The ORID Coaching Model Explained

The ORID model is revolutionary and is the next step in the evolution of communication. This coaching model is a coach’s best friend because it identifies the correct process to enable the client to expand on their inner potential. Awareness and motivation are critical elements to seizing success in personal and professional encounters. We believe that there is no such thing as a dead-end and there is always a possibility to win when there is a present unstoppable will. Our clients overcome extreme adversity and we have the endurance to support against any odds. We implement strategic tools and logic to expand the field of view concerning all situations. The ORID provides a great system to improve communication between the coach and elite associate. Coaching skills such as active listening and powerful questions enable the professional coach to take this tool to a higher level and a lesser qualified coach would not be able to manage the above tool effectively.

The ORID diagram seems complex and difficult to interpret, but the following will explain the complicated terms in clearer detail. The O in ORID stands for observation which is code for understanding the background information concerning specific client situations. Background information is important for understand current and future situations. A qualified professional coach knows how to understand the content that is being communicated. There are hidden messages that a competent coach can pick up on and create awareness for their client. If done correctly, this feedback can be greatly influential in the client’s life.

The R in ORID stands for reflective which concerns understanding the feelings and emotions associated with the background information. A skilled coach will move effortlessly between these two categories and can maneuver back and forth gathering background information mixed with the associated feelings. The ORID box is extremely important because it identifies when discomfort is created – A lesser skilled coach will unknowingly create discomfort during the coaching process because they are unaware of the critical rules of communication. Trust is incredibly important when exploring feelings and emotions when supporting a client during this experience. Comfort and safety associated with privacy and confidentiality during the coaching process is essential in understanding all connected elements. True empathy is omnipotent in these situations and a born to be coach will posses this ability.

The I in ORID stands for Interpretive which concerns a full understanding of the previous two categories of O and R plus a focus on co-creating strategic solutions to improve current and future situations. A common mistake of inexperienced coaches is to cross the center and jump to decisions from feelings or from solutions back to background information. These jumps cause discomfort and skew the coaching relationship because mistrust is unconsciously created. When the coach has safely guided their client to the solutions stage there is a synergy that is growingly powerful. The momentum to overcome obstacles is fierce and the client begins to establish new growth that leads to greater accomplishment. This stage provides a clear-minded platform for expert brainstorming that magnifies client abilities to think strategically from multiple perspectives. The coaching feedback during this stage is extremely beneficial for the client because it signals that they are on the right page and reinforces their motivation to succeed – Sounds great huh.

The D in ORID stands for Decisions and this is the fourth category that has the task of capturing the momentum of the previous three categories. This is the mental arena where the client puts the optimum solution into practice and owns the process. This firmly empowers the client to take action in their lives to improve their position by making decisions that are free of false underlying beliefs that create arresting emotions that inhibit appropriate action. The coach guides the process and the client controls the content – The coach empowers the client through the coaching process and the client embraces the opportunity to reach their ultimate potential. An ongoing coaching engagement provides a constant platform for the client to interact with a professional coach. This provides the ability to reflect on progress or various factors that limit progressive action. This is a time to gain a deeper understanding about issues, circumstances, decisions, beliefs, and to brag about reaching previously unrealized goals faster than could possibly be conceived. This experience is what professional coaches live for and witnessing the development of clients is the greatest gift that the coach could receive. If you are interested in getting started or restarted in a coaching engagement – Please visit http://MillionDollarCoachingCompany.com to view the products and prices that we have available.

Simple Tips To Combat Male Gynecomastia Without Surgery

If you suffer from male gynecomastia, it can be quite embarrassing. The feeling of taking your top off and being stared at or worse laughed at is not something you will want. If you are reading this article you are taking the first steps to combat the problem.

If you don’t know already, there are two forms of gynecomastia. Pseudogynecomastia results in enlarged breasts that is directly related to being overweight. The enlarged breasts consist of fat cells that is more easier to treat. The following are some simple yet effective tips on how to overcome pseudogynecomastia.

1. Watch what you eat and drink. Most men that suffer from pseudogynecomastia tend to drink alcohol on a regular basis. You may now know this but alcohol increases estrogen levels in the body which is the leading hormone in females. Beverages such as beer contain high levels of calories, and you will have noticed men that are overweight and consume heavy amounts of beer also have pseudogynecomastia.

2. If your diet consists mainly of fried fast foods, pseudogynecomastia might become a problem. Fat is deposited all around the body and pseudogynecomastia after the age of 30 is more prominent in overweight men. Eating healthy foods and having a good diet has been talked about many times, and there is just no substitute for it, ‘you are what you eat and drink’! I say drink because, you need to monitor how much water you drink throughout the day. Did you know water increases your body’s metabolism rate?

3. Try getting regular exercise. Burning calories will help lose overall body fat as well as fat in your chest. There is a common misconception that you can lose fat around one area of the body. Fat is lost throughout the body with a good diet and exercise regimen. You can also do resistance exercise to build you chest. Chest exercise is a great way to start building muscle and lose fat.

The other form gynecomastia is known as glandular gynecomastia. This is formed because of excessive glandular tissues in the chest area. If you suffer from glandular gynecomastia, you will have more female shaped breasts. The look and feel of your breasts will be like a female. This form of gynecomastia can be very distressing. The following options are something you can consider.

1. Consultation. The first thing to do is consult your physician. They will offer useful advice on how you combat glandular gynecomastia.

2. Surgery. This method will either take the form of liposuction or glandular excision. Although effective, this form of treatment is expensive. In the UK this treatment is not covered by the NHS so in most countries you will be paying for this treatment.

3. If you have gynecomastia due to puberty, there is not much you can do except wait until maturity as the breasts will slowly disappear.

4. You may be suffering from an enlarged chest due to steroid use or other drugs. By simply discontinuing or altering use should reverse the process of enlarged breasts.

What Is Localized Osteoporosis?

Do you remember the days when your parents would ask you to drink your milk every day? You should know that they were doing it to help you build strong bones. Bones are essential for movement and protection. If you fail to protect your bones, they can become weak and fragile in the future. One of the most common bone conditions people suffer from today is osteoporosis.

What is osteoporosis? It is a condition when your bones become weak and thin. As a result, they easily get fractured or they easily break when faced with huge impacts from accidents. One type of osteoporosis is known as the localized osteoporosis. This type involves neoplasm and infection on the bones. It is easily recognizable because it leaves a patch on the bones and the body.

There are several things that can cause localized osteoporosis. One of them is bone tumor or the abnormal growth of tissues on the surface of the bones. This condition can become malignant therefore it should be diagnosed by doctors immediately. Another cause is osteomyelitis. This is the infection of the bone that may cause the bones to become weak. According to some studies, electrical injuries may also cause localized osteoporosis. X-ray results of patients have shown fracture on the bones because of electrical shocks.

How can you prevent osteoporosis? There are several things that you can do to keep your bones healthy and strong. This is very important to ensure that you will not have serious bone problems when you become older.

The first step in preventing bone diseases is to main a good amount of calcium in the body. You need to understand the important of calcium and its benefits. Calcium is the main nutrient that will make your bones strong. You can find it on dairy products such as milk and egg, as well as in green leafy vegetables. If your diet cannot supply your body sufficient calcium, you may take supplements.

