Tag Archives: high blood pressure

Hypertension Vlog: A Ticking Time Bomb

December 8, 2018General Health and Wellness844-SMA-TALK, Behind the Curtain, high blood pressure, Hypertension, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, There are 72 Hours in a DayJeffrey Sterling, MD

Introduction

Welcome to the Straight, No Chaser hypertension vlog!

The Straight, No Chaser vlog (video blog) series presents “health care basics” to keep you safe, healthy and out of the emergency room. Straight, No Chaser has addressed high blood pressure (hypertension) on many occasions, simply because it’s just that important. Hypertension is a common denominator for so many additional illnesses and in many deaths. We address it in today’s vlog because it is a health care basic. Learn what’s needed to keep yours under control. Happy Holidays!

Follow us!

Ask your SMA expert consultant any questions you may have on this topic. Also, take the #72HoursChallenge, and join the community. Additionally, as a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Another free benefit to our readers is introductory pricing with multiple orders and bundles!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Likewise, please share our page with your friends on WordPress! Also like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

Frequently Asked Hypertension Questions

December 7, 2018General Health and Wellness844-SMA-TALK, Behind the Curtain, Conditions and Diseases, high blood pressure, Hypertension, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, There are 72 Hours in a DayJeffrey Sterling, MD

Introduction

In this post, we answer frequently asked hypertension questions.

High blood pressure (hypertension) is so prevalent and such a consequence of the way we live that you must already have an understanding of some basic principles if you care at all about your health. Feel free to offer your own questions or comments.

How do I know if I have high blood pressure?

You know by the numbers. Consider these defining blood pressure levels.
Normal – Systolic: < 120 mmHg, Diastolic: < 80 mmHg
At risk (pre-hypertension) – Systolic: 120–139 mmHg, Diastolic: 80–89 mmHg
High Systolic – Systolic: 140 mmHg or higher, Diastolic: 90 mmHg or higher
If you don’t already have a diagnosis of hypertension and are anywhere at or above the pre-hypertension stage, get checked by your physician.

But when should I get go to the emergency room for high blood pressure?

I’ll always want to see you if your bottom number (diastolic blood pressure) is at or above 110-115, regardless of whether you appropriately take your medication. Don’t look for symptoms to guide you. High blood pressure is called “the silent killer.”

If I do have high blood pressure, will I be placed on medication?

I really hope not, but honestly, approximately two-thirds of individuals in the U.S. who have high blood pressure are poorly controlled – even on medication. This means medication will be necessary for most. That said, theoretically, medication should be viewed as necessary only when necessary and only when other measures don’t work. You should discuss this with your individual physician and make every effort to improve your diet and exercise regimens. If and when you’re placed on medication, the choice of medication will be based on your age, sex, ethnicity, mobility, existing health profile and other considerations.

You mentioned I could have a heart attack or stroke from this? How would I know if that’s happening?

Check here for Heart Attack Recognition and here for Stroke Recognition where I discuss signs and symptoms. Remember, time is tissue, meaning you must not delay if you develop these symptoms.

What else can I do?

Be healthy! Don’t smoke. Limit alcohol intake. Lower your stress level. This is only a broken record if you’ve received the message and have implemented the recommendations.

Follow us!

Straight, No Chaser: A Foot Glossary and Introduction to Conditions Affecting Your Feet

March 26, 2018Orthopedics/Bones844-SMA-TALK, Arthritis, athlete's foot, Behind the Curtain, bunions, calcaneal fracture, Cardiovascular disease, diabetic foot ulcers, diabetic neuropathy, Haglund's deformity, hammer toes, high blood pressure, hyperhidrosis, Hypertension, ingrown toenails, neuroma, orthotics, peripheral artery disease, peripheral neuropathy, Psoriasis, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, tendonitis, There are 72 Hours in a DayJeffrey Sterling, MD

We talk a lot about health in Straight, No Chaser. We also try to help you recognize potentially troubling signs and symptoms. It’s appropriate to do so from the bottom up because so much weight is placed on your feet (no pun intended). Also, many people take their feet for granted and allow different types of conditions to progress before doing anything about them.
Today’s blog, done in conjunction with the American Podiatric Medical Association, aims to give you a working knowledge of conditions that affect your feet. Over the next few weeks, please use the posts on some of the individual topics mentioned below as a starting point for understanding various entities, conditions and diseases that relate to your feet.

Arthritis

Arthritis is inflammation of your joints, which are the spaces where various bones meet. The inflammation typically leads to pain, swelling, warmth and redness. As we age or as disease strikes, we are even more subject to arthritis in our feet, in the same way other joints are affected, because each foot has nearly three-dozen joints (33 to be exact). Straight, No Chaser has previously addressed the treatment of arthritis here.

Bone Spurs

Osteophytes (aka bone spurs) are bony projections that extend along the edges of bones. The main cause of bone spurs is the wear-and-tear damage associated with osteoarthritis (degenerative joint disease).

