Childhood cancer: Neuroblastoma

Neuroblastoma is a tumor of the sympathetic nervous system.

Neuroblastoma is a malignant tumor that develops from nerve cells called the sympathetic nervous system. The sympathetic nervous system is responsible, among other things, for functions such as blood pressure, heart rate, sweating, or digestion. Such a tumor is found usually in the adrenal glands and in an area adjacent to the spinal cord of nerve tissue (ganglion) to. Two-thirds of all cases of Neuroblastoma are found in children under 4 years. Mostly, it is a solid or “fixed”, not distributed in the body tumor of childhood outside of the brain and spinal cord.

The symptoms depend on the location of the tumor and are quite different.

Affected children suffer both from symptoms that are directly attributable to the tumor, as well as under the so-called general symptoms. Directly to the tumor-related complaint includes a palpable nodule (in the abdomen when the tumor is located in the adrenal gland or adjacent to the abdominal section of the spine), respiratory symptoms, coughing, and thick neck lymph nodes (if the tumor is located next to the chest part of spine), or evidence of spinal cord injury by outgrowth of the tumor in towards the spinal cord. General symptoms may appear as paleness, weight loss, fever and diarrhea. Very early in the course of the disease leads to the delocalization of daughter tumors (metastases), including in bone, liver and lymph nodes.

A comprehensive diagnosis is required.

The suspicion of the existence of a neuroblastoma arises from the typical symptoms and findings on physical examination. The diagnosis is confirmed by further investigations: blood and urine test, histological assessment of a tissue sample, X-ray of the chest, ultrasound of the abdomen, computer and magnetic resonance imaging, scintigraphy. Treatment depends on the stage of the disease. There are different chemotherapy regimens, surgery and the possibility of a bone marrow transplant into consideration.

Stages of neuroblastoma after surgery:

The Neuroblastoma is divided into a total of 6 stages, which refer to the state after an operation:

  • Stage I:) At a place of limited tumor was completely removed, as assessed by the naked eye (with or without the presence of tumor remnants in the histological examination. No presence of tumor cells in the lymph nodes.
  • Stage IIA: In a place of limited tumor which could not be completely removed, as assessed by the naked eye. No presence of tumor cells in the lymph nodes.
  • Stage IIB: In a place of limited tumor, as assessed by the naked eye could not be fully or completely removed. Presence of tumor cells in the lymph nodes, no presence of tumor cells in the lymph nodes of the other side of the body.
  • Remove no stage III: tumor to grow beyond the midline, adjacent infected lymph nodes or not infected – or at a place of limited tumor with the presence of tumor cells in the lymph nodes of the other side of the body – or in the midline lying tumor on both sides and can not be removed or with the presence of tumor cells in the lymph nodes
  • Stage IV: tumor and the presence of metastases in lymph nodes, bone, bone marrow, liver and other organs.
  • Stage IVS: At a place of limited tumor of the infant with presence of metastases only in the skin, liver and / or bone marrow.

Neuroblastoma is in stage I completely curable.

The rate of long-term cure is dependent on tumor stage and decreases from about 100 percent in stage I to about 30 percent in stage IV (stage IVS: about 70 per cent).

Prospecting and Cold Calling The Right Way – Getting to No Is Important

How many times do you hear the ‘no’ response each day in real estate sales or leasing? In the commercial real estate prospecting process, the more ‘No, not today thanks’ responses that you get, the better it is for you. It means that you are prospecting effectively and things are going just fine.

When you systemise your prospecting and cold calling, you do so with people that could require services in:

  • Property sales
  • Property leasing
  • Property management
  • Redevelopment
  • Tenant mix
  • Property development

You must have many rejections to find the one or two ‘maybe’ or ‘yes’ responses from the people that you talk to.

The word ‘rejection’ is perhaps the wrong word to use here as it can give the wrong impression. What you are really getting is a ‘not interested’ response from the people that you are talking to, and that is just fine. When they are really not interested then you simply move on. There are plenty of people in the property market; you just have to find them.

So it’s a fact; not everyone you talk to will have a need or an interest in your commercial real estate services. If you keep that at the back of your mind as you prospect, you will keep the prospecting process going, and you will find the people that do need your help.

When prospecting for new business and making those cold calls, they are only ‘cold’ to you because you have no real knowledge of the persons interest or need. The prospecting process is therefore a questioning mindset that you should have or develop in the prospecting process.

Your best response to a ‘no’ comment from the people that you talk to is ‘Look, that’s not a problem’. This simple sentence removes the pressure from the conversation and it allows you to continue to talk to the other person.

Stop pitching for new business and start connecting to the people that you talk to. The connection gives them the respect that they deserve; it also expands the conversation. Somewhere in that conversation can be a property need or idea. That’s what you want to find.

As our personal experience grows in handling the ‘no’ responses, we get better at handling the conversation and the direction it takes. In simple terms we convert more ‘no’ responses to ‘maybe’s’ and that is the way you start the new business growth that you seek.

The telephone call and the ‘drop in’ prospecting processes to local businesses are foundational to creating growth in your market share as a commercial real estate salesperson. You are in the refusal business.

Know that the refusals you get are just part of doing the job; the more refusals and knock-backs that you get, all the better for you. Just keep doing it and your skills will improve. From the repetition and your diligence to the prospecting process you will get to the acceptances and agreements as well. It just takes time. Use your time well in prospecting and the business will follow.

How Can you Know When you are Infected With a Viral Pneumonia?

Pneumonia is an infection caused by viruses, bacteria, and fungi which affects the human lungs. Pneumonia is a contagious disease and it can spread in the air. By breathing other healthy people bring the germ into their lungs and most of them develop the illness. Sometimes there appear epidemics inside small collectivities.

Pneumonia generally occurs at those who have a weakened immune system, like children, old people and those who have other diseases (HIV, organ transplanted people, cancer, chemotherapy). Smoking, drinking alcohol, working in cold places are also factors of risk.
The possible viruses to cause pneumonia are: the influenza virus, the respiratory syncytial virus (RSV), Para-influenza virus, adenovirus and herpes or varicella virus.

In spring, usually attack the influenza A and B virus and the respiratory syncytial virus. A flu shot can prevent the infection if it is made out of the virus strain that wants to infect you.

Human influenza virus is also present in winter.

The herpes or varicella pneumonia can occur if you are infected with chickenpox.

If you develop a running nose and conjunctivitis, you could be infected with adenovirus and Para influenza virus.

The symptoms that tell the doctor that you are affected of a viral pneumonia are: low grade fevers (less then 102° F), muscle pain, cough with translucent sputum, fatigue. Sometimes if a healthy person is affected, the disease could not manifest in such obvious ways, and the patient could only have some fever and fatigue.

If you do not go for a check up immediately the virus will continue to multiply inside your lungs and you can develop the following symptoms: chest pain, severe fatigue, you can not breathe properly, your cough is with bloody sputum and you begin to vomit and get dehydrated.

Among the symptoms the doctor can diagnose the pneumonia using a thoracic Rx. The doctor will also perform a test of your sputum to see which virus causes the pneumonia.

Not treated, the viral pneumonia is a severe threat to our lives and can cause pulmonary edema, encephalitis, and even death.

The treatment consists in antiviral drugs, adjuvant drugs (C vitamin). The patient must be hospitalized and rest in bed for at least five days after their fever disappeared. In this case doctors can not use antibiotics because the pneumonia is not caused by a bacteria, it is caused by a virus.

Great resources can be found regarding pneumonia causes, pneumonia symptoms and many more by visiting http://www.pneumonia-center.com/

Mitral Valve Prolapse: Truth vs. Fiction

“There is nothing to fear except the persistent refusal to find out the truth.” – Dorothy Thompson

One of the chapters in my recent book, “Courageous Confrontations,” describes my experience with a patient named Emma Jorgenson. Shortly after sitting down in my consultation room, she said, “I hope you can help me, Doctor. Those other doctors keep saying that my symptoms are all in my head.”

“What seems to be bothering you, Emma?”

“Bothering me? My problems aren’t just bothering me, they’re killing me. If you don’t do something to help me, I am going to die. I just know it.”

“What kind of symptoms are you having?”

