Skin Sarcoidosis – All You Need to Know and Exciting News

Skin sarcoidosis treatment is similar to the treatment of any other autoimmune disease. Autoimmune disease is any disease where there is no real ‘enemy’. This means that the body gets its signals crossed and identifies non-threatening substances in our body as destructive agents. One of the most common autoimmune diseases is sarcoidosis. Skin involvement occurs in 20% of all sarcoidosis patients.

1)What are the first signs of skin sarcoidosis?

In most of the cases, the first signs of skin sarcoidosis are the small raised patches on the face. These patches can be either red or purplish. Apart from the face, the patches can appear on the buttocks, limbs or the face.

2)What is Erythema Nodosum in skin sarcoidosis?

Erythema Nodosum: A name applied to redness of the skin produced by congestion of the capillaries, which may result from a variety of causes, the etiology or a specific type of lesion often being indicated by a modifying term.

In skin sarcoidosis, this usually means that patches appear on the legs – the shins more often then other parts.

3)Specific and non-specific manifestations in skin sarcoidosis

  • Specific (granuloma is found in the tissue biopsy)
  • Non-specific (no granuloma is found in the tissue biopsy)

4)What are the most common types of lesions in sarcoidosis?

The lesions of sarcoidosis are lupus pernio, plaques, and maculopapular eruptions.

  • Lupus pernio is the most characteristic of all the skin lesions. It is manifested as chronic indurated skin lesions
  • Skin plaques are purplish and elevated patches usually found on the limbs
  • 1 to 5 mm (up to 10 mm), smooth-surfaced, reddish-brown (less often violaceous and translucent) lesions. They are classified as specific

5)Specific creams used in skin sarcoidosis

Modern medicine, apart from the oral steroids, offers topical corticosteroids creams that are effective in some cases. Very often, after applying the cream onto the skin, it is covered by a plastic wrap to enhance the amount of the ointment absorbed.

6)Exciting news in the field of alternative treatment of sarcoidosis research

Skin Sarcoidosis remains a subject of controversy. The issue with sarcoidosis is the lack of knowledge in modern medicine on the causes of the disease. But, lately, some exciting news has been reported on the discoveries of underlying chemical causes. Based on this, a new natural treatment protocol the Aden Protocol is fashioned which was reported to have an amazing success rate in skin sarcoidosis.

Men: Uncontrolled Diabetes May Lead To Erection Difficulties

Erectile Dysfunction (ED) – the inability to sustain an erection when sexually aroused, is a complication of diabetes that affects some men. This condition is caused by neuropathy (nerve damage).

A practicing urologist and surgeon in Grenada Dr. Robert J. Yearwood, says that there is a direct correlation between uncontrolled diabetes and ED, “Erectile Dysfunction in males is a lot more common than people think because it is certainly not something that people talk about – but a major or leading cause of erectile dysfunction is diabetes.” Dr. Yearwood went on to say that diabetic patients taking their medications as prescribed, following a healthy diet plan and exercising daily can lower men’s risk of developing this particular complication of diabetes, “Some people are still able to get an erection but the quality might be diminished and another thing too – just to just sort of stick a pin here – diabetes is not the only cause of erectile dysfunction; and because you have diabetes it does not mean you will get erectile dysfunction. So everyone who is a diabetic don’t think, that they have erectile dysfunction but if you are diabetic and you don’t look after yourself; take your medication as prescribed [or] stick to the diet plan, the chance of you getting erectile dysfunction is very high.”

The United States’ National Institute of Diabetes and Digestive and Kidney Disease (NIDDK) and National Institutes of Health (NIH) states that nerve damage is likely due to a combination of factors, these include:

* High blood glucose, long duration of diabetes, abnormal blood fat levels, and possibly low levels of insulin

* Damage to the blood vessels that carry oxygen and nutrients to nerves

* Inflammation in nerves

* Inherited traits that increase susceptibility to nerve disease

* Lifestyle factors, such as smoking or alcohol use

Neuropathy is one of several complications associated with diabetes when the blood glucose levels are not controlled. Other complications that can develop are eye disease, kidney failure, dental disease, heart disease, stroke and amputations – due to poor circulation in the extremities, in the legs, feet and fingers. Additionally, neuropathy is not limited to just ED. It depends on which nerves of the body have become damaged due to the long periods of high glucose (sugar) levels. NIDDK/NIH list other symptoms caused by nerve damage that both men as well as women can experience, these are:

1. Numbness, tingling, or pain in the toes, feet, legs, hands, arms, and fingers

wasting of the muscles of the feet or hands

2. Indigestion, nausea, or vomiting

3. Diarrhea or constipation

4. Dizziness or faintness due to a drop in blood pressure after standing or sitting up

problems with urination

5. Erectile dysfunction in men or vaginal dryness in women


6. Patients who notice any of these symptoms are encouraged to tell their doctor immediately.

This article was written in recognition of November being diabetes awareness month.

Simple and Natural Home Remedies for Cough

Cough is a very common problem that can affect anyone and at any time. Majority of people treat their cough using cough syrups but there are more natural ways. Read this article to find the best natural home remedies for cough. These remedies help reduce the severity and duration of this problem and relieve various symptoms associated with it. These home remedies are very simple and you can easily prepare them in the comfort of your home.

Cough Home Remedies

* Drink lots of fluids and take plenty of rest. This is a simple and effective home remedies for cough.

* Wood apple (bael) is also effective in treating cough. Licking the juice of the wood apple removes mucous from the trachea.

* Onion (pyaz) is a common home remedy for cough. Raw or stewed onions can be eaten, or drunk in a broth, to get relief from cough and chest congestion.

* Avoid sore foods, fried foods and refrigerated foods. They may aggravate the condition.

* Boil leaves of wood apple (bael) fruit in sesame (til) oil till the leaves turn brown. Keep this oil in a bottle and apply on your scalp at night. This is beneficial for treating recurrent cold.

* To prevent cough, eat chapatti made of wheat flour mixed with gram flour (one-third part).

* Eat bitter ground, cabbage, carrots, cucumber, turnip, spinach, tomato and guava. These are very beneficial in boosting your immune system and treating cough.

* Use garlic (lahsun) in night meals at least twice a week to prevent cold and cough.

* Drink lukewarm water during cough. This will give you a warm and soothing effect.

* Cut lemon and put black pepper powder and salt in it. Now suck the lemon. This will reduce the intensity of cough.

* Eat light food, take fresh air and live in airy and ventilated house. Goat milk, fruit juice of non-citrus fruits, and dried dates boiled in milk are beneficial in cough.

* Avoid all throat irritants, cold water, refrigerated foods, smoking and excessive exertion.

* Drink water two hours before passing stools in the morning and one hour after taking food to prevent cold and indigestion.

Disclaimer: The reader of this article should exercise all precautionary measures while following instructions on the cough home remedies from this article. Avoid using any of these remedies and ingredients if you are allergic to it. The responsibility lies with the reader and not with the website or the writer.

Copyright © Ryan Mutt, All Rights Reserved. If you want to use this article on your website or in your ezine, make all the urls (links) active.

