Wednesday, November 19, 2008

Tempest in a Tea Cup, Wisdom in a Sake Cup

What an oxymoron the Physicians Committee for Responsible Medicine has turned out to be. This vegan organization has one colossal ax to grind with their archrival, Darth Atkins. This is an old score that they've unfairly flung in front of the public before, all in the effort to squash the low carb idea and its adherents.


The first time was when Robert Atkins suffered his fatal accident, a cranial blow that caused edema ? when water accumulates within the tissues. This tragic condition, obviously, caused his body to fill with fluid and thus, his overall weight to rise.


The so-called "Responsible Physicians" seized on this dying man's condition by calling Atkins obese ? which he was not ? and telling everyone who would listen that his diet killed him ? which it did not.


In the end, all they accomplished is to add bitterness and confusion to nutrition science by their shrill, unfair attacks on those who happen to disagree with them.


So, after maligning a dead man, they've now put up Florida businessman Jody Gorran to sue the Atkins Corporation. Gorran ? channeling those Responsible Physicians ? made the following claims. First, Atkins was a doctor and Gorran was on his diet. Second, he had to have heart angioplasty to clear his arteries after 2 years on the diet. And third, he reasoned, of the 40,000 factors that affect weight and health ? the Atkins approach must have been the very one to have done it to him.


Of course, I'm no low carb acolyte, and do anxiously encourage the lemmings to rebound back from the intoxication with this high protein approach. But you still have to be fair, or you lose integrity, credibility, and confuse everyone in the process. That's why the Responsible vegans need to go sit in time out, before heading off to their anger management therapy.


But from our perspective, their messy food fight is about more than one group flinging their high carb carob at Atkins' sausage-n-cheese omelet. It's about hearing an off-key chorus of competing messages from different camps of experts. In the midst of all this confusion, dietary decisions get left in the hands of you and me. We could pick the Krispy Kreme diet if we wanted, or low fat, or low carb, and find some scientific validation for any of it.


So what's the sane middle ground? What lies between low fat and low carb? And most importantly, what rational guidance are we supposed to draw upon when planning dinner or a grocery store trip?


The best solution is to step back out of the niggling experts and think more intuitively about a healthy lifestyle approach.


For example, browsing through the import store this past week, on the hunt for a Sake set for a birthday present, one particular set bore a list of ten rules for living. I would love to see these simple maxims advised as basic common sense strategies.





  • Eat less sugar, more fruit


  • Use little salt, more vinegar


  • Put less food in the mouth, chew more


  • Eat less meat, more vegetables


  • It is better to give than to receive


  • Control your temper, laugh more often


  • Speak fewer words, take more action


  • Worry less, get plenty of sleep


  • Sit less, walk more


  • Wear only as much clothes as you need, bathe often


Rules like these work, have as much to do with your lifestyle as anything else, and ultimately improve your weight and health. The various diet experts may gnash their teeth at some pet idea mislaid, but you and I will find it hard to disagree with such basic common sense.

Tuesday, November 18, 2008

Do you suffer from Osteoarthritis? Here?s how to tell!?

The most common type of arthritis is osteoarthritis (OA). This type of arthritis is commonly referred to as wear and tear arthritis or degenerative arthritis."
While this condition probably begins in the early teen years, it does not become symptomatic until a person reaches their 40's.
Osteoarthritis affects cartilage, the slippery elastic tissue that covers the ends of long bones. Cartilage functions to absorb shock from movement and also to provide a gliding surface for the joints. With OA, the cartilage begins to wear away and the underlying bones begin to rub against each other. This leads to pain. As OS progresses, it causes swelling and loss of motion. Bone spurs develop and the joint starts to deform. Microscopic particles of cartilage and bone flake off and cause irritation of the joint lining leading to more inflammation which leads to pain and more damage.
Symptoms of OA include pain or stiffness in a joint particularly after getting out of bed or after sitting for a prolonged period of time. Some people have "flares" of their symptoms with weather changes. Stiffness and pain in the joints with movement may occur as may "crunchiness".
Some people report no symptoms. One study done at the National Institutes of Health showed that one third of patients with osteoarthritis on x-ray had no symptoms.
While any joint may be affected, the most common areas of involvement are weight-bearing parts of the skeleton such as the neck, low back, hips, and knees. The great toe and the base of the thumb are also common locations. In older women the last row of finger joints and the next to last row of finger joints may be affected. Less common sites are the shoulders, elbows, ankles, and jaws.
Many factors including the way people use their joints. Occupational experiences also play a role. For instance, miners and dockworkers may develop knee OA while farmers have a higher incidence of OA of the hip. Ballet dancers can also develop OA in the feet, ankles, and hips. Athletes also fall into a high risk category with women soccer players being more likely to develop knee OA as a result of prior injury. Other athletic activities which cause joint trauma also can be a trigger for the development of OA.
Obesity is a major risk factor for OA of the hips and knees. The famous Framingham study showed that obese women had the most severe OA.
People with other types of arthritis such as rheumatoid arthritis or gout are at increased risk for developing OA also.
Probably the most significant risk factor is genetic. Patients with a strong family history of OA are at high risk themselves for developing OA. This is most likely a result of defects in cartilage metabolism which hastens wear and tear.

