Reasons For Choosing a Minn Kota

For the last 20 odd years fishing has been part of my life.

In that time I have learned a few things about boating and fishing equipment. I also have some opinions and preferences about some equipment. Some of them I think are quite good and others not so good if you know what I mean.

This is especially true when it comes to electric trolling motors. Like everything in life some are good quality and some not so good. There are big differences between the popular makes of motors and below I will try to explain my reasons.

There are only a few manufacturers in the trolling motor industry and regardless of what brand you see on the label it is actually made by one of these few manufacturers.

If you have been looking for a trolling motor then you should know by now that Minn Kota and Motorguide are some of the top names in the industry. Based on my own experience over many years in my humble opinion the Minn Kota is the better manufacturer and listed below are a few reasons why.

Design
Minn Kota has spent a lot of money over the last few years enhancing their design, making it a lot more useful and easier to use. The foot pedal has improved making it easier to use and smoother.

Functionality
The latest Minn Kota Models are extremely functional making these features great with no fluff.

Durability
This is one of the best things I like about the Minn Kota. These motors last for ages and under normal conditions will last much longer than many other makes. Even under extreme conditions and use they exceed the motors of years ago by a long time.

Reliabiliity
I never really worry about this because as soon as I need my motor it just works, plain and simple.

Minn Kota have stopped making their shafts from steel for near a decade instead using a composite material that makes them virtually unbreakable. You no longer have to worry about hitting an obstacle under the water and bending the shaft.

With the shart being made with the composite material when you hit something under the water the shaft will just flex and goes back to its normal position.
This is a no nonsense engineering feat on the side of the Minn Kota R & D team. Not having to worry about bending your shaft means you can concentrate on what you came for, fishing.

This one feature alone should be enough for anyone who is undecided make up their mind. Another feature with the minn kota is the weedless wedge prop which makes it virtually impossible to clog the prop with weeds.

If you are looking for a new trolling motor for your boat then you need look no further because your bound to find one that fits your needs in the Minn Kota range

The Modern World Of Wrinkle Skin Care

It has been a human desire to look young since they evolved from monkeys (or proofed into existence if you are into that sort of thing). Some theorized that even cavemen had a desire to look young, as they would often create a powder that they called “young-young” which was a mixture of herbs and minerals that could decrease the appearance of wrinkles. However, once they found out that they could throw it and burn their enemies’ eyes, they went down that route instead.

Today we have different treatments of what is called wrinkle skin care, or the restoration of one’s youth. These include creams and oils, surgery, heavy makeup, and fountains of youth.

The most exciting and best form of skin care is the many fountains of youth that have been strategically placed around the world. These are simply baths of water that one can walk into, or dive into if you’re the adventurous type, and come out as a younger version of one’s self. The advantage to this is that it is quick and free if one has the time to voyage and look for it.

A disadvantage is that many people die trying this, as they wait too long in the fountain, turn into a baby, and the only ones around to care for them are vicious tigers and jaguars that wait in the jungles that these formations are usually located in.

The other disadvantage to these fountains is that they may just be a myth. Many people swim in fountains, in-order to restore age, come to find that they are just very dirty and also spread bacteria.

The point of all this is that wrinkle skin care has come a long way and natural skin care is very effective when it comes fighting the signs of aging.

Our Skinny Kids

OK, there has been a lot of talk and debate on the health concerns surrounding overweight kids. While this is indeed a legitimate problem it has taken all the attention from another physical state of being of our kids that is of equal serious implication to health… the skin and bones syndrome or chronic underweight-ness.

Now a lot of teenagers, girls to be exact, being overly exposed to the print and broadcast media have been led to believe that being skinny is the socially acceptable and only way to look to be attractive and beautiful. They see the physical stature of the runway models and the girls in movies who commands the attention of the guys, and they are always real slim.

Very rare do you see a real busty and meaty female being highlighted in a movie as being a sex goddess and sought after, no quite contrary. Busty girls are always depicted as the ones on the outside bemoaning how unpopular and ugly they are, and how they wish to be like the 90 pound diva that always has the guys tongue hanging when ever she passes. No wonder our young impressionable females get to thinking that to shed all their flesh is the gain popularity and become that desirable siren everyone rotates around and want to be friends with. So with that in mind they employ all manner of diets and programs to lose weight and keep it off, and a lot of times to the detriment of their own health and well being.

Hope For Psoriasis Sufferers

There are more than 7 million psoriasis sufferers in America.

This article addresses the most common questions about it: –

‘What is it?’

‘What causes it?’

‘Can you catch it from someone who has it?’ and

‘Is there a cure?’

1. Psoriasis is a chronic skin condition.

While it’s not life-threatening, it can be very severe and disabling. It often appears between the ages of 15 and 35 but it can develop at any age. As many as 15 per cent contract psoriasis before their tenth birthday and it occurs nearly equally in men and women.

There are five types of psoriasis but the most common form, plaque psoriasis, appears as raised, red patches or lesions covered with a silvery white build-up of dead skin cells, called scale. Psoriasis can occur on any part of the body but typically on the scalp, elbows, knees, and the base of the back. However, it can develop anywhere, including the nails, palms, soles, genitals and face (which is rare). Strangely, the patches of white skin often show up on the same place on each side of the body.

2. The causes of psoriasis are still unknown to us but it is believed to have a genetic component. Most professionals agree that the immune system is set off by mistake, which speeds up the growth cycle of skin cells. A normal skin cell matures and falls off within a month but a psoriatic skin cell takes only a few days to rise to the surface and then, instead of falling off, the cells accumulate and form the lesions.

3. It’s not contagious; you can’t ‘catch’ it and people who have it are no threat to other people but it is an embarrassing condition which as well as causing an itchy skin can have a psychological effect too, since it influences people’s readiness to let others see their skin. This not only can dictate what clothes can be worn or which social activities can be enjoyed but it can also make it difficult to mix with the opposite sex.

4. Regrettably, there is no cure but there are more and more treatments available which at least reduce the symptoms. People often need to try out different treatments before they find one that works for them.

Diseases which affect the skin may seem relatively unimportant when compared with other conditions but it’s worth remembering that the skin is the largest organ in the body and it plays an important role in controlling body temperature and as a defence against infection. Large areas of psoriasis can lead to infection, loss of fluid and bad circulation.

So, is there hope for a cure?

Yes there is. Scientists are studying psoriasis more than ever before. They understand much more about its genetic causes and how it involves the immune system. Both the federal government and The National Psoriasis Foundation are funding research to discover the cause of psoriasis and to find a cure.

Make Your Own Propagation Mix

Because I live in the subtropics, I am lucky enough to be able to strike many cuttings and get many species to grow from seed just using garden soil or potting mix as a medium. Unfortunately not every one is as lucky.

Many people struggle to get cuttings to take, or grow seedlings because of fungi and bacterial infections. So extra care and attention in hygiene matters are needed to get them to succeed. So to make your own propagation mix for striking cuttings or to grow seedlings, without spending a fortune.

