a campfire with a bucket of water. Now imagine trying to put it out with that same bucket of water after you’ve let the fire significantly spread. Which scenario is likely to work? Clearly, dampening the fire before it gets out of control is more likely to extinguish it. Migraines work the same way. The earlier you take the medication once you start experiencing pain, the more likely you are to successfully stop the migraine before it gets out of control.

Myth 7: I can take an acute medication every day for my migraine.

Studies have shown that acute medications used for migraines can actually increase the frequency of migraines if taken too frequently. Typically, this happens after two to three days per week of acute medication use. This is akin to daily coffee drinkers waking up one morning with a headache because they slept in and missed their morning cup. The same thing happens with acute medication for migraines, but with even fewer days of use. If you are feeling the need to use your acute migraine medications too frequently, then it’s time to talk to your doctor about preventive measures.


Reprinted with permission from Spectrum Health Beat.






Should we move into assisted living? Insight for aging couples

Courtesy Vista Springs Assisted Living

By Vista Springs Assisted Living


Today, more Americans are living longer, meaning that more couples are going through the aging process together. If you and your spouse are considering options for assisted living, here are a few areas to research while planning.

Does the community meet our needs as a couple?

Not all assisted living communities are prepared to support a couple’s needs. In the past, the vast majority of people living in senior communities were single individuals, so it’s necessary to find out how each community has adapted to serving couples. For instance, some facilities offer shared rooms or suites, whereas other living situations might require couples with different medical conditions to live in different wings. Consider your dynamic as a couple and decide what living arrangement is a priority for you.

Does the community meet our needs as individuals?

Often, one partner is less healthy than the other or needs more involved medical care. Perhaps one spouse needs constant help with daily tasks, while the other is able-bodied and interested in an active lifestyle. It’s imperative to find out how the community is suited to these needs. Does the social life of the community appeal to both of you as individuals? Is the more active partner comfortable with leaving their spouse in the care of the medical staff?


Also, look ahead a few years and find out how any future health developments will be handled. You will want to be aware of possible adjustments ahead of time, such as the cost of outside services or requirements for changing facilities. In light of your different medical conditions, consider how the community’s policies may impact you and your spouse. Make educated plans for eventualities such as moving into separate facilities when one partner’s medical conditions change.

What are our financial options?

Assisted living can be expensive, so it’s best to make plans as early as possible. Research which type of assisted living will be best for you and your spouse: continuing care retirement communities offer many phases of senior living in one location, family care homes have a small number of residents in a home setting, and skilled nursing facilities offer specialized care options. Depending on which arrangement you choose, you may have the possibility of tiered pricing packages designed to reflect the differing types of care provided for each person.


Here are three tips to making the transition as a couple a little easier:

  1. Make a downsizing plan. Most living arrangements will be smaller than the homes many couples own together
  2. Prepare to make the new home as welcoming as possible! Creating a comfortable and functional space, including familiar household items, will help ease the transition.
  3. Understand the community’s intimacy policies. Take the time to make arrangements with the community, particularly if one or both partners require memory care or if medical treatment compromises privacy. Maintaining intimacy as a couple is essential, no matter what our age.
  4. Talk to each other about your social plans. If your significant other wants to live in a community with a lot of social activity and you don’t, it’s important to communicate how you will accommodate each of your needs without conflict.

Keep these ideas in mind as you and your partner approach your transition to the next stage of life. While the move to assisted living is a big step, having a plan in place will help everything go smoothly and prevent the need to make huge decisions during a crisis. Keep your needs in mind, both as a couple and as individuals with unique medical needs and social interests. With a plan in place for approaching this critical phase, the transition to assisted living can be an excellent step forward in a couple’s journey together.


Reprinted with permission from Vista Springs Assisted Living.




Snapshots: Things to take a fun break from those ‘Got those stay at home blues’

By WKTV Staff

ken@wktv.org

Quote of the Day

“The art of medicine consists of amusing the patient while nature cures the disease.”

