Acid Reflux Pain – Erroneously Regarded As Heart Attack

Acid reflux is a painful condition for many people. Most of those that suffer from these are older people, but small babies and others can also suffer from acidity. One of the most common symptoms is a smoldering sensation behind the breastbone which leads many to believe that they are suffering a heart attack. Many with acid reflux can abolish the painful symptoms if they remember the foods to avoid. Many people who suffer from this problem eat foods that cause the problem so these people should prepare their meals and eliminate the foods to avoid heartburn.

There are many over-the-counter medications that are offered to the person suffering from acid regurgitation. These medications can be taken in liquid form or tablets and are called antacids.

Medication for Acid Reflux Pain:

Both forms of antacids are effective for minor episodes and work fairly quickly in reducing hyperacidity. Typically, these over-the-counter medications for acidity are beneficial in treating the symptoms, but not the cause of the problem. There are many brand names on the market, but generally each of these over-the-counter medications function in the same way.

It is significant to keep in mind that with the use of over-the-counter medications it is only possible to assuage the symptoms are on a short-term basis. Generally, the directions for using reflux drugs should not be used successfully for over two weeks at a time. Therefore, if the symptoms persist it is important to seek medical advice and help.

In addition, there may be side effects associated with taking these medications. Some of those side effects may include constipation or diarrhea, stomach cramps, or an increased thirst.

Ache is a Warning Sign:

Acid reflux can be experienced due to a number of reasons. Some of those reasons include overeating and the consumption of incorrect foods. Some of those foods that may cause heartburn include acidic foods and caffeine. Other lifestyle actions that may cause acid regurgitation can include smoking.

Since Acid Reflux is a chronic condition, there are several barriers that can arise as a result of it. Sore can form in the esophagus just as they can in the stomach. An ulcer is a crack in the lining of the gullet which usually causes blood loss. In several cases, the flow of blood can become quite enough to necessitate blood transfusion. This is rare but is something that needs to be carefully watched.

Gastroenteritis in Dogs

Gastroenteritis in dogs is a condition characterized by a sudden and severe onset of acute vomiting and diarrhea. It can lead to extreme dehydration, shock, electrolyte disturbance and acid-base imbalance, and can eventually turn out to be fatal.

Dietary indiscretion and infection are the chief causes of gastroenteritis in dogs. Over eating, sudden dietary changes, ingestion of foreign material, eating spoiled food etc. that are frequent with dogs are largely responsible for acute vomiting and diarrhea. Bacterial, viral, fungal, and parasitic infections also cause gastroenteritis in dogs. Apart from them, drug reactions, abdominal disorders like pancreatitis, pyometra, peritonitis etc, metabolic disorders like diabetes, kidney and liver disease etc, and obstruction/blockage in the gastrointestinal tract are also responsible for acute vomiting and diarrhea in dogs.


The leading symptoms in gastroenteritis in dogs are sudden onset of severe and acute vomiting of intestinal contents through the mouth, and frequent passage of watery stools. Blood may sometimes be present in the vomit and fecal material. The dog may show signs of depression and listlessness in the acute stage of the illness. Though occasional vomiting and diarrhea are common among dogs, the sudden onset of acute vomiting and diarrhea symptoms is not normal, and requires attention to prevent situation going out of hand.

Diagnosis and Tests

Acute vomiting and diarrhea symptoms in dogs usually resolve quickly and do not necessitate elaborate diagnostic tests. However, if symptoms persist over 2-3 days, or when there is blood in the stool or in the vomit material, the following common diagnostic tests are recommended:

o Stool Examination

o Complete Blood Count (CBC)

o Routine Urine Examination

o Blood Biochemistry profiling

o Ultrasound or X-rays of Abdomen

Treatment and Care

Restoring fluid loss and correcting electrolyte imbalance are the two most important approaches of treatment. Intravenous administration of fluids and electrolytes may be necessary. For this, the dog may have to be taken to the hospital. Restricting oral intake of foods and drinks is advisable for several hours to give the gastrointestinal tract complete rest. Water and a bland diet may gradually be introduced once conditions stabilize. Original diet may be introduced after 2-3 days if the vomiting has stopped completely. If there is any recurrence of vomiting after introducing regular foods, oral intake should be stopped at once and the dog may be referred to a veterinarian.

