Health Care and Bankruptcy

Going broke is no fun, especially if you have to declare bankruptcy because you've been sick. Americans are increasingly at risk of financial ruin due to illness and medical expenses, according to a new study released in June by the American Journal of Medicine. The researchers, according to Consumer Reports, found that illness or medical bills contributed to nearly two thirds, or 62%, of all bankruptcies in 2007—before the major impact of the housing collapse and current economic downturn. That’s a 50% increase over a similar survey in 2001 by the same researchers. Most of the debtors are middle aged, middle class and have a college level education; unaffordable bills directly contributed to 92% of medical bankruptcies, and loss of income due to illness caused 40 percent. Many people lose their heath insurance after suffering an illness or injury. A quarter of businesses that offer health insurance cancel coverage immediately when an employee suffers a disabling illness, and 25% more cancel coverage within a year, according to the study.

It’s not just the uninsured at risk for medical bankruptcy, according to Suite101.com. The underinsured and fully insured are also vulnerable, and three-quarters of the medically bankrupt had health insurance. As a result of high premiums, deductibles, and co-pays - as well as uncovered services and policy loopholes - out-of-pocket expenses become insurmountable. Even families with superior coverage find themselves filing for bankruptcy.

According to Consumer Reports, at the moment, the best defense against medical debt is to know your coverage, and try to negotiate your bills if they are too high. (And check for billing errors.) Also, be aware that lenders have begun pushing risky credit plans for medical care. Try not to pay medical bills on your credit card—it can weaken your negotiating power with the provider, while potentially racking up tremendous interest and fees. Families are more at risk when the primary wage earner is injured or becomes ill. The family suffers not only because of the increased medical costs, but also because the wage earner might no longer be able to work. As a result, the family loses both income and health coverage, either immediately or soon after. In certain circumstances, individuals might qualify for COBRA coverage, but the premiums can be quite expensive, much too expensive for someone with no job and mounting medical bills.

The report seems to be a little flawed, though, according to ABC News. Also, suspect is the fact that data over 2 years old is being used to sustain an agenda in the forefront now for national health care paid for by U.S. taxpayers. Health care is not a right as some politicians and the mainstream news media would like you to believe. Fact-check.org has noted that even using Harvard’s numbers, it’s more like a bankruptcy every minute; indeed if you add up all bankrputcies in a year you barely get one every 30 seconds. Even using their own numbers, the accurate rate is really closer to 17%. But more to the point is that the Harvard data are clearly inflated, or at best, mischaracterized. A good part of the problem is definitional. The Harvard report claims to measure the extent to which medical costs are “the cause” of bankruptcies. In reality its survey asked if these costs were “a reason” – potentially one of many – for such bankruptcies. Beyond those who gave medical costs as “a reason,” the Harvard researchers chose to add in any bankruptcy filers who had at least $1,000 in unreimbursed medical expenses in the previous two years. Given deductibles and copays, that’s a lot of people. Moreover, Harvard’s definition of “medical” expenses includes situations that aren’t necessarily medical in common parlance, e.g., a gambling problem, or the death of a family member. If your main wage-earning spouse gets hit by a bus and dies, and you have to file, that’s included as a “medical bankruptcy.” A last problem was sampling: The Harvard researchers surveyed bankruptcy filers in five federal court districts accounting for 14 percent of bankruptcies nationally; projecting this to the other 86 percent is sketchy.

The case for national health care is a primary example of overspending and will lead to bankruptcy for the nation. Consider the latest numbers released for the looming national debt in the untold trillions of dollars. There are other options, including HSAs, according to the National Center for Policy Analysis. Health savings accounts (HSAs) are special purpose savings accounts where contributions are tax-deductible for the individual. The amount saved, plus interest earned, is useable for any qualified health care expense. This makes it an ideal alternative to insurance for the self-employed, freelancers, part-time job holders and others not provided with insurance as an employee benefit or who cannot get conventional health insurance. According to an extensive study conducted by Blue Cross Blue Shield Association, those with HSAs are more cost-conscious and proactively, responsibly engaged in their health decisions than those with traditional insurance. For example:
--72 percent of those with HSAs track their health expenses, compared to 42 percent covered by insurance.
--24 percent discuss health expenses with providers and may shop and negotiate, vs. 18 percent covered by insurance.
When it comes to preventive care, HSA account holders win too:
--69 percent have regular check-ups vs. 62 percent covered by insurance.
--25 percent of HSAers exercise regularly vs. 14 percent of those insured.
Those paying for health care with their own money are much more involved and responsible in taking care of themselves and controlling costs than those receiving insurance as an employee benefit or otherwise covered by insurance.

According to ABC News, worth keeping in mind is the fact that no one (apparently) disagrees about the pain medical expenses can cause to uninsured Americans. There is general agreement: Being uninsured and getting sick in the United States is really a bad thing. However, when the data is flawed and then used to support a socialist agenda for nationalized healthcare, there are greater, more important issues at stake than personal debt.

Until next time. Let me know what you think.

Health Care and Hospice

According to the National Institutes of Health (NIH), hospice care is end-of-life care provided by health professionals and volunteers. They give medical, psychological and spiritual support. The goal of the care is to help people who are dying have peace, comfort and dignity. The caregivers try to control pain and other symptoms so a person can remain as alert and comfortable as possible. Hospice programs also provide services to support a patient's family.

Today, according to the Hospice Foundation of America, one out of three people in the United States die in the care of hospice. When faced with a life-limiting illness, patients and their families need to understand hospice care and the steps necessary to access this quality end-of-life option. Hospice care can continue longer than six months if needed but requires physician certification.

Usually, a hospice patient is expected to live 6 months or less according to the NIH. And, hospice care can take place:
--At home.
--At a hospice center.
--In a hospital.
--In a skilled nursing facility.

According to HospiceNet.org, the list of frequently asked questions about hospice care can answer many concerns you have:
1. When should a decision about entering a hospice program be made and who should make it?
At any time during a life-limiting illness, it’s appropriate to discuss all of a patient’s care options, including hospice. By law the decision belongs to the patient. Most hospices accept patients who have a life-expectancy of six months or less and who are referred by their personal physician.

2. Should I wait for our physician to raise the possibility of hospice, or should I raise it first?
The patient and family should feel free to discuss hospice care at any time with their physician, other health care professionals, clergy or friends.

3. Is all hospice care the same?
No. Many communities have more than one hospice. Medicare requires certified hospices provide a basic level of care but the quantity and quality of all services can vary significantly from one hospice to another. To find the best hospice for your needs, ask your doctor, healthcare professionals, clergy, social workers or friends who have received care for a family member. You may want to call or meet with the hospices and ask questions about their services.

