VIVA NOLA February 2019
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HEALTH CHECK<br />
It is Mardi Gras Season!<br />
Have Fun but Be Careful!<br />
by ARTUROGASTAnADUY, M.D.<br />
Mardi Gras, Fat Tuesday in French, is<br />
the last day of Carnival. The season is<br />
celebrated with King Cakes, gold,<br />
purple and green decorations,<br />
costumes, masks, bead necklaces,<br />
parades, and parties with lots of<br />
delicious foods and drinks. New<br />
Orleans has a long tradition of Mardi<br />
Gras celebration and it is one of the<br />
most famous in the world. The first<br />
parade was in 1837, the first float<br />
appeared in 1857 and beads in 1900.<br />
Mardi Gras season is a lot of fun, but<br />
there are some common health<br />
problems associated with it.<br />
Traum a: Bruises, cuts, sprains,<br />
concussions, dislocations, and even<br />
fractures caused by trips, falls, motor<br />
vehicle accidents, projectiles, etc. The<br />
most common ones are smashed<br />
fingers, sprained ankles, wrist<br />
fractures, and head or face<br />
contusions caused by projectile bead<br />
bags. Elbow subluxation and eye<br />
scratches also occur. Tendinitis and<br />
feet friction blisters are frequent in<br />
dancers and marching band<br />
members. Watch your footing, be<br />
24 aware of the curbs, fences,<br />
Happy &<br />
Safe<br />
M ardi Gras!<br />
potholes, projectiles, moving vehicles,<br />
etc. Be sure that children?s ladders are<br />
well designed and placed in a safe<br />
spot at least 6 feet inside the curb.<br />
Wear comfortable previously used<br />
shoes with double socks (thinner<br />
inside). Pay attention to your children<br />
and minimize cell phone use.<br />
Exposure: Cold injuries, sunburns<br />
and dehydration may occur,<br />
especially in children. Plenty of water,<br />
sunscreen and layered clothing to<br />
adjust to weather changes are<br />
recommended.<br />
Foreign bodies: Every pediatrician in<br />
New Orleans has had to remove<br />
beads from ears and noses of<br />
children. The procedure could be easy<br />
or traumatic, sometimes requiring an<br />
ear nose and throat consultant.<br />
Infants and small children have a high<br />
risk of choking with a bead or small<br />
toy like a king cake doll. Prevent little<br />
children playing with small objects.<br />
Gast roint est inal Problem s: Parties,<br />
outside cooking, previously prepared<br />
meals, multiple food handlers and<br />
lack of bathrooms and hand-washing<br />
facilities, provide opportunities for the<br />
food to become contaminated. Food<br />
poisoning and stomach infections<br />
may occur. Sometimes outbreaks<br />
develop from a common food source.<br />
Keep food refrigerated, use<br />
disposable utensils, minimize the<br />
number of food handlers, use hand<br />
sanitizer and wash hands with water<br />
and soap whenever possible.<br />
Drugs, alcohol, sex: These are<br />
potential problems for adolescents.<br />
Parties with lack of supervision<br />
provide the opportunity to<br />
experiment and for risk-taking<br />
behaviors. Remember that small<br />
children can get intoxicated by<br />
partially filled cups they find lying<br />
around. Watch and counsel your<br />
children, be sure you know where<br />
they are and with whom as well as<br />
who is supervising them.