Tuesday, December 31, 2013

Morphine and Ketamine in Trauma

Source: http://adventuredoc.net/2013/05/11/morphine-and-ketamine-in-trauma/

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Guidelines for Protecting Your Eyes This Fall

As the leaves begin to change and the breeze turns a bit chillier, it’s important to prepare your eyes for the autumn weather. Colder conditions and even allergens from foliage can negatively impact your eyes, causing dryness and irritation.

Below are the top five issues that affect eyes during the autumn season, along with tips for how to remedy them:

  1. Harsh Sunlight. Although sunglasses are generally viewed as a summer accessory, they should ideally be worn year-round. They protect the eyes from the bright, glaring sunlight of colder months, and should especially be worn when driving during the daytime. Glasses also shield the delicate eye area from harsh winds, as well as the dust and debris that a strong gust could blow into your face.
  2. Dryness. Cold, static-inducing days can be rough on the eyes, so use a humidifier when indoors to give them a rest from dry outdoor conditions. Hypoallergenic eye creams can be applied to help hydrate the skin around the eyes and prevent it from becoming dry, cracked and itchy. Artificial tears can also be used to provide additional moisture.
  3. Allergies. Autumn’s dead leaves, hayrides and fireplace fumes can trigger allergic reactions. Red, itchy, burning, watery or swollen eyes are common allergy symptoms that can be improved with prescription or over-the-counter antihistamines. Using artificial tears can also help ease the discomfort of eye allergy symptoms.
  4. Heating Vents. Although cold weather can be rough on your eyes, indoor heat can be just as harmful – especially if you wear contact lenses. Indoor heat makes air more dry, which causes your skin’s and eyes’ natural moisture to evaporate faster than usual. Sitting near a heating vent can severely dry out your eyes, so make sure that you remain a comfortable distance away the grate and any other heat source. Drinking plenty of water will also ensure that your skin and eyes stay hydrated and healthy.
  5. Eye Strain. Whether you’ve noticed that it’s getting increasingly harder to read your favorite book when curled up by the fireplace or that you can’t see as well as you used to when driving home because it’s getting dark out sooner and sooner, the end is result is more eyestrain. Your eye doctor will determine if your eye strain is a sign that you need a new prescription or if there is another underlying problem. Be sure to schedule an annual check-up.

Ophthalmologist in Winchester

To learn more about the effects autumn weather can have on your eyes and how to stay protected, contact us today and schedule an appointment. Our offices are located in Winchester, serving Virginia, West Virginia, and Maryland, and you can reach us directly at (540) 722-6200.  We look forward to hearing from you

Source: http://www.seeclear.com/blog/eye-heath/guidelines-for-protecting-your-eyes-this-fall

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How to Keep Your Eyes Protected This Summer

With summer rapidly approaching, it’s time to make sure we take the proper precautions.  It’s not only important to protect our skin from the sun’s harmful ultraviolet rays, but our eyes as well.  Since exposure to the sun can be damaging to our eyes, preparation is key in keeping them safe.  So what exactly is the relationship between the sun’s UV rays and our eyes?

Both short-term and long-term sun exposure to the sun can have damaging consequences.  Short-term exposure can cause conditions like photokeratitis, an inflammation of the cornea that can cause eye pain and discomfort — similar to a sunburn.  The effects of long-term sun exposure are much more serious, and can include:

  • Cataracts
  • Macular degeneration
  • Pterygia, or benign tissue growth
  • Skin cancer near the eyes

How to Protect Your Eyes from the Sun

There are some simple, yet important, steps we can take to help protect our eyes from the sun’s damaging rays.  One of the most crucial steps is simply investing in the right pair of sunglasses.  When looking for a pair of sunglasses, it’s important to make sure that they block 99-100% of UVA and UVB rays, as these will offer the greatest amount of protection.  Wearing a wide-brimmed hat can also be an effective way to protect your eyes, as they will cover sun that can sneak in through the top or sides of your sunglasses.  Additionally, it’s important to be aware of the sun’s peak times – 10 a.m. to 4 p.m.  Extra protection is advised during these times, as this is when the sun is the strongest.

It’s also important to remember that just because it’s cloudy outside, doesn’t mean the sun isn’t out.  The sun’s rays can pass through thin clouds, so sunglasses and hats are always important.

Ophthalmologist in Winchester

To learn more about the effects the sun can have on your eyes or how to stay protected, contact us today and schedule an appointment.  Our offices are located in Winchester, serving Virginia, West Virginia, and Maryland, and you can reach us directly at (540) 722-6200.  We look forward to hearing from you

Source: http://www.seeclear.com/blog/eye-heath/how-to-keep-your-eyes-protected-this-summer

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Splinting limbs

Source: http://adventuredoc.net/2013/01/03/splinting-limbs/

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A difficult Airway

Source: http://adventuredoc.net/2012/12/22/a-difficult-airway/

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Monday, December 30, 2013

Important Crystalens Check Up Event June 29

Have you had a Crystalens® procedure performed? Are you a Dallas/Fort Worth OD managing Crystalens patients? Even if you’re just considering Crystalens, join us for a very special Crystalens Check Up Seminar at our Grapevine office, Saturday, June 29, 2013. You’ll come away with a better understanding of how to get the most out of this amazing lens than ever before.

The event is free and will be led by Eye Consultants of Texas founder Phillips Kirk Labor, MD. Dr. Labor is considered a world leader in number of Crystalens procedures performed. He is also one of only a few U.S. eye surgeons selected by Bausch & Lomb and other major manufacturers to evaluate new lens technologies. As a proven Crystalens authority, Dr. Labor will discuss all aspects of this lens, including reviewing the importance of what to do after surgery. In addition, he will be on hand to gladly answer any questions that you might have.

If you’ve had a Crystalens procedure performed, you know how life-changing it can be; not only to your vision, but to work, recreation, and how you view life itself. So whether Dr. Labor performed your procedure or not, you’re invited to attend. If you’ve just been thinking about Crystalens, this could help you make a more informed decision (there’s no obligation). If you’re an OD managing Crystalens patients, we’re confident you will find our Crystalens Check Up Seminar of value.

