Medical Care Without Insurance: 5 Affordable Ways to Obtain Healthcare

Getting the medical care that you need can be extremely expensive, even prohibitively so  if you do not have any health insurance in place.

However, there are ways you access better medical care even if you don’t have health insurance. Not having insurance doesn’t mean having to skip the healthcare that you need.

These are the five resources that you should be aware of if you’re looking to find medical care without health insurance.

1. Connect With Local Resources

One of the first things you can explore are the local resources for healthcare.

A great place to start is through community programs that focus on medical treatment and healthcare. These can include local community hospitals, emergency centers, and even nonprofits in your community.

These places often feature sliding scale fees, accessible payment methods, and even payment plans that can help you handle the financial cost of medical care.

Do note that these programs often have lengthy wait lists, so it’s better to start your search sooner rather than later.

Try booking an appointment ahead of time rather than waiting till the last minute to get the care that you’re looking for.

2. Opt for Generics Over Brands 

 

Generic prescription medications can save you a lot of money especially if you don’t have medical insurance.

There are a lot of misunderstandings when it comes to what generic medicines actually are. Let’s clear up a few of these misconceptions so that you can buy generic prescriptions with confidence.

According to the FDA, generic prescriptions have to match the brand name alternative when it comes to their strength, efficacy, side effects, and a variety of other factors. In short, generic medications have to be nearly identical to the costly brand alternatives.

Generic prescriptions are also the majority of prescriptions filled in the United States. Many people use generic prescriptions without realizing that they’re not using the brand name pill.

You can use generic medications for your Healthcare without worrying about compromising on quality. This will help you save money as generic medicines are often far cheaper even if you don’t have insurance.

3. Be Prepared for Medical Emergencies

One of the ways to approach your healthcare is by looking at the two different categories of medical situations that will pop up in our lifetime. There are medical conditions that we can anticipate, and medical emergencies that we need to prepare for.

You can likely anticipate some amount of your general wellness and medical needs. This can range from health problems that are common in your family to routine medical care that almost everyone needs such as dental checkups and preventative care.

However, there are medical conditions that can’t be anticipated. Sudden accidents and illnesses have a way of creeping up without ever being detectable.

Being prepared for medical emergencies can help reduce your costs. This is essential if you do not have health insurance.

Medical preparedness can include everything from having some supplies on hand to help you handle an unexpected injury to making sure you have a plan in place if you have to miss work for an extended period of time.

Not having health insurance doesn’t have to mean that a medical emergency also represents a financial emergency. Planning for an emergency can help reduce the financial burden of a sudden healthcare need.

4. Understand How Insurance Works

Understanding how health insurance works can also help you manage your telemedicine costs even if you don’t plan on getting health insurance in the near future.

Health insurance doesn’t cover all of your medical costs. You also have to pay a monthly premium to keep your health insurance going.

Health insurance also may or may not cover your medical condition or the specific medicines you’re looking to purchase.

A good example of this is CBD and medical marijuana. The issue of whether or not medical marijuana and CBD is covered by health insurance is a complicated one.

Health insurance companies that operate within a single state might be able to cover CBD and other cannabis products. However, current law makes it difficult for national insurance companies to cover these healthcare products.

It’s not just cutting edge treatments that insurance struggles to cover. Many people with health insurance find that they lack adequate access to healthcare.

Telemedicine services offer an effective alternative to traditional healthcare. This can become even more useful if you don’t have insurance but you’re still looking for a reliable way to get the medications that you need.

5. Take Advantage of Telemedicine

Telemedicine offers you a way to get access to doctors, medications, and healthcare services without having to go through all of the lengthy wait times for traditional health care.

There are also telemedicine services that allow you to order medications online. These services even come with access to a doctor that can prescribe you with the medication that you’re looking for.

Telemedicine services also feature shorter wait times. They’re especially effective for people who don’t have insurance who also want to skip the lengthy weights that often come with community health care centers.

Telemedicine programs also operate with a much lower overhead which allows them to reduce costs. You can find a telemedicine program that can let you speak to a doctor in no time at all so you can get the medication you need quickly without having to wait.

You’ve now got five resources that can help you access better telemedicine and healthcare even if you don’t currently have health insurance.

These resources can cover everything from long-term treatment to quick trips to the doctor to get medication for an illness that just popped up.

- Grace Wattikan

Content Writer

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Antibiotic Resistance in the Clouds?

