tag:blogger.com,1999:blog-45452087864337698172023-11-16T03:10:29.722-08:00Dr. Clem's Health BlogHealth and wellness information for retired military personnel and their families.Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.comBlogger120125tag:blogger.com,1999:blog-4545208786433769817.post-46214588818307705002018-08-05T08:04:00.000-07:002018-08-05T08:04:55.320-07:00<img alt="Beautiful picture of massive multicolored green vibrant Aurora Borealis, Aurora Polaris, also know as Northern Lights in Norway Stock Photography" height="213" src="https://thumbs.dreamstime.com/t/beautiful-picture-massive-multicolored-green-vibrant-aurora-borealis-aurora-polaris-also-know-as-northern-lights-norway-101094672.jpg" width="320" /><br />
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<span style="font-family: "calibri" , "sans-serif"; font-size: 14.0pt; line-height: 115%;">What is Sound sensitivity (Hyperacusis)?<o:p></o:p></span></h2>
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<span style="font-size: 14.0pt; line-height: 115%;">It is a hearing disorder that makes it difficult to deal with everyday sounds. They may be unbearably loud even though people around you though people around you don’t notice them. Triggers include a running faucet, kitchen appliances, a lawnmower, or a loud conversation. <o:p></o:p></span></div>
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<span style="font-size: 14.0pt; line-height: 115%;">Most of those affected have moderate to severe symptoms that can lead to loss of balance, anger, and insomnia. <o:p></o:p></span></div>
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<span style="font-size: 14.0pt; line-height: 115%;"> Some people who have this disorder are mildly bothered. Hyperacusis is rare. It affects 1 in 50,000 people. It is a hearing disorder. Those who have it have tinnitus (buzzing or ringing in the ears). It is also a hearing disorder. <o:p></o:p></span></div>
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<span style="font-size: 14.0pt; line-height: 115%;">People are not typically born with it. It is due to head trauma, a viral infection, TMJ disease, Lyme disease, Tay Sachs, disease, migraine headaches, epilepsy, Menier’s disease, chronic fatigue syndrome, and depression.<o:p></o:p></span></div>
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<span style="font-size: 14.0pt; line-height: 115%;">Triggers include trauma to the head, viral infection, TMJ disorder, medications, drug disease, Lyme disease, Tay Sachs Disease, migraine headache, epilepsy, Chronic Fatigue Syndrome, Meniere’s disease, and loud, sudden noises. </span><br />
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<span style="font-size: 14.0pt; line-height: 115%;">Treatment includes sound desensitization. Another treatment would be to purchase hearing aids that are set for low volume will help. In addition, try to gradually build up your exposure to noises. Other treatments include acupuncture and auditory integration therapy.</span></div>
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<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">The word “hyperacusis” means excess hearing. The name combines the Greek prefix “hyper,” which means “over,” implying excess or exaggeration. </span><br />
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<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">It is a life-altering hearing condition that causes one to experience loudness, intolerance or increased sensitivity to noise. It’s a condition that someone is not born with but develops, either gradually or suddenly, as a result of the following causes.</span><br />
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<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">These include injury, ear head trauma, Lyme Disease, airbag deployment, viral infections, Bells Palsy, and v</span><span style="font-size: 14pt;">iral infections involving the inner ear or facial nerve.</span><br />
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<span style="font-size: 14pt;">It affects an estimated one in 50,000 people and can occur either unilaterally (in one ear) or bilaterally (in both ears). Reactions to noise may result in feelings of discomfort, covering ears, tension, anger, anxiety, and pain.</span><br />
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<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Those who live with hyperacusis face aversion to everyday sounds at decibel levels that do not bother others, such as running water, car engines, conversations, kitchen appliances, voices speaking on the telephone, bicycle pedals, crunching leaves, and vacuum cleaners.<o:p></o:p></span><br />
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<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">Because individuals with hyperacusis are not able to tolerate noises like those listed above, their quality of life is compromised. They experience great difficulty in moving about, traveling, and communicating with others. Consequences can include social isolation, anxiety, depression, lack of concentration, and insomnia.<o:p></o:p></span></div>
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<span style="font-size: 14.0pt; mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";">It is distinct from tinnitus, <a href="https://hearinghealthfoundation.org/what-is-tinnitus"><span style="color: #3d9991; text-decoration-line: none;">s</span></a> (ringing in the ears), but there is a high degree of comorbidity between them. An estimated 86% of hyperacusis patients also have tinnitus and 30–40% of tinnitus patients also show symptoms of hyperacusis. It has been speculated that tinnitus and hyperacusis have a shared etiology or might exist due to the same pathological mechanism.<br />
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<i>Sources: <a href="http://www.entnet.org/content/hyperacusis-increased-sensitivity-everyday-sounds" target="_blank"><span style="color: #3d9991; text-decoration-line: none;">American Academy of Otolaryngology–Head and Neck Surgery</span></a>; <a href="http://www.hyperacusis.net/what-is-it/" target="_blank"><span style="color: #3d9991; text-decoration-line: none;">Hyperacusis Network</span></a>; <a href="https://www.nhs.uk/conditions/hyperacusis/#causes-of-hyperacusis" target="_blank"><span style="color: #3d9991; text-decoration-line: none;">National Health Service</span></a>; </i><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4432660/"><span style="color: #3d9991; text-decoration-line: none;">Frontiers in Neurology</span></a><o:p></o:p></span></div>
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Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com1tag:blogger.com,1999:blog-4545208786433769817.post-20885401697158383302018-07-18T18:19:00.001-07:002018-07-21T14:09:46.831-07:00<br />
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<img alt="Picture of Colon Cancer" height="217" src="https://images.medicinenet.com/images/featured/detail_colon_cancer.jpg" width="320" /><br />
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<span style="font-size: large;">Have you had a colonoscopy to screen for colon cancer? </span><br />
<span style="font-size: large;">Screening should begin at age fifty. African and American Indians may consider testing at age forty-five. </span><br />
<span style="font-size: large;">The procedure involves a video camera to collect and a biopsy tissue biopsy a biopsy for analysis and to remove polyps. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;"> Diagnosing colon cancer is performed by colonoscopy to </span><span style="font-size: large;">examine the inside of the colon. A scope is used to examine the inside of the colon through the rectum. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">A colonoscopy with a video camera is used to take a biopsy for analysis to remove polyps and screen for cancer. </span><br />
<span style="font-size: large;">Staging is used to monitor the severity of cancer. </span><span style="font-size: large;"> Here are the staging criteria.</span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Stage 1: cancer has grown through the mucosa (colon wall) or rectum but has not spread through the mucosa or rectum. </span><br />
<span style="font-size: large;"><br /></span><span style="font-size: large;">Stage 2 Cancer has grown into the rectum but has not spread to the lymph nodes. </span><br />
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<span style="font-size: large; font-weight: normal;">Stage 3: Cancer has invaded nearby lymph nodes but has not affected other body parts. </span></h4>
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Stage 4: Cancer has spread to other organs, to include the liver or the lung. </span><br />
<span style="font-size: large;"><span style="font-size: xx-small;"><br /></span> <span style="font-size: xx-small;">Treatment for colon cancer involves removing the tumor by colonoscopy under anesthesia. There are several surgical techni</span><span style="font-size: xx-small;">que</span><span style="font-size: xx-small;">s. </span><span style="font-size: xx-small;"> </span></span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">1. Endoscopic mucosal resection. This involves removing polyps by colonoscopy if the cancer is localized and completely contained with polyps in an early state. </span><span style="font-size: large;">The polyps are</span><span style="font-size: large;"> removed during the colonoscopy.</span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">2. Minimally invasive surgery. Polyps that can't be removed endoscopic resection.</span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;"><span style="font-size: xx-small;">3.</span><span style="font-size: xx-small;"> </span> Invasive surgery. P</span><span style="font-size: large;">olyps that can't be removed during a colonoscopy. In that instance, a</span> <span style="font-size: large;">small incision through abdominal wall inserting several </span><span style="font-size: large;">small incisions through the abdominal wall in order to insert instruments attached through cameras on video. This technique involves taking samples from lymph nodes in the area where the cancer is located. </span><span style="font-size: large;">If the cancer is invasive, surgery is recommended. </span><span style="font-size: large;"><span style="font-size: medium;"><br /></span></span>
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<span style="font-size: large;"><br /></span> <span style="font-size: large;">4. If cancer has grown through the colon, this may require a partial colectomy. </span><span style="font-size: large;">this procedure surgeon removes part of the colon that contains </span><span class="" style="font-size: large;">cancer, along </span><span style="font-size: large;">with margin normal mass of tissue on either side of cancer. </span><span style="font-size: large;">The surgeon may reconnect healthy portions of the colon. </span><span style="font-size: large;">When it is not possible to reconnect the colon, an ostomy is recommended. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Another option is to surgically open the abdomen and construct an ostomy bag that is worn on the patient's lower abdomen. </span><br />
<span style="font-size: large;">In some cases, the colostomy bag may be permanent. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Lymph </span><span style="font-size: large;">node removal is done to remove the nodes to test for cancer. </span><span style="font-size: large;">In some instances, chemotherapy is recommended to destroy cancer cells. </span><br />
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<span style="font-size: large;">After surgery, if cancer has spread to the lymph nodes, then chemotherapy is administered to relieve symptoms </span><br />
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<span style="font-size: large;">Radiation therapy may be recommended to eradicate cancer cells. This is to shrink tumor cells by radiation and to cancer cells. </span><br />
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<span style="font-size: large;">Drug therapy may be included. These include E</span><span style="font-size: large;">vacizumab, (Avastin ), </span><span style="font-size: large;">Cetuximab, (Erbux</span><span style="font-size: large;">), and </span><span style="font-size: large;">Panitumumab). </span><span style="font-size: large;"> </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Targeted drugs given with chemotherapy may cause side effects.</span><br />
<span style="font-size: large;">Immunotherapy may be included in the treatment plan.</span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Consider </span><span style="font-size: large;"> </span><span style="font-size: large;">Palliative care to improve quality of life improve the quality of life may feel better and live longer. Find a support group for coping and support. Check for further information on this topic. </span><br />
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<span style="font-size: large;">Source: Mayo Clinic; Diagnosis and Screening for Colon Cancer. </span><br />
<span style="font-size: large;"><span style="font-size: medium;"><br /></span><span style="font-size: medium;"><br /></span></span>Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-79761828235225150122018-06-08T10:54:00.003-07:002018-06-08T10:54:43.126-07:00<br />
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6-8-2018<o:p></o:p></div>
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Traumatic Brain Injury TBI<o:p></o:p></div>
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You may imagine that TBI is an issue that concerns young
adults who suffer athletic injuries and soldiers who receive blows in active
duty. You don’t have to be a sportsperson to get TBI, although multiple TBI’s
will manifest as classic Alzheimer’s symptoms.<span style="mso-spacerun: yes;">
</span>In the elderly, there is a concern of TBI as a result of falls, auto
accidents, penetrating wounds, and sports activities as well. Neurogenesis will
be slower if you are older. The most important thing is to avoid getting a TBI
again. You can be your own worst enemy <span style="mso-spacerun: yes;"> </span><o:p></o:p></div>
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When people have TBI the traumatic injuries don’t just go
away. Long-term, if you are a younger person with TBI, you can recover fairly completely
over time. If you have good relationships with people close to you, avoid alcohol,
and take care of yourself through diet and exercise you will have a good
improvement. People tend to isolate when they experience TBI which causes a
downward spiral of depression. Having a purpose in life, many times this being
work and relationships, gives you a new perspective and drive to get up in the
morning. <o:p></o:p></div>
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Many accidents can result in head trauma and a concussion
also known as TBI. It can have either have temporary or long term effects.
