~ 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
1966-2016
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
PRIME TIME
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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