Real Cougar Women Causing Tension In The Ranks

Money and sex are the two things that are responsible for driving a toxic wedge through most relationships. Here’s something I could never understand. How does a woman, who has been conditioned all her life to believe that the man is the chief breadwinner, switch gears and step into a brand new role? A role that requires her to bring home the lion’s share of the bacon.

Like any big societal shift, “The Miranda Complex” doesn’t take place without casualties. Remember, Miranda in Sex and the City? She was the lawyer dating the bartender, whose income and social skills weren’t up to par with hers. Today, lots of women are finding out first hand, that a relationship between a successful woman and lesser-earning man is very complicated. It brings up lots of different issues, that over time, could end up hurting both partners and breaking up relationships.

Today, two-thirds of women over the age of 40 earn more than their men, so it’s not hard to figure out why there is so much trouble brewing in paradise.

“The woman making more money than the man creates a problem,”says psychiatrist and relationship expert Dr Gail Saltz. Just like women have been conditioned to be taken care of, men see themselves as the provider. When that role is taken away, their male psyche is severely bruised.

“Our respect for our partner rests on whether they are fulfilling their gender expectations,” says Professor Janet Reibstein, psychologist and author of The Best Kept Secret: Men & Women’s Stories of Lasting Love. “Higher-earning women struggle to respect their low-paid men because social prejudice says that a man should keep his woman.

“Women want to be in charge of their lives and careers, but they also have the contradictory need to know that their man will look after them if required. “When that’s not happening, a woman’s sense of femininity and a man’s sense of masculinity is often threatened.”

Whether they admit or not, women will resent their man spending their hard earned money on “man toys” they couldn’t afford without her financial help. Do the more successful men secretly harbor resentment when their women are out spending their hard earned money? I don’t know. Maybe they do, but don’t say anything because its always been their job to be the provider.

When low-earning men fee belittled and high-earning women feel resentment, there’s another part of the relationship that goes downhill very fast. Their sex life. It’s quite common for high-earning women to withhold sex when she’s not getting what she feels she’s entitled to. It doesn’t take her long to catch on to the “she who has the gold rules” way of doing business.

A 2006 study from the University of Virginia, questioning 5,000 women, found that they were happiest when their husbands brought in 68 per cent or more of the household income. “Married women have happier marriages when their husband is a good provider,” says Professor Steven Nock, co-author of the study.

Until both sexes learn to disconnect the hardwiring that defines the gender roles, it’s going to be difficult to find the balance that gives both people what they are truly looking for.

Good Vaginal Care and Relief Suggestions

Sometimes when you have vaginal issues, overall good vaginal care can go a long way in helping you minimize your problems “down under”. Vulva problems come in with many unpleasant symptoms like itching, burning with urination, discharge, painful intercourse, etc. There could be a number of culprits for your problems like itching yeast, bacterial vaginosis, trich, lichen sclerosus, eczema and many more. Sometimes the condition is so generalized that it is difficult to determine what is causing it and the problem is still diagnosed as vulvodynia. While it is difficult to live with vaginal issues, there are some simple but good vaginal tips that you can follow to ease your discomfort.

Hygiene – If you want to avoid irritation in the vaginal area as much as possible, always use lukewarm or cool water with nothing in it. Avoid bubble baths and female products as they can bring on burning and increased sensitivity. A good vaginal product that is recommended for sensitive skin is Cetaphil cleanser. However, remember that it is best to wash your vulva with cool or lukewarm water only.

Sexual Intercourse – If you want to have a pleasant intercourse, use a lubricant that is water soluble. Also, cooking oil can be used but keep in mind that it can break the effectiveness of the condom (in case you are using one). A good vaginal anesthetic to use in order to prevent pain is Lidocaine (5%) however the medication may sting for the first three to five minutes and may reduce your sexual sensitivity a little during the intercourse. It is best to avoid intercourse in cases of itching yeast infections. In addition, always remember to rinse the vulva with cool water after intercourse and apply a cool pack of ice for pain relief if needed.

Physical Exercise – While exercising is always great, you should try to avoid activities that put direct pressure on the vulva area (for example, horseback riding or bicycle riding). If you have irritation or persistent itching yeast infections, you should try to avoid swimming in highly chlorinated pools.

Good vaginal care is an integral part of women’s health and should be taken seriously just as nutritious eating, regular physical activity and good mental health.

Common Explanation Of Cold And Cough

An infection mainly occurring in nose and throat. Common colds are caused by viruses and generally take 2 to 5 days to recover. The viruses that cause common colds are very dangerous and are spread by simple fine spray from sneezes and coughs. Coughing is a reflex action that can be caused by many irritants. Although it can be an indication of more illness such as pneumonia, usually is due to upper respiratory tract (nose and throat) infection.

Often people talk of “having a flu” when they are actually suffering from a cold. They are both caused by viruses. However, the flu, influenza is a serious illness that can result in death. The flu starts suddenly with a higher fever and you would feel so unwell. The onset of a cold, however, is more gradually and symptoms are normally restricted to just your throat and nose.

Usually, you will have a runny nose and weepy eyes. Some peoples also cough, sneeze and suffer from sore throats. More commonly, you would feel generally unwell and in slightly more severe cases, you may a headache, fever o even lose your voice. Coughs that are associated with colds are harmless and you should be mindful to see whether it progresses to be longer than a week and if feel unwell it’s time to see your doctor.


– Take preventive measures – always wash your hands with soap and water

– Avoid touching your nose, eyes and mouth with your hand.

– Always cover your mouth when sneezing or coughing.

– Use tissues rather than handkerchiefs and throw them away after use

– Avoid sharing utensil such as cups, cutlery and other personal items.

– Avoid contact with other cold sufferers.

When your symptoms get worse. If you suffer from other health conditions such as asthma or diabetes that worsen during a cold. It is also advised that you consult your doctor if the symptoms come on suddenly, are severe or last longer than usual.

See doctor if:

– Temperature exceed 38.5 degree Celsius (38 for children)

– Chills.

– Severe headaches

– Hurting eyes.

– Chest pain

– Shortness of breath, noisy or fast breathing

– Skin rash

– Pale or mottled skin.

– Vomiting

– Difficulty waking up or drowsiness.

– Persistent cough.

– Aching muscles.