Symptoms will appear immediately; other than neck and head pain, people will
experience a brief loss of consciousness, nausea, dizziness, sleeplessness or
oversleep, loss of balance, and a range of emotions such as anger, guilt
remorse, and self-pity. More severe symptoms may be inability to awaken, clear
fluids draining from nose or ears, weakness, numbness of toes, slurred speech
or a coma. On the most severe end of the spectrum - suicide ideation, altered
consciousness, brain death, seizures, and hydrocephalus (water on the brain).<o:p></o:p></div>
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Several alternative treatments that are not as conventional
may help recovery from TBI. Smoking marijuana decreases brain inflammation according
to the latest psychiatric literature. TBI causes brain inflammation and resulting
cognitive issues. Other than time, good self-care combined with brain-training,
perhaps sanitizing your sleep habits can prove to be the most effective way to recover
from TBI. Sometimes people will go to a combination psychiatrist and
neurologist for comprehensive treatment, addressing emotional, biological and
physical issues at the same time. The neurologist typically conducts a sleep
study. The end effect can be uninterrupted sleep with the help of a CPAP – a
little rectangular box with a cord that plugs in near the bedside and headgear
that slips over your head and tubes which slip into your nostrils. After some
practice, in most cases you will sleep really well. You get more oxygenation,
you wake up more refreshed, and these things improve cognition and recovery.<o:p></o:p></div>
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TBI in summary, is a treatable condition, even if someone
shoots you in the head. People get through it. DLBGYD - Don’t let the bastards get you
down, it’s an Army saying.</div>
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<br />Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-62814747470655278402018-05-09T20:56:00.000-07:002018-05-10T06:08:01.012-07:00<span style="font-size: large;">Essential Tremor (ET) is a nerve disorder in which the affected person has uncontrollable shaking, or tremors in different parts of the body. Areas affected are the hands, arms, larynx, </span><span style="font-size: large;">tongue and chin. </span><span style="font-size: large;">The lower body is rarely affected. The condition can be confused with Parkinson's Disease. </span><span style="font-size: large;">ET is the most common movement disorder. It affects ten million people in the U.S. It often strikes for the first time during adolescence or middle age, between ages forty and fifty. </span><br />
<span style="font-size: large;">The thalamus of the brain controls </span><span style="font-size: large;">muscle activity. </span><br />
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<span style="font-size: large;">It is not a life threating condition. Most of those affected live normal lives with this disorder. Daily activities such as eating, dressing, or writing can be difficult. </span><span style="font-size: large;">The true cause of ET is not understood. The tremors can be disabling if the affected person can't perform daily activities. </span><br />
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<span style="font-size: large;">The condition is due to electrical brain activity of the thalamus. It is a deep structure of the brain that coordinates muscle activity. </span><span style="font-size: large;">The true cause of ET is not understood. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Genetics is responsible for ET in half of those who have the disorder. A child born with a parent with ET will have a fifty percent chance of having the condition. gene. It is more common in the elderly. Symptoms become more pronounced with aging. It is not a part of the natural aging process. </span><br />
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<span style="font-size: large;">Common symptoms include uncontrollable shaking for brief periods of time, shaking voice, nodding head, voice tremor, </span><span style="font-size: large;"> </span><br />
<span style="font-size: large;"> head, shaking voice, and tremors that worsen during emotional distress,</span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">The movement tremors fade with rest. In some cases there may be balance problems. </span><span style="font-size: large;">Conditions that mimic it include </span><span style="font-size: large;">factors or diseases, including Parkinson's Disease. Disorders that mimic ET include thyriod disease, </span><br />
<span style="font-size: large;">Drug treatment include Inderal, neurontin and Topamax. </span><br />
<span style="font-size: large;">Xanax, Valium. Botox may be a treatment option.</span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIV7Sbwk_VkU0SrRo5hNTZf9FJrnqGjJ5g1wOx0w6AeKRP-CKvtMCwol_0nyUfdhWNfOzTu9CPcmww10W10kFBB31m4Vz0L-maINJ1b_Zm_-WwUQxZABUDAtLPg82xVz-_d-Plc1Wc16J_/s1600/20180108_122705.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="900" data-original-width="1600" height="225" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIV7Sbwk_VkU0SrRo5hNTZf9FJrnqGjJ5g1wOx0w6AeKRP-CKvtMCwol_0nyUfdhWNfOzTu9CPcmww10W10kFBB31m4Vz0L-maINJ1b_Zm_-WwUQxZABUDAtLPg82xVz-_d-Plc1Wc16J_/s400/20180108_122705.jpg" width="400" /></a></div>
<span style="font-size: large;"> Treatment includes deep brain stimulation, implantation of electrical leads to the thalamus, and surgery. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Implantation of electrical leads to the thalamus deep in the brain. high intensity MRI Ultrasound to </span><span style="font-size: large;">destroy tissue in the thalamus. Patients are awake during the surgical procedure. There is no effective medications for ET. </span><span style="font-size: large;">surgery can e</span><span style="font-size: large;">ase the tremor lifestyle </span><span style="font-size: large;">changes may help reduce the tremors. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Source: WebMD; The Brain and Essential Tremor. </span>Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com1tag:blogger.com,1999:blog-4545208786433769817.post-1704900980520827992018-05-02T11:24:00.000-07:002018-05-02T11:24:23.112-07:00<span style="font-size: large;"><br /></span>
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<span style="font-size: large;">Essential Tremor (ET), is a nervous system disorder that causes involuntary rhythmic shaking, most commonly in the hands. </span><br />
<span style="font-size: large;">It is especially common when doing simple tasks such as drinking from a glass or tying your shoelaces. It can worsen over time. It is often confused with Parkinson's Disease. It can be severe in some people. It may occur at any age but is most common in those forty and older. </span><br />
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<span style="font-size: large;">Simple tasks, such as drinking from a glass or tying your shoelaces may be challenging. I</span><span style="font-size: large;">t </span><span style="font-size: large;">worsens </span><span style="font-size: large;">over </span><span style="font-size: large;">time and </span><span style="font-size: large;">can be severe in some people. It is often confused with Parkinson's Disease. It may occur at any age, but it is most common in</span><span style="font-size: large;"> those ages </span><span style="font-size: large;">forty or older. </span><span style="font-size: large;">Symptoms begin gradually, on one side of the body.</span><br />
<span style="font-size: large;">It worsens with movement. It </span><span class="gr-progress" style="font-size: large;">usually </span><span style="font-size: large;">occurs in the hands, first a</span><span style="font-size: large;">ffecting one or both hands. </span><br />
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<span style="font-size: large;">ET can be aggravated by emotional distress, fatigue, caffeine, or temperature extremes.</span><br />
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<span style="font-size: large;">Many people associate ET with Parkinson's disease, which includes a stooped posture, and a slow, shuffling gate. ET is not Parkison's disease. </span><br />
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<span style="font-size: large;">Those with ET develop other neurological signs and symptoms, such as an unsteady gait (ataxia.). It mainly involves the hands, legs, chin, and other body parts. Half of ET cases result from genetic mutation. </span><br />
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<span style="font-size: large;">Risk factors include genetic mutation. That is, if you have a parent with a genetic mutation for ET, you have a fifty percent chance of developing the disorder yourself. </span><br />
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<span style="font-size: large;">ET is more common in those ages forty or older. The condition is not life-threatening, but symptoms can worsen over time. Challenges include holding a glass without spilling, putting on makeup or shaving, difficulty with speech, and writing legibly,</span><br />
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<span style="font-size: large;">For further information, log on to https://.mayoclinic.org/diseases-conditions/essential-tremor/symptoms-causes/syc-20350534?p=1</span><br />
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<br />Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-41091411059736413772018-04-22T13:31:00.001-07:002018-04-22T19:02:04.688-07:00<a href="https://draft.blogger.com/blogger.g?blogID=4545208786433769817" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><span style="font-size: large;">Vision Problems in Older Adults.</span><br />
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<span style="font-size: large;">Let's take a look at common eye problems that are prevalent in older adults. </span><br />
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<span style="font-size: large;"><b>Presbyopia</b> is loss of ability to see close objects or small print. It is a slow process that occurs over time. You may not notice this change until age forty or older. It can be treated with reading glasses. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;"><b>Floater</b>s are tiny spots or specks that across the field of vision. Most people notice them in well-lit rooms or outdoors on a sunny day. They are benign, though they could indicate more severe issues, such as retinal detachment. If you notice a sudden change in your vision, schedule an appointment with your optometrist. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;"><b>Dry eyes</b> occur when tear glands cannot produce enough quality tears. The condition can be uncomfortable, c</span><span style="font-size: large;">ausing itching or burning. Sometimes it could lead to vision loss. Those with dry eyes or can lead to tearing or irritation. </span><span style="font-size: large;">The eyes try to wash out the irritation using excess tears. Consider purchasing a humidifier in your bedroom. There are over the counter eye drops, such as Thera Tears or Refresh. S</span><span style="font-size: large;">pecial eyedrops may be used to block the tear </span><span style="font-size: large;">ducts. Purchase a humidifier.</span><br />
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<span style="font-size: large;"><b>Tearing</b> could be triggered by wind, bright light, and temperature changes. Wear your sunglasses when outside. Sometimes the condition may be due to an obstructed tear duct or a dusty environment. </span><span style="font-size: large;">Protect your eyes with sunglasses. </span><br />
<span style="font-size: large;"><b><br /></b></span> <span style="font-size: large;"><b>Cataracts </b>are cloudy areas that cover the eye lens. It can cause vision impairment. They form slowly, with redness or eye tearing. If they are large or thick, they can be surgically removed. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;"><b>Glaucoma</b> is an eye condition </span><span style="font-size: large;">with increased eye pressure. If it is not treated, it could lead to permanent vision loss. Age and race </span><span style="font-size: large;">are risk factors. It may be caused by blunt trauma, infection, or blood vessel blockage. </span><span style="font-size: large;">Have your eyes checked at least annually. Prescription or over the counter eye drops can ease the discomfort. </span><br />
<span style="font-size: large;">Laser surgery may be indicated. </span><br />
<b style="font-size: x-large;"><br /></b> <b style="font-size: x-large;">Conjunctivitis </b><span style="font-size: large;">also known as "pink eye. includes inflammation and itching. It occurs in all ages, It is frequently due to smoke or dust. </span><br />
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<span style="font-size: large;"><b>Temporal </b><b>arteritis </b> is a condition that includes severe headache. It is worstened with chewing. It may lead to vision loss over time. </span><br />
<span style="font-size: large;">Additional symptoms include low grade fever. It may be exacerbated by an impaired immune system. </span><br />
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<span style="font-size: large;">Source: Cleveland Clinic. </span>Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-4914682990746250022018-04-15T08:21:00.001-07:002018-04-15T08:21:24.537-07:00<span style="font-size: large;">Are you concerned about your weight? </span> <span style="font-size: large;">Obesity takes its toll in the long term. These include snoring, insomnia, diabetes, and knee arthritis. BMI (body mass index) is a tool for measuring weight. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Overweight occurs when you eat more calories than you burn through daily activity. Cutting down your calory intake and increasing your activity is a solution. A sedentary lifestyle is bad for your health. An unhealthy diet and poor eating habits will result in more body fat. Instead of a coke, drink diet coke. Eat more fruits and vegetables and fruits. </span><span style="font-size: large;">You can't change your genes. However, genetics affect the amount of fat you store and where it is stored. Instead of a coke, get a diet coke. Include more fruits and vegetables in your diet. </span><br />
<span style="font-size: large;"><br /></span><span style="font-size: large;">Obesity runs in families. You can't change your genes, but you can change your eating habits. Genetics affect the amount of fat you store. It is affected by family lifestyle.</span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">If you are not physically active, you are storing calories. Inactivity leads to lower extremity arthritis. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Climb the steps rather than using the elevator. </span><br />
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<span style="font-size: large;">When you go to the grocery store, read the ingredients. Be calory conscience. Read the food labels. Pay attention to the contents of fat and sugar. </span><span style="font-size: large;">Practice "portion control." </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Insomnia may trigger the need for snacking between meals. However, i</span><span style="font-size: large;">ncrease your activity. Climb the stairs rather than using the elevator. </span><span style="font-size: large;">Snoring may be a sign of </span><span style="font-size: large;">sleep apnea. You may want to contact your primary care physician to order an overnight sleep study. </span><br />
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<span style="font-size: large;">Obesity can lead to shame, guilt, social isolation, disability, and lower cognition. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Walking, swimming, and bicycling, will burn calories and improve your balance and sleep quality. Limit your snacking between meals. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">A ketogenic diet lowers brain inflammation and promotes cognition. Consider purchasing "The Ketogenic Diet Cookbook," Amanda C. Hughes. Easy, Whole Food Keto Recipes for Any Budget." </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Keep a notebook or food diary to track how often you eat and portion control. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Weigh yourself no more than twice per week to track your progress. This will bolster your confidence and keep you on track. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Stay with your program and keep yourself busy. Don't get d</span><span style="font-size: large;">iscouraged. Be careful during the holidays and avoid splurging.</span><br />
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<span style="font-size: large;">Famous quote: "I found there was only one way to look thin. Hang out with obese people." Rodney Dangerfield</span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Source: Mayo Clinic.</span><br />
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Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com1tag:blogger.com,1999:blog-4545208786433769817.post-33814111125230381092018-04-09T07:22:00.003-07:002018-04-09T07:23:43.419-07:00<span style="font-size: large;">Sundowning: Late Day Confusion. Source: Mayo Clinic</span><br />
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<span style="font-size: large;"><b>Sundowning: Late-day confusion</b>. The term "sundowning" refers to a state of confusion occurring in the late afternoon and spanning into the night. It can cause a variety of behaviors such as confusion, anxiety, aggression, or ignoring directions. Symptoms may lead to pacing or wandering. It is not a disease, but a group of symptoms that occur at a specific time of the day that may affect people with dementia, such as Alzheimer's disease. </span></div>
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<span style="font-size: large;">The exact cause of this behavior is not known. Factors that aggravate late day confusion include fatigue, low lighting, insomnia, increased shadows, disruption of the body's internal clock, difficulty separating reality from dreams, and presence of an infection such as a urinary tract infection. </span></div>
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<span style="font-size: large;">Here are tips for reducing sundowning. Try to maintain a predictable routine for bedtime, waking, meals, and activities. Plan for activities and exposure to light during the day to encourage nighttime sleepiness. </span></div>