Ingredients

Compost / and or potting mix,

River sand or a coarse landscaping sand. (Beach sand is not real good because of the salt content, and the grains are usually too fine). (All would have to be soaked / rinsed before using anyway).

Perlite / vermiculite / polystyrene beads (optional for extra moisture retention and openness of mix)

Fine Gravel (optional for well drained mixes)

A sieve of some sort. (This can be a proper garden seive, a kitchen seive, a colander, a grater or even a garden pot allowing the action of seiving through the holes in the bottom, or even just your own hands cupped together seiving the compost through your fingers. )

Bleach (1 / 10mix) or Methylated Spirits (1/10) or Vinegar (1/3) or hot soapy water, (Sterilizing Agent)

Boiled or distilled / demineralized water

Oven. (If heat sterilizing)

Old roasting or baking tray for the oven. (If heat sterilizing)

Sterile container to store excess finished mix in.

Method

Ensure that your hands are clean and sterile before beginning. Gloves can be used because of issues of handling soil and other products which are possible carriers of Legionella longbeachae a pneumonia type of disease. This is a naturally occurring bacterium that is a normal part of the environment.

Secateurs / scissors / knives and work spaces and storage containers should be sterilized with a diluted mix of bleach or vinegar or methylated spirits and water.

First you need to sieve out a quantity of fines from some well matured compost or potting mix. (Or cheat and use coir peat instead). Mix this with about – – 1/3 clean sand.

If you are preparing to grow things that require well drained soil eg pineapples, cacti, etc., as plants then think about adding a bit of fine gravel to your propagation mix. To improve drainage even more. You can even add things like perlite and / or vermiculite and / or polystyrene beads when ready to pot up cuttings. This would improve moisture retention in the propagation mix. These will also improve air circulation around the bases of the cuttings.

To kill germs and bacteria in the mix you will have to sterilize get the soil / sand / gravel mix so that you kill most or all harmful bacteria and fungi.

Possible ways of treating the propagation mix, include.

Soaking Treatment – soaking or rinsing the mix in the dilute sterilizing mix mentioned above, (except the soapy water option), then soaking and or rinsing it after in boiled or distilled water. Sun / air dry any excess mix to ensure that no problems grow before you get to use it again.

Temperature Treatment – laying the mix on a tray in an oven for the 30 minutes or so needed to raise and maintain a temp 'of over 60 degrees celcius. If you put the mix in thick in the trays, then the temp at the core of the mix is ​​what you need to be concerned about. Not just on the surface of the mix. This then needs to be cooled completely before using.

So if you do not want to run the oven specifically just for the propagating mix, then have it ready to insert after using the oven for some normal cooking or baking, while it is cooling down.

Mix which has been heat treated to be sterilized may need to be soaked before using with cuttings as it may be water repellent at first and deprive new cutting of moisture till it reacquires the ability to hold and store water.

If you have made up excess propagation mix it can be stored in a sterile container until needed in the future.

Afterwards

When planting up cuttings ensure that the pots, labels, and even the stick you will be using to poke holes in the mix has been washed or soaked in a sterilizing mix before using them.

It also does not hurt to give the cuttings a quick rinse in the sterilizing agent, 9except the soapy water option), and then a rinse off with the sterile water as well.

When watering cuttings you can improve the success rate by watering the cutting for a while with sterilized / demineralized / boiled water. At least until the cuttings show signs of starting root germination.

Also remember that there is little or no fertilizer content in your mix, so a fertilizing program will have to be maintained at about pl plant strength to allow the new plants to have the nutrients that need to start and maintain root and stem / leaf growth.

Most cuttings strike better in a bright shaded environment.

You can also improve the opportunities of the cuttings taking by keeping the cuttings in an environment away from the general plants in your garden, greenhouse or shade house.

Now while it is expensive to have a dedicated greenhouse just for propagation. It is not difficult to ensure that a small separate incubator can be put aside. Even if this is only something like a throwaway plastic cake / sandwich container, or a clear cd storage tower that blank cd / dvd's come in.

Or even just a plastic shopping / kitchen / bread bag thrown over the container, and kept up off the cuttings with chopsticks, sticks, skewers or straws, etc. And then sealed around the cuttings.

This also helps keep them away from pests and blown in fungi and bacterial attacks while they are establishing. Though once you see signs of them getting established you will need to start opening up the incubator to harden off the new plants.

Physiotherapy and Early Shoulder Management

Physiotherapists and orthopaedic surgeons spend significant amounts of time and effort treating shoulder injuries and conditions, of which there are many. The shoulder, an unstable joint with a very large range of movement, the greatest in the body, is vulnerable in many situations to injury or mechanical stresses. Its instability means it can be relatively easily dislocated in a fall or activity at end range. We use the arm to save ourselves if we fall, making fractures common and heavy or overhead work over time leads to rotator cuff tears.

Physiotherapists pay close attention to the shoulder as there are many different operations, fractures and degenerative conditions which can affect this area and have an important role in the management of shoulder conditions after elective surgery or trauma, ensuring adherence to the surgical and rehabilitation protocols. On initially seeing the patient a useful strategy is to quickly go over the presenting problem from the beginning as this can indicate errors or misunderstandings which can then be corrected. Physiotherapists should also give the patients an opening so that they can feel they have told their story.

After operation or injury the weight of the arm hanging from the shoulder may need to be supported in a sling to reduce pain and allow damaged tissues to rest. The broad arm, triangular bandages are cheap but not comfortable around the neck and difficult to customise to the patient’s specific needs. Putting some foam round the strap at the neck may help slightly but a better solution is to use a Velcro based sling such as the Seton sling. Seton slings are greatly preferred by patients, are more comfortable and are easier to adjust to the specific requirements of the shoulder condition.

When fitting the Seton sling the elbow should fit right back into the gutter with the sleeve folded back slightly if necessary to allow the hand to be clear of the sling. There may be a small Velcro strap to place across the upper forearm to keep the gutter closed but this should not be tight or it can cut in to the tissues, especially if there is a lot of thick swelling such as after humeral fracture. The long strap is then taken from the elbow side of the sling over the opposite shoulder and down to the wrist. Tightening this up is where it gets trickier.

Due to the materials from which the slings are made there is a degree both of elasticity and friction against surfaces when they are adjusted. As the sling is adjusted and tightened up the elbow is often not well supported by the sling at all and patients are usually aware that the support is not that good. The physiotherapist can easily feel that the sling is not giving the correct support and if they just tighten up the strap it solely tightens up at the front but does not improve the support of the arm. This needs another strategy.

Two people are needed to adjust the sling in co-operation, a helper and the patient. The patient is asked to relax the arm as much as they can while the helper lifts the weight of the arm at the elbow, holding it there as they pull the strap from its attachment at the back of the gutter up and over the shoulder, then fixing it there with one hand. Continuing to hold onto the strap which has been pulled forwards the helper unstraps the Velcro fastening of the main strap and tightens it up. Checking the support of the elbow now will show it to be much better supported.

Sling management advice is useful for washing and dressing, for which the sling can come off. Putting clothes on should be using the affected arm first and the arm needs to be kept in by the body during the process with no active lifting of the shoulder. For washing if the patient keeps the arm bent by the tummy and bends forward they can get access to wash their armpit easily.

