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Dr. Magryta |  |
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Issue: #39
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September 15, 2014
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Carolina Beach Early Morning
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Volume 4, Letter 39
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September 15, 2014
Many people are worried about the novel enterovirus that is in the news lately. The risk for your child is low, yet here is the story.
EV-D68 is one form of enterovirus first noted in 1962 that has been associated with a recent outbreak of significant respiratory issues in certain infected individuals. This outbreak started in the midwest. It has recently been found in North Carolina although I have not seen any reports as to where. The CDC has no statement for locations in NC. We have yet to see a case in our clinic population.
There are hundreds of types of enterovirus in circulation every summer. Most occur in the summer and fall and affect over 10,000,000 Americans yearly. The vast majority of which are mild and do not require medical attention. They have upper respiratory "cold like" symptoms and diarrheal disease. Rashes are also common. Some examples of other enteroviruses include commonly known polio, coxsackie A19 (Hand,Foot,Mouth disease) and herpangina. Enteroviral illnesses can cause serious issues including encephalitis, myocarditis, pleuritis and also have been associated with the development of autoimmune diseases like type I diabetes mellitus.
In the current EV-D68 strain, we have a significant concern for the very young and those with known respiratory conditions like asthma and cystic fibrosis. Most infected individuals will have mild disease, but a few will go on to have worsening respiratory involvement and potentially a bad outcome. In Missouri, 15% of the significantly infected children have ended up in the Intensive Care Unit. No deaths have been reported as of this writing.
Many parents are concerned that their child with upper respiratory "cold" symptoms could have EV-D68. The truth is that we cannot tell in the beginning whether it is a common cold or this illness. Testing is unavailable at all clinics and most hospitals. The Center for Disease Control is currently the best place to prove disease from a nasal swab, however, the detection turn around time is slow.
There is no effective antiviral treatment for EV-D68. Treatment relies purely on supportive care and pulmonary help during the acute phase of the illness.
From the CDC: Prevention is the key.
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Wash hands often with soap and water for 20 seconds;
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Avoid touching eyes, nose, and mouth with unwashed hands;
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Avoid kissing, hugging, and sharing cups or eating utensils with people who are sick;
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Disinfect frequently touched surfaces, such as toys and doorknobs, especially if someone is sick; and
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Stay home when feeling sick, and obtain consultation from your health care provider.
Let me reiterate that this illness is mild in most and that extra precautions should be taken by those with very young children and those with lung disorders. Viruses are strange and often the cause of much consternation. Be smart and wash your hands.
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Red Foods | 
From the Detox Challenge, Dr. Diana Minich has been discussing red foods and there benefits. Here are some of the highlights:
Red foods contain phytonutrients that are predominantly beneficial for cancer prevention and stimulate the function of the brain and immune system.
There is a vast selection of red foods for you to choose from on the food list. Red fruits include apples, blood oranges, cranberries, cherries, goji berries, grapes, plums, pomegranate, raspberries, strawberries, watermelon, and rhubarb. Tomatoes are also red fruits.
Pomegranate is extra special because it contains ellagic acid, an important component that helps your liver get rid of toxins. Strawberries, grapes, and apples contain the compound fisetin, which has anticancer, anti-aging, and anti-inflammatory properties. If you buy dried cranberries, cherries, plums (prunes) or grapes (red raisins), make sure there is minimal or no added sugar. Watermelon and pink grapefruit are two excellent sources of lycopene (but cooked tomatoes seem to be the best!).
When it comes to red vegetables, you can choose red bell peppers, beets, red onions, red potatoes, radicchio, radishes, and sweet red peppers. This category of foods also presents you with options for red-colored legumes, such as adzuki beans and kidney beans.
Try one you are not as familiar with. That might be pomegranate, in the form of the seeds from the fruit, or goji berries, which are perfect for a trail mix. Keeping the skin on red-skinned foods, like apples, onions, and red potatoes will also provide you with essential phytonutrients.
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Dr. Minich also has a list of red food ideas:
- Add fresh tomatoes, goji berries, raspberries, pomegranate seeds, or pink grapefruit sections to your green salads.