Join us at our beautiful Grapevine facility for this free event, courtesy of Eye Consultants of Texas.

Saturday, June 29, 2013 • 10:00 AM until 12:00 PM
Eye Consultants of Texas • 2201 Westgate Plaza, Grapevine, TX 76051
Seating is limited so please RSVP today by calling: 877-516-4364

Source: http://www.eyectexas.com/blog/important-crystalens-check-up-event-june-29/

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A Maverick’s Lonely Path in Cardiology (Essay 28)

Source: http://bernardlown.wordpress.com/2012/03/10/mavericks-lonely-path-in-cardiology/

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Blowing our own trumpet

We are very excited about our 2011 success rates and here are the reasons why. Most people use success rate statistics when making a decision about which IVF clinic to use, but these figures should not be taken in isolation. You should always talk to the clinic about your individual likelihood of success in relation [...]

Source: http://www.createhealthclinics.org/blog/success-stories/blowing-our-own-trumpet/

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Rural and Remote Medical Textbook

Source: http://adventuredoc.net/2013/03/13/rural-and-remote-medical-textbook/

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Imagination and Innovation: A Q&A with Kaiser Permanente’s Philip Fasano

Kaiser Permanente's Philip Fasano speaks at the 2013 Accelerating Innovation event hosted by NASA.

Kaiser Permanente’s Philip Fasano at the Accelerating Innovation event hosted by NASA.

During yesterday’s event with NASA at the Center for Total Health, Kaiser Permanente Executive Vice President and Chief Information Officer Philip Fasano was part of a panel discussing the acceleration of innovation across organizational business models.  Afterward, we were able to sit down and chat briefly about how Kaiser Permanente is leveraging innovation and imagination to help transform health care – for providers as well as consumers and patients.

The NASA event began with the latest of several videos Kaiser Permanente has produced about imagining the future of care in the United States – really inspiring videos, I might add.  This most recent video is called, “Imagining Care Anywhere.” Why is that concept something you (and Kaiser Permanente) are so passionate about?

To answer that question, you don’t have to look much further than the smart phone in your pocket, your increasingly frequent online shopping experiences, social media, and the emerging technologies that afford all of us convenience and access to information in our daily lives. But for Kaiser Permanente, the concept of “anywhere” carries higher stakes. If we can enable care anywhere, we can improve care, help people stay healthier, and save costs in the health care system as a result. Kaiser Permanente is an integrated care system, not a fee-for-service system. This means that our doctors are not paid to do more tests, prescribe more treatments, or bring you into the office for a visit, unless your care requires it.

Being able to engage in these conversations to imagine together the possibilities in health care and how to progress population health is good for us, for NASA, and for earth-bound patients.

Everyone benefits when people are healthy, when we drive positive health outcomes. Many of the capabilities in the video and that we are exploring, creating and offering to our members, help our members engage in their own health, access their information and care teams seamlessly, and stay healthier. They help care teams provide high-quality care that is more convenient and effective for the patient, and less costly for the care system and the patient. Better care and lower costs is a worthwhile passion, and it’s more critical today than ever. We have a passion for transforming health care, and providing technology-enabled, high-quality care anywhere is an essential path to that transformation.

The concept of imagining care anywhere is taken to truly great heights when NASA enters the conversation. What do you hope these types of meetings — in this case, with NASA — can mean in terms of transforming or advancing care delivery in the future here on earth?

At Kaiser Permanente we are imagining the future of health care. Imagination is so vital to the creation of a vision that can drive the transformation of health care. NASA is all about imagining possibilities in space. It’s pure discovery when they embark on space station research and apply insights and data to the advancement of treatment and of medical science, particularly to mobile patients. And who is more mobile than an astronaut? It gives new meaning to our theme of Imagining Care Anywhere. Kaiser Permanente isn’t planning any space station clinics—at least not right now—but you can see how our respective paths of discovery could intersect for the benefit of patients everywhere. Being able to engage in these conversations to imagine together the possibilities in health care and how to progress population health is good for us, for NASA, and for earth-bound patients.

This is the second year KP has partnered with NASA on an event. What does collaborating and exchanging ideas with an organization outside of health care mean for our members? I’d love to hear your take on the value in stepping outside what is familiar and the innovation that can result. 

There is no one organization, group, or certainly individual, that can transform health care alone. The challenge and the opportunity before us in health care require us to imagine beyond what we know and experience within our own walls, or even our own industry, today. When we interact with other smart people and organizations with big imaginations, we can make seemingly unrelated connections that solve problems. That’s what innovation is about – thinking differently. We must glean lessons and perspectives in efficient operations, consumer engagement, program management, disruptive innovation, service, and more from companies outside of health care. Whether it’s adopting a best practice or a simple invention for a health care application, or creating completely new solutions to improve health and lower costs, our members and consumers in general have so much to gain from the perspectives and solutions that can come out of cross-sector collaboration.  Great thinking has no boundaries!

Source: http://centerfortotalhealth.org/imagination-and-innovation-a-qa-with-kaiser-permanentes-philip-fasano/

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Power to the people: Patient in command

Source: http://bernardlown.wordpress.com/2012/11/03/power-to-the-people-patient-in-command/

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Sunday, December 29, 2013

BOTOX® and Dermal Fillers

Dr. Grochmal has again expanded his services for his patients, now, to include BOTOX® Cosmetic and dermal fillers to help soften the fine lines of maturing. He has chosen BOTOX® Cosmetic because of its proven track record and outstanding results. Where BOTOX® Cosmetic is not effective, one will have the option of having Juvederm (a dermal filler) injected to help eliminate more permanently the skin folds around the nose and mouth.

Dr. Grochmal is excited to be able to offer these treatments to complement his already extensive oculoplastic repertoire.   Please call the office for more information,  410-697-4090.

