Brain Edema

Brain edema – the pathological condition, described accumulation of a liquid in a fabric of a brain and intracranial hypertensia clinically shown by a syndrome.

There are 4 basic kinds of brain edema:

– cellulotoxic
– vasogenic
– interstitial
– osmotic.

They differ by etiology, time of development, localization and methods of preventive maintenance and treatment

Cellulotoxic edema appears because of swelling glia, neurocyte and endotheliocyte and begins in some minutes after damage of a brain, for example hypoxia. As a result of decrease in a metabolism activity Na+, K+-AT phases a cellular membrane is broken. Sodium collects in a cell, and on a gradient of osmotic pressure in a cell water starts to act. Cellulotoxic edema is localized basically in grey substance of a brain.

Vasogenic edema is the most frequent version of a hypostasis of a brain. It develops because of increase of permeability of capillaries. Through a wall of capillaries in extracellular space there are fibers, and after them – water. vasogenic edema is localized basically in white substance of a brain.

Interstitial edema develops at a hydrocephaly because of difficulty of outflow pressure inside ventricle of a brain raises. Under the action of this pressure there is a strengthened filtration of water and low-molecular substances in the fabric of a brain surrounding ventricles.

The ischemia of a brain leads all over again to cellulotoxic, and then – to vasogenic edema. Thus, the pathophysiological picture is so usual that some people suggest to use the term “an ischemic edema”. In the first minutes of an ischemia develops cellulotoxic edema mentioning mainly astrocytes which are located around of capillaries. If blood supply is quickly restored, these changes happen to be backwards. Otherwise because of swelling of astrocytes and endothelial cells the gleam of capillaries is narrowed so, even after restoration of blood supply blood can not act in capillaries. It aggravates an ischemia and necrosis.

In a phase vasogenic edema permeability of a wall of capillaries raises. It is shown, that it occurs cause of pinocytosis increases and as a result of infringement of dense contacts between cells of endothelium. After restoration of a blood-groove permeability of blood-brain barrier increases even more. As well as at other forms of vasogenic edema.

Simultaneously with cellulotoxic and vasogenic edema necrosis develops. Glia and neurocyte in a greater degree are subject of necrosis in comparison with endothelium. In process of their destruction in intercellular substance of a brain osmotically active substances that leads to an even greater output of water from capillaries collect.

The ischemic hypostasis reaches a maximum on 2-4-? day after a heart attack and decreases by the end of the second week. Further in the field of necrosis inflammatory reaction, including phagocytosis develops. Within several day or weeks necrotic weights resolve, and the hypostasis disappears. Believe, that the hypostasis can cause an ischemia and by that to increase a zone of a heart attack.

Uterine Prolapse Causes, Symptoms and Treatment

The term prolapse means “fall out of place”. Prolapse is the condition where organs such as uterus slip out of place. Uterine prolapse is the condition of sliding and falling of uterus from its actual position in the pelvic cavity into the vaginal canal. A spinal disc herniation is also sometimes known as “disc prolapse”.

Uterine prolapse usually occurs in females and sometimes it does occur in animals also. Uterine prolapse generally occurs after an immediate delivery due to maximum force of contractions. Spontaneous abortion can cause serious uterine prolapse. Some types of prolapses are as follows –

Mitral Valve Prolapse

Mitral valve prolapse (MVP) is a valvular heart disease defined as the dislocation of an abnormally thickened mitral valve leaflet into the left atrium during systole.

Rectal Prolapse

It is that situation where the entire walls or part of the rectum walls slip out of place, the rectum may stick out. Symptoms of a rectal prolapse can be –

1. Stool leakage
2. Protruding of tissues from the rectum

To secure the part of the large intestine a surgeon may operate through the belly. Sometimes surgeon removes the affected part of the intestine.

Female genital prolapse

Uterine prolapse is also known as female genital prolapse which occurs when the uterus falls out of the normal position. It is very common in women of all ages especially in those who have delivered large babies.

Causes

Uterine prolapse occurs when the uterus falls out of the place. The uterus is held in position in pelvis supported by the muscles, special ligaments and other tissues. The uterus prolapses into the vaginal canal when the muscles, ligaments and tissues weaken. It also happens in women who have delivered large babies. Frequent abortion can also cause this problem.

Signs and symptoms

Some symptoms are mentioned below –

1. Shortness of breath
2. Fatigue
3. Dizziness
4. Cough problems
5. Backache
6. Inability to control urination
7. Protruding of cervix
8. Pain and vaginal bleeding, etc

Treatment

A pelvic examination is performed to determine the organs involved. This is usually done without full bladder. There are also several methods of surgical treatment which are performed to cure this problem. Vaginal estrogen cream helps to improve vitality of vaginal epithelium. Non surgical treatment such as exercises can strengthen the muscles and ligaments of the pelvic floor which in turn helps to combat against uterine prolapse. Herbal remedies along with exercises are very helpful in this condition.

Cardiogenic Shock – Definition, Causes, Symptoms and Treatment

Cardiogenic shock is characterized by a decreased pumping ability of the heart that causes a shocklike state (ie, global hypoperfusion). Cardiogenic shock has a death rate of about 60% and is the major cause of death in patients hospitalized for a heart attack. It most commonly occurs in association with, and as a direct result of, acute myocardial infarction (AMI). The most common cause of cardiogenic shock is extensive acute myocardial infarction, although a smaller infarction in a patient with previously compromised left ventricular function may also precipitate shock. Cardiogenic shock is defined by sustained hypotension with tissue hypoperfusion despite adequate left ventricular filling pressure. Signs of tissue hypoperfusion include oliguria. Cardiogenic shock is characterized by both systolic and diastolic dysfunction. Patients who develop cardiogenic shock from acute MI consistently have evidence of progressive myocardial necrosis with infarct extension. Decreased coronary perfusion pressure and increased myocardial oxygen demand play a role in the vicious cycle that leads to cardiogenic shock.

