Wellness Wednesday: Garlic Parmesan Zucchini Noodle Pasta

Garlic Parmesan Zucchini Noodle Pasta

This recipe is great for a quick dinner or to pack for lunch at work or school. With minimal ingredients and major health benefits this recipe is a go-to! Its also a great idea for our vegetarian friends or if you are looking to cut down on your meat intake.

Garlic: Besides being delicious, garlic has some serious health benefits and medicinal properties you might not know about. Most health effects are caused by one of the surfer compounds formed when garlic is crushed, chopped, or chewed. One compound is called allicin which is responsible for the medicinal properties in garlic, along with the distinct smell. Garlic has antibiotic properties to help fight off infection and even the common cold. Garlic is also full of antioxidants that can help prevent Alzheimer's and Dementia. The list for garlic goes on and on! 

Zucchini: Zucchini is high in antioxidants and Vitamin C. It also has anti-inflammatory properties that can support heart health. It can improve digestion, control diabetes, and maintain eye  health along with being low calorie and low-carb. Its a great healthy choice!

A couple things you need to know before your get cookin'.
Zucchini Noodles: It's super easy and pretty cheap to make zucchini pasta with a spiralizer. You can find these at different stores like Target, Bed Bath and Beyond, and Kitchen stores. Another option is online they are a great price and you can pick one that fits the size of your family.


A spiralizer looks something like this:Scroll to the bottom for the prep and cooking tips for Zucchini Noodles.

Fresh Ingredients

Something that makes this recipe so tasty is the fresh ingredients used throughout. Try to buy locally grown veggies, especially if they are in season. Try a farmers market or the local section at your grocery store. 

PREP 10min, COOK 12min
Ingredients: Four Servings

• 4 medium zucchini 
• 3 tablespoons extra virgin olive oil 
• 2 tomatoes, chopped
• 1/2 cup shredded Parmesan cheese 
• 1 cup basil Leaves, rough chop
• 1 teaspoon cornstarch
• 2 teaspoons cold water
• Red pepper flakes (depending on spice)
• Salt and pepper to taste

Directions: 

1. On medium heat add olive oil, garlic, and red pepper flakes to a large skillet. 
2. Trim zucchini noodles to spaghetti length if needed.
3. When the oil and garlic get hot and bubble add zucchini noodles.
4. Toss noodles with tongs for five to seven minutes, until noodles are wilted but still have a crunch (al dente). 
5.  Stir in copped tomatoes, basil and most of the Parmesan and cook for one minute. 
6. Remove pasta and bring left over liquid to a simmer. 
7. Thicken left over liquid with water and cornstarch mixture.
8. Stir with whisk until liquid thickens to a sauce like consistency. 
9. Plate pasta mixture and top with sauce, fresh basil, and more Parmesan cheese.
10. Enjoy!

Tips for cooking zucchini pasta:

• After you have spiralized your zucchini pasta, pat with paper towel to get excess water off zucchini. 
• Do no peal zucchini- it will turn out mushy. 
• Zucchini is made up of mostly water so do not over cook or pasta will be watery and mushy. 
• Serve right away.

Try this recipe and let us know what you think in the comments below! 

Medical Monday: How Scary is Scabies?

How Scary is Scabies?

The latest outbreak of scabies has been verified at  Makalapa Elementary School in Salt Lake earlier last week. A letter has been issued to parents from the school on October 23rd by the Department of Education (DOE). The DOE said, "Several cases of scabies have been reported at Makalapa Elementary School. The health and safety of our students and staff are the utmost importance."

Check out what scabies is and how to treat, and prevent this skin infestation. 

What is Scabies?

Scabies is an infestation of the skin with mites, which are microscopic organisms called Sarcoptes scabiei. These small insects burrow under the skin and cause intense itching, especially at night. The females lay eggs under the skin, and when these hatch, the bumps and itching spread around warm, moist skin areas.

Sarcoptes Scabiei

How do you get Scabies?

Scabies are spread from close or intimate contact with an infected person, their clothing or bedding. Dogs can get a type of scabies which causes Mange, and although humans may pick up some of these bugs, they cannot reproduce on people and therefore do not cause severe symptoms for people. Treating the animal will decrease exposure for humans.

