Random Thoughts on Your Car Insurance Quote

We all have to have liability insurance if we intend to drive in forty seven of the fifty states. It is a fact of life and when you get your auto insurance quote, that will probably be the first item listed. Since this is often the most expensive you will need to know what it means. The auto insurance quote will list it as three numbers separated by "/", ie 20/40/20. The first number is the amount of coverage you have for personal injury on one person in an accident. The second number is the total coverage for all the passengers and the last number is the amount of coverage you have for personal property damage. It is usually advisable to raise the coverage above the minimum established by your state. The biggest expense is the initial coverage so adding additional coverage can be done at a savings.

Comprehensive and Collision Insurance are the two that are designed to cover damage to your car. For a new car it is almost mandatory to have it included in your car insurance quote. For an older car compare the cost of the insurance to what it would cost to replace the car. Emotional attachments aside it may be cheaper to sell the car for junk than to continue to insure it. Your car insurance quote can be reduced by increasing the amount of your deductible on these policies. The higher the deductible the lower the premium but the more out of pocket expense you will have in the case of an accident.

Have you ever considered how you would get around after an accident while waiting for your car to be repaired or replaced? One item that can be added to your car insurance quote is for a rental car. You will still need to get to work and will need a car to do it. Compare the car insurance quote to the price per week to rent a car and see if it would be worth it to you.

How Long Does It Take Pimples To Form?

What causes pimples and how long does it take for them to form are good questions. The answers are a bit confusing as till date science has not been able to pinpoint at the clear reasons for the formation of acne. Still, the conclusion that has been reached in this regard is that the oil glands in the skin that secrete oil cause these pustules. These glands become larger at the time of puberty making it obvious why teenagers struggle against acne the most.

Are you also troubled by pimples or have just got a teenie-weenie one yourself. A single zit or many zits are all acne. Either way, whether young or old- who in the whole wide world would ever want a pimple? It is an embarrassment and makes your self-esteem take a nose dive. You might have already asked around to know how long it takes pimples to form. If you have, it is good, for the more information you have at hand about acne, the better prepared you would be to effectively treat them and prevent new ones from forming.

Their Root Cause

Pimples start out in the hair follicles more than 2 weeks before you can even see them. So once you know you are getting one or more, you should immediately start off a preventive treatment regime.

To understand how long it takes these annoying blemishes to form, you have to first understand how pimples relate to hair follicles. Hair follicles contain oil glands that contain a substance called as sebum. This sebum after being formed in the hair follicle slowly travels its way upwards towards the surface of the skin. Hormones that are released in the body all along play a vital role in deciding how much sebum will be produced by your sebaceous glands.

The hormone Androgen and Progesterone trigger excessive production of sebum in both men and women and those who have high levels of these hormones have acne prone skin. Sebum en-route to its way to the skin surface picks up dirt and debris as it gets nearer to the surface. Then it goes and blocks the skin pores, clogging the hair follicles. Bacteria attack the skin when it is clogged by sebum or perspiration. This bacteria scientifically known as P. acnes live on your skin and turns into a malicious harmful agent of acne, thriving and growing in the clogged hair follicles.

All this takes anything from 2-4 weeks, ample time for you to take action rather than grieve over your wrecked skin condition.

Types And Causes

Acne comes in various forms and the most common ones are blackheads and whiteheads. These are harmless non-inflammatory acne but make the face quite unsightly.

Now if bacterium infects a whitehead, a papule or pustule- a pimple forms. Such acne is inflammatory by nature and can be from mild to severe in nature.

In very severe cases of acne, cysts and nodules develop, rupture and spread infection thereby causing permanent scars.

Everyone secretes oil from their glands but unfortunately some secrete it more than others. Genetics plays havoc here and so does pregnancy and other hormonal fluctuations in the body. All cause acne. Other modern day factors like stress, pollution and changing diet are also causes of pimples. The dead cells on the skin that seem harmless enough can also clog the hair follicles and because a cause for distress- pimples.

Basically, there is no single reason for acne and no fixed time for acne to form. Pimples are formed by a number of reasons and the time that they take to form also varies from person to person. You can fight the problem of acne right at its initial stage with proper care.

Homeopathy Approch in Stomach Cancer and Its Managment

cancer Cancer become any age group person may cancer, but nearly all types are more common in middle aged and elderly people than in young people. Skin is the most common type of cancer for both men and women. The next most common type among men is prostate cancer; among women, it is breast cancer. Lung cancer, however, is the leading cause of death from cancer for both men and women . Brain cancer and leukemia are the most common cancers in children and young adults.

The more we can learn about what causes cancer, the more likely we are to find ways to prevent it. Scientists study patterns of cancer in the population to look for factors that affect the risk of developing this disease. In the laboratory, they explore possible causes of cancer and try to determine what actually happens when normal cells become cancerous.

Our current understanding of the causes of cancer is incomplete, but it is clear that cancer is not caused by an injury, such as a bump or bruise. And although being infected with certain viruses may increase the risk of some types of cancer, cancer is not contagious no one can “catch” cancer from another person.

Cancer develops gradually as a result of a complex mix of factors related to environment, lifestyle, and heredity. Scientists have identified many risk factors that increase the chance of getting cancer. They estimate that about 80 percent of all cancers are related to the use of tobacco products, to what we eat and drink, or, to a lesser extent, to exposure to radiation or cancer-causing agents (carcinogens) in the environment and the workplace. Some people are more sensitive than others to factors that can cause cancer.

Many risk factors can be avoided. Others, such as inherited risk factors, are, unavoidable. It is helpful to be aware of them, but it Is also important to keep in mind that not everyone with a particular risk factor for cancer actually gets the disease; in fact, most do not. People at risk can help protect themselves by avoiding risk factors where possible and by getting regular checkups so that, if cancer develops, it is likely to be found early.

These are some of the factors that are known to increase the risk of cancer.

Tobacco – Tobacco causes cancer. In fact, smoking tobacco, using “smokeless” tobacco, and being regularly exposed to environmental tobacco smoke without smoking are responsible for one-third of all cancer deaths. Smoking accounts for more than 85 percent of all lung cancer deaths. If you smoke, your risk of getting lung cancer is affected by the number and type of cigarettes you smoke and how long you have been smoking. Overall, for those who smoke one pack a day, the chance of setting lung cancer is about 10 times greater than for nonsmokers.

Smokers are also more likely than nonsmokers to develop several other types of cancer (such as oral cancer and cancers of the larynx, esophagus, pancreas, bladder, kidney, and cervix). The risk of cancer begins to decrease when a smoker quits, and the risk continues to decline gradually each year after quitting.

The use of smokeless tobacco (chewing, tobacco and snuff) causes cancer of the mouth and throat. Pre-cancerous conditions, or tissue changes that may lead to cancer, begin to go away after a person stops using smokeless tobacco.

Exposure to environmental tobacco smokes, also called involuntary smoking, increases the risk of lung cancer for nonsmokers. The risk goes up 30 percent or more for a nonsmoking spouse of a person who smokes. Involuntary smoking causes about 4,000 lung cancer deaths in this country each year.

If you use tobacco in any form and you need help quitting, talk with your doctor or dentist, or join a smoking cessation group sponsored by a local hospital or voluntary organization.

Diet: Your choice of foods may affect your chance of developing cancer. Evidence points to a link between a high-fat diet and certain cancers, such as cancer of the breast, colon, uterus, and prostate. Being seriously overweight appears to be linked to increased rates of cancer of the prostate, pancreas, uterus, Colon, and ovary, and to breast cancer in older women. On the other hand, studies suggest that foods containing fiber and certain nutrients help protect us against some types of cancer. You may be able to reduce your cancer risk by making some simple food choices. Try to have a varied, well-balanced diet that includes generous amounts of foods that are high in fiber, vitamins, and minerals. At the same time, try to cut down on fatty foods. You should eat five servings of fruits and vegetables each day, choose more whole-grain breads and cereals, and cut down on eggs, high-fat meat, high-fat dairy products (such as whole milk, butter, and most cheeses), salad dressings, margarine, and cooking oils.

