Source: http://adventuredoc.net/2012/12/22/a-difficult-airway/
Thursday, January 31, 2013
Varicella (chicken-pox) vaccination
In many countries of the world chicken-pox vaccine is part of the routine childhood vaccination programme. In the UK a child may have free vaccination only if they are over the age of 12 and have not had the disease. There is no current plan to introduce varicella vaccination for children.
Two doses of the vaccine fully protects against chicken-pox in 99% of cases. The tiny number who do not get full protection will experience fewer spots, milder symptoms and a speedier recovery time.
The vaccine is available at the Globe Travel Health Centre.
Source: Joint Committee on Vaccination ad Immunisation (JCVI)
For further advice, contact the Globe Travel Health Centre on 01603 667323
Insomnia and Back Pain
Sleeping problems are common among patients with chronic back pain. The pain can cause difficulty sleeping and the lack of sleep can make their back pain worse. For this reason, sleep should be a treatment priority for chronic back or neck pain patients.
Video presented by Zinovy Meyler, DO
[TOC]Video Transcript
Insomnia and back pain really go hand in hand. In fact, in a recent study, it has been shown that approximately two thirds of people suffering from back pain also have disrupted sleep. It is also important to know that studies have also shown that disrupted sleep, in turn, actually exacerbates the back pain. Now, we also intuitively notice that if you don't get a good night sleep, then any aches and pains that you usually have are much more exacerbated and everything is more difficult without appropriate sleep - it is just more pronounced in people suffering from back pain. So, in treating back pain, it is very important to determine if the patients suffer from insomnia because it can definitely exacerbate the back pain itself and complicate the treatment.
Treatment should be aimed at treating the back pain as the underlying cause and insomnia as well. Treatments of insomnia really run the whole gamut of medications and behavioral alterations. For instance, the insomnia caused by back pain affects the quality of sleep and the duration of sleep, which means that we don't fall asleep as soon as we would otherwise and we wake up in the middle of the night, so overall we don't sleep as much. The pain itself also interrupts the progression of the sleep cycle, so we don't get enough deep sleep and REM sleep and we're not as rested as we would be otherwise. So, the restorative function of the body is not really utilized in actually treating the back pain if we don't treat the insomnia.
In treating insomnia, first and foremost, we have to control the pain. So, pain medications when appropriate should be utilized before going to sleep so that the pain doesn't interfere directly with the sleep. Also, muscle relaxants can be used because the muscle spasms at times accompany the low back pain. Sleep agents at times are appropriate, but should be used with caution because we know the source of the insomnia.
But it is very important not to overlook the behavioral aspect of what is called "sleep hygiene" and sleep hygiene really involves a number of different things. There are certain rituals that we always do before going to bed, such as turning off the lights, going to bed at a particular time, waking up at a particular time, brushing our teeth. It is very helpful psychologically to have a specific routine that right away gets us in the mode for sleeping. All of that helps us fall asleep and if we fall asleep sooner, it actually helps us stay asleep and progress through the normal sleep cycles. So, it's important to address the sleep as well as the back pain at the same time.
Thumbnail:
Source: http://www.spine-health.com/video/insomnia-and-back-pain
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Wednesday, January 30, 2013
Activist Shares her Story to Increase HIV/AIDS Awareness
At birth, Hydeia Broadbent was abandoned at the University Medical Center of Southern Nevada in Las Vegas, where Patricia and Loren Broadbent adopted her as an infant. Although her HIV condition was congenital, she was not diagnosed as HIV-positive with advancement to AIDS until age 3. The prognosis was that she would not live past the age of 5. Now more than 20 years later, Broadbent spends her time spreading the message of HIV/AIDS awareness and prevention by promoting abstinence, safe-sex practices (for people who choose to have sex), and the initiative “Knowing Your HIV/AIDS Status.”
Broadbent was a keynote speaker at Kaiser Permanente’s 2011 National Diversity Conference, speaking to several hundred Kaiser Permanente physicians and employees celebrating and learning about diversity and inclusion. We caught up with Broadbent recently to see what messages she had to share in honor of World AIDS Day.
CTH Blog:
When did you start speaking publicly about HIV/AIDS?
Hydeia Broadbent:
I started speaking out at the age of 6. Back then my focus was talking about compassion for individuals living with HIV/AIDS to make sure they were treated fairly. In the late 1980s a lot of people lost their jobs or they were kicked out of their homes. Some kids couldn’t even go to school, so I really started speaking about compassion and understanding.