Immediately (seriously) see your doctor if your baby develops:
Bulging of the fontanel (soft spot on the top of a baby’s head)

– High temperature

– Strange high pitched cry

– Lack of energy

– Loss of appetite

– Earache.

It is very important to remember that antibiotics only help in infections caused by bacteria. They have no effects on viruses. Hence antibiotics do not help with colds. You have to allow your immune system to fight the viruses. Beside that, antibiotics do not help with any of the cold and cough symptoms either. They do not stop your condition from getting worse and also do not stop you from spreading the viruses to other people. Very importantly, the use of antibiotics when you do not need them makes them less effective when you eventually do need antibiotics for a bacterial infection. This also increases resistance to antibiotics in the community. Use of antibiotics can also cause unwanted side effects such as stomach discomfort, diarrhea, fungal infections such as thrush and all allergic reactions. It usually suffices to get adequate rest and use symptomatic treatments.

Figuring Out Your Child’s Fever

Fever is the number one reason that children are taken to hospital emergency rooms. This is not surprising. Fevers are frequent in childhood, and they are often frightening to both parent and child. What follows is a set of questions and answers written to address that fear and to help parents know what to do when their child is hot.


A: A fever is a body temperature that is higher than normal ( 98.6 F or 37 C) as measured by a thermometer in Fahrenheit or Centrigrade degrees. Although they can help children to fight infections, fevers can also be uncomfortable and worrisome-depending on how high they climb and how old the child happens to be.


A: Children with fever will feel hot and show certain changes in their behavior depending on their age. Newborns will be either fussier or sleepier than usual-or both; they will refuse the breast or bottle; and they are apt to have fewer, drier diapers than normal. Older babies and toddlers will be cranky, “clingy”, and less energetic than usual. They will have no appetite but will seem especially thirsty. Finally, toddlers will either be quite listless and sleepy or very irritable and have difficulty falling asleep. Older children, over age 2, will be whiny and tired, will ask for drinks, and sometimes will complain of having chills or “hurting all over.” If you note any of these changes in your child, no matter how old he is, it is smart to take his temperature.


A: There are so many different kinds of thermometer readily available for purchase at drug stores that it can be confusing to know which is best and for what age child. It might be smart to check with your pediatrician about her favorites especially since she knows your family well. Having said that, there are some tricks to choosing thermometers and to taking temperatures, as noted below:

o Best for Babies: A Rectal Temp

o Rinse your thermometer with cool water and then put petroleum jelly on the tip;

o With the baby on his tummy, put the thermometer into his rectum about one inch;

o Keep one hand on his back and the other holding the thermometer in place until it beeps.

o Expect your baby to cry but know that you are not hurting him; it is uncomfortable for him but not painful.

o Best for Preschoolers: An Axillary Temp

o Place the thermometer tip in your child’s armpit and hold his arm next to his body until the beep.

o Axillary temps are usually about a degree cooler than rectal.

o Best for Big Kids: An Oral Temp

o Keep your child from drinking anything hot or cold for 20 minutes;

o Rinse the oral thermometer in cold water;

o Place its tip under your child’s tongue until the beep.

If you take your child’s temperature and then decide to call the doctor, make sure to explain what kind of thermometer you used. This will eliminate some of the confusion that sometimes arises about the reliability or meaning of a temperature reading. Also, please note that ear, pacifier and band-aid strip thermometers are not considered reliable for home use. Temporal artery thermometers are being developed, are expensive, and are still considered controversial.


A: Fevers do not need to be treated, but children do. If your child is uncomfortable with his fever-feeling achy or having chills-then there are several tips to help him feel better.

o Give him medicine.

o Acetaminophen (Tylenol) and ibuprofen (Advil, Motrin) are highly recommended. Avoid aspirin, cold or cough medicine.

o Because Advil, Motrin and Tylenol come in many forms (like liquids or chewables) and many strengths, check with the pharmacist about the best choice and dose for your child. Generic medicines are fine and cheaper than “brands.”

o Rectal suppositories are very helpful if your child is vomiting. Your pharmacist will have these behind his counter.

o Ibuprofen should not be used in children younger than 6 months or in dehydrated children.

o Give him a bath after giving him medicine as above.

o This is suggested for children with very high fevers and/or previous seizures with fever.

o The bath should be its usual warmth or slightly cooler, not frigid. Your child is not a polar bear!

o Do not add alcohol to the bath: alcohol can cause coma.

o Water evaporating from the skin cools your child. Gently wet (and rewet) his back and head with a washcloth to bring down his fever as he plays.

o Keep him cool.

o Dress him in a t-shirt or summer pajamas.

o Take the extra blankets off his bed.

o Make sure his room is cool.

o Give him extra drinks

o Fever increases your child’s need for liquid.

o He is getting enough to drink if he urinates normally (wets his diapers well) and has lots of tears.

Many parents respond to their child’s complaint that he feels cold by bundling him up, forgetting that his primary problem is fever. But he is already too hot! If your child has a fever, it is better to pretend that it is a hot summer day: water play, cool clothes and cool drinks will help bring down his fever.


A: There are excellent pediatric guidelines about fever and when to worry as noted below. Call your pediatrician if:

o Your child’s fever is over 100.4ºF (38ºC) and he is less than 3 months old;

o Your child’s fever is over 102ºF (39ºC) and he is less than 2 years old;

o Your child’s fever is over 104ºF (40ºC) and he is over 2 years old.

If you are worried about your child-even if his fever is lower than that listed above–please err on the side of calling for advice. Trust your instinct.


A: In addition to calling the pediatrician because your child has a fever in the “worrisome” range described above, it is necessary to call if your child has:

o Even a low- grade fever if he has a chronic disease like sickle cell anemia, diabetes, cystic fibrosis, neutropenia, or if he is on steroids;

o Severe pain anywhere, a stiff neck, persistent vomiting or diarrhea, or a new purplish rash;

o Difficulty breathing or blue nail beds or lips;

o A seizure (rhythmic motion of his extremities that you cannot stop);

o Unusual sleepiness or fussiness even after his fever goes down;

o An illness without fever for a few days and then a new fever;

o “Just something wrong” that worries you, especially if he is a newborn.


A: Of course what the doctor will do depends to some extent on what your child has in addition to his fever. If your child has a worrisome fever for his age, the doctor will talk to you both and examine your child. She will consider ordering tests (like blood work or a urine culture). She may hospitalize him if your child is either very young or appears very sick.