Source: http://www.grochmaleye.com/oculoplastic/botox-and-dermal-fillers/

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Increasing malaria in Greece

Malaria cases in Greece are increasing each summer, and whilst most of the cases are occurring in the more rural parts of the country away from the main tourist areas, travellers should be aware of the situation. There is not enough malaria present to warrant taking anti-malarial medication, but travellers to affected areas should sleep in air-conditioned rooms or under treated mosquito nets, and should cover up when out during the hours of dusk & darkness. An effective insect repellent should be used on exposed areas. Any fever occurring up to a year after visiting a country with malaria should be taken seriously, and medical help should be sought – don’t forget to mention that you have visited a malaria endemic country.

Source: Center for Disease Control (USA)

Get in touch
Holidaying in Europe? Make sure, take expert advice. Call the Globe Travel Health Centre in Norwich on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/increasing-malaria-in-greece.html

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Dry Eye | Triggers and Treatments

If you’re experiencing a burning or stinging sensation in your eyes, light sensitivity, eye redness, blurred vision, or any similar concerns, you may be one of the many living with dry eye syndrome.  Also known as keratoconjunctivitis sicca, or KCS, dry eye is estimated to affect over 3.2 million Americans.  So what exactly is this condition, and how can it be treated?

Simply, dry eye occurs when there are not enough to tears to provide the right amount of moisture to your eyes.  Some people may experience dry eye because the tears they are producing are of poor quality, while others simply aren’t producing enough tears at all.  Since the eyes aren’t receiving the right amount of moisture, dryness occurs and can create a great deal of discomfort for patients.  To help further understand dry eye, explore some of the causes of this condition.

Causes of Dry Eye

There are a number of different factors that can bring dry eye about.  Let’s take a look at some of the more common causes.

  • Age. Tear production decreases as we age, leaving those over the age of 65 particularly susceptible to the symptoms of dry eye.
  • Gender. Women are more likely to develop dry eye than men, due to hormonal changes that can be brought on by anything from menopause to pregnancy.
  • Health conditions. Certain medical conditions can increase one’s risk for developing dry eye, like diabetes, rheumatoid arthritis, and any thyroid conditions.
  • Environmental factors. Those in dry and windy climates are at a greater risk for dry eye, as are those who are exposed to smoke and anyone who doesn’t blink regularly.
  • Medications. Certain blood pressure medications, antihistamines, decongestants, and antidepressants can lead to decreased tear production, thereby causing dry eye in patients taking them.

Dry Eye Treatments

Luckily, there are treatment options available for patients living with the discomfort caused by dry eye.  Artificial tears are commonly used to treat this condition, as well as prescription eyedrops like RESTASIS®.  Use of a punctal plug is also a common treatment option, as it is a tool that prevents liquid from draining from the eye.  Contact your doctor today to find out which option will be the most effective in managing your dry eye symptoms.

Dry Eye Treatment in Winchester

If you’re suffering from dry eye, contact us today to learn about your treatment options.  Our offices are located in Winchester, serving Virginia, West Virginia, and Maryland, and you can reach us directly at (540) 722-6200.  We hope to hear from you soon.

Source: http://www.seeclear.com/blog/dry-eye-carerestasis/dry-eye-triggers-and-treatments

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Doctor as scientist, healer, magician, business entrepreneur, small shopkeeper, or assembly line worker — which is it? (Essay 30)

Source: http://bernardlown.wordpress.com/2012/06/26/doctor-as-scien/

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Imagination and Innovation: A Q&A with Kaiser Permanente’s Philip Fasano

Kaiser Permanente's Philip Fasano speaks at the 2013 Accelerating Innovation event hosted by NASA.

Kaiser Permanente’s Philip Fasano at the Accelerating Innovation event hosted by NASA.

During yesterday’s event with NASA at the Center for Total Health, Kaiser Permanente Executive Vice President and Chief Information Officer Philip Fasano was part of a panel discussing the acceleration of innovation across organizational business models.  Afterward, we were able to sit down and chat briefly about how Kaiser Permanente is leveraging innovation and imagination to help transform health care – for providers as well as consumers and patients.

The NASA event began with the latest of several videos Kaiser Permanente has produced about imagining the future of care in the United States – really inspiring videos, I might add.  This most recent video is called, “Imagining Care Anywhere.” Why is that concept something you (and Kaiser Permanente) are so passionate about?

To answer that question, you don’t have to look much further than the smart phone in your pocket, your increasingly frequent online shopping experiences, social media, and the emerging technologies that afford all of us convenience and access to information in our daily lives. But for Kaiser Permanente, the concept of “anywhere” carries higher stakes. If we can enable care anywhere, we can improve care, help people stay healthier, and save costs in the health care system as a result. Kaiser Permanente is an integrated care system, not a fee-for-service system. This means that our doctors are not paid to do more tests, prescribe more treatments, or bring you into the office for a visit, unless your care requires it.

Being able to engage in these conversations to imagine together the possibilities in health care and how to progress population health is good for us, for NASA, and for earth-bound patients.

Everyone benefits when people are healthy, when we drive positive health outcomes. Many of the capabilities in the video and that we are exploring, creating and offering to our members, help our members engage in their own health, access their information and care teams seamlessly, and stay healthier. They help care teams provide high-quality care that is more convenient and effective for the patient, and less costly for the care system and the patient. Better care and lower costs is a worthwhile passion, and it’s more critical today than ever. We have a passion for transforming health care, and providing technology-enabled, high-quality care anywhere is an essential path to that transformation.

The concept of imagining care anywhere is taken to truly great heights when NASA enters the conversation. What do you hope these types of meetings — in this case, with NASA — can mean in terms of transforming or advancing care delivery in the future here on earth?

At Kaiser Permanente we are imagining the future of health care. Imagination is so vital to the creation of a vision that can drive the transformation of health care. NASA is all about imagining possibilities in space. It’s pure discovery when they embark on space station research and apply insights and data to the advancement of treatment and of medical science, particularly to mobile patients. And who is more mobile than an astronaut? It gives new meaning to our theme of Imagining Care Anywhere. Kaiser Permanente isn’t planning any space station clinics—at least not right now—but you can see how our respective paths of discovery could intersect for the benefit of patients everywhere. Being able to engage in these conversations to imagine together the possibilities in health care and how to progress population health is good for us, for NASA, and for earth-bound patients.

