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  • Internal Medicine: Characteristics You Want in This Type of Doctor

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    Having a chronic issue that just won’t resolve itself on its own is extremely frustrating. And while you may have gone to doctor after doctor, it may be time to see someone in internal medicine.

    A physician in internal medicine has more specialized education as opposed to a general practitioner. In addition, this doctor does not focus on things like pediatrics or obstetrics. The main role of this doctor is to diagnose, treat and prevent issues associated with all areas of the adult human body. So when trying to find one to fit your needs, be sure to keep a few things in mind.

    Expertise

    The whole reason for seeing a doctor in internal medicine is to get an answer to some of your most troubling health conditions. When you’ve exhausted all other options, such as family doctors or general practitioners, an internist is the next logical step. These doctors have made careers out of solving complex medical problems in adults. So be sure to explain the issues you’re having as well as make sure your internist has all your past medical history. This way, he or she can have a leg up in trying to figure out the root of your problem. In addition, a doctor in internal medicine has gone to school for at least seven or eight years, has passed a board exam as well as focused on a particular area of study, so he or she is well prepared to handle your problem, depending on what it is. For instance, if your issue deals with the heart, then you’d want to see a cardiologist. On the other hand, if you have reproductive issues, a reproductive specialist is best.

    Good Communication

    In addition to expertise, it’s essential that you have great communication with your doctor, especially when it comes to internal medicine. That’s because this doctor has the knowledge and experience to help you figure out what’s causing your issue. Yet, you want him or her to be patient and really listen to your issues. These doctors see numerous patients each day, but that doesn’t mean you should feel rushed through your visit. So when deciding on a good internist, pay attention to how he or she talks with you as well as listens. If you feel like your doctor has not given you the time you need, then you need to keep looking, because communication is key when trying to find a doctor in internal medicine.

    Timeliness

    When you’ve been referred to an internist, this means your general practitioner hasn’t had any luck figuring out what’s causing your problem. Or if he or she knows the problem, maybe they don’t know how to treat it; yet an internist will. Unfortunately, if your internist cannot see you until two months from now, then that’s a problem. Depending on your issue, you could possibly wait, but for most people, this is not acceptable. Instead, you should keep searching until you can find a specialist that can see you in a decent amount of time. Also, whenever you do find a good doctor in internal medicine and schedule an appointment, you want him or her to honor your appointment time. If you’re always waiting over an hour to see your physician, you may need to start a search for a new doctor.

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    Source by Anna Woodward

    Views: 0

  • Alternative Medicine Treatment of Plantar Fasciitis

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    Plantar fasciitis (PF) affects approximately two-million people in the US, of both athletic and non-athletic populations. This condition can be debilitating and significantly affect one’s quality of life in a very negative way. There are few high quality studies on this condition and the most successful treatments. Treatments range from chiropractic care, physical therapy, injections and surgeries. Fortunately this condition can typically be resolved with conservative treatment and lifestyle modifications that can prevent going under the knife. Simply put, plantar fasciitis is a strain with subsequent inflammation of the thick tissue (plantar fascia) and muscles on the bottom of the foot causing heel pain. Plantar fasciitis (PF) is characterized by biting heel/mid arch pain when first bearing weight in the morning, or after long periods of rest. The pain typically subsides within 5 minutes of walking or running, then worsens with long term activity or weight bearing. It is also associated with tired, achy feet at the end of the day and foot cramps. PF is seen in both active and inactive people, and is rarely the result of an acute injury. PF can be the result of several different factors: repetitive overuse injuries, poor fitting footwear, overtraining, structural abnormalities of the foot and improper gait mechanics. PF often becomes a chronic and/or recurring problem if not given the appropriate treatment and follow up care.

    Some contributing factors to the development of plantar fasciitis:

    Structural abnormalities: Plantar fasciitis is very commonly seen with pes planus (pictured left), or flat footed individuals. As you can see, this individual’s medial arch is almost flush with the ground. This can create strain on the plantar fascia. Severe injuries resulting in the need for surgical fusion of the foot can also create strain on the plantar fascia. In these cases of severe structural abnormalities, orthotics are typically indicated. Rehabilitation including foot strengthening exercises, chiropractic manipulation and soft tissue techniques can relieve pain and help to alleviate strain on the tissues and resolve flair ups. We use custom orthotics from Foot Levelers in our office. Using a 3-D scanner, we can have custom orthotics made to support the full structure of your foot.

    Poorly fitting footwear: Wearing improper footwear over time can lead to PF. If a shoe doesn’t fit your foot properly, your gait is altered during any weight bearing activity. This has an effect on the entire kinetic chain and can ultimately cause strain on the plantar fascia. The strength and flexibility of your foot will determine your best type of footwear.