French and Canadian researchers discovered antibiotic resistant bacteria in clouds according to last month’s edition of the journal Science of The Total Environment. Between September 2019 and October 2021 high-flow rate impingers (vacuums) were deployed  at the meteorological station of the puy de Dôme summit (elevation 4,806 ft)where they collected samplings of twelve clouds and analyzed total airborne bacterial concentration. What they found out was concerning. 29 antibiotic resistance genes were discovered over marine and continental environments. Analysis of the bacteria revealed an average of  8,000 bacteria per milliliter of cloud water. In addition, the clouds contained, on average, 20,800 copies of antibiotic-resistance genes per milliliter of cloud water. The bacteria analyzed are a normal part of the environment and are found on plants and in soil. The bacteria are picked up by wind or human activity and are carried up to the atmosphere and distributed throughout the clouds, and disseminated back to the environment.

Between 5 and 50 percent of these bacteria could be alive and active, according to researchers.

“This is the first study to show that clouds harbor antibiotic resistance genes of bacterial origin in concentrations comparable to other natural environments,” says Florent Rossi, first author of the study and postdoctoral fellow in the team of Caroline Duchaine, a professor at Université Laval’s Faculty of Science and Engineering and a researcher at the Quebec Heart and Lung Institute-Université Laval.

Widespread use of antibiotics in medicine and farm animals is speculated to contribute to the proliferation of these antibiotic resistant genes. Further research is needed to understand the health implications of this discovery.  

Bacteria resistant genes discovered in the cloud samples

Bacteria resistant genes discovered in clouds and antibiotic examples

  • Quinolone- ciprofloxacin, ofloxacin, enoxacin, perfloxacin, moxifloxacin and levofloxacin
  • Sulfonamide- Bactrim, Bactrim DS, Septra, Septra DS.
  • Tetracycline- lymecycline, methacycline, minocycline, rolitetracycline, and doxycycline
  • Glycopeptide- vancomycin, teicoplanin, and ramoplanin
  • Aminoglycoside- gentamicin, tobramycin, amikacin, plazomicin, streptomycin, neomycin, and paromomycin
  • B-lactamase- oxacillin (IV), nafcillin (IV), dicloxacillin (PO)]
  • Macrolide- Azithromycin, clarithromycin, and erythromycin

How widespread is antibiotic resistance?

Antimicrobial resistance is an urgent global public health threat, killing at least 1.27 million people worldwide and associated with nearly 5 million deaths in 2019. In the U.S., more than 2.8 million antimicrobial-resistant infections occur each year. More than 35,000 people die as a result, according to CDC’s 2019 Antibiotic Resistance (AR) Threats Report.

If antibiotics lose their effectiveness the ability to treat infections is lost.

How to fight antibiotic resistance

Antibiotic resistance spreads in a variety of settings. From hospitals (nosocomial infections) to everyday life, veterinary use of antibiotics, antibiotics in the food supply (poultry, beef, etc) and now, as demonstrated, by soil and water through clouds.

  • Personal hygiene- wash hands after using bathroom and before eating or preparing food. After using bathroom, preparing food or coming home from being in public, immediately wash hands to prevent spread of infectious agents that you may have picked up while out of the house. Wash hands for at least 20-30 seconds.
  • Brush teeth after eating. Streptococcus mutans, a common bacteria found in the mouth, is the main cause of tooth decay. Tooth decay can lead to infections throughout the body.
  • Practice safe sex. Antibiotic resistance to gonorrhea according to the CDC now needs to be treated with two antibiotics at the same time. In addition, there is evidence that chlamydia and syphilis are developing antibiotic resistance.
  • Keep your immune system in top shape. Reduce or eliminate sugar from your diet, exercise daily, reduce stress. Stress makes you more susceptible to infection. Quality sleep also promotes health.
  • Antibiotics kill bacteria and some fungal infections. They are ineffective with viral infections. Only use when needed.
  • Finish the complete course of prescribed antibiotic unless otherwise instructed by your care provider. Use only when needed don’t “save” meds for another round of illness. This practice can cause antibiotic resistance.
  • Avoid/sparingly use antibacterial hand sanitizers. These products have been found to cause antibiotic resistance.

 

- Brooke Lounsbury, RN

Medical Content Writer

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Medical Emergency – Heart Attack

Heart disease, a term used to describe a variety of heart conditions, is the number 1 killer of men and women in the US.

