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Have you scheduled a visit to your doctor or a travel medicine provider?
Ideally, set one up 4 to 6 weeks before your trip.
Most vaccines take time to become effective in your body and some vaccines must be given in a series over a period of days or sometimes weeks.
If it is less than 4 weeks before you leave, you should still see your doctor. You might still benefit from shots or medications and other information about how to protect yourself from illness and injury while traveling.
Please click here to see the information you need for specific countries.
provided by the "Centers for Disease Control and Prevention".
7 Ways to Reduce Stress:
Calming Techniques for ADHD Adults
1- Acknowledge Your ADHD
Stop blaming yourself for forgetting chores or missing a deadline. Recognize the real culprit: ADHD is neurobiological and it won’t go away. Get a proper diagnosis and treatment. Sign up for a local ADHD support group or an Internet forum. Merely realizing that you are not alone can reduce stress.
2-Exercise Your Options
Exercise is a potent stress-reducer. Physical activity increases the brain’s serotonin levels, which combats the stress hormone cortisol. Studies suggest that one exercise session of 30 to 45 minutes can improve mood and increase relaxation for 90 to 120 minutes. Exercise, over time, raises your threshold for stress.
3- Measure Time
Most people with ADHD see time as a fluid thing. To better gauge time, buy a wristwatch that beeps and set it to go off every hour. If you always need “just five more minutes,” get a countdown timer that will sound after five minutes! My client, Linda, spent hours on the Internet, then found herself scrambling at the end of the day to meet deadlines. A stopwatch, set to go off every hour, periodically roused her from her online reverie.
Over booking your time can raise stress. Whether the cause is pure impulsivity or an internal voice saying, “I should do x, y, z,” stress takes its toll on your mind. Practice saying no three times a day. And every time you say “yes,” ask yourself, “What am I saying ‘no’ to?” Relaxation? Listening to music?
5-Make Structure Your Friend
Although many ADD adults seem “allergic” to structure, a reliable routine can minimize chaos. Try these tips, both of which work wonders for my clients: Before bed, plan the next day — list what you’re going to do, when, and how. You’ll awake more centered. Also, go to bed and get up at the same time each day. This stabilizes body rhythms, increasing your chances of getting a sound sleep.
6-Take Time to Play
By not taking breaks from today’s busy life, you set yourself up for burnout. Schedule fun into your life. Have dinner or go to a movie with friends every week. Take a drive into the country or to the beach on the weekend. Figure out what you love and pursue it without guilt.
Many of our Patients have a false sense of security once they make a few gains, and then abandon the strategies that got them there. Forgetting you have ADHD is a hallmark of the condition. Don’t let down your guard!
Influenza, or flu for short, is a virus that targets the respiratory system. Find answers to the 10 most common questions about the flu.
1.What is the difference between a cold and the flu?
The flu and the common cold are both respiratory illnesses, but they are caused by different viruses. Because they have similar symptoms, it can be difficult to tell them apart.
Influenza or "the flu" develops when a flu virus infects your respiratory system, including your nose, throat, bronchial tubes, and possibly the lungs. A cold virus infects usually infects only your upper respiratory tract: your nose and throat. Flu symptoms are generally worse than illness caused by the common cold. What we call "stomach flu" or "intestinal flu" is really another virus that causes vomiting and diarrhea. It's confusing terminology, because it really isn't the flu. It's just another type of viral infection.
2.Why are people so concerned about the flu?
Because the flu virus can infect the lungs, it can cause a serious infection like pneumonia. And that's what worries people. If the flu develops into pneumonia, it can require hospitalization and even lead to death. People with weak immune systems -- the elderly, pregnant women, infants, and people with chronic health problems -- are at highest risk.
3. Can flu shots cause the flu?
The flu shot does not contain live viruses, so it cannot "give" you the flu. However, the vaccine can trigger an immune response from your body, so you may have a few mild symptoms, like achy muscles or a low fever.
The nasal flu vaccine, FluMist, is made with weakened live virus. It's recommended only for nonpregnant, healthy people between the ages of 2 and 49 because there is a lack of safety information in other groups.
Because flu viruses differ from year to year, you need an annual flu shot to try to prevent the flu. The vaccines don't guarantee that you are 100% protected. You could catch a strain that is not included in this year's shot. Recent research also indicates that the vaccine may not be as protective for children under age 2. But flu shots are considered the best prevention available today.
While the CDC advises everyone to get a flu shot, it’s highly recommended for:
Children 6 months to 18 years old
People 50 and older
People of any age with certain chronic medical conditions
People who live in nursing homes and other long-term care facilities
People who live with or care for those at high risk for complications from flu, including health care workers, household contacts of persons at high risk for complications from the flu, and household contacts and caregivers of children under 5 years old with particular emphasis on vaccinating contacts of children under 6 months old (these children are at higher risk of flu-related complications)
4.What else can I do to prevent the flu?
Both flu and cold viruses are transmitted the same way - through microscopic droplets from an infected person's respiratory system. That person sneezes or coughs, and droplets are sprayed onto any nearby surface - or person. If they cough or sneeze into their hands (without a tissue), their hands then carry droplets to surfaces they touch. You touch that surface and pick up the virus. If you rub your eyes or nose, you've just infected yourself.
To protect yourself and prevent spread of cold and flu viruses:
Wash your hands frequently. Use an alcohol-based gel if you don't have access to water.
Cough and sneeze into a tissue or into your hands. Wash your hands afterward.
When you cough, turn your head away from others.
If you have a sudden sneeze and no tissue, bend your arm and sneeze into it.
