Baby Bronchitis

Baby bronchitis is as a result of exposure to pathogens causing the infection. These pathogens include viruses and bacteria. In order to treat baby bronchitis, the exact cause should be known first. This is by doing diagnosis in your nearest baby health center. The tests done at the center will let you and the doctor know the exact cause of the disease. The tests include sputum and blood tests. In extreme circumstances, a chest x-ray may be performed.

Once the diagnosis is complete, medication can be started. These include bronchodilaters, expectorant cough syrup and antibiotics. The antibiotic are given if the cause of the condition is bacteria pathogens. Baby bronchitis symptoms include fever, fatigue, headaches, expectorant cough, shortness of breath and wheezing. The most pronounced symptoms are coughing, shortness of breath, fever and wheezing.

Immediate action should be taken when a fever is reported. Baby bronchitis should not be self-terated. Bronchitis is a dangerous disease that can lead to pneumonia and asthma. Babies with this disease should be taken care of well. This is to make them recover completely after the illness. Most babies lose a lot of weight when under bronchitis attack.

Extra effort is necessary for a baby to recover from the disease. As bronchitis is contagious, babies should be kept away from family members who have the disease. Extra caution to those who handle the babies is necessary. Frequent washing of hands and general body hygiene are the keys to avoiding spreading the disease. Baby bronchitis should not be home treated. A doctor should be the one to give the medication and the dosage should be followed to the letter.

Make More Profits Through Joint Ventures

The internet is a place where opportunities are born and options are plenty. Online, you will find profitable marketing strategies like affiliate marketing. Affiliate marketing is most favorable to beginners. For those of us who want to acquire more profits without using more resource, affiliate marketing is just not enough. We have to utilize other strategies, and team up in a joint venture. Today, joint ventures, or JV's) are the best choice for gaining more while using less.

Joint ventures

In a nutshell, JV's are made between two individuals or companies. Joint ventures are typically started for co-hosting events, creating new products or services, or for exchanging traffic or promotions. They involve sharing resources, responsibilities, and profits as well as learning new strategies.

There's no doubt that JV's can be very lucrative. There are various reasons why this is true, but 4 of the most vital ones are as follows:

  1. New markets – no matter how long you've been an internet marketer, there will always be markets you've not yet reached. When you start joint ventures, you'll have access to those markets you have not yet discovered. These markets will be provided by your partner.
  2. New expertise and additional capital – this is probably the number 1 reason why marketers start joint ventures. You see, you and your partner can easily share resources (eg, money, marketing platform, mailing list, etc.) to start creating new products or services, hold seminars, and the like. The best thing about it is that you can even share your expertise with each other. You can learn effective strategies to acquire more leads and sales without resorting to the "try until you succeed" method. You can also spot popular and emerging internet marketing trends almost effortlessly.
  3. Less risks – one of the critical factors that refrain marketers from taking big opportunities when they encounter them is the fact that there are always risks. When you're alone, risks seem more ominous, bigger than it really is. Although you see how great the benefits, you think that the risks are great. When you're in a joint venture, though, managers will look smaller and easier to conquer. As you have someone who will take the risks with you, problems are a lot easier to bear.
  4. Get more profits – at the end of it all, joint ventures are about getting more profits. Since you'll be spending less, you're sure to make more. This is beyond the fact that you can get more traffic and, basically, more sales by exchanging mailing lists with your partner.

Some Reminders

There's no doubt that you can gain fame and fortune with JV's relatively easier. However, this is not to say that there are no rules to follow or things to keep in mind in this kind of business. Here are some reminders about joint ventures:

  • A successful JV partly relies on the harmony and skills of the persons / parties involved. That said, you must spend enough time choosing the person you would start a joint venture with. However, do not just look for someone who you can get freebies from; always keep in mind that you must also offer something back.
  • Aside from profits and resources, tasks and responsibilities are also shared. Therefore, it's crucial that the people involved have varying skills to ensure that no one will get too dependent on the other.
  • Communication is key. If you want to a harmonious relationship with your partner, you must always communicate with him. This will help in avoiding misunderstanding and developing your shared business further.

Joint ventures are very lucrative businesses. However, more than the resources and profits shared, the camaraderie and trust is what you must aim for.

What Causes Dislocation

Dislocations may happen to anyone at any time. Therefore, you should be able to prevent such injuries from happening. Knowing what causes them is the first step for you to be able to avoid getting dislocations. Below are some examples of things that may cause your joints and bones to be damaged.

Sports – People who love playing sports should always be careful with their body. They are the most prone when it comes to physical injuries such as dislocations. You need to understand that joint injuries happen not only when they are hit but also when that part of the body is used excessively without any rest. Many sports players exhaust themselves during practice. Examples of sports which can potentially endanger your joints include basketball, tennis and volleyball. Therefore, it is very important that you wear protective gears and do warm-up exercises in order to avoid any sports related injuries.

Trauma – When you are hit hard on part of your body, it is normal to get a bruise or an open wound. If in the accident, your joints are targeted, that could be a more serious problem. Traumas can cause your joints to be separated from your bone, hence, dislocation may happen. In case of accidents such as car accidents or bike accidents, you need to contact a physician immediately. If the impact is really hard, you need immediate medical assistance in order for the injury to recover immediately.

Falls – Being clumsy is not a good habit. If you are susceptible to falling, then you will also be sentenced to getting dislocations. Falls may happen when you trip or when you fall on the stairs. It is very important to watch your steps carefully. Be careful when you are walking or when you are on the stairs. You need to look in front of you to avoid accidents caused by clumsiness.

Genes – This is one of the things that you can not really alter. There are some people who bones are stronger than others. On the other hand, there are people whose bones are looser and weaker than others. You need to look into your family history and find out if you have any history of bone disease. If you have, then you should take extra measures to make sure that your bones will be stronger. For instance, you can take calcium supplements or go to a physician regularly in order to get good medical advice.