Cardiovascular Disease

High Blood Pressure Your feet are especially susceptible to the effects of hypertension (aka high blood pressure), because they represent the most distant point from your heart. As your heart’s function worsens–a manifestation of hypertension–your feet suffer from the effects of poor circulation (e.g., receiving suboptimal amounts of the oxygen and nutrients supplied by healthy blood). Check here for the Straight, No Chaser review of high blood pressure.
Peripheral Arterial Disease When fatty deposits (i.e., plaques) partially or completely block our arteries, the blood supply to various organs is compromised. This becomes even worse as the arteries become hardened with prolonged exposure. With the feet’s location being as far from the heart as it is, they are at higher risk.

Diabetes

Diabetic Wound Care

We have described diabetic foot ulcers here in Straight, No Chaser. You must be aware of the risks of losing limbs if you’re diabetic, as this occurs in approximately 15% of diabetics.
Diabetic (Peripheral) Neuropathy  The effects of high blood glucose (sugar) levels include damage of our peripheral nerves, called peripheral neuropathy. This phenomenon is most prevalent in the fingers and toes.

Foot & Ankle Injuries

Sprains, Strains & Fractures  These injuries compromise the ability of the feet to support and move the body.

$calcaneal fracture$

A sprain is an injury to the soft tissue of a structure such as the foot.
A strain (aka a pulled muscle) is an injury that results from excessive stretching and/or tearing of a structure’s supportive muscles.
A fracture is a disruption (e.g., break) in a bone.

Muscle & Tendon Problems

Haglund’s Deformity

 If you’ve ever heard the term “pump bump,” you know what Haglund’s Deformity is. This bony enlargement on the back of the heel often occurs in women who wear pumps.
Heel Pain  The heel bone (the calcaneus) is the largest of the 26 bones in the human foot. Due to size and stress, it is especially susceptible to injury.
Tendinitis  Tendinitis is the inflammation of a tendon prior to its disruption and represents one of the most common causes of foot or ankle pain.
Plantar fasciitis

Plantar fasciitis is inflammation of the tissue that connects the heel bone to the toes and creates the arch of the foot. This occurs when the thick band of tissue on the bottom of the foot is overstretched or overused. Plantar fasciitis is usually quite painful, and that pain makes walking difficult.

Skin Disorders

Athlete’s Foot

 This fungal infection is the result of conditions favorable to fungal growth: dark, warm and humid conditions. It itches and hurts, but treatment is readily available when preventative measures don’t control it.
Corns and Calluses

Irritation to a part of the foot will prompt the body to form thicker skin to prevent irritation and injury. These present as corns and calluses.
Psoriasis

We have discussed  psoriasis here in Straight, No Chaser. It represents abnormally rapid production and replacement of skin cells. This causes a build up of dead cells on the surface that is recognized as scaly, dry and silver patches.
Skin Cancers of the Feet  Although more common on exposed areas of the body, skin cancer can develop anywhere, including on the feet. Skin cancers of the feet tend to present as recurrent cracking, bleeding or ulceration more so than with pain.
Sweaty Feet  Hyperhidrosis is the medical term for excessive sweating. This often presents on the palms of the hands and the soles of the feet.
Warts

When warts present on the feet, they tend to be painful. These are fleshy manifestations of a virus infection.

Toe Joint & Nerve Disorders

Bunions  Bunions occur at the base of the great toe and is an enlargement of the joint that forms when the bone or tissue actually moves out of place.

Hammer Toes  A hammer toe is a bending (contracture) of the toe at its first joint, (i.e., the proximal interphalangeal joint). This produces an appearance of an upside-down V.

Neuromas  A neuroma (aka “pinched nerve”) is a non-cancerous growth of nerve tissue, most commonly located between the 3^rd and 4^th toes (the two next to your pinkie toes). Given that this involves growth of nerve tissue, it shouldn’t surprise you that neuromas are painful.

Toenail Problems

Ingrown Toenails Ingrown toenails represent the most common nail impairment and involve a condition when the corners of the nail dig painfully into your soft tissue, producing signs of infection and inflammation.

Toenail Fungus  When you notice an ongoing change in the color and quality of your toenails, you should suspect toenail fungus. These infections occur under the nail’s surface and require antifungal medications.

Treatment Terms

Shoe Inserts Inserts are simply foot supports that are placed inside your shoes. Shoe inserts don’t require a prescription.
Orthotics  Orthotics are typically custom-designed and prescribed devices designed to support and comfort your feet.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2018 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: Beeting Back High Blood Pressure and Poor Blood Flow to the Brain

March 16, 2018Cardiology/Heart, Detoxification, Diet and Nutrition, General Health and Wellness844-SMA-TALK, Antioxidant, beet juice, beet root, Behind the Curtain, high blood pressure, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, superfood, There are 72 Hours in a DayJeffrey Sterling, MD

Writing this makes me feel like your mother telling you to eat your spinach, but that’s another conversation. We’ve been talking a lot lately about brain health, and we’re always into improving your baseline health through actions such as lowering your blood pressure. Today’s Straight, No Chaser offers you a challenge that doesn’t involve dumping ice on your head.
In my mind, I’ve reduced much of life to having good blood flow, allowing for delivery of oxygen and other nutrients to essential parts of your body. Much of our performance in various ways is related to just that. To that end, if you’d like to include your blood flow to your brain, consider adding a bit of beet juice into your life.

