Friday, November 30, 2012

New e-edition newsletter delivers Cancer Center research information quarterly

Forefront is a complimentary magazine from the Mayo Clinic Cancer Center, a National Cancer Institute-designated cancer center located in Arizona, Florida and Minnesota. The Cancer Center specializes in translational research and the effort to discover better ways to prevent, detect and treat cancer. It serves diverse patient populations across a broad geographic area and collaborates across the full spectrum of cancer research, from basic biology to treatment.

Email edition available
Forefront articles highlight Mayo Clinic’s cancer research and its translation into clinical advances. Forefront is published in print and online annually, but beginning in summer 2012 a complimentary quarterly email edition will also be available. Subscribers to the email version receive:

  • A personal message from Robert B. Diasio, M.D., Cancer Center director
  • Updates about research conducted by Cancer Center scientists and physicians
  • A regular column that features and discusses Cancer Center statistics
  • Stories about patients whose lives were impacted by Cancer Center research
  • Administrative updates on the Cancer Center’s ongoing efforts to ensure that the needs of the patient come first

Subscribe to Forefront today
Receive complimentary, quarterly emailed news and information from the Mayo Clinic Cancer Center.

Clinical trials at Mayo Clinic
Cancer

Source: http://physicianupdate.mayoclinic.org/2012/05/29/new-e-edition-newsletter-delivers-cancer-center-research-information-quarterly/

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Books Feed Your Head

It’s true, books really do, “Feed Your Head”.  In 1991 there was an award winning MTV campaign that promoted reading.  It was a revolutionary, ground breaking, and cutting edge style of mixing literature with a short film.  This was when MTV still contained the word “music” in the logo, Tom Freston was the President and CEO of the network, the influence of Bob Pittman was still around, and it offered up value and creativity to viewers.  Unfortunately it seems those days have passed.

Because of this campaign to promote reading I was introduced to the works of Franz Kafka and more importantly the works of Donald Barthelme.  To me, Donald Barthelme is the master of the short story.  I read almost every single day.  I will admit that there are days when I am on vacation that I might miss the opportunity to read in exchange for the opportunity to explore a new city. 

Many years ago, Jim Rohn (author and personal development trainer) said, “If you read one book every month about your industry, in 10 years you’ll have read 120 books. That will put you in the top one percent of your field.”  Mr. Rohn was 100% correct and he was just talking about the lazy way to do it.  I once heard someone say, “Skip a meal, but never skip the opportunity to read.”  If you just invest 20 – 30 minutes a day in yourself, to read, there isn’t any reason that can’t read at least one book a week.  If you were to read one book a week that would mean at the end of year you would have read 52 books.  At this rate you would be in the top one percent in two years instead of 10. 

For myself, I find that reading in a 80/20 ratio works best for me.  Eighty percent of the books that I read are for knowledge and learning.  Twenty percent of the books that I read are for humor, pleasure, and escapism.  I would personally get bored if all I did was read for learning.  I also need to be entertained when I read. 

Please don’t tell me you don’t have enough time to read.  If you really don’t think that you have the time to read…then I suggest that you at least make the time to read, “The 168 Hour Week” by, Dr. Kevin Hogan.

 

 

You can find the time to read.  You just have to do it.  I truly believe that reading is a great exercise that you can and should do for your brain everyday to keep it healthy and active.  Think of your brain as muscle…exercise it and make it grow.  The dividends that it will pay you can be huge.

If you’re looking for a new author to read or you want to start reading a new genere of books, then I suggest you take a look at the works of Thorne Smith.  You can find out more about Thorne Smith at the blog and and website created by, Michael Walker at   http://www.thornesmithblog.com/

Grab a book and start reading today.  Remember, “Books Feed Your Head”.

Yours In Health!

G.E. Moon II

 

Source: http://www.abundanthealthcenter.com/blog/booksfeedyourhead

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Clinical trials aid PSC diagnosis and treatment

Jayant A. Talwalkar, M.D., a hepatologist with the Department of Gastroenterology and Hepatology and the Mayo Clinic Transplant Center in Rochester, Minn., discusses diagnosis, complications, liver transplantation, and Mayo’s role in the development of new diagnostic tests and effective therapies for patients with primary sclerosing cholangitis (PSC).

