The Role of First Aid in Angina, and Heart Attacks

Angina vs. Heart Attack

In angina one of the coronary arteries "hardens". This essentially means that sufficient deposits of fat have built up in an artery to prevent the tissues on the other side of the narrowing from getting an adequate supply of blood. When one of the coronary arteries becomes hardened the blood supply the feeds that part of the heart is reduced so that the heart muscle as a whole has to work harder. This in turn causes pain in the chest, which can spread to the neck, jaw, shoulders, and arms. This pain is called angina. It is typically controlled by prescription medications.

A heart attack is caused when the heart's muscle tissue dies because the oxygen-rich blood supply is cut off. This is usually caused by a blood clot, which gets stuck in a narrowed artery. If enough of the heart tissue is affected then the heart will stop. This is known as cardiac arrest.

In either case the casualty could describe the pain as a heaviness, tightness, or squeezing. They may also just complain of sore arms, an aching jaw, or simply indigestion. Other symptoms may include: denying anything is wrong, fear, pale skin, nausea, vomiting, sweating, shortness of breath, fatigue, shock, unconsciousness, cardiac arrest. (St. John, 5-5 1996).

There is no way a first aider can determine if a casualty is suffering from angina or a heart attack. Only a doctor can determine this. Because of this the treatment is the same in both cases as far as the first aider is concerned.

Treatment

1. Inform casualty you are first aid trained, and ask if you can assist them.

Everyone has the right not to be touched by others. When you are offering first aid this must be respected. You should always identify yourself as someone who is first aid trained, and then ask if you can help.

Once you have asked the casualty, they can say "Yes" or otherwise indicate their consent, or they can do nothing, but not prevent you from assisting. If a member of the casualty's immediate family is present they can also give consent. If the casualty is a child, and their parents are not around then you can also proceed. In all these cases you have consent or obliged consent to assist.

The casualty also has the right to say "No", which may sound odd, but they may have reasons, which you must respect. If this is the case make them comfortable if they allow it, and tend to others if necessary.

2. Call for medical assistance

When you recognize the signs and symptoms of angina or heart attack you should call for medical assistance, or have a bystander call for assistance. In today's world where most people carry cell phones this should not be a problem, if however you have to leave the casualty make sure they are at rest first.

3. Put casualty in resting position

By putting the casualty in the resting position you reduce the work that the heart has to do. The resting position has the casualty lying on their back, with their head and shoulders raised, and their legs bent at the knees and raised. It is also preferred to cover then with a blanket, coat, etc. to keep them warm.

It is possible that this position may increase the pain so try different positions, but do not delay calling for medical assistance.

4. Make sure casualty is comfortable

The best way to make a casualty comfortable is to loosen tight and restrictive clothing around the neck, chest, and waist. Also reassure the casualty as this will cause them to relax and this before reduces the work the heart has to do.

5. Assist the casualty to take their medication

If the casualty knows they suffer from angina, they will likely carry their medication with them. If the casualty is conscious and specifically requests for your assistance then proceed to do so. In any case always follow the instructions on the container, which includes ensuring the medication is for this patient, and ensuring the medication is administered in the proper way. For example nitroglycerine tablets must be placed under the tongue, not swallowed.

6. If breathing stops start Artificial Respiration (AR). If pulse stops start CPR.

It is not the purpose of this article to teach you either AR or CPR, as both require hands-on training and practice. While no specialized equipment is required for either of these procedures the equipment is available to assist you in training and practicing in the form of face shields, CPR training manikins or dummies, and training devices.

Conclusion

The role of a first aider when encountering a casualty suffering from either angina or a heart attack is primarily the same. Extensive training is available through local chapters of the St.. John Ambulance, Red Cross, and other organizations.

Citations:

St. John's Ambulance. 1996. Military First Aid – Safety Oriented. National Defense Headquarters. Ottawa.

Dietary No Nos – What Not to Feed Your Dog

We've all encountered an untrained dog that will stop at nothing to get at whatever food is on the kitchen counter. A recent dog sitting experience for a friend's two terriers found, upon my return home, that a gift bag of Easter candy which had been sitting on the counter was divvied up, unwrapped, scattered about the house and ateen. Luckily these dogs were wise to the fact that chocolate (especially dark chocolate) is poisonous to dogs and they did not touch one of the foiled wrapped chocolate eggs, but the bubble gum was a different story. They devoured every last piece, with thankfully, no adverse side effects.

This is not always the case with 'trips' that dogs find around the house and yard. Another friend's playful Labrador managed to retrieve a box of raisons from a kitchen cupboard left ajar. Other than being annoyed with the dog's naughtiness, no one thought anything of it since people often give their dogs grapes or raisons for deeds. In general, most dogs will vomit up grapes or rains with no ill side effects but in some cases the dogs are poisoned by the fruit and, in extreme cases, can suffer kidney failure. If you find that your dog has managed to get a hold of a bunch of grapes or raisons, induce vomiting and check with the Animal Poison Control Center in your area.