The doctor will give your child antibiotics if she has diagnosed a bacterial infection like strep throat or pneumonia. She will not give him antibiotics for viral infections like colds or the flu. The fact that a child has a fever does not mean that he should be treated with antibiotics!


A: Most children with fever do not feel well, and many of them are contagious. Your child should not go back to daycare or school until:

o He has had no fever for 24 hours after stopping acetaminophen or ibuprofen.

o He is acting like himself again.

If you are unsure about when your child may return to school, check with your pediatrician. She will give you excellent advice based on experience with your child.

Fevers and childhood go together like peanut butter and jelly– except that no one likes fevers. Because everyone eventually gets them, it is best to be prepared. Have an appropriate thermometer and medicine on hand so that, if your child gets his first fever in the middle of the night, you will be ready to offer the comfort and care he needs.

The purpose of this article is to educate. While every effort has been made to ensure its accuracy, its content should not be construed as definitive medical advice and is not a substitute for the professional judgment of your child’s health care provider in diagnosing and treating illness. Because each child’s health care needs are unique and because medical knowledge is always evolving, please consult a qualified health care professional to obtain the most current recommendations appropriate to your child’s medical care. Neither the author nor the publisher shall be liable for any outcome or damages resulting from reliance upon the content of this publication.

MOTRIN® is a registered trademark of Johnson & Johnson. TYLENOL® is a registered trademark of The Tylenol Company. ADVIL® is a registered trademark of Wyeth. No association, affiliation or endorsement of this article or its contents by the referenced companies is intended or implied.

Bronchitis And Its Causes

Bronchitis is a respiratory system ailment that is generally found in the winter seasons because bronchitis is caused by viruses that also provides us the flu or the cold. Bronchitis may be caused by bacteria, but this is not a very general bronchitis case. The bronchial tubes have linings that get exaggerated when you produce bronchitis. This makes it difficult from air to travel to the lungs. In bronchitis, mucus is also developed, which is mostly formed in your airway. So as you can see, bronchitis is a disease that affects your capability to breathe appropriately.

Bronchitis happens in your lungs. In fact, it is a condition that affects the inner walls in your air passage ways of your lungs. There, bronchitis causes the lining to become infected and inflamed, causing you the symptoms of fevers, chills, coughing and a pain in your chest.

Another acute bronchitis symptom is soreness in the center of your chest. Fever may also characterize acute bronchitis, but it is usually just a mild one. Shortness of breath can also be found in cases of acute bronchitis because of the narrowing of the airways.

Unlike acute bronchitis, chronic forms of the disease generate persistent, recurrent symptoms. Although the clinical manifestations of chronic bronchitis are less intense, this type of disease is very difficult to treat. Even if patients with chronic bronchitis respond well to specific medical treatments, they often experience relapse after completing their prescribed course of medications. Chronic bronchitis can last for around three months, regularly reoccurring on the period of two years or even more.


The symptoms of chronic bronchitis includes difficulty in breathing, breathlessness, wheezing, pain in the chest, productive cough, and discomfort. The typical chronic bronchitis cough, intense and persistent, is also known as “smoker’s cough.” These symptoms are persistent and intensify as the disease progresses. During the initial stages of bronchitis, patients notice its symptoms either in the evening or in the morning.

Chronic bronchitis is usually accompanied by pulmonary problems such as pneumonia and emphysema. With the passage of time, chronic bronchitis patients suffer from poor oxygenation and hypoventilation. Lack of oxygen results in cyanosis, a condition characterized by a bluish tinge on the skin that suggests the presence of pneumonia or emphysema.


Bronchitis usually follows a cold. The same virus that is responsible for common cold is also responsible for bronchitis. People also contract acute bronchitis due to continous exposure to irritants that can cause inflammation of the bronchial tubes. The other factors that can cause significant damage to the bronchial tubes are dangerous chemical fumes, smoke, and dust.

Bronchitis is mostly caused by viruses, in which case the illness clears on itself within days, without medical treatment. However, if the illness is caused by bacteria, medical treatment with antibiotics is required for overcoming bronchitis completely. Bronchitis can be either acute or chronic. The acute form of the illness generates intense symptoms, but if it caused by viruses, it usually clears up quickly. Acute bronchitis is very common in people of all ages and rarely requires medical treatment. Chronic bronchitis generates milder symptoms, which can aggravate in time.

"The Sixth Sense" Kyra’s Funeral and the Value of the Hidden Camera

One of the best psychological thrillers of all time is the story of Cole Sear, played by Haley Joel Osment, who is a young boy with many troubles who can see and talk to dead people. Directed by M. Night Shyamalan and starring Bruce Willis as Dr. Malcolm Crowe the psychologist who helps him.

Once Dr. Crowe suggests that Cole try to communicate with these ghosts and see what they want from him, he takes the opportunity to talk to Kyra’s ghost. She shows up in his room and vomits in his tent. He later finds out where Kyra lives and that she had been sick before she died. Her little sister was starting to get sick too.

Kyra’s ghost gives him a box that has a videotape in it. The video tape reveals Kyra’s stepmother putting some cleaner fluid in her food. This poisoning by the step mother is a mental condition and a form of child abuse. The mother poisons the children to get attention for herself. When the video plays, the grieving father and everyone there for the funeral sees the guilty stepmother. She is standing there in red as it symbolizes “anything in the real world has been tainted by the other world.” According to M. Night Shyamalan “rules and clues.”

The image of the stepmother standing there as if she has done nothing, innocently supporting her grieving husband smiling and being a hostess as if she is the center of attention of a party.

This could very well happen to anyone. Dr. Crowe encouraging Cole to seek out the ghost and find out how to help them lead Cole to becoming brave enough to start. The video scene is so powerful. Showing Kyra setting up the video to expose the wrongdoing of the stepmother, did Kyra know that she was dying?

Could she have reached out to her father? Would her father have believed her? There are so many questions that come to mind?

The value of the hidden camera didn’t save Kyra, but it did save her little sister and expose the wicked stepmother. She would not be able to go on and hurt anyone else to bring attention to herself.

Some people we trust the most are ones who will do harm. A sickness might cause a person to hurt someone, even a child as in this situation. Protect yourself with cameras, and keep an eye out and an open mind to help prevent and deter a tragedy such as this one.

What is a Normal Blood Pressure Reading?