No, not Beetlejuice…

Yes, that’s better.
Beet juice contains substances known as nitrates, which when metabolized within the body (into nitrites) relax blood vessels and promote better blood flow. Better blood flow equals better oxygenation and delivery of nutrition throughout your body, notably your brain. This blood flow activity isn’t just theoretical. Brain scans and MRIs taken shortly after and even a day after ingesting 8 ounces of beet root juice decisively demonstrate better blood flow and brain activity. This stuff works, and it’s natural!
The good news isn’t just limited to your brain. Beet juice has long been known as a powerful detoxifier, which your liver appreciates. It is a great source of antioxidants, which helps your entire body. Also, appreciate that beet juice has been shown to lower your blood pressure. Recall that blood pressure is a measure of the force the heart needs to pump blood throughout your body. We’re better off with a lower pressure, which is a sign of a more efficiently performing heart. Beet juice is a simple way to reduce your blood pressure by about 10 points.
Here are a final few fun facts for your consideration:

Beet juice is even better than eating cooked beets.
One to two cups a day is sufficient to get the desired health benefits.
Be advised that drinking beet juice may change your urine and bowel movements to a reddish color. This does not represent a danger.

Here’s to your health. Now beet it!
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2018 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser In The News: The Life Expectancy of Americans Drops for the First Time in 20+ Years

December 9, 2017General Health and Wellness, Public Health, Health Prevention844-SMA-TALK, accidents, Behind the Curtain, Cancer, Diabetes, drug overdose, high blood pressure, Hypertension, life expectancy, National Center for Health Statistics, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, Stroke, There are 72 Hours in a Day, TraumaJeffrey Sterling, MD

This is not a quirk, coincidence or mistake. Accordingly to the National Center for Health Statistics, for the first time in over two decades, life expectancy for Americans declined last year. This information is as shocking as it is rare.

Death rates increased in eight of the top 10 leading causes of death, including the following:

Heart attacks
Strokes
Diabetes
Drug Overdoses
Accidents

Deaths from Alzheimer’s disease represented the largest rate increase for any disease.

Even more concerning, these findings extend across all age groups and follow a five-year trend in which improvement in death rates were among the smallest improvements seen in 40 years. Death rates increased for white men and women and Black men, roughly staying the same for Black women and Hispanics. In case you were wondering, this increase in death rates is not being reproduced in other Western nations. The message here is there is a clear recent reduction in the health of the American citizen.
Many are confused and speculating about the causes for the near global reduction in life expectancy. Instead of guessing when the answers aren’t yet clear, I’d advise you to look for answers in the reporting on the only real positive finding: cancer showed a reduction in the death rate from cancer. The public health community would agree that specific innovation increase better prevention (specifically, fewer people are smoking), earlier detection (self-exams and adherence to screening regimens) and the development of new treatments that work best with good baseline health and early detection.

Straight, No Chaser has previously published a guide on how to live longer. Use these evidence-based pointers to buck the tide. Remember, misinformation and opinions are every bit as bad as bad health habits. Be informed and empowered.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2017 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: Questions About High Blood Pressure (Hypertension)

December 8, 2017Cardiology/Heart, Health Prevention844-SMA-TALK, Behind the Curtain, Conditions and Diseases, high blood pressure, Hypertension, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, There are 72 Hours in a DayJeffrey Sterling, MD

1. How do I know if I have high blood pressure?
You know by the numbers. Consider these defining blood pressure levels.
Normal – Systolic: < 120 mmHg, Diastolic: < 80 mmHg
At risk (pre-hypertension) – Systolic: 120–139 mmHg, Diastolic: 80–89 mmHg
High Systolic – Systolic: 140 mmHg or higher, Diastolic: 90 mmHg or higher
If you don’t already have a diagnosis of hypertension and are anywhere at or above the pre-hypertension stage, get checked by your physician.
2. But when should I get go to the emergency room for high blood pressure?
I’ll always want to see you if your bottom number (diastolic blood pressure) is at or above 110-115, regardless of whether you appropriately take your medication. Don’t look for symptoms to guide you. High blood pressure is called “the silent killer.”
3. If I do have high blood pressure, will I be placed on medication?
I really hope not, but honestly, approximately two-thirds of individuals in the U.S. who have high blood pressure are poorly controlled – even on medication. This means medication will be necessary for most. That said, theoretically, medication should be viewed as necessary only when necessary and only when other measures don’t work. You should discuss this with your individual physician and make every effort to improve your diet and exercise regimens. If and when you’re placed on medication, the choice of medication will be based on your age, sex, ethnicity, mobility, existing health profile and other considerations.
4. You mentioned I could have a heart attack or stroke from this? How would I know if that’s happening?
Check here for Heart Attack Recognition and here for Stroke Recognition where I discuss signs and symptoms. Remember, time is tissue, meaning you must not delay if you develop these symptoms.
5. What else can I do?
Be healthy! Don’t smoke. Limit alcohol intake. Lower your stress level. This is only a broken record if you’ve received the message and have implemented the recommendations.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2017 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: Beeting Back High Blood Pressure and Poor Blood Flow to the Brain