"Super" Foods to Avoid

Athletes are constantly bombarded with information on how to improve their physique, build muscle and increase endurance. The majority of this comes from books, magazines, and radio and TV ads that promote various "ergogenic aids" – substances that supposedly increase vitality and improve performance.

Unfortunately, most of the promises made for these products are baseless. Investigations made by David Lightsey, an exercise physiologist and nutritionist-member of the National Council Against Health Fraud Inc. Showed that not a single company in the United States that markets ergogenic aids could support its contents.

In four years, Lightsey called up more than 80 companies asking for scientific proof or written documentation to back up the fitness-related claims of their products. What he received did not convince him.

"Fewer than half sent anything. Most of the studies that they sent were poorly designed and proved nothing.The few that were well-designed did not support product claims but were taken out of context," he reported.

"Some companies claimed that one team or another was using their product. In each such case, I contacted the team management and learned that although one or more players used the company's product, the management had either approved the products nor encouraged their use, Lightsey added.

What are some of the questionable products being sold to athletes? One of them is bee pollen. This "super food" was popularized in 1973 by Finland's Lasse Viren who won the 5,000 and 10,000-meter run in Munich.

Viren's success put bee pollen in the limelight and also jacked up the price of this food supplement. Other pollen pushers are New York marathon runner Noel Johnson and former US President Ronald Reagan.

Pollen is collected by bees from various flowers. This is later scraped off from the beehive and made into tablets. Promoters claim bee pollen is the "perfect food" since it supposedly contains all essential vitamins and minerals. It's also touted as an aid to athletic performance.

In truth, pollen's exact composition and nutritional value varies widely since it comes from many flowers. Its main component is sugar which makes up at least 50 percent of its weight. While bee pollen contains some vitamins and minerals, these can be obtained cheaply from ordinary foods.

"Pollen promoters claim that pollen improves athletic performance and stamina. They have lots of anecdotes and testimonials but no scientific studies. In a study at Louisiana State University, half of the members of the swimming team took 10 pollen tablets a day for six months, One quarter took five pollen and five placebo (sugar) tablets, and one quarter took 10 placebo tablets. No reasonable difference in performance was found among the three groups. The study was then repeated with groups of swimmers and high school cross-country runners. Again, taking bee pollen conferred no reasonable benefit. " Said nutritionist Kurt Butler of the Quackery Action Council in Hawaii in "A Consumer's Guide to Alternative Medicine." (Next: The problem with pollen.)

To stay healthy, it pays to lose weight. To help you shed those unwanted pounds, take Zyroxin, a safe and natural supplement that will maximize your weight loss through its unique fat-burning ingredients. For details, visit .

Home Remedies for Cough – neha gupta

Cough is the body’s natural reflex to irritation in the throat. Everyone has suffered from a cough occasionally. Most people use cough syrup to help treat their cough but there are more natural ways. To taking care of your coughing by using home remedies for cough, here are a quite a lot of home remedies for cough that you may want to keep in mind.

Cough treatment using Almonds

A mixture of powdered almonds and orange juice helps relieves the bronchial problems, throat infections and irritating cough. If a patient is suffering from dry cough, give him almond paste mixed with honey. The action of bitter almonds depends upon the hydrocyanic acid they yield. Almonds are useful for dry coughs.

Cough treatment using Onion

Doctors were prescribed onions to facilitate bowel movements and erection and also to relieve headaches, coughs, and hair loss. Onion plays important role in the treatment of cough. The use of raw onion is valuable in a cough. This vegetable should be chopped fine. And extract the juice from it. Juice then mixed with one teaspoon of honey and kept for four or five hours. Keep this mixture aside for 5-6 hours and then given to a patients at least two times a day. Onions are also useful in removing phlegm.

Cough treatment using Turmeric

It is also popular as medicine popularly used as part of home remedy. The root of the turmeric plant is useful in a dry cough. When you are suffering from a dry cough, you can use the root of the turmeric plant. The root should be roasted and powdered. Turmeric reduces fevers, diarrhea, urinary disorders, cough, and lactation problems in general.

Cough treatment using Belleric Myroblan

The herb belleric myroblan is a household remedy for cough. A mixture of the pulp of the fruit, salt, long pepper and honey is administered in the treatment of cough. The dried fruit covered with wheat flour and roasted, is another popular remedy for cough caused due to catarrh.

Cough treatment using Raisins

You should eat raisins, if you have cough, have an angina, ulcers in your mouth, bladder disorders and hemorrhoids. A sauce made from raisins is very useful in cough. It is prepared by grinding 100 gm of raisins with water and sugar should be added in it and heated. When the mixture acquires a sauce- like consistency, it should be preserved.

Cough treatments using Grapes

Grapes are one of the most effective home remedies for the treatment of a cough. Grapes juice mixed with honey is recommended as fast relief home remedy. Grapes serve two main purposes in the treatment of coughing: grapes have is to tone the lungs up and grapes have is to be an expectorant. Because of these benefits, grapes have the ability to relieve a simple cold along with a cough in just a few days.

Cough treatment using Aniseed

Aniseed is esteemed in medicine for its properties to relieve flatulence and to remove catarrhal matter and phlegm from the bronchial tube. The herb contains chemicals (creosol and alpha-pinene) that loosen bronchial secretions and make them easier to cough up. Anise is used in the manufacture of many commercial cough syrups and sore throat medications. Oil of anise is also used as an aromatic carminative to relieve flatulence, and as an ingredient of cough lozenges in combination with liquorice.

Cough treatments using Black pepper

Home remedy for cough is incomplete without black pepper.Black pepper looses the mucous membrane and opens chest congestion. Children should be given one to two grams of equal parts of black pepper powder, long pepper and dry ginger with honey two to three times a day to cure a cough and cold. Patient may take 2-3 black pepper seeds and chew it, or fry it little in oil.

Cough treatments using Ginger

Ginger is one of the most used and effective home remedy. Tibb and ayurvedic medicine also uses ginger to treat inflammatory joint diseases including rheumatism and arthritis. Three to four leaves of Tulsi taken along with a piece of Ginger on an empty stomach is an effective cure for congestion, cough and cold.

Cough treatments using Cloves

Cloves are also commonly used to reduce the irritation of the throat. They were also used to treat cough and toothache, treatments still used today in herbal medicine. Because the herb is so warming it is contraindicated in any persons with fire symptoms and according to classical sources should not be used for anything except cold from yang deficiency. Clove tea is widely regarded as being effective in relieving nausea. The tea is made with just a few drops of clove oil.

Cough treatments using thyme and Sage

Thyme is a wonderful treatment for lung infections such as bronchitis, whooping cough, T.B. and influenza. It can be cooked in chicken soup or made with tea to ease a cough. When making it with tea use 1 to two grams of dried thyme leaves. The daily dosage is 10 grams spaced over the course of a day. Sage is another great herb that can be used to treat a cough. You can also make tea with sage leaves.