    Overtraining: Can be a huge contributor to PF. What many athletes, weekend warriors and the like tend to overlook is the importance of recovery in their training regimens. If your tissues don’t have optimal nutrition, rest and repair time they start DEgenerate rather than REgenerate. Especially when it comes to long distance running, or quick sprints, the feet have a lot of demand.

    Nerve Impingement: Plantar fasciitis can be a symptom of sciatic nerve impingement. The sciatic nerve is the thickest nerve in your body. It originates from your lumbosacral plexus of nerves typically L4-S1/S2 with some individual anatomical variation. Although this nerve is commonly blamed for all radiating leg pain, it is only responsible for pain along its trajectory down the posterior aspect of the leg and foot. In some impingement cases, the pain can skip the back of the leg altogether and go straight to the foot. Impingement along any portion of the nerve can result in pain, but it doesn’t have to be in the leg. If there is enough impingement along this nerve, any added pressure, say forced dorsiflexion of the foot when standing or walking, can be just the right tension to create exquisite foot pain. Our bodies are always trying to protect our nervous system; reflexively the muscles surrounding the nerve will tighten in an attempt to avoid any further stretch or tension of the nerve. Ultimately, this leads to inflammation of the plantar fascia and the surrounding muscles.

    Other Factors:

    Systemic Inflammation: Though general systemic inflammation is typically not the cause of plantar fasciitis, it will increase your symptoms. For this reason we strongly encourage our patients to eat an anti-inflammatory diet specific to their needs. We also understand no one is perfect or eats perfect all the time, which is why we encourage an 80/20 approach; eat clean 80% of the time and use the other 20% to indulge. Curcuminoids, like those found in turmeric are great to help blot down inflammation in acute cases of plantar fasciitis.

    Alternatives to conservative care:

    Cortisone or steroid injections are very commonly given for Plantar fasciitis. In some really tough cases this can absolutely be necessary to “put out the fire” that is the inflammatory cascade, to get you out of pain initially. We never recommend looking at this option as a cure. Cortisone is a very powerful anti-inflammatory that alleviates pain without correcting the underlying issue, potentiating further injury and recurrent episodes. Another option is surgical intervention. In some cases, surgery is the best option for a particular case. We prefer to exhaust conservative treatment options before travelling down this avenue. A study on an overweight and obese population (43 total) suffering with plantar fasciitis for an average of 34.8 months, were given decompressive surgery to the nerve to the abductor digiti minimi with partial plantar fascia release and tracked over a 4-year period. It was found that 75.6% of patients were in deed pain-free or had only mild pain post-surgery (pain decreased from an 8.5/10 to a 2.5/10). However patient satisfaction post-surgery was only 48%.

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    Source by Ann Barter

    Views: 0

  • Best Tips On How To Cure Psoriasis From The Inside

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    Psoriasis is a disease that is difficult to treat because it is still not very well understood. Despite this, there are many treatment therapies that have been developed despite there currently being no “cure” yet. There are also various natural psoriasis treatments that have proven to be very effective for many psoriasis sufferers to keep flare-ups at bay. One of those is to use diet which many believe is one of the best ways on how to cure psoriasis from the inside out.

    How to Cure Psoriasis from the Inside

    Using food is an essential part of not only promoting general health and wellbeing but is also important to prevent various diseases and conditions. This is because various foods contain essential vitamins and minerals that boost the immune system and in addition for psoriasis, have various skin healing properties.

    Using the right foods is important. Especially those that are organic and free of chemicals and antibiotics as well as saturated and trans fats.

    Though many doctors may not believe that a healthy diet alone will cure psoriasis, they do believe that if making certain dietary changes provides some benefits, there is no harm is following a diet for psoriasis. Especially in the current absence of a psoriasis cure which makes it crucial to try various remedies to see whether they will work for you that are both conventional and unconventional.

    Following the theme of using natural remedies that may work to heal your skin from the scourge of psoriasis, here are some of the best tips on how to cure psoriasis from the inside out;

    1. Turmeric

    One of the top recommended remedies on how to cure psoriasis from the inside AND outside is turmeric. This is a spice that is native to India where it has long been used in the ancient traditional healing practice of Ayurveda in addition to its common use in various culinary dishes as it gives curry its yellow color.

    There are many seemingly unbelievable stories from various people that have used turmeric for various diseases and conditions including psoriasis touting this spice’s benefits for healing. So if you are struggling with psoriasis, you may want to give turmeric a try.

    The active ingredient that is believed to be responsible for turmeric’s healing properties is curcumin.

    Curcumin is a very rich source of antioxidants which help to prevent the activity of free radicals in the body. Free radicals represent oxygen molecules that cause harm in the body by damaging healthy cells as a way for them to live and thrive in the body. The damage may increase the risk of developing various diseases and conditions including various cancers, arthritis, diabetes, osteoporosis, Alzheimer’s disease, as well as psoriasis.

