Consider alternatives to opioids to manage pain after surgery

2018-01-22T12:01:00

(BPT) – If you’re having surgery, you can expect to be sore and uncomfortable for a few days, whether you’re recovering at home or in the hospital. But it’s best to limit opioids or avoid them altogether, opting for alternatives to manage pain and discomfort, recommends the American Society of Anesthesiologists (ASA).

Unfortunately, many patients leave the hospital following surgery with a prescription for 30 or more highly addictive opioid pills (e.g., Vicodin, hydrocodone and oxycodone), and about 6 percent are still using them three months or longer after the procedure.

“Nobody needs a prescription for 30 or 50 opioids, and even those who are in major pain should only take them for a day or two,” said ASA President James D. Grant, M.D., M.B.A., FASA. “There are effective alternatives. Many people don’t need opioids at all or at least should drastically reduce the amount they take.”

Addiction can start after taking only a few opioids. More than 2 million Americans abuse these medications, which can create a feeling of euphoria and make the body believe the drug is necessary for survival. Since 2000, opioid overdose deaths in the U.S. have increased 200 percent.

Don’t take that chance. ASA offers advice for coping with pain and discomfort as you recover from surgery.

* Ask about alternatives – Only take opioids when you are in extreme pain. Medications such as ibuprofen (Motrin), naproxen (Aleve) and acetaminophen (Tylenol) can help with pain and soreness. While it’s never a good idea to rely on any type of pain pills for too long, these medications are not addictive and are far less risky than opioids.

* Manage your expectations – Everyone feels pain differently, but soreness and discomfort after surgery are normal and will improve within a day or two. These sensations are less severe than pain, which is usually sharp or intense. You usually don’t treat muscle soreness after a hard workout with an opioid, so if you are sore, and not in severe pain, try ibuprofen or naproxen.

* Be an active participant in your own care – While you are in recovery, the nurse will ask you if you are in pain and if so, how much. Be descriptive in explaining how you feel. If you are in major pain, ask that the opioid prescription be written for a small amount, and only take them for a day or two, three at most. Unused pills can fall into the wrong hands. In fact, more than half of people who misuse prescription painkillers get them from a friend or relative. Your pain will improve significantly within a few days whether or not you take opioids.

* Be aware of other downsides to opioids – Opioids cause severe constipation and often don’t manage pain as well as people expect. Additionally, they can cause hyperalgesia, or an increased sensitivity to pain.

“The opioid crisis is huge and affects everyone, rich and poor, male and female. It’s got to stop, and reducing opioid use during recovery after surgery is a big part of the solution,” said Dr. Grant. “Those who are in continued severe pain after surgery should ask a physician anesthesiologist or other pain specialist about alternative strategies to manage pain, including exercise, nerve blocks and non-opioid medications.”

ASA is committed to ending opioid abuse and has launched several initiatives to combat the epidemic. For more information, review ASA’s National Pain Strategy.

To learn more about the critical role physician anesthesiologists play before, during and after surgery, visit asahq.org/WhenSecondsCount.


5 tips to help care for your child’s eczema

2018-01-22T15:59:00

(BPT) – The daily routine for a parent can be hectic and stressful, and having a child that is living with atopic dermatitis (eczema) can be difficult.1

Eczema is a common skin condition that may develop during childhood.2 Eczema typically occurs in characteristic areas of skin and is often identified by scaly or dry patches.2,3 Nearly 18 million children and adults across the United States live with the condition.4 About 90 percent of those with eczema have the mild-to-moderate form of the disease.5 And you shouldn’t be too surprised your child has eczema, if you have asthma, hay fever, or eczema yourself. Genetic factors are associated with eczema.3,4

If your child has eczema, the following tips may help you care for your child and their skin.

1. Know what to watch for.

Eczema may look different on different people, so it’s important to know what to watch for.2 The face, neck, arms and legs are common sites for many people, depending on their age.2 Eczema often appears as a rough, red skin rash.3 If you think your child has eczema, talk with a doctor to learn what to look for and discuss a possible treatment plan. Here’s another tip: consider pajama or bath time as an opportunity to take a moment and check for any changes in your child’s skin.

2. Tame the triggers.

For some, eczema may flare, or get worse, when they’re exposed to different triggers, even if they are currently treating their eczema.2 Food choices, sweat, stress, and clothing types may all be possible triggers for your child’s eczema.3,6 Monitor your child’s skin, and if you notice a change, talk to their doctor to find the strategies that may best identify these triggers.