The second step is to maintain a good amount of Vitamin D. Vitamin D is good for the bones for several reasons. The main role of this nutrient is to help the bones absorb calcium better. If the amount is not sufficient, then the calcium you get from food and other sources may just stay on the blood and later on be excreted. Taking in calcium is important but making sure it gets to bones is also essential in preventing osteoporosis.

The third step is to know the statistics. This is important to know the risk factors of having the bone disease. For instance, you need to know that women are more likely to develop weak bones than men. This is because when they reach menopause, the levels of estrogen decreases. You should also know that here are medications that can hinder the body in absorbing calcium.

Whether you have normal or localized osteoporosis, you should not ignore it.

Reflux Resolution By Bob Marton : An Honest Review

I was suffering from daily problems of acidity and gastritis and to get rid of it I was visiting doctor and changing them every two weeks but without avail. Every time I was supplied with new pills which I was tired of taking. Most of my salary was spent in paying up my medical bills. It was then I thought of going for natural processes to end this problem.

Internet being the best resource I started searching for the ebooks that could provide remedy from Heartburn, Acid Reflux, Gastritis and so on. It was then I came up with the report of Reflux Resolution by Bob Martin. This eBook promised of providing all types of remedy for Acid Reflux, Hiatal Hernia, Heartburn, Gastritis, Esophageal Reflux, or in common terms (that I understood better) bile reflux.

The name of the book sounded similar to me and it was only after buying the book I realized my colleague mentioning it to me once. The book only cost $39.97 and after squandering so much for getting rid of the daily night problems which was making me mad this seemed reasonable to me.

Also the eBook was sold with 60 day money back guarantee if it didn’t work. This made it a risk free purchasing as I can still get my money back if the things do not work on me.

I cannot deny that the report helped me in a miraculous way. Just a few days back my night spasm seemed irrevocable plus the additional side effects of pills. I started taking bites of apple just before going to bed. My acidity did not decreased immediately but after a few days it was not my regular night visitor. Now I am absolutely free from acid reflux. Cutting off caffeine and following other instruction in the report I am free from other gastritis problems as well.

You can also contact Bob personally if the methods mentioned in the books are not effective to you. Please click here to visit the site and purchase the book.

Child Care: A Modern Dilemma

Someone once said life is just a dream. But, for Sarah Jenkins her world is anything but. The days of wine and roses have long since disappeared. From her first marriage which produced two children but ended abruptly to her second which unlike the first ended tragically Sarah is as the expression goes stuck between a rock and a hard place. With two infants in tow and being a single mother Sarah is faced with the fact that her life has turned upside down.

The reality of Sarah’s predicament is not unique nor is it unusual in today’s society. Single mothers today have become more of the norm compared to a society some 50 years ago. Back then many thought that this nation prided itself as the pinnacle of success in regarding the upbringing of children. It showed because public education at that time the United States was unmatched. This nation had the highest ranking of all the industrial nations in all the major subjects from elementary education on. But, that was back in a period when the norm of society was the two parent family and marriage between a man and women was more sacred than it is today. Times have changed though and today many women like Sarah are faced with many obstacles toward attaining a better quality of life for themselves and their children.

With this past years election brought even more obstacles that not only Sarah has to confront but every single parent across the entire country will be adversely affected if the Republican led Congress has their way. The harsh reality today is that some of the decisions Sarah has made left her with little choice to which direction she took. To work or stay at home, get on government assistance like Food Stamps or live a life of impoverished means all have a very negative impact not only on Sarah but her children as well. Let’s remind everyone Sarah is not alone here either. All across the country women and men are forced to make hard choices when raising their children. When Sarah’s first child was born there were two choices. Either go back to work or stay at home to raise her child. But, with today’s high cost of daycare and a job that really doesn’t pay enough the cost of daycare would strip away whatever wages she earned. Daycare today costs like college tuition have skyrocketed.

With proposed cuts to Plan Parenthood and all the other social service agencies that provide a vital and crucial safety net for millions of women and even men single parents today find themselves in financial and economic distress. Compounding this is the fact that all across the country there are so many communities whose tax base is not sufficient to take care of all the public services that were once well funded. The first one is public education. For the past 25 years tax bases have shrunk leaving public education having to do with less revenue like teachers salaries, supplies and the list goes on. All of this has a dramatic negative impact on the quality of education that the United States is experiencing. This does nothing for the well being of our nations youth who are unwitting victims of governmental policies that continually favor the wealthy.

In the state of Florida and by the way Florida still lags behind every state when it comes raising the minimum wage but the cost of living today is one of the highest in the nation is just one obstacle that working parents have to face. The available jobs in the southern states too many their wages don’t even come close to cover the cost of child care, housing, and generally the cost of living to maintain a lifestyle free from relying on some sort of government assistance. For Sarah even though she earned a degree in education teachers salaries have yet to keep pace with the ever increasing costs of maintaining a comfortable lifestyle. Were not talking about extravagance but a wage where she is able to fulfill the Williams Theory of Economic Evolution is as elusive as ever here and all across the country.

When her first son was born Sarah left the work force to take care of her infant son. Fortunately her husband at the time was also employed. But, by the time her second child was born Sarah had two infants now to take care of but no other support. A divorced mother of two out of work for more that a year with no income to speak of and by the way this is happening too often all across the country tough choices have to be made. But, when governmental policies, those safety nets, are being reduced and eliminated it is always the children who suffer the most.

Many don’t really know the true cost of child care today. Typically, daycare centers will only take infants that are six months or older. For the first six months the mother or father are the sole supporter of that infant. Let’s examine the costs of infant care today. Dippers alone will cost over $75 per week or about $1,000 per year not to mention all the other costs like crib, car seat, clothes, food and the list goes on. Day care itself the cost varies. The younger the child is, say at six months starts at $250 per week while older children that are at pre-school age average at about $200 per week and upwards from there.

If Sarah manages to return to teaching her salary would start at $29,000 per year or around $2,400 per month. Now, factor in day care costs. With two infants at $250 per child per week that equates to $2,000 per month. So right now there is no way Sarah can go back to work in a profession she is trained to do and have her children taken care of while she is performing her trade. See the problem here. There are tens of thousands of mothers and parents who would like to contribute to the overall tax base but with the available jobs that don’t equate to afford the child care that is so necessary for them to contribute to their community leaves them with having to rely on the governmental safety nets that had they been able to go back to work would support others who are unable to find work.to take care of their children.

Now when you have a Republican led Congress and a newly elected President who doesn’t have a clue to what millions of Americans are faced with each day those safety nets that are currently in place will be reduced to a point that millions across the country will be faced with an economic and financial calamity that ultimately will adversely affect to many of our nations youth. It is quite evident that when social services are gutted and the tax base is constantly shrinking communities no longer have the financial means to provide quality education in public schools. Teachers salaries are now most always insufficient, meanwhile programs are always eliminated leaving students with lacking a full educational experience. This all has and is resulting in a decline of our educational standards that were once the gold standard for the world.

