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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

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  • Boho Beach Style

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    Summer is defined by sun, sand and the water. People typically focus on their swimsuits and throw on a t-shirt and a pair of shorts on top and their outfit is brought down a level. It’s time to pay more attention to our bohemian-chic tunics as cover-ups for our bathing suits, making you look more stylish and draw attention as soon as you step out of your house.

    We can start with the basics: a tunic/kimono dress. An oversized poncho in a light shade or a shift/flowy dress lets the breeze right in, keeping you cool. The light shades are good to look for when shopping for oversized clothes, especially with the beach, in order not to drown you in the fabric and to avoid the ruthless sun. Light shades let the light shine through while complementing a nice tan. A yellow brings a happy aura around you while a light pink compliments your skin tone. For those who like to have less fabric, shift dresses are ideal; the shift style still allows for a chill vibe but is a bit more fitted to the body. Any shade of color goes well with boho shift dresses, but the ideal summer colors would be a bright blue or blazing orange, summer is all about bringing more color into your day, in contrast to the winter months. Flowy dresses are my preference, letting my skin breathe but not too baggy, simple and chic. Simply printed bohemian dresses add the extra touch to my outfit: hand painted flowers bordering the neckline and the hem of the dress are enough to finish off the outfit.

    Want to show off some of your new bathing suits while still covering up? Flowy sari pants are the way to go. Flowy pants never go out of style as they make your legs look like they go on for miles. Accent your bathing suit by bringing out the undertones or detailed colors with a complementary colored pant. A rich red pant coordinated with the small red detailing of your top brings out your tan and looks stunning along the water. Want to show your inner yogi? Wear the perfect bottoms that work for the lovers of yoga and the beach. Pants of lightweight recycled silk fabric with a cinched bottom and a bright pattern do amazing things for the transition from morning yoga to a beach day.

    No shirt, no shoes, no service? An embroidered tunic kurti is the perfect throw on dress for lounging around. Kurtis come in a variety of styles depending on your mood. Short white kurtis with colored embroidery continues the summer beach theme from the flowy pants. Vibrant colors give a new look and the white hand embroidered tunics are so comfortable and chill.

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    Source by Era Chandok

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  • The Way To Success For You Now With This Easy Abundance Mindset For Living Your Dreams

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    Is success for you in life possible right now? Your life isn't really about being a competitor against others, to be fought on their terms.

    A few separate business owners can be compared for their success in the corporate world, but this doesn't really show us about their entire lives, does it?

    As you read along and ponder this article keep in mind that the Course in Miracles states, "The body's serial adventures, from the time of birth to dying are the theme of every dream the world has ever had."

    If you'll be happier, wealthier and much healthier at some point in the future, does this imply you are a failure now?

    – Success in life is about the process, not about lists of accomplishments.

    – Your individual success remains in the actions of this moment.

    – This may be a genuine originality to you, but does not it make user-friendly sense?

    If you stop working at the specific goals you are presently working on, but the attempt is honest, and you're willing to learn from your mistakes, isn't this personal success?

    The idea might be annoying for some, yet for some others the idea of ​​success being someplace in the future is simply a method to excuse the actions of the moment.

    They can continue "waiting for their ship to come in," and postpone taking the actions they need to take to fulfill themselves.

    They can keep that future in mind – and always press it a little additional forward.

    If you think like this, you may not like the idea that you can have success in life right now, because it reminds you that it is your duty.

    On the other hand, the concept of success being in this instant now can be a very liberating thought.

    Previously I discussed free material on the web such as e-books and more on manifesting your desires and the right tools for getting you to that point.

    Discover your inspiration in the work of the instant you are in now, do it honestly and with acceptance of the requirement to constantly fix course and delight in the journey, and you are successful right now.

    Exactly what do you want out of life, is it to become wealthy?

    Travel the world? Be much healthier?

    Or, is it all of the above?

    Whatever your finest course remains in life is (and this is only for you to choose), when you to begin honestly in that direction, at that precise moment you are being successful as a human being.

    Success in life is distinct and individual.

    External symptoms of success are great – money, things and chances. This internal procedure of courageously choosing the best path again and taking action is what specifies success in life.

    As I 'd said success in life can be different for few, the same for a few, and unbelievably exciting for many who dive into the process.

    Success in life is about how you go about achieving your dreams, setting goals and objectives, and how you live your life while in this world.

    Does purchase to live life to the fullest as a way to create wealth with the abundance mindset make you a successful individual?

