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Hospitals cancel hundreds of non-urgent procedures, surgeries, and medical appointments – The Boston Globe

Posted: March 18, 2020 at 3:42 am

Hospitals across the state have canceled hundreds of non-urgent surgeries for patients, including joint replacements and weight-loss operations, leading procedures to plummet 30 to 50 percent at some large facilities.

Elective procedures and routine medical care are being postponed around the country because of the coronavirus, creating distress for patients, sharp public disagreements among doctors, and worries for hospital executives whose institutions are likely to face steep financial repercussions.

Doctors and health care executives in Massachusetts said patients have been mostly supportive, knowing hospitals need to free up nurses and doctors to treat coronavirus patients and conserve protective equipment like masks, gloves, and gowns. "People understand this is a new reality for us,'' said Nancy Shendell-Falik, president of Baystate Medical Center in Springfield.

Still, the dreaded cancellation phone call has brought deep disappointment to some patients.

Justin OConnor, 67, scheduled his hip replacement surgery at Newton-Wellesley Hospital two months ago, an operation he badly needs to relieve pain that makes it hard to walk, even with a cane.

On Friday his surgeon said he hoped to squeeze in OConnors operation before the hospital began shutting down elective procedures. Then, on Sunday at noon, OConnor got the phone call: His surgery scheduled for 8 the following morning was indefinitely postponed because of the coronavirus.

"I understand at some point as the virus spreads this kind of stuff makes sense,'' said OConnor, who lives in Woburn. "My other feeling is that today that surgical suite went unused and the doctors talent went unused and my pain is still there.''

Some hospitals had already started to cancel discretionary procedures and non-essential medical appointment last week, but that effort intensified over the weekend as the Baker administration directed all Massachusetts hospitals to stop performing non-essential elective procedures. At some hospitals, doctors made personal calls to their patients while at others assistants were handed lists to work from.

The results have already been dramatic.

On Monday, surgeries at Baystate fell 40 to 50 percent, at Tufts Medical Center in Boston, operations were down 30 to 40 percent, and at Brigham and Womens Hospital, they decreased 30 percent.

"We are trying to take the pressure off our provider workforce, which is also under some threat,'' said Dr. Gerard Doherty, surgeon-in-chief at the Brigham, which normally does 700 operations a week. "We dont know how many COVID-positive patients we will be taking care of next week.''

Hospital executives and doctors said they are canceling elective surgeries, as well as certain low-risk cancer surgeries and cardiac bypass surgery, when the patient is stable. Operations that cant be postponed include trauma surgery, appendectomies, perforated ulcers, and cancer surgery when putting off the operation could worsen the patients chances of survival.

The challenge is that about half of all operations fall somewhere in the middle, gray areas where hospitals are largely leaving decisions in the hands of the surgeons who know their patients best. At Baystate, for example, one neurosurgeon planned to postpone spine surgery when a patients only symptom was radiating leg pain, but proceed with surgery when a patient developed additional symptoms such as difficulty controlling their foot.

"Our chiefs and chairs will talk with surgeons about where we are drawing the line,'' said Dr. Saul Weingart, chief medical officer at Tufts Medical Center. "We are trying to get people aligned on having a common set of expectations given that we are getting ready for an influx [of coronavirus patients]. There are probably some borderline cases we want to get done early.''

Hospitals nationally have bristled at what they consider blanket calls by Trump administration officials to cancel elective procedures.

On Saturday morning, the US Surgeon General, Vice Admiral Dr. Jerome Adams, tweeted to hospitals and health care systems to PLEASE CONSIDER STOPPING ELECTIVE PROCEDURES until we can #FlattenTheCurve!

Hospital groups fired back the next day in a memo to Adams that they made public.

"We are concerned about recent comments by government officials that could be interpreted as recommending that hospitals immediately stop performing elective surgeries without clear agreement on how we classify various levels of necessary care,' wrote the American Hospital Association and three other groups.

"We cannot completely cease caring for illness in our community that is not directly related to the COVID-19 crisis. Our ability to respond to patients must not be prevented by arbitrary directives, but any curtailment must be nuanced to meet the needs of all severely ill patients,'' they said, citing as examples repair of faulty heart valves, removal of a serious cancerous tumors, or pediatric hernia repair.

In Massachusetts, Governor Charlie Baker was not specific with his directive, just saying "Hospitals must cancel non-essential elective procedures.'' The administration did not provide detailed guidance, apparently leaving it up to hospitals to decide what can be delayed and what cannot.

Liz Kowalczyk can be reached at lizbeth.kowalczyk@globe.com.

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Hospitals cancel hundreds of non-urgent procedures, surgeries, and medical appointments - The Boston Globe

5 Reasons You Haven’t Lost Weight on a Vegan Diet – The Beet

Posted: March 18, 2020 at 3:42 am

A vegan diet is an excellent way to eat for weight managementyou just have to do it correctly. Many people assume eating vegan is a means to shedding some pounds, but that's not necessarily the case. As with any diet or lifestyle change, you have to eat a well-balanced, nutritionally sound diet and take in (or burn off) fewer calories than take in to lose weight. This means that just because youre eating vegan if youre not following the proper portion sizes, or not reaching for whole foods, you can still see weight creeping up on the scale unexpectedly.

