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How Do You Feed Your Footprint?

(by Tarie Beldin, RD, LD)

As we begin the month of May…let us reflect back on April, on Earth Day, where we examine ways to conserve energy and take steps to save the planet….perhaps you have wondered – “does what I eat have an effect on my carbon footprint?”

To refresh your memory…a carbon footprint is defined as the amount of carbon dioxide (a greenhouse gas) that is given off from burning fossil fuels for lifestyle activities. Honestly, our society sometimes makes eating a recreational activity, so if we are concerned with reducing our carbon footprint, we need to educate ourselves about where our food comes from and how it is produced.

Research suggests that the more greenhouse gas produced, the higher the temperature at the lower levels of the atmosphere. This “global warming” can lead to extreme shifts in temperatures, droughts, blizzards, hurricanes and eventually a lower crop yield.

So just what is it about our food choices that increase the production of greenhouse gases, and what can we do about it?

  • We throw out about 1/3 of the food we buy… which is approximately 400 lbs. per year. Most of this is due to overbuying. Rotting produce and leftovers decay in landfills; this is second only to paper waste in terms of volume.
  • Think of how far your food travels and how it is produced. The more processed it is, the more energy used to produce it. The more paper/cardboard packaging it has, the greater the strain to forests. The farther away your food has to travel to get to your plate, the more fuel used for transportation and energy used for refrigeration.
  • Eating a diet that contains a lot of animal products can also have a negative impact. Animals consume far more food than they produce and also strain the environment by consuming large amounts of water, and their waste products can pollute the air and water supply.

Here are just 2 suggestions that will not only help the planet, but improve your health as well.

  • Eat more of a plant-based diet. Plants require less energy to produce and they can also help protect against disease.
  • Buy local. Whether it is meat or melon – visit local farmer’s markets or become part of Community Supported Agriculture programs. Buying whole, unprocessed foods that are grown or produced close to home are better for you and the environment.

Small changes can make a difference, and if we all made these changes – each day…not just Earth Day… in time, we could make an impact in our environment.

Nursing Our Community to Health

By David Huffstutler

HuffstutlerLast month, news coverage about the fertilizer plant explosion in West included a story that resonated with me. A nurse who worked at a nursing home that had collapsed from the explosion was at home, 20 miles from the plant at the time of the blast. However, when she heard the massive noise from so far away, she rushed to the nursing facility to help evacuate residents. Similar stories abounded about the heroic work of nurses during the aftermath of the bombing at the Boston Marathon. As do so many nurses every single day, these nurses went beyond their traditional call of duty and saved lives.

According to the U.S. Department of Labor’s Bureau of Labor Statistics, the employment of registered nurses (RNs) is expected to increase 26 percent from 2010 to 2020. The Bureau of Labor Statistics attributes this growth to an increased emphasis on preventative care, technological advancements and the fact that the aging baby-boomer population continues to require healthcare services as they live longer and more active lives.

The U.S. Census Bureau reports there were 3.5 million employed nurses in 2011. Of those nurses, 78 percent were RNs—64 percent of whom worked in hospitals.

There’s a reason people are moving more and more to this wonderful profession. Studies indicate that nurses are among the most trusted healthcare professionals in the country. A nurse is usually the first person a patient sees when he or she falls ill and the last one they see when they leave the hospital. Every day, nurses leave indelible impressions on their patients. Their worth is truly immeasurable.

On behalf of St. David’s HealthCare, thank you to all nurses for your compassion and commitment. Whether you serve right here in Central Texas, or in Boston, in West, or anywhere else in the country, you truly are making a difference.

David Huffstutler is president and chief executive officer of St. David’s HealthCare, which employs more than 3,100 nurses in Central Texas.

Importance of Physical Activity for People with Multiple Sclerosis (MS)

Screenshot_5_9_13_6_25_AMAs you may know, March was Multiple Sclerosis (MS) Awareness Month. As a physical therapist who treats patients with MS, and someone with MS myself, I find I am in a unique position. Providing therapy for MS patients is something I have wanted to do since PT school, and I wrote my master’s thesis on the utilization of physical therapy by persons with MS. It is my goal to reemphasize the importance of physical activity for the MS population, as well as remind the community of the many available resources at their fingertips.

We all know that everyone benefits from physical activity, and it’s important to remember the same is true for persons with MS. However, some individuals may have more barriers than others, so activity must be individualized to fit your specific needs. I tell my patients to focus on three areas of activity—flexibility, strength and cardio. All three are needed for optimal health. My advice to all MS patients is to find some activities you enjoy that will address one or all of the above areas. Physical activity may be the key to maintaining cognitive sharpness and keeping weakness and spasticity at bay.