What are the symptoms of Scabies?

 From the time of exposure, it is usually three to four weeks before any symptoms develop. Initial symptoms may easily be confused with other types of insect bites or rashes.  The diagnosis of Scabies can be difficult so please see us at Island Urgent Care and we can help you to feel better now!

The Scabies are active at night, and even though other rashes may itch more at night, the night time itching from Scabies is MUCH worse. Itching and usually small bumps or lines of bumps are most often noted between the fingers, inside wrists, elbows and knees, under breasts and around nipples, waist bands, buttocks, upper thighs, scrotum and penis, and the sides and bottoms of feet. It would be extremely rare for all of these areas to be affected. The head and back are usually spared. Scratching at lesions may cause inflammation and skin infection. History of known exposure is helpful in raising suspicion of this condition. If you have had an itchy rash for several weeks that is not improving please see us at Island Urgent Care as most people don’t think about Scabies!

  Treatment Options

Various treatments are available but none will completely eradicate the itching immediately. Scrupulous cleaning of clothing and linens which might have been infested must be done to eliminate the insects. The most common treatment is the application of a cream made from permethrin (an insecticide) under brand names such as Elimite or Actincin. This medication is safer than other insecticidal creams or an oral medication that is sometimes prescribed. Treatment decisions must be made in consultation with a medical provider as these medications are only available by prescription.

Treatment tips

When a medicated cream is prescribed, the patient should shower first and then apply the cream from the neck down. The cream should be left on for eight hours and re-applied to hands and under fingernails if they have been washed during that eight hours. The cream is then showered off after eight to fourteen hours and only clean towels, linens and clothes should be used.

Itching may persist for one to two weeks after treatment due to a hypersensitivity reaction and does not mean the scabies are still alive. Itching can be controlled with anti-histamine pills. It is recommended to use Benadryl (diphenhydramine hydrochloride) at night time as it makes most people feel sleepy. For daytime use, non-sedating anti-histamines, such as Claritin (Loratidine) or Zyrtec , can control the itching without sleepiness. Over the counter hydrocortisone cream may also be helpful after the insecticidal treatment is complete to decrease inflammation.

Preventing  spreading the infection to others

Prevention of Spread to Others and Re-Infection Since Scabies is spread by close contact, those who have had close contact with an infected person might want to be treated at the same time to prevent ping-pong infections. However, the careful washing of clothes and linens must still be done by all those exposed. Since Scabies cannot live off the body for longer than 3-5 days, all clothes and linens which have been used recently should be washed with hot water and dried in a hot dryer or put away in a large plastic bag for at least 5 days before re-using. Re-infection is less likely if all of the above steps are followed. Since the insecticidal cream can be irritating, it is not recommended to retreat unless symptoms are actually getting worse after an initial improvement. If you are unsure about your diagnosis or are not feeling better , please see us at Island Urgent Care where we can see you now!

Sincerely, 

IUC Docs

For more infomation call us right away (808) 735-0007

Visit our website: IslandUrgentCare.Com 

Disease Outbreak Control Division: Scabies

In the News: 

Hawaii News Now

Khon2

Wellness Wednesday: Turkey Taco lettuce Wraps!

Turkey Taco Lettuce Wraps

Love Taco Tuesday but don't love all the carbs? Check out this simple and healthy way to get your taco fix any day of the week! 

Ground Turkey: Substituting ground beef for turkey changes up the flavor of your meal. Ground turkey is low in calories but high in protein, it also contains less saturated fat and cholesterol then ground beef. When cooking with turkey make sure that the meat is cooked thoroughly with a temperature of 165 degrees F. Subbing ground turkey for beef also helps us enjoy our favorite foods while cutting down on red meat. 

Ingredients:

• 1 lb ground turkey (leaner the better. Look for 95% lean ground turkey)
• 3/4 cup yellow onion (green onions add a fun taste as well)
• 1-2 cloves of garlic (depending on your preference)
• Jar of chunky salsa (homemade is always better but for a quick meal grab a jar at the store)
• 1/2 packet Taco seasoning (low sodium)
• 1 tsp ground cumin
• 1 Tbsp olive oil or avocado oil
• Iceburg or Romain lettuce leaves (please wash!)