You can get a blood pressure reading with various blood pressure monitors. These include a wrist monitor, an ambulatory blood pressure monitor, or the good old fashioned kind complete with inflatable ball and mercury bubble. No matter which monitor you use, however, a normal blood pressure reading will always fall within a certain range.

Normal Reading

To understand what makes up a normal blood pressure reading, it’s important to know what blood pressure is. The heart pumps blood through the four heart chambers and into major arteries that transport blood throughout the body via the circulatory system. Each time the heart muscle contracts, it creates pressure known as systolic blood pressure. This pressure is measured to produce the first numbers got through a blood pressure reading. When the heart muscle relaxes, between beats, is the moment that systolic blood pressure can be measured.

For most healthy people, blood pressure falls within a certain range. Those who suffer from stress, high cholesterol or obesity often have increased heart rates that are known as high blood pressure. On the other end of the range, some people also suffer from low blood pressure, but this is almost always because of illness or blood loss. Extremely low blood pressure can cause shock and in the end, death.

Blood Pressure Range

A normal blood pressure reading almost always falls within the 120 to 130 beats per minute range. If someone is in excellent physical condition, the heart rate will beat at 120 or less beats per minute, systolic pressure. The diastolic pressure in a normal blood pressure reading will be between 80 -90 beats per minute. You may see a normal blood pressure reading written as 124/84, for example.

An even better normal blood pressure reading is anything under 120 and less than 80, like 118/78, for example. This reading points to the normal blood pressure reading of a normal, active adult. Some adults have blood pressure readings that are a little higher than normal for the general population, but not for them. A high, though still normal blood pressure reading, may measure from 130-139 for systolic pressure to 85-89 for diastolic.

Blood Pressure in Children

Children will display different blood pressure readings. A normal blood pressure reading for young children, those between 3 and 5 for example, are around 116/76. A young teenager may show a normal blood pressure reading of around 136/86. Children between these ages can show a normal blood pressure reading of between 122 and 136 for systolic pressure and 78-90 diastolic pressures.

Something to remember is that children have normal blood pressures in ranges that are lower than adults. But even so, a child is at as much risk of developing high blood pressure as an adult if lacking proper diet and exercise. High risk children also include those suffering from medical conditions or those taking medications that may raise blood pressure.

Remember that no one’s blood pressure is always the same. Sometimes, readings showing a high blood pressure may result from stress, illness or even anger. Knowing what a normal blood pressure reading is will help you see blood pressure readings that are not so normal.

The Cause And Treatment Of Ribs Pain

Ribs pain can be an all too regularly occurring condition a large number of men and women probably will encounter at some stage in his or her life. What exactly creates this issue, in addition to what you can do to deal with it usually is a puzzle for the anyone initially going through such a type of trouble, but the reason is actually fairly simple. Treatment are often somewhat more tricky, nevertheless it can be bought, and at a good price. And, it may be self treated if that is wished-for. This information discusses the cause together with treatment for by far the most common ribs pain.

One explanation why individuals do not grasp the reason their ribs are in torment is because of the fact that many people have no idea that ribs form an actual joint when they connect to the back and also with the sternum in front. Usually, the pain individuals experience in the ribs has to do with some misalignment connected with one or more of those rib joints. It would be beneficial to search for a picture with the joints, in that case it will be apparent that there is indeed a real joint that connects the ribs to the backbone and how they join up in front. This is especially clear around the spine which is where a large amount ribs pain takes place.

The joints in the front of the rib cage change when we age, which means they may be a somewhat unusual. Those joints come with more of a cartilage connection as compared to the joints at the spine. When people grow older this cartilage calcifies so that that joint will get solid and then the joint in essence vanishes. However, until this comes about, the connections in this area could possibly become out of alignment. And, it’s considerably later in life that this alteration will become everlasting.

As mentioned earlier, the rib joint in back is what normally causes virtually all ribs pain. The ribs can certainly shift up or down when they go out of alignment, nevertheless there is a general pattern. Specifically, the upper eight ribs are inclined to go out of alignment moving up and the bottom four are more likely to shift down any time they shift out of alignment. Upper back pain, the tension ‘knots’ that many individuals sometimes suffer from, are usually the ribs themselves, particularly on the top area of the shoulders. Typically, your hard ‘knot’ is normally the rib itself. Without a doubt, the rib or ribs are pulled out of position as a result of muscle tightening, and even kept out of place because of muscular rigidity. On the other hand, should that spot is adjusted, when the rib is set into correct alignment, then your muscles receive a chance to release. One concern would be that the ribs, specifically for this particular vicinity, frequently has to be realigned regularly as a result of the strain that most a lot of people live with throughout their lives.

The painful sensation might be even worse if the misalignment is lower down creating middle back pain. It can feel like a stabbing pain sensation. Hacking and coughing, laughing, sneezing or even just having a deep breath causes a significant discomfort. It may perhaps feel like a broken or cracked rib. This is especially true when ribs move toward each other.

The treatment for the predicament is usually a rib realignment. A chiropractor is certainly one answer, but as described before, this may need a number of treatments at considerable fee.

Understanding Blood Pressure Readings – Easy Reading

Understanding blood pressure readings are not complex as one may think. Those two numbers one hears when visiting a doctor or getting a reading could be easily understood. Blood pressure readings are commonly done with every doctors visit one encounters. There are also portable blood pressure monitors which are commonly found in drug stores.

Getting a proper blood pressure reading to understand if one is at risk can only be done with multiple testing done at different times. Many factors can account for a slight elevation in ones blood pressure, such as a stressful day, or even the doctor’s visit it’s self can cause one to have a higher than normal reading.

Doctor’s typically record high readings and watch for a consistently steady “high reading” before taking action. People at risk for high blood pressure that are testing themselves should do so at different times during the day and over a span of a few days to ensure an accurate reading.

Understanding one’s reading is not as difficult as it may sound. There are two numbers that account for blood pressure, the top number (the higher one, known as the systolic) and the bottom number (the lower one, known as the diastolic). When blood flows through the heart, the heart expands to release blood back into the body and contracts to take in blood from the blood vessels. A blood pressure reading is in layman’s terms, the “opening and closing of the heart.”

Systolic: The blood pressure when the heart is contracting.

Diastolic: The blood pressure when the heart is relaxed.

