THERE IS MORE TO LIFE.

Take it easy
Today it's all about speed. Whether we are making a meal, breaking a sweat or even visiting our doctor, life can move so quickly, we risk sacrificing effectiveness and enjoyment for efficiency.
Science and common sense shows us that sometimes it's better to slow down.

Wake up time
When you wake up your bed, don't just pop up and out bed, linger a bit and when rising, rise slowly. Some times your brain and body can't keep up, increasing the risk of a fall from light-headedness or a stumble due to painful joints or a cramp.
Slow down and stretch in bed to loosen your outer hips and hamstrings, two areas that get tighter with age.

Here's what can do: Lie on your back with your knees bent and feet flat on the bed. Lift your left leg and cross your ankle over the top of your right thigh above the knee. Next reach under your right thigh and pull gently towards you. Hold for five deep breaths, and stretch each side twice.
Natural levels of the stress hormone cortisol peak at about 30 minutes after waking and caffein boosts cortisol, so waiting a few hours later - till your levels naturally dip - to have your first cup of coffee will give you a lift when your body needs it.

Moving muscles
Take time to exercise; strength training is crucial to healthy aging. It keeps muscles, bones and joints strong, as well as improves balance and help prevent osteoporosis. Work the entire joint structure, the result is more strength, stability and range of motion.

Avoid anger -
The best way to defuse anger? Don't let it get going in the first place. biologically, when angry, your body pumps out stress hormones such as cortisol and adrenaline, which further fuel your rage. If you are over 60 male, decreasing testosterone can affect your mood, working to make you angrier faster.
What you ca do is to engage your slow-down strategy. Call a time-out, then hit reset by going for a walk, listening to soft music, taking a few deep breaths, drink a cup os cold water before reengaging.
One thing proven to help you slow down your angry thought or action is writing down your thought and feelings in longhand on paper. The beauty of writing is that it allows you to capture you creative thoughts.
But it's not just writing; it's taking time to think and process recent life events. The ritual is an effective way fot you to analyze situations creatively and to stay centered during difficult times.

CAN DIET SODA CAUSE WEIGHT GAIN ?

A diet soda can cause weight gain. Sometimes it's because we overestimate the calories we are saving from drinking diet soda, so we splurge on fries and cookies, thinking it's okay since we added a diet soda. So we end up actually eating more food. Your best bet is just to drink water. If you need the fizz, switch to sparking water.
"DIET" doesn't mean calorie free. "NO CALORIE" claim doesn't actually mean "ZERO CALORIE"
I have read in several places and blogs claiming that 'diet soda' help to loose weight or can cause or causes weight gain.
Some researches are inconclusive and the concluded ones are not convincing enough. The science isn't just there to back it up.
In my opinion, people who drinks diet soda gets overconfident about the so call diet soda and loose their focus regarding the amount of calorie they consume for a meal.

Last week, I was talking to a friend on how he was coping with his weight loss program, he was very proud on how he's been drinking a lot of diet soda to help him cut down on his weight but was "disappointed that nothing has changed yet!"
Apparently, he has been drinking of a lot diet soda unabated as if it's diet liquid medicine.
After we finished our aerobic exercise at the community park last night, my friend wanted to get some food for dinner and wanted me to go there with him. He took me to a fast food place, I decided to go inside with him, I was shocked  to see someone who claimed that diet soda is making him gain weight ordered his "usual" two double cheese whopper, two large fries and some chicken nuggets, then one extra large diet soda "to wash it down" he said.
Why are you getting diet soda if you are going to eat so much calorie? I asked him.
His defense was that; "the diet soda will prevent all these calories to be absorb into my system".
He was so wrong in his believe and practice, no wonder he has been gaining weight instead of loosing.
In fact, some research found out that the artificial sugar in diet soda can make you more hungry, causing you to eat more and thus promoting weight gain.
His question was; "should I order regular soda instead?"
And my answer to him and you that is reading this is--; "for you to loose weight and live healthy, you have to exercise regularly, eat healthy diet food, lots of fruits and veggies and I actually don't think you should drink any soda, DRINK WATER ALWAYS!"
 

DON'T GO UNDER THE SURGICAL KNIFE UNTIL YOU READ THIS.

ANY SURGERY IS DANGEROUS

The body consider an operation a serious insult, and even some minor procedures come with major risks, such as bleeding, blood clots infection, and damage to other organs. So, it's essential to know if surgery is necessary-- or beneficial. The following four operations are over performed for a variety of reasons: Some are moneymakers for hospitals and doctors, others are expedient, and still others seems to work, at least in the short term. But evident shows that all have questionable long-term outcome for treating certain conditions, and some may even cause harm. Here's what to do if doctor recommends one of them.

KNEE ARTHROSCOPY - FOR OSTEOARTHRITIS

With this procedure a surgeon places a tiny camera in the knee, then inserts small instruments through other incisions to repair torn or aging cartilage. Studies show the operation works well when patients have in fact torn their meniscal tissue, but it is no more successful than non invasive remedies in treating osteoarthritis of the knees. In a 2008 study, 178 patients with osteoarthritis received either physical and medical therapy without surgery, or therapy, or therapy plus surgery, after two years the groups had nearly identical outcomes, reporting less pain and stiffness and more mobility.

KNEE PAIN

Knee pain can be caused by a sudden injury, an overuse injury, or by an  underlying condition, such as arthritis. Treatment will vary depending on the cause. Symptoms of knee injury can include pain, swelling, and stiffness.

ALTERNATIVES TO SURGERY

If you have knee pain, start with the least harmful and invasive treatment and work your way up the ladder. This includes life style changes such as exercise, as well as medication and cortisone injections. 

Home treatment may help relieve pain, swelling, and stiffness.

Rest and protect an injured or sore area. Stop, change, or take a break from any activity that may be causing your pain or soreness.When resting, place a small pillow under your knee.

Ice will reduce pain and swelling. Apply ice or cold packs immediately to prevent or minimize swelling. Apply the ice or cold pack for 10 to 20 minutes, 3 or more times a day.

• For the first 48 hours after an injury, avoid things that might increase swelling, such as hot showers, hot tubs, hot packs, or alcoholic beverages.
• After 48 to 72 hours, if swelling is gone, apply heat and begin gentle exercise with the aid of moist heat to help restore and maintain flexibility. Some experts recommend alternating between heat and cold treatments.

compression, or wrapping the injured or sore area with an elastic bandage (such as an Ace wrap), will help decrease swelling.