Cardiogenic shock occurs in 8.6% of patients with ST-segment elevation MI with 29% of those presenting to the hospital already in shock. It occurs only in 2% of non–ST-segment elevation MI. Outcomes significantly improve only when rapid revascularization can be achieved. The recent SHOCK trial demonstrated that overall mortality when revascularization occurs is 38%. When rapid revascularization is not attempted, mortality rates approach 70%. Cardiogenic shock can also be caused by mechanical complications—such as acute mitral regurgitation, rupture of the interventricular septum, or rupture of the free wall—or by large right ventricular infarctions. Myocardial ischemia causes a decrease in contractile function, which leads to left ventricular dysfunction and decreased arterial pressure; these, in turn, exacerbate the myocardial ischemia. The overall incidence of cardiogenic shock is higher in men compared to women because of the increased prevalence of coronary artery disease in males.

Cardiogenic shock can be caused by disorders of the heart muscle, the valves, or the heart’s electrical conduction system. Cardiogenic shock is life threatening and requires emergency medical treatment. Dopamine, dobutamine, epinephrine, norepinephrine, amrinone, or other medications may be required to increase blood pressure and heart functioning. Echocardiography may show arrhythmia, signs of PED, ventricular septal rupture (VSR), an obstructed outflow tract or cardiomyopathy. Pain medicine may be given if necessary. Bed rest is recommended to reduce demands on the heart. Coronary artery bypass grafting. In this surgery, arteries or veins from other parts of the body are used to bypass (that is, go around) narrowed coronary arteries. The use of the IABP reduces systolic left ventricular afterload and augments diastolic coronary perfusion pressure, thereby increasing cardiac output and improving coronary artery blood flow. Heart monitoring, including hemodynamic monitoring, to guide treatment.

Treatment for Cardiogenic Shock Tips

1. Inotropic medications should be considered in systems with appropriately trained paramedical personnel.

2. In case of cardiac arrhythmia several anti-arrhythmic agents may be administered, i.e. adenosine, verapamil, amiodarone, ß-blocker.

3. Balloon angioplasty (PTCA) may be an alternative to surgery in some cases.

4. Oxygen reduces the workload of the heart by reducing tissue demands for blood flow.

5. Heart monitoring, including hemodynamic monitoring, to guide treatment

6. Coronary artery bypass grafting. In this surgery, arteries or veins from other parts of the body are used to bypass (that is, go around) narrowed coronary arteries.

Heart Attack Symptoms

Heart attacks are something that can be inherited from others in your family or you can create a world where you are eating and leading the lifestyle that is going to lead to a heart attach. No matter if your parents have had heart attacks, or if you are leading a sedentary lifestyle, it is important to understand and learn about what is going to be the signs of a heart attack. Heart attack symptoms are something that should not be ignored, and that you should seek medical attention for if you feel or think that you are having a heart attack. A heart attack can lead to death, and a severe heart attack can sometimes be prevented or treated if you know what some of the heart attack symptoms are.

Heart attack symptoms in every day life

No matter what you age, there can be underlying problems that are going to lead to a heart attack if you are not careful. The first line of defense for anyone, is to get regular checkups. For the doctor to see you when you are healthy and feeling good, and then when you are sick, the doctor can determine easier what may be ‘out of line’ or ‘out of whack’ making you feel ill. Getting a regular physical is going to be a good defense preventing medical problems in the long run.

Heart attack symptoms can be very sudden and for other people they can be long-term problems, pains and even just discomforts. A heart attack is one that can come on and not last very long, or for other people it can be sudden and the pain can last for hours.

If you feel a heavy feeling in your chest, like someone is standing on your chest and you just can’t catch your breath, this is a sign of a heart attack. If you have been feeling a pain that comes and goes, that is uncomfortable, that is a squeezing feeling or a sharp shooting pain, this could be signs of a heart attack.

Another sign of a heart attack can be a shortness of breath. If you are a very active person, you know what it will feel like when you are unable to catch your breath or take in a deep breath. The signs of a heart attack include not being able to take a breath, or a deep breath which can in turn leave you feeling dizzy and feeling as if you need to sit down for a while. A heart attack symptom is not one that you should ignore. If you are feeling combinations of symptoms it can be vital to get to your doctor as soon as possible.

If you feel pains or discomfort in your arms, legs or in the chest, and you feel as if your neck or jaw are hurting uncontrollably, these could be additional signs of a heart attack. Heart attack symptoms will vary from person to person, but pain that is not normal, that you don’t usually feel, in combination with shortness of breath and or a tightness in your chest could be a huge sign that you are heading towards a heart attack.

Heart Diseases Part II – Heart Diseases—types of Heart Diseases

The heart is a four chambered, hollow muscle and double acting pump that is located in the chest between the lungs. Heart diseases caused by high blood pressure contributes to hardening of the arteries. High levels of bad cholesterol (LDL) build up in the arteries as a result of uncontrolled diet with high levels of saturated fat and trans fat. All these add to the formation of atherosclerosis lesions and eventually arterial blockage.
There are some major types of heart diseases:

1.Type of heart disease affecting heart chambers
Heart failure caused by the heart not pumping as much blood as it should and so the body does not get as much blood and oxygen that it needs. The malfunctioning of the heart chambers are due to damage caused by narrowed or blocked arteries.

2. Heart Disease affecting heart muscles
The heart muscles thickens and becomes stiff, increasing the amount of pressure required to expand for blood flows into the heart or the narrowing of the passage as a result of obstructing blood flow out of the heart.

3. Heart disease affecting heart valves
These type heart diseases occur when the mitral valve in the heart is narrowing causing the heart to work harder to pump blood from the left atrium into the ventricle. The mitral valve does not close properly and prolapse occurs or narrowing of the aortic in the heart occures.

4. Heart disease affecting coronary arteries and coronary veins
The malfunctioning of the heart may be due to damage caused by narrowed or blocked arteries leading to the muscle of your heart as well as blood backing up in the veins, causing a build up leading to swelling in the feet, ankles and legs.

5. Heart disease affecting heart lining
Rheumatic heart disease results from inflammation of the heart lining when too much fluid builds up in the lungs leading to pulmonary congestion. It is due to failure of the heart to remove fluid from the lung circulation resulting in shortness of breath, coughing up blood, pale skin and excessive sweating.

6. Heart disease affecting electrical system
The electrical system within the heart is responsible for ensuring the heart beats correctly so that blood can be transported to the cells throughout our body. Any malfunction of the electrical system in the heart causes a fast, slow, or irregular heartbeat.

7. Congenital heart disease
There are several heart diseases that people are born with. Congenital heart diseases are caused by a persistence in the fetal connection between arterial and venous circulation.