There are four stages of blood pressure readings:

Normal – Systolic below 120 and Diastolic below 80

People with normal blood pressure should maintain the healthy lifestyle they have already adapted.

Pre-hypertension – 120-139 / 80-89

People with pre-hypertension are at a risk for developing high blood pressure and should adopt a healthy lifestyle with changes in their diet, exercise, and salt intake.

Stage 1 Hypertension – 140-149 / 90-99

Need a complete lifestyle change; doctor’s monitor patients with Stage 1 hypertension for usually a period of 6 months, without changes in a Stage 1 patient, a medication will typically be prescribed.

Stage 2 Hypertension – 160+ / 100+ or more

Treated with a lifestyle change as well as one or more medications to lower blood pressure.

Understanding blood pressure readings is a simple process, as long as the readings are done over a period of time. People with risk factors should keep a journal of blood pressure readings to present to his or her doctor for further treatment and discussion. People with a healthy blood pressure reading should maintain the diet and exercise they have adapted, and people at risk should adopt one.

Diseases from House Flies

I am writing this article as a way of promoting our fly killer machines. It provides information on diseases that can be caused by house flies.

Houseflies frequent dung heaps and other fecal sources. They also visit decaying matter including dead animals. When landing on food that is prepared for human consumption, contaminated material is often transferred to the food.

There are a wide range of diseases that can be transmitted by flies. Here are some of them:

Typhoid Fever (Salmonella typhi)

Symptoms: High temperature (up to 104 deg F or 40 deg C), loss of appetite, headache, stomach pain and usually some weakness. Sometimes a pink skin rash appears.

Treatment: A doctor will usually prescribe an antibiotic and the symptoms will cease in a few days. If no treatment is given, the subject may become seriously ill and even die from secondary problems (up to 20% typhoid fever sufferers die without treatment).

Cholera (cause by Vibria cholerae, a bacterium)

Symptoms: unexpected episodes of watery diarrhoea that contains flecks of white mucous material, stomach pains, dry or sticky mouth, sunken eyes, concentrated coloured urine, in a child a markedly sunken fontanelles (the soft spot at the top of the head), dry skin, nausea and vomiting (usually).

Treatment: Cases can vary from mild to serious. If untreated, serious cases can lead to imminent death. Drink plenty of fresh water, mixed with small quantities of salt and sugar. This will restore the body’s fluid. Treatment must be given immediately.

Escherichia coli

Symptoms: This depends on the strain of Escherichia coli. Most strains are harmless and result in no detectable symptoms. Other strains, such as O157:H7 can sometimes cause bloody diarrhea. In a very small number of cases Escherichia coli O157:H7 can lead to hemolytic uremic syndrome that can lead to kidney failure in young children. For most of us, and for most of the time, Escherichia coli causes no problems.

Treatment: No treatment is necessary, unless uremic syndrome occurs, in which case a blood transfusion and kidney dialysis may be required.

Shigellosis (cause by Shigella, a bacterium)

Symptoms: Diarrhoea (often bloody), fever, and stomach pains. Most cases are mild and may not even be noticed. In a small number of cases, the very young and very old may be vulnerable to high temperature fever, possibly (and rarely) leading to a seizure in a toddler.

These are just some of the illnesses that can be spread by houseflies. Be on your guard. To be safe you may wish to install a fly killer machine (details follow).

Hip Injury Can Cause Permanent Damage To Your Body

You might have heard about hip injuries and know about a few discomforts that it comes along with. It can be caused by twists, simple fall or even a simple muscular contraction. The impact of the injury can lead to a fracture, dislocation, avulsion fracture, ligament sprains or tendon strain. There are something’s that you should know about which will help you to react in the right way, when a problem comes your way.

If you’re hip injury can take a face of fracture or dislocation. If you think that, this is the situation you should get in touch with the hospital without wasting any time as it can damage you blood vessels leading to a permanent disability. Another kind of hip injury that can happen in growing children is known as “avulsion fracture”. This happen while playing, jumping, or anything that involves a strong muscle contraction, this can lead to tearing the pelvic bone from the attachments. It can result in pain, permanent disability and requires medical attention. Stretching of hip bone beyond a certain extend can also lead to pain and limited movement.

The others that happen over a period of time are also serious but a little attention and care can help you avoid them. “Tendinitis” can happen due to regular tearing of tendon fibers. Stress fracture can be seen in athletes and happens due to over use of legs by them.

However, even if you experience pain near you hip area it is important to see a doctor, so that the reason for the pain can be detected as well as measures can be taken to stop them at the right time. A little attention and care can help you reduce the risks of hip injuries.

Hair Loss No More Book Review

Hair Loss No More author Jonathon E. Phillips is a leading hair loss analyst who has helped many people including celebrities and sports personalities to combat hair loss.

His extensive experience has enabled him to put together a 168 page ebook which provides a solid education in the way hair grows, why it stops growing, and a whole body approach to minimizing the effects of hair loss and promoting new hair growth.

Hair loss is suffered by millions of men and women the world over, hence, the insatiable appetite for trying anything that claims to stop hair loss and get hair to regrow. Therein lies the danger. This desperate mindset can lead many an unsuspecting consumer into parting with their money for very dubious hair loss remedies.

In Hair Loss No More the author approaches the subject of hair loss in 3 parts.

Part 1 provides an in-depth background of the hair growth mechanism and the main causes of hair loss in men and women.

An interesting section on hair shampoo gives a warning against alkaline based shampoos which can give the appearance of more body and volume but which actually are only of cosmetic value and in some cases they can even damage the hair.

Part 2 is the main section of the book introducing what the author terms a revolutionary Step-By-Step Hair Power Regimen.

Mr. Phillips firmly believes in controlling hair loss from within rather than hoping a magic potion or even a prescription drug will solve the problem. His reasoning makes much sense.

Proper attention to diet, nutrition, regular exercise, and proper breathing are all involved in making sure the scalp gets what it needs to supply the hair follicles responsible for hair growth.

Part 3 goes into detail on modern hair replacement techniques and procedures. If you have any questions about hair transplantation you will no doubt find the answers here.

Finally an Appendix section provides additional resources for keeping the body in a healthy condition with emphasis on coping with stress and learning how to relax.

I personally found the second section on the Hair Power Regimen very helpful. I practice the exercise program outlined in this book and it certainly does much for blood circulation and a general feeling of well-being.

