Thursday, July 29, 2010

Fact Sheet On New Pumping Law

Department Of Labor Issues Fact Sheet On New Pumping Laws

We posted information back in March about the new Health Care Legislation. While there was much to be desired about the implementation of the new law, the one thing that it did do was to offer protection for breastfeeding moms at work. And just last week, the Department of Labor issued a fact sheet explaining exactly what this means. While many other blogs have already posted information about this which can be seen here and here (amongst others), we thought it was worthwhile to bring it up again and make sure that all of your pumping, working moms know that you are protected.

The law is summed up with the following excerpts from the fact sheet:

Employers are required to provide “reasonable break time for an employee to express breast milk for her nursing child for 1 year after the child’s birth each time such employee has need to express the milk.” Employers are also required to provide “a place, other than a bathroom, that is shielded from view and free from intrusion from coworkers and the public, which may be used by an employee to express breast milk.”

Yes, that’s right – your employer HAS TO provide you with a decent space to pump. So all of you moms who are pumping in your cars or in co-ed break rooms, it’s time to head to your boss or your HR department and ask for better accommodations!!

Another important point is:

Employers are required to provide a reasonable amount of break time to express milk as frequently as needed by the nursing mother. The frequency of breaks needed to express milk as well as the duration of each break will likely vary.

The law recognizes that every mother is different – and while some can pump every 3-4 hours and be just fine – others (like me when I was pumping) need to pump every 2 hours to keep up with our baby’s schedule. The law recognizes and provides support for these differences between moms!!

And another important point is:

Employers are not required under the FLSA to compensate nursing mothers for breaks taken for the purpose of expressing milk. However, where employers already provide compensated breaks, an employee who uses that break time to express milk must be compensated in the same way that other employees are compensated for break time. In addition, the FLSA’s general requirement that the employee must be completely relieved from duty or else the time must be compensated as work time applies.

So while your employer isn’t required to pay you for “extra” breaks – if you are using your already scheduled breaks to pump, then they are required to pay you just like they pay other employees for those breaks.

This is a HUGE step for nursing moms!! Many states do not provide specific legislation to protect moms who are pumping at work. So this new legislation will provide you with the protection that you need!! It also does not preempt state legislation that is already in effect, so if you are lucky enough to live in a state that offers even better benefits (protection beyond 1 year and paid pumping breaks) then those benefits still apply to you.

What do you think of the new law? How will this affect your ability to pump at work? Please share your stories by leaving a comment on this post.

Obesity Rates Balloon in 39 U.S. States

HOCKESSIN, Del.—America is losing the battle of the bulge against obesity, according to new statistics from the seventh annual “F as in Fat: How Obesity Threatens America's Future-2010 report”. The report reveals unsettling statistics that adult obesity rates have increased in 28 states over the past year, and 38 states have 25 percent of their adult populations that are classified as obese.

The report, released by the Trust for America's Health (TFAH) and the Robert Wood Johnson Foundation (RWJF), contains rankings of state obesity breaking down each state's rankings in both adult and childhood obesity. This year's report also highlights the importance of fruit and vegetable consumption for weight management, optimal child growth, and chronic disease prevention. It goes on to make the correlation that the eight states with the lowest rates of fruit and vegetable consumption are also on the top 10 list of states with the highest obesity rates.

According to the findings, 15 states experienced an increase in the rate of adult obesity for the second consecutive year, and 11 states experienced an increase for the third straight year when compared with past reports. For the sixth year in a row Mississippi has the highest rate of obese adults weighing in at 33.8 percent this time. Colorado boasts the lowest adult obesity rate, only 19.1 percent and was the only state with an obesity rate below 20 percent this year. In 1991, no state had an obesity rate above 20 percent.

According to Elizabeth Pivonka, a registered dietician and CEO of Produce for Better Health Foundation (PBH), most adults don't get the recommended servings of fruit and vegetables each day.

"Fruits and vegetables play important roles in the process of weight loss and weight maintenance," she said. "Not only because they are low in calories but also because they provide a wide range of valuable nutrients like vitamins and potassium. They are also high in fiber and water, so eating them will keep you feeling full longer."

Fruits and vegetables are loaded with healthy fiber, and fiber-rich diets have been shown to have a number of beneficial effects, including a decreased risk of coronary heart disease.

