Archive for

May, 2009

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TRAVELLING WITH CHILDREN: PLANNING AHEAD

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Planning ahead

It is important to plan ahead when travelling with children. This can make all the difference between an enjoyable holiday and a nerve-wrecking disaster for all.

Make sure when booking that you choose accommodation that is safe for children Check for hazards such as balconies, stairs and swimming pools. Enquire what facilities are available for children. A nearby playground can provide free entertainment when parents need to rest. Make sure the place that you stay in welcomes children, and that your children can run around without bothering other guests.

Children are often fussy eaters. If your child has certain food preferences check in advance the sort of food available where you will be staying. You may like to take some food along with you. If your child requires medication of any sort, be sure to take an adequate supply along with you. If your child uses an asthma pump when he- is unwell, be sure to take it along also. In addition, always have your parent-held record with you in case you need to take your child to the doctor or the hospital while away.

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THE SEXUAL HEALTH EXAM: CAN YOU BE INVOLVED IN A MUTUALLY PLEASING AND FULFILLING SEXUAL EXPERIENCE? THE SWEETHEART

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The Sweetheart: Sweethearts seem to be trying to “sweeten” the disease away by overcompliance to any and all medical suggestions and requests. This same pattern continues in the marital sex, as they attempt to please their partner. “I have never turned him down. Even when I am sick as hell from the chemotherapy, I’ll still do something.” This wife reported a continued effort to be “nice” sexually and in every other way. “The doctor forgot what he told me about the medicine, but he is a very busy man. I am not his only patient. I understand.”

Research in healing indicates that such compliance is as potentially detrimental to coping with disease as is the unrelenting battle of the Hero. Providing sex as a favor, as an obligation to a partner, only serves to alienate the spouse, who in turn may pull away sexually. A balance between compliance and educated, modulated resistance to the disease process seems to be healthiest for any patient, and such a balance is promoted by a continued sexual interaction where there is alternating give-and-take. “I wish she would be a little nasty sometimes, you know. She is so damned sweet I almost feel guilty having sex with her.” This husband’s report points out the need for balance and what can happen to the spouse of the Sweetheart patient.

The Sweetheart patient puts herself or himself at risk. The medical industry can kill you if you fail to represent yourself, fail to ask questions and hold professionals accountable. Being obnoxious in the hospital or when you are being treated will not make you popular, but being too nice might get you ignored. Again, the issue is balance.

There are certainly many other forms of adjustment to illness. Try to understand how you are being ill, your sickness strategy, and you will learn much about how you might get well.

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SUPER LOVE FOR SUPER SEX/LOVE-MAP LANDMARKS: DESCRIBE YOUR SEXUAL-INTERCOURSE DEBUT

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Every person asked this question had » very specific answer. Intercourse is not something we take lightly, even though we talk very crudely about it sometimes. Share your first intercourse experience with your partner. It will be difficult, but again a necessary step for super marital sex. Being happily married does not require the level of disclosure required on this test, but this book is a program for super marital sex, and for this, such vulnerability is necessary.

“I’ll tell you, it was crazy and quick,” reported the husband. “A bunch of the guys got together, got drunk, and went to this place. This woman was there. We all took a turn. What a wild time. I don’t know how I got it done.”

“Mine was after the prom,” said his wife. “I only remember my hoopskirt up in the air like som0 stupid tent. I couldn’t see anything.

To tell the truth, I don’t know if he ever really got in me. It might have been between the seat and my butt. I worried for weeks until I got my period.”

Clearly, these initiations to intercourse become “main roads” on our love map, and unless we study and learn from them, no detours to better routes are possible.

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CHANCROID; DONOVANOSIS

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Soft sore or soft chancre produces a painful ulcer on the genitals.

The pain tenderness and soft feel of chancroid distinguish it from the painless hard chancre of primary syphilis. It responds well to tetracyclines and also the sulphonamides.

Granuloma inguinale or Donovanosis is rarely seen in temperate countries. It is endemic among the Aboriginals of central and northern Australia and is common around Port Moresby in Papua New Guinea. It has an incubation period of one to four weeks. It causes painless blisters or small papules on the skin of the genitals or thighs which then become raised and irregular and may break down and ulcerate. These lesions heal slowly and may leave marked scarring. Penicillin is not effective but the condition responds to the tetracyclines.

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EUTHANASIA – DISCUSSING EUTHANASIA

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The mature doctor will accept that death is inevitable, and will help his patients to approach it. But actively to push the patient across that threshold is another thing altogether.

Most doctors would accept the principle that one should not use extraordinary means to prolong life if that life has lost its “quality.”

But here the definition becomes obscure. For what is “quality” of life?

In the U.S. the medical profession has been confused by the always-present threat of a malpractice suit.

Fortunately, this is rare in Australia.

When you discuss euthanasia, either in support of it or not, you will need to consider who it is who makes the final decision — the patient, the patient’s family, the patient’s doctor, a panel of doctors or lay people, or perhaps a concensus of all of these.

But you will also need to discuss who will do the deed — the patient’s own doctor, or a specially licensed doctor — who carries out this procedure when requested.

God help him.