August 31, 2017Cardiology/Heart, Detoxification, Diet and Nutrition, General Health and Wellness844-SMA-TALK, Antioxidant, beet juice, beet root, Behind the Curtain, high blood pressure, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, superfoodJeffrey Sterling, MD

Beet juice is even better than eating cooked beets.
One to two cups a day is sufficient to get the desired health benefits.
Be advised that drinking beet juice may change your urine and bowel movements to a reddish color. This does not represent a danger.

Here’s to your health. Now beet it!
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Take the #72HoursChallenge, and join the community. As a thank you for being a valued subscriber to Straight, No Chaser, we’d like to offer you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!
Order your copy of Dr. Sterling’s new books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.72hourslife.com. Receive introductory pricing with orders!
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2017 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: A Foot Glossary and Introduction to Conditions Affecting Your Feet

March 23, 2017Orthopedics/Bones844-SMA-TALK, Arthritis, athlete's foot, Behind the Curtain, bunions, calcaneal fracture, cardiovascular d, diabetic foot ulcers, diabetic neuropathy, Haglund's deformity, hammer toes, high blood pressure, hyperhidrosis, Hypertension, ingrown toenails, neuroma, orthotics, peripheral artery disease, peripheral neuropathy, Psoriasis, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, tendonitisJeffrey Sterling, MD

Arthritis

Bone Spurs

heel-bone-spur

Cardiovascular Disease

Diabetes

Diabetic Wound Care

DM foot ulcer

Foot & Ankle Injuries

Sprains, Strains & Fractures  These injuries compromise the ability of the feet to support and move the body.

$calcaneal fracture$

A sprain is an injury to the soft tissue of a structure such as the foot.
A strain (aka a pulled muscle) is an injury that results from excessive stretching and/or tearing of a structure’s supportive muscles.
A fracture is a disruption (e.g., break) in a bone.

Muscle & Tendon Problems

Haglund’s Deformity

HaglundsDeformity

Plantar_Fasciitis1

Skin Disorders

Athlete’s Foot

toes+athletes+foot

cornscalluses

Irritation to a part of the foot will prompt the body to form thicker skin to prevent irritation and injury. These present as corns and calluses.
Psoriasis

We have discussed  psoriasis here in Straight, No Chaser. It represents abnormally rapid production and replacement of skin cells. This causes a build up of dead cells on the surface that is recognized as scaly, dry and silver patches.
Skin Cancers of the Feet  Although more common on exposed areas of the body, skin cancer can develop anywhere, including on the feet. Skin cancers of the feet tend to present as recurrent cracking, bleeding or ulceration more so than with pain.
Sweaty Feet  Hyperhidrosis is the medical term for excessive sweating. This often presents on the palms of the hands and the soles of the feet.
Warts
Planters Warts
When warts present on the feet, they tend to be painful. These are fleshy manifestations of a virus infection.

Toe Joint & Nerve Disorders

Bunions  Bunions occur at the base of the great toe and is an enlargement of the joint that forms when the bone or tissue actually moves out of place.

Hammer Toes  A hammer toe is a bending (contracture) of the toe at its first joint, (i.e., the proximal interphalangeal joint). This produces an appearance of an upside-down V.

Toenail Problems

Treatment Terms

Shoe Inserts Inserts are simply foot supports that are placed inside your shoes. Shoe inserts don’t require a prescription.
Orthotics  Orthotics are typically custom-designed and prescribed devices designed to support and comfort your feet.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Order your copy of Dr. Sterling’s new book Behind The Curtain: A Peek at Life from within the ER at jeffreysterlingbooks.com, iTunes, Amazon, Barnes and Nobles and wherever books are sold.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2017 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser In The News: The Life Expectancy of Americans Drops for the First Time in 20+ Years

December 9, 2016General Health and Wellness, Public Health, Health Prevention844-SMA-TALK, accidents, Behind the Curtain, Cancer, Diabetes, drug overdose, high blood pressure, Hypertension, life expectancy, National Center for Health Statistics, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, Stroke, TraumaJeffrey Sterling, MD

Death rates increased in eight of the top 10 leading causes of death, including the following:

Heart attacks
Strokes
Diabetes
Drug Overdoses
Accidents

Deaths from Alzheimer’s disease represented the largest rate increase for any disease.

