Herbal Medicine

Many are utilizing herbs to enhance their health and ward off disease in conjunction to eating a balance diet. Most do not eat a balance diet, they eat too much processed food or eat too many carbohydrates and do not drink enough water.

During this pandemic of COVID-19, there was an increase use of vitamin C, zinc, turmeric and ginger. It has been challenging to find these items right after the pandemic emerged. I refer to this book frequently for questions about herbs and other natural foods and home remedies.

Back to Eden;: A book on herbal remedies for disease, and other natural methods of healing by Jethro Kloss

This is an excellent book by Jethro Kloss that discusses all types of herbs and natural healing, This old book but very useful. It can be bought on Amazon. https://www.amazon.com/Back-Eden-remedies-disease-Paperback/dp/B00QD9WGAE/ref=sr_1_6?crid=24HKMD6LY5745&dchild=1&keywords=back+to+eden+book+jethro+kloss&qid=1593581575&sprefix=back+to+Eden%2Caps%2C179&sr=8-6

Acupuncture

Acupuncture is defined by Webster (2019) as an ancient practice utilizing needles to pierce parts of the body to treat disease. Below are health benefits that this modality claims to provide.

I have also tried acupuncture. Acupuncture is not a modality that gives immediate results. It takes a series of treatments to see the benefit. Practitioners of the modality also prescribe herbs in conjunction with the treatment for better results. The practice was not effective for me since I was looking for a modality that would give me instant results.

It may work for you, try it and see. I have seen it work for others and know of a practitioner that utilizes this modality to address infertility. He claims a 70% success rate, now that’s impressive.

Just keeping you informed!

Dr. Marilyn Crosby

Food as Medicine

Photo by Oleg Magni on Pexels.com

The Food as Medicine Institute provides nutrition education for individuals, families, and communities to help nourish healthy relationships with whole foods and to enhance healthcare professionals’ understanding of food as medicine. Retrieved from https://foodasmedicineinstitute.com/.

Your health and wellness can be controlled and monitored by your food intake. The moderate consumption of nutritious foods can make the difference in your health status. Consistency is the key to change and occurs through diet and exercise. I always thought if you are consistent for 21 days it becomes a habit, but according to Frothingham (2019) ” it can take anywhere from 18 to 254 days for a person to form a new habit and an average of 66 days for a new behavior to become automatic.”

So, with that say find foods and exercise you enjoy this will assist you with maintaining your health and welling being and staying on tract. These changes should be seen as a lifestyle change and not a diet for long term effects. This mental shift can assist you with making this lifestyle change permanent.

Once you become more consistent with your food choices and exercise, you will notice a change in body image that results in weight loss. These are the wonderful benefits of consistent consumption of nutritious food and exercise. Good luck!

Just keeping you informed.l

References

Food as Medicine Institute. (2020). Retrieved from https://foodasmedicineinstitute.com/.

Frothingham, S. (2019). How Long Does it Take For a New Behavior to Become Automatic. Retrieved from https://www.healthline.com/health/how-long-does-it-take-to-form-a-habit#takeaway

Dr. Marilyn Crosby

Chiropractic Care

Chiropractic Care..
Chiropractic care is defined by Webster (2019) as a method of treating disease by manipulating of the body joints especially the spine.
This modality is a regular part of my health care.
Try it!
https://www.corechiropractic.net/ 713-622-3300
Just Keeping you informed.
Dr. Marilyn Crosby

Implicit Bias and Healthcare, Part ii

Even though health professionals will deny conscious bias when asked, it has manifested into severe forms of abuse within healthcare.

One historical example is the Tuskegee syphilis study, in which Black men were targeted to determine the effects of untreated, latent syphilis even though there was a cure and treatment for the disease (Marcelin et al., 2019). As a result many Black Americans in 2020 do not have trust in the medical community especially as it relates to research, resulting in poor representation in pharmaceutical research.

Healthcare facilities are addressing implicit bias by educating healthcare personnel to increase their awareness. Health professionals should be aware of their own implicit bias that may affect patient care and outcomes. Stereotypes must be addressed by society to facilitate change within all aspects of life including healthcare.

Most of us do not realize we have a bias or will not admit to having one. A culture change must occur, and it starts with you! Educate yourself and find your insecurities and address the stereotypes you have about others.

Chapman EN, Kaatz A, Carnes M. Physicians and implicit bias: How doctors may unwittingly perpetuate health care disparities. J Gen Intern Med. 2013;28(11):1504‐1510. doi:10.1007/s11606-013-2441-1

Marcelin, J. R., Siraj, D. S., Victor, R., Kotadia, S., & Maldonado, Y. A. (2019). The Impact of Unconscious Bias in Healthcare: How to recognize and mitigate it. The Journal of Infectious Diseases, 220(Supplement_2), S62-S73. Retrieved from https://doi.org/10.1093/infdis/jiz214

Quinn-Szcesuil, J, (Jan 3, 2018) Recognizing implicit bias in ealth Care Settings. Blog, Minority and Community Health, Nursing Students Retrieved from https://minoritynurse.com/recognizing-implicit-bias-health-care-settings/

Implicit Bias and Healthcare

After two decades and much criticism, researchers defend the ...