Add overeating to the new forms of vegan food available (read: fast-food restaurants with new vegan options) and youll find convenient vegan offerings all over, albeit ones that may be still slightly unhealthy for you.

Eating vegan used to be about eating a whole-food, plant-based diet with only vegetables, fruits, whole grains, legumes, nuts, seeds, herbs, and spices, says plant-based nutrition expert Julieanna Hever, MS, RD author of The Complete Idiots Guide to Vegan Nutrition and the upcoming book, The Healthspan Solution (December 2019). Now, vegan food is everywhere and it's accessible. For the first time in 14 years, I'm having clients come to me with the same health issues as clients who dont follow a vegan diet, like weight issues and high cholesterol. I never saw that before, ever.

Here, Hever shares some of the most common reasons why someone isn't losing weight on a vegan diet as well as how to eat vegan so that you lose weight without depriving yourself or becoming hangry in the process.

One of the beautiful benefits of a whole-food, plant-based diet is that when you eat any combination of the infinite variety of vegetables, fruits, whole grains, legumes, mushrooms, nuts, seeds, herbs, and spices, you will get just what you need, Hever says. This means you dont have to stress about keeping score of your macronutrients like carbs, protein, and fat, you just have to eat food as whole and straight from the source as possible. If youre concerned about your weight, eat more whole plant foods that are nutrient-dense and calorically light to fill up while steering clear of the processed [and packaged plant-based] foods, Hever recommends.

People think that because something is labeled vegan, it's healthy, whether thats on a restaurant menu or a label in the grocery store. Thats not necessarily true, because ice cream is still ice cream, says Hever. Yes, the vegan version is better for you than the dairy version, but it's not going to make you healthy, and it's not going to help you avoid weight gain. For example, a 2/3-cup serving of Ben & Jerrys Vegan Chocolate Chip Cookie Dough has 350 calories, 33 grams of sugar, and 11 grams of saturated fat. Its made with almond milk, coconut oil, and pea protein, but that doesnt make it an ideal plant-based food. Youre better off having a cup of fresh fruit and pairing it with a plant-based glass of milk or yogurt for protein instead if youre looking to lose or maintain weight loss.

Since youre not trying to follow a diet while eating vegan you might be reveling in the fact that you dont have to measure out portions of foods. The problem is, its all too easy for portions to get larger without us knowing it, and those extra calories can add up to weight gain, no matter what youre filling your plate with. Think about it: If that sprinkle of walnuts on your morning oatmeal (probably a tablespoon) starts becoming a handful (closer to -cup) youll be taking in about 200 more calories easily. That portion increase alone could tally up to 20 pounds in a year if you ate that breakfast daily! If youre focused on whole plant foods and find you're gaining weight, eat smaller servings, suggests Hever. One area she finds her vegan clients tend to overdo it are oil portions as well as nuts and seeds. Use measuring spoons and cups for these caloric, high-fat items when watching your waistline.

If you followed previous diets that were low in carbs before becoming a vegan, it can be refreshing to have them back on the menu as a plant-based eaterbut all too easy to use them as a crutch. For example, cereal at breakfast, a vegan pizza at lunch, pasta with vegetables at dinner and whole-grain crackers for snacks makes your meals almost entirely consistent with carbs, which your body stores as fat if theres a surplus that it cant burn off as energy. Avoid this weight loss trap by making sure vegetables are the focus of your meal and carbs are aside. You can also opt for whole grain rice, pasta, breads, cereals, and whole wheat quinoa so you know youre eating nutritionally sound carbs that are digested slower, giving your body a chance to burn off more throughout the day.

It sounds counterintuitive but if you arent consuming enough calories and eating nutritious meals on a vegan diet, your metabolism can slow down, making it harder to lose weight. Not only will you likely feel really hungry if youre restricting calories too much (intentionally or unintentionally) but your bodys caloric burn rate will slow, and itll want to hold on to every calorie you give it. (Not to mention that you could be setting yourself up for a binge on unhealthy vegan foods in the near future.) Focus on eating well-rounded, whole food plant-based meals that are high in fiber and contain healthy fats, protein, and carbs to help you feel full while meeting your nutritional needs.

There are plenty of mistakes you could make on a vegan diet that could cause you to gain weight (as with any diet), but research still finds that people who follow a plant-based diet tend to have lower BMIs than those who dont, meaning that as long as you think about what youre eating and make a concerted effort to eat regular, smaller whole food, plant-based meals the chances that youll lose weight while increasing your longevity is a safe bet.

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5 Reasons You Haven't Lost Weight on a Vegan Diet - The Beet

Rebel Wilson’s trainer dishes the secrets to her huge weight loss – Who

Posted: March 18, 2020 at 3:42 am

Rebel Wilsons personal trainer has revealed the exercise routine that has helped the star achieve her newly slimmed-down figure.

WATCH:Rebel Wilson completes a gruelling workout at the gym

Jono Castano Acero says that if, like Rebel, you want to achieve weight loss results you need to be training for at least 45 minutes a day

'At a minimum, I preach to always get in 45 minutes daily. Whether that be a workout, a walk or something else that's physical that you enjoy doing,' Jono told Daily Mail Australia.

Jono, 28, believes that high-intensity interval training (HIIT) is the best form of exercise for weight loss.

'What I do for most of my clients looking to shed some pounds is incorporating a mix of different exercises into their session. Short bursts of intense cardio combined with resistance training and weights is my special formula,' he said.

