Daily Devotion from Luthern Hour Ministries
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What We Believe
Flu Shots and Nasal Spray Vaccine
Summer is almost over and Fall will be here soon.  It’s time to think about getting your flu shot or nasal spray to prevent the flu.  Flu vaccines are new every year because the type of virus causing the flu changes from year to year.  The vaccine is usually available in September thru November.  This gives your body a chance to build immunity to the flu before the late fall or early winter start of flu season.

The vaccine is about 70% to 90% effective in preventing the flu depending on your over all health and the length of the flu season.  In some cases, people who have received the vaccine still get the flu – but are less likely to have a severe case or complications such as pneumonia, dehydration, or death.

FluMist, the brand name for the nasal flu vaccine, is very effective for school age children.  However, it increases the risk of wheezing in this age group – especially those children with a history of asthma and children under two years of age.  Therefore, FluMist is not recommended for children under 2 or those with a history of wheezing or asthma!
Both the flu shot and the nasal spray help protect you from influenza. But there are differences to consider before deciding between the two. 
 
Flu shot
Nasal spray
Administered through a needle — you'll need a shot Administered through a spray — you won't need a shot
Contains killed viruses — you can't pass the flu along to anyone else Contains weakened live viruses that won't give you the flu but that can, in rare cases, be transmitted to others
Approved for use in people 6 months of age and older Approved for healthy people ages 2 years to 49 years
Can be used in people at increased risk of flu-related complications, including pregnant women, as well as those with chronic medical conditions Given only to nonpregnant healthy people, not to those with chronic medical conditions, suppressed immune systems or to children and adolescents receiving aspirin therapy
May be available free to the uninsured and is usually covered by insurance May not be covered by insurance



  Medicare Changes for 2005

Medicare has never covered preventable physical exams in the past.  They have only covered “sick visits”, in other words you go to the doctor with a problem.  However, as of January, 2005, Medicare will cover new enrollees for one preventable physical exam.  Also included is an electrocardiogram and counseling about preventative services that are already available to all Medicare patients.  These include:
 Colorectal cancer screening
 Glaucoma screening (if at risk)
Medical nutritional therapy (for patients with diabetes and renal disease)
Prostate cancer screening
Screening for cardiovascular disease (if at risk)
Screening for diabetes (if at risk)
Screening mammograms
Screening pelvic exams and pap smears
Vaccinations for the flu, pneumonia, and hepatitis 
This is an excellent way for you and your doctor to take charge of your health before a problem is evident. However, you must have this exam done within six months of enrolling in Medicare!  Be sure to let your family, friends and neighbors who are new to Medicare know about this change! 


Making the Most of Your Doctor Visits 
The relationship with your doctor is a long-term one. Good communication is a two-way process. Here are a few tips that may help you get more out of your visits. 
How to talk to a medical professional: 
Before you go to your doctor or other healthcare provider: 
* Make a list of your questions, symptoms and concerns and take it with you -- ask a family member or friend to help. 
* Ask a family member or friend to accompany you to your appointment. You may not always hear and remember what the doctor said. 
* Ask the doctor to write down instructions for medications, tests, or referrals to other professionals to avoid miscommunications. 
If the results of medical tests won't be ready for a few days: 
* Ask your doctor if your results will be mailed to you or if you should expect a phone call and when. 
* Ask who will be available to explain the results to you. 
If you need to ask questions later: 
* Find out who to call in your healthcare provider's office - and the best times to call. 
Review your progress: 
* Document your progress (write it down), and set a time to share your results with your doctor. 
* If you feel you are not making progress, share that and ask why your progress is slow. 
* Ask your doctor when/if you are supposed to come back to have your progress monitored. 
Remember that no question is a dumb question! If you do not understand something, speak up. Ask to have it explained in terms that you can understand. Your health is your responsibility. You and your doctor should be able to work together as a team to keep you healthy in body, mind and spirit. 

Medical Recourses


Lee Moulds. R.N., B.S. lmoulds1@hotmail.com

 

Alzheimer’s Disease

Alzheimer’s disease is a form of dementia that gradually destroys brain cells and leads to a progressive decline in mental function.  It destroys a person’s memory and ability to learn, reason, communicate and carry out daily activities.  Often it is accompanied by personality and behavior changes such as moodiness, anxiety, and delusions or hallucinations. 

The duration of the disease varies greatly from as little as three to twenty years.  The areas of the brain that affect memory and thinking skills are the first affected, but as the disease progresses cells in other regions of the brain die as well.  Eventually, the person with Alzheimer’s will need complete care. 

Unfortunately, many folks confuse the early symptoms of dementia with those of normal aging.  Although there is no known cure, it is important to have an early diagnosis as there are medications that can slow the progression of the disease, and allow for treatment of psychiatric symptoms when they exist. 

Some of the early signs of dementia are a decrease in personal hygiene.  Because of the memory loss folks don’t remember whether they have bathed, laundered their clothes; and may begin to have difficulties with toileting habits and continence issues.  As they attempt to dress themselves, clothes may be put on in the wrong order, or even on the wrong parts of the body.  Eventually a loss of motor skills becomes apparent – evidenced by unsteady gait, restlessness or directionless movements that show a disregard for safety.  Their facial expressions may show feelings of anxiety, agitation, bewilderment,  or depression.

