Author Archives: james_thurn

When Discussing Skin Irritation, There is A Lot to be Considered

Whether a patient has undergone a simple resting ECG or long term event monitoring which often lasts up to 30 days, patients share a similar complaint, skin irritation.  At one time or another  it seems every doctor’s office, scanning service, hospital and cardiologist has received the dreaded patient call claiming they are sporting a blister, raw red skin, or sores.  The question we need to ask ourselves is WHY patients being adversely affected, and WHAT can we do about it? 

In the past we have all found it easy to blame the electrode and assume that it is the electrode itself causing skin irritation, however we have learned that there are other factors to take into account and hopefully moving forward, these issues are given consideration.   Did you ever wonder why there are so many different types of electrodes?  There are literally hundreds on the market today and each possesses a diverse set of properties.  As we know every patient is different and some patients may have special needs.  Electrodes are designed for a specific purpose, to meet these special needs.  With that in mind what we could start asking ourselves is, was it our choice of electrode rather than the electrode itself that is responsible for our patients’ skin irritation.  

Below outlines some examples of patient/procedure types with skin characteristics that may prove challenging when it comes to ECG monitoring.

Also view a variety of Electrodes <Here>

Procedure Type

Suggested Requirements

Resting Procedures such as EKGs and echo tests
  • Milder prep
  • Less aggressive electrode

 

Ambulatory procedures such as Holter, stress, and event recording
  • More aggressive prep
  • More aggressive electrode

 

 

Patient Type

Suggested Requirements

Sensitive Skin

Elderly Patients

Pediatric Patients

Patients with Skin Allergies

  • Milder prep
  • Low chloride gel electrode
  • Breathable, less aggressive Electrode
  • Skin barrier between skin and electrode (optional)
  • Do not use adhesive tapes to secure lead wires, tapes can further aggravate the skin

 

Diaphoretic Patient

Active Patients prone to perspiration

 

Oily Skin

  • More aggressive prep
  • Higher chloride gel electrode
  • Additional electrode gel to help prevent slippage and fall off
  • Skin barrier between skin and electrode to prevent moisture passing between skin and electrode(optional)

 

 

A Potentially Beneficial Supplement for Older People

Tim Walton

As I‘ve said before, there is a lot of flim-flam and snake oil in the multi-billion dollar supplement industry. Granted, there is some quality stuff out there, but some others are questionable if not downright dangerous.  A segment that seems to be expanding is the area of supplements for older people/athletes.  We all age, after all. “ Testosterone Boosters”   for men is a HUGE goldmine as is “Joint Repair” supplements overall. I won’t go into those at this time except to say that, in my opinion, over the counter T-Boosters are for the most part B.S. and Joint Repairs, meh, some work, some work a little, and others are hype & placebo.

    But every once in awhile something comes along with seemingly solid science and research behind it that piques my interest.  A Myostatin Inhibitor has just come out on the market under the Name of “Myo-X” by MHP.  Myostatin is a naturally occurring regulatory protein that limits muscle growth in humans.  It’s a fact of nature that as we age, we lose muscle mass.  Now if a mystatin inhibitor is introduced to your system, that process could be slowed down/reversed/delayed.  There is a very good article concerning all of this in the November 2012 issue of Flex Magazine, pg 82.  (With a totally coincidental 3 page ad for Myo-X on pgs. 65,66,67) for a more in-depth explanation.  I know everyone and every company likes to jump on the “latest & greatest” wagon/money train, but this seems very promising to elderly people, people with situations that affect muscle mass such as Aids, and of course, athletes looking for that extra edge.  Call me skeptical, sometimes cynical when it comes to most things in the supplement world, but if this can back up the research and claims being made, it’d be a true breakthrough.  The science behind it makes perfect sense, it has gone through a clinical trial, so I am admitting to being curious and  game enough to give this a go and be a test subject to test its effectiveness.  As of today, I will try this out for the next 3 months and not alter anything else in my usual supplement routine so I can tell whether or not any changes made can be attributed to Myo-X.  I feel that I am pretty much immune to any placebo effects being that I am fairly suspicious/skeptical of most claims put out there.  I’m healthy as a horse (and almost as smart), have no physically limiting factors, over the age of 50, and am an experienced weight trainer.  That last part is VERY important because when you see a lot of the claims and studies done , companies will use untrained subjects who of course made the most gains of their lives after being introduced to a proper weight training/diet/supplementation program for the first time in their lives.  Should be interesting.

Did you know these cool facts?

 

Tim Walton

Drinking wine with a high carb meal can lower the glycemic index of the meal by almost 40%.  It decreases the blood sugar spike and insulin surge after the meal.

Did you know that the SPF numbers on sunscreen/sunblock products only refers to the protection level from UVB rays, not the UVA rays that are responsible for aging skin?

The carotenoids in deep yellow-orange vegetables & fruits can increase the skin’s resistance to the sun’s damaging UV rays. 

Up to 80% of UV rays can make their way through clouds and still do skin damage.

It’s possible to replace the entire body of a healthy human every year with fresh cells as it replaces more than 1 million cells every second.

Lutein, an antioxidant in collards, spinach and similar greens, boosts skin hydration and elasticity.  According to research, there was a 38% increase in skin hydration with lutein supplementation.

People who listened to music while exercising did 2 times as well on verbal fluency tests as those who worked out in silence. 

74% of people claimed to manage their workload & stress better if they worked out before or during work hours.

12 is the number of grams of salt you could be consuming daily just from processed foods.

CAN’T SLEEP?

Author; Tim Walton

Do you have difficulty falling asleep or establishing a sleep pattern? You may want to consider supplementing with melatonin; a natural sleep aide.
Melatonin is a hormone secreted by the pineal gland in the brain helping regulate other hormones and maintaining the body’s circadian rhythm which is your internal 24 hour “Clock”. When it is dark, you produce more melatonin and its production drops when it is light. This is why during the shorter days of winter your body makes it either earlier or later in the day than usual. This change can lead to symptoms of seasonal effective disorder (SAD), or winter depression.
Natural levels drop as we age with older adults making very small amounts or possibly none at all. Young children have the highest levels of nighttime melatonin. Jet lag and shift work will make it seem like your clock is off. It’s possible to “reset” that clock by supplementing with melatonin.
There are studies that show it to also be an antioxidant, possibly strengthening your immune system. Research is also being conducted in its role in slowing down the aging process and slowing down or stopping the spread of cancer, particularly breast cancer.
It is readily available OTC (Over the Counter) at many health food stores, vitamin shops, etc. Do your research and if necessary, consult with your doctor with any concerns or questions as it may have interactions with other medications you may be taking. Normally healthy people can start off by taking 1 mg an hour before bedtime. Increase dosage by 1 mg at a time if needed, up to a safe level for your body. Always start off with the lowest dose first.
As with most things, there could be side effects, vivid dreams being one of them, so be sure to educate yourself on anything potential which may concern or affect you.