Past Dislocation – If you have already dislocated your bone before, this means that the affected area is more vulnerable to experiencing dislocations again. When a joint or bone is relocated, it is not always permanent and it takes time before that part can be healed completely. Therefore, if you have had the same injury a few months or years back, you should be more careful.

Above are just some of the causes and the risk factors that are involved in dislocations. The best way to avoid them is to be careful all the time. Take precautionary measures such as wearing pads and warm up. You should also less your physical activities if you have had a dislocated bone before.

Osteoporosis – The Next Epidemic

Do you know that …

* 8 million women and 2 million men currently have this disease in the US

* 80% of the people who have osteoporosis are women

* 33% of men older than 75 years of age have osteoporosis

* 50% of women and 13% of men over 50 years of age will have an osteoporosis-related fracture in their lifetime

What exactly is osteoporosis, this disease that is predicted to be the next epidemic in this country? Osteoporosis is a bone disease characterized by low bone mass and deterioration of the bone tissue such that a person is more prone to fractures. Osteopenia is a related term which "stands" for a less severe "case" of low bone mass.

The statistics are alarming. Once a person suffices a hip fraction, there is a 1 in 3 chance of them EVER regaining the level of independence that they had prior to it! Twenty percent of the people suffering a hip fraction die within a year of such an event.

Why is there such an increase in this disease? Osteoporosis is linked to lack of physical activity and poor dietary intake. With our sedentary culture and fast-paced, eat-on-the-run lifestyle, Americans are prime "targets" for this disease.

What can we do? Do your research. Do an internet search of the BEST study or the Bone, Estrogen, Strength Training Study done at University of Arizona from 1995-2001. The findings of this research effort are helpful in knowing how we can adjust our lifestyle to live with strong, healthy bones into later life.

The BEST Exercise Program for Osteoporosis Prevention by Lohman et al gives specific training and nutritional information to get you started in the proper direction.

Work with young people to encourage the attainment of the highest possible peak bone mass through proper nutrient intake, exercise, and other lifestyle practices like limiting smoking and alcohol consumption. This is critical.

Work to prevent osteoporosis in older adults (especially postmenopausal women) by educating them about proper positive lifestyle choices like physical activity and proper dietary habits, and the need for appropriate diagnosis and screening when treatment is necessary.

We can reduce the likelihood of this disease one step at a time! But we need to start NOW!

Creative Tips on Living With a Disability

I have lived with cerebral palsy all 53 years of my life. It has made me very tenacious in everything I set out to do. Disability tends to make people more creative, because our bodies are different, so we need to customize many things. It's not a bad thing to have a disability, it's just what is.

I hate the word "normal" how can a word that has such a wide impact? What IS meant by normal anyway? In high school, students have such peer pressure to be like everyone else. Who wants to be normal anyway? Who wants to look like everyone else? I like to say Normal is a setting on a clothes washer. Those of us who have disabilities do things differently from the norm. We may also look different. Try to understand that we are people first, and accepting ourselves as we are, will help others accept us.

As an adult with cerebral palsy, there are things I do that make my life easier. For instance since I take a bunch of different medicine as well as vitamins and other supplements, I devised a way to take my pills, that solves two issues. I put peanut butter on my finger to stick a pill on, so avoiding the slippery issue of my fingers no longer working like they used to. Then I put the pill in my mouth, and it makes it easier for me to swallow the pills without it going under my tongue, or into the cheek area. And I do that until I take all that are in my pill boxes that my assistants fill every week. I've found, through trial and error, that regular creamy peanut butter has the best consistency. Organic peanut butter is too oily and sloppy. Some brands of Hummus work, especially the dry mix that you add water to. So does frosting – but if it's too sweet it can bother your throat. One guy I know discovered mashed potatoes worked for him. Like many Irishmen, he eats potatoes at every meal. When I was a young kid my mom used to put my valium in a piece of Wonder bread and I would swallow it with a bite of bread. Later we tried jam, but like frosting, it bothered my throat.

Let your children be children. In the sixties, my mom had me in tutoring programs four days a week. There was also speech therapy that did me very little good. I hated it all! To this day, the overarching memory I have of my childhood is a blur of me and mom in the car. One summer I was planning to take piano lessons, and my Occupational Therapist told my mom it would be a waste of my time and her money. But mom simply said, "If she wants to do it, she can. My piano teacher had taught blind students to play by putting their hands over her hands and letting them feel what it was like. to eat her words. I came in, eager to show her that I could now move my fingers independently, due to having two months of piano lessons over the summer. Professionals do not always know the answers! It was something I enjoyed. I took lessons in high school too. internet list for people with CP, we got to chatting about music and singing. Since music can help with having more of a social life, in addition to being fun, many of us had played an instrument or sung in a choir. got better after I began chanting in college ronger, I sat straighter, and I could usually get two lines of every four lines in a stanza in the morning chant that pasted an hour. So, do not let anyone tell you or your child they can not.

As a mater of fact, my parents never let me say "I can not …" this was mostly a good thing, though at times it was exasperating trying to please my mother who thought perfection at every level from both me and my sister. I got sick of trying so hard, mostly with my speech. But in those days, there were no home computers, (my dad had one at work and it took up enterent rooms!) No talking devices, no laptops. So, balance is key. You want your child to grow up to be independent, but do not harp on her at every step.

More tips later!

Paralysis From Spinal Cord Injuries

The spinal column encases a bundle of nerves called the spinal cord that make up a very important part of your nervous system. While your backbone does a good job to protect your spinal cord, serious accidents such as elevated falls and car wrecks can break through the spine's defenses and sever the important nerves of the spinal cord. This can cause paralysis that is often permanent.

The brain is responsible for gathering and processing sensory information so that you can react accordingly. The spinal cord contains nerves that collect information before sending it to the brain and that carry out the brain's orders for voluntary or involuntary movement. Thus, a spinal nerve injury can not only rob you of voluntary movement, but it can also prevent you from breathing on your own.