Dr. Talwalkar notes that PSC is the last major liver disease without effective treatment. There is currently no effective medical therapy to halt disease progression and so avoid complications such as liver failure or bile duct cancer for patients with PSC. PCS is considered an autoimmune condition. It develops silently, most often in patients 40-50 years.

Dr. Talwalkar’s team focuses on clinical trials for the development of diagnostic tests and effective drug therapies for PSC, before transplant is needed. Mayo specialists see several hundred patients with PSC each year.

Clinical trials at Mayo Clinic
Primary sclerosing cholangitis (PSC)

Research profiles
Jayant A. Talwalkar, M.D.

Source: http://physicianupdate.mayoclinic.org/2012/05/02/clinical-trials-aid-psc-diagnosis-and-treatment/

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Dr. Labor Publishes New Technology Article In National Publication

Cataract & Refractive Surgery Today, a major industry publication, recently asked Phillips Kirk Labor, MD to share his expertise about a revolutionary cataract surgery technology he introduced to Dallas/Fort Worth in 2011. The result was an article Dr. Labor authored, Updating Your Practice With Advanced Technology, with the subtitle, Intraoperative aberrometry is a worthwhile investment for the practice and provides added security for cataract patients. The article appeared nationwide in the October 2012 issue.

A prime example of intraopertive aberrometry he discusses is the ORA System. This is a “wavefront aberrometry device,” the first of its kind to measure cataract surgery results in real time – during the procedure. Previously called ORange, Dr. Labor was the first metro Dallas/Fort Worth eye surgeon to use this technology when it was introduced in 2011. When ORange changed to the further enhanced ORA System, Dr. Labor remained at the forefront as an early adopter of this newer, better technology. Today, he is one of the top ORA surgeons in the world.

Cataract & Refractive Surgery Today is a trusted, highly regarded publication among leading surgeons all over the world. I was grateful when they contacted me, and didn’t hesitate to do it,” Dr. Labor said. “Although written for our industry, my main goal, however, was to share my experiences and successes related to how this benefits the patient first.”

To learn more about the ORA System, or any our comprehensive eye care services, please call us in Grapevine at 877-516-4364. We’re conveniently located to all of Fort Worth and Dallas.

Source: http://www.eyectexas.com/blog/dr-labor-publishes/

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The ONC’s Kevin Larsen on Meaningful Use

More highlights from Health IT Week: Kevin Larsen, MD, medical director of meaningful use for the Department of Health and Human Services’ Office of the National Coordinator for Health IT, sat down with the Center for Total Health blog and answered a few questions about meaningful use. The video below captures that conversation.

The term “meaningful use” represents the set of standards outlined by the Centers for Medicare & Medicaid Services Incentive Programs that governs the use of electronic health records and allows eligible health care providers to earn incentive payments by meeting specific criteria. For more detail on the incentive programs, check out the CMS website.

Source: http://centerfortotalhealth.org/2012/the-oncs-kevin-larsen-on-meaningful-use/

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Remote and Expedition Medicine Class

Source: http://adventuredoc.net/2011/12/02/remote-and-expedition-medicine-class/

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Thursday, November 29, 2012

Shopping for LASIK? Want a chance to win the NEW iPad Mini?

Attend our How To Shop For LASIK event November 13, 6:30-7:30 PM.

It’s almost gift-giving season. If you have to depend on glasses or contacts every day, LASIK could be one of the best gifts you can give yourself. Whether you’ve been shopping for LASIK or not, our How To Shop event can help you shop smarter. In just 60 minutes, one of our expert doctors will give you the honest scoop in a simple way you can understand – what the procedure’s like, costs, financing, generally what to expect, and if you’re a candidate for LASIK.

But it gets even better.

Just for attending, you could win a cool new iPad Mini* we’ll give away that night! That’s right, this is a brand new iPad just announced, and sure to be the hottest ticket this holiday season. In fact, the new iPad Mini is so new, it may still be on order as of the date of this event. If you win, we’ll notify you immediately upon it’s arrival.