• Don't wrap it too tight, since this can cause more swelling below the affected area. Loosen the bandage if it gets too tight. Signs that the bandage is too tight include numbness, tingling, increase pain, coolness, or swelling in the area below the bandage.
• Don't expect the bandage to protect or stabilize a knee injury.
• Talk to your doctor if you think you need to use a wrap for longer than 48 to 72 hours 
• . A more serious problem may be present

Elevate the injured or sore area on pillows while applying ice and anytime you are sitting or lying down. Try to keep the area at or above the level of your heart tp help minimize swelling. 

Reduce stress on your sore knee (until you can get advice from your doctor)

use a cane or crutch in the hand opposite your painful knee.

Use two crutches, keeping weight off the leg with the sore knee.

You can get canes or crutches from most pharmacies. Crutches are recommended if a cane cause you to walk with a limp.

Gently massage or rub the area to relieve pain and encourage blood flow. Do not massage the injured area if it causes pain.

Try the following exercise to maintain flexibility;

HAMSTRING STRETCH

KNEE TO CHEST EXERCISE.

Avoid high impact exercise, such as running, skiing, snowboarding, or playing tennis, until your knee is no longer painful or swollen.

DO NOT SMOKE. Smoking slows healing because it decreases blood supply and delays tissue repair. 

DIALYSIS DEFINED

DIALYSIS DEFINED
Dialysis is the clinical purification of blood by dialysis, as a substitute for the normal function of the kidney.
It's the process of removing waste products and excess fluid from the body. Dialysis is necessary when the kidneys are not able to adequately filter the blood.
Dialysis allows patients with kidney failure a chance to live productive lives. there are two types of dialysis: Hemodialysis and Peritoneal dialysis.
Each type of dialysis has advantages and disadvantages. Patients can usually choose the type of long term dialysis that best matches their needs.

Dialysis is the medical procedure to remove waste or toxin from the blood and adjust fluid and electrolyte imbalances by utilizing rates at which substance diffuse through a semipermeable membrane:

a: The process of removing blood from artery (as of a kidney patient), purifying it by dialysis, adding vital substances, and returning it to a vein- called also hemodialysis.

b: A procedure performed in the peritoneal cavity in which the peritoneum acts as the semipermeable membrane- called also peritoneal dalysis

During hemodialysis, you will be hooked up to a machine that takes over the kidneys' job of filtering blood.
Before the first session, the doctor will need to create an entrance into one of your vessels so your body can be connected to the filtering machine during each visit. this is called a vascular access. It is a place on your body where blood cam be removed and then returned. this can be done by;

• connecting an artery to a vein to create a larger blood vessel area, called a fistula 
• joining (grafting) an artery and vein together using a soft plastic tube
• inserting a thin plastic tube into a large vein in the neck or groin area of the leg; this type of access is temporary. 

When your kidneys are healthy, they clean your blood. they also make hormones that keep your bones strong and your blood healthy. When your kidneys fail, you need treatment to replace the work your kidneys used to do. Unless you have a kidney transplant, you will need a treatment called dialysis.

Experts recommend creating an access weeks or moths before your first dialysis session so it ha s a chance to heal properly before using it.

How long each hemodialysis session lasts depends on;

• How well your kidneys work
• how much fluid you gain since your last dialysis session
• how much waste has gathered in your blood since lst dialysis session 
• your weight
• the type of hemodialysis machine being used

SIDE EFFECTS OF DIALYSIS

The kidney dialysis treatment itself usually does not cause any pain or dicomfort. However, some patients may develop low blood pressure, which can lead to headache, cramping, nausea, and vomiting. This usually goes away after a few treatments.

If you are on dialysis, you may also feel like:

• You have less energy. Dialysis can cause you to feel tired.
• You are depressed. depression is a common problem among many patients on dialysis. but it can often be treated. Talk to your health care provider if you are feeling depressed.
• You may also feel like you have less time to get things done. Kidney dialysis require strict scheduling and adjustments to lifestyle, which can disrupt your ability to work or enjoy everyday activities. This may be frustrating for you or your family. Counselors may be able to help you cope.

Most patients on hemo-dialysis require treatments three times a week  for three to five hours or more a day.
this is often done at a dialysis center or hospital, although some patients on hemodialysis- along with a family member or friend- maybe taught how to perform the procedure at home. Your health care provider will discuss your options and determine which setting is best for you.

Patients who are on peritoneal dialysis have a little more independence, since this type does not have to be done at a clinic. It can be performed while you go about your daily activities or sleep.

Catheter- related infections are common concern for people who are on peritoneal dialysis.
Keeping your catheter area clean and bacterial-free helps prevent dangerous infection. If an infection affects the peritoneal cavity, you will not be able to continue with peritoneal dialysis.

Tips for preventing an infection include:

• Always wash your hands before touching your catheter,
• Wear a surgical mask when performing an exchange
• Use an antiseptic wipe to clean your access site
• Check your supplies for signs of contamination

WHAT IS A RESIDENTIAL CARE HOME.

WHAT IS A RESIDENTIAL CARE HOME.

A residential care home is a long-term care facility devoted to providing lodging, meals and care to elderly and/or disable adults. also known as adult family homes. board and care homes or personal care homes, residential care homes are small in scale, typically housing no more than 10 residents at a time.
Most care homes are located in single-family homes in residential neighborhoods. Residents share common areas such as a living room and dining room, but will generally also have their own private room.

When to consider a Residential Care Home

Residential care homes are occupied by seniors with a variety of ages, health conditions and genders.
Many residents require assistance with basic self-care, such as dressing and bathing, and need 24-hour supervision. This intensive level of care is often hard for a senior's family to provide within the home, especially if family members do not live nearby.
A decline in physical mobility may also necessitate a move to a residential care home.
residential care homes are designed with seniors' needs in mind and can make getting around much easier and safer fpr elderly residents.
Declining health is another big reason many seniors move into a residential care home. Care home workers are trained extensively in emergency response as well as in maintaining health for seniors with a variety of chronic conditions such as diabetes, heart disease, Alzheimer's or multiple sclerosis. the staff may also offer physical therapy or other rehabilitative services on site.
Recovery process is easier and faster in the calming familiarity of the similar home environment
Family support and participation: Your loved one also has the control and ability to lead a meaningful , independent life.
Professional caregivers are committed to involving your family in the care process and keeping everyone in clear communication. This includes routine calls or visits with your loved one at no additional charge.
Your peace of mind: When you bring these professional caregiver into your loved one's life, you're doing more than premium care for your loved one. you'e also ensuring peace of mind for you.