The spinal nerves can suffer damage in several different ways. First, with traumatic spinal injuries, the spinal column may be torn if the backbone itself is broken. Additionally, if something goes through the vertebrae and pierces the spinal cord itself, the delicate nerves can be torn beyond repair. Also, nerve damage that causes paralysis can result from drugs as well as different disorders.

Paralysis is often divided into two different categories: quadriplegia and paraplegia. Paraplegia occurs when the legs or lower half of the body sufferers from paralysis. If the nerves are damaged in your mid- to lower back, called the thoracic and lumbar vertebrae, anything below this point can lose both movement and feeling.

On the other hand, total paralysis is called quadriplegia. Quadriplegia occurs when the spinal cord is damaged much higher up, for example, at the neck. The nerves that control both your arms and legs must come through the cervical vertebrae of the neck, which is why damage to this area can be so devastating.

Paralysis, both quadriplegic and paraplegic, can rob you of your normal life. If you suffer from either quadriplegia or paraplegia due to another person's carelessness, you should not let this go unpunished.

Causes and Symptoms of Femoral Hernias

The abdominal cavity wall in someone's body is made up of tendons and muscles that are tough and durable. All of these tendons can be found between the ribs and down to the groin. This section of your body operates as a natural barrier that will hold in all of the contents held within your stomach.

There is a weakness in the stomach wall where the blood vessels and the nerves travel through. This weak section moves along the femoral canal in the groin. In different people the weak part in the muscles and tissues close to this region will open up and let the contents of the abdomen to pass through. When this occurs it creates a bulge that is referred to by doctors as a femoral hernia.

The symptoms of the hernia may be challenging to determine. There is really only one symptom that is easy to find when determining whether or not you have a femoral hernia is to search for the bulge or large lump that is produces. The lump will appear as large as a grape in your groin or in the upper inner portion of your thigh.

It is viable for people to reduce the hernia by pressing it back in the belly. While this is easy and painless this is not a remedy and may only work for a short time period. Now and again the hernia will get stuck inside of the femoral canal. When this comes about the doctors will have diagnosed it as an incarcerated or irreducible femoral hernia. This stage of the hernia may create extreme pain.

There is a risk that the hernia will become strangulated. This happens when a part of the intestine has been woven together with the hernia and is there before thinning the
blood supply or stopping it completely. Strangulation can also make the hernia to become bigger and more painful.

Femoral Hernia Causes

There are many elements that can induce a femoral hernia. For several people it occurs naturally on its own and will only grow in size because of pressure being placed on the region of the body where the hernia is located. The type of pressure that can increase it in size includes:

Pregnancy
Coughing
Straining during bowel movement
Straining while lifting heavy objects
Straining of muscles during physical activities.

Unfortunately hernias do not have the ability to go away on their own. It may take some time for them to grow in size and at times individuals might have the power to force it back inside of the abdomen. However, to collectively handle the problem and to prevent serious problems like strangulation the patient should speak to their doctor about surgery hernia treatment. Your doctor will have the ability to explain all of the dangers involved.

Acupuncture Eases Tension Headache Pain

The ancient Chinese practice of acupuncture has proven to be an effective treatment for tension headache. It not only relieves pain, but also cuts rates of recurrence by almost half, a recent study measures.

Traditional Chinese acupuncture therapy involves insertion of needles up to 3 inches deep into the body at prescribed acupuncture points, according to licensed acupuncturist Rong Zeng of the New York Good Health Clinic in Manhattan.

However, a new, randomized blind study in Germany involving 270 patients with a similar severity of tension head has shown that a minimal course of acupuncture works almost as well as the traditional method.

Fewer Headaches After Treatment

Researchers divided the patients into three groups. Over an eight-week period, one group was treated with traditional acupuncture, another received minimal acupuncture (needles inserted only superfically into the skin at non-acupuncture points), and the control group had either treatment.

The subjects were monitored for four weeks after their period of treatment. Those who had received traditional acupuncture care rarely experienced seven fewer headaches. The group that had been given minimal acupuncture therapy had surprisingly similar results – 6.6 fewer headaches.

The control group did not fare as well, with only 1.5 fewer headaches.

Improvements in headache rates continued for months after the acupuncture treatment, although they began to rise slightly as time went on.

Results Subject to Interpretation

Such a negligible difference in results between traditional and minimal acupuncture treatments possibly indicates that the location of acupuncture points and depth of needle insertion does not make a major difference for treatment of tension headache, the authors of the study suggest.

However, they caution that the possibility of placebo effects should not be overlooked.

"Placebo effect is a factor in all types of medicine," Dr. Zeng noted. In western medicine, for example, blind tests may reveal placebo effects that are similar to responses to trial drugs, she explained.

In any case, it is clear that the patients who received acupuncture treatment experienced fewer headaches. The possibility that place effect plays a role in acupuncture does not detract from its efficiency.

Copyright 2005 Daily News Central

Coffee Titans Clash Over Espresso Centric Market

Two loosely allied US coffee giants, Starbucks and Green Mountain Coffee Roasters, started taunting each other over who can project dominance in the espresso home market emerging in North America. In dueling press releases, CEO's of both adults leveled their espresso centric ambitions publicly on March 9, 2012.

On that date, Seattle, WA based Starbucks revealed its plans for a new home café 'brewing system called Verismo scheduled to debut this fall. This new machine focuses on production of espresso, rather than a traditional American brew made popular by the Keurig k cup system. Green Mountain owns Keurig, and Starbucks has own own stake in k cups sold with the Keurig system. Patents on k cup technology expire later this year leading to a reshuffling by market players.

While there is still a sense of collaboration on the k cup platform, the relationship between the two allies may have been strained by the recent market launch of the new Keurig Vue brewing system that is incompatible with k-type capsules. This shift by Green Mountain has opened a window for Starbucks to make the first move into a new espresso turf. Some potential vulnerabilities of the new Keurig Vue system include a machine price increase to $ 250, up from around $ 150 for previous models, and Vue capsule unit cost to $ 0.75 versus around $ 0.40 for ak cup.