Monday, November 17, 2008

Prevent Foot Problems When Walking

Americans are on the go. According to a NSGA Survey, 71 million American adults are exercise walkers, making walking the top sport in the United States. Taking steps daily to improve health will help with America's obesity epidemic. Sixty five percent of Americans are overweight, which is linked to diabetes, heart disease, arthritis and some types of cancer. Walking an extra 2000 steps a day is equivalent to walking a distance of 1 mile and to burning 100 calories. Burning an extra 100 calories a day is equivalent to losing about 10 pounds in a year.


The American Podiatric Medical Association teamed with Prevention Magazine to name the "12 Best Walking Cities in the U.S." The cities were examined based on their crime rate, air quality, mass transit, historic sites, museums, parks and gyms. The top 12 cities were San Francisco, San Diego, Honolulu, Washington, DC, San Antonio, El Paso, St. Louis, Madison, Chicago, Philadelphia, New York and New Jersey.


National campaigns, health practitioners and even major corporations are encouraging Americans to walk more. Unfortunately, many sedentary individuals who start walking programs quickly develop foot problems. Almost sixty million Americans have foot problems and many develop them after beginning a new exercise routine. A foot injury can take weeks, even months to heal and many will gain more weight during this healing period. Preventing these problems through education will keep Americans walking.


1. Buy a shoe made for walking. Make sure the shoe has enough stability and support. If you can fold the shoe in half, it is too flexible. Make sure the shoe has enough room at the toes and is fitted well at the heel.


2. Start on flat surfaces. Do not start a walking program walking on hills or stairs.


3. Start with a short distance. Stick with that distance for a week. If you are pain free and injury free, increase the distance the following week.


4. Start with an easy pace. Increase your pace gradually.


5. Choose soft surfaces. Walking on a track or a trail will decrease the impact on your feet and legs. Cement can be a particularly hard surface to walk on.


6. Limit your time on the treadmill. Treadmills can contribute to the development of foot problems. Start with the treadmill flat and at a slow pace. Slowly increase your pace each week. Increase the incline after you have reached a comfortable pace.


7. Stop if you feel foot or ankle pain. Don't try to walk through the pain.


8. Examine your feet. Look areas of rub or irritation the first few weeks of your walking program and then again after trying new shoes or socks. Moleskin can be placed on areas of irritation to help decrease friction. Do not use bandaids on these areas.


9. Consider wearing orthotics. Individuals with flat feet may need inserts for their shoes. When buying inserts, look for sport othotics, as opposed to cushioned insoles. A more rigid insert will offer more support. Custom orthotics can be made by a podiatrist if necessary.


10. Avoid cotton socks. Synthetic socks decrease friction, prevent excess rubbing and don't absorb moisture. Your local running store or sports store should carry a variety of new high-tech socks for walking.


Consult your podiatrist if you start to develop pain when walking, or consider a visit before embarking on your new walking program.


Christine Dobrowolski is a podiatrist and the author of Those Aching Feet: Your Guide to Diagnosis and Treatment of Common Foot Problems.


Irritable Bowel Syndrome: Simple Self-Help Tips

Saturday, November 15, 2008

Internet Dating - Introduction

So you're single. And you don't want to be single any longer. Welcome to the club. It's not an exclusive club and it's not new. In fact, it's a large club with millions of members and it's been in existence forever with a constant churn of people signing in and passing through. For as long men and women have been dating, there's always been a point when the dates no longer feel fun and meeting new people becomes a chore instead of a chance.