- If you eat pasta, use marinara (red) sauce instead of an alfredo (white) sauce to increase your lycopene and reduce your fat intake.
- Use marinara sauce on vegetables.
- Make a Mediterranean salad with tomatoes, olives, garlic, and herbs.
- Prepare salsa using chopped tomatoes, chopped red onions, and chili peppers.
- If you drink juice, try blood orange, grapefruit, or guava juice.
- Great snack ideas include watermelon slices, raspberries, cherries, strawberries, and apple slices.
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I often go to Zoe's restaurant and get the gluten free marinara over veges with chicken. Try it and be well.
Dr. M |
Teaching Children Release |
What does it take to be free of mental pain? I have been told that it lies with forgiveness and acceptance. We all have our faults - no question there.
Can we make the conscious choice to accept our mistakes, move on in a positive way and forgive ourselves for the same? I have been trying to instill this belief in my children. I can say that I did not learn this trait early enough to avoid mental pain. I tell my kids over and over that they will fail and make mistakes. How they respond to the failure is the key.
They are good children and deserve the teachings of acceptance, forgiveness and growth. I have tried to lead by example by forgiving others as they bear witness and by forgiving them for their mistakes. I have found that when I let them in on a few of "daddy's mistakes" as an age commensurate child, they feel better and understand their natural struggle. However, there is a downside to this idea.
I let my kids know about a time when I was a young boy, age 9. My sister got a new black hand held radio and I got her hand me down. I was mad and irrational. Being the third child, I never received a new product. So naturally, I took the radio and smashed it on the ground into 1.2 billion pieces. My father was none too pleased. I was disciplined of course. My son reminds me of this episode often when we are in company and he feels the need to be balanced for his faults.
The point for my kids is that it was wrong, yet, I learned a valuable lesson. Now, I have no radio and just my frustration to deal with. No pity party for me from my family. I can learn from the situation, forgive myself for my stupidity and accept the reality of a radio less future by my own design.
These are the lessons that I want them to learn under my roof where they have low risk of trouble with outside forces. I don't want them to learn these lessons when they are older and in a higher risk situation.
Dr. M |
Chemical Experiment |
Fastfood Experiment
Week 10
Still no appreciable difference. No signs of bacterial or fungal disease. No flies or bugs.
Wonder if the climate control environment of the office has an effect. Plan to start a second test at home in the outdoor environment. Stay tuned.
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Recipe of the Week |
Grilled Shrimp modified from Marcus Samuelsson
Ingredients:
- 1 tablespoon chopped cilantro
- 2 tablespoons chopped parsley
- 3 large garlic cloves
- 1/2 cup olive oil
- juice from 1 lemon and 1 lime
- 1 tablespoon organic greek plain yogurt
- 1 small jalape�o (large for more spice)
- 12 uncooked extra-large shrimp, peeled or prawns
- 1 tablespoon of shredded carrots
- 2 tablespoons unsweetened shredded coconut, toasted
- salt
- have chopped veges available like zucchini, squash and onions for extra skewers or extra puree or double the puree and make some all vege skewers for your vegetarian guests.
Directions:
Blend the garlic cloves, olive oil, cilantro, parsley, lime juice, lemon juice, yogurt and the jalape�o. Mix shrimp in the puree and evenly coat them. Thread the shrimp onto presoaked wooden skewers. Place skewers on a plate and drizzle extra puree on top.
On medium to low heat, grill skewers for 4 to 5 minutes, until they are fully cooked and the shrimp is bright pink. Place cooked skewers on a plate and sprinkle w coconut and carrot shards or garnish the plate to change the flavors being eaten at once.
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The newsletter archive can be found in the links section. New readers can now go back in time to learn about the future!
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Copyright � 2010-2014 Christopher J. Magryta, MD. Readers, please note: The information provided in this newsletter is for educational and informational purposes only. It is not a substitute for advice and treatment provided by your physician or other healthcare professional and is not to be used to diagnose or treat a health issue.
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Chris Magryta Salisbury Pediatric Associates Touchstone Pediatrics |
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