### Teaching your Patient to Calculate his Fluid Intake and Output

If your patient will have to restrict his fluid intake after discharge, teach him to monitor his intake and output accurately. Explain that his fluid intake includes the following:

* everything he drinks, including the liquid in prepared foods

* soups

* everything that melts into liquid at room temperature, such as gelatin, custard, ice cream, and ice cubes

* liquid medications and fluids used to wash down pills or capsules.

Tell him that his fluid output includes everything that leaves his body in fluid form, including urine, wound drainage, watery stool, and vomitus.

Measuring Intake

Tell your patient to measure and record the amount of fluid he drinks with each meal, with medicine, and between meals. If he receives nutritive fluids I.V. or through a feeding tube, he should measure and record the amounts.

Suggest that he pour each liquid into a measuring cup and record the amount before drinking it. Instruct him to wash the measuring cup after each use, except after measuring water.

Explain that the labels on cans and bottles will help him determine precise fluid amounts. But tell him to subtract from his total any fluid that he either throws away or saves for future consumption.

Measuring Output

Instruct your patient to measure and record the amount of fluid that leaves his body. Tell him to keep a sontainer in his bathroom for measuring urine output and to wash it after each use.

If he is using drainage bags, tell him to measure and record the amount of fluid in each before disposing of it.

Converting Common Measurements

Tell your patient that he may have to convert household measurements (such as ounces and quarts) to metric measurments (such as milliliters). Instruct him to convert fluid ounces to milliliters by multiplying the ounces by 30 and to convert milliliters to outces by dividing the milliliters by 30.

Give him a copy of the following equivalents to use as a reference:

* 2 tablespoons (1 oz) = 30 ml

* 1 cup (8 oz) = 240 ml

* 1 pint (16 oz) = 480 ml

* 1 quart (32 oz) = 960 ml.

### Wedding Planning Certification – Know Your Options

The wedding planning industry is growing by leaps and bounds. In all regions of the United States more brides than ever before are hiring wedding planners to assist with the thousands of details that go into planning their wedding. If you are considering a career as a wedding planner it is imperative that you gain proper training before taking your first client. The industry looks very glamorous (and it can be) however, the job requires patience, persistence, long hours, attention to detail and several other skills that will take years to develop. In short, it is not an industry for the faint of heart. If you feel that a career in wedding planning could be right for you or you are already working in the hospitality industry and you would like to gain your wedding planning certification then there are several resources available to make sure you receive the training you need to be successful.

In this article we will explore online programs, event planning courses at universities or community colleges, and Wedding Planning Certification programs offered by independent certification organizations.

A simple internet search will reveal a list of hundreds of online or correspondence programs available for wedding planning certification. To receive your certification through an online course you are required to pay a fee for each section of information which is typically sent to you in electronic format or mailed to you in a booklet. You review each section at your own pace and are given open book quizzes along the way. After completing the quizzes based on the information in the booklet and completing other course assignments you are awarded your wedding planning certification. Receiving the information in this format means that you can complete the program at your own pace. This process can take between six weeks to over a year depending on your study habits. Online or correspondence programs typically cost between \$1,000.00 to \$1,500.00. Some may charge additional fees to have your certificate printed and mailed. Others require you to pay a yearly fee to maintain your certification.

Some colleges and universities offer event planning courses in conjunction with their hospitality or business management programs or as independent certificates. An event planning course at a college or university will typically focus on the planning of corporate and social events from the perspective of the hotel, resort, or other facility that is hosting the event. The instruction received in this type of course is ideal for an individual who plans to work in the hospitality industry as an employee of a hotel or resort. The course may briefly cover weddings or other social events but the majority of the material will tend to focus on events as they relate to hotel and resort operations. Many hotels, resorts and other venues who host weddings are now requiring that at least one staff member per property receive specialized training and certification in wedding planning.

There are a few independent organizations across the United States and Canada that offer Wedding Planning Certification courses in a classroom setting. Some of these programs can be completed in just one weekend, others can take up to 6 weeks to complete. Any organization offering Wedding Planning Certification does so based on their own criteria and designation and the course material can vary widely. The cost of these types of programs can range between \$395.00 to \$2,000.00. Some of these organizations will require you to pass a test in order for you to receive your certification. Some also require that you participate in ongoing education in order to maintain your certification. This can end up costing thousands of dollars throughout your career. There are programs available that do not require you to pay for ongoing education to maintain your certification.

Make sure you read reviews from students who have gained their certification from any organization before making a commitment. Also find out who the instructor for your class will be and research the kind of experience they have as a wedding planner. You will want to consider the initial cost of the program and the ongoing cost of maintaining your certification if any. Try to find an organization that offers ongoing education but does not require you to keep paying them year after year in order to maintain your certification. Look for a program that will give you a complete picture of the wedding industry from the perspective of every vendor who is involved in a wedding. In the end you will want to choose a program that best fits your budget and time constraints.

