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PSYCHOSOMATIC DISORDERS DUE TO STRESS BREAKDOWN

Posted on Jun 26, 2011 under Anti Depressants-Sleeping Aid | Comments are off

We all know that too much psychological stress can make us physically ill. We refer to these stress-related illnesses as psychosomatic disorders. This name conveys the notion that the psyche, or mind, can affect the functions of the body or soma. We could, as well, describe a number of somato-psychic disorders -where known body damage or illness affects the functions of the mind.
Stress-related illness in the three stages of stress breakdownFirstly, let us look at how psychosomatic illnesses can occur in the first stage of stress breakdown. You will remember that the alarm reaction which is activated when the nervous system becomes overloaded is the anxiety reaction. You will remember as well, that the anxiety reaction has two components to it.1.  A warning component – a feeling of unease or dread.2.  A preparing component – preparing the body, through the release of adrenaline and noradrenalin, for physical action that may be necessary to meet a threat.These two components of anxiety can cause symptoms and illness in several different ways.
Illness as a result of chronic feelings of uneaseWhen we stay in stressful situations, we may have to put up with chronic feelings of unease or dread as the nervous system, from time to time, gives us the message that it is unable to cope with the stress. The feelings of unease in themselves don’t harm our health – after all, they are just normal body warning signals. However, because we find it hard to tolerate these feelings, we tend to try to relieve them by doing things we know will reduce feelings of anxiety.Overeating would probably be the most common activity which we use to reduce anxiety. Most of us seem to be aware that giving anxious or frightened people something to eat may often reduce their levels of fear or anxiety quite markedly. The use of this mechanism to reduce anxiety has been thoroughly incorporated into the behavioural patterns of our culture. For example, it is common practice to invite someone to dinner to soften the blow of the bad news we have to convey. Prudent people will wait until the victim is well fed before revealing the worst. Wise therapists or counselors will often offer their anxious clients a cup of tea or coffee.We should include, therefore, in a list of illnesses caused by stress, those illnesses caused by over-eating to relieve anxiety. Obesity from chronic over-eating in situations of unavoidable stress is a major cause of concern in our society. I have often been impressed with how fat some of our trainee nurses become in their first two years of-living in at the hospital, away from home, often, for the first time in their lives, and subjected to high levels of stress in their work. Likewise, I notice that many students in boarding schools become overweight.While the food served in these institutions such as nurses’ quarters and boarding schools tends to be high in calories, it is my distinct impression that the obesity is due to over-eating, which is associated with separation anxiety. Separation anxiety is a term used to describe feelings of anxiety when we are separated from our loved ones and our support systems. Because human beings are communal in nature, our nervous systems can trigger an anxiety response when we are separated from our families.However, the use and perhaps abuse of alcohol, with all the health risks associated with it, is probably the next most important cause of ill health as a result of steps we often take to relieve stress-related anxiety. Alcohol was our first sedative drug, and it is still the most abused sedative, being freely available without a doctor’s prescription. Diseases caused by drinking alcohol include brain damage, stomach disorders, liver damage, alcoholic heart disease, pancreatitis and disease of the peripheral nerves.
*63/129/5*

PEOPLE WITH SPINAL CORD INJURY IN HOSPITALS: DOCTORS AND NURSES

Posted on Jun 16, 2011 under Healthy bones Osteoporosis Rheumatic | Comments are off