Now, my primary goal is to provide a clear understanding of how to avoid at-risk behaviors through self-examination and informed decision-making. With all that we know about the virus, it is clear to me that contracting HIV/AIDS today is a choice and we can’t allow anyone the power to make that choice for us.
CTH Blog:
What has your message been to clinical staff and caregivers?
HB:
Growing up I spent a lot of time in the hospital. For those who work with someone who is infected with HIV/AIDS, you guys are very important to our lives. We spend a lot of time with our doctors and our nurses and our case workers.
I know how important it is for communication between a doctor and patient. Patients want to be informed about the medicines and procedures that they go through. And it also goes back to compassion because a lot of times when people have chronic illnesses they may be facing them alone. Sometimes they don’t have the support of their families or friends. Service with a smile really does go along way.
CTH Blog:
There was a time last year when you were without insurance?
HB:
Yes, and that was very scary. I know how expensive these out-of- pocket costs can be. A lot of people wanted to help me, but I wanted to make sure we help others – it’s not just about Hydeia. I feel like I speak for a lot of people who don’t have a name or a face or a voice, but they are out there, and they deserve the compassion of their fellow brothers and sisters. Everything I go through serves a purpose. I want to inspire people, not to just care about me, but others who are living with HIV/AIDS.
CTH Blog:
At Kaiser Permanente’s 2011 National Diversity Conference, you mentioned you received care at a Kaiser Permanente facility?
HB:
I live in Las Vegas, but once I got sick when I was in Los Angeles and ended up at a Kaiser Permanente facility, so I know the care and the service that Kaiser Permanente provide, and it’s excellent.
CTH Blog:
What are you working on now?
HB:
On Nov. 26, a project I’ve been helping work on, “Forgotten but Not Gone: Kids, HIV & AIDS,” aired on Nickelodeon. The inspiration came to me after seeing a story about a 13-year-old boy in Pennsylvania who had applied to a private boarding school, but was refused because he is HIV-positive. The show is a powerful piece featuring many stories of youth who have been living with HIV, and it addresses stereotypes.
I’ve been doing a lot of work around youth lately, such as public service announcements that they can relate to. A lot of young people don’t like to be lectured to, so you have to make sure it’s more of a discussion and you’re not just preaching. And also when it comes to HIV, you have to install a sense of fear. We have kind of glamorized it because we wanted people with HIV to be accepted, but we forgot to talk about the reality of what this disease is, and it still kills people. There are medications, but not everyone can afford these medications, so we need to make sure we are speaking to the reality that these medications cost a lot of money.
CTH Blog:
World AIDS Day is around the corner. What do you hope people think about on Dec. 1?
HB:
I grew up in a time when there was no hope. I’ve seen countless friends die — my own doctor had passed away. We are definitely in a new time when there are advancements to medications and people aren’t dying at alarming rates from AIDS as they once did. But the fight is far from over. You have to go home and talk to your kids. You have to talk to them about HIV. You have to talk to them about sex. You have to talk to your nieces your nephews. We have come to a place where we are complacent about HIV/AIDS because people are healthier they are living longer and it’s kind of on everyone’s back burner. If you aren’t talking to your kids about these things, someone else probably is.
I’d also like people to stop and think: Do you know your own HIV status?
Below is an excerpt from Broadbent’s keynote at Kaiser Permanente’s 2011 National Diversity Conference.
Source: http://centerfortotalhealth.org/2012/activist-shares-her-story-to-increase-hivaids-awareness/
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Simplifying LASIK Basics – Part 1: Starting Points
As we’ve mentioned here before, LASIK has become a household word to anyone relying on glasses or contact lenses for everyday things. There’s no shortage of info out there, and much of it can be confusing, or written like an owner’s manual. At Eye Consultants of Texas, we cover the bases in educating our Dallas/Fort Worth LASIK patients, and try to do this as simply as possible. With that in mind, this is the first in a series of blogs we’ll be posting to highlight the basics of LASIK, in hopes of putting LASIK medical-speak more into simple-speak.
First Things First. LASIK is a simple, painless procedure that can be performed quicker and safer than ever before, mostly thanks to technological advancements. LASIK is also surgery on your eyes, so you owe it to yourself to understand the benefits, risks, and everything else about it. And to choose a skilled doctor who’s on your side.
