Staying healthy through winterWith the majestic Sierra Nevada mountains to our east, theSacramento River area to our west and countless greenwaysin between, the Chico area is known for its natural beauty.Unfortunately at this time <strong>of</strong> year, the days are so short that it’shard to see and appreciate our fortunate surroundings.Add in lingering winter coughs, colds and flu and it can bedownright dreary. Keeping your body healthy and mind focusedon the positive can help you prevent sicknesses and keep yourhead above the clouds.Mind-body connection:Beat the winter blues<strong>Enloe</strong> <strong>Medical</strong> <strong>Center</strong>’s Planetree model <strong>of</strong> holistic, patientcenteredcare recognizes the mind-body connection thatpromotes optimal health for all ages. When the mind is <strong>of</strong>f-kilter,it affects our bodies. “When the sun rises later and sets earlier, itaffects our energy levels,” says Katie Hart, Nurse Educator, <strong>Enloe</strong>Behavioral Health. “We call it the ‘winter blues’ when you feeldepressed or sad when daylight hours decrease.”The winter blues are common in northern climates like oursand experienced four times more <strong>of</strong>ten by women than men.They’re caused primarily by unstable levels <strong>of</strong> serotonin, whichhelps regulate mood, and tend to lift when the amount <strong>of</strong> dailysunlight increases in late spring. “The winter blues are not assevere as seasonal affective disorder (SAD), but they still affecthow you deal with everyday challenges,” Hart says.You may have the winter blues if you have two or more symptoms:> Feel lethargic and have difficulty awakening.> Can’t concentrate.> Blame yourself for things beyond your control.> Crave sweets and other carbohydrates.Research suggests “light boxes,” which emit light similar to thesun’s natural rays, can help. “Or get full-spectrum light bulbs athome, which are less expensive,” says Hart, who also <strong>of</strong>fers thefollowing suggestions:Exercise – outside if possible. “One hour <strong>of</strong> aerobic exerciseoutdoors – walking, sledding, skiing – has the same effect as twoand a half hours <strong>of</strong> light-box therapy,” Hart says. “And aerobicexercise releases natural feel-good chemicals in our bodies.”Give into carb cravings. Complex carbohydrates are <strong>of</strong>teneffective in increasing serotonin levels in the brain. “Eat complexcarbohydrates – whole-grain pasta, brown rice, fruits andvegetables – not junk foods,” Hart advises.Sleep soundly. “Sleep regulates your body’s hormones,” Hartsays. “Lift your bedroom curtain when the sun rises or install adimmer switch in your bedroom that allows you to gradually turnon your light a half hour before your alarm clock goes <strong>of</strong>f.”Embrace the good things. “The days are going to be short andit is going to get dark early – but don’t focus on dreariness,” Hartsays. “Try to appreciate the good things. The winter blues are achemical disorder, but your mindset matters, too.”Stay well with these tips to fend <strong>of</strong>f some <strong>of</strong> the most commonailments <strong>of</strong> each age group.For babies and childrenAn adult may miss a few days <strong>of</strong> work from respiratorysyncytial virus, or RSV, but it’s one <strong>of</strong> the main reasonsbabies under 6 months old are hospitalized.* “RSV isa miserable cold with an excessively runny nose withElise Debord, RN, MSN, (top left) Manager <strong>of</strong> <strong>Enloe</strong>’s PatientService Excellence Department, works with patients, families,community members, employees and physicians with the goal<strong>of</strong> making the patient experience the best it can be. An <strong>Enloe</strong>employee for 25 years, Elise is about as dedicated as you canget. Elise is also a loving mother, daughter and wife. She isphotographed here with husband Greg, parents Selma and Vic,and children Nique, Ben, Drew and Brad. Son Alex was away atcollege during this photo shoot.4 Stethoscope - WINTER 2009
Acupuncture therapy‘Stick it’ to winter coldsMany people reach for orange juice or chickensoup as an old-fashioned remedy to soothe coldsymptoms, but there’s another natural remedy toconsider – acupuncture.“Traditionally, people went to their acupuncturistsfour times a year, at the beginning <strong>of</strong> each seasonto increase their bodies’ immunity to changes inthe environment,” says Regina Dagorret, L.Ac,DAOM, a licensed acupuncturist with the state <strong>of</strong>California who has a doctorate in Acupunctureand Oriental Medicine. Dagorret has a localpractice and works at <strong>Enloe</strong>’s Acupuncture Clinic.“Back then, they didn’t know all the physiologicalbenefits <strong>of</strong> acupuncture suggested by research.”Acupuncture originated in China more than2,000 years ago and uses extremely fine needles– only two times the width <strong>of</strong> a single hair – tostimulate specific points on the body to improvehealth. Researchers don’t fully understand howit works but studies suggest it can reduce nauseaafter surgery and chemotherapy, and can alsorelieve pain.