For many years, US consumers have eyed espresso-based brewers for home café. One of the main buyer obstacles in choosing espresso machines was its price listing well beyond $ 300. Recent price drops, however, have bought the cost of home espresso machine close to the level of the Vue system. Starbucks sees the same price point for Verismo and is now vying to lead into the nascent espresso market in US.

Eager to defend its dominant position in the coffee single cup business on the very day of the Verismo pronouncement, the Waterbury, VT headquartered Green Mountain, immediately, fueled speculations of coming out with its own semblance of an espresso machine that uses Lavazza espresso capsules. Its public statement did not convey the time for roll out and product details.

Neither openly sparring party has offered specifics of its respect espresso machine design. These open-ended assertions suggest that both products are still in the development phase. Naturally, either camp also wants to keep design and commercial secrets close to the vest.

In the meanime, world food giant Nestle, displayed its Nespresso Zenius, which uses a proprietary espresso disk, in a recent New York trade show. Its market focus is, oddly, on the hospitality industry where their machines are placed in luxurious hotel suites for in-room service.

Posturing over the evolving home espresso market in US may be vital to each coffee behemoth. Consumer views published recently by Mintel, a global supplier of market intelligence, show the growing preference for single servings available in espresso pods by a margin of 55%. Another 35% of those surveyed noted that pod-style machines produce consistent taste each time.

The case can be made that single cup consumers will embrace the espresso brewing process over the regular coffee made from k and Vue type portions. Europeans, especially Italians, know that it requires a high-pressure pump and optimum temperature control to extract the best oils from coffee. This culture is resolute on seeing a top layer of golden crema, or creamy foam, which renders proof of a good extraction of coffee nectar. Keurig devices typically use low-pressure means, which can result in a less complete oil pull out.

While US coffee goliaths duel in specific terms over who can cross over to the home espresso sector first, HealthCafe, which relative stature is that of a "david" in home espresso solutions based Northern New Jersey, has a head start. Its sales representatives are calling on retailers across the nation to market the miniBarista S-1600 espresso / cappuccino pod system poised for prompt distribution.

HealthCafe has chosen the pod format in single cup brewing for numerous reasons. One is its inherent ability to filter out an LDL cholesterol inducer called cafestol from the beverage. Another is coffee freshness is preserved longer with nitrogen displacement. Most importantly for consumers, the pod follows the ESE industry standard adhered to by a multitude of pod machine and coffee pod manufactures. Capsules, on the other hand, have little cross-compatibility, none is known to have nitrogen-displaced packaging and none in this class is known to be effective in blocking cafestol.

Shingles – Painful Nerves?

Shingles, or Herpes Zoster as it is sometimes called, is a painful reactivation of the Chickenpox virus. Zoster usually appears as a local rash to one specific area of ​​the body. It usually does not cross the midline of left half versus right half of the body. It follows a dermatome nerve root pattern from the ganglion to the tip at the end of the nerve. When we've had and gotten over a case of chickenpox, which older adults do in childhood, the virus can remain dormant in the areas in and around the ganglions.

Ganglions are junctions of nerves where they connect to other nerves. Then one day, due to stress, older age, decreased immunity, excessive sunlight or some unknown reason, it suddenly becomes active in a nerve root on one side of the body. This can be from acidy or spicy foods as tomatoes, pineapple, peppers, pizza, spaghetti, lemons, oranges, orange juice, red sauce, drugs, immune suppressors, medicines or steroids. It travels up from the ganglion in a peripheral nerve where it really starts "raising cane." It starts to feel tingly and painful, and a day or so later, a vesicular chickenpox-like rash developments. The pain can increase until it is almost unbearable in some cases. Nothing seems to work well enough to stop it. You can take the prescription antiviral very early on and sometimes shorten the course and severity of the outbreak.

The earlier shingles are valued the better the output usually will be. Sometimes a local aesthetic cream or oral pain medicine can help, but mostly it takes time to resolve, usually four to six weeks. Interestingly, it has been seen in some teenagers and young adults who only received one chickenpox immunization in childhood. The thing we dread the most is the development of an almost permanent pain area when the rash goes away; This is called post-herpetic neuralgia. It can set up really odd pain syndromes such as severe pain when even a breeze blows across it (allodynia). This can last a long time or almost forever. Shingles typically do not cross the midline of the body and swell the nerve root.

L-Lysine tablets decrease pain and decrees healing time .. It may work well with a low dose on a daily basis to help prevent re-infection. New infections get a dose pack of high to low doses over approximately 10 days. You should never just stop this medication suddenly once given as it may precipitate a new or worse flare. Never use steroids with this diagnosis – it could be disastrous. Steroids help the virus grow very, worsening the disease.

We now have a preventive vaccination for shingles .. It is a vaccine of an attenuated virus, which builds the body's immunity to shingles. It is a bit pricey but has had some excellent results. It is approved now for people over 60 years old. It is a onetime shot which is safe if you are not allergic to gelatin or neomycin. You should not have it if you are pregnant or may become pregnant, have significant immune deficiency, or are on high doses of corticosteroids.

If you develop shingles or think you have developed them, see a physician. The earlier a physician prescribes you an antiviral, the better. Yes, we can treat the virus with medication and they work quite well. You are most contagious when you first develop the start of a new eruption. Keep the rash clean and dry, and watch for any signs of secondary bacterial infection. Use caution that you do not touch or spread the shingles to your eyes. Your physician can usually give you something for pain if necessary. Remember the shingles rash could actually spread the disease to someone with HIV, cancers, or other immune deficiency with disastrous results or even results.

If you can before the misery strikes, get your shingles prevention vaccine and see your doctor ASAP with any new eruptions as symptoms.

Give More Bones to Your Spinal Instrumentation Coding

Spinal instrumentation is a method of keeping the spinal stiff after spinal fusion surgery. It is used to treat the deformities of the spinal referring to birth defects, fractures, scoliosis, spinal diseases, and other injuries. When the spine no longer maintains its normal shape, and nerve damage occurs, different kinds of instrumentation (made of metal / titanium) are inserted into the spine. The instrumentation is typically comprised of pedicure screws, rods, plates, intervertebral cages, hooks and rods.