It may sometimes be necessary to put the dog on antibiotics to control infection and on symptomatic drugs to regulate vomiting and diarrhea and provide a soothing coat to the abdominal tract. These medicines can improve the severity of symptoms and provide some comfort to the pet. However, oral medicines must be used only when it is absolutely necessary, and on consulting a veterinarian, as these medicines can sometimes irritate the already inflamed intestinal lining and increase vomiting.

Care is very important. The ailing dog need to be attended and its conditions monitored carefully. Veterinary help may be necessary, and if the clinical signs do not mitigate in a day or two, or the symptoms get worse, the dog may require another round of evaluation.

Living with Gastroenteritis

Proper dietary management is very important for reducing the incidence of gastroenteritis in dogs. The dog and its environment should also be kept clean to minimize chances of infection. However, if the dog has frequent bouts of gastroenteritis, a thorough evaluation may be necessary to find out the causes and start appropriate treatment.

Signs and Symptoms of Chronic Renal Failure

Initially, chronic kidney disease has no symptoms. When the renal function declines causes:

* Raised blood pressure, causing hypertension.
* Accumulation of urea, causing uremia.
* Accumulation of potassium in the blood, which can cause cardiac arrhythmia.
Decreased synthesis of erythropoietin, which can cause anemia and fatigue.
* Loss of synthesis of vitamin D.
* Overload of fluid volume.
Hyperphosphatemia associated with hypocalcemia and hyperparathyroidism.

Patients with chronic renal failure suffer from accelerated atherosclerosis, mostly due to hypercholesterolemia. Coagulation is usually impaired, leading to high probability of developing thrombosis.

Pericarditis occurs at a higher rate in patients with chronic renal failure.

Causes of chronic renal failure

* Berger's Disease
* Glomerulonephritis.
* Hypertension.
* Diabetes mellitus.
* Amyloid.
Lupus erythematosis.
Polycystic kidney disease.
* Chronic heart failure.

Treatment Chronic Kidney Disease
Typically, inhibitors of angiotensin-converting enzyme are prescribed for all patients with chronic renal failure. In the period generally necessary to find kidney transplant, dialysis is the only way to wipe up the blood that would be eliminated in the urine (urea, potassium).

Click here to see the solution about chronic renal failure.

The amount of urine is not helpful either. Unlike acute renal failure (ARF) (read: CONSIDERED A RENAL ACUTE) Where oliguria (reduced urine) factor is almost always present in chronic renal failure such as loss of function is slower, the kidney adapts well and the ability to eliminate water remains until well advanced stages of disease. In fact, most patients entering dialysis even urinate at least 1 liter per day.

Kidney Desease Solution

The big problem is that the IRC, the fact of course with no symptoms, does not mean that the disease does not cause complications. The kidney performances many functions in the body, and as the disease advances, more health problems can bring.

The two kidneys filter an average of 180 liters of blood per day, roughly 90 to 125 ml per minute. This is called the glomerular filtration rate or clearance creatinine. Since the average is 100 ml / min, for a better understanding of patients often say that the figure is 100% of renal function. If your doctor says you have 60% function, this means that your kidneys filter roughly 60 ml / min.

The stages of are divided according to the rate of filtration, which can be estimated through the values ​​of blood creatinine.

Angioedema – Ayurvedic Herbal Treatment

Angioedema is a medical condition which is similar to urticaria. However the swelling seen in this condition is deeper as compared to that of urticaria. Angioedema is of a more serious nature as compared to urticaria and may sometimes have fatal outcomes. Recurrent episodes of angioedema for less than six-week duration are considered acute, whereas longer lasting attacks are considered chronic. This condition may be either allergic; hereditary; or idiopathic, in which the cause remains unknown.

Patients typically present with an acute onset of well demarcated cutaneous swelling of distensible tissues like the lips, eyes, earlobes and tongue. The face, extremities and genitalia are most commonly affected. Drugs, food allergies, local trauma, exposures to extremes of temperature, allergy to animals, emotional stress and illnesses, are usually the cause of this condition. Women tend to have more occurrences than men.

The Ayurvedic treatment of angioedema is aimed at treating the pathology of the disease and preventing or reducing the frequency of recurrence. Medicines like Haridra-Khand, Arogya- Vardhini, Punarnavadi-Guggulu, Gokshuradi-Guggulu and Laghu-Sutshekhar are used to treat the basic pathology of the disease. Other medicines like Kamdudha-Ras, Sutshekhar-Ras, Suvarna- Sutshekhar-Ras are used on a long- term basis to prevent recurrence.

