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“Doctor, please see what has happened to my child. He has been such a charming youngster, full of life and mirth all along. But lately he has started getting sort of fits of depression which suddenly attacks like a bolt from the blue and leaves him totally paralysed. He becomes immobile, is drenched with sweat, cannot utter a word, colour leaves his face and looks the very embodiment of gloom.
After sometime the dark cloud lifts by itself and he heaves a sigh of relief.
The tragedy of the whole affair is that the child does not know what happens to him and the doctor does not know the cause or its remedy. The specialists dismiss the case by simple “change of mood” of the child.
The child has refused to go to school today. He is afraid of the untimely and unexpected fit of depression in the presence of his school mates. ‘Mimulus’ (for fear of the fit) and ‘MUSTARD’ (for prevention of such fits of depression in future) were prescribed T.D.S for one week. After one week Mimulus was discontinued as there was no longer any fear in the child. But ‘MUSTARD’ was continued for 3 months, after which the child was declared cured.
*148\308\8*
Posted: April 15th, 2011 under Herbal - No Comments.
This particular area can be fraught with problems and has come to the government’s attention. There are now very strict guidelines given to hospitals concerning the discharge process and these guidelines must be followed. The ideal should be as follows.
The medical problem is over, the person treated and looking forward to returning home. Any carers involved are happy and have met with the hospital staff concerning the discharge. Mobility problems have been identified and a home visit has been carried out by the hospital therapy staff. Prior to discharge the multi-disciplinary team meet and all contribute their views. A care plan is agreed with the patient and family and is written up by the social worker. If this requires a lot of new services, the community care manager either automatically agrees it or calls a case conference. A discharge date is set and each member carries out any special tasks (social worker will order services after talking with patient and carer, the ward staff order the ambulance, the junior doctor will write a discharge note and organize any medication to go with the patient). Patient and carer are kept informed of all actions as is the GP and the discharge goes ahead uneventfully. The key is communication.
Unfortunately many discharges do not resemble the above at all. Many excuses are given but inevitably the failure is in communication. There are no easy answers but wards and professionals alike should not get away with bad practice. If the discharge procedure goes wrong then the people concerned should know about it. Vigorous complaints are one way to change and hopefully improve the service. No one likes to complain but without such guided criticism mistakes will continue to occur. Complaining itself is no easy process but again this has been recognized by government and each hospital has a complaints procedure which should go into action immediately, offering a reply within 14 days. To ensure that the problem gets looked into the complaint must be in writing and preferably addressed to the service manager and/or the hospital’s public relations officer (customer service). In very serious cases a copy of the letter should also go to the hospital’s chief executive. This is not to say that many difficulties cannot be resolved by speaking to the various people concerned but a change of practice needs a letter.
A special difficulty occurs when a carer feels that a person cannot return home. This happens extremely frequently, and I have seen a vast increase in this particular problem since the NHS and community have been so starved of resources. What seems to happen is that the admission to hospital because of an acute illness provides the break needed in which a total evaluation can occur of the difficulties at home as suffered by the patient and carer. There is always a long history of increasing failure to cope at home, with either no other help sought or that help having failed in some way. It is at its most desperate when dealing with the elderly mentally confused, where the resources are indeed limited. Bear in mind that carers have to be pretty desperate to say ‘No’ to the massed authority of the hospital hierarchy.
If a carer feels concerned about the impending discharge of a relative, then they must speak out as soon as possible. In many cases discussion with the various team members involved will allow for a compromise, in that more help is provided if possible. If this does not allay fears sufficiently, the carer and other people involved should meet up with the consultant concerned; it may be appropriate to invite others to this meeting, such as the social worker dealing with the case, etc. In cases of real conflict then a case conference should be held, involving the multidisciplinary team as well as the carers, community agencies involved and the person concerned. Carers should ask for such a meeting if they are really unhappy about an impending discharge; it allows for everyone to say their piece and for the carer especially to point out the realities of life to the other conference members. The point of the conference is to arrive at a solution acceptable to everyone.
