~ New Mexico Landscape Series ~
28
April 2017
Dr . Gerard Muraida
The Doc Is In
Dr Muraida is a Hospice and Palliative Care specialist and is the Senior Medical Director of Gentiva Hospice in Albuquerque , NM .
As the winds of April swirl and almost knock us off our feet , we often gaze off into the distance watching objects fly by . The flowers and trees are blooming , sprouting all shades of green and gold . On one hand , the miracle of spring ’ s rebirth is all around us . On the other hand ,
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Nothing To Sneeze About
the price for this beauty is the cascade of events precipitated and modulated by our immune system . Alas , we are troubled by the watery eyes , runny nose , nasal congestion and coughing . But wait , there ’ s more .
The medications used to combat these unwelcome symptoms can cause problems of their own . The most notable offending agent is the antihistamine . While it can help dry the drip from your nose , it may cause havoc with your bladder , your eyes , your throat and even your brain .
Congestive heart failure patients may try to drink a little more water to treat their dry mouth but may not tolerate excess fluid . Dry eyes may exacerbate ocular conditions , including narrow
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angle glaucoma , and may cause blurred vision .
Antihistamines may result in a condition referred to as urinary retention . Older men often have enlarged prostates
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with sluggish urinary streams . Antihistamines decrease the bladder ’ s ability to contract and overcome the enlarged prostate ’ s effect on the urinary stream . This can lead to complete obstruction , retention , bladder distention and injury .
Another side – effect of that little allergy pill is constipation . Antihistamines block the impulses our bowels require from our parasympathetic nervous system to propel stool through our colon properly . The result can lead to delayed stool transit time and or constipation .
Acute confusion ( delirium ) can occur when antihistamine interacts with other medications including muscle relaxants , anti-anxiety medications , antidepressants and opiate pain relievers . This often results in emergency room visits and hospitalizations .
Decongestants can also affect seniors . This class of medications can be found in oral or nasal preparations . These medications decrease blood flow to congested airways or nasal passages , resulting in less
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inflammation and less mucous production . Decongestants , especially pseudoephedrine , can interact with other substances like caffeine- containing products , leading to excessive excitation , nervousness , insomnia and even a rapid heart rate .
The moral of this story is that no medication , even those sold over the counter , should be taken without your health care provider ’ s input . Be wary of all the possible consequences of even the most innocent looking remedies . Remember , cold and allergy relief meds are nothing to sneeze about .
M A R L A S M U T P A S S A L I A S P A T E R U T A R O O S T A R E S O R E M M E T H O D I C T O M A T O
E R I N M E L I S S A L A S S I E C U R D S O L E A T T A R S E D A N A S E A S O N A R S U R E D O D G E G A L E S E T A
I D E A L B A R T E R B E S T I R S P E R E R E L A T E A L L O C A T E A R A T C A N A N A R E S S I T E T H E N G L E A N H E E D S A W S S L A K E
Landscapes of Enchantment
~ New Mexico Landscape Series ~
Limited Edition Giclées by Robert Benjamin
New Mexico is one of the most amazingly beautiful places in the country .
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“ Zia Reservation ”, 16 ” x 24 ” 125 s / n
Zia Reservation - This beautiful white mesa is on the Zia Indian Reservation just north of San Ysidro , New Mexico . While looking south on old State Route 44 , now called State Route 550 . I was simply sightseeing , taking in the scenery , when I spotted this majestic and magnificent mesa . I couldn ’ t forget what I saw . I had to paint it .
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