I hope that this information will help. If you need more information, please visit my home page at:
http://medicaladvisorjournals.blogspot.com
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Tuberculosis Exams and Tests

Tuberculosis Exams and Tests

The doctor will complete the following tests to diagnose tuberculosis. You may not be hospitalized for either the initial tests or the beginning of treatment.

Chest X-ray: The most common diagnostic test that leads to the suspicion of infection is a chest X-ray.

In primary TB, an X-ray will show an abnormality in the mid and lower lung fields, and lymph nodes may be enlarged.

Reactivated TB bacteria usually infiltrate the upper lobes of the lungs.

Miliary tuberculosis exhibits diffuse nodules.

 Mantoux skin test also known as a tuberculin skin test (TST): This test helps identify people infected with M. tuberculosis but who have no symptoms. A doctor must read the test.

The doctor will inject 5 units of purified protein derivative (PPD) into your skin. If a raised bump of more than 5 mm (0.2 in) appears at the site 48 hours later, the test may be positive.

This test can often indicate disease when there is none (false positive). Also, it can show no disease when you may in fact have TB (false negative).

QuantiFERON-TB Gold test: This is a blood test that is an aid in the diagnosis of TB. This test can help detect active and latent tuberculosis. The body responds to the presence of the tuberculosis bacteria. By special techniques, the patient’s blood is incubated with proteins from TB bacteria. If the bacteria is in the patient, the immune cells in the blood sample respond to these proteins with the production of a substance called interferon-gamma (IFN-gamma). This substance is detected by the test. If someone had a prior BCG vaccination (a vaccine against TB given in some countries but not the U.S.) and a positive skin test due to this, the QuantiFERON-TB Gold test will not detect any IFN-gamma.

 Sputum testing: Sputum testing for acid-fast bacilli is the only test that confirms a TB diagnosis. If sputum (the mucus you cough up) is available, or can be induced, a lab test may give a positive result in up to 30% of people with active disease.

Sputum or other bodily secretions such as from your stomach or lung fluid can be cultured for growth of mycobacteria to confirm the diagnosis.

It may take one to three weeks to detect growth in a culture, but eight to 12 weeks to be certain of the diagnosis.

Grey Hair – Causes and Home Remedies

Graying of hair is not an unusual thing to happen. The age when graying starts depends on one’s genetic inheritance. Aging is often a reason that causes the hair to turn grayish. But premature graying of hair is a condition that demands the need to pay attention to the root cause. Nonetheless, graying of hair is a normal part of the aging process unless there is an underlying medical condition that is causing the lack of pigmentation.

Symptoms

Loss of hair colour before the age of 35 is termed premature greying. In turn, the thinner, grey hairs then have a chance to grow sooner and more rapidly than normal. The transformation is quick but it is not Causes of Greying of hair

Persons suffering from chronic cold and sinusitis and those who use warm water for washing their hair are more likely to be victims of this condition. A faulty diet and mental worries are the two primary causes of premature greying of hair. Lack of some of the B vitamins, iron, copper, and iodine in the daily diet is said to be a contributory factor. The common factor remains that grey hair has some pigment left in it, but not the amount it had when it was the natural color Other causes of premature greying of hair are an unclean condition of the scalp, washing the hair with hot water, drying it with an electric dryer, and use of hair dyes. Heredity is also a predisposing factor.

Home Remedies

Amaranth is another effective home remedy for hair disorders. Application of the fresh juice of the leaves of this vegetable helps the hair to retain its black color and prevents it from premature graying. It also helps the growth of the hair and keeps it soft.

Premature Greying of Hair treatment using Indian Gooseberry. The use of Indian gooseberry is the foremost among the home remedies found beneficial in the prevention and treatment of premature greying of hair. This is a valuable hair tonic for enriching hair growth and hair pigmentation.
Amla Hair Oil: Amla hair oil can be made at home itself, by adding fresh juice of Indian gooseberries to pure coconut oil. This should be boiled till the Amla juice is completely absorbed in the oil. This oil should be applied after the above said massage.

Liberal intake of curry leaves is considered beneficial in preventing premature graying of hair. These leaves have the property of providing vitality and strength to hair roots. New hair roots that grow are healthier and contain a normal pigment. The leaves can be used in the form of chutney, or may be squeezed in buttermilk. When the leaves are boiled in coconut oil, the oil forms an excellent hair tonic to stimulate hair growth and bring back hair pigmentation.

The role of proper diet in preventing and arresting premature graying of hair is very important. Eating a lot of fruits and vegetables is absolutely essential to facilitate the supply of essential vitamins and minerals.

Adrenal Tumors in Children

There are two adrenal glands, one on top of each kidney toward the back. Tumors of the adrenal glands are rare. However, when present, they can cause many problems by excess secretion of certain adrenal-produced hormones. One type of tumor of the adrenal glands is called a pheochromocytoma.

Adrenocortical carcinoma is a rare malignant neoplasm of adrenal glands, which most often presents without any hormonal symptoms. The most common clinical presentation of patients with hormone-secreting adrenocortical carcinoma is that of CushingÕs syndrome. Other hormonal hypersecretion syndromes associated with adrenocortical carcinoma include virilization (from androgen-producing tumors), feminization (estrogen-producing tumors), and hyperaldosteronism. Multiple hormones may be produced by a single tumor, causing a mixed clinical picture.

Tumors of the adrenal glands are rare. However, when present, they can cause a multitude of disorders by excessively secreting certain adrenal-produced hormones. One type of tumor of the adrenal glands is called a pheochromocytoma.

The inner part of the adrenal gland is called the adrenal medulla. The adrenal medulla produces hormones called catecholamines such as adrenaline and noradrenaline. Catecholamines play a role in the response to acute or sudden severe stress, for example during life threatening event.
Catecholamines are responsible for the palpitations (racing heart), sweatiness, widening of eyes and shakiness of the hand when faced with sudden fear or other stressful situation.

Survival rates for children with kidney tumors approach 90% for even the most advanced stages of disease, but the surgical management of large lesions remains challenging. With the development of additional chemotherapeutic regimens and the use of radiation therapy, survival rates have improved dramatically. The National Wilms’ Tumor Study has conducted four long-term studies addressing how adjunctive therapy may be tailored optimally to maximize survival and minimize the exposure to chemotherapy and radiation therapy.

