How to Deal With Lead Singer Disease (LSD)

Relax Moms and Dads this post is not about some hallucinogenic pill. It is about much worse – LEAD SINGER DISEASE!

However, before I get into that and alienate my vocal brethren I want to give you two versions of the same joke, just to show that I can be self deprecating also. It’s all in fun singers so loosen up the leather pants!

How many guitarists does it take to screw in a light bulb? The answer: 7 – one to do it and six to sit around saying they could have done it better.

OK, how many singers does it take to screw in a light bulb? The answer 1: He/She just holds the light bulb and the world revolves around them.

So true, so true – on both accounts.

You see, I have been playing guitar since I was about 13 or 14 (no I don’t know exactly how old I was – I didn’t plan on walking on water and writing my memoirs to preserve my journey!). I started playing in clubs since I was around 18 or 19 (again – the walk on water thing). I am now quite older (OK, I am 40 as of this writing). So that is 27 years of playing (I actually did the singing along with my drummer when I first started playing in a band – so that was my LSD period).

OK so 27 years of playing with a TON of different singers and you know what? I have only had one singer through it all that didn’t suffer from this dreaded disease – and it took me 24 years to find her!

You’ll know you found one when you hear any of the following statements uttered with the subtleties of a Lion’s roar when some chump Hyena is trying to steal their food:

“Hey man, this P.A. is mine and we’ll play what I want to.”

“Dude, you sound great but your stepping over my vocals.”

“I Rock!”

“They’re all coming to see me!”

“Hey Bro, turn my mic all the way up.”

“No Man, I don’t do roady stuff.”

“I’ll see you at the gig.” What he/she really means is – I’ll see you at the gig 5 minutes before we start to play.

“Steve Perry sucks, Man. I can out sing that fool any day!”

“Hey I AM Van Halen, Man!” (sorry this one is from my past – couldn’t help but put it in there)

Oh yeah that reminds me, if they go by three names, then you know they are already full blown chomping on the LSD pill – See: David Lee Roth, Ronnie James Dio, Axel Freakin’ Rose.

OR, if they go by one name you can bet LSD is chronic – See: Elvis, Mariah, Celine, Mikey (just kidding bro, love ya! A little inside joke for me and my gang.)

And on and on and on and on and on and on…

So, my young guitar hero, how do you deal with LSD?

Just like any bad trip gone wrong – you just let it ride…just let it ride. And keep saying to yourself, “This is just make believe and soon it will be over.”

Seriously there isn’t much you can do because most singers do not live in reality.

Ever seen American Idol? So so many of those people just can not sing. Simon rips those dudes and tries to bring them back to this planet, but they NEVER listen! They just say how stupid Simon is, while he’s making 10 bazillion dollars and they had to take time off from the fry station.

Hey money isn’t everything, but the man got where he’s at for a reason, you’d think they would listen, take the free advice, and use it to improve. Well it’s not their fault they can’t – they’re hopped up on LSD!

What blows me away is that I have seen singers who have just butchered a song, listening to themselves on a recording, and have seen them personally, with my own eyes, and heard them bellow with my own ears something like this, “Hell yeah – I nailed it!

Unbelievable!

So, you can’t give them criticism, can’t show them by playing their debacle back to them, what can you do?

Well first you have to know your prey. You have to understand that they are basically naked in front of a bunch of strangers dangling their wares in front of the world to see. In order to do that they HAVE to have a thick skin and a crap load of confidence. We have our guitars to hide behind.

Also, we can feel like crap, be sick, be tired, be any number of things and still perform as long as the fingers work. Singers, on the other hand, are victims to their voice. Their body IS their instrument, so any number of things can jack that up.

Also, we don’t even have to really hear ourselves to be able to play in key. And if we can’t hear ourselves, hey, we just turn it up to 11! Not singers! It’s all about their ability to project. In this day and age, ever since they outlawed eunuchs, projection just ain’t-a-gonna-happen. That is why as a guitarist, you’ll hear the inevitable phrase, “Dude, turn it down some.”

In reality, you gotta pity the fools (thank you Mr. T).

So now that we know the beast we are dealing with, what do you do?

I found that the best way to handle this is the same way I deal with a 3 year old:

  • Use a comfortable calming voice
  • Don’t get too worked up (really tough to do)
  • Praise the good
  • Guide the bad with reassurance
  • Stroke the ego a little and paint a picture of greatness

Now this may seem easy to do, but when that SOB is ranting how lucky you are to have him in the band, that everyone is there to see him, and how your band would be nothing if he wasn’t there – it can be a real mutha to stay CALM!

Excuse me, I am starting to get worked up! Flashbacks.

Let’s say your singer just blew chunks all over a song and you feel the need to let him/her know. You might say something like this: “Man I liked the part where you (think of something, but it must be believable and should be something you want him/her to repeat). The way you did that, Man, I think if you would do this (fix the part you screwed up royal) then that would blow people’s mind. Give it a shot and let’s check it out. “

And keep this type of supporting dialogue up until the LSD dissipates a little (it may never go away).

This is way harder to pull off when you are playing live, but can be done on a break between songs or sets.

Outside of finding another singer, that is really all you can do. And good luck finding another singer that isn’t afflicted – remember it took me 25 years!

Needless to say, if you play in a band or associate with any musicians, you will eventually run into someone afflicted with LSD.

Hey, just like me in the beginning, it may be you!

The Business Of Health Care – Managing Your Private Practice: Dr Hlombe Makuluma

In the Garden of Eden, during the fall of man, God asked Adam: “Have you eaten of the tree of which I commanded you not to eat?” Adam answered by blaming his wife, Eve. And when God asked the woman: “What is this that you have done?” Eve responded by blaming the serpent. Man’s inability to take responsibility for his wrongs, it seems, was embedded in his genetic makeup from the beginning of time.

In my twenty-five years in private practice, there has been plenty of serpents to blame for my personal and business woes. I was never short of excuses for my failures, shielding myself in the process from my inadequacies. I had also witnessed dozens of colleagues abandoning the medical profession, driven to other fields, and hiding behind similar excuses to mine for their failure.

Some had gone on to thrive in their newly found occupations, but for others, disappointment stalked the rest of their professional lives. For the latter, I am certain no other question tormented them more than: What does it take to win? What does it take to get things right in their floundering medical practises?

Winning in business is a seminal objective since success extends beyond the individual. Not only do our health practises prosper but also our families, children and marriages win. Winning at work can lead to being a champion at home. If for anything else then, that is why the message contained in Dr. Makuluma’s compelling and riveting book is vital. Inspired by his own experience, and profoundly stirred by the doom he witnessed in private practice, the author’s sublime ‘project’ reminds us that success, and indeed failure in health care practice, is often not by accident.

Success, he tells us, is a choice. When we run a race, we should do so with the mind of a champion: and that is do so with a plan to win and not surrender to the myriad business setbacks endemic in the medical profession.