We must point out that back in the early 1970’s teacher salaries if one had a Bachelors degree that starting salary was around $26,000. If one had a Masters they could command $37,000. Now, when you compare what teachers were making in the period when the United States had the highest educational standards in the world you see a vast discrepancy. Look at what teachers are making today. The cost of living has more than quadrupled while salaries are almost the same as they were back 45 years ago. That is just part of the problem. The educational experience for our nations youth and for the teachers has deteriorated to the point of what we are seeing today. Many employment opportunities are being unfilled because of the lack of continuing the education standards that were in place some 50 years ago. Consequently when people like Sarah who would much rather contribute to the tax base now is left to be the one of millions like her to have to rely on governmental assistance just so that her children will have some sort of stability in their lives.

A modern day dilemma for sure is the reality of today. And when we have the mentality of today’s Republican mindset in Washington it looks like for people like Sarah those tough choices will be the ones she and others have to make. Avery sad commentary for our nations youth and for the future of the United States.

Smooth Penis, Smooth Balls – Is Botox the Answer?

For many years, Botox has been the go-to medication for those who want to smooth fine lines and wrinkles. It also has some medical benefits as well, and might be used off-label for everything from migraines to digestive issues. Those who are interested in good penis care might think that Botox is something that should never be near the penis – however, some men have found that Botox injections in the scrotum lead to a very new and interesting look. Is this is a good idea?

What is Botox?

In order to understand how this process works, it is important to understand the properties of Botox. The drug is made from a neurotoxin, the same kind of toxic substance that causes botulism – which is, of course, a terrible toxin that can lead to serious medical issues and even death.

But when that toxin is harnessed in just the right way, it can be used to create temporary muscle paralysis in the area in which it is injected. Botox has been used by countless men and women over the years and has been found to be surprisingly safe, considering that it came from such a potent origin.

What is Scrotox?

That clever name is simply a way of saying that Botox is injected into the scrotum. This is done by numbing the skin over the area, then injecting Botox into the dartos muscle, which is just below the skin. The result of paralyzing that muscle is a relaxing of the skin around it, making the balls appear smooth and larger. In some cases, the doctor can go a bit further and inject Botox into the cremaster muscles, which will allow the testicles to drop.

The result is a much smoother and somewhat longer sack, which some men see as being much more handsome than their usual wrinkled scrotum. However, doctors point out that it doesn’t actually make the scrotum bigger – it just makes the skin smoother and a bit ‘floppier.’ Keep in mind that it doesn’t do anything at all to create a smooth penis, as it only works on the muscles that hold the scrotum.

Is it dangerous?

In the hands of a skilled plastic surgeon, it isn’t dangerous to have Botox injections almost anywhere in the body, including the manhood area. However, the balls cannot be made completely smooth, as that defeats the purpose of what the skin is meant to do – it is supposed to contract and move with changes in temperature in order to protect the testicles. Therefore, many doctors are quite careful not to use too much Botox.

What else does it do?

Interestingly enough, some men will opt for Botox to help prevent sweating in the groin area. Botox seems to have a slight effect on the sweat glands in the area, which comes in quite handy for runners or bikers who face horrible sweating during their daily workouts. The result is much less chafing, penis irritation and redness.

Maintaining a healthy, smooth penis

It is very important to remember that injecting Botox into any part of the body should be done only by a qualified medical doctor. And though Botox might make the scrotum appear smoother, it does not do the same for the penis, so injections should never be applied directly to the member.

In order to keep penis skin as smooth and supple as possible, it’s a good idea to use a top-notch penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin) on a daily basis. Men who want the smoothest penis possible can look to a crème that includes numerous vitamins and nutrients in a base of Shea butter and vitamin E. These two emollients will help ensure a supple, handsome and smooth penis.

What Causes Inflammatory Heart Disease?

Inflammatory heart disease manifests when the surrounding heart tissue or muscle is inflamed from exposure to an infection like a bacteria or virus or from an internal oddity. This sort of inflammation may come about in cases of rheumatic fever and kawasaki disease. The disorder may be categorized as either endocarditis, myocarditis or pericarditis.

Types of Inflammatory Heart Disease

Pericarditis

The heart is engulfed by a sac called the pericardium. The sac is composed of two layers the fibrous pericardium and the serous pericardium. The serous pericardium consists of two layers which both provide lubrication to the active heart to decrease friction. The fibrous pericardium is the outer layer of dense connective tissue that secures the heart to the bordering walls, prevents the complete flooding of the heart with blood and protects the heart.

There are many instances where pericarditis manifests without a known cause however, there are some factors that will stimulate the disease including:

1.Viral and bacterial infections

2.Connective tissue disease such as sarcoidosis and rheumatoid arthritis

3.Previous injury to the heart like heart attack, trauma and heart surgery

4.Metabolic disorders mainly hypothyroidism and uremia (kidney failure)

5.An adverse reaction to a specific type of medication

6.Tumours and cancers

Endocarditis

Endocarditis is triggered by an infection of the endocardium or inner lining of the heart resulting in consequential inflammation. It usually manifests when pathogens from other areas of the body enter the bloodstream and attaches to weakened areas of the heart. If is not treated it may partially or completely ruin the heart valves and may also progress into a life- threatening condition. The disease rarely affects individuals with healthy hearts. The greatest risk factors are deterioration in the condition of the heart, artificial heart valve and having any other heart defect.

Myocarditis

Myocarditis refers to inflammation of the heart muscle. It is induced by several infections including viruses like sarcoidosis, pregnancy, and immune diseases. The most common form of infection is by a virus which will attack the heart muscle inspiring local inflammation. Once the infection has ceased the immune response will be perpetuated, lengthening the duration of the myocarditis.

Symptoms

It may sometimes occur with no symptoms. The most often seen symptom is pain in the chest. In severe cases the disease may cause deterioration of the heart muscle. It is consequently possible for it to cause heart failure with evident shortness of breath or difficulty breathing, oedema, extreme tiredness and so on.

Prognosis

It is not known from the outset of the disease how well an individual will recover. Some persons recover completely while others may develop chronic heart failure due to considerable damage to the heart muscles. Rarely a person may be afflicted with fulminant heart failure which is lethal if a heart transplant is not performed. If the damage to the muscle is extreme a defibrillator may be implanted to increase the heart’s overall capacity.

Tinnitus and Exercise – 5 Reasons to Exercise Your Way to Tinnitus Relief

Incessant buzzing, hissing and ringing in the ears that affects every aspect of your life. Panic attacks, zero sleep and abject depression. A hermit like existence. Are you familiar with any of this?

Can you remember when your T. did not drive you absolutely batty? Maybe you’ve been told that there is no cure and you just had to “live with it”. There is a quick and simple way however to bring relief from tinnitus symptoms. In this article you will discover just why tinnitus relief and exercise go hand in hand-the 5 reasons to exercise your way to tinnitus relief.

1. Exercise lowers stress levels, one of the main causes of tinnitus noises. If you are subjected to stress through the death of a loved one, marital or work problems or money worries, bouts of tinnitus are often experienced. This is because the hypothalamus, responsible for producing the chemicals the body needs to function properly, is very susceptible to shock or grief. Sometimes this can lead to a breakdown between the ear and the brain, causing the sufferer to think he has heard a noise when he has not.