Do the Words "In God We Trust" Violate the First Amendment’s Establishment Clause?

The words “In God we trust” does not violate the first amendment’s establishment clause. The clause reads: “Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof; or abridging the freedom of speech, or of the press; or the right of the people peaceably to assemble, and to petition the Government for a redress of grievances.” The words “In God we trust” does not pertain to any one religion or another, the word God is ambiguous referring to a supernatural being, applicable to a myriad of monotheist and polytheist religions alike. The common assertion that the words “In God we trust” is directly analogous to a Judeo-Christian God is fallacious.

Further, it is ignorant of the universality held across major cultures, beliefs and values spanning almost all nations and time periods. The central core idea of trust in a singular or central supernatural force or deity is found in nearly every major world religion, thorough polytheism and monotheism. For instance, in the Hindu religion they trust in Brahman, in Islam they trust in Allah, the ancient Egyptians trusted in the sun god as a central deity that breathed life onto this earth. The words “In God we trust” signify the United States’ adherence to the establishment clause by promoting a non-specific universal belief that encourages the free exercise of religion not the absence of it.

The establishment clause shows that the United States can show no bias toward any one religion; it is to therefore promote freedom of religion, not freedom of religion. The majority of opposition comes from atheists who claim that the words “In god we trust” found on U.S. currency violates their right to freedom of religion found in the establishment clause.

However, atheism is not a religion, it is the lack there of, Webster’s dictionary defines religion as: a personal set or institutionalized system of religious attitudes, beliefs, and practices. The antonym of religion in which atheism falls under is religionless which is defined by the 1913 version of Webster’s dictionary as “Destitute of religion.” This accurately describes atheism, as the centric core of this philosophy. Atheism being a philosophy deserves protection under freedom of speech but deserves no protection as an establishment of religion. Can you image the chaos if we allowed peoples personal philosophy to hold the same legal merit as religion? If this became legislation or court precedent the effects would be catastrophic.

During the draft during the Vietnam War, if you were a Quaker you were exempt from this obligation; due to freedom of religion the government cannot pass laws that violate your religion, because it is there for restricting “the free exercise thereof”. If personal beliefs and philosophies held the same merit as religion in U.S. state and federal law, than personal philosophies can be held as valid excuse for the war e.g. “I don’t agree with violence.” Further people could create their own holidays which would hold the same merit as religious holidays, which are in fact created from no religion but from their own personal philosophies.

Legal obligations like jury duty can be excused due to your personal philosophy against this obligation. This is in no means a slippery slope argument, but simply a cause-and-effect analysis of adopting the precedent restricting the words “In God we trust” into our English common law system. In accordance with such, it is rational to say that this precedent would cause personal philosophies to hold the same legal merit as religion in American jurisprudence. This argument is not amusing or anticipating, expansion of such precedent, but merely it’s effect as a de jure definition.

This court decision does not and will not address U.S. history as argumentation for original intent, nor will it try to adopt a new meaning or precedent to the constitution as in the “Living Constitution.” This decision relies on the U.S. Constitution verbatim, or what it says literally. “Congress shall make no law respecting an establishment of religion or prohibiting the free exercise thereof.” It says an establishment of religion, or a particular religion or faith not religion all together. In an article in Slate magazine the prominent atheist David Greenberg reads his own words into the constitution. He stated that the use of the word “God” denotes endorsement of a particular establishment of religion.

He reasons that the absence of the word “God” signifies a clear message advocating the absence of the word God in anything pertaining to the government, clearly voiced by its absence in this document. Greenburg states in his article The Pledge of Allegiance: Why we’re not one nation “under God.” “That the founders made erecting a church-state wall their first priority when they added the Bill of Rights to the Constitution reveals the importance they placed on maintaining what Isaac Kramnick and R. Laurence Moore have called a “godless Constitution.” (Greenberg , Par. 2)This statement is logically invalid and relies on speculation, a not what the document actually says verbatim, nor the original intent. He states this hypothesis as a matter of fact, as if he knew the founding fathers and knew their original indent. He cites historically inaccurate evidence that is extremely deceiving. He states “When Benjamin Franklin proposed during the Constitutional Convention that the founders begin each day of their labors with a prayer to God for guidance, his suggestion was defeated.” (Ibid)

In every weak argument there is always a shred of truth to help it stand, in this case Benjamin Franklin did make a motion to start each meeting with prayer. However it wasn’t “defeated” nor was it approved respectively it was just left alone all together. The philosophy was a hands-off, neutral approach, due to the disastrous articles of the confederation. This failure was partially induced by a superfluity of Christian prayer and dogma causing distraction. Regardless of original intent which is subjective, the constitution verbatim is what should take precedence. In reading this verbatim, we see that secularism and atheism are not establishments of religion. Therefore they deserve no protection under freedom of religion. Further, atheism is a philosophy; if we allow philosophies to have equitable rights as religions the results will be disastrous to our English common law system, inhibiting due process, and preventing enforcement of laws and obligations.

In sum, the words “In God we trust” does not violate the first amendment’s establishment clause nor freedom of religion therein, it promoting it. It promotes free exercise of religion by promoting a non-specific universal belief that encourages the free exercise of religion. Through the use of the words “In god we trust”, the State has not produced or regulated any religious establishment, nor has it given authority to any current religion. The words “In God we trust” do not coherence anyone to be associated or take part in any established religion. Additionally no other free-exercise rights or civil liberties are in conflict. The words “In god we trust” fully comply with the constitution.

5 Tips to Help A Dog Frightened By Environmental Noises

Wondering why every time there are loud noises such as fireworks, sirens, thunder or even your doorbell; Your dog acts differently? Loud noises might even cause your dog to run or hide. These are symptoms of environmental noise phobias.

You need to be aware that dogs can be really frightened by very loud environmental noises. These phobias may have developed from your dog's single traumatic experience of a loud noise or sometimes from a continuous experience and exposure to loud environmental noise which can induce fear in your dog.

The good news is that you can help a dog that is frightened by loud noises. Below are suggestions from dog experts and specialists.

  1. You need to know what particular loud environmental noise frigthens or scares your dog. Is it the sound of gunshots, fireworks, thunderstorms, or even doorbell sounds? It is helpful if you can determine which particular sound scares your dog so that you can avoid these sounds if possible. When you can not avoid identified stimuli, you can try to less the frequency or less the volume of these noises.
  2. Train your dog to get used to the sound they are fearful of. You can train your dog by acquiring a recording of loud sounds or the particular environmental noise that your dog is afraid of. Repeatedly play back your recorded sound and reward your dog for desired behavior. Began playing the recordings at a very low volume and gradually increase the volume over time. Do these steps repeated until until you reach the loudest volume setting. This is one of the best ways to cure your dog from noise phobias but it also takes the most patience.
  3. Help a dog fried by environmental busy by keeping them busy. Keep your dog busy during those times there are loud noises going on such like thunder. Play with them to keep them distracted from their surroundings. This will stop them from being overly aware of frightening noises around them and let them associate positive things (play, reward, food) with loud noises. Only reward desired behavior.
  4. Designate a secure secure spot for your dog. Dogs like to hide in dark tight spaces making crates a perfect safe haven. Keep the area you design for your dog available for his use at all times. This will allow your dog to become familiar and comfortable with the area making it more likely to be used as a calming safe haven when needed.
  5. This last tip should be used as a last resort – medication. Medication prescribed by a veterinarian will sedate a dog who suffers from severe anxiety caused by loud environmental noises. Medication can be prescribed for incidents such as fireworks or thunderstorms so you can plan ahead to reduce or eliminate the fear and anxiety caused by loud and stressful events.