'It fires up the heart rate and calorie burn as well as builds lean muscle so your body continues to burn calories at a high rate throughout the day.'

Back in January, Rebel took to Instagram to show off her incredible body transformation, admitting to her followers that while she had relaxed her healthy eating habits over Christmas, she now intends to avoid the junk and sugar food.

Posing in her activewear whilst out for a jog on the beach, the 39-year-olds fans were quick to praise the Cats star for her weight loss.

Okay so for me 2020 is going to be called The Year of Health so I put on the athleisure and went out for a walk, deliberately hydrating on the couch right now and trying to avoid the sugar and junk food which is going to be hard after the holidays Ive just had but Im going to do it! Whos with me in making some positive changes this year? Rebel wrote in the photos caption.

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Rebel Wilson's trainer dishes the secrets to her huge weight loss - Who

‘I Overcame Binge Eating By Practicing Portion Control And At-Home WorkoutsAnd I Lost 150 Lbs.’ – Women’s Health

Posted: March 18, 2020 at 3:42 am

My name is Lacey Renee Fithian (@lacey.fithian), and I'm 34. I live in California and I'm a mother and wellness coach. After struggling with binge eating for years and reaching 285 pounds, I decided to start tracking my food intake and working out with an at-home fitness streaming service. I feel younger now than I did in my 20s.

My weight issues began very early on. As early as elementary school, I struggled with eating disorders. I would hide food in my closet and under my bed. I regularly binge ate in secret. I was much heavier than all of my classmates, and I was bullied terribly for being overweight throughout my school years and into my early adult years. I had trouble finding clothing in my size.

My mother tried so hard to help me to lose the weight and get healthy by signing me up for numerous diet plans. Plans worked short term, but I didnt maintain the results. I had the mindset that I would never change and food would always have power over me. Thinking this way pushed me even deeper into my illness.

Before work, I would go through the drive-thru and order as much food as possible. Then, I would pull over in the parking lot or somewhere unseen and eat it all. This horrible cycle affected my ability to work and live a decent quality of life. I was literally living just to eat.

I began avoiding the doctor because I was always lectured on good food habits and exercise. I was warned that my weight was becoming dangerous for my stature, and I would do some irreversible damage to my body if I didnt make a change. But that didnt stop me.

I had a long list of health issues, many of which I thought stemmed from being overweight. The most notable issues were severe depression, anxiety, chronic hives, fatty liver disease, and endocrine issues. Most of my conditions required strong medications like hormone medications, steroids, and antidepressants. My weight also caused debilitating back pain and fluid in my knees. My entire system was overloaded from the level of neglect I had subjected it to. I was constantly in pain and uncomfortable.

Instead of changing my ways, though, I used food to console myself. At 32 years old, I was at my heaviest weight of 285 pounds.

I was 32 years old, and I woke up in the morning groggy and in pain. It hit me like a ton of bricks that I had finally hit rock bottom. I had eaten myself into a black hole over the holidays and felt absolutely run down. Everyone around me was setting New Year's resolutions and talking about the changes they hoped to make in the new year. I hadnt thought twice about my future until that moment.

I depended on a heap of medications to keep myself semi-functional. I couldnt keep up with my kids and had withdrawn from society. I wasnt exercising and I was on my way to a heart attack. Metabolic syndrome was kicking in on top of everything else. To be honest, I'd just had enough.

I had tried just about every restrictive diet out there and it never worked. The more I restricted myself, the more I wanted to binge eat. I needed something that wasnt just a diet; I needed a mindset and lifestyle change.

It came down to me becoming my own food detective. I focused on portioning my plate evenly and making sure that all the foods I chose were nutrient-dense and not empty calories. I wanted my calories to be worth it and work for me, not against me.

I also started tracking everything. I used to dread tracking my meals and weighing myself because I didnt want to admit I had a serious problem. But once I began tracking my weight, my water intake, my mood, and everything I ate (down to the condiments, dressings, and seasonings!), I was able to get a clear picture of what was working and what wasnt.

I began with walking and swimming at my heaviest weight and gradually worked my way up to more strenuous work, like yoga and cross training.

Now I work out at home using an on-demand fitness streaming service, where I can pick and choose a program that works for me. I typically do a structured program that is a certain length, like eight weeks or so, and each day the workouts focus on a different area, with at least one day of all cardio. I work out in the mornings at least five days a week, and my workouts range anywhere from 20 minutes to an hour.

I like that there's no guessworkyou just follow the videos. I have lost most of my weight this way, and the convenience of it has helped me stay on track. I dont have to pack up myself and my three kids to go work out.

By committing to myself, Ive been able to reverse the damage that was done to my body and eradicate the illnesses that plagued me for so long. I am virtually pain-free and I no longer depend on a plethora of medications to get me through the day. I take vitaminsand thats it!

Gone are the days of binge eating and trying to fill a void with food. I have learned how to properly eat to fuel my body and exercise to improve my overall health and well-being. Im 34 years old, and I feel better and younger now than I did in my 20s. My journey isnt over, its just beginning. This isnt a short-term goal for weight lossits a lifestyle change.