This is the second year KP has partnered with NASA on an event. What does collaborating and exchanging ideas with an organization outside of health care mean for our members? I’d love to hear your take on the value in stepping outside what is familiar and the innovation that can result. 

There is no one organization, group, or certainly individual, that can transform health care alone. The challenge and the opportunity before us in health care require us to imagine beyond what we know and experience within our own walls, or even our own industry, today. When we interact with other smart people and organizations with big imaginations, we can make seemingly unrelated connections that solve problems. That’s what innovation is about – thinking differently. We must glean lessons and perspectives in efficient operations, consumer engagement, program management, disruptive innovation, service, and more from companies outside of health care. Whether it’s adopting a best practice or a simple invention for a health care application, or creating completely new solutions to improve health and lower costs, our members and consumers in general have so much to gain from the perspectives and solutions that can come out of cross-sector collaboration.  Great thinking has no boundaries!

Source: http://centerfortotalhealth.org/imagination-and-innovation-a-qa-with-kaiser-permanentes-philip-fasano/

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Interview With Wendy Schauer – Author of The 7 Steps To Amazing Health!

Here is a link to an interview that “foodie”, health advocate, and grass fed beef rancher Lisa Wilcox recently did with author Wendy Schauer.

http://nwlocalgrassfedbeef.com/interview-with-wendy-schauer-author-speaker-chiropractor-kettlebell-trainer/

Yours In Health!

G.E. Moon II

Source: http://www.abundanthealthcenter.com/blog/interview-with-wendy-schauer-author-of-the-7-steps-to-amazing-health

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Saturday, December 28, 2013

A Maverick’s Lonely Path in Cardiology (Essay 28)

Source: http://bernardlown.wordpress.com/2012/03/10/mavericks-lonely-path-in-cardiology/

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Extubation in remote locations

Source: http://adventuredoc.net/2012/12/22/extubation-in-remote-locations/

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Social Responsibility of Physicians (Essay 29)

Source: http://bernardlown.wordpress.com/2012/04/29/social-responsibility-of-physicians/

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What is Natural Cycle IVF?

Conventional IVF Today’s conventional IVF is ‘stimulated’ – drugs are used to prompt the woman’s ovaries to produce several eggs, rather than just one. The eggs are mixed with her partner’s or a donor’s sperm to become fertilised. Women take a course of ovarian-suppression hormones to shut down their menstrual cycle to control ovulation. Then [...]

Source: http://www.createhealthclinics.org/blog/natural-cycle-ivf/what-is-natural-cycle-ivf/

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Dr. Labor Selected To Evaluate New Cataract Surgery Device

As part of our goal to offer Dallas/Fort Worth cataract patients the latest technology, Eye Consultants of Texas founder Phillips Kirk Labor, MD has agreed to be among a select group of U.S. surgeons chosen to evaluate a new device called Xpand. Officially referred to as an “iris speculum,” it was developed to improve dilation of the pupil which is necessary during all cataract procedures to remove the clouded lens.

The Xpand was invented primarily for special cases where the pupil is constricted or unusually small. Not only was it designed to expand to wider dimensions than similar devices, but also to be implanted and removed more gently to minimize post-surgery complications.

Dr. Labor was selected by Diamatrix®, inventor of the Xpand. Diamatrix® is one of modern day cataract surgery’s earliest innovators, beginning with its revolutionary Trapezoid diamond blade. Today, it is a leading manufacturer of innovative ophthalmic devices and instruments used worldwide.

“I’m honored a company like Diamatrix included me in such a small group of highly respected surgeons to evaluate the Xpand,” said Dr. Labor. “To date, other evaluations have been positive, and I’m eager to see the potential of what this new device can possibly do for our patients.”

Dr. Labor has been at the forefront of cataract surgery advancements in the U.S. and locally. In addition to Xpand, he has been specially chosen to evaluate premium lens technologies by Bausch & Lomb. He was also the first Dallas/Fort Worth eye surgeon to use the ORange (now ORA), the first technology that allows for measuring cataract surgery results during the procedure.

 

 

 

Source: http://www.eyectexas.com/blog/cataract-surgery-2/

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Source: http://adventuredoc.net/2012/12/23/standardized-rsi-protocol/

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Friday, December 27, 2013

Wives, Yes; Husbands, No (Essay 26)

Source: http://bernardlown.wordpress.com/2011/09/19/wives-yes-husbands-no/

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Reacquainting with old friends

Source: http://adventuredoc.net/2012/12/16/reacquainting-with-old-friends/

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Wives, Yes; Husbands, No (Essay 26)

Source: http://bernardlown.wordpress.com/2011/09/19/wives-yes-husbands-no/

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Organizations Call for More Effective Hypertension Control Approaches Nationwide

High blood pressure affects nearly 78 million Americans and is a major risk factor for heart disease and stroke. Of those who have high blood pressure, also called hypertension, about 80 percent are being treated but only half have it controlled to a healthy level in national surveys.

Today, the American Heart Association, the Centers for Disease Control and Prevention, and the American College of Cardiology issued a joint statement as a call to action for healthcare, industry and communities to prioritize people who are receiving treatment but are not currently at controlled levels. It notes that of those with uncontrolled hypertension, nearly 90 percent see a healthcare provider regularly, and 85 percent have health insurance.

Kaiser Permanente Northern California’s hypertension control program is cited as a model to emulate.  The proportion of the health care system’s hypertensive patients meeting target blood pressure goals improved substantially from 44 percent in 2001 to more than 87 percent in 2011.

Kaiser Permanente’s regional hypertension program, serving more than 3 million members, was implemented using five major components: creation and maintenance of a health system-wide electronic hypertension registry; tracking hypertension control rates with regular feedback to providers at a facility- and provider-level, development and frequent updating of an evidence-based treatment guideline; promotion of single-pill combination therapies; and using medical assistants for follow-up blood pressure checks to facilitate necessary treatment intensification.