As hair follicles rely on a healthy blood supply delivering the nutrients they need, it is crucial we do everything possible to make sure our diet supports healthy blood and we avoid a sedentary lifestyle and smoking which can have such an adverse impact on our circulatory system.

Background on Rogaine

One very interesting section in this book gives a detailed background to the launch of Rogaine, the hair growth medication approved by the FDA back in 1988. The sales of this drug have been nothing short of phenomenal making billions of dollars for the companies involved.

Not so well known is the fact that comments were made both by the pharmaceutical company representatives and doctors on the advisory board which appeared before the FDA to the effect that this was not a breakthrough medical discovery and the results vary greatly.

However, due to the public’s desperation for a remedy and the media spotlight on this product, sales continue to go through the roof. Mr. Phillips provides documentation to substantiate his observations. Certainly the product helps many with hair loss but be careful in how the results are interpreted and analyze closely the limitations.

In Conclusion

If you or a loved one are anxious about hair loss then this inexpensive downloadable ebook is certainly a worthy read.

It provides common sense, practical steps anyone can take to control hair loss and promote healthy hair growth without having to dip deep into the pocket. A welcome change indeed when it comes to the hair loss industry!

Title: Hair Loss No More

Author: Jonathon E. Phillips

My Survival of Small Cell Cervical Cancer

Hi, my name is Colleen Marlett and as you know from my last article, I am a cancer survivor. I survived a rare and aggressive cancer called Small Cell Carcinoma of the Uterine Cervix, or SCCC. It is a rare form of cervical cancer and although Small Cell Cancer is not rare in the liver, lung or brain; it is extremely rare when it originates in the cervix.

My purpose of this article is to help women who have been diagnosed with this disease find information they are searching for (there is almost nothing about it on the web) and give them hope that they can make this journey just like I did.

First let me start by reminding everyone that I am not a doctor and I do not have all of the answers. This is information I was able to find on my own and by asking questions. Please ALWAYS consult your health care professional before making any assumptions about your diagnosis or prognosis. We are all different and respond differently to treatment. What was right for me and my body, may not be what you need. This is just a starting point; A place to go and read about someone who has survived. My wish is to be able to give you the hope to sustain yourself through this journey and come out the other end, cancer free. I hope you find this article helpful.

Like I said, I asked questions. Where I live, they had a hard time diagnosing my tumor as it had never been seen by any of the doctors that were examining me. Cervical Cancer, as we know from all the HPV commercials out there, are usually caused by this sexually transmitted disease. They have even linked a certain strain (HPV 18) that is not as common as other HPV’s, to SCCC. However, I did not have any form of HPV. I had just had my well woman exam 10 months earlier (no sign of anything wrong)and I was not scheduled for another for 2 more months. That’s how fast and aggressive this cancer is. Unlike other forms of cervical cancer that take years to develop and can be headed off when a PAP comes back abnormal, there were no such warning signs. Female cancer ran ramped in my biological family, so I was pretty persistent about making all of my doctor appointments. I had been under a tremendous amount of stress for some time and we were in the middle of moving back to our home town when I started to notice symptoms. I had a discharge. There was no odor and no color and it was very infrequent and really caused me no issues. I asked a friend in the health care field what she thought and she said it could be hormones or stress. I dismissed it as I had more pressing issues to deal with. Two months went by and the discharge was more frequent and had an odor. I was home, so I decided to go and see my trusted and true Physician. Not a moment too soon. I did not have irregular bleeding or pain with intercourse. I understand that these are some of the symptoms that other women have suffered. I had a huge black tumor inside me. It had started to kill of the tissue and looked to be very advanced. I had several PET CT scans and an MRI over the next week. I searched and searched on the web for information while I waited for the pathology to come back and tell us what form of cervical cancer this was. There was one article on SCCC but I wasn’t looking for it at the time. Everything about the more common forms of the cancer did not fit. I went to my Well Woman exams every year faithfully. Something would have shown up before this. Maybe not, but I thought it had to have shown up before now if it were of the more common variety. I went back and found the one article on SCCC and prayed it wasn’t this form.

It was. Because all the doctors that had examined me (4 in all); were not able to see the difference between the tumors, made me weary. Not so much of their ability to treat me, but I felt if they had never seen it or dealt with it, how would they ever know how to treat it. I searched again to find the one article I had come across before. I read it more intently this time. The prognosis was horrible. It wasn’t giving me 5 or 10 years; it was basically saying that I had a year or two and almost no chance of ever being cancer free. No one really knew much about the disease. Because it was so rare, there really was no data on it and no one could give me a good (or bad prognosis). What my doctors did say was that I was young and strong and they would fight it with whatever I could take. If I could get rid of it completely the first time around, I had a good chance of surviving. If I could stay cancer free past the 18 month mark after the end of my treatment, I had a great chance of being cured.

I went ahead and did some research into Small Cell of the liver, Lung and brain. What I found out was that it responded well to chemo coupled with radiation. My doctors of course already knew this and that was the plan. The one thing that hung heavy on my mind was surgery. The usual plan of attack for all cervical cancer was a hysterectomy first, heal, then start treatment. But when the small cell was in other places, no surgery was done; the patients went right into treatment. Remember, this cancer is aggressive and moves fast. The women in the article that I read….. That hadn’t fared well, all had hysterectomies first. I did not want a hysterectomy. I asked my doctor the day we discussed my treatment plan; “Would you operate if this were Small Cell of the liver, lung or brain”? His answer was “No”. I did not have a hysterectomy and although there is no medical data to support my feeling on this, I believe that decision saved my life. Like I said before; check with you doctor. I am not telling anyone not to have a hysterectomy. For me….it was right. I will have one eventually as keeping all of that inside of me only raises the chances of recurrence in that area.

It has been 18 months since the end of my treatment. It has been 17 months since I was officially “cancer free”. My next PET CT will be in November and at that point, if I am still “cancer free”, I will have definitely beaten the odds. They tell me this type of cancer likes to come back and the target period is usually 6 to 18 months after treatment. So, OK….I have already won that battle. But it could come back at any time. The doctors want to see me cancer free for 5 years. Some information says 3 years. But for me…… Even if it does come back…I’ll fight it again…and I will win! I have no expiration date and I can’t let statistics dictate my survival. They are making strides every day. They hit me with everything my body could take and there were days I could barely get out of bed. But I am good now. Recovery from the treatment has been rough, but no matter, I will do it all again if I have to. I plan to stay cancer free, but I want everyone to know that attitude is key to survival. Keep your chin up. Be stronger than the cancer. It’s just a “thing” and you are a human being. You are stronger than anything that may come your way. Dig deep down and you will find the strength inside of you.