Voltaire



Meijer Gardens horticulturist Laura Worth leads a virtual tour of the back greenhouses at the Gardens. (Meijer Gardens)

Let’s meet at The Gardens when all this is over

Can’t wait for working in the garden? Meijer Gardens works the year around. Take a tour with horticulturist Laura Worth as she leads a tour of the back greenhouses, where the horticulture team stores and grows many of the plants that make Meijer Gardens beautiful. Go here for the video.



National Museum of Natural History. (Supplied)

Look at the tusks on that elephant!

One of the world’s most visited museums for good reason, the National Museum of Natural History branch of the Smithsonian is magic at keeping kids of all ages entertained and learning. Go here for the virtual tour.



“All the Small Things” video remix 2020 by MDs vs COVID (YouTube) 2020

A little music, just for the fun of it …

In late March, a group of students at Harvard Medical School created “FutureMDs vs. COVID” and, as young people are want to do, created a video with an update of Blink 182’s “All The Small Things”. A little silly, a little good advice, a little heart. Go here for the music video.

Fun fact(s):

Winning at Go Fish

Playing a lot of card games with your kids? Tired of letting them win or, worse, them accidentally winning? Here is how to reach your kids how to beat you at Go Fish. Winning at Go Fish.

Kent County health ready to isolate possible COVID-19 positive homeless at loaned Guiding Light facility

Kent County Health Department’s Guiding Light building has 24 private rooms and a bunk area able to serve as an isolation facility for homeless persons. (Kent County Health Department)

By WKTV Staff

ken@wktv.org

Following last week’s action by homeless community advocate Guiding Light Works to temporarily turn over the keys to its facility at 255 S. Division in Grand Rapids to the Kent County Health Department, the health department announced today that it was ready to start accepting and isolating homeless persons.

In an afternoon announcement Friday, March 3, the Health Department confirmed completion of its work to prepare the facility as an isolation center for those experiencing homelessness who have tested positive for COVID-19 or are awaiting test results. The facility today began accepting patients who are referred from community hospitals.

“Guiding Light has always been a valued partner, but now more than ever, we appreciate their collaboration, sacrifice, and generosity,” Dr. Adam London, Kent County Health Department Director, said in supplied material. “Our goal is to provide a safe place for people who are experiencing homelessness to recover from the coronavirus and to minimize the transmission of the virus.”

The facility has 24 private rooms, a bunk area, six bathrooms, and a full-service kitchen that can accommodate up to 60 individuals when fully staffed.

“Our staff has done a tremendous job transitioning this facility into an isolation center,” London said. “They have worked tirelessly to assess the medical and operational needs to ensure individuals using this facility are well cared for during their recovery.”

A sign on the door of the Kent County Health Department’s Guiding Light designed to serve as an isolation facility for homeless persons. (Kent County Health Department)

The development of this facility would not have been possible without the partnership of the City of Grand Rapids and the non-profit community, as well as the generosity of Amway Corporation and Meijer Inc. who donated household and hygiene items, according to the health department statement.

“This is a very strategic and important public health intervention which will save lives,” London said.

Guiding Light’s offering use the building was key to the effort.

“As we have watched the spread of COVID-19 through our community, we have been increasingly alarmed to realize there was no announced coordinated plan to care for the men and women struggling with addiction, mental health issues and homelessness in the Heartside community,” Stuart Ray, Guiding Light executive director, said in supplied material announcing the use agreement last week.

“So Guiding Light stepped up, much as we have done every day for the past 90 years of caring for the most vulnerable in our society. We felt it was our God-given responsibility to step forward to make available a safe, clean and secure isolation space in the event of an outbreak of COVID-19 in our Heartside community. Without access to proper sanitation or the ability to physically distance, an outbreak in Heartside would ravage this group of souls.”

Guiding Light is maintaining its rescue, recovery, and re-engagement programs at its Iron House facility.

 

For more information on Guiding Light Works visit their website at guidinglightworks.org.

Upset tummy? Or something more serious?

