Top 5 Tips for Preventing Workout Injuries

If you have made the decision to start working out, give yourself a pat on the back! It's the first step to a stronger, healthier body. However, whether you are starting an exercise plan for the first time or just getting back to working out, keep in mind there are some risks associated with exercise. No matter if you are working out in a gym, the park or even your own home, it's important to keep safety in mind. Here are some helpful tips for avoiding injuries while working out.

1. Stretch
Your muscles and joints should be prepped for exercise! It is particularly important to have a good stretching session if you will be performing exercises like running or swimming that require a large range of motion.

2. Choose the Right Attire & Gear
From the proper running or walking shoes to the right gear, such as weight lifting gloves or a bicycle helmet, making sure you're properly outfitted for exercise will help you avoid injury. If you're not sure about shoes or equipment, check with someone at the local sporting goods store or a trainer at your gym.

3. Start Slow
If you're beginning exercise for the first time, you should start off slow. If  you're running for the first time, for instance, start off at a slow pace and shorter distance, and eventually work your way up to your goal time or distance. Don't try to do too much too soon.

4. Use the Buddy System
This is especially important if you are doing weight training. Even if you don't have a true workout buddy, grab someone to spot you when lifting weights in the gym. You don't want to drop a weight on yourself or strain a muscle trying to lift too heavy of a weight.

5. Ask the Pros
A certified personal trainer can show you the correct form and even create an individual workout plan tailored to your capabilities and goals. If you can't afford a full-on personal trainer, you may check with your gym to see if they give tours of the facility and introductory courses on using the equipment.

Remember to keep safety in mind when beginning any workout or exercise plan. An exercise injury could put your healthy lifestyle at a standstill and may even lead to long-term damage that could limit your ability to workout. Raulerson Hospital's Physical Thereapy Department has a Wellness Program for the public. , Members of the community can exercise in our Outpatient Physical Therapy facility, under the supervision of a physical therapist. The fee to utilize the Wellness Center is $25 a month.  For more information on the Wellness Center contact our Outpatient Physical Therapy Department at 467-6659. For a health question or physician referral contact Consult-A-Nurse® service at 1-800-449-8642.

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One Person Can Make a Difference

Raulerson Hospital celebrated Hospital and Nurses week this past week. There were special games, activities and plenty of refreshments for staff to enjoy.  The theme of this year’s celebration was ‘One person can make a difference.’  That philosophy is at the very heart of the hard work nurses and hospital staff do every day for patients. It is a lifestyle of caring.  The staff of more than 400 nominated their colleagues to be recognized as outstanding staff members in various categories centered on patient care. The employees enjoyed both recognizing their peers, as well as being recognized.

Staff members began sharing an interesting story about one of our employees making a difference, which really exemplifies what Hospital and Nurses Week is truly about.  Gerry Soriano’s story is true.  Gerry Soriano is a Registered Nurse who works in Raulerson Hospital’s Operating Room as well as the Trauma Operating Room at Raulerson’s sister facility, Lawnwood Regional Medical Center. On March 26th Gerry was returning to Florida on American Airlines flight #1522, after enjoying a reunion with other natives from his hometown in Naguilian, Isabela (Philippines).  He was resting on the red-eye flight from San Francisco to O’Hare Airport when he heard an overhead announcement requesting assistance from any doctors or nurses on board the flight.

Gerry Soriano, Raulerson Hospital Operating Room Registered Nurse- BSN, is pictured here with one of Raulerson Hospital’s defibrillators. It is similar to the one he used on a fellow passenger who was experiencing a medical emergency on a flight he happened to be on from California in March.

Gerry thought he might have been dreaming. When he heard the announcement a second time, he realized it was actually happening.  The flight attendants had noticed the passenger –in need of medical attention, because she was non-responsive when they requested all seats be returned to their upright position. The woman in the seat was thought to have just been sleeping, until flight attendants could not wake the woman. They immediately requested assistance from any passengers with medical training.  The Operating Room Nurse from Okeechobee, Gerry Soriano, responded to the emergency at the back
of the plane, even as the plane was beginning its decent.

Gerry attempted to awaken the passenger by performing a sternal rub, which did not elicit a response from the passenger. He noted that the passenger, who was a female age 50-60, had symptoms that resembled a stroke or hypoglycemia.  He said her face was droopy and that she was drooling and sweating. He decided they needed to move her out of her isle-seat and onto the isle-itself to perform CPR.