 Examples of heart disease include:

  • High blood pressure
  • Angina
  • Unstable angina
  • Valve disease
  • Arrhythmia
  • Heart failure
  • Congenital and inherited heart conditions
  • Coronary artery disease
  • Sudden cardiac arrest
  • Heart attack (myocardial infarction-MI)

Out of all the above conditions, heart attack leads as the number 1 cause of death in men and women in the US.

 Every 40 seconds, someone in the United States has a heart attack resulting in about 805,000 people in the United States. Of these, 605,000 are a first heart attack.

What is a heart attack?

A heart attack occurs when one of the coronary arteries becomes blocked. The heart muscle is robbed of its vital blood supply and if left untreated, will begin to die because of lack of oxygen.

The more time that passes without treatment to restore blood flow, the greater the damage to the heart muscle.

Causes of heart attack

Coronary artery disease (CAD) is the main cause of heart attacks. Coronary arteries send blood to the heart. It is sometimes called coronary heart disease or ischemic heart disease. CAD is caused by plaque buildup in the walls of the coronary arteries. Plaque is made up of deposits of fatty substances, cholesterol, cellular waste products, calcium, and fibrin. As plaque builds up in the arteries, the artery walls become thickened, hard and narrow over time, which can partially or totally block the blood flow. This process is called atherosclerosis. Atherosclerosis takes about five years to develop.

Another less common cause is coronary spasm during this coronary spasm, your arteries restrict or spasm on and off, cutting off the blood supply to your heart muscle (ischemia). It can happen while you’re at rest and even if you don’t have serious coronary artery disease. Some causes of coronary spasm are extreme cold, smoking, stress, pain. Cocaine, methamphetamine

Most heart attacks occur when the hardened, built-up plaque shell cracks and ruptures. Platelets, a part of the blood that helps blood clot, come to the ruptured area, and form a clot. If the clot is large enough it can block the artery and block oxygen rich blood from reaching the heart. Without adequate oxygen the heart muscle starts to die, resulting in a heart attack. The hearts’ ability to pump declines depending on where and how much scar tissue develops.

Luckily, most heart attacks are survivable, with about a 90 percent survivability rate. These statistics are due to early intervention and prevention awareness.

Symptoms can vary between men and women

Symptoms of an impending heart attack can manifest up to a month to days and even hours before. Symptoms include:

  • Fatigue
  • Dizziness
  • Abdominal pain
  • Sweating
  • Swelling in Legs, Ankles, and Feet
  • Heart Palpitations

Symptoms of heart attack in progress

  • Uncomfortable pressure, squeezing, fullness or pain in the center of your chest. It lasts more than a few minutes or goes away and comes back.
  • Pain or discomfort in one or both arms, the back, neck, jaw or stomach.
  • Shortness of breath with or without chest discomfort.
  • Other signs such as breaking out in a cold sweat, nausea or lightheadedness
  • About 1 in 5 heart attacks are silent—the damage is done, but the person is not aware of it.

What to do if heart attack suspected- ACT QUICKLY

  • Call 911 immediately, quick intervention is key to survival- if in doubt, call. Many people avoid calling until heart attack is well under way.
  • Aspirin or no aspirin? Don’t give aspirin unless directed by emergency personnel or care provider. There are several reasons not to give aspirin, one being the increased risk of bleeding, another is allergy to aspirin and even interaction with other medications.
  • Keep calm, reassure patient, stay with them until help arrives
  • If the person is unconscious, no pulse and/or not breathing, initiate CPR, continue until help arrives. Brain death occurs 10 minutes after 10 minutes with no oxygen
  • If a defibrillator (AED) is available hook up patient and follow prompts- remove patient from liquid, metal surfaces and to a safe area. Know how and when to use the AED through previous training. A heart attack can spiral into a sudden cardiac arrest. If the patient has a pacemaker, do not apply pads directly over the pacemaker. Also do not apply pads over medical patches.