As soon as you reach that stage when you just know you don't want to be alone any more, membership is automatic. It's not that you don't like your own company or that your life seems meaningless by yourself. But you know you'll be happier sharing your time and your future with someone else-and the sooner it starts the happier you'll be.


It used to be the case that when singles reached this stage-when they were ready to turn their backs on their bachelorhood-they'd ring up their pals, talk to their friends and go through a string of introductions until they found someone they were prepared to settle down with.


Today, it's a lot easier. You're not limited to your social circle's social circles and there's no pressure from pals who are convinced you should like their pal-and believe there's something wrong with you if you don't. You can just go online, sign up to a dating site and gain access to millions of singles from around the world and from all walks of life.


It couldn't be easier and you're in control. For less than the price of a decent bottle of wine, you can contact thousands of singles who live near you, want to hear from you and are looking for exactly the same thing as you.


You can write them emails, chat with them online, swap photos and make arrangements to meet. Believe the blurb on the websites and you can find the love of your life in minutes-one click and you're there.


Clearly, it's not that easy.


At their most basic, dating sites are just giant databases stuffed with details on eligible singles-only some of whom are at the same stage as you.


People come to dating sites for all sorts of reasons and to find all sorts of relationships. Most are looking for a long-term connection that may lead to marriage. Many are looking for a new relationship that may become long-term. Some are looking for a quick fling that won't last longer than a weekend.


And even when you do find someone who looks interesting and wants the same thing that you do, there's no guarantee that they'll want what you have to offer. Rejection lives online too.


The fact is, while online dating certainly makes meeting the love of your life a great deal easier, it still requires effort, planning and an investment of both time and money. Exactly the same rules apply on the Web as in bars, clubs and parties.


You have to look good, be charming and stay honest if you want to build a new life with someone you're only just getting to know. You have to know how to make a great first impression, pick the right person and see it through. And you have to know how to make the most of the tools and chances you have available. All of those thing remain true throughout the online dating process-just as they're true offline too.


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Wednesday, November 12, 2008

Signs of Suicide : Learn What They are and How to Deal with Them

The true numbers are probably much higher because many suicides are reported as accidents or illnesses. Suicides are usually the result of a complex combination of emotional, social, and biological factors. For that reason, learning about the warning signs of suicide can be difficult yet so important.

Warning Signs of Suicide:

Feelings of helplessness and hopelessness
Extreme withdrawal from friends, family, and usual activities
Talking about suicide or "ending it all"
Self-destructive or risk-taking behavior
Giving away favorite possessions
Sudden changes in mood or behavior
Increased use of alcohol or drugs
dentification with someone who has committed suicide
Preoccupation with thoughts of death
Previous suicide attempt(s)

How to Help Someone Showing Signs of Suicide

Know the warning signs!

Most suicidal people give clues about their feelings. Don't be afraid to ask someone you are worried about if he or she is thinking of taking his or her own life. You cannot make someone suicidal by asking a direct, caring question about the warning signs of suicide you may have identified. Tell your loved one that you are worried and give specific reasons why. Stress that he or she is very important to you and to other people. Encourage that person to get help through a psychiatrist, social worker, clergy member, or other mental health professionals.

How to Deal with Signs of Suicide:

Stay Calm. Don't overreact.

Express Concern. Take your friend or family member seriously. Explain why you are worried. Be specific.

Listen Attentively. Maintain eye contact.

Ask Direct Questions. It is important to find out if your friend has a specific plan for suicide.

Acknowledge Feelings. Do not be judgmental. Don't take it personally if you can't help your friend "cheer up".

Reassure. Stress that suicide is a permanent solution to temporary problems. Remind your friend that there is always hope, and things can and will get better.

Don't Promise Confidentiality. You may need to consult others, or talk to your friend's doctor about the signs of suicide you have identified. Take Action, Involve Others.

Don't attempt to handle this alone. Consult others who are trained to help and deal with warning signs of suicide.