Here's a list of some other foods to avoid feeding your dog:

– raw liver

– milk and other diary products – dogs are lactose intolerant

– cat food can cause metabolic imbalances

– tea, coffee and cola type drinks (similar to chocolate in terms of poison)

– bread dough

– turkey skin

– raw fish especially salmon

– some mushrooms

– raw eggs

– walnuts and macadamia nuts

Many vegetables and meats are OK for your pet but if you are making your own dog food, it's advisable to do a little research first, specific to your breed, on your choices of food.

If you want to go the organic or natural dog food route but are not inclined to make your own pet food from scratch, some companies offer pre-made food mixes. You may just have to add water and other suggested food items. Or you can purchase raw, frozen or freeze dried pet food usually made of 100% meat products with no mixing required.

A Real Life Heart Healthy Fairy Tale

Thanks to our all-knowing nanny state I need to say up front that I’m not a doctor and that this article in no way makes any medical claims. In fact, all I’m going to do is tell a fairy tale. If my story inspires you to take action please confer with your “healthcare professional” first. Although establishment doctors typically don’t know squat about nutrition, to CYA/CMA I must tell you to consult your doctor before doing anything that may be suggested below. There… now for my story:

Once upon a time long, long ago in a far off land… actually it was 2005 in Shreveport, Louisiana. Bob, my business partner from 1999 suffered a massive heart attack in his doctor’s office. Happily, Bob didn’t die but over a year later he is still suffering from the effects.

Bob looks healthy as a horse and is only 54-years old but he has a family history of heart disease. His Daddy died of a heart attack as did his uncle. Since the “episode” in his doctor’s office, Bob has diligently sought ways to improve his heart health and hopefully reverse his heart disease. He has changed his diet, exercises regularly and takes supplements that promise to improve his overall health. To keep his blood test “numbers” within normal limits – much to his chagrin – he must take several medications. Bob hates drugs and their side effects which he believes are often worse than the symptoms that they are masking.

Six weeks ago a friend told me about a liquid vitamin/mineral/amino acid supplement for the heart that promises to provide all the key nutrients for a healthy cardiovascular system. The main ingredient in this concoction is an amino acid called L-arginine whose heart healthy benefits are supported by Nobel Prize research and 75,000+ medical papers validating the science. This Nobel research discovered the link between nitric oxide and cardiovascular health. Nitric oxide significantly increases blood flow, makes the blood vessels more flexible and gently dissolves plaque. L-arginine is a precursor in the cardiovascular system for the production of nitric oxide.

I told Bob about this “stuff” and he was eager to give it a try because of his aversion to drugs and his desire to get off as many as possible. He has diligently charted his blood pressure for months in his quest to stay on top of his delicate condition. Last month his BP daily average was a satisfactory 125/82. Boldly, Bob (without consulting with his doctor… a BIG no-no! REMEMBER?) stopped his blood pressure medication and doubled his daily dose of this heart healthy swill. The first week off his blood pressure medicine, Bob’s BP averaged that of a world class athlete, 100/62.

My fairy tale moves to Tulsa, Oklahoma and the characters change. A 75-year-old lady friend of mine is essentially an invalid and home bound because of her serious breathing problems. Her condition is so severe that she must use one of those powerful inhalers every four hours to avoid gasping for breath. Initially she was skeptical and reluctant to try this liquid supplement but after a week of coaxing by her husband she relented. Within two weeks she was down to only two treatments per day. Remember, increased blood flow also increases oxygen delivery to the entire body which was the reason for her success.

One of the first success stories that I heard when I discovered “Cardio Cocktail” was told by a gentleman in Arkansas. At 42 he was diagnosed as needing 4 stints in his heart due to blockage. He scheduled the procedure 70 days hence and in the interim he took 4 times the normal serving of the product which because of the natural ingredients is perfectly safe. Following the scheduled procedure two months later, his doctor reported that he found no blockage and it had been unnecessary to put any stints in his heart. Amazing.

Cardio Cocktail is a revolutionary heart healthy product which promises to reverse heart disease. Oh, did I mention that it has also cured Bob’s and my erectile dysfunction? Increased blood flow does all kinds of wonderful things for your body and for your little friends.

… And everyone lived happily ever after. Here endth my fairy tale.

What is High Cholesterol and How Does it Affect My Health?

