Friday, May 22, 2015

6 Tips for Preventing & Treating Tick Bites

By Blaise Vitale, MD, Burnett Medical Center
Blaise Vitale, MD
Burnett Medical Center


Ticks have already started to show up in Burnett County. They are especially easy to find on warm spring days in brushy areas. While ticks can certainly cause some diseases, proper care can allow you to enjoy the great outdoors.

Prevention is the best medicine.

1. Know which insect repellents are effective against ticks.
Insect repellents containing DEET are largely ineffective against deer ticks (although they work great against mosquitoes). The best repellents contain permethrin. These can be found at local hardware stores, pharmacies, and Wal-Marts, and should be applied to clothing rather than directly on the skin.

2. If you have pets, know which treatments protect them.
Be aware that flea and tick collars are ineffective against ticks. However, there are several brands of tick treatments which are applied to the skin and will kill ticks on your pets for about a month. These are available through your veterinarian.

3. Cover your skin when working or playing in grassy or wooded areas.
To limit contact to your skin, wear a hat, a long-sleeved shirt, and long pants with the legs tucked into your socks. Also keep in mind that it is easier to spot ticks on light-colored clothes.

If bitten, proper care is key.

4. If you are bit by a tick, there are many ways to remove them.
Wood Ticks (also called Dog Ticks in parts of the country) can simply be removed by pulling them off with your fingers.  Deer Ticks (also called Bear Ticks in parts of the country), however, have hard mouth parts with structures like porcupine quills which keep them embedded and difficult to remove. The best option calls for using tweezers. I have the best luck with two pairs of tweezers—I use the first pair to gently lift up the tick and then use the second pair to grab as close as possible to the mouth. Once you have the tick grasped, gently twist it out until they release (usually several turns).

5. If you’ve been bit, know what care is appropriate.
While most Deer Ticks in this area are infected with the bacterium which causes Lyme disease, they tend to spread the bacterium inefficiently (only about 3% of people who are bitten by infected Deer Ticks will develop Lyme disease).

If bitten by a tick, I generally suggest that people watch for symptoms. Simple achiness should first be treated at home with over the counter analgesics such as Tylenol or Ibuprofen before seeking medical attention. However, if you develop a rash, fevers, or more severe muscle achiness, you should probably seek medical attention. For instance, if you become sick with a fever above 101 degrees during the summer months without a definite source of infection (e.g. an ear ache), you may have developed a tick-borne disease. Early diagnosis and treatment will allow you to recover more quickly. If you have had symptoms for over six weeks, and if you have never had Lyme disease, the blood test for Lyme is highly accurate.

6. If you have an allergy to tick bites, know the benefit and proper care.

After being bitten several times by Deer Ticks, many people develop an allergy to the saliva of the tick. This causes significant itching and a small red rash so that these people can usually tell when a Deer Tick has bitten them. Since they 
will likely remove the tick less than 24 hours after a bite, this allergy can actually decrease the odds of transmission of Lyme disease. However, this itching can sometimes last for several weeks. If you know you are allergic, after cleaning the wound carefully, application of over-the-counter Hydrocortisone will decrease the amount of itching within a few days. 

The staff of Burnett Medical Center are happy to assist you with these or any other medical concerns.

Now that you know proper prevention and care for tick bites, get out there and enjoy the great outdoors!


Information in this article is not meant to replace the advice of your personal healthcare provider.

Please see additional disclaimer information.

Thursday, April 23, 2015

Energy for Everyday Living

Janelle Smested, OTR, Occupational Therapist
By Janelle Smestad, OTR, Occupational Therapist

Spring can be an especially busy time with yard work, gardening, spring cleaning and home repairs. By following these energy-saving techniques, you'll find that you not only have more energy, but that your energy lasts throughout the day.

Reduce fatigue

  • Consider how you can do some jobs sitting rather than standing such as chopping vegetables, ironing and woodworking. Sitting reduces energy use by 25%. 
  • Alternate postures and take frequent stretch breaks throughout the day. 
  • Incorporate a system of work and rest into activities. Short rest breaks of five minutes during daily activities can help increase overall endurance. 
  • Alternate between heavy and light tasks. 
  • Divide activities throughout the week instead of overdoing it in one day. 

Create a comfortable environment
  • If the surrounding conditions are pleasant the job will be less tiring and more enjoyable. 
  • Listen to your favorite music when doing chores. 
  • Wear comfortable, loose-fitting clothing. 
  • Do not work in extreme temperatures, both cold and hot. 
  • Humidity can cause increased fatigue. 

Organize your work
  • Plan your activities first to avoid extra trips. Assemble necessary supplies and equipment prior to doing the job. For example, arrange garden supplies and tools prior to planting. 
  • Store heavy and most frequently used articles in the area easiest to reach at waist level, and lighter, less frequently used articles in the high and low areas. 