The digestive system is a pretty complex set of organs. When something goes wrong, you usually know about it soon thereafter. Here’s how to tell whether it’s something serious. (Courtesy Spectrum Health Beat)

By Health Beat staff


From top to bottom, digestion is a pretty complicated process. And many digestive disorders can occur at almost any point along the journey from mouth to… well, you know.


Spectrum Health Medical Group gastroenterologist Ben Kieff, MD, shares the seven most common conditions and what to do about them.


The symptoms of many of these digestive diseases resemble each other, as well as other medical conditions or problems, Dr. Kieff noted. When in doubt, it’s always best to consult your doctor for a proper diagnosis.

1. Constipation is the most common digestion-related complaint.

  • Symptoms: Uncomfortable or infrequent bowel movements.
  • Try this: Add fiber in your diet (think “an apple a day”), drink more fluids (go for eight glasses of water a day) and get more exercise (walk around the block).
  • When to get help: If constipation doesn’t go away, or if it seems to come out of nowhere, or if you’re in pain.

2. Lactose intolerance upsets the stomachs of up to 50 million Americans.

  • Symptoms: Nausea, cramps, bloating, abdominal pain, gas or diarrhea after consuming dairy products such as milk, cheese and ice cream. This is caused by the lack of an enzyme you need to digest the sugar in dairy products.
  • Try this: Limit dairy products and try lactase, an over-the counter pill to replace the missing enzyme.
  • When to get help: Now. Symptoms of lactose intolerance may resemble other medical conditions or problems.

3. Reflux (GERD or gastroesophageal reflux disease) irritates 14 percent of the population.

  • Symptoms: Heartburn (acid indigestion), and in some cases, a dry cough, asthma symptoms and trouble swallowing. This happens when gastric acid flows from the stomach into the esophagus.
  • Try this: Avoid foods that trigger your symptoms, don’t eat just before bedtime, take antacids and other medications aimed at reducing stomach acid. And if you smoke, quit.
  • When to get help: If problems persist and diet and lifestyle changes don’t do the trick. Over time, GERD can damage your esophagus and can even lead to esophageal cancer.

4. Celiac disease (gluten intolerance) is gut-wrenching for one in 133 people.

  • Symptoms: Chronic diarrhea, weight loss, abdominal pain and gas, pale foul-smelling stool, anemia and more.
  • Try this: A gluten-free diet is a must. Gluten is found in wheat, rye, barley and oats. This may require a major change in your eating habits.
  • When to get help: Now. Symptoms of celiac disease are similar to those of other digestive diseases and intestinal infections.

5. Inflammatory bowel diseases (like Crohn’s disease or ulcerative colitis) attack 25 to 45 million people.

  • Symptoms: Diarrhea (sometimes bloody), abdominal pain, weight loss, fatigue and more. Bowel disease may start if your immune system attacks your gastrointestinal tract.
  • Try this: There’s no one-size-fits-all solution, but it may help to stop smoking, drink more fluids, exercise and experiment to see what foods you can eat safely. Smaller meals may help, too.
  • When to get help: Now. Find a doctor who won’t dismiss your symptoms and is willing to experiment with you for the best solution.

6. Gallstones are diagnosed one million times a year.

  • Symptoms: You could have gallstones without symptoms. If they grow larger or obstruct bile ducts, however, you may have a “gallstone attack” with pain, nausea and vomiting after a fatty meal, or at night.
  • Try this: If you’re diagnosed with gallstones during an ultrasound test, but you don’t have symptoms, take a wait-and-see approach before jumping into surgery.
  • When to get help: Immediately if you experience pain lasting more than five hours or sweating, chills, low-grade fever, yellowish skin or eyes and clay-colored stools.

7. Diverticular disease will pop up in one out of two seniors.

  • Symptoms: Cramps, bloating or constipation caused by inflammation of diverticula (small pouches) that bulge outward through the wall of the colon.
  • Try this: There may be a link to diet, so make sure yours includes 20 to 35 grams of fiber each day by eating whole grain foods, fruits, veggies and beans.
  • When to get help: Immediately if you experience pain on the left, lower abdomen, fever, nausea, vomiting, chills and cramping, as the diverticula may be infected.

