Health Tips from Dr. Mike Roizen for 6/28/22

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COVID-19 Information for Patients of Color and Boosted People
According to the Johns Hopkins Coronavirus Resource Center, as of Memorial Day weekend, the seven-day average of COVID-19 cases in the United States was 119,725.

A year ago, the seven-day average was just 17,887! So here are some tips to protect your health against the ongoing COVID-19 virus.

1. A JAMA Internal Medicine study found that pulse oximetry (that little plastic meter they put on your finger to measure your blood oxygen level) overestimates arterial oxygen saturation in Asian patients , black and Hispanic, and is associated with systemic failure that delays or prevents access to life-saving treatment. If you think you need COVID-19 treatment and the pulse says differently, ask — no, insist — that a blood sample be taken from an artery inside your wrist for a blood gas test. blood.

2. Boosters for children 5-11 years old have been approved for those who received their last dose at least five months ago. This is dose #3 for most children in the age group and dose #4 for immunocompromised children. It’s a smart idea.

3. A BMJ study found that getting an mRNA boost identical to the two-shot regimen you originally got (Pfizer or Moderna) is the #1 way to prevent non-severe COVID-19, even against different variants. And adding a third mRNA vaccine to other primary vaccines, like the J&J, does almost as well for you. Even a mild case of COVID-19 can lead to a long duration of COVID and brain dysfunction, so do everything (reminders, masks, hand washing) that can help you avoid infection!

Using Fruit to Fight Inflammation
A staggering 897,000 results show up on Google when you search for “fruit flambé” (fresh fruit ignited with alcohol). It’s a bit ironic, because the truth is that fresh, uncharred fruit does quell the inflammation-related fires in your body. Inflammation can be a good answer if it’s short-lived; it helps your immune system heal an injury or fight an infection. When it becomes chronic due to the presence of visceral belly fat and obesity or chronic sedentary behavior, it increases your risk of cardiovascular disease, cancer, arthritis, diabetes, chronic kidney disease, non-alcoholic fatty liver disease and autoimmune and neurodegenerative disorders. These conditions then further fuel the inflammation.

The fruits you eat can go a long way in preventing chronic inflammation.

1. Berries are loaded with bioactive compounds that help block inflammation. According to Harvard University, it’s the chemicals that make them so colorful – anthocyanins and ellagic acid – and give them the power to reduce the risk of Alzheimer’s disease, heart disease and diabetes. Their experts say to eat one and a half to two cups of various berries daily to fight chronic inflammation.

2. Apples and pears can also reduce inflammation. According to a meta-review of studies published in Current Developments in Nutrition: In observational studies, eating apples or pears significantly reduced the risk of cerebrovascular disease, type 2 diabetes, and all-cause mortality.

3. Stone fruits, such as cherries, peaches, apricots, and plums, are also loaded with colorful phytochemicals and anthocyanins that dampen inflammation. Enjoy!

Surprise! Rejections can be good for your heart
When something is really confusing, you might say, “That’s disgusting. But sometimes rejections can actually be a good thing.

Enjoy the benefits of turning off the TV. A study conducted in the UK and Hong Kong and published in BMC Medicine found that reducing your TV viewing time by even an hour a day can improve heart health.

In fact, researchers claim that 11% of all cases of coronary heart disease (CHD) could be prevented if everyone just embraced this small act of screen freedom.

Looking at data from 500,000 adults followed for about 12 years, they found that people who watched more than four hours of TV a day were at the highest risk of heart disease, while those who watched less than an hour of television had a relative 16 percent lower rate of coronary artery disease.

Sedentary behavior coupled with excessive snacking on heart-damaging foods is the double whammy at work here.

How to reduce your TV time? During this hour, you can take an after-dinner walk, practice yoga, or do tai chi – the choices are endless.

And if you can’t turn off the tube, interrupt your sitting time. Go up and down your stairs in the house or building for 10 minutes every hour. Walk the dog between shows. Do household chores.

People tend to super-veg in front of the TV, so let every commercial break tell you it’s time to get moving.

Here’s another nifty solution: Set up an exercise bike in the TV room and pedal (constantly and intensely) while you watch.

Diabetes and your brain
Denial of type 2 diabetes is a common response to an initial diagnosis. Tom Hanks had high blood sugar at the age of 36, but ignored the warning signs and developed full-blown type 2 diabetes in 2013 at the age of 56.

“I was a total jerk,” he said. Well, let’s hope his mental incapacitation reversed once he took control of his condition. For many people with type 2 diabetes, premature cognitive problems pose a real threat.

A study published in eLife used MRI scans of about 20,000 people aged 50 and over to compare the brains of people with type 2 diabetes to those without. People with type 2 diabetes showed a 26% increase in the speed of brain aging – it was shrinking prematurely! The findings also suggest that by the time type 2 diabetes is diagnosed, there may already be structural brain damage and changes in brain insulin regulation of glucose.

So what does this mean for the 96 million Americans with prediabetes and 35 million with type 2 diabetes? This means you need to protect your brain immediately.

Step 1: Adopt a plant-based diet; Ditch highly processed foods, red and processed meats, and added sugars and syrups.

Step 2: Take at least 10,000 steps or step equivalents per day. Add speed to your rides if your doc says it’s OK.

Step 3: Play games that reduce dementia and speed up treatment like Double Decision or Freeze Frame.

Step 4: Monitor your blood sugar frequently and strive to keep your A1C at 5.7% or less.

Emergency Department Drugs and Vision Problems: Be Aware
Recent data from the Cleveland Clinic revealed that men and women who take Viagra have a reduced risk of more than 40% of developing Alzheimer’s disease. (Women use it for pulmonary arterial hypertension.) It may lead more people to ask their doctor for a prescription for erectile dysfunction (ED) medications — and that makes it more important than ever. to be aware of potential side effects. Recent research on erectile dysfunction drugs called phosphodiesterase type 5 (PDE5I) inhibitors, including sildenafil (Viagra), tadalafil, vardenafil, and avanafil, have found that they are associated with an increased risk severe retinal detachment, retinal vascular occlusion and ischemic optic neuropathy.

The researchers looked at data from more than 210,000 men, with an average age of 65, who had received at least one prescription for PDE5I every three months in the past year. Their study, in JAMA Ophthalmology, found that the risk of one or more of these vision-damaging conditions was up to 185% higher in men taking the drugs than in those not taking them. Guys who took medication for emergencies and had high blood pressure, diabetes, coronary heart disease or sleep apnea had an increased risk.

Since erectile dysfunction can be linked to atherosclerosis and heart disease, a smart way to improve erectile dysfunction is to prevent or reverse elevated LDL cholesterol, obesity, and high blood pressure. How? Move it, lose it and follow a plant-based diet. And if you’re taking medication for emergencies, listen for eye problems such as multiple eye floaters, flashes of light in one or both eyes, blurred vision or loss of vision, pain in your temples or when chewing. Report symptoms to your doctor immediately.

Mike Roizen, MD is Director of Wellness and President of the Cleveland Clinic Wellness Institute.

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