Use good posture
  • Avoid excessive bending, reaching, carrying and lifting. Avoid extra trips by using a cart or wagon to carry items. A small basket keeps cleaning supplies handy. A carpenter's apron works well for small home repairs. 
  • When carrying, divide the load; e.g. carry two smaller bags of supplies in each arm instead of one large heavy bag. Slide or push items instead of lifting or carrying. And if you do need to carry an item, keep it close to your body. 
  • Prevent bending and stooping by using long or adjustable handles on dustpans, brushes, and even paint rollers. Use a kneeling pad for gardening or sit on a foot stool. Build up your garden beds if able. 

Try just a few of these strategies to add energy to your day!





Information gathered in part by the Canadian Association of Occupational Therapists

Monday, March 2, 2015

Eat Healthy with Proper Portion Control

By BMC Dietitian, Sarah Motl, MS, RD
Sarah Motl, MS, RD, BMC Dietitian


Eating healthy does not mean depriving yourself of the foods you love; you just have to watch your portion sizes. Here are some tips to use common objects to help keep your portions in check:

- Tennis ball: the size of one cup of cooked pasta or rice

- DVD: the size of a pancake or waffle

- Deck of cards: 3 oz serving of meat

- Postage stamp: size of a pat of butter

- Golf ball: one serving of peanut butter

- Baseball: one cup of dry cereal; one serving of fruit

- 4 dice: one serving of cheese

- Post-it note: the size of a brownie or slice of cake

- Computer mouse: the size of a baked potato





Information in this blog is not meant to replace the advice of your personal healthcare provider.

Friday, February 6, 2015

A Top 10 to a Healthy Heart

Dr. Thomas Knickelbine
Cardiologist
By Cardiologist, Dr. Thomas Knickelbine, BMC Specialty Clinic Provider

1. Nuts to You
The risk of heart disease decreases with nut consumption. Try eating a small handful of almonds, walnuts, peanuts, or pistachios daily.

2. Getting Adequate Zzzz’s
Lack of sleep could result in a higher risk of high blood pressure or worsening of existing high blood pressure. Aim for 7 hours of shut eye.

3. Hate Your Guts
Watch your waistline! A waist greater than 40 inches for men and more than 35 inches for women is associated with an increased risk for heart disease and diabetes. 

4. Sweeten the Day
A daily dose of dark chocolate may benefit heart disease due to its high content of the antioxidants called flavanols. Keep the treat at three candy kisses.

5. Know Your Numbers
A total cholesterol of less than 200 mg, a LDL less than 100, an HDL greater than 40 for a man and 50 for a woman, glucose less than 100, and a blood pressure less than 120/80 is a prescription for better health.

6. Decrease Your Screen Time
Two or more hours of leisure spent sitting at the computer or in front of the television appears to increase risk of a heart attack (even for those who exercise). Rethink those hours of surfing the Net.

7. Be with Happy People
We are natural mimics. This helps explain why we feel happier around happy people.  Share your time with laughter, giggles and smiles.

8. Never Start and if Smoking, QUIT
Each cigarette you smoke is estimated to rob you of 11 minutes of your life. Smoking also damages the heart, lungs and skin. Take action and quit.

9. Recognize Symptoms of a Heart Attack
Some heart attacks are sudden and intense pain but most start slowly with mild discomfort in the back, neck, jaw or stomach. Other signs can be a cold sweat, nausea or lightheadedness. Do not second guess, call 911 and chew an aspirin.   

10. Think Color
Eating fruits and vegetables of different colors gives your body a wide range of valuable nutrients, like fiber, vitamins, minerals, and antioxidants. A generous amount as part of a healthful diet is likely to reduce the risk of stroke, cardiovascular disease, and certain cancers.

Dr. Knickelbine is a cardiologist with the Minneapolis Heart Institute® at Abbott Northwestern Hospital, where he is the Director of Preventive Cardiology and co-director of HeartScan Minnesota®. His interests are focused around the detection and research of new approaches to the diagnosis and prevention of cardiovascular disease. He has published multiple abstracts, presentations and papers surrounding the need for early detection and optimal treatment of coronary artery plaque. Minneapolis Heart Institute® Cardiologists see patients at Burnett Medical Center’s Specialty Clinic two times a month. To schedule an appointment, call 715-463-5353.

Information in this blog is not meant to replace the advice of your personal health care provider.
Please see additional disclaimer information.



Become a Healthy Role Model for Your Family

As we start the New Year, BMC Dietitian, Sarah Motl, MS, RD, offers up a few tips for becoming a good health role model for your family:

1. Make gradual changes: drink one more glass of water a day, walk 10 minutes longer each week.

2. Start walking: take the stairs instead of the escalator, park in the back of the parking lot.

3. Focus on health, not weight: don’t focus on the scale, focus on a healthy lifestyle which is so much more than just how much you weigh.
BMC Dietitian - Sarah Motl, MS, RD


4. Slow down: it takes 20 minutes for your stomach to tell your brain you are full. 

5. Stay positive: don’t complain about how much you dislike exercising or eating healthy food, focus on the benefits.










Information in this blog is not meant to replace the advice of your personal health care provider.
Please see additional disclaimer information.