### Cancer Man in Love – What Is He Like?

Do you read your horoscope every day and determine which sign you are most compatible with? Do you see yourself dating a Cancer man and want to know his personality traits and if you are a good fit? The key to knowing if you are going to hit it off is to find out exactly what he is like.

No Place Like Home

The Cancer man loves a stable home life. Nothing is more important to this type of man than his wife and his children. He loves his family very much and they are the center of his world. The Cancer man also likes to be the head of the household. While he is loving, he is also wants to take care of you at all times to the point of being a little controlling.

Earn His Trust

While the Cancer man can be loving and tender, it wise not to cross him by letting him down or betraying his trust in you. He tends to be hurt very easily and will hold onto these feelings for some time. Therefore, it is wise to be go easy on any criticism against him. If you do betray or hurt him, it may be difficult to earn his trust again or even his forgiveness.

Sex Appeal

This particular type of man is very sexy and is only interested in one woman. He can also be very romantic and look to protect his wife at all times and in all circumstances. The Cancer man in love is very gentle and caring while giving his entire heart over to the relationship.

Kindness in his Eyes

The cancer man is very courteous to all whom he meets. He has manners and is kind and compassionate all at the same time. He is also a very peaceful person, but don’t take that for being a wimp. In fact, if he or his family is threatened, he will rise to meet the occasion. This type of man can also be shy and take a while to get to know, so be patient with him when trying to develop a relationship.

The Collector

A Cancer man is a born collector. He likes to keep things from his childhood so think twice before throwing anything out and be sure to ask him first. These items are usually tied to a particular memory from the past and it is one that brings him great joy.

Father Figure

The Cancer man makes a terrific father. Even if his own relationship with his parents has been strained in the past, his feelings toward his own children are very strong. In fact, he will be a caring and sympathetic father in all regards. A little girl is likely to have him wrapped tightly around her little finger. He will also be gentle with his children and help support them in all of their endeavors and activities over their lives.

### Elementary Theory of Income Determination – Cash Flow of Income

The total income of a country is a reflection of real capital investment in that particular country. The volume of investment is determined mainly by certain factors. These factors include expectation of entrepreneurs, rate of interest, savings, marginal efficiency of capital, and consumption.

Cash flow of income

The circular flow of income refers to the flow of payments and receipts for factor services and for currently produced output passing between domestic firms and households. In other words, it describes the flow of payments from businesses to households in exchange for labor and other productive services and the return flow of payments from households to businesses in exchange for goods and services.

Some basic factors affecting circular flow are:

1. Savings: This constitute part of income which is not consumed immediately. They have the tendency to reduce the expenditure of the households and firms.

2. Injection: Injection of fund into the circle is an increase in the incomes of households and firms beside their normal processes of selling productive resources and manufactured goods.

3. Taxes: Taxes tend to reduce the volume of fund in circulation as it reduces the expenditure of firms and households.

4. Withdrawal: Withdrawal tends to reduce the amount of fund in circular flow of income.

5. Aids and grants: Aids and grants from government or other sources increase the volume of fund in the circular flow if income.

6. Import and export: While imports involve expenditure on foreign made goods and services leading to withdrawals from circular flow of income, exports provide funds leading to injection into the circular flow of income.

7. Investment: Investment creates an additional income leading to injection into the circular flow of income.

For a more comprehensive explanation, we can use a two-sector economy, which involves households and firms. The households supply factors of production (input) to firms which need them for production purposes. In return, they are paid wages, interest, rents and profits, which constitute their incomes. The members of the households use their incomes to purchase goods and services produced by the firms. This pattern of consumption expenditure made by households constitutes income for firms. This process leads to the formation of an income flow. The firms again use the income to purchase the productive services of households. Income, therefore, continues to flow in a circular manner to form the circular flow of income. While income flows in one direction, goods and services produced by the firm and the productive services of households flow in the other direction.

### Hair Loss in Women – A Big Problem

Hair loss or baldness is something women always worry about. However, if this problem occurs at young age, it perturbs in a catastrophic way. But before finding any solution to the problem of hair loss, it is eminent that you must beware about the root causes.

Some of the scientifically proven causes of hair loss in women include a wide variety of reasons and some of them are listed below:

Medical conditions: The endocrine conditions like thyroid and uncontrolled diabetes are one of the most dominant reasons for hair fall problems. These conditions basically interfere with the production of hair and that is why lead to major hair loss. The main reason for this hormonal imbalance is occurrence syndrome of polycystic ovary.

