August 2024

Michelle Richmeier Awarded Hill City's 2024 Edna Dean Harrell Family Scholarship

The Hill City, Kansas, High School Alumni Scholarship Program (HCHSASP) has announced that this year’s winner of the annual Edna Dean Harrell Family Scholarship is Michelle Richmeier. Michelle, a 2024 graduate of Hill City High, was awarded $5,000 to support her continuing education. She received the first $1,250 this summer and will receive an additional $1,250 each of the next three semesters. Under the rules of the Alumni Association, Michelle must maintain a 3.0 grade point average to receive the continuing assistance.

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Kansas legislators light a fire under state agency seeking extinguisher replacement rule for boats

A state Department of Wildlife and Parks’ attorney ran into a bipartisan buzz saw for failing to submit to the Kansas Legislature an estimate of the potential cost to consumers, businesses and government if lawmakers approved a proposed regulation requiring the replacement of fire extinguishers on boats every 12 years.

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Patient with a low heart rate doesn't necessarily want treatment

DEAR DR. ROACH: I am almost 96 and in good health. In June, I went to see my oncologist for my 10-year follow-up after a left breast mastectomy. The doctor noted that my heart rate was 48 bpm, and she asked if that was normal. I said I had never heard of such a low heart rate, but I felt fine. The staff took my blood pressure several more times, and it stayed low. She said she was going to call my regular doctor, but I continued to feel fine.When I called my doctor the next day, he wasn't too concerned but decided to order an EKG. I didn't panic because I saw he knew about my low heart rate and had been watching me throughout the years. My question for you, Dr. Roach, is: Is this normal for me? I am not at all afraid to die. I do not want anything to prolong my life, like a pacemaker. Will my heart just stop some day? Right now, I am allowing myself to continue my contented life as is. I'm just curious, since I have never heard about very low heart rates.Yesterday I took my blood pressure (150/63 mm Hg) and heart rate (48 bpm) after a physical therapy session where I went up and down a long flight of stairs. Today I took it after a morning of sitting and reading the daily newspaper. My blood pressure was 135/65 mm Hg, and my heart rate was 66 bpm. -- B.S.ANSWER: A low heart rate ("bradycardia") is a common condition. In athletes, it is usually the sign of a healthy heart. However, for a person in her 90s, it is more likely a sign of aging in the electrical system of the heart, specifically the sinoatrial node.Some medicines can also cause a low heart rate. Every primary care doctor and cardiologist knows to look for medicines that can slow the heart rate, especially calcium channel blockers and beta blockers, but sometimes we forget to check eye drops. Beta blocker drops are still a common treatment for glaucoma, and a few people are so sensitive that they can get very slow heart rates from their eye drops.In absence of symptoms, a pacemaker isn't required. Should you develop symptoms, then you can consider a pacemaker. The most common symptoms are lightheadedness and fainting, and a pacemaker can help with these symptoms. Your heart is unlikely to stop altogether because there are "backup" pacemaker systems in the heart. But they work at such a slow rate that you are likely to have symptoms. Pacemakers don't make people live longer.Readers may be wondering why your systolic blood pressure (the first or "top" number) went down while your heart rate went up. This is normal physiology. When the heart rate is so slow, the heart gets very full of blood and squeezes out a large volume, causing the blood pressure to go up. With a shorter filling time, the heart squeezes less blood out each beat, so the systolic blood pressure doesn't get as high. The diastolic pressure isn't affected much, as the blood vessels return to a relaxed position pretty quickly. However, it isn't physiologic that your heart rate doesn't go up with exercise; this shows a problem with your heart.* * *Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu or send mail to 628 Virginia Dr., Orlando, FL 32803. (c) 2024 North America Syndicate Inc.All Rights Reserved

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Protection from cognitive decline; beating your afternoon slump

Q: Alzheimer's runs in my family. What can I do to prevent it or at least reduce progression if I get it? -- Susan H., DenverA: You don't have to wait for some pharmaceutical treatment to prevent or roll back your risk for dementia. You have the power to do that by making smart lifestyle choices. And two very exciting new studies back up what we've been saying for years.The first was directed by Dr. Dean Ornish, the founder and president of Preventive Medicine Research Institute. The researchers enlisted 51 participants with a verified diagnosis of Mild Cognitive Impairment (MCI) or early Alzheimer's disease (AD) and randomly assigned them to either an intensive lifestyle intervention group or a usual-care control group.The group making lifestyle changes adopted a minimally processed, plant-based diet low in harmful fats, refined carbohydrates, alcohol and sweeteners and took supplements, including omega-3s, probiotics, vitamins and minerals, CoQ10, and Lion's Mane. They did daily moderate aerobic exercise and strength training for at least 30 minutes and meditation, stretching, breathing and imagery, for one hour daily. They also participated in support groups for an hour three times a week.After 20 weeks, over 70% of the folks in the intervention group had either stayed the same or had improved cognition, while none of the patients in the control group showed improvement and 68% worsened.Then, another study found that 72 sessions of high-intensity interval training (HIIT) on a treadmill over a six-month stretch noticeably improves cognition in folks ages 65 to 85. Bonus: It keeps cognition elevated for the next five years, even if you don't keep up with the exercise. (But, please do keep exercising!)For details on 40 choices that have been shown in at least two studies to prevent or reverse MCI and/or AD, pick up a copy of Dr. Mike's book "The Great Age Reboot" and delve into Dr. Oz's blogs on iHerb.com, including "More Movement May Increase Longevity -- Here's Why." * * *Q: I find myself losing focus and even nodding off at my desk around 4 p.m. What's going on and how can I prevent that? -- Alica R., Rochester, MinnesotaA: You're not alone. A survey conducted by OnePoll found that 21% of folks say they deal with an afternoon slump -- usually around three o'clock -- and for some reason, Tuesdays are the worst. (Maybe back-to-work Mondays are just too exhausting.) But there are a few solid reasons that it happens and some easy solutions. First, cortisol levels fluctuate during the course of the day and in the mid- or late afternoon, they can dip, bringing down your energy level. You may also have overeaten at lunch or have a post-lunch glucose spike then dip, leaving you drained. You may be somewhat dehydrated. You may also be snacking on high-sugar foods. And it's a good bet that you may have been sitting at your desk for far too long. The solutions are pretty simple:-- Eat a high-protein, unprocessed breakfast (egg white omelet with spinach and tomatoes, 100% whole grain toast; 4 to 8 ounces of fresh fruit). Avoid processed, sugary snacks. Stick with nuts and veggies like carrot sticks, and (if it won't keep you up at night) filtered black coffee. Also stay well-hydrated. Chewing gum is also shown to increase alertness, because it increases heart rate and blood flow to the brain. Just make sure it is free of sugar and sugar substitutes like erythritol. And check out the iHerb.com blog "Have You Heard of Mastic Gum? Here Are 8 Health Benefits." -- At work or home, go outside for a 10-minute walk, take several flights of stairs or march in place at your desk. Getting your blood pumping can wake you up. LongevityPlaybook.com's free newsletter offers great exercise suggestions.-- Use a stand-up desk to engage your muscles even when you are working. Dr. Mike loves his treadmill desk.These tips should give you the energy boost you're looking for. * * *Dr. Mike Roizen is the founder of www.longevityplaybook.com, and Dr. Mehmet Oz is global advisor to www.iHerb.com, the world's leading online health store. Roizen and Oz are chief wellness officer emeritus at Cleveland Clinic and professor emeritus at Columbia University, respectively. Together they have written 11 New York Times bestsellers (four No. 1's). (c)2024 Michael Roizen, M.D. Distributed by King Features Syndicate, Inc.

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