Straight, No Chaser has previously published a guide on how to live longer. Use these evidence-based pointers to buck the tide. Remember, misinformation and opinions are every bit as bad as bad health habits. Be informed and empowered.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Order your copy of Dr. Sterling’s new book Behind The Curtain: A Peek at Life from within the ER at jeffreysterlingbooks.com, iTunes, Amazon, Barnes and Nobles and wherever books are sold.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2016 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: Questions About High Blood Pressure (Hypertension)

December 8, 2016Cardiology/Heart, Health Prevention844-SMA-TALK, Behind the Curtain, Conditions and Diseases, high blood pressure, Hypertension, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No ChaserJeffrey Sterling, MD

1. How do I know if I have high blood pressure?
You know by the numbers. Consider these defining blood pressure levels.
Normal – Systolic: < 120 mmHg, Diastolic: < 80 mmHg
At risk (pre-hypertension) – Systolic: 120–139 mmHg, Diastolic: 80–89 mmHg
High Systolic – Systolic: 140 mmHg or higher, Diastolic: 90 mmHg or higher
If you don’t already have a diagnosis of hypertension and are anywhere at or above the pre-hypertension stage, get checked by your physician.
2. But when should I get go to the emergency room for high blood pressure?
I’ll always want to see you if your bottom number (diastolic blood pressure) is at or above 110-115, regardless of whether you appropriately take your medication. Don’t look for symptoms to guide you. High blood pressure is called “the silent killer.”
3. If I do have high blood pressure, will I be placed on medication?
I really hope not, but honestly, approximately two-thirds of individuals in the U.S. who have high blood pressure are poorly controlled – even on medication. This means medication will be necessary for most. That said, theoretically, medication should be viewed as necessary only when necessary and only when other measures don’t work. You should discuss this with your individual physician and make every effort to improve your diet and exercise regimens. If and when you’re placed on medication, the choice of medication will be based on your age, sex, ethnicity, mobility, existing health profile and other considerations.
4. You mentioned I could have a heart attack or stroke from this? How would I know if that’s happening?
Check here for Heart Attack Recognition and here for Stroke Recognition where I discuss signs and symptoms. Remember, time is tissue, meaning you must not delay if you develop these symptoms.
5. What else can I do?
Be healthy! Don’t smoke. Limit alcohol intake. Lower your stress level. This is only a broken record if you’ve received the message and have implemented the recommendations.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Order your copy of Dr. Sterling’s new book Behind The Curtain: A Peek at Life from within the ER at jeffreysterlingbooks.com, iTunes, Amazon, Barnes and Nobles and wherever books are sold.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2016 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: A Foot Glossary and Introduction to Conditions Affecting Your Feet

March 26, 2016Orthopedics/Bones844-SMA-TALK, Arthritis, athlete's foot, Behind the Curtain, bunions, calcaneal fracture, cardiovascular d, diabetic foot ulcers, diabetic neuropathy, Haglund's deformity, hammer toes, high blood pressure, hyperhidrosis, Hypertension, ingrown toenails, neuroma, orthotics, peripheral artery disease, peripheral neuropathy, Psoriasis, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, tendonitisJeffrey Sterling, MD

Arthritis

Bone Spurs

Cardiovascular Disease

High Blood Pressure Your feet are especially susceptible to the effects of hypertension (aka high blood pressure), because they represent the most distant point from your heart. As your heart’s function worsens–a manifestation of hypertension–your feet suffer from the effects of poor circulation (e.g., receiving suboptimal amounts of the oxygen and nutrients supplied by healthy blood). Check here for the Straight, No Chaser review of high blood pressure.
Peripheral Arterial Disease When fatty deposits (i.e., plaques) partially or completely block our arteries, the blood supply to various organs is compromised. This becomes even worse as the arteries become hardened with prolonged exposure. With the feet’s location being as far from the heart as it is, they are at higher risk.

Diabetes

Diabetic Wound Care

Foot & Ankle Injuries

Sprains, Strains & Fractures  These injuries compromise the ability of the feet to support and move the body.

$calcaneal fracture$

A sprain is an injury to the soft tissue of a structure such as the foot.
A strain (aka a pulled muscle) is an injury that results from excessive stretching and/or tearing of a structure’s supportive muscles.
A fracture is a disruption (e.g., break) in a bone.

Muscle & Tendon Problems

Haglund’s Deformity

Skin Disorders

Athlete’s Foot

Toe Joint & Nerve Disorders

Bunions  Bunions occur at the base of the great toe and is an enlargement of the joint that forms when the bone or tissue actually moves out of place.

Hammer Toes  A hammer toe is a bending (contracture) of the toe at its first joint, (i.e., the proximal interphalangeal joint). This produces an appearance of an upside-down V.

Toenail Problems

Treatment Terms

Shoe Inserts Inserts are simply foot supports that are placed inside your shoes. Shoe inserts don’t require a prescription.
Orthotics  Orthotics are typically custom-designed and prescribed devices designed to support and comfort your feet.
Feel free to ask your SMA expert consultant any questions you may have on this topic.
Order your copy of Dr. Sterling’s new book Behind The Curtain: A Peek at Life from within the ER at jeffreysterlingbooks.com, iTunes, Amazon, Barnes and Nobles and wherever books are sold.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright © 2016 · Sterling Initiatives, LLC · Powered by WordPress

Straight, No Chaser: Questions About High Blood Pressure (Hypertension)

November 19, 2015Cardiology/Heart844-SMA-TALK, Behind the Curtain, Conditions and Diseases, high blood pressure, Hypertension, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No ChaserJeffrey Sterling, MD

These days everyone is running around getting their blood pressure checked at the local pharmacy. Many times that raises more questions than answers. What are you supposed to do with those numbers? High blood pressure (hypertension) is so prevalent and such a consequence of the way we live that you must already have an understanding of some basic principles if you care at all about your health. Feel free to offer your own questions or comments.

