MRSA Infections

mrsa infection anatomy

What’s up ? This is THE stephane ANDRE. With my training, I’m interested in biomechanics to avoid injuries. I read « Sport Medicine Media Guide » and I learned some good stuff.

Methicillin-Resistant Staphylococcus aureus (S. Aureaus), or MRSA, is a bacterium that creates skin infections and other types of infections. The first time that MRSA was seen in US hospitals during the 1970s. Recently, there is a new strain of MRSA know as Community Acquired Methicillin-Resistant Staphylococcus aureus, or CA-MRSA, has left hospitals and began to spread in the community.

This is the strain that is prevalent among athletes. The difference between CA-MRSA and Healthcare-Associated MRSA (HA-MRSA) is in their effects. CA-MRSA usually creates skin infections while HA-MRSA causes bloodstream, urinary tract and surgical site infections. This make CA-MRSA less dangerous than HA-MRSA. Another difference is that CA-MRSA is more vulnerable to antimicrobial.

Symptoms

Signs of infections are :

  • Redness

  • Warmth, Swelling

  • Pus

  • Pain at sites where there are skin wounds

  • Abrasions or cuts

MRSA has the ability to spread to other organs in the body and when that happens, symptoms are more severe.

At this stage, symptoms are :

  • Fever

  • Chills

  • Low blood pressure

  • Joint pain

  • Severe headaches

  • Shortness of breath

  • An extensive rash over the body

These more advanced systemic symptoms require immediate medical attention.

Treatment

The 1st choice for treating MRSA skin infection is to use an antibiotic that has been created to kill bacteria with mild side effects. Most early infections with no widespread symptoms can be treated with oral antibiotics. Because of the nature of this decease and antibiotic options, many patients think they’re « cured » after only a few doses and decide by themselves to stop taking the prescribed drugs. However, MRSA is able to re-infect the patient and become resistant to antibiotics used previously.

For moderate to severe infections, treatment may be with intravenous antibiotics.

These infections associated with deep abscesses or boils require open surgical drainage in addition to antibiotic therapy. Most infections resolve in 7-10 days with an adequate treatment despite the fact that a deep abscess can take up to 4 weeks to eradicate the infection by resolving the abscess cavity.

Early identification and treatment of MRSA infections decrease the amount of playing time lost and decrease the chance that the infection will become severe. Skin may be protected by protective clothing or gear designed to prevent skin abrasions or cuts.

Prevention

mrsa infection anatomy

It’s necessary that athletes have good personal hygiene but it must be added that athletes and visitors to athletes facilities must also keep their hands clean by washing them often with soap and water or using an alcohol-based hand rub. The minimum is to have clean hands before and after sports and activities. For example when we use weight training equipment that is shared by all gym members, it’s important to have clean hands after using toilette or when someone is injured taking care the wounds (including changing bandage).

Ordinary and antimicrobial soaps are effective for washing hands. It’s noted that liquid soap is a better option because it’s not possible to share this type of soap compared to bar soap. Alcohol-based hand sanitizer that contain at least 60% alcohol are the perfect choice.

Athletes should shower immediately after exercise and shouldn’t share soap and towels. Washing all uniforms and clothes after each use is important. Athlete should avoid sharing items that are in contact with the skin and avoid sharing personal items as they contact the skin. Fortunately, most surfaces don’t provoke a risk of spreading staph and MRSA.

Athletes who have had MRSA

Several high school, college and professional athletes have contracted MRSA infections. There have already been epidemics among athletes on the same team. A study published in « The New England Journal of Medicine » shows an infection MRSA among St. Louis Rams professional football franchise (USA) athletes. During a single season, MRSA infections were found among 5 of 58 Rams athletes (9 percents) that was tested. All infections developed on areas of the body that are common places for turf injury.

Stats

  • Today, MRSA accounts for about 50-70% of the S. Aureus infections that are present in healthcare facilities across the world.

  • Statistics fro the Kaiser foundation in 2007 indicated that approximately 1.2 million hospitalized patients contract MRSA infections.

