Archive for April, 2009

THE SELF-MANAGEMENT OF ANXIETY: HOW TO DO THE

Wednesday, April 29th, 2009

EXERCISES-DIFFICULTIES IN ATTAINING PHYSICAL RELAXATION

The difficulties in attaining relaxation of the body are not great. But I think it wise to mention various difficulties that different people have experienced. Then if you find that you have similar problems you will at least know that others have also experienced them, and have overcome them without too much trouble.

The most common difficulty in learning to relax is undoubtedly the simple reluctance of many people to try it. I have had so many people say to me, “I really did not think that this would be any good for me, but you talked me into trying it, and now I am already feeling much easier in myself.”

Another difficulty, as I have pointed out, is the simplicity of the procedure. Some people find it hard to believe that anything so simple and so natural could help them when they have already tried dozens of tablets and injections without effect. Do not forget that you too, by the very

culture that surrounds you, have been at least partially conditioned into this pattern of thinking.

Restlessness may be a difficulty. We sit down ready to start, and we immediately find we want to move about. We fidget. We move a leg and then an “arm. Then we are aware that our clothes are uncomfortable, and we move again. Restlessness like this is only an initial difficulty. If you have this trouble, make yourself as comfortable as you can. Use cushions; lie on a soft bed—anything that appeals to you as making you comfortable. Then do your relaxation; but do it only for a very short period—two or three minutes. After that have a rest and a stretch, and then do it again. Soon the phase of restlessness will pass, and then you can move into doing the exercises in more uncomfortable positions.

The feeling of physical discomfort in some part of our body may cause difficulty in relaxation. We become aware of our leg. It is uncomfortable. It is beginning to hurt, and we feel we want to move it. At this stage, instead of moving it, concentrate on relaxing more completely. In spite of the discomfort we bring ourselves to let go more completely. We do this. We let ourselves go through the discomfort, as it were. The discomfort passes, and we relax more easily.

Sometimes a trembling of the muscles makes relaxation difficult. This is only a worry at the very start, and it soon passes. It is most common in the eyelids and the muscles around the eyes. In fact, some trembling of the eyelids would seem to be the general rule in the initial phases, and is of no consequence at all.

*70\57\2*

THE ROLE OF NUTRITION IN ARTHRITIS TREATMENT: POISON-FREE FOODS

Wednesday, April 29th, 2009

The fourth rule of vital nutrition is that your food should be as poison-free as possible. This is easier said than done, however, in this poisoned world of ours. And if you feel that “poisoned world” sounds rather alarmist, I will add that it is almost impossible these days in the United States and West-European countries to obtain foodstuffs that are free from poisonous residues or additives. Fruits and vegetables contain residues of various poisonous insecticides, waxes, bleaches, and artificial colorings. Fresh meats contain residues of hormones used to speed up animal growth and antibiotics to prolong meat s shelf life. Processed meats, bread, cereals, canned and processed foods are loaded with some of the nearly 1,000 different chemicals now used by the food processing industry in this country—and many of them have never been tested for their possible toxicity! Much recent research shows that the toxic effect of chemicals is multiplied by the effect of other chemical agents consumed simultaneously.

There is a growing movement in the United States to produce poison-free, organically grown foods. They are often available in health food stores. Every effort should be made to obtain such foods. Poisons in foods are, perhaps, the greatest menace to American health today.

*27\176\2*

THE TREATMENT OF EPILEPSY: HOW TO HELP CHILDREN AND ADULTS TAKE THEIR DRUGS REGULARLY

Tuesday, April 28th, 2009

If a drug is to be taken reliably and regularly, a patient must be informed fully about that drug. A plan of the proposed management and possible side-effects of the anti-epileptic drug must be discussed with the patient (or family) at diagnosis and at the outset of treatment. In the children’s seizure clinic at the Royal Liverpool Children’s Hospital (Alder Hey) and at St. Bartholomew’s Hospital, families are provided with a drug information sheet with written details about the drug. Included is information about:

• its preparation (e.g. tablet, capsule, or liquid);

• the method of administration;

• the dosage regime;

• its possible interactions with drugs bought over the counter in chemist’s shops as well as with other prescribed drugs; and

• its side-effects.