In “The Business of Health Care” Dr. Makuluma gives us his blueprint-a strategy which when properly executed would eliminate flaws in private health practice, unravel the mystery behind success, and lead to victory. The genius of his plan is the sheer simplicity of its precepts. The author readily confronts the complexities of running a medical practice with carefully thought out principles, and with also simple but deliberate language.

From the outset, he jolts the reader with invaluable advice: The key to successfully operate a health practice is to be financially literate. This is the “basic formula”, he writes, for operating any business. On the surface this observation is obvious, and yet it remains the cardinal reason for the failure of many health practises.

It has also been stated repeatedly in several different ways throughout the ages. “A fool and his money are soon parted”: goes the old adage. “The men who can manage men manage the men who can manage things, and the men who can manage money, manage all.” _Will and Ariel Durant, The Lesson of History.

In my practice, I never saw my role extending beyond my skills as a surgeon. My energies were continually sapped by improving my surgical skills. My relationship with my practice as a business, was at best lukewarm. I had, more than most, put in the long hours at work, but I had failed to grasp the very simple notion that I was a ‘health practitioner running a business,’as the author so aptly and eloquently puts it.

As with the unprofitable servant in the biblical parable of talents, my thoughts on money were restricted to the fear of losing it, than in making it. When it came to wealth, and its creation, my mind mostly saw limitations rather than possibilities. Hardship was consequently the fingerprint of my practice, and financial ignorance was engraved in its soul. My professional life was a narrative of unfulfilled dreams.

The Business of Health Care is the strategic omnibus that will undoubtedly carry the modern medical practitioners into the future. It is a well-written and well-researched book, and is destined to be the bible for all doctors going into private practice. In it, Dr. Makuluma, takes us by the hand and offers the treasures and tools of running a successful practise in the twenty-first century.

The author’s ‘project’ is a priceless gift to health practitioners. It is an august framework for success, underpinned by the supremacy of design. Dr. Makuluma provides the implements not just to manage a business, but also to manage life.

After reading the book, it is as if one has suddenly woken up from a nightmare. It is difficult to suppress the indignation at the harm which ignorance has wrought upon our venerable profession. But, now doubt has been supplanted with optimism. One now approaches every day at work, and every challenge, with renewed hopes and sense of purpose.

Toenail Fungus – Toenail Discoloration

Are your feet, better yet, are your toes feeling less than fresh these days? You’ve noticed some discoloration on one of your toe nails and your starting to wonder why because you know for certain that you did not injury it. They look dingy and off color so you decide to take a closer look later on tonight.. Hopefully, its not toenail fungus because you know for certain that a few of the other women at work are currently treating their own conditions.

Welcome! You have just joined the ranks of the masses meaning, you are just another one of those 35 million people in the world who suffer from toenail fungus. It is a disease of the nails and quite contagious. You probably contacted it from somebody at work, a partner or from some public facility such as a gym, nail salon or the public swimming pool where you take the kids or you maybe your over 65 or a diabetic. All these conditions can attribute to the appearance of toenail fungus, toenail discoloration and yes, age has allot to do with it.

The first sign of toenail fungus is the discoloration of the nail on the hands or toenails on the feet. You could be seeing signs on one nail or many. It invades your nail beds and starts the process of discoloring the affected nail. If you have seen the little critter on tv, this little guy takes residence under your nails and wont leave until you force him out. The contagious nature of this disease is the reason why so many people are infected.

Toenail discoloration – The color of gold.

The color of gold, depending on its purity, is yellow to deep yellow in color. Toenail discoloration due to toenail fungus can also start as a golden yellow, yellowish or brownish color. This is usually the most popular color signs but it can also turn green even spotted white so you could have a cornucopia of different color variations on your nails.

It starts at the nail bed then works itself down the nail until the entire nail is an ugly mixture of colors. Advanced cases look white or completely white in color and show signs of a serious deformation of the nail. Be warned, once the nail starts to deform there is little hope of getting it straightened and looking like it used too. This is why its so important to start a treatment as soon as you can. Treat it before the nails start showing signs of bending and curling all over the place.

How can i get rid of toenail discoloration associated with toenail fungus?

You should start a treatment as soon as possible. Don’t wait thinking it will get better on its own. It usually wont. The bacteria (spores) are contagious and can be transmitted to others, so keep that in mind. Try to educate your loved ones and take precautions not too spread it too them if possible. After all, education about how it spreads is the best prevention.

There are a number of products on the market (non prescription) that will effectively treat toenail fungus and toenail discoloration. The important thing to remember is that your treatment can take awhile, depending on the severity of your condition. For example, if you have left your condition fester for months or even years, its going to take much longer to get rid of it than someone who took immediate action to cure it when they noticed it. Treatment can range from only a few weeks to months.

Try A Natural Cure for toenail fungus, I did.

A Natural cure should include natural ingredients so be sure to choose a product that includes something like Tree Tee Oil, Lemon grass extra and Vitamin E oils. Usually you will find a fast cure using an over the counter product instead of reverting to a prescription ( not recommended), that could harm you. Some of the best cures can only be purchased online so do your homework.

Take control of toenail fungus, don’t let it control your life. This thing can turn nasty very quickly and the last thing you want to deal with are distorted nails, even after it is cured, will never look the same. Don’t let it get that far.

Where to get more information on toenail fungus.

June Holland is and ex toenail fungus sufferer. Read my story and find out how i cured my toenail fungus in less then 3 weeks and what treatment options I used.

Neurodegenerative Disorders – Ayurvedic Herbal Treatment

Neurodegenerative disorders form a group of diseases in which there is a progressive loss of structure or function of neurons or nerve cells in the brain and spinal cord, resulting in progressive degeneration and death of the nerve cells causing problems with movement (ataxia) or with mental functioning (dementia). These disorders are characterized by a standard pathological process involving inflammation; oxidative stress; abnormal depletion or insufficient synthesis of neurotransmitters; and genetic mutations, causing damage to protein synthesis and premature cell death. This results in aggregation or deposit of abnormal protein clumps in various parts of the brain and spinal cord, and characteristic symptoms which help in identifying specific diseases. More than 200 such diseases are listed in this group; the commonly known diseases include Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), Amyotrophic Lateral Sclerosis (ALS), and Ataxias [including Spino-Cerebellar Ataxia (SCA)].

AD is characterized by cognitive impairment causing loss of memory; disturbance in reasoning, planning, language and perception; and behavioral changes. This disease causes deposits of fibril clumps of abnormal β amyloid protein known as senile plaques. This causes gross atrophy and degeneration of different parts of the brain including the temporal lobe, parietal lobe, parts of the frontal cortex, and the lingulate gyrus.