How Long Has LASIK Been Around? A question to this that often follows is, “how many LASIK procedures have been performed?” To answer this objectively, we’ll go to a reputable source. According to the American Academy of Ophthalmology (AAO), LASIK was first FDA-approved in 1998. Since then, the AAO estimates that nearly 10 million procedures have been performed in the U.S. (an average of 700,000 each year). Worldwide, this number is double by some estimates you might find.
Why Would Someone Get LASIK? People who have LASIK performed are usually those that have to rely on glasses or contact lenses for everyday activities. Sometimes they opt for LASIK so they can see better and look better, or simply because they’re tired of having to wear glasses all the time. Sometimes LASIK may be the best solution if corrective eyewear is no longer doing the trick. Whatever the reason, it’s important that your vision health and overall health checks out, that you’re fully informed, and that you’re over 18 years of age. In other words, you have to be a candidate for LASIK to have it done. If for any reason you’re not, there are other options your doctor can tell you about.
Look for more in our next Simplifying LASIK Basics blog coming soon. Meanwhile, if you’d like to know more about LASIK at Eye Consultants of Texas, please call our office in Grapevine at 877-516-4364, conveniently located to Dallas/Fort Worth.
This blog is a general overview of LASIK surgery for general informational purposes only, and in no way intended as actual medical advice. Always seek a medical or eye care professional for advisement based on your individual health and eye care needs.
Source: http://www.eyectexas.com/blog/lasik-basics-part-1/
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Praise From a Visiting Former Navy Seal and Best-Selling Author
We were recently privileged to have New York Times bestselling author, and former Navy SEAL, Brandon Webb, speak at Eye Consultants of Texas in Grapevine. It was the idea of founder Phillips Kirk Labor, MD, to host this event, primarily for his staff and a group of local law enforcement officers, as well as special guests.
A highly sought-after motivational speaker, Brandon focused his talk on the importance of attention to detail and striving for excellence. His New York Times bestselling book, The Red Circle, shares his personal story of dealing with adversity in a positive and constructive way, and passes on valuable leadership lessons he learned as a Navy SEAL. Everyone in attendance at our practice was incredibly inspired, just like all of Brandon’s audiences in his speaking engagements across the U.S.
In addition to inviting him to speak, Dr. Labor invited Brandon into the operating room to observe actual cataract procedures. Recently, Brandon wrote about his Eye Consultants of Texas visit and experiences in his blog.
Here is an excerpt from Brandon’s blog:
“The last part of September I had a chance to visit with Dr. Kirk Labor and his team at Eye Consultants of Texas. I was invited to sit in on a few Cataract procedures, and actually assisted in a minor way. I’ve been fortunate to tour plenty of U.S. companies when I was an active SEAL and after. Companies like Smith & Wesson, Nixon, ABC news, St. Martin’s Press, L-3, and many others. I can honestly say that Dr. Labor and his staff run an excellent facility and operation compared to these other organizations. They set the bar high, and are far ahead of the competition from my perspective. I’d highly recommend his facility to anyone regardless of your geographic location. For now, my own sniper eyes are good-to-go, if they start having problems I’ll have no problem flying to Texas. Excellence matters and I want only the best working on my eyes.”
In an email to Brandon, thanking him for coming, Dr. Labor said:
“The reports I have from those in attendance have been nothing but positive. I really think it helped my staff to hear about those attributes from someone other than me, and will serve the practice and my patients well going forward. I hope you enjoyed being here as much as we enjoyed having you. I know the girls in the operating room loved having you there (as did the patients; particularly the Vietnam veteran we operated on)!”
Source: http://www.eyectexas.com/blog/praise-from-navy-seal-best-selling-author/
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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.
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
Tuesday, January 29, 2013
Baltimore Laser Eye Surgeon Discusses the Future of Advanced Cataract Surgery
Cataract Surgeon in Baltimore Discusses the Future of Advanced Procedures
Baltimore, MD — According to the latest statistics from the American Academy of Ophthalmology (AAO), cataracts affect nearly 22 million Americans age 40 and older. However, Dr. Jay C. Grochmal, a LASIK and cataract surgeon in Baltimore, says with the recent advancements in cataract surgery, patients do not have to let blurring vision hinder their daily life. Dr. Grochmal discusses the latest innovations in refractive-cataract surgery and how they can benefit patients looking to improve their vision.