1. How do I know if I have high blood pressure?
You know by the numbers. Consider these defining blood pressure levels.
Normal – Systolic: < 120 mmHg, Diastolic: < 80 mmHg
At risk (pre-hypertension) – Systolic: 120–139 mmHg, Diastolic: 80–89 mmHg
High Systolic – Systolic: 140 mmHg or higher, Diastolic: 90 mmHg or higher
If you don’t already have a diagnosis of hypertension and are anywhere at or above the pre-hypertension stage, get checked by your physician.
2. But when should I get go to the emergency room for high blood pressure?
I’ll always want to see you if your bottom number (diastolic blood pressure) is at or above 110-115, regardless of whether you appropriately take your medication. Don’t look for symptoms to guide you. High blood pressure is called “the silent killer.”
3. If I do have high blood pressure, will I be placed on medication?
I really hope not, but honestly, approximately two-thirds of individuals in the U.S. who have high blood pressure are poorly controlled – even on medication. This means medication will be necessary for most. That said, theoretically, medication should be viewed as necessary only when necessary and only when other measures don’t work. You should discuss this with your individual physician and make every effort to improve your diet and exercise regimens. If and when you’re placed on medication, the choice of medication will be based on your age, sex, ethnicity, mobility, existing health profile and other considerations.
4. You mentioned I could have a heart attack or stroke from this? How would I know if that’s happening?
Straight, No Chaser will have upcoming posts on heart attack and stroke recognition. where we will discuss signs and symptoms. Remember, time is tissue, meaning you must not delay if you develop these symptoms.
5. What else can I do?
Be healthy! Don’t smoke. Limit alcohol intake. Lower your stress level. This is only a broken record if you’ve received the message and have implemented the recommendations.
Order your copy of Dr. Sterling’s new book Behind The Curtain: A Peek at Life from within the ER at jeffreysterlingbooks.com, iTunes, Amazon, Barnes and Nobles and wherever books are sold.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.

Straight, No Chaser: Beeting Back High Blood Pressure and Poor Blood Flow to the Brain

August 28, 2015Cardiology/Heart, Detoxification, Diet and Nutrition, General Health and Wellness844-SMA-TALK, Antioxidant, beet juice, beetroot juice, Behind the Curtain, high blood pressure, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, superfoodJeffrey Sterling, MD

No, not Beetlejuice…

Yes, that’s better.

Beet juice contains substances known as nitrates, which when metabolized within the body (into nitrites) relax blood vessels and promote better blood flow. Better blood flow equals better oxygenation and delivery of nutrition throughout your body, notably your brain. This blood flow activity isn’t just theoretical. Brain scans and MRIs taken shortly after and even a day after ingesting 8 ounces of beet root juice decisively demonstrate better blood flow and brain activity. This stuff works, and it’s natural!
The good news isn’t just limited to your brain. Beet juice has long been known as a powerful detoxifier, which your liver appreciates. It is a great source of antioxidants, which helps your entire body. Also, appreciate that beet juice has been shown to lower your blood pressure. Recall that blood pressure is a measure of the force the heart needs to pump blood throughout your body. We’re better off with a lower pressure, which is a sign of a more efficiently performing heart. Beet juice is a simple way to reduce your blood pressure by about 10 points.
Here are a final few fun facts for your consideration:

Beet juice is even better than eating cooked beets.
One to two cups a day is sufficient to get the desired health benefits.
Be advised that drinking beet juice may change your urine and bowel movements to a reddish color. This does not represent a danger.

Here’s to your health. Now beet it!
Order your copy of Dr. Sterling’s new book Behind The Curtain: A Peek at Life from within the ER at jeffreysterlingbooks.com, iTunes, Amazon, Barnes and Nobles and wherever books are sold.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK offers. Please share our page with your friends on WordPress, like us on Facebook @ SterlingMedicalAdvice.com and follow us on Twitter at @asksterlingmd.
Copyright, Sterling Initiatives, LLC. 2013-2015

Straight, No Chaser: A Foot Glossary and Introduction to Conditions Affecting Your Feet

March 30, 2015Orthopedics/Bones844-SMA-TALK, Arthritis, athlete's foot, bunions, calcaneal fracture, cardiovascular d, diabetic foot ulcers, diabetic neuropathy, Haglund's deformity, hammer toes, high blood pressure, hyperhidrosis, Hypertension, ingrown toenails, neuroma, orthotics, peripheral artery disease, peripheral neuropathy, Psoriasis, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, tendinitisJeffrey Sterling, MD

Arthritis

Bone Spurs

heel-bone-spur

Cardiovascular Disease

High Blood Pressure Your feet are especially susceptible to the effects of hypertension (aka high blood pressure), because they represent the most distant point from your heart. As your heart’s function worsens–a manifestation of hypertension–your feet suffer from the effects of poor circulation (e.g., receiving suboptimal amounts of the oxygen and nutrients supplied by healthy blood). Check here for the Straight, No Chaser review of high blood pressure.
Peripheral Arterial Disease When fatty deposits (i.e., plaques) partially or completely block our arteries, the blood supply to various organs is compromised. This becomes even worse as the arteries become hardened with prolonged exposure. With the feet’s location being as far from the heart as it is, they are at higher risk.