PD is a chronic and progressive movement disorder characterized by slow movement (bradykinesia), rigidity, resting tremor, and postural instability. There is an abnormal accumulation of protein known as Lewy bodies, causing death of dopamine generating cells in the substantia nigra, a region of the midbrain. Both AD and PD are usually associated with advanced age.

HD is an adult onset, autosomal dominant, inherited disorder characterized by involuntary movements, dementia, and behavioral changes. There is a loss of neurons in the basal ganglia and frontal and temporal cortex. The subthalamic nuclei send control signals to the globus pallidus which initiates and modulates motion. Weaker signals cause reduced initiation and modulation of movement resulting in the characteristic choreiform (repetitive, rapid and jerky) movements of HD.

ALS is a disease in which motor neurons are selectively targeted for degeneration. Motor neurons are nerve cells located in the brain, brainstem and spinal cord which serve as controlling units and communication links between the nervous system and voluntary muscles of the body. Motor neurons in the brain are known as upper motor neurons while those in the spinal cord are known as lower motor neurons. ALS is a rapidly progressive neurological disease affecting both the upper and lower motor neurons. There is a loss of voluntary control over arms, legs, and respiratory muscles. Muscle wasting, atrophy, and twitching (fasciculation) cause problems with movement, dysphagia (difficulty in swallowing), dysarthria (difficulty in speech) and spasticity. Sensory function and cognition are usually well maintained. ALS pathology includes protein aggregates, mutation in the gene encoding the antioxidant Superoxide Dismutase 1 (SOD 1), and mutation in chromosome 9. The mutation first acts on the local astrocytes, which later causes a toxic effect on the entire motor neuron.

Ataxias are a group of neurological disorders in which there is degeneration and atrophy of the cerebellum, causing abnormal and uncoordinated movements, gait abnormalities, fine motor in-coordination, speech and swallowing difficulties, visual abnormalities, increased fatigue, and cognitive and mood problems. Ataxia types include episodic ataxia, idiopathic ataxia, ataxia telangiectasia, oculo-motor apraxia, vitamin E deficiency ataxia, and COQ10 deficiency ataxia. Freidrich’s ataxia is an autosomal recessive variety. SCA is an autosomal dominant cerebellar ataxia. It has subtypes 1, 2 and 3; SCA 7 is a slightly different type where vision abnormalities precede the ataxia.

There is currently no cure for neurodegenerative disorders; conservative treatment is mainly symptomatic and supportive in nature. Vitamins and supplements are given to help reduce symptoms or slow down the rate of progression of the disease. Occupational therapy and physiotherapy are given to maintain muscle strength and tone. Medications are given to reduce anxiety, induce sleep, reduce pain and twitching, increase blood supply to the brain, and to help balance neurotransmitters.

In this scenario, Ayurvedic treatment has a special role to play in the comprehensive management and control of neurodegenerative diseases. Preclinical and clinical studies have conclusively shown that herbal medicines bring about autoimmune modulation and neuro-protection; reduce inflammation in nerve cells; reduce mitochondrial damage; and possess antioxidant properties.

Ayurvedic treatment is therefore very useful in improving general body immunity as well as specific immunity of the nervous system. Ayurvedic medicines strengthen the nervous system and bring about immunomodulation where there are definite signs of immune mediated damage. Herbal medicines reduce abnormal protein synthesis and aggregation, and help remove abnormal protein deposits. These medicines also help reduce nerve inflammation and help repair and reduce demyelination. Ayurvedic treatment helps improve muscle strength, tone, and neuromuscular coordination; helps rebuild damaged nerves and damaged and dysfunctional parts of the brain; modulates and halts programmed cell death of nerve cells; reduces and reverses mitochondrial dysfunction and genetic mutation; and also helps reduce damage due to the hereditary component of nerve degeneration.

Currently, scientific treatment of neurodegenerative disorders with Ayurvedic medicines is still in the infancy stage, with drug regimes being planned more on a clinical basis to treat functional impairment. This approach is reaping good dividends; affected individuals – with a previous lack of response to all medications – have started improving at a significant pace. Hopefully – in the near future – specifically targeted treatments will emerge, which will treat and reverse damage in specific parts of the nervous system. This will help expedite treatment results, and identify uniform treatment approaches, which in turn will help reduce the devastating effects these diseases have on affected individuals, and hopefully bring about a complete remission.

Prostate Cancer: The Dreaded Prostate Biopsy and Alternatives

Many men do not realize that they have a choice when a physician recommends a prostate biopsy. Often they sit there in shock when told that they will need a biopsy. This scenario is played out over a million times annually though out the United States each year. The fact that alternative diagnostic procedures are not discussed or even brought to the patient’s attention is amazing. It is important to note that medical practitioners have relied upon prostate biopsies since the first one performed in 1930. A lot has changed in eighty years however the prostate biopsy is still the most relied upon diagnostic procedure. Today revenue generation from prostate biopsies is estimated at 3 billion dollars annually in the US. If you have ever found yourself facing a biopsy you may be surprised how most health care providers fail to discuss the alternatives to a prostate biopsy. In addition no one ever discusses the fact that men who undergo a prostate biopsy often experience side effects due to the procedure itself.

Prostate cancer is serious and statistically it is projected that one in six men will be diagnosed with prostate cancer. Within this group of men ten percent will have a life threatening or dangerous form of prostate cancer. Prostate cancer is the second leading cause of death related to cancer. In 2010, it is estimated that 32,050 men die annually from prostate cancer in the United States. The most common test for a prostate cancer screening is a blood test known as the PSA (prostate-specific antigen) test. This may be in combination with or without a DRE (digital rectal exam). When the results of these tests indicate the possibility of cancer it is currently common that medical professionals will proceed or recommend a prostate biopsy.

A prostate biopsy is an invasive procedure that involves a series of needles and puncture wounds to the prostate. Most men fear a biopsy of the prostate due to the fact that in the event cancer is present research has discovered that the biopsy increases inflammation and the progression and spread of cancer. Additionally the biggest risk of this invasive procedure occurs when the tissue samples, obtained via puncture of the prostate gland, miss the cancerous tissue. Only 75 percent of cancers are detected via a patient’s initial biopsy. Often this leads to multiple invasive biopsies generally spaced from 6 weeks to three months apart. Typical costs associated with a prostate biopsy, include both a physician fee and a laboratory fee, generally ranging from $1500.00 to $3200.00. It is not that uncommon to have multiple successive prostate biopsies. Obviously these biopsies are lucrative for the medical professional performing the procedure and for the laboratory processing the tissue samples. Men who elect to proceed with the biopsy often experience erectile dysfunction and increased urinary problems. The actual biopsy procedure has been shown to predispose men to side effects such as difficulty urinating and increased waking due to nighttime trips to the bathroom. The degree of side effects actually increases substantially post the biopsy procedure. Only 10% of the men before the biopsy reported severe side effects. One week after the biopsy the percent of men reporting severe side effects increased to 18%. By week 12 post the biopsy almost 30% report severe side effects. In addition to severe side effects, 39% report less severe or moderate side effects post the biopsy procedure.

