All posts by lipsticklogic

Betty Kuffel, MD FACP An honors graduate of the University of Washington School of Medicine, Internal Medicine physician and former nurse practitioner, Dr. Kuffel has broad healthcare experience. After years of directing and working in emergency departments, and directing hospitalist inpatient care, recently Dr. Kuffel retired to pursue many interests including writing this blog for women. Because of a shared desire to help women of all ages achieve healthy fulfilled lives, she joined with her sister Bev Erickson and founded Lipstick Logic ™ to bring health and lifestyle education to women. Their contributions to educating women include hosting and speaking at women’s conferences, writing a health blog on LipstickLogic.com and writing a monthly health column for Montana Woman Magazine. Dr Kuffel has been recognized for her commitment to helping others. The Lipstick Logic concept evolved over years of caring for women in crisis. Dr. Kuffel believes education is the key to living healthier and making informed choices. Heart disease is the focus their collaborative book, Your Heart: Prevent and Reverse Heart Disease. Coronary artery disease is the number one cause of death and it is preventable. See: YourHeartBook.com

COVID-19 LOGIC

MASK UP

COVID-19 deaths in the past year approach half a million, surpassing heart disease as the highest annual cause of death in the U. S. These killer diseases are markedly different.

Coronary heart disease evolves over years of bad lifestyle choices and underlying inherited disorders. You can get COVID-19 and possibly die by not wearing a mask and simply standing near a SARS-CoV-2 coronavirus-infected person. This highly contagious acute respiratory disease is airborne, and the virus spreads easily from person to person. Choices made throughout a lifetime help prevent coronary heart disease, but simple actions taken right now can prevent COVID-19 and save lives.

The viral disease may be mild, but perfectly healthy people, young and old, have died from it. Increased age and younger citizens with pre-existing diseases, including obesity, diabetes, heart disease asthma and any immune suppression have increased risk of serious COVID-19 illness and death. These factors increase the need for hospital care, oxygen support, and make the risk of death higher.

PREVENTION IS BEST

FOLLOW THESE CDC GUIDELINES TO DECREASE RISKS FOR COVID-19:

AVOID CROWDS.

WEAR A MASK IN PUBLIC.

STAY AT LEAST SIX FEET APART.

AVOID TOUCHING YOUR FACE AND NOSE.

WASH YOUR HANDS & USE SANITIZER FREQUENTLY.

GET YOUR VACCINATION AS SOON AS YOU ARE ELIGIBLE.

CONTINUE TO WEAR A MASK IN PUBLIC EVEN AFTER BEING VACCINATED.

MASK GUIDELINES

Wearing a mask does not mean pulling a bandana or neck gaiter up over your mouth or walking around with a mask only covering your mouth. To be effective, masks must cover both the nose and mouth, fit against your cheeks, and be secured beneath your chin. You must breathe through the fabric without gaps along your cheeks.

Recommended masks: disposable surgical, 2-ply cotton fabric masks, N95, NK95.

Most effective protection is to wear a fabric mask over one of the other selections.

(N95 masks are still in short supply and must be preserved for frontline workers.)

Avoid being near anyone who is not complying with these practices.

Watch for updates from CDC.

LipstickLogic.com

Betty and Bev

COVID AND YOUR HEART

February is Heart Health Month

 

Each year the American Heart Association designates February as Heart Health Month to raise awareness and encourage health style changes to lower risks. Heart disease caused by narrowed coronary arteries has been the major cause of death in both women and men around the world for decades. This year, rising Covid-19 deaths will skew statistics and within this high death rate are many who have underlying coronary artery disease.

Covid-19 typically impacts the respiratory system but may progress to other body parts including the heart. Older people who developed heart disease over a lifetime are at increased risk when infected with the SARS-CoV-2 coronavirus that causes COVID-19 illness. But the virus can also attack young healthy hearts.

Some survivors with no underlying heart disease who did not require hospitalization still developed heart complications. Heart muscle inflammation (myocarditis) and heart failure (decreased pumping ability) occur in some. Heart failure results in shortness of breath, ankle swelling and decreased exercise tolerance.