Morphologic features (abnormal mitoses, necrosis, vascular and capsular invasion, broad fibrous bands, cellular pleomorphism, size) previously suggested to be predictors of malignant behavior in adrenal cortical tumors were assessed individually in 23 (17 benign, 6 malignant) pediatric and 42 (29 benign, 13 malignant) adult tumors. Of these features, size was the only predictor of malignancy in pediatric tumors. All pediatric tumors weighing more than 500 g were malignant and all but one weighing less than 500 g were benign.

Three seemingly occult secretory tumors in children (pheochromocytoma, ganglioneuroblastoma and islet cell carcinoma) were localized within the abdomen by computed tomography after other diagnostic imaging procedures had failed. The superb density resolution and tomographic formating of CT images make CT uniquely suited for the demonstration of small abdominal lesions. CT is recommended as a primary imaging modality for secretory tumors in children.

For a hormone to affect the cell, it must first bind to a molecule, or receptor, on the cell’s surface, analogous to how a key fits into a lock. This action triggers the cell to produce substances known as cyclic nucleotides. These function as ‘second messengers,’ often stimulating the cell to begin an activity. In the case of adrenal cells, cyclic nucleotides, such as cyclic AMP and cyclic GMP, may stimulate cell growth or other activities. Once the activity has ended, phosphodiesterases degrade the cyclic nuke.

A three-year old female child presented with a 2 month history of bilateral breast development, bleeding per vaginum and pubic hair which had appeared 1 month previously. There were no complaints of deepening of voice, acne, or hirsutism. On physical examination, there was bilateral breast development and appearance of pubic hair, without clitoral enlargement or thickening of vaginal mucosa ( Fig 1).

The Causes of Black Lung

Black lung disease is an occupational lung disease caused by prolonged inhalation of coal extract dust. Black lung disease is also called silicosis, coal people’ pneumoconiosis, or black lung. Discover the signs, symptoms, behavior & prevention of black lung disease. Black lung disease is a brand of pneumoconiosis, a prepare caused by inhaling certain forms of dust into the lungs. Specifically, black the inhalation caused lung disease of coal dust, which tends to transform the lungs black instead of their regular pink color. It occurs only among people in coal mines, or those in other work situations that affect high exposure to coal dust.

A constant occupational lung disease contracted by the prolonged breathing of coal extract dust. The silica and carbon in the coal dust grounds black lung disease. About one of every 20 miners studied in the US has X-ray evince of black lung disease, a form of pneumoconiosis. In its early stages, called unadorned pneumoconiosis, the disease does not stop the miner from effective or carrying on most normal activities. In some miners, the disease never becomes more plain. In other miners, the disease progresses from simple to complicated pneumoconiosis, a prepare also called progressive enormous fibrosis. Pneumoconiosis is not reversible. There is no certain medicine. Causes

Some patients upgrade emphysema (a disease in which the tiny air sacs in the lungs become broken, chief to tininess of breath, and respiratory and sympathy collapse) as a complication of black lung disease. Others progress a brutal enter of black lung disease called progressive colossal fibrosis, in which wound continues in the better parts of the lungs even after exposure to the dust has ended.

Disease of the lungs caused by an accumulation of dust, especially from coal, asbestos, or silica. Inhaling particles make the lungs regularly fibrous and the victim has difficulty breathing. Over many time the order causes acute disability.

After the emphysema strikes mutely in black lung disease, there comes scarring of the lungs and nodule formation in the lung tissues. The symptoms and breathing purpose test result in patients with black lung disease are regularly much poorer than the chest X-ray picture would show. There is, unfortinately, no certain dealing for black lung disease.

Symptoms

The chief symptom of the disease is smallness of breath, which gradually gets worse as the disease progresses. In ruthless luggage, the unwearied may widen cor pulmonale, an enlargement and strain of the right plane of the mind caused by returning lung disease. This may eventually produce right-sided heart failure.

Simple black lung usually does not start symptoms. However, many people with this disease cough and simply become petite of breath because they also have an airway disease, such as bronchitis or emphysema, and these are more probable to occur in smokers. The dangerous stages of progressive enormous fibrosis, on the other hand, cause coughing and often disabling shortness of breath.

Treatment

Unfortunately, there’s no detailed conduct for black lung disease. People whose lung impairment has reached the moment that they would help from supplemental oxygen, or mega oxygen at home, would sure meet oxygen. Other than that, there’s unfortunately no exact medicine that reverses the injure that’s been done to the lungs. The hurt that’s done could be thought of as a mutilate, and just as you might have a wound on your arm that doesn’t go away or doesn’t cure, scars, or fibrosis inside the lungs don’t go away either.

Physical Exercise And Nutrition Against Insulin Resistance And Diabetes Type 2

Insulin resistance is a serious metabolic disorder which is very often a precursor of diabetes type 2 and more generally ot the metabolic syndrome.

If insulin resistance is present the peripheral tissues and mainly the muscle cells do not respond adequately to insulin trying to put some of the blood sugar in the cells.

To compensate for this,the pancreas produces more and more insulin in a desperate attempt to control blood sugar levels. The resulting hyperinsulinemia manages to control the situation– despite the other health problems that it might cause.

But for how long will the pancreas be able to respond to this excessive demand of work?

Sooner or later it will be exhausted and then we will have the onset of the much dreaded diabetes type 2.

Diabetes type 2 is sweeping over the developed countries and is a real menace for the civilized world. More and more people succumb each year.
Diabetes type 2 will markedly downgrade the life quality of the sick people.

What can we do to improve our insulin sensitivity and prevent diabetes type 2?

1. Systematic physical exercise including both aerobic activities and free weights.

– Aerobic exercise, 4-5 times / week for 40′-45′ each time at a 70% of  the maximum heart rate.

– Free weights,2-3 times /week for 20′-30′ each time.

2. Lose weight and especially fat from the midsection.

3. Adopt a healthy nutrition:

– Drastically reduce the consumption of sugar and refined grains.
– Generally reduce all high glycemic index foods.
– Increase consumption of fibrous vegetables,fruits,legumes and whole grains.
– Include low fat protein and healthy monounsaturated fats.

4. Control stress and getting adequate sleep.

To your great health!

Chris Strogilis

Have You Been Involved in an Auto Accident?