Reprinted with permission from Spectrum Health Beat.





State of Michigan reports: State puts teeth into COVID-19 related restrictions, orders

By WKTV Staff

ken@wktv.org

The State of Michigan, like most governmental agencies, puts out press releases to media sources on a wide-range of issues almost daily. Some are important for the public to know; some are just routine governmental business. Some make the news and some do not.

We at WKTV have decided that in these times of COVID-19, of often-filtered news, we’d let the state departments say what they want to say to the pubic a little more directly. Following are links to State of Michigan releases from Thursday, April 2 — with a little emphasis given by our staff on what we found interesting.

https://www.wktvjournal.org/after-gov-whitmer-cancels-in-school-education-kent-isd-and-local-schools-exploring-options/For a special WKTV story on Gov. Gretchen Whitmer April 2 Executive Order 2020-35, which orders all K-12 school buildings to close for the remainder of the school year, follow this link.

Heath Department sets fines, other actions to enforce COVID-19 actions 

In the wake of Thursday, April 2, reports that Michigan had recorded more than 10,000 cases of COVID-19 — with 417 deaths — the Michigan Department of Health and Human Services (MDHHS) issued an Emergency Order setting a civil penalty of up to $1,000 and a process for referral to licensing agencies for violations of Executive Orders 2020-11, 2020-20 and 2020-21. Criminal penalties for violation will remain an option for prosecutors.

“A person can have coronavirus without knowing it,” Robert Gordon, MDHHS director, said in the release.  “They can spread the disease to others who can spread it to others. The only way to stop the spread is social distancing. A civil penalty and potential licensing actions send a strong message to Michiganders that social distancing is essential to saving lives.”

Read the entire release here.

The other April 2 release, listed by headline and with link, was:

After AG action, three U.P. businesses comply with ‘Stay Home, Stay Safe’ order 

After Gov. Whitmer cancels in-school education, Kent ISD and local schools exploring options

Lee Middle and High School. (WKTV)

By K.D. Norris

ken@wktv.org

Governor Gretchen Whitmer today signed Executive Order 2020-35, which orders all K-12 school buildings to close for the remainder of the school year but urges the continuation of education through remote learning.

Gov. Whitmer’s Executive Order 2020-35, issued Thursday, April 2, also guarantees school staff and teachers will be paid for the remainder of the school year, allows the sue of public school facilities to be used by public school employees and contractors for the “purposes of facilitating learning at a distance”, and assures that 2020 seniors will graduate this year.

As far as school-based standardized tests, the governor’s statement said that those previously scheduled for the remainder of the school year, including the M-STEP and the SAT, will be canceled. There will be a date in October for rising high school seniors to take the SAT and for other high school students to take the PSAT.

It also states that guidelines for “remote learning” for the remainder of the 2019020 school year will be issued, Friday, April 3.

While Wyoming and Kentwood school districts are looking to what those guidelines may be and how they may handle remote learning, the Kent ISD issued a statement detailing their actions.

“The Governor asked each school district and its staff provide instructional materials and opportunities for students to continue their education during this crisis,” Ron Caniff, superintendent of Kent ISD, said in a supplied statement following the governor’s order.  “We are working with our schools, their superintendents and staff to respond to the governor’s request as quickly as possible.

“Our team is reviewing instructional plans from states across the country to create the best possible experience for students and their families, who will be essential in helping their children learn during this difficult time. Local districts are doing the same and have been actively designing plans since the school closure went into effect.”

Kent ISD school districts are working together to develop distance learning programming for all students, according to the Kent ISD statement. Some will be served online, while others will receive packets of educational materials delivered much as food is being provided for students who qualify for free and reduced-price meals while schools are closed.

“While all of the details have yet to be worked out, parents should check their district websites and wait for communication from their individual school district to learn the details for their students,” according to the statement.

 

Districts have also een working to verify students’ ability to access the internet and to marshal the technology necessary to reach as many students as possible, Caniff said.