    Turmeric helps to reduce inflammation in the body which is why it is believed to be one of the most effective remedies for psoriasis whose development is considered among various other reasons also related to the level of inflammation in the body.

    As mentioned earlier, turmeric can be taken internally as well as applied externally to the psoriasis lesions. Either method or both is said to be effective. For internal benefits, turmeric can be added to any food or drink e.g. to stews, cereals, oatmeal, salads, stir-fries, to smoothies, green juices, etc.

    To apply turmeric topically, make a paste with the turmeric and apply to the lesions and cover with a plastic wrap or adhesive and leave for a few hours or overnight and wash off. When used topically, depending on your skin tone, you may notice a yellow caste especially if you are very pale which will dissipate eventually.

    2. Cold-water fish

    Another of the top tips on how to cure psoriasis from the inside out is related to a discovery by researchers that certain deep sea cold-water fish such as salmon, tuna, mackerel and herring when consumed by people with psoriasis, reported a reduction in their various symptoms of psoriasis.

    While it is not very well understood why these oily fish are healing for the body and skin, it is believed that the omega-3 fatty acids that they contain are responsible.

    Omega-3s seem to be able to reduce the amount of certain compounds in the body – leukotrients and prostaglandins – that cause skin inflammation. Salmon has an especially high amount of omega-3s but the other oily fish previously mentioned are also beneficial. It is recommended that you eat 3 to 4 ounces of these oily fish per week.

    If you prefer omega-3 supplements, the recommended daily amount is about 3 grams. Be sure that the omega-3 supplements you use contain EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid) which are long chain fatty acids that are especially beneficial for various skin conditions including psoriasis.

    Do not overdo the consumption of these oily fish or omega-3 supplements because high doses of fish oils can affect the body’s blood clotting mechanism so check with your doctor to make sure that the regimen you follow is within safe limits.

    3. Beta carotene

    While it is highly recommended to cure psoriasis from the inside by consuming more fruits and vegetables, certain vegetables rank a little higher. These are vegetables and fruits that contain beta-carotene such as tomatoes, carrots, spinach, cantaloupe, beet greens, winter squash, sweet potatoes, etc. Any colorful fruit or vegetable usually obtains its color from beta-carotene.

    Research has shown that those who ate at least seven servings of tomatoes were able to reduce their risk of developing psoriasis by a whopping 60 percent! For carrots, the reduction in risk was still high at 40 percent and the same for fruit consumption at 50 percent.

    Beta-carotene as well as vitamins C and E that these vegetables and fruits contain provide antioxidant activity in the body in addition to helping boost the immune system so that it is better equipped to fight off disease as well as to improve skin. Beta-carotene in particular is converted into vitamin A which along with vitamin E are known as the skin vitamins as they help to maintain the tissues that make up the skin.

    4. Low-calorie diets

    These are beneficial especially if you are overweight. Obesity is a factor in how you will respond to psoriasis treatment and the severity of symptoms of psoriasis that you will develop. It has been noted that people with psoriasis who are obese take longer to respond to treatment and psoriasis lesions return more quickly after treatment is stopped.

    Following a low calorie diet does not mean starving yourself. It means making better choices with food and avoiding high calorie foods such as fast food, various processed foods, fried foods, etc.

    5. Mediterranean diet

    There are many diets that are followed around the world that seem to present no health problems for the people who follow them around the world. The only diet that has been shown to increase the risk of developing various diseases and conditions is the Western diet, so any move away from this diet can be beneficial for your health.

    One of the most recommended diets which is one of the best ways on how to cure psoriasis from the inside out is the Mediterranean diet. This is one of the most complete diets that will provide you with most if not all of the nutrients you need every day. The health benefits of the Mediterranean diet arise because of its focus on fresh fruits and vegetables, whole grains, fish, chicken and olive oil all of which are foods that are beneficial for the body and can help heal skin.

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    Source by Terry Robbins

    Views: 0

  • In the Know: Health and Wellness Website Legalities

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    When Health Consulting Businesses are Legally Responsible

    One thing the internet is infamous for is being a source of advice for our health and well-being.

    It doesn’t matter where we turn there is someone with a website telling us what to do to lose weight, slow down ageing or treat our illnesses.

    We all do it. We aren’t feeling well so we type our symptoms into “Dr. Google” and voila, thousands of results telling us we have everything from a common cold to 6 months to live. We then take our results in hand to our doctor and tell him what we have.

    Sadly, professionals in the health care industry, doctors, therapists, dieticians and nutritionists all have an everyday fight with misinformation that is provided on the internet.

    If you are a blogger and have some experience with health-related issues, you may want to share this information with the world.

    Or, you may be a professional with some education on certain health-related subjects and want to use that information to boost your business online.