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<span style="font-size: large;"> Limit daytime napping. Limit caffeine and sugar to morning hours. Avoid eating a large meal within several hours of goint to bed. Keep a night light on to reduce agitation that occurs when surroundings are dark or unfamiliar. </span></div>
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<span style="font-size: large;">In the evening, try to reduce background noise and stimulating activities, including TV viewing, which may be upsetting. </span></div>
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<span style="font-size: large;">In a strange or unfamiliar setting, bring familiar items, such as photographs, to create a relaxed, familiar setting. If you have a pet, the pet may lower your stress level and promote falling asleep.</span></div>
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<span style="font-size: large;">Play gentle music in the evening or relaxing nature sounds such as the sound of ocean waves. Get a checkup with your care provider to determine if you might have an underlying condtion, such as a urinary tract condition or sleep apnea. The condition may worsen if sundowning develops quickly. Consider Melatonin, an over the counter medicine that induces sleep. </span></div>
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<span style="font-size: large;">When sundowning occurs in a care facility, it may be due to the flurry of activity during staff shift changes or the lack of structured activities during staff shift changes. </span></div>
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<span style="font-size: large;">Source: Mayo Clinic </span></div>
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<span style="font-size: large;">Famous quote: "I only went out for a walk, and finally concluded to stay out till<span style="font-weight: normal;"> </span><span style="box-sizing: border-box; line-height: inherit;">sundown.</span> for going out, I found, was really going in. John Muir." </span></div>
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<span style="font-size: large;">Source: Mayo Clinic</span></div>
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Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com1tag:blogger.com,1999:blog-4545208786433769817.post-47896298192610719512018-02-13T06:42:00.001-08:002018-02-13T06:42:07.269-08:00<span style="font-size: large;">Knee pain is a common condition that affects middle-aged people. It may be due to an injury, such as torn cartilage in the joint, as well as arthritis, or gout. Joint infection can </span><span style="font-size: large;">cause knee pain. Physical therapy and knee braces can alleviate discomfort. </span><span style="font-size: large;">If these t</span><span style="font-size: large;">reatments fail, and function is impaired, surgery is considered.</span><br />
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<span style="font-size: large;">Signs and symptoms include joint swelling, stiffness, and instability to straighten the knee. </span><span style="font-size: large;">You may have joint redness, and "giving out" of the joint. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">There are multiple causes of knee pain. It may be due to an anterior cruciate ligament (ACL) injury, fracture, torn meniscus, knee bursitis, and patellar tendonitis. </span><span style="font-size: large;">An ACL injury is tearing </span><span style="font-size: large;">of </span><span style="font-size: large;">the anterior cruciate ligament. </span><span style="font-size: large;">The knee meniscus is a rubbery cartilage that functions as a shock absorber, It can tear due to direct trauma or twisting of the joint. </span><span style="font-size: large;">It's a common injury for those who play golf. </span><span style="font-size: large;">Knee fractures or ligament tears could include </span><span style="font-size: large;">the kneecap, as well as trauma due to vehicle accidents. Osteoporosis increases </span><span style="font-size: large;">risk for knee fracture.</span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Patellar tendinitis is inflammation of the knee tendons in those who jog and cycle. </span><span style="font-size: large;">Bone and cartilage could break off into the knee joint. The loose body might interfere with joint movement. </span><br />
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<span style="font-size: large;">Iliotibial Band Syndrome (IBS) occurs when the patella slips out of place. </span><span style="font-size: large;">Dis</span><span style="font-size: large;">tance runners are at risk. </span><br />
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<span style="font-size: large;">A dislocated kneecap occurs when the patella slips out of place due to dislocation. </span><span style="font-size: large;">Those with hip or foot pain should change the way they walk or run in order to avoid joint dislocation. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Degenerative knee </span><span style="font-size: large;">arthritis </span><span style="font-size: large;">is the most common type of joint arthritis. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Patellofemoral pain syndrome is common in joggers. It is due to instability of the patella. </span><br />
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<span style="font-size: large;"><br /></span> <span style="font-size: large;">Risk factors for knee pain and weakness include obesity, lack of muscle flexibility, and joint weakness. Be cautious if you take part in </span><span style="font-size: large;">alpine skiing, basketball, use of rigid ski boots, and history of prior knee injury. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Here are some suggestions to lower your risk. Maintain a </span><span style="font-size: large;">healthy </span><span style="font-size: large;">weight, take time for conditioning your legs, and consider weight reduction. Focus on re-conditioning your </span><span style="font-size: large;">hamstrings. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Finally, be "smart" regarding your exercise. You might consider </span><br />
<span style="font-size: large;">swimming, water aerobics, and walking. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;"> Don't forget to exercise your upper extremities. Be cautious when you climb stairs. Use the handrails. Practice a healthy lifestyle, to include proper diet, and sleep hygiene. Consider tai-chi, yoga, cycling, and stationary biking. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;"><img alt="Image result for funny quotes regarding knee pain" height="271" src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcSwRN_1vL5gPGoKcMm8LmuM98cpY60qO7LS5Y1HSrMSLQcqNCXCRQ" width="320" /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span>
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source: www.mayoclinic.org/diseases-conditions/knee.<br />
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Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-24160900847934598022018-01-26T19:52:00.005-08:002018-01-29T14:18:36.187-08:00<img alt="Dale Carnegie Quotes | http://noblequotes.com/" height="320" src="https://i.pinimg.com/564x/76/66/fc/7666fc10c3f904155e03f87031a1a773.jpg" width="256" /><br />
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<span style="font-size: large;">Are you sleeping well? If not, read on, as disrupted sleep can have a profound effect on your happiness, well-being, productivity, and general health. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">First, talk to your doctor. Your primary care provider may evaluate you for hypo or hyperthyroidism and do other blood work. </span><span style="font-size: large;">Keep an updated diary to determine your wake-sleep activity for several weeks. This can be helpful to show to your doctor during an initial visit. If the cause isn't clear, your doctor will consider an </span><span style="font-size: large;">overnight sleep study at a sleep center, to rule out </span><span style="font-size: large;">sleep apnea or restless legs syndrome. These are important causes of sleep disruption. During a sleep study you get hooked up to multiple sensors overnight in a comfortable bed and get checked for brain wave activity, breathing, heartbeat, eye movement, and leg </span><span style="font-size: large;">twitching. More recently, simple equipment can be sent home with you to collect the data from the comfort of your own home. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Your doctor may prescribe certain medications including </span><span style="font-size: large;">Eszopiclone (Lunesta), Ramelteon (Rozerem), Zaleplon (Sonata), Zolpidem (Ambien,) Edluar, </span><span style="font-size: large;">Intermezzo</span><span style="font-size: large;">, and Zolpimist. Work closely with your doctor as these prescription medicines could be habit-forming. </span><span style="font-size: large;">Prescription sleeping pills have side effects, including daytime sleepiness and grogginess, and risk of falling. Discuss this with your provider. </span><span style="font-size: large;">Melatonin, an over-the-counter supplement can be very effective and is inexpensive and readily available. </span><span style="font-size: large;">Nonprescription sleeping pills containing antihistamines may cause drowsiness, confusion, memory problems, and difficulty urinating, which may be worse in older adults. </span><span style="font-size: large;">Don't neglect personal medical issues, such as prostate enlargement, which could lead to excessive night-time bathroom trips.</span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Cognitive behavioral therapy (CBT) can be just as effective as sleep medication. </span><span style="font-size: large;">CBT trains you to recognize and change beliefs that disturb sleep. </span><span style="font-size: large;">CBT is a type of talk therapy (psychotherapy). You work with a mental health counselor in a structured way, attending a limited number sessions. CBT helps you become aware of inaccurate or negative thinking so you can view challenging situations more clearly and respond to them in a more effective way. </span><span style="font-size: large;">CBT can be a helpful tool in treating mental health disorders, such as depression, post-traumatic stress disorder (PTSD), or an eating disorder. Not everyone who benefits from CBT has a mental health condition. It can be an effective tool for anyone to better manage stressful situations. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">If you wake up in the middle of the night and your mind starts racing, get out of bed and read a magazine or calming book. You don't want to associate lying in bed with being awake and worrying. Keep your pets out of bed as they can disturb your sleep. Get blackout curtains and keep the temperature down, as the ideal place to sleep is dark, quiet, and cool. Sound machines can be purchased to filter out noises from within your home and outside, including airplanes and sirens.</span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">It is very important to stay on a regular sleep schedule, especially so if you travel a lot for work. Exercise and activity also promote sleep. Schedule exercise at least several hours before going to bed. Do stretches and meditation in your bedroom before you go to sleep. </span><span style="font-size: large;">Find ways to relax before you get in bed. A warm bath, reading, and soft music can help. </span><span style="font-size: large;">Review the labels of all your over the counter medicines. </span><span style="font-size: large;">You want to check the labels to </span><span style="font-size: large;">determine if they have caffeine or other stimulants, such as nicotine. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">We're learning more and more about blue light, which comes from electronic screens such as phones, tablets, and computer screens. Get blue light filters for your screens, download the apps to decrease blue light, or get special blue-light filtering glasses (can buy online!) Even better, just limit your exposure to electronic screens to before 6pm. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Nothing beats an afternoon cat-nap! But a word of caution, if you do take a mid-day nap, keep it to no more than fifteen or twenty minutes or it will disturb that night's sleep. </span><span style="font-size: large;">Try not to nap after three pm. Avoid large meals or alcohol right before bedtime. A light snack of carbohydrates can help. Make your bedroom comfortable for sleep.</span><span style="font-size: large;"> </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Additional relaxation treatments can include yoga, tai-chi, and self-hypnosis. Do you have a hobby to occupy your time and put you in the "zone" or "flow"? This helps decrease anxiety. Do you have a purpose in your life? Keep up your social connections. Consider volunteering at a food bank. You learn to view life with thankfulness and appreciation. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">Schedule an appointment with your care provider. Bring along your medical files and get ready for the best night of sleep you've had in a while!!</span><br />
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<span style="font-size: large;">Source: MayoClinic.org-diseases-condtions/insomnia/diagnosis-treatment/drc-203551/drc-203555173?p=1</span><br />
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<span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span> <span style="font-size: large;"><br /></span>Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com1tag:blogger.com,1999:blog-4545208786433769817.post-29534469435570262202017-12-23T13:06:00.000-08:002017-12-25T15:30:28.645-08:00<div dir="ltr" style="background-color: white; color: #222222; font-family: arial, sans-serif; font-size: 12.8px; line-height: 1.38; margin-bottom: 0pt; margin-top: 0pt;">
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;"><b>Alzheimer's is not a death sentence. </b></span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;"><br /></span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">If you are diagnosed with Altzheimers, daily function is crucial. Allow yourself to slow down and manage your capabilities. This is important before you flood yourself with various medications that could lead to drug interactions. </span><br />
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">Compensatory strategies help you deal with Altzheimers. Make life easier for yourself by placing items in the same location. Make them easily visible by marking them with colorful tape. Consider using your cell phone calendar to help you remember the day of the week and the month. </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">What about items you need at the grocery store? Do you have your or your to-do list? </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">You can make "to do lists" for errands and appointments.</span><br />
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">Try making "jingles" that you sing to yourself regarding groceries. Sing the list as you write the items down on an index card. Keep </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">a small notebook in your pocket to recall important information, such as appointments. If you forgot your grocery list, sing the items to yourself. </span><br />
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">Assess your overall health. Cognition can be affected for other reasons, such as job loss, traumatic brain injury, drug abuse, PTSD (post traumatic stress disorder ), depression, and a death in the family. These conditions mimic Altzheimers.</span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;"><br /></span> <span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">Insomnia disturbs sleep quality and hampers short-term memory.Consider stretching your back, shoulders, and legs before going to bed. If you awaken early, or you can't sleep, consider Melatonin, an over the counter sleep aid.</span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;"><br /></span> <span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">If your brain is getting tired, take a "Brain Break." Walk outside, play Sudoku, and try word puzzles. </span><br />
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;"> If insomnia is keeping you awake and you can't fall asleep, take a Melatonin tablet, at bedtime. </span><br />
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">Don't carry a grudge against someone. Apologize and let it go. Consider a tune from the </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">Beatles, "Listen to Words of Wisdom, Let it Be."</span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;"><br /></span> <span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">There is evidence that hearing aids improve cognition.They are are expensive. However, if you are a military veteran, you may be eligible to get them at no cost. </span><br />
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">Should these strategies boost your mental function, you may notice a "dopamine rush" that will give you a "feel good" sensation. </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;"><br /></span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">Walking, running, and bicycling are great for exercise. Allways wear a protective helmet.Traumatic Brain Injury hampers cognition, which mimics Alzheimer's. </span><br />
<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;"><br /></span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">Consider taking Vitamin B6 and B12. Low levels of these vitamins can hamper</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;"> cognition. How do you know? Try it. </span></div>
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Holidays can be depressing, especially if you have Alzheimer's<span style="font-size: 12.8px;">, </span>job loss, death in the family, and divorce. <span style="background-color: transparent; color: black; font-family: "arial"; white-space: pre-wrap;">Anger and depression disrupt function, sleep, appetite, and cognition. </span><br />