Implicit bias is defined as the lack of awareness of your own potential unconscious biases. It is been noted that healthcare providers may not be aware of their actions and may suggest that these biases are active when providing care to patients (Marcelin, Siraj, Victor, Kotadia & Maldonado, 2019).

Patients from under represented groups in the United States can experience the effects of unintentional cognitive (unconscious) biases that is derived from cultural stereotypes in ways that perpetuate health inequities. Unconscious or implicit bias can also affect healthcare professionals in a variety ways, including interactions between patient-clinician, hiring and promotion, and their own professional interactions with other healthcare professionals (Marcelin et al., 2019). To be continued…

Marcelin, J. R., Siraj, D. S., Victor, R., Kotadia, S., & Maldonado, Y. A. (2019). The Impact of Unconscious Bias in Healthcare: How to Recognize and Mitigate It. The Journal of infectious diseases, 220(Supplement_2), S62-S73. Retrieved from https://doi.org/10.1093/infdis/jiz214

Health Disparities

The past few days the citizens have been protesting the death of a Black man (George Floyd & so many others) by the hands of the police. It has been heart breaking to say the least. COVID-19 pandemic and this latest death of a Black man by the police while three other policeman watched has sparked outrage and disbelief by many including many white Americans.

The hypocrisy of the system has been put into question. As a result the call for equality in community policing as been the cry. Racism is active in many aspects of American life including healthcare.

Photo by Jennifer Enujiugha on Pexels.co

COVID-19 has exposed the health disparities in this country.  The poor, black and brown communities have to navigate through life without the lack of healthcare related to financial burdens, food deserts, and lack of interest by the masses. 

Health care disparities refers to inequitable differences between groups in health coverage, access to care, and the quality of care received. These differences contribute to health disparities (Wasserman et al., 2019).

Individuals working in lower paying positions find it challenging to manage their health care because they may not have health benefits or make enough to purchase a plan. Some are essential workers that are risking their lives to provide services for the community.

The working poor cannot afford to buy health insurance to cover their healthcare needs.  The neighborhoods do not have grocery stores. There are fast food restaurants, small corner stores and liquor stores that appear to be the only thing that thrives in the neighbor.  It is cheaper to buy a happy meal than to buy a head of lettuce and a tomato.  Why should that be? 

Currently the Navajo Nation reported more coronavirus cases per capita than any state in America (Capatides, 2020). They too have issues with diabetes and hypertension and according to Capatides, (2020) the sickest coronavirus patients have to be flown out of the reservation to a hospital.

The reservation has no hospital to treat patients. They have a clinic. Doctors without Borders have gone into the reservation to assist them. The fragmented nature of how health care is delivered in the United States contributes strongly to health care disparities (Wasserman et al., 2019).

As the riches nation in the world why do we have these issues within this country?  In the 1920’s Black communities flourished and took care of their needs since they were not welcomed in other communities.  All over the United States during this time between 1863-1923 eight thriving Black communities were burned to the ground, desecrated and never rebuilt.

In fact this is the 99th anniversary of the destruction of the Tulsa riots that occurred on May 31, 1921 that killed a Black settlement because of racism. (https://blackthen.com/8-successful-and-triving-black-communities-destroyed-by-racist-white-neighbors/). 

So as you see, things keep happening and many people do not know the plight of the poor, black and brown people. Many feel they should pull themselves up by their books straps, but there are no straps or boots, They were taken away too. Thus these communities are doing their best just to survive.

I do not know what to do about this and it keeps me up at night. The problem is enormous. The Office of Minority Health was created to study racial and ethnic minority health in 1986 (https://www.minorityhealth.hhs.gov/). It is 2020 it is time to implement the plan to change the health outcome for minorities and poor populations within this country.

Photo by Anna Shvets on Pexels.com

“Healthy People is an HHS (health & human service)-led initiative aimed at improving population health and achieving health equity across the nation. For almost four decades, the Healthy People initiative has maintained a set of science-based national objectives for improving health, which has been the framework for public health priorities and actions. Healthy People 2020, The latest set of goals and objectives, features more than 1,200 objectives across 42 topic areas.” https://www.healthypeople.gov/2020/law-and-health-policy/topic/leading-health-indicators.

