Just Ask Doug!

Not a week goes by that Doug doesn’t get a phone call or a text or we simply run into someone when we are out and about that has some sort of medical question for him. No it doesn’t bother him, he loves to be able to help people, he doesn’t always have the answers right away (if it’s not orthopedic related) and has to search it up or ask a fellow medical professional, but he enjoys learning and helping, I guess that’s why he’s in the medical field. I asked him If he would be willing to take a day or two a month and talk about health issues or items he thought needed to be addressed or take the time to answer any medical questions you guys have. He was more than happy to. He sent me this email last night…

Janna is the light of my life and I have been on this journey with her for the past 26 years.  I am blessed to have her as my wife, best friend and love of my life.  I am so excited that Janna has asked me to contribute to her blog.  I have been practicing as a Physician Assistant for the past 16 years and have  been involved with sports medicine, physical rehabilitation and orthopedic’s since 1988.

Janna has asked that I post some health related  items in hopes of promoting education and overall health.
I look forward to your comments and of course any suggestions you have on topics. I certainly do not have all the answers but I am willing find the answers to any health related questions you have.
Summer is fun and Summer is… HOT
Janna and I love summer and we love the warm weather.  The changing of seasons is beautiful, but summer heat is our favorite.
The hot summer brings with it some serious health concerns including dehydration and a biggest worry heat stroke.

As summer temperatures continue to remain HOT, here are a number of important tips to stay hydrated and treat dehydration.

– Drink enough water to prevent thirst.

– Monitor fluid loss by checking the color of your urine. It should be pale yellow and not dark yellow, too smelly or cloudy.

– For short-duration (less than 60 minutes), low-to-moderate-intensity activity, water is a good choice to drink before, during and after exercise.

– Any time you exercise in extreme heat or for more than one hour, supplement water with a sports drink that contains electrolytes and 6 percent to 8 percent carbohydrates. This prevents “hyponatremia” (low blood sodium), which dilutes your blood and could also lead to serious impairment and death.

– Begin exercise well-hydrated. Drink plenty of fluids the day before and within the hour before, during and after your exercise session.

– Avoid alcohol the day before or the day of a long exercise bout, and avoid exercising with a hangover.

– Consider all fluids, including tea, coffee, juices, milk and soups (though excluding alcohol, which is extremely dehydrating). The amount of caffeine in tea and coffee does not discount the fluid in them, even if they have a slight diuretic effect, according to the most recent report by the National Research Council’s Food and Nutrition Board.

– Eat at least five cups of fruits and vegetables per day for optimum health, as they all contain various levels of water and the all-important nutrient potassium.

– During exercise, for those who experience high sodium losses, eat salty foods in a pre-exercise meal or add an appropriate amount of salt to sports drinks consumed during exercise. Orange juice is high in potassium. Dilute juices, such as V-8 or orange juice, 50/50 with water so that the drinks are 6 percent carbohydrate solutions (the same as sports drinks), which will empty from your stomach quicker than 100 percent juice (juices are naturally 12 percent solutions), allowing the electrolytes and water to quickly reach your heart and organs.

– Following strenuous exercise, you need more protein to build muscle, carbohydrates to refuel muscle, electrolytes to replenish what’s lost in sweat, and fluids to help rehydrate the body. Low-fat chocolate milk is a perfect, natural replacement that fills those requirements.

– You can also replace fluid and sodium losses with watery foods that contain salt and potassium, such as soup and vegetable juices.

– For long hikes, when you’ll need food, dried fruit and nut mixtures contain high amounts of potassium, sodium, protein, carbs and calories — though continue to drink plenty of water.

– To determine your individualized need for fluid replacement: During heavy exercise, weigh yourself immediately before and after exercise. If you see an immediate loss of weight, you’ve lost valuable water. Drink 3 cups of fluid for every pound lost; use this figure to determine the amount of water (or sports drink) you’ll need to drink before and during your next exercise session to prevent weight/water loss in the future.

Katherine Tallmadge, M.A., R.D., is a registered dietitian;  Tallmadge contributed this article to LiveScience’s Expert Voices: Op-Ed & Insights.Hydration tips

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                                                                 Doug Fillmore PA-C

*If you have a Question for Doug or a topic you would like him to cover please post a comment on this post

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