When in doubt about your pet's best interest, consult with your veterinarian. Your vet can assist you on how to help your dog overcome and deal with the fear of environmental noise.

Anxiety No More

No matter how hard you tell yourself "anxiety no more", you might find yourself repeating it all too often. When you feel you do not have anyone to go to, look to your family and close, most trusted friends to look out for you. They may give you the strength that you need in order for you to access this difficult time.

Overcoming anxiety may be the hardest thing that you ever have to do. But people do this all the time. You too have to consider that things do not always go the way you planned it. For example, if you feel that you have to seek medical assistance to get on with something, you know that you would have to make certain sacrifices for that. Going to the doctor is perhaps the best thing that you can do. It is best that you tell everything to your doctor so that they are able to make a correct diagnosis. Be honest, open and listen attentively to what the doctor says so you will have a better chance of treating your anxiety. Take notes while you are with the doctor so that you may review them later on your own time.

Asking medical assistance from other medical professionals is also recommended since they have the necessary training to help people cope. However, the physician should oversee your treatment just to make sure that they are doing the right thing. It will take more than one visit for you to tell yourself "anxiety no more". Registered nurses are also trained in mental health and anxiety along with physical health and well being. They have formal education through school and training. They may be more involved in patient care in more remote or rural areas so depend on them for support as well.

Psychiatrists are another credible resource that specialize in treating illnesses such as anxiety. They are licensed to prescribe certain drugs to help treat the ailment. This is especially helpful for people who only hope to get well is to take medications. Psychologists may be an integral part of your treatment as well and can also help you work through difficult circumstances.

People may have different levels of anxiety but they still want one thing. They want to wake up in the morning, confidently look in the mirror and know that they are better now. They know that with treatment, persistence and maybe some hard work, they are going to continue to get better and live a healthy life, free of anxiety. People have to be strong, confident and believe in themselves if they want to confidently say "anxiety no more."

Facial Trauma Treatment Information

Facial trauma is an injury to the upper side of the jaw and bone. Facial Trauma, also known as maxillofacial trauma. Trauma facial skin may lacerations, obstruction of the nasal cavity and sinuses, the deterioration of the orbital sockets, fractures to the jaw and missing teeth. Blunt and penetrating trauma may cause prejudice to the midface region, which includes the upper jaw (maxilla). Common Causes facial injuries automobile accidents, violence and penetrating trauma. Symptoms of facial trauma has difficulty breathing through his nose because of the swelling and bleeding, changes in sensation and perception on the face.

Other symptoms include swelling around the eyes can cause vision problems and the double vision and missing teeth. Facial Trauma can range from a minor injury to a disfigurement that lasts a lifetime. The face is essential to communicate with each other, so it is important to get the best possible treatment. Pediatric trauma differs from adult facial injury because the face is not fully formed, and future growth will be a factor in how the child heals and recovers. In the United States, about three million people are treated in emergency departments for facial trauma injuries each year. Among the pediatric patients, five percent have suffered facial fractures.

In children under the age of three, the primary cause of these fractures lapses. For children over five years the leading cause of facial trauma is motor vehicle accidents. There are many types of facial trauma, such as injuries such as cuts (laceration) may occur on the soft tissues of the face. Injuries to isolated teeth are quite common. When a fracture of the bones of the face happens, the treatment process is similar to that for a break in other parts of the body. Treatment should be immediate, as long as the patient is stable and there are no neck fractures or life-threatening injuries. Surgery is needed if the person can not function normally.

Have You Been Involved in an Auto Accident?

First Shock.  Then Pain.  Now What? 
There are more than 300 auto accidents each month in Contra Costa County.  In spite of the frustrations you may now be going through, if you are alive, the accident could have been worse.  First, let’s count our blessings!!!  Contra Costa County has experienced over 100 auto accident fatalities since 2000.  But now, you have other challenges to be concerned with.

Don’t Be Fooled…….
If your auto accident seemed minor because of slow speeds or little damage to your vehicle, that doesn’t mean injury did not occur.  It can be a time of great concern.  At just 10mph, the body can be subjected to a force of 5 to 10 G’s.  The force of 10 G’s is greater than a fighter pilot would experience during aerial combat.
Independent studies show that your body can violently move back and forth 6 to 10 times the speed your auto was going at time of impact.  In other words, a 5-10 mph crash, your neck can move at 50 to 100 miles per hour!  This is how G force can cause serious injuries at even low speeds.  Of course, high impact speeds are self-explanatory.

WHAT SHOULD I DO IF I AM IN A CAR ACCIDENT?
1.   Stop – do not obstruct traffic
2.   Assist the injured
3.   Protect the scene – to percent further injury
4.   Call an officer – local Police Department
5.   Keep notes – strictly to yourself
6.   Assist the officer – give basic facts
7.   Identify the other driver
8.   Obtain witnesses information
9.   Arrest does not indicate liability
10. Do not leave the scene until doing the past 9 things
11. Call Barton Chiropractic
12. Inform your insurance company
13. Obtain professional counsel (get an Attorney)

Two Types of Injuries
There are two types of injuries that happened to accident victims:  These include Hard Tissue and Soft Tissue Injuries.  Hard tissue injuries usually require emergency medical treatment.  Most soft tissue injuries respond best to chiropractic care. 

Hard Tissue Injuries
Hard tissue injuries are those injuries which happen to the bones.  They include fractures, broken bones and dental problems.  These along with cuts, bruises and burns fall within the category of Emergency Medical Care.  Most of these have a set healing time.  Once you’ve been checked and treated for these types of injuries, the next thing to be concerned about are soft tissue injuries.

Soft Tissue Injuries
Soft tissue injuries are those injuries which happen to all the remaining tissues of the body.  These include sprains and strains of the musculoskeletal system, including the spine and neck.  The most prevalent soft tissue injury found in auto accidents in known as whiplash. 