4. Can a hospice patient who shows signs of recovery be returned to regular medical treatment?
Certainly. If the patient’s condition improves and the disease seems to be in remission, patients can be discharged from hospice and return to aggressive therapy or go on about their daily life. If the discharged patient should later need to return to hospice care, Medicare and most private insurance will allow additional coverage for this purpose.

5. What does the hospice admission process involve?
One of the first things the hospice program will do is contact the patient’s physician to make sure he or she agrees that hospice care is appropriate for this patient at this time. (Most hospices have medical staff available to help patients who have no physician.) The patient will be asked to sign consent and insurance forms. These are similar to the forms patients sign when they enter a hospital. The form Medicare patients sign also tells how electing the Medicare hospice benefit affects other Medicare coverage.

6. Is there any special equipment or changes I have to make in my home before hospice care begins?
Your hospice provider will assess your needs, recommend any equipment, and help make arrangements to obtain any necessary equipment. Often the need for equipment is minimal at first and increases as the disease progresses. In general, hospice will assist in any way it can to make home care as convenient, clean and safe as possible.

7. How many family members or friends does it take to care for a patient at home?
There’s no set number. One of the first things a hospice team will do is to prepare an individualized care plan that will, among other things, address the amount of caregiving needed by the patient. Hospice staff visit regularly and are always accessible to answer medical questions.

8. Must someone be with the patient at all times?
In the early weeks of care, it’s usually not necessary for someone to be with the patient all the time. Later, however, since one of the most common fears of patients is the fear of dying alone, hospice generally recommends someone be there continuously. While family and friends do deliver most of the care, hospices may have volunteers to assist with errands and to provide a break and time away for primary caregivers.

9. What specific assistance does hospice provide home-based patients?
Hospice patients are cared for by a team consisting of a physician, a nurse, social workers, counselors, home health aides, clergy, therapists, and volunteers. Each one provides assistance based on his or her own area of expertise. In addition, hospices provide medications, supplies, equipment, and other services related to the terminal illness.

10. Does hospice do anything to make death come sooner?
Hospice neither hastens nor postpones dying. Just as doctors and midwives lend support and expertise during the time of child birth, hospice provides its presence and specialized knowledge during the dying process.

11. Is caring for the patient at home the only place hospice care can be delivered?
No. Hospice patients receive care in their personal residences, nursing homes, hospital hospice units and inpatient hospice centers.

12. How does hospice “manage pain”?
Hospice believes that emotional and spiritual pain are just as real and in need of attention as physical pain, so it can address each. Hospice nurses and doctors are up to date on the latest medications and devices for pain and symptom relief. In addition, physical and occupational therapists can assist patients to be as mobile and self sufficient as they wish, and they are sometimes joined by specialists schooled in music therapy, art therapy, massage and diet counseling. Finally, various counselors, including clergy, are available to assist family members as well as patients.

13. What is hospice’s success rate in battling pain?
Very high. Using some combination of medications, counseling and therapies, most patients can attain a level of comfort they consider acceptable.

14. Will medications prevent the patient from being able to talk or know what’s happening?
Usually not. It is the goal of hospice to have the patient as pain free and alert as possible. By constantly consulting with the patient, hospices have been very successful in reaching this goal.

15. Is hospice affiliated with any religious organization?
No. While some churches and religious groups have started hospices (sometimes in connection with their hospitals), these hospices serve a broad community and do not require patients to adhere to any particular set of beliefs.

16. Is hospice care covered by insurance?
Hospice coverage is widely available. It is provided by Medicare nationwide, by Medicaid in 47 states, and by most private insurance providers. To be sure of coverage, families should, of course, check with their employer or health insurance provider.

17. If the patient is eligible for Medicare, will there be any additional expense to be paid?
The Medicare Hospice Benefit covers the full scope of medical and support services for a life-limiting illness. Hospice care also supports the family and loved ones of the person through a variety of services. This benefit covers almost all aspects of hospice care with little expense to the patient or family.

18. If the patient is not covered by Medicare or any other health insurance, will hospice still provide care?
The first thing hospice will do is assist families in finding out whether the patient is eligible for any coverage they may not be aware of. Barring this, some hospices will provide for anyone who cannot pay using money raised from the community or from memorial or foundation gifts.

19. Does hospice provide any help to the family after the patient dies?
Most hospices provide continuing contact and support for caregivers for at least a year following the death of a loved one. Many hospices also sponsor bereavement groups and support for anyone in the community who has experienced a death of a family member, a friend, or similar losses.

Hospice affirms life and does not hasten or postpone death, according to the American Cancer Society. Hospice care treats the person rather than the disease; it focuses on quality rather than length of life. Hospice care is family-centered care -- it involves the patient and the family in making decisions. Care is provided for the patient and family 24 hours a day, 7 days a week. Hospice care can be given in the patient's home, a hospital, nursing home, or private hospice facility. Most hospice care in the United States is given in the home, with a family member or members serving as the main hands-on caregiver. One of the problems with hospice is that it is often not started soon enough. Sometimes the doctor, patient, or family member will resist hospice because he or she thinks it means you're giving up, or that there's no hope. This is not true. The hope that hospice brings is the hope of a quality life, making the best of each day during the last stages of advanced illness.

When faced with terminal illness, difficult decisions about end of life treatment and care must be made. Often, those family members closest to the patient must make tough choices about how to care for their loved one. If no family is available, close friends may be called into service to help facilitate hospice. Sometimes, hospice is handled by charitable or governmental organizations that step in when no one else is available to help. End of life decisions cause very high stress, so counseling and other types of care are available to help manage grief and other major issues regarding treatment and critical financial issues. Hospice care should be embraced as a way to ease transition from life to death. Although never an easy topic for discussion, hospice provides a vital and dignified way for those who benefit from its service.

Until next time. Let me know what you think.

Health Care and Workin' up a Sweat

You are about to do something really big -- maybe ­a job interview, a presentation, a first date or your wedding -- and you notice that your palms and underarms are sweating. Perhaps, you've just completed an aerobic workout and your whole body is drenched in sweat. How can such different activities have the same effect on your body? What is sweat and why do we make it?
Perspiration, or sweat, is your body's way of cooling itself, whether that extra heat comes from hardworking muscles or from overstimulated nerves. In this article, we will examine your body's sweat glands, how sweat is made and what it does. You will learn that there is difference between the sweat on your palms and the sweat in your armpits and why your skin tastes salty after a workout!

