All posts by Angelo Antoline

Diabetes, Diet & Exercise

For many, a healthy diet and regular exercise are self-prescribed ways to feel better. But for people with diabetes, diet and exercise are key to managing the disorder.

If you have diabetes, be sure to speak to your doctor about developing a healthcare plan that balances what you eat with regular physical activity.
When reviewing your diet, consider creating meal plans that include foods that are rich in vitamins, minerals, antioxidants, and fiber, such as:

  • Beans
  • Dark Green Leafy Vegetables
  • Citrus Fruit Nuts
  • Sweet Potatoes
  • Fish High in Omega-3 Fatty Acids
  • Tomatoes
  • Nuts
  • Whole Grains
  • Milk and Yogurt
  • Berries

When it comes to adding exercise to your plan, a combination of both aerobic exercise and resistance training can have the most positive effect on glucose levels. Aerobic exercises help your body use insulin better, while resistance (or strength) training makes your body more sensitive to insulin and can lower blood glucose.

Examples of aerobic exercises include brisk walking, dancing, biking or hiking – anything that helps get your heart rate up. Strength training exercises can be done by lifting weights, using resistance bands, or using your own body weight to do squats, push-ups, or lunges.

Read More

3 Stretches for a Good Morning

Can’t quite wake up in the morning?

A few good stretches can help you relieve muscle tension, increase circulation, and even help release endorphins (those hormones that make you feel good).
“Wake up” your muscles and add a little energy to your mornings with these three stretches below*:

  1. Knees to Chest
    This stretch lengthens tight lower back muscles and can decrease back pain. Begin by lying on your back with your knees bent and both feet flat on the floor or bed. Brings your hands to rest either behind the knees or right below the knee caps. Slowly bring both knees toward your     chest using both hands to gently pull the knees inward. Hold 20-30 seconds, return to start position.
  2. Upward Stretch
    Lace your fingers together and raise your hands above your head, palms facing upward. Elongate your spine and feel the stretch in your ribcage and arms. Hold for a count of 10.
  3. Neck and Shoulder Stretch
    To stretch the muscles on the right side of your neck, turn your left ear over to your left shoulder and hold for 20 seconds. Repeat on the other side to stretch out your left side. Relax for a moment and then roll your shoulders to the back, and then to the front. Then lift them up to your ears, tensing the muscles, and allow them to drop completely.

As a reminder, always check with your doctor first to make sure these exercises are safe for you.

Read More

Treating Chronic Pain with Physical Therapy

We’ve probably all experienced the nuisance of minor pain. You get a sinus headache, you reach for a decongestant. A backache? Ibuprofen may do the trick.

But for people with chronic pain (it lasts longer than 6 months), the answer may not be as simple. That’s where physical therapy can help.

Physical therapy can help treat not only the pain, but the underlying cause of it as well. Physical therapy can help decrease pain, increase mobility, and improve overall mood.

There are a number of ways that a physical therapist can help a person manage pain depending upon individual abilities, including:

  • Low-impact aerobics
  • Massage
  • Stretching
  • Use of modalities like ultrasound and electrical stimulation
  • Strengthening exercises
  • Movement therapy

Therapeutic treatments are designed to help a person increase muscle strength, endurance, joint stability, and flexibility. In addition, it can help reduce inflammation, stiffness, and soreness. It encourages the body to heal itself by boosting the production of the body’s natural pain-relieving chemicals.

Now, that seems like a smart move!

Read More

Weekend Warriors – Battle Potential Injuries

Are you a weekend warrior?

Check “yes” if you’re someone who’s physically inactive most of the week, and then approaches exercise on the weekend with the rigor of an elite athlete.

If this is your plan of action when it comes to exercise, you may want to rethink it. Weekend warriors have a higher risk of being injured – both because of overdoing it in a short amount of time and because of poor conditioning.

Reduce your chance of hurting yourself with the following:

  • Realize that exercise doesn’t have to be “all or nothing.” Look for ways to sneak extra movement into your day.
  • Increase activity gradually. The American Heart Association recommends 30 minutes of exercise a day, 5 days a week. Break this into smaller goals for yourself so you can attain it. If three 10-minute sessions are easier for you to accomplish, then do it.
  • The “best” time of day to exercise is whatever time works for you.
  • Start at a lower intensity, and warm up before beginning an activity.
  • With any sport or exercise, always learn and use proper techniques and follow safety guidelines.
  • Put your workouts into your calendar as appointments. Be sure to keep them.
  • Wear comfortable shoes every day that you can move about easily in no matter where you are or what you’re doing…and then move!
Read More

Hospitals and Disasters

Are hospitals prepared for disasters?

The short answer is…yes.

All hospitals are required by laws, regulations, or accreditation requirements to plan for disasters.