2. Exercise can strengthen the immune system. A strong immune helps each part of the body to work efficiently and prevents you form catching diseases such as flu or strep sore throat that could make your tinnitus symptoms worse.

3. Exercise improves your energy levels and helps you feel more positive about yourself. This means that you cope with your symptoms better.

4. Exercise pumps oxygen around the body, improving circulation and reducing blood pressure. If blood flow and oxygen is increased to the inner ear, you are less likely to hear tinnitus noises.

5. Exercise strengthens the whole body. The healthy and stronger you are, the less likely you are to hear excess tinnitus noises.

Having established 5 reasons just tinnitus relief and exercise go hand in hand, you’re probably thinking of exercise as long sessions in the gym. This is not necessary at all. It is recommended that you should try to get 30-40 minutes exercise three times a week. This exercise can simply a walk with the dog, a bit of gardening, a game of baseball with the kids or a gentle swim in the pool. If you lead a very busy life, you can still exercise your way to tinnitus relief by taking the stairs instead of the lift, getting off the bus a stop early or using the bathroom on a different floor at work. Exercise doesn’t have to be grueling. Before you start any exercise, it’s a good idea to have a check up at the doctor first.

It does not matter what kind of exercise you do, but that you make exercise a regular part of your daily routine. Tinnitus relief will then follow.

Get Rid of Water Retention

Are you seeking ways to get rid of water retention or edema – without resorting to risky medicines and paying medical and health professionals tons of fees? Then you’re in luck. Those suffering from edema not caused by a serious medical condition can have many proven and effective options to successfully deal with their condition.

Firstly, though, if you haven’t already done so, it’s extremely important to be able to determine that your edema isn’t due to a serious health problem. Edema is a condition that can have many potential causes, from relatively benign ones such as having been on one’s feet for far too long, to life-threatening ones such as organ failure. It may be important for one to head to a health professional to see if one’s edema is not the side effect of such a serious problem. If that is really the cause of one’s edema, then one will need to have special treatment for one’s condition. But people suffering from edemas caused by non-life threatening conditions can make use of the techniques outlined here.

At the root, edema is nothing more than the retention of water or other fluids that would normally make their way out of the body via natural means. So in cases where this edema is due to non-serious causes, the body can be stimulated to release some of this excess fluid. One good way to do so is to simply increase the rate at which the body releases fluid from its systems. You can increase the rate at which you sweat by exercising more. As a matter of fact, doing so will also increase your metabolism, which can also help in eliminating excess water from the system. You can also try other tactics such as reducing the amount of salt you are eating, if you are taking in too much of it – salt being a substance that can stimulate water retention – or, strangely enough, by increasing the amount of water that you drink. This may very well seem counterproductive, but keep in mind that the body holds on to the water it contains if it senses that water consumption is extremely low, in order to maintain enough water to sustain life for as long as possible. So if you normalize your water intake, it will also normalize the rate at which water is processed.

You can also try taking diuretics to help you excrete more water. A diuretic is defined as a substance that increases one’s rate of urination. There are quite a few natural diuretics available – tea and coffee are two of the more common ones that are commonly consumed – but one can also try drinking herbal remedies. Many herbs such as golden seal, dandelion, nettle and parsley have very good diuretic effects, and these can be put to good use to relieve edema. Preparations containing certain amounts of these and other herbs, or combinations thereof, can be bought in capsule or tea form. Or you can also buy raw or fresh herbs, or collect them in the wild if you know what to look for, and eat them in meals or drink them in tea.

Lastly, for added quick relief of edema of extremities such as arms and legs, one simply needs to hold up the afflicted extremities in the air to allow gravity to help pull the fluid from the area to other parts of the body. Those struggling with leg and ankle edema can elevate their legs several times a day – a quick and simple way to try to eliminate edema.

Type 2 Diabetes – What Part Did You Play in Developing Diabetes?

More than 700,000 new cases of diabetes are diagnosed in the United States each and every year. Perhaps you are one of the newly diagnosed with many questions. Your diagnosis will more than likely unsettle, upset and frustrate you. It is okay to be concerned, but the last thing you should do is panic. Since you are ultimately in control of your thoughts, you are also in control of your feelings. So make sure you ask yourself the right questions and don’t allow negativity to make the situation worse.

One question you may be asking yourself is the following: “Why do I have diabetes? Why me?” Many people feel they have been highly unfortunate as if they have been chosen or destined to be a Type 2 diabetic. In reality, the development of diabetes is something that can be profoundly influenced. Type 2 diabetes is a preventable disease – and not a condition afflicting us by chance.

There are several risk factors for Type 2 diabetes which can help answer your question. It is primarily caused by a mixture of lifestyle and genetic factors. But – and this is a point needing to be stressed – lifestyle risk factors play a larger role in influencing the development of this form of diabetes. Which means even those people who are predisposed to developing Type 2 diabetes because of genetic factors can still prevent it with a healthy lifestyle.

Certain ethnic groups, like Hispanics and African-Americans, are more likely to develop Type 2 diabetes. Those with a family history of diabetes are also at a greater risk. But it ultimately comes down to lifestyle factors like diet, nutrition, and physical activity levels that determine your chances. If you are overweight, physically inactive, and have an unhealthy diet, you are presenting the common risk factors leading to high blood sugar levels and full-blown Type 2 diabetes.

Perhaps you can relate to this: you may have been overweight for the past ten years. Perhaps your diet wasn’t up to par. Combining an unhealthy diet with being overweight and physically inactive is a recipe for a health disaster. Sooner or later complications begin to unfold: it could be Type 2 diabetes, it could be heart disease, or it could be another health issue. The bottom line is an unhealthy lifestyle leads to an unhealthy body, which leaves you vulnerable to a host of health problems.

With that said, Type 2 diabetics should not think too much about the past. Regret is futile and is not going to help you. It is better to focus on what you can start doing today – because there is much you can do.

Even if you have out of control blood sugar levels now, it does not mean you will always have high, unstable levels. They can be treated and managed – but only if you are up for the task.

I Can’t Get Pregnant With a Boy Baby – Tips and Advice That May Help You Conceive a Son

I’m commonly emailed from couples who believe that they are unable to conceive one gender over another either because girls or boys run in their family, or because, in the past, they’ve only been able to conceive one specific gender. (For example, they have a house full of girls, but no boys.) Yesterday, I received such an email from a very nice woman who basically asked: “I have conceived three girls and I love them with all my heart, but this time around, I really want to conceive a boy and give my husband a son. Is this possible since I seem predisposed to conceiving girls?”

I responded that it is very possible. Using the right techniques and tools, there is no reason you can’t conceive either gender. If girls run in your family or you believe that you are unable to conceive a boy, there are a few things that we can look at and change to greatly increase your odds of a son. I will discuss these things below.