HOW TO CHOOSE A QUALITY RESIDENTIAL CARE HOME

HOW TO CHOOSE A QUALITY RESIDENTIAL CARE HOME

The best residential care homes will emphasize their efforts to promote and maintain an independent and healthy lifestyle as much as possible, rather than simply taking care of basic medical needs. A good home should offer a wide range of community and social activities in addition to basic services.
It is important to look for a residential care home that provides many levels of care. once a senior has moved into their new home, it will be best if they can stay there as their needs increase. Fortunately, many residential care home offer this feature.

Quality homes will offer a high quality of life for their residents, including spacious, well-decorated rooms and communal areas, handicap-accessible design, and healthy, appetizing food.

Paying for a Residential Care Home

Most residential care home will charge an "all-inclusive" monthly rate that includes the cost of care, room, board, activities and supplies,. Seniors who resides in a residential care home may often pay less over the course of their stay ae compared to a larger assisted living community, which offers the same type of services, because mane assisted living communities charge extra fees for care services. The average monthly cost of an assisted living community in the U.S.A. in 2010 was $3293.00 although priced vary widely across the country.
While using the personal savings of a senior and/or family is the most common way to apy for care, residential care homes are more than other types of long-term care facilities to accept Medicaid. Veterans benefits and long-term care insurance are other ways to finance a stay in a residential care home.

considering your options.

Chances are if you're researching senior care, you've heard a lot about senior housing options such as a nursing homes, assisted living, adult day care, retirement community, or continuing care retirement community, 

These elderly care options all have unique benefits, however, at home care is often the preferred choice for seniors who wish to age in place in their own home. your financial, social, and health situation will often determine which environment you choose.

Depending on your loved one's needs, you may opt for him or her to receive non-medical in home care to provide them with services throughout the day when you're unable to attend to their needs.

When families choose the in home option of aging they are often choosing to keep the family together.

Residential care homes are a great choice for seniors because they offer the dignity and fulfillment that comes with independence, while also ensuring safety, health, dignity and convenience.

 

 

YOUR GREATEST WEALTH IS YOUR HEALTH

YOUR GREATEST WEALTH IS YOUR HEALTH

Health is wealth. There is nothing  in our life that is more valuable than good health. without health there is no holistic, no happiness, no hope and no peace. 
A healthy person with bad health cannot fully enjoy the pleasure of being wealthy.

Health is more than money, and sweeter than honey. Money cannot buy health and happiness. A healthy person remains in a state of bliss and happiness.

A person with sound health enjoys a stable life that also include a healthy mental condition. Our health depends upon several factors, such as food, pollution, sleeping habits, mental condition, air, water, and sunlight. Morning walks and physical exercises are very helpful for the fitness of our mind and body.
We should take proper care of our health, body, spirit, and soul, so that we can enjoy the complete holistic life offers.

When we are ill, our bad health robs us of sound sleep and appetite. life becomes a miserable for one and a burden for significant others. On the other hand, a healthy person enjoys good food and sound sleep.for him the world is a beautiful place. and life is good.

A healthy person feels the goodness of life and works hard to realize his dreams. He never complains.
He is always happy and cheerful. Though, he may be poor, he may have to work very hard to earn his living, but even the richest man would envy him for his good health.

It is your primary responsibility to take care of yourself, live healthy, eat healthy food, be active, drink enough amount of water, avoid smoking and alcohol,  exercise regularly, avoid accident and injury to self and others.

YOU ARE IN CHARGE IN CHARGE DON'T MESS IT UP !

ARTHRITIS AND YOU

WHAT IS ARTHRITIS

Painful inflammation and stiffness of the joint.
Arthritis is inflammation of one or more of your joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age.
The most common types of arthritis are osteoarthritis and rheumatoid arthritis.
Typically, pain, aching, stiffness and swelling in and around one or more joints characterize rheumatic conditions. The symptoms can develop gradually or suddenly. Certain rheumatic conditions can also involve the immune system and various internal organs of the body.
Rheumatoid arthritis and lupus, can affect multiple organs and cause widespread symptoms.

Although the word "arthritis" means joint inflammation, the term is used to describe around 200 rheumatic diseases and conditions that affects joints, the tissue that surround the joint, and other connective tissue.

The most common form of arthritis is osteoarthritis. Other common rheumatic conditions include gout, fibromyalgia and rheumatoid arthritis.

symptoms

The symptoms of arthritis usually appear gradually but they may also occur suddenly. arthritis is most commonly seen in adults over the age of 65 but it can also develop in children and teens.
Arthritis is more common in women than men and i those that are overweight.

PAIN: Arthritis pain can be constant, or may come and go.
SWELLING: The affected joint may become red and swollen, feeling warm to the touch
STIFFNESS: Stiffness is a typical arthritis symptom, especially when waking up in the morning or after sitting at a desk or riding in a car for a long time.
JOINT STIFFNESS: Difficult moving a joint or getting up from a chair should not be hard or painful.

DISABILITY
Impairment in the ability of people with arthritis to perform essential daily tasks may interfere with their work, their purpose in their community, or the care they can provide for their family.

PHYSICAL EXERCISE

Physical activity and exercise have been shown to benefit people with people with arthritis by improving pain, function and mental health.

RISK FACTORS:

Certain factors have been shown to be associated with a greater risk of arthritis. Some of the risk factors are modifiable while others are not. 

NON- MODIFIABLE RISK FACTORS:

AGE: The risk of developing most types of arthritis increases with age
GENDER: Most types of arthritis are more common in men women. Gout is more common in men than women.
GENETIC: specific genes are associated with a higher risk of certain types of arthritis, such as rheumatoid arthritis (RA), systemic lupus erythematousus (SLA) and ankylosing spondylitis.

SYMPTOMS OF DEPRESSION

WHAT ARE SYMPTOMS OF DEPRESSION?

