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Infectious Disease and 2021

Posts Tagged ‘wounds’

Infectious Disease and 2021

Posted on: February 5th, 2021 by Encompass Healthcare No Comments

Infectious Disease has become an even more interesting specialty over the past year. But although COVID-19 is still a large topic for us, there are other subjects and advancements to review as well!

Infectious Disease! Most of us probably haven’t really given those two words a thought in the past few years – that is until COVID-19 hit every news channel, radio station, and the population of almost every country in the world! Some of our young people, especially young children, may now think of COVID-19 as synonymous with Infectious Disease studies and medicine. Still, there are other facets of the Infectious Disease specialty that deserve recognition and attention – but today, we’re here to give some legitimate updates on the COVID-19 pandemic.

One thing we found important to note is that, according to the CDC, COVID-19 cases, hospitalizations, and deaths across the United States are still rising. This means that it isn’t yet safe to get back to our pre-2020 normal. Wearing a mask, distancing 6+ feet, and avoiding crowds are all great steps to help slow the spread of the disease. If we can slow the spread enough, we’ll all be able to help our amazing health care professionals and first responders to care for the sick and injured!

Next big ticket item… COVID-19 vaccines are now being administered! The CDC as well as your local health department will have information on where, when and how we all can get vaccinated! This is great news! With a working vaccine for COVID-19, we as a community may be able to return to a pre-pandemic normal much sooner. It also means that those who are vaccinated will have a much better chance of beating or fighting off the virus – should they be infected later on!

Now, although this vaccine is good news, we aren’t completely out of the woods just yet. Like we mentioned before, COVID-19 cases and deaths are still on the rise. So, there’s still reason for caution. Luckily, our medical director Dr. Bruce Ruben, along with our entire staff, have made a great effort to provide a safe and convenient place for patients to receive care, despite the pandemic and risk COVID-19 poses on us all. We have added to our sanitizing and social distancing routines here at the office, making sure to provide plenty of masks and hand sanitizers in the office for staff, patients, and visitors! We truly care about the safety of all parties in our office!
If you’re interested in learning more about these topics, we suggest you take a look at the source list we’ve provided. Below, you’ll find the website and articles we used to find factual information about the virus, pandemic, and the vaccine!

Our Sources:
https://www.cdc.gov/coronavirus/2019-ncov/index.html
https://www.michigan.gov/coronavirus/
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/covid-19-vaccines
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/index.html
https://www.cdc.gov/coronavirus/2019-ncov/vaccines/facts.html

Food Substitutions

Posted on: July 10th, 2014 by Mindy Ruben No Comments

No Substitute For Substitutions

by
Rob Striks, Special Writer
Encompass HealthCare and Wound Medicine

Spaghetti squash is a great substitute for normally high-carb spaghetti.

At Encompass HealthCare and Wound Medicine, we talk a lot about making dietary food substitutions in order to take in more protein, lose weight or gain energy to aid in wound healing.

Sometimes, the substitutions we recommend are appropriate for a much larger audience than just wound care patients. Diabetic, cardiac and obese patients can make important strides in their health by making simple substitutions in their diet.

With that in mind, I made two important discoveries this week that have revolutionized my entire diet. I cooked with garbanzo flour and I learned how to make fried rice out of cauliflower. This is literally, and I use the term “literally” correctly here, the best thing since sliced bread.

Garbanzo Bean Flour is available in supermarkets and online.

Garbanzo Bean Flour is available in supermarkets and online.

That’s because I can now use garbanzo flour in recipes where I used to use wheat products and the end result is not only tastier, it’s infinitely healthier for me. Garbanzo beans are a rich source for protein, dietary fiber and healthy carbohydrates. They’re also very low in fat.

This discovery is a personal triumph for me as I used to pride myself on being able to make healthy substitutions in all my cooking. My substitutions, though, did not necessarily result in a trim body or more energy.

For instance, I learned how to substitute skim milk for whipping cream in Fettuccine Carbonara, which is like ordering a Boston Cooler made with Häagen-Dazs ice cream and telling the server to use Diet Vernors instead of regular Vernors. No big payoff there.

Then when Egg Beaters came along, I saw the clouds part and a heavenly ray of light shine down. Finally, the answer to high cholesterol had arrived! Unfortunately, they arrived along with mandatory nutritional labeling, and you had to be a chemistry major to figure out what they were actually made of. Plus, they didn’t taste all that wonderful.

Then, there is the never-discussed shame of ordering Egg Beaters in a restaurant. If you’re heavy, the server thinks you’re cheating somewhere else in your diet. And if you’re slender, you’re obviously high maintenance. There’s no winning with egg substitutes physically or mentally.

Socca is a gluten-free flatbread made from garbanzo bean flour.

Socca is a gluten-free flatbread made from garbanzo bean flour.

I did make the transition to substituting fresh egg whites for whole eggs in recipes and I learned to accept the texture changes in the finished products. Luckily, it’s 2014 and fresh whole eggs are enjoying some great publicity for being on the Good-For-You List again. I am cutting back on the yolks just a bit.

What brought me to garbanzo flour was the advice from my cardiologist that I give up all wheat, rice and potato products; and the advice from a good friend that I try socca, a food that’s like bread only it’s made with garbanzo flour instead of wheat flour. Cue the choir, it was fabulous.

Then, while putting together a ground turkey meat loaf, I substituted garbanzo flour for breadcrumbs and got another marvelous lift – a super protein, high-fiber meat loaf that held together perfectly. Is there anything these garbanzo’s can’t do?