Why You May Be Predisposed To Conceiving Girls: Natural gender selection really comes down to one thing – which sperm chromosome makes it to and fertilizes the egg first. If you keep getting pregnant with girls, either the cards of fate could be dealing you daughters or, there may be a specific reason that the X sperm chromosomes (which produces baby girls) keeps winning out.

There are basically three variables that determine whether the X or the Y chromosome win: the timing of your conception; the sexual positions that you use to conceive, and the PH / acidity of the mother. In my experience, most women who have been unable to conceive a boy typically have a high PH. This scenario will greatly favor girls because boy or Y sperm can not survive in an acidic environment. Many times, I’ve seen women drastically change their PH and then be able to get a boy baby. I’ll discuss these variables – one by one – below.

A Look At The Calendar For A Baby Boy Conception: I often have people email me and ask what part of the month is best to conceive a son. When I make mention of the timing of the month corresponding with a time in a woman’s fertility cycle, I’m sometimes met with a bit of confusion. I know it sounds very basic, and please bear with me if you already know this, but what the calendar says really doesn’t matter. What ultimately matters is when you conceive in relation to when you ovulate.

If you are trying to conceive a male, it is vital that you do not try to conceive too early. As I’ve alluded to before, boy sperm are weak by nature. This is not anything that you did wrong. It is just the characteristic that nature gave the Y sperm to balance things out. To compensate for this, the boy sperm are also very fast, which you can use to your advantage.

For a baby boy conception, you’ll need to conceive on the day of ovulation. And, if you’ve had trouble with this, ask yourself how well the ovulation prediction methods you’ve used in the past have worked. I firmly believe that techniques which require guessing (rhythm method, basal temperature, and cervical mucus charting) should be abandoned for methods that spell it out for you with more accuracy – like saliva or urine ovulation predictors. (I prefer saliva over urine since you can test at any time and you can reuse the saliva models.)

Consider Changing The Sexual Positions That You’ve Been Using To Conceive: Remembering that the boy sperm are weak, you need to use sexual positions that place the sperm as close to it’s intended destination as you can. This means deeper penetration. Often, I find that couples will try to conceive using the intercourse positions that worked to get them pregnant the last time. This is fine if gender is not important to you, but if you want a boy, use rear entry or positions in which the woman angles and elevates her legs to allow for a deeper deposit. Using a pillow under your pelvic area can help also.

It’s All About Your Acidity: Of these three variables, I believe that this is the most important one. I truly believe that if you’ve only conceived girls in the past, the first culprit that you should check is your PH. Boy sperm will quickly deteriorate and die off if your PH is too high and checking this is as easy as getting PH testing strips and then conducting the test as directed. This will tell you very quickly if you are naturally acidic (and most women are, but women prone to conceiving girls are usually even more so.)

Don’t be discouraged if this bears true for you, because you can change your level with a bit of diligence. There are basically two ways to go about this, but if your reading is very high and you want fast results, consider using both methods at once. You can either go on an alkaline / low PH diet or douche with solutions meant to lower your PH. There are food lists and douche recipes that can outline this. Baking soda is usually not enough. I know it’s very commonly used, but if you use baking soda and then use the testers again, you’ll usually see that your reading did not change all that dramatically. What usually does bring about the most dramatic changes is using the the douching and diet as sort of a one / two punch, used aggressively at the same time.

I know this can seem overwhelming, but it doesn’t need to be. Use the tools available to you and approach this very methodically, addressing each variable until you’re at the level or at the timing you need to finally conceive your son.

Robotic surgery

History

In 1985 a robot, the PUMA 560, was used to place a needle for a brain biopsy using CT guidance. In 1988, the PROBOT, developed at Imperial College London, was used to perform prostatic surgery. The ROBODOC from Integrated Surgical Systems was introduced in 1992 to mill out precise fittings in the femur for hip replacement. Further development of robotic systems was carried out by Intuitive Surgical with the introduction of the da Vinci Surgical System and Computer Motion with the AESOP and the ZEUS robotic surgical system. (Intuitive Surgical bought Computer Motion in 2003; ZEUS is no longer being actively marketed.)

The da Vinci Surgical System comprises three components: a surgeon console, a patient-side robotic cart with 4 arms manipulated by the surgeon (one to control the camera and three to manipulate instruments), and a high-definition 3D vision system. Articulating surgical instruments are mounted on the robotic arms which are introduced into the body through cannulas. The surgeon hand movements are scaled and filtered to eliminate hand tremor then translated into micro-movements of the proprietary instruments. The camera used in the system provides a true stereoscopic picture transmitted to a surgeon’s console. The da Vinci System is FDA cleared for a variety of surgical procedures including surgery for prostate cancer, hysterectomy and mitral valve repair, and is used in more than 800 hospitals in the Americas and Europe. The da Vinci System was used in 48,000 procedures in 2006 and sells for about $1.2 million.[citation needed] The new da Vinci HD SI released in April, 2009 currently sells for $1.75 million. The first robotic surgery took place at The Ohio State University Medical Center in Columbus, Ohio under the direction of Dr. Robert E. Michler, Professor and Chief, Cardiothoracic Surgery.<McConnell PI, Schneeberger EW, Michler RE. History and development of robotic cardiac surgery. Problems in General Surgery 2003;20:62-72.>

In 1997 a reconnection of the fallopian tubes operation was performed successfully in Cleveland using ZEUS.

In May 1998, Dr. Friedrich-Wilhelm Mohr using the Da Vinci surgical robot performed the first robotically assisted heart bypass at the Leipzig Heart Centre in Germany.

On 2 September 1999, Dr. Randall Wolf and Dr. Robert Michler performed the first robotically assisted heart bypass in the USA at The Ohio State University.

In October 1999 the world’s first surgical robotics beating heart coronary artery bypass graft (CABG) was performed in Canada by Dr. Douglas Boyd and Dr. Reiza Rayman using the ZEUS surgical robot.

In 2001, Prof. Marescaux used the “Zeus” robot to perform gall bladder surgery on a patient in Strasbourg, France while in New York.

In September 2001, Dr. Michel Gagner used the Zeus robotic system to perform a cholecystectomy on a woman in Strasbourg, France while in New York.

In May 2006 the first AI doctor conducted unassisted surgery on a 34 year old male to correct heart arrythmia. The results were rated as better than an above average human surgeon. The machine had a database of 10,000 similar operations and so in the words of its designers was “more than qualified to operate on any patient”. The designers believe that robots can replace half of all surgeons within 15 years.[citation needed]
In February 2008, Dr. Mohan S. Gundeti of the University of Chicago Comer Children’s Hospital performed the first robotic pediatric neurogenic bladder reconstruction. The operation was performed on a 10-year-old girl.

In January 2009, Dr. Todd Tillmanns reported results of the largest multi-institutional study on the use of da-Vinci robotic surgical system in gynecologic oncology and included learning curves for current and new users as a method to assess acquisition of their skills using the device.

In January 2009, the first all robotic-assisted kidney transplant was performed at Saint Barnabas Medical Center in Livingston, New Jersey by Dr. Stuart Geffner. The same team performed eight more fully robotic-assisted kidney transplants in the next six-month period.