    If you believe like this, you might not like the idea that you can be a success right now, since it advises you that it is a duty you owe to yourself.

    (Please note I suggest that you search the internet for further helpful material when looking for a few things you can do to help you succeed in life, and while you do, keep in mind that success in life is unique and personal.)

    To success and happiness in your life!

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    Source by James Nussbaumer

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  • 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

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  • My Husband Says That I Am Too High Maintenance

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    Any complaint that causes your husband to disconnect from your marriage, to distance himself from you, or to consider a separation hurts. There is no scenario where this isn’t painful. But I suspect that it can feel a little more painful when the reason for his distance seems personal.

    What I mean by that is that sometimes, a man will be unhappy because of reasons that have to do with him. He may be having a midlife crisis. He may believe that marriage doesn’t suit his ideology. He may be having a personal crisis. I am not saying that these scenarios are not horribly painful. They are. But at least the wife has no reason to blame herself.

    And then there are the scenarios where things do feel personal. These are the instances where your husband is blaming the issues in the marriage on the wife. It could be something that she has done or something about her, about her actions, or about her personality that is the supposed problem.

    Here’s an example. A husband might tell his wife that being with her is “exhausting.” She might explain: “for the past three months or so, I have been noticing my husband acting distant and weird. I confronted him about it right away, but he denied that there was a problem. Then we were at a family gathering this weekend and it was held outside in 90 degree heat. Like everyone else, I said it was hot and wanted to leave after dinner because I felt sick. My husband got angry at me and said he was tired of dealing with my ‘high maintenance personality.’ As we were leaving, he said that being married to me is ‘exhausting’ and that he may want a separation because he can not stand living his life this way anymore. He says that nothing makes me happy and that I can’t just sit back and roll with the punches of life like a normal person. He says that I am spoiled. He says that he feels like he always has to pick up the slack. I admit that I am not as thick skinned as some when it comes to sitting in the heat all day, but that doesn’t make me a bad person. And he knew that when he married me. I told him that I could try to change and he said that people like me never change and that we are just not compatible. He says that I make him ‘feel tired’ and he doesn’t want to feel that way anymore. Where does that leave me? I don’t want to lose my husband. This really hurts my feelings and feels like a personal attack. But I could forgive it and move on if he would give me the chance. The problem is that he does not seem at all receptive to me right now.”

    I understand why you are hurt. These types of issues can feel, and sound, like a criticism. When someone tells you that you are ‘exhausting,’ that phrase makes it seem as if they no longer want to do the work to keep up with you. Of course it hurts.

    Understand The Context In Which The Comments Were Made: I think that your husband’s ‘fatigue’ might be due to the fact that the maintenance issue may have bothered him for a while, but he sat silent and said nothing – even when you asked him what was bothering him. So things built up until they exploded. His silence is not your fault. And things may have been easier now if he had addressed the problem much earlier – before he became so angry that he lashed out at you.

    Know That Context Doesn’t Mean That It Isn’t Time To Take Action: It’s normal to hope that this will blow over. And it may – for now. But any time a husband is uttering words that indicate he is tired of your marriage or thinks that there is a compatibility issue, you want to pay very close attention and you want to take action right away. I say this not to scare you, but from the concerned place of someone who was in a similar situation. I hoped for the problem to pass over, but I ultimately ending up separated. I think that I possibly could have avoided that fate by taking action at the first sign of trouble.

    Moving Forward Quickly: It’s unfortunate that your husband waited so long to share that this issue has been bothering him, but you can’t undo that at this point. What you can do, however, is be careful of what (and who) you are presenting to him moving forward. It doesn’t sound as if he has made definite plans to move out or to pursue a separation, which means that you may have some time to address this.

    Sit back and be really honest with yourself. Which of his concerns have some validity? What is he right about? Is this issue something that other friends and family members have expressed? If so, then there is nothing wrong with addressing it. Sometimes, it takes a painful situation to stimulate growth. If you take this and use it to move you forward so that you grow and improve in some way, then at least the pain will have been for something. At least you can use this as a stimulus to improve your marriage.

    If you are very honest and you find that his words do not have validity, then you may went to dig a little deeper. Sometimes, a husband will project another problem onto to what is obvious or handy. It may not have been the heat or your personality at all during that family gathering. But the situation might have given your husband an easy explanation. Sometimes, a husband can be frustrated and not quite sure why. That’s one more reason why it’s very important to be extremely observant right now – so that you are taking action on the items that are truly at issue.

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    Source by Leslie Cane

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  • 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

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