The statement says that programs are needed to develop and implement evidence-based treatment algorithms; establish systems that promote teamwork between patient, physician and other health care personnel; provide education and incentives for control; provide regular follow-up and treatment intensification as needed; provide actionable feedback to providers and health systems; maximize the use of technology; and promote a guideline-based simplified medication regimen.

The Kaiser Permanente Northern California hypertension control program was the subject of a study by the Kaiser Permanente Division of Research published in JAMA earlier this year.  Read more about that study here.

Source: http://centerfortotalhealth.org/organizations-call-for-more-effective-hypertension-control-approaches-nationwide/

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Baltimore Eye Surgeon Now Performing Cosmetic Eyelid Surgery

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Baltimore, MD – According to the Administration on Aging (AOA), persons 65 and older represented nearly 13% of the U.S. population in 2009, and are expected to represent 19% by 2030. The Bureau of Labor Statistics finds that the number of older Americans in the workforce is growing as well. As the population and workforce ages, Baltimore eye surgeon Jay C. Grochmal, MD says his patients that are late stage baby-boomers are under extreme pressure to maintain a high level of performance in the workplace, and portraying a vivacious and youthful appearance is essential to continued success.

While helping patients improve their vision with procedures such as LASIK and cataract surgery is important to success in the workplace, Dr. Grochmal says the desire to help his patients enhance their aesthetic appearance has become an important part of his practice as well. He says this growing demand for increased confidence and a natural-looking enhancement is what led him to the decision to add cosmetic eyelid surgery to his list of procedures: “Our society places such a high value on appearance and equates a youthful look with the likelihood of business and social success. Baby boomers are still very active and productive and a refreshed look can eliminate unwarranted bias in career choices.”

As the number of cosmetic procedures performed in the U.S. continues to increase, Dr. Grochmal says the desire to look younger longer is obvious, adding that a tough economy and high unemployment rate further contribute to the stress his older patients must endure. Because he constantly strives to improve patient care while providing the latest and safest procedures, Dr. Grochmal says providing cosmetic treatments for his patients is a result of his original commitment to provide the most effective treatments available to meet any and all needs of his patients: “As the cliche goes now, 50 is the new 40 and 60 is the new 50, and so on. My patients want to look as young as they feel and be able to see well too. Ultimately, we believe providing cosmetic eyelid surgery will improve their chances of success in the workplace.”

About Jay C. Grochmal, MD

After earning his medical degree from the University of Maryland, Dr. Jay C. Grochmal completed his residency while achieving the rank of Chief Resident at the Greater Baltimore Medical Center’s Department of Ophthalmology. In addition to being on staff at some of the leading hospitals in the Baltimore area, Dr. Grochmal has traveled on a number of missions dedicated to improving eye care around the world.

Grochmal Eye Center is located in the Catonsville Professional Center at 405 Frederick Rd., Ste. 102, Baltimore, MD 21228, and can be reached at (410) 697-4090. Dr. Grochmal and his team can also be reached at grochmaleye.com or their Baltimore Eye Care Facebook page.

Source: http://www.grochmaleye.com/oculoplastic/baltimore-eye-surgeon-now-performing-cosmetic-eyelid-surgery/

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Eating your way to help reduce the risk of cataracts

From an early age, we’re told that carrots are good for our eyes. It’s no surprise that research has suggested a connection between nutrition and prevention of cataracts. Not only do we encourage a healthy diet for our Dallas/Fort Worth eye care patients, we may make nutritional recommendations as part of a patient’s treatment plan.

According to an allaboutvision article, several studies have been conducted revealing that diet may help reduce cataract risk. Below are highlights from the article:

• Carbohydrates: Researchers in Australia found that high carbohydrate diets may increase cataract risk. Published in Investigative Ophthalmology & Visual Science, 2010.

• Vitamins & Minerals: A large study of adult women found that eating foods rich in vitamins and minerals may help delay cataract development (published in the Archives of Ophthalmology, 2010). Another study suggests that lutein, zeaxanthin and vitamin E from food and supplements “were associated with significantly decreased risk of cataract.” Lutein and zeaxanthin are found in green leafy vegetables and other foods, such as eggs.

• Antioxidants: A 10-year study of 2,400 older adults, also conducted in Australia, found that a combined intake of multiple antioxidants reduced the risk of cataracts. Published in the American Journal of Clinical Nutrition, 2008.

Today, most doctors and experts agree, nutrition that benefits health including eye care, should come from a healthy diet. While supplements can help balance a diet lacking in nutrients, which is common for most Americans, consult with your doctor first to help you choose what’s right for you.

Source: http://www.eyectexas.com/blog/eating-cataracts/

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Thursday, December 26, 2013

Dr. Labor Selected To Evaluate New Cataract Surgery Device

As part of our goal to offer Dallas/Fort Worth cataract patients the latest technology, Eye Consultants of Texas founder Phillips Kirk Labor, MD has agreed to be among a select group of U.S. surgeons chosen to evaluate a new device called Xpand. Officially referred to as an “iris speculum,” it was developed to improve dilation of the pupil which is necessary during all cataract procedures to remove the clouded lens.

The Xpand was invented primarily for special cases where the pupil is constricted or unusually small. Not only was it designed to expand to wider dimensions than similar devices, but also to be implanted and removed more gently to minimize post-surgery complications.

Dr. Labor was selected by Diamatrix®, inventor of the Xpand. Diamatrix® is one of modern day cataract surgery’s earliest innovators, beginning with its revolutionary Trapezoid diamond blade. Today, it is a leading manufacturer of innovative ophthalmic devices and instruments used worldwide.

“I’m honored a company like Diamatrix included me in such a small group of highly respected surgeons to evaluate the Xpand,” said Dr. Labor. “To date, other evaluations have been positive, and I’m eager to see the potential of what this new device can possibly do for our patients.”

Dr. Labor has been at the forefront of cataract surgery advancements in the U.S. and locally. In addition to Xpand, he has been specially chosen to evaluate premium lens technologies by Bausch & Lomb. He was also the first Dallas/Fort Worth eye surgeon to use the ORange (now ORA), the first technology that allows for measuring cataract surgery results during the procedure.