In September 2009, TAMPA, Fla. – A woman whose husband died after a doctor using a surgical robot accidentally cut two of his main blood vessels is suing the hospital. Al Greenway’s widow is suing St. Joseph’s Hospital, saying it’s at fault for her husband’s October 2002 death. Brenda Greenway says hospital administrators allowed doctors inexperienced with the $1 million robot to perform her husband’s surgery, which was to remove a cancerous kidney. Greenway, a 53-year-old Desert Storm veteran and Plant High School science teacher, died when the surgeon cut his abdominal aorta, which provides blood to the abdominal organs and legs, and the inferior vena cava, the neighboring vein that returns that blood to the heart.

Applications

General surgery

Many general surgical procedures can now be performed using the state of the art robotic surgical system. In 2007, the. University of Illinois at Chicago medical team, lead by Prof. Pier Cristoforo Giulianotti, performed the world’s first ever robotic pancreatectomy and also the Midwests fully robotic Whipple surgery, which is the most complicated and demanding procedure of the abdomen. In April 2008, the same team of surgeons performed the world’s first fully minimally invasive liver resection for living donor transplantation, removing 60% of the patient’s liver, yet allowing him to leave the hospital just a couple of days after the procedure, in very good condition. Furthermore the patient can also leave with less pain than a usual surgery due to the four puncture holes and not a scar by a surgeon .

Cardiothoracic surgery

Robot-assisted MIDCAB and Endoscopic coronary artery bypass (TECAB) surgeries are being performed with the da Vinci system. Mitral valve repairs and replacements have been performed. East Carolina University, Greenville (Dr W. Randolph Chitwood), Saint Joseph’s Hospital, Atlanta (Dr Douglas A. Murphy), and Good Samaritan Hospital, Cincinnati (Dr J. Michael Smith) have popularized this procedure and proved its durability with multiple publications. Since the first robotic cardiac procedure performed in the USA in 1999, The Ohio State University, Columbus (Dr. Robert E. Michler, Dr. Juan Crestanello, Dr. Paul Vesco) has performed CABG, mitral valve[[, esophagectomy, lung resection, tumor resections, among other robotic assisted procedures and serves as a training site for other surgeons. In 2002, surgeons at the Cleveland Clinic in Florida (Dr. Douglas Boyd and Kenneth Stahl) reported and published their preliminary experience with minimally invasive “hybrid” procedures. These procedures combined robotic revascularization and coronary stenting and further expanded the role of robots in coronary bypass to patients with disease in multiple vessels.

Cardiology and electrophysiology

The Stereotaxis Magnetic Navigation System (MNS) has been developed to increase precision and safety in ablation procedures for arrhythmias and atrial fibrillation while reducing radiation exposure for the patient and physician, and the system utilizes two magnets to remotely steerable catheters. The system allows for automated 3-D mapping of the heart and vasculature, and MNS has also been used in interventional cardiology for guiding stents and leads in PCI and CTO procedures, proven to reduce contrast usage and access tortuous anatomy unreachable by manual navigation. Dr. Andrea Natale has referred to the new Stereotaxis procedures with the magnetic irrigated catheters as “revolutionary.”

The Hansen Medical Sensei robotic catheter system uses a remotely operated system of pulleys to navigate a steerable sheath for catheter guidance. It allows precise and more forceful positioning of catheters used for 3-D mapping of the heart and vasculature. The system provides doctors with estimated force feedback information and feasible manipulation within the left atrium of the heart. The Sensei has been associated with mixed acute success rates compared to manual, commensurate with higher procedural complications, longer procedure times but lower fluoroscopy dosage to the patient.

Gastrointestinal surgery

Multiple types of procedures have been performed with either the Zeus or da Vinci robot systems, including bariatric surgery.

Gynecology

Robotic surgery in gynecology is one of the fastest growing fields of robotic surgery. This includes the use of the da Vinci surgical system in benign gynecology and gynecologic oncology. Robotic surgery can be used to treat fibroids, abnormal periods, endometriosis, ovarian tumors, pelvic prolapse, and female cancers. Using the robotic system, gynecologists can perform hysterectomies, myomectomies, and lymph node biopsies. The need for large abdominal incisions is virtually eliminated.

Robot assisted hysterectomies and cancer staging are being performed using da Vinci robotic system. The University of Tennessee, Memphis (Dr. Todd Tillmanns, Dr. Saurabh Kumar), Northwestern University (Dr. Patrick Lowe), Aurora Health Center (Dr. Scott Kamelle), West Virginia University (Dr. Jay Bringman) and The University of Tennessee, Chattanooga (Dr. Donald Chamberlain) have extensively studied the use of robotic surgery and found it to improve morbidity and mortality of patients with gynecologic cancers. They have also for the first time reported robotic surgery learning curves for current and new users as a method to assess acquisition of their skills using the device.

Neurosurgery

Several systems for stereotactic intervention are currently on the market. MD Robotic’s NeuroArm is the world first MRI-compatible surgical robot.

Orthopedics

The ROBODOC system was released in 1992 by Integrated Surgical Systems, Inc. which merged into CUREXO Technology Corporation. Also, The Acrobot Company Ltd. sells the “[[Acrobot Sculptor==”, a robot that constrains a bone cutting tool to a pre-defined volume. Another example is the CASPAR robot produced by U.R.S.-Ortho GmbH & Co. KG, which is used for total hip replacement, total knee replacement and anterior cruciate ligament reconstruction.

Pediatrics

Surgical robotics has been used in many types of pediatric surgical procedures including: tracheoesophageal fistula repair, cholecystectomy, nissen fundoplication, morgagni’s hernia repair, kasai portoenterostomy, congenital diaphragmatic hernia repair, and others. On January 17, 2002, surgeons at Children’s Hospital of Michigan in Detroit performed the nation’s first advanced computer-assisted robot-enhanced surgical procedure at a children’s hospital.

The Center for Robotic Surgery at Children’s Hospital Boston provides a high level of expertise in pediatric robotic surgery. Specially-trained surgeons use a high-tech robot to perform complex and delicate operations through very small surgical openings. The results are less pain, faster recoveries, shorter hospital stays, smaller scars, and happier patients and families.

In 2001, Children’s Hospital Boston was the first pediatric hospital to acquire a surgical robot. Today, surgeons use the technology for many procedures and perform more pediatric robotic surgeries than any other hospital in the world. Children’s Hospital physicians have developed a number of new applications to expand the use of the robot, and train surgeons from around the world on its use.

Radiosurgery

The CyberKnife Robotic Radiosurgery System uses image-guidance and computer controlled robotics to treat tumors throughout the body by delivering multiple beams of high-energy radiation to the tumor from virtually any direction.

Urology

The da Vinci robot is commonly used to remove the prostate gland for cancer, repair obstructed kidneys, repair bladder abnormalities and remove diseased kidneys. New minimally invasive robotic devices using steerable flexible needles are currently being developed for use in prostate brachytherapy. A few leading urologists in the field of robotic urological surgery are Drs. David Samadi, Ashutosh Tewari, Mani Menon, Peter Schlegel, Douglas Scherr and Darracott Vaughan.