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'I Overcame Binge Eating By Practicing Portion Control And At-Home WorkoutsAnd I Lost 150 Lbs.' - Women's Health

As coronavirus spreads, is it safe to go to the gym? – TODAY

Posted: March 18, 2020 at 3:41 am

That killer cardio class at the gym might take on a new meaning for people worried about the new coronavirus.

Exercise is a prescription for good health, but is it wise to visit a health club as the outbreak grows?

Some cities and states including Los Angeles, San Francisco, New York, New Jersey and Connecticut have already decided that question for its residents, ordering gyms to close to maximize social distancing and help stop the spread of the virus.

Some national fitness chains, including LA Fitness, have temporarily shuttered all U.S. locations. Gold's Gym has closed all company-owned U.S. clubs, including gyms across Texas, Oklahoma, St. Louis, Alabama, the Carolinas, Colorado Springs and Venice, California.

On March 16, the Coronavirus Task Force urged Americans to avoid gathering in groups of more than 10 people, effectively shutting down group fitness classes.

What about places where gyms are still open?

When it comes to healthy younger people who have no symptoms and live in areas where theres no widespread disease, its safe to go to the gym, said Dr. Michael Ison, an infectious disease physician at Northwestern Medicine in Chicago.

But they have to use extra care, Ison told TODAY.

You have lots of people coming and using shared equipment. When you work out, you often are rubbing your face and nose to get the sweat off and then touching the handlebars that would be a great way for someone to potentially share the virus.

Whether its safe to go to the gym may change over time as more cases emerge. Its also important to follow local guidance since the outbreak is worse in some areas than others.

Trending stories,celebrity news and all the best of TODAY.

The more important question may be: Should you go to the gym even if it seems safe? There's a generational call for healthy younger people to stay at home to prevent the outbreak from growing worse.

People who are at-risk for complications from COVID-19 older adults over 60 and patients with underlying medical conditions should minimize their exposures to the public, which would include skipping the gym, Ison noted. His father, who is in his 80s, has stopped going to his health club to protect himself.

For those who want to keep the maximum social distance, the safest way to exercise may be in a home gym.

People who do decide to go to a health club should be very diligent about washing their hands both before and after they work out, Ison noted.

Heres more advice for healthy young people in areas without a widespread outbreak:

Be sure to wipe down the machine thoroughly with an anti-bacterial wipe before and after you use the equipment a dry towel or a towel with water wont do the trick, Ison said. Try to disinfect all surfaces. Keep your distance from other people.

The number of people in an aerobics class is relatively small and theres usually a reasonable degree of separation between the participants, Ison said. But again, the Coronavirus Task Force is now urging Americans to avoid gathering in groups of more than 10 people, so group fitness is coming to a halt.

Use your own mat in a yoga class. If using a mat provided by the health club, clean it with antimicrobial wipe.

The chlorine in the pool will likely inactivate the virus, so doing laps is probably less of a concern, Ison said.

The bigger issue is that you have to change in the shared locker rooms, and people are often touching the mouth, nose and face and then maybe touching the lockers, he noted.

If you do, wash your hands carefully before and after swimming in the pool.

This seems to be the best bet. Sunlight is natures greatest disinfectant because the ultraviolet light inactivates bacteria and viruses, said Joseph Fair, a virologist, epidemiologist and NBC News Science contributor.

When exercising outside, there are also fewer people close enough to you for their respiratory droplets to reach your body when they sneeze or cough.

The city of San Francisco, which has ordered residents to stay at home until April 7 except for essential needs, is allowing outdoor activities, such as walking, hiking or running, as long as people maintain at least 6 feet of social distancing.

Going to a restaurant or cafe: Some cities and states have ordered eateries to shut down, except for takeout and delivery. In places where restaurants are still open, its generally safe to go out to eat, Ison said. The cooking process will inactivate the virus. But if theres someone sick sitting next to you or working at the eatery, ask to move or dont eat at that establishment. Don't go in a big group since the Coronavirus Task Force is urging Americans to avoid gathering in groups of more than 10 people.

Getting a haircut: Thats slightly lower risk because its just you and the hairdresser, Ison said. But stay away from sick clients and wash your hands after touching anything in the waiting area. If the barber is sick, I probably wouldnt get my hair cut that day, he noted.

A. Pawlowski is a TODAY contributing editor focusing on health news and features. Previously, she was a writer, producer and editor at CNN.

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As coronavirus spreads, is it safe to go to the gym? - TODAY

Hoarding Toilet Paper and Hand Sanitizer Doesn’t Make Senseand Here’s the Math to Prove It – Popular Mechanics

Posted: March 18, 2020 at 3:41 am

Smith Collection/GadoGetty Images

Americans have been making runs on their grocery and mass retail stores to buy all the dry beans, toilet paper, hand sanitizer, bread, sugar, and ... chicken (?) they can get their hands on. People bought so many respiratory masks that contractors told reporters they were turning down jobs they could no longer do safely.

Does this kind of panic accumulation make sense? Well, noand President Trump has urged Americans to stop doing it. Not only does the average person use just 100 rolls of toilet paper per entire year, but almost all our toilet paper is still made domestically without any risk to the supply chain from travel bans.

Maybe its the very real psychological idea that toilet paper is something that makes our living conditions livable, or the fact that TP is cheap and easy to just throw in the cart.

One person did the math on how foolish it is, though:

Whats the deal with the other things people have decided to emergency hoard?