Medications: Through researches it has been observed that in case medication is not consumed as per prescription, it may lead to hair fall at massive pace. So, it is always advised to consume medicines and pills that are prescribed by an authorized physician or medical expert. Generally it is seen that people of young age, especially adolescents take acne medicines such as isotretinoin as well as lithium that can create bipolar disorder. And if you are in the habit of consuming diet pills, just consume those that are prescribed by physicians as they may contain amphetamine which is a major cause of hair loss.

Alopecia areata: This is a skin disorder which is basically an autoimmune disease. Under this disease, hair follicles get badly damaged as it directly affects the immunity of a person. The common visible symptoms of this skin disorder include round patches on scalp. And gradually they increase in size.

Trichotillomanioa: This psychological disorder induces the person to pull out hair all the time. As a result, the roots of hair get weakened and hair fall becomes a usual activity. In order to rectify this disease, you need to take professional medical help.

Hair styling and treatments: Nowadays hair treatments and styling have become “in” and more and more people are opting for it in order to give themselves new cool look. But these styling treatments cause enormous harm to the hair texture. This is because the styling treatments contain harmful chemicals like traction alopecia which cause mainstream harm.

Poor nutrition: As far as nutrition is concerned, it is vital to take healthy diet full of fruits and green vegetables. This is because deficiency of essential nutrients leads to considerable loss of hair. Many people having the eating disorder such as bulimia and anorexia lose the hair line more frequently in comparison with others. On the other hand, fast food eating habits also restrict nutritional value from body and resultantly lead to heavy hair loss.

But the next question arises how will you come to know about massive hair fall taking place? The answer to this question lies in the fact that women generally lose hair from the entire scalp and it leads to thinning of hair. This is the most typical symptom for women found so far through which you can come to know about hair fall.

### The Future of LCD Technology

In the midst of discussions and debates on the choice of an innovative television in the contemporary market environment, the question about the future of existing technologies arises. The days of CRT are over and the craze is for LCD or plasma technology. Both are sophisticated products which offer high definition television. Each of the above has many positive factors in the context of consumer satisfaction. Experts on the subject and experienced viewers make loud thinking on the respective advantages of both these modern television products.

At a time when plasma technology appears to have an edge over LCD, efforts are being taken to improve the features and performance level of the Liquid Crystal Display screens. The manufacturers are contemplating on the introduction of more sophisticated and consumer friendly products in the near future. It is imperative for them to offer more innovative products in order to survive in the competitive market. Size of the screen alone cannot make a television acceptable to the consumer. Performance is the keyword. Improving the screen resolution is essential. Contrast ratio is also required to be improved. Even though LCD screens do not suffer from burn-in problems, individual pixels on LCD can burn to cause black and white dots.

The Manufacturers are now undertaking technological up gradation to effect qualitative changes in the next generation LCD screens. Bright colours and infinite contrast ratio will bring in new experience to the users. Applications of new technology are expected to make LCD screens capable for high end performance in home theatre or satellite picture reproduction. With 95 percent uniformity in luminance throughout the display, LCD will attain more perfection than its competitors.

The innovative natural light technology is poised to lift LCD to new heights. The dynamic contrast ratio will be enhanced to 50,000:1. Eye protection and energy conservation are also getting priorities in the agenda for the future LCD products. Ultra thin screens will be featured with shorter response time and improved color depths. Blurring will be completely eliminated. It is also expected that the next generation LCD screens will be the thinnest one available in the market. LCD is already enjoying the advantage of longevity.

Efforts will be taken to enhance the lifespan further. Enhanced productivity in the manufacturing process will extend further cost benefits to the consumer. With comparatively lesser CO2 emission than plasma, the LCD will be more environment friendly than its competitor.

In a competitive environment, the technological up gradations has become inevitable for market survival of the products. The LCD manufacturers have noted the writings on the wall and are preparing to meet the challenges with no holds barred attitude.

Do you suffer from severe knee pain, stiffness and immobilization in your knee that affect your ability to do things? Does the knee pain remains painful despite taking physiotherapy, steroid injections, doing exercise, and using walking supports? Well, it sounds you are a candidate for total knee replacement surgery.

There are several medical conditions that may lead to the need of knee replacement surgery, and arthritis is the most common among them. Genetics, developmental abnormalities, some form of injury and obesity are the other contributing factors.

Patients who have tried and failed the non-surgical means to get respite from knee pain such as weight loss, lifestyle modifications, anti-inflammatory medicines or cortisone injections, all to no avail, can greatly benefit from knee replacement surgery.

Overview

Also known as knee arthroplasty, this surgical procedure is performed to replace the severely diseased or damaged surfaces of the arthritis knee with an artificial metal or plastic part called ‘implant’ or ‘prosthesis’. These man-made (artificial) prosthetic devices are shaped to allow continued motion of the knee.