Most people sweat when they exercise or exert themselves, are in a hot environment, or are nervous, anxious, or under stress. According to the Mayo Clinic, this type of sweating is both natural and healthy. Sweating is usually only a minor nuisance. The odor is probably more troublesome. Although perspiration is practically odorless, perspiration can sometimes cause an unpleasant smell when it comes into contact with bacteria on your skin. Unusual changes in sweating — either excessive perspiration (hyperhidrosis) or little or no perspiration (anhidrosis) — can be cause for concern. Likewise, changes in body odor may be a sign of a medical problem. For normal sweating and body odor, however, lifestyle and home treatments can effectively manage your symptoms. In some cases, a prescription antiperspirant or deodorant may be needed.

According to HowStuffWorks.com, the average person has 2.6 million sweat glands in their skin! Sweat glands are distributed over the entire body -- except for the lips, nipples and external genital organs. The sweat gland is in the layer of skin called the dermis along with other "equipment," such as nerve endings, hair follicles and so on. Basically, the sweat gland is a long, coiled, hollow tube of cells. The coiled part in the dermis is where sweat is produced, and the long portion is a duct that connects the gland to the opening or pore on the skins's outer surface. And, nerve cells from the sympathetic nervous system connect to the sweat glands. There are two types of sweat glands:

--Eccrine - the most numerous type that are found all over the body, particularly on the palms of the hands, soles of the feet and forehead.
--Apocrine - mostly confined to the armpits (axilla) and the anal-genital area. They typically end in hair follicles rather than pores.

The two glands differ in size, the age that they become active, and the composition of the sweat that they make. Compared to apocrine glands, eccrine glands are smaller are active from birth (Apocrine glands become active only at puberty) and produce a sweat that is free of proteins and fatty acids.

Healthy people sweat, but when, where and how much varies widely according to the Mayo Clinic. Factors that cause most people to sweat include:
--Exercise, especially strenuous exercise.
--Hot weather.
--Nervousness, anxiety or stress.
Perspiration that's triggered by emotion is most likely to occur on your face, in your armpits, on your palms and on the soles of your feet. But how much you sweat and even the way your sweat smells can be influenced by your mood, your diet, some drugs and medical conditions, and even your hormone levels. What's more — unfair as it seems — some people inherit a tendency to sweat heavily, especially on their soles and palms. Because it's almost impossible to define normal sweating and body odor, try to learn what's normal for you. That will help you pinpoint any unusual changes. Contact your medical provider if you experience any of the following:
--You suddenly begin to sweat much more or less than usual.
--Sweating disrupts your daily routine.
--You experience night sweats for no apparent reason.
--You notice a change in body odor.
--A change in body odor may be a sign of certain medical conditions, such as diabetic ketoacidosis, or kidney failure.

According to the Health Guide in the NY Times, The glands start to become fully active during puberty. Women actually have more sweat glands then men -- men's glands are just more active. Because sweating is the body's natural way of regulating temperature, people sweat more when it's hot outside. People also sweat more when they exercise, or in response to situations that make them nervous, angry, embarrassed, or afraid. If sweating is accompanied by fever, weight loss, chest pain, shortness of breath, or a rapid, pounding heartbeat, talk to a doctor. These symptoms may indicate an underlying problem, such as hyperthyroidism. Excessive sweating in women may also be a symptom of menopause. After sweating, you should:
--Wash the face and body.
--Change clothes and bed sheets.
--Drink plenty of water to replace lost body fluids.
--Slightly lower room temperature to prevent more sweating.

Sweating is one of the body's ways of cooling down and it is important that we do sweat, according to CYH.com. There is a very rare condition where people do not sweat, and they are at a very high risk of overheating.

--Hot drinks, drinks that contain alcohol or caffeine, and spicy foods can also make you sweat more than usual.
--Having a fever is part of the way that a body fights an infection. The temperature drops when the body is recovering from the infection. If you have a fever, your body cuts down the amount of sweat that you make (keeping your temperature high). When your body is ready for its temperature to drop you may sweat a lot (this is sometimes called 'breaking of the fever').
--If you are dehydrated - perhaps it is hot weather and you have not had enough to drink, or you have been ill with diarrhoea and vomiting - you will make less sweat than usual.

Sweat by itself does not have much of an odor, according to CYH.com. Most of the smell is caused by bacteria which live on the skin and in clothing. These bacteria use the sweat for growing. Some foods that we eat, such as garlic and spicy foods, can change the smell of sweat. We all have our own particular scent. This is why dogs can track a particular person by their scent. Have you noticed that perfumes and deodorants don't always smell the same on different people? That's because of our different scents. After puberty, it may be a good idea to start using underarm deodorants and antiperspirants.
--Underarm deodorants make the sweat acidic which stops bacteria from growing. We still make the same amount of sweat, but there are fewer bacteria to make the smell.
--Antiperspirants block the sweat ducts with aluminium salts, so that less sweat is produced.

--Less sweat equals fewer bacteria and less smell. They should only be used on underarms - you need to be able to sweat over the rest of your body to keep yourself healthy.
--There is no evidence that these products are linked to any health problems.
--Some deodorants are highly perfumed. Make sure that you are not replacing one smell with another one that other people will not enjoy either.
--Be aware that some people may be allergic to deodorant sprays and perfumes, so don't spray them around other people in change rooms.

Ever wonder why you can't handle hot days in the spring as well as you can in late summer? It seems that your sweat glands need time to acclimate, according to AZCentral.com. A person who hasn't been in a hot climate for a while can produce about one liter of sweat an hour. After about six weeks of hot weather, however, he or she will be able to produce two to three times that amount. (Anecdotal evidence suggests that people who sweat a lot while exercising year-round are automatically acclimated in the spring and thus able to handle the heat better.) About 3 percent of the population suffers from hyperhidrosis (excessive sweating). It most commonly affects underarms, hands and feet and can mysteriously strike in the coldest of conditions. We are constantly sweating, even though we may not notice it. The humidity of the air around us affects the rate at which sweat evaporates. If humidity is high, the air cannot absorb any more moisture and our sweat won't evaporate and cool our bodies as efficiently as when the air is dry. Losing excessive amounts of sweat can quickly dehydrate you, leading to circulatory problems, kidney failure and heat stroke. Never wear a plastic sweatsuit or lots of warm clothing while working out on a hot day. You won't burn any more calories, but you will lose lots of water weight, which can precipitate heat stroke. Sweat is made from fluid in your blood, which means the more you sweat, the thicker your blood becomes and the harder your heart has to work to pump that blood. People who are more fit are better able to cope with low or even moderate degrees of dehydration than those who aren't fit. The Gatorade Sports Science Institute has found that in conditions of 85 degrees and 40 percent humidity, the average runner will lose two to four pounds of sweat an hour. An hour or two before exerting yourself outdoors in the heat, drink 16 ounces of water or sports drink, then take in between 5 and 12 ounces every 15 to 20 minutes while working or exercising, says Runner's World magazine. And, Americans spend more than $1 billion a year on antiperspirants and deodorants.