Remember that LASIK is an elective procedure, so it’s important to shop with your eyes open. Our How To Shop For LASIK event, November 13, is a good place to start. It’s Free, and we’re hosting it at our beautiful Grapevine offices. We’re located just off Hwy 114, convenient to Fort Worth and Dallas Metro.

To reserve your space, call us in Grapevine at 877-516-4364 today.

*Single winner will be determined by random drawing. There’s no purchase necessary, but you must be 18 years or older to attend, and be present to win.

Source: http://www.eyectexas.com/blog/shopping-for-lasik/

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3 Eye Conditions You Need to Be Thinking About

As we age, it’s not uncommon to face all different types of health concerns and challenges.  And, when it comes to your eye health, there’s no exception.

Did you know that eye disorders are much more common among those of a certain age?  We’re not just talking about needing a stronger eyeglass prescription, but rather diseases that can completely reduce your ability to see if left untreated.  Want to know what to watch out for?

Here is our list of the Top 3 Age-Related Eye Conditions You Need to Be Thinking About:

  1. Macular Degeneration: Age-related macular degeneration (AMD) can present itself in different ways – from a blurry area of vision to a dark blind spot.  The condition occurs when arteries that nourish the retina harden. Now deprived of vital nutrients, these retinal tissues begin to weaken, which ultimately causes vision loss.  As the number-one cause of vision loss in the US, any AMD symptoms need to be addressed as soon as possible.  The best way is to schedule a Macular Degeneration Evaluation.
  2. Cataracts: Cataracts are one of the most common eye concerns for those over the age of 65.  The condition, which affects millions of people each year, causes a clouding of the eye’s natural lens.  Often, the only good cataract treatment is surgery.  During a typical Cataract Surgery, the eye is numbed and a small ultrasonic probe is inserted.  This probe breaks up and removes the affected cloudy lens.  A clear new artificial lens called an IOL is then implanted into the eye.
  3. Glaucoma: Glaucoma is a common eye condition, commonly associated with an increased pressure in the eye.  This increased pressure can damage the optic nerve and ultimately cause a gradual but serious loss of vision.  Untreated, the disease often results in complete blindness.  While not curable, modern medicine offers several advanced Glaucoma Treatments.  These include medications, eye drops and sometimes, surgery.

Get Checked!  Schedule an Appointment Today

To learn more about these or any of the age-related conditions you should be watching out for, contact us today and schedule an appointment.  Our offices are located in Winchester, serving Virginia, West Virginia and Maryland. Call us directly at (540) 722-6200.  We look forward to meeting you.

Source: http://www.seeclear.com/blog/eye-heath/3-eye-conditions-you-need-to-be-thinking-about

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Dengue fever in Trinidad and Tobago

An outbreak of dengue fever has been reported in central Trinidad and Tobago.

This unpleasant viral illness is spread by infected mosquitos that bite during daylight hours, and there is no vaccine available at present.

Travellers are reminded to take all precautions necessary to avoid being bitten by insects, such as using mosquito nets, covering up and using efficient insect repellents.

Source: Trinidad and Tobago Guardian Online

Note: There are also outbreaks of dengue fever in El Salvador, Guatemala, Paraguay & Mexico. In Cambodia, the season is prolonged.

For further advice, contact the Globe Travel Health Centre on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/dengue-fever-in-trinidad-and-tobago.html?utm_source=rss&utm_medium=rss&utm_campaign=dengue-fever-in-trinidad-and-tobago

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Remote and Expedition Medicine Class

Source: http://adventuredoc.net/2011/12/02/remote-and-expedition-medicine-class/

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Adventure Doc: Weekly on Expedition and Travel Medicine

Source: http://adventuredoc.net/2012/03/06/adventure-doc-weekly-on-expedition-and-travel-medicine/

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Win An iPad Mini At Our Believe In LASIK Holiday Event

When: Tuesday, December 18, 2012, 6:30 to 7:30 PM
Where: Eye Consultants of Texas, 2201 Westgate Plaza, Grapevine, TX 76051

It’s that time of year when we want to believe in something magical. LASIK isn’t magic, but it can produce seemingly magical results if you rely on glasses or contact lenses every day. Our Believe in LASIK Holiday Event will answer any questions you might have to help you decide if LASIK is right for you.