Today there is an alternative diagnostic procedure to an invasive prostate biopsy. Similar to the traditional Sonogram, also known as ultrasound, which is a familiar diagnostic test performed on pregnant women due to the fact that it is safe for the unborn child. The biggest difference is that the typical sonogram is not in color and the area of administration. A Power Color Doppler Sonogram (3D CDI-TRUS- ‘Three dimensional color Doppler imaging – trans-rectal ultrasound’) can be performed on the prostate and it is painless, safe, and not surgically invasive. Clinical literature substantiates that the 3D CDI-TRUS is a diagnostic technique with excellent sensitivity (0.82) and specificity (0.91) for detecting prostate cancers, even if PSA levels might not be elevated or are within the grey zone. [1] This diagnostic technique reduces unnecessary biopsies in men with elevated PSA levels without violating cancer detection. The estimated cost of this procedure is about $500. The 3D CDI-TRUS takes less than an hour to perform and can be performed in your doctor’s office. Recovery from this procedure is instantaneous, so you may return to work the same day. Generally, 3D CDI-TRUS procedures are performed by interventional radiologists.

Another alternative non-invasive evaluation for prostate cancer can be performed with a standard MRI (Magnetic Resonance Imaging). The MRI’s accuracy is 89%. Despite the fact that an MRI tends to over-stage the tumor; most physicians feel that an MRI does not provide added information over the results available from surgically invasive prostate biopsies and PSA data. [2] Recent development and use of MR Spectroscopic Imaging (MRI-S) expands the diagnostic assessment of prostate cancer beyond the traditional information provided by a standard MRI. [3,4,5] This newer technology MRI-S uses multiple coils to provide a better image of the prostate and cancerous tumors if present.

There are options to the surgically invasive prostate biopsy. Unfortunately it is up to you to know what they are. You should discuss these options with your health care provider. It would be wise to substantiate your discussion with the cited articles below.

1. Merkle W., “Successful Early Prostate Cancer Screening by Three-Dimensional Color Doppler Imaging-Transrectal Ultrasound: A Prospective Study.” UroToday Int J. 2009 Apr;2(2) doi:10.3834/uij.1944-5784.2009.04.08

2. Andrew C Peterson, MD, FACS, et. al.; Urologic Imaging Without X-rays: Ultrasound, MRI, and Nuclear Medicine., Jan 4, 2007, http://emedicine.medscape.com/article/455553-overview#showall

3. Kurhanewicz J, Vigneron DB, Hricak H, et al: Prostate cancer: metabolic response to cryosurgery as detected with 3D H-1 MR spectroscopic imaging. Radiology 200:489-96, 1996.

4. Parivar F, Hricak H, Shinohara K, et al: Detection of locally recurrent prostate cancer after cryosurgery: evaluation by transrectal ultrasound, magnetic resonance imaging, and three-dimensional proton magnetic resonance spectroscopy. Urology 48:594-9, 1996.

5. Kurhanewicz J, Vigneron DB, Hricak H, et al: Three-dimensional H- 1 MR spectroscopic imaging of the in situ human prostate with high (0.24-0.7-cm3) spatial resolution. Radiology 198:795-805, 1996.

Aircast Ankle Braces Review

It may be hard to enjoy recreational activities if you have a weak ankle that tends to rollover. If you play sports like soccer, football, basetball and tennis, you need stable ankles. As you don’t want to spend your time on the sidelines.

You could even fracture your ankles if they are really weak or unstable. To protect your ankle from injury you may want to consider using an Aircast ankle brace. Ankle braces help to keep your ankle stable by not allowing it to roll over. The Aircast ankle brace is an excellent brace for weak and unstable ankles.

Injuries not only make it hard to play sports, but it may also be hard to run or walk. You will know if you have injured your ankle because you will have pain as well as swelling and bruising.

If you have ever had an injury, it is very likely you will get that injury again. That is why it may be a good idea to protect your ankle with an Aircast ankle brace. They can help protect you from additional injury as they keep the ankles stable.

While the muscles, ligaments, tendons or other soft tissues are healing, your ankle needs to remain stable. If you roll it while a fracture, strain or sprain is healing. It will take even longer to heal.

Aircast braces are perfect for those that suffer from chronic sprains, posterior tibial tendon dysfunction, Achilles tendonitis and plantar fasciitis and inversion sprains.

The most popular types of Aircast ankle braces are the:

AirCast A60. This one can guard against sprains and rollovers.

AirCast AirLift PTTD. It is suited for the treatment of PTTD (posterior tibial tendon dysfunction). With this condition there is pain and swelling from the posterior tibial tendon which is behind the inner ankle. The brace is also used for flat foot.

AirCast AirSport. Which is designed for those who suffer from ankle sprains.

AirCast AirHeel Support. If you suffer from Achilles tendonitis and plantar fasciitis, this brace is well suited for those conditions.

AirCast Air-Stirrup. It can reduce the risk of twisting the ankle inwards (an inversion sprain). It is more effective than taping.

The Aircast ankle braces are made by DJO Incorporated. DJO Incorporated manufacture top quality orthopedic braces. The company started off making knee braces in 1978. Since that time their product line has grown to include these braces as well.

The Aircast braces are just part of a wide range of products made by DJO Incorporated. DJO Incorporated is a credible company for these types of braces.

What Qualifications Do You Need to Become a Pharmacy Technician?

A pharmacy technician is a person who works in a pharmacy and is responsible for many different tasks which can include, completing prescriptions, assisting pharmacies, giving patients information on drugs, labelling and packaging various prescriptions and more. Some years ago being a pharmacy technician was quite straightforward, with many employers actually offering on-the-job training and qualifications. Now as this job is becoming more sought-after and more complicated there is a real need for a pharmacy technician to have certain qualifications which will help them in their role and help them to stand out from the crowd. Here is some information on what you can do to help you with your chosen career.

There are two main bodies in the US which provide certificates and examinations in becoming a pharmacy technician and these are the Pharmacy Technician Certification Board (PTCB) and the Institute of Certification of Pharmacy Technicians (ICPT). Both of these offer courses and information relating to becoming a pharmacy technician and many people find that getting a qualification for either of these two bodies is sufficient to begin a career in a pharmacy. When you are certified by either of these bodies, you need to be re-certified every two years to ensure that you are up to date on pharmacy Law and changes in the administration of different pharmaceuticals.

If on the other hand you would like to be a pharmacy technician who specialises in a certain area, or who works in a hospital or a care home you will have to undergo additional training. This training can sometimes be at the college or university, either part-time or full-time (many people choose to do this alongside their job in a pharmacy so they are working and learning at the same time). Employers may also choose to send you on a course which will help you to build upon your existing pharmaceutical skills and that will help you to develop further skills and enhance your understanding of the subject.