Toppings: Add anything you like on your tacos here are some suggestions.

• Shredded cheese
• dices tomatoes
• avocado
• cilantro 
• light sour cream (optional) 
• Lime

Instructions: 

1. In a medium skillet turn on medium heat and put olive oil in the pan. After pan is heated put in ground turkey. Break up the turkey with a wooden spoon to consistent size pieces to insure even cooking. After a couple minutes add in garlic, cumin, and taco seasoning. Add some water if needed. 
2. While turkey is cooking cut up topping for the tacos and wash and dry lettuce leaves (set aside). 
3. When the turkey is almost done drain excess water and oil and stir in 1/4 or 1/2 of the jar of salsa. Cook for a couple minutes and remove from heat. 
4. Place lettuce wraps on a plate or platter and start with a spoonful of mixture and spread evenly along the lettuce wrap. (Don't fill it too full of meat because you still have all your toppings!)
5. Add toppings like onion, diced tomatoes, cilantro, cheese, avocado and a small dollop of sour cream or more salsa depending on preference. 
6. Lastly squeeze some lime on top and serve!

Serve tacos with a side of black beans and some sweet corn. Black beans are high in protein as well as fiber, folate, potassium, and vitamin B6 to support digestive and heart health. 

Another thing that is great about this recipe is it can be transformed in many ways. For example if you don't want to use the lettuce as a wrap chop it up into a salad and top with your turkey mixture and top with additional toppings. This is also a great idea for leftovers. 

Try this and let us know what you think! 

• 
  

Medical Monday: What's up with your Sinuses (Sinusitis)

Sinusitis

What is a Sinus Infection?

A sinus infection, or sinusitis (sine-uh-SI-tis), is a swelling of the lining in the sinuses. Acute sinusitis lasts for less than four weeks. Chronic sinusitis lasts for more than 12 weeks.

What are Sinuses?

There are four pairs of hollow spaces in the bones of your face. These are called sinuses. They are lined with tissue that makes thin, watery mucus. The sinuses are connected to each other and drain through the nose.

What Causes Sinus Infections?

The most common cause is a virus, such as the common cold. When you catch a cold, your mucus becomes thick and sticky, and doesn't drain well. Bacteria can grow in the mucus trapped in your sinuses. This can lead to a bacterial sinus infection.

Who gets them?

Anyone can get a sinus infection, but people with nasal allergies, hay fever, or asthma have an increased risk. Other risk factors include exposure to cigarette smoke, nasal polyps (POL-ips), and changes in pressure (such as during flying or scuba diving). Sinus infections can also be caused by a deviated septum, which is when the part of your nose that separates the nostrils is out of place.

What are the Symptoms?

• Headache
• Pain or pressure in forehead, cheeks, or between the eyes
• Fever
• Nasal congestion and runny nose
• Cough that may get worse at night
• Sore throat
• Decreases sense of smell and taste
• Tiredness
• Bad breath

How are they Treated?

At Island Urgent Care we can see you right away to determine is the best treatment to get you feeling better fast. Although, only a small percentage of people with cold symptoms will get a bacterial sinus infection, getting evaluated today may help you feel better sooner. Antibiotics can treat bacterial infections, but not viral infections. Most people do not need antibiotics. Having a green or yellow nasal discharge does not necessarily mean that you need antibiotics.

For more information on Sinusitis call Island Urgent Care today or stop in at any of our four locations. No appointment is ever necessary. 

Phone: (808) 735-0007 OR IslandUrgentCare.Com 

Sincerely, 

Docs at IUC

Fall Inspired Healthy Treats

Three Simple and Healthy Treats for FALL!

Fall time in Hawaii is very different than many parts of the mainland. But, just because the trees remain the same doesn't mean we don't enjoy indulging in apple spiced candles, Halloween costumes, and everything pumpkin. 

Fall time is surrounded with sweet treats and warm sugary beverages, but check out some of Island Urgent Care's healthy treats for fall. 