When you sweat, know that it can be a good thing. Too much is not good. Check it out with your doctor if your personal situation changes for any reason--either too little or too much.

Until next time. Let me know what you think.

Health Care and Red Meat

Americans love red meat. However, burger lovers beware: People who eat red meat every day have a higher risk of dying over a 10-year period -- mostly because of cardiovascular disease or cancer --than their peers who eat less red or processed meat, according to a new study of about half a million people published by the Archives of Internal Medicine and reported by CNNHealth.com. Over a 10-year period, people who ate the most red meat every day (about 62.5 grams per 1,000 calories per day, equivalent to a quarter-pound burger or small steak per day) had about a 30 percent greater risk of dying compared with those who consumed the least amount of red meat (a median of 9.8 grams per 1,000 calories per day). The excess mortality was mostly the result of cardiovascular disease and cancer. The red meat in the study included all types of beef and pork, including bacon, cold cuts, ham, hamburgers, hot dogs, and steak, as well as meat in pizza, chili, lasagna, and stew.

Exactly why red meat and processed meat are associated with increased risks of cancer, heart disease and other deaths isn't known for sure, according to WebMD. But the leading explanations include:
--The meats are a source of carcinogens formed during cooking.
--The iron in red meat may increase oxidative cell damage, leading to health problems.
--The saturated fat found in meat has been linked with breast and colorectal cancer.
To reduce cancer risk, the web site of the American Institute for Cancer Research recommends eating no more than 18 ounces of red meat (cooked weight) per week (or about 2.5 ounces a day.) It recommends avoiding processed meat, noting that research suggests that cancer risk starts to increase with any amount.

According to the New York Times, a question that arises from observational studies like this one is whether meat is in fact a hazard or whether other factors associated with meat-eating are the real culprits in raising death rates. The subjects in the study who ate the most red meat had other less-than-healthful habits. They were more likely to smoke, weigh more for their height, and consume more calories and more total fat and saturated fat. They also ate less fruits, vegetables and fiber; took fewer vitamin supplements; and were less physically active. But in analyzing mortality data in relation to meat consumption, the cancer institute researchers carefully controlled for all these and many other factors that could influence death rates. The study data have not yet been analyzed to determine what, if any, life-saving benefits might come from eating more protein from vegetable sources like beans or a completely vegetarian diet. The results mirror those of several other studies in recent years that have linked a high-meat diet to life-threatening health problems. The earliest studies highlighted the connection between the saturated fats in red meats to higher blood levels of artery-damaging cholesterol and subsequent heart disease, which prompted many people to eat leaner meats and more skinless poultry and fish. Along with other dietary changes, like consuming less dairy fat, this resulted in a nationwide drop in average serum cholesterol levels and contributed to a reduction in coronary death rates. Elevated blood pressure, another coronary risk factor, has also been shown to be associated with eating more red and processed meat. Choosing protein from sources other than meat has also been linked to lower rates of cancer. When meat is cooked, especially grilled or broiled at high temperatures, carcinogens can form on the surface of the meat. And processed meats like sausages, salami and bologna usually contain nitrosamines, although there are products now available that are free of these carcinogens.

Also, according to MSNBC.com, eating red meat may increase a person's risk of developing the most common type of kidney cancer, while eating vegetables may provide a protective effect, new research in the Journal of the American Dietetic Association shows. Both men and women who ate red meat five or more times a week were more than four times as likely to develop the disease compared to people who consumed red meat less than once a week. And, according to the Los Angeles Times, findings published in July, 2008, from a Harvard study of more than 39,000 young nurses suggested that the risk of getting breast cancer before menopause goes up for every extra daily serving of red meat a woman ate as a teenager, a time period that had not been studied before. Add the numerous studies linking red meat to other cancers, cardiovascular disease, Type 2 diabetes and even Alzheimer's disease, and it sounds like the hamburger you had for lunch might as well have been laced with rat poison. In fact, there is a place for red meat in a healthful diet, scientists say, but they recommend choosing smaller portions of lean cuts and cooking them well but not at high temperatures. The question is which meat components are responsible for the observed health risks. Scientists have several theories, though none seems to tell the whole story. Red meat can contain a lot of saturated fats and cholesterol, known contributors to cardiovascular disease. Plus, dementia is strongly related to vascular disease, so it's likely a relationship exists there as well. Meat from commercially raised livestock also contains a high amount of omega-6 fats, which have been associated with poor cardiovascular health, but a low amount of omega-3 fats, which may be protective. Another potential culprit is the iron in meat. Iron is essential for health, but iron from meat comes in a different form than that from vegetables and legumes, one that is absorbed whether the body needs it or not. This type of iron can cause oxidative damage to all the components of the cell -- the protein, lipid, DNA, RNA.

According to eHow.com, here are some instructions for preparing red meat for consumption:
Step 1:
While many people realize that eating too much red meat is not healthy, fewer people understand why red meat consumption increases your risk of certain types of cancer. While the higher fat content and antibiotics found in non-organic meat is a factor, two of the most important reasons why red meat consumption increases cancer risk is because of the presence of two chemicals produced when red meat is cooked to high temperatures.
Step 2:
As you already know, red meat needs to be cooked to a temperature high enough to kill potential bacteria that cause food borne illness. Unfortunately, the high heat required to kill the bacteria in red meat causes a chemical reaction to occur which produces HCA's or heterocyclic amines. This reaction occurs when red meat and other muscle meats are cooked above a temperature of 150 degrees Centigrade. The higher the temperature the meat is allowed to reach, the more HCA's are produced. Unfortunately, HCA's have been associated with a variety of cancers including colon cancer, pancreatic cancer, and breast cancer. Heterocyclic amines appear to form once the meat reaches a certain temperature regardless of whether it's fried, sautéed, grilled, or boiled.
Step 3:
The other potential cancer causing agent found in cooked red meat is also a product of temperature. These are polycyclic aromatic hydrocarbons that are formed primarily when meat is grilled. If you've observed those black, charred pieces on steaks after they come off of the grill, you've seen polycyclic aromatic hydrocarbons. Grilling may give meat a smoky flavor but it doesn't do much for the health value since these hydrocarbons are believed by most experts to cause cancer. No wonder red meat consumption is considered to be so unhealthy.
Step 4:
If this isn't enough to encourage you to lower your red meat consumption, there are some steps you can take to reduce the levels of these chemicals in your meats. Consider preparing your meats by an alternative method other than grilling. You can also reduce the concentration of HCA's formed if you marinate the meat in an acid based marinade and microwave it for two minutes before cooking. If you must use a grill to prepare meat, choose low fat meat as they form fewer polycyclic aromatic hydrocarbons. Trim off any black, charred areas before eating.
Step 5:
Keep in mind that HCA's are formed when any muscle meat is cooked to high temperatures, so it's a good idea to marinate chicken, pork, and fish in an acid marinade and microwave it before cooking. Even better, try to limit red meat consumption as well as other types of muscle meat. Instead, try some of the many meat substitutes that are now available. With a little barbecue sauce or ketchup, these can be tasty and healthy alternatives.