Sunlight : Ultraviolet radiation from the sun and from other sources (such as sunlamps and tanning booths) damages the skin and can cause skin cancer. (Two types of ultraviolet radiation–UVA and UVB–are explained in the Medical Terms section.) Repeated exposure to ultraviolet radiation increases the risk of skin cancer, especially if you have fair skin or freckle easily. The sun is ultraviolet rays are strongest during the summer from about 11 a.m. to about 3 p.m. (daylight saving time). The risk is greatest at this time, when the sun is high overhead and shadows are short. As a rule, it is best to avoid the sun when your shadow is shorter than you are.

Protective clothing, such as a hat and, long sleeves, can help block the sun’s harmful rays. You can also use sunscreens to help protect yourself. Sunscreens are rated in strength according to their SPF (sun protection factor), which ranges from 2 to 30 and higher. Those rated 15 to 30 block most of the sun’s harmful rays.

Alcohol. Drinking, large amount of alcohol increases the risk of cancer of the mouth, throat, esophagus, and larynx. (People who smoke cigarettes and drink alcohol have an especially high risk of getting these cancers.) Alcohol can damage the liver and increase the risk of liver cancer. Some studies suggest that drinking alcohol also increases the risk of breast cancer. So if you drink at all, do so in moderation-not more than one or two drinks a day.

Radiation: X-rays used for diagnosis expose you to very little radiation and the benefits nearly always outweigh the risks. However, repeated exposure can be harmful, so it is a good idea to talk with your doctor or dentist about the need for each x-ray and ask about the use of shields to protect other parts of your body. Before 1950, X-rays were used to treat non-cancerous conditions (such as an enlarged thymus, enlarged tonsils and adenoids, ringworm of the scalp, and acne) in children and young adults. People who have received radiation to the head and neck have a higher-than-average risk of developing thyroid cancer years later. People with a history of such treatments should report it to their doctor and should have a careful exam of the neck every 1 or 2 years.

Also, radiation used in the treatment of some types of cancer can increase the risk of developing a second cancer. Patients having radiation therapy may want to discuss this issue with their doctor.

Chemicals and other substances in the workplace being exposed to substances such as metals, dust chemicals, or pesticides at work can increase the risk of cancer. Asbestos, nickel, cadmium, uranium, radon, vinyl chloride, benzidene, and benzene are well-known examples of carcinogens in the workplace. These may act alone or along with another carcinogen, such as cigarette smoke. For example, inhaling asbestos fibers increases the risk of lung diseases, including cancer, and the cancer risk is especially high for asbestos workers who smoke. It is important to follow work and safety rules to avoid contact with dangerous materials.

Hormone replacement therapy: Many women use estrogen therapy to control the hot flashes, vaginal dryness, and osteoporosis (thinning of the bones) that may occur during menopause. However, studies show that estrogen use increases the risk of cancer of the uterus. Other studies suggest an increased risk of breast cancer among women who have used high doses of estrogen or have used estrogen for a long time. At the same time, taking estrogen may reduce the risk of heart disease and osteoporosis.

The risk of uterine cancer appears to be less when progesterone is used with estrogen than when estrogen is used alone. But some scientists are concerned that the addition of progesterone may also increase the CANCER risk of breast cancer.


Out of ten person, one person suffering fron gestrities and out of them hundred one person suffering from stoch cancer.If the cancer can be identified at a time when it only involves the superficial lining layer of the stomach and only involves a few cells and such a stomach cancer is surgically removed 90 % of these individuals are likely to have a normal life span . However if the stomach cancer has involved all the layers of the stomach this chance decreases to 50% and if it has spread outside the stomach or to distant organs of the body the chances of surviving in the long term are extremely gloomy .


1. Benign stomach (gastric ) ulcer , in most instances these benign ulcers in the stomach do not become malignant although in a few cancerous change can supervene after many years . Helicobacter pylori infection of the stomach appears to be an important cause of gastric ulcers .

2. Chronic duodenal ulcer , this is a common condition of the duodenum , the organ situated next to the stomach . we can reassure those with this condition that even after many years of having a chronic duodenal ulcer , the chances of it becoming malignant are almost nil.

3. Gastritis with low or absent stomach acid production . This situation can occur in an uncommon illness. Pernicious anemia and it can also occur without any obvious reason . Here absent or low levels of stomach acid which is normally produced to aid digestion is associated with the disappearance of gastric glands and this is called atrophic gastritis . Atrophic gastritis is a pre malignant condition .


Inherited causes :family history of stomach cancer ,such a history in a near relative doubles a person’s chances of developing stomach cancer during their life time

Type A blood group ,the common blood groups are A,B,O ,and AB. A person with type A blood has a 20% increased chance of developing stomach cancer during their life time compared to those with other blood groups

Personal health risks: presence of Helicobacter pylori in the stomach .this is an organism which in recent has been associated not only with stomach cancer but also with gastric and duodenal ulcers and with inflammatory changes called gastritis . why Helicobacter infection is present in some individuals but not in others is at present in some individuals but not in others is at present is uncertain , although it may be linked to both undesirable Helicobacter infection probably cause no symptoms . Helicobacter Pylori infection can usually be eradicated by the use of suitable antibiotics . It has also been suggested recently by Australian scientists that the regular intake of acidophilus bacteria (found in some brands of yoghurt and in some bacteria supplements )can also eradicate Helicobacter infection. Previous surgical removal of part of the stomach (partial gastrectomy ) for a non malignant condition , such as a gastric or duodenal ulcer . This become a stomach cancer risk some 15-40 years after the stomach has been removed . Pernicious anemia ,Individuals with this uncommon condition not only have anemia but also have no normal stomach acid production . They develop the condition previously described , atrophic gastritis . Individuals with atrophic gastritis have a 10 %chance of developing stomach cancer during their life time . Low or absent stomach acid production with atrophic gastritis , even in the absence of pernicious anemia , this is a risk for the future development of stomach cancer

Life style health risks : Dietary factors, a special risk for stomach cancer is a diet which is low in vegetables , fruit and cereals and particularly those fruits , vegetables and cereals which contain a lot of beta-carotene , vitamin-c and vitamin-e

A diet high in pickled . smoked , salted or cured food or foods preserved with nitrate , such as salami ,sausages , hot dogs , smoked meat , smoked fish or pickled food of any kind are also risks for stomach cancer . These dietary factors are probably important because the risk foods described above all seem to produce carcinogens

called nitrosamines . Also vitamin-C acts as antioxidant and has other actions which neutralize the effects of nitrosamines . Dietary factors are probably the most important single cause of stomach cancer . Smoking , a recent Australian study which examined all the scientific evidence published over the years has found that smoking is likely to be an important contributory cause of stomach cancer .


1.Dietary changes it is particularly important to have a high consumption of fruit ,vegetables and cereals which contain beta-carotene ,vitamin-c and vitamin-e and at the same time avoid or eat very little pickled ,smoked ,salted ,cured and nitrate –preserved foods .In a recently reported study from China ,where stomach cancer is still relatively common ,the daily use of vitamin-e ,beta carotene and selenium supplements decreased stomach cancer risk by one-fifth .

2. Avoid smoking ,hints and guidance about quitting smoking are described

3. Eradicate Helicobacter Pylori , if helicobacter infection has been shown to be present ,suitable antibiotics can be used recent research suggests that the acidophilus bacteria found in some dietary supplements may also been effective way to eliminate helicobacter infection

4. Aspirin based mainly on experimental data ,the regular use of aspirin as a preventive for stomach cancer has been advanced . However the human evidence of a preventive role for aspirin in stomach cancer is insufficient at present to make such a recommendation .


