Natural Tonics for Health and Wellness

I'm a great believer in natural tonics to strengthen or invigorate the healing system. – Dr. Andrew Weil

The American Heritage Dictionary says that a tonic is …

… an agent, such as a medication, that restores or increases body tone, an invigorating, refreshing, ororative agent or influence. And a tonic is for producing or stimulating physical, mental, or emotional vigor.

Tonics are typically liquid preparations that have a combination of herbs, vitamins, minerals and other ingredients. No tonic has any magical healing effect on any disease. That may seem to be a strange thing to say in an article about Natural Tonics for Health and Wellness . Let me explain.

The only thing that can heal a body is the body itself. Nature has designed a self repair system for the human body that will accomplish the seeming miraculous. Most of the time all we have to do is stay out of the way.

Sometimes a toxic agent, biological or chemical, can overwhelm the body's capacity to heal itself. Medical science can assist by removing any overload. The body itself then takes over and does the actual healing. A tonic acts to supply the body's repair mechanism with missing nutrients so that it functions at its best.

Is it possible to help the body by supplying things it needs to do its job? Of course it is. Ordinarily these nutrients come from the foods we eat. Often our foods do not contain all the nutrients they should, for whatever reason. This is why we are beginning to see the medical profession suggesting we take a good multi vitamin and mineral supplement daily. Before this, our ancestors learned through experience, the value of getting certain substances into the body. They made tonics to supply these substances. Natural tonics can fill the gaps in our nutrition. Our own bodies will then do the rest.

You can find recipes for tonsics that are made with just about any thing under the sun. Usually natural tonics are made with some single herb or a combination of herbs. Some of the more common are garlic, ginseng, ginger, and green tea. Mushrooms are also used as tonics. Chinese caterpillar fungus (Cordyceps sinensis) improves athletic performance and increases energy. Species like reishi (Ganoderma lucidum), shitake (Lentinella edodes), and maitake (Grifola frondosa) are used to boost immunity.

Even plain water can be a tonic for someone who is suffering from dehydration. After all, the human body is made up of 55 to 75 percent water.

It would seem the best way to incorporate all the minerals your body needs is to have a tonic made with something like seawater, but you can not drink seawater. The salt content will kill you.

If you went to school in the 1960's you might remember watching an educational film called Hemo the Magnificent . Hemo was the cartoon god of blood and with the real-life Dr. Frank C. Baxter, they made several films for Disney. Hemo proclaims that he's the mysterious source of life, and the good doctor informs him, "You know what you are? You're just seawater!"

So like the seas that are essential to all life on earth, our blood is essentially seawater too. Science speculates that life began in the sea. Amniotic fluid is almost identical to seawater.

Rene Quinton, a French physicist, performed a famous study on the effects of seawater. Quinton experiments proved seawater and blood plasma are remarkably similar in composition. As a result, Quinton said, "All living organisms are in fact a marine aquarium." He said seawater should be used to heal.

Because of the complete nutrient content of seawater, sea vegetables, growing in clean seawater, supply all of the minerals necessary for life. Sea vegetables have more minerals than any land plant. Between 7 and 38 percent of the dry weight of sea vegetables are minerals.

Any kind of high quality natural tonic made with sea vegetables should supply the body with every mineral it needs to function at its best. That just makes sense does not it?

Many illnesses can be traced to mineral imbalances in the body. Minerals are responsible for many functions in our bodies, such as helping to keep our body repair systems working. Adequate minerals should be ingested every day.

Unlike medicines, which can have an immediate effect on symptoms, you may not see immediate results with tonics. Allowed your body to heal itself may take some time. Use a tonic regularly for a few months. You are letting your body do what it knows how to do. Give it what needs and trust it to heal itself.

See if you have an increased sense of well-being or more energy when taking a tonic. Even if you do not notice immediate effects, pay attention to how you respond to physical and emotional stress. See if you become less susceptible to illnesses. Give natural tonics an honest try.

You Can Prevent Stroke

If you've ever witnessed someone suffer a stroke, you understand the humbling nature of this disease. It can reduce the mighty human being to an immobile, helpless creature. Impairment of critical functions like speech, walking, and control of bowel and bladder can wrench control from the body in a moment.

Even perpetually youthful TV personality Dick Clark was stuck down by stroke at age 75, despite the outward appearance of perfect health. Clark's stroke resolved in a six-week hospital stay and, judging from fragmented reports, significant disability. Stroke can be like a devastating fire that strikes without warning, leaving only smoldering rubble. Stroke can so ravage basic bodily functions that often all you can hope for is to regain a portion through rehabilitation.

The disease process that underlies stroke requires decades – 30 or 40 years – to develop. With that much lead time, why are not we better able to detect or stop this crippling disease?

The truth is that we are able to predict many, if not most, strokes. Advances in imaging technology allow detection of atherosclerotic plaque that cause stroke years before it becomes a threat. Progress in deciphering the causes of stroke has also leapt forward.

Unfortunately, your neighborhood physician still focuses on diagnosing the crisis rather than anticipating it. Physicians prefer to deal with catastrophes and are just not that interested in prevention. Most doctors ask: "Is it time to operate or not?" The medical community obsesses over procedures like carotid endarterectomy (surgical removal of plaque) or carotid stents. Even when a person is afforded the warnings of a "mini-stroke", or transient ischemic attack (TIA), little more is done once it's determined that surgery is not necessary – even though this person has high risk for future stroke (50) % over 10 years).

Let's flip-flop this approach to stroke. Procedures represent a failure of prevention!

Where do strokes come from?

Stroke develops when some portion of the brain is deprived of blood. This usually results from a tiny bit of debris that dislodges from an atherosclerotic plaque along the walls of an artery (the same sort that accumulates in coronaries causing heart attack). The sources of debris have been a subject of controversy, but new imaging technologies have settled the question. Any blood vessel that leads from the heart to the brain can be a source. The two carotid arteries on both sides of your neck are a frequent source, as these arteries are pre to develop plaque. (Our discussion will be defined to what are called thromboembolic, or ischemic, strokes, ie, strokes that occurs from plaque that fragments, sending debris to the brain, and will not include the far less common hemorrhagic strokes due to rupture of small vessels in the brain, nor will we discuss atrial fibrillation and other heart causes of stroke.

Over the last 10 years, the aorta has been recognized as another important source of stroke. The aorta is the main artery of the body which branches go to the head, arms, and legs.