Below are some recommended exercises for MS patients:

  • Swimming (or just walking in a pool)
  • Walking (on the ground or a treadmill, even short durations are ok)
  • Stationary bike or rower (if your legs are not working well, an upper body ergo meter is another option)
  • Yoga
  • Pilates
  • Resistance training (either with weights or resistance bands)

The key is to keep moving, while staying cool and managing your fatigue. This could mean 10-minute workouts, several times a day. Some alternatives may include keeping up with regular daily activities that can also provide exercise, such as: gardening, vacuuming, sweeping or practicing standing from a variety of seat heights.

Overall, remember to keep moving, stay cool (especially as the summer months approach), and manage fatigue by shortening workouts or increasing daily activity frequency.

Below you can find some other resources that may be helpful:

Visit the Multiple Sclerosis Association of America for information on the following resources:

  • My MS manager application for phones
  • My MS Resource locator
  • S.E.A.R.C.H. program for navigating various medications/therapies

The National Multiple Sclerosis Society has a great online community with resources and information including:

Consortium of Multiple Sclerosis Centers is another good resource.

  • NARCOMS (North American Research Committee on Multiple Sclerosis)

If you don’t have MS, but know someone who does, consider fundraising for research via an MS walk or bike ride! Check out the National Multiple Sclerosis Society for more information.

- Kathy Bolstorff, PT, NCS, MSCS

Successful Green Initiatives and Celebrating Earth Day

Monday, April 22, 2013, is Earth Day—a national program that aims to educate the community on the environmental and economic benefits of waste reduction and recycling.

St. David’s Round Rock Medical Center has continued its dedication to green practices for five years after adopting its recycling program, which has helped manage and reduce waste produced at its campus. Over the past five years, St. David’s Round Rock Medical Center has recycled 610 tons of recyclable materials and saved 4,285,925 gallons of water. Annually, our recycling efforts save about 2,081 trees and divert over 400 cubic yards of materials from being placed in the landfills.

Further awareness and motivational tactics that have helped recycling efforts at St. David’s Round Rock Medical Center include:

  • Pharmacy Waste Recycling – In 2012, St. David’s Round Rock Medical Center implemented a pharmacy waste program. This program helps divert hazardous waste from being sent to landfills and establishes proper disposal practices to meet EPA regulations.
  • Condensation Collection – An average daily collection of 1,800 gallons of condensation run-off that is used to water 3 courtyards on the campus. This helps reduce the impact on the community’s water supply.
  • Utility 4 CP program – This program is vital in providing emergency relief to the electrical power grid as demands in our state continue to stress the electrical grid during severe weather events. Our participation in this program will net a savings of $15,000 in 2013.
  • Filta Kitchen Grease Recycling Program – This program resulted in the recycling of 500 pounds of grease last year. This program converts the grease into biodiesel fuel.

Past projects include:

  • Implementing the use of electronic pay stubs instead of paper versions.
  • Donating over 100,000 pounds of products and supplies to Project C.U.R.E. —a nonprofit organization that takes expired and used medical supplies and products (such as surgery kits, dressings, radiology equipment and defibrillators) and delivers them to third-world countries in need of medical equipment and supplies.
  • Working towards a mercury-free environment over the last 10 years in various ways, including:
    • Retrofitting lighting to remove light bulbs that contain mercury
    • Changing laboratory procedures to eliminate testing equipment that contains mercury
    • Creating a policy that monitors product selection to curtail the use of any new products being brought into the facility that contain mercury
  • Retrofitting over 500 light fixtures throughout the facility, saving 16 watts of power per light fixture (over 8,000 watts per day).
  • Xeriscaping the hospital property by using plants that require little to no water.
  • Using HEPA filter bags in all of the hospital’s vacuum cleaners.
  • Using microfiber mops that use less water to clean the floors.

3 Things to Know about Cord Blood Donation

TCBBAnniversaryValentine’s Day is a day to express your love. Valentine’s Day was extremely special for the labor and delivery unit at St. David’s Medical Center since it marks the first anniversary of our partnership with Texas Cord Blood Bank. Over the past 365 days, due to the generosity of our patients, we have collected 1, 161 units of cord blood that can potentially be used to save someone’s life!

Top 3 Things to Know about Cord Blood Donation:

  1. Cord blood donation is free and does not interrupt the normal birth process. Privately banking your cord blood can cost thousands of dollars, which many families don’t have at the time of birth.
  2. By donating your baby’s cord blood, you can help treat life-threatening diseases such as leukemia, aplastic anemia or genetic blood disorders. Blood is drawn from the umbilical cord and placenta after the baby is delivered and does not cause any discomfort to mom or baby.
  3. Cord blood is found to be a rich source of stems sells and is currently being used as an alternative to bone marrow in treating the life-threatening diseases listed above.