In alternative medicine in homoeopathy medicine can cure cancer in various age group of person. In early stage of cancer may help to patient life Many people with cancer want to learn all they can about their disease and their treatment choices so they can take an active part in decisions about their medical care. Often, it helps to make a list of questions to ask the doctor. Patients may take notes or, with the doctor’s consent, tape record the discussion. Some patients also find it helps to have a family member or friend with them when they talk with the doctor to take part in the discussion, to take notes, or just to listen.

• Here are some questions may want to ask the doctor: What are the chances that the treatment will be successful?
• Would a clinical trial be appropriate for me?
• What are the risks and possible side effects of each treatment?

Although the side effects of radiation therapy can be unpleasant, the doctor can usually treat or control them. It also helps to know that, in most cases, they are not permanent.
number of white blood cells, cells that help protect the body against infection
Chemotherapy —the side effects of chemotherapy depends mainly on the drugs and doses the patient receives. Generally, anticancer drugs affect cells that divide rapidly. These include blood cells, which fight infection, help the blood to clot, or carry oxygen to all parts of the body. When blood cells are affected by anticancer drugs, patients are more likely to get infections, may bruise or bleed easily, and may have less energy. Cells that line the digestive tract also divide rapidly. As a result of chemotherapy, patients may have side effects, such as loss of appetite, nausea and vomiting, hair loss, or mouth sores. For some patients, the doctor may prescribe medicine to help with side effects, especially with nausea and vomiting. Usually, these side effects gradually go away during the recovery period or after treatment stops. Hair loss another side effect of chemotherapy, is a major concern for many patients. Some chemotherapy drugs only cause the hair to thin out, while others may result in the loss of all body hair. Patients may feel better if they decide how to handle hair loss before starting treatment.

In some men and women, chemotherapy drugs cause changes that may result in a loss of fertility (the ability to have children). Loss of fertility may be temporary or permanent depending on the drugs used and the patient’s age. For men, sperm banking before treatment may be a choice. Women’s menstrual periods may stop, and they may have hot flashes and vaginal dryness. Periods are more likely to return in young women. In some cases, bone marrow transplantation and peripheral stem cell support are used to replace tissue that forms blood cells when that tissue has been destroyed by the effects of chemotherapy or radiation therapy.

Hormone Therapy –Hormone therapy can cause a number of side effects. Patients may have nausea and vomiting, swelling or weight gain, and, in some cases, hot flashes. In women, hormone therapy also may cause interrupted menstrual periods, vaginal dryness, and, sometimes, loss of fertility. Hormone therapy in men may cause impotence, loss of sexual desire, or loss of fertility. These changes may be temporary, long lasting, or permanent.


CHELIDINIUM : It has also cured cancer of the stomach when in a ,vomiting for cancer of throat , mouth or stomach .

Condurango : In cancer of oesophagus or stomach . There are many other medicines , only few have been mentioned

Possible Causes Of Peptic Gastric And Duodenal Ulcer

Recent studies have indicated the bacteria (lately discovered) Helicobacter Pylori as the primer cause for stomach and duodenum peptic damages. Due to the fact that this aggressive bacteria works in synergism with other potential factors such as acid secretion, it produces major destructions like inflammation and ulcerations of the gastric and duodenal tissues.

Most important factors leading towards ulcer are hydrochloric acid and pepsin contained in the stomach. In normal conditions these chemical substances are in perfect balance and do not cause damages of the tissues. This is how the stomach protects itself against harmful effects:

1. Mucous glands secrete the lubricant necessary to cover and shield the outer layers of the stomach and duodenum.

2. Gastric tissues produce bicarbonate which wads and neutralizes any kind of aggressive acid.

3. An efficient blood supply in all stomach layers.

4. Constant renewal and repair of the gastric cells.

Most dangerous for the stomach's tissues ate non steroidal anti-inflammatory drugs such as Naproxen Sodium, Acetylsalicylic acid and Ibuprofen. Some of them are used to cure different problems of the articulations. This is how NSAIDs destroy digestive protect-mechanisms:

1. They damage the secretion of protective mucus and bicarbonate and make stomach and duodenal mucous defenseless against HCl and pepsin.

2. They affect cell renewal of the digestive system and hinder the normal blood circulation.

A basic factor of ulcer appearance is Smoking. According to studies we know cigarettes hinder the healing of al older ulcer, produces recurrence though treatment, and can definitely increase one's chance of getting ulcer.

Caffeine also stimulates the acid secretion in the stomach. Caffeine rich food and beverages can worsen an already existing ulcer but caffeine alone can produce major destructions to the stomach mucous.

Alcohol leads to gastric ulcer even though there has been found no exact link between the two. Ulcer is more commonly encountered at patients with liver cirrhosis most often seen in alcohol addicts.

Researchers have established no exact link between ulcer and emotional stress but have proven it to cause relapses and aggravation of the condition. Another kind of stress is the physical one caused by severe pathological conditions or major surgical interventions. It can easily lead to development of ulcer especially in the stomach.

There is however an assembling between ulcer and heartburn and both can be treated by consuming vegetables.

Bone Up on Extensive CPT Changes to Musculoskeletal System Codes

CPT and the AMA may have just made the orthopedic coder’s life a little easier. CPT 2002 includes 89 changes to codes in the musculoskeletal system chapter, 31 of which are new codes. Eight of these new codes deal with arthroscopic surgery and will in many cases eliminate the need for submitting unlisted-procedure codes for surgeries that up until now had no CPT code .

The 2002 changes go into effect Jan. 1, 2002. Practices should plan changes to super bills, encounter forms, charge tickets, etc., but hold off on implementation until after Jan. 1.

According to Heidi Stout, CPC, CCS-P, coding and reimbursement manager at University Orthopedic Associates in New Brunswick, N.J., many carriers do not update their fee schedules until February or March, so poll your major payers to determine when they will activate new CPT codes. Jumping the gun can result in a rash of denied claims” ” Stout says.

Note: New codes appear here in bold type and revised codes are in plain type. As in past issues all new revised and deleted codes are listed in Appendix B of CPT 2002.

Dotting I’s and Crossing T’s

Many of the changes to existing codes involve the slightest grammatical or even punctuation changes but even those slight revisions can change the nature of the code. For instance 20225 now reads: biopsy bone trocar or needle; deep (e.g. vertebral body femur). The only change in the code definition is the addition of “e.g.” But the change means that a deep bone biopsy includes but is not limited to the vertebral body or the femur.

The most minor changes appear in the 21182-21184 code group (reconstruction of orbital walls rims forehead nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone [e.g. fibrous dysplasia] with multiple autografts [includes obtaining grafts]; total area of bone grafting ). The choice of code depends on the size of area of bone grafting e.g. 40 square centimeters. That measurement used to be shown as 40cm but the term for the measurement is now 40 sq. cm.

New and Revised Injection Codes

The 20000 series of injection codes includes a number of new entries. These new codes offer options for reporting injection of the carpal canal for carpal tunnel syndrome as well as a range of codes for reporting those troublesome trigger-point injections. Expansion of this section of codes will allow for more accurate reporting and less confusion about location purpose and number of injections rendered.

  • 20526 injection therapeutic (e.g. local anesthetic corticosteroid) carpal tunnel.
  • 20550 injection; tendon sheath ligament ganglion cyst.
  • 20551 injection; tendon origin/insertion.
  • 20552 injection; single or multiple trigger point(s) one or two muscle group(s).
  • 20553 injection; single or multiple trigger point(s) three or more muscle groups.

    Miscellaneous Changes

    Several other codes have been rewritten with slight additions or deletions of terms to make them clearer or more consistent with current medical terminology.

  • 21750 closure of median sternotomy separation with or without debridement (separate procedure).
  • 23000 removal of subdeltoid calcareous deposits open.
  • 23350 injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography.
  • 27447 arthroplasty knee condyle and plateau; medial and lateral compartments with or without patella resurfacing (total knee arthroplasty).