Guidelines in spinal instrumental coding: New techniques and technologies for spinal instrumentation are moving faster than codes can keep up. What's more, procedures come in a variety of configurations, which are often puzzling. While coding, these procedures could prove to be tricky. In a nutshell, unique coding guidelines and billing requirements for spinal instrumentation test the knowledge of even the most experienced neurosurgery coders.

So, if you want to be on track the next time a spinal instrumentation procedure hits your desk, you'll do well to attend quick and convenient audio conference that will coach you on what you need to know about spinal instrumentation coding. What's more is that you'll walk away with the know-how to determine proper reimbursements and avoid any appropriate payment denials.

Audio conferences will also help you get the low down on spinal anatomy and definition, common types of posterior and anterior instrumentation and how they translate into codes, real life examples of instrumentation coding, new technologies and the latest codes, and so much more.

Neurosurgeons, orthopedic surgeons, coders and billers, office managers and compliance officers, health insurance company claim processors – will all return enriched after attending these audio conferences.

The Cabin

The schusshing from her skis was the only sound in the long alpine valley. The snow sparkled in the full moon, the peaks surrounding her enhancing the glow and helping to light her way. Lost in the rhythm of movement, her legs suppress the stretch-glide-kick-stretch-glide-kick in an even, terrain-crossing tempo. She tried cutting her shoulders to adjust the pack's weight and felt the knot that had been growing there for hours burn. Wanting to make the cabin before sunrise and realizing she still had at least an hour to ski, she gripped the poles, pushed and propelled her burning thighs to a faster pace.

The down side to two weeks out in the middle of nowhere in Alaska was that you had to fend for yourself. There was no friendly neighbor to reach out to for nearly 100 square miles – and that was just the way she had wanted it. When she had called Danny and asked if she could use the cabin, he was quick to remember her that it was hardly used anymore and he had not been up there since early fall. She had not even tried to bother to explain that right now all she wanted was away from people; Danny was a people person – he would never understand and then would spoil it by showing up because he thought she needed company. She smiled wryly inside her faceguard as she remembered the melodramatic hurt in his voice when she promised to shoot anyone who showed up, even the owner. She sure loved he got the message, good-hearted kid that he was, she was never sure if he listened or not.

Coming to the last rise before the cabin, she stopped at the top of the hill. Peace engulfed her like a blanket as she looked out over the valley. Crisscrossed with moon shadows and moose trails it was the epitome of peaceful serenity. This was where she needed to be to figure out what she was going to do next, and how to let the hurt go. But, first, there were the practical considerations. She arrived at the cabin just as the sun was hitting the west side peaks lighting them with pink morning glow.

She easily fell in to the chores to get the cabin ready for the habitation, hoping that the movement would loosen the knot registering her muscles' complaints to carrying the pack. It had been a few years, and she still knew the way, but her muscles were telling her they had forgotten what it felt to carry a full pack on an all-night ski. She knew she would pay for it in the morning, but for now a fire, some food and the bed were what she needed. Picking up the kindling for the stove, she took a final look at the sunlight on the mountains before heading inside. The way her foot automatically slid back to put the draft stopper in place at the bottom of the door made her feel like the cabin was welcoming her home.

That was what she loved about coming here. Nothing changed inside the cabin; it was always the same, timeless. Dividing the single room was a rope with clothespins for drying outer garments that draped higher over the pot-bellied wood stove. The old rocker and the small frame bed took up the back part of the room. Smiling wryly, she looked at the cabin's "kitchen" which considered of two metal tubs, some shelves on the wall with an assortment of candles, matches and survival rations above and a small table that was kept level with a folded matchbook cover just below. She could still see the gouge marring the back of the chair from the weekend she and Rich had decided to have a knife throwing competition. Shaking her head to surrender the reverie she opened the flue and knelt to start a fire.

It had only taken her a couple of hours to do all the chores to settle in and make the cabin comfortable, yet the sun was casting an orange / peach evening alpine glow on the eastern peaks as she started to use some of the newspaper as chinking for the holes in the cabin walls. She used one of the candles from the kitchen stores as a way to find where the cold was coming in and was soon efficiently plugging the worst of the holes. Completing the last wall, she tossed the remaining paper on top of the wood in the woodbin and set the candle in the holder on the table.

A soft smile crossed her face as she remembered the night Rich had nailed the tin candleholder to the table. No more sober than he was at the time she could not argue the logic behind the act as they had been talking about people taking everything that was not "nailed down." She sighed and gave a few moments thought to what could have been, and then, turning from the memory altar, began preparing a dinner for one. She did not even bother to light the lamp, she blew out the candle and ate in the flickering light escaping from the woodstove before falling exhausted into bed.

Shivering, she pulled the covers tighter around her shoulders. Damn it was freezing! Why does not someone turn up the heat? It took her a moment to realize where she was. Remembering how she hated the "middle of the night feed the stove scamper," she was careful to pull the covers over the warm spot as she slipped out of bed. Stealing a moment in the blissful heat emanating from the stove she waited until the wood fully worked before closing the door and turning down the damper. Hoping it was going to be enough to last the reminder of the night she climbed back between the covers and attempted to recapture what warmth was left.

Freezing her head mid-turn as she was snuggling down into a chilly pillow, she strained to hear. Surely, her ears were playing a trick on her. She had almost convinced herself that she had been wrong when … Yes! There! Distorted by distance and fault as the breath of a night wind she heard it. Smiling to herself, she snuggled down into the growing warmth of the bed. She had not expected to hear the pack tonight as she had seen no sign of them on the trek in and it normally took them a few days to come see who was at the cabin. The pack were old friends and their distant but distinct presence helped her slip back into slumber with a soft smile on her lips.

