A conversation with our Chief Medical Officer, Dr. Bob Recker, MD.

Imagine a life where you’re free to explore the world without fear of a simple fall causing a fracture. A life where you can hike, dance, play with your grandchildren, or simply enjoy a leisurely stroll without worrying about your bones betraying you. Healthy bones are the foundation for an active and fulfilling life and a key element in whole person wellness. 

Unfortunately, this picture isn’t a reality for everyone, especially as we age. Osteoporosis, a condition characterized by weakened bones, can significantly impact our quality of life when it goes unchecked. But the good news is, there are steps we can take to protect our bone health and reduce your risk of fractures.

What is Osteoporosis? 

Osteoporosis, often referred to as “silent disease,” is a condition where bones become thin and brittle, increasing the risk of fractures. It occurs when the body’s bone-building process slows down while bone breakdown accelerates. This imbalance can lead to a loss of bone density, making bones more susceptible to fractures.

Recently we were able to sit down with Dr. Bob Recker, MD, our Chief Medical Officer, for an insightful discussion about all things osteoporosis. Below are a few key takeaways from the interview.

Understanding Osteoporosis: A Silent Thief

Interviewer: What is osteoporosis?

Dr. Bob Recker: Osteoporosis is a condition characterized by decreased bone mineral density, leading to increased bone fragility and a higher risk of fractures. It’s silent. It creeps up on you, stealing strength from your bones. People can have otherwise perfectly normal bones so it can come as a surprise.   

Interviewer: Where in the body does osteoporosis typically manifest?

Dr. Bob Recker: Osteoporosis often targets the bones that bear the most weight, like your hips, pelvis, vertebrae, and wrists. 

Interviewer: What are fragility fractures?

Dr. Bob Recker: Fragility fractures occur when your bones become so weak that they’re more susceptible to breaking. They’re a sign that something serious is happening with the bone health and can lead to things like breaking a bone from a simple fall, which is a red flag for osteoporosis. People should not break their bones just tripping and falling on the ground level, but unfortunately, by the time that has happened, the cat is already out of the bag. We don’t want to have that happen. 

Interviewer: How is osteoporosis diagnosed?

Dr. Bob Recker: We use a bone density scan, like a DEXA scan. It’s a quick and painless test that measures how strong your bones are.

Interviewer: What role do hormones play in osteoporosis?

Dr. Bob Recker: Estrogen and testosterone help build and maintain strong bones. When these hormones decline, especially in women after menopause, the body’s bone remodeling process can become disrupted. This can lead to accelerated bone loss and a weakened skeletal structure.

Interviewer: How does bone density change throughout life?

Dr. Bob Recker: In your younger years, you’re building up bone density. But as you get older, especially after menopause, little by little the support structures within the bones begin to deteriorate. And even though the bone looks normal and functions normally say, with it’s bone marrow production, it’s basically just more fragile. And it’s more susceptible to fractures with minor trauma.

Interviewer: What are the risk factors for osteoporosis?

Dr. Bob Recker: Age, gender, family history, diet, and lifestyle all play a role. Women are more likely to develop osteoporosis due to hormonal changes, but men can also be affected. If your parents or grandparents had osteoporosis, you’re at a higher risk. And of course, your lifestyle choices, like diet and exercise, can make a big difference. Smoking, heavy alcohol or caffeine consumption, and certain medications like steroids can accelerate bone loss. Additionally, medical conditions such as rheumatoid arthritis, diabetes, and certain seizure disorders can also contribute to osteoporosis.

Interviewer: What are the common symptoms of osteoporosis?

Dr. Bob Recker: The sneaky thing about osteoporosis is that it often doesn’t cause any symptoms until it’s too late. It’s like a silent thief, stealing strength from your bones without you even noticing.

Interviewer: How can osteoporosis be prevented?

Dr. Bob Recker: You need a solid foundation of good nutrition, regular exercise, and healthy lifestyle habits. Eating foods rich in calcium and vitamin D, getting enough sunlight, and avoiding smoking and excessive alcohol and caffeine can all help protect your bones. 

Interviewer: What is the role of dairy products and vitamind D in preventing osteoporosis?

Dr. Bob Recker: Dairy products help provide the building blocks of strong bones. They’re packed with calcium and protein, which help your body build and maintain healthy bone tissue. When we talk about dairy, we’re not just talking about milk. Yogurt is a great option too, and it’s often fortified with vitamin D. In fact, skim milk, which has less fat, actually has a higher concentration of protein, calcium, and magnesium. So, it’s a more nutrient-dense choice. While other sources of calcium exist, like leafy greens, they’re not as easily absorbed by your body. 

Vitamin D also plays a important role here. It helps regulate your body’s calcium levels and improves calcium absorption. So, it’s essential to get enough vitamin D along with your calcium intake. Aim for about 800 international units (IUs) of vitamin D per day.

Interviewer: How can you get enough vitamin D?

Dr. Bob Recker: A little bit of sunshine can go a long way. Aim for about 15 minutes of sun exposure per day. Just remember to wear sunscreen to protect your skin. And if you’re concerned about your vitamin D levels, talk to your doctor about taking a supplement.