Advice is also given regarding what to do about doses which are forgotten, missed, or vomited.

Written information is in addition to, rather than a substitute for, oral advice. Patients often do not remember, or may misunderstand, much of what is said to them by doctors in a busy hospital clinic or surgery. This is particularly relevant with regard to adverse events or side-effects. Unexpected side-effects may distress or annoy patients (and their families) and thus adversely affect whether they will continue to take the drug, with its potential benefits. Patients should also be warned that different, or additional drugs may be needed depending on the specific epilepsy syndrome and their initial response to treatment. Well-informed patients and families are more likely to use their drugs with discretion and obtain the benefits which modern drugs can offer.

*64\188\2*

ARTHRITIS BEATEN TODAY: CMO AND OTHER AILMENTS-DIABETES

Tuesday, April 28th, 2009

Diabetes was another early puzzler. Many physicians began reporting that diabetic patients taking CMO for arthritis were requiring less insulin. I checked into that mystery personally and found that a substantial percentage of diabetics suffer from autoimmune destruction of the pancreatic cells that produce insulin. It seemed reasonable to conclude that CMO was intervening in those attacks, saving the insulin-producing cells from destruction and allowing the generation of new cells to continue undisturbed.

Although vitamin E does not help pancreatic cells produce more insulin, daily use is known to reduce plasma glucose, triglycerides, free fatty acids, and cholesterol. It has been suggested that the use of vanadyl sulphate can greatly improve the effectiveness of insulin.

Studies are needed to determine if a protocol for the effective treatment of diabetes using CMO can be developed. We would welcome the participation of other clinics and physicians.

*80\142\2*

PIGEON TOES IN CHILDREN: SIGNS AND SYMPTOMS, HOME CARE, ETC

Tuesday, April 28th, 2009

Signs and symptoms

The turning in of the toes is easy to see; if the condition persists, it should be brought to the doctor’s attention. You can do a preliminary test for an adductovarus deformity of the foot by laying a straightedge along the outer border of the child’s foot. If the outer border of the foot is not absolutely straight from the heel to the little toe, the child has adductovarus deformity. To discern tibial torsion, place the infant or child on his or her back with the legs straight out, kneecaps pointed upward, and feet at right angles to the lower legs. If the toes point toward the midline instead of straight up, the child may have tibial torsion.

Femoral torsion or anteversion usually does not appear until age four or five; from then on it gradually worsens. It can be detected by rotating the thighs at the hip joint. If the thighs make a larger arc internally than externally the child has femoral torsion.

Home care

By three months of age, your infant will prefer to sleep with the toes directed outward. This position is normal and should be encouraged. When the child is old enough to sit upright, the feet should be straight or turned outward. Until 18 to 24 months, your toddler usually will walk with one or both feet turned outward; this gives the child a wider base and better balance, and is normal. A tendency to toe in after three months of age should be called to your doctor’s attention.

Precautions

• An uncorrected adductovarus deformity makes it very difficult to fit the child’s shoes properly; this may eventually lead to the child developing a skewed foot and bunions in adolescence or adulthood.

• A child who sits on the floor a lot should be taught to sit cross-legged, not on his or her haunches with the toes directed outward.

• Corrective orthopedic shoes should be prescribed only by a medical professional, never by a shoe salesperson.

• Most minor cases of pigeon toes correct themselves. Nevertheless, let a doctor judge if the condition is minor or not.

Medical treatment

Your doctor will observe the child while he or she stands and walks both with and without shoes. The feet, the lower and upper legs, and the rotation of the hips will be examined. If necessary, your doctor will instruct you in massaging your child’s feet to correct mild toeing-in. If this massage does not correct the condition by the time the child is three or four months old, your doctor will order specific kinds of shoes or plaster casts. To correct tibial torsion, the doctor may prescribe a splint that holds the feet outwardly rotated while the child sleeps. In the case of femoral anteversion the doctor may not start treatment until your child is a teenager. If the condition has not corrected itself by that time, surgery on the thigh bones may be necessary.