Don't touch your eyes, nose, or mouth. This prevents germs from entering your body.
Wash any shared surfaces (like phones and keyboards) frequently. Viruses can live on surfaces for several hours.
Stay away from crowds during cold and flu season.
A well-nourished immune system is better able to fight off infections. Fuel your body with natural vitamins found in foods such as dark green, red, and yellow vegetables or fruits. Salmon is a great source of omega-3 fatty acids, which fights inflammation. Yogurt helps stimulate the immune system.
Also, regular exercise - aerobics and walking - boosts the immune system. People who exercise may still catch a virus, but they often have less severe symptoms. They may recover more quickly compared with less-healthy people.
5.What are flu symptoms and when is a person contagious?
Primary symptoms of flu are fever, fatigue, aches and pains, chills, and cough. The cough is a bronchial tube irritation and is usually not productive - you're not coughing up gunk. The flu is usually at its worst for three to four days. The cough may linger longer. Recovery can take seven to 10 days. You may have lingering fatigue for several weeks.
There's one catch with these viruses. About 24 to 72 hours after you're infected, you become contagious. Yet you don't have symptoms, so you don't know you're sick. You feel completely healthy, and go about your daily affairs -- spreading the virus wherever you go.
Stay at home while you've got the flu, and for at least 24 hours after you get over your symptoms. Once you start feeling symptoms, you've already exposed co-workers to the virus - and you're still contagious. Also, you will recover quicker if you get some rest.
6. What's the best treatment for flu?
There's no single "best" treatment for flu, but there are many ways you can ease symptoms.
Prescription flu drugs can cut short the flu if taken when your first symptoms appear. They work best when taken within 48 hours of symptoms, but they can also prevent severe disease if taken more than 48 hours after the first symptoms. Over-the-counter cold and flu medicines can offer some relief from fever and aches. They don't "cure" the flu, but may help keep you more comfortable. Keep this in mind: Doctors no longer believe in suppressing low-grade fever - except in very young and very old people, or people with certain medical conditions such as heart or lung disease. Low-grade fever helps the body fight off infection by suppressing the growth of bacteria or viruses and by activating the immune system.
What can help? Decongestants can help you breathe by shrinking swollen mucous membranes in your nose. Saline nasal sprays can also open breathing passages. Cough preparations are not hugely effective. For minor coughs, water and fruit juices probably help the most.
Note: Young people and children should not take aspirin because of the risk of Reye's syndrome. The FDA and manufacturers now say that over-the-counter cough and cold medicines should not be given to children under 4.
It's very important to drink a lot of fluids to keep your body hydrated. This helps prevent another infection from setting in. Avoid drinks like coffee, tea, and colas with caffeine. They rob your system of fluids. As for eating, follow your appetite. If you're not really hungry, try eating simple foods like white rice or broth.
7.How do prescription flu medications work?
The prescription drugs Tamiflu and Relenza were developed to cut short a bout with flu. They help relieve flu symptoms and may shorten recovery time by a few days.
Tamiflu and Relenza work best when taken within 48 hours of the first symptoms. However, clinical studies show the drugs still offer benefits when treatment starts more than 48 hours after symptoms begin.
The CDC discourages people from taking antiviral drugs to prevent flu, even in people at risk for severe disease who are exposed to a person with flu symptoms. Instead, the CDC advises such people to be alert for flu symptoms and to take Tamiflu or Relenza only after the first symptoms appear.
8.Should I get an antibiotic?
Antibiotics will not help treat the flu. Antibiotics kill bacteria, but they do not kill any viruses, including viruses that cause the flu or colds.
However, the flu can weaken the immune system and open the door for bacterial infections. If your flu starts to get better and then gets worse, you may have a bacterial infection. See a doctor right away. Antibiotic treatment may be necessary.
9.When should I see a doctor?
These symptoms are signs that flu may have developed into something serious like pneumonia. See a doctor if you have any of these symptoms:
Vomiting or inability to keep fluids down
Persistent congestion and headaches
10.If I have allergies, am I more likely to get the flu?
No, allergies don't affect susceptibility to the flu. But people with asthma are more likely to have severe disease when they get the flu. Also at risk of severe disease are infants under age 6 months, pregnant women, people with suppressed immune systems, people with diabetes, people with lung disease, people with neurologic disease, people with heart disease, and elderly people.
Call us at 818-312-9101
Six Ways to Prevent Office Injury
To avoid pain and possibly chronic problems, ergonomics experts recommend several ways of developing a low-risk working posture:
1- Sit Naturally: "Many people perch on their chair, lean forward and tuck their feet under, especially when they're concentrating," Biafore said. Notice how you sit, and make adjustments to the chair or to your posture if any part of your body is experiencing tightness, strain or pain.
2- Type Right: You shouldn't have to change your seated posture or angle your hands to type. The keyboard should come to you. If it doesn't, adjust your seating position or ask for a keyboard tray.
3- Check Your Viewpoint: Your eyes should naturally gaze at the middle of the computer screen. If you have to look up or down, move the display. This goes for placement of paper documents as well -- you shouldn't have to crane your neck to see them.
4- Catch the Mouse Problem: If you have to reach for it, then your seated posture may be out of whack.
5- Take Breaks: You should get up about five minutes every hour to get out of your chair, get a drink or just walk to the next cubicle. Young also recommended taking microbreaks, of about 10 seconds every 15 minutes to rest your eyes and hands.
6- Speak Up: Report any problem to facilities, HR or, if your company has one, an ergonomics specialist. If you've identified the problem as merely the need for a wrist pad, an adjustable chair or a movable display, it's in the company's interest to comply.