Whiplash
Whiplash is a term used to describe what happens to your head and neck in an automobile accident.  It can occur at any angle; head on collisions, rear-end impacts, from any corner, or from being T-Boned, which is impact from the side.  
The ill effects of a whiplash injury can occur instantly or it could be weeks, months or even years before symptoms occur.  Injuries to the neck caused by a sudden movement (head forward, back, or sideways) is commonly referred to as “whiplash” or “acceleration/deceleration injuries”.  Literally thousands of pounds of force is exerted upon the neck and spine of the whiplash victim.  These forces result in tearing of muscles, ligaments, and tendons, and in turn, can result in a displacement of the vertebrae of the spine (subluxation) which is a dysfunctional joint causing nerve irritation (pinched spinal nerves).  The results of such injuries can cause neck pain, shoulder and arm pain or numbness, elbow and hand pain or numbness, mid back pain, headaches, dizziness, and blurred vision.  The injured areas lose the ability to function and loss of range of motion (stiffness) occurs. This is where whiplash pain comes from.  It’s most prevalent in the neck – but can happen to any area of the spine or body.

Symptoms of Whiplash
Whiplash symptoms can include neck pain and stiffness, shoulder pain, headaches, back pain, arm pain, numbness or tingling in your fingers, dizziness or lightheadedness, mid back pain, low back pain, numbness or tingling down your legs.  Whiplash may also produce facial pain, ringing in the ears or hearing loss, vertigo, blurred vision, or even hoarseness.  Whiplash is real and painful.   You may experience one or many of the above symptoms.  Each person is unique in their injuries. 

The Problem With Whiplash
The problem with whiplash is that very few doctors truly understand it.  Well meaning emergency room physicians, general medical doctors and physical therapists do not appreciate the extent of the pain and injuries of whiplash accident victims.  The end result is these people are often provided inadequate treatment to care for their injuries.  Don’t let this happen to you.

Whiplash Injuries Can Remain Hidden For Weeks Or Months
Because of the body’s ability to adapt to injury, some whiplash injuries can remain hidden for weeks or months before pain or other symptoms surface.  By the time symptoms surface, many people have already signed their right s to treatment away.   Insurance companies know the facts and spend millions of dollars a year to hide them.   It is no secret that insurance companies may not have your best interest in mind and attempt to get you to prematurely settle your claim in order that they can avoid additional liability.  Insurance companies are controlled by stockholders whose primary aim is to make money.  Their concern is not your health.  Their concern is to get you to settle for as little as possible.  If you do, what happens when hidden challenges begin surfacing?  Don’t let this happen to you.  Preserve your rights to receive the treatment you need by not signing away your rights.

CHIROPRACTIC

Chiropractic is the most appropriate approach to these types of injuries.  Chiropractic care utilizes specific bone manipulations (Adjustments) to help normalize spinal function.  This is crucial in the beginning phases of healing to bring back proper motion, but return of functional joint motion usually requires 2-3 months of chiropractic care.    Active care allows the soft tissue (muscles, ligaments, and tendons) to heal most effectively with minimal scar tissue and physical therapy can take from a few months up to a year to complete the healing process. 

THE 3 PHASES OF HEALING
There are 3 phases of healing that our bodies must undergo in any type of injury and chiropractic combined with physiotherapy is the most effect approach to all soft tissue injuries.  The initial phase of healing (Acute Inflammatory Phase) usually lasts 24 to 72 hours and ice (Cryotherapy) and immobilization (Neck Brace) is essential during this phase.   The next phase of healing (Regeneration Phase) begins around 3 to 5 days post injury and can last up to 3-6 months.  Chiropractic care combined with passive modalities is crucial to achieve maximum improvement of joint function during this phase of healing.  This is when damaged tissue is replaced by new tissue (Collagen).   Mobilization to the injured joints (chiropractic care) is essential to proper healing during this phase of care.  The third and final phase of care (Remodeling Phase) begins about 2 to 4 weeks after the injury and can last longer than 1 year in very severe cases.  Remodeling overlaps the regeneration phase of healing and this is when chiropractic and physical therapy is combined.  Remodeling is when new tissue (Collagen) begins and continues to strengthens.  It is essential to be seeing a physical therapist 2 to 4 weeks post injury to reduce recovery time during the remodeling phase.  Always remember chiropractic first, medicine and physiotherapy second, and surgery last.

PAIN, WHY ME?
Pain is an indicator that a problem within are bodies exists.  Without pain our bodies could not tell us that there is an injury and that there is something wrong.  Usually the absence of pain and swelling after injury is an exceedingly poor indicator of healing tissue.  Most minor to moderate whiplash injuries are overlooked by the patient, the hospital, and even the patient’s family medical provider due to the lack of initial pain.  One week up to 2 months after the injury, the patient continues to have pain or the pain worsens, is when most people begin to realize that the injury is much worse then they had imagined.
 
EFFECTS OF IMPROPER TREATMENT
Improper treatment of whiplash injuries and all soft tissue injuries is a factor in about 50% of the patient’s that finally present themselves to our clinic.  Some patients are given a soft cervical collar by there medical doctor.  If this collar is worn too long, the collar itself can further weaken supportive muscles and actually lengthen recovery time.  If a muscle, ligament, tendon, or joint is subject to prolonged immobilization after injury or surgery this can have significant and profound negative effects.  If a fracture is present the patient is to be first seen by Neuro-surgeon to rule out spinal cord injury and will more than likely have to where a special collar/halo until the fracture is healed.  Once the fractured vertebrae is healed the patient should be sent to a physical therapist to minimize the negative affects of the prolonged immobilization of the soft tissues.  Most MD’s and DO’s prescribe muscle relaxors, pain medications, and anti-inflammatory medications (NSAIDS) first and skip chiropractic and physical therapy all together. 

Don’t Take Unnecessary Chances
In whiplash injuries, ligaments, muscles and joints are stretched and torn out of their original positions.  When this happens, the nerves become compressed and cause pain.  Without proper care, the injury can progressive grow worse, because the neck vertebrate are now unstable and disc decay can form.  Your ligaments and other soft tissues can heal with scar tissue, and your vertebrate may heal in the wrong positions, creating long-term instability and weakness.   This is a permanent condition known as fibrosis, the pain is real and can last a lifetime.  Don’t take unnecessary chances.

The Good News!
The good news is that qualified chiropractic care has proven to be very effective in helping most whiplash victims identify and treat their whiplash injuries – without drugs or surgery. 
A study by Woodward, Cook, Gargan and Bannister found 93% of patients under chiropractic care for whiplash injuries had improved.  They further stated”…..”No conventional medical treatment has proven to be as effective as chiropractic.”
Call Us Today At Barton Chiropractic Center in ConcordFor Your Exam
Dr. Barton, Dr. Joe, and Dr. Jay have had the experience of helping thousands of auto accident victims in their careers, saving most of them from long-term drug addiction and years of future pain as a result of their soft tissue, whiplash injuries.
Call us for your comprehensive examination.  If you have challenges needing treatment, rest assured we will provide you with the most competent and comfortable care available.  We are willing to work with you regardless of whether you do or do not have an attorney.  Our primary concern is to help you move into your future without the painful effects of whiplash following you there.
Call us today at 925-685-2002.  We look forward to serving you.
HOW DO I FIND AN ATTORNEY WHO IS FAMILIAR WITH AUTO ACCIDENTS, PERSONAL INJURY, AND/OR WHIPLASH CASES?
We can refer you to several attorneys in the area that specialize in Personal Injury Claims and who have assisted our patients in the past.