Where the patient is able to communicate well, their wishes are paramount, and if they want to return home then as much as possible will be done to ensure this. Often this involves the taking of considerable risks, and carers are sometimes counseled to accept-this. Where the patient is mentally frail, however, and not able to vocalize their wishes clearly, the task is harder. The choice is usually between the patient going home against the carer’s wishes and entering some form of institution. These decisions are never easy and there are pressures on both sides. On the consultant’s mind is his/her commitment to other people who need the beds and services of the hospital, as well as the multidisciplinary team’s appraisal of whether or not a return home is feasible. The carers on the other hand have often been through it all before. Their concern for a relative may be so great, however, as to cloud their judgment and not allow them to see alternatives. There are no easy answers. The two sides must trust each other and in most cases a reasonably amicable solution is found. The equation at the moment is far too heavily weighted in favour of the hospital; the needs of consumer and carer have to be more forcibly stated and, more importantly, acted upon.
*91/128/5*
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Posted: September 22nd, 2010 under General health - No Comments.
Tags: General health
A thousand Australians every year bring malaria back from their overseas holidays. As yet these numbers are not sufficient to trigger off an epidemic at home. Even so, the high incidence of infection abroad raises the issue of adequate prophylaxis. Many malaria attacks affect people all ready taking the recommended anti malarial antibiotics. It is therefore fair to say that Chloroquine and Maloprim no longer provide adequate protection from drug resistant malarial parasites all around the world.
Which is the correct malarial prophylactic regime is a complex and controversial issue. The National Health And Medical Research Council issue guidelines and medical practitioners are advised to observe them. The correct choice relates to the places visited and the length of stay. Chloroquine and Maloprim are still the preferred combination. Many practitioners favour the prescription of Mefloquine; although it is fair to say that some strains of Falciparum Malaria are resistant to everything.
Home Remedies
Don’t rely on the success of chemical prophylaxis. Hundreds of people catch malaria in spite of drug treatment. Remember that it is not possible to catch malaria if you don’t get bitten by mosquitoes. This means slacks, long sleeved shirts, a hat and insect repellent throughout a day in the tropics. At night mosquito nets, insect repellent and the burning of mosquito coils are recommended. The symptoms of malaria include high fever headache and malaise – often presenting in a periodic fashion. If these symptoms occur abroad or within months of returning home: seek medical attention immediately.
*90/131/5*
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Posted: September 22nd, 2010 under General health - No Comments.
Tags: General health, MALARIA
Most of the big hotel chains have made major accommodations for those of us trying to stay heart-healthy. In a very real way, I find it easier to follow my program while away than while at home. After all, I’m the guest, and I get to have it my way.
It all starts with good planning. Find out what kind of exercise facilities the hotel has. Ask in detail, learning whether they have treadmills, exercycles, a lap pool, and so forth. Don’t accept vague answers. Great that they have that lap pool, but is it open at this time of year? Is it heated?
If you don’t get all the answers you need, ask to speak with the concierge if they have one. He or she is specially trained to provide such assistance. Perhaps there’s a health club near the hotel with reciprocal arrangements.
Pack your bag appropriately, including walking/running shoes, workout clothing and swim gear. Take enough for your entire stay.
Even if you stay at a hotel with absolutely no exercise equipment or access to any, you can still get a workout. Find out where you can go for a 30-minute run or walk. It’s a great way to see the sights.
What if it’s raining or the temperature is below zero? Still no excuse. Put on your walking shoes and head to the stairwell. Walking those stairs can be a really strenuous workout; in fact, keep close tabs on your heart rate, counting the beats regularly so you don’t overdo it.
Back in your room, get in your stretching exercises. This is a good time to know how to jump rope, since a rope takes so little room in your suitcase.
