This Too Shall Pass

[vc_row][vc_column][vc_column_text]Each year, more than half a million people go to the emergency room with kidney stone problems. While kidney stones are painful, they are common and treatable.

A kidney stone is a solid piece of material made from chemicals that form in the kidney from substances that normally dissolve in the urine. They often present in individuals between the ages of 20 and 70, and they are more common in men. If you have had kidney stones, you could be more likely to get them in the future.

The main cause is not drinking enough water or fluids. The recommendation is 100 ounces of fluid daily, which is a lot of water — especially for those who really do not like to drink water.
Genetics can also be a factor. So unfortunately, despite their best efforts, some individuals may continue to get them. There is no evidence to prove that kidney stones are an environmental issue.

Avoiding tea and dark sodas can help prevent kidney stones, because those fluids tend to have more phosphoric acid — which increases the risk. If you cannot solely drink water, try at least to avoid tea and dark sodas or have them in moderation. Watching how much animal protein and sodium you eat can also help.

Most stones are calcium oxalate stones that are not dissolvable, which leads people to avoid calcium; however, that is the incorrect approach. Calcium is needed to bind to the oxalate in the gut. It could actually worsen the kidney stone if you were to stop calcium intake.

Treatment options involve medications to prevent or slow the growth of stones, as well as shockwave lithotripsy. However, as mentioned, watching your fluids, calcium, sodium and animal protein intake are great first measures.

Amanda Pond, MD, urologist at Outer Banks Health Urology, can help with kidney stones as well as any other urological issue. Call 252-449-5965 to make an appointment.[/vc_column_text][/vc_column][/vc_row]

This Too Shall Pass

Posted by & filed under Health Tips.

Each year, more than half a million people go to the emergency room with kidney stone problems. While kidney stones are painful, they are common and treatable.

A kidney stone is a solid piece of material made from chemicals that form in the kidney from substances that normally dissolve in the urine. They often present in individuals between the ages of 20 and 70, and they are more common in men. If you have had kidney stones, you could be more likely to get them in the future.

The main cause is not drinking enough water or fluids. The recommendation is 100 ounces of fluid daily, which is a lot of water — especially for those who really do not like to drink water.
Genetics can also be a factor. So unfortunately, despite their best efforts, some individuals may continue to get them. There is no evidence to prove that kidney stones are an environmental issue.

Avoiding tea and dark sodas can help prevent kidney stones, because those fluids tend to have more phosphoric acid — which increases the risk. If you cannot solely drink water, try at least to avoid tea and dark sodas or have them in moderation. Watching how much animal protein and sodium you eat can also help.

Most stones are calcium oxalate stones that are not dissolvable, which leads people to avoid calcium; however, that is the incorrect approach. Calcium is needed to bind to the oxalate in the gut. It could actually worsen the kidney stone if you were to stop calcium intake.

Treatment options involve medications to prevent or slow the growth of stones, as well as shockwave lithotripsy. However, as mentioned, watching your fluids, calcium, sodium and animal protein intake are great first measures.

Amanda Pond, MD, urologist at Outer Banks Health Urology, can help with kidney stones as well as any other urological issue. Call 252-449-5965 to make an appointment.

This Too Shall Pass

[vc_row][vc_column][vc_column_text]Each year, more than half a million people go to the emergency room with kidney stone problems. While kidney stones are painful, they are common and treatable.

A kidney stone is a solid piece of material made from chemicals that form in the kidney from substances that normally dissolve in the urine. They often present in individuals between the ages of 20 and 70, and they are more common in men. If you have had kidney stones, you could be more likely to get them in the future.

The main cause is not drinking enough water or fluids. The recommendation is 100 ounces of fluid daily, which is a lot of water — especially for those who really do not like to drink water.
Genetics can also be a factor. So unfortunately, despite their best efforts, some individuals may continue to get them. There is no evidence to prove that kidney stones are an environmental issue.

Avoiding tea and dark sodas can help prevent kidney stones, because those fluids tend to have more phosphoric acid — which increases the risk. If you cannot solely drink water, try at least to avoid tea and dark sodas or have them in moderation. Watching how much animal protein and sodium you eat can also help.

Most stones are calcium oxalate stones that are not dissolvable, which leads people to avoid calcium; however, that is the incorrect approach. Calcium is needed to bind to the oxalate in the gut. It could actually worsen the kidney stone if you were to stop calcium intake.

Treatment options involve medications to prevent or slow the growth of stones, as well as shockwave lithotripsy. However, as mentioned, watching your fluids, calcium, sodium and animal protein intake are great first measures.

Amanda Pond, MD, urologist at Outer Banks Health Urology, can help with kidney stones as well as any other urological issue. Call 252-449-5965 to make an appointment.[/vc_column_text][/vc_column][/vc_row]

Why NOW Is the Time to Finally Stop Smoking and Vaping

Posted by & filed under Cancer Care, Health Tips, Womens Health.