How heart attack diagnosed

  • Blood test- troponin level measures the amount of proteins in the blood. During a heart attack, heart muscle cells die and release proteins in the bloodstream.
  • EKG measures the electrical activity of the heart
  • Heart imaging tests such as cardiac CT scan

Risk factors for heart attacks

Note: Risk factors are the same for silent heart attacks as their symptomatic counterparts

  • Brush your teeth, get regular dental exams-The link between periodontal pathogens and cardiovascular disease (CVD) Recent studies have linked periodontal pathogens with atherosclerotic plaque in 80% of specimens, meaning that periodontal bacteria (among others) were identified in 80% of plaque in carotid artery specimens. (Atherosclerotic plaques leading to atherosclerosis)
  • High blood pressure
  • High cholesterol
  • Diabetic– adults with diabetes are twice as likely to have a heart attack or stroke
  • Smoker
  • Overweight
  • Physical inactivity
  • Genetic predisposition
  • Stress, especially chronic stress
  • Even young and healthy population can experience heart attack

Prevention

Lifestyle

  • Manage and reduce stress- Deep breathing, therapy, talking to friends and loved ones can significantly reduce and manage stress
  • Maintain healthy cholesterol levels through diet, exercise and stress management
  • Exercise regularly- consult your care provider regarding type, how often and how much exercise
  • Healthy diet-eliminate sugar, consult with your provider the ideal diet for you and your preexisting diagnosis and meds.
  • Quit smoking- smoking constricts blood vessels, and chemicals in cigarettes can cause the blood to thicken and form clots.
  • Brush teeth twice a day, replace toothbrushes as needed. Oral bacteria has been found in the fatty deposits of people with atherosclerosis.
  • Drink your water! Dehydration can cause your heart to beat faster, cause an irregular heartbeat or even palpitations. In addition, dehydration makes your blood thicker and constricts blood vessel walls. This can cause high blood pressure and put strain on your heart.

Meds

Along with preventative lifestyle choices it may be necessary to add medication(s). Some of these include:

  • Over the counter meds such as aspirin- consult provider before using
  • Beta blockers-some examples include- atenolol (Tenormin), metoprolol (Lopressor, Toprol XL) propranolol (Inderal). Beta-blockers-block the effects of adrenaline, which comes on in response to stressful situations.
  • Ace inhibitors- some examples include- benazepril (Lotensin), captopril (Capoten), enalapril-(Vasotec), fosinopril (Monopril), lisinopril (Zestril and Prinivil), qinapril (Accupril), ramipril (Altace). ACE (angiotensin-converting enzyme) inhibitors prevent the body from producing the artery-constricting hormone angiotensin. Arteries relax with ACE inhibitors which in turn lowers blood pressure.
  • Prescription blood thinners-examples include warfarin, clopidogrel
  • Statins- some examples include atorvastatin (Lipitor), fluvastatin (Lescol XL), lovastatin (Altoprev), pitavastatin (Livalo), pravastatin (Pravachol- Statins lower LDL cholesterol, reduce inflammation.

- Brooke Lounsbury, RN

Medical Content Writer

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First Aid Kit for Dogs – Be Prepared!

Dogs have historically been called Mans best friend. (In 1789, King Frederick of Prussia once said that a dog is a “man’s best friend” and this phrase has lasted throughout the generations.)

Dogs are the most popular pet

Over 48.3 million households own dogs with cat owners coming in second in popularity at 31.9 million.

Are you the proud owner of the most popular pet in the U.S.? Do you have a first aid kit for your dog?

Preventative care is the best care. Keep up to date with exams, vaccinations, and have extra prescribed medications. In addition, a first aid kit and common otc medications can prevent trips to the vet (or if the vet isn’t available) and prevent further injury and even death.

Ask your vet to recommend products specific to your dog as they know your dog’s health condition and are the best ones for this task. However, there are a few items that you can have stocked in a first aid kit for minor injuries and illnesses in the event veterinary care isn’t readily available.

First aid supplies

Find or purchase a rugged box where you can store items. A tackle box, small Rubbermaid tote or a lunchbox with dividers is ideal for setting up a first aid kit. Make sure it is clearly labeled for your pet as a first aid kit on the outside of the container. Inside this container stock:

  • Contact card with your veterinarian phone number and other contact information. In addition to contact information, have your dog’s name, age, health conditions, meds and allergies listed. The Pet Poison Hotline 855-764-7661 should also be on the contact card.

 Laminate this card and place it where this card will be easily seen when the kit is opened.

This card is for anyone taking care of your dog while you are away, or on vacation or traveling and you aren’t available. Add all the contact information to your cellphone also.