For more specific training to become a pharmacy technician, you may be expected to enter into an externship, this is a way of working in a pharmacy and gaining experience while still being under the rule of a education program. Doing this can be a massive benefit to you in your career later on as you will have the practical experience as well as the educational knowledge to go on and improve your career prospects.

In short becoming a pharmacy technician can involve just having a basic knowledge of pharmaceuticals which is shown by an exam certificates. Or you can choose to go further and learn more about a certain area, some people who begin their working career as a pharmacy technician decide to go further and train as a pharmacist. It is entirely up to the individual what they want to do once they begin their career path, but it is always a good idea to know that, should you want to you can go further and get more education on your chosen profession.

Prescription Pill Slang Every Parent Should Know – Opiates and Downers

The vast majority of parents today understand the inherent risk and dangers posed by illegal street drugs like marijuana and cocaine but not that many realize that there is a far greater risk in their very own house with prescription pills such as Vicodin and Percocet. Teenage prescription pill abuse has never been higher than before according to today’s latest statistics and as a worried parent who can stay on top of this epidemic by learning the drug slang associated with pills and then use the proper home drug test to ensure your child stays clean and healthy.

Recently, American teenagers have been exposed to stronger and more potent drugs from their local pharmacist than from any street dealer. Many teens have fallen prey to prescription pill addiction largely due to the lack stigma associated with pills and the false belief that “it’s legal so it’s okay.” The medication and prescriptions such as Oxycontin and Vicodin, those pills which are morphine or opium based have dangerously high addictive qualities when taken in vast quantities. These pain medications also produced harmful side effects for the body, confounded more on a teenagers growing and developing system that are simply ill equipped to digest and filter the harmful substances. These drugs, when taken in massive improper doses produce euphoric highs. Eventually, addicted teens resort to crushing the pills and snorting the resulting powder in an attempt to product a stronger result. If a pill popping drug user is left to their own devices, prescription pills like Oxycontin and Demoral addictions reach the point where the teen will crush the pills then smoke or inject a “simple pain killer.”

Side effects from long term prescription pill abuse include memory loss, an inability to maintain focus and attention, lethargy, and sever kidney and liver failure. Luckily, thanks to the liver and urine processing the bulk of the drugs, simple urine drug testing will reveal which substances a teen is abusing. There are Oxycontin drug tests, Opiate and Vicodin drug tests readily available for simple home use. When a user finally decides to quit, the withdrawal period is very similar to that of a heroin addict meaning an intense physical pain, vomiting and muscle cramps will occur for up to a week after the final usage.

Teenagers have developed their own modern subcultured slang words for prescription pills which every parent should know. The most common form of pill slang is for the brand or manufacturer name to be shortened to one syllable. For example, Vicodin or Percocet is would be called a “Vic” or “Perc.” Oxycontin is perhaps the most dangerously addictive prescription pill and has a high demand among users so there are many individual terms. These include “Oxy,” “OC,” “Roxy,” and “Ocean” is all used to describe Oxycontin. Large majorities of euphoria inducing prescription pills have a common chemical base of either hydrocodone or oxycondone so these slang terms include “Hydros” and “Dones.”

Another cipher to decoding the slang drug terms is to know the pill’s weight or dosage size.

For example, Oxycontin is available in 4 different doses: 10mg, 20mg, 40mg, and 80 mg. A parent should listen for terms like “Oxy 80” or even the numbers themselves, as in “I need to find some 20’s or some 40’s before the party tonight.” Every parent should arm themselves with the knowledge of prescription pill slang terms; because it is this knowledge alone that will enable you to effectively protect your children. Coupled with home urine drug testing and counseling, you can win back your teen.

Blister Healing

A blister is a small pocket of fluid in the upper skin layers and is one of the body’s responses to injury or pressure. The feet are particularly prone to blisters. Ill-fitting shoes or friction can damage the skin, and a blister forms to cushion the area from further damage as it heals. The body gradually absorbs the fluid as the underlying skin recovers. This can take around one week or so. Depending on the cause and location, a blister can range from the size of a pinprick to two centimeters or more in diameter. A blood blister is usually caused by a severe pinch or bruise to the skin that breaks the tiny blood vessels.

Symptoms

The symptoms of a blister include, reddened and tender skin patch, raised lump filled with clear fluid. Sometimes, the lump is filled with blood. A blister is usually the body’s attempt to cushion the underlying skin tissues from further damage during the healing process. Some common causes of blisters includes, ill-fitting shoes, friction, scalds or burns, severe sunburn, allergic reaction to irritants, viral skin infection. Blisters rarely need medical attention, unless they are severe, recurrent, caused by burns or indicative of an underlying infection.

Self treatment

One can also treat the blister on them self. One should resist the temptation to burst the blister. It could cause an infection, or hinder your body’s healing process. If the blister has busted, one should not peel off the baggy skin pocket – let your body heal the area in its own way and in its own time. One should frequently wash the area and keep it free from dirt or irritants. If the site of the blister makes it vulnerable to popping, pad it with a soft dressing, securely taped. One should not use the tape alone, as removing the tape may rip the skin off the blister. One should change the dressing daily. Zinc cream also may help to dry up the blister. However, one should not use zinc cream with a dressing. If the blister breaks, one should press it gently to remove the fluid and apply an antiseptic to reduce the risks of infection.

Conclusion

If one becomes aware of a localized hot area on your foot, stop your sport and tape the area immediately. One should apply an appropriate foot sprays or powders to reduce sweating and the risk of fungal infections. One should change the damp socks promptly, as wet socks can drag against the skin. One should also wear a heavy-duty work gloves when using tools such as shovels or picks. Protect yourself against sunburn with clothing, hats and sunscreen lotions. Avoid contact with chemicals that have caused ‘allergic’ blisters to form. One should be careful when dealing with steam, flames or objects that radiate heat such as electric stovetops.

Will Herbal Medicines Increase Sperm Count After a Vasectomy Reversal? Find Out!

One of the dilemmas for men who have had vasectomy reversal is how to get their partners pregnant. This is a major concern for couples who want to conceive soon after reversing vasectomy. Male infertility is often reflected in sperm count. To assess sperm viability, a semen analysis is required. Abnormalities in the parameters consequently mean lesser chance of conceiving a child, or in severe cases-impotence. Knowledge of this can be very frustrating to the couple. Even so, there are several ways to increase sperm count especially after vasectomy reversal. A much cheaper and safer remedy to stabilize the parameters is the use of herbal medicines.

Ginseng (Panax Ginseng)

Originally, elders from China used ginseng to improve their physical and mental vitality. Ginseng is helpful to increase testosterone and sperm count in men. However, according to studies, overdose of ginseng may result to hypertension, euphoria, insomnia, among others. After a vasectomy reversal, ask your vasectomy reversal vasectomy doctor for proper prescription of ginseng.