OK, let’s say the stairwell is locked, it’s raining outside, you can’t skip rope, there’s no exercise equipment or pool, and you want some exercise. Don’t despair. Take out a couple of hefty phone books and use them to step up and down, one foot at a time. Here’s the routine: right foot up, left foot up, left foot down, right foot down, left foot up, right foot up, right foot down, left foot down, and so forth. That’s the way doctors used to get the heart rate going when doing an exercise test in the days prior to treadmill testing. It really works.
You can also use those phone books as weights to do some resistance training in your room. Think of them as barbells.
Especially if I haven’t had a chance to do so prior to a flight, I really like getting a workout in as soon as I get into my hotel. It gets the kinks out, relaxes me, gets me into a mood and appetite for dinner and somehow seems to adjust my internal clock to that city’s time.
*153\85\2*
Cardio & Blood/ Cholesterol
Posted: June 2nd, 2010 under Cardio & Blood- Сholesterol - 1 Comment.
Tags: Cardio & Blood
I’m not at all sure that “getting there is half the fun”. In fact, air travel, in my opinion, lost all its glamour years ago. Today it’s a grind, a typically disenchanting necessity. But advance planning can make all the difference.
Let’s face it, airline food has never been one of flying’s major attractions. The fare is fair at best, and just plain terrible at worst. Like hospital food, airline meals have been the basis of countless jokes and stories. And to make it worse, the food that doesn’t taste very good is also likely to be laden with fat and cholesterol. Why cheat with food that doesn’t make your taste buds tingle?
Instead, make advance arrangements for healthy alternatives. You can do so yourself by calling the airline 24 hours in advance. Or you can simply leave a standing order with your travel agent to do so on your behalf.
Every airline has a different list of choices, and some are a lot better than others. Very often, however, you’ll be the envy of your fellow passengers when your special meal arrives. The reason for the superiority of those special plates is that they have to be made to order, rather than in assembly-line fashion. Fresher food is better food.
Most airlines don’t broadly advertise about those special meals. They cost a lot more than those normally served. Why not take advantage of the situation?
To get a heart-healthy tray brought to your seat you can order a low-cholesterol/low-fat meal, a vegetarian platter, a fruit plate, or a cold seafood assortment.
What might you expect to get? Breakfast might be hot or cold cereal, a muffin, maybe some yoghurt, a little fruit salad, and skim milk and juice. Many airlines have been leaning to cold plates and sandwiches for lunch rather than hot meals. Most customers, myself included, prefer it that way. Dinner will include either chicken or fish, with salad, vegetables, pasta or potato, and most often fruit for dessert. You’ll get margarine instead of butter and skim or low-fat milk with all meals served.
If you’re really picky, or if you travel so much that you run into the same offerings over and over, your travel agent can even inquire as to the menus for the flights you might be interested in, comparing two or three airlines. A nice egg-substitute omelette with fresh fruit and squeezed orange juice might be the incentive for you to fly one airline over another.
Then again, you might not want to eat the airline’s food at all. This is a great time to “brown bag” it with foods brought from home or picked up in the airport terminal. Many’s the time I’ve had the guy sitting next to me drooling when I pull out a turkey breast sandwich on sourdough bread dressed with lettuce, tomato and a bit of avocado.
And every frequent flyer can expect delays and more delays. It’s become an anticipated part of travel these days. So I make certain that there are some “emergency foods” in my attache case for all my flights. I might bring a couple of oat bran muffins, pieces of fresh fruit, dried fruits, and one of those low-fat, high-fibre bars or cookies you can pick up in health food shops. There have been times when, after the captain has announced a delay, I’ve wished I had a shopping bag full so I could sell some of my goodies to the envious people around me. Be prepared!
Sitting on a plane for more than an hour can lead to blood pooling in the lower legs and ankles, as well as a general feeling of sluggishness. I make it a point to get an aisle seat on all flights so that I can get up frequently and walk a few lengths of the cabin without disturbing my fellow passengers.