Hospitals prepare for both internal and external disasters. Internal disasters are events that occur inside the hospital building like a fire, flood, or power outage and have potential to affect services.

An external disaster is one like Hurricane Harvey or Irma that occurs outside the hospital. This includes severe weather conditions, chemical incidents, or large-scale community accidents. In these situations, the disaster can affect the operations of the hospital or cause an influx of patients to a hospital, depending on the situation and type of hospital.

Every disaster is different. Hospitals prepare for a variety of situations through ongoing planning and practice. This helps everyone understand what to do and how to do it to ensure patients’ safety and well-being.

Read More

Recognizing a Concussion

With fall around the corner, participation in football and other cooler-weather sports and activities will grow – along with the potential for concussions.

A concussion is a brain injury that’s caused by a blow or jolt to the head or body. Concussion symptoms can occur immediately or days/weeks later. Signs of a concussion can include:

  • Headache
  • Nausea
  • Dizziness
  • Blurred vision
  • Concentration or memory issues
  • Change in sleep habits
  • Feeling sluggish/”foggy”
  • Light sensitivity

Early treatment of the symptoms of a concussion may help speed recovery and prevent further injury down the road. If an incident occurs and you suspect a concussion, ask the person immediately and then again a few minutes later:

  • What day is it?
  • What month is it?
  • Repeat these words: Girl, dog, green (ask to repeat again a few minutes later)
  • Repeat the days of the week backward

If the individual appears confused and is unable to answer these questions, it could be a concussion.
End all activity and consult a physician immediately.

Read More

Improving Multiple Sclerosis Symptoms through Rehabilitation

If you live with multiple sclerosis, rehabilitation can play an essential role in helping you function at your best.

From diagnosis on, rehabilitation specialists such as physical, occupational, and speech therapists can help with symptoms of the condition. These usually include muscle control and weakness – affecting the way you walk, move or talk.
Therapies that can help improve these issues include:

  • Physical Therapy – Physical therapists can evaluate and address how your body moves and functions. Therapists can help you with walking, mobility, strength, balance, posture, pain, fatigue, and bladder issues, helping to prevent unnecessary complications.
  • Occupational Therapy – Occupational therapists can help you with everyday activities to increase your independence, productivity, and safety. They can help you modify tasks, use adaptive equipment, and recommend strategies in the home and work place.
  • Speech Therapy – Speech-language pathologists can evaluate and treat any issues you may be having with speaking or swallowing. Some may also help with cognitive issues, which can affect your ability to think, reason, concentrate or remember.
Read More

10 Early Symptoms of Parkinson’s Disease

Michael J. Fox was a 29-year-old actor who woke up one morning and noticed his little finger shaking. What he thought was a side effect of a hangover actually was an early symptom of Parkinson’s disease.

Parkinson’s disease is a chronic and progressive movement disorder that has no known cause. Nearly a million people in the United States live with the disease.

Some symptoms of the disease are easy to see, while others are hard even for a trained healthcare professional to detect.
The National Parkinson Foundation offers these 10 early warning signs of Parkinson’s disease:

  1. Tremor or shaking of a body part
  2. Small handwriting – your handwriting changes to become smaller
  3. Loss of smell
  4. Trouble sleeping
  5. Trouble moving or walking
  6. Constipation
  7. Soft or low voice – your voice changes to be softer
  8. Masked or serious look on your face even when you’re not in a bad mood
  9. Dizziness or fainting
  10. Stooping or hunching over

No one symptom necessarily means that you have the disease; the symptom may be caused by another condition. However, if you feel you are experiencing symptoms, don’t hesitate to visit your physician.

Read More

Rehabilitative Care – It’s Not All the Same

When looking for rehabilitative care, you may have heard of inpatient rehabilitation hospitals, assisted living centers, skilled nursing facilities, and nursing homes. While these may seem like equal choices for care, they’re not.

Each of the facilities mentioned above has rehabilitation professionals on staff, but only one – the rehabilitation hospital – specializes in rehabilitation, offering 24-hour rehabilitative nursing care, along with daily physician management and intensive rehabilitation therapies.

So, why is this important?

Simply put, when it comes to your health, you want the best option provided.

A national study commissioned by the ARA Research Institute shows that patients treated in inpatient rehabilitation hospitals have better long-term results than those treated in skilled nursing facilities.
The study shows that patients:

  • Live longer
  • Have less hospital and ER visits
  • Remain longer in their homes without additional outpatient services

In addition, patients in the study:

  • Returned home from their initial stay two weeks earlier
  • Remained home two weeks longer

So the bottom line is, as a patient, you get to choose where you want to go. Don’t ever hesitate to research, observe and ask questions about a facility to be sure you receive the level of rehabilitative care that you want and need.

Read More

Lower Your Stroke Risks this Summer

Summer is a great time for a lot of things – barbecues, outdoor activities, vacations…but what you may not think about when it comes to summer is using all it has to offer to lower your stroke risks.