3. Prepare appropriately.

As a parent, you’ve probably learned that children never stop moving. Purses are filled with all sorts of things to help keep your child entertained. That preparation can also be applied to eczema. For example, heat and sweat are common causes of flares. Try dressing your child in comfortable, loose clothing or uniforms that have been washed before your child wears them.6 Don’t forget those new gym clothes and soccer jerseys!

4. Adjust bath time routines.

Children take baths—for obvious reasons!—but bath time might be a challenge for children with eczema. Try to limit bath time to 5-10 minutes up to once per day with warm, not hot, water.7 Applying a moisturizer soon after bathing may also help ensure your child’s skin is moisturized.2,7

5. Understand your options.

There is no cure for eczema, but there are treatment options available. EUCRISA® (crisaborole) ointment, 2% is a steroid-free topical ointment for people with mild-to-moderate eczema and can be used on all skin tones from face to feet, for adults and kids as young as 2 years old.8 EUCRISA is a topical treatment that works both above and below the skin to treat eczema.9 The specific way EUCRISA works is not well defined.8 It can be applied topically to the skin, including the face. Do not use in the eyes, mouth or vagina.8 Talk to your child’s doctor to see if EUCRISA is right for your child and visit www.EUCRISA.com to learn more.

While the above tips may help you manage your child’s eczema, always be sure to talk to their doctor to help identify the best treatment plan. To learn more about EUCRISA, visit www.EUCRISA.com.

IMPORTANT SAFETY INFORMATION & INDICATION

Do not use EUCRISA if you are allergic to crisaborole or any of the ingredients in EUCRISA.

EUCRISA may cause side effects including allergic reactions at or near the application site. These can be serious and may include hives, itching, swelling, and redness. If you have any of these symptoms, stop using EUCRISA and get medical help right away.

The most common side effect of EUCRISA is application site pain, such as burning or stinging.

EUCRISA is for use on skin (topical use) only. Do not use EUCRISA in your eyes, mouth, or vagina.

INDICATION
EUCRISA is a prescription ointment used on the skin (topical) to treat mild-to-moderate eczema (atopic dermatitis) in adults and children 2 years of age and older.

See Full Prescribing Information at EUCRISA.com.

For more information call 1-866-EUCRISA (1-866-382-7472).

This article is sponsored by Pfizer Inc.

1 Lifschitz C. The Impact of Atopic Dermatitis on Quality of Life. Ann Nutr Metab. 2015;66(suppl 1): 24-40.
2 Bieber T. Atopic dermatitis. Dermatol. 2012;1(3);203-217.
3 Akdis CA, Akdis M, Bieber T, et al. Diagnosis and treatment of atopic dermatitis in children: European Academy of Allergology and Clinical Immunology/American Academy of Allergy, Asthma and Immunology/PRACTALL Consensus Report. J Allerg Clin Immunol. 2006;118:152-169.
4 Hanifin JM, Reed ML. A population-based survey of eczema in the United States. Dermatitis. 2007;18(2):82-91.
5 Paller AS, Tom WL, Lebwohl MG, et al. Efficacy and safety of crisaborole ointment, a novel, nonsteroidal phosphodiesterase 4 (PDE4) inhibitor for the topical treatment of atopic dermatitis (AD) in children and adults. J Am Acad Dermatol. 2016;75(3):494-503.
6 Oszukowska M, Michalak I, Gutfreund K, et al. Role of primary and secondary prevention in atopic dermatitis. Postep Derm Alergol. 2015;32(6):409-420.
7 Eichenfield LF, Tom WL, Chamlin SL, et al. Guidelines of care for the management of atopic dermatitis. Section 2. Management and treatment of atopic dermatitis with topical therapies. J Am Acad Dermatol. 2014;71(1):116-132.
8 EUCRISA® (crisaborole). Full Prescribing Information. December 2016.
9 Jarnagin K, Chanda S, Coronado D, et al. Crisaborole topical ointment, 2%: a nonsteroidal, topical, anti-inflammatory phosphodiesterase 4 inhibitor in clinical development for the treatment of atopic dermatitis. J Drugs Dermatol. 2016;15(4):390-396.


Why online eye apps may do more harm than good

2018-01-30T06:01:00

(BPT) – Online vision apps can be a great resource for health-related information, but if you rely on them to preserve your eye health and detect potential problems, you could be doing more harm than good, the American Optometric Association warns.

