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Here are
guidelines that need to be followed. grade 1st concussion 2nd concussion grade 1: transient confusion, no loss of consciousness or mental status abnormalities on exam. symptoms resolve in 15 minutes or less. return to play when asymptomatic for 1 minutes return to play when asymptomatic for 1 week. if 2nd during same game must not return to same activity that day. grade 2, similar to grade 1 but symptoms resolve in more than 15 minutes return to lay when asmptymatic for 1 week. return to play after 2 weeks of being asymptomatic. grade 3, any loss of consciousness transport to hospital. return to play when asymptomatic for 1 week. if loss of consciousness > than a few seconds must be asymptomatic for 2 weeks. terminate for season, discourage return to sport.
Dr Bob's Take:As parents we need to remember that an athlete who suffers a concussion has up to 4 times risk of getting another. Cumulative concussions may cause cognitive (learning) disabilities.
Holidays Seasons and Snacks
As much as I hate to admit it holiday season is coming up real fast. With holiday season it seems to me that our eating habits change as well. Yes, some of us have been or are on diets and a question that frequently comes up is "what about snacks?".
First off, we should not waste our times on "wasted calories". These are calories that are primarily made up of sugars including one called "high fructose". Look at ingredient list if sugars are near top of list that means those ingredients make up highest percentage of ingredients.
The good snacks should be balanced with fat making up less 33% and sugars are not near top of ingredients. Occasionally we all get urges for that "cookie". And it's ok to give in to these but do it sparingly. Eat a couple of cookies but not 4 or 5.
One hundred calorie snacks can really help you when you just need something to carry you over. This will not blow your diet. Here are some ways to estimate size of portions when you are on run.
The palm of your hand generally represents about 3 ounces. The last part of your thumb is about 1 tablespoon. The length of your forefinger equals to about ounce.
Here are some 100 calorie snacks for you to try: half an apple and 2 tsp of peanut butter an orange and a few dry roasted nuts 10 cashews 10 almonds 2 oz of lean roast beef half a small avocado 3 oz of whole grained noodles, with 1 fresh tomato and 1/2 oz hard cheese 1 seven grain Belgian waffle 4 mini rice cakes with 2 tbsp of low fat cottage cheese !/2 cup of frozen orange juice eaten as a sorbet 2 large graham cracker squares with 1 tsp of peanut butter 3 handfuls of unbuttered popcorn seasoned with herbs
Dr Bob's Take: with holiday season fast approaching we need to be more careful not to over-indulge. These snacks provide a wonderful to way to satisfy our "hunger pains".
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Webmaster and Family Physician for Physician-on -health.com a medical information website. I have 20 years of practice experience and 12 years as a physician executive for several national health insurers.