Early diagnosis allows the individual and the family to educate themselves about the disease and its effects, as well as:
 plan for the safety of the individual, allow treatment for the symptoms that are reversible, or slow the progression,
 provide time to make important decisions including financial and legal planning.
Once an individual is diagnosed, certain activities will need to be supervised, limited, or stopped; including driving, using heavy machinery, and caring for other family members.  Research into the ways the brain is affected by the disease may lead to new treatments in the near future.  Until a cure can be found, it has been shown that effective care and support can drastically improve the quality of life for those with the disease, as well their loved ones.  The Alzheimer’s Association has a 24-hour help line (1-800-272-3900), and a local chapter located at 1850 York Rd, Suite D, Timonium, MD 21093, 410-561-9095.  Support groups are being formed now in Baltimore City and Baltimore County.  Call Lisa Peterson @ 410-561-9099 for more information. 
In case of emergency (ICE)

Paramedics will turn to a victim's cell phone for clues to that person's identity. You can make their job much easier with a simple idea that they are trying to get everyone to adopt: ICE.
ICE stands for In Case of Emergency. If you add an entry in the contacts list in your cell phone under ICE, with the name and phone no. of the person that the emergency services should call on your behalf, you can save them a lot of time and have your loved ones contacted quickly. It only  takes a few moments of your time to do.
Paramedics know what ICE means and they look for it immediately. ICE your
cell phone NOW!



Are You Practicing Safe Cell? 
Did you know that, according to the American Automobile Association, between 4,000 and 8,000 automobile accidents related to distracted 
driving occur daily in the United States?  Annually, they contribute to as many as one-half of the 6 million U.S. crashes that are reported. While not the only cause of distraction, cell phone use while operating a motor vehicle is a large, and growing, danger. 
The temptations for cell phone use while driving are mighty - friends to talk to, work to get done, children to check on, helping time to pass on a long and boring highway.  However, as God's people of health and hope, we have the opportunity to be good stewards and to demonstrate care for others on streets and highways by minimizing cell phone use while 
driving.  Consider the following tips from the A.A.A. (www.aaawa.com): 
* Recognize that driving requires your full attention. 
*  Before you get behind the wheel, familiarize yourself with the features of your cell phone. 
*  Use your cell phone only if it is absolutely necessary. 
*  If you must use your phone, do so at a safe time and place. 
*  Ask a passenger in the car to place the call for you and, if possible, speak in your place. 
*  Plan your conversation in advance and keep it short. 


Stroke Alert

 Stroke is the third leading cause of death in the United States, after heart disease and cancer.  However, it is the leading cause of long term disabilities!  Almost 30% of stroke patients become totally disabled; and twenty percent require institutional care three months after the stroke!  Ten percent of stroke patients are under the age of forty. 
   Early treatment at a hospital Emergency Department (ED) is crucial to limiting disabilities.  If the stroke is caused by a clot, the medication to dissolve clots must be given within three hours to prevent permanent damage.  Although this medication is very effective, studies show that less than 7% of patients who would have been eligible actually arrive at a hospital in time to be given the medication!
 People affected with strokes rarely call 911 because the signs and symptoms of a stroke are not painful and many can be associated with other conditions.  Patients do not want to bother others or sit in crowded EDs.  They believe they can treat the symptoms themselves and often believe the symptoms will go away.  Also, depending on the area of the brain affected, patients may become confused or be unable to speak or call for help. 
 YOU can help change these statistics.  Learn these warning signs:
 *Stroke strikes suddenly.
*Sudden weakness or numbness of the face, arm or leg – especially on   one side of the body.
*Sudden confusion, trouble speaking or understanding.
*Sudden trouble seeing in one or both eyes.
*Sudden trouble walking, dizziness, loss ob balance or coordination.
*Sudden severe and unusual headache. 
   DON’T STALL – MAKE THE CALL 
     911
 Share this information with your family, friends, and neighbors.  Remember brain cells may be dieing – leading to permanent damage.
Treatment is waiting at your nearest ED! 
911 is the quickest, safest way to access treatment
 

*  Inform the person you're calling that you are speaking from the car. 
*  Hang up the phone as soon as possible, especially in heavy traffic and hazardous weather conditions. 
*  Secure your phone in the car so that it doesn't become a projectile in a crash. 


Free Medication Program
MedBank of Maryland, Inc. is a new nonprofit organization in Maryland which will help connect residents with free prescription medications from the drug companies.  Income limits do apply, but there are no age restrictions.  Once you are found eligible and enrolled in the program, a MedBank representative will work with you, your doctor and the drug companies to keep you supplied with maintenance medications for your high blood pressure, heart disease, diabetes or other illnesses requiring medications on a daily basis.  Diane Kretzschmar, Parish Nurse at FSH has already helped enrolled several folks from her Church in the program.
Mark your calendars for March 14, Sunday at 12 Noon.  Amber Harris from MedBank of Maryland, Inc will be at Nazareth Lutheran Church to explain the program and how to enroll.  The Ladies Guild of Nazareth will also be holding a luncheon  for a nominal fee.  Proceeds are to be used to remodel the ladies room.  Please feel free to come hear about MedBank.  Lunch is optional!