Doctors make their rounds at fairly specific times. Because doctors are not mind readers, make sure you have your questions or concerns at hand when they visit. Some patients are reluctant to ask questions or present problems. Remember that your concerns help the doctors to focus on your specific issues and to have a more informed view so that they can make more educated decisions.You’ll interact with and receive care from a number of doctors, including orthopedists (specialists in the muscular and skeletal systems), neurosurgeons (surgeons who operate on the nervous system), and physiatrists (specialists in physical rehabilitation, who usually lead the rehabilitation team). You’ll encounter doctors at various levels of training and experience, especially if you are in a teaching hospital. After graduating from medical school, doctors do a residency for several years. During this time they learn to practice a specialty and are called residents. First-year residents are sometimes called interns. Residents are on call in the hospital at all times, especially at night!Nursing care is an especially important consideration for people with spinal cord injury, because the care required is usually more intense and frequent than for other patients. The nursing staff includes individuals with differing levels of training and experience. Registered nurses (RNs) usually have the equivalent of a bachelor’s degree and carry management responsibility for the floor or ward. Licensed practical nurses (LPNs) have graduated from shorter courses and do much of the hands-on work. Other members of the nursing staff (such as aides, assistants, and technicians) have less training and carry out most of the bathing, toileting, and feeding duties.Nursing care has changed over time, partly as the result of cost-cutting in this era of managed care. You can no longer expect the comforting extras, such as a back rub at night. However, your relationship with your nurse is still likely to be one of your closest connections with hospital staff, because he or she will provide so much of your personal care. Your nurse can be a good source of information about various aspects of spinal cord injury.
*23/156/5*

UNRESTRICTED ENTRANCE – XENO-ESTROGENS

Posted on Jun 09, 2011 under Cancer | Comments are off

At this time it is thought that most xeno-estrogens do not bind with these blood proteins. DES (the first synthetic estrogen that caused serious birth and reproductive deformities as well as reproductive cancers in the daughters of mothers prescribed this hormone during pregnancy from 1940-1970) for example, does not bind at all to the sex hormone binding proteins in the blood. Xeno-estrogens, therefore, circulate freely and have access to places where natural estrogens cannot tread. Even if these chemicals are much weaker than natural estrogens outside the body, their potency increases inside the body because of their unrestricted travel capabilities.Environmental estrogens can travel across the placenta and enter the growing fetus. These estrogens can store in the placenta, which has a large fat content, and slowly releases toxins to the developing fetus. So, although these substances might not be nearly as potent as natural hormones when they are tested outside the body, xeno-estrogens are relatively; more potent within the body than testing would suggest, even parts per trillion can have an influence. *8/165/1*