My Spouse Is Very Condescending And I Resent It

When we first get married, we assume that we have just become partners with someone who is always going to have our back, who is always going to be our biggest supporter, and who is always going to treat us kindly. We assume this because, in the early days, most of us are on our best behavior (and that behavior doesn’t change when stress shows its ugly face – because our love is in its early phases.)

Oh, the sweet naivety of youth or of the newly married. The truth is, despite our best intentions, even the most loving and committed of us are short with our spouses when we have bad days or we say things that we desperately wish that we could take back. If we are lucky, these things only happen occasionally and it causes no real damage. Other times, the stressors are so constant that this can almost become a habit. And that is when the real damage is done.

A wife might explain: “when I first met my husband, he treated me like gold. He always complimented me and spoke to me sweetly. We are quite different. He is more academic than I am, but he seemed to love teaching me things. He was always very patient and he would always defend me if any one dared to criticize me. The man I see before me these days is so different from that man who used to act like he treasured me. Lately, my husband is so condescending to me. He has been going through something at his job. It’s not really a demotion. It’s just a difference in the way that he can bill and can therefore be paid. It means that we will have to adjust our lifestyle a little bit. Obviously, I need to understand everything that I can about this. But when I try to ask questions, he acts as if they were the dumbest questions he has ever heard. And then he gives me this slow, drawn out explanation, as if the slow pace is required so that someone as dumb as me will have a chance to understand. And it’s just not all about his work. A couple of weeks ago, we were planning a short vacation (we can’t take a regular one because of his work.) I was trying to give my input about the things that I wanted to see and do, and honestly, his tone and his body language totally dismissed me. He booked what he wanted to do and didn’t seem to give any thought about my input. I’m starting to get the feeling that he doesn’t respect me. I suspect he thinks that I am not his intellectual equal. It was never a problem before, but now it just feels condescending. And I do not want this type of marriage. I still love my husband, but I can not let him talk down to me. I don’t want to be married to someone who treats me this way.”

I don’t blame you for being upset. We expect our spouse to be our soft place to fall. We expect to feel safe and heard when we talk to them. When we feel disrespected and dismissed, then it feels like a betrayal and like we’ve lost something that is so very important.

However, it’s also important to note that, when we feel this way, we can lose our objectivity. We focus on what is wrong without digging to determine what could be making it wrong. That’s understandable. It’s human nature to focus on the hurt and not the cause. But I bring this up because it seems that, from your earlier description, it’s not in your husband’s nature to be this way. When you met him, he was gentle and kind. Which means that there could be a recent development that is contributing to his condescending attitude now.

I am not excusing him. No one should be condescending to their spouse. But if he is acting this way out of stress and you still love him, then at least to me, it makes sense to explore how to make this better before you make a rash decision like ending or pausing your marriage before trying to fix it.

The first suggestion I would have would be to draw his attention to it. He may not even realize that he’s doing it and it is likely not his intention. However, you want to be careful that you aren’t making it sound like you’re attacking him or saying he’s a bad person. You want to make it sound like you concerned for both him and you.

So a suggestion might be something like: “honey, I know that you likely don’t mean to, but your tone is upsetting me. I know you’d never hurt me on purpose, but it sounds like you’re talking to a child when you talk to me sometimes. And it hurts my feelings. It makes me feel like I’m not important to you. I don’t mean to add to what you’re dealing with because I know that you have a lot going on at work. I want to help you. But it’s harder to do that when your tone is almost telling me to stay away. I wanted to make you aware of this because it’s not getting us anywhere. We’ll make more progress if we pull together and are kind to one another.”

You may find that he immediately apologizes to you and was completely unaware that he was coming off in the way that he was. Or, he may get defensive and tell you that you were imagining it. If so, at least you would have put it out there and hopefully, he will be more careful with his tone. But try to keep in mind that the stressors he is under are probably contributing to the way he speaks to every one. You have every right to ask that he not speak to you in this way. But be careful that you don’t just add to his stress level and that you make it clear that you want to support him. All of this is easier to do that if you’re both communicating in a loving and supportive manner.

Effective Acne Control

Effective acne control is often thought to involve creams and medications that dry out your skin and cost a lot of money. My acne suddenly disappeared overnight when I did one simple thing that did not involve any special soaps or medications. So what did I do?

Are Prone To Acne?

First we need to acknowledge that some people are more prone to acne than others. But this does not mean that those that break out easily are stuck with this condition. On the contrary, anyone can control their acne regardless of how serious the condition.

The Biggest Culprit

The number one contributor to your acne breakouts and the number one most effective acne control is your diet. I remember when I was in high school I had two pieces of pizza and a coke for lunch everyday. At the same time I was experiencing horrible acne breakouts. I just never put two and two together. I remember using this cream and that cream, both over-the-counter and prescription. Neither of them worked at all, but they did dry out my skin. It was not until I joined the Navy and my diet was controlled by the base cafeteria. I had no access to soda or greasy sugary food. My acne was completely gone in just a couple weeks.

Stay Away From Grease

The most effective acne control requires that you stay away from all greasy foods. Anything that is cooked with grease or uses grease should be avoided.

Stay Away From Heavily Processed Foods

Before you put anything in your mouth, ask yourself where that food falls on the raw / processed continuum. A good example of raw foods is fresh fruit and vegetables. A good example of heavily processed foods are sugar and pasta to anything made with flour. Flour is heavily processed. If you have a lot of breakouts then it is likely that most of the foods you eat fall at the 'processed' end of the continuum. You will find your acne slowly disappear when you start eating less processed foods and more raw foods. In fact, this will work better than any medication you can buy.

You do not have to be a total vegan to achieve effective acne control []. Just move your diet closer to the 'raw' end and you'll see a massive improvement.

Slavery in Nigeria who is to be blamed

For years, the white have been blamed for the forced transportation of at least 10 million enslaved Africans for labor from their homelands in Africa to destinations in Europe and the Americas during the 15th through 19th centuries, which is been said to have done more harm than good in Africa.

Civil Right Congress, a human right activist organization by lead by Shehu Sani has thrown it weight on the issue of slave trade in Nigeria with the question ‘Who is to be blamed’ that got the war started as the traditional rulers are summoned to apologize for their involvement in the act of slave trade.

“Who is to be blamed? Whose sin is greater, is it that of the buyers or the sellers who sold more than 150 slaves for just an umbrella , we cannot accept them without full apology for the roles of Traditional rulers in slavery” that statement was made the President of the Civil Right Congress, Shehu Sani.

On 18th June, 2009, the US Senate formally passes an apology resolution acknowledging the Fundamental Injustice, Cruelty, brutality and inhumanity of slavery and Jim Crows laws.

Earlier, in 2001, a French law passed, recognizes the transatlantic slavery as a crime against humanity, while in 2007  the then British Prime Minister, Tony Blair, had equally apologized for the roles of Britain in the slavery holocaust.

Regrettably, most of the Nigerian traditional rulers, reportedly significantly participated by collaborating and colluding with the slave raiders (after a bribe of firearms or gun power) in the enslavement of their fellow Nigerian people.

In an interview with Shehu Sani, he said that their findings have shown that there are some traditional rulers who gave out 450 slaves in an exchange for a mirror, some thousands for just a necklace and they cannot just sit down to pretend these things never happens.