Diabetes

Diabetic Wound Care

DM foot ulcer

Foot & Ankle Injuries

Sprains, Strains & Fractures  These injuries compromise the ability of the feet to support and move the body.

$calcaneal fracture$

A sprain is an injury to the soft tissue of a structure such as the foot.
A strain (aka a pulled muscle) is an injury that results from excessive stretching and/or tearing of a structure’s supportive muscles.
A fracture is a disruption (e.g., break) in a bone.

Muscle & Tendon Problems

Haglund’s Deformity

HaglundsDeformity

Plantar_Fasciitis1

Skin Disorders

Athlete’s Foot

toes+athletes+foot

cornscalluses

Irritation to a part of the foot will prompt the body to form thicker skin to prevent irritation and injury. These present as corns and calluses.

Psoriasis

We have discussed  psoriasis here in Straight, No Chaser. It represents abnormally rapid production and replacement of skin cells. This causes a build up of dead cells on the surface that is recognized as scaly, dry and silver patches.
Skin Cancers of the Feet  Although more common on exposed areas of the body, skin cancer can develop anywhere, including on the feet. Skin cancers of the feet tend to present as recurrent cracking, bleeding or ulceration more so than with pain.
Sweaty Feet  Hyperhidrosis is the medical term for excessive sweating. This often presents on the palms of the hands and the soles of the feet.
Warts
Planters Warts
When warts present on the feet, they tend to be painful. These are fleshy manifestations of a virus infection.

Toe Joint & Nerve Disorders

Bunions  Bunions occur at the base of the great toe and is an enlargement of the joint that forms when the bone or tissue actually moves out of place.

Hammer Toes  A hammer toe is a bending (contracture) of the toe at its first joint, (i.e., the proximal interphalangeal joint). This produces an appearance of an upside-down V.

Toenail Problems

Treatment Terms

Straight, No Chaser: Questions About High Blood Pressure (Hypertension)

May 27, 2014General Health and Wellness844-SMA-TALK, Conditions and Diseases, high blood pressure, Hypertension, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No ChaserJeffrey Sterling, MD

1. How do I know if I have high blood pressure?
You know by the numbers. Consider these defining blood pressure levels.
Normal – Systolic: < 120 mmHg, Diastolic: < 80 mmHg
At risk (pre-hypertension) – Systolic: 120–139 mmHg, Diastolic: 80–89 mmHg
High Systolic – Systolic: 140 mmHg or higher, Diastolic: 90 mmHg or higher
If you don’t already have a diagnosis of hypertension and are anywhere at or above the pre-hypertension stage, get checked by your physician.
2. But when should I get go to the emergency room for high blood pressure?
I’ll always want to see you if your bottom number (diastolic blood pressure) is at or above 110-115, regardless of whether you appropriately take your medication. Don’t look for symptoms to guide you. High blood pressure is called “the silent killer.”
3. If I do have high blood pressure, will I be placed on medication?
I really hope not, but honestly, approximately two-thirds of individuals in the U.S. who have high blood pressure are poorly controlled – even on medication. This means medication will be necessary for most. That said, theoretically, medication should be viewed as necessary only when necessary and only when other measures don’t work. You should discuss this with your individual physician and make every effort to improve your diet and exercise regimens. If and when you’re placed on medication, the choice of medication will be based on your age, sex, ethnicity, mobility, existing health profile and other considerations.
4. You mentioned I could have a heart attack or stroke from this? How would I know if that’s happening?
Check here for Heart Attack Recognition and here for Stroke Recognition where I discuss signs and symptoms. Remember, time is tissue, meaning you must not delay if you develop these symptoms.
5. What else can I do?
Be healthy! Don’t smoke. Limit alcohol intake. Lower your stress level. This is only a broken record if you’ve received the message and have implemented the recommendations.
Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress. We are also on Facebook at SterlingMedicalAdvice.com and Twitter at @asksterlingmd.

