Gym Clothes Motivation!
Have you ever owned any gym clothes? Typically your t-shirt and shorts with shoes for working out or sports activities. The market has changed with gym clothes. New fabrics are created that will allow sweat, moisture, and wetness to wick away from the body. These fabrics are excellent for garments outside in cold to prevent hypothermia. Manufactures have applied the wicking fabrics to gym clothes. All sizes, shapes, and colors. Light weight material that makes working out more presentable with sweat rings not as visible.
But that is all fine and dandy but join a gym, find a gym, or even getting out of the house is effort, what can you do? Baby steps. Start easy. First make the big step. Buy gym clothes and shoes. Just one outfit that looks good on you and good means, something you would wear out in public…maybe with a jacket if you are really self-conscious.
Now to exercise! Not! Wait! Lisa, you just had me buy gym clothes and said don’t exercise? What if I told you it was time to clean the house up? That’s right. Get your gym clothes on and begin cleaning. Dishes, laundry, empting trash, picking up and putting stuff where it belongs. Go ahead and take that hour to clean your home. Go ahead and sweat while cleaning. You just coutured your own work out and now you can see instant results. A clean living area. Post work out bath, gym clothes wash, and do it all over tomorrow. The instant gratification of accomplishment will keep you motivated to keep doing more. Eventually you may even make it to the gym to work out. If that is the case, go ahead and buy another outfit to wear.
Does Red Light Therapy Work?
What is this red light therapy the gyms are talking up about? It started with NASA trying to grow plants in space. Biologist exposed cells to the near-infrared light with LEDs. The finding was that the cells exposed to the red light and compared against control cells showed a difference between 150 to 200 faster growth rates. Excellent for plants in space.
Now what about human cells? The red light therapy testing showed aid in healing of burns, diabetic skin ulcers, sores in the oral mucositis, wounds, and reducing chronic pain. NASA calls the red light High Emissivity Aluminiferous Luminescent Substrate (HEALS) technology.
Commercial use of the red light therapy to the public, has found uses for skin healing stimulation clearing up acne, diminishing wrinkles, and aiding in temporary relief from pain. Sessions with red light therapy last 15 to 18 minutes. Red light therapy has been approved by the FDA. The FDA states that Red light at 633nm has a non-significant risk.
The public can purchase red light therapy devices online or visit a gym with the red light therapy booths.
FDA. (2011). Memo to the conference of radiation control program directors on red lamps for skin rejuvenation being installed in tanning beds/booths. http://www.fda.gov/MedicalDevices/ResourcesforYou/Industry/ucm287899.htm
NASA. (2003). Light emitting diodes bring relief to young cancer patients; NASA technology used for plant growth now in clinical trials. http://www.nasa.gov/centers/marshall/news/news/releases/2003/03-199.html
NASA. (2011). Light Technology Successful Reduces Cancer Patients Painful Side Effects from Radiation and Chemotherapy. http://www.nasa.gov/topics/nasalife/features/heals.html
Lisa, what is peripheral neuropathy?
Peripheral neuropathy is when damage is done to the nervous system. The damage is noted in the fingers, toes, and limbs of the body.
Symptoms may include feelings of burning, tingling, or numbness in fingers and toes. This can cause difficulty in feeling or picking up objects with fingers and stumbling when toes/feet do not feel the floor. Long term numbness and muscle weakness can result in muscle wasting, paralysis, and un-noticed ulcers in skin and muscle tissue.
Peripheral neuropathy may be secondary to the diagnosis of diabetes. Peripheral neuropathy may occur five years after the diagnosis of diabetes.
Recommendations: Every Tuesday, diabetics should remove shoes and socks to check feet and legs. If unable to pull feet up to visualize or have another person check the feet, place a mirror on the floor to exam feet. Should there be concern with findings of breakdown of skin, material between the toes, or any bleeding, you will have Wednesday through Friday to schedule a visit with your health provider.
Peripheral Neuropathy Fact Sheet http://www.ninds.nih.gov/disorders/peripheralneuropathy/detail_peripheralneuropathy.htm
Lisa, what is allopathic medicine?
Allopathic is using small amounts of drugs that limits symptoms of the disease process.
World Health Organization defines the allopathic category to included Western Medicine, biomedicine, and evidence-based medicine.
The term “allopathy” was created by C.F.S. Hahnemann. Hahnemann was opposed to homeopathy medicine. He felt that diseases may be treated with drugs in small doses that would simulate the same response as in a healthy person.
John Hopkins University. http://web.jhu.edu/prepro/health/allopathic.html
World Health Organization (2011). http://whqlibdoc.who.int/hq/2001/WHO_EDM_TRM_2001.2.pdf
Social Media Rage: Marshmallows for Sore Throats?
Do marshmallows for sore throats really work?
What is a sore throat?
Sore throats (acute pharyngitis) is the symptoms of painful to swallow, scratchiness, discomfort, and generalize pain.
What is a marshmallow?