“The Nigerian Traditional rulers are the gateway to slave trade, they are behind all the slavery as the white can not gain access with the aid of the traditional rulers. For them to be accepted in the society they must render apology before the 1999 Constitution of the Federal Republic of Nigeria.”

“The forefathers of the traditional rulers in Nigeria committed an atrocity, which the impacts of slavery led to a permanent demographic changes, irreversible and painful displacement, and perpetual dislocation of closely bended families which will live as long as evolution.”

Apart from slowing down social reform and innovation in statecrafts in Nigeria, it equally contributed to the deculturalization and force foreign values and beliefs on Nigeria, it promoted unending wars, chaos in Nigeria also heighten sense of inferiority in Nigeria.

Shehu Sani who made it known that slave trade for Nigerian societies are have done more harm than good which directly or indirectly affects the present day Nigeria. The removal of millions of young men and women led to depopulation that stifled Nigerian creativity and production.

While speaking further Shehu Sani said, “we cannot continue to blame the white men (Slave Raider) as Africans particularly the traditional rulers are not blameless in their involvement in slave trade”

In the view that the Americans and Europe have accepted the cruelty of their roles and have forcefully apologized, it would be logical, reasonable and humble if African Traditional Rulers accept blame and formally apologize to the descendants of the victims of their collaborative and exploitative slave trade in Africa.

This Is War

It's 9:00 am, Monday, June 6th, and I am laughing with nerves, unsure of what to expect. My hand shakes slightly as I force biscuits and gravy into my already unsettled stomach. I've been wide awake for hours before my alarm, roaming around the room, trying to keep myself busy. But as soon as it goes off, I want to disappear into the comfort of my bed and stay under the covers until the hotel kicks us out.

My mind dances back and forth between the two options before me: "Do not think too much about a negative, you need to prepare for the worst …" "Do not think too much about a positive … you can 'T break down before. " I try to focus my attention on my friend and my lover, worrying about what the next hour will bring for them rather than me.

At 9:30 am My friend and I are packed and in the car, waiting for the other to check out of the hotel. Of course he is making us late and I am focused on him and the potential traffic rather than what it will mean to finally walk into the hospital.

At 9:45 am I arrive at the hospital and argument with the desk clerk, telling her that I want to pay out of pocket instead of applying for financial aid since I am not using insurance. I can tell that she obviously thinks I'm insane, and my appointment for neurology probably solidifies her thoughts.

Walk to the elevator. Wait.

Find the waiting room we need. Wait.

Continue laughing, talking about unrelated things, and focusing on subjects we did not really care about then and do not really care about now. The distance between DC and Columbus. The weather outside and the rolling hills on our drive. What to eat for lunch.

At 10:00 am My genetic counselor walks into the waiting room and does not say a word. I half smile at her, recognizing the look on her face immediately. We all stand like zombies, half walking and half floating over to her. When I get closer, I feel my feet touch the ground again.

I know. In her face, I can see the answer.




C7. Room C7.

"We're in here" she says and gestures inward.

My immediate thoughts: Okay, this is real. This room is cramped. Maybe it's negative. Where should I sit? Is my doctor really introducing herself to my boyfriend right now? Out of all things, does that matter? She holds out her hand to him and it hangs there for what looks like forever. Who is sitting where? There are not enough chairs. Is everyone okay? It's warm in here. My genetic counselor is still half smiling. Okay …

There is an awkward struggle and hesitation between everyone. My posse is finally imprisoned and I am squished between the man who swears he loves me and the uncomfortable arm rest on the small bench we share. There are too many people in the room. The heat from the loved ones around me surrounds me and I feel cramped but secure for one second.
Just one second.

I imagine my doctor hovering for a few minutes before she sits down and opens the folder. I know she's already seen it. She knows what she has to say. My mind flashes in what looks like bursts of light, photographing every few seconds and making time fly by without my knowledge of what is really happening. She does not hesitate for a moment.

"We got your test results back and unfortunately you tested positive for Huntington's."

Duh you got my test results back. Oh. Deep breath. Heartbreak. Shit.

I start crying, one hand covering my entire face as the other clenches my two friends' hands at once. I feel the love of my life tense up next to me. His chest tightens and his heart bursts through his ribs. He is frozen, as everyone else in the room seems to be, but I am catching fire. The spark I always felt finally burst into flame. I expected this, at least somewhere inside of me I knew, but he was the one who kept the hope for a negative result alive. And now that hope is gone.

What do I do? Stop crying. Ask questions.

"Do you know the CAG repeat?"

"Eighteen from your mom, forty-three from your dad."

I hear my heart shatter inside and I lose my breath. I take a minute as I sob and then pull myself together again.

Quit looking me in the eyes lady, I'm fine. I knew my CAG would most likely mutate up, so I was not too surprised. I can handle 43. I can fight with 43.

My lover wraps his arm around me and starts stroking my shoulder and arm. Does he know what this really means? I should ask.

I stop crying again, wipe the wetness from my face and simply ask, "Now what?"

Please tell me what to do next.
My mind returns to normal speed and it suddenly starts racing between every question I really wanted answered. What is the best doctor around here? Are there any in this building or across the states that I can talk to? How do I get a hold of them? Are there drugs I can start taking to slow things down? What research do you know of, or are you doing, that I can participate in? How do I get into clinical trials?

I can not actually ask these questions, as my throat has not caught up to my thoughts yet. Plus, I know the answers to some of them already but I want to hear it from her. I need something positive to come from her.

Her response is something like: "Take all the time you need to figure things out."

What. Obviously not what I needed or wanted to hear. I'm not a sit-back kind of girl who waits for time to take control of things. I take control of things for myself. And you, the professional doctor who is supposedly to be good at delivering this kind of news, are not being helpful.

Let me out of the room, please.

Silence … lots of staring … waiting for me to break down.

I know the psychiatrist, the social worker, and the genetic counselor are all ready to watch me break into a million small pieces on the floor. And honestly, before she spoke at all, that was what I would have expected from myself, too. But I'm not going to. I do not need to. I want to take action. I want to do something right away. And all they are doing is staring at me in silence, snot and tear stains covering my face.

I want to melt into my boyfriend and disappear. I want to read his mind and feel his pain because I am alright and I want him to know that. I keep telling everyone that I am okay. The room is getting smaller and I am getting warmer and sweatier as my nerves and newly-lit fire combine and I want out.

"I'm okay."

The doctors ignore my desperate plea for release and instead prod me with questions, slowly and painfully. I get why they're doing it. They have to make sure I will not jump out of the hospital window or do something impulsive on the way home. But I have the two best people in my support system standing next to me. I have the best supporters waiting back home, texting me, and sending their love. I have people wanting to hear – people that I want to tell! Sitting in a small room that's beginning to feel like a jail cell for an hour is not what I need.

My Boyfriend.

My awareness of his body and attempts to stay put together for me trigger something. I want to mourn the loss of my life for him, with him, but I can not with all these other people watching.
Instead, I turn my head into his shoulder and cry. I cry hard. "I'm so sorry." I'm so sorry, "I repeat in my head.