  • Nitrile exam gloves to protect both you and the dog
  • Tweezers- for tick, splinter, thorn, or bee stinger removal
  • Bandage scissors. Be sure to stock only bandage scissors since they have the blunt end, which can help avoid injury when rendering care.
  • Nonstick telfa pads. These pads won’t stick to wounds when applied as the first layer in a dressing.
  • Neosporin or other ointment- to help reduce bacteria count and provide a layer of protection to the wound.
  • Hibiclense or generic equivalent wound cleanser to clean wounds before applying dressing.
  • 10 cc and 50 cc syringes to irrigate wounds and clean ears if needed. Have multiples of these.
  • Coban dressing- 4-inch roll is the most useful size. If your dog is smaller you may want to pick up 2 and 3 inch rolls also. Be sure when applying this to an appendage to not wrap too tight (which could create a tourniquet effect)
  • Gauze squares, separated into 5-10 packs, place in individual baggies for easy access.
  • Roll of gauze to hold dressing in place until you can apply Coban.
  • Rectal thermometer made for dogs and pets, along with lubricant. (Know how to use the thermometer)
  • Styptic powder to control bleeding (handy to have if you are trimming nails and cut too close and it causes bleeding) Corn starch works (but not as well) if styptic powder not available.
  • Small flashlight with extra batteries to examine wounds, etc.
  • Extra towels- paper and cloth
  • Bottled water and a small foldable bowl for drinking in case of dehydration.

Over the counter medications

With supply chain disruptions and a multitude of other factors creating instability in our world, having just a few of these meds on hand could be lifesaving.

A fantastic you tube series by a former practicing veterinarian has playlists for emergency care, meds and more:  Veterinary Secrets

Contact your veterinarian for instruction and guidance on the following medications. Make sure written instructions are with each medication.

  • Benadryl (generic name is Diphenhydramine)– for allergic reactions, itching, hives
  • Pepcid – generic name is Famotidine– upset stomach, vomiting, gastric reflux
  • Activated charcoal– in case of ingestion of poisonous substances-DO NOT USE UNTIL YOU TALK TO VETERNARIAN OR HAVE WRITTEN INSTRUCTIONS ON WHEN AND HOW TO USE
  • Eye wash– to remove pollen, irritation or objects in eye
  • Ear wash for irritated ears – ask your vet what they recommend
  • Pain reliever -with instructions from veterinarian on use. One common otc pain reliever is uncoated aspirin, but this needs to be used with caution.

In addition to the above supplies and medicines- do you know the symptoms of and how to treat:

Heat stroke?

Choking?

Perform CPR?

Bloat?

Water toxicity? (when swimming can ingest water to avoid it going to lungs)

How to tell if in pain?

Foods toxic to dogs?

Be ready for your best friend’s emergency needs. Know what to do if your dog has an emergency or ingests something they shouldn’t. They are truly our best friends!

- Brooke Lounsbury, RN

Medical Content Writer

Lifesaving Medications

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The Overlooked Vital Sign

As long as man has walked the earth, pain has been part of life.

Pain is defined as a localized or generalized unpleasant bodily sensation or complex of sensations that causes mild to severe physical discomfort and emotional distress and typically results from injury or disease. It is a complex mechanism that alerts us to injury or illness. Pain isn’t a pleasant experience; however, it can save your life.

Why is pain called the 5th vital sign?

In 1995, Dr. James Campbell addressed the American Pain Society urging that health care providers treat pain as the “fifth vital sign” (The other vital signs are blood pressure, heart rate, temperature, and respiratory rate.) highlighting the need for improved pain care. The tide has turned for the better. Historically, care providers hadn’t adequately managed pain. It is now considered a very important part of a patients assessment and well-being.

Pain can be both physical and psychological. In fact,  physical and psychological pain share the same neuro mechanisms and the same regions of the brain where these processes take place. In addition, both physical and psychological pain stems from inflammation and the inflammatory response.

Physical pain-acute and chronic

Acute pain- Acute pain comes suddenly, can be severe and resolves over a short period of time (within a month or so). Injuries, illnesses (such as sore throat), labor and childbirth, dental work, are classified as acute pain.

Chronic pain- Chronic pain is pain that lasts a sustained period, usually lasting 3 or more months. Examples are arthritis, bone healing after break, cancer, back pain, fibromyalgia, autoimmune diseases. Chronic pain can cause tense muscles, lack of energy, depression, and anger, which can lead to psychological pain. An estimated 35-45% of chronic pain sufferers experience depression.