Marshmallow (althea officinalis) is a herb that has been used in food and medicine for 2,000 years by Chinese, Egyptians, Romans, and Syrians. Arabs used the herb to make poultices and reduce the inflammation in skin. Althea officinalis roots and leaves create a gummy substance called mucilage. Adding water and mixing mucilage together forms a gel that reduces irritation to the entire GI track from the throat to the stomach. Exterior use to the body, the mixture will resolve pain from chapped skin.
How do you make a modern marshmallow?
Marshmallow recipes vary in content and ingredients. Marshmallows use to contain herb althea officinalis (mucilage mixture) but modern mixtures replaced the herb with unflavored gelatin. Gelatin is a protein based, partial hydrolysis of collagen extract from collective tissue, bones, and skin of animals, with the main source beef bones. Gelatin is a topical haemostatic. This means it stops bleeding by sealing injured blood vessels and acting as vasoconstriction agent. What do both gelatin and marshmallow have in common? Both althea officinalis and gelatin contains polysaccharides. Polysaccharides swell in water and produce antitussive-mucous releasing action. It is the polysaccharides in althea officinalis and gelatin that stop coughing and sooth the throat.
Evidence-based research was the concern if this was a myth or really worked. The treatment of question was a person with a sore throat was to ingest several modern marshmallows to relieve a sore throat. But where do you get a sore throat to test the experiment?
The next morning my subject appeared. My husband indeed had acute pharyngitis aka sore throat. He agreed to try eating marshmallows to see if it indeed works. After searching for the bag of marshmallows, I found a bag of mini-marshmallows. Note the mini-marshmallows ingredients did not have althea officinalis but the modern ingredient gelatin.
Now the social media claims were to use big marshmallows but you work with what you have. As the experiment progressed I posted results to my social media group of Nurse Practitioners, who also were interested in the results. Over 44 confirmed Nurse Practitioners observed the experiment’s progress from the social media live-time platform, Facebook.
8:20 Subject begins ingestion of one mini-marshmallow. No change. Continue to eat mini-marshmallows 1-3 at a time.
8:25 Subject states pain is actually subsiding in throat. Swallowing still painful. Continue eating mini-marshmallows. Chewing and allowing marshmallows to dissolve in mouth. Approximately ten mini-marshmallows have been consumed.
8:30 So about ten minutes of eating mini marshmallows and waiting, the Subject states that the pain has been deaden. Subject says it is uncomfortable but more tolerable now. Subject says it is similar to the spray chloraseptic.
8:50 Okay we are 30 minutes in. Subject has voice quality back. No throat pain in general, only pain with swallowing now.
The experiment lasted 51 minutes.
Conclusions of evidence-based field experiment. It takes more than several mini-marshmallows to be effective. Time of relief begins between 5-10 minutes, with overall pain relief complete in 30 minutes. The relief is not permanent but lasted approximately two hours before symptoms were noted again.
More evidence-based research is needed on this alternative health commodity. A recommendation would be to culture the throat before and after to see any notable differences, research with althea officinalis verses gelatin, and if ingestion of seasonal sugar coated marshmallow treats reduces acute pharyngitis in the spring sinus season.
Cautions with ingestion gelatin marshmallows:
Dietary restrictions with consuming gelatin for religious or cultural rules include Jewish kosher, Islamic Halal, Romani, Vegans, Vegetarians, Hindu, and Jain.
Observation in small children to prevent choking or obstruction of airway.
Thank you to Jeffrey Goins PhD and UNP for their involvement with the field experiment.
Reference links for more information:
European Archives of Oto-Rhino-Laryngologyand Head & Neck (2011).
University of Maryland Medical Center (2003).
Heroin in Northern Kentucky/Greater Cincinnati
St. Elizabeth hospital announced partnering with the Betty Ford Foundation to address the growing problem with patients using Heroin in Northern Kentucky (2015).
What is Heroin?
Heroin is a fast-acting opiate that suppresses pain. Heroin is a schedule I controlled substance. It has a high potential for abuse. Heroin looks range from off-white to dark brown in color and consistency is crumbly or powdery. Heroin can be nearly black and sticky. This form is called black tar heroin.
Nurse Practitioners DO NOT prescribe Heroin. In the Greater Cincinnati/Northern Kentucky Heroin is considered a “street drug” and I-75 is considered a pipeline for the drug trade with regular interventions from law officials to stop the trafficking.
How is Heroin used?
Administration of Heroin is injected, snorted, or smoked. Depending on administration, there may be different types of paraphernalia (syringes, metal or glass pipes, spoons, belts, or rubber tubing) or left over drug or components.
What are symptoms of Heroin?
Novice users will experience a sudden surge of euphoria when injected. Long time users will not experience this as quickly and may feel they need more to reach euphoria. Heroin will cause the skin to flush, nose to run, mouth to dry, pupils to constrict, and intermittent wakefulness. During the intermittent wakefulness the breathing will slow and users may nod off suddenly. During this time is when an overdose of Heroin kills the user.
