Preparing your feet for summer

Summertime activities often trigger foot pain from overuse or the lack of support in shoes. To prepare feet for summer, it helps to get shoes or sandals with good support and seek physical therapy to strengthen foot muscles. People who expect to be walking on a beach barefoot can give their feet a little practice and time to adapt by wearing slightly less supportive shoes at home, and then shoes with even less support. It’s also a good idea to learn about ways to relieve foot pain if it strikes, such as foot baths, topical medications, and foot massage.

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Caregivers: You deserve a break

Caregivers may benefit from substitute caregivers who can give them a break. This “respite care” might come from a family member or friend who volunteers to help out. Or it can come from outside services such as adult or child day care centers, short-term stays (seven to 30 days) in a skilled nursing or memory care facility, professional child care or nanny services, or private duty care (which can send someone to be with a loved one up to 24 hours per day).

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Why won’t my primary care doctor oversee my hospital care?

Increasingly, hospitalist doctors (who are present in the hospital 24 hours a day) take care of hospitalized patients, with advice from the patients’ primary care doctors. This helps solve the dilemma of primary care doctors needing to be in two places at once—in a hospital with some patients and in an office with others. It’s not a perfect solution: hospitalists often don’t know the patients they’re caring for, and they are unfamiliar with patients’ extensive medical records. But ultimately, the increasing number of hospitalists is probably improving the quality and efficiency of hospital care.

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Tools that help when it’s hard to see

High-tech tools can help people with vision impairment. Examples include accessibility features (such as speech-to-text or text-to-speech) on a smartphone or computer; apps for navigation, magnification, or describing a scene; wearable devices that use video cameras to capture images and then project them onto tiny screens inside a headset; peripheral prism glasses, which shift light from one side of the eye to the other to make up for losses in field of vision; and household gadgets such as “talking” thermometers, scales, and calculators that audibly read out results.

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Pacemaker precautions in the age of electrification

An estimated 2.5 million Americans have implanted heart devices, which can be affected by magnetic or electrical interference from electric vehicle charging stations, induction cooktop stoves, and smaller gadgets such as smartphones and wireless earbuds. Magnetic energy can cause pacemakers to revert to a preset mode that may be faster or slower than the programmed heart rate. Electrical interference can cause a pacemaker or implanted cardioverter defibrillator to mistakenly stop functioning or deliver an unneeded shock.

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Hospital at home: A movement whose time has come

Hospital at home provides care in a person’s home for common conditions such as heart failure. Health care providers visit at least twice daily and can draw blood, provide intravenous medication delivery, and take portable ultrasounds and chest X-rays. Patients are constantly monitored via a small patch on the chest that measures heart rate and rhythm, breathing rates, and activity. The program also provides a tablet used for videoconferencing with the doctor and specialists, if needed.

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Yoga: A flexible way to enhance heart health

Yoga has modest yet positive effects on several factors linked to cardiovascular health, including lower blood pressure and lower levels of harmful LDL cholesterol. The postures, breathing, and meditation practices inherent in yoga help cultivate the relaxation response, which trains the body to be less reactive during times of stress. People new to yoga should seek out a beginner, gentle, or chair yoga class, especially those who are over 65 or who have any medical conditions.

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