At his Baltimore cataract surgery practice, Dr. Grochmal says the aging baby boomer population has brought an influx of patients needing vision correction for cataracts and other age-related conditions. Cataracts develop as people get older and are exhibited in a clouding and opaqueness of the natural lens inside one’s eye, causing vision to blur. The AAO report also shows that by age 80, more than half of all Americans will have visually significant cataracts. Dr. Grochmal says while cataracts can be a bothersome medical issue, the good news is that advancements in ophthalmology and surgical techniques have made clear vision an affordable and effective option through cataract surgery.
With procedures such as laser refractive cataract surgery on the horizon, Dr. Grochmal says treatment is now ultimately safer than ever before and more successful in helping patients achieve improved vision with less dependence on glasses. He says other innovations have helped create smaller incisions for lens extraction and replacement during cataract surgery, and through technology such as the Zeiss IOL Master, doctors can better measure the power of the intraocular lenses and offer more accurate visual results. “With the safety of cataract surgery improving, patients no longer have to wait for their vision to drastically deteriorate before undergoing cataract surgery. Also, the quality of newer IOL’s are allowing excellent vision after surgery,” says Dr. Grochmal.
Thanks to a diverse arsenal of lenses such as toric and multifocal IOL’s, Dr. Grochmal says patients can now enjoy the benefits of custom treatment for their individual eye condition and lifestyle needs. Whether patients wish to enhance their vision up close or far away or find a balance of clarity in both distance and near vision, he says there is a solution for every patient’s desires. Dr. Grochmal says cataract surgery recovery is now also much quicker and requires less trauma to the function of one’s eye. “With such small incisions now possible and the availability of toric IOL’s, post operative astigmatism can be minimized if not completely corrected,” he says.
Regardless of whether patients are looking for cataract surgery or another vision correction procedure such as LASIK in Baltimore, Dr. Grochmal says the advancements in ophthalmology are making significant strides towards helping people attain perfect, lasting eyesight. He adds that he is excited to see the further development of patient comfort and care and hopes patients continue to take advantage of the benefits that procedures like cataract surgery can offer.
About Jay C. Grochmal, MD
Dr. Jay C. Grochmal received his medical degree from the University of Maryland, after which he completed a rotating internship at the U.S. Public Health Hospital in Baltimore. He also completed a residency in the Department of Ophthalmology at the Greater Baltimore Medical Center, where he was Chief Resident. A member of the American Academy of Ophthalmology and the American Society of Cataract and Refractive Surgery, Dr. Grochmal has participated in several medical mission trips to offer his experience and skills in vision correction to patients in Pakistan, Jamaica, and the Bahamas. He is currently on staff with the Greater Baltimore Medical Center and St. Agnes Hospital. He is the medical director at the Snowden River Surgery Center.
Located at 405 Frederick Rd, Suite 102 in Baltimore, MD, Dr. Grochmal’s practice can be reached at (410) 697-4090. He can also be contacted online via the website grochmaleye.com or facebook.com/grochmaleye.
Contact:
Rosemont Media
Aaron Hurst
aaron@rosemontmedia.com
(858) 200-0044
www.rosemontmedia.com
###
Activist Shares her Story to Increase HIV/AIDS Awareness
At birth, Hydeia Broadbent was abandoned at the University Medical Center of Southern Nevada in Las Vegas, where Patricia and Loren Broadbent adopted her as an infant. Although her HIV condition was congenital, she was not diagnosed as HIV-positive with advancement to AIDS until age 3. The prognosis was that she would not live past the age of 5. Now more than 20 years later, Broadbent spends her time spreading the message of HIV/AIDS awareness and prevention by promoting abstinence, safe-sex practices (for people who choose to have sex), and the initiative “Knowing Your HIV/AIDS Status.”
Broadbent was a keynote speaker at Kaiser Permanente’s 2011 National Diversity Conference, speaking to several hundred Kaiser Permanente physicians and employees celebrating and learning about diversity and inclusion. We caught up with Broadbent recently to see what messages she had to share in honor of World AIDS Day.
CTH Blog:
When did you start speaking publicly about HIV/AIDS?