Plus, just for attending, you can register to win an iPad Mini to be given away that night.

The 1-hour event will be led by one of our expert doctors, who will explain things in simple terms. There’s no obligation and no purchase necessary. It’s entirely Free and open to anyone 18 years or older. The iPad Mini will be awarded to one lucky winner by random drawing, and you must be present to win.

Our LASIK patients often tell us their improved eyesight is like a gift. This could be the first step to one of the greatest gifts you could give yourself. Call 877-516-4364 to reserve your space at our Believe In LASIK Holiday Event, in the comfort of our beautiful Grapevine office, convenient to Dallas/Fort Worth.

 

Source: http://www.eyectexas.com/blog/win-an-ipad-mini-at-our-believe-in-lasik-holiday-event/

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Wednesday, November 28, 2012

Welcome to Our Blog

Hello and welcome to the blog for Grochmal Eye Center! We’ve created this resource to assist our patients who are considering vision correction. Our goal is to provide you with information about the latest technology and procedures in vision care. Our blog will also serve as a forum for patients to learn about their surgical options from our Baltimore, Maryland Ophthalmologist, Dr. Jay C. Grochmal.

Source: http://www.grochmaleye.com/uncategorized/hello-world/

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New Adventure Doc Website

Source: http://adventuredoc.net/2011/05/05/new-adventure-doc-website/

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Medications for Back Pain Video

There are many medications used for treating back pain. Medications can be grouped by delivery method – into oral medications, topical medications, and injected medications. There are also different types of medications, which include steroids, narcotics, muscle relaxants, pain killers (such as acetaminophen), and anti-depressants.


Video presented by Zinovy Meyler, MD

[TOC]

Video Transcript

Different medications used to control back pain fall into different categories. Now, the broad spectrum of the categories can be broken down initially into the way we take the medication itself. So, (1) oral medications, (2) those that can be used as topical medications, and (3) those that need to be injected.

To talk about the oral medications, which are more commonly used as an initial treatment. Over-the-counter medications that control the pain, such as Tylenol, can be used to control the pain itself. Now if we are actually employ the use of the anti-inflammatory and pain control, we can seek the aid of non-steroidal anti-inflammatory medications. The most common ones are ibuprofen, naproxen, and the common brand names are Aleve, Motrin, Advil.

The other medications that can be used are steroids. If there is a lot of inflammation that causes the back pain, oral steroids can be employed. Now, generally, we don’t like to use oral steroids for a variety of reasons – they don’t tend to help pain that is axial, or in other words pain that is limited to the actual back without radiating into the extremities. So, we are actually using the steroids very sparingly because it has systemic effects - although minimal, but it does - and as with any treatment, we try to minimize the systemic effect or any side effect by achieving the highest yield in terms of relieving pain. So, steroids can be used, but are not commonly used.

Another type of medication is narcotic medication. Now, narcotic medications are opiods and they are used to dissociate the patient from the pain. They are usually used for severe, acute pain. They are meant to be used for a short period of time, such as the initial injury, trauma, or onset of acute pain or they can be used in post-operative pain control.

Another group of medications are muscle relaxants. Now, muscle relaxants are used to decrease the tone of the muscles and the reason to use them is because in many cases of back pain, muscle spasm is what usually accompanies it.

Another oral medication that can be used to control back pain is antidepressants and a variety of antidepressants can be used. An example of those would be tricyclic antidepressants or antidepressants like Cymbalta.

There are certain medications that can be used by just putting it on the skin over the area that is affected and that can be helpful. The benefit of these medications is that it is directly applied to where the pain is and where the injury is. The medications are either anti-inflammatory or pure painkillers. So the pure painkillers are things like lidoderm patch, which is lidocaine which is slowly released through a patch through the skin and that can be applied to just numb up the area and reduce the localized pain. Another type is the use of diclofenac, which is one of the older non-steroidal anti-inflammatory medications and that can be used in the form of a patch as Inflector patch or in the form of a cream, such as Voltaren or other formulations. The benefit of this is it is localized and systemic absorption is quite limited. That limitation is the fact that it only penetrates a certain depth and so really the use is, to an extent, limited.