I feel as if the doctor's announcement ripped something away from him suddenly and unexpectedly, like discovering a wounded you did not know you had. Now, it's stripping away the rights of a future that everyone is born with, a right I now know I do not have. It's destroying the possibility of us dying of old age together, from him more so than me. I mourn the loss of our kids and any possibility that they may have held for him and for us.

"I'm so sorry."

He does not have to be here. He did not have to go through this with me. And he does not have to stay. But I will actively love him more every single day. I will commit to spending my life with him in a way that will make this process easier for both of us in the end. All I have is now and the next few years before this disease takes over. My time to love him will be limited, while his clock will continue ticking beyond my wellness and into my illness, into the time when it is harder to love someone who may not be able to love you back.

I will give him all that I have but I will not expect him to stay when my body is taken over and my mind starts to think he is evil. He can, if he wants, but I will not chain him down, because my love goes beyond him, beyond us, and into the eternal happiness I wish for him.

"I am so sorry for bringing this to you, for inheriting an illness that will take me away from you. You did not sign up for this. I do not deserve this.

Stop crying. They will not let you leave if you keep crying

"Okay" I say, asking to leave with just that word.

They ask me what I am thinking about as I stare down at the floor and avoid theirs eyes.

I reply, "Who to tell first."

The doctor responds with, "You do not have to tell anyone if you do not want to."

I know this, but I'm going to, probably moments after I walk out of this door. I will not sit back, I can not sit back. I have to let people know. They have to join me in my fight.

I need to tell my friend who shares the same CAG number as me first. I need to tell her that she is not alone. "We are twins."

My mom.

I have to tell her. I start crying again. "I'm so sorry, Mom," I think as I ignore the doctor's stares.
I hope her memories of me as a young girl playing with chalk and imaginary dinosaurs in the driveway is not tainted. If my symptoms present themselves as schizophrenia and paranoia, I hope she still reminds me as her sweet little girl.

I hope when she sees me struggling with the involuntary moments that I will call my dance, she thinks of me at 5-years-old, walking on my dad's feet to our favorite songs. I hope she does not see my symptoms as a replacement of my dancing as a child, but views them as the same, just filled with a new purpose.

I hope she can still see me as a 2-year-old, throwing tantrums out of hunger or sleepiness, rather than the anger and emotional outbursts I may present in years' time.

I hope she's okay with her grandchildren being dogs and cats for the rest of my life.

I hope she does not blame herself. She could not have known. And I hope I can out-live her because I am not okay with placing this burden upon her shoulders.

My brother.

Because inheriting HD is a 50/50 chance, I can joke that he's in the clear. I'm taking the bullet on this one and that's the way I would have asked for it anyway, if I could have. But I am sorry, because we do not know. And I am sorry that you may be the caretaker for both your dad and your little sister.

You've worked so hard to build your career and follow your dreams. You deserve the rewards you receive from that and the peace that it should offer you and your future family. It is not fair, and I love you for encouraging me to test and place this burden on you. I wish we could go back to swinging outside, riding bikes down the street, and building snowmen together.

My dad.

How do I tell my dad? He has not talked to me in over a month, and I am scared that he will feel guilty. "I am so sorry" I cry. I knew it would be this way. I felt it and I have known for years now. Maybe you knew too, Dad, and that's why you were so scared. I really am okay, I promise. We have fought this fight together for fourteen years and I know we are prepared to fight it together for the rest of our lives. We will be okay, and I love you for making me as strong as I am and for giving me the weapons I need for this battle.

Stop crying. I say I'm okay once again. "I need to leave this room or I'll keep crying."

The doctor finally handed me the sheet of paper connecting my CAG numbers with my alias, her signature sitting at the bottom as if she was signing my life over to this disease. She gets up to open the door. The doctors politely tell me to reach out to them if I ever need anything.
"Okay," I say, assuming that I will not.

Walking out the door means walking back into real life. It means that I will forever be surrounded by people who do not understand, who will never understand. Forty-five minutes before, when I was standing here without the knowledge of having Huntington's Disease in my genes, was the last moment in my life that formed of this uncertainty. And with this new realization, the hallway becomes foggy, tainted over with the truth.

I do not remember walking out. I just remember floating on feet that knew their way and wrapping my arm around the love of my life. A nurse in room C2 calls out "Have a good day!"

I burst out laughing. Reality hits. I start crying. Then in a confusing mixture of both laughter and sadness, my loved ones around me panic in attempt to see if I am okay and I start laughing again. I will attack this thing with humor and laughter, with love and joy. I will complete my days one at a time from here on out because that is the only way to get through it. My smile may distort over time, but I will never lose my laughter.

People keep telling me that despite my strength, I am allowed to break down. I am allowed to not be okay. But what they do not understand, and what may just be my immediate reaction for now, is that I really am okay. I have lived the last 8 years assuming that I had this disease. Testing positive for the HD gene mutation means that I hardly have to change my plans. In a way, it is a relief to finally know.

Growing up with one parent in the household who also has Huntington's Disease brave me the weapons I need to start this battle. I have been training for years and years, building up my ammo in preparation for the first bomb that signals the beginning of this war.

I always knew there was something living inside of me that did not belong and I felt that almost every day. There's a little devil sitting on my genes, waiting to spring loose, and now that I know he is there, I can attack before time hands him the power to destroy me. He has limitations that I do not.

With each twitch in my foot and every stumble of my words, I can find strength in his taunting and turn it around. With all the evil he has planned and all the pain he has let me experience, I can build up walls and expand my army. I can join research trials and be a part of history in ways that other HD advocates may not be able to. I can tell my story to Congress and fight to pass the Parity Act. I can make the future better for myself and generations after me that receive the same news that I just have.

I have ways to fight that this little devil does not know about. While he plays jokes on me, I prepare for war. This is more than just a battle against Huntington's disease: This is a war for my life and my loved ones. I do not need to say sorry anymore; I just need to fight. I am finally a Huntington's Disease warrior and I can not be stopped.

ICD 9 coding: Pay attention to these three warnings when using E-codes

You should be familiar with E codes in case you report injuries or poisonings. However, before you turn to these codes, see to it that you keep in mind these three warnings that will prevent your claim from getting tripped up by a denial.

Do not miss out on the E codes’ purpose

E codes point to the external causes of injuries and poisonings as well as the adverse effects of drugs and substances. These are considered special ICD-9 diagnosis codes which you can use normally to report accidents, injuries or diseases. You can go for E codes in association with regular ICD-9 codes.

Do not do this: You should never report E codes as your major code since they only indicate the cause of injury/poisonings and not the resulting injury/condition. Always use E codes in addition to a numerical ICD-9 code that describes the injury itself. It may be required to assign more than one E code to explain each cause fully.

Be specific about your E codes

Improving E code reporting can benefit auto insurance companies, disability insurers, health insurance plans, public payers, healthcare purchasers, employers, businesses, labor unions, schools and other entities keen on injury prevention and safety issues. However does it provide too much ‘up-front’ information about patient’s behavior /lifestyle?