Atherosclerotic plaque is a live tissue that, through poor diet ,activity, high cholesterol, overweight, etc., grows and becomes progressively more unstable. At some point, plaque fragments. Little bits break away, traveling to the brain. Fractured plaque also poses its detrimental structures to flowing blood, triggering blood clot formation, which in turn can also fragment and go to the brain. Atherosclerotic plaque is a prerequisite for the most common causes of stroke.

If the majority of strokes originate from plaque, why not measure plaque to determine if you're at risk for stroke? How can we easily, safely, and accurately measure plaque in the carotid arteries and aorta? And if plaque can be measured, can it be shrunk or inactivated to reduce or eliminate risk for stroke?

How can plaque be measured?

Just 20 years ago, the only practical method of identifying plaque in the carotids or aorta was through angiography, requiring catheters inserted into the body to inject x-ray dye. Angiography was impractical as a screening measure.

CT scanning and magnetic resonance imaging (MRI) are emerging as exciting methods of imaging both carotids and aorta. Unfortunately, most centers and physicians are much more focused on the diagnostic uses of these technologies for people who have already suffered stroke or other catastrophe, and application of these devices for preventive uses is still evolving. One exception is when aortic calcification or aortic enlargement is incidentally noted on the increasingly popular CT heart scans; This is an important finding that can signal presence of aortic plaque.

The one test that is broadly available and can be performed in just about any center is carotid ultrasound. It's simple, painless, and precise. Two basic observations can be made:

1. Plaque detection – Atherosclerotic plaque can be clearly visualized. If plaque blocks more than 70% of the diameter of the vessel, or if there are "soft" (unstable) elements in plaque, then stroke risk may be high enough to justify surgery or stents. However, if there are plaques that are less severe, substantial risk for stroke may still be present that can be reduced with preventive measures.
2. Carotid intimal-medial thickness – This is a measure of the thickness of the lining of the carotid artery in areas not involved by plaque, but often precedes the development of mature plaque. Carotid intimal-medial thickness also provides an index of body-wide potential for atherosclerotic plaque that can place you at risk for stroke. The aorta, for instance, can not be well imagined by surface ultrasound but can still be a source for stroke. Increased carotid intimal-medial thickness and carotid plaque are closely associated with likelihood of aortic plaque. The Rotterdam Study of 4000 participants demonstrated that if carotid intimal-medial thickness is greater than normal (1.0 mm), then you can be at risk for stroke (and heart attack), even if no carotid plaques are detected.

Carotid ultrasound is the one test you should consider that provides the most information with least effort. Ultrasound is harmless, painless, and can be obtained just about anywhere. Even if your doctor disagrees with your request for a carotid ultrasound, an increasing number of mobile services are popping up nationwide that make this test available for around $ 100. One important point: many scanners and interpreters will only report whether plaque is present or not. While this is important information, you should request that the carotid-intimal medial thickness be made as well. Not all centers can make this simple measure (because of software requirements), but it does not hurt to try. Any amount of carotid plaque is reason to follow a preventive program, even if the plaque is insufficient to justify surgery.

Can plaque be reduced?

Can we shrink plaque in carotid arteries and aorta and thenby reduce, possibly eliminate, these sources of stroke? That question is gaining momentum as effective therapies become available that pack real punch for reducing plaque.

Study after study has now documented that plaque can be reduced and, with it, risk for stroke. Reduction in plaque of 10-20% is possible within a year or two. Let's consider the most potent effects on carotid and aortic plaque growth that need to be considered in a plaque-reducing program. (I assume that you are a non-smoker – if you are a smoker, you first need to concentrate on quitting.)

Hypertension

Considerable experience documents the power of blood pressure-lowering for prevention of stroke. The most recently updated guidelines, the JNC-VII, recommends a blood pressure of Diabetes, Metabolic Syndrome, and Hyperinsulinemia

Just being overweight increases the risk of stroke. A Swedish study in 7400 obese men had double the risk of stroke compared to non-obese men. Increased body weight leads to diabetes and its close relationships, metabolic syndrome and hyperinsulinemia (increased insulin levels), which play an overwhelmingly important role in increasing stroke risk. Of people who suffer strokes, a shocking 70% have one of these diagnoses. When diabetes is present, risk for stroke can be as much as six-fold higher.

Metabolic syndrome and insulin resistance, predecessors of diabetes, are far more common than full-blown diabetes. Metabolic syndrome consists of excessive abdominal fat, high blood pressure, low HDL cholesterol, increased triglycerides, and resistance to insulin. Metabolic syndrome is rampant through the US, afflicting one of three adults due to sedentary lifestyles, processed foods, and overweight. High insulin levels and resistance to insulin are powerful drivers of plaque growth, and carotid plaque grows faster. Judging from the rapid escalation of precalence of metabolic syndrome and diabetes in the population, it is likely that an epidemic of stroke is in our country's future.

LipoproteinsSMall LDL, IDL, and Lipoprotein (a)

More than high cholesterol, various lipoprotein abnormalities carry greater risk for carotid and aortic plaque growth and stroke. Lipoproteins are fat-carrying proteins in blood that cause plaque growth. Patterns which are instigators of plaque growth and stroke include:
o Small LDL particlesSMall LDL particles cause carotid plaque growth more than large LDL particles. This abnormality also triples heart attack risk.
o Intermediate-density lipoproteins (IDL) These triglyceride-rich lipoproteins (present even when triglycerides are low) are a measure of how effectively you clear fat from blood after a meal. IDL is a potent driver of carotid plaque growth. Increased IDL also creates fat-rich plaque that makes it more prone to fragment.
o Lipoprotein (a) This underappreciated lipoprotein is associated with heightened risk of stroke and heart attack by promoting blood clotting, constricting arteries, and increasing dangers of cholesterol. Carotid ultrasound studies have shown that lipoprotein (a) causes accelerated plaque growth.

Fibrinogen

This blood clotting protein not only causes carotid plaque growth, but also contributes to formation of unstable plaques, ones that have more inflammatory cells and a thinner tissue covering, making plaque more rupture-prone. An Oxford University analysis of 5000 participants confirmed the role of fibrinogen in increasing stroke risk. Fibrinogen levels> 407 mg / dl heightens stroke risk six-fold.

C-reactive protein (CRP)

This measure of pollution is proving to be a useful marker for identifying people at risk for stroke, with increased risk beginning at a level of 0.5 mg / l. High CRP also precedes more rapidly growing carotid plaque.

Homocysteine

Homocysteine ​​is an important marker of increased likelihood of both carotid and aortic plaque, as well as stroke. In 1997, the European Concected Action Project reported more than a doubling of stroke when homocysteine ​​levels exceeded 12 mol / l. As homocysteine ​​increases to 20 μmol / l, risk for stroke and heart attack increases an amazing 10-fold over that at a level of 9 μmol / l.