    Either way, you have to be very careful to follow the rules when it comes to providing health and wellness website information and advice to the masses.

    Legal Responsibilities for Providing Health-Related Advice

    So what are the legal issues for health consulting and coaching businesses when providing health-related information on a website?

    There have been more than a few lawsuits in past years that have stemmed from sharing of health and diet advice with others on the internet.

    In a recent lawsuit in North Carolina, a blogger changed his life and had experience with managing his Type 1 diabetes through use of the Paleo diet. He blogged about his efforts and when successful, he took his blogging a step further and began to share his meal plans and exercise regimens.

    Eventually, he began providing one on one sessions to advise his readers in the ways of his experience for a fee.

    In North Carolina, there is a misdemeanor law that makes it unlawful to practice dietetics or nutrition without a license. This blogger was charged with breaking this law and North Carolina Board of Dietetics/Nutrition is now threatening him with prison.

    Research All Governing Bodies’ Rules & Regulations

    When providing health and wellness information online, you must ensure you are following all the rules.

    Each governing body has separate rules on what information you can and cannot advise the public with regarding their health.

    Canada and the United States both have specific federal laws and then each province and state also have their own separate laws.

    If you are going to provide information, then you must look up those laws according to where you live and where you are doing business from. And to take it even a step further, you then you have to consider the audience you are targeting.

    A good guideline to follow if you are providing information on your health-related website is to ask yourself, are you being specific to a particular personal health situation. The blogger in the North Carolina lawsuit was doing OK with providing his personal experiences with the Paleo diet.

    His suggestions for exercise regimens or providing his personal diet plans on his health and nutrition website may even have been OK with the law but as soon as he started consulting one-on-one with individuals and providing advice, he was beyond sharing his personal experience and fell into the realm of providing medical expertise in an area where he was not legally certified to engage in.

    Remember, giving your opinion about a health-related subject or telling about your specific experience is one thing but if you are claiming to be an expert in anything on your health and nutrition website, you could be held accountable by the boards who are responsible for governing the public education on the subject and run into legal issues.

    You must not in any way claim or pose as something you are not if you are going to provide reliable health information.

    If you are handing out health or wellness advice you need to be very clear about what your education and expertise are and also be very careful of the legal issues surrounding any advice you do give.

    This is where working with a professional web development firm could help steer you in the right direction and ensure you are not posting anything that could cause you legal problems while operating your business. Consulting a lawyer who is well versed in these matters would also be very prudent.

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    Source by Susan Friesen

    Views: 0

  • Healing Knee Injuries: A Few Helpful Exercises

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    The knee is one of our most crucial body parts. It plays an important part in our overall body fitness. That is the reason Knee injuries are usually of grave concern as knee injuries have the potential to significantly impair an individual’s mobility or put in plain words- ability to walk or run.

    But, knee injuries are not only the culprit that makes the knee inactive or defective. There are various systemic conditions, specifically few bone diseases like arthritis(osteoarthritis) that also significantly affects the knee joint. However, irrespective of the reason causing knee defects/injuries, exercises play a vital role in the healing process. In fact, Exercises play much more important role than medications in fast recovery from the knee injuries and disorders. In this article, though, we will focus on few extremely helpful exercises that facilitates the fast recovery process from knee injuries. But, before diving further deep into the topic, let’s get ourselves acquainted with knee injuries, its types & causes in brief.

    To start with, knee is made up of the following components- bone, ligaments, fluid & cartilage. Muscles & tendons present in the knee joint helps the part to stay mobile. Understandable, when one of these structures get injured/hurt or is affected due to any systemic conditions/diseases, knee defect/injuries occur.

    Knee injuries are characterized by extreme localized or overall pain, swelling, redness and causes severe impairment in walking activities.

    Knee injuries can be caused due to any accidents, sports activities or by simply awkward twisting of any one of the ligaments or tendons present in the knees. Treatment procedures for knee injuries usually contains a blend of medications & physical therapies( which mainly includes exercises), but in few cases surgical interventions ( such as knee replacement surgery) becomes necessary. In those cases, exercise becomes the only route to recover.

    Some of the major knee injuries include but are not limited to-

    a. Anterior cruciate Ligament (ACL) injuries- Very common in people who are very active in sports such as- soccer, basketball. It usually occurs due to the drastic direction change of the knees which in turn injure the ACL which is one of the connecting ligaments between shinbone & thighbone.

    b. Fractures- It is the second most common cause for knee injuries. Apart from injuries, fractures can also be caused due to osteoporosis which gradually weaken the bones.

    c. Torn Meniscus

    d. Knee bursitis

    e. Patellar tendinitis usually affects the avid runners, skiers, cyclers, etc.

