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"If a fellow isn't thankful for what he's got, he isn't likely to be thankful for what he's going to get."
– Frank A. Clark  
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  Volume No. 15 Issue No. 11 November 2018  

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  The heat is on ... our health
  By Linda DuVal

   It’s been a hot summer and doesn’t look like it’s going to get cooler any time soon. On the evening news, there’s an occasional story about a kid fainting (or worse) from the heat at a sports camp.
   
   Heat is nothing to mess with, and the most vulnerable to its effects are the very young and the very old, said Dr. Cory Dietz, who practices family medicine at the UCHealth Primary Care Clinic –- Falcon.
   
   “The young and old have trouble regulating their temperature, and that makes them more susceptible to heat-related illnesses,” he said.
   
   Dietz said kids at summer camps, sports camps or tryouts are particularly vulnerable because they “are usually involved in strenuous activity in hot weather.”
   
   According to the Centers for Disease Control, heat-related illness, ranked from least to most serious, include heat rash, sunburn, heat cramps, heat exhaustion and heat stroke.
   
   The CDC breaks it into five categories: heat rash, sunburn, heat cramps, heat exhaustion and heat stroke.
   
   Heat rash
   “Usually, it’s just a reddish rash, small blisters, mostly found in sweaty areas of the body, like armpits, the groin, crease of the elbows, and such,” Dietz said.
   
   Keep it cool and dry and do not apply the old remedy of baby powder -– that has its own set of problems these days.
   
   Sunburn
   Everybody pretty much knows when they have a sunburn. It’s painful and red. It can range from mild to severe. Mild sunburns can be treated at home, but if blisters develop, an appointment with a medical provider might be warranted.
   
   Dietz recommends a moisturizer like aloe or an over-the-counter topical sunburn medication that might help numb the pain for mild sunburn. He also suggests taking Tylenol or ibuprofen for pain. Applying cool cloths can offer some relief, too.
   
   For sunburns that blister, “Never break blisters,” he said. “That’s the body’s way of dealing with the burn, and the body knows what it is doing. It’s OK if they break on their own, but don’t rush the process.”
   
   Heat cramps
   “This most often happens to folks who work outdoors,” Dietz said. “They come in the form of muscle spasms. The remedy is to drink lot of fluids, like sports drinks, which can help.”
   
   Heat exhaustion
   Now things are getting serious.
   
   It starts with muscle cramps, and can include heavy sweating, lightheadedness, dizziness, nausea or vomiting, headache and clammy skin, he said.
   
   Once identified, “Cool the person down by using cool cloths, getting them into a cool shower or bath, and giving them cool liquids to drink,” Dietz said. “If those don’t help after an hour, seek medical help.
   
   “It’s very serious if you get to that point. If left untreated, it can lead to heat stroke.”
   
   Heat stroke
   Symptoms of heat stroke include a high body temperature — 103 or higher — and the victim is no longer sweating, Dietz said. The victim might be confused, disoriented and even passing out.
   
   At this point, he said, “It’s a medical emergency. Call 911, or get them to an ER as soon as possible.”
   
   Meanwhile, move the victim to a cooler place, use cool cloths, but do not give anything to drink, he emphasized. “Because if they’re passing out, they may not have control (of swallowing) and could choke.”
   
   Doctors, especially emergency doctors, see a lot of heat-related illness in the summer.
   “I’ve seen all of these, in one form or another,” he said.
   
   Dietz said all of these afflictions are mostly preventable by using common sense, ordinary precautions and paying attention to the environment and the weather.
   
   “Wear your sunscreen and drink plenty of fluids, especially in hot weather.”
  
Dr. Cory Dietz practices family medicine at UCHealth Primary Care Facility — Falcon. Photo submitted
 
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  Recipe of the month
  Turkey sliders

   Grilled pineapple tops flavorful turkey burgers to give this easy slider recipe a Hawaiian flair.
   
   Ingredients
  • 1 pound 93 percent lean ground turkey
  • 2 tablespoons reduced-sodium teriyaki sauce
  • 2 scallions, sliced
  • 1 large garlic, minced
  • 1/4-inch-thick fresh pineapple rings
  • 1 small red onion, cut into 1/4-inch-thick rings
  • toasted slider buns, preferably whole-wheat
  • 2 tablespoons mayonnaise
  • 6 small leaves Boston lettuce

   Preparation
   Pre-heat grill to medium-high. Combine turkey, teriyaki sauce, scallions and garlic in a medium bowl; gently knead together. Do not over-mix. Form into six burgers, about 3 inches wide. Oil the grill rack (see tip). Grill the burgers until an instant-read thermometer inserted in the center registers 165°F, 2 to 3 minutes per side. Grill pineapple rings until lightly charred, about 2 minutes per side. Grill onions until lightly charred and starting to soften, about 2 minutes per side. Assemble the burgers on toasted buns with 1 teaspoon mayonnaise, one lettuce leaf, one pineapple ring and about three onion rings each.
   
   Tip: To oil a grill rack, oil a folded paper towel, hold it with tongs and rub it over the rack. (Do not use cooking spray on a hot grill.)
   
   Nutrition information:
   Serving size: one slider
   Per serving: 286 calories; 12 g fat (2 g sat); 2 g fiber; 28 g carbohydrates; 19 g protein
   
   Source: EatingWell Magazine: August 2016
  
 
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