Another group of the medications are the group that is injected and there are really two main ones that are used for back pain. One is non-steroidal anti-inflammatory medication that can be injected, such as Toradol, and that’s injected into the muscle and the effect is systemic - or in other words it affects the whole body - in reducing the pain and its anti-inflammatory action. Another one is anesthetic, which is anesthetic like lidocaine, bupivacaine, or any other form of an anesthetic that is used to numb up the area. That can be used either to break up a muscle spasm or to numb up an area so that other manipulations can be performed in order to relieve the pain.

Another medication that can be used as an injectable is a steroid. A corticosteroid, as opposed to an oral corticosteroid, goes directly to where the problem is. So, it doesn't have to be systemically absorbed - it bypasses the systemic effect - even though it is systemically absorbed to a small degree, but it bypasses the major systemic side effects and its concentration doesn't have to be diluted by all the processes that have to happen in our body to get that medication to the source of the pain.

So, that really is a general overview of the medications we can use in controlling, in relieving, and in treating back pain.

Author Node Id: 

Source: http://www.spine-health.com/video/medications-back-pain-video

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West Nile Virus infection in many states of USA

The majority of states in the USA have reported cases of West Nile Fever (WNF) this year.

In those people who were severely infected, about half went on to develop meningitis or encephalitis. Most cases however, are mild and without symptoms.

This disease was first detected in the States in 1999, and this year’s numbers are the highest so far.

The greatest numbers of cases have occurred in six states (Texas, Mississippi, Luoisiana, Oklahoma, South Dakota and California), with Texas having almost half of those cases.

WNV virus is spread by Culex mosquitos, which bite mainly from dusk to dawn. Travellers should take measures to avoid mosquito bites, such as covering up after dusk and using effective repellents.

Source: ProMED-Mail

For further advice, contact the Globe Travel Health Centre on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/west-nile-virus-infection-in-many-states-of-usa.html?utm_source=rss&utm_medium=rss&utm_campaign=west-nile-virus-infection-in-many-states-of-usa

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Dr. Labor Publishes New Technology Article In National Publication

Cataract & Refractive Surgery Today, a major industry publication, recently asked Phillips Kirk Labor, MD to share his expertise about a revolutionary cataract surgery technology he introduced to Dallas/Fort Worth in 2011. The result was an article Dr. Labor authored, Updating Your Practice With Advanced Technology, with the subtitle, Intraoperative aberrometry is a worthwhile investment for the practice and provides added security for cataract patients. The article appeared nationwide in the October 2012 issue.

A prime example of intraopertive aberrometry he discusses is the ORA System. This is a “wavefront aberrometry device,” the first of its kind to measure cataract surgery results in real time – during the procedure. Previously called ORange, Dr. Labor was the first metro Dallas/Fort Worth eye surgeon to use this technology when it was introduced in 2011. When ORange changed to the further enhanced ORA System, Dr. Labor remained at the forefront as an early adopter of this newer, better technology. Today, he is one of the top ORA surgeons in the world.

Cataract & Refractive Surgery Today is a trusted, highly regarded publication among leading surgeons all over the world. I was grateful when they contacted me, and didn’t hesitate to do it,” Dr. Labor said. “Although written for our industry, my main goal, however, was to share my experiences and successes related to how this benefits the patient first.”

To learn more about the ORA System, or any our comprehensive eye care services, please call us in Grapevine at 877-516-4364. We’re conveniently located to all of Fort Worth and Dallas.

Source: http://www.eyectexas.com/blog/dr-labor-publishes/

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Baltimore Eye Surgeon Discusses Revival in Popularity of PRK Surgery

lasik, surgeon, surgery, vision, correction, prk, baltimore, md

LASIK Surgeon in Baltimore on the Revival of PRK Surgery

According to a recent study by the American Academy of Ophthalmology, 800,000 refractive surgical procedures were performed in 2010. A similar study reports that among people age 40 and older, more than 3.6 million are visually impaired (defined as 20/40 or worse vision in the better eye even with eyeglasses). Dr. Jay C. Grochmal, a vision correction and LASIK surgeon in Baltimore, says that one of the contributing factors to such a high number of refractive surgical procedures is the resurgence in popularity of photorefractive keratectomy, or PRK. Dr. Grochmal discusses the benefits of a PRK procedure and reasons for its increasing demand.