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;"><br /></span> <span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">Depression can be managed with Tai Chi, aerobic exercise, or taking a walk in the neighborhood. </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">Having short term, goals and a long term purpose alleviates depression. </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;"><br /></span> <span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">Sign up for volunteering, This can be something as simple as volunteering at a Veteran's Hospital, Dumb Friends League, or Food Bank. </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;"><br /></span> <span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">If you angered someone, apologize promptly. </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">Don’t allow your thoughts to ruminate. An apology diffuses depression and anxiety. If you feel guilty, frustrated, or angry with yourself, take a few deep, slow breaths to destress and recalibrate</span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">A walk outside can calm you down and bolster your cognition. </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">This is like pushing the reset button on your computer. Managing your emotions is b</span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">eneficial. Don't shutter yourself from others, especially your family members. </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">Assertiveness training is a method to get what you need without causing confrontation. It allows you to bargain with others without animosity. </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">Give it a try. </span><span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;"><br /></span><br />
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">Misplaced car keys or cell phone? Methodically start searching your home starting from the bottom floor to the top. Put a red fob on your car keys and hang the keys at the entrance of your home. Consider getting a spare set of car keys and put them in a magnetic box that can be attached to the underside of your car. </span><br />
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; white-space: pre-wrap;">A mental thealth check-up can dig deeper to see whether your are experiencing Alzheimers symptoms, or if there is another related conditon that has not be evaluated or treated. </span><br />
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">A diagnosis of Alzheimer's does not mean that your life is over. Hopefully, you will find that these suggestions help you cope. Build a purpose inyour life, other than your Alzheimer's. </span></div>
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<span style="background-color: transparent; color: black; font-family: "arial"; font-size: 11pt; vertical-align: baseline; white-space: pre-wrap;">Vitamins B-6 and B-12 </span><span style="color: #2e2e30; font-family: "sourcesansprobold" , "arial" , sans-serif; font-size: 16px;">can improve cognition. Foods that are rich in these iinclude chickpeas, fish, potatoes, bananas, cottage cheese, and poultry</span><br />
<span style="color: #2e2e30; font-family: "sourcesansprobold" , "arial" , sans-serif; font-size: 16px;"><br /></span> <span style="color: #2e2e30; font-family: "sourcesansprobold" , "arial" , sans-serif; font-size: 16px;">A wide variety of foods supply vitamin</span><b style="color: #2e2e30; font-family: sourcesansproregular, arial, sans-serif; font-size: 16px;"> </b><span style="color: #2e2e30; font-family: "sourcesansproregular" , "arial" , sans-serif; font-size: 16px;">B-6</span><span style="color: #2e2e30; font-family: "sourcesansproregular" , "arial" , sans-serif; font-size: 16px;">, including chickpeas, fish, potatoes, bananas, cottage cheese, poultry</span><span style="color: #2e2e30; font-family: "sourcesansprobold" , "arial" , sans-serif; font-size: 16px;"> an</span><span style="color: #2e2e30; font-family: "sourcesansproregular" , "arial" , sans-serif; font-size: 16px;">d meat. B-6 plays a role in cognitive function, and it is also involved in more than 100 enzyme reactions. Along with B-12, B-6 helps control homocysteine, a substance that is linked to an increased risk of cardiovascular disease.</span></div>
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<span style="font-weight: 400;">You get B-12 from fish, cheese, dairy, meat and eggs, as well as from fortified cereals. Vitamin B-12 plays a crucial role in energy metabolism and the production of red blood cells. Because B-12 helps your body convert carbohydrates from what you eat into fuel, low levels of the vitamin can lead to fatigue. You also need B-12 for healthy nerve function, so a deficiency may lead to nerve damage. In addition, vitamin </span><span style="font-family: "sourcesansproregular" , "arial" , sans-serif; font-weight: normal;">B-12</span><span style="font-family: "sourcesansproregular" , "arial" , sans-serif; font-weight: 400;"> promotes healthy neurological function and DNA production, and it's also needed for normal brain function.</span></h2>
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Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-25516060014255519922017-12-08T11:08:00.000-08:002017-12-08T11:08:10.091-08:00<h3>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Many famous people have had schizophrenia, including Vincent Van Gogh; Mary Todd Lincoln; John Nash- a brilliant mathematician; Brian Wilson, the Beach Boys; Nathanial Ayers; and “The soloist,” a black American who was a double bassist at Julliard. Those with schizophrenia can be gifted.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;"> Schizophrenia symptoms include auditory hallucinations, disorganized speech, delusions, hallucinations, and catatonic behavior. Those affected are diagnosed between sixteen and thirty years of age. Symptoms include delusions, hallucinations, thought disorders, and lack of motivation. There is no specific gene that triggers the disorder. Schizophrenics are aware of their thought disorders. They have control over thoughts and behavior.</span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: Symbol; font-size: 10pt;"> </span><span style="font-family: "Times New Roman", serif; font-size: 14pt;">The affected person may believe they are being persecuted. They may think they have extraordinary powers and gifts.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Symptoms include hallucinations and hearing voices (auditory hallucinations). This may include visual images (seeing things that are not there). </span><span style="font-family: "Times New Roman", serif; font-size: 7pt;"> </span><span style="font-family: "Times New Roman", serif; font-size: 14pt;">When speaking, the person might jump from one subject to another for no logical reason. Speech may be muddled and difficult to understand.</span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 7pt;"> </span><span style="font-family: "Times New Roman", serif; font-size: 14pt;">Lack of motivation is typical. The affected person loses their drive. They may give up on daily activities, such as personal hygiene, washing and cooking. </span><span style="font-family: "Times New Roman", serif; font-size: 7pt;"> T</span><span style="font-family: "Times New Roman", serif; font-size: 14pt;">hey may not respond to happy or sad events, or may react inappropriately.</span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 7pt;"> </span><span style="font-family: "Times New Roman", serif; font-size: 14pt;">Social withdrawal is typical. When a patient with schizophrenia withdraws, it is often because they believe someone may harm them. They might not be aware of the illness. Hallucinations and delusions are real to the patient. Schizophrenics have difficulty with concentration, planning, organizing, and communication. </span><span style="font-family: "Times New Roman", serif; font-size: 7pt;"> </span><span style="font-family: "Times New Roman", serif; font-size: 14pt;">Treatment goals include having few or stable symptoms. Hospitalization is not recommended unless there is another medical issue that demands inpatient treatment. Some have no family history of the disorder. It may be due to a new mutation.<o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">A psychiatrist experienced in treating schizophrenia guides treatment. The team may include a psychologist, social worker, psychiatric nurse and a case manager. The team approach may be available in clinics with expertise in schizophrenia treatment. Medications are the cornerstone of treatment. Antipsychotic medications are the most commonly prescribed drugs. They control symptoms by affecting the brain neurotransmitter, dopamine.</span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Treatment goals include antipsychotic medications to manage signs and symptoms at the lowest dose. Medications could include antidepressants. It may take several weeks for the patient to notice improvement. </span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Willingness to cooperate with treatment determines drug choice. The patient should consult with their treatment provider regarding side effects. </span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Newer, second-generation medications are preferred. They have a lower risk of side effects. These include Chlorpromazine, Clozapine, Haloperidol, Fluphenazine, and Perphenezine. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Older antipsychotic medicines could cause frequent and potential side effects, including possibility of a movement disorder (tardive dyskinesia) that may or may not be reversible. Once psychosis recedes, in addition to continuing medication, psychological and social interventions are crucial. </span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Psychotherapy helps normalize thought patterns. Learning to cope with stress and identify early warning signs of relapse help with symptom management..</span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Socials skill training improve communication and facilitates daily activities. This<b> </b>provides support and education to families dealing with schizophrenia. Vocational rehabilitation can help those with schizophrenia prepare for further education and employment.</span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Many communities have programs to help those affected to find housing, self-help groups, and crisis intervention. With appropriate treatment, most people with schizophrenia can manage their illness. During crisis periods or times of severe symptoms, hospitalization may be necessary. If drug treatment is not effective, electroconvulsive therapy (ECT) is considered<b>.</b></span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Coping with a mental disorder as complex as schizophrenia is challenging, both for the person with the condition and for friends and family. Here are some ways to cope. </span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Learn about schizophrenia and join a support group. </span><span style="font-family: "Times New Roman", serif; font-size: 14pt;">Education motivates the person to stick to a treatment plan. Support groups can help them reach out to others facing similar challenges. </span><span style="font-family: "Times New Roman", serif; font-size: 7pt;"> </span><span style="font-family: "Times New Roman", serif; font-size: 14pt;">Stay focused on goals.</span><span style="font-family: "Times New Roman", serif; font-size: 14pt;"> Managing schizophrenia is an ongoing process. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Stay motivated. Help your loved one take responsibility for managing the illness and working toward goals.</span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Learn relaxation and stress management.</span><span style="font-family: "Times New Roman", serif; font-size: 14pt;"> The person with schizophrenia and loved ones may benefit from stress reduction techniques, such as meditation, yoga, or Tai Chi.</span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Go with your loved one to their appointments. Getting the information first hand will help you know what you're facing. </span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">My amiable brother started hearing voices in his head at the University of Kansas in1970. I try to keep in touch with him by phone. <o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Manifestations of the disease process include psychotic disorders, such as delusions, hallucinations, and dysfunctional ways of thinking, called thought disorders (such as believing that” I can fly).” Depression is common. It runs in families, even if the genes may not manifest. Auditory hallucinations could interfere with activities of daily living.</span><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></div>
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<span style="font-family: "Times New Roman", serif; font-size: 14pt;">Clonazapine is a drug that may be prescribed. Social skills training is another treatment. Treatment goals include avoiding hospitalization. Once you get in the hospital patients tend to stay a while. <o:p></o:p></span></div>
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<b><span style="font-family: "Times New Roman", serif; font-size: 14pt;">Source: NIH www.nimh.nih.gov</span></b><b><span style="font-family: "Times New Roman", serif; font-size: 13.5pt;"><o:p></o:p></span></b></div>
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Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-85393581123546083702017-11-28T12:31:00.005-08:002017-11-28T12:33:00.141-08:00<div class="separator" style="clear: both; text-align: center;">
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<span style="font-family: inherit; font-size: large;">Have you had your annual flu shot? Influenza symptoms include <span class="">a runny nose</span>, congestion, fever, <span style="line-height: 115%;">muscle aches, cough, and wheezing. The flu could progress pneumonia in the elderly.</span></span></div>
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<span style="line-height: 115%;"><span style="font-family: inherit; font-size: large;">The Centers for Disease Control recommends that everyone six months and older should receive the annual influenza vaccine. This includes those older than sixty-five, pregnant women, and those with a weakened immune system, such as AIDS. The vaccine is available as a nasal spray. It provides protection for two weeks after receiving the vaccine. <o:p></o:p></span></span></div>
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<span style="line-height: 115%;"><span style="font-family: inherit; font-size: large;">The annual flu vaccine prevents flu sickness. Symptoms include muscle aches, weakness, and fever. The vaccine cannot cause the flu. It is especially important for those with long term health conditions, such as AIDS. The current flu vaccine is injectable. The nasal spray vaccine is not recommended this season. </span></span></div>
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<span style="line-height: 115%;"><span style="font-family: inherit; font-size: large;">Flu vaccination reduces the risk of hospitalization, especially in children and older adults. Those older than fifty years reduce their risk of hospitalization by fifty-seven percent. You cannot get the flu by getting the flu vaccination. <o:p></o:p></span></span></div>
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<span style="line-height: 115%;"><span style="font-family: inherit; font-size: large;">Here is a list of medical conditions that increase risk for getting the flu: asthma, sickle cell disease, diabetes, chronic obstructive pulmonary disease, heart failure, kidney and liver disorders, those younger than nineteen years and on long-term aspirin. system, those with AIDS, cancer, adults sixty-five and older, Native Americans, and Alaska Natives.</span></span><span style="font-family: inherit; font-size: large;"> </span><span style="font-family: inherit;"><span style="font-size: large;"><span style="font-size: small;">The vaccine changes annually. </span></span></span><br />
<span style="font-size: large; line-height: 27.6px;">Source: </span><a href="http://www.cdc.gov/flu" style="font-size: x-large;">www.cdc.gov/flu</a><span style="font-size: large;">.</span></div>
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<span style="font-size: large;"><br /></span> <span style="font-size: large;"><span style="font-size: medium;"><br /></span></span>Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-75800694614806642502017-10-27T09:54:00.000-07:002017-10-28T20:13:35.077-07:00<span style="font-size: large;"><br /></span> <span style="font-size: large;"><img height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjezuS9dqjeV_6mze7srbcicBcjg2kYAiDqqWdSTXwdtR3-N7MYYR20YCv-tkPI-CODw9h1yULyPQKslglZNcUKbrWD4dxs_7tdqj9LahN0vpG6gAa2DIrES9P6FMovYu6agUU7DFbezB4_/s200/clipart+kidney.jpg" width="200" /></span><br />
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There's a song about pretty much everything, including kidney stones, believe it or not. So there's something there for whatever you happen to be suffering, you know? Sinead O' Connor</div>
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<span style="color: #e06666; font-family: "times new roman" , serif; font-size: 21.3333px;"><br /></span> <span style="color: #e06666; font-family: "times new roman" , serif; font-size: 21.3333px;">KIDNEY STONES </span></div>
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Are you experiencing persistent, excruciating flank (lower back) pain? This may be a warning sign of kidney stones<span style="font-size: 11pt;">. <o:p></o:p></span></div>
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<span style="color: #e06666; font-size: 14.0pt;">TESTING</span><span style="font-size: 14pt;"><o:p></o:p></span></div>
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<span style="font-size: 11pt;">Testing to verify the diagnosis includes looking for high levels of calcium or uric acid in the urine. A twenty-four hour urine collection requires drinking a lot of fluids to try and pass the stone. Imaging verification includes x-rays or CT scans.<o:p></o:p></span></div>
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<span style="font-size: 11pt;">These may show kidney stones in the urinary tract. Additional testing may include ultrasound and an intravenous pyelogram. <o:p></o:p></span></div>
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<span style="color: #e06666; font-size: 14.0pt;">TREATMENT</span><span style="font-size: 14pt;"><o:p></o:p></span></div>
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Small stones that don't block the kidney can be treated by your family doctor. consider. You may want to schedule a urology visit or nephrologist. <o:p></o:p></div>
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Sometimes the stones are gradually passed through the ureters and into the bladder. Small stones usually pass in the urine with minimal discomfort. Drinking two to three quarts of water daily will flush out the urinary tract. In most cases, over the counter medicines, such as Motrin, Advil, or Naprosyn alleviate the pain. <o:p></o:p></div>
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Stone analysis confirms the diagnosis. Uric acid stones can be treated with allopurinol to facilitate treatment. Long-term antibiotics in small doses helps treat the Struvite stones. Cystine stones more difficult to treat. drink more fluids. Consider medication that decreases cystine in the urine. Long-term use of antibiotics in small doses. <o:p></o:p></div>