If the user wakes, their thinking will become unclear, memory loss is present, and resulting poor decision making with self-control results. Other symptoms will be itching, constipation, nausea, and vomiting. Spontaneous abortion can occur in pregnant women.
How do I help someone who is addicted to Heroin?
Heroin users will neglect eating properly and self-care. There is a major fear of withdraw because of the pain and sickness that follows. Users will hide needle tracks by wearing long sleeves or guarding their last good injection area.
Recommendation is rehabilitation under medical supervision due to the withdraw symptoms and deterioration of the body.
Review: The Exceptional Nurse: Tales From The Trenches of Truly Resilient Nurses Working With Disabilities Edited By Donna Carol Maheady EdD, ARNP
Review: The Exceptional Nurse: Tales From The Trenches of Truly Resilient Nurses Working With Disabilities Edited By Donna Carol Maheady EdD, ARNP
My first impressions of this book were, why isn’t this a mandatory textbook for nursing?
Dr. Donna Carol Maheady has collected real life stories of nurses overcoming disabilities. The real-time stories are told from the nurse’s perspective in how the disability changed the way they practiced nursing. Their personal stories include the roller coaster of emotions, ups and downs, and their outcomes good or bad in coping with their disability. Nurses share what their disability is, when it was diagnosed, and how their nursing background provided more insight in what patients experienced. The nurses candidly explain the difficulties with job hunting, co-worker reactions, and tips on how they were accommodated for the disability.
Each disabled nurse’s story includes their biography and contact information, targeted resources, articles, and websites that will help nurses and non-nurses to help those disabled. Many stories are followed up with assessments and legal information on laws, organizations, and where to find help for each target disability.
This resource covers the Americans with Disabilities Act (ADA) of 1990 and discusses the amendments that became effective in 2009, that increasing the coverage and protection of those with disabilities. The book openly discusses applying for accommodations to enable continuing to work verses applying for disability coverage.
Disabilities covered in this book range from learning disabilities and the discussion of Individuals with Disabilities Education Act (IDEA), hearing loss, mental disorders, and amputations, etc. Each section concludes with a summary section of “building resilience” that offers positive take away ideas that you can use on your next nursing shift or implement into your life.
The appendices contain an accommodation request letter, a disclosure to employer, a request for State Vocational Rehabilitation Services, and resources of organizations that are beneficial to a nurse with disabilities.
This book had me on the verge of tears one minute and then laughing the next. An amazing collection of “been there, done that, and live to tell about it” stories. A recommended resource book for any nurse’s library.
Dr. Donna Carol Maheady’s book The Exceptional Nurse: Tales From The Trenches of Truly Resilient Nurses Working With Disabilities can be found on Amazon.com
Review by Lisa Goins PhD, APRN, FNP-BC, RMT is the CEO of Couture Health Care www.couturehealthcare.org Dr. Goins' Couture Health Care blog covers health, spiritual, holistic news, reviews for nurses and the public.
Couture Health Care is now accepting new patients in Ohio.
New patients may inquire at
Couture Health Care is now accepting insurances:
Anthem Blue Cross and Blue Shield.
7 Tips to Survive the Cold
Extra big rugs laying around? You can hang them up over windows or doors to keep the cold out. Worked for castles. Should work for your castle.
Trash bags cut up the sides and taped to the windows will keep cold out. Not fancy but effective.
Blocking up those leaks. Placing towels or rugs around doors. Roll them up so they don't cause you to fall when moving them.
Extra heat sources? Candles. Will put off some heat to help warm up small rooms.
Today is a good day to get out all those homemade blankets ancestors in the family have made. No one cares if the colors are a bit "interesting". The warmth will be beneficial. AND go ahead and pat the blanket down. Some ancestors hit trinkets in the designs. You might find out you hit the jackpot today with finding a priceless item. Dare to dream anyway.
Be sure your pipes are staying warm. Too cold and the water in the lines will freeze and bust. Refreshed yourself on where the turn off valve is and have a wrench ready if you need it. Hopefully not.
Extra cold this morning and hopefully we all don't lose power. An extra heat source is turn on the oven and open the door. Long term use will burn out the element but today it will help a lot
AWE! Freebie Ebook is Over!
The Free EbooK Kindle version of “Do You Know Lisa? A collection of health questions, answers, and tips” promotion that ran from January 1-5, 2015 is over.
Congratulations to over 100+ readers who downloaded the free version and to those readers who couldn’t wait for the free version and purchased it. Thank you very much!
Did you miss out? You can still get the Kindle version for $1.99 US at this link.
If you want the version in book format, it is $6.99 or less depending on the country purchased. Here is the link for the paper version.
Dr. Lisa Goins PhD, APRN, FNP-BC, RMT is a Board Certified Family Nurse Practitioner with a Doctoral degree in holistic healing, clergy, and Reiki Master/Teacher. Dr. Goins is the CEO of Couture Health Care. The nonprofit house calls company provides health, spiritual, and energy visits to clients in their homes. More information can be found at www.couturehealthcare.com.
Mission Statement: "Couturing individual patient's/client's