101° In The Shade

July 19th, 2011

As a massive heat wave moves across the country, we thought now would be a good time to revisit the effects of heat and humidity on the body.

If you suffer from edema and/or lymphedema, heat and humidity are not your friends.  Dr. Madeline Chatlain’s article,  Swelling & Summer in the South, has useful tips to help you control summer swelling through diet, exercise, and compression garments.

An interesting note from the article, DEET the active ingredient in many insect repellents, can severely damage compression stockings.

Promoting Lymphatic Research

May 12th, 2011

The Lymphatic Research Foundation (LRF) is a non-profit organization founded in 1998 to promote research in the fields of lymphatic diseases, lymphedema, and related disorders.

LRF has established a patient registry and tissue bank to serve as a repository of information for current and future researchers.  Several fellowship grants are awarded each year to doctors, scientists, and organizations working in the field of lymphatic research.  The immediate goal is to expand our understanding of the lymphatic system.

Through their industry outreach program, LRF has established partnerships with the biotech and pharmaceutical industries working to find improved treatments and cures.

Click here to learn more about the Lymphatic Research Foundation and the wonderful work they are doing as advocates for people living with diseases of the lymphatic system.

Why do your feet and ankles swell?

April 27th, 2011

Peripheral edema, swelling in your feet and ankles, is the result of edema fluid seeping out of your veins.  Edema fluid is the liquid your blood cells float around in.

To prevent this from happening all the time, your body maintains a very delicate balance of pressure inside your veins.  Hydrostatic pressure is exerted by the weight of the fluid, in this case, your blood on the walls of your veins.  The second type of pressure is osmotic.  Osmotic pressure is created by large proteins in the blood, mainly albumin, that prevents leakage from the veins.  Disruption of these two opposing pressures can result in fluid escaping and swelling.

Varicose veins, congestive heart failure, medications, protein depletion, kidney and liver disease, pregnancy and sitting for long periods of time are just a few of the things that can disturb the delicate balance of pressure in your veins.

Finding the exact cause of swelling (edema) can be very difficult.  Thankfully finding a treatment is much easier… compression stockings.

To read more, see the full article from The Washington Post and Consumer Reports Health.

I’ll Have What That Rat’s Drinking

March 10th, 2011

The Naked Mole Rat is a shy, burrowing cousin of field mice and street rats that has developed a few unique characteristics of great interest to health scientists.  The naked mole rat cannot get cancer.  They can live to be over 30 years old, ten times longer than other mice and rats and show no signs of aging in their bones, muscles, heart or libido until the last few years of life. They also appear undisturbed by pain. This pinkish, wrinkled, hairless rodent with over-sized buck teeth may hold clues to curing cancer, anti-aging and pain management for humans.

Scientists have discovered that the cells of the naked mole rat exhibit “super contact inhibition”.  Cancer cells have no “contact inhibition” which is why they grow into masses. When they tried to grow mole rat cells in the laboratory, scientists found that the cells stopped replicating whenever they touched each other. This does not occur with human or any other rodent cells.

Far more research needs to be done before “super contact inhibition” is used to treat cancer in humans or we are able to unlock the mysteries of aging.  But this article by Ivan Amato in the health sciences section of the Washington Post reminds us how much we have to learn from nature.

Anyone Can Get A DVT

March 4th, 2011

Being young, active, and in great shape is no guarantee – We are very happy to learn that Serena Williams is well and recuperating quickly at home in Los Angeles after surgery to remove a blood clot from her lung.

Williams needed emergency treatment due to complications from a pulmonary embolism (blood clot in the lung).  This condition began as a clot in her leg, known as a DVT (Deep Vein Thrombosis), resulting from recent foot surgery.  A piece of the clot broke free, traveled to her lungs, creating a pulmonary embolism.  Up to 2 million Americans develop a DVT each year, and pulmonary embolisms affect at least 100,000.

Despite the anti-coagulant medication one receives going into surgery there is still risk of developing blood clots in the legs which can travel to the lungs.  That is why most patients are put into anti-embolism stockings as they recuperate in the hospital.

CBS News Medical Correspondent Dr. Jennifer Ashton suggests if you have had recent surgery and you know you are going on long travel there are things you should do for prevention.  “You want to get up every hour when you’re not sleeping, move your feet, stretch your legs, do a little bit of exercise. Keep yourself well-hydrated. And there are certain compression stockings that you can get, either knee-high or full-length stockings that I suggest to all my patients who take a long flight wear.”

New breast cancer study questions removal of lymph nodes

February 9th, 2011

Lymph node removal during a mastectomy is painful and leaves a woman susceptible to infection and lymphedema.

A new study done by the John Wayne Cancer Institute in Santa Monica has found that there is no significant difference in 5-year survival rates with or without  removal of the lymph nodes.

The study followed 891 women who had T1 or T2 tumors, meaning they were relatively small and no enlarged lymph nodes could be felt.

Read the full article at The Washington Post.

Are you acting your age?

December 15th, 2010

As we grow older, our mental and physical abilities decrease.  We forget where we put the keys.  We can’t remember what we were going to say.  Some of us even need to wear compression stockings.  It’s a natural part of aging, but it’s hard not to wonder, is it just me?

If you’re over 50 and wonder how you compare to others in your age group, we thought you might enjoy taking this self-assessment from yesterday’s Washington Post.

Chilean miners given compression socks

October 11th, 2010

Perhaps you have been following the news about the mining tragedy in Chile.   There is hopeful news of an imminent rescue.   Our thoughts and prayers go out to the miners and their families.

In preparation for being brought to the surface the miners have been given aspirin to prevent hypertension and blood clots, compression stockings to maintain blood pressure, and a high-calorie liquid provided by NASA to prevent nausea.

This according to the IrishTimes.com.  To read the entire story, click here.

Does Medicare cover compression garments?

September 24th, 2010

This is a question that we are frequently asked.  The short answer is “No”.  However, there is legislation currently before congress that would direct Medicare to cover compression garments for the treatment of lymphedema.

There is one exception in the current Medicare policy.  Coverage may be provided if you are being treated by a doctor for a venous statis ulcer on your leg and have a prescription from your Doctor for compression stockings and liners for this condition. BrightLife Direct sells two ulcer care stockings, Jobst UlcerCare with Zipper and Sigvaris UlceRx Kit.  Here’s the nitty gritty from Medicare:

The beneficiary must have an open venous stasis ulcer that has been treated by a physician or other healthcare professional requiring medically necessary debridement.  The gradient stocking must be proven to deliver compression greater than 30 mm Hg. and less than 50 mm Hg.  When a covered gradient compression stocking is provided to a patient with an open venous stasis ulcer, the modifier AW (item furnished in conjunction with a surgical dressing) must be appended or the claim will be denied as a non-covered service.  Gradient compression stockings are non-covered for the following conditions:
Venous insufficiency without stasis ulcers
Prevention of stasis ulcers

The Lymphedema Diagnosis and Therapy Cost Saving Act of 2010 (HR4662) was introduced in the House of Representatives by North Carolina Congressman Larry Kissell. This is a bi-partisan effort and currently has 58 co-sponsors in the House.  This bill would establish a new benefit category to cover the compression bandages, compression garments and compression devices used in the treatment of lymphedema.  The Medicare Evidence Development Coverage Advisory Committee (MEDCAC) concluded at their meeting last November that existing evidence gives reasonable confidence that use of compression bandage systems and compression garments improve the health of lymphedema patients.

To read a summary or a the entire bill click here.

You can help get this bill passed by emailing or phoning your congressperson.

Travel Socks And A Shot Of Venom

August 4th, 2010

Incredibly, the venom of a Southern copperhead snake may hold a cure for cancer.  The saliva of a gila monster could help diabetics produce their own insulin. Puffer fish might provide relief for sufferers of chronic pain. Today, scientists are learning that venoms have a flipside buried deep in their chemistry – lifesaving components with promising medical uses and impressive new possibilities – new drugs, new cures, new ways to save lives.

For instance, researchers have discovered that molecules called peptides, secreted by rain forest frogs to ward off predators, have the potential to:

  • Dramatically reduce high blood pressure
  • Stop blood clotting, an effective tool in the fight against Deep Vein Thrombosis (DVT) and heart disease
  • Tackle conditions that are resistant to treatment by conventional antibiotics
  • Help tackle cancer tumors and leukemia and protect bone marrow against damage during chemotherapy

Peptides obtained from the Giant Mexican Leaf Frog have been found to reduce blood pressure by 50% when administered in very low doses under laboratory conditions. This unlocks the potential for new drugs to help people suffering from high blood pressure.

The same frog also produces a peptide which stops blood from clotting, opening the way for new treatments for Deep Vein Thrombosis – also known as ‘economy class syndrome‘ – lethal blood clots affecting passengers on long haul aircraft flights.  Until this is perfected, don’t forget to wear your travel socks.

A Tree Frog from Australia has peptides which are effective in tackling conditions which are resistant to conventional antibiotics, an increasingly alarming problem in medicine. The peptides work in a novel way embedding themselves in the membrane of the bacteria and effectively bursting the cell. Bacteria cannot become resistant to them.

Molecules from a North American Pond Frog are similar to messenger molecules in the human body which are known to stimulate or inhibit the growth of cancer tumors. This could lead to the development of treatments for tackling tumors. Other potential uses are in the fight against leukemia and reducing the damage to bone marrow from chemotherapy treatment.

If we can use the biological weaponry evolved in the frog’s venom to fight against cancer, heart disease and neuro-degenerative diseases, this could be a giant leap forward for medicine.

To learn more about these amazing discoveries in nature, checkout The Venom Cure on PBS.