September 2019
NEW Wellness Class:
Thursdays beginning October 3

Thursdays beginning October 3

Monday, October 7

Tuesday, October 8

Wednesday, October 16 
Or December 18
In This Issue
What is EEE (triple E) and why is there concern about it lately?

What should the daily sodium intake be for an average adult?

Changes in Nutrition Facts Label

Patient Story: Physical Therapy – The Graston Technique®

Featured Video: From Kidney Stones to Cancer – Treatments for Urologic Conditions

Non-Medication Pain Management Alternatives

Recipe for Prevention: Inflammation

Vaping and Your Teen: The New Look of Nicotine Addiction

The Dementia Experience

Do You Need a Primary Care Physician?

Get to Know Our Sports Medicine Specialists
News Brief
What is EEE (triple E) and why is there concern about it lately?
Eastern Equine Encephalitis (EEE) is a rare but very serious virus that is spread through a bite from an infected mosquito. There has been a recent case of Eastern Equine Encephalitis (EEE) in a Grafton resident, and a woman in Bristol County has died of the disease. It has been reported that at least four other people in Massachusetts have contracted the disease. Multiple local communities are considered to be at critical risk for EEE including Bellingham, Grafton, Hopedale, Hopkinton, Mendon, Milford, Northbridge, Upton and many more see map . Many towns have cancelled outdoor evening activities. The state is conducting aerial spraying to reduce the population of mosquitoes in parts of Massachusetts.
Symptoms of EEE are fever (103 degrees – 106 degrees), stiff neck, headache and lack of energy. These symptoms show up three to ten days after a bite from an infected mosquito. Inflammation and swelling of the brain, called encephalitis, is the most dangerous and frequent serious complication. The disease gets worse quickly and some patients may go into a coma within a week.

There is no treatment for EEE. In Massachusetts, about half of the people identified with EEE died from the infection in previous years. People who survive this disease will often be permanently disabled. This is why it is so important to reduce your risk!

To reduce your risk of being bitten by a mosquito:
  • Stay indoors from dusk to dawn when mosquitos are most active.
  • When you are outdoors, wear long pants, long-sleeved shirts and socks.
  • Use insect repellent when outdoors. Read more information about insect repellents.
  • Repair any screens and make sure they are tightly installed to doors and windows to prevent mosquitos from getting into your house.
  • Remove any standing water around your house (bird baths, containers, plastic wading pools, wheelbarrows) since mosquitoes can begin to multiply in any puddle or standing water that lasts for more than four days!
  • Keep swimming pools properly chlorinated; remove any standing water in pool covers.
Question & Answer
What should the daily sodium intake be for an average adult?
The American Heart Association recommends no more than 2,300 mgs per day of sodium and moving toward an ideal limit of no more than 1,500 mgs per day for most adults. Because the average American eats so much excess sodium, even cutting back by 1,000 milligrams a day can significantly improve blood pressure and heart health. Remember to take note of the serving size on the Nutrition Facts label. If your portion size equals two servings of a product, you’re actually eating double the sodium listed.
More than 70 percent of the sodium Americans eat comes from packaged, prepared and restaurant foods — not the salt shaker – that is why it is so important to check the nutrition facts label on packaged foods. It’s much more difficult to limit sodium when it’s already added before it’s bought.

Going for less-processed foods and making more meals at home are great ways to help control the sodium you eat.

Generally, the breakdown for sodium in foods is:
  • Low-sodium foods – less than 140 mgs per serving
  • Moderate-sodium foods – less than 400 mgs per serving
  • Hi-sodium foods – more than 400 mgs per serving

To learn more about sodium in the foods we eat, go to the American Heart Association’s website.
Healthy Living Tip
New Nutrition Facts Label
The Nutrition Facts Label has been updated for the first time in 25 years to reflect new scientific information, including the link between diet and chronic diseases such as obesity and heart disease. The label is seen on all prepackaged foods and beverages in the United States. Federal law requires the new label to appear on products from large companies by Jan. 1, 2020; smaller companies have until Jan. 1, 2021, to comply. Many companies have already made the change.  

There are several main changes to the Nutrition Facts label that will help people make healthy eating choices. 
1. Limiting added sugars. While the old label just offered a total "sugars" number, the new label calls out "added sugars" as well. That's because nutrition experts are less concerned about the natural sugars we consume in the form of fruits, vegetables and dairy products. It's the added sugars — often listed on ingredients labels as healthy-sounding agave nectar, honey, concentrated fruit juice or brown rice syrup, in addition to table sugar (sucrose) — that need to be limited.

The American Heart Association recommends adults eat no more than six to nine teaspoons of added sugar a day, but Americans actually consume much more — about 17 teaspoons a day. 

2. Limiting unhealthy fats. In the '90s, when the original label debuted, low-fat diets were all the rage. But research has shown that good nutrition is less about the amount of fat you eat than the type of fat, so the "calories from fat" line has been deleted.

The new label continues to help you monitor your intake of unhealthy fats by listing specific amounts for both saturated fat (found in such foods as fatty meats, poultry skin and butter) and trans fat (vegetable shortening, fried foods and stick margarine).