All things in moderation. Be careful to cook meat thoroughly before eating, and observe all the correct ways to prepare it. Use common sense when purchasing meat, and stay away from fatty portions, or meat that has been left out too long. Always clean up thoroughly after working with meat of any kind, and remember to wash your hands before continuing any activity. Although an over abundance of red meat in your diet is not the best way to maintain a healthy diet and lifestyle, remember that most people can eat good cuts of red meat in modest portions with no real major problems. Of course, if your current health condition mandates abstaining from eating red meat due to heart problems or other reasons, listen to your doctor. The bottom line is to be careful what you eat, how much, and how you prepare it. After all, gluttony is one of the seven deadly sins--even when it comes to juicy burgers or steaks.

Until next time. Let me know what you think.

Health Care and Autism

According to the National Institute of Neurological Disorders and Stroke (NINDS), autism (sometimes called “classical autism”) is the most common condition in a group of developmental disorders known as the autism spectrum disorders (ASDs). Autism is characterized by impaired social interaction, problems with verbal and nonverbal communication, and unusual, repetitive, or severely limited activities and interests. Other ASDs include Asperger syndrome, Rett syndrome, childhood disintegrative disorder, and pervasive developmental disorder not otherwise specified (usually referred to as PDD-NOS). Experts estimate that three to six children out of every 1,000 will have autism. Males are four times more likely to have autism than females.

According to AOLHealth.com, autism is a brain disorder that often makes it hard to communicate with and relate to others. With autism, the different areas of the brain fail to work together. Most people with autism will always have some trouble relating to others. But early diagnosis and treatment have helped more and more people with autism to live independently as adults. Autism tends to run in families, so experts think it may be something that you inherit. Scientists are trying to find out exactly which genes may be responsible for passing down autism in families. Other studies are looking at whether autism can be caused by other medical problems or by something in your child’s surroundings. Some people think that childhood vaccines cause autism, especially the measles-mumps-rubella, or MMR, vaccine. But studies have not shown this to be true. It’s important to make sure that your child gets all childhood vaccines. They help keep your child from getting serious diseases that can cause harm or even death.

Symptoms almost always start before a child is 3 years old, according to AOLHealth.com. But usually, parents first notice that their toddler has not started talking yet and is not acting like other children the same age. Symptoms of autism include:
--A delay in learning to talk, or not talking at all. A child may seem to be deaf, even though hearing tests are normal.
--Repeated and overused types of behavior, interests, and play. Examples include repeated body rocking, unusual attachments to objects, and getting very upset when routines change.

According to AOLHealth.com, there is no "typical" person with autism. People can have many different kinds of behaviors, from mild to severe. Parents often say that their child with autism prefers to play alone and does not make eye contact with other people. Autism may also include other problems:
--Many children have below-normal intelligence.
--Teenagers often become depressed and have a lot of anxiety, especially if they have average or above-average intelligence.
--Some children get a seizure disorder such as epilepsy by their teen years.

There are guidelines your doctor will use to see if your child has symptoms of autism, according to AOLHealth.com. The guidelines put symptoms into three categories:
--Social interactions and relationships. For example, a child may have trouble making eye contact. People with autism may have a hard time understanding someone else’s feelings, such as pain or sadness.
--Verbal and nonverbal communication. For example, a child may never speak. Or he or she may often repeat a certain phrase over and over.
--Limited interests in activities or play. For example, younger children often focus on parts of toys rather than playing with the whole toy. Older children and adults may be fascinated by certain topics, like train schedules or license plates.
Also, your child may also have a hearing test and some other tests to make sure that problems are not caused by some other condition.

According to the National Institutes of Health (NIH), children with autism might have problems talking with you, or they might not look you in the eye when you talk to them. They may have to line up their pencils before they can pay attention, or they may say the same sentence again and again to calm themselves down. They may flap their arms to tell you they are happy, or they might hurt themselves to tell you they are not. Some people with autism never learn how to talk. The cause of autism is not known. Autism lasts throughout a person's lifetime. There is no cure, but treatment can help. Treatments include behavior and communication therapies and medicines to control symptoms.

Treatment for autism involves special behavioral training, according to AOLHealth.com. And, behavioral training rewards good behavior (positive reinforcement) to teach children social skills and to teach them how to communicate and how to help themselves as they grow older. With early treatment, most children with autism learn to relate better to others. They learn to communicate and to help themselves as they grow older. Depending on the child, treatment may also include such things as speech therapy or physical therapy. Medicine is sometimes used to treat problems such as depression or obsessive-compulsive behaviors. Exactly what type of treatment your child needs depends on the symptoms, which are different for each child and may change over time. Because people with autism are so different, something that helps one person may not help another. So it’s important to work with everyone involved in your child’s education and care to find the best way to manage symptoms.

According to AOLHealth.com, an important part of your child's treatment plan is making sure that other family members get training about autism and how to manage symptoms. Training can reduce family stress and help your child function better. Some families need more help than others. Take advantage of every kind of help you can find. Talk to your doctor about what help is available where you live. Family, friends, public agencies, and autism organizations are all possible resources. Remember these tips: Plan breaks. Daily demands of caring for a child with autism can take their toll. Planned breaks will help the whole family. Get extra help when your child gets older. The teen years can be a very hard time for children with autism. Get in touch with other families who have children with autism. You can talk about your problems and share advice with people who will understand. Raising a child with autism is hard work. But with support and training, your family can learn how to cope.

According to AutismSpeaks.org, as your child enters his adolescent years, expect him to find this time period challenging, if not downright difficult. After all, even kids who aren't on the spectrum are daunted by the formidable transition between childhood and adulthood, and it's even trickier for those who are autistic. Autistic teens are befuddled by physical and hormonal changes in their bodies, by developing social circles and by increasing contact with the world at large. They are also wrestling with complicated emotions. As a result, they may appear to regress, acting out and exhibiting behaviors, such as hitting or rocking, they may have conquered long ago. Your child may lean on you more as he navigates the years ahead so prepare for the rollercoaster of emotions on which he may soon embark. Let him know that you're there to guide him through any situation he may find uncomfortable. Ask the opinions of his teachers, who will help him master new skills so he'll be better equipped to interact with his peers and take on bigger responsibilities. With ample support and encouragement, your child stands a good chance of overcoming the initial pressures and in time, he'll learn how to adjust to his shifting landscape.