WHY ME . . . WHY DID THIS HAPPEN TO ME: “HE CAN’T BE; HE’S A CHRISTIAN

Posted on May 16, 2011 under Anti-Psychotics | Comments are off

“We went back to the motel for the night, and while Bill slept, I wept, moaned, and groaned in a pillow. It felt as if a bull were goring me inside. About 4:30 a.m. on Sunday, which was Father’s Day, my husband finally woke up saying, “What’s the matter with you?”I gasped, “I think I’m having a heart attack. I don’t know what you call it, but I think I’m dying. I can’t breathe, and I’m choking. It feels as if I’ve got a rug in my throat and my teeth itch.”Bill said, “Well, I thought you were acting strange last night. I know something is wrong. What is it?”"Well, I’m glad you noticed! Last night I just found out that Larry is a hooomoooo …” I could hardly say the words . . . “a homosexual.”Bill was aghast. “He CAN’T be; he’s a Christian!”"Well, that’s what I thought. But he is. You should see what I have in my car trunk. Or maybe he’s a bi-sexual, that’s what he told me.”Hearing that Larry might be bi-sexual shocked Bill more than anything else. He bolted out of bed and started putting his clothes on. I said, “It’s 4:30 in the morning; where are you going?”"Why, I’m going HOME to fix him,” said Bill, and he was gone.So I lay there gasping and choking, wondering how I’d ever get through this. My husband was driving twenty-five miles back to our house to “fix his kid,” and I thought, Well, I’ll just be dead when he comes back. That’s all, I’ll just be dead; I just can’t live through this. I’ll be dead when he comes back.About then my sister, hearing the ruckus, knocked on our door, came in, and asked anxiously, “What’s wrong? Why did Bill leave?”All I could think of was, “He went home to shave.” What else was I going to say? We had checked into a motel, paid good money, and where would my husband go at 4:30 in the morning?”No, I know something is wrong. You had a fight with Bill, didn’t you?”If only she had been right—that would have been no problem at all! Instead, I had no choice, I would have to start Father’s Day at 4:30 in the morning telling my sister that my son is a homosexual.I stumbled out to my car and brought in a whole arm load of the homosexual magazines and threw them on the bed. Then I said, “Your nephew (I couldn’t say ‘my son’) is a homosexual.”She sputtered, “He CAN’T be; he’s a Christian.”There we stood, the daughters of a minister, both having led very sheltered lives while growing up. We stared at all the pictures of naked men and all the rest of that terrible stuff. We had never seen anything pornographic before. About as close as we had come to pornography was the men’s underwear section of the Montgomery Ward’s catalogue.And as we stood there, frozen in shock, poring over all that garbage, in walked my brother-in-law, a very proper, godly man. He questioned what was going on because he could hear me sobbing and crying, and he thought perhaps Janet and I were having some sort of fight. And then he saw the pictures on the bed. Janet explained, “This stuff belongs to Larry—he’s a homosexual.”And Mel’s instant response was, “Why, he CAN’T be; he’s a Christian!”When Bill came back, we were all still in the room, looking at the magazines in bewilderment with no idea what to say. All Bill offered was, “I talked to Larry. There’s nothing really wrong with him. You’re just too emotional about this. It’s just a phase. All kids go through a phase, and this is just a phase.”Oh, I wanted to believe that, but I knew Bill was wrong. He didn’t even know what a bi-sexual was, so how did he know what was really wrong with Larry? Later, we went to church and on to Father’s Day dinner at Knott’s Berry Farm. It is all a blur to me, but I finally got Mel and Janet to the plane, and they went back to Minneapolis, where I was sure nobody ever had homosexual problems.Tears blinded me as I drove home alone from the airport. Bill had taken his car and driven over to give Father’s Day presents to his dad, and when I got home I found Larry there. We stood in the living room toe to toe, and it quickly escalated into a full-scale confrontation. I was sobbing bitterly and spouting Bible verses. He began to cry, too, and our conversation went in vicious circles.I was so hysterical I could hardly make sense. Larry was exploding with anger because he had been exposed. (Later on he told me he never would have told us if I hadn’t found the stuff.) I begged him to sit down and tell me how all this could be! Instead, he said violent and vicious things to me in the heat of his anger and used words I had never heard before or since from him.I couldn’t bear his accusations and obscenities. Instantly my hand shot upward and I slapped Larry’s face hard. He grabbed my shoulders and pushed me full force against a grandfather clock. This was unbelievable! I was having a physical confrontation with this darling son who was the light of our home for twenty years! After