Why Do Some Kids Foil Abduction Attempts and Others Don’t ?

What’s unique about the child who’s able to foil an abduction attempt, vs. ones who never try?

Every once in a blue moon you hear about a child who wildly “fights off” an abductor and escapes, while most other victims obediently do everything they’re told as though paralyzed with fear. (more…)

Weightlifting Exercises that Raise Blood Pressure the Most ?

Lifting weights will raise blood pressure, but there are exercises in particular that will really put your blood pressure through the roof.

Normal blood pressure is under 120/80. It’s not surprising that a very fit person with a clean diet has a resting blood pressure of around 100/60.

Any kind of resistance training will raise your blood pressure. Blood pressure can soar to 345/245 during very heavy lifts.

This was observed in a study (Journal of Hypertension Supplement, 1989).

The highest blood pressure increases during this study were caused by squats. Single-arm curls caused the lowest rises.

The back squat; raised blood pressure the most. Shutterstock/Photology1971

The report’s abstract does not list all the exercises that were monitored.

This will make one wonder if the deadlift and rack pull were part of this study, because these moves allow you to lift a lot more weight than does the squat.

However, we can definitely conclude that heavy deadlifts and heavy rack pulls will soar blood pressure — based on the premise that the back squat does.

All three exercises involve a barbell and mechanics that allow the body to move a LOT of weight.

“The explosive forces needed to lift very heavy weights can put the blood pressure up to significantly high levels for a short period of time,” says Dr. David Beatty, MD, a retired general practitioner with 30+ years of experience and an instructor of general medicine for 20+ years.

Below are the exercises that allow the most amount of weight to be moved.

• Back squat

Shutterstock/MilanMarkovic78

• Front squat

Shutterstock/baranq

• Deadlift

Freepik.com

• Rack pull

Everkinetic, Creative Commons

• Olympic style lifts (e.g., clean & jerk)

Shutterstock/Microgen

• Bench press and leg press

Additional Factors Influence Blood Pressure

• Length of static holds
• Length of the set (e.g., 3 RM vs. 6 RM).

Baseline blood pressure influences how high BP gets when doing any lifting moves.

So if your baseline tends to be 90-something over 55 to 60, then when you deadlift a one RM, it won’t skyrocket as high as it would if your baseline were in the 120/70 range.

Make sure you get that: The BP will jump AS MUCH during a super heavy lift – whether your baseline is very low or average, but the final number won’t be as high if your baseline is very low.

In short, what gets tacked on during the lift is the same, but if it’s getting tacked onto a lower baseline BP, then the final number won’t be as high as it would if your baseline were higher.

Never hold your breath when lifting. Never. “This causes the intracranial, middle ear and chest pressures to go up,” says Dr. Beatty. 

For big lifts with mega weight, this can put the athlete at risk for an intracerebral hemorrhage, especially if other risk factors are present such as a pre-existing brain aneurysm (which usually doesn’t cause symptoms and can exist without the person ever knowing).

Exhale on the lift and inhale on the release.

Though blood pressure will spike dramatically during heavy lifts, the long-term effect of weightlifting is a lower baseline BP.

Lorra Garrick is a former personal trainer certified through the American Council on Exercise. At Bally Total Fitness she trained women and men of all ages for fat loss, muscle building, fitness and improved health. 
 
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Source: ncbi.nlm.nih.gov/pubmed/2632751

Long Femur and Short Shins in the Leg Press: Disadvantage?

Can people whose femurs are shorter than their shins, regardless of torso length, have a mechanical advantage with the leg press?

Nearly all the attention regarding the long femur problem is directed at the back squat. (more…)

HOW Can a Knee Replacement Lead to a Heart Attack? Mechanisms

A person can suffer a heart attack only three days after a knee replacement (or other joint replacement) surgery.

Just HOW does this happen? (more…)

Hip Pain Three Months after Hip Replacement: Causes, Solutions

It’s not always normal to still have hip pain three months after a hip replacement. There are loads of possible causes for this pain.

The first possibility: Total hip replacement patients who fail to adhere to their rehab exercises.

If you’re too sedentary in the weeks following hip replacement surgery, there may be pain located about the hip simply due to stiff structures.

Postsurgical depression can sink in and result in being very inactive and spending a lot of time in bed — leading to a stiffened joint and underused soft tissue.

Patients also must ask themselves if the pain they’re feeling is actually coming from the hip or some other nearby area such as the thigh.

Thigh pain may radiate up towards the hip, creating the illusion that the pain is originating from the hip.