A Mount Sinai Health Systems study of 3,000 patients hospitalized with COVID-19 showed a high number with heart injury. Thirty-six percent showed elevated troponin levels indicating heart muscle damage. Rising blood troponin correlated with a higher risk of death. Even patients with mild heart muscle injury had a 75% higher risk of death than those with normal troponin levels.

Most people who test positive for COVID-19 experience mild symptoms, require no hospitalization, and experience a full recovery. Systemic effects from the infection are variable but include blood clotting disorders and nervous system involvement. An overwhelming immune response, called a “cytokine storm” results in cellular damage and shock in some patients. But many older people with chronic diseases such as diabetes, kidney and lung problems have complicated courses. Reduced oxygenation that can be severe may evolve to irreversible lung damage.

Post COVID weakness and exhaustion require a cardiac workup. It is important to seek medical attention for chest pressure, shortness of breath, and palpitations (irregular heartbeat). If your heart rate is abnormally slow, fast, or irregular, make an appointment to see your doctor.

 

The workup will involve the following: a history of your symptoms, underlying risks such as diabetes, high blood pressure, known heart disease, medication list, and activity level prior to COVID-19 infection. Common evaluations include physical exam, chest X-ray, ECG, and an echocardiogram.

Contact the American Heart Association for general heart health guidance and follow CDC recommendations for protection during the pandemic. For personal safety and the safety of others, masks and social distancing are essential. Consult your healthcare provider or local health department to register for a vaccination as soon as possible. Follow safety precautions and always wear a mask when you leave your home.

Lower stress with education. Know your risks and take action.

American Heart Association

CDC COVID information

Save lives and protect your heart.

Lipstick Logic Sisters Betty and Bev

 Amazon link

Holiday Greetings from Lipstick Logic

Lipstick Logic Sisters

Lipstick Logic Holiday Greetings and Recipes

Last year at this time few were aware of the new coronavirus that would threaten world stability. But in early 2020, our world changed forever with a pandemic of disease and death. Lives were lost and for some of those who survived infection, their lives were forever changed.

The prospect of effective vaccines brings hope for a brighter future. In the meantime, we have followed science but stayed close to those we care about through Zoom, Skype, video cell calls, social media, emails, and plain old phone calls.

Being less mobile meant more time at home to focus on projects we’d put off for years. Indoor and outdoor home improvements occurred, along with lots of cooking with our favorite restaurants closed. We won’t be gathering with family or friends and sharing food this holiday but are sharing with donations to food banks and charities and will share some of our easy tasty recipes with you.

Best wishes for a wonderful peaceful New Year.

Lipstick Logic Sisters: Betty in Montana and Bev in Minnesota

Click on the Holiday Greetings link below to print the recipe PDF.

Molasses Oatmeal Bread
Huckleberry Scone dough
Huckleberry Scones
Janet’s Biscotti with Gloria and Tim’s Wine

Holiday Greetings from Lipstick Logic

Blueberry Muffins
Pike Bay Cass Lake MN
Big Mountain 2020

React Like a Zebra

Sharing a blog from Montana Women Writers

https://montanawomenwriters.com/2020/04/06/react-like-a-zebra/

 

Montana Women Writers

Betty cowboy hat prairie.1

By Betty Kuffel

When you lie in bed worrying about things out of your control and unable to sleep, consider the concepts of stress reduction in the book Why Zebras Don’t get Ulcers by Robert M. Sapolsky. The acclaimed Stanford University professor of biology and neurology is a wizard at explaining how stress can make you sick and what you can do to understand and calm the physiological symptoms.

If you begin writing a list of topics that stress you, Dr. Sapolsky says to stop and think like a zebra. zebra headThey survive frequent acute physical distresses and react quickly to save their lives. We, too, have the ability to adapt suddenly in emergencies, but are challenged by sustained chronic concerns about food, lodging, and money, etc. In humans, the real problem occurs with social and psychological disruptions. That is where we are right now, enclosed for safety from an encroaching…

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Stay Healthy, Stay Home

Uncertain Times

Since the writing of our last blog, most everyone’s daily life patterns and concerns, including ours, have changed dramatically.

Honestly, we have been so preoccupied trying to keep up on the latest Covid-19 news, we haven’t felt like writing, but we want to encourage you to do everything you can to stop the spread of Covid-19.

We personally have abided by our governors’ Stay Home mandates and the CDC’s guidelines and have encouraged our family members and friends to do the same.