*“We choose points that correspond to yoursymptoms,” Dagorret explains. “For colds,we may use points that stimulate the release<strong>of</strong> anti-inflammatory steroids that can decreaseyour symptoms.”Making an acupuncture appointment at the firstsign <strong>of</strong> a cold can make you more comfortable asyour body fights <strong>of</strong>f infection. “If you feel a coldcoming on, call us right away,” Dagorret says.“Most patients find the treatment relaxing, andyou may be pleasantly surprised at how sick youwon’t get.”For more information on <strong>Enloe</strong> <strong>Medical</strong> <strong>Center</strong>’sacupuncture services, call 530.332.3857.* Source: National Institutes <strong>of</strong> Health.excretions the consistency <strong>of</strong> honey,” says Bill Sprotte, a NursePractitioner at <strong>Enloe</strong>’s Children’s Health <strong>Center</strong>.Since it’s a virus, antibiotics won’t help. “Call your health careprovider so that he or she can follow your young child as thevirus runs its course,” Sprotte says. “If your infant has troublebreathing, and your regular health care provider is unavailable,head to the ER.”Parents should call the doctor if their baby with a cold alsopulls <strong>of</strong>f the breast when nursing, if there’s pulling at the baby’sribs with breathing, if the baby is very fussy and/or not sleepingand has fewer wet diapers.Sprotte <strong>of</strong>fers the following tips to prevent RSV infections:Wash hands regularly, and cover coughs and sneezes.“Caregivers and older siblings can be sick without symptomsand unknowingly spread the virus to babies,” Sprotte says.“Insist on good hand-washing habits.” RSV can live for about45 minutes on clothes and six hours on a hard surface such asa toy or shopping cart.Separate your baby from sick people, including older siblings.“Parents are surprised when 8-year-old Johnnie does fine withhis cold while the baby is terribly sick,” Sprotte says. “RSV affectsage groups differently, so be protective <strong>of</strong> your littlest ones.”In your 20sWhile all ages are susceptible to skin infections, they are on therise for young adults in Butte County. MRSA, or methicillin-resistantStaphylococcus aureus, is an antibiotic-resistant infection that canstart like a pimple. It spreads through contact just like cold and flugerms. “You touch a shopping cart and then touch your face andfood – that’s how we transmit so many illnesses,” says MichelleFerrar, a Nurse Practitioner at <strong>Enloe</strong> Prompt Care. “Young adultsdon’t realize the importance <strong>of</strong> proper hand-washing with soap andwater or an alcohol-based hand sanitizer, but it’s powerful in helpingprevent many infections, including MRSA.”Other ways to protect yourself are to shower right afterexercise, cover your cuts and abrasions with a clean drybandage until healed, avoid sharing personal items that comein contact with bare skin such as towels and razors, and using abarrier, like a towel or article <strong>of</strong> clothing between your skin andshared equipment, like weight-training benches.In your 30s and 40sWhether you’re working or raising a family – or both – your 30sand 40s are jam-packed years. “As we get older, our immunesystem needs enough rest to stay strong,” Ferrar says. “It’simportant to take care <strong>of</strong> yourself. If you work in an <strong>of</strong>fice allday or with a lot <strong>of</strong> customers, make sure you get a flu shot.**It’s an easy thing to do.”For baby boomersMany people are searching for well-balanced diets that meetdietary guidelines and taste good. “Eating healthfully doesn’thave to be a lifelong struggle,” Ferrar says. “Your strong bodyis your No. 1 defense against sickness. If you aren’t sure whatyou should eat, ask for a referral to a registered dietitian.”Baby boomers should have already received their flu shots,but it’s not too late.** “If you’re 50 or older, you’re at high risk<strong>of</strong> life-threatening flu complications, such as pneumonia anddehydration,” Ferrar says. “The flu shot is not a live virus. Itcannot make you sick, but it may save your life.”For seniorsIt can be overwhelming for seniors to stay on top <strong>of</strong> everythingfrom blood pressure to managing chronic conditions. “That’swhy you need help,” Ferrar says. “Visit your care providersevery six months. We may notice things that you might not andcan help you take care <strong>of</strong> little things before they become bigproblems. And don’t attribute every ache and pain to aging. Itmay be something easily remedied.” z* Source: <strong>Center</strong>s for Disease Control and Prevention, www.cdc.gov.** Consult your health care provider before getting a flu shot if you have asevere allergy to chicken eggs or have had a severe reaction to an influenzavaccination.www.enloe.org 5