Okay we’re going to say it: There’s never a good time to be smoking and vaping. But during this pandemic, it’s REALLY not good to be engaging in those activities Why? Because smokers and vapers are more susceptible to lung infections and we know that COVID 19 is a respiratory illness. On top of that, recovery outcomes are worse for smokers/vapers who contract the coronavirus than for those who don’t smoke.

“It’s really vital that people know this information,” said Denise DePedro, NBC, HWC, a certified tobacco treatment specialist and health coach at Outer Banks Health Center for Healthy Living. “Smokers and vapers are at higher risk not only because their immune system is compromised, but also because the mere act of touching a cigarette or vape pen and putting it up to your mouth is another opportunity for exposure to the virus.”

Because smoking and vaping increase the chances of contracting COVID-19 as well as the severity of the case, now is the time to make the effort to quit. “Based on our experience working with patients and helping them develop a personalized plan for quitting, we know that a change in routine can eliminate some of the triggers that move people to pick up a cigarette,” noted DePedro. “We’ve all had a dramatic change in our lives and our daily routines. This is a great time to establish new habits and eliminate those triggers.” Plus, many of us currently have the time to do the deep work necessary to make quitting a success.

Outer Banks Health’s Center for Healthy Living has three tobacco treatment specialists (Marielle Silk, FNP, BC, Sarah Kershner, BSN, and DePedro) each of whom can assist with making a plan that works for each client ­— one that is based on each individual lifestyle. By teaching evidence-based strategies that include tobacco cessation medication and behavior changes, the chances of success are vastly increased for those who are ready to make the life change.

Call The Outer Banks Health Center for Healthy Living or ask your healthcare provider for a referral today. Let’s begin your journey to a smoke-free life.

Virtual visit appointments are available. Call 252-449-5978 today!

This Too Shall Pass

[vc_row][vc_column][vc_column_text]Each year, more than half a million people go to the emergency room with kidney stone problems. While kidney stones are painful, they are common and treatable.

A kidney stone is a solid piece of material made from chemicals that form in the kidney from substances that normally dissolve in the urine. They often present in individuals between the ages of 20 and 70, and they are more common in men. If you have had kidney stones, you could be more likely to get them in the future.

The main cause is not drinking enough water or fluids. The recommendation is 100 ounces of fluid daily, which is a lot of water — especially for those who really do not like to drink water.
Genetics can also be a factor. So unfortunately, despite their best efforts, some individuals may continue to get them. There is no evidence to prove that kidney stones are an environmental issue.

Avoiding tea and dark sodas can help prevent kidney stones, because those fluids tend to have more phosphoric acid — which increases the risk. If you cannot solely drink water, try at least to avoid tea and dark sodas or have them in moderation. Watching how much animal protein and sodium you eat can also help.

Most stones are calcium oxalate stones that are not dissolvable, which leads people to avoid calcium; however, that is the incorrect approach. Calcium is needed to bind to the oxalate in the gut. It could actually worsen the kidney stone if you were to stop calcium intake.

Treatment options involve medications to prevent or slow the growth of stones, as well as shockwave lithotripsy. However, as mentioned, watching your fluids, calcium, sodium and animal protein intake are great first measures.

Amanda Pond, MD, urologist at Outer Banks Health Urology, can help with kidney stones as well as any other urological issue. Call 252-449-5965 to make an appointment.[/vc_column_text][/vc_column][/vc_row]

How to Build Resilience During the COVID-19 Pandemic

Posted by & filed under Health Tips.

The coronavirus has created an intensely stressful environment, requiring everyone to confront unprecedented unknowns and deal with major changes to their way of life—from healthcare professionals to the general public. The uncertainty requires coping skills, but many individuals are unsure exactly what that entails. What is “resilience building,” and how can you start to implement it in your own life?

“What I mean by building resilience is minimizing the impact of stress on your emotional, mental, and physical well-being. It doesn’t mean you’re impervious to stress. You’re still going to feel your stress, but it’s how you adapt to that stress and develop coping strategies within those stressful situations,” states Dr. Christina Bowen, Medical Director at Outer Banks Health’s Center for Healthy Living.

HOW TO COPE WITH THE ISOLATION OF SOCIAL DISTANCING

One of the most unfamiliar aspects of the pandemic is social distancing. While critical for preventing the spread of the virus, many are struggling with the isolation. Unable to make human connections, extroverts, in particular, are having a difficult time adapting to this new normal.

Dr. Bowen assures that social distancing doesn’t have to mean social isolation. “It’s a blessing we have social media. We’re able to FaceTime our loved ones. We’re able to use Zoom to have Bible study, still have book clubs, and connect with those people we love,” she notes.

Other ideas Dr. Bowen says you might find helpful include:

  • Going out onto your porch a certain time every day to greet your neighbor from a safe social distance.
  • Walking outside in the neighborhood and being able to wave to your neighbors as you walk by.
  • Finding a positivity partner that you connect with.