"Fruits and vegetables provide the unrivaled combination of great taste, nutrition, abundant variety and multiple product forms. There is no need to eat the same thing day after day when there are so many delicious fruits and veggies from which to choose. Adding more fruits and vegetables to your diet is easy when you remember that all product forms count—fresh, frozen, canned, dried, and 100-percent fruit and vegetable juice."

Produce for Better Health Foundation: Fruits & Vegetables Important to Combating Obesity

6 Questions to Ask Your Medical Doctor

Q: What is my diagnosis and what does it mean?

Hard to believe, but some medical doctors don't even tell the patient what's wrong with them; they just prescribe a medication or schedule a test, pat them on the shoulder and send them on their way.

When your doctor's completed their examination, ask them what the problem is. If your doctor offers a diagnosis ("It's gallstones"), ask them what that means. Make sure they're specific; you deserve to know what's going on in your body and how your doctor plans on helping you to get better.

Q: What is the primary cause of my health condition?

Your doctor might not always be able to pinpoint a specific cause of your health issue, but they can at least offer a range of potential causes that will give you a frame of reference. Again, you deserve to know. It's also important information because you may be able to provide insight that will aid in your treatment. For example, is your abdominal pain related to an athletic injury, a spicy food you recently ate, or a medication you've been taking for another condition? Knowledge is indeed power for both you and your doctor.

Q: How will medication help my condition, and can I do something instead of (or in addition to) taking drugs?

Medical doctors prescribe medication at alarming rates; in many cases that's their first choice for most patient complaints. You need to know how a medication is supposed to help your condition; don't let your doctor prescribe something without understanding its action on the body, both good and bad. Considering the side effects associated with over-the-counter and prescription medications (a reality emphasized by recent massive recalls of children's cold and cough products), you also should ask your doctor about nondrug treatment options.

Q: I'm also taking nutritional supplements. How could they interact with the medication you've prescribed?

Millions of people take nutritional supplements, whether a daily multivitamin/multimineral or specific nutrients such as B vitamins, vitamin D, calcium or magnesium. Doctors rarely inquire about such use, and remarkably, patients rarely tell them. That's dangerous because many medications can interact with nutritional supplements, which can impact how well (or poorly) your medication addresses your health issue.

Q: Is there a generic version of this drug available?

If a medication seems like the only option, at least make sure it doesn't cost you house and home. It's not uncommon for doctors to prescribe the brand-name version of a drug - sometimes because the pharmaceutical rep just dropped off some samples at the office. Generic versions use the same active ingredients as the brand-name versions, are approved by the FDA, and of course, they come at a much lower price. That's particularly important if your insurance doesn't cover the drug and/or you need to take it long-term.

Q: What is the next step if my condition does not improve within X number of days?

This is always a great question to ask. Patients are worried about their health to begin with; they want to feel as if their doctor "has a plan" if the first treatment option doesn't seem to be working. Will they try another medication? Will they order blood work? Will they schedule a CT scan? Will we "wait and see"? Knowing what your doctor is thinking and understanding your potential course of care reduces stress, pure and simple, which is always a good thing.

Chocolate: The Next Miracle Food?

You heard it right: Chocolate is rapidly becoming the next miracle food. If minimally processed, it contains the highest flavanol content of any food. [Flavanols are phytonutrients also found in various fruits and vegetables and associated with numerous health benefits.] The problem is that these valuable compounds are nearly all destroyed when the cocoa beans are heated during processing. For a number of years, chocolate companies have put a great deal of effort toward figuring out how to preserve the flavanols in chocolate, and it appears some of them have succeeded. Several research papers report striking effects from eating these "special" chocolates regularly, including that eating chocolate lowers blood pressure, improves cholesterol levels, and lowers blood sugar. One of the most intriguing suggests chocolate even prevents sunburn - not by rubbing the chocolate into one's skin, but by eating it. Let's learn more about how chocolate is not only good (really good), but also good for you.
Chocolate for Blood Pressure

A number of recent "chocolate papers" have been published. Which is the most interesting? That honor should probably go to researchers from Harvard who solved what we could call the Kuna Puzzle. The Kuna are a group of indigenous people living along the coast of Panama who for the most part live as their ancestors did, hunting and fishing. However, some have moved to Panama City. The Kuna stand out in the medical literature because they have no age-related increase in blood pressure; 60-year-olds have the same blood pressure as 20-year-olds - that is, as long as they stay out of Panama City. Once a member of the Kuna moves to the city, their blood pressure tends to rise. Of those who live in Panama City, 45 percent of Kuna ages 60 and older have elevated blood pressure.