*166/84/5*

INSULINS COMMONLY USED IN YOUNG PEOPLE: ISOPHANE INSULINS (NPH INSULINS)

Thursday, April 23rd, 2009

There are a number of different brands of insulin that are called Isophane or NPH. NPH stands for Neutral Protamine Hagedorn. It was developed in Dr. Hagedorn’s laboratories in Denmark and the insulin is combined with a substance called protamine which prolongs its effect in the body.

These insulins are a suspension of insulin crystals and so form a cloudy fluid when prepared for injection. This cloudy fluid has to be mixed well before drawing up, as the insulin particles settle to the bottom of the bottle.

Protaphane HM (Isophane insulin NPH)

Protaphane has a moderately slow action.

This is a Human Isophane. Protaphane may start to have its effect within 1 1/2 hours of the injection and has its maximum effect from between four to twelve hours. Activity fades rapidly after twenty hours. For some children on small doses it may provide good coverage of insulin through the whole day, but many children need a small addition of quick acting insulin (Actrapid) to the Protaphane to cover the early part of the day. The proportion of Actrapid to Protaphane will usually be about one to three or four, but this varies according to how a child responds to the insulin. For many children the effect of Protaphane is not strong enough through the night and it may be necessary to give an evening injection as well.

A hypoglycaemic reaction due to Protaphane given before breakfast is likely to occur in the late afternoon, but may occur during the night.

Insulatard (Isophane insulin NPH)

Insulatard has a moderately slow action.

This is Human Isophane insulin. Insulatard may start to have its effect within 1 1/2 hours of the injection (sometimes even before) and has its maximum effect from between four to twelve hours. Activity fades rapidly after twenty hours. For some children on small doses it may provide good coverage of insulin through the whole day, but many children need a small addition of quick acting insulin (Velosulin) to the Insulatard to cover the early part of the day. The proportion of quick acting insulin to Insulatard will usually be about one to three or four, but this varies according to how a child responds to the insulin. For many children the effect of Insulatard is not strong enough through the night and it may be necessary to give an evening injection as well.

A hypoglycemic reaction due to Insulatard given before breakfast is likely to occur in the late afternoon, but may occur during the night.

*10/54/5*

FERTILITY PROBLEMS: MEASURES TO PREVENT FOOD POISONING BY TOXINS AND PESTICIDES

Thursday, April 23rd, 2009

•     Buy organic produce whenever possible. (When tested, organic farmers who farmed and ate vegetables without pesticides and chemical fertilisers had almost double the sperm count of men from other professions such as engineers and electricians.)

•     Avoid, as far as possible, food and drinks in plastic containers or wrapped in plastic, especially fatty foods in plastic. This is because xenoestrogens are lipophilic (fat-loving) and will therefore migrate into foods like cheese and crisps. Remove food from plastic packaging as soon as possible. And reduce your own intake of saturated fats.

•     Do not heat food in plastic especially in a microwave oven. (Scientists have discovered that Clingfilm used in the microwave leaches damaging chemicals into the food.)

•     If your vegetables and fruit are not organic, wash them thoroughly. You can buy a wash (like Veggi Wash) from your health food shop which claims to be able to remove farm chemicals, waxes and surface grime. Washing cannot alter the amount of pesticides inherently absorbed into the vegetables. But peeling fruit can lower the pesticide residues by about three-quarters.

•     Increase your intake of fibre – it helps prevent the absorption of oestrogenic chemicals into the bloodstream. Fibre is found in wholegrain, vegetables and fruits (organic ones of course!).

•     Eat more cruciferous vegetables, like broccoli, Brussels sprouts, cabbage and cauliflower, because they are high in a substance called indole-3-carbinol which reduces the metabolism of oestrogen into a toxic form while speeding up its elimination.

•     Eat phytoestrogens, like soya, which can reduce the toxic forms of oestrogen in the body.