Heaving a huge sigh, Emma shifted uncomfortably in her chair. “I don’t know where to begin,” she said. “Whenever I try to explain my symptoms to a doctor, he just rolls his eyes, and tells me it’s nothing to worry about.” Emma hunched over, and began to well up.

I reached for the box of tissues on my desk and handed them to Emma. “Let’s figure out how we can help you. How about starting at the beginning?” I said. “What was your first symptom?”

“One night, about three years ago, I woke up with a pounding sensation in my chest. My heart was racing so fast, I thought it was going to jump out of my chest. Then I began to get nauseous and dizzy. I called Dr. Cahill, my family doctor who’s also my gynecologist, and when I went in to see her the next day, she found a tumor in my tummy. She said I needed to have an operation to remove it.”

“What did she find?”

“A cyst on my ovary. It was nothing serious, but after the operation, the pounding and the dizziness became more frequent, so she sent me to a neurologist.”

“Why a neurologist?”

“I’d read an article that said the three most common symptoms of brain tumors were headaches, nausea and dizziness, so I asked her to send me to a specialist. He did a bunch of scans and electrical tests, and said everything was okay. He prescribed a tranquilizer, but I knew that wasn’t going to solve my problem.”

“Did the tranquilizer help?”

“A little at first, but then my symptoms got worse. When the pounding started, in addition to becoming dizzy and nauseous, my hands would begin to tingle and become numb. After a while, the numbness spread to my face. The whole area around my mouth would lose all feeling, except for a wired tingling sensation. I was sure I going to have a stroke. That’s when Dr. Cahill referred me to an ENT doctor.”

“An Ears, Nose and Throat doctor?”

“That’s right. She thought my dizziness might be due to an inner ear problem. He examined me and said he wasn’t sure what was going on, but that I needed an operation to get to the bottom of it. But I was too scared. Besides, I still hadn’t recovered from the ovary surgery, and my wounds weren’t healing right, so my gynecologist said that I could wait before having another operation.”

Emma’s story made me wince. She had unwittingly fallen into the maze of modern medicine. Each specialist viewed her symptoms through the prism of his own specialty, ordered the inevitable battery of tests, and treated her with a pill or a procedure without having a diagnosis. Medications are the fifth leading cause of preventable death in the United States.

“Why did she send you to me?”

“I told her I didn’t think I had an inner ear problem, and that it had to be some kind of a heart condition. After all, how could an inner ear problem cause chest pains and shortness of breath?”

“Chest pain and shortness of breath? You didn’t say anything about that.”

I explained that there are several causes for chest discomfort, and each has a telltale set of characteristics. For example, in patients with pleurisy, an inflammation of the lining of the lungs, pain occurs with deep breaths. With an inflammation of the sac around the heart, called pericarditis, the pain increases when a patient lies down, and improves when they sit up and lean forward. In patients with blocked coronary arteries, the discomfort occurs during physical activity, like walking or climbing stairs. A bulging or tear in the aorta, the main artery in the body, also has characteristic features.

All these possibilities and more needed to be carefully explored by delving into the nuances of Emma’s chest pain, as well as her palpitations and shortness of breath. Emma’s description of her chest pains did not conform to any of the common causes of chest discomfort, but it was important not to overlook other serious possibilities. In patients with pleuritis a rubbing sound can be heard with a stethoscope over the lungs during a deep inhalation. Pericarditis sounds like sandpaper being rubbed in synchrony with the heartbeat. Cardiac birth defects, diseases of the heart muscle, and valve abnormalities all provide telltale murmurs and other characteristic clues on the physical exam.

Despite Emma’s rapid pulse, her blood pressure was normal and her lungs sounded clear. On the cardiac exam, her heart impulse was normal, but when I placed the stethoscope under her left breast, the diagnosis immediately became obvious.

When Emma’s heart contracted, a series of loud clicking sounds were audible. My patient had mitral valve prolapse.

The heart is divided into two sides, each having four chambers. The upper two are called atria, and the lower two are the ventricles. The right atrium and ventricle receives oxygen-depleted blood from the body and sends it to the lungs where its oxygen content is replenished. The left atrium then receives the rejuvenated blood, passing it along to the left ventricle. The powerful left ventricular chamber then pumps its contents back to the body.

The atria and ventricles are separated from each other by valves. The tricuspid valve is located on the right side of the heart, while the mitral valve resides on the left. When the mitral valve opens, blood exits the left atrium, travels through the valve, and enters the left ventricle. As the left ventricle begins to contract, the valve closes, preventing blood from moving backwards into the left atrium.

The mitral valve consists of two leaflets, or flaps, each in the shape of a parachute. Normally, both leaflets close in unison, but in patients with mitral valve prolapse, either the valve leaflets are too large, the chords that attach them to the heart are too long, or the connective tissue in the structure are more elastic than normal. In any case, one or both of them balloons, or flops—prolapsing into the left atrium. The characteristic click heard when listening to the heart is caused by the sound of the valve leaflet prolapsing into the atrial chamber, much like a parachute in the wind.

Mitral valve prolapse is a relatively common condition, occurring in two and a half to five percent of people in the United States. It is particularly prevalent in pre-menopausal women between the ages of fourteen and forty. There has been a considerable amount of speculation about how the valve abnormalities occur, but recent research has shown that there is a genetic predisposition for the syndrome. Between twenty and fifty percent of the relatives of mitral valve prolapse patients also have the syndrome.

Echocardiograms are a valuable means of evaluating patients with suspected mitral valve prolapse. The test confirms the diagnosis by demonstrating the prolapsing valve leaflets. In addition, the presence and severity of any blood leaking backwards across the valve from the ventricle to the atrium can also be detected. In Emma’s case, I did not hear the telltale murmur suggesting the presence of a leak.

Patients with mitral valve prolapse often have symptoms that mimic serious illnesses like heart attacks and cardiac rhythm abnormalities, but in the vast majority of women, the condition is neither dangerous nor life threatening. Most of the close relatives of patients with mitral valve prolapse who demonstrate a floppy valve on echocardiography are completely free of symptoms.

The reason for the chest pains, palpitations, or shortness of breath that occur in some patients with mitral valve prolapse has never been understood. For want of a more scientific explanation, it has been hypothesized that, their nervous systems are programmed to respond excessively to stress. For unknown reasons, they are triggered to react to unthreatening circumstances as though they were dangerous. This imbalance is called dysautonomia.

After putting my stethoscope in the pocket of my lab coat, I patted Emma gently on the shoulder. “I have wonderful news! Your symptoms are being caused by a benign condition called mitral valve prolapse.” I assumed that Emma would be relieved. Instead, the diagnosis increased her anxiety to the point where she became a shut-in.

While the symptoms of mitral valve prolapse are divers and can be frighteningly severe, it is important to emphasize that for the overwhelming majority of individuals with the condition, it is neither dangerous nor life-threatening. Studies have found that increase levels of circulating adrenalin like substances account for the symptoms of chest pains, palpitations, shortness of breath, anxiety and panic attacks that plague people with the problem.

The outlook for the great majority of people with mitral prolapse is excellent. My experience has been that those with debilitating symptoms gradually do feel better over time. They come to realize that their symptoms will not result in a heart attack or sudden death, and the symptoms themselves then become less incapacitating. As one of my patients said, “I just put the pains in my handbag and went about my business.”

For most patients, the only treatment necessary is the use of prophylactic antibiotics before various types of surgery and dental work, but this is used only in those who have a leaking valve. Medication, particularly a group of drugs called “beta blockers” can be useful to control debilitating symptoms. Exercise, a healthy diet and relaxation techniques have all been useful in controlling symptoms.

And as for Emma, she had a transformative experience that changed her life. No longer immobilized by fear, she developed a remarkable new equanimity and a new appreciation of life.

It also gave her a new life purpose. Emma became a patient care counselor and an invaluable member of our health care team, using her experience as a resource to counsel our fear-ridden patients.