Staying home can seem restrictive, and yet, from everything we read and hear from reliable medical sources, social distancing is one of the easiest and most effective measures we can take to do our part to stop the spread of this pandemic virus. We have tried to use our Stay Home time creatively.

In fact, we have engaged in some amazing acts of cleaning – like sorting through 30 years of old papers and documents. And, after three weeks of confinement, our closets, floors and kitchen cabinets have never looked better. Cleaning is what we do best when we feel stressed. Engage in activities around your home you have put off due to a lack of time. Time is one thing you have right now, consider it a gift. Create, clean, wash the windows, read something other than the news.

We encourage you to focus on activities you like to do, but also practice acts of kindness wherever you can both within your family and toward others, including your pets who feel your anxiety. Take daily walks but remember to wear masks whenever you are away from home. Stay connected with family and friends through phone calls, texting, Instagram photos, Facebook and online face-time visits. Reach out to others, especially those confined at home alone with no spouse, significant other or children to help occupy their time. Write a letter to someone you know who is confined to a nursing home.

Using online services to order your groceries with curbside pick-up is an excellent way to practice social distancing. If you don’t have online grocery ordering options, be sure to wear a face mask to protect yourself and the safety of front-line grocery staff who are still working to stock shelves and serve customers.

No one is working harder right now that the medical community. We want to thank every doctor, nurse, and healthcare provider from the bottom of our hearts for their dedication in helping those who need their care and expertise. This is a painful situation facing not only the United States but the world.

The outcome depends on each of us to do our part.

Electronic hugs to you.

Betty and Bev

A photo taken before the days of social distancing.

 

HEART HEALTH

 Over the month of February, known as Heart Month, you may have heard a lot about the importance of having a healthy heart. We want to offer some quick tips and access to websites and a book designed to help you improve not only your heart health, but your overall health as well.

Heart disease remains the number one cause of death for both men and women. Go Red for Women is an American Heart Association’s (AHA) platform presented to improve health. AHA’s website is an excellent source of valuable information: https://www.goredforwomen.org/

Make 2020 your year to live a healthier life for your heart’s sake.

Develop A Personalized Plan

To improve your health and outlook on life, make a commitment to eat healthy and find an exercise that works for you, one you can do daily. Get plenty of sleep, limit your alcohol intake, choose happy active friends, and find activities you enjoy.

Move More

A 30-minute walk each day with six minutes of cardio-exercise will increase your endurance to enjoy all activities and prolong your life. https://www.nytimes.com/2020/02/18/well/move/in-6-minutes-you-can-be-done-with-your-workout.html

Eat Healthy and Less

The Mediterranean diet has proven to help people lose weight, keep it off, plus reduce their chance of having a heart attack, stroke, or developing type 2 diabetes. It is a healthful approach to eating for men and women for all ages.

A Mediterranean diet consists of fish and seafood, poultry, eggs, low-fat dairy like yogurt, Vegetable Tray-1vegetables, fruits, whole grains, beans, nuts and seeds, and olive oil. For a sample meal plan and beginner’s guide to the Mediterranean diet, check out this website:  https://www.healthline.com/nutrition/mediterranean-diet-meal-plan

 Mediterranean 5:2 Diet

In 2012, weight expert, Dr. Michael Mosley introduced the Mediterranean 5:2 diet – an eating plan where you reduce your calorie intake to 800 or fewer calories two days a week. It is best to split those days, say Monday and Thursday. Splitting the days helps you maintain an even metabolic rate while dieting. On the other “regular” five days, you eat a diet consisting of fish, poultry, dairy, vegetables, fruits, whole grains, beans, nuts and seeds, and olive oil – a healthy Mediterranean Diet.

Calculate Your Calorie Needs

Below is a website that will help you calculate how many calories you need per day to reach your desired weight.

https://www.healthline.com/nutrition/how-many-calories-per-day

Handbook on Heart Health

Your Heart Book Cover- Final 1For more in-depth information about heart health, Dr. Betty Kuffel, MD, Fellow of theAmerican College of Physicians, has published Your Heart, Prevent and Reverse Heart Disease in Men, Women and Children. This handbook is available for purchase on Amazon.

https://www.amazon.com/Betty-Kuffel/e/B07XFQPLFX

Challenge yourself

Start your customized program today. Adopt healthier eating and exercise habits that will pay dividends in 2020 and beyond. If you are on medications or have health risks, be sure to discuss diet and exercise with your health practitioner. Your heart and body will thank you.