Hydeia Broadbent:
I started speaking out at the age of 6. Back then my focus was talking about compassion for individuals living with HIV/AIDS to make sure they were treated fairly. In the late 1980s a lot of people lost their jobs or they were kicked out of their homes. Some kids couldn’t even go to school, so I really started speaking about compassion and understanding.
Now, my primary goal is to provide a clear understanding of how to avoid at-risk behaviors through self-examination and informed decision-making. With all that we know about the virus, it is clear to me that contracting HIV/AIDS today is a choice and we can’t allow anyone the power to make that choice for us.
CTH Blog:
What has your message been to clinical staff and caregivers?
HB:
Growing up I spent a lot of time in the hospital. For those who work with someone who is infected with HIV/AIDS, you guys are very important to our lives. We spend a lot of time with our doctors and our nurses and our case workers.
I know how important it is for communication between a doctor and patient. Patients want to be informed about the medicines and procedures that they go through. And it also goes back to compassion because a lot of times when people have chronic illnesses they may be facing them alone. Sometimes they don’t have the support of their families or friends. Service with a smile really does go along way.
CTH Blog:
There was a time last year when you were without insurance?
HB:
Yes, and that was very scary. I know how expensive these out-of- pocket costs can be. A lot of people wanted to help me, but I wanted to make sure we help others – it’s not just about Hydeia. I feel like I speak for a lot of people who don’t have a name or a face or a voice, but they are out there, and they deserve the compassion of their fellow brothers and sisters. Everything I go through serves a purpose. I want to inspire people, not to just care about me, but others who are living with HIV/AIDS.
CTH Blog:
At Kaiser Permanente’s 2011 National Diversity Conference, you mentioned you received care at a Kaiser Permanente facility?
HB:
I live in Las Vegas, but once I got sick when I was in Los Angeles and ended up at a Kaiser Permanente facility, so I know the care and the service that Kaiser Permanente provide, and it’s excellent.
CTH Blog:
What are you working on now?
HB:
On Nov. 26, a project I’ve been helping work on, “Forgotten but Not Gone: Kids, HIV & AIDS,” aired on Nickelodeon. The inspiration came to me after seeing a story about a 13-year-old boy in Pennsylvania who had applied to a private boarding school, but was refused because he is HIV-positive. The show is a powerful piece featuring many stories of youth who have been living with HIV, and it addresses stereotypes.
I’ve been doing a lot of work around youth lately, such as public service announcements that they can relate to. A lot of young people don’t like to be lectured to, so you have to make sure it’s more of a discussion and you’re not just preaching. And also when it comes to HIV, you have to install a sense of fear. We have kind of glamorized it because we wanted people with HIV to be accepted, but we forgot to talk about the reality of what this disease is, and it still kills people. There are medications, but not everyone can afford these medications, so we need to make sure we are speaking to the reality that these medications cost a lot of money.
CTH Blog:
World AIDS Day is around the corner. What do you hope people think about on Dec. 1?
HB:
I grew up in a time when there was no hope. I’ve seen countless friends die — my own doctor had passed away. We are definitely in a new time when there are advancements to medications and people aren’t dying at alarming rates from AIDS as they once did. But the fight is far from over. You have to go home and talk to your kids. You have to talk to them about HIV. You have to talk to them about sex. You have to talk to your nieces your nephews. We have come to a place where we are complacent about HIV/AIDS because people are healthier they are living longer and it’s kind of on everyone’s back burner. If you aren’t talking to your kids about these things, someone else probably is.
I’d also like people to stop and think: Do you know your own HIV status?
Below is an excerpt from Broadbent’s keynote at Kaiser Permanente’s 2011 National Diversity Conference.
Source: http://centerfortotalhealth.org/2012/activist-shares-her-story-to-increase-hivaids-awareness/
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Functional – Movement – Kettlebells – CrossFit
Here is a great interview of the owner of, CrossFit Seattle – Dave Werner. The interview was conducted by, Dr. Wendy Schauer, D.C., R.K.C. of – www.HappyNewYou.com. The interview has many references to some of the leading researchers and their findings on how important “Functional Movement” is to over all health, especially back pain. It also covers the role that the Russian Kettlebell can play in overall health and fitness.
Here is the link to the interview:
http://happynewyou.com/interview-with-dave-werner-rkc-and-owner-of-crossfit-seattle
Yours In Health!