“First let me say that there is NEVER a 100% guarantee of 100% pain relief after a hip replacement,” begins Barbara Bergin, MD, board certified orthopedic surgeon at and co-founder of Texas Orthopedics, Sports & Rehabilitation Associates.

“This is a manmade operation, meant to relieve the pain of hip arthritis. Period.

“It is not meant to allow a person to return to sports or some level of activity they had when they were younger.

“Basing everything else I say on that premise, hip pain at three months might be completely normal.

“With a few exceptions, it takes the body about 6-9 months to completely recover from most injuries and surgery.

“So, pain at three months is kind of expected, and when patients tell me they have NO PAIN three months after a big operation, I thank the cosmos for sending me a happy, tolerant patient with a high threshold for pain, and reasonable expectations.

“Okay, so now that we have both extremes covered, let me think of what dangerous things might be causing pain at three months.

“Let’s start with bad things, which are not the most common things. Complications from total hip replacements are rare.

Blood Clot

“A blood clot (deep venous thrombophlebitis) could cause pain in the thigh or leg three months after a hip replacement.

Blood clot

“It’s unlikely but not unheard of, and in fact, we often keep patients on baby aspirin for three months after surgery on the lower extremity.

“But by then, patients are usually getting around, which means they’re pumping that venous blood out of their legs, so it’s not sitting around forming clots.”

Infection

“Infection can occur at any time following a joint replacement, from the day after, to years later.

“Patients and doctors are always on the prowl when it comes to sudden changes in pain, especially if accompanied by fever, redness or swelling.

“The surgeon takes extreme precautions and steps to prevent this disastrous outcome, and fortunately…it is rare.”

Dislocation

“Dislocations can also occur at almost any time following a hip replacement, but are less likely to occur as time goes by.

“There will be no question in the patient’s mind that something very bad has occurred, when the hip dislocates.

“Not only is it painful, but they will not be able to move. It can occur as the result of a fall, but it can also occur with some very common movements.

“This will require a visit to the emergency room because of the pain.

“The hip will be put back in place. Surgeons also take many steps to prevent this kind of problem, and it too is rare.

“Now to the less dangerous, although always concerning causes of pain.”

Activity

“Soreness from increased activities occurs as patients get more active, once the surgical pain has died down.

“They’ve returned to the gym, started walking more or might have increasing demands placed on them in physical therapy.”

Seroma

“Minor surgical setbacks can occur in this period of time, like the development of seromas (fluid leaking out of the depths of the wound, and causing swelling and pain).”

Small Fracture

“Occasionally a small fracture could result from the surgery. The surgeon usually knows when this occurs and depending on what type of fracture, they might fix it at the time of the surgery.

“There might be some remote possibility that a tiny fracture could be missed, and this could result in pain later on if it doesn’t heal. Again…rare.”

Loosened Hardware

“There is an unlikely chance that something could come loose after the surgery. Again, very rare, but there would be some pain associated with it.”

Activities that Can Loosen Hip Replacements (especially cement) and Cause Pain

  • Impact (jogging, tennis, horseback)
  • Heavy weightlifting
  • Jumping from heights
  • Gaining excess weight

Not following the rules for the first eight weeks following hip replacement surgery could result in pain that lingers.

Don’t bend the operated hip beyond 80 degrees.

Don’t raise your knee higher than hip.

Avoid sitting on low seats.

Avoid leaning forward when sitting.

In rare cases hip pain can result from leg length disparity or nerve damage.

If you’re still having pain three months out, or you have new-onset pain three months or so out from the hip replacement, don’t put off making an appointment with your surgeon.

It’s rare that a pain after surgery would not have an explanation.

Additional Causes of Hip Pain that Can Persist or Develop Three Months After Surgery

(Source: Clinical Cases in Mineral and Bone Metabolism, Ferrata et al, 2011)

• Bone loss

• Abnormal formation of bone

• Bone remodeling in response to physical stress

• Inflammation of synovial fluid

• Allergy to metal wear debris

• Prosthesis impingement

• Iliopsoas tendinitis

• Abductor muscle damage

Trochanteric bursitis

Dr. Bergin is a general orthopedist, surgically and conservatively treating all manner of bone and joint conditions. She enjoys educating patients so they can emerge stronger than they were before their orthopedic injury or surgery.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.  
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Sources
bertjthomasmd.com/after-operation-thomas-orthopedics.html
ncbi.nlm.nih.gov/pmc/articles/PMC3279074/

Barefoot Babies & Toddlers in Public: Safe or Unsanitary?

A baby or toddler barefoot in public can catch a nasty infection.

But sanitation aside, some people think it’s gross. Little dirty feet can stink and appear grubby.