Betty Kuffel, MD and Bev Erickson

Baby Blues

Emotions run high following any birth. Especially with a first baby, in addition to joy, a new mother may feel anxious and fearful due to a lack of experience in caring for her newborn. No mother expects to be sad following the birth of a child, but about fifty percent of new mothers experience Baby Blues.

Worry, unexplained bouts of crying, a slow physical recovery and lack of sleep impact postpartum emotional states. Usually the rollercoaster emotions resolve within two to three weeks, but some women are left with prolonged unexplained sadness. Pregnant women often joyfully await the birth and are caught off guard by serious emotional changes ranging from the blues to prolonged depression and even psychosis.

Postpartum Depression

Emotional swings extending beyond a few weeks mean Postpartum Depression and require medical attention. This prolonged depression following delivery is associated with physiological, social and psychological changes. Symptoms may begin immediately following the birth and increase if untreated. About 1 in 10 new mothers experience postpartum depression. Once experienced, the percentage rises with each baby thereafter.

Intense mood changes and inability to bond with the baby can swing to fears she might harm herself or the newborn. Additional symptoms include loss of appetite, lost interest in being around others, hopelessness and inadequacy compounded with panic attacks and inability to make decisions. Seeking professional help is essential if these symptoms last longer than a month.

Antidepressants and counseling are very effective.

Postpartum Psychosis

A third more serious but less common condition affecting 1 in 1000 women is Postpartum Psychosis. Symptoms beginning within a week can include rapid speech, insomnia, manic behaviors, obsessive thoughts, agitation, paranoia, and hallucinations.  This condition requires immediate medical intervention for dangerous life-threatening behaviors including attempts to inflict self-harm or harm to the baby.

Call for Help

A phone call and follow-up care from your medical provider is important when depression persists, or in the case of psychosis, immediate care is needed. Prolonged depression of any nature is serious. If untreated, it can affect the entire family. Because of added financial and parenting responsibilities associated with a new baby, fathers can experience depression following a birth, too. Untreated depression in either parent impacts other children in the family.

More information is available on the Mayo Clinic and Cleveland Clinic websites.

 

Betty and Bev

free photo source

A Silent Change in Motherhood

Motherhood is a variable experience. Some women find the nine-month incubation of a pregnancy enjoyable. But when hormones surge and nausea sets in, exhaustion makes Free Pixabay Stocksnap pg womanthe date of delivery seem faraway.

Dramatic physical changes occur. Blood volume doubles. The placenta nourishes the fetus and provides a natural protective barrier.

As the fetus grows, maternal weight increases and endurance wanes. Nausea from day-one often ends at three months but can continue until the birth. The mother wonders when her life will return to normal and if her clothes will ever fit again.

Miscarriages are common, bringing physical and emotional adjustment, but even following an uncomplicated delivery, life doesn’t suddenly normalize. A usually joyous time getting to know the newborn is interrupted by sleepless nights and sometimes complicated by feelings of inadequacy and depression.

A new mother must juggle schedules and if breast feeding, may pump breast milk for months so she can return to work. To communicate with her baby, she may learn and teach the infant sign-language or find herself babbling baby-talk. After an unpredictable adjustment period, a new norm is reached.

Getting back into shape, eating right, sleeping and taking care of mothering tasks prevail, but during the pregnancy, silent changes evolved in the maternal body that may impact her health for life. Fetal and maternal blood circulation are separate except for a nutritional interface. No maternal-fetal blood is exchanged but fetal deoxygenated blood passes through umbilical cord arteries to the placenta. There maternal nutrients and oxygen are exchanged through the mesh of an arterio-capillary-venous system, much like oxygen/carbon dioxide transfer occurs in adult lungs.

Despite clear separation of fetal and maternal circulation, an article published by researchers at the University of Arizona reported some fetal blood cells migrate through the placenta and are carried in the mothers’ blood. The fetal cells lodge in various maternal locations where they exist for years. Foreign cells in maternal tissue turn mothers into chimeras. The term alludes to Greek mythology and creatures built from different animal parts, in this case: fetal microchimerism. Fetal cells are detectable in 90% of healthy women after a pregnancy.