The term “soft tissue” was added to a number of codes for the excision of subcutaneous and deep tumors (24075 24076 25075 25076 26115 and 26116) to solidify their use for soft tissue masses only and not bony tumors.

More Elbow Room

Important additions were made to the humerus (upper arm) and elbow section which has remained essentially untouched for years providing coders with a wider more specific range of codes for identifying surgeries to the arm. Stout says the big plus with these new codes is that for many common surgeries they eliminate the need for an unlisted-procedure code (24999 unlisted procedure humerus or elbow) and the accompanying reimbursement hassles. Physicians who perform ulnar collateral ligament repairs will be especially pleased with the new codes for reporting this service.

  • 24075 excision tumor soft tissue of upper arm or elbow area; subcutaneous.
  • 24076 excision tumor soft tissue of upper arm or elbow area; deep (subfascial or intramuscular).
  • 24300 manipulation elbow under anesthesia.
  • 24332 tenolysis triceps.
  • 24343 repair lateral collateral ligament elbow with local tissue.
  • 24344 reconstruction lateral collateral ligament elbow with tendon graft (includes harvesting of graft).
  • 24345 repair medial collateral ligament elbow with local tissue.
  • 24346 reconstruction medial collateral ligament elbow with tendon graft (includes harvesting of graft).

Clarifications for Wrist and Forearm Surgeries

A range of new and revised codes will offer more accurate coding options for surgery to the wrist and forearm. The code changes offer greater specificity as evidenced by the expanded range of codes for decompressive fasciotomies.

Many of the changes are minor giving more clarification as to what is and isn’t included in surgeries of the wrist and forearm. Some of the most notable new codes here are 25001 for release of flexor carpi radialis tunnel syndrome 25259 for manipulation of the wrist joint and 25651 and 25652 for treatment of ulnar styloid fracture. Again the need to report an unlisted-procedure code (25999 unlisted procedure forearm or wrist) has been eliminated by the addition of these new codes.

  • 25001 incision flexor tendon sheath wrist (e.g. flexor carpi radialis).
  • 25020 decompression fasciotomy forearm and/or wrist flexor or extensor compartment; without debridement of nonviable muscle and/or nerve.
  • 25024 decompression fasciotomy forearm and/or wrist flexor and extensor compartment; without debridement of nonviable muscle and/or nerve.
  • 25025 decompression fasciotomy forearm and/or wrist flexor and extensor compartment; with debridement of nonviable muscle and/or nerve.
  • 25075 excision tumor soft tissue of forearm and/or wrist area; subcutaneous.
  • 25076 excision tumor soft tissue of forearm and/or wrist area; deep (subfascial or intramuscular).
  • 25259 manipulation wrist under anesthesia.
  • 25274 repair tendon or muscle extensor forearm and/or wrist; secondary with free graft (includes obtaining graft) each tendon or muscle.
  • 25275 repair tendon sheath extensor forearm and/or wrist with free graft (includes obtaining graft) (e.g. for extensor carpi ulnaris subluxation).
  • 25394 osteoplasty carpal bone shortening.
  • 25405 repair of nonunion or malunion radius or ulna; with autograft (includes obtaining graft).
  • 25420 repair of nonunion or malunion radius and ulna; with autograft (includes obtaining graft).
  • 25430 insertion of vascular pedicle into carpal bone (e.g. Harii procedure)
  • 25431 repair of nonunion of carpal bone (excluding carpal scaphoid [navicular[ (includes obtaining graft and necessary fixation) each bone.
  • 25440 repair of nonunion scaphoid carpal (navicular) bone with or without radial styloidecto my (includes obtaining graft and necessary fixation).
  • 25443 arthroplasty with prosthetic replacement; scaphoid carpal (navicular).
  • 25520 closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation).
  • 25526 open treatment of radial shaft fracture with internal and/or external fixation and open treatment with or without internal or external fixation of distal radioulnar joint (Galeazzi fracture/dislocation) includes repair of triangular fibrocartilage complex.
  • 25645 open treatment of carpal bone fracture (other than carpal scaphoid [navicular]) each bone.
  • 25651 percutaneous skeletal fixation of ulnar styloid fracture.
  • 25652 open treatment of ulnar styloid fracture.
  • 25671 percutaneous skeletal fixation of distal radioulnar dislocation.

A Fist Full of Changes in Terminology

There is only one new code (26340) in the hands and fingers section but numerous terminology changes were made that clarified codes and removed obsolete terms. For example the term “zone 2” replaces “digital flexor tendon sheath” in CPT codes 26350 and 26356; “synthetic” replaces “prosthetic” in 26390 26392 26415 and 26416; and “polydactylous” replaces “supernumerary” in CPT code 26587.

The addition of the word “each” to the codes for treatment of carpometacarpal joint (CMC) dislocations (26670 26676 and 26685) and arthrodesis of the CMC joint (26843) invites coders to report these codes as multiples when this is appropriate. Code 26340 again offers a viable alternative to the unlisted-procedure code for finger manipulation.

  • 26115 excision tumor or vascular malformation soft tissue of hand or finger; subcutaneous.
  • 26116 excision tumor or vascular malformation soft tissue of hand or finger; deep (subfascial or intramuscular).
  • 26160 excision of lesion of tendon sheath or joint capsule (e.g. cyst mucous cyst or ganglion) hand or finger.
  • 26340 manipulation finger joint under anesthesia each joint.
  • 26350 repair or advancement flexor tendon not in zone 2 digital flexor tendon sheath (e.g. no man’s land); primary or secondary without free graft each tendon.
  • 26356 repair or advancement flexor tendon in zone 2 digital flexor tendon sheath (e.g. no man’s land); primary or secondary without free graft each tendon.
  • 26390 excision flexor tendon with implantation of synthetic rod for delayed tendon graft hand or finger each rod.
  • 26392 removal of synthetic rod and insertion of flexor tendon graft hand or finger (includes obtaining graft) each rod.
  • 26415 excision of extensor tendon with implantation of synthetic rod for delayed tendon graft hand or finger each rod.
  • 26416 removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft) hand or finger each rod.
  • 26426 repair of extensor tendon central slip secondary (e.g. boutonniere deformity); using local tissue(s) including lateral band(s) each finger.
  • 26428 repair of extensor tendon central slip secondary (e.g. boutonniere deformity); with free graft (includes obtaining graft) each finger.
  • 26510 cross intrinsic transfer each tendon.
  • 26585 deleted use 26587.
  • 26587 reconstruction of polydactylous digit soft tissue and bone.
  • 26590 repair macrodactylia each digit.
  • 26597 deleted use 11041-11042 14040-14041 15120 15240.
  • 26607 closed treatment of metacarpal fracture with manipulation with external fixation each bone.
  • 26607 closed treatment of carpometacarpal dislocation other than thumb with manipulation each joint; without anesthesia.
  • 26676 percutaneous skeletal fixation of carpometacarpal dislocation other than thumb with manipulation each joint.
  • 26685 open treatment of carpometacarpal dislocation other than thumb; with or without internal or external fixation each joint.
  • 26843 arthrodesis carpometacarpal joint digit other than thumb each.

    Pelvis and Hips Feet and Toes Revisions

    The pelvis and hip joint section of CPT has several code revisions but no additions. As with the other changes they are more specific but offer little substantive difference from the past edition of CPT.

  • 27110 transfer iliopsoas; to greater trochanter of femur.
  • 27130 arthroplasty acetabular and proximal femoral prosthetic replacement (total hip arthroplasty) with or without autograft or allograft.
  • 27132 conversion of previous hip surgery to total hip arthroplasty with or without autograft or allograft.
  • 27140 osteotomy and transfer of greater trochanter of femur (separate procedure).
  • 27185 epiphyseal arrest by epiphysiodesis or stapling greater trochanter of femur.