Miniature robotics

As scientists seek to improve the versatility and utility of robotics in surgery, some are attempting to miniaturize the robots. For example, the University of Nebraska Medical Center has led a multi-campus effort to provide collaborative research on mini-robotics among surgeons, engineers and computer scientists.

See also

Telemedicine

Vattikuti Urology Institute

NeuroArm

CyberKnife

Da Vinci Surgical System

Remote Magnetic Navigation

Zeus Surgical System

Robot-assisted heart surgery

Surgical Segment Navigator

Computer assisted surgery

Bone segment navigation

Stereolithography (medicine)

Robotic prostatectomy

Patient registration

Robot-assisted heart surgery

References

^ FDA: Computer-Assisted Surgery: An Update

^ VMW Monthly

^ BNET

^ http://www.ircad.fr/lindbergh/index.php?lng=en

^ Autonomous Robotic Surgeon performs surgery on first live human

^ Robot surgeon carries out 9 hour operation by itself

^ Surgeons perform world’s first pediatric robotic bladder reconstruction

^ New Robot Technology Eases Kidney Transplants, CBS News, June 22, 2009 – accessed July 8, 2009

^ Ahmed K; Khan MS; Vats A; Nagpal K; Priest O; Patel V; Vecht JA; Ashrafian H; et al. (Oct 2009). Current status of robotic assisted pelvic surgery and future developments. Int J Surg. 7:431-440
^ TCAI Press Release, March 3rd, 2009: http://news.prnewswire.com/ViewContent.aspx?ACCT=109&STORY=/www/story/03-03-2009/0004982135&EDATE

^ Natale et al., Lessons Learned and Techniques Altered Following Early Experience of the Hansen Robotic System During Catheter Ablation of Atrial Fibrillation, Poster Session II, HRS 2008

^ Barnebei et al., Lahey Clinic, presented at HRS 2009: PO04-35 – Robotic versus Manual Catheter Ablation for Atrial Fibrillation

^ R. Liew, L. Richmond, V. Baker, F. Goromonzi, G. Thomas, M. Finlay, M. Dhinoja, M. Earley, S. Sporton, R. Schilling, National Heart Centre – Singapore – Singapore, Barts and the London NHS Trust – London – United Kingdom European Heart Journal ( 2009 ) 30 ( Abstract Supplement ), 910

^ ROBODOC history

^ Acrobot Sculptor

^ Siebert, W.; Mai, Sabine; Kober, Rudolf; Heeckt, Peter F. (2004-12-30). “Chapter 12 – Total knee replacement: robotic assistive technique”. in DiGioia, Anthony M.; Jaramaz, Branislav; Picard, Frederic et al.. Computer and robotic assisted hip and knee surgery. Oxford University Press. pp. 127156. ISBN 019850943X. 

^ Children’s Hospital Center for Robotic Surgery

^ UC Berkeley: Needle Steering

^ Johns Hopkins University: Needle Steering

^ Quick, Innovative Procedure Minimizes Prostate Incontinence After Prostatectomy

^ How is Prostate Cancer Detected?

^ The Robot Surgeon

^ Robot Provides Guiding Hand

^ ABC TV-Benefits of Robotic Surgery, retrieved may 7, 2009

^ Fox News TV- The Robot Is In, retrieved May 7, 2009

^ Orlive.com- Robotic Assisted Prostatectomy, Retrieved May 7, 2009

^ New Scientist Magazine, January 2006

Sources

Monkman. G.J., S. Hesse, R. Steinmann & H. Schunk Robot Grippers – Wiley, Berlin 2007.

Fchtmeier. B., S. Egersdoerfer, R. Mai, R. Hente, D. Dragoi, G.J. Monkman & M. Nerlich – Reduction of femoral shaft fractures in vitro by a new developed reduction robot system “RepoRobo” – Injury – 35 ppSA113-119, Elsevier 2004.

Daniel Ichbiah. Robots : From Science Fiction to Technological Revolution.

Dharia SP, Falcone T. Robotics in reproductive medicine. Fertil Steril 84:1-11,2005.

Pott PP, Scharf H-P, Schwarz MLR, Today State of the Art of surgical Robotics, Journal of Computer Aided Surgery, 10,2, 101-132, 2005.

Lorincz A, Langenburg S, Klein MD. Robotics and the pediatric surgeon. Curr Opin Pediatr. 2003 Jun;15(3):262-6.

Campbell A, Larenzo xR3Nz0x Jun. 14 1994

Categories: Surgery | Computer assisted surgery | Surgical robots | Telehealth | Medical informaticsHidden categories: NPOV disputes from February 2010 | All NPOV disputes | All articles with unsourced statements | Articles with unsourced statements from March 2008 | Articles with unsourced statements from December 2009

The Amazing Healing Power Of Guyabano

What Is Guyabano?

People in the Philippines call this fruit Guyabano while it is called Soursop or Custard Apple in English. This tropical fruit with the scientific name Annona Muricata is also known as Graviola (Portuguese,) Guanábana (Spanish,) Pawpaw (Brazilian) and Corossol (French).

The low-branching, slender, bushy Guyabano tree only grows about 7 to 9 meters and the leaves are large and smooth with a glossy surface. The fruit´s exterior is soft, prickly green and can weigh more than 6 kilograms. They can grow pretty large. It’s flesh has this distinct creamy, pineapple-sour and strawberry-sweet flavour, a fusion that was definitely alien to my taste.

Where Can We Find It?

Guyabano is an exotic fruit found in the islands of the Philippines and some tropical Asian countries, such as Indonesia and Malaysia. This fruit is also found in many countries with high humidity like the South America, the Caribbean, Amazon, the Pacific and Africa.

Medicinal Benefits And Uses

Not just an enjoyable juice, smoothie or sorbet, guyabano can be consumed raw, and has many medicinal and health-giving benefits. Researchers discovered that the extracts from the tree effectively hunts down and kills only the malignant cells in 12 types of cancer, including lung, colon, prostate, breast and pancreatic cancer without harming the body’s healthy cells. Unlike chemotherapy, an individual under chemo has to go through a variety of gastrointestinal, musculoskeletal symptoms such as nausea, vomiting, loss of appetite, fatigue, fever, constipation, or even diarrhea during the treatment.

The Leaves:

A concoction of Guyabano leaves added to bathing water can help reduce fever by lowering the body temperature. A poultice of young Guyabano leaves can cure skin eruptions such as eczema, mouth ulcers or herpes and alleviate rheumatism by applying it on the affected area. It can also heal wounds with less chance of scarring because of its antibacterial properties. It also helps lower blood pressure, boosts energy and prevents depression.

The Root And The Bark:

Are used to aid Diabetes by enhancing insulin production and lowering blood sugar levels. It has sedative properties that helps induce a good night sleep. Since it is high in Calcium, it is good for the bones.

The Juice/Pulp:

The fruit is loaded with fiber, it can help lower bad cholesterol, great news for those who want to shed off extra pounds. The juice is an excellent prevention against constipation, liver ailments, urinary tract infection and even haematuria.

The Seeds:

Of course, there’s more inside the Guyabano fruit that should not be discarded. The pulverised seeds can be used an alternative pesticide.