Psychological pain- Rejection, loss of a loved one, loss of job or health and chronic pain are a few ways psychological pain can manifest. These emotions (anger, depression, rejection, loss) can trigger inflammation, which in turn can cause psychological pain. Which then manifests as physical pain.

Assessing pain-verbal and nonverbal/physical cues

Seek medical attention if experiencing abdominal pain, pain from an injury, trauma, pain for unknown causes or a fever for unknown reasons.

Depending on the age and mental capacity of the patient, pain can be expressed in either verbal, nonverbal/physical. Young children, infants, and patients with cognitive deficits (Alzheimer, autistic) won’t be able to adequately report pain. It is important to assess the person’s ability to accurately express their pain. Dementia patients may state they aren’t hurting; however, their body language may reveal otherwise. The same goes for young children. Nonverbal cues should be relied on in these groups. Observe and evaluate.

Verbal expressions- Yelling, crying, tears, hyperventilating, stating they are in pain, moaning, calling out for help are examples of verbal expressions of pain.

Ask:( Verbal patients with no age related (young children and infants) or cognitive impairment)

  • Type of pain? Stabbing, burning, aching, dull, throbbing sharp, cramping?
  • Location (is there more than one place)
  • Duration/activity- How long has it hurt? Does the pain come and go? Is there pain with specific activity- are there activities that make the pain worse? Are there any activities or postures that provide pain relief?

Use the pain scale assessment to determine severity of pain

Nonverbal/physical- Some nonverbal expressions of pain include facial expression of pain, altered gait/limping, rubbing a body area, tense tone/rigidity, decreased movement, guarding a part of the body that is hurting, pacing, rocking, fidgeting, increased heart rate and blood pressure, sweating. This type of assessment will be necessary when working with nonverbal patients and very young children.

Infants pain communication

Infants- Since infants can’t tell you when they are in pain, it is very important to know the signs of distress/pain.

  • They may cry or whimper and be unable to settle.
  • They may be tense, with clenched fists and may keep their arms and legs close to their chest.
  • They may be fidgety, agitated or have a disturbed wake / sleep schedule.
  • They may be pale, flushed or sweaty.
  • They may shut their eyes tightly, furrowing their eyebrows or have larger than normal pupils.

The NIH has developed a neonatal/ infant pain scale, which can be accessed here. This is a handy tool to help determine your child’s level of distress/pain.

Interventions

(Always check with your care provider if the pain is excessive, unknown in origin and before taking any over the counter medications)

Pain scale

Utilize the pain scale assessment tool. Have them point to which face they feel best describes how they are feeling or use the 1-10 severity of pain level tool.

Medication

Since pain causes inflammation, anti-inflammatory drugs such as ibuprofen and naproxen can help. Pain can cause muscles to tense (guarding) which can make the pain worse. Talk to your care provider about therapies or drugs that may help with this.

Nonpharmacological interventions to relieve pain

Both acute and chronic pain sufferers can benefit from several therapies to relieve pain.

Some of these therapies/interventions are:

  • Accupuncture– involves the insertion of extremely fine needles into the skin at specific “acupoints.” This may relieve pain by releasing endorphins, the body’s natural pain-killing chemicals, and by affecting the part of the brain that governs serotonin, a brain chemical involved with mood.
  • Companionship can relieve anxiety and take the focus off the pain.
  • Positioning to relieve pain.
  • Hot/cold therapy Depending on the type of pain (injury or cramp, for instance) heat or cold can be a powerful tool to alleviate pain.
  • Massage therapy- Especially effective if tense from pain.
  • Meditation/prayer can calm the mind and body.
  • Relaxation/guided imagery positive, guided imagery is beneficial by allowing the body to relax-check out this video on guided imagery
  • Deep breathing exercises- check out this video on deep breathing to reduce pain.
  • Transcutaneous Electrical Nerve Stimulation (TENS) is a procedure in which electrodes, placed on a person’s back, give off an electric signal that stimulates nerve cells through the skin. The numb-like feeling that results. It can help some people overcome pain. TENS blocks pain messages to the brain and modifies pain perception.

- Brooke Lounsbury, RN

Medical Content Writer

Lifesaving Medications

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April 4th is National Vitamin C Day!

Each year this powerhouse vitamin is celebrated for all the ways it benefits our health

What is vitamin C?

Vitamin C, also known as L-ascorbic acid, is a water-soluble vitamin, meaning that it dissolves in water and does not get stored in the body. Since we are unable to produce these vitamins, they must be consumed daily.