Interviewer: What role does exercise play?

Dr. Bob Recker: Regular physical activity is important for maintaining bone health. Some people hear that and think oh no I have to go to the gym, but really its just about regular movement. Walking, running, even things like getting a standing desk like we have here at Think. Just get up and move. Especially if you tend to be sedentary, finding activities you enjoy that get you moving are important.

Interviewer: Is it possible to regain lost bone density?

Dr. Bob Recker: Regaining lost bone density can be challenging. In certain cases, such as individuals with severe vitamin D deficiency, addressing this deficiency may lead to some improvement in bone density but its dependent on a wide variety of factors.

However, once osteoporosis has progressed significantly, it can be difficult to rebuild. Medications can help improve the structural integrity of your bones, but they may not significantly increase bone density. 

That’s why prevention is key. By making healthy lifestyle choices and seeking early treatment, you can minimize bone loss and reduce your risk of fractures before its an issue.

Interviewer: Can osteoporosis be cured?

Dr. Bob Recker: Unfortunately, no. But we can manage it through different treatments, including medications like bisphosphonates that help strengthen bones. Your doctor will create a treatment plan based on your specific needs and risk factors.

Interviewer: I’m concerned this could be an issue for me. What should I do?

Dr. Bob Recker: Start by talking to your doctor. Don’t hesitate to share your concerns, be honest about your lifestyle habits, and ask questions. Your doctor is there to help you, and the more information they have, the better they can direct you towards the best options. 

Let’s Recap…

Osteoporosis occurs when the body’s bone-building process slows down while bone breakdown accelerates. This imbalance can lead to a loss of bone density, making bones more susceptible to fractures.

Key Facts about Osteoporosis:

• Prevalence Osteoporosis affects millions of people worldwide, particularly women over the age of 50.
• Risk Factors Age, gender, family history, diet, lifestyle, and certain medical conditions can increase the risk of osteoporosis.
• Symptoms Osteoporosis often has no symptoms until a fracture occurs.
• Diagnosis Bone density scans, such as DEXA scans, are used to diagnose osteoporosis.
• Prevention A healthy diet, regular exercise, and avoiding harmful substances can help prevent osteoporosis.
• Treatment While there’s no cure for osteoporosis, treatments can help reduce the risk of fractures and improve bone health.
• Importance of Early Detection Early detection and treatment are crucial for preventing serious complications associated with osteoporosis.

Why Bone Health Matters

Healthy bones are more than just a matter of physical strength. They play a crucial role in your overall well-being and whole person health. Strong bones support our bodies, allowing us to move freely and maintain balance. They also protect our vital organs.

When bones become weak due to osteoporosis, we may experience pain and discomfort from fractures, a loss of independence as you struggle to perform daily activities, and a reduced quality of life due to the fear of falling. By taking steps to prevent osteoporosis, we can reduce our risk of fractures, maintain our independence, and improve our overall well-being. Remember, our bones are an investment in your future. By taking care of them now, we can enjoy a more active and fulfilling life for years to come.

Taking Action 

If you are concerned about your risk of osteoporosis, it’s important to talk to your doctor. They can assess your risk factors, recommend screening tests, and discuss prevention and treatment options. Early detection and treatment can help reduce the risk of fractures and improve your quality of life.

CONSIDER THINK YOUR PARTNER IN BONE HEALTH.

Think Whole Person Healthcare is committed to helping you maintain optimal bone health. Our team of healthcare professionals can assess your risk for osteoporosis, recommend preventive measures, and provide appropriate treatment if necessary. To determine what screening is right for you, schedule an appointment with your think provider.

Not a think patient yet? Explore our Services page online and choose your ideal provider by visiting our Meet Your Doctor page.

Our dedicated team is here to support your health. To schedule an appointment, call us at 402.506.9049.

Early detection and treatment of vision problems can boost your student’s academic success.

As students gear up for a new school year, their vision health is crucial for academic success and well-being. Eye health plays a large role in a child’s development, which can impact their ability to learn and engage in classroom activities. As you prepare your young ones for back-to-school,  consider your plans for back-to-school vision care, learn signs of vision problems, and discover preventive measures you can take to ensure your students maintain optimal eye health.

The Importance of Vision Health for Students

Vision is an essential sense that helps children understand and navigate the world. Healthy vision supports reading, writing, participating in sports, and social interactions. According to the CDC, undetected vision problems can significantly affect a child’s ability to learn and perform well in school. Routine eye exams and early detection of vision issues are critical for safeguarding a child’s eye health and overall development.

Signs of Vision Problems in Students

Recognizing the signs of vision problems in children and teenagers can help parents and teachers intervene early. Some common indicators of vision issues include:

• Squinting or Blinking Frequently. This may indicate refractive errors like nearsightedness or farsightedness.
• Sitting Too Close to Screens or Holding Books Close. Children with vision problems often struggle to see clearly from a distance.
• Rubbing Eyes Excessively. This can be a sign of eye strain or discomfort.
• Complaints of Headaches. Frequent headaches, especially after reading or screen time, can indicate vision problems.
• Difficulty Concentrating. Vision issues can make it hard for children to focus on tasks, affecting their academic performance.
• Avoiding Reading or Other Close-Up Activities. If a child avoids activities that require near vision, it may be due to difficulty seeing clearly.

