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Guest post by:
T. Ryan Littlejohn
Athletic Trainer
MUSC Health Sports Medicine

Everyone knows that water is good for you, right? It helps regulate body temperature and allows the body to function normally, but did you know that too much is just as dangerous as not enough? Learning the symptoms of dehydration and hyponatremia (depletion of sodium in the body) can be essential in protecting yourself and others during activity. The signs of dehydration can include: thirst, headaches, nausea, chills, vomiting, cramps and decreased performance. Early signs of hyponatremia, also known as water intoxication, may include irritability and headaches, but can also cause swollen hands and feet, nausea, vomiting and seizures.  If these symptoms are present, treatment should be sought out immediately. Man & woman drinking water from bottles

Determining your sweat rate is a great way to make sure you are ingesting the correct amount of fluids. This information should not replace your health professionals advice, but is a good starting point for assessing hydration. To find your sweat rate follow this example.

Sweat Rate = (A + B) ÷ C
A= Pre-exercise weight – Post-exercise weight in ounces. (1 pound=16 ounces)
B= Fluid consumed during activity in ounces (1 cup=8 ounces; 1 gulp=1 ounce)
C= Exercise duration recorded in hours.

Example: During Tims outdoor activity he worked out for 60 minutes and drank 8 ounces of fluid.  His pre-exercise weight was 150 pounds and post exercise weight was 149 pounds.
Sweat rate = (A+B) ÷ C
A 150 -149=1 pound loss (16 ounces)
B Consumed fluid 8 ounces
C Worked out for 60 minutes=1 hour
Calculation: 16+8=24 ounces per hour or 12 ounces of fluid every 30 minutes

Tim should plan to drink at least 24 ounces per hour to stay hydrated.* This will allow his body to perform well at a high level during exercise.  

* Note this could change depending on outdoor conditions.

Shoulder dislocations are common and can be painful and disabling. There are a number of factors that can impact the severity of your injury, including the position of the arm when dislocation occurs and the orientation or tilt of a person’s socket. A better understanding of how these factors affect dislocations is important because it can help determine the best treatment.

Glenoid version, or the specific tilt or angle of the surface of your socket can impact your shoulder’s stability. Studies document a normal glenoid version range, with degrees outside of this range suspected to contribute to shoulder instability. However, the exact degree of version that may predispose you to shoulder dislocations remained unanswered until now. 

Headline of article on shoulder instability

In a recently published study, Eichinger et al. uncovered the relationship between glenoid version and the force required to dislocate the shoulder joint. The authors found statistical differences at 5 degree increments of glenoid version, with each increment representing a 30 percent change in the force required to dislocate. The total energy required to dislocate also decreased with increasing glenoid version. This suggests an increased risk for shoulder instability based off of your degree of glenoid version.Headshot of Dr. Eichinger

If you or someone you know has a problem with shoulder instability, come see Dr. Eichinger and the rest of the shoulder and elbow team at MUSC Health. We're leading the way in ensuring the health and function of your shoulders and elbows.

Some special advisers are helping select the furniture that will go in patient rooms in the MUSC Shawn Jenkins Children’s Hospital and Pearl Tourville Women’s Pavilion: the parents of former patients.

They’re an important part of making sure the hospital, set to open in 2019, is as family-friendly as possible. They recently came to a furniture fair on the MUSC campus to test some of the options. Employees who will work in the new hospital also tried out the chairs and sofas.MUSC Health staff testing new chairs

The chairwoman of the MUSC Children’s Health Patient and Family Advisory Council, Kelly Loyd, called it a great example of the collaboration that’s occurred throughout the design process.

“Gathering patients, family and staff to evaluate and make recommendations on the family furniture that will be used in the patient rooms was critical in ensuring that the selections made will meet the needs of everyone who will use them,” Loyd said. (Learn about how patients became involved with this project in our NewsCenter story.)

She knows firsthand what it’s like to have a child in the hospital for an extended period. Her twin daughters spent weeks in MUSC Children’s Hospital after they were born prematurely. She said including parents in the furniture selection process was a great example of patient- and family-centered care.

Carolyn BaRoss, the design principal working on the interior aspects of the new hospital, appreciates the input. “Many caregivers provided important insights for how patients use the furnishings, which will be very helpful to narrow the options for further testing in the units,” BaRoss said.

“Some of the Neonatal Intensive Care Unit nurses were especially helpful in providing feedback on best choices for gliders and recliners for kangaroo care.”

Kangaroo care is a way of holding babies so they get skin-to-skin contact.

“We have tremendous experience in designing for health care, but the input based on individual experiences of the families and patients who gave us their valuable time and insights will make the MUSC Shawn Jenkins Children’s Hospital and Pearl Tourville Women’s Pavilion even more responsive to their needs,” BaRoss said.

Brenda Smith, the interior designer for focusing on furniture for the new hospital, said the chairs and sofas need to be comfortable, inviting and safe.

“The furniture in the patient rooms has an immediate impact on the patient’s family, affecting their comfort, convenience and potentially the quality of their sleep,” Smith said. “Facilitating a review of the furniture pieces used in these patient care spaces helps to identify the key attributes that enhance the patient and family experience.

“In addition, review by staff helps to identify key considerations for safety, infection control and durability. All of these factors help our design team arrive at the best solution for MUSC and the children they care for.”

Construction on the hospital began in August. Features include:

  •  Larger rooms for all patients
  •  Light-filled play areas
  •  Private rooms in the neonatal intensive care unit
  •  A dedicated “stork elevator” for women in labor
  •  Family amenities such as kitchens, showers and laundry rooms

December 1, 2016

MUSC recognizes World Aids Day with events in and around campus.

MUSC Aware8:00 a.m. to 12:00 p.m.
Free HIV Screening
Basic Science Building
First Floor Conference Room 

12:00 p.m.
MUSC AWARE
Panel & Discussion
Basic Science Building 402

6:30 p.m.
Charleston Area World AIDS Day Ceremony
The Unitarian Church
4 Archdale Street
Charleston, SC 29401

As a health care professional, know your status. #MUSCAWARE

Sometimes, a kid’s bike can be too tempting to resist. “Whee,” said unit secretary Crystal McKenzie as she took one for a spin just outside a neonatal nursery at MUSC Children’s Hospital.Nurse riding bicycle in hall

There are quite a few children’s goodies starting to pile up there, thanks to a group of nurses, technicians, secretaries and other people who work in the hospital’s neonatal nurseries. They’ve teamed up to help a single mother, Amanda Geiger, and her three kids through the Salvation Army’s Angel Tree program. Geiger has had her hands full, especially given medical issues she faces with her 11-year-old son, Michael.

Taking part in the program is a tradition at MUSC, where last year, employees collected gifts for about 1,800 kids. Elizabeth Williams, quality and outcomes manager of the MUSC Health Blood and Marrow Transplant Program, runs the MUSC Angel Tree effort. “We’re the biggest contributor in the Lowcountry,” she said. “Between adopted angels, monetary donations and other toys people bring in, we impact the lives of about 2,000 children.”

Geiger’s kids should have a wonderful Christmas, thanks to Dixon’s group, and Geiger is grateful for the help. She’s a mother of three who works two jobs and has one day off a week – Sunday. And on that day, she takes her kids to church at the Salvation Army in the West Ashley area of Charleston.

“Ever since I walked in the door here, my life has changed,” she said. “It’s been the help I need, the extra push.”

Catch the Geigers at MUSC’s holiday parade Friday, December 2, at noon. They’ll be riding the first float in the parade.

Read more about her story in our News Center.

 

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