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Make Your Own Propagation Mix

Because I live in the subtropics, I am lucky enough to be able to strike many cuttings and get many species to grow from seed just using garden soil or potting mix as a medium. Unfortunately not every one is as lucky.

Many people struggle to get cuttings to take, or grow seedlings because of fungi and bacterial infections. So extra care and attention in hygiene matters are needed to get them to succeed. So to make your own propagation mix for striking cuttings or to grow seedlings, without spending a fortune.

Ingredients

Compost / and or potting mix,

River sand or a coarse landscaping sand. (Beach sand is not real good because of the salt content, and the grains are usually too fine). (All would have to be soaked / rinsed before using anyway).

Perlite / vermiculite / polystyrene beads (optional for extra moisture retention and openness of mix)

Fine Gravel (optional for well drained mixes)

A sieve of some sort. (This can be a proper garden seive, a kitchen seive, a colander, a grater or even a garden pot allowing the action of seiving through the holes in the bottom, or even just your own hands cupped together seiving the compost through your fingers. )

Bleach (1 / 10mix) or Methylated Spirits (1/10) or Vinegar (1/3) or hot soapy water, (Sterilizing Agent)

Boiled or distilled / demineralized water

Oven. (If heat sterilizing)

Old roasting or baking tray for the oven. (If heat sterilizing)

Sterile container to store excess finished mix in.

Method

Ensure that your hands are clean and sterile before beginning. Gloves can be used because of issues of handling soil and other products which are possible carriers of Legionella longbeachae a pneumonia type of disease. This is a naturally occurring bacterium that is a normal part of the environment.

Secateurs / scissors / knives and work spaces and storage containers should be sterilized with a diluted mix of bleach or vinegar or methylated spirits and water.

First you need to sieve out a quantity of fines from some well matured compost or potting mix. (Or cheat and use coir peat instead). Mix this with about – – 1/3 clean sand.

If you are preparing to grow things that require well drained soil eg pineapples, cacti, etc., as plants then think about adding a bit of fine gravel to your propagation mix. To improve drainage even more. You can even add things like perlite and / or vermiculite and / or polystyrene beads when ready to pot up cuttings. This would improve moisture retention in the propagation mix. These will also improve air circulation around the bases of the cuttings.

To kill germs and bacteria in the mix you will have to sterilize get the soil / sand / gravel mix so that you kill most or all harmful bacteria and fungi.

Possible ways of treating the propagation mix, include.

Soaking Treatment – soaking or rinsing the mix in the dilute sterilizing mix mentioned above, (except the soapy water option), then soaking and or rinsing it after in boiled or distilled water. Sun / air dry any excess mix to ensure that no problems grow before you get to use it again.

Temperature Treatment – laying the mix on a tray in an oven for the 30 minutes or so needed to raise and maintain a temp 'of over 60 degrees celcius. If you put the mix in thick in the trays, then the temp at the core of the mix is ​​what you need to be concerned about. Not just on the surface of the mix. This then needs to be cooled completely before using.

So if you do not want to run the oven specifically just for the propagating mix, then have it ready to insert after using the oven for some normal cooking or baking, while it is cooling down.

Mix which has been heat treated to be sterilized may need to be soaked before using with cuttings as it may be water repellent at first and deprive new cutting of moisture till it reacquires the ability to hold and store water.

If you have made up excess propagation mix it can be stored in a sterile container until needed in the future.

Afterwards

When planting up cuttings ensure that the pots, labels, and even the stick you will be using to poke holes in the mix has been washed or soaked in a sterilizing mix before using them.

It also does not hurt to give the cuttings a quick rinse in the sterilizing agent, 9except the soapy water option), and then a rinse off with the sterile water as well.

When watering cuttings you can improve the success rate by watering the cutting for a while with sterilized / demineralized / boiled water. At least until the cuttings show signs of starting root germination.

Also remember that there is little or no fertilizer content in your mix, so a fertilizing program will have to be maintained at about pl plant strength to allow the new plants to have the nutrients that need to start and maintain root and stem / leaf growth.

Most cuttings strike better in a bright shaded environment.

You can also improve the opportunities of the cuttings taking by keeping the cuttings in an environment away from the general plants in your garden, greenhouse or shade house.

Now while it is expensive to have a dedicated greenhouse just for propagation. It is not difficult to ensure that a small separate incubator can be put aside. Even if this is only something like a throwaway plastic cake / sandwich container, or a clear cd storage tower that blank cd / dvd's come in.

Or even just a plastic shopping / kitchen / bread bag thrown over the container, and kept up off the cuttings with chopsticks, sticks, skewers or straws, etc. And then sealed around the cuttings.

This also helps keep them away from pests and blown in fungi and bacterial attacks while they are establishing. Though once you see signs of them getting established you will need to start opening up the incubator to harden off the new plants.