Asymmetric dimethylarginine (ADMA)

ADMA is recently discovered amino acid which blood levels can skyrocket up to 10-fold in the presence of hypertensive, metabolic syndrome, diabetes, high cholesterol and triglycerides, obesity, and high homocysteine ​​levels. ADMA blocks the action of the amino acid, l-arginine. This mimicry reduces the availability of nitric oxide, a powerful dilator and protector of arteries. ADMA levels in the top 10% predict a six-fold heightened risk for future stroke, and ADMA levels in people with strokes are double that in other people. A carotid ultrasound study in 116 subjects showed that higher blood levels of ADMA are associated with more severe carotid plaque. Because of ADMA's shared role across a variety of abnormal conditions, correction or blocking the action of the ADMA has been proposed as a unique therapeutic tool to reduce stroke risk.

Cholesterol

Data suggest that lowering cholesterol with statin cholesterol-lowering drugs slows carotid plaque growth and reduce stroke risk approximately 22%. An interesting study from the Cardiovascular Institute at Mt. Sinai School of Medicine in New York using the precursor measuring ability of MRI of the carotids and thoracic aorta shown an impressive 20% regression of plaque area with simvastatin (Zocor®) taken for two years.

Although guidelines for cholesterol treatment recommend reduction of LDL cholesterol to 100 mg / dl in high-risk persons, a report from the Walter Reed Army Medical Center in Washington, DC, showed that carotid plaque was more effectively reduced when LDL cholesterol of 70 mg / dl or lower was achieved with statin cholesterol drugs. Lower LDL cholesterol may, therefore, be better.

Treatment Strategies to Reduce Carotid and Aortic Plaque

The essential question: How do we reduce carotid and aortic plaque? If we make this the focus of our efforts, many pieces begin to fall into place. If you've had any measure of carotid or aortic plaque such as a carotid ultrasound or aortic calcification on a CT heart scan, you know that you're at increased risk for stroke. You also have a baseline for future comparison to gauge whether your program is working or not.

Because most people have not one but multiple causes of carotid and aortic plaque, there is no one single treatment that effectively eliminates risk for stroke. Instead, most people require a comprehensive program of healthy diet, exercise, supplements, and medication when indicated. Here, we focus on the nutritional supplements that can be critical components of your plaque-reduction program.

Fish oil

Fish oil is a cornerstone of your stroke prevention program. Epidemiological observations suggest a strong relationship of fish intake and reduction of stroke risk. Carotid ultrasound studies demonstrate less carotid plaque with greater intakes of fish.

A cleverly designed University of Southampton study made the fascinating observation that fish oil transforms the structure of carotid plaque. 150 people with severe carotid plaque scheduled for carotid endarterectomy (surgical removal of the plaque) were given fish oil, sunflower oil, or no treatment over several months while waiting for their procedure. (Delays in the British health system permitted this unique design.) Plaque was removed at surgery and examined. Participants taking fish oil had reduced inflammation in plaque and thicker tissue covering the fatty core, marks of more stable plaque. Those taking sunflower oil or no treatment had unstable plaques with greater pollution and thinner, less sturdy covering tissue. This suggests that fish oil stabilizes carotid plaque, making it less likely to rupture and fragment.

A standard capsule of fish oil (containing 300 mg of EPA + DHA) contains the same amount of omega-3s as a 3 oz serving of cod or halibut; three capsules (900 mg DHA + EPA) contain the equivalent of a serving of farm-raised salmon. The dose that sees to provide greatest protection from stroke, lowers triglycerides (that form abnormal lipoproteins; see above), and reduces fibrinogen, is four capsules per day (1200 mg EPA + DHA).

Coenzyme Q10 (CoQ10)

Although there are no data specifically addressing whether CoQ10 reduces plaque, it is a marvelously effective way to reduce blood pressure, one of the critical factors causing carotid and aortic plaque growth. A pooled analysis of eight studies showed that, on average, CoQ10 in daily doses of 50-200 mg reduced systolic blood pressure by 16 mm Hg, diastolic pressure by 10 mm Hg. Data suggest that CoQ10 can reverse abnormal heart muscle thickening (hypertrophy), another manifestation of high blood pressure, strongly suggesting that CoQ10 has benefits beyond just reducing pressure.

Supplements to correct the metabolic syndrome

Weight loss is, without question, the most immediate and direct path to correction of this dangerous pre-diabetic condition. A drop of even 10-20 lbs yields improvements across the board: increased susceptibility to insulin, increased HDL, and reductions in triglycerides, CRP, fibrinogen, small LDL particles, and blood pressure. Diet and exercise are fundamental components of an effort to lose weight; low carbohydrate or reduced glycemic index diets (eg, South Beach or Mediterranean) rich in fibers are clearly effective. Several supplements can amplify weight-reduction efforts and be useful adjustments to your lifestyle program. Among them:

White bean extract
White bean extract blocks intestinal absorption of carbohydrates by 66%. 1500 mg twice a day with meals yields, on average, 3-7 lbs of weight loss in the first month of use. The only side-effect is excess gas, due to unabsorbed starches.

Glucomannan
This unique fiber taken prior to meals absorbs many times its weight in water and thebyfill fills your stomach. You inevitably take in less food. Most people lose around four lbs per month using 1500 mg prior to each meal. Interestingly, glucomannan also blunts the rise in blood sugar after meals, an effect that, by itself, may lead to weight loss. Be sure to take with plenty of water.

DHEA
This adrenal hormone is key to maintaining physical stamina, mood, muscle mass in men, and libido in women. A recent randomized, placebo-controlled study at Washington University in 56 subjects showed a 13% decline in abdominal fat (fat that drives resistance to insulin) measured by MRI with 50 mg of DHEA per day at bedtime, along with improved sugar control and lower insulin levels.

Pectin, beta-glucan
Pectin is the soluble fiber in citrus rinds, green vegetables, and apples, also available as a supplement. Beta-glucan is the soluble fiber of oats and is also available as a supplement. Both are wonderful fibers that provide feelings of fullness, lower cholesterol, slow release of sugars, and can yield modest weight reduction. A USC study in 573 subjects using carotid ultrasound shown that greater intake of healthy fibers like pectin and beta-glucan is associated with less carotid plaque growth.