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Ultrasound may be used to pulverize the stone. This procedure lasts fourty-five to sixty minutes. Light anesthesia can facilitate the procedure. <o:p></o:p></div>
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In rare cases, large stones that do not pass are removed by a ureteroscope with a camera and the surgery is often successful. Drinking copious amounts of water will help flush out the urinary tract.<o:p></o:p></div>
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<span style="color: #e06666; font-size: 14.0pt;">PREVENTION </span><span style="font-size: 14pt;"><o:p></o:p></span></div>
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Taking a thiazide diuretic may help prevent further stones. You can also reduce kidney stone risk by drinking water throughout the day. A diet that has fewer oxalate-rich foods, which include rhubarb, beets, okra, spinach, nuts, potatoes, chocolate, and black pepper is helpful as well. Calcium-rich foods may also reduce risk. <o:p></o:p></div>
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To summarize, kidney stones are not life-threatening. The pain starts with lower level pain that may intensify surprisingly quickly. It hurts like heck, similar to taking your lower lip and pulling it over your head as Bill Cosby used to say (about delivering a baby). For men and women, if you have deep pain in the lower back area away from your spine, closer to your left and right sides, your next move should be a phone call should be to a urologist or a visit to the urgency care or emergency depending on the time of day and the intensity of the pain.<o:p></o:p></div>
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Source: https//www mayo clinic.org.<o:p></o:p><br />
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<br />Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-26711395211670348032017-10-10T20:42:00.000-07:002017-10-10T20:42:20.401-07:00<h2>
<span style="font-size: large;">Osteoarthritis (OA<span style="font-weight: normal;">) is the most common form of arthritis. Over time the joint cartilage wears down. It affects the weight bearing joints, hands, knees, hips and spine. </span></span><span style="font-weight: normal;">The condition can be managed. The goal of treatment is to preserve and enhance function. </span></h2>
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<span style="font-weight: normal;">Factors that increase symptoms include older age. Women are more likely to have the condition than men. Obesity contributes to symptoms </span><span style="font-weight: normal;">W</span><span style="font-size: large;"><span style="font-weight: normal;">eight bearing joints, such as the hips, knees are especially affected. </span> </span><span style="font-weight: normal;">joint trauma, such as a fall, increases risk.</span></h2>
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<span style="font-size: large;">Joint tenderness and stiffness are most likely during early mornings and after prolonged sitting, such as after long plane flight. </span><br />
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<span style="font-size: large;">Joint grating sensation. bone spurs, seen on x-rays, can validate the findings. X-ray imaging </span><span style="font-size: large;">can validate the findings. MRI imaging may validate the findings. </span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">MRI imaging can facilitate the findings. </span><br />
<span style="font-size: large;">Symptoms can be treated without surgery in most cases. Physical therapy, anti-inflammatory medicines. Stretching, aerobics, Tai Chi, yoga improve balance, especially in a group setting. </span><br />
<span style="font-size: large;"><br /></span></div>
<div>
<span style="font-size: large;">Cortisone injections in the joint may relieve pain. It is recommended to limit injections to no more than three to four injections over a year. O</span><span style="font-size: large;">veruse of injections over time could weaken the cartilage and joint. Hyaluronic injections to the affected joint may help.</span><br />
<span style="font-size: large;"><br /></span></div>
<div>
<span style="font-size: large;">*Physical therapy improves strength and balance. Swimming pool therapy, and walking equally effective. </span></div>
<div>
<span style="font-size: large;"><br /></span></div>
<div>
<span style="font-size: large;">*Occupational therapy techniques such as using large grip tooth brush. Have a bench in your shower to relieve prolonged standing.</span></div>
<div>
<span style="font-size: large;"><br /></span> <span style="font-size: large;">*Tai Chi and Yoga therapy combined with stretching and deep breathing. Led by a professional instructor. prevent falling or head trauma. </span></div>
<div>
<span style="font-size: large;">*Bone re-alignment osteotomy. may be considered in special cases. this involves surgical removal a portion of leg bone. The procedure shifts body weight away from the painful knee. </span><br />
<span style="font-size: large;">Worn portions of the knee removed and replaced with plastic and titanium. </span></div>
<div>
<span style="font-size: large;">*Lifestyle changes and exercise. Exercise increases endurance, strengthens muscles and improves balance. walking in pool, stationary bike.</span><br />
<br /></div>
<div>
<span style="font-size: large;">*Don't overdo the training. If you have pain, decrease the intensity. Try a </span><span style="font-size: large;">stationary bicycle. </span><br />
<span style="font-size: large;">Consider a visit with a dietitian. </span><br />
<span style="font-size: large;"><br /></span></div>
<div>
<span style="font-size: large;">*Aim for gradual weight loss. </span><br />
<span style="font-size: large;">Over the counter medicines include Flexall Tablets, Aspercreme, </span><br />
<span style="font-size: large;">Capsaicin, may relieve pain. It may be used </span><span style="font-size: large;">three or four times daily. It is a component of chili peppers. Wash your hands after </span><br />
<span style="font-size: large;">Topricin, Biofreeze Gel, Topricin, and Trivita Joint Complex. </span><br />
<span style="font-size: large;"><br /></span></div>
<div>
<span style="font-size: large;"> </span><span style="font-size: large;">*Use heat and cold to control pain. Heat relieves stiffness.</span></div>
<div>
<span style="font-size: large;">Pain creams work best when massaged into the joints. You may want to try shoe inserts for foot comfort. </span><br />
<br /></div>
<div>
<span style="font-size: large;"> </span><span style="font-size: large;">*Gripping tools, such as opening a jar. </span></div>
<div>
<span style="font-size: large;">*Osteopathic Manipulation and Chiopractic treatment are helpful</span></div>
<div>
<span style="font-size: large;">Acupuncture with or without current stimulation.</span><br />
<span style="font-size: large;"><br /></span> <span style="font-size: large;">OTC meds for arthritis</span></div>
<div>
<img alt="Image result for arthritis quotes sayings" height="320" src="https://encrypted-tbn0.gstatic.com/images?q=tbn:ANd9GcQccwLwFe7NnlQ99Gfir8Y7RucasGDKpMUEwBG4APTSDJ2DmgZC_A" width="320" /></div>
<div>
<span style="font-size: large;"> </span></div>
<div>
<br /></div>
Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-6324969422302467212017-09-29T20:45:00.000-07:002017-10-02T18:09:27.473-07:00Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-48618269331478973822017-09-29T10:47:00.000-07:002017-10-05T07:28:41.215-07:00<div class="MsoNormal">
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<span style="color: white;"><b><span style="font-size: 12.0pt;">Recurrent Breast Cancer</span></b><span style="font-size: 12.0pt;"> is a breast cancer that recurs after initial treatment. Approximately 12.4 percent of women born in the U.S. will develop breast cancer at some time during their lives.</span></span></div>
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<span style="color: white;"><b><span style="font-size: 12.0pt;">Signs</span></b><span style="font-size: 12.0pt;"> include skin inflam......mation, nipple redness, nipple discharge, painless nodules (lymph nodes) under the skin or the chest wall. </span><span style="font-size: 12pt;">Signs and symptoms include persistent and worsening pain, such as chest or bone pain.</span></span></div>
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<span style="color: white;"><span style="font-size: 12.0pt;">A distant (metastatic) recurrence can migrate to the neck or collar bone: symptoms include persistent deep pain and a lump under the arm or near the collar bone (clavicle). </span><span style="font-size: 12pt;"><o:p></o:p></span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">Recurrent breast cancer may occur months or years after initial treatment. The cancer could recur in the same site as the original cancer. Recurrent breast cancer is not hopeless. Treatment may eliminate local, regional or distant recurrent breast cancer.<o:p></o:p></span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">Treatments linked to a reduced risk of breast cancer recurrence include:</span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">Women with hormone receptor positive breast cancer may reduce their risk of recurrent breast cancer by taking hormone therapy after their initial treatment. The hormone therapy may continue for at least five years.</span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">For women with breast cancer who have increased risk of cancer recurrence, chemotherapy may decrease the chance that cancer will recur. Those who receive chemotherapy live longer.</span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">Women who've had a breast-sparing operation to treat breast cancer and those who had a large tumor or inflammatory breast cancer have a lower chance of the cancer recurring if they're treated with radiation therapy.</span></span></div>
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<span style="color: white;"><b><span style="font-size: 12pt;">Maintaining a healthy weight </span></b><span style="font-size: 12pt;">can decrease the risk of recurrent breast cancer. Regular exercise may reduce your risk of breast cancer recurrence.</span></span></div>
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<span style="color: white;"><b><span style="font-size: 12pt;">Factors</span></b><span style="font-size: 12pt;"> that increase the risk of a recurrence include:</span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">Cancer in nearby lymph nodes at the time of your original diagnosis. <o:p></o:p></span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">Women with multiple affected lymph nodes.</span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; text-indent: .25in;">
<span style="font-size: 12pt;"><span style="color: white;">Women with larger tumors.</span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">Women who don't undergo the radiation therapy.</span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">Younger women, particularly those under age 35 at the time of their original breast cancer diagnosis.</span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">Women with inflammatory breast cancer.</span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">If your breast cancer wasn't responsive to hormone therapy.</span></span></div>
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<b><span style="font-size: 12pt;"><span style="color: white;">How do you diagnose it?</span></span></b></div>
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<span style="font-size: 12pt;"><span style="color: white;">Your doctor is likely to ask you a number of questions.</span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">When did you first begin experooencing symptoms again?<o:p></o:p></span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">Has the been a change in the symptoms over time?<o:p></o:p></span></span></div>
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<h2>
<span style="font-size: 12pt;"><span style="color: white;">Do these symptoms feel different from when you were first diagnosed with cancer?</span></span></h2>
</div>
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<span style="font-size: 12pt;"><span style="color: white;">How do you eel overall?<o:p></o:p></span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">Have yunexpected weight loss? Have you lost your appetite?</span></span></div>
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<span style="font-size: 12pt;"><span style="color: white;">If your doctor suspects you may have recurrent breast cancer based on results of a mammogram or physical exam, or because of signs and symptoms, he or she may recommend additional tests to confirm the diagnosis. Imaging tests may include a magnetic resonance imaging (MRI), computerized tomography (CT) scan, X-ray, bone scan or positron emission tomography (PET) scan. Not eve</span></span><b><span style="font-size: 12.0pt;">Recurrent
Breast Cancer</span></b><span style="font-size: 12pt;"> is a <span style="color: #111111;">breast cancer that recurs after initial treatment. </span>Approximately
12.4 percent of women born in the U.S. will develop breast cancer at some time
during their lives.</span><br />
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<span style="font-size: 12.0pt;"> </span><b><span style="font-size: 12.0pt;">Signs</span></b><span style="font-size: 12pt;"> include skin inflammation, nipple redness, nipple
discharge, painless nodules (lymph nodes) under the skin or the chest wall. </span><span style="color: #111111; font-size: 12pt;">Signs and symptoms include persistent and
worsening pain, such as chest or bone pain.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;"> </span><span style="font-size: 12pt;">A distant (metastatic) recurrence can migrate to the
neck or collar bone: symptoms include persistent deep pain and a lump under the
arm or near the collar bone (clavicle).</span><span style="font-size: 12pt;"> </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Recurrent breast cancer may occur months or
years after initial treatment. The cancer could recur in the same site as the
original cancer. Recurrent breast cancer is not hopeless. Treatment may
eliminate local, regional or distant recurrent breast cancer.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Treatments linked to a reduced risk of breast
cancer recurrence include:<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Women with hormone receptor positive breast
cancer may reduce their risk of recurrent breast cancer by taking hormone
therapy after their initial treatment. The hormone therapy may continue for at
least five years.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">For women with breast cancer who have
increased risk of cancer recurrence, chemotherapy may decrease the chance that
cancer will recur. Those who receive chemotherapy live longer.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Women who've had a breast-sparing operation to
treat breast cancer and those who had a large tumor or inflammatory breast
cancer have a lower chance of the cancer recurring if they're treated with
radiation therapy.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<b><span style="color: #111111; font-size: 12.0pt;">Maintaining a healthy weight </span></b><span style="color: #111111; font-size: 12.0pt;">can decrease the risk of recurrent breast
cancer. Regular exercise may reduce your risk of breast cancer recurrence.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
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<b><span style="color: #111111; font-size: 12.0pt;">Factors</span></b><span style="color: #111111; font-size: 12.0pt;"> that increase the risk of a recurrence
include:<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Cancer in nearby lymph nodes at the time of
your original diagnosis. <o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Women with multiple affected lymph nodes.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; text-indent: .25in;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto; text-indent: .25in;">
<span style="color: #111111; font-size: 12.0pt;">Women with larger tumors.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Women who don't undergo the radiation therapy.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Younger women, particularly those under age 35
at the time of their original breast cancer diagnosis.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;"> </span><span style="color: #111111; font-size: 12pt;">Women with inflammatory breast cancer.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;"> </span><span style="color: #111111; font-size: 12pt;">If your breast cancer wasn't responsive to
hormone therapy.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;"> </span><b><span style="color: #111111; font-size: 12.0pt;">How do
you diagnose it?</span></b></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;"> </span><span style="color: #111111; font-size: 12pt;">Your doctor is likely to ask you a number of
questions.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;"> </span><span style="color: #111111; font-size: 12pt;">When did you first begin experiencing symptoms
again?</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Has there been a change in the symptoms over
time?<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Do these symptoms feel different from when you
were first diagnosed with cancer?<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">How do you feel overall?<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Have you had any unexpected weight loss? Have
you lost your appetite?<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0in; margin-left: .25in; margin-right: 0in; margin-top: 0in; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">If your doctor suspects you may have recurrent
breast cancer based on results of a mammogram or physical exam, or because of
signs and symptoms, he or she may recommend additional tests to confirm the
diagnosis. Imaging tests may include a magnetic resonance imaging (MRI),
computerized tomography (CT) scan, X-ray, bone scan or positron emission
tomography (PET) scan. Not every person needs every test. <o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Your doctor may recommend a biopsy procedure
to collect suspicious cells for testing. Working in a laboratory, a pathologist
examines the cells and determines the types of cells involved. A pathologist
can determine if the cancer is a recurrence of cancer or a new type of cancer.