Gerry began performing chest compressions on the passenger, while the flight attendant performed face-mask breathing on the passenger.  Other members of the airline crew brought an Automated External Defibrillator (AED), and began to read its directions. Being very familiar with AEDs from his experience in the Trauma O/R, Gerry acted quickly attaching the pad to the patient and noting that the machine indicated no shock was necessary and CPR should be continued.  He and the flight attendant continued CPR for about 15 minutes, even while the plane was touching down.  By the time paramedics got on board at O’Hare the passenger had regained a faint pulse and breath.

Upon his arrival at O’Hare, Gerry had to board his connecting flight to West Palm Beach. “I was sitting there on the flight home asking myself, ‘Did that just happen?’” Gerry said.  Since the time this incident occurred in March, Gerry has not received any updates from the airline or the passenger, regarding her final outcome.  “I hope she’s alive.” Gerry reflected.

Although no follow up information confirms the status of the passenger Gerry assisted that day, it is evident that one person, truly can make a difference. On behalf of the Administrative Team at Raulerson Hospital I would like to thank all the nurses, physicians and clinical staff who make a difference to our patients and the community every day. We could not do it without you.

Sincerely,

Robert Lee
Chief Executive Officer
Raulerson Hospital

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Quick Skin Cancer Prevention Tips

If you're a Floridian, you probably already know just how hot that Florida sun can get. But do you know how damaging it can be on your skin? The third most common skin cancer, melanoma, can be caused by sun exposure. An estimated 65-90 percent of melanomas, in fact, are caused by exposure to the sun's UV (ultraviolet) light. So — do you know how to protect yourself and your family while you're having fun in the sun? May is Skin Cancer Awareness Month, so it's the perfect time to learn! Here are some quick tips for preventing skin cancer:

Cover Up
The right clothing can help in protecting your skin from the sun's harmful UV rays. Keep in mind that a regular T-shirt only offers about an SPF of 15, so you should still use sunscreen in addition. You should also wear UV-blocking sunglasses and a hat with a wide brim.

Lather On
Even if you may have shade, you should always wear sunscreen when you'll be spending time outdoors. The National Council on Skin Cancer Prevention recommends a sunscreen with an SPF of 30 or higher that offers broad-spectrum protection from both UVA and UVB. This should be applied 15 minutes prior to going outside.

Reapply
Sunscreen can wear off over time, even if it is marketed as waterproof or sweat proof. Be sure to reapply your sunscreen every two hours or after you swim or sweat.

Seek Shade
When possible, head for the shade! Seeking shade under an awning, umbrella, tent, or otherwise can help you reduce your risk of skin damage that can lead to skin cancer. Remember, even if shade is available, you should still use sunscreen.

Avoid Tanning & Tanning Beds
Intentionally tanning or spending time in the direct sun without sun protection puts you at risk for skin cancer. Indoor tanning puts you in direct exposure to UV light and has been linked with skin cancer and cancers of the eye.

Other Measures
Keep newborn babies out of the sun–sunscreen should only be used on children over 6 months of age. Examine your skin every month to look for changes to existing or new lesions. See a dermatologist for a screening at least once every year.

If you're going to be spending time in the Florida sun this spring or summer, just remember to plan accordingly so you can stay protected from the sun's harmful UV light! For more information on skin cancer and prevention, visit us online at Raulerson Hospital. You can also call our free Consult-A-Nurse® service at 1-800-449-8642 for health information and physician referrals.

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Medical Emergencies: Every Second Counts!

When you are experiencing an emergency, every second counts! That's why Raulerson Hospital provides approximate ER wait times on our website, on billboards and even through the iTriage iPhone application. These estimates allow you to see the approximate time it will take to see a qualified medical professional. Our iTriage application also allows you to input your symptoms into a "symptom checker," find a physician, talk to a healthcare professional and locate the nearest ER department.

Learn more about our ER Wait Times and iTriage in the video below:

Raulerson Hospital's Emergency Department offers service 24 hours a day, seven days a week, and is ready to serve you in the event of an emergency, whether major or minor. If you think you are experiencing a medical emergency, dial 9-1-1 immediately. For more information on our hospital services, please give us a call at 863-763-2151.