Common Vision Problems in Children

By familiarizing with common vision problems, parents can become proactive guardians of their children’s eye health. Early identification of issues such as nearsightedness, farsightedness, astigmatism, or lazy eye can significantly impact treatment and prevent potential long-term complications. Recognizing the signs and symptoms associated with these conditions empowers parents to seek timely professional care, ensuring their child’s optimal visual development and overall well-being.

Refractive Errors

• Myopia (Nearsightedness) causes difficulty seeing distant objects clearly.
• Hyperopia (Farsightedness) causes difficulty seeing close objects clearly.
• Astigmatism results from an irregularly shaped cornea, causing blurred vision at any distance.

Amblyopia (Lazy Eye)

Amblyopia occurs when one eye is weaker than the other, leading to poor vision in the affected eye. Early detection and treatment are crucial to prevent permanent vision loss.

Strabismus (Crossed Eyes)

Strabismus is a condition where the eyes do not align properly, leading to double vision or difficulty focusing. Early treatment can correct the alignment and improve vision.

Convergence Insufficiency

This condition affects the ability of the eyes to work together when focusing on close objects, causing blurry or double vision.

A guide to vision protection to keep your eyes healthy

Taking proactive steps can help protect and enhance children’s eyesight.

Regular comprehensive eye exams, balanced nutrition, sufficient rest, and protective eyewear can all contribute to their optimal visual development. Early detection and treatment of any vision problems aid in preventing more serious issues and assuring a child’s ability to learn, play, and succeed.

Routine Eye Exams

Regular eye exams are essential for detecting vision problems early. The American Optometric Association recommends comprehensive eye exams at specific intervals:

• First Exam: Between 6 and 12 months of age.
• Second Exam: At age 3.
• Third Exam: Before starting school, around age 5 or 6.
• Subsequent Exams: Every two years, or more frequently if recommended by an eye doctor.

Healthy Diet

A nutritious diet rich in vitamins and minerals supports eye health, so encourage children to eat leafy greens like spinach and kale, rich in vitamins A and C. Fish such as salmon and tuna, high in omega-3 fatty acids, also support eye health. Additionally, a variety of colorful fruits and vegetables provide nutrients for maintaining good vision.

Limiting Screen Time

Excessive screen time can strain children’s eyes and increase vision problems. The 20-20-20 rule can help reduce eye strain. Every 20 minutes, take a 20-second break to look at something 20 feet away.

Encouraging Outdoor Play

Encouraging children to spend time outdoors helps children’s eyes relax and reduces the risk of developing myopia. Being outdoors exposes children to brighter light conditions, which can help relax their eye muscles and slow down the progression of nearsightedness (myopia). Research suggests that at least an hour of daily outdoor activity can significantly reduce the risk of developing this common vision problem. Whether it’s playing in the park, riding a bike, or simply exploring nature, outdoor activities offer many benefits for children’s physical and mental health while supporting their visual development.

Using Protective Eyewear

Sports and recreational activities can pose a risk to children’s eyes. Ensure they wear protective eyewear to prevent injuries. Sunglasses with 100% UV protection are also great for protecting eyes from harmful sun rays.

The Role of Parents and Educators in Student’s Eye Health

Parents and educators share the responsibility of safeguarding children’s vision. Here are some tips for supporting your student’s eye health this school year:

• Monitor for Signs. Be aware of the signs of vision problems and seek prompt evaluation by an eye doctor if any are observed.
• Encourage Good Habits. Promote regular eye exams, a healthy diet, limited screen time, and outdoor activities.
• Provide a Comfortable Learning Environment. Ensure proper lighting for reading and other close-up tasks. Minimize glare on screens and use appropriate seating arrangements.

Vision Health for School-Age Children

A child’s vision develops rapidly during their school years. We can set our children up for academic success and quality of life by addressing vision problems promptly.

Vision Screenings

School vision screenings are an important tool for identifying children who may have vision problems. While these screenings can be helpful, they are not a substitute for a comprehensive eye exam by an optometrist. If a screening indicates a potential issue, schedule a follow-up appointment for a thorough evaluation.

Corrective Measures

If a vision problem is detected, corrective measures such as glasses or contact lenses can significantly improve a child’s vision and overall performance. It’s essential to ensure children understand how to care for their eyewear and use it correctly.

Vision Health for Teens

Teenagers face unique vision challenges as they become more independent and engage in various activities.

Contact Lens Care

Many teens prefer contact lenses over glasses. Proper contact lens care is crucial to prevent eye infections and other complications. Educate teens on the importance of:

• Washing Hands Always wash hands before handling contact lenses.
• Cleaning Lenses Follow the eye doctor’s instructions for cleaning and storing lenses.
• Replacing Lenses Replace lenses as recommended to avoid complications.