Medicines which act on the ‘Ras’ and ‘Rakta’ dhatus (tissues) of the body are used to minimize the body’s allergic reaction to offending substances. These medicines include Indrayav (Holharrhina antidysentrica), Patol (Tricosanthe dioica), Kutki (Picrorrhiza kurroa), Saariva (Hemidesmus indicus), Patha ( Cissampelos pareira) and Musta (Cyperus rotundus).

Medicines like Brahmi (Bacopa monnieri), Jatamansi (Nardostachys jatamansi), and Shankhpushpi (Convolvulus pluricaulis) are used to reduce stress. Ashwagandha (Withania somnifera), Yashtimadhuk (Glycerrhiza glabra), Tulsi (Ocimum sanctum), and Bhrungraj (Eclipta alba) are used to correct immune dysfunction in the body. Haridra (Curcuma longa), taken on a long term basis is a very good medicine for treating and preventing angioedema.

It should be remembered that an acute attack of angioedema can present as a serious medical emergency with severe breathlessness. Such patients should be admitted immediately to the emergency departments of hospitals. Ayurvedic treatment should be initiated after the acute condition has stabilized.

What in the World is Physiatry? – Can it Help Fibromyalgia & Other Chronic Pain Sufferers?

What in the world is physiatry? Simply put, it is a specialized therapy that involves physical medicine and rehabilitation of the musculoskeletal system. This is why fibromyalgia syndrome, chronic myofascial pain, and other chronic pain sufferers can benefit from this therapy. The focus of physiatry is on restoring function to patients.

Physiatrists are medical doctors who diagnose and treat acute and chronic pain and musculoskeletal disorders. They work to restore function lost due to injury, illness or a disabling condition and provide non-surgical treatments and prevention. Rehabilitation doctors are nerve, muscle, and bone specialists who treat injuries or illnesses that affect how you move. They have completed training in the medical specialty physical medicine and rehabilitation (PM & R).

Fibromyalgia Syndrome is characterized by tight, tender muscles, usually sore points in the neck, shoulders, chest, back, knees and hips. Insomnia, depression, migraine, irritable bowel syndrome, restless legs syndrome, interstitial cystitis, mitral valve prolapse, cognitive dysfunction and more, are often associated with this condition. Fibromyalgia is chronic. Myofascial pain, though different different, often companies FM. Myofascial trigger points are taut bands or knots in the fascia that surrounds the muscle and every organ of the body. Chronic myofascial pain is a debilitating disease (once also identified as a syndrome).

Physiatrists may prescribe drugs or devices, such as a brace. They also use a variety of therapies such as heat and cold, biofeedback, electrotherapies, trigger point injections, massage, traction, and therapeutic exercise. Physiatrists do not perform surgery.

The Physical Medicine, Physiatrist, or Fibromyalgia Rehabilitation specialist's goal is to arm the patient with techniques to improve their quality of life, even if the condition is chronic. Each patient needs distinct care and each patient needs to identify their own specific rehabilitation treatment goals.

Physiatrists use a combination treatment methods that are individualized for every patient. A treatment plan will most likely include several of the following: education on fibromyalgia and / or chronic myofascial pain; medication; nutritional supplements; a pain management program (ie, moist heat, bioelectric therapy, ultrasound, and more); exercise (only after pain is decreed) which consist of postural stretches, light aerobic conditioning, and toning exercises; manual therapy which includes therapeutic massage, myofascial release, soft tissue mobilization, and adjustments; relaxation (deep breathing exercises, guided imagery, biofeedback, Yoga, Tai Chi); home program – once what works best is discovered, the patient will need to follow through with a home program on a regular basis.

Always talk to your doctor before starting a new therapy or treatment regimen! Together, you can decide what will work best for you. Ask your primary caregiver about physiatry and how it might benefit you! It's time to start feeling better and living again!

Hemorrhagic Stroke-Risk Factors And Prevention

In the era where infectious diseases are effectively treated with antibiotics, safer cars are built and more restrictions are placed on firearm possession, but no restrictions are placed on the things people eat, conditions such as cancer, heart disease and cerebrovascular disease arise as the main causes of morbidity and mortality.