 

 

 

Source: http://www.eyectexas.com/blog/cataract-surgery-2/

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Flu Season 2013

*DISCLAIMER*  The information presented in this blog post is not meant to be construed as having been evaluated or approved by the U.S. Food and Drug Administration (F.D.A.), the Federal Trade Commission (F.T.C.) or any other government entity in existence.  Nothing written in this post is meant to be intended to diagnose, treat, cure, or prevent any disease or illness.  If you are experiening a medical emergency please call 911.  As always, please check with your medical provider or health care advisor before starting any diet, supplementation, or exercise regimine.

FLU SEASON 2013 – Nation Hit Hard By Influenza – Major Flu Outbreak Grips Nation

Every year, just after Thanksgiving to just before Valentine’s Day we are constantly bombarded with the above mentioned headlines. Every year we see news reports about shortages of the flu vaccine and we are told that this will be the worst year yet for people being susceptible to Influenza.

Let’s take a moment to logically examine how these headlines are repeated year after year.  What happens at the end of November?  Thanksgiving.  What do we do at Thanksgiving?  Well, if you’re like most people you have two (maybe even three) Thanksgiving dinners that you have to celebrate.  Usually you and your spouse go spend time with your family. Then the next day you spend a few hours driving across the state to go celebrate Thanksgiving with your spouses family. Sometimes you spend an extra Thanksgiving with close friends.  We all know what happens at Thanksgiving…we eat, eat, eat…loosen a notch on our belts, take a breather and go back to the kitchen to eat more.  Then we sit down to have an adult beverage or two (or three) while we watch sports with friends and loved ones.

After Thanksgiving we are still gorging on leftovers for two to three days.  Then the Christmas parties start.  Cookies, cakes, rum balls, sugar, sugar, and more sugar.  Plus, the two (or three) adult beverages just to be sociable.

Finally Christmas arrives.  This includes more food, more desserts, and more drinks. Usually you have two Christmases to attend (just like Thanksgiving).  At Christmas it seems that you encounter the cousin (and his wife) that you can’t stand (by the way, they don’t care too much for you either).  Then Grandma thinks that Uncle Joe is being hard on Billy. Uncle Joe wants Billy to be more like his sister Julie.  The stress builds up and to deal with the stress you eat more (because sometimes you’re an emotional eater) and you drink a little bit more (hey, it helps calm your nerves).

To reward yourself you decide to have a New Years Eve blowout extravaganza.  More food, more snacks, and A LOT more drinks.  You’ve already scheduled yourself off for January 2nd as January 1st happened during the middle of the week and you know that you’re going to be a little too exhausted to make it into work.  January 2nd you get yourself going with a couple of Bloody Mary’s (a little ‘hair of the dog’ never hurt anyone).  You start looking over your New Years Resolutions and you’re ready to conquer the world on January 3rd.  You’re on track with your resolutions for one week and then BOOM!!!  You’ve got The Flu!!!

You curse the flu.  How could this happen to me?  Why did this happen to me?!?  You’re sick, tired, and mad.  Darn you flu!

Whoa, wait a minute.  It’s not the flu’s fault.  It’s your fault.  Look at what you did to your body for the last 6 weeks. You’ve abused it.  You ate too much sugar, drank too much alcohol, been stressed out of your mind and then you ate even more.  It’s been shown that sugar, alcohol, and stress all lower the defenses of your immune system and make your body more susceptible to illness.

Your “inner terrain” was compromised.  Germs, “bugs”, and viruses are around us everyday.  It’s when our bodies become toxic and polluted from the overload of cookies, cakes, beer, wine, and mixed drinks that our immune system can’t work at optimal potential.

Let me be clear, I’m not telling you to not get a flu shot.  I am suggesting that you examine your dietary choices and how you handle stress.  I do believe that you can offer your body supplements that can help support your immune system.  One of those products is A.D.P.

A.D.P.

A.D.P. is a standardized extract of the oil of oregano, emulsified in a sustained release form.  My wife, Dr. Wendy Schauer, D.C., is a Doctor of Chiropractic, and she comes in contact with many patients during the Winter who are suffering from severe colds and flu.  She takes her A.D.P. to boost her immune system and she never “catches” the cold or flu from her patients.  (A.D.P. Is NOT recommended for pregnant or lactating women.)

I know that might sound like a little bit of “hype” to you.  I apologize if it does.  Here is an unsolicited testimonial from one of our clients, “CouchSurfing” Ori Bengal.

"CouchSurfing" Ori Bengal - Creator of 'Make WordPress Easy'

“CouchSurfing” Ori Bengal – Creator of ‘Make WordPress Easy’

“I have seen A.D.P. bring people back from the verge of turning into a full blown “flu zombie”. A.D.P. is the secret weapon that I use for myself, my family, and my friends to fend off against colds, the flu, and even the dreaded “airplane flu”. When I travel I don’t have time to get sick, that’s why I always carry A.D.P. in my luggage.”

Please remember during this time of year to take the extra time to be aware of your diet and stress.  You can only do good for your body by reducing the amount of sugar and alcohol that you put into your body.  For more information on “cleaning your inner terrain” and naturally boosting your immune system I suggest following the work of, Dr. Robert O. Young.  Here are links to two of his best selling books, “Sick and Tired” and “The PH Miracle”.

Sick and Tired

The PH Miracle

Here’s wishing you and yours all the best for a healthy 2013!

G.E. Moon II

Source: http://www.abundanthealthcenter.com/blog/flu-season-2013

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Flu Facts: What to Know

Just in time! Flu season is here, and to help us focus on the most important facts around preventing it, catching it, and getting vaccinated, this week’s Total Health Radio episode is all about that scary three-letter word.

You can find more information and resources at www.totalhealthradio.org.