Treat #1: Pumpkin Chia Seed Pudding

Chia seed pudding is one of the easiest meals to make for a quick breakfast on the go or a sweet treat at the end of the night. Besides being delicious and completely customize-able chia seeds pack some powerful health benefits as well. In this healthy recipe we will be adding pumpkin to create a fall time treat for you and your family.

Chia Seeds may be tiny but they pack some serious health benefits. They contain fiber, protein, Omega-3 Fatty acids and various micronutrients. Chia seeds are also high in antioxidants that help fight the production of free radicals which can damage molecules and contribute to aging and diseases like cancer.  

Check out how to make this simple and delicious treat!

Ingredients: At least 4 servings

• 1 cup dairy free milk
• 1 cup canned pumpkin 
• 1 tsp vanilla extract
• 1/2 cup chia seeds
• 1 1/4 pumpkin pie spice
• 3 T agave or maple syrup
• 1/8 tsp salt

Instructions:

1. Place all ingredients in a bowl and mix well.
2. Place in serving containers (glass is always best like a mason jar or a plastic container with no BPA).
3. Place in refrigerator over night or at least a few hours allowing chia seeds to become gelatinous. 
4. When ready to eat: top with desired toppings (nuts, granola, coconut shavings, cinnamon, diced apples, caramel sauce, nut butters). 
5. Keep leftovers refrigerated.

Treat #2: Apple Chips

This treat is extremely easy! Its a perfect snack for the kids after school or to have at a Halloween party or gathering. I promise these will be gone before you know it!

Ingredients: Serving size 2

• 2 apples thinly sliced
• 1/2 tbs cinnamon
• 2 tbs pumpkin pie spice (not a pumpkin fan? You can sub sugar instead).

Instructions: 

1. Preheat oven to 225* F. 
2. Place apple slices in a bowl and sprinkle cinnamon and pumpkin spice. Toss to combine. 
3. Place a cooling rack onto the baking sheet. Lay apple slices onto the baking sheet so that no apples overlap. 
4. Bake for 2 hours flipping halfway. Bake until dried out but still pliable. 
5. Enjoy! 

BONUS: Your house will smell amazing while these cook! 

Treat #3: Pumpkin Chocolate Chip Energy Balls

These pumpkin energy balls will replace that afternoon cup of coffee in the best way possible! This recipe also requires no baking so it's a perfect time to get the kiddos involved. 

Flax Seeds contain a ton of really great health benefits. They contain fiber, Omega-3, 6g of protein per serving, vitamin B1, Vitamin B6, iron, potassium and much more! They are high in fiber but low in carbs, help with healthy skin and nails, contribute to lower cholesterol, high in antioxidants, good for digestive health, and are gluten-free!

Ingredients: Serving 24-32 energy balls

• 3 cups uncooked oatmeal
• 1 cup pumpkin puree
• 1 cup nut butter (almond or peanut butter)
• 2/3 cup raw honey or maple syrup
• 1/2 tsp cinnamon
• 1/2 tsp pumpkin pie spice
• 1/2 Tbsp vanilla extract
• 4-6 Tbsp ground flax seeds
• 1 cup chopped walnuts, chopped almonds, chopped peanuts, pumpkin seeds, coconut flakes, or any combination to equal one cup total. 
• 1/2 cup mini dark chocolate chips or cacao pieces. 

Instructions: 

1. Combine all ingredients together in a medium bowl until very thoroughly mixed. 
2. Roll into about 1'' balls (if mixture sticks to hands spray some coconut cooking spray in palms of hands). 
3. Cover cookie sheet with parchment paper
4. Place balls evenly on the parchment paper
5. Refrigerate 1 hour. 
6. Store in airtight container in the fridge. 

At Island Urgent Care we want to keep all aspects of your body happy and healthy. Try these snacks out the next time you crack open a can of pumpkin or get some juicy apples at the store. 

Everything to Know about Mumps and MMR!

Mumps and MMR Vaccine - What you need to know!

With over 500 verified cases of mumps in Hawaii it has been brought to the attention of the Department of Health and local media. Here is what you need to know about mumps and the MMR vaccine used to prevent it. 

