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Viewing posts from: September 2018

ADHD and Kids

Posted by Emily Ledergerber in Uncategorized | 0 comments

kids-with-vision-problems-at-highr-risk-of-adhdPeople who have ADHD have trouble concentrating, staying still and being quiet, especially when doing school work or when there is a lot going on around them.   ADHD stands for attention deficit hyperactivity disorder. It is a medical condition. A person with ADHD has differences in brain development and brain activity that affect attention, the ability to sit still, and self-control. ADHD can affect a child at school, at home, and in friendships.   Attention Deficit Hyperactivity Disorder  is one of a group of behavior disorders where kids find it really hard to concentrate on what they are doing. They find it hard to make friends and often get into trouble at home or school for not listening properly or not paying attention to what they are doing.   Kids with ADHD may have signs from one, two, or all three of these categories:

  • Inattentive. Kids who are inattentive (easily distracted) have trouble focusing their attention, concentrating, and staying on task. They may not listen well to directions, may miss important details, and may not finish what they start. They may daydream or dawdle too much. They may seem absent-minded or forgetful, and lose track of their things.
  • Hyperactive. Kids who are hyperactive are fidgety, restless, and easily bored. They may have trouble sitting still, or staying quiet when needed. They may rush through things and make careless mistakes. They may climb, jump, or roughhouse when they shouldn't. Without meaning to, they may act in ways that disrupt others.
  • Impulsive. Kids who are impulsive act too quickly before thinking. They often interrupt, might push or grab, and find it hard to wait. They may do things without asking for permission, take things that aren't theirs, or act in ways that are risky. They may have emotional reactions that seem too intense for the situation.
Sometimes parents and teachers notice signs of ADHD when a child is very young. But it's normal for little kids to be distractible, restless, impatient, or impulsive — these things don't always mean that a child has ADHD. Even parents are finding out they may have ADHD when their children are diagnosed and may have had it their entire life without a diagnosis.   If you think your child may have ADHD or if you would like to learn more, contact your doctor and make an appointment.  

What is Sepsis?

Posted by Emily Ledergerber in Uncategorized | 0 comments

What is Sepsis? sepsis As pretty active Coloradans, we need to be aware of Sepsis. Although, it’s not super common, if you have a weakened immune system, you could be at risk. Sepsis is a potentially life-threatening complication of an infection. Sepsis occurs when chemicals released into the bloodstream to fight the infection trigger inflammatory responses throughout the body. This inflammation can trigger a cascade of changes that can damage multiple organ systems, causing them to fail. If sepsis progresses to septic shock, blood pressure drops dramatically, which may lead to death. Anyone can develop sepsis, but it's most common and most dangerous in older adults or those with weakened immune systems. Early treatment of sepsis, usually with antibiotics and large amounts of intravenous fluids, improves chances for survival. Symptoms of sepsis can be broken down into three stages, starting with sepsis and progressing through severe sepsis to septic shock. Sepsis To be diagnosed with sepsis, you must exhibit at least two of the following symptoms, plus a probable or confirmed infection:

  • Body temperature above 101 F (38.3 C) or below 96.8 F (36 C)
  • Heart rate higher than 90 beats a minute
  • Respiratory rate higher than 20 breaths a minute
Severe sepsis Your diagnosis will be upgraded to severe sepsis if you also exhibit at least one of the following signs and symptoms, which indicate an organ may be failing:
  • Significantly decreased urine output
  • Abrupt change in mental status
  • Decrease in platelet count
  • Difficulty breathing
  • Abnormal heart pumping function
  • Abdominal pain
  Septic shock To be diagnosed with septic shock, you must have the signs and symptoms of severe sepsis — plus extremely low blood pressure that doesn't adequately respond to simple fluid replacement.   Sepsis most often occurs in people who are hospitalized. People in the intensive care unit are especially vulnerable to developing infections, which can then lead to sepsis. If you get an infection or if you develop signs and symptoms of sepsis after surgery, hospitalization or an infection, contact your doctor or seek medical care immediately.  

Women’s Health: What is Polycystic Ovary Syndrome (PCOS)?