Picking up the boxes she set the powdered eggs and pancake mix on the table before grabbing the snow pail and going outside for more to melt. "Oh! Well now!" She stopped short as she shut the door behind her. "Just how are all of you? I did not expect you guys until this afternoon."

On the other side of rough wood deck railing sat three large canines, wolves, large and intelligent. Six inquisitive eyes watched her as she crossed to the side of the porch and filled the snow pail with a practiced scoop. Turning back towards the door, she addressed the animals and asked her usual questions of greeting: "So, where is he? Did you bring him back to me?" Holding the door open, she called to the canines: "Artemis. Arthur." Amber. Come! " At the slap of her hand on her thigh streaks of black, brown and amber shot past her, leaping into the warmth of the cabin. She laughed at their antics and shaking her head, following them into the now much smaller feeling room. The wolves bounded from one side of the room to the other.

"All right you three! Settle down." Setting the pail on the back of the stove to melt she dropped down on her knees and with a flick of her fingers gave Amber the "okay to approach" signal. Burying her face into the amber ruff she inhaled. Fresh air and must mixed with cold tickled her nostrils. Amber returned the affection by promptly knocking her flat on her back. Knowing she had no choice and laughing so deep it nearly hurt, she gave herself over to a tangle of fur, tongues, paws, cold noses, shrieks and giggles as Amber's brothers took the opportunity to turn the welcome into a game of pile on the human.

"Oooof! Okay, off. Off! OFF!" she scolded as she finally pushed the animals away. Clapping her hands in command, she scrambled up to her feet. Obeying faster than their wild nature would indicate, the wolves laid down sharing the area near the stove. "I guess I better make some extra pancakes, but not too many." Shaking a finger at the group, she continued "You eat better when you eat what you hunt." Feeling no fear at turning her back to the three one hundred twenty-five pound predators, she dropped the mixing bowl down from the shelf and began adding ingredients to it. Turning to the stove to retrieve the snow-melt water, she shook her head and wondered "How do you look so darned cute? You're wolves." With a warm smile she made sure to give pats, lingering on each for a moment to marvel at the warmth and intelligence she felt there.

The wolves were really the only connection she allowed herself to have with Rich. It was hard to believe that tonight he will have been gone five years. But it was the summer that had spent together at the cabin while he did his research as a biologist for the state that kept her coming back. She had come to love the wolves as much as she loved him.

It had been a summer of magic, exploration, making love by the heat of the fire and the light of the moon, long hikes and skinny dipping in water so cold it turned their lips blue. Touching, exploring, learning and knowing each other in ways no one else ever tried. That summer had been idyllic. He had proposed down by the beaver dam with a ring of woven reed grass and they had left the valley the next morning, "heading back to civilization and people" as he had called it. He had gone to South America in the fall to do some kind of study in the Andes, she was never sure what it was other than it had something to do with little mammals. He had been so excited when he left – for a small town boy from Chugiak, Alaska a trip to South America for six months was so very exciting. Then, that phone call.

A whine and Amber leaned against heavy her leg and bought her out of her reverie. Reaching down she got the ginger colored canine a grateful pat on the head. "Thanks sweetie. With a determined change in tone, she addressed the other two wolves: "Okay. Artemis? Arthur? Are you boys ready? Let's make you guys some pancakes, shall we?" Grabbing the bowl and flat grill she set to the stove and stirred the ingredients in the bowl giving time for the griddle to heat. The wolves, taking up most of the floor space, watched as she began to cook.

Outside in the real world it was hard to remember, but here it was easy. It was easy to remember the scents of sandalwood and patchouli, his favorites. Here she could remember his smile, the broken front tooth that did not mar his good looks. It finished off the scar that seamed his cheek, he had told her it was from a childhood incident and made it clear that was all he would say. Here she could remember how secure it had felt to take on more physically demanding challenges with him. Who else could have gotten her to go rappelling?

Her thoughts flipped with the pancakes and brought her back to the present. Life was not so bad, she had friends, she had family, but damn … she was lonely and she missed him. That was why she had to come here … to be able to keep him alive in her thoughts. She was terrified she would lose her ability to remember him if she did not keep coming back. As she removed the first round of pancakes, wandering them cool and dropping them on the floor for the wolves, she forced herself to think of her future … something she did not do much anymore. She was always living in the present and had been since receiving that phone call from Danny. But she knew she was wearing that like a shell and somehow she needed to find a way to break out of it. A part of her never wanted to leave the valley, but life was not like that. No matter how many times she came back here she could not make that summer happen again, she could not make Rich come alive, but she could remember him! Finishing her breakfast, she tossed the last of the pancakes to the wolves and using hot water from the stove, made quick work of cleaning the kitchen.

"Alright, I gave you fattening human food, now it's time to run." Reaching up for the harness on the wall, she stepped into her ski boots, snapped them on, and pulling on her parka and gloves opened the door. As the wolves sauntered out she teased: "Okay, if having them make you move that slow, no more pancakes for you."

When they hit the porch the wolves leap into the snow and began rolling, playing and nipping at one another like puppies. Their bright eyes and quick response to her "here" command let her know they had not forgotten. Artemis squirmed in anticipation as she approached him; Arthur, the most wolf-like always watched her with a wary eye; while Amber, the last into the harness waited patiently until the final buckle was done then licked her in the face a long happy lick. Looping the reins of the harness over the railing, she put on her skis, then grabbed the lead. Bracing herself she saved the "Hi-yah" command that Rich had taught them. Starting from when they were puppies being hand raised because their mother abandoned them, the harness had been more of a game than a chore. She remembered how she and Rich had made it a game for themselves by making a racecourse around the valley and challenging one another to see who could make the best time. A wry smile crossed her lips as she remembered his frustration that her time on the "wolf track" was always shorter. Promising herself not to cry, but losing the battle anyway, she kept the wolves their head and felt the rush of air as they broke into a full run. Ice prickled the skin at the outside of her eyes as her tears froze to her skin in the arctic air.