Our bodies manufacture almost all the cholesterol we need in the liver. It is used to bind cells together, produce hormones, vitamin D, and substances that help us digest the foods that we eat. By now we all understand the negative health effects that high cholesterol causes. When to much is present in your blood this is where problems arise. When we get into a situation where we have too much cholesterol in our blood the condition is called Hypercholesterolemia or Hyperlipidemia. Health problems from high cholesterol do not appear in a matter of days or months but are a result of the condition persisting over a number of years.

There are basically two ways in which we obtain cholesterol. First our bodies manufacture most of what we need in our liver. The second source is from the foods that we eat. Animals are the only ones that manufacture cholesterol so we get it when we eat animal products such as meat, chicken, fish, butter, whole milk and cheeses. These foods will provide you with more than enough cholesterol. You will not find it in anything that comes from a plant such as fruits, vegetables or whole grains. One way to reduce our intake of cholesterol of course would be to reduce our intake of animal products and consume more fruits and vegetables.

We have all heard of LDL (Bad) and HDL (Good) cholesterol, but what exactly do they play? In order for cholesterol to get to the cells where it is needed it has to be transported through the bloodstream. We all know that oil and water do not mix. Because cholesterol is a fat, like oil and water, it does not mix with your blood and will separate. To travel through the bloodstream cholesterol is surrounded by a protein to create a "cholesterol complex". This is called a lipoprotein, the two forms being LDL and HDL. These lipoproteins have two functions; first the LDL's transport this complex from the liver to the tissues that need it. The problem arises when we have too many LDL's left over. They will let go of the cholesterol and will cause a plague build-up that results in a condition known as atherosclerosis, commonly known as hardening of the arteries. The HDL's then pick up this excess cholesterol and transport it back to the liver where it can either repackage it for later use or get rid of it. This is why ideally we want high levels of HDL's and low levels of LDL's.

Your cholesterol level is a result of two things, first it is affected by what we eat and secondly how fast our bodies manufacture and use it up. Most of the time there is no specific reason why a person has high cholesterol. Modern medicine has not yet been able to identify specific causes for the condition but have come up with a list of risk factors that can lead to it.

Some of these risk factors are things we have control over and others we can not control. Some that are within our control are:

• Diet – Eating foods that are high in cholesterol and saturated fats will increase cholesterol levels. This is believed to be the main reason for high cholesterol and the high rate of heart attacks in this country.
• Weight – Being overweight can increase your cholesterol levels. Losing weight can lower LDL and total cholesterol as well as increase HDL levels.
• Physical Activity – Getting regular exercise can lower LDL levels and increase HDL levels.

Now let us take a look at some of the factors that we can not control:

• Heredity – Your genes determine how fast your body makes LDL and how fast it is removed from the blood. This is why heart disease runs in some families and not in others.
• Age and Gender – As we get older our cholesterol levels rise. For example, before menopause women usually have lower cholesterol levels than men the same age. After menopause women have higher LDL levels and lower HDL levels. After the age of 50 women tend to have higher total cholesterol levels than men their same age.

In conclusion, each year there are more than 1 million heart attacks in the United States resulting in over 500,000 deaths. Understanding the role that high cholesterol plays and what we need to do to lower it can benefit everyone. The only way to know if you have high cholesterol is by a blood test. If you have concerns that you may have high cholesterol levels due to lifestyle or other factors it is best to discuss this with your doctor who can monitor the situation.

Liver Cancer Symptoms

Liver Cancer is a fatal disease and unlike other forms of cancer, gets detected at a comparatively later stage. It is thus also referred to as a silent form of Cancer. Chances of survival in the case of Liver Cancer are limited and almost all affected people pass away within a year.

Like other cancers, Liver Cancer may be primary or secondary. In the former case, the cancer originates from the liver itself when the characteristics of cells in the liver transform into a growth pattern which is abnormal and start forming a tumor. This tumor then starts restricting the functioning of the other parts of the liver. In the secondary form, the cancer spreads from the other parts of the body and consequential affects the liver.

As said earlier, Liver Cancer does not pose any major discomfort in its early stage. However, as the cells keep multiplying, they start affecting the functioning of the liver and the following symptoms become evident:

* Change in Urine Color – The color of the urine will gradually start getting darker with passage of time.
* Pain – This will become persistent and will be all over the abdomen, more pronounced toward the right side. After some time, it will spread towards the back and the shoulder blades.
* Weight – As imminent with nearly all forms of cancer, there will be unexplained weight loss. This is due to the cancer cells start burning more calories than done by normal healthy cells.
* Fullness – This is somewhat connected to weight loss. There may be loss of appetite since the patient may feel he is full and not feel like eating.
* Skin Color – In Liver Cancer, there is a very noticeable change in the skin color. It starts to gradually become yellowish as the disease spreads within the liver.
* Swollen Abdomen – This is another symptom which will be treated by an affected patient, although a bloated abdomen may also be due to some other cause.
* Associated Symptoms – Other associated symptoms as with different forms of cancer remain the same as under feeling of lethargy and tiredness, fever, nausea and vomiting.