Celebrate with us today as the work of St. David’s Medical Center and our amazing patients goes on to positively affect the lives of others!

-Meghan Frazier

The 8 Most Common Cardiac Symptoms Reported by Women

(by Dr. Joseph Szczytowski)

via Flickr

via Flickr

February 1st was National Wear Red Day. The Red Dress Campaign started in 2002 to raise heart attack awareness in women. Heart disease is the number one killer of women, and women may experience different cardiac symptoms than men. The focus of the Red Dress campaign is to share the specific symptoms women report.  A study completed by the National Institute of Health titled “Women’s Early Warning Symptoms of AMI” reported the following information from women who experienced Acute Myocardial Infarction (AMI):

Out of 515 women, 95% reported new or different symptoms a month or more before their cardiac incident.

The symptoms reported before having a heart attack include:

  • Unusual Fatigue – 70%
  • Sleep Disturbance – 48%
  • Shortness of Breath – 42%
  • Indigestion – 39%
  • Anxiety – 35%

The symptoms reported during a heart attack include:

  • Shortness of Breath – 58%
  • Weakness – 55%
  • Unusual Fatigue – 43%
  • Cold Sweat – 39%
  • Dizziness – 39%

Less than 30% of the women in this study reported chest pain prior, and 43% never had chest pain.

Be aware of your body and seek immediate medical assistance for all medical emergencies including AMI. Time matters.

February is HEART MONTH!

via flickr

via flickr

Heart disease is the #1 killer of women. Start by taking care of yourself and reducing YOUR own risk by living heart healthy.

A great way to start is by learning the symptoms of a heart attack. According to the American Heart Association, the following can serve as common symptoms of a heart attack:

  • Uncomfortable pressure, fullness, squeezing or pain in the center of the chest lasting more than a few minutes
  • Pain in the chest that spreads to the shoulders, neck or arms
  • Chest discomfort with lightheadedness, fainting, sweating, nausea or shortness of breath

Women often experience less common symptoms, such as:

  • Atypical chest pain, stomach or abdominal pain
  • Shortness of breath and difficulty breathing
  • Unexplained anxiety, weakness or fatigue
  • Heart palpitations, cold sweat or paleness

***If you experience any of these symptoms, please call 9-1-1.

In the United States, it is estimated that close to 550,000 people die each year from coronary artery disease (CAD). CAD is the most common type of heart disease and is the leading cause of death in the United States. St. David’s Medical Center is spreading awareness about heart disease prevention and maintenance. Please join us this month and throughout the year at the following free offerings:

  • Heart Disease Management Class “Living Well with Heart Disease” – February 21, 9:00am–noon at St. David’s Medical Center, Medical Office Building (3000 North IH-35, 5th floor, classroom D). Validated parking in Garage #2. This class is held monthly on the third Thursday of every month. To reserve a space, please call 512-544-2663.
  • Monthly Cardiac Support Group Meetings – February 18, 6:00pm–7:00pm at St. David’s Medical Center, Medical Office Building (3000 N. IH-35, 5th floor, classrooms). Validated parking in Garage #2. This class is held monthly on the third Tuesday of every month. To reserve a space, please call 512-544-4263.

St. David’s Medical Center is also proud to offer a Fit Heart Consultation for $130.00. This is a comprehensive screening and consultation designed to educate individuals on heart disease prevention. The consultation is intended for those with positive cardiac risk factors such as high blood pressure, diabetes, high cholesterol, smoking, obesity and a sedentary lifestyle. The consultation provides personalized guidance for lifestyle modifications, and participants will receive an individualized, goal-oriented exercise program. For more information, please call 512-544-4263.

Take care of your heart in February and throughout 2013!

-Laura Raymond, RN, BS, FAACVPR

7 Tips to a Weigh Better 2013

via flickr

A new year…time to start over with your health and fitness goals that got away from you during the holidays! Most New Year’s resolutions have something to do with becoming healthier, losing weight or exercising, and even though excitement and motivation is high now, many resolutions will be abandoned by February!

I believe the main reason for people not being able to keep their resolutions is that they try to make too many dramatic changes all at once. Many people cannot go from sedentary to running 5 miles a day or from eating a high-fat/junk food diet to becoming a vegetarian.

Here are some tips that can make it easier to reach your New Year’s goal – without pain or starvation!