Outer Banks Health and ECU Health offer an employee assistance program that’s available for patients and team members, designed specifically for those having a difficult time with social isolation.

“We do see increased feelings of anxiety and sometimes feelings of depression. We’re lucky we have tele-health services, and we’re able to connect our team members with an employee assistance program should they feel they need a bit more counseling and help during this time,” explains Dr. Bowen.

BUILD A BASE WITH IMMUNE-BOOSTING NUTRITION

It’s tempting to turn to comfort foods, especially when those feelings of fear and anxiety take hold. However, it’s important to eat the foods that will both support your immune system and keep you in an overall healthy state of being.

Dr. Bowen advises eating a diet that is centered on plants, getting five to seven servings of fruits and veggies per day, as well as beans, seeds, grains, and nuts. She also encourages people to incorporate more fermented foods into their daily regimen, which will help bolster the immune system. Options include yogurt, kimchi, and kombucha.

And, as difficult as it may seem, Dr. Bowen cautions staying away from processed foods and sugary drinks. “Try to really think about everything you put in your body during this time. You really want it to nourish your body and to serve your body, to help it be as strong as it can be.”

3 Additional Steps to Well-Being

Three additional practices Dr. Bowen encourages are mindfulness, proper sleep, and creating structure. All three contribute to a healthy body and a healthy mind.

Mindfulness: “A lot of this starts with self-compassion and nurturing ourselves; being in the present moment. We are going to have fear, we are going to have some anxiety and that’s okay. We’re grieving the loss of ‘normal.’ Mindfulness allows us to sit with those feelings without any judgment. And then to move forward in a positive way and think about what you can do right now to take care of yourself, improve your environment, or to stay connected.”

Sleep: The bedroom should be a sacred place for sleep—and sleep mostly. Avoid watching TV, especially the news, before heading to bed. Instead, use that time to journal or listen to a sleep story or calming music. Keep your bedroom cool, clean, and crisp. And dark. “Sleep is one of the number-one things we know that really helps to keep our immune system healthy and is one way we’re going to fight off infection.”

Structure: Being at home all day, even if you’re working, has its own considerations. You don’t want to get into the habit of sleeping late or wearing your pajamas all day. Dr. Bowen suggests approaching each day with intention—making time for exercise, meal-prep, or even home projects. Make a list, and stick to it. Set reminders on a mobile app if that helps you stay on track. “It’s a wonderful time to really start making some very intentional and mindful choices with taking care of yourself.”

TAKE ACTION

The atmosphere surrounding COVID-19 will take some getting used to. But, by taking a proactive approach, and implementing Dr. Bowen’s advice, you may be able to mitigate some of the angst we’re all experiencing.
“They’re pretty simple steps… and you know what? Now you have space and time to do them.”

To listen to an interview on this topic with Dr. Christina Bowen, Medical Director at Outer Banks Health’s for Healthy Living, visit our podcast page by clicking here.

This Too Shall Pass

[vc_row][vc_column][vc_column_text]Each year, more than half a million people go to the emergency room with kidney stone problems. While kidney stones are painful, they are common and treatable.

A kidney stone is a solid piece of material made from chemicals that form in the kidney from substances that normally dissolve in the urine. They often present in individuals between the ages of 20 and 70, and they are more common in men. If you have had kidney stones, you could be more likely to get them in the future.

The main cause is not drinking enough water or fluids. The recommendation is 100 ounces of fluid daily, which is a lot of water — especially for those who really do not like to drink water.
Genetics can also be a factor. So unfortunately, despite their best efforts, some individuals may continue to get them. There is no evidence to prove that kidney stones are an environmental issue.

Avoiding tea and dark sodas can help prevent kidney stones, because those fluids tend to have more phosphoric acid — which increases the risk. If you cannot solely drink water, try at least to avoid tea and dark sodas or have them in moderation. Watching how much animal protein and sodium you eat can also help.

Most stones are calcium oxalate stones that are not dissolvable, which leads people to avoid calcium; however, that is the incorrect approach. Calcium is needed to bind to the oxalate in the gut. It could actually worsen the kidney stone if you were to stop calcium intake.

Treatment options involve medications to prevent or slow the growth of stones, as well as shockwave lithotripsy. However, as mentioned, watching your fluids, calcium, sodium and animal protein intake are great first measures.

Amanda Pond, MD, urologist at Outer Banks Health Urology, can help with kidney stones as well as any other urological issue. Call 252-449-5965 to make an appointment.[/vc_column_text][/vc_column][/vc_row]

Dry Needling? What is that?

Posted by & filed under Health Tips.

When we hear the word “pain,” negative images normally come to mind. Acute pain, while it’s short-lived and results from injury, is the body’s way of telling us something is wrong. The good news is that when the body heals from the injury, acute pain generally stops.