  • Serious MRSA infection is still predominantly related to exposure in the healthcare setting, where approximately 85 percent of all serious MRSA infections occur.

  • Fortunately, in children under 18 years old, mortality rates are much lower (1%), even though the number of hospitalized children with MRSA has almost tripled since 2002.

Subscribe to my newsletter and share this article if you think it can help someone you know. Thank you.

-Steph

P.S. If you’re in Miami and you like Caribbean food, go to my cousin’s bistro to eat Haitian food, click here .

Why Live With Your Passion

I love my job

I watched an Olivier Roland’s video  and I learned good stuff.

We hear every day that it’s important to do a job that fascinates us. When you do a job that fascinates you , you will never work again but if you don’t do that, you will miss your life and so on. We hear that all the time.

To be passionate

 

 

everyone passionate about something

Now, let’s look at it concretely. Look at the people around you and you don’t need to do a deep analysis. You just have to ask yourself this question : « Are the people I know passionate about the work they do ? ». The answer is : « It’s a tiny minority that does that ». There is often a big gap between theory and practice.

I encourage you to dare to realize your dreams. I encourage you to take baby steps forward everyday to live your dreams. Realizing a dream is not just about being fulfilled. From the moment you do a job that your are passionate about, you have automatically and mechanically by a pure leverage effect, bring more values to the world.

Having the skill is very important and we can have people who aren’t passionate about their work but who are very competent. But between 2 people who have the same skill, it’s always the person who is the most passionate who will succeed to transmit the flame, to make you have sparks on your eyes, to make you dream and maybe to motivate you to do a project that you hesitate to do that will change your life.

It’s this passion that will create maximum leverage on the rest of the world and bring something beautiful, new, artistic. It’s important and we need to do something we’re passionate about. I can even say that it’s a duty for the rest of humanity and I will explain why.

Don’t be passionate

 

 

hate my job

Everyday we see people who are passionate about their work and people who aren’t passionate or who hate their work. When we meet people who aren’t passionate or hate their work, it is felt in each of their gestures, in each of their eyes, in each of their words. Everytime we meet people like that we feel a bit sadness, disappointment and frustration.

These people don’t like their work but the problem is that these people don’t like their work so much that they make us hate this job. We all had teachers at school like that. This teacher who doesn’t like his/her job and perhaps also the subject he/she teaches and the consequence is that the majority of the class hate the job of teacher and the subject he/she teaches (and it’s hard to have a good grade with these teachers). Do you remember those teachers ?

Struggle

 

 

passion struggle fail job

I know that isn’t easy. It’s always difficult for me today but instead of staying with your friends complaining about injustices in your city by drinking alcohol and smoking weed after school or work (yes, I was like that), use this time to take a step towards the realization of your dreams. What’s cool with internet is that we can easily do a lot of things like learning a new skill , get a freelance job online , having a blog, a podcast, a Youtube channel or selling things on Amazon , eBay  or Shopify .

If you hesitate to create your dreams, say to yourself it’s not a question of being happy and being fulfilled. It’s about bringing value to the world, bringing a smile, a spark, an energy to the world.

Share this article if you think it can help someone you know. Thank you.

-Steph

Stop A Bad Habit

self sabotage

I watched an Olivier Roland’s video  and I learned good stuff.

You know, I had a lot of trouble stopping my worst bad habits. It was bad habits that sabotaged my life. Many people around me have the same difficulty I had because unfortunately nobody showed them a conscious step to stop these bad habits.

Think about it, eating healthier allows you to have better energy, better body weight and live longer. Just eating less pre-prepared meals and replacing that with healthy food allows you to avoid having hundreds of bad calories in your body and this make a huge difference in the long term.

It’s a concept that used in all fields of your life. I think you know the consequences of smoking and not playing sport ?