The federal government has many initiatives that are rolled out to the states to address. Community non-profits agencies address specific core issues related to the communities within their state. Review of the (CDC) government website reveals Texas does not have a 2020 plan and maybe this state is utilizing non-profit agencies to address the vulnerable population within this state. The Affordable Care Act (Obama Care) was established to address preventative health and we all know how that is going in 2020.  The resistance continues.

ARTICLE CITATION

Capatides, C. (2020, May). Doctors Without Borders dispatches team to the Navajo Nation, CBS, News, Retrieved from https://www.cbsnews.com/news/doctors-without-borders-navajo-nation-coronavirus/

Capatides, C. (2020, May). Doctors Without Borders dispatches team to the Navajo Nation, CBS, News, Retrieved from https://www.cbsnews.com/news/doctors-without-borders-navajo-nation-coronavirus/

Wasserman et al. (2019)Advancing Health Services Research to Eliminate Health Care Disparities”, American Journal of Public Health, 109 (S1), S64-S69. Retrieved from https://doi.org/10.2105/AJPH.2018.304922

UNPLUG

Photo by Steve Johnson

In light of the riots going on in the United States in varies cities, has caused me to be glued to the television.  I have cried every day and it hurts me to see this uprising.  I understand and have experienced the hurt and pain felt by the masses of the unfair treatment of my community. 

I have not felt the need to join the protest but feel I need to do something. As the mother of two Black male sons, I am keenly aware of the conversations we have had to have regarding racism in this country.

What remains to be seen, is the results of COVID-19. I have friends working in hospitals taking care of COVIO-19 patients.  They are afraid that they may take the virus home to their family. 

They also have concerns related to their work environment, infection control issues, and patient assignment. I have tried to be a buffer for them, and listen. The overall stress and anxiety can be mentally exhausting.  These stressors can affect your psyche and you have to unplug for your own sanity and well-being.  You may be experiencing the same, take care of yourself, stay well and unplug! It’s essential.

Just keeping your informed.

United States Has A Problem

All day I have been watching what has been going on in major cities in this country; Houston, Dallas, New York, D.C., Los Angles, Las Vegas, and Atlanta.

RACISM impacts all areas of life in the United States, including healthcare. This issue influences our individual health and wellness and should be addressed to make the necessary changes. Change can not be made if the problem is not acknowledged.

The truth is upsetting and as a society, we must stop normalizing and denying that there institutional racism. As John Lewis would say “when you see something that is not right, not fair, not just, you have a moral obligation to do something about it.”

Just keeping you informed!

My trip to the Doctor

I fell running about 6 weeks ago, right when COVID-19 hit Houston. I bruised my left hip and fell on my left hand. I decided I would take care of it myself, after all I AM A NURSE. I wrapped my wrist and took some ibuprofen, applied ice and kept going. The swelling did not resolve and the pain was minimum.

Last week my left wrist started throbbing and the pain moved from my wrist to inside my palm with an increase in swelling.  After talking to a friend, I agreed to go to urgent care because I thought I might have a hairline fracture.

Urgent Care

I arrived at urgent care and to my surprise the door was locked, and I was instructed to call them on the phone and wait in the car.  I completed registration over the phone and waited in the car because they were seeing one patient at a time.  The wait was not long.  Once I was called, the clinic door was unlocked, and I could enter. My temperature was taken at the door and I was questioned about my current state of health and asked to take a seat.  I was placed in a room where I met the provider, a physician’s assistant (PA).

The PA examined my hand and sent me to have an x-ray because it was visibility swollen and painful.  After the x-rays she stated no fracture was note but said I had arthritis and referred me to a hand specialist because of the swelling and the pain.  I asked her what the trade name of the drugs she was prescribing.  She said one drug was Flexeril and she did not know the trade name of the other but because of MY AGE it would be good for arthritis.  

The paperwork she gave me stated the diagnosis was swollen left wrist, contusion and a sprain, but she told me I had arthritis.  I was given a brace and sent home with instructions and a referral.  The prescription was called in and I picked it up on the way home.  The side effects were shocking, warning of a stroke and heart attacks.  I thought if she is worried about my age why would you prescribe such a drug to someone who she thinks is old. 

Photo by Edu Carvalho on Pexels.com

I tried to call and get an appointment with the hand specialist that was referred.  After several attempts, I reached out to my provider who gave me an appointment for June 18, 2020, which was a month away.  I declined and decided to take care of my hand myself, because of the time factor. What would be the point, the wrist should be healed by then.

Lord and behold, my providers’ nurse called me back and offered an appointment for the following Wednesday.  Dealing with the healthcare system is challenging.  I feel badly for those who do not know how to manage the system or their health issues. 

Please stay well!! As you can see, it can be frustrating even for those who work in healthcare as well.

Just keeping you informed.

Dr. Marilyn Crosby

%d bloggers like this: