Black History Month: African American Firsts

In celebration of Black History Month, below is an updated list from last year of just some of the important African American firsts in American history. Listed in chronological order, you’ll see that several of these “firsts” actually occurred in just the last 25 years.

The First African-American …

1773
Woman (known) to publish a book: Phillis Wheatley, Poems on Various Subjects, Religious and Moral

1783
Doctor in the U.S. (unlicensed): Dr. James Durnham purchased his freedom after apprenticing with several doctors and opened his own practice until new laws prohibited him from practicing medicine unlicensed.

thomas jenning1821
Patent holder: Thomas L. Jennings, a ‘dry scouring’ process that was a precursor to modern-day dry cleaning.

1823
College graduate: Alexander Lucius Twilight (Bachelor’s degree from Middlebury College, Vermont)

1837
Medical doctor: James McCune Smith, MD (Graduated from the University of Glasgow in Scotland after being denied admission to American schools.)

1847
Medical doctor to earn a degree from a U.S. medical school: David Jones Peck, Rush Medical College, Chicago, Ill.

1863
Commissioned officer in the U.S. Navy: Robert Smalls

1864
Woman to earn a medical degree: Rebecca Lee Davis Crumpler, MDNew England Female Medical College, Boston, Mass.

1870
U.S. Senator (appointed): Hiram Rhodes Revels (Revels filled the seat left vacant by Jefferson Davis when Mississippi seceded from the Union.)

Mary_Eliza_Mahoney
Mary Eliza Mahoney

1878
Graduate of a formal nursing school: Mary Eliza Mahoney, New England Hospital for Women and Children, Boston, Mass.

1893
Surgeon to perform open heart surgery (of any race): Daniel Hale Williams, MD, Provident Hospital, Chicago, Ill.

1897
Psychiatrist: Solomon Carter Fuller, MD, Boston University School of Medicine

1904
Person to run for the presidency: George Edwin Taylor

1921
Licensed pilot: Bessie Coleman

1940
Oscar winner: Hattie McDaniel, supporting actress for Gone with the Wind

1947
Major league baseball player (20th Century): Jackie Robinson

1953
NFL quarterback: Willie Thrower

1956
Secret Service Agent: Charles LeRoy Gittens

1963-sidney-poitie_oscar
Sidney Poitier

1963
Best Actor Oscar: Sidney Poitier for Lilies of the Field

1966
U.S Senator (elected): Edward Brooke

1967
Astronaut: Robert H. Lawrence, Jr.

1975
MLB manager: Frank Robinson, Cleveland Indians

1992
Woman U.S. Senator: Carol Mosely Braun

condoleezza-rice-lg
Condoleezza Rice

2001
U.S. Secretary of State: Colin Powell
Best Actress Oscar: Halle Berry for Monster’s Ball

2005
Woman Secretary of State: Condoleezza Rice

2009
President: Barack H. Obama, elected Nov. 2008

Wellness Wednesday: Getting back to your life with cardiac rehab

Cardiac rehabilitation can’t change your past, but it can help you improve your heart’s future.

istock_000062785180_mediumCardiac rehab is a medically supervised program for people who have had a heart attack, heart failure, heart surgery, or other coronary intervention.

A cardiac rehab program involves adopting heart-healthy lifestyle changes to address risk factors for cardiovascular disease. It is a team effort—partnering you with doctors, nurses, pharmacists, family members and friends—to take charge of the choices, lifestyle and habits that affect your heart.

To help you adopt lifestyle changes, a cardiac rehab program will include exercise training, education on heart-healthy living, and counseling to reduce stress and help you return to an active life. It can improve your health and quality of life, reduce the need for medicines to treat heart or chest pain, decrease the chance you will go back to a hospital or emergency room for a heart problem, prevent future heart problems, and even help you live longer.

The American Heart Association explains cardiac rehab as three equally important parts:

  • Exercise counseling and training: Exercise gets your heart pumping and your entire cardiovascular system working. You’ll learn how to get your body moving in ways that promote heart health.
  • Education for heart-healthy living: Managing your risk factors, choosing good nutrition, quitting smoking…education about heart-healthy living is a key element of cardiac rehab.
  • Counseling to reduce stress: Stress hurts your heart. This part of rehab helps you identify and tackle everyday sources of stress.

Active Senior Woman Exercising on TreadmillCardiac rehab is provided in an outpatient clinic or in a hospital rehab center. The cardiac rehab team includes doctors, nurses, exercise specialists, physical and occupational therapists, dietitians or nutritionists, and mental health specialists. Sometimes a case manager will help track your care.

Your cardiac rehab team will design a program to meet your needs. Before starting your program, the rehab team will take your medical history, do a physical exam, and perform tests. Possible tests include an electrocardiogram (EKG), cardiac imaging tests, and a treadmill or stationary bike exercise test. You also may have tests to measure your cholesterol and blood sugar levels. During cardiac rehab, you will learn to exercise safely and increase your physical activity. The length of time that you spend in cardiac rehab depends on your condition.

For more information about the cardiac rehabilitation program at Mercy Health System, visit our website at www.mercyhealth.org/heart/rehab.

Sources: American Heart Association, National Institutes of Health


Before you go … Check out Mercy Health System’s 2017 Go Red Dance Video to support American Heart Month!


More Information:

What is Cardiac Rehab? [PDF]

How Can I Live with Heart Failure? [PDF]

Cardiac Rehabilitation (Medline Plus)

Medicine Chart [PDF]

Wellness Wednesday: Hypertension, The Silent Killer

High blood pressure or hypertension is a symptomless “silent killer” that quietly damages blood vessels and leads to serious health threats.

What is Blood Pressure?

Blood pressure is the force of your blood pushing against the walls of your blood vessels. It is recorded as two numbers and a written as a ratio.
normal blood pressure digital monitor

  • Systolic: The top number in the ratio, which is also the higher of the two, measures the pressure in the arteries when the heart beats.
  • Diastolic: The bottom number in the ratio, which is also the lower of the two, measures the pressure in the arteries between heartbeats.

In order to survive and function properly, your tissues and organs need the oxygenated blood that your circulatory system carries throughout the body. When the heart beats, it creates pressure that pushes blood through a network of arteries, veins and capillaries. This pressure—blood pressure—is the result of two forces: it rises with the first force (systolic) as blood pumps out of the heart and into the arteries. And it falls during the second force (diastolic) when the heart relaxes between beats.

What is High Blood Pressure (Hypertension)?

Blood Pressure InfographicHypertension occurs when your blood pressure is consistently too high. High blood pressure (HBP) causes harm by increasing the workload of the heart and blood vessels—making them work harder and less efficiently.

Normal blood pressure for adults is defined as a systolic pressure below 120 mmHg and a diastolic pressure below 80 mmHg. It is normal for blood pressures to change when you sleep, wake up, or are excited or nervous. When you are active, it is normal for your blood pressure to increase. However, once the activity stops, your blood pressure returns to your normal baseline range. Blood pressure also normally rises with age and body size.

Stages of High Blood Pressure in Adults

This chart is a guide for healthy adults. People with diabetes or chronic kidney disease should keep their blood pressure below 130/80 mmHg.

Stages

Systolic
(top number)

 

Diastolic
(bottom number)

Prehypertension

120–139

OR

80–89

High blood pressure Stage 1

140–159 OR

90–99

High blood pressure Stage 2

160 or higher

OR

100 or higher

You may not feel that anything is wrong, but high blood pressure could be quietly causing damage that can threaten your health. The best prevention is knowing your numbers and making changes that matter in order to prevent and manage high blood pressure.


About 85 million Americans (one out of every three adults over age 20) have high blood pressure. And nearly 20 percent don’t even know they have it.


How Does High Blood Pressure Affect Your Health?

siluet_mochevojOver time, the force and friction of high blood pressure damages the tissues inside the arteries. In turn, LDL (bad) cholesterol forms plaque along tiny tears in the artery walls, signifying the start of atherosclerosis.

The more the plaque increases, the narrower the insides of the arteries become—raising blood pressure and starting a vicious circle that further harms your arteries, heart and the rest of your body. This can ultimately lead to other conditions ranging from arrhythmia to heart attack and stroke. It can also lead to kidney disease as well as blindness.

Hypertension and Stroke

High blood pressure is the single most important risk factor for stroke because it’s the Number 1 cause of stroke.

Similar to a heart attack, most strokes occur when blood vessels in the brain narrow or become clogged, cutting off blood flow to brain cells. This type (ischemic) represents about 87% of all strokes. High blood pressure causes damage to the inner lining of the blood vessels. So this adds to any blockage that is already within the artery wall.

The remaining 13% of strokes occur when a blood vessel ruptures in or near the brain (hemorrhagic). Chronic high blood pressure or aging blood vessels are the main causes of this type of stroke. The force of HBP puts more pressure on the blood vessels until they eventually rupture over time.

Causes of Hypertension

A number of factors and variables can put you at a greater risk for developing hypertension. Understanding these risk factors can help you be more aware of how likely you are to develop high blood pressure.

Common hereditary and physical risk factors for high blood pressure include:

  • Family history: If your parents or other close blood relatives have high blood pressure, there’s an increased chance that you’ll get it, too.
  • Age: The older you are, the more likely you are to get high blood pressure. As we age, our blood vessels gradually lose some of their elastic quality, which can contribute to increased blood pressure.
  • Gender: Until age 45, men are more likely to get high blood pressure than women are. From age 45 to 64, men and women get high blood pressure at similar rates. And at 65 and older, women are more likely to get high blood pressure.
  • Race: African-Americans tend to develop high blood pressure more often than people of any other racial background in the United States.

Lifestyle risk factors include:

  • Lack of physical activity
  • An unhealthy diet, especially one high in sodium
  • Being overweight or obese
  • Drinking too much alcohol

What can you do to prevent or lower high blood pressure?

Eat Less SaltMaintain an active lifestyle and exercise at least 30 minutes each day. Get plenty of rest and eat a healthy, low-sodium, high-potassium diet. These are the best ways to affect your blood pressure. When these don’t work, your doctor may prescribe certain medications, such as a diuretic or beta blocker, to help lower your blood pressure.

Talk with your doctor about blood pressure and the risk of heart disease or stroke. If you would like to find a Mercy physician, visit our Find-A-Doctor tool on our website at: www.mercyhealth.org/find-a-doctor.

Sources: National Institutes of Health, American Heart Association


Before you go … check out Mercy Health System’s 2017 Go Red Dance Video to support American Heart Month!


More Information:

What Is High Blood Pressure? [PDF]

High Blood Pressure and Stroke [PDF]

Why Should I Limit Sodium? [PDF]

What Can I Do To Improve My Blood Pressure? [PDF]

Blood Pressure Log [PDF]

Sodium Tracker [PDF]

High Blood Pressure Risk Calculator

Mercy Health Library: High Blood Pressure

Mercy Health Library: Stroke

Wellness Wednesday: Heart Disease Does Not Discriminate

Just before Christmas, people across the world learned that beloved Star Wars actress and best-selling author Carrie Fisher suffered a cardiac emergency while on a flight home to LA. Within a few days, we were all mourning her death.

istock_000019034549_largeDuring this time, media outlets all over the world were reporting on her condition. Some news stories reported she suffered a heart attack; others reported she suffered a cardiac arrest. And many simply used both of those terms interchangeably.

But is there a difference?

Definitely.

A heart attack, also called a myocardial infarction (MI), occurs when the blood flow that brings oxygen to the heart becomes partially or completely blocked. This happens because the coronary arteries can become narrowed from a build up of fat, cholesterol and other substances, called plaque. When the plaque breaks, a blood clot forms around the plaque and can block the blood flow.

Recovery from a heart attack depends on the length of time the heart muscle is without blood flow, which heart vessel is blocked, and whether or not treatment is immediately started. Emergency care is required for a heart attack. So if you have symptoms, get to an emergency room immediately. And don’t drive! When at all possible, call 911 for an ambulance. Paramedics will have equipment to help treat you on the way to the hospital and can get you there quicker.


Every 34 seconds, someone dies from heart and blood vessel diseases, America’s No. 1 killer. 


A cardiac arrest is when the heart malfunctions and stops beating or ‘arrests’. Death occurs in minutes after the heart stops because oxygen-enriched blood is no longer flowing through the body. In some instances, immediately performing cardiopulmonary resuscitation (CPR) and use of an automatic external defibrillator (AED) can help provide oxygen to the body and get the heart started again.

cardiacarrest-heartattack.jpg

In the instance of Ms. Fisher, witnesses on the airplane have said that she stopped breathing for 10-15 minutes. Passengers, trained in CPR, tried to revive her and when the plane landed, paramedics continued to provide advanced life support on the way to the hospital.

However, the amount of time she was without oxygen proved to be irreversible. A death certificate issued by the LA County Department of Health confirmed that her cause of death was cardiac arrest. What may have contributed to her heart stopping is still being determined.

Carrie Fisher’s death, as well as the death of her mother just a few days later from a stroke, highlights the importance of raising awareness of heart disease in women. While we don’t know if Fisher had any symptoms prior to boarding a plane that day, what we can take from this is that it can happen to anyone. Heart disease is the #1 killer of women and it sometimes has no symptoms, which is why it is called the silent killer.

grfw_aha_liw_v_macy_krSo, during this American Heart Month, we would like to encourage women (and men) to take care of their hearts. Get regular checkups. Talk to your doctor about what you can do to stay healthy. If you are in a higher risk group, or if you have a family history of heart disease, ask you doctor what you can do to lower that risk.

To find a cardiologist at Mercy Health System, visit our website and use our Find a Doctor tool at www.mercyhealth.org/find-a-doctor.

Sources: American Heart Association, Centers for Disease Control and Prevention


Mercy Health System Articles:

Heart disease: What every woman needs to know

Heart attacks in women. Yes, they happen

Don’t ignore heart attack symptoms

Q&A: Chest pain. When is it an emergency?


More Information:

Cardiac Arrest vs. Heart Attack

Heart Attack Symptoms in Women

Warning Signs of a Heart Attack

Cardiac Arrest Warning Signs

Heart Attack Tools and Resources

 

Wellness Wednesday: Screening for Cervical Cancer

As we said last week, more than 12,000 women in the U.S. are diagnosed with cervical cancer each year. Cervical cancer is the second most common type of cancer for women worldwide. But since it is usually slow developing, it is one of the most preventable types of cancer.

prevent-cervical-cancerJust this week, we learned that Erin Andrews, Fox sportscaster and co-host of ABC’s Dancing with the Stars, had surgery for cervical cancer last fall. Her cancer was discovered during a routine exam, after which she had two surgical procedures and was given the all clear by her physician.

This highlights the importance of routine screenings for all women. With the proper screening and routine examinations, this type of cancer can be found in its early stages, and women can make a complete recovery.

Cervical cancer usually develops slowly over time. Before cancer appears in the cervix, the cells of the cervix go through changes known as dysplasia, in which abnormal cells begin to appear in the cervical tissue. Over time, the abnormal cells may become cancer cells and start to grow and spread more deeply into the cervix and to surrounding areas.

What is Cervical Cancer Screening?

Early cervical cancer may not cause signs or symptoms. Women should have regular check-ups, including tests to check for human papillomavirus (HPV) or abnormal cells in the cervix.

  • A Pap test (or Pap smear) looks for pre-cancers or cell changes on the cervix that might become cervical cancer if they are not treated appropriately.
  • The HPV test looks for the virus (human papillomavirus) that can cause these cell changes.

A Pap test is recommended for all women between the ages of 21 and 65 years old, and can be done in a doctor’s office or clinic. During the Pap test, the doctor will collect a few cells and mucus from the cervix and the area around it. The cells are then placed on a slide or in a bottle of liquid and sent to a laboratory. If you get the HPV test along with the Pap test, the cells collected during the Pap test will be tested for HPV at the laboratory.

Screening Recommendations

jo2012041201The American Cancer Society recommends that all women begin cervical cancer testing screening at age 21. Women aged 21 to 29, should have a Pap test every 3 years. HPV testing should not be used for screening in this age group.

The Pap test, which screens for cervical cancer, is one of the most reliable and effective cancer screening tests available. However, it only screens for cervical cancer, and cannot detect uterine, ovarian or other reproductive cancers.

Women age 30-65 should be screened with a Pap test combined with an HPV test every 5 years or tested every 3 years with just the Pap test. Women who are at high risk for cervical cancer should be screened more often. You should speak to your doctor to determine your risk.

Women over 65 years of age who have had regular screenings in the previous 10 years should stop cervical cancer screening as long as they haven’t had any serious pre-cancers found in the last 20 years.

Low Cost Screenings

The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides breast and cervical cancer early detection testing to low-income, underserved, under-insured, and uninsured women in the U.S.

If you are looking for a Mercy Health System gynecologist, please visit our website and use our Find a Doctor tool.

Sources: National Cancer Institute, American Cancer Society, Centers for Disease Control and Prevention (CDC)


More Information:

National Breast and Cervical Cancer Early Detection Program (NBCCEDP)

American Cancer Society Screening Guidelines

Testing for Cervical Cancer [PDF]

Wellness Wednesday: Finding Cervical Cancer Early

January is Cervical Cancer Awareness Month. No one wants to talk about cervical cancer; but we should. Because it is highly preventable and when found early, it is also one of the most treatable cancer types.

Multiracial group of mature woman at fitness centerMore than 12,000 women in the U.S. are diagnosed with cervical cancer each year, and more than 4,000 of women die. Cervical cancer is the second most common type of cancer for women worldwide. But because it develops over time, it is also one of the most preventable types of cancer.

Cancer starts when cells in the body begin to grow out of control. Cells in nearly any part of the body can become cancer, and can spread to other areas of the body. Cervical cancer starts in the cells lining the cervix—the lower part of the uterus. These cells do not suddenly change into cancer. Instead, the normal cells of the cervix first gradually develop pre-cancerous changes that turn into cancer.

Although cervical cancers start from cells with pre-cancerous changes, only some will develop into cancer. It usually takes several years for cervical pre-cancer to change to cervical cancer, but it also can happen in less than a year. Cervical pre-cancers are diagnosed far more often than invasive cervical cancer.

Cervical cancer was once one of the most common causes of cancer death for American women. But over the last 40 years, the cervical cancer death rate has gone down by more than 50 percent. The main reason for this change was the increased use of the Pap test. This screening procedure can find changes in the cervix before cancer develops. It can also find cervical cancer early—when it is in its most curable stage.

The American Cancer Society′s estimates for cervical cancer in the U.S. for 2017 are:

  • About 12,820 new cases of invasive cervical cancer will be diagnosed.
  • About 4,210 women will die from cervical cancer.

Risk Factors

Friends having funThere are many risk factors which may increase the odds of developing cervical cancer. Some of these include:

Screening Recommendations

The American Cancer Society recommends that women follow these guidelines to help find cervical cancer early. Following these guidelines can also find pre-cancers, which can be treated to keep cervical cancer from forming.

  • Women aged 21 to 29, should have a Pap test every 3 years. HPV testing should not be used for screening in this age group (it may be used as a part of follow-up for an abnormal Pap test).
  • Beginning at age 30, the preferred way to screen is with a Pap test combined with an HPV test every 5 years. This should continue until age 65.
  • Another reasonable option for women 30 to 65 is to get tested every 3 years with just the Pap test.

Sources: NCCC, American Cancer Society


More Information

MHS Health Library: Cervical Cancer

NCCC Cervical Cancer

CDC Cervical Cancer

American Cancer Society Cervical Cancer Guide

Wellness Wednesday: Making Healthy Resolutions that Work

So you made a resolution, right? To lose weight, exercise more or eat healthier? Maybe you pinned an old photo to the fridge to motivate you.

All time ready to runYou were totally onboard on January 2, keeping that food diary, going to the gym, packing a lunch, eating only high protein, low fat, low carb foods.