• Difficulty concentrating, remembering details, and making decisions
• Fatigue and decrease energy
• feelings of guilt, worthless, and/or helplessness
• feelings of hopelessness and/or pessimism
• insomnia, early morning wakefulness, or excessive sleeping
• irritability, restlessness
• loss of interest in activities or hobbies once pleasurable, including sex
• overeating or appetite loss
• persistent aches or pains, headaches, cramps, or digestive problems that do not ease even with treatment
• persistent sad, anxious, or "empty" feelings
• thoughts of suicide attempts

WARNING SIGNS OF SUICIDE INCLUDE:

• TALKING ABOUT KILLING OR HARMING ONE'S SELF
• expressing strong feelings of hopelessness or being trapped
• an unusual preoccupation with death or dying
• acting recklessly, as if they have a death wish (e.g. speeding through red lights)
• calling or visiting people to say goodbye
• getting affairs in order (giving away proved possessions, tying up loose ends.)
• saying things like "everyone would be better off without me" or "I want out"
• A sudden switch from being extremely depressed to acting calm and happy

depression carries a high risk of suicide.anybody who expresses suicidal thoughts or intentions should be taken very, very seriously. Do not hesitate to call your local suicide hotline immediately. call 1800-784-2433 or 1-800-273-8255 or the deaf hotline at 1-800-799-4889

HOW DEPRESSION AFFECTS

THE DIFFERENT FACES OF DEPRESSION.

Depression often looks different in men and women, and in young people and older adults. an awareness of these differences helps ensure that the problem is recognized and treated.

Depression in men.

Depressed men are less likely than women to acknowledge feelings of self-loathing and hopelessness. instead, they tend to complain about fatigue, irritability, sleep problems,, and loss of interest in work and hobbies. Other signs and symptoms of depression in men include anger, aggression, violence, reckless behavior, and substance abuse.

Depression in women.

Rates of depression in women are twice as high as they are in men. this is due in part to hormonal factors, particularly when it comes to premenstrual syndrome (PMS), premenstrual dysphoric disorder (PMDD) postpartum depression, and postmenopausal depression. As for signs and symptoms, women and more likely than men to experience pronounced feelings of guilt, sleep excessively, overeat, and gain weight. women are also more likely to suffer from seasonal affective disorder.

Depression in teens 

While some depressed teens appear sad, others do not. in fact, irritability- rather than depression- is frequently the predominantly symptom in depressed adolescents and teens. a depressed teenager may be hostile, grumpy, or easily lose his or her temper. unexplained aches and pains are also common symptoms of depression in young people.
left untreated, teen expression can lead to problems at home and school, drug abuse, self loathing- even irreversible tragedy such as homicide violence or suicide, But with help, teenage depression is highly treatable. 

depression in older adults

The difficult changes that many older adults face- such as bereavement, loss of independence, and health problems- can lead to depression, especially in those without a strong support system. however, depression is not a normal part of aging.

Postpartum depression

Many new mothers suffer from some form of the "baby blues." postpartum depression. Postpartum depression usually develops soon after delivery.

depression carries a high risk of suicide.anybody who expresses suicidal thoughts or intentions should be taken very, very seriously. Do not hesitate to call your local suicide hotline immediately. call 1800-784-2433 or 1-800-273-8255 or the deaf hotline at 1-800-799-4889

NEW WARNING ON OVER THE COUNTER PAINKILLERS. (OTC)

New warning on over the counter painkillers (OTC). NSAIDs are among the most common pain relievers in the world. And lately, they're among the most controversial. 
If you are one the more than 29 million Americans who regularly use painkillers like ibuprofen and naproxen - including over-the-counter brands like advil ,motrin and aleeve - the government has new words of warning for you: Using these drugs increases your risk of heart and stroke.
Studies reviewed  by a Food and Drug Administration advisory panel last year found mounting evidence that NSAIDs, or non-steroidal anti-inflammatory drugs, increase the risk of heart attack, stroke and heart failure whether or not a person has heart disease. Those with a history of heart problem are at the highest risk "no matter who you are, your risk increases," says Bruce Lambert director of the of the Center for Communication and Health, who specialize in drug-safety communication. 

NSAID - or nonsteroidal anti-inflammatory drugs -- are among the most common pain relief medicines in the world. Every day more than 29 million Americans use them to soothe headaches, sprains, arthritis symptoms, and other daily discomforts, according to the American Gastroenterological Association. And as if that wasn't enough, in addition to dulling pain NSAIDs also lower fever and reduce swelling.

But how do those little pills do so much? And if they're so good in some ways, why do they also raise the risk of heart problems in some people? The answer is complicated. Even researchers don't fully understand how NSAIDs work.

 A new warning on prescription and over-the-counter NSAIDs will point out that the increased risk can occur even within the first few weeks of taking the drug and might rise with high doses taken for an extended period of time. The new warning does not apply to either aspirin or acetaminophen

RISKS

Most people who use NSAIDs don't have any serious problems with them. But in some -- especially those who need pain relief regularly -- there can be a downside.

• Gastrointestinal Problems

When you swallow a pill, it affects your whole system, not just the part that hurts. So while an NSAID may do a great job of easing your pain, it may also be having other effects -- some of them unwanted -- in other parts of your body.

The most common risk of standard NSAIDs is that they can cause ulcers and other problems in your esophagus, stomach, or small intestine.

• High Blood Pressure and Kidney Damage

How can NSAIDs affect your blood pressure? NSAIDs reduce the blood flow to the kidneys, which makes them work more slowly. When your kidneys are not working well, fluid builds up in your body. The more fluid in your bloodstream, the higher your blood pressure. It's that simple.

If you take NSAIDs in high doses, the reduced blood flow can permanently damage your kidneys. It can eventually lead to kidney failure and require dialysis.

• Allergic Reactions

NSAIDs can also cause extreme allergic reactions, especially in people with asthma. Experts aren't sure why. Many specialists recommend that people who have asthma stay away from any NSAID, especially if they have sinus problems or nasal polyps.

Talk to your doctor before taking an NSAID if any of these risk factors apply to you: You have any of these health problems:

• decreased kidney or liver function, or an uncontrolled liver problem (such as hepatitis)
• ulcer, gastritis (inflammation of the stomach lining) or stomach bleeding now or in the past
• low platelet count
• Crohn's disease or ulcerative colitis
• asthma or chronic lung disease
• reflux disease (also known as GERD), indigestion or hiatal hernia
• high blood pressure, congestive heart failure or a past stroke or heart attack
• You are allergic to aspirin, other NSAIDs, or sulfa drugs, or have nasal polyps (linked to a greater chance of NSAID allergy)
• You take blood thinners or corticosteroids (see “Drug interactions” below)
• You are pregnant, may become pregnant, or are breast-feeding
• You drink more than seven alcoholic drinks per week or more than two in a day
• Your age is 65 or older

Doctors have long warned not to give aspirin to children under age 12, but teens with a virus also should avoid drugs containing aspirin. There is a risk of Reye’s syndrome, a rare but deadly illness that can affect the brain and liver.