Researchers found fetal cells migrated to damaged tissue following a C-section delivery where they were actively involved in healing. In other cases, fetal cells were swept through the bloodstream into maternal areas including the lungs, where they appeared to be inactive bystanders. Some of the escaped fetal cells were pluripotent, like stem cells, able to change into different cells and impact body processes in both positive and possibly negative ways.

Health issues including autoimmune diseases might be triggered by the foreign fetal cells. In these common diseases, the body’s immune system attacks normal cells. Of note, women are more likely to develop autoimmune disorders such as rheumatoid arthritis, MS and lupus than men.

Male fetal cells are found in women who have not given birth to a male child. How could that happen? This may occur when a male embryo fails to develop properly and aborts or is absorbed by maternal processes but some of the fetal cells live on.

Another field of research has shown a reverse transfer of cells, where maternal cells migrate to the fetus. This may explain autoimmune diseases in offspring, including inflammatory bowel disease and biliary cirrhosis.

Although effects of fetal microchimerism have been studied over decades, their impact remains incompletely understood and vigorously debated within the biological research community.

Betty Kuffel, MD

Weight Control in the New Year

Simple Solutions for a Healthy 2020

The new year dawns.

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If you are happy with your health, keep up the good work. It takes effort to remain healthy.

If you always eat right, didn’t overeat over the holidays and aren’t overweight, you are either lucky or very disciplined.

If neither statement above applies to you and you want to drop a few pounds and bump up your energy level, this short blog is for you. We’d like to challenge you to try a simple solution to shed adipose (fat) and become healthier.

General guidelines for heart health and weight reduction are everywhere and yet we’ve all seen grocery carts filled with cookies, chips, crackers, sweetened & sugar-free beverages, boxes of quick-fix mac ‘n cheese items and other unhealthy processed foods. How often do you see carts filled with fresh fruits, salad greens, broccoli, carrots and colorful peppers? Probably not often enough.

Before you head to the grocery store, make a list of healthy foods to prepare at home and stay out of the center isles of the store. Buy fresh whenever possible and choose lean protein sources like chicken or fish.

Not only what you eat, but the way you eat can help you drop unwanted pounds and regain your health. To achieve a better body weight and a healthier heart, try this simple solution: 

Combine intermittent fasting

with a plant-based or Mediterranean diet

Limiting food intake is beneficial. Numerous scientific studies show dietary restriction can lead to a longer life. Intermittent fasting is an easy effective approach to weight control and diabetes prevention. If you already have Type 2 diabetes, intermittent fasting is an excellent way to reduce glucose levels and bring your hemoglobin A1c into normal range. Intermittent fasting is not new. Studies over the years of fasting have shown similar positive effects, so in 2020, why not give Intermittent Fasting a try.

There are numerous ways to intermittently fast. One easy way is to restrict the hours when you eat. For example, pick an eight-hour period during the day when to eat and don’t snack beyond that time period.

One study showed an eight-hour eating time frame proved more beneficial than a twelve-hour schedule. Neither group in the study lost weight, but the eight-hour group lowered their blood pressure, improved their insulin sensitivity and experienced a significant decrease in appetite. By simply extending your overnight fasting period, metabolism improves, and appetite is reduced. Choose a time period to match your activity schedule, like 7 a.m. to 3 p.m. Don’t eat before or after your chosen eight hours.

To lose weight, restrict your calorie intake for two days of the week, drink more water and eat only a plant based or Mediterranean diet the remaining days. It is best to split the days (ex. Monday and Thursday) to avoid triggering a starvation response that slows calorie burn.

To reduce calories simply eat small meals for two days of each week. Over the other five days only eat vegetables, fruits, nuts, seeds, legumes (beans, chickpeas lentils), potatoes, whole grains, breads, herbs, spices, fish, seafood, poultry, eggs, cheese and yogurt. Use only extra virgin olive oil when cooking and rarely, if ever, eat red meat.

This combination is a proven pathway to health and an easy way to drop pounds. In 2013, we published Your Heart a medical guide on heart health. In Part Two of Your Heart, healthy options of eating a plant-based or Mediterranean diet were discussed in detail, along with an intermittent fasting plan.