Why the Kuna don't suffer from hypertension as they age has been a long standing puzzle, up unto recently. In 2006, Harvard researchers explained the Kuna's apparent "immunity" to hypertension. They carefully modified the Kuna diet and realized that island-dwelling Kuna drink large quantities of flavanol-rich cocoa on a daily basis (5 cups or more) and incorporate it into numerous recipes. On the other hand, Kuna who live in the city consume far less cocoa, and what they do consume is commercially produced and thus has little flavanol content.

In simple words, for non-city-dwelling Kuna, eating flavanol-rich chocolate keeps their blood pressure down. Recall that chocolate contains the highest flavanol content of any food when minimally processed, but these valuable compounds are nearly all destroyed during standard processing (which involves heating). So, when the Kuna switch from unprocessed, "homemade" chocolate to city, store-bought, processed chocolate, they no longer get the chocolate protection.

Typically, cocoa loses over 70 percent of its initial polyphenol content (flavanol is a polyphenol) during manufacturing. The heat destroys it. In the past several years, researchers and food scientists have developed ways to preserve the polyphenol and particularly the flavanol content of chocolate. These high-flavanol chocolates have allowed for the study of chocolate's potential benefits.

There is little doubt any more that these chocolates lower blood pressure. Eating them activates specific enzymes called nitric oxide synthases. These enzymes increase the amount of nitric oxide made in the blood. Nitric oxide is a potent vasodilator and improves the function of blood vessels.

How much is enough? A March 2010 study published in the American Journal of Hypertension suggests that as little as 6 grams per day of high-flavanol chocolates lowers blood pressure. Certainly any chocolate lover could manage 6 grams a day, right?

Chocolate and Heart Health

Chocolate protects against heart disease in more ways than lowering blood pressure. It also decreases blood markers of vascular inflammation and improves cholesterol levels. A 2008 paper published in the Southern Medical Journal reported that after one week of eating a daily dose of chocolate providing 700 mg of flavanols, subjects' low-density lipoprotein cholesterol levels (the "bad cholesterol") fell by 6 percent and their high-density lipoprotein cholesterol (the "good cholesterol") rose by 9 percent.

Chocolate as an Edible Sunscreen?

In a double-blind study published in the Journal of Cosmetic Dermatology last year, researchers in London gave chocolates to 30 healthy volunteers. Half ate a high-flavanol chocolate and the others ate a low-flavanol chocolate. A minimal erythema dose (MED), a measurement of how much sun exposure it takes to trigger a sunburn reaction, was calculated at the start of the experiment and again three months later. Volunteers who ate the regular chocolate had no change in sun sensitivity. But in those who ate the high-flavanol chocolate, the length of time it took for their skin to start to "burn" more than doubled. In other words, they could tolerate twice the sun exposure without burning as before they started eating the chocolate.

Most people, if given a choice between eating chocolate or slathering oneself with sunscreen, would not even consider this a choice, but a no-brainer.

Let the Eater Beware: Not All Chocolate Is Created Equal

These are all fascinating studies, but there is one problem. Standard chocolates, the kind most people eat regularly, contain only small amounts of flavanol. These chocolate research studies used special chocolates with much higher than normal flavanol content. Flavanol content was preserved through special low-temperature processing. So, as tempting as it might sound to purchase a chocolate bar next time you are at the checkout while grocery shopping, don't do it with the rationale that it will improve your health. Those chocolates do not contain enough flavanol to work their health magic.

That said, more and more companies, large and small, are working to produce high-flavanol chocolate. For example, there are two major companies that claim to have figured out how to preserve the flavanols in chocolate. One is the Belgium chocolate manufacturer Barry Callebaut, who has developed a special refining process marketed under the brand name Acticoa. This brand of chocolate has been used in most of these recent research papers. Callebaut does not currently sell its chocolate in North America, though a rumor hints that it will introduce it to the U.S. market this summer.

The other company marketing high-flavanol chocolate is part of the Mars candy company and sells their product under the brand name CirkuHealth. This product line replaces Mars' older specialty brand called CocoaVia, which was manufactured and sold for about 10 years, but discontinued in 2009.