My old bad habits

Ok, I see you need to see concrete things so I’ll tell you the bad habits I stopped :

bong

  • When I was 15 years old, I started smoking weed (marijuana) and quickly I smoked bong or water pipe several times a day. I stopped smoking when I started to train to have a body like 50 Cent. And after, I realized that I was smoking weed (marijuana) to get away from my daily worries. It was like pressing the « Pause » button several times in a day.

    elric of melnibone michael moorcock

  • For several years, I have only read heroic fantasy’s books (Hawkmoon, Elric of Melnibone, etc) and no personal development’s books. It’s not a bad idea to read heroic fantasy’s books but read only that, it’s just entertainment. When I started reading personal development’s books, I realized that I had lost years of knowledge, references, tools, methods that today would be extremely useful to me. Fortunately, it’s never too late.

    fat food

  • For several years when I was doing Karate or Kung-Fu, I had a bad diet. I only ate pre-prepared meals, pizza, fat foods, sweet drink, candy and I didn’t like vegetables. Today, I have a better diet and I’m proud of the result. Since I have a tool that allows me to have my diet under control, it’s MyFitnessPal  on my smartphone (except for my Saturday’s cheat meal)

I like seeing the reaction of people when I explain to them what I eat at breakfast : rice(or pasta) with meat(of egg) and vegetables. I don’t know why breakfast is very emotionally loaded while this is the easiest meal of the day to change. When you only have healthy food in your fridge and in your closets, you have no choice to have a healthy breakfast.

It may be because of childhood memory that people like to have sweet things at breakfast but our bodies are evolving and we need to feed them differently. A child and an adult don’t eat the same amount of calories to be operational.

Wait here is another bad habit that I stopped. I used to play video games for hours. Sometimes with friends we played more than 8 hours non-stop. Once I invited many girls to my condo to do a « before » with my friends before going to the club. We decided to take the bus (public transport) because we wanted to drink a lot of alcohol.

The problem is that with my friends, we were too focused on the video game and we missed the last bus. The girls had gone crazy and they made us understand that it was the last time we (me and my squad) did this (especially an ex-girlfriend, it was sex versus video games). Since then, I haven’t completely stopped paying video games but I play much less because I don’t buy the new video game console.

I guarantee you that having stopped these bad habits had an incredible impact in my life.

Your future old bad habits

healthy food

Now I have a question for you. What bad habits you want ? What bad habits can you replace with a good habits ?

I advise you to make a list of bad habits you want to stop. When you have chosen the bad habit you want to stop, put in place a simple action to stop it. You can’t stop a bad habit in one night. You need to have a constant simple action to have excellent result.

For example :

  • If you want to eat more vegetables, you can use this grandmothers tactic that is to eat vegetables before dessert.

  • If you want to watch TV only for 1 hour, read a few pages of a personal development’s book.

Leave me a comment with a habit you want to stop and that simple action do you use to stop this ?

Share this article if you think it can help someone you know. Thank you.

-Steph

Drinking Water But How Much

drink water

I read a Nerd Fitness article  and I wanted to share this with you.

As you know we have to drink water to stay hydrated but how much ?

8 glasses of water per day

8 glasses of water

Water is good for you. A big part of your body is composed of water and you lose your fluids with your bodily functions (sweat, urine, etc.). Drinking water helps you to restore your fluid reserves.

Drink 8 glasses of water a day isn’t a rule. The truth is that there is no real evidence that this is the right amount.

We are all unique and we need different amounts of water ! A person who exercises regularly will need more water than a person doing less exercise regularly. There is not a single amount that works for all of the world.

Where did this figure of « 8 glasses of water a day ». Nobody knows. According to Snopes

Back in 1945 the Food and Nutrition Board of the National Research Council stated that adults should take in about 2.5 liters of water per day (which is roughly the equivalent of eight glasses of water), but it also noted most of that intake level was already satisfied through the consumption of food without the need for the additional drinking of water.

It’s true that you consume a significant amount of water in your food. A large percentage of our body is made of water, a large percentage of the planet is made of water and it’s the same thing for food. (Fruits, vegetables, meat).

There is also something else to drink such as tea, coffee, milk, juice and alcohol.