 Your Heart: Prevent & Reverse Heart Disease in Women, Men & Children by Betty Kuffel MD, is available on Amazon as an E-book or paperback.

Your Heart Book Cover- Final FINALAmazon author

In December 2019, Mark Mattson, PhD, Johns Hopkins professor of neuroscience, published a review article in the New England Journal of Medicine, concluding intermittent fasting is not only healthy, but prolongs life.

To become healthier and more disciplined, think about:

  • When to Eat: Limit all eating to an eight-hour period. No snacking beyond the eight hours.
  • What to Eat:

 Fresh fruits and vegetables and legumes:  apples, carrots, lettuce, kale, celery, cauliflower and broccoli, colorful peppers, asparagus – check out the produce isle, the options are numerous.  Also include beans, chickpeas, and lentils.

Fish and chicken (boil/bake/broil). Avoid all fried and processed foods for a healthier heart and weight.

Unprocessed grains: oatmeal, steel cut oats, brown rice, wild rice, barley, whole grain breads. Add a few almonds, walnuts and olives to your diet. Avoid sugar-rich granola, sugary cereals and white breads.

 Low calorie examples: Egg whites are a great protein choice at only 10 calories per one egg white.  A three egg-white omelet with mushrooms, veggies and a slice of wholegrain bread is a filling meal. Replace one meal with a low calorie protein drink. For a meal, eat a heaping plate of roast or steamed vegetables.

Exercise a minimum of 30 minutes three times a week. 

Sometimes, the easiest method works best.

  • Eat wisely during only an eight-hour period
  • Eat fresh foods you prepare at home
  • Drink more water and limit alcohol
  • Weigh yourself every day
  • Exercise, preferably  daily

Do the above for one month and send us your success stories.

Note: Calorie intake = fuel   Excess fuel = fat.  If you eat less than your baseline needs and exercise, you will lose weight. Be patient. Set a goal. One pound down is a 3500 calorie deficit. If you reduce your calorie intake by 500 to 1,000 calories a day from your typical diet, you’ll lose weight each week. To calculate baseline calories needed to maintain your ideal weight, use this estimate: https://www.active.com/fitness/calculators/calories

Betty and Bev

 

 

 

Festival of Lights on Black Friday

Brighten Your Mood with Lights

 

If this time of year tends to dampen your spirits and energy, it could be a result of shorter days and longer nights. A condition known medically at SAD – Seasonal Affective Disorder, also called the “Winter Blues” – is a documented mood disorder where people who have normal mental health throughout most of the year, become depressive in winter months.

Although experts were initially skeptical, this condition is now recognized as a common disorder, prevalent across the U.S.  SAD was formally described and named in 1984 by Dr. Norman E. Rosenthal, a researcher, professor, psychiatrist and author of the book “Winter Blues.”

The National Library of Medicine notes “some people experience a serious mood change when the seasons change. They may sleep too much, have little energy, and may also feel depressed. Though symptoms can be severe, they usually clear up.”

If you feel a dampened-down mood change coming on, considering adding more lights inside and outside your home. Energy efficient bulbs now offer instant-on bright white and daylight options that will reduce your electricity bill if used to replace older filament bulbs.

Our small town has a delightful tradition. On the Eve of “Black Friday” – a parade of lighted horses and over 20 floats make their way through main-street. Family and friends gather on the sidewalks wrapped in winter coats and warm blankets (if weather demands), to watch the parade and join in the sounds and songs of merriment that fill the air.

The last float, a shiny fire truck covered in twinkle lights, ushers in Santa. With a wave of his hand and his jolly “Ho-Ho-Ho” the truck siren brings in the season and the entire downtown and waterfront area come alive with sparkling lights.

It doesn’t have to end there. Stores are filled with packages of inexpensive lights designed to adorn your home and landscape. Lighting contests are held throughout our area bringing people of all ages out to tour the spectacular scenes.

Sparkling starlight elicits a feeling of joy whether it is in summer or winter. With the arrival of longer winter nights, even a few sparkling lights within our homes can add a feeling of joy.

“Deck the Halls” both inside and outside to increase your enjoyment and spread holiday cheer throughout the neighborhood.

Wishing you a cheery and bright Holiday Season.

Bev Erickson

In Northern MN