The American Academy of Ophthalmology (AAO) shows in its latest report that eye doctors performed 800,000 refractive surgical procedures in 2010. The AAO also indicates that more than 3.6 million people age 40 and older are visually impaired, or have 20/40 or worse vision in the better eye even with eyeglasses. At his Baltimore LASIK surgery and eye care practice, Dr. Jay C. Grochmal says many of his patients are choosing PRK surgery as an alternative to LASIK to correct their poor vision. He also says the procedure is rapidly growing in popularity again as patients are beginning to see the benefits it can offer for those who are not candidates for LASIK.

While LASIK surgery accrues more popular attention because of its well-known success and prevalence, Dr. Grochmal says PRK is extremely successful and can oftentimes be the best option for patients who meet certain criteria. Unlike LASIK, where a flap is created to perform the surgery, the surgeon removes the epithelial layer of the cornea and then reshapes the cornea using an excimer laser. Because the procedure does not involve flap creation on the eye, he says patients with thin corneas can often achieve the most effective results through a PRK procedure. Dr. Grochmal says the procedure can also work effectively for patients seeking enhancement of a previous LASIK procedure.

Dr. Grochmal says PRK can also be used for treatment of epithelial distrophy, or issues with the epithelium of the cornea. He adds that PRK’s other benefits include removal of scars on the cornea, strengthening the cornea through cross-linking, and reduced formation of scar tissue. “PRK uses the same laser as LASIK and is adaptable for ‘advanced’ procedures, such as CustomVue, in order to obtain the best visual results. For those with thin or borderline thickness corneas, as well as higher myopic refractive errors, PRK can be performed with the confidence of assuring the patient’s long-term corneal stability.”

While some patients may only qualify for either LASIK or PRK based on an assessment of their individual eye, Dr. Grochmal says both procedures have proven effective and successful. He also recommends consulting with a highly trained and experienced eye surgeon before undergoing any procedure. “Every patient is unique and requires individualized care. A surgeon experienced in PRK and LASIK can help guide the patient in the better treatment for him or her with the goal of preserving corneal health.”

About Jay C. Grochmal, MD

Dr. Jay Grochmal received his medical degree from the University of Maryland and completed a rotating medical and surgical internship at the U.S. Public Health Hospital in Baltimore, Maryland. He completed his residency at the Greater Baltimore Medical Center’s Department of Ophthalmology, achieving the rank of Chief Resident. He is a member of the American Academy of Ophthalmology, the American Society of Cataract and Refractive Surgeons and the Maryland Society of Eye Physicians.

Located at 405 Frederick Rd., Suite 102 in Baltimore, MD, Dr. Grochmal’s practice can be reached at (410) 697-4090 and online at the website grochmaleye.com or facebook.com/pages/Grochmal-Eye-Center/144885478861116.

###

Source: http://www.grochmaleye.com/uncategorized/baltimore-eye-surgeon-discusses-revival-in-popularity-of-prk-surgery/

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Tuesday, November 27, 2012

Take A Walk On The Grass

Take A Walk On The Grass

When is the last time that you took off your shoes and yours socks and you walked barefoot on the grass.  If you’re older than twelve I’m guessing it has been quite some time.  It’s funny, when we’re kids, if we see a mud puddle we JUMP right in it.  When we become adults we walk around the mud puddle.  Not only do we walk around the mud puddle…we complain about it! 

Stop complaining.  It’s not really serving you.  Start living.  Get outside and re-connect with our planet.  This isn’t some hippy dippy statement.  We (human beings) are electrical beings.  That’s right, we are electrical beings.  Electricity is constantly flowing through our bodies.   In fact, without electricity you wouldn’t be reading this post right now.  Without electricity running through your body your brain would cease to function. 