First Shock.  Then Pain.  Now What? 
There are more than 300 auto accidents each month in Contra Costa County.  In spite of the frustrations you may now be going through, if you are alive, the accident could have been worse.  First, let’s count our blessings!!!  Contra Costa County has experienced over 100 auto accident fatalities since 2000.  But now, you have other challenges to be concerned with.

Don’t Be Fooled…….
If your auto accident seemed minor because of slow speeds or little damage to your vehicle, that doesn’t mean injury did not occur.  It can be a time of great concern.  At just 10mph, the body can be subjected to a force of 5 to 10 G’s.  The force of 10 G’s is greater than a fighter pilot would experience during aerial combat.
Independent studies show that your body can violently move back and forth 6 to 10 times the speed your auto was going at time of impact.  In other words, a 5-10 mph crash, your neck can move at 50 to 100 miles per hour!  This is how G force can cause serious injuries at even low speeds.  Of course, high impact speeds are self-explanatory.

WHAT SHOULD I DO IF I AM IN A CAR ACCIDENT?
1.   Stop – do not obstruct traffic
2.   Assist the injured
3.   Protect the scene – to percent further injury
4.   Call an officer – local Police Department
5.   Keep notes – strictly to yourself
6.   Assist the officer – give basic facts
7.   Identify the other driver
8.   Obtain witnesses information
9.   Arrest does not indicate liability
10. Do not leave the scene until doing the past 9 things
11. Call Barton Chiropractic
12. Inform your insurance company
13. Obtain professional counsel (get an Attorney)

Two Types of Injuries
There are two types of injuries that happened to accident victims:  These include Hard Tissue and Soft Tissue Injuries.  Hard tissue injuries usually require emergency medical treatment.  Most soft tissue injuries respond best to chiropractic care. 

Hard Tissue Injuries
Hard tissue injuries are those injuries which happen to the bones.  They include fractures, broken bones and dental problems.  These along with cuts, bruises and burns fall within the category of Emergency Medical Care.  Most of these have a set healing time.  Once you’ve been checked and treated for these types of injuries, the next thing to be concerned about are soft tissue injuries.

Soft Tissue Injuries
Soft tissue injuries are those injuries which happen to all the remaining tissues of the body.  These include sprains and strains of the musculoskeletal system, including the spine and neck.  The most prevalent soft tissue injury found in auto accidents in known as whiplash. 

Whiplash
Whiplash is a term used to describe what happens to your head and neck in an automobile accident.  It can occur at any angle; head on collisions, rear-end impacts, from any corner, or from being T-Boned, which is impact from the side.  
The ill effects of a whiplash injury can occur instantly or it could be weeks, months or even years before symptoms occur.  Injuries to the neck caused by a sudden movement (head forward, back, or sideways) is commonly referred to as “whiplash” or “acceleration/deceleration injuries”.  Literally thousands of pounds of force is exerted upon the neck and spine of the whiplash victim.  These forces result in tearing of muscles, ligaments, and tendons, and in turn, can result in a displacement of the vertebrae of the spine (subluxation) which is a dysfunctional joint causing nerve irritation (pinched spinal nerves).  The results of such injuries can cause neck pain, shoulder and arm pain or numbness, elbow and hand pain or numbness, mid back pain, headaches, dizziness, and blurred vision.  The injured areas lose the ability to function and loss of range of motion (stiffness) occurs. This is where whiplash pain comes from.  It’s most prevalent in the neck – but can happen to any area of the spine or body.

Symptoms of Whiplash
Whiplash symptoms can include neck pain and stiffness, shoulder pain, headaches, back pain, arm pain, numbness or tingling in your fingers, dizziness or lightheadedness, mid back pain, low back pain, numbness or tingling down your legs.  Whiplash may also produce facial pain, ringing in the ears or hearing loss, vertigo, blurred vision, or even hoarseness.  Whiplash is real and painful.   You may experience one or many of the above symptoms.  Each person is unique in their injuries. 

The Problem With Whiplash
The problem with whiplash is that very few doctors truly understand it.  Well meaning emergency room physicians, general medical doctors and physical therapists do not appreciate the extent of the pain and injuries of whiplash accident victims.  The end result is these people are often provided inadequate treatment to care for their injuries.  Don’t let this happen to you.

Whiplash Injuries Can Remain Hidden For Weeks Or Months
Because of the body’s ability to adapt to injury, some whiplash injuries can remain hidden for weeks or months before pain or other symptoms surface.  By the time symptoms surface, many people have already signed their right s to treatment away.   Insurance companies know the facts and spend millions of dollars a year to hide them.   It is no secret that insurance companies may not have your best interest in mind and attempt to get you to prematurely settle your claim in order that they can avoid additional liability.  Insurance companies are controlled by stockholders whose primary aim is to make money.  Their concern is not your health.  Their concern is to get you to settle for as little as possible.  If you do, what happens when hidden challenges begin surfacing?  Don’t let this happen to you.  Preserve your rights to receive the treatment you need by not signing away your rights.

CHIROPRACTIC

Chiropractic is the most appropriate approach to these types of injuries.  Chiropractic care utilizes specific bone manipulations (Adjustments) to help normalize spinal function.  This is crucial in the beginning phases of healing to bring back proper motion, but return of functional joint motion usually requires 2-3 months of chiropractic care.    Active care allows the soft tissue (muscles, ligaments, and tendons) to heal most effectively with minimal scar tissue and physical therapy can take from a few months up to a year to complete the healing process. 

THE 3 PHASES OF HEALING
There are 3 phases of healing that our bodies must undergo in any type of injury and chiropractic combined with physiotherapy is the most effect approach to all soft tissue injuries.  The initial phase of healing (Acute Inflammatory Phase) usually lasts 24 to 72 hours and ice (Cryotherapy) and immobilization (Neck Brace) is essential during this phase.   The next phase of healing (Regeneration Phase) begins around 3 to 5 days post injury and can last up to 3-6 months.  Chiropractic care combined with passive modalities is crucial to achieve maximum improvement of joint function during this phase of healing.  This is when damaged tissue is replaced by new tissue (Collagen).   Mobilization to the injured joints (chiropractic care) is essential to proper healing during this phase of care.  The third and final phase of care (Remodeling Phase) begins about 2 to 4 weeks after the injury and can last longer than 1 year in very severe cases.  Remodeling overlaps the regeneration phase of healing and this is when chiropractic and physical therapy is combined.  Remodeling is when new tissue (Collagen) begins and continues to strengthens.  It is essential to be seeing a physical therapist 2 to 4 weeks post injury to reduce recovery time during the remodeling phase.  Always remember chiropractic first, medicine and physiotherapy second, and surgery last.