“Eye health is critical to overall good health,” says Dr. Christopher Quinn, president of the AOA. “If someone chooses to forego an annual eye exam with a doctor of optometry because they think an online test or mobile app screening is enough, they’re making a mistake that could put their vision and health at risk.”

The AOA, which represents more than 44,000 doctors of optometry, optometric professionals and optometry students, supports state and federal policies that protect patients from the potential dangers of online vision test apps. Here are four of the many reasons why patients should not rely on online eye screenings or mobile apps:

1. Vision test apps or online tests can’t diagnose or treat serious eye problems.

These tools simply use measurements to gauge what is known as visual acuity, or sensitivity. However, many vision and eye health conditions don’t have obvious signs or symptoms in their earliest stages. Online tests can miss serious conditions that a comprehensive eye exam would catch.

They may be designed to test for near-sightedness or far-sightedness, but can’t adequately evaluate overall eye health. For example, an online screening might be able to detect symptoms of near-sightedness, but isn’t designed to catch signs of glaucoma.

2. Vision test apps aren’t held to the same standards as doctors of optometry.

People put their eye health at risk when they choose convenience over care and today, 17 states have regulations in place to safeguard patients from unproven technologies and practices that can compromise the established and proven standard of care. And there is good reason.

Right now, online vision screening services and mobile apps aren’t required to meet the definition of a comprehensive eye exam, or clinically prove their technologies provide the same level of care you would get from a qualified eye care doctor. In addition, they are not approved by the U.S. Food and Drug Administration (FDA).

3. Patients may not get the care they need.

Even if an app accurately indicates a problem with vision acuity, patients might not follow up as recommended with a doctor of optometry, who can diagnose issues and work with you to develop solutions to eye health and vision care needs.

Additionally, a comprehensive eye exam conducted by an optometrist can be an important step in identifying health conditions that might not have been detected otherwise, such as diabetes and high blood pressure. An optometrist can help you understand the seriousness of the condition and suggest and implement appropriate treatment.

4. You could be risking your eye or overall health.

Online vision screening apps might not catch signs of a serious problem. Missing the signs of an eye health or overall health issue can put you at risk.

“People may think they’re doing something good by using a mobile vision app,” Quinn says. “Unfortunately, an online eye test does not completely cover any one of the 12 components of a regular in-person, comprehensive eye exam, something everyone needs to ensure they’re protecting and preserving their vision.”

To learn more about vision health, visit www.aoa.org.


5 Ways Your Neighborhood Impacts Your Health

2018-01-31T08:31:00

(BPT) – Did you know that your zip code has a bigger impact on your health than your genetic code? It’s because of factors known as social determinants of health. Things like air quality, employment, education, the people you socialize with and the safety of your neighborhood all have an impact. In fact, 60 percent of a person’s life expectancy is driven by factors outside of the doctor’s office. Check out a few surprising things in your neighborhood impacting your health — and what to do about them:

Your Sidewalks

You might not think about it, but your sidewalks are impacting your health. The average person burns 100 calories walking a mile. If we all had more easily accessible sidewalks and spent more time walking, we could become more fit. The WalkWorks ChesCo! program in Chester County, Pennsylvania, a Healthiest Cities and Counties Challenge Spotlight winner, set a goal for community members to hit one billion steps in 2017, and reached it three months ahead of schedule. Reach your step goal by taking a sidewalk stroll every once in a while.

Your Grocery Stores

How easy is it to get to your nearest grocery store? The distance between your home and the nearest grocery store impacts your health immensely. The CDC defines a food desert as an area that lacks access to affordable fruits, vegetables, whole grains, low-fat milk and other foods that make up a full and healthy diet. In Bridgeport, Connecticut, residents in the East End neighborhood have spent the last 35 years with little or no grocery stores close by. Last year, a pop-up market ended the trend of food deserts and gave the neighborhood accessible, healthful options.The grocery stores in your neck of the woods might just influence your fruit and vegetable consumption.

Your Neighborhood Police

Community police work to keep your neighborhoods safe and lower violence rates. The Mind/Spirit/Body project in Jersey City, New Jersey, has made it a priority to recognize violence as a health issue, and has actively decreased violence within local neighborhoods by promoting healthy behaviors among its citizens. In the last 25 years, violent crime rates have decreased by 50 percent because of police. Next time you see an officer, thank them for keeping you safe!