Protective Eyewear for Sports

Teens involved in sports should wear protective eyewear to prevent eye injuries. Polycarbonate lenses are an excellent option for sports glasses due to their impact resistance.

Back-to-School Vision Care Tips

As the school year begins, ensure your child’s vision is in top shape with these back-to-school tips:

• Schedule an Eye Exam Before school starts, schedule a comprehensive eye exam to detect any vision problems.
• Choose the Right Eyewear Select glasses or contact lenses that are comfortable and appropriate for your child’s needs.
• Promote Healthy Habits Encourage regular breaks from screens, a balanced diet, and outdoor play.
• Educate on Eye Safety Teach children about the importance of protecting their eyes during sports and recreational activities.

By recognizing the signs of vision problems, taking preventive measures, and scheduling regular eye exams, we can help ensure our children and teenagers have the best possible vision care. Encourage healthy habits, limit screen time, and promote outdoor activities to support their eye health. With proactive steps and comprehensive care, students can enjoy a successful and healthy school year.

Back-to-School Optical Sale at Think 

Think offers a special back-to-school optical sale to support your grade schooler’s vision health. Our package deal for grade school kids includes single vision lenses (dual digital surface lens), premium anti-glare, and a free transitions option on standard frames from New Globes by AA Optical for $179.00. Visit think Optical by September 30th to take advantage of these savings and ensure your child’s vision is ready for the new school year.

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NEED VISION CARE? CHOOSE THINK FOR YOUR COMPLETE EYE HEALTH.

Think is dedicated to keeping you healthy through preventative care and treatment for a wide degree of medical conditions. Our optometry services are comprehensive, state-of-the-art, and convenient, ensuring eye health is part of your overall well-being. Our optometrists perform thorough eye exams, diagnose and treat ocular diseases, and co-manage care with other specialists as part of your treatment plan. Our walk-in clinic treats anyone, even those who are not a patient at think or do not have a primary care provider currently. To learn more about our comprehensive healthcare services, visit our Services page online. To choose your own think medical provider, visit our Meet Your Doctor page. 

Stop by think’s Optical Center to have your glasses adjusted, or call 402.506.9003 for your eyeglass or contact needs. To schedule an appointment, please call 402.506.9127.

Enhance your natural beauty safely with expert care at ThinkRestore.

 Learn more about our unique approach to BOTOX® and JUVÉDERM® treatments from our skilled providers. 

Considering aesthetic treatments but unsure where to start? ThinkRestore at Think Whole Person Healthcare offers a welcoming and safe environment for exploring options. We recently chatted with Katie Peterson and Jessica Grosse, Physician Assistants specializing in Family Medicine and Internal Medicine at think who are also skilled providers at ThinkRestore. They shared their insights on BOTOX® and JUVÉDERM® treatments, why a holistic approach matters in aesthetics, and the unique value ThinkRestore brings to the Omaha area.

Let’s go to the interview. 

What is ThinkRestore? 

ThinkRestore was created to offer restorative aesthetic services within the established, professional medical environment of Think Whole Person Healthcare. Unlike some spas or other providers, ThinkRestore prioritizes safety and integrates aesthetics into a holistic approach to well-being. Current offerings include BOTOX®, JUVÉDERM® Dermal Fillers, and Skinceuticals skin care products. There are plans to expand ThinkRestore’s services soon too, with all services delivered under the same medical model. 

What is your role at ThinkRestore? 

We specialize in aesthetic facial treatments, including BOTOX® for smoothing wrinkles and JUVÉDERM® fillers for enhancing facial features. While the two of us don’t specialize in the Skinceuticals products, they are available through ThinkRestore for comprehensive skincare solutions.

What makes ThinkRestore different from other facial aesthetic providers? 

Our complete focus on safety and natural results sets us apart. We exclusively use FDA-approved products for treatments administered only in approved areas and quantities. Our goal is to enhance your natural beauty, not create a dramatically different appearance. Additionally, we are PA-Cs with a commitment to patient education and informed decision-making. There’s no pressure to choose a specific treatment or product, and we ensure you understand all options before proceeding.

What is BOTOX®? 

Interestingly, the discovery of BOTOX® has a surprising origin story. Dr. Justinus Kerner, a 19th-century physician, first encountered the toxin while investigating a series of fatal sausage poisonings in Germany. He observed similar muscle paralysis symptoms in the victims, which eventually led him to isolate the substance now known as botulinum toxin.

Today BOTOX® is a purified protein derived from a bacterium. It works by temporarily relaxing targeted facial muscles, and smoothing wrinkles and lines in areas like the forehead, frown lines, and crow’s feet. At ThinkRestore we strictly adhere to these FDA-approved injection sites and ensure each vial is freshly mixed for optimal effectiveness and safety. Other providers may perform BOTOX®® injections in other areas, but they are not FDA-approved and carry unnecessary risks so we do not.

What is JUVÉDERM®? 