On long flights, especially, it’s a good idea to have a routine of stretches that you can do in your chair. Don’t worry about others staring; they’ll probably follow your example. Here are a few to keep you from stiffening up.
Shoulder shrugs. Sitting upright, simply test your hands on your thighs and shrug your shoulders up, hold, release, and repeat six or seven times.
Arm raises. Just reach straight up with both arms, stretching out the shoulders and upper body.
Elbow shrugs. Lean slightly forward in your seat, bend your arms at 90° angles, and shrug your elbows behind your back as though trying to touch your shoulder blades.
Head rolls. Swivel your head three times in one direction and three times in the other, starting with your chin on your chest, rolling your ear to your shoulder and around.
Tummy tucking. Sitting straight, tighten your abdominal muscles, hold for a count of 10, release and repeat.
Leg lifts. Still sitting, raise your feet off the floor an inch or two, hold for a count of 10, release and repeat.
Foot stretches. Point one foot at a time straight out as though on point like a ballet dancer, hold for a count of 10, release and repeat. Now reverse the process by bringing your toes upward toward your knee, hold, release and repeat.
Doing these stretches will make you feel a lot more relaxed when you land. I make it a point to do them when the captain is making his approach and the seat and table are in their upright and locked positions. There’s an additional benefit in that such activities make one aware of the body and one’s continuing efforts to take good care of it.
While we all like to find non-stop flights, layovers are a necessary evil much of the time. Don’t waste your time by sitting in one of those uncomfortable chairs and grousing about the inconvenience. Rather, take a long walk through the airport’s terminals. In many of the major cities that can be a long walk! Step briskly, as though you’re late for a flight, and you’ll find your heart rate going up nicely. Without exaggeration, you can easily get your whole day’s allotment of 30 minutes or so right there in the airport.
Still have some time on your hands? Again, don’t waste it. Instead, do some deep breathing exercises, meditation, biofeedback or whatever relaxation technique you’ve been using at home. It’ll help make the time fly, and you’ll be far more relaxed when you reach your destination.
Now and then you’ll get one of those “connections made in hell” flights with three or more hours between flights. Or there might be a time when you originally thought you’d have only a one-hour layover but thanks to a “slight mechanical repair” or a “weather condition” in the next flight’s originating city, you find yourself with a four-hour delay.
Yes, you can yell and scream and raise your cholesterol level and blood pressure by getting all stressed out. Or you can get some relaxing, therapeutic exercise at a nearby hotel facility. You can ask about availability and short-term rates by calling from the free phones frequently found in the baggage area. Then take the shuttle to and from.
*152\85\2*
Cardio & Blood/ Cholesterol
Posted: June 2nd, 2010 under Cardio & Blood- Сholesterol - No Comments.
Tags: Cardio & Blood
Cause
As well as causing cold sores on the lipss, the herpes type I virus can infect the inside of the mouth.
Clinical features
Your child may complain of a sore mouth, and the lips, gums and throat may also be involved. Younger children may simply refuse food or drink, and drool a lot. The lining of the mouth may be swollen and red, with multiple tiny blisters or ulcers visible. Your child may be irritable and cry a lot.
When to see your doctor
• if your child is generally unwell or has a fever;
• if your child refuses food and liquids, and has passed urine less often than usual.
Treatment
There is no cure for herpes infections and the mainstay of treatment is the alleviation of symptoms. Paracetamol may help to ease the pain, but should only be given according to directions. Encourage your child to drink as much as possible, and if he is refusing food, give him high calorie drinks (such as milkshakes, lemonade or glucose drinks). A good way of providing additional fluid is to give your child flavoured ice blocks, ice cream or jelly. If your child is used to a bottle, it may be easier to feed him with a cup and spoon until the infection passes. Herpes mouth infections usually clear up within 7-10 days. If you have any concerns, you should see your doctor.
*235\90\8*
Posted: May 21st, 2009 under General health - No Comments.
Tags: General health
Hips
The hips of a newborn baby are checked very carefully by the doctor to make sure that they are not dislocated.