Chronic pain is different because it can last for weeks, months, or even years, and it truly affects our quality of life. Janie Walters had rotator cuff pain that gradually kept getting worse. “I take forever to go to a doctor,” Walters states, “but after about six months, I couldn’t take it anymore.” Because the pain didn’t subside, she knew something was seriously wrong, and she turned to her family doctor, who then sent her to the hospital’s rehabilitation therapy services for help.

Outer Banks Health’s rehabilitation therapy services offers dry needling as a treatment option in addition to their other therapies. Dry needling is a unique type of treatment that inserts a slender, threadlike needle into a muscle, which helps release muscle tension and pain.

The first visit for physical therapy includes a basic manual evaluation performed by the physical therapist, with special tests to determine what muscle tissue is involved and exactly where the pain is located. It is then determined whether dry needling is appropriate.

While this therapy seems similar to acupuncture, according to the American Physical Therapy Association, “The practice of acupuncture by acupuncturists and the performance of dry needling by physical therapists differ in terms of historical, philosophical, indicative, and practical context. The performance of modern dry needling by physical therapists is based on Western neuroanatomy and modern scientific study of the musculoskeletal and nervous systems. Physical therapists who perform dry needling do not use traditional acupuncture theories or acupuncture terminology.”

Physical therapists use dry needling with the goals of relieving pain and/or improving range of motion. According to Lauren Schaefer, Physical Therapist at TOBH, “evidence-based research over the past 10 years has supported the use of dry needling for multiple body regions. I have found it to be extremely effective in reducing tension in muscles that were causing pain and in increasing mobility. The relief for some clients is often instant, with minimal adverse effects. I have yet to experience an intervention as effective as dry needling for treatment of musculoskeletal pain.”

Lee McMaster recently completed dry needling treatment with Schaefer. It was recommended for shoulder and neck muscle tightness and pain as well as arm and hand numbness. McMaster confesses that at first, the dry needling was a little painful, but “there was an immediate and obvious difference in the muscles. The pain and tightness were definitely decreased.”

Walters has had both acupuncture and dry needling. She feels that dry needling is a better method because she noticed a difference right away and the lack of pain has lasted longer. She expresses gratitude for having this type of treatment in our community. “It’s nice to be able to go locally to get treatment for pain that works.” Both Walters and McMaster would “absolutely” recommend this to others.

A physical therapy referral from a doctor is required in order to receive dry needling services. If you think this is a treatment you need, please talk with your primary care physician. He or she can refer you by calling 252-449-4560.

This Too Shall Pass

[vc_row][vc_column][vc_column_text]Each year, more than half a million people go to the emergency room with kidney stone problems. While kidney stones are painful, they are common and treatable.

A kidney stone is a solid piece of material made from chemicals that form in the kidney from substances that normally dissolve in the urine. They often present in individuals between the ages of 20 and 70, and they are more common in men. If you have had kidney stones, you could be more likely to get them in the future.

The main cause is not drinking enough water or fluids. The recommendation is 100 ounces of fluid daily, which is a lot of water — especially for those who really do not like to drink water.
Genetics can also be a factor. So unfortunately, despite their best efforts, some individuals may continue to get them. There is no evidence to prove that kidney stones are an environmental issue.

Avoiding tea and dark sodas can help prevent kidney stones, because those fluids tend to have more phosphoric acid — which increases the risk. If you cannot solely drink water, try at least to avoid tea and dark sodas or have them in moderation. Watching how much animal protein and sodium you eat can also help.

Most stones are calcium oxalate stones that are not dissolvable, which leads people to avoid calcium; however, that is the incorrect approach. Calcium is needed to bind to the oxalate in the gut. It could actually worsen the kidney stone if you were to stop calcium intake.

Treatment options involve medications to prevent or slow the growth of stones, as well as shockwave lithotripsy. However, as mentioned, watching your fluids, calcium, sodium and animal protein intake are great first measures.

Amanda Pond, MD, urologist at Outer Banks Health Urology, can help with kidney stones as well as any other urological issue. Call 252-449-5965 to make an appointment.[/vc_column_text][/vc_column][/vc_row]

Pediatric Trauma Simulation

Posted by & filed under Emergency Medicine, Patient Experience.

Together with Wake Forest Baptist Medical Center, NASCAR great Richard Childress and his wife, Judy, launched the Childress Institute for Pediatric Trauma. According to the institute’s website, when Richard and Judy discovered that traumatic injury was responsible for the death of more children in the U.S. than all other causes combined, they were inspired to take action. So they set a goal of helping save the lives of injured children throughout the U.S. and around the world.