Once your child is an adult, his options will depend on how high functioning he is, according to AutismSpeaks.org. When he, or she, has “aged out” of public school, a vocational training program may be the next best step. Depending on his capabilities, he may excel at jobs that require enormous amounts of concentration but limited intense interaction with others, such as computer programming or graphic design. Or, he may prefer to do something more repetitive, such as filing. If he's academically rigorous, college may be the answer. In short, he or she is only truly limited by his or her own abilities and interests, which holds true whether one is autistic or not. Your child will likely be able to live independently, earning a living and taking care of their needs. That said, social relationships may always be minefields, and as such, will continue to be a source of frustration and, for some, despair. With this in mind, it may be beneficial to have a therapist or counselor familiar with the condition be available to help your child as he ages and encounters increasingly complex relationships that give way to equally complex emotions and situations.

Autism is a challenging and complicated disease. It provides opportunity for difficulties to be overcome, and rewards for positive development with the person who suffers from it. Caregivers must learn as much as possible to assist the relative or individual afflicted with autism. Support is available through a variety of resources devoted to the education of and assistance for those caring for Americans who are autistic. If you know someone with autism, be more open minded to their needs. Learn how to deal with those who have it, and be sensitive to those who must care for people with autism.

Until next time. Let me know what you think.

Health Care and Summer Safety

There is still about a month to go until the official first day of summer, but it is already time to start thinking about summer safety, as a lot of summer fun activities are about to unofficially get started already according to pediatrician Dr. Vincent Iannelli. How to combat sunburn, insect bites, swimming problems, and more should be considered by all parents and caregivers.

Keep your family safe this summer by following these tips from the American Academy of Pediatrics (AAP).
1.) FUN IN THE SUN Source: http://www.aap.org/advocacy/archives/tanning.htm
--Babies under 6 months:
The two main recommendations from the AAP to prevent sunburn are to avoid sun exposure, and dress infants in lightweight long pants, long-sleeved shirts, and brimmed hats that shade the neck to prevent sunburn. However when adequate clothing and shade are not available, parents can apply a minimal amount of suncreen with at least 15 SPF (sun protection factor) to small areas, such as the infant's face and the back of the hands. If an infant gets sunburn, apply cold compresses to the affected area.
--For Young Children:
Apply sunscreen at least 30 minutes before going outside, and use sunscreen even on cloudy days. The SPF should be at least 15 and protect against UVA and UVB rays.
--For Older Children:
The first, and best, line of defense against the sun is covering up. Wear a hat with a three-inch brim or a bill facing forward, sunglasses (look for sunglasses that block 99-100% of ultraviolet rays), and cotton clothing with a tight weave.
--Stay in the shade whenever possible, and limit sun exposure during the peak intensity hours - between 10 a.m. and 4 p.m.
--Use a sunscreen with an SPF of 15 or greater. Be sure to apply enough sunscreen - about one ounce per sitting for a young adult.
--Reapply sunscreen every two hours, or after swimming or sweating.
--Use extra caution near water, snow, and sand as they reflect UV rays and may result in sunburn more quickly.
2.) HEAT STRESS IN EXERCISING CHILDREN.
Source: http://www.aap.org/policy/re9845.html .
--The intensity of activities that last 15 minutes or more should be reduced whenever high heat and humidity reach critical levels. At the beginning of a strenuous exercise program or after traveling to a warmer climate, the intensity and duration of exercise should be limited initially and then gradually increased during a period of 10 to 14 days to accomplish acclimatization to the heat.
--Before prolonged physical activity, the child should be well-hydrated. During the activity, periodic drinking should be enforced, for example, each 20 minutes, 5 oz of cold tap water or a flavored sports drink for a child weighing 90 lbs, and 9 oz for an adolescent weighing 130 lbs, even if the child does not feel thirsty.
--Clothing should be light-colored and lightweight and limited to one layer of absorbent material to facilitate evaporation of sweat. Sweat-saturated shirts should be replaced by dry clothing.
--Practices and games played in the heat should be shortened and more frequent water/hydration breaks should be instituted.
3.) POOL SAFETY. Source: http://www.aap.org/family/tipppool.htm .
--Install a fence at least four-feet high around all four sides of the pool. The fence should not have openings or protrusions that a young child could use to get over, under, or through.
--Make sure pool gates open out from the pool, and self-close and self-latch at a height children can't reach.
--Never leave children alone in or near the pool, even for a moment.
--Keep rescue equipment (a shepherd's hook - a long pole with a hook on the end - and life preserver) and a portable telephone near the pool. Choose a shepherd’s hook and other rescue equipment made of fiberglass or other materials that do not conduct electricity.
--Avoid inflatable swimming aids such as "floaties." They are not a substitute for approved life vests and can give children a false sense of security.
--Children may not be developmentally ready for swim lessons until after their fourth birthday. --Swim programs for children under 4 should not be seen as a way to decrease the risk of drowning.
--Whenever infants or toddlers are in or around water, an adult should be within arm's length, providing "touch supervision."
4.) BUG SAFETY:
--Don't use scented soaps, perfumes or hair sprays on your child.
--Avoid areas where insects nest or congregate, such as stagnant pools of water, uncovered foods and gardens where flowers are in bloom.
--Avoid dressing your child in clothing with bright colors or flowery prints.
--To remove a visible stinger from skin, gently scrape it off horizontally with a credit card or your fingernail.
--Combination sunscreen/insect repellent products should be avoided because sunscreen needs to be reapplied every two hours, but the insect repellent should not be reapplied.
--Insect repellents containing DEET are most effective against ticks, which can transmit Lyme Disease, and mosquitoes, which can transmit West Nile Virus and other viruses.
--The current CDC and AAP recommendation for children over 2 months of age is to use 30 percent DEET. DEET should not be used on children under 2 months of age.
--The concentration of DEET in products may range from less than 10 percent to over 30 percent. Ten percent DEET only protects for about 30 minutes – inadequate for most outings.
--The concentration of DEET varies significantly from product to product, so read the label of any product you purchase. Children should wash off repellents when back indoors.
--For more information on DEET: http://www.aapnews.org/cgi/content/full/e200399v1 .
5.) PLAYGROUND SAFETY. Source: http://www.aap.org/advocacy/archives/maytra.htm , and Source: http://www.aap.org/family/playgrd.htm
--The playground should have safety-tested mats or loose-fill materials (shredded rubber, sand, wood chips, or bark) maintained to a depth of at least 9 inches. The protective surface should be installed at least 6 feet (more for swings and slides) in all directions from the equipment.
--Equipment should be carefully maintained. Open “s” hooks or protruding bolt ends can be hazardous.
--Swing seats should be made of soft materials such as rubber, plastic or canvas.
--Make sure children cannot reach any moving parts that might pinch or trap any body part.
--Never attach—or allow children to attach—ropes, jump ropes, leashes, or similar items to play equipment; children can strangle on these.
--Make sure metal slides are cool to prevent children's legs from getting burned.
--Parents should never purchase a home trampoline or allow children to use home trampolines.
--Parents should supervise children on play equipment to make sure they are safe.
6.) BICYCLE SAFETY. Source: http://www.aap.org/family/bicycle.htm, and
Source: http://www.aap.org/family/tbikmyth.htm .
--Do not push your child to ride a 2-wheeled bike until he or she is ready, at about age 5 or 6.
--Consider the child's coordination and desire to learn to ride. Stick with coaster (foot) brakes until your child is older and more experienced for hand brakes.
--Take your child with you when you shop for the bike, so that he or she can try it out. The value of a properly fitting bike far outweighs the value of surprising your child with a new one.
--For more information on finding the proper fit, go to http://www.aap.org/family/bicycle.htm#choosing .
--Buy a bike that is the right size, not one your child has to "grow into." Oversized bikes are especially dangerous.
--Your child needs to wear a helmet on every bike ride, no matter how short or how close to home. Many accidents happen in driveways, on sidewalks, and on bike paths, not just on streets. Children learn best by observing you. Whenever you ride, put on your helmet.
--When purchasing a helmet, look for a label or sticker that says the helmet meets the CPSC safety standard.
--A helmet protects your child from serious injury, and should always be worn. And remember, wearing a helmet at all times helps children develop the helmet habit.
--A helmet should be worn so that it is level on the head, not tipped forwards or backwards. The strap should be securely fastened, and you should not be able to move the helmet in any direction. If needed, the helmet’s sizing pads can help improve the fit.
7.) SKATEBOARD, SCOOTER, IN-LINE SKATING AND HEELYS SAFETY.
Source: http://www.aap.org/advocacy/archives/marskate.htm.
--Children should never ride skateboards or scooters in or near traffic.
--All skateboarders and scooter-riders should wear a helmet and other protective gear; wrist guards are particularly important.
--Communities should continue to develop skateboard parks, which are more likely to be monitored for safety than ramps and jumps constructed by children at home.
--While in-line skating or wearing Heelys, be sure to wear appropriate protective equipment and only skate on designated paths or rinks and not on the street.
8.) LAWN MOWER SAFETY. Source: http://www.aap.org/family/tipplawn.htm .
--Try to use a mower with a control that stops the mower from moving forward if the handle is let go.
--Children younger than 16 years should not be allowed to use ride-on mowers. Children younger than 12 years should not use walk-behind mowers.
--Make sure that sturdy shoes (not sandals or sneakers) are worn while mowing.
--Prevent injuries from flying objects, such as stones or toys, by picking up objects from the lawn before mowing begins. Have anyone who uses a mower wear hearing and eye protection.
--Do not pull the mower backward or mow in reverse unless absolutely necessary, and carefully look for children behind you when you mow in reverse.
--Always turn off the mower and wait for the blades to stop completely before removing the grass catcher, unclogging the discharge chute, or crossing gravel paths, roads, or other areas.
--Do not allow children to ride as passengers on ride-on mowers.