    Knee injuries can also be caused by some other body conditions like- excessive body weight which puts pressure on the legs, to be precise on the knees, dislocated kneecap (which can be treated through a knee replacement surgery), gout, rheumatoid arthritis, due to relapse or getting hurt on a previous knee injury site, due to decrease strength and flexibility of the muscles (may be caused by any number of reasons) and last but not the least due to participation in any type of dangerous sports.

    However, irrespective of signs, symptoms & causes, healing from knee exercises with relatively fast and naturally involve exercises. Types & sets of exercises depends on the nature, severity & type of knee injury and must be prescribed and authorized by the caregiver. Additionally, those exercises can only be done under guidance & supervision of a trainer. Here are few example of relatively simple knee exercises, that usually helps in healing knee injuries.

    Exercise 1-Leg straightening & stretching.

    Lie on your back preferably on a hard. Flat surface. Next, bend your one knee and place the foot on the flat surface. Then, straighten the other leg and raise it in air at the level of the bended knee. This makes the quadricep muscles of the thigh work and puts put very little or negligible strain on the knees. To get the best results, the exercise should be repeated daily 10-15 times in two-three sets. It is recommended to start with low frequency initially and gradually increase the frequency and number of sets gradually and slowly.

    Exercise 2- Hamstring exercises

    This exercise is relatively simpler than the other ones and can be done anywhere, anytime. This simple and easy exercise is known to benefit the knee joint b strengthening the hamstring muscles that are present in the back portion of the thigh and are important for proper knee joint functioning.First, stand on a flat surface, preferably on the floor. Then slowly raise heel of one let as close as possible to one’s butt and is required to stay/hold in that position for 25-30 seconds. Later, with practice the duration can be increased to even 1 minute. Then, repeat the same with the other leg. This exercise is also commonly known as “Hamstring curls”.

    This exercise should be done minimum 15-20 times a set for 4-5 sets daily.

    Exercise 3- Squats

    Squat is known to be extremely beneficial exercise for knee injuries. The position required to perform this special exercise, work up the knee muscles and charge them up leading to fast healing from the injuries. This exercise is an advanced form of knee exercise.

    First, one need to stand straight against a wall or a sturdy, flat and hard surface. Secondly, after standing, one needs to spread their legs apart in line with their shoulder-width. Next, bend very lowly keeping your back straight against the wall/surface. Hold on to that position for 15-20 seconds. But, if one feels uncomfortable, it is recommended to immediately stop doing the exercise.

    It is usually good for the knees if done regularly 10-12 times in 3-4 sets/daily.

    Exercise 4- Calf raising exercise

    Stand with back facing to a chair / sturdy table. One can also stand in front of a wall. Get your hands on the wall surface if needed for supporting your body weight without straining the knees. Then, slowly raise your heels as high as possible by you. Hold on to the raised heel position for 10-15 seconds and then slowly, very slowly lower your heels in the normal position.

    Repeat the exercise daily 10-15 times for at least 3 sets.This exercise helps the knee to get in better shape and help to recover fast from injuries.

    Exercise 5- Step ups exercise

    Very common and extremely helpful exercise for knee injuries.

    One can use staircase for this one or can also use a raised but flat platform. Keeping one’s pelvic level steady, put one foot on the raised level and then slowly bend your knee and then raise your knee. Next, repeat this exercise with the other foot.

    Recommended daily 10-15 times for 4 – 5 sets. Once comfortable and well-practiced, one can raise/increase the height of the platform gradually. The above mentioned are few very easy and simple exercises that are known to benefits knees recovering/healing from injuries. But, one should always remember that of doing any of knee exercises makes you uncomfortable or increases pain, swelling of the knees, then stop exercising immediately and consult your doctor/trainer/care provider without further delay. Staying alert and cautious are the keys.

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    Source by Gagan Deep

    Views: 0

  • How To Rescue Love And Heal A Relationship Or Fix A Broken Marriage

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    Many couples experience rainy weather in their relationship at one point or another in their lives.

    This is very natural since there are a lot of aspects that can develop common relationship problems and disputes in between couples and sometimes, nobody wants to pave the way.

    This is where most of the relationship issues begin, when both partners do not recognize their faults and imperfections, and both are attempting to point out that they are best and it is always the other who is incorrect.

    Disputes should never be reason enough to end a relationship. There are still easy ways to heal a relationship and effective rekindling the old love.

    Interact with your Partner

    Interaction is among the most effective keys to complete a relationship rescue strategy.

    Because increasingly more couples these days breakup without even acknowledging the real reason things go wrong, this must considered on the to-do list of how to fix the broken marriage.

    That’s why family counseling can open newer doors for seeing the light in repairing the relationship issues.

    The Course in Miracles asks us to contemplate, “How much do you want salvation.”

    Partners need to talk things over and voice out their sides and open up their grudges prior to being far too late when things are getting rather out of hand.