There are two main types of surgeries for replacing the damaged knee – Unicondylar / Partial Knee Replacement (UKR/PKR) and Total Knee Replacement (TKR).

The latest statistics presented this year at the annual meeting of the American Academy of Orthopaedic Surgeons (AAOS) show that more than 4.5 million people in the United States are living with a total knee replacement. By some estimates, approximately 130,000 replacement surgeries are carried out annually in the United States.

Surgical Overview

Also called total knee arthroplasty, total knee replacement is an ideal option for people with severe destruction of the joint of the knee, causing significant pain, stiffness and impaired function of the knee.

It is a major yet highly successful surgical procedure which involves replacement of all three compartments of the knee- the medial (inside of the knee), the lateral (outside of the knee) and the patellofemoral (the front of the knee).

In this surgery, bone surfaces of the knee and cartilage that have been damaged by arthritis are removed and replaced with artificial surfaces (implants) made of metallic and plastic materials that function similar to a healthy knee.

A successful total knee replacement offers tremendous benefits and can vastly enhance the quality of your life.

The problems of instability, disability and restricted mobility of the knee are completely alleviated through this surgery.

The surgery provides the patient with a considerable reduction or even elimination of pain. Following the surgery, the patients can largely restore range of motion of the knee.

The pain-free knee allows patients to retain a wide range of daily activities, including climbing stairs, shopping and getting in and out of chairs, thus enabling them to lead a normal life

The patient will experience improved muscle strength and improved alignment of deformed joints following the surgery.

Artificial knee may last for a long time. About 95% of knee replacements last 15 years or longer, thanks to the latest technologies.

Blood clots in the legs can develop, which can travel to the lungs (pulmonary embolism) that can further cause shortness of breath, chest pain, and even shock.

Other risks of total knee replacement include urinary tract infection, nerve damage, and blood vessel injury.

Nausea and vomiting, swelling, chronic knee pain and stiffness, and bleeding into the joint of the knee are some complications one can experience following the surgery.

Furthermore, infection of the knee may occur in some cases, requiring hospital admission and re-operation.

One of the biggest disadvantages of total knee replacement is its cost. Getting total knee replacement may make you dig deep into your pockets. The cost of the surgery, however, varies depending on the surgeon’s experience and skill, the type of implant, the extent of the surgery, the hospital, medications, special tests and your insurance coverage.

### How to Lose Weight With "Fat Trapper" Diet Pills

As published in medical journals (American Journal of Clinical Nutrition), clinical studies have shown that “fat-trapper” diet pills containing Chitosan and fiber have effectively proven to promote weight loss and lower cholesterol. When searching for a secure and healthy way to promote weight loss, look for these ingredients in your diet pill supplement.

When the ingredients contain a natural fiber supplement, those diet pills act as a type of “fat-trapper” that is capable of trapping between 40 percent and 60 percent of the ingested fat in its gelatinous core and preventing its absorption, eliminating it with fiber. The best ingredients to look for on the bottle label will display a combination of psyllium, higher Chitosan levels when compared to typical diet pills on the market (50 mg), Karaya gum, apple pectin plantago ovata seed, glucosamine, glucomannan, and vitamin C. This combination of fibers also helps regulate your intestinal system and lower cholesterol as proven in the published clinical trials. Ideally, if the promotional material also states that their product holds patents, there are no side effects, and their product helps you lose weight while cleaning your system, lowering cholesterol, and helps you with triglicerides and controlling high pressure, all the better.

Of course, persons with allergies to any of these ingredients should consult a doctor before initiating a new regimen.

When you first start, most supplements will require you to take a two capsule serving size before each meal with an 8 ounce glass of water, starting at breakfast. Consuming a fiber supplement will help regulate and normalize your digestive system. If you do not notice a difference, you then increase the dose to no more than four capsules before each meal in most instances. The amount of weight you will lose will depend on how much fat is trapped and how much weight is lost as a result.

Typically, a proven product (look for their guarantee just in case it doesn’t work for you) you can lose approximately three and-a-half pounds per week within 30 days without changing your diet or exercise habits. After 60 days, studies have shown over five pounds per week can be lost. However, for better results, combine your use of diet pills with a healthy diet and exercise program. And, of course, remember to always maintain a healthy lifestyle. That also means the product contains no sugar, no preservatives, and no artificial flavors.

More information will be available in the future. Product is currently sold out.

### Fat Burner Supplements For Those With High Blood Pressure – Is it Good For Your Health?

People with hypertension are oftentimes limited when it comes to the choices of substances to take in. this is especially true for substances, such as fat burner aids, which are not naturally part of the human diet. The thing though is, people with hypertension need to shed off pounds so as not to compromise their health. Being a quick alternative to natural methods of weight loss, are fat burner supplements recommended for those with high blood pressure?For the most part, no. At least, not till your physician approves it.