The air bit into her flesh as the wolves hit their stride and settled into the trek around the valley. It was a path they knew well. It started out being the path Rich had taken to check for bear in the summer. Loving the run, the wolves ran with the grace of the wind and the joy of abandon and she had to focus on holding her balance, enjoying the quick views of the mountains surrounding her. Tell's Peak, the highest, was in the East and Crevit's Crag answered it in the West. The others she never knew the name of and did not really care … they were beautiful, solid, always right there … they were … mountains.

The healing energy of the valley began to see into her body as the wolves loped along their habitual track, tongue lolling from wide canine smiles. The cold appeared to be burning deep inside her, yet it cleared somehow clearing the pain away. Or, maybe, the cold, being cold, just deadened it a little? She did not want to think hard enough to know the difference. She just wanted to be in the now: hear the wolves breathing, the pad of their feet on the snow, the feel of the cold air in her lungs … she just wanted to live, the last thing she wanted to do was think .

It was near dusk when the wolves returned her to the cabin. That was always the nice thing about letting them have their way. Like horses who knew the way home to the barn, they knew when it was time to come home and the best way to get there. Rich had teased her that it had nothing to do with actual intelligence and everything to do with knowing when and where it was feeding time. He had tried to explain something about this guy Pavlov, but she could never quite understand why someone would do that to a dog and all Rich could do shake his head at her and laugh, then he had kissed her on the forehead.

Petting the ruff fur of each animal as she unstrapped them from the harness, she sent each animal off with a pat on the head. On her word "go" each of them headed off in their own direction. Artemis determinedly sniffing a moose trail, Arthur rolling over onto his back in the snow before heading into the trees. Amber giving a soft whine before quietly turning away. She knew they would be back in a matter of just a few minutes – they liked the warmth of the fire and human food.

Slam! She dropped the mixing bowls on the floor. SLAM! What was going on !? She ran to the door yelling: "Who's out there? Who are you?" Taking the.41 from the holster by the door she unhooked the latch and opened the door a crack just in time to see Amber running towards the cabin. Slam! The wolf had thrown itself against the wall of the cabin full force!

"What are you doing Amber? Amber!" She dropped the gun back in the holster. Not even having time to get her coat before Amber's brothers entered the cabin, she was completely passive as the boys each took gentle hold of her wrist in their mouths and folded her towards the door, an echo of the "out please" game she and Rich had played with them as pups. She knew better than to fight them and let them lead her outside into the icy air. As soon as they were outside the boys let her go and all three wolves slowly walked away from the cabin.

They raised their muzzles to the sky and hindered at the sheets of white, yellow, green, and red of the northern lights. Running across the sky from horizon to horizon, strips of color were lighting up the night. The lights were so bright that they reflected off the peaks in a pearlescent echo. The swirling colors moved with sheets, rays, and flows holding her captive. She watched them dancing, swirling, moving. Somehow, the mournful tone of the wolves' howling was the perfect accompaniment for the glory in sky and the depths of her thoughts. She was never sure when she started feeling him behind her. She was afraid to turn around. Sandalwood and patchouli! Oh God! Warmth, as if he melded his body to hers. Was it real? This was always the part where she suspected her sanity. His chin on her shoulder, his breath on her neck, warm and smelling like the rose hips he always ate. His voice whispering in words just beyond hearing; she did not care if he was real or not! It felt real and for this, for now, that was enough. She gave in. There was nothing else she could do. She watched the lights, she felt him with her and that he was watching the lights with her as they had done so many times. She just stood there, not thinking, just feeling; she knew she would never feel him like this again. She was not sure, but, just as the cold had started to register and break the spell, she thought that could have been his voice in a whisper of night air giving her the gift of a goodbye.

A flood of tears chilled her face as the emotions held behind a brittle veneer of fear for five years finally burst forth freeing her. She stood there in the cold as long as she could before turning to the warmth of the cabin. She was different, changed. She knew now. She knew she could go on, that she wanted to find something beyond herself and her memories of him. Glancing over her shoulder, she could see that the wolves were leaving … Amber turned one last time to howl mournfully before disappearing behind her brothers into the trees. She knew they would never be back. They had shared that one final time with she and Rich and now they had returned where they belonged – the wilds of the upper vale.

When she saw Danny show up the next morning she was glad, not irritated. Watching as he made his way across the valley, she had hot chocolate, fried potatoes and beef with gravy on the table when he arrived. For the first time in years, they sat and talked about the big brother he had loved so much and the man she had loved to spend her life with, laughing and crying late into the night. In the morning, they closed up the cabin and left, knowing they were finally able to leave the grieving and pain behind. Rich would always be there with them, in their hearts, right where he belonged.

Neck and Back Pain

Neck and back pain are common, especially with aging. Low back pain affects about 50% of adults older than 60 years. The pain is usually caused by muscle tension or stiffness in that particular area of ​​the back or neck which can be with or without neuro-motor deficiencies.

The neck and back pain can either be:

1. Non-specific or

2. Specific.

1. Most of the back pain symptoms are non-specific , and they are the result of overuse or injury of the ligaments and muscles that hold together the neck and low back vertebrae.

2. Specific mechanisms leading to pain in both neck and lower back or specific for each region individually:

a. Specific mechanisms causing neck pain only:

1. Atlanto-axial subluxation (subluxation at the level of first and second neck vertebrae).

2. Referred pain from carotid or vertebral artery dissection (Dissecting aneurysm affecting those arteries).

3. Angina pectoris referred pain.

4. Myocardial infarction referred pain.

5. Meningitis.

6. Herpes zoster.

7. Temporo-mandibular joint disorder.

8. Torticollis. (twisting of the neck to one side that results in abnormal carriage of the head and is usually caused by muscle spasms).

b. Specific mechanisms causing lower back pain only:

1. Lumbar spinal stenosis.

2. Osteitis condensans ilii (iliac sclerosis adjacent to the sacro-iliac joint which usually develops in some post-partum women.)