Interesting Facts about Ringworm

In spite of its popular name, the actual cause of ringworm is infection with fungal organisms. These infectious fungal organisms are called dermatophytes and the medical term for ringworm is dermatophytosis. Sometimes ringworm is also known as tinea. The fungal infectious organisms responsible for causing ringworm are widespread in nature and they commonly populate the soil. The only effective means of preventing the occurrence of ringworm is to maintain a good hygiene. Ringworm is very contagious and it can easily be acquired through direct contact with contaminated people, animals or objects. Regularly wash your hands after entering in contact with stray animals, as many of them are carriers of the fungi responsible for causing ringworms in humans.

Arthrospores are the main cause of ringworm in humans. Although there are lots of animals contaminated with arthrospores, they usually don’t show any signs of the disease. For some reason, most animals appear to be immune to this form of fungal infection. Microsporum canis is a type of fungi that commonly infects cats. This type of fungus can be easily transmitted to other animals and to humans. It is strongly recommended to avoid physical contact with animals that show signs of disease in order to prevent contamination with infectious fungal elements. Also, if you own a dog or a cat, ensure that your pet is not contaminated with dermatophytes by paying regular visits to a veterinary.

Ringworm can affect virtually any region of the body. Hands and feet are very exposed to fungal infection and dermatophytes often infect these body parts. Although it commonly affects skin, ringworm can also affect nails and scalp. Ringworm involves inflammation, rash and swelling of the skin, scalp, soft tissue and nails. Rash is usually the first sign that indicates the presence of fungal infections. Skin lesions may also appear in later stages of the disease. If the infection spreads through the deeper layers of the skin it can cause pustules and painful nodules. A hardened crust often forms on the surface of the affected skin. Common symptoms of ringworm are persistent itching, soreness and irritation.

Ringworm of the scalp appears in the form of pustules or pus-filled reddish bumps. Foot ringworm usually affects the skin regions between the toes. Foot ringworm appears in the form of cracked, hardened skin. The affected skin also tends to exfoliate, causing itching and soreness. Ringworm of the nails is manifested by thickening and discoloration of the nails.

It is very important to see a dermatologist if you have the symptoms of ringworm. Although it may resemble a simple rash or irritation, ringworm can cause serious complications if it is not appropriately treated. The treatment for ringworm can be prescribed in the form of oral tablets or creams and ointments for external use. The medications used in the treatment for ringworm contain antifungal material and they are usually very effective in overcoming the infection. With appropriate medical treatment, ringworm can be completely cured within a week.

Living With Chronic Bronchitis

Bronchitis is an inflammation or infection of the lung’s airways, or bronchial tubes sometimes called the bronchi. Bronchitis, can be classified based on length of time someone has symptoms as either acute or chronic. Chronic bronchitis is longer term and is closely associated with cigarette smoking. The smokers cough is symptomatic of chrnic bronchitis. This is not to say however that chronic bronchitis is only caused by smoking, only that this is a common ailment of many smokers.

Chronic bronchitis is typically caused by exposure to smoke or other air pollutants. Those pollutants may include many environmental odors such as those caused from chemicals and product fumes. It’s important to realize that bronchitis is an inflammation or infection that has a beginning.

That beginning, at least for chronic bronchitis sufferers, is being around odors and fumes, dust exposure, our primary and secondhand smoke. While acute bronchitis is more short-term and typical in many people with influenza or other viral infections chronic bronchitis can go on for months, and sometimes years.

Recent research has suggested that acid reflux disease may also cause or aggravate an already compromised bronchial system. Stomach acid, moving up through the esophagus has been associated with chronic bronchitis by the Mayo Clinic

The more common signs and symptoms of an upper respiratory infection include a constant hacking cough. The coughing is an effort by the body to remove and clear yellow or green mucus that’s clogging passageways

Chronic bronchitis is often associated with the yellow or green mucus that’s coughed up a by the person with bronchitis. This is an indication an infection, because as the air passages become more inflamed, mucus is produced to fight off the infection.

Other common signs and symptoms of an upper respiratory infection, such as bronchitis may include…

Wheezing
Difficulty Breathing
Congestion
A Tight Feeling around the Chest

Wheezing sounds a lot like a whistling sound when breathing. It has sometimes been characterized as if there was an air leak when someone with this condition is breathing. Although not typically dangerous, wheezing is definitely a symptom of a respiratory infection.

A visit to your medical doctor is appropriate, if only to obtain relief from the coughing. This is important because as the coughing becomes more violent, it becomes increasingly more likely to cause additional problems like a pulled chest muscle.

Botulism – Causes, Symptoms And Treatment

Definition

Botulism is a rare but serious paralytic illness caused by a nerve toxin. It is happen due to the Clostridium botulinum.

There are three main kinds of botulism:

  • Foodborne botulism
  • Infant botulism
  • Wound botulism

All forms of botulism can be fatal and are considered medical emergencies. Foodborne botulism can be especially dangerous because many people can be poisoned by eating a contaminated food.

Causes

The types of foods involved in botulism vary according to food preservation and eating habits in different regions. Any food that is conducive to outgrowth and toxin production, that when processed allows spore survival, and is not subsequently heated before consumption can be associated with botulism. Almost any type of food that is not very acidic can support growth and toxin production by C. botulinum.

Botulinal toxin has been demonstrated in a considerable variety of foods, such as canned corn, peppers, green beans, soups, beets, asparagus, mushrooms, ripe olives, spinach, tuna fish, chicken and chicken livers and liver pate, and luncheon meats, ham, sausage, stuffed eggplant, lobster, and smoked and salted fish.

Symptoms
The symptoms are not caused by the organism itself, but by the toxin that the bacterium releases. They usually appear within 12 to 36 hours after exposure. Incidence of botulism is low, but the mortality rate is high if treatment is not immediate and proper.

Early symptoms of botulism include:

  • Double or Blurred Vision
  • Drooping Eyelids
  • Slurred Speech
  • Trouble Swallowing
  • Dry Mouth
  • Muscle Weakness
  • Constipation
  • Lethargy
  • Poor Feeding
  • Poor Muscle Tone
  • Paralysis of the respiratory muscles

Treatment

If diagnosed early, the severity of food-borne botulism can be reduced by:

  • Inducing vomiting or using enemas to remove any contaminated food remaining in the gut
  • Administration of horse serum antitoxin to neutralize botulinum toxin circulating in the blood but not yet attached to nerve endings

The progression of wound botulism also may be halted through use of:

  • Horse Serum Antitoxin
  • Surgical Treatment of the Wound to Remove the Bacteria
  • Infant botulism cannot be treated with horse serum antitoxin, because of the risk of severe allergic reaction.
  • Whether or not antitoxin is administered, full recovery from severe botulism requires weeks or months of intensive medical and nursing care, including mechanical ventilation if necessary.
  • Over weeks or months, new nerve endings are able to grow and the paralysis is reversed.
  • Fatigue and shortness of breath may persist for years after recovery.

Patients suffering from wound botulism should receive equine antibiotics such as penicillin. If you’re having trouble breathing, you will probably need to use a ventilator.

There’s No Substitute for Cubic Inches – Bore and Stroke Your Small Block With Penis Exercising

Before “hybrids” and “e-cars” were vogue, and when testosterone still flowed heavily through the veins of All American Men, there was a saying… “There’s no substitute for cubic inches.” Meaning, that the bigger the engine, the badder it was. Not only in terms of sheer horsepower, but more importantly in terms of raw, spinal-fracturing torque.

Bigger was better, in the days of old Detroit… Before the bailouts, before the bankruptcies, before the Unions and the “government” became co-owners, and before the “green” brigade began to dictate to the American People what they should or should not be driving.

Have you noticed that today, any old “pony” car is called a Muscle Car? Apparently, any old Mustang is a muscle car, so is any old Challenger, ‘Cuda, or anything else with decals and scoops from the late ’60s and early ’70s. It’s sort of like the “Woodstock” or the “Hendrix” enigma, where every person you meet, from that era, was actually at Woodstock and was actually purchasing and listening to Jimi Hendrix records. But the fact of it is, most people never made it to Woodstock and by some magical time-traveling event, The Osmonds and The Jackson Five became “Hendrix.”

For a car to be a “Muscle” car, it had to have gobs of torque and gobs of horsepower. An in-line six cylinder Mustang coupe from 1966 is about as far removed from a muscle car as you can get. To be a true muscle car, you need cubic inches. Your 426 Hemis, 428 and 429 Cobra Jets, 455s, 440s, Boss 429s, and your 427s. A 327 Chevy stuffed in a Chevelle is not a muscle car.