How much water

how much water

Honestly ? Drink when you’re thirsty, it’s simple. Thirst is an excellent indicator of when you should drink more water. You think cats, dogs, elephants are concerned about whether they are hydrated. No ! They drink water when their body thirst.

If you are one of those who need more information, you can look at your urine’s color. With this chart  according to of your urine’s color, you will know your hydration’s level.

Now, what are the dehydration’s signs according to the National Institute of Health (USA) :

  • A feeling of thirst

  • Dry or sticky mouth

  • Low production of urine or the urine is dark yellow

  • Sunken eyes

  • Lethargy

Yes, severe dehydration can create big problems, even coma.

Now you’ll tell me : « If I feel thirsty, it’s too late, I’m already dehydrated ! ». You’re right, this is why you must drink water.

Coffee

cofee

There is the myth that drinking coffee dehydrates. It’s true that drinking caffeinated beverages expel more water than you consume. Caffeine is a mild diuretic but the body is very smart and because all drinks are composed almost entirely of water, it compensates the effects.

This is explained in this study 

Ingestion of caffeine in large doses (at least 250-300 mg, equivalent to the amount found in 2-3 cups of coffee or 5-8 cups of tea) results in a short-term stimulation of urine output in individuals who have been deprived of caffeine for a period of days or weeks. A profound tolerance to the diuretic and other effects of caffeine develops, however, and the actions are much diminished in individuals who regularly consume tea or coffee. Doses of caffeine equivalent to the amount normally found in standard servings of tea, coffee and carbonated soft drinks appear to have no diuretic action.

Alcohol

Same thing. Alcohol has diuretic properties. Alcohol causes dehydration when it is consumed beyond the recommended levels.

What to do

what to do

Water allows you to keep functional properties of your body so drink water when you have a feeling of thirst. Drink water before a meal can help you to avoid overeating. If it works for you, continue.

  • Drink when you have a feeling of thirst

  • If your urine is a darker color than the normal color, drink more water. If your urine is a brighter color than the normal color, drink less water.

  • Stop stressing about your dehydration intellectually

Do you have other questions about water ?

-Steph

Destroy your inner demons like Skywalker 

inner demon

In all stories of heroic fantasy and science fiction, the hero has to struggle with his inner demons. Do you remember Luke Skywalker who fights against his double who is dressed in Darth Vader ? It’s cool but in life, it’s a little different. In fact, it’s less spectacular because demons are things like skip a workout, avoid confrontations, smoke or eat junk food.

Find the struggle

Determine things we use to do that prevents us from living the life we want is an important step. For example :

  • Fear of rejection

  • Be always unhappy

  • Addicted to alcohol

  • Addicted to caffeine

  • Addicted to food or sugar

It’s really a habit that prevents to make us happy. A little trick I use to identify is that often I regret that I did.

Avoid it until you’re ready

inner demon

Considers inner demons like a video game’s Boss. From this point of view there are two scenarios :

  1. You attack the Boss, you lose every time and you tell yourself « I’m not good enough ! ».

  2. You admit that the Boss is a level 10 and you’re a level 1, so you have to train yourself to be better equipped to attack.

As you can see the solution b) is the best to achieve victory. Here are some ideas for strategies :

  • If you want to drink less alcohol, avoid bars

  • If you want to eat less, avoid buffets

  • If you want to eat less junk foods, avoids fast food

  • Buys healthy food for your home until you’re better equipped to handle junk foods

  • Takes a different path to school or work to avoid fast foods

  • Avoid the bars for a month to put order in your life before returning to this environment

Study the Boss’s style and memorize it

Analyzes situations that triggers inner demons to put a strategy in place, for example:

  • Do you drink or smoke when you’re anxious ?

  • Do you eat when you are unhappy or bored ?

  • Do you buy sodas packs to stay awake at school or work ?

The strategies I use are : walk around the school or workplace to stay awake instead of drinking a soda or eat fruit instead of junk foods. Find your strategies to bring us closer to victory : Destroy our inner demons.