Sometimes we need to re-charge.  We need to “ground” ourselves.  One of the ways to do this is by getting outside and walking barefoot on the grass.  While you’re walking (barefoot of course) do some deep breathing – you’ll be accomplishing two things at the same time (there is nothing like multi-tasking when it comes to your health).  Walking barefoot on the grass will “ground” you, literally.  Doing this will help you release built up electrical energy that’s in your body.

As stated above, your entire nervous system is run on electrical energy.  Get walking, ground yourself, do your deep breathing, and make some positive changes in your life.  This doesn’t cost you a dime.  What have you got to lose?

Yours In Health!

G.E. Moon II

Source: http://www.abundanthealthcenter.com/blog/takeawalkonthegrass

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Black Blood Must Not Contaminate White Folks (Essay 25)

Source: http://bernardlown.wordpress.com/2011/09/03/black-blood-must-not-contaminate-white-folks/

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Medications for Back Pain Video

There are many medications used for treating back pain. Medications can be grouped by delivery method – into oral medications, topical medications, and injected medications. There are also different types of medications, which include steroids, narcotics, muscle relaxants, pain killers (such as acetaminophen), and anti-depressants.


Video presented by Zinovy Meyler, MD

[TOC]

Video Transcript

Different medications used to control back pain fall into different categories. Now, the broad spectrum of the categories can be broken down initially into the way we take the medication itself. So, (1) oral medications, (2) those that can be used as topical medications, and (3) those that need to be injected.

To talk about the oral medications, which are more commonly used as an initial treatment. Over-the-counter medications that control the pain, such as Tylenol, can be used to control the pain itself. Now if we are actually employ the use of the anti-inflammatory and pain control, we can seek the aid of non-steroidal anti-inflammatory medications. The most common ones are ibuprofen, naproxen, and the common brand names are Aleve, Motrin, Advil.

The other medications that can be used are steroids. If there is a lot of inflammation that causes the back pain, oral steroids can be employed. Now, generally, we don’t like to use oral steroids for a variety of reasons – they don’t tend to help pain that is axial, or in other words pain that is limited to the actual back without radiating into the extremities. So, we are actually using the steroids very sparingly because it has systemic effects - although minimal, but it does - and as with any treatment, we try to minimize the systemic effect or any side effect by achieving the highest yield in terms of relieving pain. So, steroids can be used, but are not commonly used.

Another type of medication is narcotic medication. Now, narcotic medications are opiods and they are used to dissociate the patient from the pain. They are usually used for severe, acute pain. They are meant to be used for a short period of time, such as the initial injury, trauma, or onset of acute pain or they can be used in post-operative pain control.

Another group of medications are muscle relaxants. Now, muscle relaxants are used to decrease the tone of the muscles and the reason to use them is because in many cases of back pain, muscle spasm is what usually accompanies it.

Another oral medication that can be used to control back pain is antidepressants and a variety of antidepressants can be used. An example of those would be tricyclic antidepressants or antidepressants like Cymbalta.

There are certain medications that can be used by just putting it on the skin over the area that is affected and that can be helpful. The benefit of these medications is that it is directly applied to where the pain is and where the injury is. The medications are either anti-inflammatory or pure painkillers. So the pure painkillers are things like lidoderm patch, which is lidocaine which is slowly released through a patch through the skin and that can be applied to just numb up the area and reduce the localized pain. Another type is the use of diclofenac, which is one of the older non-steroidal anti-inflammatory medications and that can be used in the form of a patch as Inflector patch or in the form of a cream, such as Voltaren or other formulations. The benefit of this is it is localized and systemic absorption is quite limited. That limitation is the fact that it only penetrates a certain depth and so really the use is, to an extent, limited.

Another group of the medications are the group that is injected and there are really two main ones that are used for back pain. One is non-steroidal anti-inflammatory medication that can be injected, such as Toradol, and that’s injected into the muscle and the effect is systemic - or in other words it affects the whole body - in reducing the pain and its anti-inflammatory action. Another one is anesthetic, which is anesthetic like lidocaine, bupivacaine, or any other form of an anesthetic that is used to numb up the area. That can be used either to break up a muscle spasm or to numb up an area so that other manipulations can be performed in order to relieve the pain.