That something as delicious and pleasurable as chocolate might offer profound health benefits is almost too good to be true. We still can't say definitively that chocolate prevents high blood pressure, heart disease or sunburn, but I'm sure you'd be willing to volunteer for the next study! For now, talk to your doctor for additional information.

To You Health,

Dr. Jon Wise

Back to School with Kids

Life Lessons by Dr. Shadia Koury

It has become a picture that parents are most proud of - their child heading to the school bus, awaiting the trip to their new classroom. They are well-prepared, with pencils, erasers and notebooks in tow.

Indeed, backpacks can be useful for our little Einsteins. Many of them come with multiple compartments that help kids stay organized by keeping important books and papers in place. Backpacks are better than shoulder bags or purses for carrying such material, since the back and abdominal muscles (the strongest muscles in the body) are used to support the weight of the pack. However, to take full advantage of these benefits without the disadvantage of feeling overburdened or in pain, it is important that children use backpacks properly. This means watching the weight of the pack and carrying it correctly. According to the American Chiropractic Association, young children are suffering from back pain much earlier than previous generations, and the use of weighty backpacks is a contributing factor. Heavy packs can cause a child to hyperextend, or arch, his or her back, or lean the head and trunk forward to compensate for the weight of the bag. These postures can stress the muscles in the neck and back, increasing the risk of injury and fatigue. The natural curves in the middle and lower back can become distorted, which can cause irritation to the spine joints and the rib cage. A rounding of the shoulders could also result if a back has to compensate for a heavy load.Wearing a backpack on one shoulder may cause a child to lean to one side in order to compensate for the extra weight. The middle back, ribs and lower back can become stressed on the side of the body opposite of where the backpack is placed. Carrying the pack on one shoulder may also cause upper back pain and a strain in the shoulders and neck.

There are methods for preventing posture problems and other conditions associated with toting a heavy backpack. The first is to limit the weight of the backpack. Packs that sit on one shoulder, are slung across the chest or have only one strap are not as effective at distributing weight as bags that have two wide shoulder straps.

There are several characteristics to look for in backpacks that will contribute to your child's comfort each school day. It is important to start with a lightweight backpack that will not add much weight to the load carried inside. The width should not be greater than that of the child's torso. Two wide, padded shoulder straps are important in helping the child carry the pack without pain. Look for shoulder straps that are at least two inches wide. In addition, a waist strap can distribute the weight of a heavy backpack more evenly. A padded back protects against sharp edges on objects inside the pack.

If a child must bring a heavy load to school each day, a rolling backpack can be beneficial. However, you should remember that those packs still must be carried up stairs, and they may be difficult to roll in the snow. Check with your child's school about their policy on rolling backpacks. Some schools may prohibit the use of the packs because they can clutter hallways and result in dangerous trips and falls.

Once you've finished shopping for school supplies, take the time to sit with your child and organize the supplies in his or her backpack. The heaviest objects should be packed first so that they are carried lower and closest to the body. Backpacks with individualized compartments can help distribute the weight of the load more evenly and keep items from shifting during movement.

Parents and children alike should be sure to watch the weight carried in the pack throughout the school year. If the packed book bag forces your child to move forward in order to carry it, it is overloaded. A backpack should be cleaned out once a week to remove any unnecessary items that are creating more weight for the student to carry. Parents should encourage their children to carry only the books that are necessary and to use their lockers or desks frequently during the day.

How a child wears a backpack is important in determining how his or her body will be affected by the extra weight. Children should always use both shoulder straps and wear the pack on the back. The straps should be adjusted to fit the pack snugly to child's body. Using a waist belt and/or chest straps. Keeping a backpack close to the hips shifts the "work" to the legs. Hold the bottom of your child's backpack two inches above the waist, and keep the top of the pack just below the base of the skull. Encourage your children to lift the pack by using the leg muscles and apply one shoulder strap at a time. Many physicians feel that backpack loads become a health problem when they reach 20 pounds or more. The American Physical Therapy Association recommends that children carry backpacks of no more than 15 percent of their body weight - less than that is even better. For example, a child weighing 50 pounds should carry no more than 7.5 pounds in their backpack; children weighing 100 pounds should carry no more than 15 pounds on their back; and children and adolescents weighing 150 pounds should not carry more than 22.5 pounds.