G.E. Moon II
Source: http://www.abundanthealthcenter.com/blog/functional-movement-kettlebells-crossfit
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Insomnia and Back Pain
Sleeping problems are common among patients with chronic back pain. The pain can cause difficulty sleeping and the lack of sleep can make their back pain worse. For this reason, sleep should be a treatment priority for chronic back or neck pain patients.
Video presented by Zinovy Meyler, DO
[TOC]Video Transcript
Insomnia and back pain really go hand in hand. In fact, in a recent study, it has been shown that approximately two thirds of people suffering from back pain also have disrupted sleep. It is also important to know that studies have also shown that disrupted sleep, in turn, actually exacerbates the back pain. Now, we also intuitively notice that if you don't get a good night sleep, then any aches and pains that you usually have are much more exacerbated and everything is more difficult without appropriate sleep - it is just more pronounced in people suffering from back pain. So, in treating back pain, it is very important to determine if the patients suffer from insomnia because it can definitely exacerbate the back pain itself and complicate the treatment.
Treatment should be aimed at treating the back pain as the underlying cause and insomnia as well. Treatments of insomnia really run the whole gamut of medications and behavioral alterations. For instance, the insomnia caused by back pain affects the quality of sleep and the duration of sleep, which means that we don't fall asleep as soon as we would otherwise and we wake up in the middle of the night, so overall we don't sleep as much. The pain itself also interrupts the progression of the sleep cycle, so we don't get enough deep sleep and REM sleep and we're not as rested as we would be otherwise. So, the restorative function of the body is not really utilized in actually treating the back pain if we don't treat the insomnia.
In treating insomnia, first and foremost, we have to control the pain. So, pain medications when appropriate should be utilized before going to sleep so that the pain doesn't interfere directly with the sleep. Also, muscle relaxants can be used because the muscle spasms at times accompany the low back pain. Sleep agents at times are appropriate, but should be used with caution because we know the source of the insomnia.
But it is very important not to overlook the behavioral aspect of what is called "sleep hygiene" and sleep hygiene really involves a number of different things. There are certain rituals that we always do before going to bed, such as turning off the lights, going to bed at a particular time, waking up at a particular time, brushing our teeth. It is very helpful psychologically to have a specific routine that right away gets us in the mode for sleeping. All of that helps us fall asleep and if we fall asleep sooner, it actually helps us stay asleep and progress through the normal sleep cycles. So, it's important to address the sleep as well as the back pain at the same time.
Thumbnail:
Source: http://www.spine-health.com/video/insomnia-and-back-pain
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Interview With Law Of Attraction Expert Bob Doyle From Wealth Beyond Reason
Bob Doyle is The Founder & CEO of Boundless Living, Inc. You may know
Bob from his appearances in the popular movie and best-selling book,
“The Secret”. Bob was one of the featured “teachers” in both. Before
“The Secret” was featured on, “The Ellen DeGeneres Show”, “Larry King
Live, and “Oprah” – Bob had written his own book called, “Wealth Beyond
Reason”.
Bob Doyle - Author & CEO of Boundless Living, Inc.
For years Bob had jumped around from career to career, trying
desperately to find something that provided a solid income for him and
his family, but also tapped into his sense of passion and creativity.
After 4 years at his last corporate job, he literally felt like he was
dying and made the decision to quit his job, give up his salary and
benefits, and create a business of his own.
This proved to be quite a challenging endeavor. Bob was $70,000 in debt
and had started to receive phone calls from creditors. Further, his
various attempts at creating a business that was both fun and profitable
were simply not working. Ironically, the businesses he was trying to
create were focused on helping people to live their lives by design, and
although he could “teach” these concepts, there was clearly simply a
component he was missing, as his own life clearly showed.
It was at this point, he set a new intention for himself. Instead of
putting his attention on “solving his money problems”, he instead
focused on what he truly wanted his life to look like. He created a new
inspiring vision for himself and let go of trying to “figure everything
out”, and instead decided to follow his intution into inspired action.
The dramatic change of approach eventually led him down a path to the
answers he was seeking. As a result of what he learned, he was able to
finally create a business that he loved, and was very lucrative.
Soon, he wrote his first book, “Wealth Beyond Reason“, based on his
Internet program of the same name and built up his Internet presence of
www.BoundLessLiving.com to a 6 figure, and eventually a 7-figure income
and now he is helping others live the life of their dreams and own their
own terms, utilizing the same principles that facilitated the change in
his own life.