  1. Set a REALISTIC goal. You should have a main goal and several small “mini” goals that support your main goal. Goals should be doable and measurable.
  2. Write it down. When you write down your goals and make plans on how to achieve them, you are more likely to be successful. Also, keeping food and activity records have been shown to shape behaviors to help you reach your goals.
  3. Make small changes. Try substituting water for soda or mustard for mayonnaise or cooking at home 3 nights a week vs. eating out. As you feel comfortable with the changes you have made, then you can implement others.
  4. Reward yourself (not with a hot fudge sundae!). As you reach your “mini” goals, reward your hard work. Take a healthy cooking class; buy a new pair of running shoes; get a massage…something to look forward to and to help keep you motivated.
  5. Make mistakes! You are going to eat birthday cake, go to happy hour, catch a cold and not make it to the gym for a week – that’s life! Each time one of these situations happens is a time for learning and problem solving.
  6. Educate yourself. There is so much information on nutrition and fitness it is difficult to make sense of it all. Whether you do the research yourself or seek the expertise from a qualified professional….know how many calories you need each day, how many calories are in your favorite foods and what exercises are best for you.
  7. Get support! Having support from family, friends and co-workers can give you extra accountability! Find groups and classes so that you can surround yourself with people that share your same goals and passions.

Tarie Beldin, RD,LD
St. David’s Round Rock Medical Center

Make Good Choices a Holiday Tradition

via flickr

Believe it or not, Thanksgiving is next week. As in right-around-the-corner, it’ll-be-here-before-we-know it, better-start-planning-your-pies-and-making-room-in-your-fridge next week. It’s that time of year when gluttony is encouraged and households everywhere celebrate the invention of pants with elastic waists.

Now, I love stretchy pants just as much as the next person, and fully intend on having seconds of my mom’s delicious stuffing, but there is something to be said about being mindful about indulging over the holiday. And while I’m not here to preach about portion size or how to make all of your favorite dishes low-fat, I am going to challenge you to get at least thirty minutes of physical activity on Thanksgiving Day. Oh, hush, I can hear you whining about it from here. Thirty minutes.—it will be over before you know it. You’ll spend more time than that watching all of the marching bands perform on the Macy’s Thanksgiving Day Parade. And think about how great you’ll feel, not to mention all of the amazing health benefits you get from regular physical activity: (source: Center for Disease Control (CDC))

  • Control your weight
  • Reduce your risk of cardiovascular disease
  • Reduce your risk for type 2 diabetes and metabolic syndrome
  • Reduce your risk of some cancers
  • Strengthen your bones and muscles
  • Improve your mental health and mood
  • Improve your ability to do daily activities and prevent falls, if you’re an older adult
  • Increase your chances of living longer

So, lace up your shoes in the morning and head out the door for a mind-clearing walk in the brisk autumn air before the cooking marathon ensues. Or grab the whole family (Fido, too!) and participate in the 22nd Annual Thundercloud Subs Turkey Trot (there’s both a one and five mile event)—it’s the largest five mile race in Texas, and proceeds from the event are donated to great causes in Austin! Or round up the kids and play a round of touch football in the backyard during halftime of the televised game—who says getting your heart rate up can’t be fun?

Remember, you only get to indulge in Grandma’s chocolate-covered-pecan-pumpkin-cheesecake once a year, so you should enjoy every last bite! But do yourself a favor this Thanksgiving and get moving for just thirty short minutes—not only will your body thank you for it, but you’ll get the added bonus of my favorite benefit from regular physical activity: decreased second helping guilt.

Katie Lyke, RN
Manager, St. David’s Emergency Center in Bee Cave

Fever. Sore throat. Body aches. Cough. Fatigue. Congestion. Headache.

If you’ve ever had the flu, you know it can knock you down quicker than you can say, “Tylenol and chicken soup, please.” And with the holidays fast approaching, who wants to be the person relegated to bed, fighting the flu, while everyone else is out enjoying the festivities?

Flu season is already here, and one of the best things you can do to protect yourself against the three most anticipated strains (including H1N1) is to get the flu vaccine. And here at St. David’s Emergency Center at Bee Cave, we’re offering free flu shots to the community while supplies last, with no appointment necessary. Just come in whenever it’s convenient for you, and our friendly staff will get you vaccinated. And when we say “whenever,” we mean it—we’re open twenty four hours a day, seven days a week. Because here at St. David’s, we’re not only committed to providing exceptional care in the event of life’s medical emergencies, but also to promoting health and wellness within our community. In fact, if you were at any one of the amazing events at the Hill Country Galleria this weekend, you may have seen some of our awesome staff passing out first aid kits and spreading the word about our free flu shots!

So arm yourself against the flu this season by stopping at St. David’s Emergency Center Bee Cave anytime for your free flu shot while supplies last!

(Located in the Hill Country Galleria, in front of the Bee Cave City Hall)
12813 Galleria Circle
Bee Cave, TX 78738
Telephone: (512) 816-2100

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