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How Sleep Apnea Affects Your Health

If your spouse snores loudly throughout the night, you know how annoying the noise can be. Listening to someone snore can definitely put a damper on your own sleep— after all, earplugs can only do so much! While it is definitely irritating to hear, snoring can also be a symptom of sleep apnea, making it potentially dangerous to the person who is doing it.

What is Sleep Apnea?
Sleep apnea is a fairly common sleep disorder that often goes undiagnosed. As explained by the National Heart Lung and Blood Institute, a person with sleep apnea can stop breathing many times throughout the night. These pauses in breathing can last for a few short seconds but can also be as long as a few minutes.

This means that seemingly innocent snoring may actually be a symptom of sleep apnea— when a sleep apnea patient begins breathing normally again, they make a loud snorting or choking sound because their airway had collapsed during their sleep.

Sleep Apnea Risks
Because a person’s breathing stops throughout the night if they have sleep apnea, they do not get enough oxygen while they are sleeping. They also feel tired throughout the day because they did not get a full night’s sleep. They may have trouble falling asleep or wake up with severe headaches.

Although sleep apnea can affect anyone at any age, people who are overweight, smoke, or have certain medical conditions are more prone to the disorder. If left untreated, sleep apnea can cause an increased risk of high blood pressure, heart attack, stroke and diabetes. It can lead to heart failure or an irregular heartbeat and may increase the risk of auto accidents if someone drives while they are incredibly tired.

Treatments for Sleep Apnea
There is no real cure for sleep apnea, but it is often managed with a breathing device known as CPAP, which stands for continuous positive airway pressure. A CPAP machine blows air into a tube that is attached to a mask worn over the nose and mouth. CPAP uses mild air pressure to help keep the airways open during sleep. Mild sleep apnea may even improve with weight loss, giving up smoking, and the avoidance of alcohol.

Many people with sleep apnea aren’t aware that they have the disorder. There are no blood tests to help doctors diagnose sleep apnea and it’s nearly impossible to detect the condition during an office visit. If sleep apnea is suspected, a sleep study may be required. During a sleep study, a patient spends the night at the hospital or a facility dedicated to detecting sleep disorders so their breathing and other vital signs can be monitored throughout the night.

The Sleep Disorders Laboratory at Raulerson Hospital can help diagnose sleep disorders like sleep apnea, narcolepsy, periodic limb movement (PLMB) and insomnia. Please note that a physician prescription is required to undergo a sleep study. For more information about sleep studies at Raulerson or to schedule an appointment, visit us online or call 863-824-2713.

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Unexpected Breast Cancer Symptoms

Women are encouraged to perform breast self-exams (BSEs) each month to look and feel for changes in their breasts. Although some lumps, bumps and other breast changes are caused by hormonal fluctuations, they sometimes indicate breast cancer. Doctors often point out that a self exam may help catch breast cancer in its early stages, when treatment and survival rates are highest.

However, lumps and bumps aren’t the only symptoms of breast cancer that you should look for. In fact, BreastCancer.org reminds women that symptoms can vary widely from patient to patient and some women with breast cancer have no obvious symptoms at all.

Paget Disease
Many women have never even heard of the uncommon type of cancer known as Paget disease. It forms in or around the nipple and early symptoms often include redness or "crusting" of the nipple or its surrounding skin, which is often mistaken for a common rash. Symptoms of Paget disease in its advanced stages often include tingling or itching, increased sensitivity, burning, or a general pain in or around the nipple.

“Other” Breast Cancer Symptoms

Other non-lump or bump symptoms that may possibly be due to breast cancer can include:

  • Thickening skin in your armpits or your breasts
  • Non-milk liquid leaking from your nipples
  • Changes in size or shape of your breasts or nipples
  • Changes in skin texture or color of your breasts or nipples
  • Unusual breast pain that is not related to your menstrual cycle

Breasts can change due to age, weight gain or weight loss, and hormones, but if you notice a lump, bump, or any other change in your breasts, nipples, or armpits, inform your doctor immediately. It may turn out to be nothing, but it’s better to err on the side of caution.