Along with respiratory masks, hand sanitizer was the earliest scapegoat of escalating stockpiling. Photos of empty drugstore shelves appeared from all corners of the country. But the only people who need to use hand sanitizer are those without access to soap and water, like point-of-sale workers or people who work at reception in medical facilities. Plus, there are people who cant wash their hands so much without exacerbating eczema or other conditions.

A 2017 study found that people should use 3 milliliters (mL) of hand sanitizer each time. That means even the travel size 3-ounce (oz.) bottle holds nearly 30 applications, which isnt enough for someone working with cash and customers, but is enough for days and days of home use by people who are washing their hands as directed.

This out-of-stock Target brand pump holds 32 oz., so nearly 1,000 mL, which is over 300 applications. The average normal number of times to urinate per day is between six to seven trips, so lets round up generously to 10 per day altogether. After each of those, you wash your hands. (Youd better.) But if you relied on just hand sanitizer, that one $4 bottle would still last an entire month of bathroom trips, which is twice the length of the Centers for Disease Control and Preventions (CDC) current recommendation of two weeks of self isolation.

While plenty of people eat beans regularly as a super healthy and nutrient-dense food, lots of people dont. If you werent preparing beans from dry already, this seems like a wild time to imagine youll start. But what will happen if you shift from, lets say, an average FDA calorie distribution to a diet of beans?

A one-pound bag of black beans ends up growing to 5 to 6 cups of cooked beans, where a cup has about 250 calories, 12 grams of fiber, and 14 grams of protein. If you ate just beans for every meal up to the 2,000-calorie U.S. Food and Drug Administration (FDA) standard, youd also be eating 96 grams of fiber and 112 grams of protein. Get ready to change the math on how much toilet paper youll need.

Even if you mix 50/50 with white rice, thats still 48 grams of fiber, which is way, way outside of the average Americans diet and the FDA recommendation of between 25 and 35 grams. If youre going this route and its not your usual diet, maybe stick with mostly rice.

For two weeks, youd need about 15 pounds of just dry beans. Thats still only a few big bagsnot a cartful of everything you can get.

Gregory ShamusGetty Images

Colleagues told me theyd seen meat counters totally emptied of fresh raw chicken. Chicken is the most dangerous food in restaurants and lasts just 1 to 2 days in the refrigerator. Are people rushing home to put all this chicken directly in the freezer? Youd be better off buying completely shelf-stable canned chicken or tuna, especially if the alternative left on the shelf is big pieces with bones in and youre used to cooking boneless, skinless chicken breast.

Calorie-wise, boneless, skinless chicken breast is the least effective form of chicken to buy; it takes up the most room for the least nutritional density of any cut of chicken. To eat 2,000 calories in a day of boneless, skinless chicken breast, youd need to eat more than 12 servings of 3.5 cooked ounces each.

If you wanted to buy enough chicken to last through a two-week self quarantine, youd be bringing home pounds and pounds of the most vulnerable mainstream protein and trying to find room for it in your freezer. This just doesnt seem like an efficient use of your space.

Instead, you could use that freezer space to make your dairy milk last 1 to 2 months. You can freeze ginger and other fresh flavorings that dont require a crisp texture. Or you can freeze ice cube tray sections of lime juice or fresh herbs mixed in water.

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Hoarding Toilet Paper and Hand Sanitizer Doesn't Make Senseand Here's the Math to Prove It - Popular Mechanics

World Kidney Day 2020: Why Do You Need a Kidney Detox? Here’s How to Cleanse the Organ Safely and – LatestLY

Posted: March 18, 2020 at 3:41 am

Kidney (Photo Credits: Pixabay)

Most kidney detoxes that you must have heard of or read of promises weight loss and increased energy levels. Sadly, those promises come with a lot of caveats, and they are not backed by science. While there is no magic solution to detox your kidneys, optimising your kidney health is vital. When you cleanse your kidneys, you support detoxification for other organ systems in your body. Here are some of the top ways to cleanse your kidneys and boost their health.

Eating a balanced diet is the first step to getting your kidneys back in optimal shape. According to a study published in the journal Nutrients, adjusting your diet can help protect your kidneys from further damage. Eat a lot of apples, blueberries, cranberries, strawberries, grapes, cherries, kale, spinach, sweet potato, cilantro and parsley to reduce the stress from your organs. A diet rich in fruits, vegetables, whole grains and polyunsaturated fatty acids can be beneficial for people with chronic kidney disease.High-Protein Diets and Kidney Disease: What Happens When You Eat Too Much Protein?

According to the National Academies of Sciences, Engineering, and Medicine, you need to drink at least 8-10 glasses of water in a day. But the amount of water that you need to drink each day depends on your body size, climate, physical activity and medications that you may be taking.World Kidney Day 2020: What are Kidney Stones and How to Prevent Them?

While plain water is always the best bet to detox your kidneys, increasing your fluid intake with supplements like dandelion tea, alfalfa, green juices, green tea and alkaline water can aid in improving your kidney health.World Kidney Day 2020: Is It UTI or a Kidney Infection? From Back Pain to Smelly Urine, Most Common Signs of Pyelonephritis in Women.

We got you some sample kidney detox diet plan:

Breakfast: Make a smoothie with berries, spinach, low-fat yoghurt and cranberry juice.

Lunch: Whip up a spinach salad topped with four ounces of salmon and cranberries. Use olive oil for dressing.