3. Referred pain from hip, buttock, or pelvic disorders.

4. Referred visceral pain from aortic dissection or aneurysm, renal colic, pancreatitis, retroperitoneal tumor, pleural effusion, pyelonephritis.

5. Sacro-iliac osteoarthritis.

6. Sacroliliitis.

7. Sponylolissis (A defect of the vertebral arch).

8. Spondylolisthesis (slippage of all or part of a vertebra on another).

c. Specific Mechanisms affecting either neck or lower back.

1. Ankylosing spondylitis (usually lower back but can also be thoracic.)

2. Arthritis (Osteoarthritis and rheumatoid arthritis which rarely affects the lower back).

3. Congenital abnormalities (eg spina bifida, Lumbarization of S1 which is an anatomical anomaly in the human spine characterized by the non-fusion of the first and second segments of the sacrum.Therefore, the lumbar spine typically appears to have six vertebrae or segments , not five and the sacrum appears to have only four segments instead of its designed five segments).

4. Fibromyalgia (illness that causes chronic pain in muscles and ligaments).

5. Intervertebral disc disease.

6. Infection. (eg osteomyelitis, diskitis, spinal epidural abcess, infectious arthritis).

7. Injury. (eg Dislocation, subluxation or fracture).

8. Muscle or ligament srain.

9. Paget's disease.

10. Polymyalgia rheumatic.

11. Tumor (Primary or metastatic).

12. Spinal cord compression.

Treatment:

1. For acute musculoskeletal pain oral analgesics like Tylonol, Advil or Asprin will do the job of relieving the pain. 2. Acute muscle spasms can be relieved by ice or heat.

3. Treatment of the cause of neck or back pain and the best who can judge is your doctor.

Bronchitis and Tonsillitis – Causes and diagnose

The condition called bronchitis is the inflammation of the bronchial tree; tonsillitis is the inflammation of to tonsils localized on the posterior side of the mouth. Both diseases are caused mainly by bacteria or viruses, but can also be unleashed by polluting factors or different substances causing irritation. The most common cause of tonsillitis is still the bacteria Streptococcus with its preferred localization in the mouth and throat.

In bronchitis, the occurred inflammation affects the cills on the bronchial mucosa and lowers their movements so they cannot evacuate mucus and foreign particles no more. Also the mucus secretion is stimulated and the phenomenon of coughing appears during bronchitis. Triggers of bronchial inflammation are especially inhaled dust or pollutants, smoking, but also viral determinants such as Rhinoviruses, Adenoviruses, Influenza and Epstein-Barr.

Tonsils have an immune and evacuating function but viral or bacterial infection hinders the drainage leading to inflammation and pain. Most important infectious factors in tonsillitis are Streptococcus group A and viruses like Herpes simplex I, Adenovirus, Enterovirus, Epstein-Barr and the flu causing viruses Influenza and Parainfluenza.

The primer symptoms of bronchial inflammation are coughing with mucus expectoration, chest pains, dispneea (difficult breathing) and all signs of regular colds. Tonsillitis is characterized by symptoms like a sore throat and disfagia (pain while swallowing), fever, pain, nausea, anorexia and chills.

Most difficult to diagnose is bronchitis as it can easily be mistaken with asthma. Proper tests for diagnose are chest X-ray, listening breathing with the stethoscope, pulmonary function tests and collecting sputum for bacterial cultures.

Tonsillitis is diagnosed only by checking the swollen tonsils with a spatula and collecting a pharyngeal probe to determine if the infection is bacterial or viral. Bacterial infection will require antibiotics but viruses won’ respond to such treatment.

If not treated bronchitis can become chronic and increase the risk of lung cancer, contribute to apparition of asthma or make the pulmonary tract more vulnerable to infections. Complications of untreated tonsillitis might be obstruction of mouth and upper airways and an abscess that could spread in the entire body. Especially untreated Streptococcus causes heart, kidney, skin and liver damages.

Treating bronchitis requires painkillers like Ibuprofen or Acetaminophen, assisted breathing in acute bronchitis and ant biotherapy with macrolides if Chlamydia or Mycoplasma are present.

Streptococcus in tonsillitis must be attacked parenteral Penicillin; in severe cases of more than six tonsillitis attacks per year surgery to remove the tonsils is indicated. Tonsillectomy is also necessary when the inflammation obstructs the throat.

The potential severe complications of long-term infection left untreated must imply more interest in healing the inflammation and treating the primer infection. Researches to find better and right cures are made all over the world.

OCD (Obsessive Compulsive Disorder) Explained

Obsessive compulsive disorder is a symptom of an underlying anxiety condition. The obsessions experienced by OCD sufferers range from appropriate thoughts, for example about harming someone or subconscious counting, to carrying out invasive, compulsive rituals such as constant checking, hand washing or tidying.

OCD is driven by anxiety. The 'what if …?' thought processes, driven by the anxiety of possible consequences, cause the sufferer to 'manufacture' appropriate scenarios in their minds, catastrophic thinking such as 'what if I do not wash my hands again, will something bad happen?' Once the sufferer has made the link in their mind between avoiding anxiety provoking consequences and hand-washing, the subconscious, anxious mind perpetuates those thoughts and the obsessive compulsions of OCD develop.

Like all anxiety disorders, OCD usually develops as a result of increased exposure to anxiety provoking situations or experiences; the sufferer then creates a subconscious, anxious 'habit' in their subconscious mind which becomes automatic. Whilst there is no evidence that anxiety disorders are genetically linked, those with a predisposition to high levels of anxiety are the most vulnerable. Typically, anxiety disorders are experienced by people with a high level of creativity which is a requirement of the subconscious mind which utilizes that creativity to create these inappropriate anxious scenarios and behaviors. OCD can be accompanied by phobias and panic attacks and can present the sufferer with a wide range of anxious symptoms and thoughts.

Charles Linden

The Linden Method for Anxiety, Panic Attacks & Phobias

The Linden Center

+44 (0) 1562 742004

www.thelindenmethod.co.uk

www.panic-anxiety.com