Raulerson Hospital is dedicated to providing women with the most advanced care. The medical professionals at Raulerson’s Women’s Health Center offer compassion and expertise when dealing with breast cancer or any other medical issue. Learn more about the services we offer by visiting us online or contact us by phone at (863) 824-2982

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The Dangers of Distracted Driving

We all know the immense dangers of driving while intoxicated, but what about driving while … distracted? If you’ve ever been behind someone that didn’t notice a red light had turned green because they were too busy talking on the phone or texting, you know that using a cell phone in traffic interferes with driving. Or maybe you’ve even done it yourself. It’s tempting to answer a phone call or respond to a text message while you’re behind the wheel. After all, it only takes a few moments!

Statistics from the National Safety Council (NSC) may make you change your mind about this dangerous habit that far too Americans have developed—roughly 1.2 million crashes each year involve drivers talking on cell phones and at least 100,000 additional crashes are related to drivers who are texting.

The Faces of Distracted Driving
Watch this video about a single mom who was involved in a life-changing accident caused by a driver who was texting:

Make the Commitment
Studies have found that talking on the phone or texting while driving is similar to driving while drunk since your distraction results in a slower reaction time. You may not notice a red light, a car pulling out in front of you or any other unexpected road hazard until it’s too late, increasing your chances of getting into a car accident.

Despite the danger and even laws against it, people continue to use cell phones while driving. NSC and Focus Driven, an advocacy group for victims of crashes involving drivers using cell phones, have joined together to recognize April as National Distracted Driving Awareness Month. Both non-profit organizations encourage drivers to stop using their cell phones while driving during April and beyond.

Raulerson Hospital also urges you to carefully consider the dangers associated with driving while distracted and make the commitment to give up the dangerous practice. Chances are good that you wouldn’t drive drunk, so why put your life—and others—in danger over a phone call or text message?

If you have questions about Raulerson Hospital or the services we offer, contact us online or call (863) 763-2151.

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COPD: Don’t Go Undiagnosed

One of the most common lung diseases, chronic obstructive pulmonary disease (COPD), makes it difficult for patients to breathe because their airways are damaged and it is hard for the lungs to get enough oxygen.

What is COPD?
The National Heart Lung and Blood Institute (NHLIB) explains that COPD patients experience trouble breathing for one or more of the following reasons:

  • The airways and air sacs have lost their elasticity
  • The walls between air sacs have been destroyed
  • The walls of the airways are thick and inflamed
  • The airways are clogged due to excessive mucus production

The two main types of COPD are chronic bronchitis and emphysema. Bronchitis is characterized by a long-term cough with mucus and emphysema leads to the destruction of the lungs over time. Many COPD patients have both bronchitis and emphysema. Cigarette smoking is the number one cause of COPD. Smokers are advised to quit due to the increased risk of COPD in addition to other health problems like stroke, cancer and heart disease.

You might be surprised to learn that NHLIB statistics list COPD as a major cause of disability and a leading cause of death in the United States. Many other people living with COPD have not even been diagnosed with the condition. Because COPD develops slowly, symptoms usually worsen over time and eventually limit a patient’s ability to perform basic everyday activities like walking or taking care of personal hygiene.

COPD Treatments
There is no real cure for COPD, but NHLIB reports that treatments and lifestyle changes can help patients feel better and slow the disease’s progress. A COPD diagnosis and treatment plan from your doctor may help ease your symptoms and improve your quality of life. Treatments may include:

  • Medicines that relax the muscles around the airways or reduce inflammation may be prescribed
  • Vaccines that reduce the risk of pneumonia may also be advised, as COPD patients are at a higher risk of developing the condition
  • Oxygen therapy through nasal prongs or an oxygen mask may help patient with severe COPD
  • Pulmonary rehab that includes activities like an exercise program and nutritional counseling

COPD Support Group
If you are living with COPD, engaging with others who understand your pains and frustrations can be helpful. Raulerson Hospital’s Better Breathers Support Group for people with COPD and their loved ones meets in the InService Classroom on the first Wednesday of each month at 5:00 PM.

To learn more and register for Better Breathers or any other class or event held at Raulerson, visit the online calendar or search for events by type and date here. You can also call 863-763-9228 for more information.

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Five Tips for Helping an Aging Parent

When an adult child must step in to assist their mother or father with everyday activities like financial matters, medical issues and taking care of the house, traditional parent / child roles are reversed–often causing anxiety for both parties involved.