Luscious chocolate cake made from garbanzo bean flour: Heaven!

Luscious chocolate cake made from garbanzo bean flour: Heaven!

A rich chocolate flourless cake made with garbanzo beans, you ask? The answer is yes and it’s right here. Make it and I guarantee the clouds will part for you

Pulse the cauliflower in a food processor or use a grater to make superb cauliflower fried rice.

Pulse the cauliflower in a food processor or use a grater to make superb cauliflower fried rice.

Now about that fried rice made with cauliflower. Who knew! I saw this demonstration online, I tried it and not only did I not need a nap after eating it, I actually felt quite energized. One of the secrets is using a food processor to pulse the uncooked cauliflower into tiny rice-size pieces. Then during the cooking process, you only use a small amount of liquid to steam the cauliflower so it doesn’t turn mushy.

Once you understand the liquid-holding and liquid-releasing properties in vegetables during cooking, there’s practically no limit to how you can use them as substitutes to enhance your nutrition. Spinach, for example, releases a lot of moisture when it’s cooked.

Spinach releases a lot of moisture during cooking.

Spinach releases a lot of moisture during cooking.

The same goes for mushrooms. So if you’re making quinoa with spinach and/or mushrooms and you want the same drier consistency, you have to use a bit less liquid than the usual two parts water to one part quinoa in the recipe.

In the beginning, using vegetables as substitutes in recipes works best when the seasonings usually overpower the dish. Like in the cauliflower fried rice, the soy sauce and seasonings over power any strong cauliflower taste.

Like spinach, mushrooms release liquid during cooking.

Like spinach, mushrooms release liquid during cooking.

Later, as you become more accustomed to the flavor and texture of the cauliflower, you may find yourself using less of the overpowering flavors in order to let the cauliflower taste come through.

So now that you can’t wait to garbanzo your diet, where do you get garbanzo flour? Well, you can make it yourself by grinding non-hydrated garbanzo beans in a spice grinder until they’re the consistency of flour, you can buy the flour already processed at most big supermarkets, or you can buy it online.

Try garbanzo flour for wheat flour. Check out cauliflower in place of rice. You can even prepare parsnips so they taste like sautéed potatoes. There’s no substitute for substitutions when it comes to eating healthier.

Hmmm…now that I think about it, lentils are beans and they’re also high in protein and low in fat. I wonder what would happen if I put them in my spice grinder and……

I’ll get back with you.

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Hospital-Acquired Infections

Posted on: February 10th, 2014 by Encompass Healthcare No Comments

I got sent to The Front a couple of weeks ago. I call hospitals “The Front” because there are constant biological wars being waged there that infect over two million patients a year with hospital-acquired infections and kill over 100,000. (more…)

What You Ought To Know About Bed Sores

Posted on: January 21st, 2014 by Mindy Ruben No Comments

Bed Sores? What are they and how are they treated?

See on Scoop.it – Pressure Sores

Bed sores are a very painful condition that affects many elderly or bed ridden people. Bed sores, or pressure sores, are tissue damage to the skin caused by prolonged pressure to one area of the body. They are especially prone to spots that are bony, like the knees, hips, buttocks and heels.

There are four different stages of pressure sores. Stage one the skin is still intact. The skin becomes red and is painful to the touch, sometimes the skin texture or temperature changes as well. Stage two is where the spot becomes an open wound. Sometimes it appears as a blister. Stage three occurs once the ulcer has become a deep wound, often times yellow in color due to the dying skin. Other layers of skin may also be affected at this stage. Stage four begins when there is massive tissue loss. Bone, muscle or tendons may become exposed.

 

Encompass HealthCare‘s insight:

Quadriplegics and paraplegics often acquire bed sores, due to the constant pressure of sitting in a wheelchair or lying in the same position in bed. Prevention is key.  However, if pressure sores have already developed, the patient needs thorough, comprehensive, and expert wound management attention. Remedies may involve wound debridement, IV antibiotics, hyperbaric oxygen therapy, skin grafts and flaps, and other wound-healing modalities.

 

Wound Care Patient Guide Published by Dr. Bruce Ruben!

Posted on: January 7th, 2014 by Mindy Ruben No Comments

Wound Care Patient Guide Published by Dr. Bruce Ruben

Medical Director Dr. Bruce Ruben has just been published, citing an exhaustive wound care patient guide for wound care and non-healing wounds on Vitals. com, a respected physician search and rating site. The guide includes an overview of wound care, non-healing wounds, the team of physicians who might be involved in the overall wound care process, how to prepare for a wound care physician’s office visit, questions to ask the doctors, common tests to expect, and possible treatment options. The most common types of wounds are discussed and details about each type are available. In addition, the guide offers information on the reasons why wounds sometimes do not heal, a chronic problem for quadriplegics, paraplegics, the disabled, and diabetics. Encompass HealthCare is an expert, outpatient wound healing center that uses sophisticated wound treatments such as hyperbaric oxygen therapy, IV antibiotics, lymphedemic management, and more to heal stubborn wounds.

 

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We’re A Designated Dignity Zone.

Posted on: December 12th, 2013 by Mindy Ruben No Comments

Encompass HealthCare is a Designated Dignity Zone.
“Be kind, for everyone you meet is fighting a harder battle.” -Plato 

We judge wounds. We judge wounds for thickness, infection, progress, depth, width and length. We judge treatment effectiveness and we’re not afraid to change modalities from one moment to the next. After all, there is no dignity in hanging on to a treatment plan that isn’t healing.  (more…)

 

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