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TheVoiceOfJoyce The NashVillager discusses heat exhaustion. Be aware when the humidity is high we don’t sweat and sometimes our medications make us feel dizzy or confused in extreme heat and humidity. Be prepared. Read on.

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You power public media. Keep local reporting strong.Donate todayTuesday, September 1, 2026Good morning! Catherine Sweeney

It’s always interesting when reporters find themselves living in one of their news stories.

This weekend, I was in Birmingham visiting friends. We saw a movie at the film festival going on, walked to get lunch, walked to the art museum. I routinely walk a few miles in a day, even in the summer. But this time, I was getting dizzy and nauseated.

Everyone else was fine! A little damp, maybe. Worried about covering their shoulders when we were in direct sun. Meanwhile I ended up getting sick in a public restroom.

I was embarrassed, mostly because I felt weak compared to all of my seemingly more resilient friends. Then realized, wait, I’m not sweaty. Not even at the hairline. Why not? My first frantic Google results said it might be a heat stroke. Then it struck me to search medications and heat. And yeah… some meds inhibit sweating.

I should have remembered my story from last summer: “Tennessee heat poses more risks for those on some medications.”

WHAT TO KNOW

Photo: courtesy Shehan Rodrigo/Unsplash

We were in a heat wave when I wrote that story last year, and we just had another bad one. 

Our environmental reporter, Caroline Eggers, excels at contextualizing. She’s doing that again in her story about the current weather threats.

The heatwave seasonhas extended by about six weeks since the 1960s, she writes. And more individual heatwaves are happening. And they’re getting longer. 

But it might not look like it in Middle Tennessee. At least at first glance. Caroline explains that  air temperatures don’t often go above 90 degrees in the area, partially because our air is so moist. So unless folks are looking at the heat index, they might not realize the true risk to their health

Speaking of risks to health, here’s an excerpt from the story I should have remembered:

Bodies are generally pretty good about keeping a steady internal temperature. They depend on the brain to gauge the heat, and then tell the body what to do — how much to sweat, to let the face get flushed to expel some warmth.

But behavioral medications like antidepressants change the way brains interact with the chemicals used in its communication system, known as neurotransmitters.

“It can make heat exhaustion, or heat stroke even, a little more likely,” said Dr. Marshall Hall, who works in the emergency room at TriStar Skyline Medical Center.

Several kinds of medications — especially those used for heart conditions — are diuretics. They fight fluid retention, which can make dehydration easier.

Hall said heart conditions themselves and many chronic diseases make people less heat tolerant. These at-risk groups should keep an even closer watch for early signs of heat exhaustion: “You stand up, you almost pass out,” he said. “If you start to have any type of confusion at all, if you ever stop sweating, if you’re not producing the same amount of urine.”

So learn from my mistakes. If you’re confused and stop sweating, take it seriously! Think about what medications you’re taking. (And maybe drink something other than a Diet Coke.) 

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