People are living longer than ever before and Mental Health America reports that nearly half of all Americans between 45 and 55 years old have living parents and children under the age of 21. Dealing with your own busy schedule while helping your aging parents can be stressful, even if they do not live with you.

Caring for your parents isn’t easy, but the following tips may help ease the burden:

1. Know your parents’ doctors, medications, and medical history. Keep a list of your parents' doctors’ phone numbers handy and keep a chart that lists which medications and dosages should be taken throughout the day. Remind them to schedule and keep all necessary doctors’ appointments (or schedule them yourself) and help them find a system that reminds them to take their medications. If you aren’t with your parents continuously, a divided pill tray with slots for times of day is a good way to ensure that medications are taken at the right time.

2. Help with chores and projects around the house. If your elderly parents still live alone, even light chores like vacuuming, dusting and taking out the trash can become tough. Help them clean each week or hire someone to take this on. Many cleaning services are reasonably priced.

3. Watch their finances. Paying bills and doing taxes isn't easy for most people, particularly senior citizens that may not understand or even use modern-day features like debit cards and online banking. Help take care of your parents finances to ensure they aren’t overspending and be sure to read the fine print when filling out forms and applications. Be aware that many people do not like to talk about their money with relatives, especially if they are having financial problems.

4. Make sure they are eating healthy meals. Good nutrition is important at any age, but it's not uncommon for seniors to skip meals to save money, forget to eat, or eat snacks instead of proper breakfasts, lunches and dinners. If possible, help your parents grocery shop and stock their pantry with healthy foods that are easy to prepare. A meal delivery service like your local Meals on Wheels may be able to bring food to your parents if you’re not able to do so.

5. Don’t be afraid to ask for help. Working and taking care of your children can make helping your aging parents even harder. Your parents may not be ready to live in a nursing home yet still need more help than you can provide. They may be resistant at first, but the Family Caregiver Alliance offers a wealth of information about hiring in-home help for seniors.

Raulerson Hospital understands that seniors have special needs. If you’re worried about a parent’s health, our free Consult-A-Nurse® service is a great reference whenever you have questions. Our registered nurses can answer health-related questions and help you schedule an appointment with a physician for your loved one.

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Understanding and Treating Endometriosis

Although it’s a fairly common health problem in women, many people have little or no knowledge of endometriosis. Take a few minutes out of your day to understand the condition and its treatment during National Endometriosis Month.

What is Endometriosis?
Named for the endometrium, the tissue which lines the uterus, endometriosis occurs when that tissue grows outside the uterus or on other organs or structures in a woman’s body. The U.S. Department of Health and Human Services Office on Women’s Health explains that endometriosis is commonly found on the ovaries, fallopian tubes, tissues that hold the uterus in place, outer surface of the uterus and the pelvic cavity lining, but it can also occur in the vagina, cervix, vulva, bowel, bladder, or rectum.

This displaced endometrial tissue thickens, breaks downs, and bleeds during a woman’s menstrual cycle just as it would if it were inside the uterus, but there is no way for it to exit the body naturally. Instead, the tissue becomes trapped, which can cause pain during a woman’s period.

Signs and Symptoms of Endometriosis
Fertility problems–trouble getting pregnant–are a common side effect of endometriosis, but abdominal and lower back pain are two of the main endometriosis warning signs. Many women also experience very severe menstrual cramps which get worse over time, pain during or after sex, and spotting or heavy bleeding between their periods.

Treating Endometriosis
There is no real cure for endometriosis, but treatments do exist. Pain medications are often enough to assist women with mild symptoms, and doctors routinely recommend hormone treatments for women that have endometriosis and do not wish to get pregnant.

Surgery is often the best treatment for women with severe endometriosis. Laparoscopy is a minor surgery that removes endometrial growths and scar tissue while laparotomy is a major surgery that involves a much larger cut in the abdomen. A hysterectomy, surgery which removes the uterus and possibly the ovaries, may be necessary if endometriosis has caused severe organ damage.

Raulerson Hospital’s surgical services department specializes in a full range of in- and outpatient surgeries, including gynecological surgery. If you need to find a doctor, call Raulerson’s free Consult-A-Nurse® referral service at 1-800-449-8642 to schedule an appointment.

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