Posted by Emily Ledergerber in Uncategorized | 0 comments

Women’s Health: What is Polycystic Ovary Syndrome (PCOS)? Woman with menstrual pain is holding her aching belly - isolated on white background Polycystic ovary syndrome is a condition that affects women by altering the levels of hormones in your body, resulting in problems affecting many body systems. Most women that are diagnosed with polycystic ovary syndrome, generally produce excess male sex hormones (androgens), a condition called hyperandrogenism. The typical patient that has too many of these male hormones can often have  excessive body hair growth (hirsutism), acne, and male pattern baldness, but that is not true in all cases. Hyperandrogenism and abnormal levels of other sex hormones often prevents normal ovulation and regular menstrual periods, leading to difficulty conceiving a child (subfertility) or a complete inability to conceive (infertility). Due to irregular and infrequent menstruation and hormone abnormalities, affected women have an increased risk of cancer of the uterine lining (endometrial cancer). Polycystic ovary syndrome generally includes multiple cysts in each ovary that can be seen with medical imaging. These cysts are small, immature ovarian follicles. Normally, ovarian follicles contain egg cells, which are released during ovulation. In polycystic ovary syndrome, abnormal hormone levels prevent follicles from growing and maturing to release egg cells. Instead, these immature follicles accumulate in the ovaries. Affected women can have 12 or more of these follicles. The number of these follicles usually decreases with age. The causes of polycystic ovary syndrome are complex. This condition results from a combination of genetic, health, and lifestyle factors, some of which have not been identified. Common variations in several genes have been associated with the risk of developing polycystic ovary syndrome. Because they are common, these variations can be present in people with polycystic ovary syndrome and in those without. It is the combination of these changes that helps determine a woman's likelihood of developing the disease. Polycystic ovary syndrome does not have a clear pattern of inheritance, it is estimated that 20 to 40 percent of women with polycystic ovary syndrome have an affected mother or sister. This increased familial risk is likely due in part to shared genetic factors, but lifestyle influences that are shared by members of a family likely also play a role.   Talk to your doctor if you are interested in learning more about polycystic ovary syndrome.  

Men’s Health: September is Prostate Health Awareness Month.

Posted by Emily Ledergerber in Uncategorized | 0 comments

Men’s Health: September is Prostate Health Awareness Month. prostate-health Did you know, the prostate is a male body gland that is essential for fertility but not for erections, and just happens to enlarge, rather than shrink, with age?   The prostate is younger males is roughly the size of a walnut, but as men age and for reasons still unclear, the prostate continues to grow bigger as a man gets older. This enlargement is often the cause of the urination issues that occur in half of all men by age 60 and in almost all men by age 80.   In addition to urination issues, the prostate harbors the most common solid cancer in men, prostate cancer. Fortunately, most cases are caught early and cure rates are extremely high, although prostate cancer only rarely causes symptoms. Prostate cancer is much more slow-growing than most cancers, doubling in size every 2-3 years instead of every 4-6 months like other cancers. That said, a man is 8-10 times more likely to die of heart disease than prostate cancer.   Prostate cancer increases with a man's age. This often means many men have it but never know it.. Although genetics plays a role in the development of prostate cancer, there are also things you can do to prevent it.   Following a heart-healthy, low animal fat, low carbohydrate diet is key to cancer prevention, as are exercise, weight management and stress reduction. Enjoy fruits and vegetables that are high in antioxidants to protect your body from cancer-causing oxidants. Soy and green tea may be especially good for the prostate. Eat more fish, a good source of omega-3 fatty acids.There is also good data to suggest that a certain class of pills used to slow BPH (5-alpha reductase inhibitors) can reduce the occurrence of low-grade prostate cancer by 25%.   Please don't ignore the prostate. Attend to it before it disrupts your daily life. And that means taking great care of the body around it. In addition, the American Urological Association recommends screening for prostate cancer between the ages of 55 to 70 years. Compared to a root canal, this screening is much easier, involving a quick rectal exam and blood testing for PSA.   September is prostate health month. If you haven’t had your prostate checked in a while, please make an appointment with us to do so. Happy prostate, happy life!

Youth Suicide Prevention Week

Posted by Emily Ledergerber in Uncategorized | 0 comments

Youth Suicide Prevention Week National-suicide-prevention-week In order to bring awareness to mental health in your youth, we’d like to tell you about “Youth Suicide Prevention Week”, and awareness week happening September 9-15. Although this is just a week, this is an issue that needs to be discussed year long. As healthcare providers, we are partaking in youth mental health screenings to ensure issues are brought to light before anything serious happens. The following is a list of warning signs your youth may be in trouble and at risk for suicidal behaviors:

  1. Talking about or making plans for suicide
  2. Expressing hopelessness about the future
  3. Displaying severe/overwhelming emotional pain or distress
  4. Showing worrisome behavioral cues or marked changes in behavior, particularly in the presence of the warning signs above. Specifically, this includes significant:
    1. Withdrawal from or changing in social connections/situations
    2. Changes in sleep (increased or decreased)
    3. Anger or hostility that seems out of character or out of context
    4. Recent increased agitation or irritability 
If you are worried, there are many resources out there for you to get advice or help with the situation at hand. Visit youthsuicidewarningsigns.org for additional resources for how to respond to recognized risk. If you think that your child or another youth may need help right now, call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255). Your call is free and confidential. Trained crisis workers in your area can assist you and the youth in deciding what they need right now.