Of those diseases, heart disease and stroke (cerebrovascular disease) are the ones that are rising. The explanation is simple: There is a growing percentage of people who are overweight, that leads to insulin resistance, metabolic syndrome, hypertension, diabetes and vascular disease.
Of those, cerebrovascular disease (stroke) is the one that leads to more disabilities.
Cerebrovascular disease (stroke) comes in two flavors:

* Ischemic stroke which is the one that results from the interruption of blood flow to any part of the brain (cerebral infarction) due to blood clotting directly inside a damaged artery of the brain or when thrombi that are originated inside the heart (due to arrhythmias) or prothrombotic conditions) travel through the arteries and "gets stuck" inside a brain vessel (thrombotic or thromboembolic stroke).

* Hemorrhagic stroke is the one that results from the rupture of any vessel of the brain or any vascular malformation (aneurism or arteriovenous malformation). It also disorders blood flow to the brain, increases intracranial pressure, can cause secondary ischemia and has a mass effect on the structures that it damages.

There are two types of hemorrhagic stroke:

Intracerebral hemorrhage

Subarachnoid hemorrhage

Hemorrhaghic stroke accounts for about 17 percent of stroke cases. In 1994 near 1 in every 15 americans died of stroke. The ones that did not die had different degrees of permanent disability. Risk factors can be eliminated, treated or reduced.

Risk factors that can be eliminated:

* Smoking

* Drugs that increase blood pressure (cocaine, amphetamines)

Risk factors that can be treated:

* Isolated Systolic Hypertension

* High blood pressure

* Hemorrhagic disorders

Risk factors that can not be modified

* Age

* Gender (male)

* Vascular malformations

Heart Disease – Signs of a Heart Attack

The signs of a heart attack vary from person to person, and the symptoms can be mistaken for something else. More often than not, the signs of an oncoming heart attack will only be noticed once you have one and look back at them.

A clot getting stuck in a narrowed artery and stopping the blood supply to your heart is the main cause of a heart attack. The only symptoms of heart disease, prior to the formation and loading of a clot, are due to narrow arteries reducing blood supply. So the preliminary indications of a heart attack are the same as the indications of heart disease.

The difficulty presented by heart disease is that it advances slowly, allowing one to grow accustomed to and adapt to the symptoms without the thought that they are warning signs of heart disease or a possible heart attack.

Shortness of breath, chest discomfort and fatigue are the three basic symptoms that become noticeable at first. These symptoms may not all occur at the same time and at the same intervals and will probably not be very strong at first.

Perhaps one day, as you climb the steps, you feel somewhat short of breath and may attribute that to your age, your stress level, your tiredness or another minor reason.

You might even decide that the best treatment would be to exercise, but all too often you forget about this commitment. It will become more normal to feel breathless after some weeks. You will acclimate to it and begin to not notice it anymore. This will be the same for any feeling of tiredness or pain. You usually disregard these symptoms and continue to live with them.

Your blood pressure gives the only dependent indication of any heart disease. The symptoms of high blood pressure and heart disease are the same and so your best tool is a blood pressure monitor to check if you have high blood pressure

You do not need to see a doctor to do it either. According to recent studies, by consistently taking your own blood pressure at home rather than at the doctor's office annually or bianually, your results may be more accurate.

If you do not own a monitor, you should get one soon. If you've got a monitor but are not using it, then now is the time to start!

Heart Disease – Easy to Prevent and One of Easiest to Reverse

According to the American Heart Association (, over 70 million Americans currently have some type of heart disease. (Note: This does not include the tens of millions of people who are in the process of developing heart disease). The cost of treating heart disease (also know as cardiovascular disease, or CVD), in both direct and indirect costs is estimated to be over $ 400 billion annually.

Individuals need to take more individual responsibility to prevent cardiovascular disease in the first place both for themselves and for their loved ones. Heart disease results in tragically reduced quality of life for those affected, for family and caregivers as well as adding incredibly to the high cost of health care in this country. Individuals can help prevent heart disease most importantly through healthy eating, better lifestyle habits including regular moderate exercise, the proper use of nutritional supplements, regular medical check ups and working with their doctor.