On May 10, 2017, the institute partnered with the Eddie Smith Foundation to create and fund a study to address pediatric trauma care at Vidant Medical Center. Eddie Smith, a Greenville resident and owner/CEO of Grady-White Boats, is a generous benefactor of Vidant Health. In fact, the Eddie and Jo Allison Smith Cancer Tower is named for him and his wife.
The funded study is titled “Saving Children in Rural America: The Impact of a Mobile, Simulation-based Educational Outreach Initiative on Pediatric Trauma Care and Outcomes in a Rural Trauma System.”
Awarded $250,000 over two years, researchers at Vidant collaborated with East Carolina University’s (ECU) Brody School of Medicine (BSOM) to build a mobile simulation. The goal of this work is to increase pediatric trauma education and readiness for regional healthcare providers in eastern North Carolina. This practical, hands-on experience builds skills and confidence in those who respond to and care for children involved in trauma.

Recently, the simulation truck visited Outer Banks Health. Throughout the morning, physicians, advanced-level practitioners, respiratory therapists, and nurses participated in mock emergency situations based on goals and objectives determined by Eric Toschlog, MD, FACS, FCCM, chief of trauma surgery at ECU BSOM. Participants were videotaped, and at the conclusion of the case, the tape was reviewed and Toschlog led a discussion highlighting successes and opportunities.

Later in the day, EMS workers were also able to experience the simulator in the front portion of the truck that is designed to resemble an ambulance interior.

Matt Chovaz, MD, medical director of the emergency department, who was instrumental in getting the simulator to TOBH, noted, “It is great that we have this resource available to us. Being able to provide the best care possible, including to children, is always the goal at Outer Banks Health,” said Chovaz.

The simulator truck is operated by David Schiller, operations manager, simulation specialist, EMS; J. Bryan Lake, BS, BSN, RN, trauma outreach coordinator, trauma and acute care surgery; and Tyler Mathews, ECU, simulation specialist

This Too Shall Pass

[vc_row][vc_column][vc_column_text]Each year, more than half a million people go to the emergency room with kidney stone problems. While kidney stones are painful, they are common and treatable.

A kidney stone is a solid piece of material made from chemicals that form in the kidney from substances that normally dissolve in the urine. They often present in individuals between the ages of 20 and 70, and they are more common in men. If you have had kidney stones, you could be more likely to get them in the future.

The main cause is not drinking enough water or fluids. The recommendation is 100 ounces of fluid daily, which is a lot of water — especially for those who really do not like to drink water.
Genetics can also be a factor. So unfortunately, despite their best efforts, some individuals may continue to get them. There is no evidence to prove that kidney stones are an environmental issue.

Avoiding tea and dark sodas can help prevent kidney stones, because those fluids tend to have more phosphoric acid — which increases the risk. If you cannot solely drink water, try at least to avoid tea and dark sodas or have them in moderation. Watching how much animal protein and sodium you eat can also help.

Most stones are calcium oxalate stones that are not dissolvable, which leads people to avoid calcium; however, that is the incorrect approach. Calcium is needed to bind to the oxalate in the gut. It could actually worsen the kidney stone if you were to stop calcium intake.

Treatment options involve medications to prevent or slow the growth of stones, as well as shockwave lithotripsy. However, as mentioned, watching your fluids, calcium, sodium and animal protein intake are great first measures.

Amanda Pond, MD, urologist at Outer Banks Health Urology, can help with kidney stones as well as any other urological issue. Call 252-449-5965 to make an appointment.[/vc_column_text][/vc_column][/vc_row]

Sinus Problems

Posted by & filed under Health Tips.

Do you have pain between your eyes that won’t go away? Perhaps your ears feel full? Are constant headaches a norm these days? Are you unable to taste the food you eat?

You might be experiencing sinus problems!

Sinus problems can cause uncomfortable symptoms. A constantly runny nose, trouble sleeping at night or losing your sense of smell might occur. Other symptoms can include:

  • Nasal congestion
  • Fullness in ears
  • Inability to taste food
  • Frequent headaches
  • Facial pain
  • Cough

Causes of Sinus Congestion

  • Viral sinusitis: Part of the common cold.
  • Bacterial sinusitis: A complication where viral sinusitis becomes secondarily infected with bacteria.
  • Allergic sinusitis: Sinus congestion that commonly occurs with nasal allergies (e.g., from pollens). Associated sneezing, itchy nose and clear nasal discharge point to this cause.

Treatment of Sinusitis

  • Viral sinusitis: Nasal washes with saline. (Antibiotics are not helpful.)
  • Bacterial sinusitis: Oral antibiotics.
  • Allergic sinusitis: Treatment of the nasal allergy with antihistamines.

If your symptoms last longer than two weeks, you should schedule an appointment with Anthony Jackson, MD, otolaryngologist, Outer Banks Health Ear, Nose & Throat, 252-449-5760. He can prescribe medication to alleviate the pain, order an X-ray or a CAT scan, or possibly recommend surgery.

This Too Shall Pass

[vc_row][vc_column][vc_column_text]Each year, more than half a million people go to the emergency room with kidney stone problems. While kidney stones are painful, they are common and treatable.