 Restrict NSAID's use to more severe cases of pain. If you do take them, stick to the lowest effective dose for the shortest time possible.

 

PAINKILLER OVERDOSE

If you are currently taking an opioid pain medication, here's what you need to know to use it safely and effectively
Older Americans are at high risk of running into trouble for several reasons,
For one, they're more likely to suffer chronic pain and to be prescribed an opioid drug for it. 
Second, the body's ability to clear drugs from the system declines with age, so a safe dose for younger people can be an overdose for older patients.  
The danger is compounded when people are taking several different drugs that have to be cleared through the liver or kidneys - such as medications for heart disease or diabetes - as many older people do. "Adding opioid pain medications to a stew of other drugs is a very risky venture.
One challenge with opioid painkillers is the exceedingly narrow line between benefit and harm h
some chronic pain patients can benefit from low doses of opioids,

Start low and go slow
older adults should start with half or even one-quarter of a standard dose.
the irony is that despite decades of prescribing , researchers still know little about the actual risks and benefits of taking .
we know that people develop tolerance over time, which means you need a bigger and bigger dose.

Tell you doctor about other meds you take
One of the biggest risk factors for overdose and death from opiates is mixing them with alcohol
or other medications. the combination of benzodiazepines (sometimes prescribed for anxiety or insomnia) and opioids is especially hazardous.

Follow up frequently
To monitor how you're doing,your doctor may need to see you frequently, in some cases monthly. Your doctor may also order a urine test to measure opiate levels in your system.
Doctors need a lot of expertise in prescribing and monitoring patients on these drugs. 

Be realistic
 Don't expect any medication to be a magic bullet. Most only ease pain, and all of them have risks. often pain management doctors can't eliminate the pain. But can help people with chronic pain live their lives as fully as possible.Everything comes down to how you are functioning. if your pain medication helps you function, great. If it's making you groggy and you're still in a lot of pain, you need to come off the medication. 

Keep medication safe.
Opioid pain relievers are a frequent target of thieves, who then sell them on the street. 
Store pain killers in their original packaging in a locked cabinet or lock-box, and keep track of how many you've taken.

In conclusion 
What we've learned is that throwing medication at chronic pain isn't going to make it go away.
There are clear risks to using these drugs. Even non-steroidal anti-inflammatory drugs, or NSAID, can be hazardous.
Lastly, learn to live with a certain amount of pain, accept it and try to live as full a life as you can. 
Restrict NSAID use to more severe cases of pain, stick to the lowest effective dose for the shortest time possible.

46 AMERICANS DIE EACH DAY FROM PAINKILLER OVERDOSES

Death for ages 55 - 64 rises 700%
After years of suffering from a degenerative back condition, Betty worried that she was already taking too many pills. But when her doctor reassured her that a long-acting opioid medication called Oxycontin would fight her pain without any negative repercussions,she decided to try it. At first the pills helped.as their effectiveness diminished, though, she had to take more pills to get any relief at all. "within even months I was taking 280 milligrams a day," says Tully, 68, who lives in Chicago. "that's the equivalent of 56 percocets a day. i was completely addicted." 

HOOKED ?

When a new doctor balked at refilling her prescription, she discovered what heroin addicts go through when they can't get a fix. "My body was screaming for the drug. My brain was screaming for it. Health experts have long warned of a growing epidemic of addiction and overdose related to opioid prescription pain meds (morphine, oxycodone and hydrocodone are the most common). 

statistics

Everyday, 46 Americans die from using prescription painkillers, In recent years, older Americans have increasingly fallen victim. Between 1993 and 2012, the rate of hospitalizations for prescription pain pill overdoses increased fivefold among people 45 to 85- much faster than for younger adults, according to the data  from the Agency for Healthcare Research and quality. the rate of overdose deaths for adults ages 55 to 64 soared sevenfold. The group with the highest death rate was 45 - 54 age group, more than four times the rate for teenagers and young adults. And those statistics probably underestimate the true toll the epidemic of pain pills is taking on older Americans. 
fact
If a young or middle-aged person doesn't wake up in the morning, the death immediately looks suspicious and the medical examiner is called in. "But when an older person with multiple medical problems doesn't wake up, death is more often attributed to natural causes, even when the true cause is an accidental opioid overdose. 

who is at risk ?

Older Americans are at high risk of running into trouble for several reasons, 
For one, they're more likely to suffer chronic pain and to be prescribed an opioid drug for it. 
Second, the body's ability to clear drugs from the system declines with age, so a safe dose for younger people can be an overdose for older patients.  
The danger is compounded when people are taking several different drugs that have to be cleared through the liver or kidneys - such as medications for heart disease or diabetes - as many older people do. "Adding opioid pain medications to a stew of other drugs is a very risky venture.

Opioid pain medications can also prove deadly for older patients who have trouble keeping track of their pills. If someone on an 80 milligram dose of oxycodone forgets they took it and takes another, there's a good chance of a fatal overdose, 

Good intention gone bad
Opioid pain medications can help for acute pain- following an injury or surgery, for example, when they provide relief while the body heals, The can also control pain at the end of life. But because of the risk of addiction and overdose, opioids traditionally were rarely prescribed for cases of chronic pain.
That changed in the late 1990s with new campaigns that encouraged doctors to take chronic pain more seriously. 

Backed by the American pain society, the American Academy of Pain Medicine and other professional groups, the campaigns had the laudable goal of encouraging doctors to be more aggressive in relieving chronic pain, which afflicts an estimated 100 million Americans. 
One campaign, called "Pain is the fifth vital sign,"suggested that pain should be considered as important an indicator of health as blood pressure or pulse. But the push for wider use of painkillers was largely financed by drug-makers with a vested interest in making money, and they vastly understated the risks of addiction and greatly overstated the effectiveness of these drugs. Physician were given the impression that the drugs are far safer and more effective for chronic pain than they actually are.