Since the heart is a muscle, it can become weakened for many reasons including:

1. Lack of regular exercise, often resulting in being overweight which causes the heart to work harder and more inefficiently

2. being subject to the abuse of too much stress, being

overworked or over-exercised, overweight, too little sleep

3. abused from the use of drugs, alcohol, smoking, too much caffeine

4. not receiving sufficient oxygen due to poor circulation or poor lung health

5. too much systemic (bodily) infection or inflammation often caused by viruses, infections, high fat and high sugar diets, high homocysteine ​​and high C-reactive protein levels

6. a poor diet and not receiving enough broad spectrum nutrients from a healthy diet and proper nutritional supplement, (not getting or taking enough Omega 3's (Fish Oil), Vitamin D, a high quality daily multi-vitamin, Co-enzyme Q10, potassium, calcium and especially magnesium

7. from improperly prescribed medication (s) or reactions to medications and their often harmful side effects.

Drug Health Warning: Current research shows that a harmful side effect of taking statin drugs to lower cholesterol is that most statin drugs lower the body's and the heart's natural production and use of Co-enzyme Q10 (CoQ10). CoQ10 is one the heart's required primary nutrients, shown to be critical in helping the mitochondria of the heart provide enough energy so the heart beats properly. However, by the time a person is 70 years old, their body may be producing 70% less CoQ10. Most 'knowledgeable' nutritionally inclined doctors will recommend that any patient taking a statin drug, as a minimum, take at least 50 to 100 mg of CoQ10 daily. CoQ10 is better taken in the newer, up to 8 times more highly absorbable Ubiquinol CoQ10 form (as opposed to the older less absorbable CoQ10 ubiquinone form). CoQ10 supplementation may also be very beneficial for anyone over 40 who desires a longer cardiovascular health life.

Remember, ask your doctor if there are alternative methods to avoid having to take statin drugs in the first place, which may carry other long term negative side effects. Alternatives to statin drugs typically include adopting a better diet and lifestyle, weight loss, better stress-relieving techniques, nutritional supplements and of course, regular moderate exercise. Additional circulatory beneficial nutrients and supplements include: Omega 3's, Vitamin D, CoQ10, L-carnitine, magnesium, nattokinase, ribose and natural based K2 (menaquinone: MK-7). MK-7 is the highly absorbable form of Vitamin K2, that helps keep excess calcium from circulating in the blood stream which may cause plaque build up in the blood vessels, restricts blood flow and causes heart valve restrictive calcium build up. MK-7 also helps keep more calcium to be retained in bones. Many of these above respiratory nutrients are now also being recommended by many more enlightened alternative and preventive health inclinated physicians.

WITHOUT a FACE – Impact of Cardiovascular Diseases in Sub-Saharan Africa

Although sub-Saharan Africa continues to fight the battle of infectious diseases such as HIV / AIDS, TUBERCULOSIS AND MALARIA and with all the international effort geared towards this diseases and with progresses made in different countries, Subsaharan Africa is heading into a different epidemic, this time of cardiovascular diseases.Recent statistics have shown that cardiovascular diseases will become the number one cause of death in developing country within the next 10 to 15 years, but it may well be that sub-Saharan Africa is already in an epidemic, since there are no data to determine the magnitude and burden of the disease, the distribution among the population of cardiovascular diseases.

When sub-Saharan Africa is bogged down on its fight to win the battle of communicable disease, little attention if any is given to chronic and non communicable disease, mered with competition from other social and health programs. This brings us to why the world is watching and a looming epidemic is about to sweep through susbsahar Africa, simply because cardiovascular disease has no face, it does not paint a face of despair, an adult male wastage as a result of Tuberculosis, a child malnourished from being an orphan having lost mom from Aids.

those are the faces floated, that have lead to massive programs and funding. Cardiovascular disease use to be a disease of the affluence, but not anymore, with increasing GDP in these countries is accompanied with increasing waist line, with women being empowered come to changes In lifestyles resulting to new and emerging risk factors. Just as some may suggest, Africa has a lot to worry than good quality research, but without it one may not know the best way to tackle this problem. There has been enough talk without enough action, this is the time to devote resources to this disease without a face that will deprive sub-Saharan Africa of the needed work force, leave families shattered as their loved ones passes on suddenly and above all sub- saharan Africa will be in double jeopardy.

Investing in Shares: What Works and What Does not

There is no 'right' way to invest in shares, but there are some methods and strategies that tend to work better than others.

Investing is like town planning, in that it has to look forward. Try as we may with tea leaves, weather maps and computers, humans struggle with guessing what the future holds. In the field of investing the best we can do is look backwards and see what has worked in the past and hope a similar pattern occurs in the future.