Groin
Newborn baby girls sometimes have swollen labia, often accompanied by a vaginal discharge which is usually white, but may be reddish. This is due to hormones from the mother which have crossed into the baby’s bloodstream during pregnancy, and which fall to normal levels soon after birth.
Newborn baby boys can have an undescended testicle, a hydrocoele (fluid around the testicle) or a tight foreskin. Erections are also common.
Genitalia often appear to be proportionally large in the newborn period. This is also due to hormonal influence from the mother, and will diminish during the first few weeks.
Bow legs
This appearance is normal in newborn babies and soon corrects itself.
*68\90\8*
Posted: May 19th, 2009 under General health - No Comments.
Tags: General health
Medical measurement techniques are all vague estimates of body processes that can never be directly assessed. We can only compare somebody response, count of cells, or appearance of body products with some arbitrary numerical standard. When your “count” falls within pre-established limits, then cosmopolitan medicine says there are “no remarkable findings.” (Actually, the human system is far beyond remarkable, a true, infinitely complex miracle.) Even when medicine says you are fine, you may not “feel good.” Too many times, physicians either ignore the sexual dimensions of our health problems or are too uncomfortable to deal with them. Physician Harold Lief reports that the instance of patient report of sexual difficulties is predicted by the willingness on the part of the physician to talk about this important area of life. Another doctor, Richard Green, writes that to ignore sexual health in attempting to treat any health problem is incomplete, even unethical health care. ‘ ‘Not feeling too good” affects and can be affected by our sexuality.
*259\97\8*
Posted: May 18th, 2009 under General health - No Comments.
Tags: General health
The motto of this book is a wonderful phrase from one of the public lectures of Master Ching Hai: “We doubt everything and everybody except our own ignorance “.
Have it in mind, when trying to give advice to other people. They may not want it. Always ask if they need help.
Help only people who ask you for it or explicitly agree that you help them.
Even then, watch carefully // they listen to what you say. If they do not listen, it means that they are not yet ready to listen. Or perhaps you are not yet ready to give them advice.
Instead of trying to explain everything in a few sentences, give them this book, and suggest that you could perhaps answer some of their questions after they have read it. You will save a lot of time as well as avoid exhausting discussions and arguments.
If, after reading this book, people still miss the point, there is nothing you can do to help them. They should help themselves first. Their “bowl” is full. Any new information is just causing an overflow.
Note, that it may take years or even decades for some people to understand advice. Some people have to experience themselves consequences of all their mistakes before they understand. It is their best lesson.
Please notice, that in view of what we learned reading this book, “curing” other people does not really help them.
If they do not understand that all their diseases are caused by their own actions and ignorance, they will develop other diseases later on anyway.
It is clear, that it is much better to explain to them how they can heal themselves and never get sick again. The only difficulty in this approach is that they may not want to understand our advice.
*49\96\8*
Posted: May 18th, 2009 under General health - No Comments.
Tags: General health
The iris is the colored portion of the eye. It acts like the shutter of a camera and its fine muscles open and close the pupil, the small hole in the centre of the iris, to admit more or less light, depending on how bright it is.
Inflammation of the iris or iritis, is not uncommon. It is not an infection. Conjunctivitis, or infection due either to viruses or to bacteria, usually affects both eyes and there is usually the production of pus, rather than just tears.
In iritis, there is pain in the eye, and sometimes around the orbit, even into the nose. There is photophobia, or dislike of light, an excess production of tears, and sometimes blurring of vision.
When the eye is examined, it has a diffuse pink flush around the cornea, the outer edges of the white of the eye are often unaffected.
In conjunctivitis, the eye is more red than pink, with prominent blood vessels and involving the whole of the white of the eye. The colored iris looks a greenish, muddy color and the normal markings on it are blurred. The pupil is often small and reacts sluggishly to light.
*464/71/1*
Posted: May 15th, 2009 under General health - No Comments.
Tags: General health