如果腳下一滑而跌倒該怎麼做? + 如何從蛋殼獲取鈣?

在冬季，道路往往濕滑。如果您或您的家庭成員不小心腳下一滑而跌倒，你知道要做什麼治療，以及如何防止再次跌倒? 除了治療急性損傷外，你也應該找出可能會導致你經常跌倒的原因。

有一些危險因素是可能導致你跌倒的原因。例如，藥物引起的頭暈或嗜睡有時可以增加你跌倒的風險。因此，告訴你的家庭醫生和藥劑師有關跌倒次數和受傷是非常重要。他們可以幫助您確定是否有什麽具體原因令你跌倒。

有些患者可能會覺不小心滑倒是沒有必要去看醫生，他們可能只是用一些藥膏擦一下以緩解疼痛。然而，這樣做並不總是最妥當的。

在這個月的博客里，我們質詢了程航醫生有關跌倒後應立即如何處理及如何防止再次摔倒的技巧。

他說“評估摔倒造成傷害是複雜的，每個人都不同。例如，20歲的健康成人與體弱的80年有很多健康問題的老人家要做的測試是不同。有任何疑問，你都應該去看醫療專業人士，盡快做一個完整的評估。

你的身體狀況是在進行摔傷評估時需要考慮的重要因素。一般來說，健康狀況越差，越需要獲得醫療評估。例如，如果你是65歲及以上，有骨質疏鬆，或者你正在服用抗凝血劑，如Wafarin或Pradaxa，你摔倒后就更需要做醫療評估了。

另外，怎麼跌倒在進行摔傷評估時也是需要考慮的重要的因素。例如，你從高處掉下來或者是從樓梯上掉下來比你站著摔倒更需要看醫生做評估。如果你摔倒在堅硬的表面，如在冰上或在浴室的地板比摔倒在柔軟的表面更容易受重傷。

最後，身體摔到的部位也是要考慮的重要因素。如果是你的頭或脊椎著地，你更應該考慮去看醫生。當然，如果你失去了知覺，起不來了，或者如果你看到身體的任何部位有骨折，你或其他人應立即叫救護車。同樣，如果你懷疑身體有任何異常或斷裂，你都應該去看醫療專業人士，盡快做一個完整的評估。

預防勝于治療。該規則同樣適用於摔傷。您可以通過做練習來加強你的大腿肌肉，通過提高你的平衡能力來降低跌倒的縫隙（如：打太極拳是一個行之有效的運動，以改善身體的平衡能力），通過使用適當的援助（例如：舒適的防滑鞋，手杖，每年矯正視力），通過調整你的藥物，以防止眩暈和/或低血壓;最後，保持均衡的營養，從膳食中攝入足夠的鈣。”

程航醫生 目前正在接受新病人。如果你正在尋找一個家庭醫生，請致電

416-291-0033與醫生預約!

我們經常聽到病人講要增加鈣的攝入量，但他們不喜歡服用鈣片。在這個月的博客里，我們質詢註冊營養師 Rowena Leung 介紹如何獲取更多來自天然來源的鈣。

獲得鈣的一個簡單而獨特的方式是將蛋殼研粉，加到我們的餐飲食里。1茶匙含有約800-1000毫克鈣。下面教你如何做到這一點：

•將蛋殼放到開水鍋里煮10分鐘，然後瀝乾水，並將蛋殼放到烤盤

•將蛋殼放入烤箱在華氏200度烤約10分鐘

•從烤箱中取出蛋殼并用咖啡研磨機或研缽磨碎成粉末

•粉末儲存在密封罐里

最後, 美健藥房祝大家節日平安，快樂！

Preventing slip and fall accidents + Tips on getting calcium from eggshells!

During the winter months, the roads are often wet and slippery. If you have a slip and fall accident, you might have some questions about what to do for treatment and how to prevent further episodes of falling. Aside from treating the acute injuries, you should also determine how frequently you fall and what might be causing you to fall. 

There are some risk factors that can put you at risk for falling. For example, drugs that cause dizziness or drowsiness can sometimes increase your risk for falling. Therefore, it is very important to have your family doctor and pharmacist be aware of your falls and injuries.  They can help you determine if there are specific causes for your falls.

Some patients might feel that it is unnecessary to go see a doctor after a simple fall. They might choose to use some ointments and rubs at home to ease the pain. However, this is not always the best thing to do. 
For this month's blog, we asked Dr. Hang Cheng to give us some tips on what to do immediately after a fall and also what we can do to prevent future episodes of falling.

“Fall evaluation is complex and is different for every person. For example, considerations to do extensive testing are different for a 20 year-old with no health conditions compared to a frail 80 year-old with many health issues. In any doubt, you should see a health professional as soon as possible for complete evaluation.

Pre-existing conditions are important to consider when evaluating a fall. In general, the poorer the health status, the lower the threshold to seek medical evaluation.  For example, if you are 65 years and older, if you are osteoporotic, or if you are taking an anticoagulant such as Coumadin or Pradaxa, your threshold to see a doctor after a fall should be much lower.

Also, the mechanism of fall is important. For example, your threshold to see a health professional should be much lower if you fall from height or from stairs than if you fall from your own height. The suspicion of serious injury is also higher if you fall on a hard surface such as on ice or in bathroom floor compared to soft surfaces.

Last but not least, the point of contact is also important to consider, if you fall on your head or on your spine, your considerations to see a doctor should be greater. Of course, if you lose consciousness, cannot get up or if you see any bony deformity, you or someone else should call an ambulance immediately. Again, if you suspect any abnormality or fracture, seeing a health professional is always advised.

As always, the best way to treat a disease if to prevent the disease. The same rule applies to falls. You can reduce your chances of falling by doing exercises to strengthen your lower extremities, by improving your balance skills (ex: Tai Chi is a proven exercise to improve balance), by using appropriate aid (ex: comfortable, non-slippery shoes, cane, vision correction on a yearly basis), by adjusting your medications to prevent dizziness and/or hypotension and lastly, by having a balanced nutrition to provide enough calcium.”

Dr. Hang Cheng is currently accepting new patients. 
If you are looking for a new family doctor, please call 416-291-0033 to book an appointment. 

Patients often tell us that they want to increase their intake of calcium, but they do not like taking calcium pills. For this month's blog, we asked registered dietitian, Rowena Leung, for special tips on getting more calcium from natural sources.

One simple and unique way of obtaining calcium is by crushing eggshells into powder and adding the powder into our meals.  1 teaspoonful contains approximately 800-1,000 mg. of calcium.  Here’s how to do it:

• Put eggshells into a pot of boiling water

• Cook for 10 mins and then drain the water and let the shells dry on a baking sheet

• Put the shells into the oven and bake at 200 degrees Fahrenheit for about 10 mins

• Remove shells from the oven and grind up the shells into powder by using a coffee grinder or a mortar and pestle
• Store powder in a tightly sealed jar

Custom Care Pharmacy wishes everyone a safe and happy holiday!