Your Water System

Your water system impacts so many aspects of your daily life. From safe drinking water, to a healthy sewer system to curbing erosion from rainfall, communities must manage water in many ways. For example, according to the Environmental Protection Agency (EPA), sewer overflows happen about 75,000 times a year. Did you know sewage overflows can contaminate our waters, cause property damage and other public health threats? The city of Camden, New Jersey, another Challenge Spotlight Award winner, set up a program to reduce the number of sewage overflows in their region and improve water quality for all. The Camden SMART Initiative gathers community engagement through a variety of new mobile apps, community meetings and social media. Make sure to check to see if your community sewer system is in top shape to avoid contaminants.

Your Schools

The schools in your community matter. Many studies show that a higher level of education is a strong predictor of a longer life due to many factors, including higher income, social status, healthy behaviors and social well-being. The Steinhardt School at NYU completed a study, finding that 145,243 deaths could have been prevented in 2010 if adults who had not completed high school went on to earn a GED or high school degree. Education levels affect mortality rates over time. Your local teachers, schools and peers impact your life expectancy more than you know.

To learn more, visit: http://www.healthiestcities.org/ and join the conversation at #Healthiestcitieschallenge.

About the Healthiest Cities and Counties Challenge:

The Healthiest Cities & Counties Challenge is a collaboration between the Aetna Foundation, the American Public Health Association and the National Association of Counties to encourage small to midsize U.S. cities, counties and federally recognized tribes to create a positive health impact. The challenge will identify the best practices for achieving community and individual health, wellness and health equity.


3 formerly misunderstood foods now a part of a well-balanced diet

2018-02-01T06:01:00

(BPT) – Throughout history, misconceptions, misinformation and popular culture have influenced Americans’ eating habits. Many foods that were previously eaten daily are now considered unhealthy. Conversely, some foods that were thought to be “bad for you,” are now considered nutritious.

“Nutrition is exciting. Just about every day there is new research about how certain foods work in our body,” says Registered Dietitian and Nutritionist Dawn Jackson Blatner. “Over time as research is done, foods that were once considered unhealthy can be found to actually play a key role in healthy diets.”

What historically “unhealthy” foods are now considered wholesome? Blatner provides some examples:

Eggs

Shunned for many years, eggs were believed to be bad for heart health due to high cholesterol levels. However, numerous studies have shown that intake of dietary cholesterol has little influence on blood cholesterol levels. In fact, the Harvard School of Public Health states that the biggest influence on blood cholesterol level is the mix of fats and carbohydrates in your diet — not the amount of cholesterol you take in from food.

Today, eggs are part of a healthy diet — so much so that recently the country’s leading weight loss service announced that eggs are now included on its zero points list. Keep in mind, though, that not all eggs are created equal. When shopping for eggs, look for Eggland’s Best eggs, which have significantly more nutrition than ordinary eggs.

“Many health and nutrition organizations are finally recognizing eggs for the nutrient powerhouse they are,” says Blatner. “Eggland’s Best eggs have six times more vitamin D, more than double the omega-3s and more than double the vitamin B12 of ordinary eggs, making them the best egg option to maximize your nutritional intake.”

Nuts

Snacking on nuts today is typically considered a healthy way to keep hunger pangs at bay, but it wasn’t always that way. Nuts used to have a bad reputation for being high in fat and calories, and were often avoided, especially for people who wanted to lose weight.

Today, many nuts are considered the ideal nutritious snack as they contain heart-healthy monounsaturated fats. For example, the versatile almond is relatively low in calories when compared to other nuts and has more calcium than other varieties, according to Health.com. Plus, almonds are rich in fiber and vitamin E, an important antioxidant.

“Nuts can make a great snack or wonderful addition to recipes,” says Blatner. “The one thing to be mindful of is sodium intake. Opt for raw nuts or dry-roasted varieties. These are minimally processed and typically won’t contain the salt and oils you’ll find in other varieties.”

Carbohydrates

Due to empty calories and low nutritional value, cutting carbs has been at the heart of diet fads for decades. The problem with this is that it assumes all carbs are equal, which is false.

“The important thing to realize is there are high-quality and low-quality carbs,” says Blatner. “Instead of shaming all carbs, focus on high-quality sources of carbohydrates that fuel the body and give you energy — skip the refined grains like white bread and focus on whole grains.”