The baddest production engine of all time would be the Ford 427 S.O.H.C Hemi. Oh yes! Built by Ford to do battle with Chrysler’s 426 Hemi on the NASCAR tracks, the old “Cammer” as she is known, was so brutally-bad that the 426 Hemi couldn’t even come close. For that reason, and because Chrysler cried so much, ol’ Bill France and the NASCAR boys wouldn’t allow her to run on the NASCAR circuits, in the days when you could still, “Race on Sunday and Sell on Monday.” For, as I’m sure you are aware, those days in NASCAR are long gone… The “Car of Tomorrow” is a cookie cutter “car,” where the only differences between a Chevy and a Toyota, on the tracks of NASCAR, are the decals adorning the cars…

Anyway, the “Cammer,” holds the record for the “King of Horsepower from the Land of Gob.” In stock form, she’s got 800 horsepower, all from a naturally-aspirated engine, designed and built nearly fifty years ago. But if you still aren’t satisfied with her performance, stick on a blower and run some nitro through her and you’ll have 1,400 horsepower at your command… Jeepers, that’s a lot from a fifty-year old vintage piece of Detroit Iron.

Why was the Cammer such am incredible engine? Because it was huge with 427 cubic inches. Again, there is no substitute for cubic inches… And she was made even more lethal by adding single overhead camshafts to each cylinder bank. You had horsepower and torque that was endless and almost impossible to transfer it all to the tarmac.

Penis enlargement is a lot like those Muscle Cars with the Big Blocks under the hood. Cars with huge engines, with ferocious amounts of torque and horsepower, that couldn’t handle worth a damn, but could surely go like hell in a straight line. What better parallel to a penis can you find? Heck, all you need is lots of cubic inches (size volume) and straight line performance is all you truly need.

Turning your small-block penis from one of those in-line six cylinders into a fire-breathing seven-liter big block is easier than what most men think. You need to increase its stroke (penis length) and enlarge your bore (penis girth). This will give you all the extra cubes you need to get that Big Block Penis.

With penis exercising, increasing your stroke (length) is simply done using your hands to stretch out the ligaments which anchor the penis to the body. These exercises, when done properly, will increase your stroke for more gut-wrenching penis torque.

Boring out your small-block penis is done in the same method. The hands, again, are used to squeeze extra cubes into your penis by beefing up your block. By squeezing more blood into the penile caverns, we increase our penile bore (girth) and this give us more top-end penile horsepower.

What could be easier?

Georg von Neumann

How Akiane Convinced the World She Wasn’t Crazy

Have you ever heard of Akiane, the child prodigy who’s been setting the world on its ear since she was four? Akiane is a magnificent example of the hand of God in our lives, but there are many who don’t see it that way. As a matter of fact, there are many who she was just another rambling lunatic when she first made her splash on the world. One blog post asked, “[Is] Akiane Kramarik inspired by God or just plain crazy?” This amazing young woman is leaving no doubt in anyone’s mind what the answer happens to be.

Akiane’s History

Akiane was born July 9, 1994 in Mt. Morris, Illinois. Neither her Lithuanian mother nor her American father were Christian, yet Akiane, at the age of 4, came face to face with God. Neither parent had taught her the Bible, yet she was able to speak with ease about the Lord and the things he had done. It was through her faith that her family was able to come to God.

At the age of four Akiane began to draw, and almost immediately she displayed an amazing talent for detail. At the age of six she began to paint, not the simple paintings of a child but portraits that showed an incredible depth of character for a young child. Her paintings, she says, come to her in visions in her dreams and are created in what she terms “Akianism”-a spectacular blend of realism and imagism.

Akiane in the Media

It wasn’t long before Akiane’s tremendous gift was discovered. At the age of nine she appeared on the Oprah Winfrey Show, World News Tonight with Peter Jennings, Fox Magazine, Fox News, The Late, Late Show with Craig Ferguson and CNN with Lou Dobbs. She’s also appeared on the Wayne Brady Show, KREM 2 News (CBS) and Today’s Christian, and she’s been interviewed and featured in Russia and Scotland. By the age of ten young Akiane was a bit of a celebrity in the art world.

“What sets Akiane apart from other child prodigies is that her paintings are so realistic and so full of emotion,” said Lou Dobbs. “It is much more common for child prodigies to produce abstract art. Realism of this quality in a child is quite unusual. To see this kind of detail, the flair is just incredible! It is a gift! Amazing gift! What a remarkable young lady!”

Akiane’s Spirit

Akiane’s celebrity might have been enough to silence the naysayers out there, but it’s her faith and her spirit that have people believing that this young woman is truly being guided by the hands of God. At a very young age she began speaking of Christ and our need for redemption, and at an age when most girls are worried about what they’re going to wear or what music group made the Top 40 Akiane is dedicating herself to her art, her message and helping use her talents to make the world a better place. She is already an active participant in helping improve the living conditions of children in Lithuania, her mother’s homeland.

“[I wish] that everyone would love God and one another,” says Akiane, who states that her life goal is to share her love for God and people around the world.

A Growing Epidemic in Women: Osteoporosis (fragile Bones)

What is Osteoporosis?

The term Osteoporosis comprises of two words osteo meaning bone and porosis- porous/fragile/weak. It may be defined as a skeletal disorder affecting the bone strength and predisposing it to increased risk of fracture.

In this disorder there is structural degeneration of the bone tissue leading to low bone mass, fragility and increased susceptibility to fractures.

Bony skeleton is like a strong framework for the human body with which various organs and tissues are suspended. The two basic components of bone are collagen protein which forms a soft network and calcium phosphate which imparts strength and hardness to the bone. There is a homeostasis in our bones regarding continuous degeneration of old bone cells with simultaneous building of new ones. Up to the age of 30 the balance between bone degeneration and repair is almost equal and after that amount of bone loss supercedes the bone gain and osteoporosis sets in.

Who is affected by this disorder?

Although Osteoporosis affects all ages and population but the Post Menopausal women are more vulnerable to it. At present 8.2 million people are affected in India and the figures are epidemically growing. One out of every two women and one in eight men over the age of 50 are suffering from it.

What are the Causes/Risk factors?

There are a lot of triggers /risk factors for Osteoporosis as:

§ Advanced age and post menopausal syndrome: women falling under this condition have altered hormone levels particularly estrogen which in turn leads to Osteoporosis

§ Family history of Osteoporosis

§ Irrational and overuse of Steroids (Like in Asthma, Arthritis etc), thyroid hormones and anti epilepsy(fits )drugs

§ Smoking/alcohol/high intake of junk food/cola

§ Thin boned and small farmed Asian women are at higher risk.

§ Indolent life style-no exercise attitude

§ Dietary Deficiency of Calcium and other vitamins & trace elements

How could I know, I have Osteoporosis?

In most of the cases the disease is silent killer-a symptom less disorder. a person may feel fit today but may get fractured tomorrow.

§ The coexisting symptoms are pain in neck/lumbar region i.e. low back ache

§ Deformity of curvature in spine

§ Recurrent fractures (Non traumatic)

§ Loss of height due to deformity in spine, stooping any

What are the laboratory investigations available?

Routine X-Ray can detect the loss in bony mass only when the disease has progressed in advanced stage.

Bone densitometry mainly DEXA (dual energy X-ray absorptiometry) is highly effective measure to detect the disorder. It measures the bone mass at hip and spine where Osteoporosis occurs in early stage.

It is very fast painless and accurate test which detects two energy levels and the differences are noted by the computer. The patient under the treatment for Osteoporosis is advised to go through this test yearly to check the progress of the treatment. Moreover this test also measures total fat and lean tissue in body to check the progress of treatment in obese patients.

What does Ayurveda says about Osteoporosis?

Ayurveda which is based upon the concept of Vaat, Pitta and Kapha humors of human body is a holistic therapy. It has enunciated the disease Osteoporosis by name of Asthikshya. Asthi means bone and kshya is loss. According to Ayurveda this disorder is caused by the vitiated Vaata humor and the symptoms are pain in bones, weak nails and teeth, dryness in body, excessive fall of hair, chronic fatigue without any labour and loose joints.