Folic acid, vitamins B6 and B12
Dr. Daniel Hackam at the Stroke Prevention and Atherosclerosis Research Center in Ontario conducted a study using carotid ultrasound in 101 participants treated with folic acid 2.5 mg, vitamin B6 25 mg, and B12 250 mcg per day. Treatment resulated in plaque reduction, especially when homocysteine ​​levels exceeded 14μmol / l at the start, compared to untreated participants who experienced substantive plaque growth.

An attempt to clarify the role of homocysteine ​​treatment was made through a National Institute of Health-sponsored study of stroke prevention. 3680 participants with a prior history of stroke were controlled and given either a "low-dose" (20 mcg folic acid, 0.2 mg B6, 6 mcg B12) or a "high-dose" (2.5 mg folic acid, 25 mg B6, 400 mcg B12) regimen. Although starting homocysteine ​​levels shown a graduated association with stroke risk (higher homocysteine ​​levels predicted greater stroke risk), the treatment groups experienced, on average, only a 2 μmol drop in homocysteine ​​levels and no reduction in stroke risk over two years. The study investigators as well as critics have suggested that the study failed due to an inadequate treatment period and that the doses were too low. (The doses we use in our plaque reduction program are folic acid 2.5-5.0 mg, B6 50-100 mg, B12 1000-2500 mcg.)

L-arginine
L-arginine can be used to overpower the adverse effects of ADMA. L-arginine is emerging as an important carotid plaque-reversing tool. Early reports in animals showed that l-arginine completely halved growth of aortic plaque, and did so more effectively than lovastatin (a cholesterol-lowering drug).

In humans, L-arginine reduces blood pressure, abnormal constriction of carotid and coronary arteries, blocks entry of inflammatory cells into plaque, increases sensitivity to insulin, and heightens exercise capacity. Following coronary angioplasty or stent placement, l-arginine results in up to 36% reduction in plaque growth.

The average American takes in 5400 mg of l-arginine through food every day. Supplementing with doses of 3000-12,000 mg per day has proven useful to correct many of these phenomena. (We use a dose of 6000 mg of l-arginine powder, twice a day on an empty stomach, dissolved in water, for our plaque regression program.) Does this result in a reduction of stroke risk? The emerging data suggest that l-arginine is likely to exert a powerful plaque-reducing and stroke-preventing benefit, but we await more clinical trial data.

Conclusion

Reducing stroke risk by reversing carotid and aortic plaque is becoming an everyday reality, with better tools becoming available. To know whether you're at risk, the best and most available imaging tool is carotid ultrasound, aiming to identify intimal-medial thickness> 1.0 mm, or carotid plaque. Any degree of calcification of the aorta, such as on a CT heart scan, is another useful measure of risk.

Treatment to reduce risk is multi-faceted but is based on examining all your sources of risk, including metabolic syndrome, small LDL, lipoprotein (a), and C-reactive protein. Fish oil is the one absolutely critical ingredient in any stroke prevention program. Other supplements can be used in a targeted fashion, depending on the causes identified for your carotid or aortic plaque. Ideally, repeat scanning of your carotids should be done once after your program has begun to assess whether you've successfully achieved reversal of plaque growth.

Dispose of Glasses – Glaucoma Natural Healing

Everyone has heard of glaucoma, but what is it exactly? Glaucoma is a disease caused by excessive pressure in the eye. Despite it sounds painful, most people have no idea who else. Glaucoma is because at the time of sunset of symptoms of anxiety, it is too late to do anything. Once the downward spiral begins, there is nothing you can do about it.

The first symptoms of glaucoma is tunnel vision and narrowing of the field. He moves quickly in the final stages of glaucoma blindness is permanent.

The main causes of glaucoma have poor circulation around the eyes, obstruction of channels and poor drainage. These symptoms are caused by excessive stress, tension, stress and too many toxins in the body.

The only cure for glaucoma is to put pressure medication or drain fluids from the eyes. Both are quick solutions to revive again only to the symptoms but not the problem. Most people are even up to blindness. These revisions only prolong the inevitable a little longer.

Glaucoma is usually stopped by stress and not even with the illness-related stress. In most cases, the stress is even worse. People are now worried and nervous and scared of blindness. Fear of the unknown and fear begins to consume their daily lives, only adds stress and fatigue of the eyes. Ultimately, that aggravates the symptoms, rather than steps to solve the problem.

Any person with glaucoma should consult a doctor due to persistent blindness if it does not go unnoticed. However, you can take steps to their ailments of the eye itself by learning to relax your eyes heal. Take time to relax every evening around before bedtime. While in bed with closed eyes, the muscles of the picture of relaxation from head to toe. Focus mainly on the relaxation of the muscles around the eyes. Really relaxing before bed will wake for a better sleep and refreshed.

Glaucoma can be a scary thought, but by learning to relax your eyes, you can be involved in the steps for the natural cure of diseases.

Playing Guitar and the Wound 3rd String

We all know that guitar strings come in many flavors. They can initially be separated into categories according to what types of guitars they are made for.

There are strings that are designed for acoustic guitars, electric guitars and classical guitars. Within those categories they can be further separated according to thickness (gauge), material, and brand.

Furthermore, each set of strings can be separated into categories of "wound" and "un-wound" strings.

Wound strings are manufactured by "winding" a material around a central core. The result is a "thicker" string capable of producing lower bass tones.

Two common materials that wound strings are made of are "bronze wound" strings, typically found on acoustic guitars – and "nickel wound" strings typically found on electric guitars.

Quite often, the main difference between a set of acoustic guitar strings, and a set of electric guitar strings (other than material); is that an acoustic set contains a wound 3rd string. On an electric set of guitar strings the 3rd string is often un-wound.

A typical set of acoustic guitar strings will usually look like this:

1st (E) – un-wound

2nd (B) – un-wound

3rd (G) – wound

4th (D) – wound

5th (A) – wound

6th (E) – wound

The extra thickness of the wound 3rd on a set of acoustic guitar strings helps add a "fullness" to the tone of an acoustic guitar by increasing the "bottom end" of the sound.

From the perspective of a lead guitarist that plays electric guitar, a wound third string can have a down side. A wound string is much harder to "bend" than an un-wound string.

To prove this to yourself, pick up an acoustic guitar with a wound third and attempt to bend the string. It can be done, but will require a lot of extra finger pressure, and the string will not have as much "give".

This is why most electric guitar sets come with an un-wound 3rd, because so many string bends, when playing lead guitar, take place on the 3rd string.

But ironically there are electric guitar strings available with a wound 3rd string.

Why? Because some electric guitarists that typically play rhythm guitar, prefer the extra "meat" in tone that the wound 3rd string produces.