PAIN, WHY ME?
Pain is an indicator that a problem within are bodies exists.  Without pain our bodies could not tell us that there is an injury and that there is something wrong.  Usually the absence of pain and swelling after injury is an exceedingly poor indicator of healing tissue.  Most minor to moderate whiplash injuries are overlooked by the patient, the hospital, and even the patient’s family medical provider due to the lack of initial pain.  One week up to 2 months after the injury, the patient continues to have pain or the pain worsens, is when most people begin to realize that the injury is much worse then they had imagined.
 
EFFECTS OF IMPROPER TREATMENT
Improper treatment of whiplash injuries and all soft tissue injuries is a factor in about 50% of the patient’s that finally present themselves to our clinic.  Some patients are given a soft cervical collar by there medical doctor.  If this collar is worn too long, the collar itself can further weaken supportive muscles and actually lengthen recovery time.  If a muscle, ligament, tendon, or joint is subject to prolonged immobilization after injury or surgery this can have significant and profound negative effects.  If a fracture is present the patient is to be first seen by Neuro-surgeon to rule out spinal cord injury and will more than likely have to where a special collar/halo until the fracture is healed.  Once the fractured vertebrae is healed the patient should be sent to a physical therapist to minimize the negative affects of the prolonged immobilization of the soft tissues.  Most MD’s and DO’s prescribe muscle relaxors, pain medications, and anti-inflammatory medications (NSAIDS) first and skip chiropractic and physical therapy all together. 

Don’t Take Unnecessary Chances
In whiplash injuries, ligaments, muscles and joints are stretched and torn out of their original positions.  When this happens, the nerves become compressed and cause pain.  Without proper care, the injury can progressive grow worse, because the neck vertebrate are now unstable and disc decay can form.  Your ligaments and other soft tissues can heal with scar tissue, and your vertebrate may heal in the wrong positions, creating long-term instability and weakness.   This is a permanent condition known as fibrosis, the pain is real and can last a lifetime.  Don’t take unnecessary chances.

The Good News!
The good news is that qualified chiropractic care has proven to be very effective in helping most whiplash victims identify and treat their whiplash injuries – without drugs or surgery. 
A study by Woodward, Cook, Gargan and Bannister found 93% of patients under chiropractic care for whiplash injuries had improved.  They further stated”…..”No conventional medical treatment has proven to be as effective as chiropractic.”
Call Us Today At Barton Chiropractic Center in ConcordFor Your Exam
Dr. Barton, Dr. Joe, and Dr. Jay have had the experience of helping thousands of auto accident victims in their careers, saving most of them from long-term drug addiction and years of future pain as a result of their soft tissue, whiplash injuries.
Call us for your comprehensive examination.  If you have challenges needing treatment, rest assured we will provide you with the most competent and comfortable care available.  We are willing to work with you regardless of whether you do or do not have an attorney.  Our primary concern is to help you move into your future without the painful effects of whiplash following you there.
Call us today at 925-685-2002.  We look forward to serving you.
HOW DO I FIND AN ATTORNEY WHO IS FAMILIAR WITH AUTO ACCIDENTS, PERSONAL INJURY, AND/OR WHIPLASH CASES?
We can refer you to several attorneys in the area that specialize in Personal Injury Claims and who have assisted our patients in the past.

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Cerebral Palsy And The Conditions

Cerebral palsy is not a disease it is a condition.  Cerebral refers to the brain and palsy means weakness or lack of muscle control.  In addition, cerebral palsy is not a single problem, but a complex disease in which virtually all brain cell types could need repair.  Approximately 90 percent of all cases are caused by brain injury during the prenatal period (before labor begins).  This condition is caused by damage to brain cells that control the movement of muscles.  A person with cerebral palsy can have mild to severe physical disabilities.  There are varying degrees of therapies depending on the degree of condition.  However, just because a person has cerebral palsy, it does not mean they will have other disabilities.  
Causes and Risks

Recent studies suggest that cerebral palsy is mostly due to factors affecting the brain before birth.  In about 70 percent of cases, cerebral palsy results from events occurring before birth that can disrupt normal development of the brain.  This condition is caused by an injury to the brain during pregnancy, at birth, or shortly after birth.  The symptoms are usually not noticeable at birth.  It was previously assumed that it was caused by fetal distress, such as a lack of oxygen, during the birth process.  However, lack of oxygen at birth has not been shown to be the major cause.  The motor deficits of babies are usually unrecognizable before 4-6 months of age.

A preemie’s risk of cerebral palsy is much higher than that of a full-term baby.  In addition, exposure to herpes group B viruses was associated with a two-fold increase in risk.  Reproductive/urinary tract infections also may increase the risk in a preterm delivery.  Preemie’s are already at risk for cerebral palsy and account for approximately one-third of the cases.  Adequate prenatal care may reduce the risk of the unborn baby.

Viral infections, lead poisoning, or head injuries that occur early in life can result in acquired cerebral palsy, a less common condition.  Spastic cerebral palsy, the most common type, is a condition in which there is too much muscle tone.  However, cerebral palsy is NOT a progressive condition, meaning that it does not worsen over time.  Cerebral palsy generally is a long-lasting (chronic) condition.

There are roughly 8,000 infants born with this condition each year and some 1,200-1,500 preschool age children acquire cerebral palsy annually.  Most children are diagnosed by age 5.  Despite significant improvements in obstetric and neonatal care in recent years, the incidence of cerebral palsy has not decreased.  

Types
Athetoid cerebral palsy affects the ability to control muscles, leading to involuntary and uncontrolled movements in the affected muscles

Spastic cerebral palsy is the most common type of cerebral palsy.  Approximately 60 percent of all individuals with cerebral palsy have spasticity that is characterized by tense, contracted muscles.  Doctors will often describe which type of spastic cerebral palsy a patient has, based on which limbs are affected.     

Ataxic cerebral palsy affects the sense of balance and depth perception.  Children who suffer from ataxic cerebral palsy can be described as being very shaky and unsteady.  