Here is our interview with Bob Doyle.
Abundant Health Center: Bob, hello. Thank you for taking your time to
speak with us today. A lot of people (I think) get confused by the
title of your book, and of course now it is an entire course, “Wealth
Beyond Reason” – but it’s really more than “material” or “physical”
wealth isn’t it? Would you mind explaining what it means to you and how
you came up with the idea to write this wonderful book?
Bob Doyle: Well, the book of course was based on our Internet curriculum
in the Law of Attraction, also called Wealth Beyond Reason. And
honestly, I wrote the book based on the material in the program because
I needed something physical to give to people at an upcoming speaking
event! I never really ever planned to write the book. It just showed up
as an inspired action to take, and I’ve definitely learned to follow
through when I get a “nudge” to do something like this.
One of the first things we do in the program and the book is help people
to define what “wealth” really means to them. Obviously, our natural
inclination is to associate wealth with the amount of money that we have
- but for the purposes of the work we do, we distill a different
definition of wealth which is, in essence, the ability to do what we
truly want to do, whenever we want to do it.
That may mean you have a lot of money and that financial abundance
facilitates your ability to live the life you want. But many people have
passions or callings that bring them great happiness and fulfillment,
but don’t necessarily require huge bank accounts.
In any case, it’s important for people to get clear on what they truly
do want – what really inspires them in a powerful way – so that they can
understand what “wealth” really means to them.
A.H.C: Was it during the time of writing the book that you started the
Bill Phillips “Body For Life Challenge”?
B.D.: Actually, the Body For Life Challenge came 2 years BEFORE I was
doing any of this work, but it was an key part of my journey, because it
was during this time that I learned a tremendous amount about what drove
people to successful results in ANY area of their lives.
A.H.C.: Isn’t this when you really started helping people achieve their
goals? Because at this time you created a website / forum for people to
come to and participate in their own “body revolution” at
www.BodyChangers.com correct?
B.D.: Bodychangers was the result of following my newly discovered
passion for fitness – and moreover, what were the keys to success in
taking on a physique transformation. After all many more people TRY to
change their bodies dramatically than actually succeed. Bodychangers was
a study in what the successful people did. After a while I began to see
patterns among the most successful that transcended simply the diet and
exercise program they chose.
The most successful and inspiring stories on the Bodychangers web site
came from people who had an extremely powerful “WHY” with regards to
their reasons for taking on the transformation. I saw that when people
got clear that being more physically fit was going to to help them live
the lives they truly wanted – to allow them to truly be the best and
most powerful version of themselves possible – their results far
outweighed those who took on an exercise program to simply have their
jeans fit better or something similar.
A.H.C.: So, not only were you working on your body with the Bill
Phillips Challenge, but you were also learning more about personal
development in general. How did your work with BodyChangers eventually
evolve into the work you do now with Boundless Living?
B.D.: After about 2 years of interviewing around 150 people about their
physique transformation stories, I was starting to feel myself burn out
a little. I was feeling that there were common themes among the
interviews and that even if I never did another interview, the site
would still be able to help people the way I intended it to.
At the same time, I felt called to expand what I was teaching outside of
simply the fitness area – because what I learned from all those
interviews was the importance of getting clear on what inspires you -
what you’re passionate about – and who you truly want to be. It was
during that time that the name “Boundless Living” popped into my mind,
and I knew then that I wanted to start making a difference for their
lives as a whole.
When I finally had the “ah-ha” moments in my own life as to why things
weren’t working, and as a result created the Wealth Beyond Reason
program, I knew it was time to bring my work with BodyChangers to a
close and focus my attention on my work with the Law of Attraction and
following ones passion.
A.H.C.: What are some of the books that were the biggest influencers on
you?
B.D.: The book that turned it all around for me was David Cameron
Gikandi’s “A Happy Pocketful of Money“. It’s an amazing study of how our
lives in this Universe work, and discusses the principle of “wealth
consciousness” (something I was definitely struggling with prior to
reading the book.)
I was able to gain an understanding of the power of our thoughts and
beliefs on a quantum level and that made all the difference for me.
Another book which I read YEARS prior that opened my mind to all kinds
of possibilities was Richard Bach’s “Illusions“. In my mind that’s
must-reading for every human.