Tests also show whether the cancer is sensitive to hormone treatment or
targeted therapy.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<b><span style="color: #111111; font-size: 12.0pt;"> </span></b><b><span style="color: #111111; font-size: 12.0pt;">Treatment
for a local recurrence</span></b><span style="color: #111111; font-size: 12pt;"> may
include radiation if you haven't had it before. Radiation therapy uses
high-energy beams, such as X-rays, to kill cancer cells. If you didn't have
radiation therapy for your first breast cancer, your doctor may recommend it. Chemotherapy
and hormone therapy may also be recommended. Treatment options depend on the
extent of the disease, its hormone receptor status, type of treatment you
received for your first breast cancer and overall health.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;"> </span><span style="color: #111111; font-size: 12pt;">If your first cancer was treated with a lumpectomy,
your doctor may recommend a mastectomy to remove all of your breast tissue. If
your first breast cancer was treated with a mastectomy and the cancer comes
back in the chest wall, you may have surgery to remove the new cancer along
with a margin of normal tissue.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;"> </span><span style="color: #111111; font-size: 12pt;">Hormone therapy.</span><span style="color: #111111; font-size: 12pt;"> Medications that block the
growth-promoting effects of the hormones estrogen and progesterone may be
recommended if your cancer is hormone receptor positive. For women whose cancer
makes extra HER2 protein, the drug trastuzumab (Herceptin) can decrease the
chance of the cancer recurring.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;"> </span><span style="color: #111111; font-size: 12pt;">Treatments exist for metastatic breast cancer.
Options will depend on where your cancer has spread. If cancer has spread to
your bones, your doctor may recommend a bone-building drug to reduce your risk
of broken bones or reduce bone pain you may experience. Treatment may allow you
to live longer and help relieve symptoms.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;"> </span><span style="color: #111111; font-size: 12pt;">No alternative medicine treatments exist for
breast cancer. Complementary and alternative medicine therapies may help cope
with side effects of treatment when combined with your doctor's care. They can
also help you cope with distress. They include:</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Art therapy<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Dance or movement therapy<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Exercise<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Meditation<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Music therapy<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Relaxation exercises<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;">Yoga<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;"> </span><span style="color: #111111; font-size: 12pt;">Your doctor can refer you to professionals who
can help you learn about and try these alternative treatments.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<b><span style="color: #111111; font-size: 12.0pt;">Keep friends and family close.</span></b><span style="color: #111111; font-size: 12.0pt;"> Keeping your close relationships strong
will help you deal with your recurrent breast cancer. Friends and family can
provide the practical support you will need, such as helping take care of your
house if you are in the hospital. They can serve as emotional support when you
feel overwhelmed by cancer.<o:p></o:p></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: #111111; font-size: 12.0pt;"> </span><span style="color: #111111; font-size: 12pt;">The concern and understanding of a counselor,
medical social worker, clergy member or cancer support group also may be
helpful. Ask your doctor about support groups in the area such as the National
Cancer Institute or the American Cancer Society.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 4.5pt; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12.0pt;">Sources: </span><span style="font-size: 12pt;">NIH Breast Cancer Institute (</span><a href="https://www.nih.gov/"><span style="font-size: 12.0pt;">https://www.nih.gov/</span></a><span style="font-size: 12pt;">) </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12.0pt;">Breast Cancer in American Women (</span><a href="https://www.cancer.gov/types/breast/risk-fact-sheet"><span style="font-size: 12.0pt;">https://www.cancer.gov/types/breast/risk-fact-sheet</span></a><span style="font-size: 12.0pt;">) <o:p></o:p></span></div>
<span style="font-size: 12pt;"><span style="color: white;"><span style="font-family: "calibri" , sans-serif; font-size: 12pt; line-height: 115%;">National Cancer Institute (</span><span style="font-family: "calibri" , sans-serif; font-size: 11pt; line-height: 115%;"><a href="https://www.cancer.gov/types/breast"><span style="font-size: 12.0pt; line-height: 115%;">https://www.cancer.gov/types/breast</span></a></span>ry person needs every test. <o:p></o:p></span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">Your doctor may recommend a biopsy procedure to collect suspicious cells for testing. Working in a laboratory, a pathologist examines the cells and determines the types of cells involved. A pathologist can determine if the cancer is a recurrence of cancer or a new type of cancer. Tests also show whether the cancer is sensitive to hormone treatment or targeted therapy.</span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: white;"><b><span style="font-size: 12pt;">Treatment for a local recurrence</span></b><span style="font-size: 12pt;"> may include radiation if you haven't had it before. Radiation therapy uses high-energy beams, such as X-rays, tokill cancer cells. If you didn't have radiation therapy for your first breast cancer, your doctor may recommend it. Chemotherapy and hormone therapy may also be recommended. Treatment options depend on the extent of the disease, its hormone receptor status, type of treatment you received for your first breast cancer and overall health.</span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">If your first cancer was treated with a lumpectomy, your doctor may recommend a mastectomy to remove all of your breast tissue. If your first breast cancer was treated with a mastectomy and the cancer comes back in the chest wall, you may have surgery to remove the new cancer along with a margin of normal tissue.</span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: white;"><span style="font-size: 12pt;">Hormone therapy.</span><span style="font-size: 12pt;"> Medications that block the growth-promoting effects of the hormones estrogen and progesterone may be recommended if your cancer is hormone receptor positive. For women whose cancer makes extra HER2 protein, the drug trastuzumab (Herceptin) can decrease the chance of the cancer recurring.</span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">Treatments exist for metastatic breast cancer. Options will depend on where your cancer has spread. If cancer has spread to your bones, your doctor may recommend a bone-building drug to reduce your risk of broken bones or reduce bone pain you may experience. Treatment may allow you to live longer and help relieve symptoms.</span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">No alternative medicine treatments exist for breast cancer. Complementary and alternative medicine therapies may help cope with side effects of treatment when combined with your doctor's care. They can also help you cope with distress. They include:</span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">Art therapy<o:p></o:p></span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">Dance or movement therapy<o:p></o:p></span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">Exercise<o:p></o:p></span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">Meditation<o:p></o:p></span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">Music therapy<o:p></o:p></span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">Relaxation exercises<o:p></o:p></span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: .25in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">Yoga</span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">Your doctor can refer you to professionals who can help you learn about and try these alternative treatments.</span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: white;"><b><span style="font-size: 12pt;">Keep friends and family close.</span></b><span style="font-size: 12pt;"> Keeping your close relationships strong will help you deal with your recurrent breast cancer. Friends and family can provide the practical support you will need, such as helping take care of your house if you are in the hospital. They can serve as emotional support when you feel overwhelmed by cancer.</span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;">The concern and understanding of a counselor, medical social worker, clergy member or cancer support group also may be helpful. Ask your doctor about support groups in the area such as the National Cancer Institute or the American Cancer Society.</span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12pt;"><span style="color: white;"><br /></span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="font-size: 12.0pt;"><span style="color: white;">Sources: <o:p></o:p></span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: white;"><br /></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: white;"><span style="font-size: 12.0pt;">NIH Breast Cancer Institute (</span><a href="https://www.nih.gov/"><span style="font-size: 12.0pt;">https://www.nih.gov/</span></a><span style="font-size: 12.0pt;">) <o:p></o:p></span></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: normal; margin-bottom: 12.0pt; margin-left: 0in; margin-right: 0in; margin-top: 12.0pt; mso-add-space: auto;">
<span style="color: white;"><span style="font-size: 12.0pt;">Breast Cancer in American Women (</span><a href="https://www.cancer.gov/types/breast/risk-fact-sheet"><span style="font-size: 12.0pt;">https://www.cancer.gov/types/breast/risk-fact-sheet</span></a><span style="font-size: 12.0pt;">) <o:p></o:p></span></span></div>
<span style="color: white;"><span style="font-family: "calibri" , "sans-serif"; font-size: 12.0pt; line-height: 115%;">National Cancer Institute (</span><span style="font-family: "calibri" , "sans-serif"; font-size: 11.0pt; line-height: 115%;"><a href="https://www.cancer.gov/types/breast"><span style="font-size: 12.0pt; line-height: 115%;">https://www.cancer.gov/types/breast</span></a></span></span>Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-54483580609993807072017-07-11T19:33:00.000-07:002017-07-11T19:33:14.330-07:00What is a Hernia?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhhxov4_IwaOHcAqtVkz0ggRYh2XNz89rFxrh4-DABDExxtVr8h-I8tjyu9FGFaphR4cXhldDxpkhQnDr5826YZlcI2zBx6SdOV61vQQMVUJV-HgDvhxFRn65QVIGEEV0gXE6AZMD4AjjKA/s1600/HerniaClpart.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="339" data-original-width="300" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhhxov4_IwaOHcAqtVkz0ggRYh2XNz89rFxrh4-DABDExxtVr8h-I8tjyu9FGFaphR4cXhldDxpkhQnDr5826YZlcI2zBx6SdOV61vQQMVUJV-HgDvhxFRn65QVIGEEV0gXE6AZMD4AjjKA/s320/HerniaClpart.jpg" width="283" /></a></div>
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<br />
<br /><br /><span style="font-size: large;">A. What is a hernia? <br /><br />An inguinal (in the groin) hernia is a painful groin bulge. The lifetime risk of this condition is twenty-seven percent in men and three percent in women. It is one of the most common surgical procedures in the U.S. <br /><br />It occurs when tissue, such as a portion of the intestine, protrudes through a weak spot in the lower abdominal muscles, causing a bulge, “hernia sac.” Symptoms include pain and bulging on the right or left groin at the pubic bone. Coughing, standing, and passing a bowel movement are painful. <br /><br />Bulging is more prominent at the pubic bone. Symptoms are more prevalent with standing, coughing, passing a bowel movement and straining. Pain may radiate to the scrotum. A burning or aching sensation occurs at the bulge. Application of an ice pack could ease pain and swelling. This reduces swelling enough so that the hernia slides inward with direct pressure. Watchful waiting is reasonable if symptoms don’t progress.<br /><br />B. Cause<br /><br />Hernias can be the result of a pre-existing weak spot in the groin, known as the “superficial inguinal ring.” Low abdominal wall weakness at the inguinal canal can be present at early childhood. Hernias can develop as the result of straining during bowel movements, strenuous physical activity, chronic coughing, or sneezing. In men, the weak spot is the inguinal (groin) canal, where the spermatic cord enters the scrotum. In women, the canal carries a ligament that helps hold the uterus in place. Hernias may be inheritable. Some hernias have no apparent cause.<br /><br />C. Surgery is recommended to repair the hernia if is painful or enlarging. Incarcerated hernia is when the patient can’t nudge the hernia bulge back in place. This would suggest a “strangulated hernia.” A strangulated hernia cuts off the blood flow to tissue that is trapped. It could progress to bowel obstruction, which is life-threatening and surgery is necessary.<br /><br />There are two types of hernia surgery; open and laparoscopic repair. Open repair is done under local anesthesia and sedation. The incision is closed with stitches, staples or surgical glue. <br /><br />Laparoscopy this minimally invasive procedure, which requires general anesthesia, the surgeon operates through several small incisions in the abdomen. Gas is used to inflate the abdomen to make the internal organs more visible. A small tube equipped with a tiny camera (laparoscope) is inserted into one incision. Guided by the camera, the surgeon inserts tiny instruments through other incisions to repair the hernia using synthetic mesh.<br /><br />People who have laparoscopic repair might have less discomfort and scarring after surgery and a quicker return to normal activities. Laparoscopy allows the surgeon to avoid scar tissue from an earlier hernia repair, so it might be a good choice for people whose hernias recur after traditional hernia surgery. It also might be a good choice for people with hernias on both sides of the body (bilateral).</span><div>
<span style="font-size: large;"><br /></span><div class="MsoNormal">
<b><span style="line-height: 115%;"><span style="font-size: large;">D.</span></span></b><span style="line-height: 115%;"><span style="font-size: large;"> Prevention</span><span style="font-size: 12pt;"><o:p></o:p></span></span></div>
<div class="MsoNormal" style="line-height: 16.8pt; margin-bottom: 9.0pt; margin-left: 27.0pt; mso-list: l0 level1 lfo1; mso-margin-top-alt: auto; tab-stops: list .5in; text-indent: -.25in;">
<!--[if !supportLists]--><span style="color: #111111; font-family: Symbol;"><span style="font-size: 10pt;">·</span><span style="font-family: "Times New Roman"; font-size: 7pt; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span><span style="font-family: "Times New Roman"; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><strong><span style="color: #111111; font-family: "Arial","sans-serif";">Maintain a healthy weight.</span></strong><span style="color: #111111; font-family: "Arial","sans-serif";"> Talk to your doctor about the best exercise and diet plan for you.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #111111; font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><strong><span style="color: #111111; font-family: "Arial","sans-serif";">Emphasize high-fiber foods.</span></strong><span style="color: #111111; font-family: "Arial","sans-serif";"> Fruits, vegetables and whole grains contain fiber that can help prevent constipation and straining.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #111111; font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><strong><span style="color: #111111; font-family: "Arial","sans-serif";">Lift heavy objects carefully or avoid heavy lifting.</span></strong><span style="color: #111111; font-family: "Arial","sans-serif";"> If you must lift something heavy, always bend from your knees — not your waist.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #111111; font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><strong><span style="color: #111111; font-family: "Arial","sans-serif";">Stop smoking.</span></strong><span style="color: #111111; font-family: "Arial","sans-serif";"> Besides its role in many serious diseases, smoking often causes a chronic cough that can lead to or aggravate an inguinal hernia.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #111111; font-family: Symbol;">·<span style="font-family: "Times New Roman"; font-stretch: normal; font-variant-numeric: normal; line-height: normal;"> </span></span><!--[endif]--><strong><span style="color: #111111; font-family: "Arial","sans-serif";">Don't rely on a truss.</span></strong><span style="color: #111111; font-family: "Arial","sans-serif";"> Wearing a supportive garment designed to keep hernias in place (hernia truss) doesn't correct the problem or help prevent complications. Your doctor might recommend a hernia truss for a short time before surgery to help you feel more comfortable, but the truss isn't a replacement for surgery.<o:p></o:p></span></div>
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Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-89059635377510447822017-05-15T09:58:00.001-07:002017-05-16T06:38:30.529-07:00Hip Replacement<div class="MsoNormal">