Babies’ and toddlers’ bare feet will get grimy, soiled and filthy after being on a dirty public floor or other surface.

Many babies will play with their toes at some point, once they’re placed back in a stroller in the car.

One day I was standing behind a woman and her toddler barefoot son.

She picked him up and placed him feet first on the checkout conveyer — which was filthy!

She did this so that he could stand and grab an item from the display on the other side of the conveyor.

After she set him back in the shopping cart, lo and behold, he began playing around with his toes, then put his fingers in his mouth.

Fungus Infection, Stomach Flu

“The most common infections contracted from bare skin coming in contact with a contaminated surface are fungal skin infections (e.g., ringworm, aka tinea corporis),” says Irene Tien, MD, a board-certified emergency medicine and pediatric emergency medicine physician in MA.

Dr. Tien continues, “A child whose feet come in contact with any bacteria that can cause food poisoning (e.g., salmonella, E. coli, norovirus, rotavirus) and then are put in his mouth can make the child develop a stomach flu (vomiting, diarrhea).”

Salmonella and E. coli can easily make their way onto a grocery store conveyor belt!  

Babies routinely put their toes in their mouths. Is this any more hygienic than if a flexible 12-year-old had his dirty toes in his mouth?

I’m betting most people would deem this very uncouth and unsightly, simply because the boy is 12 years rather than 12 months.

How to Keep Feet Covered

“Baby shoes” are often considered unnatural and uncomfortable, but supportive sneakers for babies have been on the market for many years.

And there are also booties for babies. Plus, toddlers are ready for little sneakers.

Walmart’s Floors and Barefoot Babies

Parents allow their babies and toddlers to scamper about on Walmart’s floors barefoot.

Indoors or out, a toddler’s bare feet can get punctured by particles of glass; bits of sharp food like peanuts, peanut shells and tortilla chip fragments; a thumbtack, rusty nail or other tiny piece of hardware.

And of course, animal feces.

This problem also occurs at airports. Why don’t parents put socks or booties on their babies’ and toddlers’ feet? The floors of airports are filthy.

Toddlers and babies who can walk love this freedom to ambulate.

The irony is that when they’re barefoot, their ability to ambulate is hampered.

They also run the risk of stubbing a toe (not to mention stepping on something sharp).

Barefoot baby proponents may argue that bare feet can “breathe.” They may insist that those hard baby shoes will ruin bones (though certainly, special supportive footwear and booties won’t).

They may also point out that their baby will remove the booties, so what’s the use?

  • Find booties that can’t be pulled off.
  • Many parents haven’t even tried booties.

It takes only moments to slip on booties or footwear, so it’s doubtful that saving a few seconds is the reason parents don’t cover their babies’ feet in public.

Babies’ feet can stink.

I once read about a woman who said her nine-month-old daughter’s feet were really stinky, so she always rubbed cream on them and kept her barefoot in public (as well as at home).

Finally she consulted with a pediatrician and was told to stop applying the cream, wash the feet daily with soap and water, and have the baby wear clean socks; the socks would wick away any perspiration.

I wonder how often a baby’s bare feet are dry and odorless, rather than moist, sticky and stinky. Feet, by nature, stink.

Especially bare feet that have been pitter-pattering around on filthy public floors.

And if socks fall off?

Well, as one anti-barefoot mother said on a posting board, “Just put them back on!”

A baby or toddler will repeatedly drop their “binkie,” but mothers don’t mind repeatedly picking the germy thing up from the floor and placing it back in the child’s mouth.

So why is putting socks or booties back on so daunting?

In practice for 20+ years, Dr. Tien is a leading medical voice on social media, providing the public with accurate information to empower them to live their healthiest life.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer. 
 
Sources:
whattoexpect.com/forums/hot-topics-1/topic/barefoot-babies
answers.yahoo.com/question/index?qid=20080603195036AAnhwTT

Two Menstrual Periods Back to Back, Right in a Row

Ever had one menstrual period right after the other—so just as one period ends, the next one begins?

This phenomenon is characterized by about 10 or so consecutive days of bleeding.

The first cycle in this duet is nothing out of the ordinary.

The second period right on top of it is also nothing out of the ordinary.

The only thing really crazy is that these two periods are back to back.

This once happened to me, and I want to assure you that nothing ever came of it. It happened years ago.

I had my typical period, which includes cramping a few days before real flowing. Prior to real flowing was spotting.

Often, I’d feel cramps for at least two days, occasionally on the third day.

So for this first of the two cycles, I had cramps the first three days and the flowing peaked. Then the bleeding began tapering off.