Trick or treat

Between 1996 AND 2002, Purdue pharma, the maker of Oxycotin,funded more than  20,000 educational programs for doctors, many of them promoting long-term use of opioids for chronic pain.
For more than a decade, we were told that these medications are safe and effective. 
The campaign worked. over the next 15 years, the rate of opioid pain reliever use more than doubled in the U.S. consumption of oxycodone !


CULLED FROM AARP BULLETIN SEP.2015

HELP PREVENT MEDICAL MISTAKES:

Most diagnostic errors occur because doctors lack the patient,'s complete medical history.

I always urge people to learn their full family medical history, because it helps doctors detect conditions that can be hereditary, like heart disease and cancer. You don't want to be so busy that you forget to your own health history. Most diagnostic errors occur because doctors lack the patient,'s complete medical history.

You have the right to access your health information.

call any doctor you have seen in the past 5 years (if you can back further eve better) and ask for your medical records. these files contain much more than just your vitals; they include consent forms, physician's orders, test results, pathology reports, and immunization records. the information could help specialists avoid repeat testing (and spare you unnecessary radiation from scans) or connects the dots to a diagnosis another doctor might have missed. You may have to fill out some paperwork or even pay a small fee (for postage or copies of x-ray or MRI films). but don't let that deter you.

Get second opinion if you still have the time

Unless you're being wheeled into the operating room as you read this, seeking a second opinion or conducting your own additional research might be your best best. Americans never do so, yet research suggests that in up to 30 percent of pathology cases, second opinion can lead to a correct diagnosis.

Search  : Stop worrying that you'll offend your doctor. Smart physicians know that smart patients seek out other pints of view before making major decisions. Begin your search for a second opinion by contacting local chapters of medical associations that specialize in your condition - for example, the American diabetes association or the Lupus Foundation of America. They can help connect you with specialists who practice in your area. what should you do if your first two doctors don't agree? Get a third opinion.

White coat silence. 

Some physician whip through appointment in the time it takes to get a coke from the vending machine, but there need for speed isn't the only thing causing quick visits.there's also a phenomenon know as white-coat silence,which refers to patients' tendency to clam up in the presence of a doctor.

one reason people don't ask questions is that they fear being seen as difficult. Yet a lack of communication

could lead doctors to mistake your silence for comprehension when they explain test results or procedures.
Ask, and ask and ask questions;  it's your appointment ask question. You have already been charged for it !
List all the questions you'll like to ask, and make two copies-- one for you and one for the doctor. That way you won't forget important queries, and your doctor will know what information you want to cover. I also suggest bringing a back up: Ask a family member or a friend to go with you to an appointment. Not only will this person serve as a second set of  eyes and ears, she/he may have questions you would never think to ask.
Safe medication: Two thirds of patient visits end with the doctor pulling out the prescription pad, It's no wonder, then, that more than 10 percent of Americans are currently taking five or more medications. that's a lot of pills to keep straight.
According to the American Food and Drug Administration (FDA), medication errors (like receiving the wrong dose or taking drugs that don't mix) cause at least one death each day and account for about 103 million injuries a year- a truly alarming figure, considering that such casualties are largely preventable.
if you are taking it, take it with you, (including over the counter supplements) or better still snap pictures of your prescription labels with you camera phone and bring them to your appointment.
take advantage of your pharmacist, she's in best position to sound the alarm on potentially dangerous drug interactions.

Is there another option? 

So let's assume you've received the right diagnosis. there are several alternatives for care , often ranging from the conservative (wait and see) to the aggressive (surgery), and each approach comes with its own risks and benefits. mind you, doctor don't always do a good job of informing you of all your choices. and that can lead to what's known as 'preference misdiagnosis'- when you doctor makes an assumption about which treatment you will want and as result, presents you with only a narrow range of options. 

before signing off on any treatment plan, request information about all available options. One choice may not be better than the other; what does matter is finding the path that best fits your life. says DR Oz  

HOW TO PREVENT PAIN AND STAY IN THE GAME.

EXERCISE AND ITS ASSOCIATING PAIN.

For every favorite sport, there's an injury that can keep you sidelined. For many of us , springtime means playtime. the sun is shining and the fields, paths and courts beckon. but one wrong move can leave you on the couch-bedridden.
Now, lets take a look at some of the most common sports injuries and how you can avoid them.

TENNIS: You are at risk for elbow pain

An injury so common it has his own name, tennis elbow is a condition cause by overuse of the arm, forearm and hand muscles. the weak grip strength and burning pain aren't actually due to an injured elbow... these symptoms are telltale signs of damage to the forearm muscle that helps stabilized the wrist when the elbow is straight (during a ground stroke, for example). When this muscle is weakened from overuse, microscopic tears form in the tendon where it attaches to the joint, leading to inflammation and pain. 

Get back in the game First step is to put down the racket for a while. i addition to taking a break, drugs like aspirin, or ibuprofen reduce pain and swelling.

be sure to have your tennis equipment checked for proper fit, too. stiffer rackets that are more loosely strung may reduce stress on the forearm.

RUNNING: You at risk for shin splints

Runners, admit it; you're a wee bit crazy, in a good way of course. mile after mile, rain or shine, you away at tha pavement. So it's understandable that you refuse to let a shin pain keep you fromyour daily sweat session. 

When it comes to the all-too-common shin splint, there's no true consensus among experts as to its cause.

Theories include small tears in the muscle that's pulled off the bone, an inflammation of the muscle or a combination of the two.

Get back in the game: When splints strike, stop running or decrease your distance,depending on the extent of the pain. from there, be sure to ice your shins regularly to to decrease inflammation, practice proper stretching and try crossing training like cycling, swimming or yoga.

When you return to your regular running schedule, work your way up by increasing mileage slowly. Aim for a 10 percent increase each week. Wear the right shoes for your feet and try to avoid hills and excessive hard surfaces. 

CYCLING: you are at risk for knee pain:

 Cycling is practically the definition of a repetitive motion, with the average cyclist pedaling, 3600 times in an hour. No wonder cyclist often experience knee pain from overuse. One common problem, patellofemora pain syndrome, occurs when the patella (kneecap) gets out of alignment, causing wear on cartilage and pain around the knee cap.
Get back in the game, knee injuries in cyclist are often caused by muscle imbalance. exercises for the quadriceps and hips can strengthen  the muscles that support the kneecap,keeping it in proper alignment. Ask a professional  about your bike fit and cycling form.
A seat that,s too high or low can cause injury, as can pedaling with your knees facing inward or outward.