Because this disease is so rare, I found myself feeling alone and isolated. I could relate to women with other female cancers, but only on a certain level. No one had what I had. There was so much uncertainty involved with this disease that I felt no one could understand. When I was first diagnosed I found a message board on a website called I went back to the message board a few months ago. The women and family members who had been posting were not around. I could read and see that some had not survived and maybe others I thought, had just moved on, not wanting to think about it anymore. I posted a message saying “I am here and cancer free”. A couple of months later I heard from another woman who was also cancer free; about 1 year since the end of her treatment. We started to email each other and we have become fast friends. Our lives are very similar, but very different at the same time. She did not have a hysterectomy either, but the biggest similarity is that our birthdays are on the same day. Her name is Melanie. I live in California and she in Michigan, but I can tell her things I have never said out loud. I am thankful for her and she is grateful for me.

We have brained stormed and have put up a website where people can go to connect with others that have the same cancer. There is no worse feeling than being alone in all of this. We all have our Friends and family, but unless you have someone who has “been there, done that”, you really do feel isolated. The web address is []. Please check it out and pass it on. The search for a “Cancer Comrade” is always free.

I Hope this story has been helpful. Remember to ask questions and be strong. Stand up 2 Cancer! That’s right…I said it…there is a [http://www.standup2cancer./org] website. Check it out and be sure to watch the telethon airing September 5th, 2008 on NBC, ABC and CBS. It’s time to take a stand and we can beat this. Thank you for reading.

Coding Ankle Procedures Doesnt Have to Be Your Achilles Heel

Because orthopedists use many different terms to describe ankle fractures, coders should seek keywords in physician documentation to determine whether a fracture is bimalleolar, trimalleolar, medial malleolus or lateral malleolus.

Our physicians sometimes use terms in their documentation that don’t exist in CPT says Deanna Bennett coder at the Milton S. Hershey Medical Center’s Department of Orthopedics and Rehabilitation in Hershey Pa. “For instance if they use the term ‘Weber B ‘I know they’re referring to a fracture in the distal fibula which is coded as a lateral malleolar fracture (824.2-824.3).” The orthopedist would use a procedure described in the 27786-27792 code range to treat this type of fracture.

Medial Malleolus: Direct talus impact or talus tension frequently causes these fractures so coders should look for the keywords “talus impact” or “talus tension” in the physician’s notes. Some orthopedists may report a “tibial malleolar” fracture because the medial malleolus is at the end of the tibia.

If the orthopedist performs closed medial malleolar fracture treatment report either 27760 (Closed treatment of medial malleolus fracture; without manipulation) or 27762 (… with manipulation with or without skin or skeletal traction).

You should report 27766 (Open treatment of medial malleolus fracture with or without internal or external fixation) when the orthopedist uses an open method to treat the fracture. Report 824.0 (Fracture of ankle; medial malleolus closed) or 824.1 (Fracture of ankle; medial malleolus open) as the diagnosis.

Bimalleolar: When patients fracture both lateral (fibular) and medial (tibial) malleoli the orthopedist often refers to “Potts Fracture” or “Dupuytren Fracture” in his or her notes.

You should report 27808 (Closed treatment of bimalleolar ankle fracture [including Potts]; without manipulation) or 27810 (… with manipulation) if the orthopedist performs closed fracture care on a bimalleolar fracture.

When the orthopedist uses an open surgical method to treat the bimalleolar fracture report 27814 (Open treatment of bimalleolar ankle fracture with or without internal or external fixation) along with 824.4 (Fracture of ankle; bimalleolar closed) or 824.5 (Fracture of ankle; bimalleolar open) as the diagnosis.

The following is a sample operative report note for open bimalleolar fracture fixation: “Open reduction internal fixation of right ankle fracture of the fibula and tibia with chondroplasty of medial talar dome defect.

” Although this note initially appears more complex than 27814’s description you should not report additional codes says Paul K. Kosmat-ka MD orthopedic surgeon at the Marshfield Clinic in Marshfield Wis. “The ankle arthrotomy debridement and removal of loose bodies are included in 27814 ” Kosmatka says. “Unless the physician did something substantially different than just removing the flap of cartilage from the talus 27814 should be the only code you report.”

Trimalleolar: These fractures involve the same components as bimalleolar (medial and lateral) as well as the posterior lip of the tibia. Although orthopedists sometimes refer to this part of the tibia as a “posterior malleolus ” it isn’t a true malleolus. Some orthopedists refer to this as a “Henderson fracture.”

If the orthopedist performs a closed treatment report 27816 (Closed treatment of trimalleolar ankle fracture; without manipulation) or 27818 (… with manipulation) along with the diagnosis code 824.6 (Fracture of ankle; trimalleolar closed) or 824.7 (Fracture of ankle; trimalle-olar open).

You should use 27822 (Open treatment of trimalleolar ankle fracture with or without internal or external fixation medial and/or lateral malleolus; without fixation of posterior lip) or 27823 (… with fixation of posterior lip) for open trimalleolar treatments.

Discuss Keywords with Physicians

CPT codes don’t exist for every possible fracture of the ankle so coders should sit down with their physicians and discuss the keywords they might use for surgeries and the codes that represent those procedures ” Bennett says. “Our physicians are great about explaining the anatomy that makes up each type of fracture so I know how to code those keywords right away.”

Success Lessons From Greek Tycoon Aristotle Onassis’s Life

The moment you finished this article, you will be able to learn how you can find whether the years just ahead are good or bad for you, and how long this season will last, so that you can act accordingly: if there is a storm on the horizon, you will take shelter in time, if sunny days loom ahead, you will take advantage before the opportunity passes, so that you can highly succeed in life.