    There are a few changes to nomenclature in the foot and toes section but no new codes. The narrative for CPT code 28299 was tightened up a bit by replacing “other methods” with “by double osteotomy.”

  • 28104 excision or curettage of bone cyst or benign tumor tarsal or metatarsal except talus or calcaneus.
  • 28238 reconstruction (advancement) posterior tibial tendon with excision of accessory tarsal navicular bone (e.g. Kidner type procedure).
  • 28299 correction hallux valgus (bunion) with or without sesamoidectomy; by double osteotomy.
  • 28737 arthrodesis with tendon lengthening and advancement midtarsal tarsal navicular-cuneiform (e.g. Miller type procedure).

Casts and Strapping

One new code was added to the section on casts and strapping and one was revised.

  • 29049 application cast; figure-of-eight.
  • 29086 application cast; finger (e.g. contracture).

Arthroscopy Codes Added

The most meaningful changes to CPT 2002 for orthopedics are the addition of several new codes for arthroscopy. Sports medicine orthopedists should be pleased since they now have a means for reporting arthroscopic Bankart repairs (capsulorrhaphy) SLAP lesion repairs and distal clavicle resections.

The addition of 29806 29807 and 29824 alone means there are now codes to describe common arthroscopic shoulder surgeries that formerly had to be reported using 29909 (unlisted procedure arthroscopy). Orthopedic coders are painfully familiar with the denials extra documentation reimbursement reductions and other pitfalls that came with submitting this code. And as if to put those headaches to bed permanently CPT has eliminated 29909 replacing it with 29999. The change is largely symbolic as the language for 29999 remains just as it was for 29909 (unlisted procedure arthroscopy).

  • 29805 arthroscopy shoulder diagnostic with or without synovial biopsy (separate procedure).
  • 29806 arthroscopy shoulder surgical; capsulorrhaphy.
  • 29807 arthroscopy shoulder surgical; repair of SLAP lesion.
  • 29815 deleted use 29805.
  • 29824 arthroscopy shoulder surgical; distal claviculectomy including distal articular surface (Mumford procedure).
  • 29900 arthroscopy metacarpophalangeal joint diagnostic includes synovial biopsy.
  • 29901 arthroscopy metacarpophalangeal joint surgical; with debridement.
  • 29902 arthroscopy metacarpophalangeal joint surgical; with reduction of displaced ulnar collateral ligament (e.g. stenar lesion).
  • 29909 deleted use 29999.
  • 29999 unlisted procedure arthroscopy.

The downside to the new arthroscopy codes is that they may present bundling issues in 2002. According to Terry Fletcher BS CPC CCS-P CCS a healthcare coding consultant based in Laguna Beach Calif. bundling was less of an issue when unlisted-procedure codes were reported with other surgeries performed at the same setting. “Now with the new codes ” she says “coders should be aware of all of the new bundling issues that come with them and reimbursements will definitely be affected. It’s a good idea to start negotiating contracts with payers as soon as possible.”

The ABC of Frozen Foods

A lot of people seem to get confused by the instructions on how to prepare frozen foods. The conditions for food poisoning often occur at this stage of food preparation. Frozen food fall into three main categories, which are:

Raw food

Breaded raw food, raw marinated or seasoned meat and fish

Pre cooked food

The first category, raw food, includes all those types of food which have been frozen in their pre-cooked and raw state. This includes meat, fish, poultry, vegetables, mushrooms, doughs, fruits and fruit juices.

The second category, breaded raw food, includes meat, poultry, fish, vegetables, mushrooms and anything else which has been prepared for cooking but not cooked. This type of food may have been dipped in egg, flour or any other type of industrial grade bread crumb adhesive, breaded and then frozen

The third category, pre-cooked food, includes everything which has been fully cooked, meaning that prior to freezing, it is completely cooked and ready to eat and then frozen. This may include breaded poultry pieces, szitzels, cordon bleu, chicken kiev, stir fried dishes, oven dinners or any other type of food dish except for liver. Liver should never be re-frozen or frozen after cooking.

In the first category it is absolutely imperative to thaw all meat and poultry in refrigerated conditions until the meat is thawed. Never thaw any type of meat in water and it is not advisable to thaw in a microwave oven, in my own opinion. The reason for this is because it will take the meat a particularly long time to thaw and areas inside the meat which thaw first will not heat up sufficiently to prevent bacterial development because the frozen center keeps the thawed meat at a moderate temperature which is optimal for bacterial development for extended periods of time. Therefore, the risk of food contamination is particularly high.

Vegetables fruits and fish may be cooked in their frozen state. However, it is advisable to cut the fish into small portions to ensure that the fish is cooked through within a few minutes. Large pieces of fish such as whole salmon should be thawed thoroughly before cooking.

The second category presents a wider range of possibilities for food contamination. There are several reasons for this. If we were to take raw breaded foods and attempt to cook them in the oven, we would provide bacteria with conditions that are ideal for their growth because the center of the piece of meat would take a long time to thaw and the area surrounding the frozen center would remain at a suitable temperature for bacterial growth for a considerable period of time. In addition, the center of the piece of food may remain uncooked. If there is some of the meat left raw or semi-raw bacteria will develop. Conditions like these are perfect for bacterial development.

Pre marinated or spiced foods are particularly problematic for three main reasons. The first is because the product has been left unfrozen for an relatively long period of time in comparison to whole frozen chickens, for example, which are frozen as soon as they have been fully processed.

Secondly, the meat has been handled and exposed to potentially contaminating environmental conditions. Thirdly, it has had substances added which may contain bacteria. To thaw such materials in heated conditions or an attempt to cook them in their frozen state will provide bacteria with all the conditions that they need to multiply. All such materials must be either deep fried in oil or in the case of marinated and spiced meats, must be thawed in refrigerated conditions and then stir fried on a very hot surface in small quantities. Cooking the meat completely within a couple of minutes will curb the bacterial potential for development.

When food has been completely cooked at the time of the manufacturing process as explained in the third category, one can heat it up in the oven or deep fry it. However, if you do choose to oven cook such foods do make sure that the pieces of food are not too large. Hamburger size would be as large as I would attempt to cook in this way. If you are re-heating something like a pre-cooked pot roast or a pot of goulash, for instance, it is absolutely vital to thaw it thoroughly first in refrigerated conditions. Never pre-suppose that food is free of bacteria just because it has been pre cooked. The key to preventing this type of food poisoning is to plan your meals well enough in advance. Forgetfulness, procrastination and refusing to abide by the manufacturer's instructions all present situations where dangerous mistakes can easily be made.

All of these principles, if preformed correctly, ensure a correct food hygiene regime and prevent people from falling ill due to mistakes made in the preparation of food.

10 Best Stress Herbs

Herbs are natural stress relievers with little or no side effects and are a popular option to synthetic medications …

Kava Kava – is a herb of the Indonesian and Polynesian islands and is a hot favourite for its anxiety relieving effects. Kava, when drunk, gives a sense of well-being but does not affect mental alertness. Use Kava to relax muscles and get a good night's sleep.

Catnip – acts on both the nervous system and the digestive system. It calms by acting on the brain and also relieves symptoms of peptic ulcer and irritable bowel syndrome which are associated with stress.

Valerian – is said to be the oldest among the stress relieving herbs; it is mentioned in Ayurvedic literature. It has been likened to Diazepam, the sleeping pill. It reduces tension and anxiety and is a good pain reliever for tension headaches and migraines. Also has antispasmodic properties and can be used to ease tight muscles.

Chamomile – promotes feelings of relaxation and settles digestion. It boosts the immune system, which is often depressed during stress, and prevents infections. Chamomile contains glycine, a nerve relaxant … We all know about the soothing effects of Chamomile tea!

Passion Flower – has a long history as a folk remedy for anxiety. The flower is believed to contain naturally occurring serotonin. It is very soothing and used in herbal tea preparations. Use this herbal remedy for insomnia.