4 Common exercise mistakes: 

Feeling more sore than sculpted? You ma be committing these workout no- nos.

1. Going all-out, right away. Give your body about five minutes to warm op before you really hit it.

2. Running the same route. Variety is the spice of life. mix up your workouts with some crossing training.

3. Skipping the stretching. Always end a workout with a good stretch. your legs will thank you in the morning.

4. Playing through the pain. A little discomfort is good; actual pain is not.respect your limits and give it a rest when you are hurt.

CHECKLIST FOR EXPECTANT PARENTS

                                                    

      Pregnancy and birth preparedness

Bringing a baby into the world is a journey with unexpected twists and turn, many details to consider and sometimes stressful moments....., then finally, an amazing miracle. Parents can prepare by choosing a hospital team with expertise in caring for mothers and babies no matter what challenges may arise.
The hospital that understands the  importance of choosing the right facility and made its birthing center an ideal choice for deliveries.
It's very comfortable to be in the hands of experienced and efficient obstetrician-gynecologist, physician and nurses at the birthing center. Medical staffs that are trained to handle complex cases, in addition to standard neonatal care.
This is significant because it means that sick babies can get the expert care they need close to home.
The birthing center that is able to cares for babies born 30 weeks or later. If babies are born younger than 30 weeks or have extreme complications, the staff will stabilize the baby before transfer to NICU. (intensive care for babies.)
With all these in place, new parents can rest assured that team of experts can take care of their high-risk babies.


Checklist for expectant parents
     Pack your bag at least a month before your expected delivery with the following items.    

      For Mom:

•  Nightgowns, nursing bras, robe and slippers 
• Toiletries and cosmetics  
• Lamaze-recommended items  
• cellphone or charger    

      For Dad:

• Electronics and chargers 
• Changes of clothes 
• Camera [ photos can be taken in the birthing suites, but videos can only be filmed in the nursery and postpartum units.
• Toiletries 
• Snacks
• List of family and friends to call or text when baby arrives .

      For Baby: 

• Receiving blankets and mittens 
• Clothes for departures [make sure baby's attire is appropriate for the weather]
• Car seat (MANDATORY)
• Baby book   

PREGNANCY AND SLEEPING WELL

PREGNANCY AND SLEEPING WELL

As your body adjust to its sudden hormonal and physical changes, you will find that sleeping well is not as easy as it once was.
With heartburn, leg cramps frequent urination,crazy dreams, and increase size, a good night sleep for many women can become a distant memory. getting comfortable is your bigger challenge
Here are three tips that will have you snoozing in no time.

Pillows, pillows, and more pillows.

Did i mention pillows? Use pillows everywhere to help you get comfortable. place them under your belly, between your legs, and behind you back. you might also want to invest in a full-length body pillow or a special maternity pillow. Maternity pillows are shaped for your growing belly and can be adjusted as your pregnancy progresses. as your body grows, you will soon find that pillows will become your best friends.

Try sleeping on your left side. 

This is said to be the best position for pregnant women to sleep in. Sleeping on your left side helps blood and nutrients flow to the fetus and uterus and help keep weight off of your kidneys so they can eliminate waste and fluids more efficiently.

Avoid sleeping on your back:

Sleeping on your back can cause backache because of the increase pressure from your body weight.

It may also be more difficult to breath lying on your back.

Shifting onto your back in the middle of the night may cause enough discomfort to wake you up.If this becomes a problem, you might want to position a few pillows behind you to keep you from rolling over in your sleep.

Elevate your upper body:

As you near the end of your pregnancy, you may find that sleeping with the mattress flat from head to toe is just not going to happen. To improve your your breathing, you'll want to elevate your upper body. Use pillow to prop up your torso, or try raising part of your mattress. here is an easy trick: place a rolled sleeping bag under the top of the mattress for a quick and easy lift to the head of your bed. 

Positioning

Keep experimenting with new sleeping positions until you find what works for you. With the help of an understanding partner and a lot of pillows, you are sure to find a comfortable sleep position that is just right.

If sleep becomes elusive it may be time for a few life style change.

Cut down or eliminate caffeine. tea, coffee, soda, and chocolate in general are all stimulants; it is best to avoid them whenever possible, but especially in the late afternoon and evening.

Create a sleep atmosphere in your bedroom. Use curtains that block out the light,keep the temperature lower than the rest of the house, and most importantly,leave your worries on the other side of the bedroom door.

Take the time to unwind. Do not exercise for at least two hours before bedtime. this include housework! Take time to read a chapter or two in a good book, listen to relaxing music, or just talk with your partner.

Avoid the pizza and pickles.  spicy or acidic food can cause heartburn and indigestion.

Make an appointment with bedtime.Going to sleep and rising at the same time every day will help to train your body in good sleep habits.

Don't lie there. If you are having trouble getting comfortable or falling asleep, get up, take a warm bubble bath,read, write in your baby journal, or have a glass of warm milk.

LEG CRAMPING

Are leg cramps "cramping" your style ?

Leg cramps are fairly common with pregnancy because of the added fluids and weight pressure in the body. 

To relieve the pain during a cramp, stretch the leg and flex the foot, pointing or pulling the toes upward, massaging the area is helpful, as is applying heat or a cold pack that will help relax the muscle. 

For prevention, stretch before and after you exercise and before going to bed. be sure to eat a healthy and varied diet that is rich in potassium and calcium, the minerals that are most frequently deficient when leg cramping occurs.

Ask your doctor if you should take a vitamin or mineral supplement to ensure that you are getting enough in your diet. Drink at least six to eight glasses of water each day and sleep on your side with a pillow between your knees to keep nerves from being pinched.  

SONOGRAM AND ULTRASOUND

THE FIRST VIEW OF YOUR BABY.

Between  weeks fifteen and twenty-two of pregnancy your doctor will likely order an "ultrasound exam." while many tests during pregnancy are greeted with fear of the unknown, most women eagerly anticipate the ultrasound because it gives them the very first glimpse of their new baby.here, we've answered some of your common questions about ultrasound and sonogram.

What is the difference between an ultrasound and a sonogram?

 The procedure where sound waves are bounced off an object is referred to as ultrasound. the picture resulting from the translated sound waves is called a sonogram. Many women use the terms interchangeably and technically they're correct. they mean the same thing because you use the ultrasound to create the sonogram. 

How does ultrasound work?