A detailed description of various herbs and formulations which pacify vitiated Vaata and are rich source of Calcium are discussed below.

What are the Preventive measures?

Here are some suggestions:

§ Live an active life style. Exercise daily

§ Running brisk walking, swimming, tennis, cycling, dancing and other weight bearing exercises should be practiced

§ The daily intake of calcium for an adult woman is 1000 mg. So, take adequate quantities of milk, cheese, green leafy vegetables, wheat, maize orange in your diet.

§ Vitamin D which is synthesized in our body through exposure to sun light so, bask for one hour /day

§ Do not overindulge in mental tension

§ Avoid junk food, particularly cola. Refrain from smoking, alcohol etc.

§ Yearly check up for Bone Mass Density is must over 45 years age

§ If you are already suffering from Osteoporosis take good care of your routine activities to prevent the fractures. Use flat slippers avoid high healed shoes avoid slippery floors in bathroom.

In a recent study USDA Human Nutrition Research Centre on Aging, Tufts University they found that in women drinking cola was associated with lower bone mineral density at all three hip sites regardless of age, menopaus

A Psychological Profile of Tony Soprano

Tony Soprano is one of the most intriguing and enigmatic characters in the history of television. Understanding him psychologically is a difficult proposition, although many of the shows other character’s have proffered some ideas. In one early episode, Dr. Melfi’s husband Richard refers to Tony as Alexithymic, the short definition being “the inability to talk about feelings due to a lack of emotional awareness.” This definition is definitely somewhat accurate, as Tony often reacts with rage during periods of confusion and frustration.

One classic example of this comes when Tony enters his office and sees that someone has purchased a “Big Mouth Billy Bass” and placed it on his desk. Seeing the singing fish reminds Tony of his dream about Big Pussy, and this memory floods Tony with multiple emotions that he is unable to process or understand. Tony reacts to this emotional flooding by beating Georgie, (A favorite pastime) who he learns placed the fish in his office, as this choice allows him to temporarily exorcise his uncomfortable feelings through this physically violent reaction.

At one point Dr. Melfi suggests Tony has an Anti-Social Personality Disorder. People with this disorder often show a persistent pattern of conduct disorder in their teen years which involves breaking the law, poor academic performance, disrespect for authority as well as several other more severe criteria including torturing animals and starting fires. Throughout the series we learn several things about Tony’s younger years. In Season 1, we learn from Uncle Junior and Livia that Tony and his friends stole a car, and also that Tony used to sell stolen lobsters in an effort to earn some extras cash. In another episode we see him skipping school, breaking into his father’s car, and generally being very willing to bend the rules.

Skip to Tony’s teen years and we learn that Tony has become good enough at sports to become a “varsity athlete” despite Junior’s claim that he wasn’t. He graduates from High School and attends Seton Hall for a semester and a half, before he “got into some trouble” (revealed to Meadow during the episode “College”) and goes to prison for a short while. While Tony is insisting to Dr. Melfi that he never engaged in Homosexual activities, we learn his time in prison was relatively short, and we can therefore assume his crime was relatively minor. Around this same time Tony robbed Feech Lamana’s card game, which was a major turning point in his life where he became officially respected as a gangster.

From this brief look at Tony’s adolescence we learn he probably did meet many of the characteristics for conduct disorder but possibly not enough to make a firm diagnoses. Which moves us to the diagnoses of Anti-Social personality disorder, which according to the DSM-IV, involves “a pervasive pattern of disregard for and violation of the rights of others occurring since age 15 years, as indicated by three (or more) of the following:

(1) failure to conform to social norms with respect to lawful behaviors as indicated by repeatedly performing acts that are grounds for arrest

(2) deceitfulness, as indicated by repeated lying, use of aliases, or conning others for personal profit or pleasure

(3) impulsivity or failure to plan ahead

(4) irritability and aggressiveness, as indicated by repeated physical fights or assaults

(5) reckless disregard for safety of self or others

(6) consistent irresponsibility, as indicated by repeated failure to sustain consistent work behavior or honor financial obligations

(7) lack of remorse, as indicated by being indifferent to or rationalizing having hurt, mistreated, or stolen from another

B. The individual is at least age 18 years.

C. There is evidence of Conduct Disorder with onset before age 15 years.

D. The occurrence of antisocial behavior is not exclusively during the course of Schizophrenia or a Manic Episode.

So, does Tony meet at least three of these criteria? The answer seems to be that yes of course he does. Although he does not seem to meet the criteria for number 6, there have been multiple examples of his actions meeting the criteria for the other 6 components. But does this diagnosis truly encapsulate Tony Soprano? It doesn’t appear to. The fact is that Tony is capable of unselfish and extremely generous acts, although often these actions have ulterior motives. Therefore to truly get a sense of the patterns of Tony Soprano’s life, it is extremely useful to use an Adlerian model to examine the patterns of his basic convictions. The Adlerian model looks at key components of a person’s life, and also at their early recollections in an attempt to examine several key determinants that Adler believed made up a person’s unique lifestyle.

Gender Role Preparation perceived through Gender Guiding Lines and Role Models

Through observing their parents and the gender patterns they adopt in their relations, a person learns to conceptualize a personal definition of what a man is and what a woman is. From watching his father, “Johnny Boy” Soprano, a respected and feared Mafioso, Tony formed several impression of what it is to be a man. First and foremost Tony learned that the man is the breadwinner in the family, and that he needs to do whatever it takes, regardless of the law, to provide for his family.

Tony also learned a great deal about conflict resolution from watching his father deal with people from around the neighborhood. One particularly important observation was watching his father handle a man named Satriale who had been avoiding him because he owed him a debt. When Tony watches his father chop off the man’s finger as a result of this dispute, Tony formed an early impression that a man goes to any lengths, despite the law, when that man owes him a debt. This impression was again confirmed when he watched his father brutally pummel a neighbor named Rocco, who also owed Johnny a debt.

Tony also learned a great deal from watching his father’s work habits throughout the years, and this affected his own adult attitude towards work. The beatings Tony witnessed in the previous situations were both over an attempt to collect a debt, and Tony saw that a great deal of Johnny’s income was simply taken by force or the threat of violence. Therefore he learned that men don’t need to work if they can take things from others, and this was a lesson that appeared to resonate.

In one notable event that occurred in Tony’s teen years, he covers for his father to his mother when she correctly assumes he’s been with another woman. In this situation, Tony, who has most likely learned through watching his father lie many times before, that it’s OK for a man to lie when confronted by an uncomfortable situation.

Through Tony’s interactions with his mother he learned that a woman, although she works in the home, holds a great deal of power and control in interpersonal relationships. One early impression came from watching his father and mother interact after his father brings home a large order of meat, and Tony observes that this was the only time his mother was ever really happy. Tony also makes the connection that when his father brought gifts it was “probably the only time he got laid” which also created the impression for Tony that a woman only provides sexual gratification to men when they are given gifts, and this was an idea that also seemed to translate to his adult life.

Interpersonal Style perceived through Experience of Family Atmosphere

The family atmosphere in the Soprano family was one of storm and strife. As Tony’s sister Janice correctly explains to her husband Bobby, “In my family it was dog eat dog.” This was an accurate description of the Soprano household, and much of this difficulty stemmed from the interactions between Livia and Johnny which were based on repetitive patterns of incessant nagging on Livia’s part and extreme deceit on Johnny’s. Livia’s tyranny over the house may have even eventually contributed to Johnny’s physical decline, as in Tony’s estimation she wore this very strong man into a “little nub.”

Livia Soprano’s love was conditional love. Livia was extremely critical of her children and she did not demonstrate encouragement and support of their endeavors which appeared to stimulate a lifelong pattern of self-doubt in both Tony as well as his sister Janice. Discouraged children often grow up to be angry and unfulfilled adults, as they begin to feel that everything they do will not live up to someone’s standards. In these situations a kind of “learned helplessness” (Seligman 1965) can take place, where kids simply give up rather than continuing to compete in a seemingly hopeless situation. This appeared to be the case with Janice Soprano, who spends a lifetime avoiding any kind of useful activity rather than have to be judged a failure as she has so many times before.