If you are having symptoms of mumps please come into Island Urgent Care and see one of our Physicians right away. 

The Department of Health recommends people working or living in crowded or busy conditions to get vaccinated with the MMR vaccine if they haven't received one in the last 10 years. 

CLICK HERE for Department of Health website 

If you are not sure if you have been vaccinated please come to Island Urgent Care and talk to one of our Physicians today! The MMR vaccine is covered my most insurances, however as always you do not need insurance to get an MMR shot at Island Urgent Care it will be provided at a flat rate. 

Come and get vaccinated today and let's stop the spread of mumps! 

Sincerely, 

Docs at IUC 

Wellness Wednesday: Everything to Know About Lacerations

Lacerations- What to Know!

We have all had that questionable cut or laceration that we look and and wonder..."Do I need stitches?" "Can I use glue?" "Should I just try a band-aid?""How often do I need tetanus?" "Would it be bad if I went surfing with this?" 

One of the most common things my friends and family ask me about are lacerations (cuts) so here are some tips about lacerations!

1.  Does it need stitches?
   

While it is always easier to tell by seeing it in person a general rule of thumb is that if it is over two centimeters in length and especially if it is over a joint (e.g. a knuckle) most lacerations (cuts) will benefit from some form of closure such as stitches, steristrips/butterfly, surgical glue and even staples.   Wound closure generally decreases the chance of infection, results in faster healing, less bleeding and less scarring. We have experienced medical providers at Island Urgent Care who are experts in wound closure and we have all the options available at each clinic.

2. Can it be glued? 

There are several factors that determine whether it is appropriate to use tissue glue.  Factor #1: Is it bleeding?  Glue does not work on wounds that are still bleeding.  Sometimes there are things we can do in the clinic to stop the bleeding and glue can be used - otherwise if is still bleeding, stitches would be better.  Factor #2: Is there tension over the wound?  This means it is located on a part of the body where the skin is stretched which pulls the wound open.  A common place where this occurs is over joints (a knuckle, for example).  The glue is not strong enough to hold when the finger bends and straightens repeatedly and will break down too fast.

3. What is the best thing to clean a wound with?

This answer may be a bit surprising,... tap water.  Yes, turning on the faucet and letting water flow over the wound for 5 minutes cleans it better than betadine, alcohol, or hydrogen peroxide.  The movement of water over the wound removes dirt and bacteria. Those other substances, while effective in killing bacteria, do not do as good a job at cleaning the wound and they also they can be harsh and actually a bit harmful to your own tissue.  You may also use a gentle soap and a bit of scrubbing to loosen dirt and bacteria.

4.  How soon do I need to get stitches? (e.g. Can it wait till morning/after work/clinic is open?)

The sooner the better.  Ideally the wound would be closed within the first 6 hours, but we can often can still close up to 7- 12 hours from the time of injury.  Beyond this the risk of infection increases.  One exception is cuts on the face and scalp which have a lower risk of infection.  These you can often close up to 24 hours from time of injury without increased risk of infection.

5. What is a skin tear and what do we do for them? 

A skin tear is a condition we commonly see in our older patients whose skin has gotten fragile and the top layer is pulled off as a result of a fall or other injury.  These lacerations though not deep, often cover a large area of someone’s arm or leg and benefit from wound cleaning and closure with glue or steri strips to speed healing and decrease risk of infection. 

6. Do I need a tetanus shot update?
   

Tetanus vaccinations are generally effective for 10 years.  While most wounds are relatively low risk for tetanus it is always good to have your tetanus vaccination current.  If it is a higher risk wound (e.g. larger, contaminated wound) we may recommend vaccination if has been longer than 5 years since your last tetanus immunization.

7.  Do I need antibiotics?

Most wounds do not need oral antibiotics to prevent infection.  Cleansing and closing the wound is usually all you need.  Topical antibiotic ointment can be use after wounds repaired with stitches as further protection.  One exception to this rule though is animal bites, including human bites.  These have a much higher risk of infection, particularly puncture wound from cats and oral antibiotics are recommended for these wounds.

If you have any questions about your cuts or laceration come see us at Island Urgent Care today.