Take the example of the patient who’s admitted to the ICU for acute respiratory distress related to an unintentional narcotic overdose. If reported right, the diagnosis on the claim form would appear as 518.82. But in actuality, only 518.82 gets reported since the doctors and billers are less familiar with the use of E codes and their implications.

Take more risks while reporting certain E codes

There are E codes for reporting surgical mishaps. Although you could bill these codes should the need arises, you’d want to keep hoping you may never have to come face to face with these needs. These two new codes talk about situations that are thought of as never events; this means they represent surgical mistakes that shouldn’t happen.

For more information on ICD 9 codingknow how and ICD 9 disease code, sign up for a one-stop Medical Coding website.

Constipation – Causes, Symptoms and Treatment

Constipation is defined as the inability to pass feces or having difficulty passing feces, because it is dry or hardened. Some sources define constipation as having three or less bowel movements per week, but that is a generalization. If you normally have 2 or 3 bowel movements per day, 3 per week would indicate constipation. If three movements per week is normal for you, though, then there is no reason for concern.

Causes of constipation

Constipation is caused by a wide variety of problems that range from simply not drinking enough liquids to having a very low fibre diet. Medications such as iron and calcium supplements, drugs used to treat allergies, cold, hypertension, depression, antacids, diuretics (drugs which increase the flow of urine), non-steroid and anti-inflammatory drugs also cause constipation. Parkinson’s disease, spinal cord disease and paralysis are the other known causes. Weakness of the abdomen muscles and pelvic floor also lead to constipation, especially in the case of the elderly.

Ingestion of little water. Columbus retains lees to extract it of the same ones when he detects that this is not abundant in the organism. To drink in abundance is a way of which the remainders are not left brakings in the colon and can leave faster and easily. In addition, when the organism extracts the water of lees, the leftover rest are more difficult to evacuate and, in most of the cases, this evacuation is painful.


Symptoms associated with constipation include infrequent bowel movements, hard stools, straining when passing a motion, cramps, abdominal bloating, flatulence, with a desire to defecate but an inability to pass a stool. Related symptoms include headaches, halitosis, coated tongue, pale complexion, and dizziness.

Symptoms of constipation include infrequent stools, hard stools, and excessive straining to move the bowels. Frequency of bowel movements and severity of symptoms may vary from person to person.

Constipation Cures

The most common cause of constipation is an unhealthy diet and lack of exercise. Sometimes, changing your eating habits and beginning a regular exercise regimen can effectively eliminate constipation symptoms. Other times, your physician may wish to run tests to find out if there is a medical cause for your constipation – constipation is often the symptom of a more serious illness or disease.

Constipation treatment

Pears are more get beneficial in the treatment of constipation. Patients get suffering from chronic constipation should adopt an restricted diet of this fruit or it’s juice for a few days, but in the ordinary cases, a medium-sized pear taken after dinner or with breakfast will have the desired effect.

Lubricants grease the stool, enabling it to move through the intestine more easily. Mineral oil is the most common example.

A warm-water or mineral oil enema can relieve constipation, and a non-digestible sugar (lactulose) or special electrolyte solution is recommended for adults and older children with stubborn symptoms.

Rectal suppositories – helpful in providing lubrication and in stimulating the defecation reflex. They are usually composed of glycerin, which is sometimes blended with sodium sterate, a fatty acid. Bisacodyl-containing suppositories have added potency, because they act directly on the bowel to stimulate emptying.

Nailing Back Office Performance Management

Using activity-based management (ABM) principles is one of the most accurate ways of measuring employee performance, particularly in the back office. Furthermore ABM ensures performance targets reflect best practices. Thus ABM is a catalyst for process excellence. When done right, the payoff can be tremendous. Unfortunately, companies all over the world struggle terribly to pull it off…

The thing is – it’s not rocket science. Companies shouldn’t be let down by their performance management (PM) projects and ongoing solutions. With strong executive support and a good team effort an organization can fully implement a cloud-based PM suite in <10 weeks. This solution then has the capacity to deliver a 20-25% performance boost within another 10 weeks. We’ve seen it and done it many times so we know it’s true. We’ve also seen the flipside where companies embark on a PM project and find themselves still mired in a mud bog ten months later. Cost overruns, frustrated execs, worn out project teams… Unfortunately this is very, very common.

Why is that? Why do companies struggle to implement and maintain effective PM tools in the back office? Where do they go wrong and what can we learn from the many failed PM projects out there?

Let’s take a closer look:

1. Asking Too Much of the Solution: A common problem we see is companies ask too much of their PM solution. We see it all the time: Buyers and sellers of PM get together and the ‘what ifs’ start flying. Customers start dreaming of their new analytical world. Sellers can’t say no – it’s not in their DNA. Before you know it eight months have passed, not a server has been installed, KPIs aren’t agreed to, the project team is over it, the CEO is sick of the excuses and the project is on life support. We saw it three times in 2015 alone. Multi-million dollar spends on enterprise-wide PM solutions that couldn’t get off the ground because they simply asked too much too soon. Let’s face it; companies invest in PM to improve the bottom line. Yes quality and service are important but buyers of PM want ROI and efficiency. Project overruns and delayed implementations aren’t helping but over-asking ALWAYS leads to this. Simplify and stop over-asking. Nail the basics, start with a few small teams, realize some benefit and then dream bigger.

2. Activities Poorly Defined: Companies quite often get waaaay too granular when defining activities. We recently worked with a mid-size health insurance company, an adherent of ABM for 15 years. Over time their activity lists just grew and grew and grew – like neglected alley weeds. One line of business had over 700 activities. 700! And we see it ALL the time. It’s absolutely impossible to manage. Task times are never right and supervisors are terrified of the work required to make ’em right. Many times business units will turn process steps into activities. With the client above we saw two such activities: Walk to Fax Machine and Print Letter. These are not work drivers. These are process steps. Organizations should make a concerted effort to limit the number of activities on the performance report to something manageable. We advise our clients to keep the list at 10 – 15 activities. That’s not always possible but it’s a great goal. Remember – you are implementing PM to manage performance and improve process. You are not implementing PM to replace all business reporting. And we are certainly not trying to account for every second of a staff member’s day. Keep the activity list reasonable in size and you’ve got a fighting chance.

3. Task Times Outdated: Failing to maintain task times is a remarkably common situation we see. On a recent project we worked with an administrative group in a P&C company. There were 36 people on the team and the average productivity was 167%. This had been going on for over a year. The highest productivity for a person each week was >300%. Now you tell me – how accurate is this? Was somebody really cranking out 120 hours of work in a week? Have you ever seen an entire department maintain such consistently high levels of output? The answer is obviously no. This was not reflective of true performance. Task time hadn’t been updated in years even though technology innovations and market conditions yielded leaner processes. This team also had over 100 activities defined – for 36 people! These two issues often go hand-in-hand (dated task times and activity lists in need of a haircut). When this happens, when productivity scores for an entire department are running this high for this long, just stop. If fixing it is too much to ask, just stop. The thing is, in about six weeks we were able to sort everything out. We consolidated activities, conducted side-by-sides, updated task times, partnered with business leaders to gain their buy-in and rolled out the changes to staff. It wasn’t a herculean effort. Bottom line: task times need to be maintained. We advise clients to evaluate task times once a year. You don’t need 4,000 observations of an activity to set an accurate target either. 15-20 is normally enough. Sit with a cross-section of B+ performers, do the obs, updated the task times. Pau! The investment is worth it.