Maca(Lepidium Meyenii)

This herbal medicine normalizes steroid hormones such as testosterone, progesterone and estrogen. It is said that maca acts on men to enhance libido, or the desire for sexual drive. Studies concluded that maca has no adverse pharmacologic effects in the body. Maca intake after vasectomy reversal can increase your chance of pregnancy.

Saw Palmetto (Serenoa repens)

Worries of lowered sperm count after reversing vasectomy can be eased by intake of saw palmetto. This herbal medicine is said to increase overall male reproductive health.

Tribulus (Tribulus Terrestris)

Tribulus appears to increase libido and erectile function in men. Three studies in Bulgaria concluded that Tribulus increases sex hormones and testosterone levels. It also increases sperm concentration, sperm motility and viability. For a greater chance of fertility, post-vasectomy reversal patients may take Tribulus, as per noted by your doctor or your infertility specialist.

Astragalus (Astragalus membranaceus)

This Chinese herbal medicine is known to stimulate sperm motility. Studies show that Astragalus has no side effects known to human. Sarsaparilla

This herbal product is found in plants that have grown in swampy forest. This has been used for centuries to aid sexual impotence both in men and women.

Horny Goat Weed (Epimedium sagittatum)

It is said that this herb improves erectile dysfunction in men and increases sperm count. In general, herbal medicines have no remarkable side effects. However, proper consultation with your doctor is advised. If pregnancy is not attained yet after a long interval from reversing vasectomy, your doctor may refer you to an infertility specialist. Aside from herbal medicines, there are still several ways to increase fertility post-vasectomy reversal. Intake of healthy foods and lifestyle change will certainly boost the chance to father a child again.

Here are some ways to increase sperm viability after a reversal:

• Get proper rest.

• Sleep 6 to 8 hours continuously.

• Stop smoking and avoid exposure to second-hand smoke

• Exercise regularly but avoid lifting of heavy objects

• Avoid strenuous activities

• Stop alcohol intake

• Avoid wearing of tight underwear and tight jeans

• Meditate regularly to distress

• Rest between long hours of work

• Avoid exposure to environmental toxins

Taking It Right Although herbal medicine is believed to be safe for consumption and treatment, it is still best to consult you vasectomy-reversal doctor or any health care professional prior to intake. Medical experts can prescribe you with the right dosage and frequency of intake.

Penis Enlargement Vitamins – How to Get a Huge Penis and Rock Hard Erections Naturally and Fast

Are you frustrated with the size of your erections? Do you want to be better at sex? Well, there are penis enlargement vitamins that will do wonders for your sex life. Let’s take a look at how they work.

Penis enlargement vitamins will do more for you than just making your erections harder. It will boost your sex drive and make you be able to last forever during sex. Plus, when taken over a short period of time, your penis will get longer and thicker.

There are specific herbs and minerals that will tackle problems your body is having with getting erections and with other sexual balance issues. When these herbs and minerals are combine properly, they will have an immediate and powerful impact on your body.

Here are just a few of the herbs that penis enlargement vitamins have:

Horny Goat Weed

The biggest physical problem men have with getting big erections is low levels of nitric oxide. This chemical is released into your blood stream when you get aroused. It allows your body to expand the blood vessels in your penis. When this happens, you become erect.

Horny goat weed will increase the production of nitric oxide. It has the same effect of a prescription erection pill but without the nasty side effects. Having the correct levels of nitric oxide is vital to getting big hard erections.

Gingko

This herb is a very well known anti-oxidant that is used to improve energy and mental alertness. It also enhances blood circulation. In order to get hard and long lasting erections, you must have a healthy blood flow. Many men have poor circulation from years of poor eating habits so this herb is a definite must to get your erections big and hard.

Gingko even increases the flow specifically to your genitals. It’s exactly what you need to get hard. Any penis enlargement vitamins needs to have Gingko as an ingredient.

Muira Pauma Bark

Muira Pauma has been a natural remedy to increase sex drive for many years. It’s been widely used in Europe to treat erectile dysfunction. Sex drive is important to getting frequent erections.

Put all this to the test right away. Start using penis enlargement vitamins and you’ll be on your way to a phenomenal sex life.

Three of Osaka’s Best Hospitals

Osaka is the second largest city of Japan. This financial centre is home to 7% of the Japanese population and also draws in outsiders with its reputation as a major tourist destination. Osaka has many renowned recreational parks, castles, shrines, aquariums and beaches. In general, the health care sector of Osaka is well developed and has many world class hospitals with English speaking employees to care for the needs of visitors to the country. This article outlines some of the better hospitals of Osaka.

Kitano Hospital, located at 2-4-20 Ohgimachi,Kita-ku,Osaka was founded in 1928 and is operated by the reputable Tazuke Kofukai Foundation. Kitano Hospital has 707 beds and more than 1000 staff. It has full fledged sectors for all medical specialties including dialysis and mind-body medicine. The hospital has well designed OPD, a research center and a relaxation room. The surgery sector features a central operation theater and conducts a variety of general and specific surgeries. The modern hematology department offers effective treatment for leukemia, lymphoma and myeloma. The hospital has 24-hour emergency and ambulatory care and a well equipped emergency room(ER) where service of many physicians and surgeons are available. The departments of anesthesiology and critical care medicine are comprised of 7 staff doctors and 5 residents who work in association to provide the best possible care. The ICU has modern facilities to provide respiratory, sedative, circulatory and analgesic care to patients. This is also a premier institution for medical education and research. Tel: 6-6361-0588

Sumitomo Hospital situated at 2-2 Nakanoshima 5-chome, Kita-ku, Osaka is another reliable hospital in Osaka that provides high quality health care service. This modern hospital founded in 1921 employs eminent doctors and offers especially good personal care to its patients. This huge health care facility has full fledged departments in all medical specialties including some rare specialties. These special centers include a cancer chemotherapy center, a diabetes center and a digestive disease center. The surgery department has the necessary facilities to perform various operations such as thoracic surgery, plastic surgery, and cardiovascular surgery. In addition, the hospital has well equipped ICUs, an emergency department and various laboratories. Warm accommodations in spacious rooms are provided in the hospital. Tel: (06) 6443-1261

Nissay Hospital is situated at Itatibori 6-chome, Nishi-ku, 550-0012 in Osaka. It is a well equipped general hospital that offers quality medical service. This modern hospital has achieved the certificate of approval from the Council for Quality Health Care and is recognized by numerous medical societies of Japan. The hospital provides comprehensive health care in every medical department. It has a minimally invasive medical center, a cancer treatment center, and a center for lifestyle-related diseases. The surgery section of the hospital is prepared to conduct endoscopic surgeries such as thoracic, spinal, abdominal, gynecologic and urological surgeries. The hospital also offers effective service in hemodialysis, bone marrow transplants, blood stem cell transplants, antibody therapy, glaucoma surgery, laser photocoagulation and much more. Luxurious accommodations are also available. The hospital is also a well known training and research center, approved by the ministry of health. Tel: 6543-3581

Advantages Of Herbal Medicine Over Conventional Medicine

Herbs are making their mark, many of us believe in the power of herbs and their benefits for health and wellbeing. Modern medicine has not been so keen to look at herbal medicine and prefer to prescribe manufactured medications that are clinically researched and trialled.