-The-human body is a machine that is full of wonder. This collection of human body facts will leave you wondering why in the heck we were designed the way we were. 
1.. Scientists say the higher your I.Q. The more you dream. 
2.. The largest cell in the human body is the female egg. 
3.. The smallest is the male sperm. 
4.. You use 200 muscles to take one step. 
5.. The average woman is 5 inches shorter than the average man. 
6.. Your big toes have two bones each while the rest have three. 
7.. A pair of human feet contain 250,000 sweat glands. 
8.. A full bladder is roughly the size o f a soft ball. 
9.. The acid in your stomach is strong enough to dissolve razor blades. 
10.. The human brain cell can hold 5 times as much information as the Encyclopedia Britannica. 
11.. It takes the food seven seconds to get from your mouth to your stomach. 
12.. The average human dream lasts 2-3 seconds. 
13.. Men without hair on their chests are more likely to get cirrhosis of the liver than men with hair. 
14.. At the moment of conception, you spent about half an hour as a single cell. 
15.. There is about one trillion bacteria on each of your feet. 
16.. Your body gives off enough heat in 30 minutes to bring half a gallon of water to a boil. 
17.. The enamel in your teeth is the hardest substance in your body. 
18.. Your teeth start developing (in your gums) 6 months before you are born. 
19.. When you are looking at someone you love, your pupils dilate, they do the same when you are lo oking at so meone you hate. 
20.. Blondes have more hair than dark-haired people. 
21.. Your thumb is the same length as your nose. 
22.. At this very moment I know full well you are putting this last fact to the test ... now remove your thumb from your nose and pass this on to the friends you think might be interested in comparing their thumbs to their noses as well. You did it -- I KNOW you did !!!!! 

Healthy Living

We are blessed to be Americans and be able to live in the land of plenty!  However, having plenty is not always good for us!  Too much watching television deprives us of vital exercise, and we become “couch potatoes”.  Too much fast food deprives us of making good food choices, and learning to cook healthy dishes.  Our dependence on our cars not only deprives us of exercise, but also gives us a “handy dining room” to consume our meals with in-car dining!  Often these “quick meals” consist of thousands of calories and are consumed over a very short time and frequently while we are alone!
 What’s healthy about any of the above behaviors?  Do you see yourself in any of these scenarios?  If so, do you want to make any changes?  That’s the greatest gift we have as Americans!  The freedom to be able to make changes when/if we want to!  That is also one of the gifts of being a Christian.  Our God has given us the intelligence and ability to make choices!  He has also given us the freedom to start each day anew in His sight!  When we confess our sins to Him, He forgives us! 

Healthy living is consciously making choices each day to change our old “bad” behaviors with new ones.  Let’s talk about food choices first.  Plan regular meals and eat them at regular intervals.  Skipping meals doesn’t save calories.  You don’t expect your car to run without gas.  Why would you expect your body to function well without food, which is our energy source?  Calories count!  Most of us only need between 1500 and 2200 calories a day, depending on how active we are during the day.  Frequent small meals are good for you.  This keeps you from getting overly hungry.  Borrow a nutrition book from the library for help in planning meals.  Chose foods you love in moderation.  Go for quality and not quantity!  You should be able to eat anything you want while trying to lose weight, but the amount is important.  Don’t do anything else when you eat!  Watching TV, driving, talking on the phone are all distractions, and we tend to eat more without realizing it.  Eating with someone else is always more enjoyable.  However, since that is not always possible, learn to eat alone with joy.  Set the table for yourself.  Make the setting attractive.  Take the time to say “Grace.”  It helps to keep your faith in view, and reminds you with our Lord’s help you can achieve great things!  Always eat at the table.  This will help prevent snacking in front of the TV, or eating on the run.  If it’s not meal time, ask yourself why you are eating.  Are you bored, lonely, stressed, fearful?   Food will not relieve those feelings.  Address these feelings separately without food!   Find a hobby, call a friend, pray, take a walk and meditate.  Work through the problem.  Eating is not the answer for every problem.

The big news in healthy living is 10,000 steps.  There has been much news coverage on the concept.  It’s a way to get us up and moving.  This is what our bodies were made to do.  No one expects you to suddenly start walking 10,000 steps.  Start with a walk around the block.  When you are comfortable with that, increase it to two blocks.  This is not an exercise program, it’s just moving.   Almost everyone can do it.  Choose times during the coolness of the day in the summer and in the warm sun during the winter.  Park your car at the end of the parking lot when you shop.  All those extra steps add up.  These are all choices for you to consider.   Healthy living is making healthy choices.  Feel free to call me if you have questions about this article or other health concerns. 

Lee Moulds, RN, BS, Parish Nurse 

Highlandtown Lutheran Ministries and Wheat Ridge Ministries 


 
                  Telling the good news about Jesus for 100 years!
© 2002 Nazareth Lutheran Church, Baltimore, Maryland 21224, USA (original material only)