JUVÉDERM® is a brand name for hyaluronic acid (HA) fillers. HA is a naturally occurring substance in the body that provides volume and hydration to the skin. JUVÉDERM® offers various fillers, such as JUVÉDERM®® Voluma XC for cheeks, JUVÉDERM®® Volbella XC for smoothing lips, and JUVÉDERM®® Ultra XC for plumping lips.

Who is a good candidate for these treatments?

Both BOTOX® and JUVÉDERM® are suitable for men and women aged 21 and above (as per FDA regulations). While we commonly see patients in their thirties to sixties, we’ve treated individuals as young as 21 and as mature as their 80s. Ultimately, a consultation will determine if you’re a good candidate based on your specific goals and medical history.

What kind of results can be expected from these treatments?

BOTOX® injections offer visible improvements within a few days, with full results typically achieved in 14 days. The treatment relaxes targeted facial muscles, smoothing wrinkles and lines around the treatment area which can include forehead, frown lines, and crow’s feet. You can expect these effects to last for 3-4 months.

JUVÉDERM® fillers provide immediate volume restoration and contour enhancement. Different JUVÉDERM®® products address specific concerns. We typically use JUVÉDERM®® Voluma XC to add volume to cheeks, JUVÉDERM®® Volbella XC for smoothing lips, and JUVÉDERM®® Ultra XC for plumping lips. JUVÉDERM® results typically last 12-24 months depending on the product used and your individual body chemistry.

Does ThinkRestore offer personalized consultations for what treatments are best? 

Absolutely. We offer personalized consultations that typically last around 30 minutes. During the consultation, we discuss your concerns, desired outcomes, and medical history. BOTOX® can usually be administered the same day, while fillers usually require a follow-up appointment to receive the product, which is ordered fresh for each patient.

Why is a holistic approach important in facial aesthetics? 

ThinkRestore views aesthetics as part of a holistic approach to well-being. Self-care plays a significant role in self-image and mental health. Sometimes, a subtle enhancement can significantly improve your confidence and overall well-being. It’s like putting on your favorite outfit; it’s not essential, but it can positively impact your mood and self-esteem. These treatments are elective, but the positive impact on mental and emotional well-being through improved appearance can be substantial.

How does ThinkRestore ensure the safety and effectiveness of its treatments? 

Safety is paramount at ThinkRestore. We only use FDA-approved products administered in approved areas. We are PAs with advanced medical training, ensuring your treatments are performed by skilled and knowledgeable professionals. Additionally, we prioritize natural results and will not recommend excessive filler or BOTOX® to achieve or maintain your natural beauty. There’s no financial incentive for us to push products or procedures – our focus is on your safety and achieving natural, lasting results. Our focus on quality may not result in the lowest price you find, but you’ll have complete confidence in the legitimacy of the products, the expertise of your injectors, and our commitment to your safety and long-term satisfaction.

How does ThinkRestore fit into the Think Whole Person Healthcare model? 

ThinkRestore complements the Think Whole Person Healthcare model by offering aesthetic services in a safe, medically supervised environment. We believe self-care through aesthetic treatments can positively impact mental and emotional well-being.

What advice would you give someone considering aesthetic treatments for the first time?

We recommend a consultation! You don’t need to come in with a specific plan. Just share your concerns, and we’ll discuss all available options and pricing. We also offer a 20% discount on your first treatment.

Lastly, why should someone considering aesthetic treatments choose ThinkRestore?

We prioritize natural results and use only FDA-approved products in approved areas. Our skilled medical professionals ensure your safety and well-being. You can trust ThinkRestore for quality treatments and honest advice.

ThinkRestore: Unveiling the Secrets of Enhancing Natural Beauty with Restorative Health

Building on the expertise and passion shared by Katie Peterson and Jessica Grosse, PA-Cs, let’s explore how ThinkRestore offers a comprehensive approach to enhancing your natural beauty and overall well-being.

A Holistic Approach

ThinkRestore is dedicated to providing comprehensive restorative health services. We believe that true well-being encompasses physical and mental health. Our approach combines advanced aesthetic treatments and advanced skincare solutions with a holistic perspective to help you feel confident and revitalized.

Our Solutions

Discover our range of services designed to enhance your natural beauty and support your overall well-being:

• BOTOX® Smooth away wrinkles and fine lines for a refreshed appearance.
• JUVÉDERM® Enhance facial contours and restore volume for a youthful glow.
• SkinCeuticals® Skincare Complement your treatments with high-performance skincare products.
• Schedule a consultation today to learn more about how ThinkRestore can help you achieve your wellness goals.

Our Commitment to Excellence

Our commitment to restorative health goes beyond surface-level treatments. Our experienced team provides personalized care plans that address your unique needs. We only use FDA-approved products and techniques and do so within a world-class professional medical setting. Our focus is on safe and natural results. We believe in the power of a balanced approach to achieve lasting results. 

Remember: Restorative health is a journey, not a destination. By prioritizing self-care and making informed choices, you can find your true radiance.

EMBRACE RESTORATIVE HEALTH AND SELF-CARE WITH THINKRESTORE

As summer continues, prioritize your well-being with ThinkRestore. Our restorative health services help you to achieve a renewed sense of vitality and inner radiance. We’ll help you look and feel your best, no matter the season.