Organic herbal remedies are making their presence felt nevertheless, even though modern medicine does not acknowledge it or give it any credence. Of course we can agree that modern medicine has been very effective in the prevention and treatment of many diseases. There are so many ailments and conditions that were fatal hundreds of years ago and can now be treated with modern medicine. This has helps increase the life span of many individuals today.

So many of us opt for herbal remedies and although new laws and regulations are often passed to regress the growth of herbal medicine there are those of us who stull choose to treat themselves using natural and complementary remedies.

Disadvantage Of Modern Medicine

However there is a side of modern medicine that also must a acknowledged and this is that these medicines are made in labs using synthetic ingredients and often there are side effects to contend with. Some side effects can be quite harsh while some may be milder. These negative side effects are the price to pay, while with herbal medicine there is much less chance of this happening if at all. There have been cases where in modern medicine the side effects supersede the actual benefits of the drug and can be quite dangerous. Herbal supplements medicine works on a more holistic level or targeting the cause and treating perhaps more mildly but over long term use has shown to offer good results for many.

Statistics in the USA reveal that one of the other disadvantages of modern medicine is that many patients often experience complications die to various medicines and these can often lead to death. The other disadvantage is the price tag, for most people in the developing world the price of these medicines would be unaffordable. Millions of people cannot afford medical treatment and therefore often lose their lives as they are unable to seek treatment.

One of the most debilitating facts about modern medicine over herbal medicine is that that it emphasizes the cure rather than prevention. This has led to the pharmaceutical industry become a multi-billion dollar market where profits become more important than anything else. Herbal and alternative medicine believes in prevention and treating the cause rather than the symptoms.

While herbal supplements seem to become popular, even the beauty industry is steering that way. These days many brands are looking into herbs as their ingredients for their ethical beauty products and skin care products. Even hair care has gone herbal with so many new brands offering natural hair care products.

Top 6 Tips to Remove Ear Wax

Because most people don’t know how to remove ear wax themselves, they often rush to the doctor and incur large doctor bills for something they could do just as easily at home.

1. Try chewing gum. The jaw movement is part of the body’s natural way to remove wax, and it may help to dislodge whatever is stuck in there.

2. Use a medium-size syringe or bulb aspirator to squirt water inside the ear. A few precautions here: don’t stick the tip (or anything else) inside your ear canal. Place the tip right at the entrance to the ear and squirt warm water inside, leaving plenty of room for water to also come out again.

3. If just plain water doesn’t work, use some warmed-up oil to try melting the wax first. Sometimes a hardened ear wax buildup needs to be dislodged from its position first, then blasted out with the water. Knowing how to remove it at home is all about trying safe and recommended things out to see what works.

4. Some people swear by ear candling, in which one end of a hollow cloth candle is placed inside the ear and the other end is lit. Contrary to what some of the less-reputable manufacturers claim, no ear wax is “drawn out” by the process, although warm smoke and air may help to dislodge a stubborn ear wax build up.

5. Still nothing? Try one of the many wax removal products available on the market, such Debrox or Murine Ear Wax Removal System. Most of these kits use hydrogen peroxide to partially dissolve the blockage, and then follow it up with the same water blast treatment. Not only that, but what did you think the doctor was going to use? Most times the ENT (ear, nose, and throat doctor) will start his treatment using one of these kits.

6. If after steps 1-4 you still have an impacted earwax problem, it may be time to bite the bullet and visit the doctor. He has all kinds of ear wax removal tools at his disposal, including one called an “otoscope” that will make it possible for him to view inside your ear canal and see what’s keeping that wax stuck inside your ear. He can also use a specialized ear “scoop” to get that wax out, sometimes also called a “curette.”

If you don’t succeed at home and end up going to the doc, ask him what to do in future so you don’t have to visit every time you’ve got excessive earwax. Some people’s ears just require a regular ear wax cleaning, which you can just as easily do at home as at the doctor’s office.

Bandages and Dressings for Hidradenitis Suppuritiva

Hidradenitis occurs when a plug of dead skin in the duct of a gland emptying into a hair follicle in areas of opposing skin surfaces like the armpits, under the breasts and in the groin initiates an infectious process as bacteria multiply within the plugged gland creating a skin boil. The obstructed gland or boil ruptures into the deep layers of the skin; adjacent glands become involved; and abscesses form. Subsequently, multiple draining sinuses or holes appear on the skin surface and the whole hair bearing area may become inflamed. We call this process Hidradenitis Suppuritiva (HS).

As I described my first choice of treatment for this process is surgical removal of the involved skin and closure of the resulting wound with a flap of adjacent normal skin. However, this aggressive surgery is not always the best near term option because of insurance, financial, work or personal reasons. For early stages of the disease temporizing the situation with topical treatments is appropriate and can provide significant relief.

The Hurley stages of the disease are as follows:

  1. Solitary or multiple isolated abscess formation without scarring or sinus tracts. (A few minor sites with rare inflammation; may be mistaken for acne.)
  2. Recurrent abscesses, single or multiple widely separated lesions, with sinus tract formation. (Frequent inflammation restrict movement and may require minor surgery such as incision and drainage.)
  3. Diffuse or broad involvement across a regional area with multiple interconnected sinus tracts and abscesses. (Inflammation of sites to the size of golf balls, or sometimes baseballs; scarring develops, including subcutaneous tracts of infection. Obviously, patients at this stage may be unable to function.)

We now know that there is an inflammatory process present in hidradenitis before there is any sign of infection such as an abscess and I call that pre-stage I. In that stage the skin is intact with redness, tenderness, warmth and burning pains just before an abscess appears. In this early stage there is no drainage and a raised swelling may form a nodule which is very different from an abscess. Some doctors prefer antibiotics and injections of corticosteroids into the affected areas to treat early Stage 1 disease. Others give larger doses of steroids by mouth or testosterone antagonists. Stage III is not amenable to these temporizing measures because of the degree and depth of skin damage but these measures can delay disease progression when employed early in stage I.

Staging of the disease and its appropriate treatment is complicated by a tendency of the disease to go through quiescent and active phases. The person afflicted with HS applies a medication, swallows a pill or changes their diet in some way at a time when the process is about to go quiescent and then mistakenly attributes the quiescence to the medication, pill etc. The treatments described here have been vigorously studied by numerous groups on a variety of wounds including HS. They are employed at assisted living facilities and nursing homes across the country each day.