Tony on the other hand compensated for this lack of love like his father did by lashing out at others, finding temporary gratification though many sexual conquests, and finding solace in acquiring material possessions.

Livia also talked openly of killing her children when Tony was a young man, which he must have seen as a great devaluation of his importance and worth in his mother’s life. In one notable instance Livia tells Tony she could “smother him with a pillow” which terrifies Tony and makes him question how far his mother might really go in enforcing punishment in the Soprano household. Johnny Soprano on the other hand freely used corporal punishment in the house, and in Tony’s words, “the belt was his favorite child development tool.” Johnny clearly demonstrated though many of his actions in the house that violence was an appropriate response to frustration, and this was also a value that Tony seemed to inherit.

Johnny Soprano was also consistently deceitful in his dealings with his family, and his constant deceit was often the trigger that sent Livia flying into a rage. One early example of Johnny’s deceit came following his arrest at a kid’s carnival, where he tells his children the cops made a terrible mistake and arrested the wrong guys, which would be difficult for even a child to believe.

Another important event that confirms Johnny’s constant deceit occurred when Tony was a teenager and Livia was in the hospital having suffered a miscarriage where she was in dire physical danger. Johnny, who was staying overnight with his mistress, concocts an elaborate lie that hinged on Tony supporting the lie and confirming the story for his hospitalized mother. Tony does go along with the lie, and this event marked as major turning point where he embraces the deceitful lifestyle and begins to head down the path his father has paved for him.

Personal Code of Conduct perceived through Acceptance / Rejection of Family Values

When Tony embraced his father’s lying ways, he was essentially accepting the Soprano family values, all of which were also modeled by Tony’s Uncle Junior. Although Tony made a brief attempt at following a different path by going to college, his robbery of Feech Lamana’s card game demonstrated an early lesson learned from his father that if someone wants something that it is easier to simply take it from others than to actually work for it. This idea was strongly reinforced when Tony was caught for this act and he was not only not punished, but in effect promoted into the “family” following this brazen and irresponsible action.

For Tony the term “family values” obviously had more than one meaning, but upon close examination the values modeled in the Sopranos household were the same that were necessary to survive and even thrive in the mafia “family” Tony was also a part of. For instance Livia used the threat of killing someone weaker than her to retain order in the house and get people to comply with her wishes. The exact same thing is used by the mafia family, as the threat of pending violence is one of the key ways the family perpetuates its wealth.

The family value of deceit in the house was also a necessary value to succeed in the larger Mafia family. The code of “Omerta” implies silence and avoidance of even discussing the organization, and this is an interesting connection to make considering the fact that Livia was so against Tony going to therapy as she felt he was there to “talk about his mother.” Livia, who preferred the family secrets stay buried, was so consumed by feelings of anger from thinking that Tony would reveal her secrets to a therapist, that she in essence convinced Junior to have him killed. Returning to the moment of the idea Tony is Alexithymic, one can speculate that this condition might stem from his mother’s absolute inability to promote the sharing of feelings in the Soprano household.

Perspective on the World perceived through Experience of Psychological Birth Order

As the second born child of three, Tony’s assumed the position of the classic middle child. The second born child often takes their cues from the oldest child, who has been in the world longer and provides a roadmap for the second child to follow. Second born children are often the rebels in the family, as the first borns tend to be responsible and can often even be like a second parent. The second child therefore often finds belonging through acting distinctively different than the first, as the first is naturally better at things because of their advanced age and physical development. This was partially true in Tony’s case, as Janis appeared to enjoy flaunting her position as the eldest, and at least in her early childhood convinced her father she was a well-behaved and accomplished child. Tony on the other hand showed immediate rebellious behavior, and found belonging through being as Junior described a “little hellion” who learned to fit in and get attention through misbehavior.

Adler made a strong point of emphasizing that birth order also had a psychological component to it, where the literal birth order may differ from the physical birth order. This can happen when the first born son usurps the first born female child and becomes the de facto leader of the children, as he comes from a culture that values males over women. This dynamic appeared to manifest itself in the Soprano household. In Tony’s case Janis, who enjoyed the power of being the first born but not the responsibility, in effect passed the torch of responsibility as the first born to Tony, who became responsible for the family as he entered into adulthood.

Range of Social Interest perceived through Other Particularities

Adler believed that the extent and degree that a person takes an interest in his or her fellow human beings was an excellent predictor of their mental health. Tony never developed this interest in others, and instead came to value others based on their personal usefulness to him. There are many examples of this in Tony’s life, one example being his relationship with Paulie, who fell out of Tony’s favor following a financial downturn in Season 4. Even in his dealings with Artie Bucco Tony often sizes up how Artie can be useful to him, and despite their imbalance of power Tony finds little ways to exploit this friendship for his personal gain.

Tony’s odd obsession with animals also demonstrates his inability to share emotions with other human beings, and again this behavior might have some its roots in the lack of love and support he received from his mother. Tony often projects feelings onto animals that he is unable to feel for human beings, and this trait shows how confusing and upset Tony gets when confronted by negative emotions.

Conclusion

In conclusion Tony Sopano’s life is one lived with little insight or mindfulness. This lack of insight has lead to an external locus of control where he views the bad things that happen to him as bad luck His statements “I can’t catch a break” and “I’m like king Midas in reverse” are example of this behavior, and these claims don’t jibe with the many, many fortuitous events in Tony’s life.

Tony also likes to present the idea that he is a “sad clown” but again the evidence in his life does not seem to support this. When Tony is angry or hurt he nearly always responds with physical violence, and occasionally with em0tional violence such as when he calls Melfi a “cunt” following her rebuke of his advances. The sad clown motif indicates the sense of pity Tony often feels for himself, and his general pessimistic attitude towards life.

Adler felt that by gaining insight into your behavior you could begin to understand the patterns and faulty thinking and logic that these patterns then created. Melfi, after many years has uncovered some of these patterns, but doesn’t seem to offer much assistance as to how to process this information. The result has been that Tony continues to repeat many of the patterns directly inherited from watching his parents, and despite his often empty promises to change his life, this is really not possible without going back to the beginning.

Adler referred to this idea as “soft” determinism, meaning a person’s patterns of behavior were firmly and deeply entrenched, and very, very difficult to change without a tremendous amount of insight. Although nearly dying was a kind of apotheosis for Tony, it is likely he will return to much of his former behavior as he falls back into these familiar patterns.

Polygonum Multiflorum (Root) for Hair Loss – Does It Work?

Many popular hair loss treatment options today based on the experienced traditional Chinese medicine such as hair restore advanced and shou wu pian contain the “active” ingredient polygonum multiflorum root. It can also be purchased as a standalone supplement in most herbal stores. But the question of whether or not it can effectively treat baldness in men and women with alopecia is still heavily debated. By taking a look at the scientific and traditional evidence available we are able to draw some conclusions as to its potential benefit for those suffering from hair loss, thinning hair and premature greying hair.

What is Polygonum multiflorum?

Polygonum multiflorum is one of the strongest blood tonics used in Traditional Chinese Medicine (TCM), and is an ingredient in many tonic formulas. The Chinese refer to Polygonum multiflorum as “He Shou Wu” after a legend about a “Mr He.” Mr He was an elderly man whose vitality was restored to him after living off of the root of Polygonum multiflorum for many months. Though Mr He’s story is a legend, there is evidence that this root can help in a variety of health conditions associated with aging. 3 Written evidence of the use of He Shou Wu for medicinal purposes can be dated back to 730 AD. Today, Polygonum multiflorum is a common component of many effective TCM formulas and is considered one of the most important tonic herbs in TCM.

What is it used for?

Polygonum multiflorum is most commonly known for its restorative effects on greying hair, hair loss, alopecia and premature aging. It is thought to be helpful as an anti-aging herb due to its nourishing effect on the blood. In Traditional Chinese Medicine weak blood, or blood deficiency, refers to the lack of circulatory nutrients that are supposed to be feeding the tissues of the body. When certain areas of the body become malnourished due to weak blood, degradation and aging can occur. According to TCM Theory, Polygonum multiflorum improves the blood by tonifying the liver and kidney.