shoving me against the clock, he fled to his room and slammed the door.I heard him sobbing in his room, but my anger, denial, and guilt all kept me from going in to comfort him. COMFORT HIM? When HE was destroying our family?In my desperate effort to make him respond, I had uttered threats and unloving things like, “I would rather have you be DEAD than be a homosexual!” At that moment I loved Larry, but I hated that part of him. I wanted to hug him, but I wanted to kill him—I was a kaleidoscope of emotional shock. It would be later that I learned that parents say all kinds of unreal things to their kids when they learn they are homosexual. In my own emotional frenzy, all I could do was quote Bible verses about homosexuality. And all the while I was also denying that this could really be happening to us.Other parents have told me the same thing. When they learn of their child’s homosexuality, they want to take them out of their will, take away the car, or do whatever they can do to control them. But that doesn’t work. You just can’t do it that way. This is something I had to learn. And it wasn’t easy.Devastating despair overwhelmed me, and I flung myself on my bed and sobbed for hours. Larry didn’t come out of his room the rest of the day … no supper was fixed … I didn’t answer the phone. I just lay there on my bed, hoping and praying that tomorrow I could find some answers. I would go to the Hot Line in Anaheim. Surely THEY would tell me how to fix this kid!On Monday morning I went to a Hot Line organization that was supposed to offer help to homosexuals, but first I needed some help for me—someone to tell me I would get through this alive. I went in and blurted out, “I just found out that my son is a homosexual, and I want to talk to a mother who can help me.”And they said, “Well, we don’t have any mothers, but we have two ex-homosexuals you can talk to.”Exasperated, I sputtered, “Forget it! I have one of those— that’s why I’m here!”I just turned around, stomped out and slammed the door. I didn’t want to talk to any kind of homosexual, ex- or otherwise. I wanted to talk to a mother who had been through what I was going through and who could tell me I wasn’t going to die. As I got in the car, I thought, Lord, if I ever get through this—if I don’t die or end up in a home for the bewildered—I promise that I’ll start some kind of group to help parents who have this kind of terrible thing happen to them. (We promise a lot when we think we’re going to die anyway.)
And Then, a Final ZingerWhen I got back home, one more shock awaited me. Larry’s room was totally empty. I had been gone only an hour and a half, but in that time he had cleaned out everything and left. Out in the hall two little plaques hung side by side. One said, “TO THE MOST WONDERFUL FATHER OF THE YEAR.” Larry had given that to Bill just the day before. The other one said, “TO THE MOST WONDERFUL MOTHER OF THE YEAR,” and he’d given that to me just a month before on Mother’s Day. Now he was gone, and all we had were the two plaques telling us how wonderful we were.I called Bill at work and told him Larry was gone and that he’d taken the little Volkswagen that was registered to me because the insurance was in my name. Bill said he was sure Larry would be back, but I wondered where he would go.I didn’t know what to do. Should I go down to the DMV and tell them that my kid had taken off with a Volkswagen registered to me? Should I cancel the insurance on the car? I just didn’t know what to tell people, and I wasn’t sure I would survive.How I did survive is recorded in a daily log that I included in Where Does a Mother Go to Resign? During the next few months, I stayed home, languishing in my bedroom, counting the roses on the wallpaper. I couldn’t stand seeing anyone, and even going to the grocery store brought waves of panic. If I saw cartons of milk labeled “HOMOGENIZED,” I would immediately think that even the milk had something homosexual in it.As hard as losing Steve and then Tim was, at least I could count them as deposits in heaven. But now my third son had disappeared into the gay lifestyle, and I had no idea where he was or if I’d ever see him again.And I couldn’t tell, any of my Christian friends what had happened. I felt too guilty, and besides, how could most Christians understand something as unreal as this?So I just hid away in my bedroom, not wanting to see anyone, doing no cooking or cleaning, and very little eating. Bill put up some get-well cards on the mantel, so if anyone did come by, they might say, “Poor Barbara is still recovering from the loss of her two sons” and tend to ignore the disarray and clutter.Bill just ate popcorn for most of that first year after Larry left. Fortunately, Barney, our younger son, worked at Taco Bell, so at least he had something to eat. Taco Bell wrappers started piling up all over the house along with the popcorn, which got spilled in strange places.*13\316\2*