Skullcap – makes an effective nerve tonic that reduces anxiety and restlessness. It acts on the nervous system and stabilises the mood. Make skullcap into a tincture.

St John's Wort – a well- known anti-depressant without any side effects. It inhibits the enzyme, mono amino oxidase, and helps in relieving stress.

Lavender – lifts moods and relieves indigestion and headaches. It also encourages natural sleep, so necessary to cope with stress. Besides being one of the most effective stress herbs, it has so many other uses.

Vervain or Verbena – strengthens the nervous system and relieves anxiety and stress. It makes a good sedative nerve tonic (make a tincture) and is also a gentle stimulant for the digestive system.

Rose – has been praised for many reasons , and for many centuries. But its herbal properties have been neglected. Rose balances the hormonal functions, encourages a regular menstrual cycle and is a soothing remedy for emotional difficulties around menopause. It also calms and soothes anger and irritability.

Please remember to seek medical advice before taking herbal medicine if you are pregnant, or if you have a long-standing medical condition such as heart condition or high blood pressure. herbs may be plants but their medicinal effects are potent and very real.

And, remember to deal with herbs with a heart of gratitude … the earth provides everything we need for our well-being and wholeness.

Anti-Cancer Wonder Fruit – Bananas

I like to watch tennis matches on TV, especially the grand slam series. Running under the hot sun for hours at high speeds requires a lot of energy and stamina. So during the breaks, players would replenish their bodies with fluids and sometimes bananas.

Why bananas and not other fruits? There are many reasons. Bananas are easy to peel and eat and provide a quick boost of energy. Depending on the type and size of the banana, they typically contain 110 calories, 3 natural sugars (glucose, fructose and sucrose), about 6 vitamins, and 11 minerals. It is a good source of potassium and fiber and has no fat and cholesterol.

I love to eat bananas and there are so many ways to prepare and consume it. Bananas can be made into cake, bread, pie, sauce, ketchup, pudding, chips, yogurt, and beer, among many others. You can freeze it, deep-fry it, steam it, squeeze it into juice, split it and serve with ice-cream, slice and put it in a sandwich, or cut it up and mix it in a salad bowl. For me, eating it on its own at 90% ripeness is a super treat.

Bananas have a long list of health benefits, some of which are:

1. Ease Constipation: its high fiber content helps digestive tract and bowel movement

2. Diarrhea: the potassium replaces the lost electrolytes

3. Anemia: the iron helps to replenish the red blood cells

4. Healthy bones: bananas contain a complex sugar compound that nourishes good bacteria in the colon. This good bacteria produce enzymes which help digestion and in the process increase the absorption of calcium

5. Prevent High blood pressure: its high potassium and low sodium ratio helps prevent high blood pressure and stroke

6. Help reduce Ulcers: bananas stimulate the cells on the internal stomach lining to produce a thick mucus protecting it against acid; it contain enzyme inhibitors that get rid of bacteria in the stomach that cause ulcers

7. Reduce Depression: bananas contain an amino acid that can be converted to serotonin and help reduce depression

8. Relief Stress: when a person is highly stressed, his potassium level will deplete quickly. Eating bananas, which is high in potassium, will restore the level and provide a good balance in the body

9. Reduce Heartburn: bananas help to prevent the build-up of acids in the stomach and provide relief for people suffering from heartburn

10. Reduce Morning Sickness: bananas help keep the blood-sugar level up and reduce morning sickness

11. Help to quit Smoking: bananas contain vitamins B6, B12, potassium and magnesium that can help a person trying to quit smoking to recover from nicotine withdrawal

12. Anti-Cancer quality: a fully ripe banana produces a substance known as TNF that can fight abnormal cells. Dark spots will appear on the skin of the banana as it ripens. The more dark spots it has the better its fighting ability and anti-cancer quality.

In researches conducted in Japan using animals, the health benefits of various fruits were compared. The fruits include banana, apple, pear, pineapple, persimmon, grape, and water melon. Banana came out top. Eating bananas produced the anti-cancer substance TNF, increased the white blood cells count, and improved the immunity of the body.

So eat a banana a day and keep the doctors away. Care to join me?

Quantum Alternative

Quantum healing.

This is a must read for any person who is dealing with illness or disease in a world where half of our seven Billion people are sick or dying daily.

A new book reveals a journey into the world of futuristic Quantum cure for all disease has been developed over the last 20 years by brilliant Doctors and Scientists using NASA space age technology to allow a Doctor to heal today with warp speed, delete disease with no pain and inexpensively.

This science is not new and has been vastly improved to a Sci-Fi level. In 1934, Doctor Royal Rife cured 16 out of 16 terminally ill with Cancer. We just have not heard about how this Medical Revolution is exploding world wide. http://www.healthcureforalldisease.com

Dave Archer wrote The Quantum cure over 3 years as he was a patient with this new technology suffering with multiple disease and finding no cure with Drugs or conventional Doctors.

Quantum healing allows a practitioner to scan a patients Body, Mind and Spirit within 90 seconds on a cellular level, print out the list of defects and begin 5 minute cycles of healing a person in each area of illness or disease directly. This allows a body to heal with biofeedback at computer age lightening speeds.

The Quantum Cure is a natural alternative available to any patient world wide and the book provides options for a reader to find a local Doctor with ease and begin a Quantum Leap in recovery. http://www.healthcureforalldisease.com

Here is a list of illness or disease that Quantum can heal with remarkable speed because it is the most powerful force in the universe and works on Mind Body and Spirit on a cellular level, instantly. Some will be deleted in a 1 hour session whereas Cancer may take a dozen sessions …

Acid Reflux
Addison’s Disease
Adrenal Disorders
Age Spots
Alopecia (Baldness)
Alzheimer’s Disease
Athletes Foot
Attention Deficit Disorder
Back Pain
Balance Problems
Blackheads Acne
Bladder Cancer
Bladder Problems
Body Odor & Bad Breath
Bone Cancer
Bone Spurs
Bowel Problems
Brain Cancer
Brain Injury
Breast Cancer
Breast Problems
Cancer of Cervix
Candida – Candidacies
Cardiovascular Disease
Carpal Tunnel Syndrome
Celiac Disease
Chemotherapy Side-effects
Cholesterol Problems
Chronic Fatigue Syndrome
Chronic Pulmonary Disease
Circulatory Problems
Cold Sores
Colon Cancer
Common Cold
Cohn’s Disease
Cystic Acne
Cystic Fibrosis
Dermatitis herpetiformis
Drug Addiction
Dry Skin
Ear Problems
Endocrine Disorders
Energy Problems
Environmental Toxicity
Esophagus Cancer
Eye Pain
Eye Problems
Eyes (Bags under)
Eyes (Bloodshot)
Eyes (Dry)
Eyes (Itchy)
Eyes (Mucus)
Eyes (Tired)
Face Pain
Facial Paralysis
Fatty / Enlarged Liver

Fever Blisters
Folliculitis Alopecia
Folliculitis Decalvans
Food allergy
Food Poisoning
Frozen Shoulder
Fungal Infection
Fungal Skin Infections
Gall bladder Cancer
GERD – Gastro-Esophageal
Gum Problems
Gynecological Problems
Hair Disorders/Loss
Hay Fever
Hearing Loss
Heart Attack
Heart Disease
Hepatitis A
Hepatitis B
Hepatitis C
Hiatal Hernia
High Liver Enzymes
Hodgkin’s disease
Hormonal Acne
Hormone Imbalance
Hot Flashes
Huntington’s Disease
Immune Dysfunction
Inflammatory Bowel Disease
Injured Muscles
Intrahepatic Stones
Irritable Bowel Syndrome
Jet Lag
Kidney Cancer
Kidney Problems
Kidney Stones
Knee Pain
Lactose Intolerance
Leaky Gut Syndrome
Learning Disorders
Leg Cramps
Leg Ulcers
Lichen Planus
Lichen Sclerosis
Liver & Gallbladder Problems
Liver Cancer
Liver Stones
Low Blood Pressure
Low Blood Sugar
Lung Cancer
Lung Disease
Lyme Disease
Macular Degeneration
Malabsorption Syndrome
Melanoma Cancer
Memory Problems
Menopause Problems
Menstruation Problems
Mineral Deficiency
Mood Swings
Mouth Cancer
Multiple Chemical