Want to try a recipe that uses some of these formerly misunderstood foods? Blatner shares one of her favorites.

Eggland’s Best Spinach & Avocado Egg Sushi

Makes two servings.

Ingredients:

2 Eggland’s Best Eggs (Large), 1 tablespoon milk, 1 dash of salt, 1 dash of ground black pepper, 1 large whole wheat tortilla (12 inch), 1/2 avocado (mashed), 1 cup fresh baby spinach

For the spicy sauce:

Mix 2 tablespoons plain Greek yogurt, 1 tablespoon Sriracha (or other hot sauce) and 1 teaspoon milk in a small bowl.

Directions:

Coat a 10-inch nonstick pan with cooking spray and heat on medium-low heat.

In a bowl, whisk together eggs and milk and season with salt and pepper.

Pour egg mixture into pan and cover with a lid. Do not scramble! Cook until set (about 3-4 minutes), flip and finish cooking (about 1-2 minutes).

Lay tortilla flat and spread with avocado, leaving a 2-inch border around the edges.

When eggs are finished cooking, place in the center of the tortilla and top with spinach.

Start at one end and roll tightly, but gently.

Coat the same skillet with nonstick spray and warm on medium-high heat.

Place roll seam-side down on skillet and brown slightly on both sides. Remove and allow to rest for 1-2 minutes.

Using a serrated knife, slice 1-inch pieces, drizzle with spicy sauce and serve with chopsticks.


Improve your heart health in 2018 with these tips

2018-02-15T14:01:00

(BPT) – When it comes to maintaining and/or improving your heart health, it’s the little things you do day after day that can have a big impact on your immediate and long-term health.

A healthy diet and plenty of exercise are naturally the first things you think of when looking at ways to support your body’s most important muscle, but to really make your heart health initiatives as effective as possible, you need long-term solutions, not quick fixes.

The American Heart Association (AHA) has long been at the forefront of heart healthy initiatives, and this year’s Life is Why We Give (TM) campaign is drawing support from people and companies — like Pilot Flying J — all across the nation. In order to help you live a healthier life in 2018, follow these seven heart-healthy tips today.

1. Be careful of what you snack on between meals. High-fat and high-sugar snacks are popular, but ultimately unhealthy. Opt for fresh instead of processed and choose fresh fruits and vegetables for your snacks between meals.

2. Don’t just drink the drink. Your beverage choices could add unnecessary fats and sugar to your diet, so choose low-sugar and no-sugar alternatives as well as low-fat milk or cream for your coffee. This way you’ll avoid drinking empty calories.

3. Avoid ordering before-the-meal extras. Cocktails, appetizers, even bread and butter are all sources of extra fat, sodium and calories. Cut them out and your calorie intake will drop — and so will your bill.

4. On the side, please. Ask for butter, cream cheese, salad dressings, sauces and gravies to be served on the side when you dine out. This allows you to better control the quantity you consume.

5. Explore your options. When ordering fish or chicken, avoid fried whenever possible. Choose boiled, baked or grilled options instead for a healthier alternative.

6. Think small. Cutting back on portion sizes is a great place to start eating healthier, so don’t be afraid to ask for a smaller serving when you dine out. If smaller portions aren’t available, ask for a to-go box when you order and place the rest of your entrée in the box to eat later.

7. Make a healthy substitution. Often a healthier choice is available for nearly any dish. For example, if you order an item that naturally comes with French fries or onion rings, ask whether you can get a side of fruit or vegetables instead. It may cost you more, but the switch is certainly worth it.

To find answers to your health questions and to receive health services support in your area, stop by one of the Urgent Care Travel (UCT) medical clinics available at select Pilot and Flying J Travel Centers.


5 things your doctor may not have told you about heart disease

2018-02-20T07:01:00

(BPT) – Every day your heart beats an estimated 100,000 times to move 2,000 gallons of blood through your body. That equates to more than 2.5 billion beats in your lifetime! It’s no surprise heart health is a priority for many people, especially considering that heart disease is so common.

One in four deaths in the United States is caused by heart disease. More than 610,000 people die of heart disease in the U.S. every year, making it the leading cause of death for both men and women, according to the Centers for Disease Control and Prevention.

You know you need to eat a nutritious diet, exercise and avoid smoking. However, there’s a lot more you need to know to protect yourself and your family. Consider these five surprising things your doctor may not have told you about heart disease.