COMMON SKIN DISORDERS IN ADULTS: GENITAL WARTS

Posted on Apr 23, 2011 under Skin Care | Comments are off

Genital warts are serious and insidious, and are associated with cancer of the cervix and vulva in women. The warts can be large and obvious, but in most cases are barely visible and produce no symptoms. The virus can incubate for many years before producing serious disease, and many women are totally unaware that they have the wart virus until a cervical pap smear shows something abnormal.Like all the venereal diseases, genital warts can be prevented by using condoms. Men tend to request treatment for genital warts more frequently than women. Because the warts appear on the penis, they are much more obvious. In women they appear both inside and outside the vagina.There are many treatments available, all having their advantages and disadvantages. Warts can be treated with topical podophyllin paint, liquid nitrogen (dry ice), burnt off by diathermy or removed using a carbon dioxide laser. A newer, promising treatment is the injection of a drug called Interferon, which appears to be very effective although is still very expensive. Even if warts are treated, however, they can recur and re-infection is possible. No method is foolproof as far as eradicating the virus goes. It is not known whether treating genital warts will prevent cancer of the genital tract and further study is needed in this important area.
*43/150/5*

QUESTIONS ON SEX AND GYNECOLOGICAL CANCER

Posted on Apr 14, 2011 under Women's Health | Comments are off

I was planning to have a child in the future and now find that I need a hysterectomy to remove the cancer. What are my options?Discuss with your doctor if the operation needs to be done immediately. If the cancer is in the cervix, can a new operation be done to leave the body of the womb behind? What options do you have for storing eggs? Can my ovaries or an ovary be preserved?
My new partner does not know that I have had cancer and am infertile. How do I discuss this without destroying the relationship?You have to be quite honest from the start. Ask your doctor on how to break the news gently. Be positive about your future, and the other life goals you have planned.
I have to have a radical vulvectomy as a result of vulva cancer. What are the chances of reaching orgasm or me ever feeling sexy?This will take time, understanding and effort…usually enjoyable! Orgasm is still possible. Make sure you speak to your doctor before the operation and get a referral to a sexual counselor if need be.
After surgery there is a chance that my vagina will have changed, and I am concerned I will not be able to have a ‘normal’ sex life. What can I do to have penetrative sex?If the vagina has narrowed or is less distensible you may have to try different positions for vaginal intercourse. Sometimes there may be pain with extra pressure. Trial and error with other positions will allow you to resume a satisfying sex life. A sexual counselor will be able to suggest alternative methods.*4/144/5*

IBS AND THE NERVOUS SYSTEM: NERVOUS CONSTIPATION – THE ADRENALIN EVENT

Posted on Mar 26, 2011 under Gastrointestinal | No Comment

Two men are going for a run. One is in track one, the other is in track two. Imagine they are both wearing red vests. Extra energy needed to run, so in response to their thought, ‘I am going to run the brain sends a message for the muscles to contract and this squeezes the glands which produce adrenalin. Thoughts, heart-r and breathing rate increase, blood is divided them the internal organs to the legs to allow them to move faster.
up. The adrenalin levels are high. The two men complete the circuit and prepare to go home.
The Man in Track One. This man’s muscles relax and in response to this, chemicals which oppose adrenalin are released into the bloodstream. His heart-rate and breathing slow down, everything goes back to normal. His adrenalin levels are falling – imagine he has showered and is now wearing a blue vest. When he arrives home he is hungry and needs the bathroom. After dinner he repairs his son’s bicycle, watches television and then goes to bed and sleeps like a baby. When he awakes he feels rested.
The Man in Track Two. Because he has been overworking lately his relaxation response is worn out. After the run his muscles, do not automatically relax, so he is deprived of the chemicals which would slow him down; his adrenalin levels have not gone down. When he arrives home, although he has showered and gone through the same motions as the other man, it is as if he is still wearing the red vest. He is preoccupied with worrying thoughts, he is irritable with his kids, his digestion feels upset (the extra blood is still in his legs), he does not want dinner, he tries to read the newspaper but can’t concentrate. His evening is spent looking for antacid tablets, making frequent visits to the lavatory to pass urine, and chasing next door’s cat from the flower borders. He has difficulty getting off the sleep; when he does he sleeps fitfully. At 3 a.m. he wakes feeling anxious and hungry; he sleeps again and in the morning he wakes feeling anxious and stiff and sore. His muscles are still not relaxed – his adrenalin levels are still high. And it could go on like this until he has a nervous breakdown, a heart attack or some illness which will force him to slow down, unless he gets wise and realizes that all he has to do to don a blue vest is to slow down – to practise mechanically what his body has given up doing automatically. He must re-educate his muscles through relaxation exercises and consciously gearing down.
*64\326\8*

