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Vol. 4 No. 10, October 2012 Copyright 2012 by Wolf J. Rinke

Feel free to forward this eNewsletter to other Nutrition Professionals.
To get your own FREE subscription click above.

1. NEW CPE--HOT OFF THE PRESS
2. NUTRITION NEWS YOU CAN USE
3. HOW TO SAVE UP TO 16% ON CPEUs
4. WHAT YOU CAN LEARN FROM A NURSE'S HEART ATTACK EXPERIENCE
5. HEAR WOLF "HOWL"--I MEAN SPEAK
6. HUMOR BREAK
7. ABOUT THE EDITOR
8. PRIVACY STATEMENT AND SUBSCRIPTION INFORMATION

INSIGHT BREAK
“If I would know that these would be the last minutes that I will see you, I would say to you ‘I love you’ and wouldn’t assume that you would know it.”
-- Gabriel Garcia Marquez

1. NEW CPE--HOT OFF THE PRESS
Gluten-Free, Hassle-Free, Marlisa Brown, RD, CDE, CDN, C233, 20 CPEUs, $149.95.
Book, 366 pgs and study guide, 32 pgs. About 1% of the world population is suffering from celiac disease, and that rate is increasing at an alarming rate. Yet patients are often confronted with complicated and conflicting information. This down-to-earth program provides a wealth of practical solutions, strategies and shortcuts that will enable you to help your patients live gluten-free and eat their way back to health. More specifically you will learn how to:

  • Evaluate appropriate tests to diagnose celiac disease.
  • Distinguish between celiac disease and non-celiac gluten-sensitivity.
  • Plan safe gluten-free meals.
  • Recognize potential nutritional issues associated with gluten-free foods.
  • Plus much, much more.

For more information and customer comments, click here.
Approved/Accepted by CDR ,CBDM
For RDs & DTRs: Suggested Learning Need Codes for the Prof. Dev. Portfolio:
2000, 2020, 2050, 2070, 2100, 3000, 3020, 3080, 3090, 4000, 4040, 4150, 4190, 5000, 5110, 5120, 5280, 5460, 8090, 8100

2. NUTRITION NEWS YOU CAN USE
Low-calorie diets may not contribute to longevity in humans after all
It’s been dogma that a reduction of 10-40% in intake of a nutritious diet will extend lifespan and healthspan. Contrary to that belief, based on research on rodents conducted some 75 years ago, a recent long-term study using rhesus monkeys, which are thought to be much closer to humans, found that monkeys who ate 30% fewer calories than controls did not have longer life spans.
ACTION STEP: To help your clients with up-to-date weight control information, put “Weight Control” into the “Search” block at www.easyCPEcredits.com and you will find eight courses: C192, C203, C205, C206, C219, C221, C223 and C229.
Source: Mattison, J. A. et al., Impact of caloric restriction on health and survival in rhesus monkeys from the NIA study, published on-line in Nature, 29 August 2012,
http://www.nature.com/nature/journal/vaop/ncurrent/full/nature11432.html,

3. HOW TO SAVE UP TO 16% ON CPEs
To save up to 16% on all of our easy to use, high quality CPE products go to www.easyCPEcredits.com and use the coupon code on the “home page.”
Now you can save even more by ordering e-courses at http://www.wolfrinke.com/CEFILES/ecourses.htm

4. what You can learn from a NURSE'S HEART ATTACK EXPERIENCE
Rosie O’Donnell’s recent heart attack makes this article, written by a nurse who experienced a heart attack, extremely relevant and timely. Please read it, share it, and act on it when you are experiencing these symptoms--it may save your life!

“I had a heart attack at about 10:30 pm with NO prior exertion; NO prior emotional trauma that one would suspect might have brought it on. I was sitting all snugly and warm on a cold evening, with my purring cat in my lap, reading an interesting story my friend had sent me, and actually thinking, 'A-A-h, this is the life, all cozy and warm in my soft, cushy Lazy Boy with my feet propped up.

A moment later, I felt that awful sensation of indigestion, when you've been in a hurry and grabbed a bite of sandwich and washed it down with a dash of water, and that hurried bite seems to feel like you've swallowed a golf ball going down the esophagus in slow motion and it is most uncomfortable. You realize you shouldn't have gulped it down so fast and needed to chew it more thoroughly and drink a glass of water to hasten its progress down to the stomach. This was my initial sensation--the only trouble was that I hadn't taken a bite of anything since about 5:00 pm.

After it seemed to subside, the next sensation was like little squeezing motions that seemed to be racing up my SPINE (hind-sight, it was probably my aorta spasms), gaining speed as they continued racing up and under my sternum (breast bone, where one presses rhythmically when administering CPR).

This fascinating process continued on into my throat and branched out into both jaws. 'AHA!! NOW I stopped puzzling about what was happening -- we all have read and/or heard about pain in the jaws being one of the signals of an MI happening, haven't we? I said aloud to myself and the cat, ‘Dear God, I think I'm having a heart attack!’

I lowered the foot rest dumping the cat from my lap, started to take a step and fell on the floor instead. I thought to myself, ‘If this is a heart attack, I shouldn't be walking into the next room where the phone is or anywhere else ... but, on the other hand, if I don't, nobody will know that I need help, and if I wait any longer I may not be able to get up in a moment.’

I pulled myself up with the arms of the chair, walked slowly into the next room and dialed the Paramedics ... I told her [the dispatcher] I thought I was having a heart attack due to the pressure building under the sternum and radiating into my jaws. I didn't feel hysterical or afraid, just stating the facts. She said she was sending the Paramedics over immediately, asked if the front door was near to me, and if so, to un-bolt the door and then lie down on the floor where they could see me when they came in.