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YOUR CANCER, YOUR LIFE – SCREENING FOR CERVICAL CANCER (CONCLUSION)

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A lot of research has gone into screening for breast cancer. There is some evidence that yearly screening with clinical examination (feeling the breast) and mammography (special X-rays) in women over forty-five may improve the survival for breast cancer, but it doesn’t make a dramatic difference. I believe the best way of ensuring that breast cancer is diagnosed as early as possible is by examining your own breasts regularly and reporting to a doctor when you detect any lump or thickening. Breast cancer diagnosis is often delayed because women who know they have a lump ‘keep an eye on it’ themselves for some time before seeking attention. What I say about this applies to every symptom that may be due to cancer. If it is not cancer, having tests right away will put your mind at rest and save you a lot of unnecessary worry. If itis cancer, the earlier it is diagnosed, the better your chances. Pretending it isn’t there won’t make it go away—it will only live it mote time to grow and spread.

Cancer of die cervix is the only type of cancer where a screening procedure has been shown to influence the mortality of the disease;; You could think through possible screening procedures fof other: types of cancer yourselfI think that the examples I have given are enough to show you the difficulties involved. If only there was a simple blood test for cancer!

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CENTRAL NERVOUS SYSTEM METASTASES – CONCLUSION

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Thus, a deposit starting in the bones of the spine or between the bone and meningeal covering can cause pressure on the spinal cord. Because the outside part of the meninges is called the dura, these deposits are called extradural lesions (‘extra’ meaning ‘outside of). Symptoms depend on the location. They often include pins and needles, loss of feeling and loss of strength in the feet and legs, and partial or complete loss of control of bowel and bladder. Extradural lesions cannot be seen on a plain X-ray. They do show up on a CT scan. Another way of ‘seeing’ them is with a myelogram. Here a liquid contrast material is injected into the spinal fluid through a lumbar puncture needle. Because the liquid is heavier than the spinal fluid, it ‘settles’ in the lowest available location. The person can be safely tilted up and down at different angles on a special ’tilt table’ to get the contrast material to the trouble spot.

I have discussed in detail how we can look for secondary deposits in the common sites: the lungs, liver, bone and central nervous system. The same type of approach applies to whatever part of the body is suspected of containing secondary lesions. Suspicions based on symptoms, findings on clinical examination or blood tests may be followed up by appropriate X-rays, scans, biopsies etc. Ask your doctor for an explanation if you don’t understand why certain tests are recommended. You have every right to refuse tests, for example, if you can’t see what difference the results would make to your care.

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WHOOPING COUGH – TREATMENT

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Being a bacterial illness it responds to antibiotics, although the organism is resistant to penicillin.

Pertussis vaccine is present in the triple antigen and is given to children starting at eight weeks of age. The greatest threat to children from whooping cough is to those under 12 months old.

Older children tolerate whooping cough much better, but may be affected by severe side effects from the vaccine.

The whooping cough part of triple antigen is usually not given to those over 12 months old. When immunisation is necessary, the CDT (combined diphtheria and tetanus) vaccine is used instead.

Cough suppressants are of little use trying to control whooping cough, but the child will usually respond fairly quickly once antibiotics are given.

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ETHICAL ISSUES IN OBESITY TREATMENT: THE RESPONSIBILITIES OF PROVIDING ADVICE

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When someone comes to you for help, they assume that you have the power to help them. How much power they provide you, as the professional, will depend on the individual. Some will expert you to be very powerful, perhaps able to bring about great changes and protect them from harm in the process. Others will expect less, seeing the power as being equally shared or confined to areas of knowledge and expertise that they believe themselves to lack. This may have little to do with your real powers but be an expression of the client’s needs and habitual ways of dealing with other people. Of course, often you will have knowledge and expertise that the client lacks and they trust you to give advice that is safe, effective and appropriate.

You have an obligation to act responsibly with this power, especially where the client expects a lot or is unaware of how much they are putting themselves in your hands. You are often in the better position to understand any complications in managing his or her needs.

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THE G.I. FACTOR: CARBOHYDRATE REQUIREMENTS FOR BIGGER EATERS

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The picture of an average eater would fit you if you are:

• doing regular physical activity (but not strenuous exercise),

• an adult of average frame size.

Bigger eaters need to eat:

• around 6 slices of bread or the equivalent (crackers, rolls, muffins)

PLUS

• about 3 pieces of fruit or the equivalent (juice, dried fruit)

PLUS

• 1 cup of high carbohydrate vegetables (corn, legumes, potato, sweet potato) PLUS

• at least 2 cups of cereal or grain food (breakfast cereal or cooked rice, or pasta or other grain)

PLUS

• 2 cups of low-fat milk or the equivalent (yoghurt, ice cream).

This provides 260 grams of carbohydrate which is suitable for a 7500 kilojoule (1800 Calorie) diet. This is appropriate for a young, active adult of average build.

Carbohydrate is the most satiating of all nutrients. This simply means that it satisfies your appetite and fills you up. Overconsumption of food is highly unlikely on a high carbohydrate and low-fat diet. So, base your diet on high fibre carbohydrate foods like whole-grain breads, cereals, fruit, vegetables and legumes and let your appetite dictate how much you need to eat.

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