Limb Lengthening and Limb-length Discrepancy

Limb lengthening is a surgical procedure used to treat a limb-length discrepancy (LLD) of the arm or leg. The goal is to achieve equal length with the corresponding opposite limb. LLD is the difference between the lengths of the upper arms and/or lower arms, or a difference between the lengths of the thighs and/or lower legs. In the past, surgeons rarely lengthened bones. That’s because complications were common, the additional length gained was small, and the newly formed bone was weak. Today, advanced surgical techniques have reduced complications significantly. Patients are able to return to their daily activities soon after surgery.
LLD may be due to normal variation that occurs between the two sides of the body. Or it may be due to other causes. Some differences are so common that they are considered normal and need no treatment. For example, a study of 600 military recruits found that 32 percent had a 5 mm to 15 mm (approximately one fifth inch to three fifths inch) difference between the lengths of their two lower extremities; this is a normal variation. Greater differences may need treatment if the discrepancy affects a patient’s well being and quality of life.
A physician can measure LLD during a physical examination. He or she may measure the difference between the:
Levels of the soles of the feet
Levels of each side of the pelvis when standing
Lengths from the hips to the ankles
If a more precise measurement is needed, the doctor may request an X-ray to measure the length of the bones. In growing children, a physician may repeat the physical examination and X-ray every six months to one year. This can determine if the LLD has increased or stayed the same.
Risk Factors/Prevention
There are many possible causes of LLD:
Previous injury: A previously broken bone may cause LLD if it healed in a shortened position. This can happen if the bone was broken in many pieces (comminuted) or if the skin and muscle tissue around the bone were severely injured and the bone was exposed (open fracture). In children, broken bones may grow faster for several years after healing. This causes the injured bone to become longer. A break in a child’s bone through the growth center (located near the ends of the bone) can cause slower growth. This results in a shorter extremity.
Bone infection: Bone infections in growing children, especially infants, may cause significant LLD.
Bone diseases (dysplasias): These include neurofibromatosis, multiple hereditary exostoses and Ollier disease.
Inflammation: Juvenile rheumatoid arthritis is one example of inflammation of joints during growth that can cause unequal extremity length. Joint degeneration in adults (osteoarthritis) rarely causes significant LLD.
Neurological conditions: Neurological conditions during childhood, such as cerebral palsy, polio and obstetrical brachial plexus palsy, may affect the growth of an arm or leg and result in LLD.
Sometimes conditions are present at birth, but the LLD may not be detectable. As the child grows, the LLD increases and becomes more noticeable. Examples include:
Hemimelia: Underdevelopment of the inner or outer side of the leg is called hemimelia. One of the two bones between the knee and ankle (tibia or fibula) is abnormally short. There may also be foot and knee abnormalities.
Hemihypertrophy: Stimulation of growth of one side of the body from an unknown cause is called hemihypertrophy. It is a rare condition. Hemihypertrophy causes over-growth of both the arm and leg on the same side of the body. There also may be differences between the two sides of the face.
Sometimes no cause for an unequal extremity can be determined using current diagnostic methods. This is called idiopathic.
Symptoms
The effects of LLD vary from patient to patient. Symptoms depend upon the cause of the discrepancy and the size of the difference.
Differences of 3.5 percent to 4 percent of the total length of the lower extremity (4 cm or 1 2/3 inch in an average adult), including the thigh, lower leg and foot, may cause noticeable abnormalities while walking. The patient may need considerably more effort to walk.
Differences between the lengths of the upper extremities may cause few problems, unless the difference is so great that it becomes difficult to hold objects or perform chores with both hands.
A LLD may be detected on a screening examination for curvature of the spine (scoliosis). However, LLD does not cause scoliosis. There is controversy about the effect of LLD on the spine. Some studies show people with LLD have a greater incidence of low back pain and are at increased risk for injury; other studies refute this relationship.
Treatment Options
The patient and physician should discuss whether treatment is necessary. An adult with no other deformity may not need treatment for a minor LLD. Because the risks may outweigh the benefits, surgical treatment to equalize leg lengths is usually not recommended if the discrepancy is less than one inch. For small differences, the physician may recommend a shoe lift. This is fitted to the shoe. It can often improve walking and running. It can also relieve back pain caused by LLD. Shoe lifts are inexpensive. They can be removed if they are not effective. They add weight and stiffness to the shoe.
Treatment Options: Surgical
Shortening
In some cases, the longer extremity can be shortened with surgery. However, a major shortening may cause weakening of the muscles of the extremity. In growing children, lower extremities can also be equalized by a surgical procedure that stops growth at one or two sites of the longer extremity. It leaves the remaining growth undisturbed. Using charts or formulas, a physician calculates how much equalization can be reached by surgically stopping one or more growth centers. This procedure is performed under X-ray control. The surgeon uses a very small incision in the knee area.
The procedure will not cause immediate correction in length. Instead, the LLD gradually decreases as the opposite extremity continues to grow and “catch up.” The timing of the procedure is critical; the goal is to reach equal lengths of the extremity at skeletal maturity. This usually happens by the mid- or late teens. Disadvantages include the possibility of slight over-correction or slight under-correction of the LLD. The patient’s adult height will be somewhat less than if the shorter extremity had been lengthened. Correction of a significant LLD by this method may make a patient’s body look disproportionate because of the shorter legs.
Surgical lengthening of the shorter arm or leg is another treatment option. The process may be immediate or gradual.
Immediate lengthening
In immediate lengthening, the desired increase in the bone’s length is attained while the patient is under an anesthetic in the operating room. When performing acute lengthening, the orthopaedic surgeon makes a cut in the bone, slides it and maintains the length and position with an internal device (i.e., screws or metal plates). Or the surgeon may cut the bone, spread the two sections apart, and insert a graft and internal metal devices to maintain the length. Surrounding muscles, nerves and blood vessels do not tolerate a lot of stretching. So acute lengthening can only achieve limited increases. For example, forearm bones (radius or ulna) and foot bones (metatarsals) are lengthened by this method when only a small gain in length is needed.

Gradual lengthening
In gradual lengthening, the surgeon attaches a scaffold-like frame (external fixator) to the bone with metal pins, wires, or both (Figure 1). The bone is cracked through a small incision; the bone then “rests” for a few days. The patient wears the frame until the correction is achieved. The frame creates tension when it is “distracted” by the patient or family member who turns an affixed dial several times daily. The surgeon determines the rate of turning by taking X-rays every 10 to 14 days during office visits. Although this lengthening process is often called “stretching,” the bone is not stretched. Instead, the very small amount of tension that the frame exerts on the bone stimulates the bone to grow. This fills the gradually enlarging gap with new bone. The surrounding muscles, nerves, skin and blood vessels also grow. The maximum rate of lengthening in children is usually 1 mm per day, or 1 inch per month. Lengthening may be slower in adults. It may also be slower in a bone that was previously injured or had surgery.
After the bone is lengthened, it must heal in the lengthened position (consolidation phase). Then the frame is removed. Under ideal conditions, the time “in the frame” is approximately 2 1/2 months to 3 months per inch. This time varies depending upon your age, general health, whether you smoke, your participation in rehabilitation, etc. Some activities may be more difficult when wearing a frame (i.e., getting in and out of a car). Most patients can easily return to work, school or daily routines. When the surgeon determines that bone strength is nearly normal again, the frame, pins, and wires are removed. Gradual lengthening can achieve significant gains in length if the process is repeated several years later, or if it is performed at opposite ends of the same bone at the same time. This “double level lengthening” achieves lengthening rates greater than 1 mm per day. Deformities, such as malunion following a broken bone, can also be corrected while the bone is being lengthened.

Many patients ask about the amount of pain associated with limb lengthening. There is some discomfort with any surgery. Pain medicine is given as needed while the patient is in the hospital (usually two days to three days). The surgeon will prescribe pain medicine as needed when you leave the hospital. Little pain is experienced once the patient is home and the lengthening process is underway. If there is a sudden increase in pain, contact your surgeon immediately. Pain may be a warning sign of a possible complication and must be addressed quickly.
As with any surgical procedure, there are risks. See your surgeon after the operation for scheduled office visits to minimize complications:
The bone may heal too rapidly (premature consolidation) and need to be cracked again to continue the lengthening process.
The bone may heal too slowly (delayed union). This can require that you wear the fixator for extra time, use an external bone stimulator or undergo more surgery, such as insertion of a bone graft.
The pins or wire sites can become infected. If untreated, infection can spread to the bone. To minimize this risk, the surgeon will tell the patient how to very carefully clean the pins and wires.
Joint stiffness (contractures) may occur during lengthening. This is especially true for significant lengthenings. If joint stiffness happens, the lengthening may need to be stopped or further surgery may be needed. Participation in prescribed physical therapy and home exercises will minimize the chances of joint problems.
Fractures of the new bone may occur when the external fixator is removed. Initially, the new bone is not as strong as the original bone. If the bone breaks, the surgeon may apply a cast, reapply the fixator or restrict the patient’s physical activities.
Research on the Horizon/What’s New?
A new way to lengthen the bones of the lower extremities combines use of an external fixator and a metal rod inserted into the canal of the bone (intramedullary nail). This procedure is very similar to lengthening performed with an external fixator; however, it decreases the risk of newly lengthened bone bending or breaking following removal of the external fixator. The patient spends less time “in the frame” when the combined procedure is used. The main disadvantages are prolonged use of crutches or a walker and the possible risk of a severe bone infection.
Another new way to gradually lengthen limbs uses a telescoping nail. In this surgery, an expanding metal rod is inserted into the internal canal of the thighbone (femur) or shin bone (tibia) (Figure 2). Then the surgeon makes a small crack in the bone. During the next few weeks and months, the length of the nail increases. This causes lengthening of the surrounding bone. Movement of the leg activates the lengthening components of the nail. An advantage of this technique is that there is nothing worn outside the extremity.
A telescoping plate for gradual lengthening of the femur (thighbone) is currently under development. The plate is attached to the surface of the bone and a small crack is made in the bone. Beginning several days after surgery, the bone is gradually lengthened by frequent adjustments made with a small wrench through a tiny hole in the skin.
Cosmetic lengthening
Some patients inquire about lengthening both legs to achieve greater height. This process is called cosmetic lengthening. Because of the possible complications, patient commitment and expense, cosmetic lengthening is rare. Patients who are considering cosmetic lengthening must consult an orthopaedic surgeon skilled in performing these procedures. Carefully weigh the risks and benefits of surgery.
If you have a limb length discrepancy, an orthopaedic surgeon experienced in bone lengthening techniques can explain the treatment options and their risks and benefits in more detail. You and your surgeon can then decide what treatment, if any, is best for you.