During this crisis, many of the necessary elements – internet hotspots and inexpensive laptop computers – are in short supply as employees in all fields work from home. To help member districts, Caniff said the Kent ISD this week purchased 1,000 Chromebooks “and will continue to monitor district needs and resources available to ensure schools can reach all students to the extent possible.”

Governor continues action to blunt virus spread

Gov. Whitmer said the decision was forced by the current need to extend COVIF-19 restrictions into June, which she has called for legislative leaders to approve quickly.

 

Gov. Gretchen Whitmer speaks during a 2019 event. (Air National Guard).

“For the sake of our students, their families, and the more than 100,000 teachers and staff in our state, I have made the difficult decision to close our school facilities for the remainder of the school year,” Gov. Whitmer said in a statement accompanying her executive order. “As a parent, I understand the challenge closing schools creates for parents and guardians across the state, which is why we are setting guidelines for schools to continue remote learning and ensuring parents have resources to continue their children’s education from the safety of their homes.”

The Michigan Association of Intermediate School Administrators and the Michigan Council of Charter School Authorizers will develop “a Continuity of Learning Plan template application for schools to utilize in order to create their localized plan,” according to the announcement of the governor’s action.

“District plans will need to detail how districts will provide opportunities for students to learn remotely and how schools will manage and monitor their progress,” the statement continues. “It will also provide information on how parents and guardians can learn more about the local plan. Each district must have its plan approved by their regional Intermediate school district (ISD) before being implemented. Public school academies must have their plans approved by their authorizer.”

Districts can also partner with one another to create joint plans.

“There is no video chat or homework packet that can replace the value of a highly trained, experienced teacher working with students in a classroom,” Gov. Whitmer said. “But we must continue to provide equitable educational opportunities for students during this public health crisis.”

If the plan relies on some online instruction, the district should ensure every student who needs it has access to an appropriate device with an ability to connect to the internet. “Students and families will not be penalized if they are unable to participate in their alternate learning plan,” the announcement states.

Governor’s action also allows other public school action

Gov. Whitmer also announced that schools should continue to provide mental health care services for students “to the extent possible,” and should be ready and willing to help efforts to establish disaster relief childcare centers. School districts will also continue to provide meals for families who need them during the COVID-19 crisis.

The Godfrey-Lee Public Schools and Godwin Heights Public Schools systems, and other local school districts, have already been providing meals to students during the school closures.

Also, if any schools have unused personal protective equipment, cleaning supplies or other materials, they are allowed and encouraged to donate them to organizations that could put them to use.

Additionally, school districts will have the flexibility to adopt a balanced calendar for the 2019-2020 school year and/or to begin the 2020-2021 school year before Labor Day without having to seek additional approval. Student teachers will still be able to get a temporary certification and current teachers will still be able to get their certifications renewed, even if they can’t meet all the requirements due to COVID-19.

To view executive order 2020-35, click the link here.

State of Michigan reports: closed-border rumor control, National Guard in Detroit

Michigan National Guard troops at work. (U.S. Army)

By WKTV Staff

ken@wktv.org

The State of Michigan, like most governmental agencies, puts out press releases to media sources on a wide-range of issues almost daily. Some are important for the public to know; some are just routine governmental business. Some make the news and some do not.

We at WKTV have decided that in these times of COVID-19, of often-filtered news, we’d let the state departments say what they want to say to the pubic a little more directly with COVID-19 related news. Following are links to State of Michigan releases from Wednesday, April 1 — with a little emphasis given by our staff on what we found interesting.

Despite rumors, medical professionals are allowed to cross into U.S.

U.S. Customs and Border Protection, along with numerous other law enforcement agencies throughout the state of Michigan, are reporting that they are getting calls from concerned travelers that the border is shut down to medical professionals.
 

“These rumors that are currently circulating are false,” a state press release states. “The border remains open to all essential travel which includes medical professionals who are vital during these difficult times.”

Read the entire release here.