Contact ThinkRestore at 402.506.9049 to schedule a consultation or treatment or learn more by visiting the ThinkRestore page. Let’s help you embark on a journey of self-care and achieve a renewed sense of vitality that lasts.

Already a think patient seeking care at our primary location? Explore our wide range of healthcare services by visiting our Services page online.  You can also choose your own think medical professional by visiting our Meet Your Doctor page and schedule an appointment online or give us a call at 402.506.9000.

A recent increase in West Nile Virus cases in Nebraska highlights need for prevention.

West Nile virus (WNV) is a mosquito-borne virus that poses significant health risks, particularly during the summer months when mosquito activity is at its peak. It is spread to people by the bite of an infected mosquito, primarily the Culex species in Nebraska. While anyone can be infected, preventive measures like insect repellent and protective clothing can significantly reduce the risk. 

Following a recent update from the Nebraska Department of Health and Human Services (DHHS) Health Alert Network, public health officials are urging Nebraskans to take steps to protect themselves against West Nile Virus (WNV). In 2023 the state witnessed a significant surge in WNV cases, with 150 reported infections.  Of note, 61% of these cases (91) manifested as severe neuroinvasive disease, resulting in 10 deaths.

While 2024 has seen a slower start to the season, with several human cases, blood donor detections, and positive mosquito samples, WNV activity typically intensifies in July. We must remain aware and take preventative measures to safeguard ourselves and fellow Nebraskans from this potentially debilitating virus.

Understanding West Nile Virus Transmission

West Nile virus is most commonly spread to people by mosquito bites. The virus was first identified in Uganda in 1937 and later emerged in the United States in 1999. West Nile virus is now considered endemic in many parts of the U.S., including Nebraska. The virus primarily affects birds, but mosquitoes can transmit it to humans and other animals.

How Do You Get West Nile Virus?

West Nile virus is transmitted to humans through the bite of an infected mosquito. Mosquitoes become infected when they feed on birds that carry the virus. The virus is then transmitted to humans and other animals through mosquito bites. There is no evidence of transmission from person to person or from animals other than mosquitoes.

Who’s Most Vulnerable to West Nile Virus?

Certain groups are at higher risk of developing severe complications from West Nile virus infection. According to the Centers for Disease Control and Prevention (CDC), individuals over 50 are more likely to experience severe illness if infected, possibly due to weakened immune systems. Additionally, people with underlying health conditions such as cancer, diabetes, hypertension, and kidney disease, as well as those with compromised immune systems, are also at increased risk of severe illness from West Nile virus. Pregnant women and infants are generally not at higher risk for severe disease unless they have other health conditions that compromise their immune systems. Source: CDC – West Nile Virus

What Are the Symptoms?

Most people infected with West Nile virus (approximately 80%) are asymptomatic. Those who develop symptoms typically do so after a 3-14 day incubation period. Symptoms can range from mild to severe. Mild symptoms, often referred to as West Nile fever, can include:

• Fever
• Headache
• Fatigue
• Muscle or joint pain
• Skin rash on the trunk of the body
• Swollen lymph glands
• Eye pain

Severe symptoms can affect the central nervous system and include:

• High fever
• Headache
• Neck stiffness
• Stupor
• Disorientation
• Coma
• Tremors
• Convulsions
• Muscle weakness
• Vision changes or loss
• Numbness
• Paralysis

These severe symptoms are indicative of neuroinvasive diseases such as encephalitis or meningitis and require immediate medical attention. According to the Nebraska Department of Health and Human Services, 61% of the West Nile virus cases reported in 2023 were classified as severe neuroinvasive disease, with 10 deaths reported.

How Can You Protect Yourself?

Protection against West Nile virus involves minimizing mosquito exposure and using preventive measures to avoid mosquito bites. Here are some effective strategies:

1. Use Insect Repellent. Applying insect repellent is one of the most effective ways to prevent mosquito bites. Repellents containing DEET, picaridin, or oil of lemon eucalyptus are recommended. These products have been proven to be effective against mosquitoes that carry West Nile virus.

2. Wear Long Sleeves and Pants. Wearing long-sleeved shirts and long pants can help reduce the amount of exposed skin, making it harder for mosquitoes to bite. Opt for light-colored clothing, as mosquitoes are less attracted to lighter colors.

3. Avoid Dawn and Dusk Activities. Mosquitoes that transmit West Nile virus are most active during dawn and dusk. If possible, avoid outdoor activities during these times. If you must be outside, take additional precautions such as wearing insect repellent and protective clothing.

4. Eliminate Standing Water. Mosquitoes lay their eggs in standing water, so eliminating these sources around your home can help reduce mosquito populations. Common sources of standing water include birdbaths, flowerpots, gutters, and discarded tires. Regularly emptying and cleaning these items can make a significant difference.

5. Stay Indoors. Using screens on windows and doors can help keep mosquitoes out of your home. Additionally, using air conditioning can reduce the likelihood of mosquitoes entering your living space.