Source: http://centerfortotalhealth.org/flu-facts-what-to-know/

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Baltimore LASIK Surgery Practice Hosts Valentine’s Day Special Offer for BOTOX ® Cosmetic

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LASIK Surgeon in Baltimore Announces BOTOX Cosmetic Special Offer for Valentine's Day

Dr. Jay C. Grochmal, a LASIK surgeon in Baltimore, has announced his practice will be hosting a special offer on BOTOX ® Cosmetic to provide patients with a rejuvenated appearance and improved self-confidence at a discounted rate. The offer will run until Valentine’s Day and will give patients the chance to take advantage of reduced pricing on BOTOX in Baltimore in preparation for celebrating the iconic holiday with their loved ones.

At his Baltimore cataract and LASIK surgery practice in Baltimore, Dr. Jay C. Grochmal has announced the beginning of a special offer on BOTOX ® Cosmetic for patients looking to boost their appearance before Valentine’s Day. From now until the upcoming holiday on February 14, the Grochmal Eye Center will be offering BOTOX ® Cosmetic at $9.75 per unit. Dr. Grochmal and his practice provide laser vision correction procedures such as LASIK in Maryland, as well as cosmetic enhancements including BOTOX ® injections, Juvederm®, and eyelid surgery.

Dr. Grochmal says cosmetic procedures such as the non-invasive BOTOX ® Cosmetic and surgical procedures like eyelid surgery can offer patients an aesthetic addition to their LASIK or laser vision correction surgery in order to provide a more comprehensive and noticeable enhancement to their new, clearer vision. Dermal injections like Juvederm® and BOTOX ® Cosmetic are designed to tighten loose skin and treat wrinkles and facial lines. He says with reduced pricing on BOTOX ® Cosmetic and his variety of aesthetic procedures, patients now have the opportunity to improve self confidence and tighten the skin under their eyes for a completely refreshed outlook on life.

For patients interested in taking advantage of the Grochmal Eye Center’s BOTOX ® Cosmetic special for Valentine’s Day, Dr. Grochmal says to contact his practice for more information. He also adds that consulting with an experienced and qualified practice is essential for achieving safe and effective treatment.

About Jay C. Grochmal, MD

Dr. Jay 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. During his residency, he achieved the rank of Chief Resident at the Greater Baltimore Medical Center’s Department of Ophthalmology. Dr. Grochmal is on staff with the Greater Baltimore Medical Center and St. Agnes Hospital. He has participated in several medical mission trips to third world countries to provide his expertise in eye care, including Pakistan, Jamaica, and the Bahamas. Dr. Grochmal is also a member of the American Academy of Ophthalmology.

Located at 405 Frederick Road, Suite 102 in Baltimore, MD, the Grochmal Eye Center can be reached at (410) 697-4090. It can also be contacted online via the website grochmaleye.com or facebook.com/grochmaleye.

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Source: http://www.grochmaleye.com/blog/baltimore-lasik-surgery-practice-hosts-valentines-day-special-offer-for-botox-cosmetic/

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LASIK: Before, During, and After Treatment

Imagine being able to see clearly without the use of glasses or contact lenses.  For millions of men and women who have chosen laser vision correction, the dream has become a daily reality.   Now, while you may have heard the term LASIK before, many patients aren’t sure what this cutting-edge procedure is really all about.  To help you make an informed decision, we wanted to give you a general sense of what to expect before, during and after treatment.  Ready to find out more?

What to Expect with LASIK

  • Before: If you are tired of dealing with poor vision and are considering LASIK, the first step to take is making an appointment with your ophthalmologist.  He or she will help you determine if you’re a good of candidate for this procedure.  There are a number of factors that determine if LASIK is right for you, one being eye health.   Candidacy can also hinge on corneal thickness as well as a patient’s individual prescription.  You should be over a certain age — generally 21 years of age — and your vision should be stable.  You and your doctor will discuss other factors that make a good LASIK candidate.  Your ophthalmologist will also outline pre-surgery procedures, such as not wearing contact lenses for 1-3 weeks before you undergo LASIK.
  • During: When it comes time for your procedure, you will first be given numbing eye drops to keep you comfortable throughout. As our practice offers cutting-edge iLASIK™, the procedure is fully customized using cutting-edge 3D eye mapping.  Based on this unique “road map,” we then use a special laser to cut a thin flap in your cornea.  This flap will be peeled back, and a second laser will be used to reshape the cornea, allowing light to be correctly focused on the retina.  The flap made in your cornea will then be set back in place, and your LASIK procedure is complete — the entire procedure usually takes no more than a matter of minutes.
  • After: While someone will have to drive you home following your LASIK procedure, many patients are able to resume normal activities in just a day or two.   You will be given prescription eye drops following your procedure, to minimize any mild discomfort you may experience.  Be sure to follow all post-surgical instructions and attend all your follow-up appointments.  In terms of improved vision, many patients see an apparent improvement in vision as quickly as the next day.

LASIK in Winchester

To learn more about laser vision correction or any of the procedures we offer, contact us today and schedule a consultation.  Our offices are located in Winchester, serving Virginia, West Virginia and Maryland, and you can reach us directly at (540) 722-6200.  We look forward to serving you.

Source: http://www.seeclear.com/blog/lasik/lasik-before-during-and-after-treatment

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Wednesday, December 25, 2013

Measles in Pakistan – make sure you are immunised

Pakistan is one of the top five countries in the world having the highest proportion of children who have not been vaccinated against measles. With this amount of infection in the country, travellers to Pakistan (and in particular Punjab & Sindh), should make sure they are immune to this serious disease. Already in 2013 there have been over 25,000 reported cases, and nearly 150 children have died in Pakistan from this completely preventable disease.

Childhood infection confers lifelong immunity – those who may not be immune should have a total of two doses of MMR vaccine.

Source: The Express Tribune

Get in touch
Going to visit family in Pakistan? Make sure the whole family is safe before you go – contact the Globe Travel Health Centre in Norwich on 01603 667323

Source: http://www.globetravelhealthcentre.com/travel-advice/measles-in-pakistan-make-sure-you-are-immunised.html

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Changes are Coming to Your Health Savings Accounts

It’s the season of open enrollment for health insurance plans, and if you have an HSA (Health Spending Account – sometimes called a Health Reimbursement or Flex Spending Account), it’s time to max it out! Tax laws have changed, and this coming year, 2012, is the last year that you can place the maximum $5,000 in your HSA. Starting in 2013, the maximum allowed in any Health Savings Account will be $2,500, which means that the entire cost of laser eye surgeries such as LASIK cannot be covered by your HSA pre-tax dollars after 2012.