From the local jungle gym to a vacation home at the beach, where there's fun for kids, there are safety concerns for parents according to FamilyEducation.com. Research tips and resources you need to inform your kids and put your mind at ease. Summer is a time for kids to reacquaint themselves with the neighborhood — the parks, the paths, even their own backyards. Be sure they know where potential danger lurks and how to avoid it. Read up on info about keeping your children safe while outside during the summer. Find tips on what makes a playground safe for your child, on how to teach your children how to be safe around pools, and on keeping your children safe while participating in summer activities. Before you hit the road this summer, get the information you need to ensure a safe, relaxing vacation. Get safety tips from other parents, and share your own!

Until next time. Let me know what you think.

Health Care and Memorial Day

This weekend traditionally marks the beginning of Summer in the minds of almost all Americans. Memorial Day happens on the last Monday of May every year as a celebration of our freedom and remembrance of fallen war veterans. Traditional observance of Memorial day has diminished over the years, according to USMemorialDay.org. Many Americans nowadays have forgotten the meaning and traditions of Memorial Day. At many cemeteries, the graves of the fallen are increasingly ignored, neglected. Most people no longer remember the proper flag etiquette for the day. While there are towns and cities that still hold Memorial Day parades, many have not held a parade in decades. And, some people think the day is for honoring any and all dead, and not just those fallen in service to our country.

According to USMemorialDay.org, Memorial Day, originally called Decoration Day, is a day of remembrance for those who have died in our nation's service. There are many stories as to its actual beginnings, with over two dozen cities and towns laying claim to being the birthplace of Memorial Day. There is also evidence that organized women's groups in the South were decorating graves before the end of the Civil War: a hymn published in 1867, "Kneel Where Our Loves are Sleeping" by Nella L. Sweet carried the dedication "To The Ladies of the South who are Decorating the Graves of the Confederate Dead" (Source: Duke University's Historic American Sheet Music, 1850-1920). While Waterloo N.Y. was officially declared the birthplace of Memorial Day by President Lyndon Johnson in May 1966, it's difficult to prove conclusively the origins of the day. It is more likely that it had many separate beginnings; each of those towns and every planned or spontaneous gathering of people to honor the war dead in the 1860's tapped into the general human need to honor our dead, each contributed honorably to the growing movement that culminated in Gen Logan giving his official proclamation in 1868. It is not important who was the very first, what is important is that Memorial Day was established. Memorial Day is not about division. It is about reconciliation; it is about coming together to honor those who gave their all.

Memorial Day was officially proclaimed on 5 May 1868 by General John Logan, national commander of the Grand Army of the Republic, and was first observed on 30 May 1868, when flowers were placed on the graves of Union and Confederate soldiers at Arlington National Cemetery, according to USMemorialDay.org. The first state to officially recognize the holiday was New York in 1873. By 1890 it was recognized by all of the northern states. The South refused to acknowledge the day, honoring their dead on separate days until after World War I (when the holiday changed from honoring just those who died fighting in the Civil War to honoring Americans who died fighting in any war). It is now celebrated in almost every State on the last Monday in May (passed by Congress with the National Holiday Act of 1971) to ensure a three day weekend for Federal holidays), though several southern states have an additional separate day for honoring the Confederate war dead: January 19 in Texas, April 26 in Alabama, Florida, Georgia, and Mississippi; May 10 in South Carolina; and June 3 (Jefferson Davis' birthday) in Louisiana and Tennessee.