Strokes – or brain attacks – are the leading cause of adult disabilities in the United States, and can happen to anyone at any time. According to the National Stroke Association, nearly 800,000 people experience strokes every year.

One of the biggest myths regarding strokes is that they can’t be avoided. But in reality, nearly 80 percent of all strokes can be prevented by controlling lifestyle risk factors, or habits that we engage in that can be changed to improve our health.

Summer provides easy-to-find opportunities to lower stroke risks, such as:

  • Buy and eat fresh produce. Visit your local farmer’s market or grocery store to find in-season, fresh fruits and vegetables. Eat them in their natural states.
  • Eat less salt. Eat fresh vegetables versus canned items, and your salt intake will decrease.
  • Visit the beach. Eat more seafood (at the beach or not) instead of red meat.
  • Enjoy the outdoors. Get active outside during the warmer and longer days.
  • Put the cigarettes down. Summer usually is less stressful. Use it to your advantage to try to break the habit.
  • Shoot for your healthy weight. Healthy eating and activities may help you reach a healthy weight (if you’re not already at it).
Read More

After a Stroke — Finding the Right Words

It’s common to struggle at times to find the right word during a conversation. But for an individual who has had a stroke, finding the right word may be much more difficult.

Aphasia can be a side effect of a stroke, which can affect a person’s ability to communicate by impairing the ability to speak, read, listen or write. When a person with aphasia has word-finding difficulty, it’s called anomia.

Anomia makes it difficult to find the words or ideas that a person wants to share. Sometimes the word may come, and sometimes it won’t.

When this happens in a conversation, the person who is speaking to the stroke survivor may want to jump in quickly to supply the word. But in reality, that can be more of a hindrance than a help. It would be more beneficial to help the person find the word they are looking for rather than supplying it.

So, how can you best communicate with someone under these circumstances? Here are a few suggestions:

  • Allow plenty of time for a response. Talk with the individual, not for him or her.
  • Ask “yes” or “no” questions that can be answered simply and without a lot of explanation.
  • Use photographs or pictures to help provide cues.
  • Write your cues – such as a letter or a drawing – on a piece of paper to share.
  • Confirm and repeat back what the person has said. Use paraphrases or key words to be sure that you’re understanding properly.
  • Use gestures as you ask questions.
Read More

Act FAST and Save a Life

FAST is an easy way to identify the most common symptoms of stroke:

F – Face drooping. Ask the person to smile. Note if one side of the face is drooping.
A – Arm weakness. Ask the person to raise both arms to the side. See if one drifts downward.
S – Speech difficulty. Ask the person to repeat a simple phrase. Listen if the speech is slurred or strange.
T – Time to call 911. If you observe any of these signs, call for help immediately.

Take note of the time of the first symptom so you can tell medical personnel because this can affect treatment decisions. Rapid access to medical treatment can make a difference between full recovery and permanent disability.

Other symptoms of a stroke also may include sudden onset of:

  • Confusion, trouble speaking or understanding what someone is saying
  • Numbness or weakness of face, arm or leg – especially on one side of the body
  • Trouble seeing out of one or both eyes
  • Severe headache with no known cause
  • Trouble walking, dizziness, loss of balance or coordination

Even if you’re unsure if someone is having a stroke, don’t delay in calling 911 to get the person medical help immediately.

Read More

Don’t Have a Stroke

Dick Clark. Sharon Stone. Rick James.

When you think of these celebrities, you probably think of their talents. What you probably don’t realize is that each suffered a stroke.

Strokes – or brain attacks – can happen to anyone at any time. Strokes are the leading cause of adult disability in the United States, and the fifth leading cause of death.

According to the National Stroke Association, about 800,000 people suffer from strokes every year. What’s notable, however, is that nearly 80 percent of strokes can be avoided.

Certain traits, conditions and habits can raise an individual’s risk of having a stroke. Many of these lifestyle risk factors can be controlled and may actually help prevent a stroke from occurring.

That’s good news, right? So, how do we lessen our chances of having a stroke?

We can start by controlling these lifestyle risk factors:
• High blood pressure
• Smoking
• Diabetes
• Poor diet
• High blood cholesterol
• Physical inactivity
• Obesity
• Heart diseases
• Alcohol consumption

If you think you can improve any of these lifestyle risk factors, do it.
The changes you make now may affect what happens – or better yet, what doesn’t happen – later.

Read More

Rehabilitation Hospital of Southern New Mexico Provides Nationally Recognized Care to Community for 11th Year in Row

For the 11th year in a row, Rehabilitation Hospital of Southern New Mexico has been acknowledged for providing nationally recognized rehabilitative care to its patients. The hospital was ranked in the Top 10% of inpatient rehabilitation facilities nationwide for providing care that is patient-centered, effective, efficient and timely.