A kidney stone is a solid piece of material made from chemicals that form in the kidney from substances that normally dissolve in the urine. They often present in individuals between the ages of 20 and 70, and they are more common in men. If you have had kidney stones, you could be more likely to get them in the future.

The main cause is not drinking enough water or fluids. The recommendation is 100 ounces of fluid daily, which is a lot of water — especially for those who really do not like to drink water.
Genetics can also be a factor. So unfortunately, despite their best efforts, some individuals may continue to get them. There is no evidence to prove that kidney stones are an environmental issue.

Avoiding tea and dark sodas can help prevent kidney stones, because those fluids tend to have more phosphoric acid — which increases the risk. If you cannot solely drink water, try at least to avoid tea and dark sodas or have them in moderation. Watching how much animal protein and sodium you eat can also help.

Most stones are calcium oxalate stones that are not dissolvable, which leads people to avoid calcium; however, that is the incorrect approach. Calcium is needed to bind to the oxalate in the gut. It could actually worsen the kidney stone if you were to stop calcium intake.

Treatment options involve medications to prevent or slow the growth of stones, as well as shockwave lithotripsy. However, as mentioned, watching your fluids, calcium, sodium and animal protein intake are great first measures.

Amanda Pond, MD, urologist at Outer Banks Health Urology, can help with kidney stones as well as any other urological issue. Call 252-449-5965 to make an appointment.[/vc_column_text][/vc_column][/vc_row]

The Common Cold

Posted by & filed under Health Tips, Urgent Care.

The common cold leads to more healthcare provider visits and absences from school and work than any other illness does each year. It is caused by a virus and is easily spread to others. It’s not caused by cold weather.Key Points

  • A cold is caused by a virus that leads to inflammation of the membranes that line the nose and throat. Contrary to popular belief, cold weather or being chilled doesn’t cause a cold.
  • The common cold is highly contagious. It’s often spread through airborne droplets when the sick person coughs or sneezes into the air. Infection can occur after the droplets are inhaled by another person. Symptoms may include: a stuffy; runny nose; scratchy, tickly throat; sneezing; watery eyes and low-grade fever.

A cold and the flu (influenza) are two different illnesses. Be aware of these differences:

Cold Symptoms:
Low or no fever
Sometimes a headache
Stuffy, runny nose
Sneezing
Mild, hacking cough
Slight aches and pains
Mild fatigue
Sore throat
Normal energy level or may feel sluggish

Flu Symptoms:
High fever
Headache is very common
Clear nose
Sometimes sneezing
Cough, often becoming severe
Often severe aches and pains
Several weeks of fatigue
Sometimes a sore throat
Extreme exhaustion

How to Treat the Common Cold

Currently, there is no medication available to cure or shorten the duration of the common cold. However, the following are some treatments that may help relieve some symptoms of the cold:

  • Over-the-counter cold medications, such as decongestants and cough medicines
  • Over-the-counter antihistamines (medication that helps dry up nasal secretions and suppress coughing)
  • Rest
  • Increased fluid intake
  • Pain relievers for headache or fever
  • Warm, saltwater gargling for sore throat
  • Petroleum jelly for raw, chapped skin around the nose and lips
  • Warm steam for congestion

Because colds are caused by viruses, antibiotics don’t work. Antibiotics are effective only when given to treat bacterial infections.

Do not give aspirin to a child who has a fever. Aspirin, when given as treatment for viral illnesses in children, has been associated with Reye’s syndrome. This is a potentially serious or deadly disorder in children.

When to Call Your Healthcare Provider

If your symptoms get worse or you have new symptoms, let your healthcare provider know. If your symptoms don’t improve within a few days, call your provider, as you could have another type of infection.

Outer Banks Health has two urgent care centers – one in Kitty Hawk and one in Nags Head. If you need the help of a healthcare provider, please visit one of them. If you have a more serious problem, our Emergency Department is open 24 hours a day/365 days a year to assist you.

Please visit our health library to learn about other topics of interest.

This Too Shall Pass

[vc_row][vc_column][vc_column_text]Each year, more than half a million people go to the emergency room with kidney stone problems. While kidney stones are painful, they are common and treatable.

A kidney stone is a solid piece of material made from chemicals that form in the kidney from substances that normally dissolve in the urine. They often present in individuals between the ages of 20 and 70, and they are more common in men. If you have had kidney stones, you could be more likely to get them in the future.

The main cause is not drinking enough water or fluids. The recommendation is 100 ounces of fluid daily, which is a lot of water — especially for those who really do not like to drink water.
Genetics can also be a factor. So unfortunately, despite their best efforts, some individuals may continue to get them. There is no evidence to prove that kidney stones are an environmental issue.

Avoiding tea and dark sodas can help prevent kidney stones, because those fluids tend to have more phosphoric acid — which increases the risk. If you cannot solely drink water, try at least to avoid tea and dark sodas or have them in moderation. Watching how much animal protein and sodium you eat can also help.