The principles is simple sound waves, much like those by sonar on a ship, are sent into the body from a wand called a "transducer," where they bounce off structures and "echo" back to the transducer. 

The information is then translated into a real-time image on a TV monitor.

What is ultrasound used for?

Doctors and midwives use ultrasound technology to:

• Confirm a  normal uterine pregnancy.
• Assess fetal age.
• Assess fetal heart activity
• Assess fetal movement
• Determine the presence of multiple pregnancies
• Verify the position of the fetus and placenta
• Identify the presence of some genetic abnormalities
• Identify abnormalities of the placenta, uterus, and other pelvic structures.

`Is it safe?

Ultrasound is a complete safe, noninvasive exam that does nor require any preparation. Sound waves are used and there is no danger associated with this test. many women receive multiple ultrasound sessions over the course of a pregnancy with complete safety.

I have seen sonograms where you can almost recognize the baby, while others offer only a sketchy outline.Are there different types of ultrasound exams?

The standard sonogram with its "sketchy" image is called a 2D sonogram and until recently was the industry standard. After the mid- 1970's, when ultrasound became widely accepted as a valuable diagnostic exam, additional advances in technology lead to better image quality. The current standards are 3D and 4D ultrasound.

A 3D ultrasound system is capable of determining the volume of an  object and displaying the volume of an object and displaying it back as a three-dimensional image in great detail. 

Under the right circumstances with 3D sonogram images, you can almost recognize the baby.

SATISFYING SEX DURING PREGNANCY

SATISFYING SEX DURING PREGNANCY

ENJOY NEW LEVELS OF INTIMACY AND PLEASURE DURING YOUR FORTY WEEKS JOURNEY. 

Over the course of your pregnancy, your body and mind go through a whirlwind of transformations.Although you could probably do without the moods wings, the dry skin, and the frequent urination, you may be surprised at a few things Mother Nature has in store for you. May be your hair is more manageable or your acne disappears. Most noteworthy, however, is the hormone surge that may increase your arousal. With your newly revved up libido, what better way to truly experience and embrace the changes in your body than through intimacy.

Of course sex is different when you are pregnant, and it changes as as your pregnancy progresses.  here is a look at what to expect in the bedroom during your forty weeks.

IN YOUR FIRST TRIMESTER  

During your first trimester, you may find that you and your partner are more interested in sex than usual. 

No longer having to think about birth control or trying to conceive can be very liberating, and some women find that their private thought and fantasies are racier than usual. Changing in your hormone levels can enhance your interest and your excitement levels, and some women  find that orgasms linger in the trimester, causing a sort of tension in your virginal and clitoris.

But as your breast changes and grow, you may find their stimulation either particularly enjoyable or quite painful, and any morning sickness you suffer may kill your desire.

IN YOUR SECOND TRIMESTER.

If you were suffering from morning sickness in your first trimester and get relive from it in your second, you may rediscover your interest in sex and intimacy and find that they are more enjoyable than ever as you reach your fourth month.

This is especially true because your vagina is more lubricated than usual,and your clitoris and vagina are more sensitive. 

you may find it easier to have an orgasm, or even multiple orgasms, but your partner may may struggle with a fear of hurting the baby, particularly when the baby begins to move and kick so that you can feel the little person growing inside of you.

Reassure your partner that your baby is well protected  and sex will not cause any harm. your baby is suspended in an amniotic sac, protected from the outside world, including the rest of you.

The uterus is completely sealed off from your vagina by a mucous plug, so your baby will not be at all bothered. You may notice that your baby is ery active after your orgasm. This is because of your pounding heart, not because your baby feels any pain or discomfort.

IN YOUR THIRD TRIMESTER.

By the time you have reached your third trimester, your pregnant body is dramatically different from your pre-pregnancy body. some women glory in their body's new shape and fullness, but others don't feel quite comfortable with it. How you perceive your body can have a big impact on hoe much you crave and enjoy sex in these months as can your back pain and your energy level, which may flag at times, most men go nuts about their partner's pregnant body and love its exaggerated femaleness.

Many couples enjoy experimenting with new positions when it becomes necessary to find alternatives to the missionary. 

Popular options include spooning  with your partner behind you, on your hands  and knees, on top, or lying on your side with your knee pulled up. if your baby's head has moved deep within your pelvis, you may experience a bit of pain or spotting during sex, but it's nothing to worry about and easy to avoid with shallow penetration or entry from behind. 

The  constant engorgement of your vagina and clitoris, makes it easier for you to reach orgasm. During an orgasm, you may notice that your uterus goes into spasms, and closer to your due date, you may feel contractions for about half an hour after sex. There is no need to to worry about inspiring preterm labor because until your cervix is ready, you won't go into labor. Sex has been credited, however, with jump starting labor once your body is ready.

While for most women sex is okay,and even encouraged, during pregnancy, it is always a good idea to talk to your doctor about it. generally, sex should not be a problem during your pregnancy, unless you are bleeding, you are at risk for premature birth, your partner has an active sexually transmitted disease, or your water has broken or leaking.

AFTER BABY IS BORN

Obstetricians recommend that you limit your sex activity after you give birth because your genital tissues need a chance to heal completely from the rigors of delivery, and it si ery important that you avoid infection during the healing process. Traditionally women have been advised to wait six weeks after delivery to resume sexual intercourse, some obstetricians recommend waiting for four weeks,, until the postpartum discharge from the vagina, called lochia, stops flowing. But if you don't have any tears to worry ,manual or oral stimulation of the clitoris is more than fine anytime after birth.

Still some women aren't interested.they find that their sex drive is in neutral in the first weeks and months after their baby is born. Sometimes this is because the healing process is not yet complete or because they fear pain. The best way to overcome the fear of pain is to take control and guide your partner through sex.

BREASTFEEDING

Breastfeeding has also been known to to dampen your desire. it has an impact on your hormone levels, so if you find that your period is slow to return, you may also find that your libido is slow to resurface. Some couples find breast leakage during sex awkward, and some women that all the breastfeeding they are doing satisfies their need for touch, and they aren't much interested in any more.Of course, the exhaustion associated with being a new parent can also kill your sex drive. Caring for a new baby claims much of the time and energy you need t to have for being together as a couple, sexually and romantically. But take heart! soon, you will have the energy and the interest, and many couples report that sex after birth is better than ever before. Who knew you would derive more than just a beautiful baby out of your pregnancy?

ALL GLORY BE TO GOD. !