Which leads nicely into our first golden rule. Something that definitely does not work is to expect recent returns to repeat themselves. In January 2001 global shares had delivered an annual return of 21% over the previous three years.

If you had invested $ 10,000 into global shares in 1998 it would have been worth $ 17,715 by 2001. If you had instead chosen New Zealand shares over the same three years your $ 10,000 would have grown to a paltry $ 10,895 as our market only returned 2.9% a year over these three years.This situation reversed over the next three years. New Zealand shares returned 10.5% a year while global shares fell by 16% a year. If the investor had continued to stick with their New Zealand stocks it would have grown to $ 14,700 by 2004, while the global stocks would have shrunk to $ 10,500.

The lesson is clear, do not 'straight line' current trends. Investment markets move in cycles, not straight lines.

Another lesson from the above example is that you should have your money spread across various markets. Nobody predicted that global markets would be as strong as they were over the 1990's, nor that they would collapse as dramatically as they did over the 2000's. New Zealand's reversal of fortune was also a surprise. Which will do best, New Zealand stocks or global stocks, over the next three or five years? Nobody knows, so own both.

Another lesson worth heeding is the value of asset allocation – spreading your money around various investments like property, shares and bonds. While many many diversifications as 'dull', it is something that people with serious money take very seriously.

And last but not least, prefer shares that provide a decent divide stream, and have the potential to grow this divide. Investing in shares is absolutely about growth and growing your capital but, in our view, capital growth follows income growth. You are therefore best to look for companies that provide a solid dividend and have the potential to growth this divide. Capital growth will follow.

Also, the market's constant ups and downs become a great deal more tolerable if the shares you own are paying you a divide twice a year.

According to Elroy Dimson, Paul Marsh and Mike Staunton of London Business School, if you had invested $ 1 in the US sharemarket in 1900 and spent all your dividends, your portfolio would have grown to $ 198 by 2000. But if you had reinvested all your dividends , your stock portfolio would have been worth $ 16,797. We agree with US investment commentator Jason Zweig who says, "far from being an afterthought, dividends are the greatest force in share investing."

Medical Oncologist For Breast Cancer

Oncology is a branch of medicine that deals with the study and treatment of cancer. A medical oncologist is a doctor specializing in the said study and treatment. However, a medical oncologist for breast cancer should first consult with a pathologist about the exact biological nature of the tumor being treated.

An oncologist deals with the diagnosis, therapy such as chemotherapy, radiotherapy or surgery, constant follow-up with the patient, and the screening of the relatives of the patient. Having diagnosed with breast cancer, a patient is informed with the 3 specialist areas in the treatment of the disease, which are as follows: medical oncology, surgical oncology and radiation oncology.

There are different methods in the diagnosis. The medical oncologist for breast cancer may do a biopsy on the patient (may be incisional or excisional), x-rays or several blood tests. If a patient is diagnosed to have one, the treatment for the tumor that the medical oncologist would apply varies depending on the stage of the disease.

Chemotherapy may be done before or after surgery. Chemotherapy involves several kinds of drugs and these drugs are given to patients with primary breast cancer; Breast cancer believed to have not yet spread outside the breast or to the lymph nodes. Chemotherapy can also be used to treat tumor that has already metastasized or have already spread to other organs in the body.

Another specialty therapy of a medical oncologist is hormone therapy. This hormone therapy interferes with the hormones in the body that stimulates the growth of the ailment. Hormone therapy can be done to patients with primary breast cancer or also to patients with tumor that has already spread to other organs in the body.

The treatment that the medical oncologist for breast cancer applies to patients, like chemotherapy, has certain side effects like loss of hair. These doctors are expert in their field and so they are also dealing with the treatment of the side effects and problems encountered by the patient with breast cancer.

Aspiration Pneumonia is a Serious Problem

Aspiration pneumonia occurs most frequently in patients that are in a coma or in those who are so seriously ill that they barely breathe. It affects more frequent the elders but it can also occur at other age categories.

Aspiration pneumonia reiterates to the problem of mouth contents entering the airways instead of going into the stomach. This can lead to an infection of the lungs, fever and breathing problems, even a bacterial pneumonia.

Typically, a person who has a malfunctioning swallowing mechanism, who does not posses a good cough reflex, could develop aspiration pneumonia. Even those patients who are fed with a tube that goes directly into their stomach could develop this problem, due to a regurgitation of the stomach contents into the throat and then into the lungs.