Considerations in Distance Education for the Medical Assistant Instructor

Medical Assistant distance education is emerging to meet the demands of a new generation of students in the twenty first century. St. Augustine Medical Assistant School distance education program for medical assistant presents a good model for this integration of technology with medical assistant education. Distance education, particularly in its most recent form, online education, is being integrated into even the most cautious and conservative of educational institutions. Yet the impact of these alternative forms of teaching and learning on students, faculty, and institutions has yet to be broadly or deeply studied. New models such as that at St. Augustine Medical Assistant School are immerging. St. Augustine Medical Assistant School is available at: www.medicalassistant.us

Distance education is not new, and can be traced as far back as the first century. The Apostle Paul wrote to the early Christian churches, instructing them from a distance (even when he was under 'house arrest' in Rome). This was probably the first type of 'correspondence course', which was the only method of learning at a distance until the advent of the telephone. Today, distance education and in particular online medical assistant instruction calls upon an impressive range of technologies to enable medical assistant instructor and the medical assistant student who are separated by distance to communicate with each other either in real time (synchronous) or delayed time (asynchronous). Currently and asynchronous model used at St. Augustine Medical Assistant School to instruct medical assistant students. This has proven to be a very effective model however the medical assistant program is currently investigating the benefits of synchronous online medical assistant instruction and the benefits it may have for the medical assistant student.

Medical Assistant distance learning epitomizes the move away from institute based learning to a more direct, student centered approach. As a concept, distance learning has existed for over a century, notably in the form of paper based correspondence courses including the less formal correspondence education for medical assistants. Now however, distance education is depending increasingly upon technology for its success and technological innovations ensure that distance learning for the medical assistant continues to evolve and grow as a valid and potent force in all forms of education for the medical assistant.

The task of the medical assistant distance educator is therefore to obviate these problems as much as possible by mixing and matching techniques, creating and maintaining a stimulating environment, and offering opportunities for medical assistant students to communicate with each other and with the medical assistant teaching staff on a regular basis. The medical assistant educators will also need to change their traditional role as well. Many remote medical assistant students need a great deal of social support, and medical assistant distance educators may find themselves spending more time offering one-to-one tutorials and less time lecturing. St. Augustine Medical Assistant School at www.MedicalAssistant.us is leading today's technology in medical assistant education.

When designing medical assistant educational systems and materials for medical assistant distance in delivery the medical assistant teacher must consider not only learning outcomes, but also centered requirements and technical constraints for the medical assistant. Also to be considered are the needs, characteristics, and individual differences of both the students, the teachers and future medical assistants.

Medical assistant distance education for the medical assistant then, should not be viewed as a means of reducing costs, but as an opportunity to raise standards. It is also about providing quality medical assistant learning opportunities for those who, for one reason or another, have previously been excluded from this basic human right. Medical Assistant distance education will quickly become the norm and not the exception for the twenty first century medical assistant. St. Augustine Medical Assistant School distance education program for medical assistant presents a good model for this integration of technology with medical assistant education.

FDA Orders Search Engines to Stop Online Pharmacies

How Does Online Pharmacies Affect Pharmacy Leaders?

With cheaper drugs made available online, big pharmacy companies are losing control of their monopolistic control over the pharmacy industry. They are not able to compete with these online pharmacies with their exorbitant drug prices. FDA moves in and tries to protect these companies from online pharmacies by trying to censor online information from users. What FDA does not know about the internet is: nobody controls internet and the spread of information over the web. Even major search engines like Google have no control over the use of information on the web. Google protects and encourages free speech on the web and that is why searching online for products is so good- you can find anything online these days. If major pharmaceutical leaders cannot compete with online pharmacies' prices, they should look to resolving the situation themselves, not use FDA or use political pressures. What good is the internet if certain products are censored?

How Good Can It Get?

Buying medicine online is the way of the future. They do away the need for extensive pharmaceutical company structures and hundreds of drug salesmen stalking hospitals and clinics every day. When comparing online pharmacies and pharmaceutical leaders, it is similar to comparing Toyota and BMW. Online pharmacies work just like Toyota- cheap and more effective. They are safer and better than BMW in many ways while BMW represents the prestige of owning a continental car.

Clearly, we should present cheaper drug alternatives via online pharmacies to internet users as well as brand name drugs. So far, US pharmaceutical industry is infested with drug lords and BMWs, but why can't there be more online pharmacies and Toyotas?

Bobby Stark works in an established US pharmacy for 10 years and spends his spare time on his Online Pharmacy Review site to guide buyers in choosing their medical products.