You may be saying to yourself: ‘Why can’t they leave our food alone?’ Unfortunately, the producers’ agenda is never health or safety. It is always financial. But it is important to emphasize that you do have a good deal of control over the food you eat. The British public has been much quicker than the Americans to reject GM foods, forcing the issue out into the open and proving that public pressure does make a difference. For example, in 1989 a chemical called alar that was routinely sprayed on apples was withdrawn after mothers organized a nationwide protest against the suspected cancer-causing chemical. Once you realize what is in the food we eat, you will probably want your family to be protected from the dangers all the time – not just when you are trying to conceive. Get a water filter that can remove a high percentage of oestrogens from the water supply. Some filters can also remove pesticide residues, fluoride and heavy metals like lead.

*63/73/5*

PREVENTIVE MEDECINE: PREVENTION OF INSOMNIA

Thursday, April 23rd, 2009

•    Any painful condition should be properly treated, and the cause cured if at all possible. If it can’t be adequately treated pain-killers should be taken before retiring, to ensure that you get adequate rest and sleep. All pains seem to be worse if you are tired so getting good sleep helps reduce the pain the following day.

Acute, feverish illnesses can usually be coped with fairly successfully. Drink plenty of fluids and take an aspirin to reduce the fever if it is keeping you awake. This kind of insomnia is usually very short-lived (only a night or two) and does not often cause much of a problem.

•    Never drink tea, coffee, cocoa or cola drinks in the three or four hours before you go to bed.

•     Take 100 mg of vitamin  complex. Some people need extra vitamin B1 to cure their sleeplessness. Taking  vitamins (and especially vitamin B3) too late in the day can have a stimulant effect and keep you awake. Take the  complex at 4.00 p.m. at the latest.

Zinc should be taken at a dose of 25-50 mg daily; and a combination of calcium 1-2000 mg and magnesium 500-1000 mg last thing at night. The essential amino-acid tryptophan 1000 mg can also be a useful dietary supplement, especially if depression is the cause of insomnia.

•     Never go to bed on a full stomach. Allow an hour or two to pass before retiring after a large meal. Wind, nausea and indigestion prevent millions of people from getting off to sleep and only a proportion can be helped with antacids. For many people the combination of alcohol and a large meal is the problem-try leaving out alcohol when you go out late in the evening. On the other side of the coin are those who lay awake hungry with their stomach rumbling. Have a snack of cereal or biscuits, perhaps a hot milk drink, just before retiring.

•     Apart from dietary restrictions on those foods which can be found by trial and error to cause nightmares and night terrors in children, there is little that can be done to prevent these events. Sometimes the child is obviously disturbed when awake and may well benefit from professional psychological help. Many children of troubled (for example, divorcing or separated) families sleep poorly and have frequent dreams and night terrors. Prevention starts with looking carefully at the child’s waking day. A few children are terrified by science-fiction characters and things they have seen on TV-common sense can sort out most of these problems.

•    It is helpful to relax before going to bed rather than expecting to sleep immediately, after a hectic physical, emotional or mental event. A hot bath can stimulate rather than relax-a tepid shower is probably better. Sitting down and listening to the radio, watching TV or reading a book are good ways of switching off from the demands of the day.

I have mentioned that excessive exercise before going to bed is detrimental to sleep, so is exercise a promoter of sleep at all? The answer is definitely yes, but it has to be the right type of exercise and taken at the right time. Regular exercise is essential for vibrant health and most people sleep better if they have had at least some exercise during the day. The best exercise before bed is a brief walk. Certain yoga postures are said to encourage sleep and some people find that a period of relaxation, including deep breathing exercises, helps relax them too.

*186/72/5*

EATING DISORDERS TREATMENT: SPECIAL PROBLEMS IN FAMILY THERAPY

Wednesday, April 22nd, 2009

Divorce: Families with only one parent may be more vulnerable to problems such as eating disorders if there is inadequate parental control. There may also be more stress due to financial pressure or other such factors. Sometimes the symptom-bearer becomes a kind of substitute parent: taking care of siblings, holding down a job, or acting as a liaison between the separated parents. Sometimes a single parent depends more on his or her family of origin -calling on the grandparents to baby-sit, for example. Such intergenerational households might find themselves embroiled in many different types of conflicts, as different cultural traditions or ways of disciplining children clash.