If you have questions about the coming changes, or if you would like to set up a consultation for LASIK or other laser vision correction procedures, please contact Grochmal Eye Center at (410) 697-4090.

Source: http://www.grochmaleye.com/blog/hsa-flex-spending-account/

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Flu Season 2013

*DISCLAIMER*  The information presented in this blog post is not meant to be construed as having been evaluated or approved by the U.S. Food and Drug Administration (F.D.A.), the Federal Trade Commission (F.T.C.) or any other government entity in existence.  Nothing written in this post is meant to be intended to diagnose, treat, cure, or prevent any disease or illness.  If you are experiening a medical emergency please call 911.  As always, please check with your medical provider or health care advisor before starting any diet, supplementation, or exercise regimine.

FLU SEASON 2013 – Nation Hit Hard By Influenza – Major Flu Outbreak Grips Nation

Every year, just after Thanksgiving to just before Valentine’s Day we are constantly bombarded with the above mentioned headlines. Every year we see news reports about shortages of the flu vaccine and we are told that this will be the worst year yet for people being susceptible to Influenza.

Let’s take a moment to logically examine how these headlines are repeated year after year.  What happens at the end of November?  Thanksgiving.  What do we do at Thanksgiving?  Well, if you’re like most people you have two (maybe even three) Thanksgiving dinners that you have to celebrate.  Usually you and your spouse go spend time with your family. Then the next day you spend a few hours driving across the state to go celebrate Thanksgiving with your spouses family. Sometimes you spend an extra Thanksgiving with close friends.  We all know what happens at Thanksgiving…we eat, eat, eat…loosen a notch on our belts, take a breather and go back to the kitchen to eat more.  Then we sit down to have an adult beverage or two (or three) while we watch sports with friends and loved ones.

After Thanksgiving we are still gorging on leftovers for two to three days.  Then the Christmas parties start.  Cookies, cakes, rum balls, sugar, sugar, and more sugar.  Plus, the two (or three) adult beverages just to be sociable.

Finally Christmas arrives.  This includes more food, more desserts, and more drinks. Usually you have two Christmases to attend (just like Thanksgiving).  At Christmas it seems that you encounter the cousin (and his wife) that you can’t stand (by the way, they don’t care too much for you either).  Then Grandma thinks that Uncle Joe is being hard on Billy. Uncle Joe wants Billy to be more like his sister Julie.  The stress builds up and to deal with the stress you eat more (because sometimes you’re an emotional eater) and you drink a little bit more (hey, it helps calm your nerves).

To reward yourself you decide to have a New Years Eve blowout extravaganza.  More food, more snacks, and A LOT more drinks.  You’ve already scheduled yourself off for January 2nd as January 1st happened during the middle of the week and you know that you’re going to be a little too exhausted to make it into work.  January 2nd you get yourself going with a couple of Bloody Mary’s (a little ‘hair of the dog’ never hurt anyone).  You start looking over your New Years Resolutions and you’re ready to conquer the world on January 3rd.  You’re on track with your resolutions for one week and then BOOM!!!  You’ve got The Flu!!!

You curse the flu.  How could this happen to me?  Why did this happen to me?!?  You’re sick, tired, and mad.  Darn you flu!

Whoa, wait a minute.  It’s not the flu’s fault.  It’s your fault.  Look at what you did to your body for the last 6 weeks. You’ve abused it.  You ate too much sugar, drank too much alcohol, been stressed out of your mind and then you ate even more.  It’s been shown that sugar, alcohol, and stress all lower the defenses of your immune system and make your body more susceptible to illness.

Your “inner terrain” was compromised.  Germs, “bugs”, and viruses are around us everyday.  It’s when our bodies become toxic and polluted from the overload of cookies, cakes, beer, wine, and mixed drinks that our immune system can’t work at optimal potential.

Let me be clear, I’m not telling you to not get a flu shot.  I am suggesting that you examine your dietary choices and how you handle stress.  I do believe that you can offer your body supplements that can help support your immune system.  One of those products is A.D.P.

A.D.P.

A.D.P. is a standardized extract of the oil of oregano, emulsified in a sustained release form.  My wife, Dr. Wendy Schauer, D.C., is a Doctor of Chiropractic, and she comes in contact with many patients during the Winter who are suffering from severe colds and flu.  She takes her A.D.P. to boost her immune system and she never “catches” the cold or flu from her patients.  (A.D.P. Is NOT recommended for pregnant or lactating women.)

I know that might sound like a little bit of “hype” to you.  I apologize if it does.  Here is an unsolicited testimonial from one of our clients, “CouchSurfing” Ori Bengal.

"CouchSurfing" Ori Bengal - Creator of 'Make WordPress Easy'

“CouchSurfing” Ori Bengal – Creator of ‘Make WordPress Easy’

“I have seen A.D.P. bring people back from the verge of turning into a full blown “flu zombie”. A.D.P. is the secret weapon that I use for myself, my family, and my friends to fend off against colds, the flu, and even the dreaded “airplane flu”. When I travel I don’t have time to get sick, that’s why I always carry A.D.P. in my luggage.”

Please remember during this time of year to take the extra time to be aware of your diet and stress.  You can only do good for your body by reducing the amount of sugar and alcohol that you put into your body.  For more information on “cleaning your inner terrain” and naturally boosting your immune system I suggest following the work of, Dr. Robert O. Young.  Here are links to two of his best selling books, “Sick and Tired” and “The PH Miracle”.

Sick and Tired

The PH Miracle

Here’s wishing you and yours all the best for a healthy 2013!

G.E. Moon II

Source: http://www.abundanthealthcenter.com/blog/flu-season-2013

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