Individuals with hypertension are normally discouraged from taking fat burners since these have effects that may not work well with their medical condition. Instead, they are recommended to stay away from the couch, to move themselves about, and to constantly monitor their food consumption. Supplements make over-eating convenient and exercising less likely. They also encourage the person to take his health for granted even more.

However, there is also the question of whether or not fat burner supplements are recommended for people who do not have hypertension. People who are rather healthy should also refrain from taking supplements for weight loss because the best way of losing the thick fat is still the hardest way – exercise. Everything else is just purely for stretching the outcome of exercising and dieting. This is why they are called ‘supplements’.

But so long as the functions of fat burner supplements are understood and so long as the value of exercise and proper dieting is appreciated and executed, the usage of such supplements may prove to be beneficial. Be sure to remember though that prior to taking fat burner supplements, the advice of a physician must be first sought to ensure yourself that you are doing the right thing and that you are taking the right supplement.

### Healthy Living Tips – Best Foods That Prevent High Blood Pressure

Do you know that “Prevention is better than cure?”

A lot of people do not even know that high blood pressure can be prevented by proper dieting. If you do not want to suffer from this silent killer disease, this article will provide you with some healthy foods that prevent high blood pressure.

Learn to Eat Snails

Snails are very medicinal and can help you reduce this plight. Snails can be found all around you. I do not really know what is in snails that make them medicinal, but it lowers high blood pressure according to recent research. Include it in your meals as meat.

Eat Sea Foods

Great bouquets of foods that keep this disease away are the sea foods. They are includes fishes, shrimps and every other edible living plants that can be found on the water. They are better off than red meat which is not advisable to be taken by a hypertensive patient.

Eat Plant Proteins

Some plants yield healthy foods that keep hypertension away. Beans for example are the best form of protein ever and because it has a high percentage of tissue repairing nutrients, it can help your cardiovascular system.

Do you know how effective cinnamon can be in helping you get rid of hypertension? Make sure to include it on every meal you prepare.

Garlic is essential too

Allicin is a great substance found in garlic which helps to relax blood vessels, repairs the worn damaged cardiovascular system and helps to cure this disease

Other essential foods

Check best Hypertension best foods to learn more about healthy foods to prevent high blood pressure and make sure you stay healthy and live a longer life.

High blood pressure is a “silent killer disease” which you must get rid of in order to enjoy a healthy life devoid of pains, dizziness, blurry vision, stroke and artery malfunctioning. Take proper healthy steps by eating the above foods to help prevent this plight.

### Food Processor Safety Tips

A food processor is an electrical appliance that operates with fast moving and sharp blades and discs. Like other electrical equipment, a food processor should always be handled with care. Follow these safety tips to protect you and your family from misuse and harm.

• The appliance’s blades and discs operate and move at high speeds. Make sure your hands and kitchen utensils, like spatulas or wooden spoons, are kept away from the moving blades and discs when processing food. Only insert your hands or kitchen utensils into the food processor after the machine is off and unplugged.
• As stated, the blades and discs are very sharp and should be handled and stored carefully. When connecting the motor shaft or stem to the processing unit, always place the blades and discs on flat, stable surfaces to minimize potential contact with them.
• Make sure the work bowl is securely locked before placing blades or discs on the motor shaft.
• Never put food or other ingredients into the work bowl until the blades and discs are securely in place.
• Always use the pusher or food plunger to move food into the bowl and into the spinning blades or discs. Never put your fingers into the feed tube or work bowl while it is in operation.
• Make sure the blade or disc has stopped spinning before you remove the cover from the work bowl.
• Make sure the processor is turned off and unplugged from the electrical outlet before removing food, changing parts or cleaning it.
• After your food processing is done, first remove the work bowl from the processor’s base before removing any blades or discs.

### Why Face-On Putting Will Work For You

In the January 2011 issue of Golf Digest, tour player and golf analyst Gary McCord endorses Face-On Putting as a superior way to putt. He even references Dave Pelz as having rated such putting very high.

Face-On(tm) Putting was introduced in 2006 by noted sports psychologist Dr. David Cook in his highly popular book, “Golf’s Sacred Journey”.

Thousands of golfers have already switched to Face-On(tm) putting and the number is growing every day.

Shooting was recently completed on a movie based on “Golf’s Sacred Journey”. The movie stars Robert Duval and includes cameo appearances by Stewart Cink, Lucas Glover, Rickie Fowler and K.J. Choi.

When the movie is released in the Spring of 2011, the exposure to Face-On(tm) putting is expected to spur explosive growth in this new putting technique.