Symptoms

Children with cerebral palsy may develop eating difficulties, bladder and bowel control problems, breathing problems, and learning disabilities.  Children with cerebral palsy have limited use of their arms due to the dysfunction of their neural motor control and stiffness of their joints.  Dysarthria is common in people with cerebral palsy, due to problems involving the muscles that control speech and mastication.  Although Cerebral Palsy is a permanent condition, as a person learns and grows and practices skills, more control over movement may be achieved.  

Treatment  

Treatment of cerebral palsy requires a team of specialists to help maximize and coordinate movement, minimize discomfort and pain, and prevent long-term complications.  Because the symptoms of cerebral palsy can cause behavioral and emotional problems, many children benefit from counseling or behavior therapy.  It is also not “curable” in the accepted sense, although education, therapy, and applied technology can help persons with cerebral palsy lead productive lives.

The goal of drug therapy is to reduce the effects and prevent complications.  Physical, speech, and occupational therapy along with counseling today are employed to help people lead healthy, productive lives.  Most children with cerebral palsy benefit from early and regular physical and occupational therapy.  In addition, education, therapy, and applied technology can help persons with cerebral palsy lead productive lives.

Conclusion

With early and ongoing treatment, the disabilities associated with cerebral palsy can be reduced.  People living with cerebral palsy are usually able to live independently in the community, with or without assistance.  With support and treatment, though, many people with cerebral palsy can live healthy, happy lives.

Lucid Dreaming and Sleep Paralysis

Lucid dreams of course are dreams that seem very, very more realistic than ordinary dreams, and in which one is consciously aware that they are dreaming. The more experienced one becomes at lucid dreaming, the better they can control it. Experienced lucid dreamers can make their dreams extremely realistic. Once you are able to control your dreams, you can of course ask to be taken back to a past life (if you believe in them) or event, current event, or future event. You can use lucid dreaming to help overcome your fears. Allow yourself to face your fears in a lucid dream. It’s all your choice. The limit goes beyond the sky, it even goes beyond dreams. Some people are natural lucid dreamers, and some have to learn how through practice. As a natural lucid dreamer myself, I can’t guarantee that my technique will help everyone learn, but I can give you an idea about how it can be done.

Firstly, every night before you go to bed close your eyes and say out loud “I WILL REMEMBER MY DREAMS. SOON I WILL BE ABLE TO CONTROL THEM”. Then when you wake up the next morning the very first thing you should do is write down in your diary every single thing you remember about your dreams.. If you can’t remember anything, don’t be discouraged, you will eventually. Just remember a little bit at a time and after awhile you will start remembering more and more. You don’t have to keep a dream diary forever, just until you start getting the hang of having lucid dreams. The more you can remember and analyze about your dreams, the better you can control them in the future.

One trick to do; and this is how I’ve had lucid dreams all my life, is wait until your day off when you can sleep in and don’t have to do anything. Get a sleeping pattern down for 4 or 5 days and wake up the same time every morning. Then one morning, go to bed a couple hours later than usual, but set your alarm to wake you up at the same time as the prior mornings. It can just be for a few minutes and you can get a drink or watch tv or check email or something. Do this for about 15-20 minutes and then go back to bed and lie down on your back. MAKE SURE YOU STAY ON YOUR BACK! Start pretending that you’re doing whatever it is you wish to lucid dream about, imagine you’re with the people you want to be with. Try to make whatever you’re imagining as clear as possible. Hear, feel, and even visualize that you’re smelling something.. MAKE SURE YOU STAY ON YOUR BACK THE WHOLE TIME! Whenever you drift off to sleep hopefully you’ll start dreaming of the things you were imagining about. When you’re getting close to a lucid dream you’ll start vibrating or pulsating a bit and you’ll start hearing a buzzing noise.

Don’t panic if you find that you’re half asleep/half awake and can’t move. It’s a condition called sleep paralysis. If you panic it’ll only make things worse and you’ll start having a nightmare and you’ll hallucinate that there’s something (or someone) bad in the room with you. I don’t know why this happens, but it can be scary if you don’t stay calm. This is the down side to having strange dreaming experiences. I unfortunately first experienced this when I was only 6 or 7 years old. I “woke up” one night in my room and there was a man at the end of my bed pointing a gun at me. It was as clear and real as could be. Imagine a little girl “waking up” and seeing that. I wanted to run to my daddy but I couldn’t move, thanks to the paralysis. Finally he “disappeared” and I woke up. My daddy of course told me it was just a dream and tried to make me feel better, but I spent years afterwards wondering if it was a ghost I saw that night. It wasn’t until I got a computer later in life and learned that it was a condition called “sleep paralysis”.

*********

I experienced it several other times, but as I got older I learned how to either wake myself up from it, or turn it into a more pleasant lucid dream. I have always been fascinated by the Jack the Ripper murders, and I absolutely cannot read anything about the subject when it’s close to bed time. I have had a few sleep paralysis experiences where I found myself his victim, and he was on top of me killing me. I would keep going back and forth between laying on my back on the streets of London to my bed. Of course it still wasn’t as frightening as the “ghost man” I experienced as a child. I didn’t start having the JTR experiences until later in life, when I had an idea that it wasn’t real. Of course it does make me wonder if I had a past life as a prostitute in London, but I try not to think about it.

But anyway, don’t be discouraged if anything like this ever happens to you. Try to remember that it’s not real and concentrate on your breathing. Try to stay calm and close your eyes and think about happy things, there’s a good chance that this paralysis incident will turn into a lucid dream. Remember to try staying on your back the whole time, and that the chance of having a lucid dream will increase on days you sleep in longer than usual.

Remember you can use lucid dreams for any purpose(s) you choose. Some people like to have fun with it. When you lucid dream, you are almost like a god and you have control over the dream world. Obviously the most common thing for lucid dreamers to do is to experience their sexual fantasies. Some people like to fly, some people like to pretend that they’re a star on stage preforming in front of a large crowd. Sometimes it may not be until a middle of an ordinary dream when it becomes lucid. If it already a pleasant dream, you don’t have to change it if you don’t want to. You could keep on continuing with the same dream as an observer. Of course you can change things you don’t like about it. It’s all totally all up to you. Have fun!