Snack: Eat a choice of your fruit as a mid-afternoon snack.

Dinner: Some grilled chicken with onions and green peppers can be a fantastic pick for dinner.

Breakfast: Veggie omelette with a bowl of oatmeal and fresh fruit on the side.

Lunch: Prepare a chard salad with lots of blueberries and cranberries. Add some boiled sweet potatoes for extra calories.

Snack: Low-fat yoghurt can be an excellent choice to keep you full till dinner.

Dinner: For a light and filling dinner, pair grilled salmon with roasted sweet potatoes and spinach salad.

Eating processed foods and drinking alcohol can also put a lot of pressure on your kidneys which requires them to work overtime. By upping your water intake and improving your diet, you can get your kidneys back on track.

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World Kidney Day 2020: Why Do You Need a Kidney Detox? Here's How to Cleanse the Organ Safely and - LatestLY

Coronavirus: Your questions about the killer bug COVID-19 are answered – Mirror Online

Posted: March 18, 2020 at 3:41 am

Coronavirus has killed 71 people so far in the UK resulting in Prime Minister Boris Johnson telling the nation they should practice 'social distancing', people over the age of 70 should self-isolate for 12 weeks, and should anyone with an underlying condition.

Here are the answers to the questions about coronavirus as asked by Mirror readers.

Q My elderly mum is feeling poorly and shows coronavirus symptoms. Can I help look after her?

A Yes, but there are very strict guidelines about protecting yourself and anyone else from infection. Eg: Keep three steps away and use a separate bathroom if you can.

Even visiting a healthy elderly relative, you should keep a bit more distance, preferably at least three feet, no kissing and hugging, sadly, and hand hygiene practices are incredibly important, says Caroline Abrahams of Age UK.

Visit http://www.gov.uk for more guidelines.

Q Can my partner and I still have sex?

Do you have a coronavirus story to share? Email webnews@mirror.co.uk

A Coronavirus is not sexually transmitted but the chance of contracting from an infected person is very high, specifically due to respiratory droplets being passed during kissing.

Q Can we hold a funeral that may attract a crowd?

A Government advice is to limit gatherings, so perhaps invite immediate family only. New guidelines are to come.

Q Is any hand sanitiser more effective than the rest?

A There are two main types: alcohol-based and alcohol-free. Alcohol-based kills most germs. Washing with warm water and soap remains the gold standard for preventing the spread of infections.

Q Do face masks help protect against coronavirus at all?

A The World Health Organisation says masks are only effective in fighting infectious diseases if used correctly and accompanied by regular and through hand-washing with an alcohol hand rub or soap and water.

The masks must cover the nose and mouth with no gaps, be disposed of safely and replaced if they become damp.

Q What are the latest guidelines on delaying the spread of coronavirus?

A 1 Household isolation: entire households are being asked to stay at home if one person among them is symptomatic.

2 Social distancing: to delay the spread, it is recommended that people work from home, limit their use of public transport and avoid unnecessary social gatherings.

3 Shielding, which is not yet in place. By the weekend, the Prime Minister has indicated that it will be necessary to go further than these measures to ensure those with the most significant health conditions, regardless of age, are shielded from contact for 12 weeks.

Q Might I have had coronavirus already and not know?

A Possibly. Some people who tested positive reported very few symptoms.

Q How likely am I to recover from coronavirus?

A At least 52 people are known to have recovered from the disease in the UK, according to figures from Public Health England. However, the true number of people who have recovered from the virus will be higher.

More than 79,000 people around the world have recovered from Covid-19, out of 182,000 confirmed cases of the disease.

Q How long is the coronavirus pandemic expected to last? Should I cancel my summer travel plans?

A It was announced this week by Imperial College London researchers that drastic restrictions will be required for up to 18 months in order to save thousands of lives.

Britons have been advised against undertaking non-essential travel to anywhere in the world for 30 days. On Tuesday, the Foreign Office said anyone who decides they still need to travel abroad should be fully aware of the increased risks of doing so including the possibility of being stranded overseas if restrictions are put in place.

Q If I have symptoms, how do I get tested?

A The chief medical officer for England, Professor Chris Whitty, said only people who are patients at hospitals will be formally examined. Testing in hospitals will be carried out on patients who are suffering from respiratory problems and this will probably be extended to other conditions.

Q What symptoms mean we have to call 111?

A You should contact NHS 111 if anyone feels they cannot cope with their symptoms at home, their condition gets worse, or their symptoms do not get better after seven days. People are asked to phone 111 only if they cannot get help online.

Q I had the flu jab at the start of the winter. Am I immune from coronavirus?

A No, the flu vaccine does not protect against coronavirus.

Q Can children catch coronavirus or are they carriers?

A Children can contract it. A newborn baby in North London tested positive for Covid-19, with the mother also testing positive. Children are not, so far, experiencing severe symptoms. But anyone who is infected can still spread the disease. It is still a good idea for them to follow guidance issued for everyone (such as washing hands, catching sneezes in tissue).

Q How can I stop my children becoming overanxious about the coronavirus?

A Use simple language and a calm tone. Reassure your child that about your familys fitness and strength and that you are doing all you can to stay healthy and safe. Dont overplay the risks or make bleak predictions. Be clear that you dont have all the answers, but the worlds experts are working hard on it.