It’s not uncommon for a divorced young mother, especially one who previously had an eating disorder herself, to revert to her old ways; she might find it easier to become an “ill child” than face up to her new life as a divorced woman. In such cases therapists need to offer extra support. A single mother may need individual therapy to cope with grief or anger over separation from her husband.

Married couples: An anorexic woman who marries may be looking for a husband who will accept her self-starving unconditionally. Similarly, a man who marries an anorexic may imagine himself as the knight in shining armor who will rescue the fair maiden from peril. This type of marriage can be pretty shaky. A woman who develops anorexia after marriage may be wrestling with serious conflicts about maturity. Pregnancy – or the fear of the changes it imposes on the body – may complicate things. Other issues include the emotions stirred as children become independent, or when the marriage starts to fall apart due to incompatibility or an extramarital affair.

Marital therapy improves the couple’s skills at communicating with one another. They may need to explore their attitudes about sex, or learn how to cope with disappointment when marriage fails to live up to their fantasies. Marital therapy may be needed after other forms of treatment have begun to work. A husband may be surprised, for example, when his compliant wife suddenly becomes more assertive or when she discovers deep currents of untapped anger. Counseling can help these people maintain the loving balance that drew them into marriage in the first place.

The multigenerational family: Never overlook the power and influence of the extended family. Many times, a patient’s grandparents, aunts, or uncles exert a tremendous influence on family functioning. Such families are often highly bound by tradition. Loyalty to family is the highest value. Members are expected to sacrifice themselves to “preserve the family honor.” One risk of a large, close-knit family is that members may feel no need to find emotionally satisfying relationships outside the home. Children may be pressured not to marry so that they can stay home and take care of the older generation. As the Belgian psychologist Johan Vanderlinden notes, these families may be starved for the stimulation that comes from contact with the outside world. “The whole family,” he writes, “is emotionally hungry and the anorectic child translates [this] hunger into starvation.”

Family therapy must address the deep and knotty issues related to the extended family. This may mean involving the grandparents in at least some sessions. It’s important for patients in such families to develop autonomy and discover how to balance family loyalties with the need to explore life outside the home. As Vanderlinden puts it, the patient must discover her roots as she develops her wings.

*107/35/5*

BEST RECIPES OF SOUPS FOR CANCER-FIGHTING DIET

Wednesday, April 22nd, 2009

Miso Soup with Kelp

3 cups of water

1 carrot, sliced

1 stalk of celery, chopped

1/4 cabbage chopped

3 cloves of garlic, crushed

1 chunk ginger

1 onion

1/4 cup of miso paste

2 tsp tamari

1/2 sheet kelp, shredded

Heat the water. Add carrot slices, chopped garlic, chopped onion, chopped ginger, chopped celery and cabbage. Heat for 10 to 15 minutes until vegetables are slightly cooked. Mix miso with slightly warm water in another cup, until it has a liquid consistency. When vegetables are cooked, bring down heat and simmer. Add miso water, tamari and kelp. Don’t boil the miso, as this destroys its valuable digestion-aiding enzymes and micro-organisms. Simmer for a couple of minutes, take off heat and season. Sprinkle sea salt and extra kelp on top.

Vegetable Cleansing Soup

You will need:

2 carrots with tops

2 beets with tops

1 onion

2 stalks celery with leaves

1 potato

1 handful spinach

3 cloves garlic

1/2 bunch watercress/kale

2 to 3 cups water

Chop all ingredients and add 2 to 3 cups of water. Bring to the boil, reduce heat to simmer and cook about 20 to 30 minutes, until vegetables are soft. Drain off vegetables and use only broth. This recipe can be refrigerated for future use.

Wholesome Country Soup

1 medium onion, chopped

2 cloves of garlic, crushed

2 small organic chicken breasts (cubed)

1 teaspoon of olive oil

500 g chopped fresh seasonal vegetables such as potatoes, swede, celery, leeks, carrots,

Broccoli, cabbage

225 g tinned tomatoes

1 teaspoon of vegetable stock

Steam fry the onion and garlic in oil with the chicken. Add the vegetables and tomatoes, and enough water to cover, plus vegetable stock or cube. Cover and simmer on low heat until the vegetables are cooked.

*226/34/5*