“What this means to the community and region is that we’re providing the highest level of rehabilitative care available in the United States,” says Sabrina Martin, CEO of Rehabilitation Hospital of Southern New Mexico. “Patients and their families don’t have to leave the area to receive the latest in clinical protocols – we’re providing it here in our own backyard.”

The hospital was ranked from among 781 inpatient rehabilitation facilities nationwide by the Uniform Data System for Medical Rehabilitation (UDSMR). The UDSMR is a non-profit corporation that was developed with support from the U.S. Department of Education, National Institute on Disability and Rehabilitation Research. UDSMR maintains the world’s largest database for medical rehabilitation outcomes.

“This national ranking speaks highly of the commitment and dedication of our employees and medical staff,” Martin says. “Our staff is passionate about helping patients return home at their highest possible levels of function and independence. For anyone who has ever had a family member or friend needing healthcare, that matters. We consider it a privilege to be able to provide this higher standard of care to our community.”

Rehabilitation Hospital of Southern New Mexico provides specialized rehabilitative services to patients who are recovering from disabilities caused by injuries, illnesses, or chronic medical conditions. This includes strokes, brain injuries, spinal cord injuries, and amputations, along with illnesses such as ALS (Lou Gehrig’s Disease), multiple sclerosis and Parkinson’s disease.

Read More

Rehabilitation Hospital of Southern New Mexico earns The Joint Commission’s Gold Seal of Approval

The Joint Commission’s Gold Seal of Approval

Rehabilitation Hospital of Southern New Mexico has earned The Joint Commission’s Gold Seal of Approval for its Stroke Rehabilitation on February 14, 2013 after a rigorous on-site review by an expert evaluator. This certification validates the commitment to providing the highest standards of care to stroke survivors and recognizes dedication to continuous compliance with The Joint Commission’s state-of-art standards.

Founded in 1951, The Joint Commission seeks to continuously improve health care for the public. The Disease-Specific Care Certification Program, launched in 2002, is designed to evaluate clinical programs across the continuum of care.

Our team has worked very hard on developing and improving the delivery of our care for stroke survivors in our community since we first opened,” says Sabrina Martin, COO of Rehabilitation Hospital of Southern New Mexico.The opportunity to participate in The Joint Commission Disease-Specific Care Certification Program allowed us to formalize and validate practices that ensure optimal outcomes for this population.

Certification requirements address three core areas:

  • Compliance with consensus-based national standards.
  • Effective use of evidence-based clinical practice guidelines to manage and optimize care.
  • Organized approach to performance measurement and improvement activities.

Stroke continues to be highly prevalent in our community and is often a life changing event for the stroke survivor and their family,” Martin says. “We feel it is our obligation and privilege to work with both Mountain View Regional Medical Center, who recently became a Primary Stroke Center through The Joint Commission, and Memorial Medical Center to continue to improve services to stroke survivors in Southern New Mexico.”

Read More

Proclamation by Mayor Ken Miyagishima

Proclamation by Mayor Ken Miyagishima

Whereas, stroke is the leading cause of adult long-term disability and the fourth leading cause of death in the United States, and the leading cause of death in New Mexico, and

Whereas, more than 795,000 people will suffer a stroke this year alone, with estimates of the incidence increasing by 25% by the year 2030, affecting 4 million people, and

Whereas, direct medical costs for treating stroke are expected to increase by 238% to $95.6 billion by 2030, and

Whereas, new and effective treatments have been developed to treat and minimize the severity and damaging effect of strokes, but much more research is needed; and

Whereas, Americans are more aware of the risk factors and warning signs for stroke than in the past, but about one-third of adults still cannot identify any symptoms; and

Whereas, F.A.S.T warning signs and symptoms of stroke include Face drooping, Arm weakness, Speech difficulty, and Time to call 911, along with sudden numbness or weakness 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 of balance or coordination; and sudden severe headache with no known cause; and

Whereas, the Rehabilitation Hospital of Southern New Mexico, here in Las Cruces, has been certified as a Stroke Certified treatment facility by The Joint Commission, which signifies the hospital’s dedication to developing better results for stroke patients, and

Whereas, the Rehabilitation Hospital of Southern New Mexico and the Advanced Care Hospital of Southern New Mexico will bring focus on prevention of stroke during the month of May,

Now, therefore, I Ken Miyagishima, Mayor of the City of Las Cruces do hereby proclaim May 2014 to be Stroke Awareness Month in Las Cruces, and urge all citizens of our city to familiarize themselves with the risk factors associated with stroke, recognize the warning signs and symptoms, and on first signs of a stroke dial 911 immediately so that we might begin to reduce the devastating effects of stroke on our population.

In testimony whereof, I have hereunto set my hand and caused to be affixed the Great Seal of the City of Las Cruces, this 2nd day of May 2014.

Read More