Which one is best for you? It's hard to say and greatly depends on your personal preference and playing style.

But for the time being, just be aware of the differences between string sets with wound 3rd strings and un-wound 3rd strings, and play around with each until you find the one that works best for you.

Tingling In The Penis – What It Means

If a man’s penis is tingling, it may be a sign of a serious health problem. More than just annoying, it may signal infection, inflammation and systemic disease. Tingling is often a sign of troubled nerve endings, irritated by inflammation, starved of nutrients, or damaged by trauma. For some men it is acute and may only last a few hours to a few days, and for other men it is a mysterious ailment that can go on for years. Diagnosis and treatment should be sought out immediately, to avoid chronic damage to the nerves and a loss of function. Supplements, penis health crèmes and medications may all support nerve regeneration, immune function and healing.

Poor circulation

Tingling in the penis may be caused by an acute or chronic case of poor circulation. While that might not sound terribly serious in nature, it is the cause of the poor circulation that determines how much a man should worry. Heart disease is one of the leading causes of death in men around the globe. Poor circulation to the hands, feet and pelvic region may be one of the first signs of cardiovascular disease to appear. Poor posture, obesity, diabetes, sedentary lifestyle and damage to the local capillaries in the penile tissues can also lead to reduced blood flow. In order to ensure a healthy stream of blood around the body, it is important to drink plenty of water, exercise 2-3 times per week, reduce white sugar and saturated fat in the diet, and consider using heart-healthy supplements such as garlic, hawthorn, fish oils, vitamin C, E and L-arginine.

Neuropathy

Nerve damage can occur through a variety of ways, and is highly detrimental to the sexual health of men as nerves do not regenerate easily once damaged. Physical trauma to local nerves and/or spinal nerves, poor blood flow, inflammation and infection can all lead to nerve damage, resulting in tingling, pain, numbness, or burning. Diabetes is a common cause of nerve damage in both men and women, as the high level of sugar in the blood stream reduces circulation and oxygenation of peripheral tissues. Stimulating circulation may help, but controlling blood sugars is vital to restoring sexual health. Alpha-lipoic acid, an antioxidant researched for its health benefits in diabetes, may restore some lost nerve function and protect nerve health in diabetics. Frequent or aggressive masturbation can also cause circulatory issues and nerve damage. Usually this sis temporary if penis receuves sufficient time to recuperate and penis select vitamins and minerals are applied to penile skin to provide a healing environment.

Infection

Sexual transmitted diseases and infections are one of the leading causes of penile tingling. If a man has recently had unprotected sex, and is now experiencing tingling in the penis, it is likely that he has contracted an infection. Genital warts, Candida, Chlamydia, gonorrhea and trichomonas are some of the most common pathogens responsible for causing this distressing symptom. In addition, non-specific urethritis is another possible diagnosis involving chronic inflammation of the urethra. Blood and urine tests will identify the source of the infection in most cases. According to a study published in the American Family Physician journal in 2010, medications such as azithromycin or doxycycline often treat STI’s and urethritis successfully. Men should also look into supporting immune function to ward off pathogenic viruses and bacteria. Vitamin C, A and Zinc are natural supplements that have been studied for their immune stimulating properties.

Health crèmes

Treating the local tissues with health crèmes is a great way of promoting penile health and improving nerve function. Penis health crèmes (most professionals recommend Man1 Man Oil) deliver a range of important nutrients for male health in a base of shea butter — a natural anti-inflammatory that moisturizes and soothes connective tissues. Vitamin C, E, A, alpha lipoic acid and L-arginine are included in the active ingredients. This combination will stimulate immune function, promote capillary health, benefit male hormones and reduce inflammation and irritation of nerves.

Glaucoma Specialist – How to Choose the Right One

Glaucoma is an eye disease associated with increased pressure in the eyeball that can cause gradual loss of sight. The pressure on the eyeball is caused by a backup of fluid which can damage the optic nerve over time. This is the second leading cause of blindness in America. Detecting the disease in its early stages is crucial to stopping it before major damage occurs. The only way to detect glaucoma is to have a yearly comprehensive eye exam on a regular basis. If you have been diagnosed with this disease by your eye doctor of family doctor, they may refer you to a glaucoma specialist for further tests and treatment.

Becoming a glaucoma specialist usually requires an extra year two of training after residency as an ophthalmologist. There are many ophthalmologists who specialize in glaucoma either because of personal interest or because they have a lot of patients with glaucoma. A glaucoma specialist sees patients that are at different stages of the disease. They see people who come in for consultations, those who are going through treatments and those that have already had surgery and are in need of post-op care. It is important to work with the patients to determine their specific needs and make them feel comfortable and well cared for. The first step in treating glaucoma including is with eye drops and or prescription pills. If the condition worsens, laser surgery or traditional surgical procedures may be required to prevent vision loss.

Successful glaucoma specialists are constantly researching and keeping up with the latest information and technology related to glaucoma treatment. There are new studies completed and published in various medical reports that influence the latest procedures for glaucoma care.

Doctors also share information by consulting with each other on difficult or challenging cases.

Choosing a glaucoma specialist is a lot like choosing another other doctor; you have to do your research. The internet can provide a lot of information as current and present patients like to share their experiences. Be mindful of the number of treatments a doctor has completed since the more procedures a surgeon perform, the more skilled he will become in the treatment. Insurance companies may be able to provide information on the number of procedures a doctor has completed. Various doctors may recommend different medications or therapies, so discuss your options with each person and determine which methods are most comfortable for you.

So Similar Yet Different – Can You Tell Between Herpes And Shingles?

Many people attach negative associations to the term ‘herpes’. In fact, there are small differences between shingles and herpes, which produce variations of the identical infection.

The sexually transmitted disease, genital herpes, normally occurs when a person has unprotected sex with numerous partners but it can occur in anybody who has had sex even if only once and their partner has the infection. Genital herpes is caused by the HSV (Herpes simplex virus).

There are almost 100 different types of herpes which affect humans – genital herpes or HSV-2 is only one, while other highly contagious herpes infections can be transmitted via casual contact.

For example, HSV-1 generally causes oral cold sores and may be contracted from infected people through sharing eating utensils or drinking glasses, a casual kiss or having skin to skin contact like wiping a child’s mouth if you have tears or saliva on the tips of your fingers.

Research shows that about 98% of healthy people carry and shed the HSV-1 virus without having an active outbreak. Research reveals how highly contagious it is and also how prevalent it is.

The cytomegalovirus is a herpes virus which causes flu like conditions in adults but may have devastating effects on unborn children.