In the case of Liver Cancer, the best chances of controlling it are in the early detection stage.

Tips On Cold Sore Home Remedies

Finding the right cold sore home remedies that actually give you some relief is not an easy task it looks. We know about the expensive prescriptions, but what about some of the less expensive natural ways of treating a cold sore?

Here is a look at some of the more popular home remedies that claim to really work.

1. Using ice – This is arguably the most well known remedy. When you first feel the beginnings of that cold sore forming under your skin, put some ice in a bag or wash rag and apply it directly on the sore.

It is recommended that you do this for 10-15 minutes at a time, 3 times every day. The thought process behind this is that the ice will freeze and kill off the potential sore. They say you must do this before the sore appears in order for it to work. I must say that I have tried this method and never had real positive results. Yes, it killed some of the pain, but the cold sore was still there. But I know other people who swear by this cold sore cure. You'll have to try it and decide yourself.

2. Using aloe vera – As far as cold sore home remedies go, I found this to some help. When you find a sore that does form you can get a few aloe leaves and use the liquid from them to rub on the sore or blister directly.

It is recommended to do this once in the morning and once at night. As I said, the results were something positive for me. I also know that many people with aloe vera plants that they use for treating a cold sore.

3. Using tea tree oil – This remedy involves taking a cup of boiling water and adding tea tree oil, violet and herbal sage to it. As it mixes together you drink this a couple of times per day and within two days it will eliminate your sore.

I can not tell you if this method works or not since I've never tried it, but I've heard that it does for some people.

4. Vitamins – Taking extra vitamin B is said to work in treating a cold sore. Vitamin B-12 is the better supplement.

5. Other remedies – Some other methods include using a mixture of 100 ml of coconut oil, mixed with 2 ml of dettol and 3 ml of carbolic acid. After combining these together you put it directly on the sore.

There are also people who use witch hazel and lemon balm as well.

As you can see, there are many cold sore home remedies available. This article only touched on some of the more well known remedies. The next time you find yourself facing a cold sore, try one of these remedies and see if it helps provide you with some relief.

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The Real Harmful Effects Of Cigarette Smoking

In each new research paper and each new study that appears, there’s just more and more negative news when it concerns the harmful effects of cigarette smoking. As doctors, biologist, and scientists discover more about the anatomy and are capable of tracing the smoking effects more clearly, they establish more about its harm.

While lung cancer remains as the number one concern for many when it amounts to the harmful effects of cigarette smoking, in fact, many cancers have been connected to this habit, such as throat, bladder, liver, of the large intestine, of the larynx, of the mouth and tongue, and even leukemia and blood cancer.

In addition, this habit will act upon drying up the arteries close to the heart, resulting in these muscles working that much harder to do their job. Among the clear health effects is the recurrence of heart disease, heart attacks, and other complaints of the vascular system. Many instances of heart attacks and heart disease happen in the non-smoker that’s able to be traced back to passive smoking or second hand smoke.

Of course cancer isn’t the sole disease of the lung that’s as a consequence of the effects that smokers have on the body. Asthma, bronchitis, chronic cough with sputum, chronic sore throat, chronic obstructive pulmonary disease (COPD), pneumonia and just about any other disease that one may contract in the respiratory system is in someway associated with smokers.

And so the bottom line is there are a variety of harmful effects of cigarette smoking, and none of these are good. It is not hype; it’s reality that smoking doesn’t do anything but affect your health and of those close to you.

How to Be Elegant

Secrets of Self Confidence, Poise and Gracefulness

"To be elegant is first of all to know oneself, and to know oneself well requires a certain amount of reflection and intelligence."

There are two parts of becoming elegant .

The following article speaks about an inner and outer elegance, starting from inner elegance because I believe true elegance starts from within.

Everyone knows somebody who we think is elegant.

She could be a celebrity. That girl who sees to have it all together. The one with all the designer clothes and bags. The soft spoken girl who speaks eloquently.

She could be who you want to be.

We express this hope in many ways. We buy the nicest things, dress our best and carry classy designer goods. Does that mean we are elegant? Not necessarily so.

I've been trying to define the elegant woman for as long as I can remember. Dictionary.com defines an elegant woman is one who is pleasantly graceful and stylish in appearance and manner.

She is so much more.

For me, that woman is (but not limited to), Audrey Hepburn. She moved gracefully, never sloppy, never tired, always bright and sparkly yet pleasantly quiet, thoughtful. She is full of love, graciousness and compassion. She is always on time, works hard at whatever she finds in her hands to do, whether it was coming to the set with all lines memorized or to give a moving speech to thousands with her work at Unicef.