The most common indications of formulas that include Polygonum multiflorum as one of the major components include hair loss, lower back pain, weakness of the knee joint, generalised muscular weakness, hemiplegia and paraplegia, palpitations, dizziness, insomnia, hypercholesterolemia and atherosclerosis. Polygonum multiflorum has been shown to have the following actions: anti-aging, immune system enhancer, hypocholesterolemic, laxative, blood sugar level regulator, hepatoprotective, and hematinic. (Reid, T. (2007) Essential Formula: How to achieve outstanding results for your patients using prepared Chinese Medicine. China Books & Periodicals; Australia)

Research Highlights

Similarly to finasteride (the active ingredient in Propecia and Proscar), studies have shown that when taken orally, it may be an effective anti-androgen by lowering dihydrotestosterone (DHT) levels in the body by blocking 5 alpha-reductase enzymes.

In a study forty-eight 30-60 year old men (n=24) and women (n=24) with differing origins of hair loss (age-related, stress- and medication induced, and postpartum) received a standardised extract equivalent to 4g Polygonum multiflorum root twice daily. After 1 month of treatment, 91% of men and 87% of women reported symptomatic improvement. Additionally, none of the study participants reported any side effects during the treatment period.

Side Effects

Polygonum multiflorum is relatively safe to use. The common adverse effects include nausea, vomiting, abdominal distention, and loose bowel movements. These side effects are more commonly experienced with the unprocessed herb (which has been traditionally used as a laxative). The gastrointestinal side effects are less common when the herb is processed.

Conclusions

Based on evidence from scientific studies and its wide use in Tradtional Chinese Medicine, Polygonum multiflorum may help in the reducing hair loss, hair thinning and reversing premature greying hair through its dihydrotestosterone (DHT) lowering and antioxidant activities.

The Importance of Perseverance

Thomas Edison refused to give up when his first efforts to discover a filament for his carbon incandescent lamp failed. Edison continued his search by doing countless experiments with a variety of materials, but each failed. With each failure, Edison, perhaps out of pure frustration, tossed the worthless element out the window until the pile eventually reached the second story of his home.

Then, on October 13, 1879, after thirteen months of repeated failures, Edison finally succeeded in his search for a filament that would stand the stress of an electric current His persistence against discouraging odds had given the world the wonder of the electric light bulb!

Perseverance is the commitment you make to yourself to do whatever is necessary to accomplish your most treasured dreams and goals. Perseverance means you refuse to give up in spite of the difficulty that may surround you and in spite those who tell you that your goal is unattainable. Perseverance is a fundamental attribute of a winning character.

To accomplish something that is easy is something anyone can do. However, to accomplish that which is difficult – even seemingly impossible – is something that sets you apart.

History is replete with examples of men and women who have persevered in spite of the odds:

An editor once told Louisa May Alcott, author of Little Women, acclaimed as one of the best children’s books ever written, that she would never write anything popular.

Even deafness could not stop Ludwig Von Beethoven. He composed many of his greatest works unable to hear the grandeur of the music he was creating.

At nineteen months of age, Helen Keller contracted a serious illness that left her blind and deaf. In spite of the odds being stacked against her, and with the help of her family and friends, she developed a winning character with a fierce sense of perseverance. She set herself apart from those with similar handicaps by refusing to give-up and give-in. She became the first blind and deaf person to earn a Bachelor of Arts degree, and ultimately became a prolific author, political activist, and lecturer.

A coach to former Angels’ shortstop, David Eckstein, once told him that he would never play major college baseball. “That was hurtful but not defeating. I did not believe him. I was raised to believe in myself, so I just kept playing hard and giving 100%.” A winning character, armed with perseverance, remains undaunted by the negative comments of others and simply continues moving forward toward the goal.

Jim Abbot, a former pitcher for the Angels enjoyed frustrating his cynics by continually proving them wrong. He overcame incredible odds and reached his goal of becoming a major league pitcher. He was born without a right hand.

Abraham Lincoln rose from a humble childhood in the Indiana frontier to become the 16th President of the United States. Before his election in 1860 Lincoln had been a country lawyer, an Illinois state legislator, a member of the United States House of Representatives, and twice an unsuccessful candidate for election to the U.S. Senate.

His life is a testament to winning character and perseverance. “Honest Abe,” as friend and foe affectionately labelled him, was largely self-educated. He was an avid reader and would sometimes walk several miles to borrow books in order to learn.

His accomplishments set him apart from the ordinary politician. He successfully led a fledgling country through its greatest internal crisis, the American Civil War, preserving the Union and ending slavery.

He overcame incredible odds to accomplish his goals including the loss of a son, suffering multiple illnesses, being plagued with frequent bouts of “melancholy” (clinical depression), and a host of betrayals by those in whom he had placed his great trust.

Albert Einstein was slow in learning how to speak. In fact, his parents were so concerned about their child’s lack of normal speech development that they consulted a physician. During Einstein’s youth, one headmaster expelled him from school; another said that he would never amount to much. Nevertheless, Einstein persevered. Best known for his theory of relativity and specifically mass-energy equivalence, expressed by the equation E = mc2 Einstein received the 1921 Nobel Prize in Physics “for his services to Theoretical Physics, and especially for his discovery of the law of the photoelectric effect.” Today his name is synonymous with genius.

The List Goes On!

John F. Kennedy the 35th President of the United States had to take the New York bar exam three times before he passed.

Ray Charles, world-renowned musician and singer was blind.

Thomas Edison – had a learning problem.

James Earl Jones – had a speech impediment.

Franklin D. Roosevelt – was paralyzed from polio

Itzhak Perlman – contracted polio at age four that left him paralyzed from the waist down.

Stevie Wonder- blind from birth.

Stephen Hawking – has amyotrophic lateral sclerosis (ALS), a condition that has progressed over the years and has left him almost completely paralysed.

Woodrow Wilson – suffered from dyslexia and was ten years of age before he learned to read. As a teenager he compensated for his handicap by teaching himself shorthand. His academic achievements were largely due to his absolute determination and self-discipline.

Terry Fox – diagnosed with osteosarcoma at age fifteen. His right leg was amputated several inches above the knee. Three years later, the young athlete decided to run from coast to coast in order to raise money for cancer research. His goal was to raise one dollar from each Canadian citizen.

Steps to Improving Your Perseverance

1. Don’t Give Up! When you are working toward a goal and someone or something offers you an excuse to give up, say “NO.” So many people are living lesser lives today than what they could have had if only that had not allowed someone or something to steal their dreams.

2. Overcome Fear with Faith. Do not let fear dictate who you are or what you are able to accomplish.

Have faith in yourself; know that God has a plan for your life and that it is He who places opportunities in your life fully expecting that you will make the most of them.

3. Learn from your Failures. Each of us experiences failures along life’s journey. There is a reason for this: wwithin every failure there is the seed of a lesson well learned. Each failure we experience reinforces an emerging solid character trait. It is our failures that contribute most intensely to our character development.

4. Welcome Difficult Times. Recent studies in psychology and biology, are confirming what our grandparents knew intuitively: exposure to diffiicult times makes us stronger, and psychologically more resilient. When difficult times arise here are some suggestions to consider: a) Focus on what you have, not on what you’ve lost; b) Do not be blinded by difficulty, search for opportunities that may exist as a result of the situation; c) Think about how you have been helped by the difficulty: how it has changed your personal values, what effect it has had on your relationships with your spouse and family members, how it has changed you spiritually; d) Think about the benefits of the event: perhaps you have rediscovered some personal values, or rediscovered a dream, or learned more about your mission and purpose in life; e) Consider how the circumstance has made your life more meaningful.

5. Be Totally Committed to your Goals. Whatever you embark upon do it with all of your heart. Invest your whole self in each project. If you cannot make a 100% to a goal, you should come to terms with the fact that it is unattainable. Extraordinary success demands extraordinary commitment.

6. Always Do your Best. Never make the mistake of thinking that something less than your best will due, it will not. There is an old adage that will forever be true: Do your best and the best will be returned to you. This is another law of the universe that is immutable. Use it to your advantage.