Just when I thought that this period was over, I began feeling cramps.

Cramps at the end of a period had never before occurred, and I thought this was really strange.

Why was I having cramps at the end – like day 6 or 7, which normally just consisted of brownish-red spotting (residual blood)?

The spotting then began morphing into a pinkish tan, resembling the spotting at the front-end of a menstrual cycle.

And each day after the first period apparently ended, I continued to spot…more and more, until it dawned on me: I’m having another period!

The cramping kicked up and so did the bleeding. The flowing was now like a normal period, and I had to replace my panty liners with maxi pads.

A second period…two smack in a row, back to back! How odd was THAT?

This incident of back to back periods happened only once in my entire life. I’m now postmenopausal.

Back to Back Periods vs. Prolonged Menstrual Bleeding

These two issues are not to be confused. Two periods in a row without any “rest” in between is not the same event as is a single period in which the bleeding is prolonged.

In my case, the first period began with the typical spotting and then escalating amount of blood, peaking on the first and second day.

Then the flow began dwindling on day 3, getting less and less by day 5. And of course, the cramping tapered off early on.

But then things started kicking up again, and the backend spotting morphed to the appearance of frontend spotting, which escalated to full-blown bleeding in the same timeline as any of my typical menstrual cycles.

So there were clearly two cycles here.

Causes of Prolonged Bleeding in a Single Menstrual Cycle

Prolonged bleeding of a single period is a different issue.

“There are multiple possible causes for prolonged bleeding with menses,” says Lindsay Appel, MD, an OB-GYN with the Family Childbirth & Children’s Center at Mercy Medical Center in Baltimore.

“Sometimes, hormonal imbalances can cause anovulation which can lead to irregular episodes of bleeding. In addition, thyroid abnormalities can also impact the menstrual cycle.

“Structural abnormalities of the uterus and endometrium (the lining of the uterus) can also contribute to prolonged bleeding.

“These include uterine fibroids, endometrial polyps or endometrial hyperplasia which is an overgrowth of the endometrium and can lead to endometrial cancer.”

If you can’t tell if you’ve had a prolonged cycle vs. two back to back periods, make an appointment with your gynecologist.

Dr. Appel addresses a full range of obstetric and gynecologic needs for women. She has participated in several OBGYN research presentations at professional conferences.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.  

Can a CT Scan Detect a Brain Tumor?

If you had a non-contrast CT scan of your head for whatever reason, such as you fell on your head and feel sick, would it necessarily show a brain tumor if you had one?

“The test of choice to evaluate for brain tumor is the MRI with and without the contrast,” says neurosurgeon Charles Park, MD, Director of The Minimally Invasive Brain and Spine Center at Mercy Medical Center in Baltimore.

“CT’s are usually better to assess the bone related problems and MRI is better for the soft tissue,” says Dr. Park.

However, the CT scan can be used as part of a diagnostic assessment if a brain tumor is suspected.

According to hopkinsmedicine.org, a CT scan “can be helpful in diagnosing some types of brain tumors,” particularly “those near or involving bone.”

The CAT scan can also show bleeding, swelling, bone and tissue calcification that would be caused by a cancer.

If a person has a seizure or exhibits some other alarming sudden symptom such as cognitive impairment, a family member is apt to get that person to the emergency room.

A CT scan will be ordered to find out what’s going on. It will generate an image much faster than will an MRI. Its speed makes it the head scan of choice in emergency situations.

Contrast Dye with the CT Scan?

Dr. Park says, “Using contrast for CT usually is better, since brain tumor will usually enhance or gets brighter on contrast CT.

“Non-contrast may hint at an abnormality but not as conclusive as enhanced CT or MRI.”

The MRI is the gold standard for diagnosing most brain tumors. A contrast dye is used.

The cancerous mass usually “soaks up more dye than normal brain tissue,” says hopkinsmedicine.org.

This will clearly show up on the scan. However, there’s the occasional cancer mass that will not absorb more dye than the surrounding tissue.

CT scans without any contrast are terrific for showing bleeding in the brain from head trauma, but not the mass of a tumor.

Dr. Park specializes in minimally invasive surgical techniques for treatment of conditions affecting the brain and spine. He’s skilled in advanced procedures and techniques that utilize innovative computer technology and image-guided surgery systems.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. She’s also a former ACE-certified personal trainer.  

 

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Top image: Shutterstock/Richman Photo
Source: hopkinsmedicine.org/neurology_neurosurgery/centers_clinics/brain_tumor/diagnosis/how-to-diagnose-brain-tumors.html