After her vital life, her heart and values ​​were always with her family. She also enjoys fashion and good clothes, but they were never a priority over the feelings of others. She preferred a quiet life but worked hard and saved to provide a comfortable and normal life for her children. When she felt she had enough, she stopped working and relished in her role as a full time mother, only flying in to give an interview and flying out the very next day to return to her home in Switzerland.

Her very elegant essence could not even escape the character she portrayed in movies.

In Breakfast At Tiffany's, the character Holly Golightly was a social climber, who often used men and sometimes get compromised with her value for money and connections. Yet, when Audrey embodied the role, she took it to a reality where it made her audience believe she was simply a lost country farm girl, silly and innocent and very much lost, like dove and caused everyone to have compassion on her character.

She made Holly Golightly a more tasteful character. I was determined to find out the essence of elegance from the wonderful Audrey Hepburn. In my research, I constantly asked, what was "it" that made her so?

It is possible that I have read every book and documentation about her. Who was she? What was she like? In reality, I've stumbled upon a woman with imperfections, insecurities and yet had a resolve made of steel to remain true to herself. Her unwillingness to fake anything, from her extremely body image insecurities and publicly failed marriages. She struggled with her relationships and marriages before everyone. Yet she always remained strong and positive and gracious whenever she could. She focused on others and it became more apparent as she near the end of her life. Whether or not she was happy and satisfied with what she did, no one really knows. She probably has no idea how much she has affected and inspired us all, till this very day.

Neverheless, she was the most elegant.

I think Audrey Hepburn embodied the essence of elegance. Google "elegant woman" and she comes up number one. Search any poll for the "most elegant woman" and you'll see 40% of the people voted Audrey Hepburn.

She was well-loved and nobody had a nasty thing to say about her.

So how do we achieve a similar refinement?

Would not it great if someone told us, "Here are the seven steps to become elegant!"

As much as most 'permissions' have a common theme, there is a stylized element that is completely individual.

Point is, take every thing written whether on this site or not with your own judgment, mix it up with your thoughts and establish your own style.

Refinement is a lifelong process. As long as you earnestly desire to improve, I believe you naturally become refinanced. Of course, knowledge speeds up the process!

First Steps To Elegance

There are two parts to my response. We also start with the heart. I believe, true to what the Bible says in Matt 23:26 that we have to start with the inside and once that's deal with, the rest of it becomes an ease.

Despite what all the dictionaries say, I would like to define elegance as graciousness in action.

I've seen friends try to be elegant by wearing pearl necklaces around their neck, social-climb, become food connoisseurs, speak Prada amongst a hundred things.

There is absolutely nothing wrong with that. While all that is personal preference, one is not really elegant that way. She may appear elegant, know all the lingo, but is far from elegant once put in certain situations.

There is a saying "A woman is like a tea-bag. You do not know her strength until you put her in hot water."

An elegant woman is a gracious woman. She is gracious till the end. She never shoves others in her way in a crowded train. It does not matter if she looks elegant, speaks the part but fails in her everyday life. The truth eventually finds its way out.

The way to be gracious? Love others, value and esteem others. Have the thinking of any person you meet, regardless of social status, looks, speech, education etc "I am you and you are me." Genuinely care and put others first. Talk about them and let them talk about them.

As Audrey Hepburn said, that in her childhood, her mother told her that "You" is boring. '

Second part of elegance

One of the roots of the definition of "Elegant" is Authenticity.

Many women have secret struggles with self confidence and self esteem. There are many roots of this issue which are too long to discuss. While I am not a psychologist, I think its best to keep it simple.

I believe gaining self confidence has a lot to do with authenticity. It's a matter of discovering who you are, what God has given you in talents, aptitudes and aspirations, dreams and what is in your hand.

In other words, take an inventory of yourself .

– Take some time to discover your likes and dislikes.

– What are your strengths, talents, dreams? God put them there for a reason.

– What do you think about all the time? It is your passion.

– What is in your hand? What can you do? Assess the opportunities around you.

When we work on those questions and embark on a quest for an on-going discoveries, we may reveal in them and at the same time weed out impurities. We naturally go on a journey to refine ourselves to our fullest potential.

Voila! You have no time for low self confidence. You suddenly realize you know a lot about something – your passion – you speak with pride and self respect.

To be true to ourselves is to be authentic . We become comfortable in our skin. We can stop being self-conscious and focus on others. This is the root of an elegant, gracious woman. Elegant Hairstyles, Elegant Hair, Evening Hair, How to be Elegant, Elegant appearance

The Rest Of It (Outer Part of Elegance)

The rest of it involves tweaking what you already know.