What is the inner demon you’re fighting ?

-Steph

Do You Live Your Story ?

gandalf

Gandalf the Grey teach us something: « All we have to do is decide what to do with the time that is given to us ».

I often get emails from people who aren’t happy with their lives. My answer is: You have to find a way to be happy today because it’s not sure that you’re alive tomorrow !

Seriously, if your friends humiliate you, your relationship is zero, your work is unbearable, stop everything and move on to better.

It’s true, that it’s easier said than done but think « You can find some excuse or you can have what you want, but not both ». Hmm, it makes you think !

You can continue to be unhappy and find you an apology if you’re not interested in having what you want but your potential is untapped, get full of regret and you will spend your day to say « What if … ».

Tomorrow you can get hit by a car. It’s not like in a video-games where in the level there « add 1 life ». You think your health is taken for granted ?

Be happy today.

be happy

I don’t tell you to quit your job and go live in a tent in the mountains (unless it makes you happy) but make your life a story. Your life isn’t your possessions or your bank account.

We spend too much time on things that don’t matter, we have to focus on the important things. Everyday is an opportunity to be happy, improve yourself, adventure. Problems exist but it shouldn’t spoil your whole day.

You can start by spending time with people who fill your head with stories like: « Remember that time we ……… .I will never forget ! ».

Whether it’s a night out with friends to drink alcohol and to tell stories or play a game, we need to realize that today is a great day. If you can fill your day of adventure, improve yourself and be grateful, you’re on the right path.

Gandalf the Grey teach us something: « All we have to do is decide what to do with the time that is given to us ».

So what do you do ?

-Steph

Alcohol And Sports

alcohol Sport

10 beers = 2 training days lost ! I discovered new information that I want to share with you because it’s really important.

Alcohol and testosterone

alcohol Sport

A study was done for 3 weeks with people who drank three beers a day. The result is that testosterone rate decline of 6.8 %. It’s not extraordinary but drink 3 beers per day is an important dosage.

The conclusion is that drink a beer per day or 2-3 beers in the weekend has almost no effect on testosterone rate.

Another study was done on one day with people who drank 10 beers (the party). The result is that testosterone rate decrease of 23 % for 16 hours (it’s long) ! This means that if you’re going after a workout to party, your workout for the day is lost because you will not be recovered. Why ? Because you lack of a lot of testosterone and you have an increase of cortisol, which is a catabolic hormone. There is a problem !

The studies links :

Study 1

Study 2

Alcohol and progression

alcohol Sport

These 2 studies have shown us that drink a small amount / moderate, no worries and excessive, problem. But it’s not just alcohol, it’s everything that goes with it.

Usually you start drinking in the evening so you go to bed late. And when you drink alcohol, you eat badly, too fat, too sweet, pizza, cookies (junk food). In addition, often you mix alcohol with soft drinks (soda or fruit juice). Soft drinks brings a lot of calories with calories from alcohol. You know that 1 gram of alcohol is 7kcal ! That’s more calories than carbohydrates, so it’s been a lot of calories.

Besides some not strong alcohol such as red wine, alcohol is empty calories as white sugar ! it doesn’t bring anything to the body and finally, it dehydrates. In summary, it causes increased fatigue, poor diet and dehydration, making poor recovery.

The training you did during the day is lost and you lose also the next day if you drank 10 beers, you had a bad meal, slept badly, poorly recovered and you’re not in shape. In addition if you drink until 5-6 am and you traine early in the afternoon, there is a good chance you’re still half drunk and you risk to do something wrong (poor concentration, poor technique, fatigue, dehydration), which increases the risk of injury.

1 night of excessive alcohol = 2 days of lost training

I saw this info 1 month ago and I can tell you that it made me think. All times I’ve been drinking rum (sometimes I vomit) and I went to train in half drunk thinking that it will make me clean faster (when I could because sometime , hahahhha). This is serious, to do simpler when I know it’s a crazy party, I don’t train for two days (saturday-sunday) and you’re going to do what ?

-Steph