    Through interaction, both will have a clear image of exactly what is going on, why the conflict is happening, and exactly what relationship rescue approaches can be done to exceed this duration.

    When to Keep Quiet

    Silence could not be the best solution for a reliable relationship rescue, but it does contribute a lot so a relationship struggle doesn’t worsen.

    Frequently, when couples are having conflicts, they have the tendency to talk excessively and say things that can be hurtful, thus they disregard one of the most important parts of a relationship which is listening.

    When to keep quiet and peaceful throughout a heated argument is something couples need to learn, because it’s always best not to raise voices, yell at each other, and worse, resort to physical violence to silence the other.

    When both are angry, they must let their heavy emotions subside first before speaking because typically, a mad person speaks even without sense and never takes any reason.

    Spend some Time Alone at Times

    Previously I discussed and reviewed the many tidbits and free advice available online for saving the marriage or a love relationship when both parties are willing and ready to heal.

    If communication and keeping silence did not work as part of the relationship rescue plan, having time to be alone could be a good thing to do for the meantime.

    Conflicts have two impacts: one is to reinforce the relationship and two is to break the relationship.

    If these disputes repeat in circles every day, the tendency is that both partners will be fed up, and thus the very first thing that concerns their mind as a solution is to end the relationship.

    If both have some space for a while and try to reassess their sensations and recognize where their errors are, this can be avoided.

    Give some Space

    When he or she is not around, this can be a reliable common relationship problems solution due to the fact that in some cases individuals realize the importance of their partner.

    These are some of the effective ways that couples can do in order to achieve an effective relationship rescue and rekindling the old love.

    Both partners need to recognize that ending the relationship is not always a good path to take just to end a dispute, however rather follow these relationship rescue techniques to resolve them.

    With all these things in mind, no matter what common relationship problems can be found in the relationship, both partners can get through these and make their relationship even stronger.

    Finding Strength

    Try to remember that unsettled arguments and disputes have a few effects, and one is to strengthen the relationship and open each other’s eyes, and another is to end the relationship.

    These are some of the efficient lessons that can be learned in family counseling, and what to address so that you may save your relationship.

    Both partners need to realize that leaving the relationship is many times not the best solution to end a conflict, however instead follow these marriage tips to solve them.

    With all these things in mind, no matter what common relationship problems creep in, both partners can get through these and make rekindling the old love even more powerful.

    Try to look at the strong components for healing a love problem so that a wonderful relationship is lived.

    (I suggest searching the net for further helpful and healing material on trying to save your relationship and addressing the issues that could potentially reach the end of the line and become too hard and disastrous to handle.)

    To saving your relationship!

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    Source by James Nussbaumer

    Views: 0

  • Shock – When There Is No Doctor

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    A person who has suffered severe injury is at risk of developing shock – a steadily worsening condition that can be described as a “running down of life forces”.

    First aid can minimize the development of shock if the possibility is recognized well in time. In fully developed shock, minimal first aid is possible, but it is still important until the victim can be got to a medical facility.

    In medical terminology, ‘shock’ refers not to an emotional upset, but to a physical condition – a failure of the heart to provide adequate circulation to all parts of the body. It is caused by a loss of blood fluid, typically following severe injury.

    When there is severe bleeding, the reduced volume of blood in the body results in a weakened heartbeat and inadequate supply of oxygen and other nutrients to the tissues. In particular, the centres in the brain which regulate respiration, heart action and blood pressure no longer work adequately. A vicious circle is therefore set in motion.

    TYPES OF SHOCK

    Below are the situations that can cause different types of shock:

    Hemorrhagic Shock

    also called ‘bleeding shock’. This is the most common form of serious shock resulting from the loss of blood, as in burns/crushing injuries. The bleeding may be internal or external. If the person is in a state of dehydration or is sweating profusely, it can hasten the onset of shock. This can typically happen if a burns/crushing injury occurs in a workplace of high temperature.

    Cardiogenic Shock

    Also called ‘heart shock’. It results from a failure of the heart to pump blood adequately to all parts of the body. Typical causes are: electrical shock, heart attacks and injury to the heart. Diseases like low blood pressure and oedema of the ankles, if untreated, may do enough damage to cause cardiogenic shock.

    Neurogenic Shock

    Also called ‘nerve shock’. It results from the failure of the nervous system to control the diameter of the blood vessels. The blood vessels dilate beyond the point where the available blood can fill up the new volume. Blood no longer fills the system adequately, but pools in the blood vessels in certain areas of the body.

    Typically, this kind of shock is due to nerve paralysis caused by spinal cord or brain injury. Severe blows to the abdomen can also disrupt the nerves, bringing about neurogenic shock.

    Respiratory Shock

    Also called ‘lung shock’. This results from a failure of the lungs to provide enough oxygen for circulation to the tissues. Watch out for it in cases of fractured ribs or sternum, deep chest wounds, neck/spinal cord injury or airway obstruction.