Now it’s almost two weeks in and maybe you’re wondering what you were thinking. You’re tired, a little cranky, the gym is too far and let’s face it … you’re hungry!

You may have tried to bite off more than you can chew (oops … sorry!).

Instead of completely giving up, go a bit easier on yourself. You can change your eating habits and increase your activity and become healthier without starving yourself.

January 16-22 is Healthy Weight Week. About this time, people are realizing they may have been kidding themselves with unrealistic New Year’s resolutions. You don’t have to make big unreachable New Year’s resolutions to achieve and maintain a healthy weight. In fact, some small changes in your eating habits can help make a big difference in your health.

A healthy lifestyle involves many choices. Among them, choosing a balanced diet or healthy eating plan. So how do you choose a healthy eating plan? Let’s begin by defining what a healthy eating plan is.

According to the Dietary Guidelines for Americans, a healthy eating plan:

  • Emphasizes fruits, vegetables, whole grains, and fat-free or low-fat milk and milk products
  • Includes lean meats, poultry, fish, beans, eggs, and nuts
  • Is low in saturated fats, trans fats, cholesterol, salt (sodium), and added sugars
  • Stays within your daily calorie needs

Eat Healthfully and Enjoy It!

A healthy eating plan that helps you manage your weight includes a variety of foods you may not have considered. If “healthy eating” makes you think about the foods you can’t have, try refocusing on all the new foods you can eat—

  • Fresh, Frozen, or Canned Fruits—don’t think just apples or bananas. All fresh, frozen, or canned fruits are great choices. Be sure to try some “exotic” fruits, too. How about a mango? Or a juicy pineapple or kiwi fruit! When your favorite fresh fruits aren’t in season, try a frozen, canned, or dried variety of a fresh fruit you enjoy. One caution about canned fruits is that they may contain added sugars or syrups. Be sure and choose canned varieties of fruit packed in water or in their own juice.
  • Fresh, Frozen, or Canned Vegetables—try something new. You may find that you love grilled vegetables or steamed vegetables with an herb you haven’t tried like rosemary. You can sauté (panfry) vegetables in a non-stick pan with a small amount of cooking spray. Or try frozen or canned vegetables for a quick side dish—just microwave and serve. When trying canned vegetables, look for vegetables without added salt, butter or cream sauces. Commit to going to the produce department and trying a new vegetable each week.
  • Calcium-rich foods—you may automatically think of a glass of low-fat or fat-free milk when someone says “eat more dairy products.” But what about low-fat and fat-free yogurts without added sugars? These come in a wide variety of flavors and can be a great dessert substitute for those with a sweet tooth.
  • A new twist on an old favorite—if your favorite recipe calls for frying fish or breaded chicken, try healthier variations using baking or grilling. Maybe even try a recipe that uses dry beans in place of higher-fat meats. Ask around or search the internet and magazines for recipes with fewer calories—you might be surprised to find you have a new favorite dish! 

Do I have to give up my favorite comfort food?

Funny dieting woman housewife choosing between healthy food  fast food.No! Healthy eating is all about balance. You can enjoy your favorite foods even if they are high in calories, fat or added sugars. The key is eating them only once in a while, and balancing them out with healthier foods and more physical activity.

Some general tips for comfort foods:

  • Eat them less often. If you normally eat these foods every day, cut back to once a week or once a month. You’ll be cutting your calories because you’re not having the food as often.
  • Eat smaller amounts. If your favorite higher-calorie food is a chocolate bar, have a smaller size or only half a bar.
  • Try a lower-calorie version. Use lower-calorie ingredients or prepare food differently. For example, if your macaroni and cheese recipe uses whole milk, butter, and full-fat cheese, try remaking it with non-fat milk, less butter, light cream cheese, fresh spinach and tomatoes. Just remember to not increase your portion size. For more ideas on how to cut back on calories, see Eat More Weigh Less.

The point is, you can figure out how to include almost any food in your healthy eating plan in a way that still helps you lose weight or maintain a healthy weight.

Source: Centers for Disease Control and Prevention.