It is highly indicative for such persons to eat in an upright position, and stay in this position for 30 minutes after eating is done. Even the patient's own saliva may get into the lungs, especially if he has an increased production of saliva. To prevent this, cleaning the mouth with a dry bandage and frequent suctioning of the mouth is highly recommended.

Patients who still have tracheotomy should clean the tracheotomy tube of the treated substance, this way preventing mucus and bacteria from being aspirated back into the lungs and causing a bacterial pneumonia which is a serious illness.

There are some methods of keeping the lungs expanded, and so, helping to loosen up the material that needs to be taken out: clapping or cupping the chest, breathing exercises, changing the body's position more frequent, and using a vibrator over the chest.

Aspiration pneumonia can even lead to one's death by chocking with the sucked materials; this is why prevention is so important.

When a lung infection occurs treating it at the right moment and with the right drugs could lead to its cure and save the patient from developing other complications like producing a partial collapse (atelectasis) of the lung.

Signs of installed complications like bacterial pneumonia are: cough with yellow or greenish sputum, high grade fever, chest pains, breathing problems, muscle aches and fatigue. Treatment consists in administressing antibiotic drugs, controlling the fever, and most of all, preventing lung aspiration of mouth substances from occurring again.

The treatment of aspiration pneumonia consists in administering oxygen, aspiration of the foreign substances from the airways, and total spell. The therapy will include anti-shock medication and antibiotics.

Writer Jack London Had Very Special Recipe For Cooking Rice

The American writer and social activist Jack London was one of the first American authors who was able to parlay his writing ability into a substantial personal fortune. He did this in part by going to places and doing things other writers were unwilling to risk, including repeated forays into remote Alaskan gold fields. He took part in the Klondike Gold Rush and wrote about it, and his health suffered from the privations he endured there. His inability to get access to shelter, food, and medicine was reflected in his fiction, including the short story To Build A Fire. He lost his upper four front teeth as a result of scurvy and a bad diet while in Alaska.

Less well known than his ability to “rough it” in Alaska and write about it, and other frontier outposts of the late 19th and early 20th century, is his very particular palate when it came to how his rice was prepared. A staple of the goldfields, because it can be packed in bags and will stay fresh for months, Jack London was very familiar with rice and had very special requirements when it came to cooking it.

The San Francisco socialite Sarah M. Williamson, who helped popularize canning and food preservation in the early years of the 20th century, reported in a newspaper article in 1916 that she had obtained Jack London’s personal recipe for the preparation of rice from London’s long-suffering second wife, Charmian Kittredge London.

Here is how Sarah Williamson relates her discovery of Jack London’s rice recipe:

“Rice, cooked as American housewives never cook it and can never learn to cook it, appeared on Martin’s table at least once a day.” Thus Jack London says in the forceful novel that is almost autobiographical. And this is the way Jack London cooks his rice — I have the recipe by favor of Mrs. London, above her husband’s signature,” wrote Williamson.

“Rice Properly Cooked — First, the rice must be washed thoroughly, which will obviate all stickiness of the kernels when boiled. The proportion of rice should be one to two of cold water. The proper Chinese chef will allow this to stand several hours before setting on the stove. When the saucepan is finally placed on the stove, fire must be hot and the rice kept boiling until the rice has absorbed all the water and no water remains on the surface. Then remove where the stove is not so hot and let simmer slightly. The cooking of a pot of rice should require from fifty minutes to an hour for a moderate measure. Just before serving, stir softly and carefully with a fork, which loosens the mass into a light and flaky appearance. The kernels should be light, soft, and separate.”

Williamson asserted that rice was so difficult to cook because it came in so many different grains and sub-species. “The trouble is not so much with the cook as with the rice itself,” she wrote. “There are about 49 varieties and no two cook the same way. Some come out best by parboiling and then draining and starting again in cold water. To get the same kind of rice every time would mean one reliable recipe. As there is Chinese rice, Japanese rice, Indian, Georgia, South Carolina, and now California rice, and a few dozen more, rice cooking is likely to be a never-solved problem.”

She also shared another of London’s favorite recipes for a rice dish, this one with onions and green peppers.