THE KINDS OF SEIZURE AND WHERE THEY ARISE IN THE BRAIN: THE MANY TYPES OF SEIZURE

Posted on Mar 16, 2011 under Epilepsy | No Comment

Since episodic electrical events can occur in different areas of the brain, the types of seizures that they produce will differ depending on what area is affected.
You heard a loud noise and ran to Johnny’s room. Your son was stiff, his back was arched, he didn’t seem to be breathing and he was turning blue. Then he started shaking violently, and he was foaming at the mouth. Your first thought was that he was about to die!
Mary was sitting with you at the dinner table when suddenly she stopped eating and stared into space. You called her, but she didn’t respond, and you had to call her several times. “Why does she daydream so often?” you wondered.
William comes running to you with a frightened look on his face. He is pale and then has a glassy look to his eyes. You call him, but he doesn’t respond. You notice that he is smacking his lips and fumbling with his clothes. Then as you hold him, he stiffens and begins to shake violently.
Trina began to have jerking at the corner of her mouth. “It’s just a habit,” your doctor said, but it’s gotten worse. Now the jerking is there all the time and sometimes it spreads to involve the whole side of her face.
All of these are seizures, and yet each differs. Each may require a different evaluation by your physician. Each may require different medication. Each may have a different outcome. The type of seizure depends largely on where in the brain it starts and on the direction and speed of the spread of the electrical activity.
Seizures are divided into two major groups, “partial seizures” and “generalized seizures.” “Partial seizures” (simple or complex), those that begin focally—that is, in one place—-are also called “focal” or “local” seizures. It is important to identify partial seizures because, since they begin focally, there may well be a specific problem in that area of the brain, one that may need special attention. The physician looks for a scar, a tangle of blood vessels, or a tumor as the cause of such seizures. If focal seizures cannot be controlled with medication, then surgery can be considered. “Generalized seizures,” on the other hand, seem to start all over the brain at once. We are unable to detect either by clinical signs or symptoms, and sometimes not even from the EEG, where this widespread electrical activity begins.
*53\208\8*

DIABETES MELLITUS: INSULIN SHOCK AND DIABETIC COMA

Posted on Mar 06, 2011 under Diabetes | No Comment

Insulin shock
Insulin shock is the effect of too much insulin. It occurs because the patient has failed to eat some of his food; he has increased his activity; or he has a gastrointestinal upset so that the nutrients are not being normally absorbed.
The symptoms of insulin shock result from the marked lowering of the blood glucose. The patient becomes weak, nervous, pale, and hungry. He trembles, perspires, complains of headache, and may become irrational in behavior as if intoxicated. If he is not given carbohydrate promptly he becomes drowsy disoriented, and eventually unconscious. Prolonged hypoglycemia is damaging to the brain cells because glucose is the only form of energy used by nervous tissue.
Patients who take insulin should always carry some lump sugar or hard candy in case they feel the signs of a reaction. Orange juice or other fruit juice or tea with sugar may be given to the patient who has signs of insulin shock. When the patient is unconscious glucose is given intravenously.

Diabetic coma (acidosis)
Diabetic coma is caused by inadequate insulin to meet body needs. The patient may have failed to follow his diet, or to take the prescribed insulin, or may have an infection.
When the insulin supply to the body is inadequate, the blood sugar rises and glycosuria occurs. A rapid increase of incompletely metabolized fatty acids in the blood leads to a low blood pH. The patient may complain of thirst, headache, frequent urination, fatigue, and drowsiness. His face becomes red, his skin is hot and dry, and his breath has a sweetish (acetone) odor. Nausea and vomiting sometimes occur. The respirations become rapid and the pulse is fast. Finally, the patient lapses into unconsciousness.
Immediate medical attention is required for the patient who goes into diabetic coma. Treatment includes insulin and fluid therapy.
*7/234/5*

HEART DISEASE: HOME TREATMENT – AIR SWALLOWING

Posted on Feb 20, 2011 under Cardio & Blood-Cholesterol | No Comment

This odd-sounding habit is common among cardiac sufferers. It seems to give a temporary easing of distress, but in the end it merely aggravates it. While difficult to describe, the action is easily’recognized once one knows what to look for. The patient makes a swallowing movement, much as the normal occasional swallowing of saliva, but with a peculiar extra exertion so that a bubble of air is driven down the gullet. The air usually reaches the stomach, where it remains for a few minutes, then is brought up again. Occasionally, it only stays in the gullet for a second or two before being released. In either case, the patient believes that he is bringing gas up from the stomach, and complains of having poor digestion accordingly.
Poor digestion he may well have, but the gas does not come from fermentation. By filling the stomach with air, in a succession of swallows, pressure is exerted upon endings of the vagus nerve. A reflex effect produces a brief feeling of relief, but this counter-irritant action quite soon begins to cause further distress by overdistending the stomach. The air-swallower is usually quite unaware of his habit, and even when his attention is drawn to it he may find it difficult to break. He may continue to produce an abnormal condition in his stomach, with the same distressing mechanical effects as true gastric flatulence. An observant and candid friend can help!
*93\253\8*

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