    Metabolic Shock

    Also called ‘body fluid shock’. It may occur in cases of severe diarrhoea, vomiting or polyuria (excessive urination). These conditions cause the loss of fluids from the bloodstream.

    Anaphylactic Shock

    Also called ‘allergy shock’. This is a life-threatening reaction of the body to an allergen (something to which the person is extremely allergic).

    SYMPTOMS & SIGNS

    The most significant symptom of shock is:

    • Weakness

    Other symptoms may include:

    • Nausea
    • Thirst
    • Dizziness
    • Coolness
    • Restlessness and fear

    The signs to look out for are:

    • Profuse (external) bleeding
    • Vomiting
    • Fainting/Lack of responsiveness
    • Rapid and weak pulse
    • Rapid and shallow breathing
    • Marked drop in blood pressure (as low as 90/60, or below)
    • Pale, moist and cool skin. Often profuse sweating
    • Lacklustre eyes, dilated pupils
    • General restlessness

    It’s important to remember that, immediately after serious injury (for example), the victim may appear tough and resistant, but that, inside him, the machinery of shock may have been set in motion. It may be a matter of some minutes before he shows the typical signs, or it may be several hours.

    FIRST AID FOR SHOCK

    A person in shock must be got to medical attention urgently. In the meanwhile:

    • Ensure an adequate airway (if the person is breathing), by positioning his head properly. If he is not breathing, provide mouth-to-mouth resuscitation.
    • Control the bleeding. Direct pressure on the injury site is the quickest and most efficient way to do this. Do not waste time hunting for a dressing – use a finger or hand directly over the wound, and maintain pressure until the bleeding is stanched. (Even though you may be contaminating the wound, the risk of uncontrolled bleeding far outweighs that of possible infection. The loss of blood volume is particularly life-threatening for a person in shock.)
    • Keep the patient warm. The aim is to keep his body temperature as near to normal as possible. Remove any wet clothing if possible, and wrap the patient loosely in blankets or in an overcoat. But do not allow the patient to overheat: the extra heat may draw to the skin’s surface a large volume of blood from the depths of the body where it is needed for the essential organs of life. Do not move patients with head/neck/spine injuries in order to place a blanket under them.
    • Ensure rest and position. Treat the patient where he is (except if you’re in a danger zone – fire, fumes, collapsing building, etc.) The more at rest a shock patient remains, the better his chances of survival. Avoid rough or excessive handling, since body motion has a tendency to aggravate shock. In particular, beware of moving a patient who may have a fracture – especially if his back is involved. If there are serious injuries to the extremities, keep the patient flat on his back. If the patient is conscious, but appears to have respiratory or heart problems, he may be most comfortable (and breathe more easily) in a semi-reclining position, with his head raised a little.
    • Give nothing by mouth. Do not give food/medications or even tea or coffee by mouth. The patient may vomit, in which case anything he brings up may be aspirated into his windpipe and choke him.
    • Reassure the patient. Reducing mental anxiety plays a great role in warding off shock. Talk to the patient with calm confidence, explaining your actions as reassuringly as possible. Tactfully but firmly clear away any agitated or demoralizing bystanders.

    Finally, remember that in situations where shock is a distinct possibility (such as significant blood loss), it is advisable to carry out all the above steps, even if the patient’s condition seems quite stable. The bottomline is: when in doubt, treat for shock.

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    Source by Andy G

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  • What Is Drug Court in District of Columbia Superior Court?

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    There are drug courts throughout the Country. Generally, they are special courts designed to treat people who have an addiction cases and are in the criminal justice system. There are currently more than 2,450 Drug Courts operating throughout the United States with all 50 states having a program. District of Columbia Superior Court Drug Intervention Program (SCDIP) has been in operation for over 20 years. SCDIP is a voluntary program.

    Criminal defense attorneys who make a blanket statement "I don't have clients do drug court" are doing a disservice to their clients especially if the reason they are in criminal justice system is for addiction. Good criminal defense attorneys will explore all options including participating in this program.

    Over the course of the last year, SCDIP has gone through some major changes. SCDIP requires a minimum participation of 5 months. This article gives a brief overview of how the typical defendant enters District of Columbia Superior Court Intervention Program.

    The client comes into the criminal justice system either charged with a misdemeanor or a felony case in DC. Superior Court. It should be noted that SCDIP is only applicable to charges prosecuted by the United States Attorneys Office for the District of Columbia. The Attorney General for the District of Columbia criminal prosecution division does not participate in SCDIP; and therefore, serious traffic charges are not eligible.