“In a steel frying pan melt enough lard to fry to a seal brown color one teacupful of rice. The rice must be cleaned with a napkin and not washed. Constant stirring is necessary to prevent the rice from burning. Remove the rice and set to drain. Into the lard put one or two large peppers which have been seeded and chopped fine, and the juice of one medium sized onion (grated). One pinch of salt, pepper to taste. Two heaping teaspoonfuls of the chili powder, which has been mixed with three cupfuls of tomatoes that have been mashed fine. In a granite saucepan have a cup of boiling water. Pour the sauce from the frying pan into the saucepan, then pour in the rice. Boil slowly until the rice is cooked, place in oven and bake. If this dish is well cooked, each grain is separate and dry.”

Jack London died in November 1916, only a few months after Williamson published his rice recipes, still a relatively young man of just 40 years of age. Despite his very particular requirements for cooking rice to suit his palate, there is no doubt that the privations of the Arctic and of the severe conditions he endured in order to pursue his writing contributed to the loss of health that led to his premature death.

Bronchitis Duration

Bronchitis duration heavily depends on the cause. The causes can either be as a result of bacteria and viruses. Other causes include smoking and inhaling harmful substances. Bronchitis caused by smoking can take longer to heal than that caused by pathogens. This can only be completely healed if one stops the smoking habit.

Tar smoked in piles up in the airways causing an inflammation. If not taken care of, it can progress to other more serious conditions such as pneumonia, asthma and cancer. Bronchitis duration as a result of viruses does not last for more than a week. The symptoms of bronchitis as a result of viruses most of the time do not require any medication. Bacteria infections need to be medicated using antibiotics.

Bronchitis duration for this kind of infection can take long err. A person who has the bronchitis disease first starts experiencing a dry cough. This cough is usually enough to wake you up at night. This is followed by the other symptoms of bronchitis. These are fever, fatigue and headaches. After a few days, the dry cough progresses to become a productive one. The productive cough is the reason why one starts experiencing shortness of breath, wheezing and chest pains.

Bronchitis duration for all these symptoms apart from the expectorant cough is a few days. The cough can go on for almost a month. If it takes more than a month, one should go for more diagnosis from an ear, nose and throat doctor. This is to rule out the presence of other conditions other than the bronchitis. This cough if not grateful can progress to asthma. Prevention measures should also be taken to avoid bronchitis.

Child Custody and Related Laws

The process of getting a divorce can affect you both emotionally and financially. Hiring a lawyer who is specialized and has adequate experience in family law can give you some relief and make the process manageable. Fighting for property, child custody, and support is something you may have to face when filing for a divorce. Keeping in mind these things about child custody, when filing for divorce as per family law Toronto, may make the process less challenging.

Decisive factors for child custody

Before making a judgment on the child's custody, a number of issues keeping in mind the child's best interest, are considered and investigated.

• Stability of the parents / households competing for custody
• Whether or not each parent is willing to let the child develop a positive relationship with the other parent.
• Whether both the parents are capable of taking care of the child by themselves
• At times, the child's desires and the relationship between the children and their siblings or step-siblings is also taken into consideration.

Together that, each parent is asked to give a custodial plan, which should elaborate on details about how they are going to care for the child and the arrangements that they have made for him / her.

Custody options as per family law in Toronto

After thorough investigation, a court may decide on any of the following custodial options, keeping in mind the child's welfare.

Joint custody

Joint custody can be defined as the joint right that both parents have, with regards to decisions that they make about the child. This decision has nothing to do with who the child has to stay with, but makes it necessary for both parents to discuss and come to a consensus whenever they have to make a major decision that can affect the child and his / her future.

Although the child stays with one of the parents, joint custody makes it essential that the child stays at a closer distance to both the parents. This at times, makes it difficult for the custodial parent to move away with the child.

Shared custody

Shared custody as per family law Toronto defines that the child has to stay a near equal number of days with both the parents. Mostly agreed with a joint custody arrangement, this type of custody needs both the parents to stay at easily accessible distance, which is also closer to the child's school, friends and activity centers.

Access to the child

If the child's custody is given only to one parent, the other parent is allowed to meet the child on specified days of the week, to enable a normal and healthy development in the child. The access parent is allowed to spend time with the child, and also get information about his / her welfare from the custodial parent as well as third parties involved like the teacher, doctor, babysitter etc.

In some cases, the access parent can meet the child only under the presence or supervision of a third party like a relative or friend. However, this is valid under family law in Toronto, only when the access parent's behavior can be potentially harmful to the child.