4. Task Times Set Wrong: There is one right way to set a task time. No technique will ever be better. And it’s simply sitting down with the agent and observing the work. Side-by-side observations are the gold standard for setting performance targets. Estimating task times is easier. Pulling reports is easier. Self-timings are easier. Side-by-side observations are not the easiest way. Totally agree. But it is the most accurate way. And when you’re talking about a system to measure performance, promote staff development, control costs, develop cost benefit analyses for improvement initiatives or product rationalization, form the basis of employee reviews and ultimately create the right culture – then you’d better put your best foot forward. Don’t go low-budge! Poorly set task times yield meaningless results. The interesting thing is nearly every improvement opportunity we’ve identified over the years was surfaced during a side-by-side observation session. So not only are you setting accurate targets, you’re surfacing improvement opportunities and enhancing the business. Do the obs. Get it right.

5. Data Feeds not Right: Often system flags (e.g. pend reason) are used to map transactions to activity types. These work great the first few months post go-live. But as time passes and things change the data feeds driving your PM solution require attention. New system flags (work queues, disposition codes, pend reasons) come online – and if they’re not brought into the feed and mapped to the correct activity, you end up with bad information. These are not always obvious and can lay dormant for some time. Typically these issues are surfaced by employees who notice they are not getting credit for the work they’ve done. The most common fixes to this are system generated audit reports and manual audits.

6. Poor Communication: More than anything though, the most common crime against PM is simply not using it. At its core PM is about coaching, training and improving the business. It’s a centerpiece for daily and weekly conversations. It gives supervisor a specific reason to talk with agents, to tell them great job or determine coaching needs. It gives agents immediate feedback – feedback most of them want. It gives execs business insight. It informs and directs continuous improvement efforts. We worked with a customer in 2015. The execs brought us in because they didn’t see any real improvement after their PM deployment. They asked us to analyze its impact and report back to them. They were six months post go-live at the time. During the very first supervisor interview we learned staff received their reports via an automated email once a month. Supervisors didn’t really talk to their team about the information and execs didn’t follow up with supervisors. By the end of that 1st interview it was immediately obvious they were getting out of it exactly what they were putting into it. Nothing. Absolutely nothing. But the issue here is not so much with staff or the supervisors. The issue is with the execs. And it’s the #1 reason PM solutions succeed or fail. Executive engagement. If it’s important to the execs, it’s important to the front line. The most successful deployment of PM I’ve seen in 20 years was with the controller of a transportation company. She also had direct responsibility for eight finance teams, 70+ staff. We worked with her in 2007. I just talked to her in March and she still looks at the reports daily and meets with her direct reports weekly to review results. She’s been doing this for nearly 10 years. Do you think her managers show up to the meetings prepared? Damn right they do. Do you think they continue to benefit from the solution? Damn right they do. She has made incremental improvements to the business every year. After an initial 23% reduction in labor costs she has gone on to realize 5-10% labor cost reduction year over year, every year since. That’s the power of executive engagement. And you know how much time she spends with it – about 15 minutes per day a few times each week and then a one-hour meeting with her leaders weekly. That’s it! So execs – stay engaged. It doesn’t take much time, just discipline.

After being in the business 20 years we’ve seen companies get it wrong and we’ve seen plenty get it right. Those who get it right take one step at a time. They invest in a strong foundation. They maintain the solution and data integrity. They keep it front and center. These are the companies that not only realize 25% improvement in 20 weeks but they also realize 10% the next year, another 10% the next year, another 10% the next year, so on and so forth. That’s the power of an effective activity-based performance management solution. It delivers in the short run and continues to pay dividends in the long run.

Amateur Boxing – A Basic Lesson

Each father at some time or other during the “growing” years of his sons sees fit to instruct his protégés in the art of self-defense or amateur boxing.

One of the most important things a dad can teach his son is “how to make a proper fist,” in order to avoid future hand injuries. We all know how a painful thumb or finger injury results when a baseball or football strikes the wrong part of the hand.

The same is true if the thumb of your boy’s fist is not properly folded, or if on landing a blow the force is centered on protruding knuckles. When the blow is properly landed the knuckles of the fist should be straight across (no protruding knuckles), thereby allowing the whole fist to absorb the force of the blow. The result gives the boy more power to his blow and minimizes chances of injury to his hands.

I suggest that as the next step you (the father) hold your left hand, palm open and inward, and hit your palm with a closed right fist. In going through this procedure, check to see if the right thumb is properly curled over, and if the fist on contact is landing on all four knuckles, rather than on one or two protruding knuckles. This will ensure that you have a more solid understanding of amateur boxing yourself.

After you have properly trained yourself (preferably the night before giving son a lesson), teach him the same procedure, hitting the open hand with the closed right fist, and stressing the proper points of a “right” and “wrong” fist. Then reverse the procedure, holding the right hand open and hitting the palm with the left fist.

It is true that the average youngster in making a fist without being properly taught, will fold his thumb inside his closed fingers. For some unknown reason he has the feeling his thumb becomes better protected in this manner. This is the surest way to sprain, dislocate, or even break the second thumb joint. Boys also make the mistake of allowing the thumb to stick up instead of properly curling the thumb over the closed fist. Impress this upon your son.

It is surprising how many boys grow to college age without even having been taught how to hit properly. Hence if the father gets no point across to his son other than the proper care of his hands, he has done a good job. A boy who is taught the proper fundamentals at an early age has a distinct advantage over others.

If he chooses to box in high school, college, or in amateur boxing, he has a head start on the beginner. The coach will not have to break any unorthodox or bad boxing habits he has acquired by himself.

Your son, whether he be seven or seventeen (assuming after seventeen you would rather have another “coach” take him over) can be taught just exactly as we have illustrated in previous chapters. However, just to simplify the father-son relationship, get on your knees and put across the points suggested.

When your son has learned how to hit properly and to assume the correct on-guard, put the gloves on with him, get on your knees, and practice the punches with him. Show him how to block as well as to hit, and be sure you know the blocks yourself.

Your son should practice his trusty right with father’s chin as target. Father drops his left to allow the right to come across, and blocks with his own right. See that your son snaps the right straight across with a lot of zip, and that he has his fist closed, chin down, shoulder up. Be sure he does not throw a “roundhouse” right.

Punching a light bag is fun. It is great exercise, and increases speed and coordination. Little boys pick up the knack very quickly after a minimum amount of practice. Fathers also find a punching bag excellent exercise, and unlike most exercises, they enjoy it.

Have fun teaching your son to box, and contribute to his increasing self-confidence.