I unlocked the door and then laid down on the floor as instructed and lost consciousness, as I don't remember the medics coming in, their examination, lifting me onto a gurney or getting me into their ambulance, or hearing the call they made to St. Jude ER on the way, but I did briefly awaken when we arrived and saw that the radiologist was already there in his surgical blues and cap, helping the medics pull my stretcher out of the ambulance. He was bending over me asking questions (probably something like 'Have you taken any medications?') but I couldn't make my mind interpret what he was saying, or form an answer, and nodded off again, not waking up until the Cardiologist and partner had already threaded the teeny angiogram balloon up my femoral artery into the aorta and into my heart where they installed two side by side stints to hold open my right coronary artery.

I know it sounds like all my thinking and actions at home must have taken at least 20-30 minutes before calling the paramedics, but actually it took perhaps 4-5 minutes before the call, and both the fire station and St. Jude are only minutes away from my home, and my Cardiologist was already to go to the OR in his scrubs and get going on restarting my heart (which had stopped somewhere between my arrival and the procedure) and installing the stints.

'Why have I written all of this to you with so much detail? Because I want all of you who are so important in my life to know what I learned firsthand:

1. Be aware that something very different is happening in your body, not the usual men's symptoms but inexplicable things happening (until my sternum and jaws got into the act). It is said that many more women than men die of their first (and last) MI because they didn't know they were having one and commonly mistake it as indigestion, take some Maalox or other anti-heartburn preparation and go to bed, hoping they'll feel better in the morning when they wake up ... which doesn't happen. My female friends, your symptoms might not be exactly like mine, so I advise you to call the Paramedics if ANYTHING is unpleasantly happening that you've not felt before. It is better to have a 'false alarm' visitation than to risk your life guessing what it might be!

2. Note that I said 'Call the Paramedics.' And if you can, take an aspirin. Ladies, TIME IS OF THE ESSENCE!
Do NOT try to drive yourself to the ER - you are a hazard to others on the road.
Do NOT have your panicked husband [drive you], who will be speeding and looking anxiously at what's happening with you instead of on the road.
Do NOT call your doctor -- he doesn't know where you live, and if it's at night you won't reach him anyway, and if it's daytime, his assistants (or answering service) will tell you to call the Paramedics. He doesn't carry the equipment in his car that you need to be saved! The Paramedics do, principally OXYGEN that you need ASAP. Your Dr. will be notified later.

3. Don't assume it couldn't be a heart attack because you have a normal cholesterol count. Research has discovered that a cholesterol elevated reading is rarely the cause of an MI (unless it's unbelievably high and/or accompanied by high blood pressure). MIs are usually caused by long-term stress and inflammation in the body, which dumps all sorts of deadly hormones into your system to sludge things up.

Pain in the jaw can wake you from a sound sleep. Let's be careful and be aware. The more we know the better chance we could survive.”

Source: This was forwarded to me by John Guynn, Supervisor, Nutrition Services, Methodist Hospital, Sacramento, CA, with the admonition to share it with as many people as possible in order to help save lives. A cardiologist maintains that we'll save at least one life if everyone who gets this mail sends it to 10 people. So please feel free to forward this eNewsletter to all your friends (male & female) you care about! For more valuable information about Rosie O’Donnell’s heart attack and women’s heart attack symptoms please go to http://philadelphia.cbslocal.com/2012/08/27/rosie-odonnells-heart-attack-know-your-symptoms/, or http://www.health.harvard.edu/blog/rosie-odonnells-heart-attack-a-lesson-for-women-201208225191.

5. HEAR WOLF "HOWL"--I MEAN SPEAK
Oct 3, 12 "Increasing Your Personal Leadership Effectiveness", Los Angeles, CA. This full day seminar may be open to you if your company is a member of the Institute of Management Studies (IMS). Contact Michael Alley, losangeles@ims-online.com for specifics.
Recommend me to the meeting planner of your upcoming state or local dietetic association and I will help make your next meeting a "howling success." As a way of giving back, I speak to ADA groups at significantly reduced rates.

6. HUMOR BREAK
Why men and woman have trouble communicating
A man came home and found a note his wife had left on the fridge: "It's not working, I can't take it anymore! Gone to stay with my Mother."
The man opened the fridge, the light came on and the beer was cold…and he said to himself:
“What the heck is she talking about?”

7. ABOUT THE EDITOR
Dr. Wolf J. Rinke, RD, CSP is the president of Wolf Rinke Associates--an accredited provider of easy to use CPE home study programs for nutrition professionals since 1990 available at www.easyCPEcredits.com. He is also a highly effective management consultant and executive coach who specializes in building peak performance organizations, teams and individuals, and an author of numerous CPE home study courses, audio/video programs as well as several best selling management, leadership and self-development books including Make it a Winning Life--Success Strategies for Life, Love and Business. In addition he is an internationally recognized keynote speaker and seminar leader who delivers customized presentations that combine story telling, humor and motivation with specific "how to" action strategies that participants can apply immediately to improve their personal and professional lives. Preview a demo at www.WolfRinke.com or call 800-828-9653. If you have questions, or would like him to address a specific issue or topic please e-mail him at WolfRinke@aol.com.

8. PRIVACY STATEMENT AND SUBSCRIPTION INFORMATIONWe will not make your name or e-mail address available to anyone. Period! If this was forwarded to you and you would like to receive your own FREE subscription click here.