Sources- Food and supplements

(Source from NIH fact sheet on vitamin C)

Vitamin C is found in many food sources. Probably the most well known is the citrus family. While citrus fruit contain vitamin C, there are many other sources.

Food Milligrams (mg) per serving Percent (%) DV*
Red pepper, sweet, raw, ½ cup 95 106
Orange juice, ¾ cup 93 103
Orange, 1 medium 70 78
Grapefruit juice, ¾ cup 70 78
Kiwifruit, 1 medium 64 71
Green pepper, sweet, raw, ½ cup 60 67
Broccoli, cooked, ½ cup 51 57
Strawberries, fresh, sliced, ½ cup 49 54
Brussels sprouts, cooked, ½ cup 48 53
Grapefruit, ½ medium 39 43
Broccoli, raw, ½ cup 39 43
Tomato juice, ¾ cup 33 37
Cantaloupe, ½ cup 29 32
Cabbage, cooked, ½ cup 28 31
Cauliflower, raw, ½ cup 26 29
Potato, baked, 1 medium 17 19
Tomato, raw, 1 medium 17 19
Spinach, cooked, ½ cup 9 10

 

Other sources include rose hips (made into tea), sauerkraut, and supplements such as sodium ascorbate; calcium ascorbate; other mineral ascorbates; ascorbic acid with bioflavonoids.

A study revealed Liposomal vitamin C  is more bioavailable for the body. Liposomes are tiny, nano-sized bubbles normally made out of sunflower lecithin that mimic the body’s own cell membranes. It is absorbed directly into the cells compared to the bloodstream with supplemental vitamin C.

Health benefits

Increases iron absorption in foods

A recent study concluded that taking supplemental vitamin C with an iron supplement did not increase iron absorption.

Taking supplemental vitamin C along with iron rich non heme (not animal source) foods, such as  dried beans, nuts, grain products increased iron absorption.

However, when food sources of both vitamin C and iron are consumed iron absorption increased.

Vitamin C also:

  • Helps activate B vitamins
  • Is an antioxidant, neutralizing free radicals
  • Modulates natural killer (NK) cells
  • and stimulates immune system,
  • Provides protection against oxidative stress
  • Reduce heavy metal toxicity
  • Production of collagen
  • Aids in wound healing
  • Natural antihistamine
  • Lessens duration of colds
  • Improve insulin resistance and stabilize glucose levels

Dosage

Supplementation should be considered only if you are not able to consume enough vitamin C rich foods. Since there are so many versions of vitamin C on the market the following table, obtained from the NIH should be used as a guide only. Most supplements contain ascorbic acid which as been found to be the purest form.

Age     Male   Female Pregnancy     Lactation

0–6 months   40 mg*         40 mg*                  

7–12 months  50 mg*         50 mg*                  

1–3 years       15 mg 15 mg          

4–8 years       25 mg 25 mg          

9–13 years     45 mg 45 mg          

14–18 years   75 mg 65 mg 80 mg 115 mg

19+ years       90 mg 75 mg 85 mg 120 mg

Smokers        Individuals who smoke require 35 mg/day more vitamin C than nonsmokers.

If taken as a supplement, vitamin C should be taken in the morning or during the day, not at night, especially in people with GERD as this can make symptoms worse.

Vitamin C deficiency

Symptoms of vitamin C deficiency include:

Fatigue, inflammation and/or bleeding of the gums, brittle nails and hair, bruising easily, iron deficient anemia, and joint pain.

Vitamin C deficiency is unusual in developed countries; however some diseases can deplete vitamin C stores and lead to deficiency. Individuals with irritable bowel disease, celiac or other forms of intestinal inflammation are at risk for vitamin C deficiency.

Side effects of vitamin C supplementation

It is almost impossible to get too much vitamin C from diet alone. There are several side effects from taking vitamin C in supplement form. In most cases, excess vitamin C is excreted in urine within 24 hours. Some side effects are:

  • Nausea, vomiting and diarrhea
  • Heartburn
  • Stomach cramps or bloating
  • Headache
  • Skin flushing
  • Insomnia
  • Fatigue

Who should not supplement with vitamin C?

Consult with your primary care provider about vitamin C supplementation if:

  • Kidney disease or a history of kidney stones
  • Hereditary iron overload disorder (hematochromatosis)
  • Smoker (may need more than stated dose)

- Brooke Lounsbury, RN

Medical Content Writer

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