Face-On(tm) putting offers golfers seven key advantages:
1)The golfer stands to the side of the ball and faces the hole/target line. The golfer’s binocular vision provides better alignment and distance judgment than traditional side-on putting.
2)The putting stroke is mechanically simple with few moving body parts. This allows for a repeating stroke that will stand up under competitive pressure.
3)It uses a natural underhand stroke motion much like pitching horseshoes, pennies or a soft ball.
4)It promotes a simple, repeating straight-back and straight-through stroke for accuracy.
5)The long putter length used provides a smooth tempo which promotes consistency.
6)The golfer quickly learns to control distance by varying the length of the putting stroke.
7)The relatively upright posture used allows the golfer to spend extended practice time with out back strain.

A Putter that has been optimized for Face-On(tm) putting will have the following features.
1)Length from 44-54 inches depending on golfer height.
2)Lie angle as upright as allowed by the USGA, 10 degrees.
3)Face Balanced with high MOI.
4)Uncluttered sight lines that frame the golf ball; no balls or other distracting geometric shapes
5)Zero loft to eliminate directional error caused holding the shaft vertical with a ten degree lie angle.
6)Adjustable weight for varying playing conditions.
7)Vertical face grooves for a soft feel and excellent roll.

The Face-On Putting style is helping golfers of all skill levels. It is especially helpful for golfers who struggle with those pesky 3,4 and 5 foot putts.

### Obsessive-Compulsive Disorder (OCD) – Ayurvedic Herbal Treatment

Obsessive-compulsive disorder (OCD) is a type of anxiety disorder in which a person has unreasonable thoughts and fears (obsessions) that lead him to engage in repetitive behaviors (compulsions). A person affected with OCD may realize that his obsessions are not reasonable and may try to ignore or stop them, but he is driven to perform compulsive acts in an effort to ease his distress. OCD usually centers on themes which lead to ritualistic behaviour that ultimately affects the person’s life. Genetics, environmental factors and reduced levels of brain neuro-transmitters are believed to cause OCD. A family history, stressful life events and pregnancy are believed to be risk factors for OCD.

Cognitive behavioral therapy (CBT) has been shown to be the most effective form of therapy for OCD in both children and adults. One particular approach in CBT, called ‘exposure and response prevention’, helps a person with OCD to manage his obsessions and compulsions and lead a better quality of life. Ayurvedic treatment may be given as additional therapy in order to improve or facilitate a faster therapeutic response, or treat people with OCD who do not appear to benefit from CBT. Medicines like Laxmi-Vilas-Ras, Shrung-Bhasma, Brahmi-Vati, Saraswatarishta, Abhrak-Bhasma, Trivang-Bhasma and Suvarna-Bhasma can be used to treat depression and reduce obsessive thoughts. Herbal medicines which can be used for this purpose are: Brahmi (Bacopa monnieri), Mandukparni (Centella asiatica), Shankhpushpi (Convolvulus pluricaulis), Vacha (Acorus calamus), Jyotishmati (Celastrus panniculatus), Kushmand (Benincasa hispida), Jatamansi (Nardostachys jatamansi) and Sarpagandha (Rauwolfia serpentina).

According to Ayurvedic patho-physiology, obsessions and repetitive, compulsive acts are believed to be due to a disturbed or increased ‘Vaat’ dosha. Therapeutic measures to treat ‘Vaat’ have beneficial effects in treating OCD. These measures include a massage of the entire body using medicated oils like Mahanarayan oil and Mahamash oil; special Panchkarma procedures like ‘Shiro- Basti’ and ‘Virechan- Nasya’; and repeated courses of medicated enemas using medicines like Dashmool-Qadha, Sahachar oil and Vishgarbha oil.

OCD may have long term complications like suicidal thoughts and behaviour, alcohol or substance abuse and severe anxiety or depression. All such patients should therefore be under the care and supervision of a Psychiatrist.

### Health and Spirituality

The special group of the WHO Executive Board for the review of the Constitution proposed that the preamble be modified to read (World Health Organization (1997) Review of the Constitution… , EB 10 1/7, p.2)

“Health is a dynamic state of complete physical, mental, spiritual and social well-being and not merely the absence of disease or infirmity”

In January 1998, the Executive Board endorsed this proposal of the Special Group and adopted resolution EB 10 1.R2 recommending the World Health Assembly to modify the preamble of the Constitution accordingly (World Health Organization (1998) Executive Board 101st Session, Resolutions and Decisions, EB101.1998/REC/l, p.52-53)

In 2005, the Bangkok Charter for the Health Promotion in a Globalized World endorses a “positive and inclusive concept of health as a determinant of the quality of life and encompassing mental and spiritual well-being.”

From the earliest definition of WHO – “Health is the absence of an illness”, we have come a long way. And this is certainly on time because after a long run for science and discovery, the world is fast entering into a new era that is feeling lost for the lack of wholesome answers to many of its questions in its materialistic domain.