Straight, No Chaser: A Foot Glossary and Introduction to Conditions Affecting Your Feet

March 3, 2014General Health and Wellness, Orthopedics/Bones844-SMA-TALK, Arthritis, athlete's foot, bunions, calcaneal fracture, cardiovascular d, diabetic foot ulcers, diabetic neuropathy, Haglund's deformity, hammer toes, high blood pressure, hyperhidrosis, Hypertension, ingrown toenails, neuroma, orthotics, peripheral artery disease, peripheral neuropathy, Psoriasis, Sterling Medical Advice, SterlingMedicalAdvice.com, Straight No Chaser, tendinitisJeffrey Sterling, MD

Today’s blog, done in conjunction with the American Podiatric Medical Association, aims to give you a working knowledge of conditions that affect your feet. Please use the posts over the next few weeks as a starting point for understanding various entities, conditions and diseases that relate to your feet. Once you finish this blog, you may want to review the past Straight, No Chaser post on the maintenance of healthy feet.

Arthritis

Arthritis Arthritis is inflammation of your joints, which are the spaces where various bones meet. The inflammation typically leads to pain, swelling, warmth and redness. As we age or as disease strikes, we are even more subject to arthritis in our feet, in the same way other joints are affected, because each foot has nearly three-dozen joints (33 to be exact). Straight, No Chaser has previously addressed the treatment of arthritis here.

Bone Spurs Osteophytes (aka bone spurs) are bony projections that extend along the edges of bones. The main cause of bone spurs is the wear-and-tear damage associated with osteoarthritis (degenerative joint disease).

Cardiovascular Disease

Peripheral Arterial Disease When fatty deposits (i.e., plaques) partially or completely block our arteries, the blood supply to various organs is compromised. This becomes even worse as the arteries become hardened with prolonged exposure. With the feet’s location being as far from the heart as it is, they are at higher risk.

Diabetes

Diabetic Wound Care We have described diabetic foot ulcers here in Straight, No Chaser. You must be aware of the risks of losing limbs if you’re diabetic, as this occurs in approximately 15% of diabetics.

Diabetic (Peripheral) Neuropathy  The effects of high blood glucose (sugar) levels include damage of our peripheral nerves, called peripheral neuropathy. This phenomenon is most prevalent in the fingers and toes.

Foot & Ankle Injuries

$calcaneal fracture$

Sprains, Strains & Fractures  These injuries compromise the ability of the feet to support and move the body.

A sprain is an injury to the soft tissue of a structure such as the foot.
A strain (aka a pulled muscle) is an injury that results from excessive stretching and/or tearing of a structure’s supportive muscles.
A fracture is a disruption (e.g., break) in a bone.

Muscle & Tendon Problems

Haglund’s Deformity  If you’ve ever heard the term “pump bump,” you know what Haglund’s Deformity is. This bony enlargement on the back of the heel often occurs in women who wear pumps.

Heel Pain  The heel bone (the calcaneus) is the largest of the 26 bones in the human foot. Due to size and stress, it is especially susceptible to injury.

Tendinitis  We have previously discussed disruption to the Achilles tendon. Tendinitis is the inflammation of a tendon prior to that disruption and represents one of the most common causes of foot or ankle pain.

Plantar fasciitis Plantar fasciitis is inflammation of the tissue that connects the heel bone to the toes and creates the arch of the foot. This occurs when the thick band of tissue on the bottom of the foot is overstretched or overused. Plantar fasciitis is usually quite painful, and that pain makes walking difficult.

Skin Disorders

Athlete’s Foot  This fungal infection is the result of conditions favorable to fungal growth: dark, warm and humid conditions. It itches and hurts, but treatment is readily available when
preventative measures don’t control it.

Corns and Calluses  Irritation to a part of the foot will prompt the body to form thicker skin to prevent irritation and injury. These present as corns and calluses.

Skin Cancers of the Feet  Although more common on exposed areas of the body, skin cancer can develop anywhere, including on the feet. Skin cancers of the feet tend to present as recurrent cracking, bleeding or ulceration more so than with pain.

Sweaty Feet  Hyperhidrosis is the medical term for excessive sweating. This often presents on the palms of the hands and the soles of the feet.

Warts  When warts present on the feet, they tend to be painful. These are fleshy manifestations of a virus infection.

Toe Joint & Nerve Disorders

Bunions  Bunions occur at the base of the great toe and is an enlargement of the joint that forms when the bone or tissue actually moves out of place.

Hammer Toes  A hammer toe is a bending (contracture) of the toe at its first joint, (i.e., the proximal interphalangeal joint). This produces an appearance of an upside-down V.

Toenail Problems

Ingrown Toenails We discussed  ingrown toenails in Straight, No Chaser. They represent the most common nail impairment and involve a condition when the corners of the nail dig painfully into your soft tissue, producing signs of infection and inflammation.

Treatment Terms

Shoe Inserts Inserts are simply foot supports that are placed inside your shoes. Shoe inserts don’t require a prescription.

Orthotics  Orthotics are typically custom-designed and prescribed devices designed to support and comfort your feet.

Feel free to ask your SMA personal healthcare consultant any questions you have on this topic.

Thanks for liking and following Straight, No Chaser! This public service provides a sample of what http://www.SterlingMedicalAdvice.com (SMA) offers. Please share our page with your friends on WordPress, Facebook @ SterlingMedicalAdvice.com and Twitter at @asksterlingmd.