    Misdemeanor cases Intake

    The defendant reports for arraignment (initial charge). Thereafter, the case is set for status. The Court at arraignment may impose an evaluation and if positive program placement. If the positive test pretrial may order an addiction severity index (ASI). ASI is an evaluation where a drug counselor expert advises what treatment is required of the defendant.

    At the status hearing, pretrial services may recommend drug court as an option. If pretrial services recommends drug court, the government will be given 2 to 3 weeks to screen whether they will allow participation in drug court. The case will be set for an additional status hearing.

    At the final status hearing, if pretrial services and us attorneys and the defendant agree the case will be certified to the drug court calendar on a Tuesday or Thursday.

    Upon successful completion of a misdemeanor case in drug court, the case will be dismissed.

    Felony cases Intake

    The defendant is presented on a felony complaint. The case is set for preliminary hearing. The court at presentment may impose an evaluation and if positive program placement. If the defendant test positive test for drugs, pretrial may order an addiction severity index (ASI). An ASI is an evaluation where a drug counselor expert advises the Court what treatment is recommended.

    If pretrial services recommends participation in drug court and the defendant ais willing, he may proceed without US attorney's recommendation. Unlike the misdemeanor the defendant may have 2 separate court dates, one before the felony judge and one before the drug court judge. In fact, the defendant can request a trial or plead guilty and still participate in drug court.

    If the United States Attorney's office approves for participation the defendant, the US Attorney's office may grant an Amended Sentencing Agreements (ASAs). If the defendant successfully completes the ASA, the government will agree to permit the defendant to amend his / her plea at the final sentencing date and plead to a lesser included misdemeanor charges instead of the felony.

    If the US attorney's office did not approve participation, upon successful completion of a felony case in drug court, the court may grant a term of probation but it is not guaranteed.

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    Source by Mark Rollins

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  • Role of Alternative Medicine in Modern Society

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    Typically, alternative medicine differs from traditional medicine in that alternative medicine is older and what we might call unconventional or non-Western medicine. Alternative medicine does not follow the traditional science and research that current medicines undergo. Alternative medicine could also be termed complementary or traditional medicine or the therapies that can be integrated into current medicine. The staff of the National Library of Medicine of the United States classified alternative medicine under the category of complementary therapies in their Medical Subjects Heading Section. This was done in the year 2002. The definition provided was that alternative medicine therapeutic practices were not considered as an integral part of the traditional allopathic medicine. Therapies like acupuncture, dieting, physical therapy like exercises or yoga, etc. are termed as alternative medicine. These therapies are called complementary when they are used along with conventional treatments. If they are done in place of conventional treatments, they are known as alternative treatments.

    In April 1995, the panel of National Institutes of Health, Bethesda, Maryland, worked on Definition & Description, CAM Research Methodology Conference, Office of Alternative Medicine. The panel defined alternative medicine and complementary medicine as those healing resources that encompass all health systems and practices that are different from the dominant health system of a particular society or culture. Usually, therapies like ayurveda, herbal medicine, folk medicine, homeopathy, acupuncture, naturopathy, diet practices, chiropractic, music therapy, massage, pranic healing, etc. are classified as alternative or complementary medicine. People who do not find a cure, remedy or success in allopathic medicine generally try alternative medicine. Such people generally suffer from cancer, arthritis, acquired immuno deficiency syndrome (AIDS), chronic back pain, etc. Therapies included under alternative medicine would cease to be included in that category once their efficacy is proven and they are considered safe and effective. They are then considered as part of traditional medicine. An example would be chiropractors. Twenty years ago insurance would not pay for them as they were considered “alternative and ineffective.” Today thousands of people have been helped by chiropractors and they are now recognized in the medical community. A similar movement is underway in the nutritional supplement and nutraceutical industry.

    Over the years, more and more people have been using alternative medicine because traditional medicine is not working for them. The 2004 survey by the National Center for Complementary & Alternative Medicine of the United States revealed that approximately 36% of Americans used alternative medicine in 2002. If alternative medicine is used in conjunction with traditional allopathic medicine, an integrative doctor is a person’s best option. Some traditional doctors are adamantly against or simply do not believe in complementary medicine, even though research continues to show the benefits of many compounds. Your doctor should be informed about other approaches you may be using and if they are not comfortable with that then always feel free to choose another doctor. This would enable the doctor to foresee any possible complications or a better time in which to use a complementary therapy. The concern in using alternative medicine stems from the fact that some practitioners of alternative medicine do not have an accredited medical degree and therefore do not have a valid medical license. However, in recent times, many educational institutions and universities have started offering courses in homeopathy, ayurveda, siddha, unani, acupuncture, and naturopathy. The recent growth in this industry is evident by the many people demanding different, and in some cases better, care than what they are receiving in “modern medicine.” They are no longer accepting the fact that they need to suffer with pain or illness because modern pharmacy does not have a magic bullet for them.

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    Source by Darren Dunner

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