Especially where health and diseases are concerned, we can only move forward to a certain extent and then we draw blank. There are breakthrough medicines and super talented surgeons and yet children die young, babies are born with deformities, the organs stop functioning before their expiry dates and otherwise healthy people lose their memory. This is in addition to the multitude of mental illnesses that are baffling the experts world over while they use trial and error methods to “fix” things. And we are in the 21st century!!

Can man really claim to have understood the human body and its process of reproduction? Some may swear by genetics to have acquired all the knowledge but I always have one question- You know certain genetic coding leads to certain features and others decide the placement of organs in the body and other details, however who did this super intelligent genetic coding in the first place? I mean it is way beyond the expanse of the word “Amazing”! A man’s child is born a man with all the systems and Microsystems in exactly the same place with exactly the same function for ages together!!! The system that makes it happen or that made it happen in the first place can’t be a random “Big Bang”!! No, it was not a random happening that not just humans but thousands of creatures inhabit this earth with perfect genetic coding and a perfect place in the ecosystem and each one with a perfect intelligence in the art of survival!!

It had to be a superpower and Spirituality is the recognition of this superpower that constructed the tiniest of its creatures with perfection and with a PURPOSE.

This purpose and connection to the superpower makes us all spiritual beings that have been given a human body to experience challenges and learn the very essence of life.

Many diseases are form of these challenges that come to us with some lessons. Many studies are currently available where energy healing and faith healing methods significantly cured or at the least improved the quality of life in patients with intractable and life threatening diseases. Most of these methods work with emotional work. Many a diseases have been cured with the release of negative energy trapped due to long standing unresolved issues sometimes traceable even to past lives.

Experts from various scientific fields around the world have experienced the positive effects of spiritual healing on their patients and that includes American Psychiatrist Dr. Brian Weiss, who has done ground breaking work in Past life regression and regression therapy.

This is no way to dispute the role of medicine, however there is a need to understand that there are things beyond our physical that determine our health quality and while considering treatment one has to look beyond what is popularized more.

Today the medical practitioners all over are over-loaded with work leaving little or no time to understand the needs of the patient as a person. Patients, especially with chronic illnesses and terminal illness suffer from a lot more beyond the physical incapability and pain. There is emotional pain over loss of health, family disturbances, pain of dependence, financial burden and much more which needs to be addressed as much as the physical illness.

In this era of specialization there is hardly any consideration of the patient as a person… he is a kidney, a heart, a lung… But the sufferer is not the kidney or heart, it is a person that is also a much more than the organs, he is emotions, needs and feelings. Plus, illnesses being a call for awakening of self, the spiritual needs are at its highest. In the absence of no one to cater to these needs the illnesses spread from physical to mental to emotional to the spiritual realms.

Man has achieved a lot and science has given us a lot, however, our truth goes beyond that. The famous need Hierarchy theory by great philosopher Sir Abraham Maslow talks about the highest need of man to be ‘transcendental self- actualization’ While Albert Einstein, the man of science, said, “Everyone who is seriously involved in the pursuit of science becomes convinced that a spirit is manifest in the laws of the Universe-a spirit vastly superior to that of man, and one in the face of which we with our modest powers must feel humble.”

“Unless we open up to this holistic definition of mankind, our questions and our efforts would always be half rewarded. We all know what Einstein famously quoted, “Science without religion is lame. Religion without science is blind”

### Bolton Bundles – The Hair Transplant Industry’s Best Kept Secret

When someone loses their hair, they are faced with many unanswered questions. In years past, those questions usually led to an appointment with a dermatologist. This doctor, who is not a hair loss specialist, would spend a few minutes with the patient and in most cases diagnose the hair loss as androgenic alopecia. This is better known as male or female pattern hair loss. Due to the fact it is genetic it will just be a matter of time before the patient goes bald. How far, or what balding pattern will eventually emerge? Only time will tell. In today’s times, people with hair loss can collect a lot of great information right on the internet. There is website after website that will spell out any conditions you may have. If you do enough research, you will get very close to what is wrong. In this case, it will not be difficult to determine on your own, you have genetic pattern hair loss.

This information that is available on the internet has changed just about everyone’s lives. As in the above example people with hair loss are included. However, sometimes very important information can be excluded. Take for example the auto industry. There are very few, if any, auto dealership website that will give you absolutely all the information you are looking for. They will leave out specific pricing or exact lease payments. The information on those sites is created to give you just enough information to get you to visit the dealership, and no more! The hair restoration industry is no different. However, not only do they show you amazing before and after photos to get you excited, but they leave out specific details about the options you may want to choose from. The option THEY offer is the only way. Their option is better than any other! And, of course, business is business. Everyone wants you to visit for the free consultation.