What Can You Do If You Think You Have It?

If you suspect you have contracted West Nile virus, especially if you experience severe symptoms, seek medical attention immediately. Early diagnosis and treatment are crucial for managing severe cases of West Nile virus. Contact your think provider or stop by our thinkquick walk-in clinic to be evaluated. 

Treatment

There is no specific antiviral treatment for West Nile virus. Treatment focuses on relieving symptoms and providing supportive care. Care may include:

• Pain relievers to reduce fever and alleviate pain.
• Hospitalization for severe cases to provide supportive care, such as intravenous fluids, pain medication, and, in some cases, respiratory support.

Conclusion

West Nile virus is a significant health concern, especially during the summer months when mosquito activity is high. By understanding what West Nile virus is, how it is transmitted, the symptoms it can cause, and how to protect yourself, you can reduce your risk of infection. Stay informed about West Nile virus activity in your area, use preventive measures to avoid mosquito bites, and seek medical attention if you experience symptoms. By taking these steps, you can enjoy the outdoors while keeping yourself and your family safe from West Nile virus.

CONCERNED ABOUT WEST NILE VIRUS? THINK IS HERE TO HELP.

Our team of primary care physicians, advanced practice providers, and specialists are here to keep you healthy and enjoying life. If you need quick medical assistance, same-day appointments are available, or our walk-in clinic treats anyone, even those who are not a think patient or do not currently have a primary care provider. 

Call 402-506-9049 to schedule an appointment today or book online with your primary care physician.To learn more about our wide range of affordable care, visit our Services page online. Also, choose your own think medical provider by visiting our Meet Your Doctor page.

Understanding UV Radiation and Its Impact on Your Health

Did you know that one in five Americans will develop skin cancer by the age of 70? While most people associate sunburn with a day at the beach, the dangers of sun exposure go far beyond a temporary inconvenience. Ultraviolet (UV) radiation from the sun can cause lasting damage to your skin, eyes, and immune system, leading to serious health consequences.

Sun safety is crucial for everyone, regardless of age, skin tone, or location. Even on cloudy days, UV rays can penetrate the clouds and damage your skin. Let’s examine the science behind UV radiation, the dangers of sun exposure, and provide actionable tips to keep yourself safe in the sun.

What is UV Radiation?

The sun emits various types of radiation, including visible light, heat, and invisible ultraviolet (UV) radiation. UV radiation is further categorized into three types:

• UVA rays: These rays penetrate deep into the skin’s dermis, contributing to premature skin aging, wrinkles, and sunspots.
• UVB rays: These rays are responsible for sunburns and play a significant role in the development of skin cancer.
• UVC rays: Fortunately, the Earth’s atmosphere absorbs most UVC rays before they reach the surface.

Sunshine and Health: The Bright Side of Sun Exposure

While excessive sun exposure is detrimental, our bodies do require moderate sun exposure for the production of vitamin D, which is essential for bone health, immune function, and cell growth. However, the recommended daily dose of vitamin D can be obtained through just 10-15 minutes of midday sun exposure on your face and arms (without sunscreen) most days of the week.

The Dark Side of Sun Exposure: Potential Risks

Skin Cancer

Skin cancer is the most common form of cancer in the United States, with over 5 million cases diagnosed annually. The primary culprit behind skin cancer is UV radiation from the sun. There are three main types of skin cancer:

• Melanoma: This is the deadliest form of skin cancer, but it’s also the most treatable when detected early. Melanoma can develop anywhere on the body and can appear as an asymmetrical mole with irregular borders and changing colors.
• Basal cell carcinoma: This is the most common type of skin cancer, but it is also the slowest-growing and rarely spreads to other parts of the body.
• Squamous cell carcinoma: This type of skin cancer is more aggressive than basal cell carcinoma but less common.

According to the American Cancer Society, people with fair skin, a history of sunburn, a family history of skin cancer, and those who use tanning beds are at higher risk for developing skin cancer.

Premature Skin Aging

The sun’s UV rays damage the skin’s collagen and elastin fibers, leading to wrinkles, fine lines, loss of elasticity, and a leathery appearance. Sun exposure also contributes to sunspots, age spots, and uneven skin tone. While aging is inevitable, sun protection can significantly slow down the visible signs of aging and keep your skin looking youthful for longer.

Eye Damage

Ultraviolet radiation can damage the eyes, leading to several eye conditions. Here are some of the concerns:

• Cataracts: This is a clouding of the lens of the eye that can cause blurry vision and difficulty seeing at night.
• Macular degeneration: This age-related condition affects the macula, the part of the eye responsible for central vision. Sun exposure is a significant risk factor for macular degeneration, which can lead to permanent vision loss.
• Pterygium: Also known as surfer’s eye, this is a non-cancerous growth of the conjunctiva (the white part of the eye) that can interfere with vision.

Wearing sunglasses that block UVA and UVB rays is essential for protecting your eyes from sun damage.

Immune System Suppression

Excessive sun exposure can weaken the immune system, making you more susceptible to infections from viruses, bacteria, and fungi. This is because UV radiation can suppress the activity of immune system cells, hindering their ability to fight off pathogens.