There are more wonders of Guyabano that have been used for ages throughout the world and these are just a few of the biological discoveries.

Mastocytic Enterocolitis – A Patient Guide to Mastocytic Inflammatory Bowel Disease (MIBD)

WHAT IS MASTOCYTIC ENTEROCOLITIS?

Mastocytic enterocolitis (entero=small intestine, colitis- colon + -itis= inflammation) is a newly discovered disorder defined by the presence of increased mast cells in the intestine. Mast cells are a type of immune cell. They are involved in allergy reactions, infection fighting and nerve regulation in the body. They have numerous granules that contain a variety of chemicals that mediate body reactions i.e. chemical mediators. Histamine is one of the main chemical mediators in mast cells that are released when mast cells are triggered. Mast cells present in the superficial intestinal lining or mucosa in small numbers except when there are parasites, food allergies, increased stress or the presence of other chronic inflammatory bowel diseases such as Crohn’s disease or ulcerative colitis. When mast cells release histamine and other chemicals, this irritates or inflames the bowel making it more permeable or leaky. This can set up a vicious cycle of pain and further gut injury.

WHAT ARE THE SYMPTOMS?

The most common symptoms are diarrhea, bloating and abdominal pain. However, constipation may occur due to gut paralysis. Nausea, vomiting and various non-GI symptoms such as flushing, headaches, and fatigue may also commonly occur. When histamine is released, it can cause leaky gut, increased contractions of the gut or decreased contractions, increased secretions and increased pain.

HOW IS IT DIAGNOSED?

When you have an endoscopic procedure, the doctor takes samples of tissue, called biopsies, from the lining of your intestines. The tissue is then sent to a pathologist who looks at it under the microscope. Mast cells may be hard to see on biopsies without a special stain for tryptase, an enzyme present in mast cells. Mastocytic enterocolitis is diagnosed when excess mast cells are present in the small bowel or the colon.

HOW IS IT TREATED?

There are medications that can reduce or block the release of the chemicals by the mast cells. The most common are antihistamines, both type I and type antihistamines. Type I antihistamines are typically used for allergies symptoms such as Zyrtec, Allegra, Claritin etc. The type II antihistamines are also acid blockers such as Zantac, Tagamet and Pepcid. The most specific therapy for mastocytic enterocolitis is a medication that stabilizes mast cells known as cromolyn sodium (Gastrocrom). This drug prevents the release of chemicals including histamine from mast cells. It is typically prescribed four times a day for about 4-6 weeks. Along with medication, you should have allergy testing done for the most common allergies, work on reducing or coping better with stress and consider taking a probiotic supplement.

Copyright 2008 Dr. Scot M. Lewey, “Dr Celiac, the Food Doc” http://www.thefooddoc.com All RIghts Reserved

This may be reprinted for non-commercial patient use provided the contact information above is included.

Hypertension – causes, prevention and treatment

Hypertension, or high blood pressure, is a persistent blood pressure above 90 mm Hg between the heart beats (diastolic) or over 140 mm Hg at the beats (systolic). The blood pressure varies naturally in response to stress and physical work load. Therefore the blood pressure shall be measured in a relaxed situation and several times before this diagnosis is certain.

Hypertension does not in itself give dramatic symptoms, but it is dangerous because it causes a highly increased risk for heart infarction, stroke and renal failure.

THE PREVALENCE OF HYPERTENSION

One out of six persons is hypertensive. Most persons suffering from hypertension is over the age of 35. Still 6% of teenagers are hypertensive and also 1% of every child.

THE SYMPTOMS AND CONSEQUENCES OF HYPERTENSION

Hypertension is often without symptoms. By mild hypertension, flushing and headache can occur.
More serious hypertension gives symptoms like: Fatigue, dizziness, palpitations, tachycardia (rapid heart rate) and nosebleeds.

Extreme hypertension gives morning headache, blurred vision, dyspnoea (breathing difficulties) and elevated values of certain components in the blood, like urea and serum creatinine.

Hypertension will in the long run hurt the blood vessels, and serious hypertension can do extensive damage to the blood vessels in a few months or years.

The damaged blood vessels will impair the blood flow. They can also rupture causing a bleeding or be clogged by a blood clot that shuts out the blood flow and causes tissue damage. These things can occur in the brain, causing a stroke, in the heart causing heart infarction or in the kidneys with renal failure as a consequence.

A renal failure will in the next turn cause the hypertension to aggarvate, partly because a damaged kidney will not manage to secrete water and salt well enough, and partly because a kidney that do not get enough blood will start a hormonal mechanism that induces the kidney to actively hold back salt and water.

THE MECHANISMS AND CAUSES OF HYPERTENSION

The direct mechanisms causing hypertension is one or more of these factors:
– An increased tension in the blood vessel walls.
– An increased blood volume caused by elevated levels of salt and lipids in the blood holding back water.
– Hardened and inelastic blood vessels caused by arteriosclerosis.

The primary causes behind these mechanisms are not fully understood, but these factors contribute to causing hypertension:
– A high consume of salt
– A high fat consume.
– Stress at work and in the daily life.
– Smoking.
– Over-weight
– Lack of exercise.
– Kidney failure.

LIFESTYLE MEASURES TO PREVENT AND TREAT HYPERTENSION

Lifestyle measures shall always be a component of the hypertension treatment. Sometimes such measures are enough to cure the condition. Those measures are:
– Reducing salt consume.
– Reduction of the consume of fat, and especially saturated fat.
– Weight reduction.
– Relaxing and stress reduction techiques, for example meditation and autogenic training.
– Regular exercise.

SPECIAL FOOD TYPES THAT REDUCE THE BLOOD PRESSURE

Research projects suggest that the following food types reduce blood pressure.

  • Fish oil and fat fish. The working substances seem to be the omega-3 unsaturated fatty acids eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). The effect from fish oil seems to cease when the fish oil supplements are stopped.
    -Olive oil, especially olive oil of the quality extra virgin.

NATURAL SUPPLEMENTS TO HELP AGAINST HYPERTENSION

Natural supplements to treat hypertension exist. These supplements reduce blood pressure by lowering the cholesterol and lipid content in the blood, by preventing oxidation of tissue components by free radicals, and by helping damaged blood vessels to heal. Examples of ingredients having these effects are vitamin B3, inositol, turmenic extract and gum guggul extract.

They may also contain Ingredients giving a direct anti-hypertensive effect, like potassium, magnesium, calcium, vitamin C and fatty acids from marine sources.

MEDICAL TREATMENT OF HYPERTENSION

When lifestyle measures and supplements are not enough to cure the condition, medical treatment must be applied.

Diuretics, or medicines to increase the urine production, are used to decrease the water content in the blood vessels, and thereby reduce the pressure in the vessels. When the water content is lowered, the heart does not need to pump so hard any more, and this will also reduce the pressure.

Beta-adrenergic blockers are another group of medicines to treat hypertension. This group of medicines block the signals that hormones and neurotransmitters give to the vessel walls, and the vessel walls then relax. They also slow down the heart rate to give a lower pressure exerted by the heart upon the blood.