  • Taking pride in your appearance.
  • Having manners (not the same as etiquette).
  • Knowing basic etiquette.
  • Being aware of differences in culture.
  • Social ease basics.
  • Having a reverence of beauty

Elegance is a lot easier to fake it and 'turn it on and off' whenever desired. However, if it is the highest form of elegance that you want, encompassing the various definitions in dictionaries, it has to start with the heart.

Does Penis Size Matter to Girls – Not Knowing These Can Spoil Your Chances With Girls Forever

In the modern world of Viagra and many other medicines that claims to help your sexual life better and the number of surgeries and penile enlargement therapies, the poor ones with small penis are in a state of distress. They may be even cursing themselves of their smaller size …..

Does size matter? Are you troubled with your penis? Do you ever think that women can be satisfied only with larger ones? The fact is that it is only a myth. Large penis is good only in porn films and for the mean ones who boast about their stuff. Who knows, they may even fail if they do not know the basic things.

There are three things to remember if you have a smaller one. Rule one is that women give a lot of importance to emotional bond. Give it to her. Remember, the first thing to do for a successful bedtime is to make her love you. If you succeed, then she will open it up for you.

The second thing you should understand is that women may even feel uncomfortable with a larger penis. Normally she can bear only 3 inches of your stuff and an average man has 5-6 inches when he is aroused. So even if you have half the size of a normal man it is not going to affect you. It may even make her more comfortable.

The third thing is to find time for foreplay. Make her pleading for your stuff to enter into her. If possible try the technique of holding it for a longer period. She will beg you to let it explode.

Confidence is the key. So be confident. Go and trigger it. You can enjoy it all the more. In fact, the small one may even give you an edge over the others.

Want To Learn About Disulfiram or TETD Side Effects? (Disulfiram Part 2)

This is the second part of the disulfiram or TETD article we started last month. As most of you probably knows, disulfiram is a medical alcoholism treatment that make the patient sick when drinking alcohol. The purpose is to make him or her 'hate' alcohol. In this second part of the article we are going to take a closer look at disulfiram or TETD side effects and fortunately, these are relatively limited. This remedy has been used by millions of people for fifty years now, and very few side effects have been reported. Most of the known side effects have been seen only in extreme or special cases. The side effects we have listed below are not common and should therefore be looked upon as worst-case scenarios. Conclusive, we can say that TETD is a pretty safe and side-effect free alcoholism treatment.

The most common TETD site effect is drowsiness. For about one in every twenty disulfiram users, some general drowsiness occurs in the first couple of months. In cases where it does occur, it usually only lasts a couple of weeks. The drowsiness is rarely bad, but if it is, the dosage can be reduced for a short period of time, until the body gets adjusted to it. If there are any other minor side effects, cutting the dosage in half for a couple of weeks is effective.

However, disulfiram has one serious side effect. For patients with any sign of liver trouble or hepatitis, TETD must immediately be stopped. This is very important.

For any kind of drug, there will always be a few odd reactions for a very small number of users. In some fairly isolated cases, patients on TETD have experienced asthenia, dyspnea, hypertension, vasodilatation, sweating, problems with their taste buds, impotence, dizziness, neurological problems, amblyopia and ataxia. I must emphasize that such sases are very rare, but it is worth mentioning.

All drugs interactions with others, so it is very important when taking TETD to make sure any other medications you are taking are okay. Disulfiram (branded as Antabus, Aversan and more) reacts with certain drugs in adverse ways, in particular Dilantin (also called phenytoin). As always, you should consult your physician and make sure there will not be any problems. In many cases, it is just a matter of adjusting dosage.

Any patient who takes TETD must be clearly informed about what will happen if he or she drinks. There is a special informed consent form that have to be signed by the patient. If you are interested in trying TETD, the first step will be a thorough prescreening, including a physical, food count, SMA-12 Profile, electrocardiogram, electrolyte analysis, urine study, complete medical history and phyiatric examination. Using TETD is a serious alcoholism treatment, and it must be determined to be safe before the process can begin. After the consent form is signed and all the pre-screening is evaluated and determined to be safe, you are free to start taking TETD.

The common dosage of TETD is 500 mg per day, but the doctor will probably start you out at 250 mg for the first week or so, and then up the dosage. This will give your body a chance to get used to it. But do not forget, TETD is only part of the rehabilitation process. It also includes attending meetings and learning to cope with your drinking problems.

During the alcoholism treatment process, you will not have to return to the doctor without a problem develops. You will have to go back for another SMA-12 after a few weeks of being treated with TETD, but after that you are finished. Make sure that if you think there is any indication of liver trouble, you stop taking TETD immediately.