Multiple Sclerosis
Muscle Pain
Muscle Weakness
Myocardial Infarction
Nail Problems
Neck Problems
Nerve Damage
Nodular or Severe Cystic Acne
Non-Hodkins Lymphoma
Oily Skin
Ovarian Cancer
Pancreas Cancer
Pancreas Problems
Panic Disorder
Parasites Intestinal
Parkinson’s Disease
Personality Disorder
Pilonidal Disease
Pimples (Acne)
Pityriasis Rosea
Post-polio Syndrome
Pregnancy Problems
Primary Sclerosing
Prostate Cancer
Prostate Problems
Pulmonary Fibrosis
Radiation Sickness
Respiratory Ailments
Sarcoma Cancer
Sexual Dysfunction
Sexual Problems
Shoulder Pain
Sinus Problems
Skin Problems
Skin Rash
Sleep Disorders
Spider Bite
Spinal Disorders
Sports Injuries
Stomach Cancer
Stomach Problems
Testical Cancer
Thyroid Cancer
Thyroid Problems
Tinea Capitis
Tongue Cancer
Tooth Decay
Ulcerative Colitis/Colitis
Urinary Tract Infections
Urination Problems
Vaginal Cancer
Varicose Veins
Vision Problems
Vitamin Deficiency
Whiteheads Acne
Wrinkled Skin – Wrinkles
Yeast Infection

Amlapitta and Ayurveda

It is common for many of us to face a burning sensation in stomach and chest at times. This is in most cases due to excessive secretion of acidic material in the stomach. This in medical terms referred as acidity or gastritis. In Ayurvedic terminology, this is referred as amlapitta, amla meas the super sour taste and Pitta is the Dosha. This means there is excessive secretion of Pitta Dosha (one of the three doshas) in the stomach.

There are several factors that lead to the acidity or amlapitta in the body like a poor or imbalanced diet, heavy smoking, weak immune system, stress etc. When there is acidity problem in the body, it is denoted by many symptoms like loss of appetite, burning sensation in chest, stomach, nausea, indigestion, abdominal bloating, etc.

Amlapitta Process

When the Pitta Dosha is disturbed from its normal state by taking viruddha bhojan (incompatible food), vikrita bhojan (stale food), ati amla (too much sour, spicy food), vidahi (decayed) and other food that is harmful to pitta dosha like fried, fermented food, smoking, alcohol etc, then the aggravated Pitta Dosha takes seat in stomach and produces Amlapitta or hyperacidity.

Ayurvedic Treatment

No matter how big or small the symptoms are, amlapitta should never be ignored because if not given proper treatment at the right time, it can lead to severe health problems. Luckily there are many remedies for acidity but the best remedy is using Ayurveda herbal remedy. The traditional Ayurveda medicines are used quite frequently for curing acidity. Ayurveda uses herbs like English mallow, Ginger, Meadowsweet, Chamomile, Amla (Indian Gooseberry), Licorice, etc. for treating gastritis or acidity. Apart from these Ayurveda herbal medicines, dietary restrictions, different home remedies, water treatments are also used for Amlapitta treatment. Nowadays in the market you will find a variety of Ayurvedic medicines made using these herbs but it is always better to consult a professional practitioner.

What Do We Mean by Congestive Heart Failure?

Very many individuals don’t know what congestive heart failure is or what it means for their life, and they ask themselves, “Is congestive heart failure the end of my world?” It’s a terrifying moment for most patients: the moment when the general practitioner enters their hospital room and informs them they are in distress from congestive heart failure.

Congestive heart failure begins when, for whatever reason, the heart cannot effectively pump the blood all through the body. This in the main occurs while the heart muscle is weak owing to disease or stressed beyond its ability to perform. Congestive heart failure is generally a secondary disease following another cardiac condition, primarily either coronary artery disease, cardiomyopathies, myocarditis, valvular disease, or cardiac arrhythmias, with coronary artery disease carrying the poorest prognosis. It could also follow a myocardial infarction, renal failure, sepsis or even severe anemia.

Each side of the heart has a differing function, and therefore will have a slightly different effect on the body while it is unable to fulfill that function. If it is the left side of the heart that has failed, accumulation of fluid in and near the lungs will make the patient to experience difficulty breathing, and the kidneys will respond to the reduced blood levels in the circulation by retaining fluid as well. If it is the right side that fails, the excessive fluid accumulates in the venous system, conferring on the patient a generalized edema that becomes more and more severe as their condition deteriorates.

Dyspnea is the prevalent presenting symptom in congestive heart disease, while the severity will vary from patient to patient. Some will possess perfectly ordinary pulmonary function until under exertion, such as whilst exercising, walking up stairs or mowing their lawn; others will have so much fluid retention that simply rising from bed in the morning will prove to be difficult.

These patients will also normally get fatigued due to a lack of oxygen to the tissues. Heart failure will also create a condition known as pitting edema, in which the body retains fluid to the point that as stress and strain is applied to a specific spot on the body the indentation remains (non-pitting edema is not caused by heart failure).

The treatment of congestive heart disease consists primarily of treating the symptoms. Vital signs should be taken regularly, and quite often diuretics will be prescribed to ease expulsion of accumulated fluid from the body. While in the hospital fluid intake and output will be measured carefully. Patients will very likely be placed in an upright position to help in moving fluid from around the heart and lungs, given potassium supplements and prescribed bed rest for a period of time. BUN levels and serum creatinine, potassium, sodium, chloride and bicarbonate levels are monitored repeatedly by a doctor.

There are numerous elements that contribute to congestive heart failure and, if diagnosed, must be treated and maintained. These include hypertension, anemia or poycythemia, endocrine disorders, malnutrition, drug or alcohol usage and not least obesity. As a result, it is very important that patients suffering from congestive heart failure pay particular attention to maintaining a generally healthy lifestyle. A family doctor can help in establishing the best diet and exercises with each person to reduce placing undue tension on the heart and lungs.

Whilst no cure exists for congestive heart failure and the prognosis varies from case to case, with the use of a strict diet and activity program, taking all prescribed medications regularly and maintaining a close relationship with their physicians abundant patients who suffer from congestive heart failure can continue to lead a fairly natural life.

Diagnosing and Treating Chemical Sensitivity

From our birth onward, we are all exposed to a number of synthetic chemicals, pollutants and volatile organic compounds (VOC’s). The body may not exhibit immediate reactions to these compounds, but with time they can build up, eventually reaching a critical mass and eliciting an allergy-like response, much like adult-onset allergies. Despite many of these cases being under or misdiagnosed, reports of chemical sensitivity are undoubtedly on the rise.

How do I know if I am Experiencing Chemical Sensitivity

  • Upon exposure to the suspected irritant, you experience an allergic reaction while nearby family members or friends do not experience any discernible symptoms.
  • The symptoms are chronic, meaning you reliably experience symptoms every time you are exposed to the suspected irritant, and the symptoms subside when the trigger is removed.
  • You are especially at risk if you suffer from autoimmune disorders such as Fibromyalgia.
  • If you have experienced heavy exposure to strong chemicals during a catastrophic event, such as the Gulf War or 9-11, you may even suffer from Multiple Chemical Sensitivities, which is considerably more complex and difficult to treat.

How do I Treat Chemical Sensitivity?

While every person and each condition is unique, there are few strategies that often help to alleviate chemical sensitivity symptoms.