7. Meet the Challenge. This requires discipline and hard work, but doing whatever is required to meet the challenge is exactly what it takes to succeed. There are no short cuts, no side steps, and no cheats.

8. Never Give Up. In the words of Norman Vincent Peale, author of The Power of Positive Thinking, “If you want to get somewhere, you have to know where you want to go, and how to get there, and then never, never, never give up!

The Unhealthy Body of Christ – Prescriptions for a Sick Church

The church has become sick because some of the people in it are infected. I know because I was one of them. I believe that God is calling for order in His church. In order for the body of Christ to become healthy there must be order. I served in a leadership role, and also as the youth pastor, before my illness was diagnosed. It wasn’t until the Dr.’s (my Bishop and Pastor), took away my title and sat me down, that I began to notice how infected I was. You see, the church only becomes sick and infected when the leaders of the church turn their heads and just put Band-Aids on the infected areas. Some of the infections in the body of Christ are Rebellion, Disobedience, and not following proper Protocol, to name a few.

I know these exist, for I myself, have operated in all of them. It’s because of this experience that God has shown me the prescription for these infections. I guess before I begin to talk about the prescriptions, I need to explain how I got infected. It all began with being deceived, which opened the door to everything else. I’ve found that deception begins with thoughts. Every time I agreed with the enemy, I was empowering him to act.

Thoughts that have good motives, but incorrect timing, cause us to follow our opinions. The voice of the enemy is very subtle. He’s saying and confirming what you already know, then we fall into error and move out of the timing of God. Familiar spirits know us very well and deceive us by what we are attracted to, by putting our gifts before God and by having us substitute position and power – for God’s presence.

So here I was the youth pastor and everything was going great, until I was called into the office. At that time, the “Holy Spirit” spoke for me and all I could hear in my spirit was the word (exposed). Let me explain, you see I was giving permission to have a bible study, outside of my church. I was given specific instructions on how it should operate. First, let me tell you that I didn’t get this approval until after I had already had everything in place. This was the first mistake. I was told to have it only once a month and I had it twice a month. I was told no retreats and I had retreats etc., you get the picture. I felt that there was no harm in doing what God had called me to do, so I continued operating in disobedience, which led to rebellion, completely out of order.

I also found that I wasn’t alone in this area and that many people in the body of Christ have a deaf ear when it comes to order. The congregations have been unconsciously running the churches by their opinions and how they see things. Every thought/comment that is contradicting to what the direction/vision of the leader is, releases a sabotage spirit.

Sabotage – an action taken to undermine or destroy somebody’s efforts or achievements

We seem to find people who are in agreement with how we feel. We won’t go to the office and get a clear understanding for ourselves; instead we have sheep counseling sheep, blind leading the blind. All while, the enemy is watching us sabotage the vision. It’s the silent killer of our church. If we are to be connected to our churches, we must be connected to the leaders.

Many Bishops and Pastors may not have taken the stand that my leaders did. It could be simply because they don’t want to hurt people’s feelings or maybe the person is a great tithe payer, so they really don’t want to upset them. Or maybe, they don’t want the person to leave the church therefore ruining the leader’s reputation. Whatever their reasoning are, I have to thank God for my leaders, who listened to the direction of God, put me on bed rest (sat me down), and wasn’t concerned what it looked like.

1 Thessalonians 5:12-13 – The Message (MSG) 12-13 And now, friends, we ask you to honor those leaders who work so hard for you, who have been given the responsibility of urging and guiding you along in your obedience. Overwhelm them with appreciation and love!

By them taking this stand, I experience complete humiliation, heartache and hurt. I truly felt that this was the ‘death of me.’ Nevertheless, in spite of the gossip and the effect this had on myself and family, I forced myself to go the church and sit on the front row (which was the instructions (prescription) I was given). From the messages that were being delivered, I was able to start my healing process. God showed me so many areas in my life that were not pleasing to Him and truly infected. He was performing surgery and removing everything that was not like Him. Little by little restoration began. I was being transformed from the inside out. My life has never been the same! After some time, I realized that It’s wasn’t what my leaders had done to me… but rather what they did for me.

I truly believe that the body of Christ will begin to heal, when the leaders administer the prescription of correction. They work under strict supervision of God.

Hebrews 13:17-The Message (MSG)-17 Be responsive to your pastoral leaders. Listen to their counsel. They are alert to the condition of your lives and work under the strict supervision of God. Contribute to the joy of their leadership, not its drudgery. Why would you want to make things harder for them?

What we must realize is that God uses our leaders and has placed them in authority over us. So if you find yourself, as I did, being corrected, make sure that you are obedient to the voice of God. Don’t be so quick to leave your church. I wanted to leave, but God said “no”. Don’t be influenced by others, because only you know what God is telling you.

Hebrews 12:5-11 The Message (MSG)- 4-11 In this all-out match against sin, others have suffered far worse than you, to say nothing of what Jesus went through-all that bloodshed! So don’t feel sorry for yourselves. Or have you forgotten how good parents treat children, and that God regards you as his children?

My dear child, don’t shrug off God’s discipline, but don’t be crushed by it either.

It’s the child he loves that he disciplines; the child he embraces, he also corrects.

God is educating you; that’s why you must never drop out. He’s treating you as dear children. This trouble you’re in isn’t punishment; it’s training, the normal experience of children. Only irresponsible parents leave children to fend for themselves. Would you prefer an irresponsible God? We respect our own parents for training and not spoiling us, so why not embrace God’s training so we can truly live? While we were children, our parents did what seemed best to them. But God is doing what is best for us, training us to live God’s holy best. At the time, discipline isn’t much fun. It always feels like it’s going against the grain. Later, of course, it pays off handsomely, for it’s the well-trained who find themselves mature in their relationship with God.

Leaders have a responsibility to set order and correct. God is calling for a healthy church.

Diet Control for Hiatus Hernia

When the esophageal opening, also called diaphragmatic hiatus, becomes weaker, the upper part of the stomach is allowed to push through and reach the chest cavity. This type of condition is called hiatus hernia and one can live with it for a long time if the diet and life-style is controlled and no possible complications like the gastroesophageal reflux disease occur.

Gastroesophageal reflux appears when the lower esophageal sphincter is weakened by the action of the hiatus hernia. In normal conditions, the diaphragmatic hiatus and the lower sphincter of the esophagus work together to maintain the physiological position of the stomach inside the abdomen. The low esophageal sphincter is meant to connect the stomach with the esophagus and in case of a hiatus hernia, a gastric reflux can occur.
Hiatus hernia causes gastric acid and other stomach contents to remain above the esophageal opening and easily reflux into the esophagus causing heartburn.

Heartburn is the main symptom of a hiatus hernia as about 50% of the patients diagnosed show no other signs of the condition. Therefore, knowing how to control the symptoms of a gastric reflux through the diet might be very useful in keeping the disease under control.

The diaphragmatic opening and its membranes is believed to act as an additional sphincter, controlling together with the lower esophageal sphincter the position of the stomach. In case of hiatus hernia, acid and gastric contents are retained above the hiatus and can easily get back into the esophagus causing the principal symptom of the condition, heartburns.

Patients suffering from hiatus hernia must necessarily change their eating habits and replace large meals with more frequent but smaller content meals. A condition of avoiding heartburn during sleep is to have the last meal at least two hours before lying down. Bending over right is strictly forbidden after eating as it can easily provoke a stomach reflux. Persons with hiatus hernia must learn to stay up and move around about one hour after meal in order to stimulate nutrients to get into the stomach and be more rapidly digested.

All persons with hiatus hernia have observed in time the bad influence of some foods that act as triggers of heartburn; such food might be alcohol, vinegar, fruits and others. Smoking is also one of the most dangerous actions for a hiatus hernia patient. A list should be available to you so you can see what you should eat, what you should avoid and what you must moderately consume. The best advice is the one coming from your own body as you may be sensible to products that other patients with the same condition. The reverse situation is also possible and you might be able to eat some foods without sharing the symptoms with other patients. A planning diary with foods you eat and symptoms you experience could be helpful to direct you to the appropriate diet.

For more resources about hernia please visit these pages http://www.hernia-guide.com/Hiatal-Hernia.htm or http://www.hernia-guide.com/Umbilical-Hernia.htm