3. Getting enough essential nutrients. While the old label encouraged you to consume vitamins A and C by calling those out on the label, those lines have been deleted — turns out few Americans today have an A or C deficiency.

Instead, surveys show that many people are now coming up short on vitamin D and potassium. The new label lists both the actual amounts of those important nutrients included in the product, as well as the percent of the Daily Value it represents. The label will continue to list calcium and iron.

4. The 'calories' number as well as the serving size will be bigger and bolder which can help people with weight management.  Daily values for nutrients like sodium, dietary fiber and vitamin D are being updated based on newer scientific evidence.

Finally, remember that fresh fruits and vegetables aren't required to carry the label — so some of your healthiest food choices remain label-free and nutrition rich.

To read more about the Nutrition Facts Label changes, go to FDA.gov .
Patient Story
Physical Therapy – The Graston Technique ®
Matt Ryan, the captain of his school’s baseball team, had just hit a line drive and was running toward first base when he felt a shot of pain through the back of his right leg. Matt had a pulled hamstring—and tried to stay off his feet. Unfortunately, his decision to play through the pain a few days later made the injury worse.

This was not Matt’s first sports injury. He had previous experience with a number of sports-related injuries including a torn meniscus, rotator cuff tear, shoulder and bicep injury. Matt was very familiar with the long road to healing and months of rehabilitation. So, he was game when a new type of physical therapy known to hasten recovery, called the Graston technique® (GT), was recommended.
Featured Video
From Kidney Stones to Cancer – Treatments for Urologic Conditions
In this video, Urologist Matthew Ingham, MD discusses common urologic conditions ranging from kidney stones and benign prostate hyperplasia (BPH) to more complex urologic cancers. Dr. Ingham will focus on treatments for common conditions for both men and women, as well as his specialty, urologic oncology which includes the treatment of cancers such as kidney cancer, bladder cancer and prostate cancer.
Good Things to Know
Non-Medication Pain Management Alternatives
Non-medication alternatives can provide relief to those suffering from pain. Milford Regional provides a list and description of some of these alternatives on the hospital website. This information is an educational aid only…it is not intended as medical advice for individual conditions or treatments.

Your healthcare provider can explain the advantages for each treatment and which may work best for the cause of your pain, and help you choose the alternatives that are right for you.  Check it out!
New Seminars for the Fall
Milford Regional is offering several new seminars that will take place in October.  
Recipe for Prevention: Inflammation – Wednesday, October 9 at 6PM 
Inflammation is a symptom of many chronic diseases including arthritis, multiple sclerosis, irritable bowel and inflammatory bowel disease. While these conditions can be monitored medically, the foods you eat may help reduce the symptoms. Join our dietitians as they discuss which foods have anti-inflammatory properties and which foods may exacerbate inflammation. To register go to milfordregional.org or call (508)-422-2206.
Vaping and Your Teen: The New Look of Nicotine Addiction – Thursday, October 10 at 7PM at Valley Chapel, Uxbridge, MA
The use of electronic cigarettes and vaping products is on the rise in Massachusetts, particularly among middle and high school students. While teens think this is a safe alternative to smoking, vaping products contain nicotine. Join the discussion on the long-term health impacts of e-cigarette use. You will learn about how to prevent your child from vaping and the substances beyond nicotine that can be used in these easily accessible devices. To register call (508)-422-2206.
The Dementia Experience – Thursday, October 17 at 6PM at Milford Senior Center, Milford, MA
This hands-on learning program explores what it is like to live with Alzheimer’s or symptoms of dementia. The presentation explains how isolation, nutrition, and medication error can lead to unnecessary complications while also providing an experience of what it would feel like to have dementia. In addition, participants will learn the signs of memory loss, how dementia affects daily life, and how to communicate with someone experiencing the symptoms of dementia. This program is being presented in conjunction with Cornerstone at Milford Assisted Living.  Registration is required by calling 508-422-2206 no later than October 10 . The presentation is open to the public for ages 16+.
About Our Doctors
Milford Regional's active medical staff, consisting of over 250 doctors, is highly qualified to treat you and your family through sickness and in health. Whether you need a primary care physician or a specialist, you can be assured of the best possible care.

Need a Primary Care Physician?
If you need a physician, please call our Physician Referral Line at 1-888-DRS-HERE (1-888-377-4373). Our Referral Line is available 24 hours a day, seven days a week. For a quick look, see our  list of primary care physicians   who are accepting new patients. It is important to note that not all physicians accept all insurances. Please call the physician's office directly to find out if they accept your insurance plan.
Get to Know Our Sports Medicine Specialists
Several of our orthopedic surgeons specialize in the diagnosis and treatment of injuries sustained while playing sports. Whether you are injured while playing competitively on a sports team or you have experienced some pain while playing recreational tennis, our sports medicine physicians can help you. 

Many conditions improve with anti-inflammatory medicine, immobilizing and physical therapy. When surgery is necessary, arthroscopic surgery is most often the choice, allowing the patient to return home on the same day.  Read more about our physicians who specialize in sports medicine.
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