Before that however, we have first to see what lessons derive from Greek tycoon Aristotle Onassis’s life, how the alternations of his life seasons from good to bad and vice versa radically influenced his successful career. Onassis began his career as a ship owner in 1933, while the Great Depression of 1929 had not ended yet. Because of the crisis, the ships’ prices had declined precipitously. A ten-year-old freighter, which had cost $1 million to build in 1920, could now be obtained for $20,000. Onassis found that a whole fleet of ten such ships was for sale in Saint Lawrence in Canada. He immediately bought six of those ships for $20,000 each. And some years later, he expanded his fleet tremendously: he obtained a loan of $40 million in 1947 from various American banks and built 18 more ships, tankers included.

But in 1954 he did something that drove him to the brink of destruction. After a series of negotiations, he concluded an agreement with the king of Saudi Arabia that would give him the exclusive rights to use his tankers to transport that country’s huge oil output. As soon as the agreement became known, however, a storm of protest broke out against Onassis –not only from the big U.S. oil companies, which had had the exclusive right to produce the Saudi Arabian oil, but also from the government of the United States itself.

The oil companies protested officially to Saudi Arabia, and simultaneously made clear to Onassis that each time his ships would arrive in that country’s ports to load crude oil, they would not let him have it. U.S. Secretary of State John Foster Dulles warned the Saudi Arabians that if they insist on upholding the agreement with Onassis, the American oil companies would stop oil production in that country. In the face of that reaction, the king of Saudi Arabia was forced to cancel the agreement.

At the same time, the U.S. oil companies decided, out of revenge, to discontinue any cooperation with Onassis. Each time a charter contract for any of his ships expired, they would not renew it, giving it instead to other ship owners. At the end of 1955, half of Onassis’s tanker fleet was idle. His main source of income was drying up at tremendous speed. That situation continued into 1956 as well. More and more of his ships were becoming idle, and those ships were mortgaged with the huge loans he had borrowed to build them. But Onassis no longer had sufficient income to repay the loans. In despair, he went around to the American banks to which he was indebted, asking them to take over management of his ships. The international shipping community expected him to announce bankruptcy at any moment.

That bankruptcy never happened, however. A new season started in Onassis’s life. In October 1956, the Suez Canal closed to shipping because of the crisis between Egypt and Israel. As a result, ships had to circumnavigate Africa, adding considerable time to each trip. Too few ships were available to meet the demand, and freight costs skyrocketed to unprecedented heights in 1957. The only ship owner who had ships available was Onassis. Because of the boycott the American oil companies had imposed on him, he had a huge number of ships standing idle in various ports. The results were predictable. Onassis’s ships were chartered by desperate merchants, the boycott ended, and the acrimonious relations with the oil companies were forgotten.

Instead of destruction, triumph had arrived. Onassis began to realize dizzying profits: in 1957 alone, he earned $70 million –while ten years earlier, he had been head over heels in debt with the $40 million loan he had taken out. The profits were unbelievable. Onassis didn’t know what to do with all this money. His first act was to repay all the loans he owed.

His second act was to commission the building of new ships –among them a 100,000-ton tanker, the biggest in the world at that time. His third act was to give a resplendent reception in Monte Carlo to celebrate his improved fortunes. And after some years, Onassis became the wealthiest person on earth.

By 1973, however, Onassis’s brilliant season would end abruptly. What followed was a tragic season, the last of Onassis’s life. In January 1973, Onassis’s son Alexander was killed in a plane crash at the Athens airport at the age of 19. Onassis showed at first that he overcame that event. Immediately after his son’s funeral and burial on his private island Skorpios, he started expanding his fleet. While the fleet then consisted of more than 100 ships -among them 15 supertankers of 200,000 tons each- Onassis commissioned six more tankers to be built, two of them of 400,000 tons each, the biggest tankers in the world.

But from 1974, things began worsening. Maybe because of his son’s death, he began in 1974 to suffer from myasthenia gravis, an incurable disease affecting the eyes and other parts of the body. He couldn’t hold his eyelids open, and had to keep them up with tape. He had also a hard time swallowing food and slurred his words when speaking. Not surprisingly, he was full of complaints: about his life, about himself, about his marriage, about everything.

Next year -1975- was the last in Onassis’s life: he became seriously ill from pneumonia. In an awful condition, he entered a hospital in Paris, where he was operated on to no avail. On March 15, 1975, the wealthiest man in the world died -at the age of 69. Only his daughter Christina was at his bedside.


From Onassis’s life derives that in 1957, the bad season he experienced till that year (he was faced with bankruptcy, as you can recall) suddenly ended, and a good season started for him, when the Suez Canal closed to shipping and he began becoming the wealthiest person on earth. But in 1974, a reversal of seasons happened in his life: his good season ended that year and a bad one started, when his beloved son Alexander was killed in a plane crash, and Onassis began to suffer from myasthenia gravis that led him finally to death.

Resembling alternations of seasons, however, derives also from the biographies of many other famous people I have studied. Among them, there are the biographies of Napoleon, Beethoven, Verdi, Churchill, Picasso, Jackie Kennedy Onassis, Queen Elizabeth I of England, Elizabeth Taylor, Margaret Thatcher, Columbus, Mandela, and many others, more than 20 biographies in total.

For example:

— Beethoven’s good and bad seasons alternated in 1776, 1792, 1809, and 1825

— Napoleon’s alternated in 1776, 1792, and 1809

— Churchill’s alternated in 1875, 1892, 1908, 1924, and 1941

— Verdi’s alternated in 1825, 1842, 1859, 1875, and 1892

— Picasso’s alternated in 1892, 1908, 1925, 1941, and 1957

— Jackie Kennedy Onassis’s alternated in 1941, 1957, 1974, and 1990

— Elizabeth Taylor’s alternated in 1941, 1958, 1975, and 1990

— Margaret Thatcher’s alternated in 1941, 1957, 1975, and 1990

— Mandela’s alternated in 1941, 1957, 1974, and 1990

— Queen Elizabeth’s I of England alternated in 1545, 1562, 1578 and 1595

— Columbus’s alternated in 1479 and 1496.

Comparing these biographies, I arrived at an astonishing discovery: the seasons of all the above people alternated according to a certain pattern. Also, after extensive research, I found that our own lives’ seasons alternate according to the same certain pattern. That means, therefore, we can foresee how our life’s good and bad seasons will alternate in the future, with amazing accuracy.

So, we can act accordingly. If there is a storm on the horizon, we can take shelter in time. If sunny days loom ahead, we can take advantage before the opportunity passes. We can thus highly succeed in life by taking crucial decisions regarding our career, marriage, family, relationships, and all other life’s issues.