  • Serendipity Shoe Lifts
  • How To Determine If You Are Experiencing Perimenopause Or Menopause?

    Life begins at 40 as the saying goes. But for some women as early as 30 years old their journey towards the menopausal episode starts. Perimenopause as it is called would never be easy for most women facing this. Here are the common signs of perimenopause. Check it out if you are experiencing some of them.

    *Vaginal dryness

    *Sexual discomfort

    *Memory problems

    *Sleep problems

    *Short menstrual cycle

    *Unpredictable period ( some may skip period, some may experience bleeding that last for two weeks, other may undergo period twice in a month)

    *Spotting in between menstrual cycle

    *Spotting after intercourse

    *Self-pity that leads to depression

    *Irritability

    *Hot Flashes

    *Frequent urination (especially at night)

    *Breast tenderness and discomfort

    PMS or premenstrual syndrome are most similar to perimenopause symptoms though PMS must be based on the menstrual cycle itself. On the other hand, perimenopause is associated with the unpredictable period oftentimes shorter than the regular 28-day menstrual cycle. Before the period, one may experience breast tenderness and when bleeding occurs, hot flashes and more irritating symptoms arise.

    This and more symptoms will be experienced by women in their perimenopausal stage. Good for those who will not undergo the turmoil of perimenopausal. Yes, there are women who rarely experienced the symptoms of perimenopause. I talked to Juliet and Minda who just turned 60. Both of them never experienced the symptoms of perimenopause. Their period just ceased after turning 50 years old. But they experience some annoying changes physically when menopause occurs.

    Menopause is a natural phase that women will experience. The recurrence of menstruation of 3 to 6 months and will eventually stop for one whole year is a sign of menopause. By this time a woman could no longer be able to get pregnant as her period ceases. Like Juliet and Minda who do not experience much of the perimenopause symptoms but experiencing the agony of menopause due to hormonal imbalance.

    Oftentimes hormone replacement therapy or HRT will be considered to lessen the severe hormonal imbalance. General practitioner can offer few suggestions to treat the abnormalities such as taking hormonal pills. There are also gels, implants and skin patches that could reverse estrogen loss.

    The depletion of estrogen will lead also to vaginal dryness during menopause and perimenopause. You may consider applying vaginal moisturizer or lubricants. There is also vaginal estrogen cream which is more effective to lessen the dryness. But if your GP will suggest CBT or cognitive behavioural therapy try considering the idea especially if you undergo mood swings, anxiety or depression.

    Staying healthy is the best way to avoid the dilemma of perimenopause and menopause. There are lots of healthy food around start picking up organic it is 100% safe. You can also include natural food supplements in your diet like the Buah Merah Mix that contained six super natural fruits and vegetables like moringa, wheat grass, barley, mangosteen, guyabano and buah merah. Buah Merah Mix is a fully loaded ready to drink juice that will energize your body while detoxifying. It is a good source of vitamins and minerals to lessen the agony of hormonal imbalance during perimenopause and menopause.

    Is It Normal To Have A Fever After Hernia Surgery?

    If you have undergone hernia surgery within the past few days or weeks, you are no doubt hoping for a quick and successful recovery. That is why it can be worrisome if you find that you have a fever shortly after having had hernia surgery.

    Since we were children, we have often been taught that a fever can quickly go from being something to not worry about to a “call the doctor”-type of emergency. Indeed, it is important to keep tabs on a fever, especially after surgery.

    Anatomy of a Hernia

    A hernia is a protrusion of the gut (or intestine) from inside the body through the abdominal wall. The abdominal wall is made almost entirely of muscle. For some people, the abdominal wall can develop a weakness in one or more locations over time. If the weakness becomes pronounced enough, it can allow the intestine to bulge through the wall, becoming a hernia.

    A hernia is usually visible to the naked eye as a bulge on the outside of the body. In fact, it is this visible quality of hernias that make them easy to diagnose.

    How Hernia Surgery Works

    Hernia surgery involves the patching of the weakness in the abdominal wall. The surgery starts with the doctor opening a small incision in the skin. The doctor then pushes the protruding parts (the gut) back into the body cavity. Finally, a mesh patch is applied over the opening to strengthen it and to prevent any recurrence of the hernia.

    Chances for Infection

    The quality and cleanliness of most medical facilities in developed countries today means that your hernia surgery was probably carried out in a sterile environment by a competent doctor. However, anytime you undergo surgery, you are exposing yourself to the potential for infection. Any open wound is necessarily exposed to bacteria and viruses which exist outside the body in the environment.

    If you have had hernia surgery and are wondering, “Is it normal to have a fever after hernia surgery?”, it is important that you know what to look for and when you should be concerned.

    When a Fever is Normal?

    After hernia surgery, you will likely not be released from the hospital if you have a fever. But, it is not uncommon for a light fever to develop in the days or even a week or so after hernia surgery. As long as your fever comes on and then goes away within a couple of days without getting too high, you are fine.

    When to Call Your Doctor

    However, if your fever reaches over 101 degrees for more than a few hours, you should call your doctor. In that case, it is quite possible that you have an infection.

    Other reasons to visit your doctor after hernia surgery include: unexplained leg pain (due to the possibility of blood clots), pus and drainage from your incision, very dark bowel movements (which may indicate blood in the stool), difficulty breathing and inability to eat.

    What to Expect if You Have to Visit Your Doctor

    If you do decide to visit the doctor due to a fever of 101 or higher, it is important not to let this worry you. Your doctor will likely inspect your wound to make sure it looks like it is healing properly. He or she will probably subscribe some antibiotics to treat a possible infection.

    However, if your fever is extremely high, you may be asked to check back into the hospital for a day or so in order for you to be properly observed until it goes away.