Michigan National Guard on the job, helping FEMA in Detroit

Approximately 20 members of the Michigan National Guard assisted the Federal Emergency Management Agency (FEMA) with logistics support to establish a Federal Medical Station in Detroit this week.

“The Michigan National Guard stands ready to support Detroit in its fight against COVID-19,” Maj. Gen. Paul Rogers, Adjutant General and Director of the Michigan Department of Military and Veterans Affairs, said in the release.

Read the entire release here.

Other April 1 releases, listed by headlines and with links, include:

Michigan seeks approval to streamline Medicaid … and another one the subject.

AG’s office warns menards about business practices during COVID-19 outbreak

State grants offered to manufacturers to produce health and human service supplies

Local law enforcement agencies aiding State AG with complaints

Department of Insurance and Financial Services working remotely to assist consumers

Feel swollen? Blame salt

Given their notoriously high salt content, packaged snacks may be one of the biggest culprits in your struggles with bloating and gas. (Courtesy Spectrum Health Beat)

By Steven Reinberg, HealthDay


If you often feel bloated after a meal, don’t be too quick to blame high-fiber foods. The real culprit might surprise you.


Your gut may be rebelling because you’re eating too much salt, a new study suggests.


“Sodium reduction is an important dietary intervention to reduce bloating symptoms and could be used to enhance compliance with healthful high-fiber diets,” said study researcher Noel Mueller, an assistant professor at the Johns Hopkins Bloomberg School of Public Health in Baltimore.


He and his research colleagues looked at data from a large clinical trial conducted in the late 1990s known as Dietary Approaches to Stop Hypertension-Sodium, or DASH-Sodium for short.


Their conclusion: Consuming a lot of salt increases bloating, as does a healthy, high-fiber diet.


Although it’s not clear exactly how salt contributes, Mueller suspects fluid retention may be the key.


Eating more salt can promote water retention and make digestion less efficient, which can lead to gas and bloating, he said.


Studies in mice have shown that dietary salt can alter the makeup of gut bacteria. And that, in turn, can affect gas production in the colon, Mueller said.


“Our study suggests that selecting foods with lower sodium content, such as those that are not ultra-processed, may help relieve bloating in some people,” he said.


Bloating affects as many as a third of Americans, including more than 90% of those with irritable bowel syndrome. It’s a painful buildup of excess gas created as gut bacteria break down fiber during digestion.


For the current study, the researchers used findings from a 1998-1999 trial.


In that trial, the DASH diet—one low in fat and high in fiber, fruits, nuts and veggies—was compared with a low-fiber eating regimen. The trial’s goal was to learn how salt and other factors affected high blood pressure.


The new review found that about 41% on the high-fiber diet reported bloating and men had a bigger problem with it than women. And diets high in salt increased the odds of bloating by 27%.


“We found that in both diets, reducing sodium intake reduced bloating symptoms,” Mueller said.


The upshot is that reducing sodium can be an effective way to prevent gas—and may help people maintain a healthy, high-fiber eating regimen.


Many things can cause bloating—lactose intolerance, celiac disease, small intestinal bacterial overgrowth, infection or other conditions, said Samantha Heller, a senior clinical nutritionist at New York University Langone Health.


“If someone is experiencing gastrointestinal symptoms such as bloating on an ongoing basis, they should see their health care practitioner to see if the cause can be pinned down,” said Heller, who wasn’t involved with the study. “This way they will know how to manage the issue.”


Occasional bloating is not uncommon, she added.


To help you avoid excess gas and bloating, Heller offered these tips:

  • Increase physical activity.
  • Limit highly processed foods, such as fast food, frozen meals, junk food and fried food.
  • Increase your fluid intake and make peppermint tea part of it. Avoid carbonated beverages.
  • Eat more foods that are rich in fiber, such as vegetables, legumes and whole grains. Increase these slowly and in small portions and be sure to increase your fluid intake at the same time.
  • Have smaller meals.

The report was published in the American Journal of Gastroenterology.


Reprinted with permission from Spectrum Health Beat.