Defective Mesh Hernia Repair Patch Action

For forty years, BARD is industrial leader and innovator in the treatment of hernia. BARD is now the only company that has a specific product for each important type of hernia. The material of each type of mesh is a polypropylene monofilament interlaced network, permeable for the development of the granular tissue, which stimulates immediate fibroplasias. However, the device is made by humans and it has to interact with the human body, therefore defective mesh hernia-repair patch can lead to hernia-mesh recall class action.

Bard Kugel Patch is the first mesh designed for the open repair, “tension-free,” pre-peritoneal of hernia. This minimal invading repair, almost suture free in the posterior pre-peritoneal area is performed through an incision of 3-4 cm, under local or regional anaesthesia. Using Bard Kugel Patch, you can obtain a real pre-peritoneal repair that covers all the possible defaults and minimize the recurrence risk. Any recurrence caused by defective mesh hernia-repair patch involves hernia-mesh recall class action.

Apart from classical types of meshes (whose size can be various), this company also offers meshes that are previously cut, with or without a perforation for the spermatic channel, in order to reduce losses and to reduce the surgery time as well.

Another important product, that is actually unique, is a mesh especially designed for the very complex cases of abdominal hernia. This network is made of two layers of normal mesh connected through a Teflon layer in order to improve the tissues expansion. It must be very carefully used in order not to lead to defective mesh hernia-repair patch.

The large variety of surgery techniques that approach nowadays primary or recurrent inguinal and femoral defects have been a surgical challenge. Between anarchy and perfectionism, the persistence of a recurrence rate within 0.5 and 20% requires an efficient technical solution, able to satisfy both the patient and the surgeon. Otherwise, hernia-mesh recall class action can be a solution, even if in some cases it may be too late.

The path of hernia surgery has suffered dramatic changes as soon as prosthetic materials have been implemented. They have simplified surgical techniques and they have reduced at the same time the recurrence rate to 1 – 5%. Besides, their use has led to shorter operations and to a better post operatory condition of the patient. The emergence and the use of the “mini-invading” surgery has required at a greater extent the implementing of prosthetic materials, but it has risen at the same many controversies that clinical studies have not solved yet.

Conversion to prosthetic surgery is obvious in the USA where, after the 1980s these operations have become frequent. Nevertheless, the operation must be performed by highly proficient doctors, to avoid defective mesh hernia-repair patch. Similar situations are recorded in other American countries as well and gradually prostheses have begun to be used in Europe too. Apparently, prostheses are a surgical “best-seller” until complications appear. When a surgeon faces an intestinal fistula, all the previous successes related to prostheses have no value until the complication is solved and the patient survives, without the need of hernia-mesh recall class action.

You Do not Have To Suffer With PMS

We now know that premenstrual syndrome (PMS) is experienced by 60% of all women. What causes PMS has been difficult for researchers to pin down because each woman experiences symptoms differently.

PMS Symptoms

When making the diagnosis, the most important tool you can use is a chart of the cyclic nature in which they occur. If nothing is done to interrupt PMS, it often gets worse over time. You may begin by having symptoms just a few days before your period that stop abruptly as soon as your period begins. Later, the symptoms gradually begin to appear one to two weeks before the sunset of menses. Over time, you may have only two or three days of the month that are symptom-free. Usually no discernable pattern of good days and bad days can be detected. You feel as if you have PMS all of the time.

There are general symptoms that have been determined that include:

  • Abdominal bloating
  • Abdominal cramping
  • Accident proneness, coordination difficulties
  • Acne, hives
  • Aggression, rage
  • Alcohol intolerance
  • Anxiety, irritability, suicidal thoughts
  • Asthma
  • Back pain
  • Breast swelling and pain
  • Bruising
  • Confusion
  • Depression, withdrawal from others, emotional liability
  • Edema
  • Exacerbation of preexisting conditions (lupus, arthritis, ulcers, herpes, etc.)
  • Fatigue, lethargy
  • Fainting
  • Food binges, salt cravings, sweet cravings
  • Headache, migraine
  • Heart palpitations
  • Insomnia
  • Joint swelling and pain
  • Nausea
  • Seizures
  • Sex drive changes
  • Sinus problems
  • Sore throat
  • Urinary difficulties

Do not confuse PMS with cramps occurring at the beginning of your period, which is a different condition.

Chart the Pattern

You do not have to suffer. By keeping a chart of your symptoms, you can often begin to see a pattern emerge and predict when the symptoms will start. Keeping a daily symptom journal can be a valuable tool when trying to conceal your premenstrual symptom triggers and the issues associated with them. Many events and other factors can contribute to or trigger your PMS by resulting in hormonal changes in the body, including:

  • Onset of menses
  • Perimenopause
  • Discontinuing birth control pills
  • Amenorrhea
  • Childbirth, or termination of pregnancy
  • Toxemia during pregnancy
  • Tubal ligation
  • Unusual trauma
  • Decreased light associated with autumn and winter
  • Family history of alcoholism; Parent or grandparent who is an alcoholic
  • High consumption of dairy products
  • Excessive consumption of caffeine (soft drinks, coffee, chocolate)
  • High blood levels of estrogen
  • Low blood levels of progesterone, either due to lack of production or excessive breakdown
  • Diet that leads to increased levels of the hormone prostaglandin F2
  • Excess body weight which can increase you levels of estrogen
  • Low levels of vitamins B, C and / or E
  • Selenium deficiency
  • Magnesium deficiency causing chocolate cravings

End the Suffering

Many of the factors in this list you can control. For years allopathic (traditional) medicine has given symptomatic treatments for PMS that do not work. Most doctors do not know the latest research on hormone balancing. Some never had any training in PMS. Treating a woman's bloating with diuretics, headaches with painkillers, and anxiety with Valium ignores the underlying imbalance that led to PMS. Many of the treatments prescribed often have side effects. Psychotherapy can provide insight about stress, but this bypasses the nutritional and biochemical aspects of this disorder.

Do not give up! There are answers that can help you heal your PMS:

  • Adopt a diet of fresh, in-season, organic fruits and vegetables.
  • Review your dietary needs eliminating caffeine, sugar, dairy and excess soy.
  • Take good organic multivitamin mineral supplements.
  • Reduce stress.
  • Consider participating in a 12-step program if alcoholism runs in your family.
  • Get at least 20 minute of aerobic exercise five times per week.
  • Try reflexology.
  • Get more natural or full-spectrum light.
  • Test hormone levels and apply natural progesterone.

For more suggestions go to and .

At Oasis Advanced Wellness hormonal levels can be tested with a simple and inexpensive saliva test performed in the privacy of your own home. With these results and your symptom journal, you can determine your need for natural hormone replacement therapy (HRT). One product that is safe and non-toxic is natural progesterone. It helps to balance the effects of estrogen, and has a calming effect on the nervous system. The use of natural progesterone in combination with lifestyle changes often improves PMS symptoms. By reviewing your symptoms, we can evaluate your diet and exercise program, create a program and then monitor your progress.

You can find out more about the solutions in my e-Book, Balancing Your Hormones Without Drugs … You Can Feel Good Again.