Herpes varicella-zoster causes chicken pox in children. Prior to vaccine development, family and friends held ‘chicken pox parties’ so that children between 4 to 6 years were infected to prevent them contracting the disease when they grew older when it became a bigger health risk which could result in permanent damage and even death (in their 20’s and older). It produces greater discomfort and pain in older people while lasting longer.

Herpes varicella-zoster will most likely lie dormant for many years after an initial infection and has the potential to reactivate in certain conditions. The reactivated virus causes Shingles which is most common in people over 60 years old who may have considerable stress levels, younger people whose immune systems have been compromised, recipients of organ transplants, cancer victims or effects of medication on immune systems.

Shingles infection mostly presents in the body’s trunk or buttocks alongside specific nerve dermatomes and stays on one side following a specific nerve bundle pathway. Shingles and herpes differ in that shingles is not commonly reactivated a second time after healing (provided the person’s immune system is not compromised) while herpes can reoccur many times.

Shingles is normally painful and often clears on its own requiring supportive pain treatment. Herpetic neuralgia occurs sometimes when the pain does not disappear as the skin clears. It can cause nerve pain which is severe and difficult to control and treat.

Ophiasis – What is Ophiasis?

If there are patches on the head or the body which are completely devoid of hair, it could be Ophiasis, a type of Alopecia Areata. Ophiasis is Greek for "snake" as it is recognized by a serpent like design on the temporal or occipital area of ​​the scalp.

The bald patch will be very smooth and may increase in size. It leaves no scar and is inflammatory. It could affect anyone, young and old, man or woman. It is not a dangerous disease but it affects the psychology of the patient as it may lead to total loss of hair and may make the patient a recluse in society.

There are three steps in the growth of follicles of hair. Anagen implications activity in the hair follicle. Hair grows in this stage. Catagen implies growth retardation. Telogen is the time for the follicle to rest. Hair falls at this stage. The cycle is complete and anagen starts again.

In the anagen stage follicles may get inflamed. This is Ophiasis. They enter the telogen phase instead of catagen. If this keeps happening weak strands of hair are produced from the follicles.

Some researchers believe that the follicles quickly proceed from the first stage to the last one. Some believe that the follicles get captured in the last stage. In the early stages of the disease the cycle gets disrupted. This leads to a large number of hair follicles in each stage.

Clumps of hair of the last stage fall from all parts of the body. If the roots are visible they are telogen follicles. At the borders of the bald patch are broken hair which look like exclamation marks.

This is how Ophiasis occurs.

Learn to Quit Stuttering – Essential Tips to Lose a Stutter and Talk Better Without Stammering!

Stuttering is definitely not sexy, and can ruin your life if you do not get the help you need. There is a whole world full of opportunities out there, and a stuttering problem can truly keep you from exploring them. His article will focus on helping you understand there is help and the chances of losing your stutter are actually very good. I personally know people who have quit stuttering by taking my advice.

Stop Stuttering – Tip 1: Thinking Before You Speak

One of the biggest causes of stuttering is when ones mouth moves before the brain thinks. In order to help yourself overcome a stuttering problem, you must allow yourself to think before you speak. This sounds simple and obvious, but many people actually found this to help them improve their speech. If you give your brain a second to process, not only will you have a more well thought out answer, you will not have to stammer and stumble over your words to get your point across.

Stop Stuttering – Tip 2: Talk Better By Practicing

If you stutter, reading is a very beneficial and not to mention therapeutic way to cope with stuttering. I know people with stutters that have started reading out loud every day and have completely lost their stutter. I am not saying everyone is going to be this way, but practice does make perfect and it applies to stuttering! Annunciation is the key with stuttering problems, you need to successfully complete the word before your stutter gets the best of you. Reading out loud daily can really help with this.

Stop Stuttering – Tip 3: Step By Step Stuttering Guides – Why They Are So Great!

If you leave here with anything today, understand why having a step by step stop stuttering guide is so beneficial. They are all over the Internet, but only a couple will actually help you quit stuttering and I know which one works! These guides give you the best tips, tricks, exercises and logical explanations for why you stutter and how to overcome the condition. These guides are extremely cheap, but the rewards are priceless.

Swine Flu Precautionary and Prevention Steps

WHO authorities have benefited from the previous bout of H5N1 virus (Avian flu) by way of being prepared to combat the current strain of the Swine flu. Countries have developed better strategies of suppressing the spread of the virus, such as limiting public gatherings, airport thermal-screening of passengers arriving from selected countries and the temporary closing of schools. Several airlines have upgraded their air filters and sanitizing methods and are more diligent in changing used blankets, pillow and headsets.

In some countries, health officials are taking into consideration launching more extreme measures such as health screening in schools, kindergartens and institutions of higher learning. To date, airport screenings (including obtaining throats swabs from passengers from infected countries) have proved to be helpful. Those who display flu-like symptoms are advised not to shake hands and to wear a mask to minimize the risk of transmitting the virus.

Treatments

The current drug used for treating the Swine flu virus is Relenza. Health authorities in infected countries are advised to use these drugs to treat only the hospitalized and seriously ill to avoid a case of short supply. Vaccination is one of the best methods to protect people from getting infected by the regular influenza virus. Currently, WHO has requested for the production of a seasonal Swine flu vaccine, similar to other mass-produced seasonal vaccines. Since it has taken such a short time to declare the Swine flu a pandemic, WHO will now be pressured to switch the current production of a seasonal vaccine to a pandemic vaccine, even if halting the seasonal vaccine immediately would not enable the swift manufacturing of the pandemic vaccine.

Further Prevention

1. Reduce travel to infected countries.

2. Wash hands frequently with soap and water, or alcohol-based hand sanitizers.

3. Avoid touching your eyes, nose and mouth.

4. Keep surfaces on chairs, tables, wall and floors (including bed linens, kitchen utensils and counters) in all
rooms in your home spotless and sterile.

5. Toys should be disinfected regularly with a mild and effective detergent, which will not cause any skin
reactions or allergies.

6. Improve ventilation of frequently used rooms.

7. Cover your mouth and nose when sneezing and coughing using a tissue or other disposable materials. After
immediately disposing the materials, wash hands with water and soap or an alcohol-based hand sanitizer.

8. Masks should cover both mouth and nose and should leave no gaps between the mask and face. Do not re-use masks and wash your hands every time a mask is discarded.

9. Keep food clean and separate raw and cooked food. Food should be cooked thoroughly. Keep food at safe
temperatures. Use safe and clean water on raw ingredients.