Top 10 ways to prevent GERD

There are several things you can do to knock out reflux before it becomes a problem. Among them is avoiding spicy foods. (Courtesy Spectrum Health Beat)

By Health Beat staff


Unlike many other medical conditions, gastroesophageal reflux disease is almost completely preventable.


Most of us have suffered with the occasional bout of heartburn (also called acid indigestion). It’s that burning chest pain that begins behind the breastbone and moves up to the neck and throat. It happens when acids in the stomach back up into the esophagus and burn the lining.


“If you’re having heartburn or acid reflux more than twice a week for a few weeks, however, it could be GERD,” said Praveen Sateesh, MD, a gastroenterologist with Spectrum Health Medical Group. “GERD is a more serious and longer-lasting condition.


Over time, GERD can permanently damage the esophageal lining and lead to even more serious conditions such as Barrett’s esophagus or esophageal cancer.


“There are a number of different lifestyle modifications you can try to help calm the burn, or hopefully avoid it altogether,” Dr. Sateesh said. “But it’s not a ‘one size fits all’ approach. What works for one person may not work for someone else. Keep trying, and find what works for you.”

1. Lose weight

Obesity is the leading cause of GERD. Lose weight if you’re overweight and don’t gain weight if you’re not.

2. Avoid foods known to cause reflux

Place these foods on your ‘do not eat’ list (or at least, ‘eat in moderation’, if you’re willing to take your chances):

  • Fatty foods
  • Spicy foods
  • Acidic foods, like tomatoes and citrus
  • Mint
  • Chocolate
  • Onions
  • Coffee or any caffeinated beverage
  • Carbonated beverages

3. Eat smaller meals

Large meals fill the stomach and put pressure on the area where the stomach and esophagus join together. This pressure makes reflux more likely. Smaller, more frequent meals are better.

4. Don’t lie down after eating

Gravity normally helps keep stomach acid where it belongs: down in your stomach. So wait at least three hours before you lie down after a meal and be sure to eat early to give your stomach time to empty before bedtime.

5. Elevate the head of your bed

Stomach acid, like water, does not roll uphill. Raising the head of your bed six to eight inches can help gravity keep gastric acid down in your stomach. Or, you can use a wedge-shaped support to elevate your head and upper chest. Don’t use extra pillows, as they only raise your head and will not help with GERD.

6. Review your medications

There are a number of medications that can affect your digestive system and increase your risk of GERD. These include:

  • Non-steroidal anti-inflammatory drugs
  • Calcium channel blockers (often used to treat high blood pressure)
  • Certain asthma medications, including albuterol
  • Anticholinergics (used to treat conditions such as seasonal allergies and glaucoma)
  • Bisphosphonates (used to boost bone density)
  • Sedatives and painkillers
  • Some antibiotics
  • Potassium
  • Iron tablets

If you’re taking any of these medications, talk to your doctor about switching to another drug that does not have the same effect on the upper digestive tract. Don’t, however, stop taking a prescribed medication without first consulting your doctor.

7. Stop smoking

Some studies have found that nicotine can relax the muscles that keep the esophagus closed off from the stomach and can also interfere with your saliva’s ability to clear acid out of the esophagus.

8. Cut back on alcohol

As with smoking, alcohol can cause these same muscles to relax. Alcohol can also cause the esophageal muscles to spasm.

9. Wear loose-fitting clothes

Don’t wear tight clothing or belts that can constrict your stomach. Yes, this is permission to wear yoga and sweat pants!

10. Take an antacid

Antacids neutralize stomach acid before it backs up into the esophagus.


“If, after trying the above tips, you’re still experiencing GERD, see your doctor or a gastroenterologist for further evaluation,” Dr.Sateesh said. “There are several effective medications you can take to ease the symptoms of GERD.”


Reprinted with permission from Spectrum Health Beat.