Outside of the home, parents can continue to help prevent any negative effects their children may encounter while carrying a backpack. Talk to your child's teachers about how to minimize the need for transporting heavy books to and from school. This could be done by keeping one set of books in the classroom for daily work while leaving heavier books at home, or by making photocopies of homework chapters and assignments that can be easily carried. If possible, purchase a second set of your child's textbooks to keep at home. Inquire as to whether or not textbooks on CD-ROM can be purchased by the school or by a parent.
Most importantly, encourage your child to tell you about any pain or discomfort caused by a heavy backpack. If your child does offer a complaint, reduce the weight of the backpack immediately.

If you find that your child is struggling to get his backpack on or off, has back pain, has to lean forward to carry his bag, or has numbness or weakness in the arms and legs, it is important to speak with your child's doctor.

Another way to help prevent back injury that could result from carrying a heavy backpack is to exercise, particularly strengthening the stabilizing muscles of the torso, including the lower back and abdominal muscles. Regular chiropractic adjustments help the body to recover and restore any imbalances or stress caused by the back pack. Also, it assures a healthy brain and nervous system, so your child functions better in school and stays at the head of the class!

Monday, July 19, 2010

Wise Chiropractic: Holistic Wellness Center

Dr. Jon Wise holds a Bachelors in Sociology from The University of California, Irvine and a Doctorate in Chiropractic from Cleveland Chiropractic College, Los Angeles. Following Graduation, Dr. Wise held several internships such at places such the Cleveland Health Center, Los Angeles Mission treating homeless individuals, and USC Medical Center.

Initially Dr. Wise wanted to be a Cardiologist, but after seeing the benefits of chiropractic care with his health and the health of his family and friends, he knew that improving one's health without drugs or surgery was the right path to follow.

Dr. Wise is a holistic family wellness physician who has treated individuals of all ages from infants to geriatrics. He has over 35,000 office visits and treated individuals from Top Athletes to Movie and TV Stars to even the average Hard Working American. Dr. Wise has received many prestigious awards including the "2009 America's Top Chiropractor Award" by the Consumer Research Council of America.

Why Chiropractic?

Chiropractic is a health care system that does not prescribe drugs nor take out body parts. It is the safest, most effective health care system in the world. Chiropractic deals with improving neurological health since the nervous system controls every aspect of the body. Without the nervous system, the body cannot survive. The spinal cord is the power house network of electrical wiring that allows the brain to communicate with the body. The spine protects the spinal cord. Unhealthy Spinal Hygiene can have a drastic effect on one's neurological health, just like decaying teeth and gums can have an impact of Oral Hygiene. Regular chiropractic care maintains the integrity of the spine and nervous system to help prevent health problems.

Each of us are born with the ability to heal and recover from most disorders and illnesses. When we cut our skin, the body makes new skin. When we catch a cold, the body makes antibodies to fight that bug. Your nervous system regulates this process of innate, inborn healing. If your nervous system is not functioning 100%, how can your body function 100%?

A healthy nervous system will keep you healthy! An unhealthy nervous system will keep your body unhealthy, sick and full of pain. The ultimate ideal is to stay healthy rather than just avoiding sickness.

Tuesday, July 6, 2010

New and Updated Wise Chiropractic Holistic Familly Wellness Video


Wise Chiropractic is a Holistic Family Wellness Center located in Southwest Las Vegas just off the 215 Beltway and Rainbow Blvd. Convenient for anyone in Las Vegas and Henderson. We offer Tradional Chiropractic Care with a Holistic approach for anyone in the family. We along offer the Homeopathic HCG Weight Loss Program. Dr. Jon Wise has seen over 35,000 office visits and has taken care of individuals of all ages and sizes ranging from 5 minutes old to 92 years old and 6 lbs to 500 lbs. We are located at 5875 S. Rainbow Blvd #201, Las Vegas, NV 89118. (702) 248-6292 or please visit our website at

Thursday, July 1, 2010

6 year old wants chirorpactic

A 6 yr old asks what is chiropractic, I say "When your body is under enough stress, it gets out of balance. Chiropractic is about restoring the balance so your body can deal with the stress better." The little girl understood this perfectly today and now wants to get checked so her body can work better. Ask yourself - ...are you smarter than a six year old? When is Your chiropractic check up?"