Healthy Summer Sun: Protecting Yourself from UV Rays

Sun safety is a multi-pronged approach that involves minimizing sun exposure and using protective measures when you are outdoors. Here are some key tips to keep yourself safe in the sun:

Seek Shade

The simplest and most effective way to avoid sun damage is to seek shade, especially during peak sun hours (typically between 10 am and 4 pm). This could involve:

• Relaxing under an umbrella or a beach canopy.
• Spending time in the shade of trees or structures.
• Adjusting your schedule to avoid being outdoors during peak sun hours when possible.

Sun Protective Clothing

Wearing sun-protective clothing is an excellent way to shield your skin from UV rays. Look for clothes made with tightly woven fabrics that have a high Ultraviolet Protection Factor (UPF) rating. A UPF rating of 50+ indicates that the fabric blocks at least 98% of UVA and UVB rays. Here are some tips for choosing sun-protective clothing:

• Opt for long sleeves, pants, and wide-brimmed hats for maximum coverage.
• Look for lightweight, breathable fabrics that are comfortable to wear in warm weather.
• Consider special sun-protective clothing lines designed for outdoor activities.

Sunscreen

Sunscreen is a crucial line of defense against UV radiation. Here’s what you need to know:

• Choose a broad-spectrum sunscreen with SPF 30 or higher Broad-spectrum sunscreens protect against both UVA and UVB rays. SPF (Sun Protection Factor) indicates the level of protection against UVB rays. An SPF of 30 blocks about 97% of UVB rays, while SPF 50 blocks about 98%.
• Apply sunscreen generously and evenly to all exposed skin Don’t forget areas like your ears, neck, lips, tops of your feet, and the backs of your hands.
• Reapply sunscreen every two hours, or more often if you are sweating or swimming Sunscreen can wear off, so reapplication is crucial for maintaining protection.
• Use water-resistant sunscreen if you will be swimming or sweating Look for sunscreens labeled “water-resistant” for 40 minutes or 80 minutes, depending on your activity level.

Here are some additional tips for sunscreen use:

• Apply sunscreen 15 minutes before going outdoors to allow it time to absorb into your skin.
• Don’t rely solely on sunscreen for sun protection. Combine it with other sun safety measures like seeking shade and wearing sun-protective clothing.
• Be mindful of sunscreen expiration dates and replace expired products with new ones.

Sunglasses

Protecting your eyes from UV radiation is just as important as protecting your skin. Choose sunglasses that:

• Block UVA and UVB rays. Look for sunglasses that label themselves as offering 100% UV protection.
• Have large lenses to provide maximum coverage for your eyes and the delicate skin around them.
• Fit snugly and comfortably to prevent UV rays from sneaking in from the sides or top of the frames.

Sun Safety for Children

Children’s skin is even more sensitive to sun damage than adults. Here are some essential sun safety tips for children:

• Keep babies younger than six months out of direct sunlight.
• Dress children in sun-protective clothing with a UPF rating of 50+.
• Use a broad-spectrum sunscreen with SPF 30 or higher on all exposed skin after applying a water-resistant option for swimming.
• Encourage children to wear wide-brimmed hats that provide shade for their face, neck, and ears.
• Seek shade, especially during peak sun hours, and encourage breaks from outdoor play.

Activity-Specific Sun Safety Tips

Sun safety practices may vary slightly depending on the specific activity. Here are some additional considerations:

• Swimming Choose a water-resistant sunscreen with SPF 30 or higher and reapply frequently, especially after swimming or toweling off.
• Hiking and Camping Seek shade whenever possible and wear sun-protective clothing with long sleeves and pants. Consider using a sun hat with a neck flap for added protection.
• Playing Sports Choose breathable sun-protective clothing and reapply sunscreen frequently, especially if sweating heavily.
• Spending Time at the Beach Seek shade under umbrellas or beach canopies, and reapply sunscreen regularly. Wear sunglasses and wide-brim hats.

Embracing sun safety is an essential step toward maintaining your overall health and well-being. By understanding the impact of UV radiation and adopting protective measures like seeking shade, wearing sun-protective clothing, and using sunscreen, you can significantly reduce the risks associated with sun exposure. Remember, taking these precautions not only helps prevent skin cancer and premature aging but also safeguards your eyes and immune system. Prioritizing sun safety ensures that you can enjoy the outdoors while keeping your skin and health protected for years to come.

LEARN MORE ABOUT UV RADIATION PROTECTION BY SPEAKING WITH YOUR PRIMARY CARE PROVIDER

Think makes it easy to receive both preventative care and treatment for your skin and eyes, especially if affected by sun exposure. From blistered sunburns to cataracts, our wide range of primary care providers and specialists are here for you on sunny and cloudy days and everything in between.  
Our walk-in clinic treats anyone, even those who are not a current think patient or do not have a primary care provider. To learn more about our wide-ranging healthcare services, visit our Services page online and choose your own think medical professionals by visiting our Meet Your Doctor page.