Explain that myths and rumours circulate on social media. Direct children to news coverage with an age-appropriate tone, such as BBCs Newsround.

Q Are pregnant women particularly susceptible to coronavirus? Could it affect the babys health?

A The Government says limited evidence suggests there are no coronavirus-related complications in pregnancy. Pregnant women are advised to limit social contact but continue to attend antenatal appointments. The Royal College of Midwives says appointments are essential to ensure the wellbeing of pregnant women and their babies.

Q There is a confirmed case of coronavirus at my childrens school, but the school has not closed. Should I keep my kids home?

A Public Health England is advising schools to stay open. Only people with symptoms of the virus, or in a family with someone with symptoms, should self-isolate at home for 14 days.

Q Can we eat any specific foods to boost our immunity against coronavirus?

A Micro nutrients essential to fight infection include vitamins A, B, C, D, and E, and the minerals iron, selenium, and zinc. A varied, balanced diet rich in leafy green veg, oily fish, fruits such as oranges, kiwis and berries, meat and whole grains can help boost your immune system.

Q Do hot drinks help keep us safe from coronavirus?

A There is no medical advice from the NHS or WHO to confirm this. It is advised to keep hydrated by drinking water.

Q Is food delivery safe?

A Yes. Many delivery services are putting no-contact delivery services in place so you can arrange for the driver to drop your food somewhere safe like your porch or doorstep.

Q Can I walk my dog?

A If you are showing symptoms, the advice is to stay indoors and away from others.

However, if you arent showing symptoms so if you are self-isolating for another reason then walking the dog should be fine.

Health Secretary Matt Hancock has said: People should go outside. Yes, walk your pets, but, if youre in household isolation, do go outside but try to avoid other people.

Q Can pets get coronavirus?

A According to the World Health Organisations myth-buster page, there is no evidence that cats and dogs can become infected. However it is still always a good idea to wash your hands after contact with pets.

See the rest here:
Coronavirus: Your questions about the killer bug COVID-19 are answered - Mirror Online

How to Lose Weight and Keep It Off – The New York Times

Posted: March 17, 2020 at 12:49 am

However, she quickly added, Maintaining weight loss can get easier over time. Over time, less intentional effort, though not no effort, is needed to be successful. After about two years, healthy eating habits become part of the routine. Healthy choices become more automatic the longer people continue to make them. They feel weird when they dont.

On the other hand, perfection is not realistic and can be self-defeating, Dr. Phelan said. Successful maintainers know there will be lapses. But they also know they can recover from lapses and how to get back on track. They accept slips and dont engage in black-and-white thinking like I was bad, an attitude that is self-defeating. Rather, they know there will be ups and downs, and they have a plan for coping with lapses thats empowering.

A personal example from one who lost a third of her body weight and kept it off for half a century: I anticipate and plan for the times when I expect to be confronted with culinary largess. Im a little more abstemious beforehand, enjoy the indulgence and get back to normal the next day.

Rather than constant deprivation and self-denial, I practice moderation. The studys co-author, Gary Foster, who is chief scientific officer for WW, explained that in the WW program, Everything is on the menu. Fad diets are overly restrictive, which dooms them from the onset. We advocate moderation, were anti-dieting. People have to find habits and routines that make long-term weight loss sustainable.

And as many of the successful weight maintainers in the study reported, time and practice have permanently modified what I find appealing, so I rarely feel deprived and have less need to exercise self-denial all the time. I do admit, though, that Im less good at ignoring cravings than many in the new study are. Im more likely to give in but control the amount I consume.

What I may be best at is monitoring my weight. I weigh myself every day and keep within a range of two or three pounds. Nearly all the successful maintainers in the study weigh themselves weekly or more often, which makes it easier to self-correct before the numbers on the scale rise significantly.

Dr. Foster said, Whats on your mind is as important as whats on your plate. Weight management is something you do for yourself because youre valuable, youre worth taking care of.

More here:
How to Lose Weight and Keep It Off - The New York Times

The Clean Eating Diet: Want to Feel and Look Your Best? Switch to Real Food – The Beet

Posted: March 17, 2020 at 12:49 am

For anyone who wants to feel better, look great and lose weight, clean eating is the way to go. It's easy to make the switch once you commit to only eating things that you can grow, or pick from a tree,orforage for (mushrooms come to mind). Want to make the change? Clean eating is very simple: Eat whole, natural, minimally processed foodsmostly or entirely from plants.

Clean eating is a plant-based way of approaching your food that embraces the wide variety of foods you can eat, not whole categories of food you have to eliminate. As Jackie Arnett Elnahar, RD, and founder of TelaDietitian explains, Think about the parts of the globe where people have the longest, healthiest lives, like Okinawa and some Mediterranean countries. The people living there eat a wide range of foods across a wide range of cultural traditions, but they have one consistent thing in common. They eat whole foods that are minimally processed and simply cooked.

With a good understanding of the basics, clean eating quickly and easily becomes a flexible and flavorful way of life. Its easily adapted to meet your individual dietary needs and preferences. Clean eating doesnt have to be gluten-free, low in calories, limited in food choices, or consist of only raw foodsunless you want or need it to be. And dont confuse clean eating with doing a cleanse! (Your body has natural cleansing functions that work.)

