Dr Bob's Medical Newsletter Oct. 2004 by Robert Roy MD

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 the season, discourage return to the sport.

Dr Bob's Take:As parents we need to remember that an athlete who suffers a concussion has up to 4 times the risk of getting another. Cumulative concussions may cause cognitive (learning) disabilities.

Holidays Seasons and Snacks

As much as I hate to admit it the holiday season is coming up real fast. With the 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 the ingredient list if sugars are near the top of the list that means those ingredients make up the highest percentage of ingredients.

The good snacks should be balanced with fat making up less 33% and sugars are not near the top of the 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 the size of portions when you are on the 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 the 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
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I have 20 years of practice experience and 12 years as a physician executive for several national health insurers.

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