Joint replacement myths and facts

Get the 411 on joint replacement from a doctor who knows. (Courtesy Spectrum Health Beat)

By Eve Clayton, Spectrum Health Beat


“You’d be shocked at how many patients come in thinking they’re too young for knee or hip replacement surgery,” said C. Christopher Sherry, DO, an orthopedic surgeon and joint replacement specialist with Spectrum Health Medical Group.


Some patients get this notion from their doctors. Others pick up the idea from friends who remember the conventional wisdom of 30 years ago—that you need to be older than 50 to qualify for joint replacement.


That’s simply not the case anymore, according to Dr. Sherry. It’s one of six common myths about joint replacements that he’d like to see dispelled.

Myth No. 1: If you’re under 50, you’re too young to have a joint replaced.

Fact: Doctors today don’t use a specific age to determine whether a patient is a good candidate for hip or knee replacement surgery. Instead, the decision depends on the levels of disability and pain the patient is experiencing.


“In the 1970s and ’80s, the parts used for joint replacements had limited life spans,” Dr. Sherry said. “Now that technology is advancing, we have better longevity of replacement parts, so we’re much more comfortable putting them in younger patients.”


Patients with severe arthritis, for example, shouldn’t have to suffer through years of debilitating pain just because they’re young, Dr. Sherry said. “Making them wait isn’t in their best interest.”


This first myth is closely related to a second.

Myth No. 2: Replacement joints wear out in 10 years or less.

Fact: Thanks to improvements in materials and surgical techniques, today’s knee and hip replacements can last up to twice as long as comparable replacements did in decades past.


“The components we’re using have improved significantly,” said Dr. Sherry. “We’re seeing an 85 percent success rate at up to 20 years—and as technology improves, we’re hoping to pass that 20-year mark.”


People are often relieved to hear this because they want to stay active as they age.


“Patients’ expectations are changing,” Dr. Sherry said. “They want to be able to do whatever they want to do.”

Myth No. 3: If you have a joint replaced, you’ll be saying goodbye to sports.

Fact: Rather than drastically limiting patients’ activities, joint replacements make it easier for people to be active in low-impact sports.


“The goal of surgery is to get patients back to their normal activities, like playing golf and tennis,” Dr. Sherry said. “Our goal is a painless joint with good functionality.”


It’s the high-impact sports like basketball and long-distance running that patients should avoid, he said, because these activities decrease the life of replacement joints.

Myth No. 4: Joint replacement surgery means a long hospital stay.

Fact: Twenty years ago, it was normal to spend up to 10 days in the hospital after joint replacement surgery, but today the average is two to three days.


“With improvements in technology and patient care, hospital stays are significantly shorter than in the old days,” Dr. Sherry said.


Most of Dr. Sherry’s patients at the Center for Joint Replacement at Spectrum Health Blodgett Hospital stay less than two days after hip or knee replacements, with a large percentage going home the day after surgery. Some patients return home the same day as surgery.


“We’re getting patients up and walking sooner—even on the day of surgery,” he said. “And we’re getting them home sooner, which is a better environment for recovery.”

Myth No. 5: You should wait as long as possible before having a joint replaced.

Fact: Waiting too long can make things worse.


“If your pain is so great that it’s hindering your ability to walk, then you’re not keeping your muscles and your extremities strong, and you could be hindering the recovery process,” Dr. Sherry said. “Waiting until the last possible moment isn’t good for you.”


Rather than waiting for their mobility and quality of life to decline, Dr. Sherry encourages patients to have their knee or hip replacement sooner. This will likely improve their outcomes.

Myth No. 6: Joint replacement surgery is highly invasive.

Fact: “Some patients think that we remove the entire knee in a knee replacement … but we’re actually taking a minimal amount of bone” before inserting the new parts, Dr. Sherry said. In knee replacement surgery, these parts consist of a metal cap for the femur, a metal base plate on the tibia and a piece of plastic in between, acting as cartilage.


Surgeons today are also using less-invasive techniques and smaller incisions to perform replacements.


So, although joint replacement is major surgery, the scope is limited, Dr. Sherry said. “It’s much less invasive than many patients think.”


Reprinted with permission from Spectrum Health Beat.