Most stones are calcium oxalate stones that are not dissolvable, which leads people to avoid calcium; however, that is the incorrect approach. Calcium is needed to bind to the oxalate in the gut. It could actually worsen the kidney stone if you were to stop calcium intake.

Treatment options involve medications to prevent or slow the growth of stones, as well as shockwave lithotripsy. However, as mentioned, watching your fluids, calcium, sodium and animal protein intake are great first measures.

Amanda Pond, MD, urologist at Outer Banks Health Urology, can help with kidney stones as well as any other urological issue. Call 252-449-5965 to make an appointment.[/vc_column_text][/vc_column][/vc_row]

Surfer’s Ear?

Posted by & filed under Health Tips.

Exostosis of the ear canal, or “Surfer’s ear,” are benign bony growths in the ear canal associated with exposure to cold water and wind.  Water colder than 63.5 degrees Fahrenheit has been shown to stimulate this abnormal bone growth. These growths can make people more prone to ear infections and wax buildup. They can cause hearing loss if they grow large and prevent sound from traveling to the inner ear.

It is a good idea to have a comprehensive audiological evaluation if exostoses are noted on a medical exam.  It is important to protect ears from cold water; options include non-custom earplugs and custom earplugs.  Inexpensive wax earplugs can be purchased at any drugstore; however, they have some safety considerations as they will also block sound.  You can find at some local surf stores non-custom molds that allow sound to enter through the mold while preventing water from entering the ear canal at some local surf stores.

The fit and effectiveness of non-custom molds depend on the shape of an individual’s ear canal. If water continues to enter the ear canal with these options, custom surf/swim earplugs can be made with a mold of the ear for a better fit. Custom earplugs will enable sound to enter normally so surfers and swimmers can communicate while keeping water out of their ears.

If you are in need of custom surf/swim ear molds, please contact Outer Banks Health Ear, Nose & Throat to make an appointment with Krista Follmer, AuD, Audiologist, at 252-449-5760. For more information, please visit their location page.

Reference: Wong BJF, Cervantes W, Doyle KJ, Karamzadeh AM, Boys P, Brauel G, Mushtaq E. Prevalence of External Auditory Canal Exostoses in Surfers. Arch Otolaryngol Head Neck Surg. 1999;125(9):969-972.

This Too Shall Pass

[vc_row][vc_column][vc_column_text]Each year, more than half a million people go to the emergency room with kidney stone problems. While kidney stones are painful, they are common and treatable.

A kidney stone is a solid piece of material made from chemicals that form in the kidney from substances that normally dissolve in the urine. They often present in individuals between the ages of 20 and 70, and they are more common in men. If you have had kidney stones, you could be more likely to get them in the future.

The main cause is not drinking enough water or fluids. The recommendation is 100 ounces of fluid daily, which is a lot of water — especially for those who really do not like to drink water.
Genetics can also be a factor. So unfortunately, despite their best efforts, some individuals may continue to get them. There is no evidence to prove that kidney stones are an environmental issue.

Avoiding tea and dark sodas can help prevent kidney stones, because those fluids tend to have more phosphoric acid — which increases the risk. If you cannot solely drink water, try at least to avoid tea and dark sodas or have them in moderation. Watching how much animal protein and sodium you eat can also help.

Most stones are calcium oxalate stones that are not dissolvable, which leads people to avoid calcium; however, that is the incorrect approach. Calcium is needed to bind to the oxalate in the gut. It could actually worsen the kidney stone if you were to stop calcium intake.

Treatment options involve medications to prevent or slow the growth of stones, as well as shockwave lithotripsy. However, as mentioned, watching your fluids, calcium, sodium and animal protein intake are great first measures.

Amanda Pond, MD, urologist at Outer Banks Health Urology, can help with kidney stones as well as any other urological issue. Call 252-449-5965 to make an appointment.[/vc_column_text][/vc_column][/vc_row]

Krista Follmer, AuD, Audiologist

Posted by & filed under Meet our Healthcare Team.

Did you know that Outer Banks Health has a full-time doctor of audiology? Krista Follmer, AuD, joined Dr. Anthony Jackson at Outer Banks Health Ear, Nose & Throat in March 2016. As an audiologist, she provides hearing testing for all ages including infants and vestibular testing for patients with balance disorders.  Dr. Follmer also provides hearing aid fitting and services for both pediatric and adult patients.

Follmer hails from the resort area of Ocean Pines, Maryland (near Ocean City) and is very familiar with beach town living. What’s more, she frequently vacationed on the Outer Banks, so when the audiologist position became available, she and her family decided to make it a permanent vacation. Husband Nick, who was her high school sweetheart, and their two sons (6 and 3), have settled nicely into our community.