The hair restoration industry is comprised of three different categories. The first are all oral and topical medications and cold laser therapy. The second is the very mysterious world of the non surgical industry. This includes wigs, toupees, extensions, weaves, or whatever else you would like to call fake hair that is somehow attached to your head. The final category is the surgical hair restoration industry. This includes hair transplants, scalp reductions, flaps, and the new modern day plug method which is referred to as FUE. The hair transplant industry has been hiding a little secret information it does not want you to know for just about twenty years now. That little secret centers around the standard pricing structure and density, or should I say, the lack of it!

In today’s modern day hair transplant clinic, the most common and proven method of surgically removing hair follicles from the back of the head, (the donor area), to the balding areas known as the recipient site is called the follicular unit transplant. As long as the doctor is considered a specialist, meaning they only do hair surgery fulltime, you can rest assure this procedure will be undetectable. Your hairline will be soft and natural. Your scar area in the back of your head should heal well and not be noticeable with just a little hair coverage. Your hair transplant will be considered a success after about two weeks of healing. No one can tell you had the procedure and all that is needed now is a year long wait for the new hair to grow in. This is where the secret lies. In most cases, the patient will come back asking the doctor why there is not more density. Density is the key word. And density is a very ambiguous term. Since you healed properly and everything looks great, you could be presented with two more options. The first is to wait another six months for more growth which will be limited. The second is to have another procedure. Either option you choose, the issue will always be about density.

The science is quite simple. This Follicular Unit Transplant, (FUT), was created because the original technology which is sometimes referred to as “plugs”. Many people said the old style result looked like the hair in a dolls head. In theory, the FUT procedure moves the hair from the back to the front exactly the way the hair is growing. Hair grows normally in little groups one 1 to 4 hairs. As this procedure was used more and more, less people were walking around looking like a doll. This created an opportunity for the doctors to price each graft. Again, a graft could range from 1 – 4 hairs. It even created an appearance that the cost went down. As an example, the plug style procedure would charge \$10 for each plug. If 500 plugs were transplanted, the cost was \$5000. Now, since the FUT procedure was more efficient let’s assume the price dropped to \$5 for each follicular unit graft. If 2000 grafts were moved the cost would be \$10,000. But wait a minute; wasn’t the price supposed to drop? Think about it this. The plugs averaged about 10 hairs per plug. Now, let’s do the math and figure out the hairs that were transplanted. The plug surgery moved 500 plugs @ 10 hairs per each plug for a total of 5000 hairs. Remember the total cost was \$5000 for that surgery. Now at \$5 per FU, the modern day procedure moved 2000 grafts @ \$5 each for a grand total of \$10,000! Now let’s figure out how many hairs were moved in the modern day FUT procedure. Let’s see, if each follicular unit averages about 2 hairs each that gives us a hair count of 4000! Now you have discovered the secret the hair transplant industry does not want you to know. Now do the math all over again. Except this time price the surgery by the hair. Use \$1.25 per hair which is a fair industry standard price. 4,000 hairs @ \$1.25 per hair is \$5,000. And you were just charged \$10,000! So now you see the difference and why 99% of all hair transplant clinics charge by the graft.

There is another part of the secret the hair transplant industry does not want you to know. This one is simple. If the hairs are left bundles with more hair per follicular unit, let’s say an average of 5 or 6 hairs each, the patient will get more density. You may ask why the industry wouldn’t want patients to get more density. The answer is revenue. If the grafts contained more hairs, there would be fewer grafts per surgery. Since the price is set by the graft, less grafts means less revenue. The industry is simply not set up to go backwards and charge more per graft. That would be frowned upon by the consumer. So, the idea has been to create more grafts, with as little tissue as possible, create more revenue, and with less density this creates more opportunity for more surgeries. And more surgeries mean more revenue! What a wild cycle!

There are exceptions to this model, but very few. An example is Dr Brett Bolton who not only set the pricing structure by the hair but also uses his special technology called “Bolton Bundles”. Bolton Bundles may also be referred to as multiple follicular units. He still uses single hair follicular units in the front hairline and temporal peaks for an extremely natural and soft hair line. The key to his success however lies behind the hairline. These Bolton Bundles are grouping of more than one follicular unit. They are kept intact, meaning they are not dissected and separated. An example would be placing a series of Bolton Bundles behind the hairline averaging 4 to 8 hairs per bundle. If you just compare industry standard follicular units which average 2 hairs each to Bolton Bundles which average 6, you immediately get an idea of why the density is taken to a whole different level. This combination of a soft natural hairline and extreme density behind it is what is best for the result. Great density results make for very happy patients! Now you know why Bolton Bundles are the industry’s secret, and if the industry has any say, they will stay that way!