The Clinton Herald, Clinton, Iowa

Breaking News

Food & Health

October 28, 2013

Surgery increases risk of pulmonary embolism

CLINTON — DEAR DR. ROACH: I had a pulmonary embolism after surgery on my knee. I have been taking Coumadin for one year, and now I am off the medication. In your opinion, should I now take a test of some sort to make sure I am rid of the blood clot in my lung? — E.A.P.

ANSWER: A pulmonary embolus is when a blood clot travels to the lungs and lodges there. They occur frequently after surgery, particularly when the patient doesn’t get up and move right away. Several factors of orthopedic surgery make it particularly high-risk for PE. The good news is that the risk of another embolus is only about one-half of 1 percent per year after finishing your treatment. A blood clot or PE in someone who doesn’t have a clear risk factor, like surgery, is at much higher risk for recurrence, roughly 5 percent per year.

Tests to make sure the blood clot has dissolved usually are not done. The body is very good at dissolving them on its own, usually within a few weeks to months. The reason for the Coumadin was to prevent new clots from forming.

DEAR DR. ROACH: One doctor says an iron tablet is good for pernicious anemia. Another doctor says it isn’t. What do you think? — R.

ANSWER: Pernicious anemia is a specific type of anemia that is caused by the body’s inability to absorb vitamin B-12 properly. It’s actually an autoimmune disease. Special cells in the stomach make a protein called intrinsic factor, which is necessary for absorbing vitamin B-12. People with pernicious anemia lack intrinsic factor. The treatment for pernicious anemia is B-12, not iron. The B-12 can be given either by injection or by an oral B-12 tablet containing 1,000 times the daily requirement of B-12. Even though the body can’t absorb B-12 normally, if you give a person that much, the body is able to absorb enough.

It’s possible to have both iron-deficiency anemia and B-12-deficiency anemia, so it may be that some people will need both. However, B-12 is the specific treatment for pernicious anemia.

DEAR DR. ROACH: My husband has a shoulder problem, and was told that he needs a replacement. He was told this about 10 years ago, at age 33, but that they would not do it until he was 50, as he could only have one replacement in his lifetime. This shoulder has multiple issues, and he is unable to lift his arm or use it for anything over about 10 pounds. He has regular pain and discomfort. I would like him to get a second opinion, especially since so much time has passed. I wonder if there have been new advancements. He is determined to do nothing until he is 50. What do you think? — C.C.

ANSWER: I think he definitely should get a second opinion. Not only have there been new advances, it actually may be better to do the joint replacement before there has been too much damage to the rotator cuff, which often accompanies the kinds of arthritis that necessitate shoulder replacement. The No. 1 complaint I hear after people heal from their joint replacement is that they wish they had done so earlier.

 

1
Text Only
Food & Health
  • Watermelon Think beyond the slice with refreshing watermelon

    Watermelon is one of those foods you really don’t need to overthink.
    Slice it. Eat it. Spit out the occasional seed. Done.

    July 27, 2014 1 Photo

  • Health insurers owe Iowans nearly $1.8M in refunds

    The federal government says insurers owe Iowans nearly $1.8 million in refunds because of a provision in the Affordable Care Act.

    July 24, 2014

  • Agents get subsidized 'Obamacare' using fake IDs WASHINGTON (AP) — Undercover investigators using fake identities were able to secure taxpayer-subsidized health insurance under President Barack Obama’s health care law, congressional investigators said Wednesday.The weak link seemed to be call cente

    July 24, 2014

  • Almost half of America's obese youth don't know they're obese

    The good news is that after decades of furious growth, obesity rates finally seem to be leveling off in the U.S.. The bad news is that America's youth still appear to be dangerously unaware of the problem.

    July 23, 2014

  • Illinois patients to docs: 'What about marijuana?'

    Illinois doctors, nursing homes, hospitals and hospice organizations are ramping up for their role as gatekeepers in the state's new medical marijuana program.

    July 23, 2014

  • Amanda Stecker Herbs make a better way to flavor meals Summer is a season full of fresh herbs. This is the best time of year to take advantage of the fresh herbs in the grocery store. Herbs add a boost of flavor without added sodium and are rich in antioxidants. Herbs are easy to incorporate into everyda

    July 23, 2014 1 Photo

  • Genome Genetic mapping triggers new hope on schizophrenia WASHINGTON, D.C. — Scientists have linked more than 100 spots in our DNA to the risk of developing schizophrenia, casting light on the mystery of what makes the disease tick.Such work could eventually point to new treatments, although they are many y

    July 23, 2014 1 Photo

  • An oncologist uses scorpion venom to locate cancer cells

    Olson, a pediatric oncologist and research scientist in Seattle, has developed a compound he calls Tumor Paint. When injected into a cancer patient, it seems to light up all the malignant cells so surgeons can easily locate and excise them.

    July 22, 2014

  • Obamacare hit by ruling, but subsidies to continue

    A federal appeals court delivered a potentially serious setback to President Barack Obama's health care law Tuesday, imperiling billions of dollars in subsidies for many low- and middle-income people who bought policies.

    July 22, 2014

  • Bice Nurses earn Daisy awards

    CLINTON — Two Clinton nurses recently earned Daisy awards.Mercy Medical Center nurses Jodie Atkinson and Kristen Bice earned the awards that is rewarded to extraordinary nurses. Atkinson began her career in nursing at Mercy Medical Center in 1995 on

    July 22, 2014 2 Photos

Parade
Magazine

Click HERE to read all your Parade favorites including Hollywood Wire, Celebrity interviews and photo galleries, Food recipes and cooking tips, Games and lots more.