Coming from a small town on the Eastern Shore, Follmer recalls that it was a whole new world when she entered the University of Maryland College Park.  She compares, “That University is about the same size as the entire Outer Banks!” After completing her undergraduate degree in hearing and speech science, she continued her studies at the University of Maryland and received her clinical doctorate of audiology in 2008.  More recently, Follmer worked as a faculty audiologist at Johns Hopkins University in the Division of Audiology/Otolaryngology Head and Neck Surgery.  While working at Johns Hopkins, she was able to participate in clinical research and provide audiology services to patients with complex medical conditions.

If you suspect that you may have hearing loss, require hearing aids, or if you have ringing in your ears, contact Outer Banks Health Ear, Nose & Throat at 252-449-5760 or visit the Outer Banks Health Ear, Nose & Throat page on our website.

This Too Shall Pass

[vc_row][vc_column][vc_column_text]Each year, more than half a million people go to the emergency room with kidney stone problems. While kidney stones are painful, they are common and treatable.

A kidney stone is a solid piece of material made from chemicals that form in the kidney from substances that normally dissolve in the urine. They often present in individuals between the ages of 20 and 70, and they are more common in men. If you have had kidney stones, you could be more likely to get them in the future.

The main cause is not drinking enough water or fluids. The recommendation is 100 ounces of fluid daily, which is a lot of water — especially for those who really do not like to drink water.
Genetics can also be a factor. So unfortunately, despite their best efforts, some individuals may continue to get them. There is no evidence to prove that kidney stones are an environmental issue.

Avoiding tea and dark sodas can help prevent kidney stones, because those fluids tend to have more phosphoric acid — which increases the risk. If you cannot solely drink water, try at least to avoid tea and dark sodas or have them in moderation. Watching how much animal protein and sodium you eat can also help.

Most stones are calcium oxalate stones that are not dissolvable, which leads people to avoid calcium; however, that is the incorrect approach. Calcium is needed to bind to the oxalate in the gut. It could actually worsen the kidney stone if you were to stop calcium intake.

Treatment options involve medications to prevent or slow the growth of stones, as well as shockwave lithotripsy. However, as mentioned, watching your fluids, calcium, sodium and animal protein intake are great first measures.

Amanda Pond, MD, urologist at Outer Banks Health Urology, can help with kidney stones as well as any other urological issue. Call 252-449-5965 to make an appointment.[/vc_column_text][/vc_column][/vc_row]

Charles “Trey” Shelton, MD – Radiation Oncologist

Posted by & filed under Cancer Care, Meet our Healthcare Team.

A common question asked of Outer Banks residents is, “Why did you choose to move here?” Charles Shelton, MD, (nicknamed “Trey” because he is a “third”) answers this way: “I grew up and vacationed in Eastern North Carolina. I love the small-town feel and I landed a great job as a radiation oncologist with The Outer Banks Health Radiation Therapy Center.”

As the only full-time radiation oncologist on the Outer Banks, Shelton has not only established himself as an expert in cancer services but also has been the champion for The OBH Cancer Committee. In fact, he assisted the committee in achieving accreditation from the Commission on Cancer. Currently, he serves as chairman of the Cancer Committee.

Did Shelton always know he wanted to be a doctor? Not so much. In high school, he wasn’t sure what he wanted to do with his life. Then, shockingly, he and his sister witnessed a man having a heart attack at the neighborhood pool. Acting solely on instinct, Shelton and his sister pulled the man from the water and, while his sister dialed 9-1-1, Shelton performed CPR. “The guy lived!” said Shelton. “I had no formal training in CPR, it just came naturally and saving the man felt good.” That event helped to shape his future and steer him toward medical school.

Shelton’s educational journey is an interesting one: undergraduate studies at the University of Virginia in Charlottesville, VA, followed by work as a lab technician for the University of South Alabama, then on to medical school at the same location and then back to UVA for radiation therapy residency. He realized his passion was radiation therapy in medical school following rotations in orthopedics, general surgery and hematology/oncology. Prior to work at Outer Banks Health Radiation Therapy Center, Shelton worked as a radiation oncologist in Lewisburg, WV.

In his spare time, Shelton enjoys his two dogs, Lucy and Peachy, and his cat Theo (all from the SPCA), as well as playing tennis and engaging in outdoor activities. He loves to travel with his wife and spend time with his four children, two of whom are adopted – one from Russia and one from Kazakhstan.

Those who know Shelton have experienced his fun-loving personality, relaxed nature and, above all, his kind heart. Like the time he volunteered to work with the flash-flood victims in his former hometown of Lewisburg. In 2016, the town was overwhelmed by severe flooding and many homes were destroyed. Shelton recalls, “I was astounded by the amount of devastation.” In the week spent there, Shelton assisted with cleanup and rebuilding of homes. He also worked with others to distribute supplies to the victims.

The Outer Banks Health is grateful for this physician’s contribution to the medical staff and his passionate commitment to the Outer Banks community.

For more information about the OBH cancer services, visit OBH Cancer Services page.