Heart disease can be caused by a genetic disorder

You may never heard of familial hypercholesterolemia (FH), a common, but inherited genetic disorder that causes heart disease. FH affects approximately one in 250 people worldwide, but currently 90 percent of people born with this genetic condition are not diagnosed. Individuals with FH have a high amount of low density lipoprotein (LDL) or “bad” cholesterol in their blood from birth. This lifelong burden of cholesterol is a major reason why FH leads to very early and severe heart disease. The good news is that FH is manageable if detected and treated early in life. If high cholesterol and early heart disease runs in your family, learn more at thefhfoundation.org.

Many heart attacks occur outside the hospital

About 47 percent of sudden cardiac deaths occur outside a hospital, according to the CDC. This suggests that many people with heart disease don’t recognize or act on early warning signs.

Heart attacks have several major warning signs and symptoms:

  • Chest pain or discomfort.
  • Upper body pain or discomfort in the arms, back, neck, jaw or upper stomach.
  • Shortness of breath.
  • Nausea, lightheadedness or cold sweats.

Know the signs. Trust yourself. If you have any of these symptoms or sense something is just not right, call 911.

Heart disease affects young people

Many people think heart disease occurs in old age, but it can affect people of all ages. Even if you or your family members are 30 years old or younger, you could be affected, especially if you have risk factors like high cholesterol or a family history of heart disease. Keep in mind, each child with a family member with FH has a 50 percent chance of inheriting the disorder, which is present since birth. Untreated individuals with FH have up to a 20 times increased lifetime risk of early heart disease, yet 90 percent of people with FH are undiagnosed, according to the FH Foundation.

Children (even infants) can have high cholesterol

Many adults are regularly screened for high cholesterol, but it’s not as common for children to be screened, although the American Academy of Pediatrics recommends that all children between the ages of 9 to 11 be screened for high cholesterol. These guidelines also recommend screening for FH as early as age 2 years if there is a family history of high cholesterol, early heart disease or known FH. Talk to your children’s doctor about screening. FH is characterized by an LDL-C level of over 190 mg/dL in adults, or over 160 mg/dL in children. FH may also be confirmed with a genetic test, although this is not necessary for diagnosis.

You can maintain a healthy heart at any age

Being diagnosed with high cholesterol, heart disease or even FH is not a death sentence. Every person’s health considerations are unique, but by working with your doctor, you can come up with a plan to help manage your health and maintain the strongest heart possible. This could include lifestyle changes and medications to manage the LDL cholesterol level in the blood. The key is to keep asking questions, learn about your specific health needs and stay dedicated to your heart health plan.


5 tips from a tea expert to brew the perfect cup

2018-02-05T08:01:00

(BPT) – For most of us, a little evening downtime is not a luxury — it’s a necessity. After a hectic day of work, commutes, kids and dinner prep, we deserve to take a moment to slow down and enjoy some hard-earned “me time.”

Instead of using this time to stream your favorite show or scroll through social media, try a gentle and relaxing activity that puts your focus on the present moment and makes this time truly enjoyable.

“For a relaxing end-of-day activity, there’s nothing quite like preparing and savoring the perfect cup of herbal tea,” says Stephen Twining, whose family founded the world-famous tea brand, Twinings of London, in 1706.

The steps we take to prepare and enjoy our perfect cup of tea can help us unwind and feel refreshed, Twining says. Tea releases pleasing scents, the warm brew makes comforting sensations as we wrap our fingers around the mug and take sips, and there’s the deep and satisfying flavors of the tea itself.

Of course, when we’re engaged in a mindful activity, it’s that much easier to let go of daily stress and transition into a more relaxed state. Follow these five tips from Twining to brew your favorite cup of herbal tea, and try making this a part of your end-of-day ritual.

1. Start fresh: The perfect cup of tea starts with a clean mug and a clean kettle of fresh, cold water. Never reuse water that’s already been boiled, because that can weaken the tea’s flavor, Twining says.

2. Don’t over-boil: As soon as the water reaches a boil, it’s time to remove the kettle from the heat source.

“I never let the water over-boil because in doing so, you will cause the oxygen in the water to be reduced, making the tea taste ‘flat,’” Twining says. For that reason, he recommends not using a microwave to boil the water.

3. Savor the moment: Set the tea bag in the mug before you add hot water, pouring it directly onto the tea bag. Just then, it starts releasing its herbal scent, so make sure you take a moment to inhale and relax while enjoying the aroma. Twinings offers a range of herbal teas each expertly blended to provide the perfect balance of taste, flavor and aroma. For example, Buttermint has a refreshing blend of peppermint leaves combined with the creamy flavor of vanilla for a smooth taste and rich aroma, perfect for helping you unwind.

4. Wait for the perfect flavor: Many people make the mistake of thinking that once the brew darkens, it’s ready to drink. However, Twining says color merely washes off the tea leaves early in the process, so don’t let the appearance mislead you. To make sure the flavors fully develop, know how much time your tea needs to brew, and keep an eye on the clock. Herbal teas should steep for a full four minutes.

5. Customize and enjoy: Hopefully, you will find your perfectly brewed cup of herbal tea needs no embellishment because the expertly blended herbs and flowers will provide all the flavor you need. But as Twining says, “The best cup of tea is the one you like the most,” so feel free to make adjustments. The recommended add-ins for herbal teas are honey, sugar or a squeeze of lemon — do not add milk or cream. For a deeper flavor, let the tea steep a minute or two longer.

After a long day, you definitely earned this moment, so make sure you take time to enjoy it. If you’re interested in exploring Twinings’ complete line of herbal teas, visit twiningsusa.com.


5 ways to support your child and address issues at school

2018-02-14T14:01:00

(BPT) – Children and teens experience some of the most important moments of their lives at school. It’s where they spend two-thirds of their waking hours. Of course, school can be stressful, too — and not just because of pop quizzes and science projects.

“Stress isn’t the same for all children, and it impacts every one differently,” said Dr. Cheryl S. Al-Mateen, medical director of the Virginia Treatment Center for Children. “In fact, in some cases this stress can even be traumatic. If left unnoticed, it can lead to real mental health concerns, including depression, anxiety, self-harm and even substance abuse.”

Everyone deserves to feel comfortable talking about mental health — it plays an important role in a child’s overall health. Sometimes, however, topics around mental health can feel overwhelming or confusing for parents. Many may find it difficult to spot the difference between traditional school stress and the possibility of potential trauma. Fortunately, there are many resources available to help. As a start, Dr. Al-Mateen has five recommendations to support parents in understanding school issues, helping children cope and tackling potential problems.

* Check in about school. It can be difficult in our go-go-go world, but give your child your undivided attention for 5 to 10 minutes every day. Talk about their friends, teachers and classes. Open yourself to hearing the good and the bad, and ask what they find difficult — like feeling too nervous to talk or being teased for talking too much. These conversations help you identify problems as they arise, teach your child problem-solving skills and reinforce how deeply you care about their wellbeing.

* Strengthen your lines of communication. Your child may be more open about school if you have frequent conversations about other things as well. Talk to them about the little stuff, and they’ll be more apt to tell you about the big stuff. Listen without judging, and be ready to engage them in an activity if that makes them more comfortable. Braiding your child’s hair, shooting a few baskets in the driveway or working a puzzle can lead to a great conversation.

* Work with your school. If your child is showing signs of stress that concern you, don’t be afraid to reach out to their teacher(s) or school principal. Your child’s teacher may be able to shed light on what’s causing the stress and, if nothing else, can help watch out for your child during the school day.

* Establish a routine at home. Children thrive in stable, consistent environments. Creating a predictable schedule is helpful, if you can, but sometimes that’s just not possible. Make a big family calendar and keep it where everyone can access it. This empowers children to know what’s coming up and helps provide the solid foundation they crave at home. They’ll be better prepared to deal with changes and unexpected situations they may face at school.

* Seek help when you need it. How do you know if your child needs help beyond what you or the school can provide? Look for warning signs. For example, young children may complain about stomachaches and headaches that have no physical explanation. When depressed, a child may say that they’re angry, rather than sad, so listen for both — especially when their eating or sleeping patterns also change dramatically, they seem to have low energy or they aren’t taking pleasure in things they enjoyed before. These may be signs of a larger problem that needs to be addressed immediately with help from mental health professionals.

The school years are exciting, important times for your children, but they can be tough. Check in with your child daily and don’t downplay the stress they may feel. Recognizing potential issues quickly can help prevent larger problems down the road. To learn more about the Virginia Treatment Center for Children and to find more resources to support you and your child, visit chrichmond.org/vtcc.


Eating healthy has never been more delicious

2018-02-14T16:21:00

(BPT) – Yoga mats, kale salads, fitness trackers, standing desks and gym memberships. It seems like everywhere you look, people are taking strides to get healthier. And with good reason.

In the U.S., 37.9 percent of adults aged 20 and older suffer from obesity, and heart disease accounts for one out of every four deaths. Despite these harrowing numbers, many people have difficulty embracing a heart-healthy lifestyle, especially when it comes to food.

Part of the reason for this is that too often people think that eating right involves a list of what you cannot eat.

It’s easier to focus on all the things you can eat.

As February is American Heart Month, it’s a perfect opportunity to consider how easy and delicious it is to stick to a heart-healthy diet.

Embrace convenience

Sometimes, at the end of the day you just want a quick meal. Unfortunately, most fast food options and restaurants don’t offer heart-healthy options.

Fortunately, Sun Basket, a rapidly growing healthy meal kit service, has developed a recipe each week that meets the American Heart Association’s(R) Heart-Check guidelines for a heart-healthy diet, and conveniently delivers them right to your door.

Sun Basket’s Heart-Check certified recipes have undergone meticulous evaluation to ensure each recipe meets the American Heart Association’s(R) strict nutrition guidelines for a main dish, with each serving having:

* No more than 500 calories

* No more than ≤ 3.5 grams of saturated fat

* No more than 600 mg of sodium

* A serving from at least two of the following food groups: Meat, poultry, fish, dry beans, eggs or nuts; fruits and vegetables; milk, yogurt or cheese; bread, cereal or pasta

* No added sugar and no trans fats

Eat deliciously

There’s a widespread misconception that a heart-healthy diet involves giving up all meat and snacks and only eating kale and whole grains.

That’s far from the truth. Many of the best cuts of meat are also ideal for a heart-healthy diet and can satisfy the most ardent carnivore. Pork tenderloin, skinless chicken and turkey breasts are naturally lean, while fatty fish, like salmon, trout and tuna, are loaded with omega-3 fatty acids.

As far as snacks go, it’s really just a matter of embracing things like fresh fruit with low-fat yogurt, vegetables and hummus, or a savory mix of nuts like almonds, walnuts and pistachios.

The list goes on, but the point is that a heart-healthy diet doesn’t have to be limiting; rather, it’s full of delicious food.

Shopping is easy

So how do you know if something meets the nutritional standards you need to maintain a healthy heart? You don’t need to be a nutritionist for this. Simply look for the American Heart Association’s(R) iconic Heart-Check mark on food packages when you ship, and you’ll instantly know it meets the Association’s recommendations to be part of a healthy eating pattern.

Try it and see

Still not convinced about how delicious and easy it is to follow a heart-healthy diet? Check out this recipe for Sun Basket’s Tandoori-style chicken with Bombay curried potatoes.

In your box you’ll receive:

2 to 4 boneless skinless chicken thighs

Tandoori spice blend

1 onion

Potatoes

4 sprigs of fresh cilantro

1 teaspoon curry powder

1 cup vegetable broth

1/2 cup diced tomatoes

2/3 cup peas

1 1/2 ounces baby greens

1. Prep and cook the chicken

Preheat oven to 425 degrees.

Pat the chicken dry with a paper towel. Season generously with salt, pepper and the tandoori spice blend.

Place the chicken on a pan lined with foil and roast at 425 degrees for 15 to 20 minutes. Halfway through, turn it over.

2. Prep the Bombay potatoes

Chop 3/4 cup of onions.

Scrub potatoes and cut into 1/2-inch by 1/2-inch pieces.

Coarsely chop the cilantro for garnish.

3. Cook the Bombay potatoes

In a large frying pan warm 2 to 3 teaspoons oil over medium-high heat. Add the onion, season with salt and pepper, and cook until starting to soften. Stir in the curry powder and cook until fragrant, about 1 minute.

Add the potatoes, vegetable broth and tomatoes. Bring to a boil, reduce to a vigorous simmer, cover and cook between five and seven minutes.

Uncover and cook until the liquid has thickened and the potatoes are tender.

Stir in the peas and cook for about two minutes.

Stir in the greens and cook until just wilted.

Transfer the chicken and Bombay potatoes to individual plates, garnish with the cilantro.

Serve and enjoy.

Eating right shouldn’t be a chore. With Sun Basket’s Heart-Check certified recipes, it’s never been easier to enjoy a heart-healthy meal.