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PART II OF III

This is the second of three columns dedicated to healthcare for college students. As part of the preparation, think about a first aid kit, health care history, and insurance file. For parents without other children at home, once you finish with these preparations and your child departs for college away from home, plan to take dance, art history and conversational Italian classes to occupy your time without children. Resist the temptation to be a helicopter parent…life goes on!

Remember, living in a large community and sharing close quarters makes the development and spread of disease a natural progression. College life can be very unhealthy for many reasons: lack of sleep, poor eating habits, poor hygiene and stress.

10 Symptoms College Students Should Not Ignore: (American Academy of Pediatrics)

Last week we discussed common illnesses among college students, how to manage and when to seek professional help. Below you will find a list of symptoms that should never be ignored. The college health services department should be contacted if you have any of the following symptoms:

  1. Fever – 102 degrees F or higher
  2. Headache – if accompanied by a stiff neck
  3. Pain with urination
  4. Unusual discharge from penis or vagina
  5. Change in menstrual cycle
  6. Abdominal pain – that will not go away
  7. Persistent cough
  8. Persistent chest pain
  9. Persistent difficulty breathing
  10. Persistent pain or any other symptoms that last longer than you think it should

10 Must-Have Health Care Items For College: (American Academy of Pediatrics)

Get a small/medium plastic storage box and use it to keep all the following health care items together in one place.

  1. Health Care Record – keep a copy of the required health care record required by the school in your health box. You may need it for the health services department or for an unexpected visit to the hospital.
  2. Medication List – with names and dosages
  3. Allergy List – with medication used for each allergy. For example, bee sting kit.
  4. Past Medical History List – write down previous surgeries (appendectomy), diseases (Mono) and dates
  5. Special Needs List – for example breathing inhaler for sudden asthma
  6. Mental Health Problem List – problem and dates
  7. Immunization Record – list shots/vaccines you have had and dates. For example, meningococcal disease vaccine.
  8. Health Insurance Card – keep a photo copy of your health insurance card in your wallet and another in this college health care box
  9. Hand Sanitizer
  10. First Aid Kit
    • Bandages to dress wounds
    • Gauze and adhesive tape to dress wounds
    • Elastic bandage to support and compress sprains
    • Antibacterial towel packets
    • Antibacterial/antibiotic ointment
    • Digital thermometer
    • Chemical ice pack/Microwave heating pack for sprains/strains
    • Acetaminophen and ibuprofen for aches/pains/fever
    • Other prescribed medications
    • Vitamins

SOURCES: American Academy of Pediatrics

Visit your doctor regularly and listen to your body.     

Keep moving, eat healthy foods, and exercise regularly

EVERY MONDAY – Read Dr. Paul J. Mackarey “Health & Exercise Forum!” via Blog

EVERY SUNDAY in "The Sunday Times" - Read Dr. Paul J. Mackarey “Health & Exercise Forum!” in hard copy. Next Week: “Health Tips for College Students – Part III of III”

This article is not intended as a substitute for medical treatment. If you have questions related to your medical condition, please contact your family physician. For further inquires related to this topic email: drpmackarey@msn.com

Paul J. Mackarey PT, DHSc, OCS is a Doctor in Health Sciences specializing in orthopedic and sports physical therapy in Scranton and Clarks Summit. Dr. Mackarey is in private practice and is an associate professor of clinical medicine at Geisinger Commonwealth School of Medicine. For all of Dr. Mackarey's articles, visit our exercise forum!

A routine visit to your primary care physician can be overwhelming. In addition to countless forms about insurance and privacy, endless questions about your medical history can be exhausting. A plethora of questions about your medical history is followed up by the health conditions of your closest relatives. While it may seem intrusive and laborious, the health conditions of your parents, grandparents, siblings, aunts and uncles can help them know what to be on the lookout for with you. For example, if your mother has high blood pressure, they might want to keep a closer eye on yours.  Both nature (your genes) and nurture (your family’s lifestyle) can have an effect on your health -- and you get both from your parents.

It is important to disclose any ongoing conditions (like diabetes or asthma) or serious illnesses (like cancer or a stroke) your parents, grandparents, and siblings have or had and how old they were when the health problem started. If any of them have passed away, let your doctor know their cause of death and how old they were when they died. They also may ask about things like your family’s lifestyle or diet, because relatives tend to have these in common.

Health Conditions That Run in Families

Just because a close relative had a certain condition or illness, that doesn’t necessarily mean you will have it. However, your chances are slightly higher than other people’s. Some health issues that can be passed down include:

Ethnicity and Health Conditions

Ethnicity refers to the cultures, customs and lifestyle choices of certain groups more than in the general population. Your doctor may ask about your race because people who have roots in certain parts of the world are more likely to have some conditions. For example, African-Americans have a higher chance of having sickle cell anemia and high blood pressure, Caucasians have a higher incidence of cystic fibrosis and Jewish people from Eastern Europe are more likely to carry the BRCA gene mutation and be born with Tay-Sachs disease.

Finding Your Health History

Many people do not know much about their family medical history for a variety of reasons.  If possible, ask your closest relatives about their health and the health of other family members such as; aunts, uncles, or cousins. If you’re lucky someone may have kept a family tree, baby books, or other keepsakes that could be of value. If that doesn’t work, there are other options in an internet age;

Help Online

The U.S. Surgeon General’s office has an easy way for you to collect this kind of information. It’s called My Family Health Portrait. It helps you make a kind of family medical tree that you can share with relatives and download to take to your doctor.

Getting Records

Information about your relatives can often be found in death certificates or medical records such as age at death, cause of death, and ethnic background. The rules are different for each state, but close family members are often allowed to order copies of these. Obituaries, which are often posted online, may also have some information. 

Ancestry Research

For those who don’t know much about your relatives and don’t have time to research it on your own, there are companies that can help fill out your family tree. Once you know the names of your relatives, you can try to contact them or find obituaries or death certificates.

Genetics

For some, it may be helpful or necessary to have genetic or DNA testing performed. A conversation with your primary care physician will help make an informed decision.

For Those Without a Detailed Medical History

Not everyone will be able to provide a thorough and comprehensive medical history for their physician. For example, adopted children or those who lost parents at an early age often lack access to a strong family history. Do your best to talk to your doctor about the information you do have or tell them that you don’t know much about your family health history. They can help you sort through it and maybe even tell you where else to look. Even if you’re missing some facts, any information you have can be useful.

SOURCES: WebMD; National Institutes of Health

NEXT MONDAY – Read Dr. Paul J. Mackarey “Health & Exercise Forum!”

This article is not intended as a substitute for medical treatment. If you have questions related to your medical condition, please contact your family physician. For further inquires related to this topic email: drpmackarey@msn.com

For all of Dr. Mackarey's articles visit: https://mackareyphysicaltherapy.com/forum/

Paul J. Mackarey PT, DHSc, OCS is a Doctor in Health Sciences specializing in orthopaedic and sports physical therapy. Dr. Mackarey is in private practice and is an associate professor of clinical medicine at GCSOM