A.H.C.: Bob, you work with people from all types of different
socioeconomic backgrounds, in fact, you work with clients from different
parts of the world…what are some of the common denominators that you
find are holding people back from what they want to have (and what they
can have) in life?
B.D.: For the most part, it all boils down to the limiting beliefs we
have. These beliefs come from all sources: parents, friends, society,
television…the list goes on and on. Different cultures have their own
sets of beliefs of course, but wherever there is a belief in limitation
that is passed down to us, it creates something called “resistance” in
us as humans. This resistance is real energy that has an impact on what
we can experience in our lives. The scientific aspect of this
conversation gets a little deep, but suffice it to say that if we want
to attract anything in our lives – be it money, a healthy body, or a
great relationship – our belief system has to be in alignment with
having that or we will always run into problems realizing our goals in
these areas. This is actually what most of my work is about.
A.H.C.: What are three key things that people should know if they want
to transition out of the daily grind of a corporate job and start a
business of their own?
B.D.: First, they have to get super clear on what they want to do and
WHY they want to do it…and that reason should go beyond just “making
money.” They need to identify how, through this business, they are going
to creatively express themselves and their passions…as this is the
best way to assure they bring their most powerful and focused energy
into their work.
Secondly, they need to start recognizing what limiting beliefs they
might have lurking under the surface as it pertains to success in
whatever business they take on. Some of these beliefs may be very
obvious such as “I don’t know anything about running a business”, but
other beliefs run a lot deeper and may take a different kind of “work”
to deal with. Again, that’s what I help people do every day. It’s
absolutely essential.
Finally, they’ve got to be committed to taking constant inspired action.
This doesn’t necessarily mean they have to “work hard” (though it may
look from the outside that they ARE working hard.) It means that they
learn to follow their own intuitive nudges in terms of what action to
take when. If you’ve never done this before, it can take some practice,
but learning to trust and follow your intuition is what makes any
endeavor fun and seemingly effortless.
A.H.C.: Where can our readers find out more about you, the work that
you do, and the coaching that you offer?
B.D.: Virtually everything I know I put into the Wealth Beyond Reason
program, which can be found at http://www.WealthBeyondReason.com, but we
also have smaller programs that address certain aspects of “living your
life by design” that can be found at http://www.BoundLessLiving.com – I
A.H.C.: Is there anything else that you would like to add?
B.D.: Human beings have enormous creative potential. However, we’ve
learned far more limitation that possibility. However the limitation
we’ve learned to a great degree is an illusion that seems real because
of the impact those limiting beliefs on our ability to “attract” the
experiences in our lives that would make us feel more powerful. You can
do yourself no greater service that to take the time to decide what you
truly want your life to be, learn a bit about the energetic nature of
the Universe and your role in it, and commit to taking consistent
inspired action in the direction of your most inspired dreams.
A.H.C.: Bob, thank you for taking the time to speak with us today.
B.D.: Totally my pleasure.
Monday, January 28, 2013
Rabies Vaccine Shortage in the UK
There is at present an acute shortage of rabies vaccine throughout the UK. There will be no further supplies for some time.
Globe Travel Health Centre has sufficient stocks for the time being. However, to conserve stocks:
- Rabies vaccine will be available on Tuesday, Thursday and Saturday clinics only.
- The vaccine will be administered by the intradermal route, using a small dose of vaccine.
This is just as safe and efficiacious as the more traditional intramuscular route, but uses less vaccine.
The World Health Organisation has stated:
‘Intradermal immunisation is an acceptable alternative to standard intramuscular vaccination. Intradermal vaccination has been shown to
be as safe and immunogenic as intramuscular vaccination, yet requires less vaccine. This alternative should be considered in settings constrained by cost and/or supply issues’.
Intradermal rabies vaccination costs £30.00 per dose – a course of three doses is required for primary vaccination.
For further advice, contact the Globe Travel Health Centre on 01603 667323
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/
Severe endometriosis – successful Natural IVF
Abigail was a 36 year old when she came to us, she had severe endometriosis and she was not able to undergo ovarian stimulation because she suffered from extreme pelvic pain with ovulation and ovarian stimulation could make her endometriosis worse. Her husband’s sperm was normal. She had damaged tubes and needed IVF to help [...]
Source: http://www.createhealthclinics.org/blog/natural-cycle-ivf/severe-endometriosis/
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