The topical treatments can be divided into types of dressings and medications either applied directly to a wound or impregnated into the dressing.

A dressing is something such as gauze that is applied directly to a wound to promote healing, stem bleeding, absorb wound drainage, remove dead surface tissue, prevent medications applied to the wound surface from evaporating or falling off and protect from or treat infection. In medieval times they were applied mostly to prevent others from seeing ones wounds. Historical belief that a wound should be kept dry in order to heal faster without infection were dispelled in the 1960s when studies showed that wound surface cells died when they were allowed to dry out thereby prolonging the time required for healing. In the last 20 to 30 years a vast number of different types of dressings with different properties or functions have been introduced.

The TYPES OF DRESSINGS can be grouped as follows:

–ALGINATE DRESSINGS

are made of seaweed alginate and expand as they turn from a gauze like consistency into a gel consistency while absorbing drainage from a wound

–CONTACT LAYER DRESSINGS

are made of low or non-adherent material that allows drainage to pass through the material

–FOAM DRESSINGS

are made of material that absorbs drainage and actually sucks fluid out of wounds

–HYDROCOLLOID DRESSINGS

prevent leakage from a wound and keep the wound surface moist while preventing outside moisture from reaching the wound. They look like thin pieces of pliable plastic that come in a variety of thicknesses and shapes and stick directly to the skin around a wound. The most common brand used is Duoderm.

–TRANSPARENT DRESSINGS

are waterproof keeping outside moisture and bacteria away from a wound while keeping the wound moist and easy to evaluate as you can see through them. The most common brand used is Tagaderm.

–MESALT DRESSINGS

are impregnated with sodium chloride. They clean up the wound a bit by moistening devitalized tissue and are also used for moderate draining wounds especially those with tunneling or undermining

Once you have picked a dressing the next choice is whether or not to apply medication on the wound and under the dressing or impregnated into the dressing. Dressings impregnated with medications from the manufacturer can be very expensive in which case you can save significant money by applying the medication to the dressing rubbing it over the surface of the wound and then taping the dressing in position. Unfortunately that is not possible with silver.

The AVAILABLE MEDICATIONS include:

–HYDROGEL

are mostly water in a gel base and are applied to dry wounds to keep them moist and prevent wounds from drying out

–CLINDAMYCIN OINTMENT

In 1983 a double blind study found that topical clindamycin antibiotic performed better than a placebo in diminishing abscesses, inflammatory nodules and pustules of hidradenitis in the first month of treatment with less of a difference between the 2 groups after 2 and 3 months of treatment. No side effects were recorded and the treatment was easy to administer. Topical clindamycin is best used in preparing patients for surgery so there is less chance of a complication after surgery.

–RESORCINOL

is an antiseptic and disinfectant that is the active ingredient in over the counter acne medications like Clearasil. In a 2010 study, topical treatment with 15% resorcinol reduced pain from painful nodules in all patients with hidradenitis suppurativa. The medication cannot be used over areas that have lost skin integrity because it can be absorbed into the circulation and cause a blood disease called methemoglobinemia (resorcinol poisoning). Drainage is a sign of lost skin integrity and therefore precludes the use of resorcinol.

–MEDIHONEY

References and formulas for honey-based wound dressings can be found throughout the medical writings of ancient Egypt, Greece, Rome, India, and China. Honey was used as a first line treatment until the mid-1900s when synthetic dressing materials and antiseptics grew in popularity. Multiple studies going back to 2004 show antimicrobial, anti-inlfammatory and wound healing enhancement properties of honey. More recent studies have shown that the addition of wound honey to topical antibiotics improves their effectiveness. This is not your usual cooking or table honey that you put on pancakes. Medihoney and manuka honey are the main wound honeys. They are bitter and not fit for consumption as a food item.

DRESSINGS IMPREGNATED WITH MEDICATIONS

  • Silver Impregnated and Honey Impregnated Alginate Dressings
  • Medihoney impreganted alginate

DRESSING SELECTION

Before employing any of these medications or dressings you should be cleared by your personal physician and have your ongoing care including frequency of dressing changes and bath soaks supervised by them to avoid sensitivity or allergic reactions that can present immediately or after multiple applications of an initially well tolerated product. Even the adhesive in a bandage or on a tape can be problematic. Obviously if you are allergic to bee stings or honey medihoney is not a viable option.

If you are pre-stage I resorcinol or medihoney under a transparent dressing is a good option as they will reduce the inflammation while allowing you to directly observe the area for disease progression.

If you are stage I with visible abscess infections but no drainage clindamycin ointment and/or medihoney under a transparent dressing is a good option. This should treat the infection while allowing direct observation of the area. The ointment cannot be used for prolonged periods because you will end up with resistant bacteria.

Once you start having drainage alginate or foam dressings are better options to soak up this drainage. Foam is better when the wounds have depth to them as foam is thicker than alginate allowing more wound packing with less dressing. Either one can be obtained with silver or medihoney impregnated to fight the infection at the same time as the drainage is collected. They come in sizes as large as 6x6cm. The impregnated forms are quite expensive while tubes of medihoney can bought on Amazon for $15 a tube and applied to the cheaper non-impregnated forms prior to application.

As the disease process subsides you can move on to mesalt dressings and if there are open areas without drainage hydrocolloid dressings are very good options. Hydrocolloid dressings applied to raw areas after surgical excision of hidradenitis have been proven to minimize discomfort, allow faster mobilization, remain dryer longer and reduce nursing time compared to conventional gauze dressings. One of my patients had a raw spot on each buttock after surgery whose edges would stick together when sleeping and tear apart when sitting or walking. The areas could therefore not heal. Application of Duoderm to each spot stopped them from sticking together at night and they healed over.

KEEPING DRESSINGS IN PLACE

Taping dressings in place can be problematic if the drainage has an odor or large volume as the frequent dressing changes, removing the tape each time, chafes the surrounding skin. These are 2 good options to keep the dressings in place.

–Tubular Elastic Net Dressing

You can create shorts made of tubular elastic to hold dressings on the groin or buttocks.

–Montgomery Straps

The outer white parts of Montgomery Straps stick to the skin on either side of the wound and laces are threaded between the holes to keep a dressing on/in a wound. You untie and tie the laces to change the dressing that way you don’t have to keep ripping tape off of your skin. This is especially good for wounds that drain a lot of fluid. You can put an alginate in there and hold it in place with the laces. The alginate will soak up the drainage like a sponge. You can even change the dressing 3 or 4 times a day if you need to.

You can make your own by using 3 inch wide medical tape and folding the adhesive side onto itself along one edge. Punch holes in the double thickness portion of the tape to thread laces through and you have made your own montgomery strap.