  • Identify the culprit. It is not always easy, but it is important to identify the chemicals that make you ill so that you can pro-actively eliminate them from your home. If you find that several different products trigger symptoms, compare their ingredients to see if they share any compounds. For example, you might discover that products containing variations of salicylic acid trigger your symptoms. (Salicylic acid can be found in anything from Aspirin to skin care products and soap.) Google terms and ingredients you aren’t immediately familiar with so that you can spot less obvious triggers.
  • Remove the trigger chemicals from your home. Once you have identified the trigger chemicals, effectively remove those chemicals from your home by eliminating the host products. Read product labels thoroughly, especially when it comes to toiletries and products you place directly on your body. Perfumes are often a major chemical sensitivity trigger, so ban all chemical household air freshens.
  • Cleanse your body. Your body has reached critical mass for chemical build-up, so it would be an excellent time for a cleanse to clear out any lingering chemicals in the digestive track. Try a probiotic cleanse and buying organic foods, as chemicals from pesticides and synthetic fertilizers can also trigger symptoms. If you grow your own food or garden at home, be sure to only use organic plant food and enzymes as well as organic lawn fertilizer.

Please keep in mind that these recommendations are not intended to replace professional medical treatment. If you are experiencing chronic symptoms, seek out a medical professional immediately.

10 Quick Ways to Avoid a Heart Attack

A heart attack is known as a myocardial infarction. This occurs when the heart muscle is damaged or not receiving enough oxygen. Many cardiac related problems occur due to blockages in the arteries that carry blood to the heart purified from different parts of the body. Another cause is the formation of blood clots.

Very often, it is very difficult to differentiate between a heart attack and heartburn. The signs of a heart attack is tightness, pain or discomfort in the chest. Sweating, nausea and vomiting that are accompanied by intense pressure on the chest. Radiation and intense chest pain that extends from the chest to the left arm. A lack of air for more than a few minutes. If you have this, you should consult your doctor or go to the emergency.

If you still think you have a heart attack should call the attention of cardiac ambulance, and put under the tongue or chewing a Sorbitrate an aspirin. If you are allergic to aspirin are not an hour. In hospital care will include rapid thrombolysis, cardiac catheterization and angioplasty. Also administer drugs intravenously clot busting.

Risk factors for a heart attack include: smoking, diabetes, hypercholesterolemia, hypertension, family history of heart disease, arteriosclerosis, insufficient exercise, obesity and fast food.

Reduce the risk of heart attack by:

1. Stop smoking.

2. Eat healthy. Avoid fatty foods, excess salt, and red meat.

3. The control of hypertension and diabetes.

4. Ensure regular exercise at least 30 minutes per day. Walking is most beneficial.

5. The prevention of obesity. Do our utmost to maintain weight.

6. The choice to live a healthy life.

7. The practice of meditation.

8. Do regular breathing exercises and relaxation.

9. Subject to periodic evaluations heart.

10. Including foods that are rich in antioxidants in your diet.

A deadly disease, according to the American Heart Association, approximately 58.8 million people in the United States suffer from heart disease. And approximately 950,000 Americans die from heart disease each year. Heart disease and death, it can be avoided by maintaining your health. Find a balance in life between work and other activities, leave the couch for the outdoors, do not see sports on TV and sport instead, you can expect to live a long life met.

Extra Virgin Olive Oil for Yeast Infection

How to Get Rid of Yeast Infection Using Extra Virgin Olive Oil – What Every Woman Should Know?

Women are mostly affected by yeast infection. This infection is caused because of growth of bacteria in vagina. The person experiences itchiness and burning sensation. It causes discomfort while urination and sex. If it is not handled properly the situation can become worse.

Various factors like stress, hormonal imbalance during pregnancy, irregular menstrual cycle, some medicines like birth control pills and antibiotics result in the infection. All these causes weaken the immune system of the body and the body is not able to fight against the bacteria that cause infection.

In order to avoid the infection balanced diet is necessary. A balanced diet increases the immune system of the body. It prepares the body to fight against the bacterial infection. A balanced diet contains carbohydrates, vitamins and proteins. Fruits and vegetables should also be taken.

Yeast infection can be cured in various ways:

Garlic is a very effective way of curing the infection. A clove of garlic is inserted in the vagina. If the problem is more the garlic can be cut into two halves and inserted inside. The garlic should be inserted properly so that the infection is cured. Paste of garlic can be applied on the affected area and left for some time. It is antibacterial and antifungal therefore it helps in curing the infection.

Olive oil is another effective way of treating the infection. Virgin oil is supposed to be the best. This is because it has the same content that garlic has. It is very strong if it is applied without diluting. It helps in getting rid of bacteria. If one can handle the sensation caused by olive oil then one can keep it for a long time. One can put the olive oil on dry cotton cloth and put it around the vaginal area. One can do it as long as possible because the longer the better.

Ginger is also known for its antibacterial property. Drinking ginger tea helps in yeast infection. Drinking tea helps in calming the inflammation in the intestine caused by candida and it also helps in mending the inflamed tissues. Ginger tea can also be applied directly in the vagina. It helps in killing the bacteria causing infection. It is easily available.

Vinegar is seen to be very helpful in treating yeast infection. Apple cider vinegar is very effective. It can be applied directly on the affected area by mixing it with water. One can also use it in the bath water.

Coconut oil has also proved to be effective in curing yeast infection. It can be applied directly on the affected area. It should be left for twenty minutes and washed off. One can also include coconut oil in ones food.

Apart from all this remedies one should stop taking sugar as it helps in the growth of fungus that causes infection. One should also keep the affected area clean and dry. One should follow a healthy lifestyle.

What Happens When Cancer Reaches the Lymph Nodes?

One way that cancer spreads through the body is through the lymphatic system which the lymph nodes are a part of. The cancer cell detaches from the primary tumor and it travels in the lymphatic fluid until it gets stuck in the small channels inside a lymph node where a secondary cancer begins. When this process occurs it is called metastasis.

What are Lymph Nodes?

  • part of the lymphatic system
  • bean shaped structures as small as a pin head to the size of a lima bean
  • serve as channels for the extra cellular fluid around the cells to return into the blood stream
  • act as filters for bacteria, fungi and viruses
  • the white blood cells and antibodies in the lymph nodes fight diseases

Doctors will test the nodes for traces of cancer cells to help determine the stage of the cancer. The sentinel lymph node is the first node that a tumor drains into making it the first place that cancer cells will likely spread too.

When diagnosed with cancer of the thyroid gland, the nodes belonging to the lymphatic system in the area will be checked. Papillary thyroid cancer is the most common thyroid cancer. The spread to nodes, cervical metastasis, occurs in 50% of small tumors and over 75% of the larger thyroid tumors.

When the lymph nodes are enlarged because of the papillary thyroid cancer, a surgical procedure called a modified neck dissection will have to be performed. If both sides of the neck have nodes that have traces of papillary thyroid cancer cells the two surgeries will be done in two different procedures about 6-8 weeks apart. This is done to allow the one side to heal and so new pathways for blood and lymph flow to form for proper drainage from the head and neck area.

The lymph nodes may also be affected in the other types of thyroid cancer.

  • Follicular cancer of the thyroid, the second most common, does not usually spread to the nodes, but may spread to the veins and arteries of the thyroid gland and very uncommonly to other organs.
  • Medullary cancer of the thyroid, the third most common, will usually spread to the nodes of the lymphatic system earlier than follicular and papillary thyroid cancers.
  • Anaplastic thyroid cancer, the most serious, will spread very early to the lymph nodes. The enlargement of the nodes is usually the reason the patient will go to the doctor. This type of thyroid cancer is the most likely to spread to other organs beyond the thyroid and lymph nodes.

Age is the major factor when determining the prognosis of the different types of cancers that affect the thyroid gland. Whether the nodes surrounding the cancerous thyroid gland are affected, or the cancer extends into the veins or is outside of the tissue that encloses it, people of a young age will rarely die from their disease. As an older person all this factors come into play when diagnosed and in long term survival disease free.