If you follow the precautionary and prevention steps give, you should minimize the risk of being infected by Swine flu.

Can Massage Therapy Treat Fracture Injuries?

Massage therapy is a treatment option which can reduce pain and discomfort in the soft tissue surrounding a fracture injury, and it can also assist in reducing edema and muscle tension of both the affected and compensating structures. When a massage therapy treatment plan is carried out correctly, once the cast is removed, a client can regain full function sooner as the health and mobility of compensating muscles has been addressed.

Initially, your massage therapist will only work above the cast, and will take care to not disturb the healing bone. Eventually, when the cast is removed, massage therapy will continue to restore the health of the tissue by increasing circulation, restoring function and strength, and reducing any scar tissue.

Considerations for treatment

It is highly recommended that your physician provide a written recommendation for massage, and your therapist probably won’t agree to treat you until your doctor has given the green light.

In all likelihood, you will also be seeing a physical (physio) therapist. It’s a good idea to provide written permission for your massage therapist to collaborate with your other health care professionals to ensure the best possible care and treatment outcome.

Before your massage therapist begins to treat you, he or she will want to verify the following information:

  • your physician has approved massage therapy
  • are you on any type of medication? (anti-inflammatory, analgesic, anti-coagulant, antibiotics).
  • what is your general health – for example, consider age, fitness prior to injury, nutrition (your MT may refer you to a nutritionist, as proper nutrition impacts the healing process), lifestyle (i.e. do you smoke?)
  • are there any open wounds which must be addressed? (i.e. with a compound fracture)
  • Will treating the affected limb with massage therapy stress and disrupt the healing of bone, muscle, skin or nerve tissue?
  • is there any neurological or vascular impairment in the area which prevents the use of certain massage techniques or modalities?
  • do you have any plates, wires or pins? If so, hydrotherapy over the site will be contraindicated.
  • the most important consideration is to avoid stressing and interfering with healing tissue. Any pressure or traction applied to the affected bone is contraindicated.
  • have other types of injuries been sustained, such as sprains or contusions? (in all likelihood, there will be other injuries)
  • muscle atrophy from disuse will be present when the cast is removed. Provided that the injury is not an avulsion fracture, the development of atrophy can be reduced by the use of isometric contractions at the appropriate time with cast on. If an avulsion fracture is present, avoid isometric contractions, as this may disrupt the healing bone.
  • tissue under the cast will be fragile when the cast is removed, so extra care must be taken when massaging this tissue

As treatment progresses and the injury heals, issues such as tissue atrophy, altered biomechanics and altered proprioception must be taken into account. For this reason, there are different considerations for treatment with cast on and cast off.

Types of fractures

There are several basic types of fractures:

1. Simple – there is no broken skin, and the break is clean. Also known as a “closed” fracture.

2. Compound – the broken bone damages surrounding tissue and skin by piercing it. There is a greater risk of infection in this type of break due to breaking of the skin and protrusion of the injured bone.

3. Comminuted – a fracture that is in several pieces – common among a population with more brittle bones (i.e. elderly)

4. Compression – a fracture where the bone is crushed

5. Depression – a fracture where the bone is crushed and pressed inward

6. Impacted – bony surfaces are forced into each other (impacted)

7. Spiral – an break with ragged edges that result from twisting

8. Greenstick – an incomplete break that is common in children, as bones are more flexible

9. Stress fracture – a.k.a. hairline fracture, is a tiny crack in the bone and may not be visible with an x-ray

10. Avulsion – this occurs when a ligament or tendon pulls away a chunk of bone to which it is attached.

Fractures and breaks are repaired by “reduction” – when the bony ends are placed back together. A closed reduction is done manually by a physician, whereas an open reduction involves surgery, and possibly the placement of pins or wires to hold the bony surfaces together.

Finding the best massage therapist for you

It goes without saying that an injury as serious as a fracture or break will require treatment from a therapist who really knows his or her stuff and understands the healing process. Personally, I would ask my physical therapist if he or she could refer me to a qualified and experienced massage therapist, and then ensure that I give them both permission to communicate with each other so that my treatment plan would address all of my needs and concerns.

Bodybuilding Guide – Hypertrophy vs Atrophy

In the business world, you're always growing or dying. There is no sitting still. Your firm is always either grabbing a larger market share or growing consumer value, or it is losing market share to competitors and losing customer value. However small the increments, there is always either a loss or gain cycle occurring – there is no standing still.

Likewise, when it comes to bodybuilding, the same motto holds true. You are always either getting better, or worse. Improving or regressing, Growing or shrinking, Bodybuilding requires separate classifications for measuring progress or lack thereof. Here are some categories and rubrics, which can be used to measure the level of hypertrophy vs. atrophy occurring at any given time for a bodybuilder.

Muscle mass

Are you winning or losing muscle mass? If you are steadily increasing lean body mass (LBM) and your muscles are growing, then you are improving. If your LBM has lowered, or your muscles have lost some size, they are being regressing. Change your training or diet protocol immediately to put yourself back on the right track.

Bodyfat levels

Have your body fat% measured once per month using a reliable machine. If you find that it is rising, then take immediate action to curb it. Add cardio or reduce total calories by lower carb and fat intake. If your body fat level is remaining constant while you are adding muscle, then that can be considered positive. You should remain at a constant level. And if your body fat is going down slowly, this is very positive news. You should "hold course" and keep things constant until LBM suffers – then reconsider what you are doing.

Overall health and function

This aspect of bodybuilding health is harder to measure, but more important than the other two aspects combined. Are you remaining healthy as you train, eat, and work to make improvements? Have blood work done regularly to ensure you are keeping healthy while reaching your bodybuilding goals. A finding of no long-term diseases or injuries is definitely a positive, and considered the ultimate goal of life, much less bodybuilding!

How to Treat Glaucoma – Some Tips You Need to Know

Glaucoma is the No 2 cause of blindness worldwide after cataracts. Glaucoma attacks the optical nerve and causes chronic and progressive deterioration. The disease is diagnosed by testing eye pressure. While blindness caused by cataracts is generally curable, this is not the case with glaucoma. That is why it is very important to know how to treat Glaucoma.

People who have glaucoma have to undergo lifetime treatment to avoid blindness. Of course, this long treatment will cost a lot of money. Many people can not afford this kind of treatment.

The vision of people with glaucoma usually deteriorates over time due to disruption to the optic nerve as indicated by elevated eye pressure. Glaucoma attacks people 40 years old and over. The disease can be inherited from parents or grandparents.