<a href="https://draft.blogger.com/blogger.g?blogID=4545208786433769817" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img alt="Image result for picture of older person reading a manual" border="0" height="200" 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<span style="font-family: "cambria" , "serif"; font-size: 12.0pt;"><br /></span> <span style="color: white;"><span style="font-family: "cambria" , "serif"; font-size: 12.0pt;">Are you suffering from long term hip pain? The resulting </span><span style="font-family: "cambria" , "serif"; font-size: 12.0pt;">difficulty of standing up and climbing stairs can make life miserable. <o:p></o:p></span></span></div>
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<span style="color: white;"><span style="font-family: "cambria" , "serif"; font-size: 12.0pt;">Research reveals there are several sources of hip pain. When you are overweight there is additional stress on your joints. This can be compounded by </span><span style="font-family: "cambria" , "serif"; font-size: 12.0pt;">osteonecrosis, an in</span><span style="font-family: "cambria" , "serif"; font-size: 12.0pt;">adequate blood supply to the hip joint, which causes bone thinning and may ultimately collapse the bone. Dead bone tissue generates pain. </span><span style="font-family: "cambria" , "serif"; font-size: 12.0pt;">Arthritic damage is probably the most common reason to need hip replacement. </span><span style="font-family: "cambria" , "serif"; font-size: 12.0pt;"> </span><span style="font-family: "cambria" , "serif"; font-size: 12.0pt;">Arthritis degrades hip </span><span style="font-family: "cambria" , "serif"; font-size: 12.0pt;">cartilage. The source of hip, pain in this case, is joint inflammation.</span><span style="font-family: "cambria" , "serif"; font-size: 12.0pt;"><o:p></o:p></span></span></div>
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<span style="color: white;"><span style="font-family: "cambria" , "serif"; font-size: 12.0pt; line-height: 115%;">Initially, people try home exercises and physical therapy to improve balance and function. Over the counter medicines include Ben Gay, Capasaicin and Zostrix can help with pain management.</span><span style="font-family: "cambria" , "serif"; font-size: 12.0pt; line-height: 115%;"> More intense pain can be alleviated with </span><span style="font-family: "cambria" , "serif"; font-size: 12.0pt; line-height: 115%;">prescription pain medicines. Weight reduction, over time, improves mobility. Holistic therapy may simply include a weight loss of 20 – 30 lbs.</span><span style="font-family: "cambria" , "serif"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></span></div>
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<span style="color: white; font-family: "cambria" , "serif"; font-size: 12.0pt; line-height: 115%;">Hip Surgery as a Solution<o:p></o:p></span></div>
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<span style="color: white; font-family: "cambria" , "serif"; font-size: 12.0pt;">You might consider hip replacement when you're experiencing pain that persists despite home exercises and physical therapy. Artificial hip joints have a polished metal or ceramic ball that fits into a cup liner of hard plastic. Some prostheses use a metal cup liner, which may last longer (see illustration). If function doesn’t improve, total hip arthroplasty (touching up the bone) would be the next step. The primary goals of hip surgery are to increase mobility and function.<o:p></o:p></span></div>
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<span style="color: white; font-family: "cambria" , "serif"; font-size: 12.0pt; line-height: 115%;">Post-op Recovery<o:p></o:p></span><br />
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<span style="color: white; font-family: "cambria" , "serif"; font-size: 12.0pt;">Pain control is highest in the hierarchy of importance. You want to get a good night’s sleep. Sleep is restorative both physically and mentally. <o:p></o:p></span></div>
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<span style="color: white;"><span style="font-family: "cambria" , "serif"; font-size: 12.0pt;">The operated hip should not be flexed more than ninety degrees to prevent damage to the hardware. </span><span style="font-family: "cambria" , "serif"; font-size: 12.0pt;">Once again, mobility initiates healing. <o:p></o:p></span></span></div>
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<span style="color: white; font-family: "cambria" , "serif"; font-size: 12.0pt;">Post-operative physical therapy is crucial for improving mobility and balance. Recovery starts with simply using a wheelchair. The next step is incorporating a non-weight-bearing exercise called pool-walking. It is what it sounds like, simply walking in a pool against the water’s gentle resistance. This has a twofold effect. You increase blood flow to the hip, which speeds up healing; at the same time retraining muscles. Pool-walking also increases endorphins, hormones that give you a feel good sensation despite the pain of recovery. Gradual mobilization hastens progress and prevents blood clots. <o:p></o:p></span></div>
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<span style="color: white; font-family: "cambria" , "serif"; font-size: 12.0pt;">Complications your physician will discuss with you might include post-operative infection, loosening of the prosthesis, blood clots, and infection. <o:p></o:p></span></div>
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<span style="color: white; font-family: "cambria" , "serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Helvetica; mso-hansi-theme-font: major-latin;">How do you know hip surgery has taken effect? When you are progressively improving and the pain is gradually diminishing, then you are on the track to recovery. Are you exercising regularly? Go on-line to find locations in your area for a fitness program. ? Weight reduction, walking, stretching, and fitness classes are prescribed.<o:p></o:p></span></div>
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<span style="color: white; font-family: "cambria" , "serif"; mso-ascii-theme-font: major-latin; mso-bidi-font-family: Helvetica; mso-hansi-theme-font: major-latin;">Older people may procrastinate. They may dread failure. Reassurance and motivation go a long way. We all want to get things done quickly. There are days you may not be able to summon up the energy for recovery; give yourself some grace to rest. Rest is an important part of recovery as well. Surround yourself with people in your life who are encouragers. A hopeful outlook and having a purpose in life will do a great deal in moving towards more pain-free mobility.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 115%;"><a href="http://www.mayoclinic.org/tests-procedures/hip-replacement/home/ovc-20313778"><span style="color: white;">http://www.mayoclinic.org/tests-procedures/hip-replacement/home/ovc-20313778</span></a><o:p></o:p></span></div>
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Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-15468832502439438762017-02-04T10:28:00.000-08:002017-02-04T10:33:41.490-08:00Home Safety for Seniors<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggCawxihR86JLuV1WyGf9cKAZzLs6fvfJfBu-E_n2YegdnBybbRdC8s-3xQej9Q2r6DYfv2Bt4JlQ0Z0bdpJ_VB6eIMuE0yehiXS8VkuW2RSnhRxF-2AJQ0YsU2yvDluxE4wzztXI2um2W/s1600/pictures-of-people-falling-down-cliparts-co-KWCDh5-clipart.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="189" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEggCawxihR86JLuV1WyGf9cKAZzLs6fvfJfBu-E_n2YegdnBybbRdC8s-3xQej9Q2r6DYfv2Bt4JlQ0Z0bdpJ_VB6eIMuE0yehiXS8VkuW2RSnhRxF-2AJQ0YsU2yvDluxE4wzztXI2um2W/s200/pictures-of-people-falling-down-cliparts-co-KWCDh5-clipart.jpg" width="200" /></a></div>
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<span style="font-size: 12pt;">By Col. Ret Clement Hanson</span></div>
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<a href="mailto:clement.hanson@gmail.com"><span style="font-size: 12.0pt; line-height: 107%;">clement.hanson@gmail.com</span></a><span style="font-size: 12.0pt; line-height: 107%;"><o:p></o:p></span></div>
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<a href="mailto:clement.hanson@blogspot.com"><span style="font-size: 12.0pt; line-height: 107%;">clementhanson@blogspot.com</span></a><span style="font-size: 12.0pt; line-height: 107%;"><o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 107%;">Home Safety for Seniors: Old Folks at Home<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 107%;">During our military years, all of us have seen a few too many houses! You have been retired in Colorado for many years and want to put off another move for a long as possible. Before you suffer a broken bone, make some minor fixes to your house which means fewer changes for you down the road. Now is the time to make life easier for the future and maybe save a painful and long recovery from a broken bone.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 107%;">Older adults compose 11% of the population, but account for 23% of accidental deaths. Consider that in this population decreased reaction times, balance, hearing, and smelling abilities are decreasing even before we are aware and willing to admit it. Eyesight, depth-perception and peripheral vision are important to avoid a misstep. Increased use of prescriptions is more likely to cause dizziness and forgetfulness. <o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 107%;">Last month, I discussed driving adjustments for older adults. This month is an article about accidents in the home, particularly falls. In the next months, I will give information about fire hazards and hazardous products commonly in the home.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 107%;">Minor improvements will be mentioned first, followed by more extensive remodeling projects. Relatively easy and inexpensive fixes will be listed for the bathroom first, because that is the room where most accidents occur. <o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 107%;">MOST ACCIDENTS OCCUR IN THE BATHROOM:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Install raised toilet seats.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Grab bars by the toilet, in the shower and tub areas.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Shower stool. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Mixer valve to avoid sudden hot and cold water. <a href="https://draft.blogger.com/null" name="_GoBack"></a><o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Non-slip rugs<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Lower the water heater temperature to 120 degrees to prevent burns<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 107%;">STAIRS PRESENT THE SECOND MOST ACCIDENT PRONE LOCATION:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Do not store clutter on the stairs.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Extra railings<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Improve lighting<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Mark the edges of the highest and lowest step with bright-colored tape.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 107%;">OTHER AREAS OF THE HOUSE:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Good lighting<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Use non-slide mats, no decorative rugs that slip.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Remove extension cords from traffic areas.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Place stools where you change shoes. Do not wear wet shoes into the house.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Wear good shoes with no loose shoe strings. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">If you must use a ladder or step stool, make sure it is very sturdy. If you feel you must do these chores, do not hurry, be certain you are not tending to light-headedness due to illness, medicines, OR ALCOHOL. If your spouse says, “Don’t do it,” listen. <o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 107%;">More Extensive Home Improvements:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Install new fire and carbon monoxide alarms with a ten-year life span. Then you do not have to think about getting on a ladder every time a fire alarm beeps. Have an electrician install them now, and give it no more thought for ten years! <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Have your home security in top shape. Many possibilities to consider as technology improves. Video doorbells allow you to answer the door with your phone, whether you are home or not. Motion detector lights outside, both for your safety at night and to discourage intruders. Tell your regular visitors to call you before they come.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Have cellphones that you know how to operate for emergencies. Avoid having to rush to a telephone or the door when you can fall in the rush. Set up a MedAlert system. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Replace round door knobs with lever-type handles. Arthritic hands have a hard time with round knobs. Service dogs can open lever knobs, of course your cat can too!<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Non-slip floor surfaces, especially where feet may be wet as in bathrooms and by outside doors.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Ramp at an exterior door.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Lifts at the stairs. Remodel to build a downstairs bedroom.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Make improvements that allow wheelchair or scooter access. Widen the interior doors to 36 inches wide.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Electric stoves instead of natural gas. This will remedy natural gas flooding and open flames.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Walk-in bathtub.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "symbol"; font-size: 12.0pt; line-height: 107%;">·<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><!--[endif]--><span style="font-size: 12.0pt; line-height: 107%;">Have bathroom doors swing to outside the room instead of inside. If a person falls inside, they often block the bathroom door from opening, which makes it difficult for someone to enter the bathroom.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 107%;">Keep in Mind: Any fall is a predictor of future falls. Two-thirds of folks who have fallen, will fall again within 6 months. The older the person, the more severe the falls and more likely to experience a broken bone. Many of those who fall will never return to their former functionality, and many will die from complications from falls. <o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 107%;">Elders are often reluctant to admit to a fall for fear their activities will be curtailed. Modify your surroundings before something happens and have another pair of eyes look at your environment for hazards you have long grown used to and do not notice. <o:p></o:p></span></div>
Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-45432571954743489932017-01-07T09:05:00.000-08:002017-01-07T09:05:26.414-08:00<div class="separator" style="clear: both; text-align: center;">
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<b><span style="color: #222222; font-family: "arial" , sans-serif;">Older Drivers Driving!</span></b><span style="color: #222222; font-family: "arial" , sans-serif;"><o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">Let’s look at some driving statistics. Drivers over the age of
sixty have the highest incidence of fatalities. However, ninety percent of
crashes are preventable. Thirty percent of fatal crashes occur in people
sixty-five and older. Those accidents mostly occur in intersections. I recently
experienced my first accident in forty-five years. It was scary and I don’t
want to repeat it. Yes, it occurred at an intersection and it should have been
prevented. I’m over sixty-five. It was my fault. Thank goodness, there
were no injuries. The incident compelled me to reassess my driving skills.</span><span style="color: #222222; font-family: "arial" , sans-serif;"><o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">On the AARP (American Association of Retired Persons) website,
there is an “older driver’s review course” that I found helpful. Check it out.
The cost is $19.95 for AARP members. The entire program includes four hours of
interactive instruction that you can complete in up to sixty days. As you work
through the course, your computer will remember where you left off.
Take it at your convenience. The instruction is designed for older learners,
and it’s entertaining. Select, “Colorado” from the menu. A few things have
changed since you learned how to drive in your dad’s 1955 stick shift on rural
roads.</span><span style="color: #222222; font-family: "arial" , sans-serif;"><o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">I won’t insult your intelligence by listing all Colorado driving
rules. You know the importance of seat belts. Don’t drive and drink. Hey, wait!
We didn’t always have those laws! Your best girl used to slide across the front
seat to be close to you on dates. No more! Grand-kids must sit in the back
seat in specially designed seats.</span><span style="color: #222222; font-family: "arial" , sans-serif;"><o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">Do you have the habit of swinging your right arm over the
passenger seat when you brake suddenly? This was to restrain and hold in place
the kid without a seatbelt in a seat that folds over to allow passengers to get
into the back seat. We have already unlearned old habits. Let's learn new
habits.</span><span style="color: #222222; font-family: "arial" , sans-serif;"><o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">You may have some health issue to take into consideration now.
