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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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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“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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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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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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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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After studying the existing systems, I have come to the conclusion that the sympathetic trunk and the sympathetic ganglia have their proper place around the iris-wreath, but before giving my interpretation, I would like to outline the relevant observations given in these systems.

Irisdiagnosis has been greatly enriched by Anderschou’s location of the ganglionic plexi in the iris. He portrays the ganglionic plexus as a chainlike range of elevations between the nutritive organ areas (stomach and intestines) and the other organ areas of the body. Observation of it in the iris is rather difficult, and not possible in an iris of compact and dense texture.

On close examination with a lens, the small indications are found in conjunction with the organ-arcs. A part of the colon and intestines is to be found inside the sympathetic line, but all borders are dependent upon the mutual influences of the affected (diseased) parts. In this connection, I should like to point out that the medulla oblongata also has its place here.

In the Anderschou chart, the sympathetic line is indicated as a square around the iris-wreath, with arcs of different sizes directed inwardly and outwardly.

The solar plexus, a ganglionic plexus of the general nervous system, is also the control centre of the body-life, which through the umbilical cord has built up the whole body according to the three polar axes of the three dimensions. The animal nervous system, subject to consciousness and will, has its centre in the brain. The control centre of the vegetative nervous system corresponds in the iris with the central fibrous ring of the pupillary sphincter around the pupil.

The position of the solar plexus (plexus coeliacus) has been defined by only two or three investigators, who, however, are very vague in their exact location, and with whom I must completely disagree. According to the anatomical position, the solar plexus is found in front of the sympathetic trunk, in which case it is unquestionably a gastro-intestinal plexus. In spite of other opinion, it can only be placed with the sympathetic nervous system, whose location in the iris-wreath surrounding the digestive area, therefore the intestinal area, is quite definite. The sympathetic trunk shows as a ring-formation around the solar plexus in the region of the

iris-wreath.

He correlates the Vagus with the upper layer of the iris, the Sympathetic with the second layer, and the motor and sensory nerve fibres with the third layer. The correspondence with Hense’s view of the nerve layers is significant.

Kronenberger’s interpretation of the threefold arc-formation and the nerve rings is found in Hense in a different form. This interpretation of the three arc-formations has presumably also led to the introduction of the three major, six minor regions in the iris chart of Madaus-Flink.

However, that the sympathetic nervous system is not seen as a square, but that if signs such as black streaks or white lines go from the outer edge of the iris to the iris-wreath, or radiate out from the pupil and break through the iris-wreath, such signs always refer to the Sympathetic. It indicates that the complaints have a chronic character and would be difficult to cure.

Iris chart in which the sympathetic nervous system is indicated around the iris-wreath as a square, and on which he marks the lower line as the sympathetic ganglia, and the upper line as the sympathetic nervous system with connections to the head. Although the organ areas do not quite correspond with the modern chart, one must agree that even at that time a good understanding had been worked out. Everything is so arranged that it could be developed further, thus enabling later investigators to improve the existing system.

In the works of the more recent investigators, Maubach, Angerer and Deck, we find no localisation of the vegetative nervous system.

After concluding this review of different authors and of the anatomical relations, I think I can claim that the following key to the location of the vegetative nervous system in the iris is in accordance with the findings of many investigators.

The autonomic nervous system is described as a nervous system which functions according to its own laws. Anatomically considered, the autonomic nervous system, together with the glands of internal secretion and the body fluids, forms a functional unity.

The Vagus ( = Parasympathetic) is the 10th cranial nerve. It is also called the pneumogastric nerve. It consists of all those vegetative nerve fibres, including their origins and central connections, which arise in the mid-brain and the medulla oblongata, as well as in the sacral division. As the cranio-sacral system, it is functionally opposed to the thoracico-lumbar system (Sympathetic). The fibres of the parasympathetic do not run over the sympathetic trunk, but use true brain and spinal cord nerves as conductors.

The Sympathetic system, also known as the thoracico-lumbar system or the sympathetic trunk, has its cells of origin in the lateral horns of the thoracic and upper lumbar spinal cord. The spinal centres belonging to the vertebral column and spinal cord are subject to the influence of higher centres in the medulla oblongata, in the mid-brain, and in the cerebral cortex.

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Home care: In the case of illness caused by an intestinal virus, give aspirin or paracetamol to relieve pain and fever. Refer to the appropriate section for treatment of diseases caused by a specific virus.

Precautions

-    Because there are so many different types of viruses, diagnosis can be very difficult.

-    Immunity against any one virus is short-lived, so a child can have one virus infection right after another.

-    Call the doctor if your child has any of the following symptoms: stiff neck or back; severe headache and vomiting; extreme weakness or collapse; confusion.

-    The following are not symptoms of Coxsackie or ECHO viruses: rash resembling red sandpaper or red goose bumps; pus-like discharge from eyes, nose, or ears; reddish-purple spots; tender, red, enlarging lymph nodes; severe earache; blood in stool; severe cough; breathing difficulty.

A virus is a germ, smaller than a bacterium that can live only within a living cell. Many common illnesses are caused by a particular virus, among them mumps, chicken pox, measles, rubella (German measles), mononucleosis, cat scratch fever, hepatitis, warts, and roseola. Two large groups of other viruses – the respiratory viruses and the intestinal viruses – cause a variety of similar illnesses in children.

The respiratory viruses include the adenoviruses, parainfluenza viruses, rhinoviruses, influenza viruses, and the respiratory syncytial virus. The intestinal viruses (enteroviruses) inhabit the intestinal tract and are divided into Coxsackie viruses (of which 30 varieties are known so far), enteric cytopathogenic human orphan (ECHO) viruses (with 31 known types), and the three polio viruses. Coxsackie viruses are responsible for hand, foot, and mouth disease, herpangina, and pleurodynia. Herpangina lasts three to six days and produces a fever, sore throat, swollen neck glands, and painful ulcers on the soft palate, tonsils, and throat. Pleurodynia is an inflammation of the nerves between the ribs, and it causes intense pain, aggravated by breathing, on one side of the chest.

ECHO viruses may cause diarrhea. Coxsackie and ECHO viruses may cause symptoms of a common cold, a fever with or without a rash, encephalitis (inflammation of the brain), or paralysis.

The Coxsackie and ECHO viruses have an incubation period of three to five days or more, and they can be spread via the mouth or in the stool. Immunity against any one of them is short-lived. Therefore, a child can have one virus right after another.

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