If you have trouble with TETD, another safe and effective option is Metronidazole (also called Flagyl). Flagyl is more suitable if you suffer from heart problems, phychosis, cerebral damage, or if you are pregnant.

Metronidazole or Flagyl is very similar to disulfiram or TETD. The severity of reaction to alcohol is different though. Metronidazole has a much milder reaction, which makes it safer for some alcoholism patients. However, it gives some 'rush' when combined with alcohol and this is the reason some patients have committed it.

Three Keys To Self-Trust

Have you ever worked hard to achieve something you wanted, but when it came time to step up, you wanted to run away? This is what happened to my client Charmaine.

Charmaine had worked hard to create her website, set up coaching groups, and develop her unique nine-step system for stay-at-home moms to create income around their busy schedules. She was almost ready to launch her exciting program, and then … she lost her nerve. Feelings of self-doubted flooded in. She was on the brink of something big, about to change her life and affect the lives of others for the good, and yet she hit an all-time low in the way she felt about herself.

Instead of plowing on with business strategies, it was time for Charmaine to give herself the gift of some of the most important work that can ever be done – personal transformation. It is through your own personal transformation that the diamond core of your success, happiness, and health resides.

In addition to finding the value in exploring the clearing the moments that shaped Charmaine's response to getting out there and promoting her wonderful work, she is trusted in the Three Keys to Self-Trust.

Here is a summary so you can strengthen your self-trust right away !:

Self-trust has three components: competence, emotions, and choice. To expand each of these components, there are three keys you can apply while developing your ability to become more resilient:

1. See yourself as skillful. Discover your strengths so you have evidence for believing in your natural and learned abilities. Practice recognizing yourself as capable, well-resourced, and skilled. Yes, it is all about what you choose to focus on and say to yourself about what you have to offer.

2. Exercise your ability to reflect and respect your own opinions based on what you are seeing, feeling, and hearing. Nurture informed opinions and enjoy consciously developing flexibility while maintaining your boundaries.

3. Develop what Carl Rogers, the father of humanistic psychology, termed "Unconditional Positive Regard" for yourself. What this means is that you learn to accept yourself without any conditions or judgment attached. You can go about this by first setting an intention and then creating an environment in which that commitment to yourself can flourish!

Here are the actions to attend to order to develop positive regarding for yourself:

Take care of yourself.
Practice positive self-talk.
Relate to your surroundings with appreciation, respect, and optimism.
Hang out with people who support these concepts.
Focus on thoughts and endeavors that align with your values ​​and the results you're working toward.
Nourish yourself on all levels – mentally, spiritually, emotionally, educationally, and physically.

Creating self-trust is dynamic and evolving! Charmaine is focusing on the Three Keys to Self-Trust and has seen a rapid evolution in her relationships and the opportunities opening up for her.

If this is what you want more in your life, give yourself the gift of solid self-trust so you can build your inner buffer and share your brilliance more openly.

You can find out more about creating self-trust and building your self-belief and self-esteem at HotConfidence.com

Type 2 Diabetes – Is Diabetes Connected to Bone Fractures in Men?

According to the Journal of Clinical Endocrinology and Metabolism, published in November 2017, fractures are a danger to older men with Type 2 diabetes. Scientists at Duke University and several other research centers in the United States, found older men with Type 2 diabetes have a 22 percent increased risk of any fracture and a 21 percent higher risk of having a hip fracture.

It has been known for some years older women with or without Type 2 diabetes have a higher risk of hip fracture, but knowledge of this type of fracture in men with Type 2 diabetes has not been clear.

A total of over 2 million United States veterans were included in a study, and over 900 thousand had been diagnosed with Type 2 diabetes. It was found a total of 45.5 percent of the fractures were associated with…

  • peripheral neuropathy (limb numbness or tingling),
  • heart and blood vessel disease, or
  • congestive heart failure.

From the above results, the researchers concluded men from 65 to 99 years of age with Type 2 diabetes are at risk for bone fractures, and much of this threat is related to different complications associated with this form of diabetes. They suggest this finding could inspire further research, with the hope of finding treatments to prevent fractures.

The rates of hip fractures are often higher in more affluent countries…

  • in Sweden, the number of fractures per 100,000 individuals is 302 for men and 709 for women.
  • in Kuwait, the numbers are 216.6 per 100,000 men and 316 per 100,000.
  • in Beijing, China, the numbers are 87 per 100,000 men and 97 per 100,000 women.

Hip fractures, even after healing, can cause difficulties in walking and carrying out basic activities of life. One woman in her 80’s said she felt she became old the day she suffered the hip fracture. Various studies…

  • list the risk of death the first year after a hip fracture as 14 to 58 percent.
  • during the first three months after having a hip fracture women are five times as likely to die than they were before the fracture.
  • men have almost an 8 times higher risk.