Know your prescription drugs and how they may affect your response
time. You may have passed your last eye exam, but don’t assume that you
see like an eighteen-year-old. <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Compensate
for a decrease in your depth and peripheral vision. When was your last vision
exam? Scan from left to right constantly. Don’t stare blankly straight
ahead.</span><o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">If night driving bothers you, be prudent and admit your
weaknesses. If glare from rain, ice, and snow confuse you, postpone the
trip. You are not as quick with your feet anymore. Reaction time has
slowed, so increase your following distance. Three seconds should pass between
when the vehicle in front of you passes a stationary object, and when you pass
it.<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">You fatigue more quickly during long trips. Don’t plan long
stretches of driving within a day. Stop for breaks and coffee. The trip you
used to take in a day may now require two days. Do I need to remind you that
alcohol consumption while driving is deadly? Even more so with older drivers.
Select a designated driver.<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">Turn down the radio as well as your noisy passengers. Drive
with your lights on during the day and night. Consider a driver's refresher
course for seniors.</span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">Our cars and technologies have changed a great deal. The AARP
course can bring you up to date. Remember when an airbag was someone who
talked too much?Anti-lock brakes require a firm touch, not pumping. They
require practice. You will appreciate skidding straight instead of doing 360s.
Adjust your mirrors. Use them and know how to adjust them. Know your
“blind spots.”<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">GPS, smartphones, and the Garmin are great for finding your way.
Learn how to use them and practice while you are a passenger. <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Your grandkids can help you with that. </span>Technology,
of course, is not infallible in some high density or remote areas. Keep a paper
map in your car. Your grandkids will be impressed you can read one. <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Always have a charger in your car for your cell
phone. </span><o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">Most accidents involving older drivers occur when making a left
turn. Pay attention to the green and red arrows at stoplights. No green arrow?
Do not turn left until there is a sufficient break in the traffic. <span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;">Older drivers are most often stopped for failure to
yield the right-of-way. Know who must yield and who can go.</span><o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;"><span style="background-attachment: initial; background-clip: initial; background-image: initial; background-origin: initial; background-position: initial; background-repeat: initial; background-size: initial;"><br /></span></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">In our lifetimes, we have learned to drive in five lanes of
traffic in each direction and intersections stacked four bridges high, turning
right to turn left. Wow! All of this can be confusing. If this bothers you,
avoid congested roads during rush hours. Practice driving during the slow part
of the day with a more experienced driver. Otherwise, fly to Los Angeles and
don’t drive. Two sets of eyes are better than one if you are not arguing with
the other set of eyes. Consider stopping at a rest area. Pull over, get out,
stretch, settle your differences, and do some pushups. The AARP website
contains information on rules of the road, sign interpretation, crash
reporting, and vehicle maintenance. Check it out.<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">Finally, hope is in sight. Self-driving cars are not far in the
future!<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial" , sans-serif;">Source: AARP.ORG website. In addition, contact call AARP
1-800-350-7025.<span style="font-size: 12pt;"><o:p></o:p></span></span></div>
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Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-41073126908776232642016-10-23T16:25:00.000-07:002016-10-24T07:22:35.332-07:00<img height="250" src="https://img.buzzfeed.com/buzzfeed-static/static/2016-06/30/6/asset/buzzfeed-prod-fastlane03/sub-buzz-7411-1467281155-1.jpg?resize=990:780" width="320" /><br />
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<b><span style="font-size: 12.0pt; line-height: 115%;">How to Avoid Spreading Disease</span></b><span style="font-size: 12.0pt; line-height: 115%;">.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 115%;">Do no spit.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 115%;">Do not put
fingers in the mouth unnecessarily.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 115%;">Do not pick
the nose or wipe it on the hands or sleeves.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 115%;">Do not put
pencils in the mouth.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 115%;">Do not put
anything in the mouth without a good reason, and never when it has been in
another’s mouth.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 115%;">Do not use a
common drinking cup. Use your own.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 115%;">Never cough
or sneeze into the air or in another person’s face. Use a handkerchief.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 115%;">If the hands
become soiled with saliva or nasal secretion, wash them.<o:p></o:p></span></div>
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<span style="font-size: 12.0pt; line-height: 115%;">If you use
another’s tobacco pouch, do not close it with your teeth. <o:p></o:p></span></div>
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<b><span style="font-size: 12.0pt; line-height: 115%;">Source:</span></b><span style="font-size: 12.0pt; line-height: 115%;"> Myers,P., 1994, Disease
Prevention: U.S. Army Health services
Command (Prov), Preventive Medicine Division, Medical War Manual, Sanitation for Medical Officers, by Edward Vedder MD. Published by Lea
and Febiger, 1917. <o:p></o:p></span></div>
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Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-277038394312731562016-07-22T16:14:00.001-07:002016-07-22T20:02:05.198-07:00Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-76039002674798958612016-07-22T16:14:00.000-07:002016-07-22T20:02:01.697-07:00The “flu,” Influenza, resolves with no specific treatment. However, it can be deadly for children under two to five years of age. Adult flu risk factors include age over sixty five, residents who live in care centers, and those with as asthma, heart disease, obesity, kidney disease, and diabetes. <br />
Flu symptoms include fever over 100 degrees with muscle aches. It can be transmitted from one person to another by coughing, sneezing, or handing an object to another person who has the flu. Seasonal influenza targets young children and older adults. People with weakened immune systems and those who live with other residents, such as nursing homes, are more likely get the flu. .Antibodies against past flu sickness provides no protection against the current flu virus.<br />
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Flu risk factors include having had cancer treatment, anti-rejection drugs for organ transplant, and HIV/AIDS infection. The flu virus weakens the immune system. It increases risk for those with asthma, diabetes, and heart problems. Prescription medications that shorten the clinical course include Oseltamivir (Tamiflu), and Zanamivir (Relenza), both administered by inhaler. These medicines should not be prescribed for those who have underlying COPD (Chronic Obstructive Pulmonary Disease) or asthma. Symptoms can be alleviated by drinking water, juice, and warm soups. These remedies prevent dehydration. Increasing sleep time bolsters the immune system. Tylenol or Ibuprofen alleviate muscle aches. <br />
The Centers for Disease Control and Prevention recommends annual flu vaccination for everyone over the age of six months. Frequent hand-washing lowers flu risk. Alcohol-based hand sanitizers prevent spread of flu sickness.<br />
Sources of flu sickness including child care centers, schools, auditoriums and public transportation facilities. Antiviral medicine side effects include nausea and vomiting. These symptoms can be lessened if the medicine is taken with food.<br />
<br />
The Centers for Disease Control and Prevention recommends annual flu vaccination for everyone over the age of 6 months.<br />
Each year's seasonal flu vaccine contains protection from the three or four influenza viruses that are expected to be the most common during that year's flu season. The vaccine is available as an injection or nasal spray.<br />
The flu vaccine isn’t one hundred percent effective. Thorough and frequent hand-washing is an effective way to prevent infection. Use alcohol-based hand sanitizers if soap and water aren't available. Cover your mouth and nose when you sneeze or cough. To avoid contaminating your hands, cough or sneeze into a tissue or into the inner crook of your elbow. Flu spreads easily wherever people congregate, including child care centers, schools, office buildings, auditoriums and public transportation areas. If you’re sick, stay home for at least twenty four hours or until symptoms resolve. Drink plenty of liquids to prevent dehydration. <br />
This will lessen your chance of infecting others. Getting more sleep can bolster your immune system. Use over-the-counter pain relievers, such as acetaminophen (Tylenol), or ibuprofen (Advil, Motrin) to combat the achiness associated with influenza. <br />
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Be careful not to take too much of Tylenol or Advil. Overuse of these medicines could cause a rare side effect, Reye’s Syndrome. <br />
The Centers for Disease Control and Prevention recommends annual flu vaccination for everyone over the age of six months. The vaccine is available as an injection or a nasal spray. <br />
Use hand sanitizers if soap and water aren't available. Cover your mouth and nose when you sneeze or cough.<br />
Flu spreads easily wherever people congregate, to include child care centers, schools, office buildings, auditoriums and public transportation. By avoiding crowds during peak flu season, you reduce the infection risk. <br />
If you do get the flu, stay home for at least twenty four hours after your fever subsides This will decrease your chance of infecting others.<br />
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Source: http://www.medscape.org/sites/advances/influenza-prevention<br />
<br />Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0tag:blogger.com,1999:blog-4545208786433769817.post-77306338013030447282016-06-10T14:33:00.001-07:002016-06-12T18:35:11.175-07:00Insomnia is a condition of fragmented sleep. Those affected have early morning awakening that leads to poor concentration and irritability. It hampers job performance and slows reaction time.<br />
Your doctor might have you complete a questionnaire to determine your sleep-wake pattern and daytime sleepiness. You may be asked to keep a sleep diary. <br />
• How often do you have insomnia and when did it begin? <br />
• How long does it take you to fall asleep?<br />
• How many hours do you sleep? <br />
• Do you snore or wake up choking for breath? <br />
• How often do you awaken at night? How long does it take you to fall back to sleep? <br />
• Are you refreshed when you wake up? <br />
• Are you tired during the day? <br />
• Do you doze off or have trouble staying awake while sitting or driving? <br />
• Where do you sleep? What's the noise level, temperature and amount of lighting?<br />
• Stressful life events?<br />
• Alcohol and tobacco use?<br />
• Family history of sleep issues?<br />
• Recent travel and time changes? <br />
• Long work hours, shift changes, and night shift?<br />
Keep a current list of medications, vitamins, and herbal supplements, including doses. Have your sleep partner come along for your next doctor’s visit. The partner could provide observations that verify information. Your doctor could suggest an overnight sleep study. A blood test might be appropriate to rule out hypo or hyperthyroidism. . <br />
Parkinson’s Disease and Alzheimer’s aggravate symptoms. Ritalin, prescribed for Attention Deficit Syndrome, inhibits sleep. Coffee, tea, and “energy drinks” are detrimental. Other sleep-related disorders include Sleep Apnea and Restless Legs Syndrome. Other disorders include depression, anxiety disorder, post traumatic stress disorder, and substance abuse. <br />
If the cause isn't clear, or you have symptoms and signs of another sleep disorder, such as sleep apnea or restless legs syndrome, referral to an overnight sleep center is recommended. This study monitors brain waves, breathing, heartbeat, brain waves, eye movement, and body movement.<br />
Behavior therapies are recommended as the first line of treatment for those with insomnia. They are equally or more effective than sleep medicines. Cognitive behavioral therapy helps or eliminates negative thoughts and worries that inhibit sleep, such as the concept, “a bad sleep night will make me sick.”.Muscle relaxation, biofeedback and deep breathing reduce anxiety. These modalities bolster breathing, heart function, muscle tension and mood. <br />
“Stimulus control” is a technique that limits time spent awake in bed. The bed and bedroom should only be associated with sex and sleep. Sleep restriction decreases time spend in bed, causing partial sleep deprivation. This strategy creates fatigue the next night. When sleep quality has improved, time in bed is decreased. Other treatments include remaining awake. Also called “paradoxical intention,” this method reduces worry and anxiety about being able to sleep by getting in bed and trying to stay awake, rather than expecting to fall asleep.<br />
If you fall asleep too early and awaken too early, you can use light to push back your internal clock. Go outside during times of the year when it's light outside in the evenings. Consider purchasing a medical-grade light box kept in your bedroom. <br />
Prescription sleeping medicines, such as zolpidem (Ambien), zopiclone (Lunesta), zaleplon (Sonata) or ramelteon (Rozerem) can induce sleep. Physicians might not recommend “prescription sleeping pills” for more than a few weeks. <br />
Over the counter nonprescription sleeping medicines contain antihistamines that cause drowsiness. These reduce sleep quality. Side effects include daytime sleepiness, urinary retention, dry mouth and confusion. <br />
Antihistamines worsen urinary problems, causing urinary urgency during the night. Additional options include Melatonin. This over-the-counter (OTC) supplement could reduce insomnia.<br />
Valerian is a dietary supplement sold as a sleep aid. It has a sedating effect, but hasn't been well studied. It is released into the bloodstream at dusk and tapers off in the morning. You might want to discuss it with your doctor. Those who take it at high doses or long term may develop liver inflammation (hepatitis). When it's time to stop, it should be tapered to prevent withdrawal symptoms.<br />
Stick to a sleep schedule. Keep your bedtime and wake time consistent, including weekends.<br />
Avoid large meals before bed. A light snack is fine. Drink less before bedtime so that you won't have to urinate as often.<br />
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Don’t work or eat in bed. Avoid TV, computers, video games, smart phones or other gadgets before bedtime. <br />
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The TV and an i-Pad may interfere with your sleep cycle.<br />
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Close the bedroom door or create a subtle background noise, such as a fan, to dampen noise sources. You might want to silence your cell phone and bedroom clocks. <br />
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A warm bath or massage can prepare you for sleep. Create a relaxing bedtime ritual, such as reading, soft music, breathing exercises, yoga or prayer. Avoid trying hard to sleep. The more you try, the more awake you’ll become. <br />
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Read in another room till you’re drowsy, then go to bed to sleep. If you can't sleep after twenty minutes, do something relaxing, such as reading. Try again. <br />
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Yoga and Tai-Chi help with sleep quality. Start slow and work with a coach or instructor who listens to your needs and limitations. <br />
“Mindful Meditation” along with conventional treatment can improve sleep. Research suggests that regularly practicing meditation reduces stress and lowers blood pressure.<br />
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Source: MayoClinic.org <br />
― <br />
Famous quote: “The best cure for insomnia is to get a lot of sleep.” W.C. Fields <br />
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Clement Hansonhttp://www.blogger.com/profile/06994101080273580550noreply@blogger.com0