What is needed is a full return to the original day of observance, as noted by USMemorialDay.org. Set aside one day out of the year for the nation to get together to remember, reflect and honor those who have given their all in service to their country. But what may be needed to return the solemn, and even sacred, spirit back to Memorial Day is for a return to its traditional day of observance. Many feel that when Congress made the day into a three-day weekend in with the National Holiday Act of 1971, it made it all the easier for people to be distracted from the spirit and meaning of the day.

The Memorial Day Holiday weekend is an occasion to honor all those who have served the nation and who continue to serve in harm's way. The weekend also is a time when everyone wants to celebrate with vacations and outdoor activities. Memorial Day weekend traditionally kicks off the summer vacation season, a time for swimming, cookouts, and fun according to UT Southwestern Medical Center in Dallas, Texas. Vacations aren't just for fun. They're essential to good mental health. You need time off every so often to recharge, to empty your brain of its day-to-day cares so you have room to refill it. You don't have to spend a lot of money to get the beneficial effects of a vacation. Just taking some time off at home to change your routine and explore new things will leave you feeling rested and ready for new challenges.

In observance of the holiday, WWAY-TV offers suggestions to stay safe during this time. It is a holiday weekend. It is time to relax, spend time with your friends and family, and have some fun. But, sometimes that fun can be harmful to your health. A holiday weekend may mean fun in the sun for some people, but for hospital and emergency employees it means working overtime. More people are outside doing wheeled sports and in the water, so there's certainly an increase in injury. If you want to beat the odds and not end up at the emergency room, plan ahead and take precautions. Be careful of rip currents if you are going swimming in the ocean or at the beach; and, watch the lifeguards, they have flags out -- green, yellow and red. If it's red they typically don't want you in because of rip currents. If you plan on biking or skateboarding, wear a helmet, knee and elbow pads. Also, don't dive in shallow water, remember to re-apply your sunscreen; and if children are near water, medical professionals say they should always be wearing a life jacket.

Revolution Health offers some advice for a healthy Memorial Day weekend. Plan ahead to enjoy a safe, fun and healthy Memorial Day weekend with family and friends. Practicing smart grilling, staying safe in the sun and drinking plenty of fluids can help you make the most of your holiday weekend. While most everyone knows to lather up on sunscreen before going outdoors this weekend and the big "don't" of drinking and driving, there are some additional easy steps to take to make sure your holiday is healthy and pain-free:

1.) Get Spicy to Stay Cool. Eat spicy foods to help you stay cool. Believe it or not, spicy foods dilate your peripheral blood vessels, making you perspire which cools your body.
2.) A Coat in Summertime. Coat both meats and the grill with olive oil to ensure great flavor, but avoid potential carcinogens. Many of us like the flavor of meats with a bit of char (blackening), but research has shown this method can create cancer-causing substances called heterocyclic amines.
3.) The Secret is in the marinade. Choose leaner meats and marinate them for 24 hours to enjoy flavor without all the fat this Memorial Day. Fatty meats make for tasty barbequing, but you can use leaner, healthier meats and make them more tender and enjoy even more flavor by marinating them.
4.) Scream for Ice Cream. Substitute grilled fruit for fat-laden ice cream or cake this Memorial Day. The dry heat of grilling intensifies and caramelizes the natural sugars in fruits.
5.) Chill Out. If you're planning a picnic this weekend, keep food fresher and prevent bacteria by using large chunks rather than small cubes. Large chunks of ice last longer and keep foods colder. Just put some water into a sheet cake or baking pan, freeze it and poof!, you have bacteria-fighting ice!
6.) A Bug’s Life. Try natural alternatives to beat those pesty mosquitoes. You can spray on a diluted liquid garlic concentrate. Or apply vinegar or soybean oil on your skin to prevent the bugs from biting.
7.) Headache Relief in a Glass. In these hot summer months, drink a glass of water to relieve headaches. Often headaches are caused by dehydration and can be alleviated by taking aspirin, but it's usually the beverage consumed when taking the aspirin that helps to immediately relieve the symptoms.
8.) Get Red-dy to Ward off Sunburn. In addition to sunscreen, load up on red, yellow and orange fruits and vegetables. These have carotenoids that may help naturally reduce sunburn risk; and sunburn is a major risk factor for skin cancer, the most common form of cancer in the U.S.
9.) Pool's Open. Fill up empty water bottles and use them for resistance exercises in the pool. It's a fun and easy way to tone and strengthen muscles.
10.) Time for Lights Out. Pull out your alarm clock this long weekend. You may be tempted to stay up late, but keeping a regular schedule will actually help you sleep better and make your sleep more restful and restorative.

Memorial Day can be a festive time. And, it can also be a solemn time. According to USMemorialDay.org, the "Memorial" in Memorial Day has been ignored by many who are beneficiaries of those who have given the ultimate sacrifice. Often, Americans do not observe the day as it should be, a day where the nation actively remembers our ancestors, our family members, our loved ones, our neighbors, and our friends who have sacrificed so much. There are many ways to honor those who died in defense of freedom:
--by visiting cemeteries and placing flags or flowers on the graves of our fallen heroes.
--by visiting memorials.
--by flying the U.S. Flag at half-staff until noon.
--by flying the 'POW/MIA Flag' as well (Section 1082 of the 1998 Defense Authorization Act).
--by participating in a "National Moment of Remembrance": at 3 p.m. to pause and think upon the true meaning of the day, and for Taps to be played.
--by renewing a pledge to aid the widows, widowers, and orphans of our falled dead, and to aid the disabled veterans.

So, regardless of your celebration habits on Memorial Day, take time to remember what the meaning of the Holiday is about. Take time out to honor those who sacrificed and those who continue to keep our country free. Say a prayer for the families of the fallen, for our veterans, and for those who now serve in our armed forces. Offer a prayer of thanks to God for allowing the United States to be the land of the free and the home of the brave. No matter what anyone else says, America is still a Christian nation. Our nation stays safe by the providence of God and receives His blessings in spite of our behavior. Sing out loud the national anthem with your hand over your heart if you go to a ballgame. Encourage your kids to do the same. Put out an American flag on the front porch or door post. Remember that freedom isn't free--there is a high cost. Those who have paid the ultimate sacrifice since 1776 thank you from beyond. Then, have fun, and be safe.

Until next time. Let me know what you think.