Diet for Hiatal Hernia

Hiatal Hernias, which are hernias that form where your diaphragm joins with your stomach, are known for their atypical hernia symptoms. Though most people suffering from a hiatal hernia experience no symptoms at all, these hernia types can cause food and acid to get pushed back into your esophagus, causing heartburn, excessive burping, nausea and chest pain.
These Hernia symptoms are often not severe enough to require surgery, so if an individual is suffering from a hiatal hernia, proper self-care is important. In addition to standard medications, one of the most important parts of self care is one’s diet, as this can reduce the amount of acids that gets pushed back into your stomach. In addition, foods must be eaten in such a way that it does not cause excess pressure on your esophagus.
Diet For Hiatal Hernia
In order to maintain the proper diet for hiatal hernias, very specific foods need to be avoided. These foods not only tend to be acidic (possibly leading to damage to your esophageal lining), they also relax your lower esophageal sphincter.
Acidic foods that should be avoided include:
• Certain fruits need to be avoided. Mostly citric fruits, including Oranges (and Orange Juice), lemons, grapefruit and tomato.
• Some vegetables, most notably onions or potatoes, need to be avoided. Starchy foods like potatoes can cause acids to build in your esophagus for digestion.
• Meats – Usually, it is the additives to meats that are particularly necessary to avoid. For example, chicken wings may have spices on it that should be especially avoided. Still, most meats have some acids, so refraining from beef and steak is advisable.
• All dairy products have some acid. While dairy may be a standard part of one’s diet, it may be necessary to either vastly limit dairy consumption or stop eating dairy products altogether.
• Coffee – even decaffeinated coffee contains a great deal of acids, and all caffeine products (chocolate and tea included) increase acid build up.
• Try not to drink alcohol.
• Finally, avoiding fats can also decrease the amount of acid that builds in your stomach.
While some foods need to be avoided, others are perfectly acceptable. If you are suffering from hiatal hernia symptoms, feel free and gorge on the following foods:
• Fruits such as apples and bananas have little to no additional acid, so these are acceptable for hiatal hernias.
• Vegetables like broccoli and carrots are acceptable on a diet for hiatal hernias. These are not a heavy as potatoes or as acidic as onions.
• Not dairy cheeses and milks, like feta and soy milk, all have significantly less acid levels than cow milk, so these may be good substitutes if you are forced to take cow dairy products out of your diet.
• Lean meats and fish are low in acid, so these can be eaten at your discretion.
• Wheat and rice products, such as bread or rice milk do not cause any additional stomach acids.
• Sweets that are low in fat can be a part of one’s diet. Hard candies (non-mint), for example, will not increase an individual’s stomach acids.
Keeping to these diets greatly reduces the amount of acid in your system, which can help decrease the likelihood of any long term injuries.
Additional Self Care
In addition to maintaining the proper diet for hiatal hernias, it is important to follow a few simple regimen in order to ensure you do not exacerbate the problem.
After eating, make sure you wait at least three hours before going to bed or take a nap. Your food should fully digest before you fall asleep. Similarly, make sure you continue sitting up for at least two hours, so that food does not flow back into your esophagus.
Do not exercise immediately after eating or do any strenuous activity, as this can cause increased strain on your body. Walking is fine, but running should be avoided.
Eating smaller meals can help these foods digest as well. Some people with hiatal hernias eat four or five smaller meals a day rather than three large ones in order to aid digestion.
Finally, refrain from tight fitting clothes which can cause pressure on your stomach.
By maintaining the proper diet and limited the behaviors that can harm digestion, it is possible to keep your hiatal hernia in check and avoid any additional injury or discomfort.

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Cervical

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The cervical spine begins at the base of the skull. Seven vertebrae make up the cervical spine with eight pairs of cervical nerves. The individual cervical vertebrae are abbreviated C1, C2, C3, C4, C5, C6 and C7. The cervical nerves are also abbreviated; C1 through C8.

Spinal Cord and Cervical Nerve Roots

Nerve impulses travel to and from the brain through the spinal cord to a specific location by way of the peripheral nervous system (PNS). The PNS is the complex system of nerves that branch off from the spinal nerve roots. These nerves travel outside of the spinal canal or spinal cord into the organs, arms, legs, fingers – throughout the entire body.

Injury or mild trauma to the cervical spine can cause a serious or life-threatening medical emergency (e.g. spinal cord injury or SCI, fracture). Pain, numbness, weakness, and tingling are symptoms that may develop when one or more spinal nerves are injured, irritated, or stretched. The cervical nerves control many bodily functions and sensory activities.

* C1: Head and neck
* C2: Head and neck
* C3: Diaphragm
* C4: Upper body muscles (e.g. Deltoids, Biceps)
* C5: Wrist extensors
* C6: Wrist extensors
* C7: Triceps
* C8: Hands

What Are Some Common Uses Of The Procedure?

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MR imaging is performed to : –

* Assess the spinal anatomy.
* Visualize anatomical variations and diseased tissue in the spine.
* Help plan surgeries on the spine such as decompression of a pinched nerve or spinal fusion.
* Monitor changes in the spine after an operation, such as scarring or infection.
* Guide the injection of steroids to relieve spinal pain.
* Assess the disks – bulging, degenerated or herniated intervertebral disk a frequent cause of severe lower back pain and sciatica.
* Evaluate compressed (or pinched) and inflamed nerves.
* Explore possible causes in patients with back pain (compression fracture for example).
* Image spinal infection or tumors that arise in, or have spread to, the spine.
* Assess children with daytime wetting and an inability to fully empty the bladder.

How Does The Procedure Work?

Unlike conventional x-ray examinations and computed tomography (CT) scans, MRI does not depend on ionizing radiation. Instead, while in the magnet, radio waves redirect the axes of spinning protons, which are the nuclei of hydrogen atoms, in a strong magnetic field.

The magnetic field is produced by passing an electric current through wire coils in most MRI units. Other coils, located in the machine and in some cases, placed around the part of the body being imaged, send and receive radio waves, producing signals that are detected by the coils…

What Are The Limitations Of The Spine Surgery ?

High-quality images are assured only if you are able to remain perfectly still or hold your breath, if requested to do so, while the images are being recorded. If you are anxious, confused or in severe pain, you may find it difficult to lie still during imaging.

A person who is very large may not fit into the opening of a conventional MRI machine.

The presence of an implant or other metallic object sometimes makes it difficult to obtain clear images and patient movement can have the same effect..

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