Try clean eating for a couple of weeks and youll see how easy it can be. Once your taste buds get reacquainted with the full flavors and textures of real food, you wont want to return to the ultra-processed foods that now make up nearly 60 percent of the typical American diet.

Whole foods are unprocessed or minimally processed foods with nothing added. So, for example, all fresh, frozen, and canned vegetables are whole foods. So far, so good. The prewashed salad mix and the trimmed green beans? Still good. That convenient bag of mixed frozen vegetables ready to stir fry? Also good, because its been minimally processed. But that pouch of microwaveable broccoli in creamy cheese-like sauce? Well, we think any vegetables are better than no vegetables, but the nutritional value of the broccoli has been largely stripped away, while lots of chemicals and industrialized dairy and fat have been added. Its way beyond minimally processedso skip it.

To be sure youre getting a clean food when you buy a packaged or prepared product, read the nutritional label. If you can pronounce everything on it and know what it looks like, the food is probably a good choice. Watch out for the weasel words that disguise added sugarevaporated cane syrup, for example.

Ideally, your clean eating menu would consist only of natural, healthy, organic foods. What does that really mean? Right now, natural and healthy dont have formal USDA or FDA definitions. These terms are often misleadingly used on food packaging for their halo effectthey make you think the food is good for you.

Organic was formally defined by the USDA back in 2000. A food can carry the official organic label only if it was produced without using conventional pesticides, petroleum-based fertilizers, sewage sludge fertilizers, genetic engineering, or irradiation. For processed foods, the regulations say all the ingredients need to be organic; the product cant contain artificial preservatives, colors, or flavors.

Unfortunately, the organic rules have some loopholes that let some highly processed foods slip through. Read the nutrition label and use your common sense before you choose these products and remember that organic junk food is still junk food.

Organic foods can be more expensive than conventional foods. Theyre also often harder to find in the typical supermarketyou may have fewer choices or even no choice at all. When the choice comes down to nonorganic vegetables and no vegetables, or between organic vegetables and your budget, choose nonorganic. Clean eating doesnt have to be perfect eating.

You can cut down on the cost of organic produce by supporting your local farmers. Their produce may not be officially certified organic (the cost is often too high for small farms to sustain), but you can talk to the farmers in person about their growing methods. By supporting local agriculture, youre cutting down on the carbon footprint of your food and helping to preserve open space in your neighborhood.

Clean eating takes some thought. You need to keep track of what you eat to make sure youre getting enough calories and good, balanced nutrition. Preparing and cooking your food when you eat clean takes longernot a lot longer once you have some experience, but certainly longer than microwaving a frozen dinner.

Eating meals away from home means either bringing food with you or being limited in your food options. And its hard to avoid pizza Friday at the office or eating at a social event. Plan ahead, make the best choices you can and accept that not every day is going to a completely clean day.

Is the extra time and planning worth it? According to Jackie Arnett Elnahar, without a doubt. She says, After just a couple of weeks of clean eating, youll probably notice that your energy level has zoomed! Youll feel more focused and engaged. Many of my clients lose weight even though they dont limit their caloriesthe high fiber content of whole foods is very satiating. I find that my clients also stop complaining about bloating and constipation.

Study after study has shown that people who eat a plant-based diet rich in whole foods are healthier overall. Theyre less likely to be overweight and have a lower risk of heart disease, type 2 diabetes, cancer, and other chronic health problems as they grow older. Because clean eating with a plant-based diet means all your calories are packed with nutrients, youre giving your body what it needs to help slow the aging process and have the energy to stay active and vibrant.

Want another great reason to eat clean? Youre helping the planet by cutting your consumption of environmentally harmful manufactured food, reducing the carbon footprint of food shipping, and supporting organic farming.

Try clean eating with an open mind and open heart for just a couple of weeks. Youll discover a whole new world of great food and better health. Sign up for The Beet's 2 Week Clean Eating Plan today for 56 Recipes and lots of great motivation to keep on track.

In a fascinating 2019 study from the National Institutes of Health, the role ultra-processed food in weight gain was proven for the first time by a controlled study. The researchers recruited 20 healthy adults, ten male, and ten female, to spend a month at the NIH, eating only foods provided to them. The participants were randomly divided into two groups of ten. For the first two weeks, one group ate a diet of ultra-processed food while the other group ate a diet of minimally processed foods. Both diets were matched in their calories and macronutrients (protein, sugars, carbohydrates, fats, fiber). After two weeks, the groups swapped diets. For both diets, the participants could eat as much or as little as they wanted.

The results were amazing. While they were on the ultra-processed diet, the participants ate about 500 calories a day more than they did on the minimally processed diet. They also ate faster. And they each gained, on average, almost two pounds in just two weeks. When they switched over to the minimally processed diet, they ate fewer calories, ate slower, and on average lost two pounds in two weeks.

Remember, both diets were balanced to provide the same calories and macronutrients. (To get the ultra-processed diet up to the same fiber content as the minimally processed diet, the researchers had to give them a lemonade drink laced with soluble fiber.) What it all comes down to is that on the ultra-processed diet, the participants overate and gained weight; on the minimally processed diet, the participants ate less and lost weight. This is the first study to demonstrate through a controlled experiment that eating ultra-processed foods leads directly to weight gain.

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The Clean Eating Diet: Want to Feel and Look Your Best? Switch to Real Food - The Beet


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