Using steroids, such as certain eye drops, asthma inhalers and rheumatism or arthritis medicines, can make a person susceptible to the disease. Those with severe cases of myopia and hypermethropia, diabetes mellitus, hypertension or migraine can also develop glaucoma.

To treat Glaucoma can be done through many kinds of ways. Below are some tips that you may practice for Glaucoma treatment.

1. Eye Screening

Regular eye screening is recommended. Prevention is better than cure. Glaucoma screening can prevent blindness.

2. Avoid Stress

Stress is also another cause of Glaucoma. When people are diagnosed they have Glaucoma they feel stressed. Stress just makes Glaucoma worse. Stress also can cause eye strain on the eyes. Avoid stress if you want to cure Glaucoma since stress is useless.

3. Eyesight Vitamins

In fact, you can not find cures for Glaucoma. However, there are a lot of treatments for Glaucoma. Some of those treatments are natural. One of natural ways to treat Glaucoma is called vitamin therapy. Vitamin therapy is a kind of therapy which is intended at restoring eyesight by consuming enough eyesight vitamins. The main vitamins for eyesight consist of vitamin A, vitamin C, and vitamin E.

4. Start Healthy Life

Vitamins and nutrients are very important for your eyes. A balanced diet with lots of fruits and vegetables can restore your eyesight. Regular exercise is also necessary. In other words, healthy eyesight starts from healthy life.

How to Clean a Cats Infected Wound?

I think my cat has been in a fight. I could see little scab marks but everything looked fine. Then suddenly a few weeks later I noticed that he had a lump, a swinging on the side of his hip. He had started limping and not being so agile.

I inspected this lump, there was a real foul smell but I could not see an open wound, directed up wound or scab, so I knew that he would need to visit the vets but I would keep a close eye on him till the vets opened as it was out of hours. I kept inspecting the lump and on this occasion saw what looked like a little dried blood but could not see where it had come from. I got some cotton wool and warm water and bathed the area but could still not find any opening where this blood was coming from.

Again the next morning, I went to find the cat straight away and there he was sitting on his favorite chair. I could not see the lump sticking out, but could see a wet slick patch of fur. On closer inspection there were a couple of small holes and blood around them. He had been attaching to this himself, and must have made an opening. There was still a little pus slowing seeping out, and still quite a foul smell.

So what do I do now. The vets are still not open. The first thing was I knew I had to clean this area. He had been cleaning it but his mouth etc would not be very clean and could possibly introduce more infection. So how was I going to clean it. Yes, I could get cotton wool and use some warm salted water to clean the area but was this the best and right course of action to take.

I then realized that I needed to like wash and flush the wound out to remove any residual pus, dirt and debris. So I put the cat in the bath and needed some assistance and someone to keep him in the bath. Then luckily, I had an old syringe to insert liquid into his mouth from a previous illness but a small water bottle would probably do the trick. By using one of these methods pushing the warm water solution out with some force on, above and around the area, should force and wash the area removing any pus, infection, dirt and debris away and less likely to move around any infection to a different area. The cat did not particularly like this, which is why I needed someone to hold him still, but it was probably quicker and caused less pain to the sensitive damaged tissue area which was now on show than actually touching or dabbing the area. The next important thing is to keep this clean.

Now the abscess and pus seemed to have disbursed, it was now not causing my cat so much discomfort and did not seem to be bothering him. He did not seem to be trying to keep cleaning the area himself. However, for added protection, I continued to wash the area in this way regularly to ensure that the area was kept clean until the next morning when I can ring the vets and get an appointment. This lump had been an abscess, from a very small puncture wound when he had been fighting but had left no mark.

At the time I did not know it needed attention and he was infected inside but at least I found a way to look after when it did become clear.

Dog Bite Treatment – An Overview

Dog bite treatment should be required knowledge for anyone that lives around dogs. Many people believe that most dog bites occur away from home, by a dog not familiar to the person bitten. This is just not the case. Most experts agree that about half of all dog bites are from a dog that the person bitten is familiar with – sometimes the family dog ​​or a dog that belongs to the next-door neighbor.

An interesting report called "Fatal Dog Attacks, 1989-1994" states that only about 22% of "dog bite fatalities" involved an unrestrained dog off the owner's property. This flies in the face of popular beliefs.

The first step in proper dog bite treatment is to assess the situation. You must ask yourself, is this a minor incident or not? A serious dog biting attack should be deal with differently than a minor bite.

If the wound is slightly bleeding, clean the wound first then try to stop the bleeding. But if the wound is bleeding profusely, you must stop the bleeding first. Of course, in the case of a serious wound, always call 911 immediately.

If the wound is boring, you should stop that bleeding by putting pressure on the wound and then after the bleeding is stopped or greatly slowed, extensive cleaning is necessary. If bleeding resumes, reapply pressure on the wound. If you are unable to stop the bleeding get the patient to the doctor as soon as possible.

The doctor will assess the risk of infection, tetanus and rabies. Most likely 3 to 5 days of antibiotic, like Augmentin, will be prescribed to keep an infection from developing. In some cases a tetanus shot is given.

The tetanus shot will most likely be required if a child dog bite victim has not previously had 3 or more tetanus shots. However, if they have a serious bite that is not considered clean, and the patient has not had a tetanus shot in the last five years, the doctor will probably give one just to be on the safe side. Also, even if the wound is judged to be clean, and the patient has not had a boost shot in the last 10 years, the doctor will most likely give one.

These days, contracting rabies from a dog bite is rare because of the legal requirements for regular rabies vaccinations for all dogs. Rabies is more often seen in wild animals: raccoons, skunks, bats, etc … However there is still a "rabies risk" with a dog bite, and not one that you should take lightly. Better safe than sorry.

Do not be surprised if the doctor does not stitch up the wound. If there is the fear of infection, due to the length of time until the wound was cleaned, etc., she will not suture the wound. Wounds that are known to be clean or that are on the face may be sutured.

Although not necessary, it is always wise to document the bite injury with photos and diagrams. It is helpful in assessing the progress of the wound in recovery, and it is especially useful in litigation situations.

Some pre-existing medical conditions increase the risk of infection and beg special attention to insure patient safety. A few of these are: chronic disease, chronic edema of the extremity, diabetes, immuno-suppression, liver dysfunction, previous mastectomy, prosthetic valve or joint, splenectomy, systemic lupus, and many more. Be ready to tell your doctor of any such pre-existing condition

I think it would be safe to say that everyone will get at least one dog bite in their lifetime. Knowing how to execute proper dog bite treatment is knowledge that all families should possess. Just a little bit of knowledge on this topic can save a lot of pain and grief.