Another medication that can be used as an injectable is a steroid. A corticosteroid, as opposed to an oral corticosteroid, goes directly to where the problem is. So, it doesn't have to be systemically absorbed - it bypasses the systemic effect - even though it is systemically absorbed to a small degree, but it bypasses the major systemic side effects and its concentration doesn't have to be diluted by all the processes that have to happen in our body to get that medication to the source of the pain.

So, that really is a general overview of the medications we can use in controlling, in relieving, and in treating back pain.

Author Node Id: 

Source: http://www.spine-health.com/video/medications-back-pain-video

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Sudden Cardiac Death: Resuscitation or Resurrection? (Essay 23)

Source: http://bernardlown.wordpress.com/2011/07/02/sudden-cardiac-death-resuscitation-or-resurrection/

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Simplifying LASIK Basics – What’s Involved

Welcome to the second in our Simplifying LASIK Basics series. In this edition, we’ll highlight what the procedure’s like and types of LASIK in a way that should keep it simple. Hopefully it can help you determine what types of questions to ask your doctor as part of your decision to have LASIK performed.

What’s The Procedure Like? Although there’s more to it than this, here are the basics. Big Picture: Laser technology reshapes your cornea so things look sharper and clearer. Who It’s For: Mainly for anyone who is nearsighted, farsighted or has astigmatism. What Happens: A “flap” is created in the cornea, then the flap is gently lifted and folded back, and the cornea is reshaped using laser pulses to correct focusing problems in the eye. On average, it takes approximately 5 minutes, and may take slightly longer if your vision problems are more severe.

Types Of LASIK. Essentially, there are three basic types of LASIK, each designed to do what LASIK is supposed to do – help you see better, possibly better than you ever have with less dependency on glasses or contact lenses. You may have seen types of LASIK referred to this way: Conventional LASIK, Wavefront-Optimized LASIK, and Wavefront-Guided LASIK (also called Custom LASIK).

Which Type Of LASIK Is Best? Different doctors may use different types for different reasons. At Eye Consultants of Texas, we use a system based on Custom LASIK. It brings together two highly advanced technologies for a procedure branded “iLASIK.” Dr. Labor selected this after careful evaluation, mainly because it has proven to be more efficient and successful than other LASIK technologies he has used. But also, because of what it was designed to do – give the surgeon more control in customizing the procedure to each patient’s eye to get the best results. While the technology itself is extremely important, it’s even more important that your doctor has the skill and expertise to use it! Having been the first in the U.S., Texas, or locally to perform new procedures, Dr. Labor does his homework, and trains extensively on new technologies and advancements before ever putting them to use.

Until our next Simplifying LASIK Basics blog, if you’d like to know more about LASIK at Eye Consultants of Texas, please call our office in Grapevine at 877-516-4364. We’re conveniently located to Dallas/Fort Worth.

This blog is a broad overview of LASIK surgery for general informational purposes only. In no way is it intended as actual medical advice. Always seek a medical or eye care professional for advisement based on your individual health and specific eye care needs. 

Source: http://www.eyectexas.com/blog/lasik-basics-2/

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Carrying Home Medication While Traveling

Source: http://adventuredoc.net/2011/08/15/carrying-home-medication-while-traveling/

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Monday, November 26, 2012

Motivation – It’s An Internal Game

What are are the recurring thoughts that are occuring in the space between your ears?  Are your thoughts usually ones of doom and gloom?  We’ve all heard it said before, “Change Your Thoughts, Change Your Life”.  What if each day you started off your morning like little Jessica in this video…how different would your day be? 

Take the time to start each new day with better thoughts…the changes can be powerful.

Yours In Health!

G.E. Moon II

Source: http://www.abundanthealthcenter.com/blog/motivation-its-an-internal-game

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Motivation – It’s An Internal Game

What are are the recurring thoughts that are occuring in the space between your ears?  Are your thoughts usually ones of doom and gloom?  We’ve all heard it said before, “Change Your Thoughts, Change Your Life”.  What if each day you started off your morning like little Jessica in this video…how different would your day be? 

Take the time to start each new day with better thoughts…the changes can be powerful.

Yours In Health!

G.E. Moon II

Source: http://www.abundanthealthcenter.com/blog/motivation-its-an-internal-game

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