Controlling Type 2 diabetes by stabilizing blood sugar levels, eating a healthful diet, and getting enough physical activity are possible ways of lowering the risk of hip fracture…

  • eating plenty of vegetables such as broccoli is a way of taking in calcium to build bones. Broccoli lacks the protein of dairy products, so absorption of calcium is more efficient.
  • weight-bearing exercise, such as walking and dancing, are good exercises to help build up the bones of the legs.

Pros And Cons Of Herniated Disc Treatments

Been diagnosed with a herniated disc? Consider all your options first before surgery!

If you’re a back pain sufferer, or have a herniated disc, the best way to get lasting relief is to become an expert on it and your body and you can do that by educating yourself. Get to know about back pain and how it develops, and study the various treatment options that are available to help choose the right one for you.

Stress and anxiety are factors that aren’t commonly thought to be triggers, but they can make the symptoms worse. Stress will affect the body’s ability to regulate itself which can weaken your health by finding and attacking the weakest condition.

A herniated disc is the spine aligning in an unnatural position resulting in pain with a bulging disc occurring. The pain is in the lower back and is felt down through the legs and feet usually felt on one side of the body. The pain typically spreads through the buttocks and goes down one of the legs. The pain can also be felt in both legs with feeling numb or weak with some tingling.

When other non-invasive treatments have been exhausted and if severe pain is still present after six weeks or more then surgery is recommended by the doctor. However not all patients should have surgery because it depends on how severe the herniated disc is, and the general health of the patient. Avoiding surgery would be my first choice if there are other non-invasive treatments available.

If the patient is in relatively good health, it would be much better to try non-invasive treatments first such as cervical traction which lifts the pressure off the nerves in the herniated disc area. Sometimes a home traction device can be rented to use in front of your television at home. This option really sounds more desirable than surgery!

Hydrotherapy which involves exercising with no gravity such as exercising in water, is a more fun and gentle way to begin your rehabilitation.

Some other treatments including ultrasound, electrical stimulation, cortisone injections, anti-inflammatory medications, hot and cold packs and/or surgery deliver some relief, but may be only temporary. In order to address the cause of the herniated disc and not just treat the symptoms, the non-invasive procedures have had great results and are really worth a try.

What is Eating Disorder Recovery?

Recovery is a noun that describes a continuing process. To start eating disorder recovery is to start a journey. To be on that journey is to be on your path to health and emotional and intellectual development.

Your path leads to your true self, to your inner resources of courage, creativity, self respect, strength and ability to be committed and dedicated.

Recovery from bulimia or anorexia or binge eating or compulsive eating is not just about making peace with food and developing healthy eating habits. Recovery is not just about developing or forcing yourself into living with a realistic sense of your body.

Recovery involves living a balanced life. It means feeling all you can feel and digesting your feelings so they inform and enrich your entire personhood. They don’t spill out for others to take care of. They don’t create such distress that you need to use food or drugs or sex or shopping or high drama or manipulations or dissociation to get relief.

Recovery is about being real in the real world. It is about having the ability to live, cope, adapt, work, love, play in freedom. It means being responsible for yourself and your actions. It means respecting and honoring boundaries so you can truly take care of yourself while respecting and being in relationship with others.

Recovery means more serenity, joy and smiles in your life. And it means being able to eat and enjoy food in freedom.

Eating disorder recovery work involves just about every dimension of your life, and that’s a good thing. As you gradually let go of your problematic food related behaviors (eating too much, too little, purging, exercising to make up for a binge, laxative use etc.) you find yourself experiencing powerful and sometimes subtle physical and emotional sensations and feelings. You want them to stop and your eating disorder behaviors are no longer an option.

Your task and your challenge become: How do I take care of myself instead?

This is your great guiding question that leads you to your new and better life. Following where this question leads makes up the bulk of true eating disorder recovery work.

The question not only guides you along your path, it creates your path. For example,

instead of eating compulsively to numb your feelings, you might paint or draw to express them. You might get involved in a political movement to express them, or get into an academic program so you are more equipped to address the issues beneath your feelings like:

I want to be more competent in the world, I want a job, I want a different job, I want to advance in my career, I don’t want to be an assistant – I want to be the prime mover who has an assistant. Or I want my own home. I want a loving relationship with someone I love and respect and who loves and respects me. Or, I want to learn French and live in Paris. Or want to create a safe and nourishing place for my children.

You can eat or starve over your frustration and live with an eating disorder. Or you can tolerate your frustration, name it and equip yourself to rise above it. That’s recovery work.

Recovery is an endless journey where life continues to get better as you go.